{"id":18925,"date":"2026-08-28T15:21:59","date_gmt":"2026-08-28T13:21:59","guid":{"rendered":"https:\/\/ivrt.de\/?p=18925"},"modified":"2026-08-28T17:08:46","modified_gmt":"2026-08-28T15:08:46","slug":"bpls-oenemsiz-bir-sey-degil-yeni-calisma-26-kat-artmis-yaralanma-riskini-goesteriyor","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/bpls-ist-keine-bagatelle-neue-studie-zeigt-26-fach-erhoehtes-verletzungsrisiko\/","title":{"rendered":"BPLS \u00f6nemsiz bir durum de\u011fil: Yeni \u00e7al\u0131\u015fma 2,6 kat artm\u0131\u015f yaralanma riskini g\u00f6steriyor"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>Der <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">iyi huylu pozisyonel ba\u015f d\u00f6nmesi<\/a>(BPLS) genellikle \u201ezarars\u0131z\u201c, iyi tedavi edilebilir bir hastal\u0131k olarak kabul edilir \u2013 sonu\u00e7ta elimizde <a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/pozisyonel-vertigo-egzersizleri-epley-semont\/\" data-type=\"page\" data-id=\"112\">kurtarma manevralar\u0131 <\/a>etkili ve uygun maliyetli tedaviler mevcuttur. Ancak g\u00fcncel bir Tayvan kay\u0131t \u00e7al\u0131\u015fmas\u0131 bu tabloyu sorgulamaktad\u0131r: BPLS hastalar\u0131, tedavi edilip edilmediklerinden ba\u011f\u0131ms\u0131z olarak, y\u0131llar boyunca belirgin \u015fekilde artm\u0131\u015f bir yaralanma riskine sahiptir. <\/p>\n\n\n\n<p>\ud83d\udd17 Mao JJ, Lin HC, Lin ST, et al. \u0130yi Huylu Paroksismal Pozisyonel Vertigo Tan\u0131s\u0131 Sonras\u0131 \u0130kincil Yaralanmalar\u0131n G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131 ve Tedavinin Etkileri: Ulusal \u00c7apta Bir Kohort \u00c7al\u0131\u015fmas\u0131. J Clin Med. 2024;13(15):4561.<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39124827\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39124827\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fma <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40852519\/\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a>PubMed<\/a><\/strong><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131: 18 y\u0131l g\u00f6zlem, 250.000'den fazla ki\u015fi<\/strong><\/p>\n\n\n\n<p>Yazarlar Tayvan sa\u011fl\u0131k sigortas\u0131 veritaban\u0131n\u0131 (LHID2005) de\u011ferlendirmi\u015f ve kesinle\u015fmi\u015f bir BPLS tan\u0131s\u0131 alm\u0131\u015f (KBB uzmanlar\u0131 veya n\u00f6rologlar taraf\u0131ndan en az 3 belgelenmi\u015f tan\u0131) 50.675 hasta tespit etmi\u015ftir. Bunlarla, ya\u015f, cinsiyet ve komorbiditeler a\u00e7\u0131s\u0131ndan e\u015fle\u015ftirilmi\u015f, BPLS'si olmayan 202.700 kontrol ki\u015fisi kar\u015f\u0131la\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r. Ortalama takip s\u00fcresi yakla\u015f\u0131k 15 y\u0131ld\u0131r.<\/p>\n\n\n\n<p><strong>Temel bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>G\u00f6zlem s\u00fcresinin sonunda, BPLS grubunda 26,1 % yaralanm\u0131\u015fken, kontrol grubunda bu say\u0131 17,0 % idi.<\/li>\n\n\n\n<li>Ya\u015f, cinsiyet, ikametg\u00e2h, bak\u0131m basama\u011f\u0131 ve komorbiditeler i\u00e7in yap\u0131lan d\u00fczeltmenin ard\u0131ndan, d\u00fczeltilmi\u015f Hazard Oran\u0131 (aHR) \u015fu \u015fekilde ger\u00e7ekle\u015fmi\u015ftir: <strong>2,63<\/strong> (95 %-KI: 2,49\u20132,88) her t\u00fcrl\u00fc yaralanma i\u00e7in.<\/li>\n\n\n\n<li>En \u00e7ok etkilenenler <strong>D\u00fc\u015fmeler<\/strong> (aHR 3,44) ve <strong>Trafik kazalar\u0131<\/strong> (aHR 3,16) \u2013 vermutlich, weil Kopfdrehungen beim Autofahren eine akute Attacke triggern k\u00f6nnen.<\/li>\n\n\n\n<li>Ayr\u0131ca <strong>kas\u0131tl\u0131 yaralamalar<\/strong> (di\u011ferlerinin yan\u0131 s\u0131ra intihar giri\u015fimleri, aHR 1,15) daha s\u0131k g\u00f6r\u00fcld\u00fc \u2013 bu da tekrarlayan ba\u015f d\u00f6nmesinin yaratt\u0131\u011f\u0131 psikolojik y\u00fck\u00fcn bir g\u00f6stergesidir.<\/li>\n\n\n\n<li>Net bir \u015fey g\u00f6r\u00fcld\u00fc <strong>Doz-etki ili\u015fkisi<\/strong>BPLS ne kadar s\u0131k te\u015fhis edildiyse (\u22651, \u22652, \u22653 episkot), yaralanma riski o kadar y\u00fcksek olmu\u015ftur (aHR 2,04 \u2192 2,47 \u2192 2,63).