{"id":15736,"date":"2025-08-28T12:15:27","date_gmt":"2025-08-28T10:15:27","guid":{"rendered":"https:\/\/ivrt.de\/?p=15736"},"modified":"2026-05-14T16:10:55","modified_gmt":"2026-05-14T14:10:55","slug":"vestibueler-sedatifler-ve-duesme-riski-yeni-abd-calismasi-bas-doenmesinde-rutin-kullanimina-karsi-uyariyor","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/vestibulaere-sedativa-und-sturzrisiko-neue-us-studie-warnt-vor-routineeinsatz-bei-schwindel\/","title":{"rendered":"Vestib\u00fcler Sedatifler ve D\u00fc\u015fme Riski: Yeni ABD \u00c7al\u0131\u015fmas\u0131ndan Ba\u015f D\u00f6nmesinde Rutin Kullan\u0131ma Kar\u015f\u0131 Uyar\u0131"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>Ba\u015f d\u00f6nmesi, a\u015fa\u011f\u0131daki durumlarda doktora ba\u015fvurman\u0131n en yayg\u0131n nedenlerinden biridir: <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/yaslilik-vestibulopatisi-yasa-bagli-bas-doenmesi-ve-yuerueme-guevensizligi\/\" data-type=\"post\" data-id=\"7179\">ya\u015fl\u0131 insanlara<\/a>. \u015eik\u00e2yetleri h\u0131zla hafifletmek i\u00e7in genellikle meklizin veya benzodiazepinler gibi vestib\u00fcler sedatifler re\u00e7ete edilir. Ancak g\u00fcncel k\u0131lavuzlar, \u00f6zellikle ya\u015fl\u0131 hastalarda, bunlar\u0131n rutin kullan\u0131m\u0131ndan \u015fiddetle ka\u00e7\u0131n\u0131lmas\u0131n\u0131 tavsiye etmektedir, \u00e7\u00fcnk\u00fc bunlar <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibulotoksisite\/\" data-type=\"post\" data-id=\"7355\">\u0130la\u00e7lar <\/a>d\u00fc\u015fme riskini art\u0131rmak ve merkezi kompanzasyonu engellemek<\/p>\n\n\n\n<p>\ud83d\udd17 Marmor S ve ark., 2025. <em>Amerika Birle\u015fik Devletleri'nde Ba\u015f D\u00f6nmesi Olan \u226565 Ya\u015f\u0131ndaki Hastalarda Vestib\u00fcler Bask\u0131lay\u0131c\u0131 Kullan\u0131m\u0131 ve Sonras\u0131ndaki D\u00fc\u015fmeler.<\/em> Amerikan Geriatri Derne\u011fi Dergisi (J Am Geriatr Soc). PMID: 39902815<\/p>\n\n\n\n<p> <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12100683\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Veritaban\u0131<strong>:<\/strong> ABD Sigorta ve Medicare Verileri<\/li>\n\n\n\n<li>D\u00f6nem<strong>:<\/strong> 2006 \u2013 2015<\/li>\n\n\n\n<li>N\u00fcfus<strong>:<\/strong> Ba\u015f d\u00f6nmesi olan 65 ya\u015f ve \u00fczeri 190.348 hasta<\/li>\n\n\n\n<li>Analiz et<strong>:<\/strong> Vestib\u00fcler sedatiflerin re\u00e7ete edilmesi ile d\u00fc\u015fmeler aras\u0131ndaki ili\u015fki<\/li>\n<\/ul>\n\n\n\n<p><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>32\u202f% hastas\u0131na, ba\u015f d\u00f6nmesi tan\u0131s\u0131 konulduktan sonra vestib\u00fcler sedatifler verildi:<\/li>\n\n\n\n<li>Bu hastalar\u0131n 8\u202f%\u2019si, re\u00e7etenin yaz\u0131lmas\u0131ndan sonraki 60 g\u00fcn i\u00e7inde t\u0131bbi sonu\u00e7lara yol a\u00e7an bir d\u00fc\u015fme vakas\u0131 ya\u015fad\u0131.<\/li>\n\n\n\n<li>Ya\u015f, cinsiyet ve ek hastal\u0131klar i\u00e7in d\u00fczeltme yapt\u0131ktan sonra:<br>HR 3,33 (95\u202f%-KI 1,93\u20135,72, p &lt; 0,0001)<br>Satifatif kullanan hastalar\u0131n d\u00fc\u015fme riski \u00fc\u00e7 kattan fazla artm\u0131\u015ft\u0131.<\/li>\n<\/ul>\n\n\n\n<p><strong><strong>Klinik \u00f6nem<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vestib\u00fcler sedatifler k\u0131sa vadede semptomlar\u0131 hafifletir, ancak uzun vadede merkezi kompanzasyonu engeller.<\/li>\n\n\n\n<li>Katk\u0131n\u0131z yaln\u0131zca <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\">akut vestib\u00fcler krizler<\/a> mant\u0131kl\u0131 \u2013 ve ard\u0131ndan birka\u00e7 saatten en fazla birka\u00e7 g\u00fcne kadar.<\/li>\n\n\n\n<li>K\u0131lavuzlar, ila\u00e7lar\u0131n rutin olarak re\u00e7ete edilmesini de\u011fil, <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\">Ba\u015f d\u00f6nmesinin nedenini te\u015fhis etmek<\/a> ve hedefe y\u00f6nelik olarak tedavi etmek.<\/li>\n\n\n\n<li>\u00d6zellikle kritik: Y\u00fcr\u00fcme bozuklu\u011fu, sedasyon ve bili\u015fsel bozulmalarla bilinen y\u00fcksek dozda benzodiazepin kullan\u0131m\u0131.<\/li>\n<\/ul>\n\n\n\n<p><strong>Pratik \u0130\u00e7in Sonu\u00e7<\/strong><\/p>\n\n\n\n<p>Bu \u00e7al\u0131\u015fma, ba\u015f d\u00f6nmesi nedenlerinin ayr\u0131nt\u0131l\u0131 bir \u015fekilde te\u015fhis edilmesini ve refleks olarak vestib\u00fcler sedatif re\u00e7ete edilmemesini vurgulamaktad\u0131r. \u00d6zellikle ya\u015fl\u0131larda yanl\u0131\u015f kullan\u0131m, d\u00fc\u015fme riskini dramatik \u00f6l\u00e7\u00fcde art\u0131rabilir ve iyile\u015fmeyi geciktirebilir.<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve ba\u015f d\u00f6nmesinin nas\u0131l ay\u0131rt edici ve kan\u0131ta dayal\u0131 olarak tedavi edildi\u011fini?<\/strong><\/p>\n\n\n\n<p>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong><strong>Ba\u015f D\u00f6nmesi ve \u0130la\u00e7lar: Baz\u0131 Haplar Neden D\u00fc\u015fme Riskini Art\u0131r\u0131r<\/strong><\/strong><\/p>\n\n\n\n<p>Yeni ve b\u00fcy\u00fck bir ABD ara\u015ft\u0131rmas\u0131 g\u00f6steriyor ki:<\/p>\n\n\n\n<p>Bir\u00e7ok <a href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Presbyvestibulopathy.jpg\" data-type=\"attachment\" data-id=\"14077\">ya\u015fl\u0131 insanlar<\/a> Ba\u015f d\u00f6nmesinde meklizin veya benzodiazepinler gibi vestib\u00fcler sedatifler denilen, dengeyi bask\u0131layan ila\u00e7lar al\u0131n\u0131r. Ancak tam da bu ila\u00e7lar y\u00fcr\u00fcy\u00fc\u015f bozuklu\u011funu \u015fiddetlendirebilir ve d\u00fc\u015fme riskini art\u0131rabilir.<\/p>\n\n\n\n<p>\ud83d\udcc4 Marmor S ve ark., 2025. <em>Amerika Birle\u015fik Devletleri'nde Ba\u015f D\u00f6nmesi Olan \u226565 Ya\u015f\u0131ndaki Hastalarda Vestib\u00fcler Bask\u0131lay\u0131c\u0131 Kullan\u0131m\u0131 ve Sonras\u0131ndaki D\u00fc\u015fmeler.<\/em> Amerikan Geriatri Derne\u011fi Dergisi (J Am Geriatr Soc). PMID: 39902815<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12100683\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><strong><strong>\u00c7al\u0131\u015fman\u0131n \u00f6nemli sonu\u00e7lar\u0131<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>65 ya\u015f ve \u00fczeri her \u00fc\u00e7 ki\u015fiden birine vestib\u00fcler sedatifler re\u00e7ete edildi.<\/li>\n\n\n\n<li>Bu hastalar\u0131n 8\u202f%\u2019si, re\u00e7etenin yaz\u0131lmas\u0131ndan sonraki 60 g\u00fcn i\u00e7inde d\u00fc\u015ft\u00fc.<\/li>\n\n\n\n<li>D\u00fc\u015fme riski, sedatif almayan ki\u015filere g\u00f6re \u00fc\u00e7 kat\u0131ndan fazlayd\u0131.<\/li>\n<\/ul>\n\n\n\n<p><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p><strong>Bu sizin i\u00e7in ne anlama geliyor?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bu t\u00fcr ila\u00e7lar, \u00f6rne\u011fin \u00e7ok \u015fiddetli durumlarda, k\u0131sa vadede yard\u0131mc\u0131 olabilir <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\">akut ba\u015f d\u00f6nmesi<\/a>.<\/li>\n\n\n\n<li>Ancak uzun s\u00fcreli kullan\u0131m i\u00e7in tasarlanmam\u0131\u015flard\u0131r, \u00e7\u00fcnk\u00fc:\n<ul class=\"wp-block-list\">\n<li>denge duyusunu ek olarak bask\u0131lamak,<\/li>\n\n\n\n<li>yormakabilmek,<\/li>\n\n\n\n<li>d\u00fc\u015fme riskini art\u0131rmak.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>Ne yapabilirim?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gerekirse ikinci bir g\u00f6r\u00fc\u015f al\u0131n \u2013 \u00f6rne\u011fin eczaneden veya <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\">uzman doktorlara<\/a>.<\/li>\n\n\n\n<li>Ba\u015f d\u00f6nmeniz ila\u00e7lardan kaynaklanm\u0131yorsa:<\/li>\n\n\n\n<li><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">Hedefe y\u00f6nelik egzersizler ve denge e\u011fitimi<\/a> ila\u00e7lar\u0131n aksine \u2013 genellikle \u015fiddetle tavsiye edilir ve kan\u0131tlanm\u0131\u015f bir \u015fekilde etkilidir.<\/li>\n<\/ul>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f IVRT\u00ae ba\u015f d\u00f6nmesi ve vestib\u00fcler terapistlerimiz<\/strong>, die Sie individuell unerst\u00fctzen k\u00f6nnen, finden Sie \u00fcber unsere <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Schwindel ist einer der h\u00e4ufigsten Gr\u00fcnde f\u00fcr Arztbesuche bei \u00e4lteren Menschen. Um Beschwerden rasch zu lindern, werden h\u00e4ufig vestibul\u00e4re Sedativa wie Meclizin oder Benzodiazepine verordnet. Doch aktuelle Leitlinien raten dringend vom Routineeinsatz ab \u2013 insbesondere bei \u00e4lteren Patient:innen \u2013, da diese Medikamente das Sturzrisiko erh\u00f6hen und die zentrale Kompensation behindern \ud83d\udd17 Marmor S [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18087,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":305,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-15736","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/15736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=15736"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/15736\/revisions"}],"predecessor-version":[{"id":17493,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/15736\/revisions\/17493"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18087"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=15736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=15736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=15736"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}