<\/li>\n\n\n\n<li>Hem hafif (ISS &lt; 16) hem de a\u011f\u0131r yaralanmalar (ISS \u2265 16, politravma) BPLS grubunda anlaml\u0131 derecede artm\u0131\u015ft\u0131.<\/li>\n<\/ul>\n\n\n\n<p><strong>Ger\u00e7ek uyar\u0131: Yaln\u0131zca tedavi yeterince korumaz<\/strong><\/p>\n\n\n\n<p>Muhtemelen en dikkat \u00e7ekici bulgu \u015fudur: Kurtarma manevras\u0131 (CRT), yaralanma riskini istatistiksel olarak anlaml\u0131 bir \u015fekilde azaltmam\u0131\u015ft\u0131r (CRT: aHR 0,78, 95% CI 0,37\u20131,29). Yazarlar, di\u011fer nedenlerin yan\u0131 s\u0131ra, veri taban\u0131nda etkilenen semikirkal kanallara veya manevran\u0131n tam tekni\u011fine ili\u015fkin bilgilerin bulunmad\u0131\u011f\u0131n\u0131 ve hastalar\u0131n bir k\u0131sm\u0131n\u0131n manevralar\u0131 sadece evde, uzman rehberli\u011fi olmadan uygulad\u0131\u011f\u0131n\u0131 varsaymaktad\u0131r \u2013 Dolay\u0131s\u0131yla, akut tedaviden sonra kalan ba\u015f d\u00f6nmesi ve y\u00fcr\u00fcme dengesizli\u011fi, riski devam ettirebilir.<\/p>\n\n\n\n<p><strong>Pratikteki \u00f6nem<\/strong><\/p>\n\n\n\n<p>Bu veriler, vestib\u00fcler rehabilitasyonda genellikle yeterince \u00fczerinde durulmayan bir noktay\u0131 vurgulamaktad\u0131r: Sadece bir manevra ile semptomlar\u0131n giderilmesi, yap\u0131land\u0131r\u0131lm\u0131\u015f bir denge e\u011fitiminin ve d\u00fc\u015fme \u00f6nleme dan\u0131\u015fmanl\u0131\u011f\u0131n\u0131n yerini tutmaz. \u00d6zellikle tekrarlayan BPLS'li (iyi huylu pozisyonel vertigosu olan) ya\u015fl\u0131 hastalar \u015funlardan fayda g\u00f6rmektedir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ba\u015far\u0131l\u0131 bir red\u00fcksiyondan sonra bile hedefe y\u00f6nelik y\u00fcr\u00fcme ve duru\u015f analizi,<\/li>\n\n\n\n<li>Artan trafik kazas\u0131 riski (s\u00fcr\u00fc\u015f s\u0131ras\u0131nda ba\u015f hareketleri anahtar kelimesi) hakk\u0131nda bilgilendirme,<\/li>\n\n\n\n<li>Anksiyete, ka\u00e7\u0131nma davran\u0131\u015f\u0131 ve depresif belirtiler a\u00e7\u0131s\u0131ndan tarama,<\/li>\n\n\n\n<li>bir takip randevusuna, hastalar\u0131 manevran\u0131n ard\u0131ndan \u201esemptomsuz\u201c olarak taburcu etmek yerine.<\/li>\n<\/ul>\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\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve <strong>BPLS hastalar\u0131n\u0131 akut tedavinin \u00f6tesinde nas\u0131l g\u00fcvenli ve s\u00fcrd\u00fcr\u00fclebilir bir \u015fekilde rehabilite edece\u011finizi \u00f6\u011frenmek istiyorsunuz<\/strong>?\u00a0<\/strong><\/p>\n\n\n\n<p>G\u00fcncel e\u011fitim tekliflerini ve kurs tarihlerini \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\/\" target=\"_blank\" rel=\"noreferrer noopener\">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><strong>BPLS basit bir rahats\u0131zl\u0131k de\u011fildir: Pozisyonel vertigo yaralanma riskini neden belirgin \u015fekilde art\u0131r\u0131r?<\/strong><\/strong><\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">Pozisyonel vertigo <\/a>(BPLS), birka\u00e7 hedefli ba\u015f ve v\u00fccut hareketi ile<a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/pozisyonel-vertigo-egzersizleri-epley-semont\/\" data-type=\"page\" data-id=\"112\">kurtarma manevras\u0131<\/a>) genellikle iyi tedavi edilebilmektedir. Ancak Tayvan'dan yap\u0131lan b\u00fcy\u00fck bir ara\u015ft\u0131rma \u015funu g\u00f6steriyor: BPLS (iyi huylu pozisonel vertigo) ge\u00e7iren ki\u015filer, bu hastal\u0131\u011f\u0131 hi\u00e7 ge\u00e7irmemi\u015f insanlara k\u0131yasla y\u0131llar i\u00e7inde \u00e7ok daha s\u0131k yaralanmaktad\u0131r; bu durum ba\u015far\u0131l\u0131 bir \u015fekilde tedavi edildikten sonra bile b\u00f6yledir.<\/p>\n\n\n\n<p>\ud83d\udcc4 Mao JJ, Lin HC, Lin ST, ve di\u011ferleri. Benign Paroksismal Pozisyonel Vertigo Tan\u0131s\u0131n\u0131n Ard\u0131ndan Gelen \u0130kincil Yaralanmalar\u0131n G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131 ve Tedavinin Etkileri: \u00dclke \u00c7ap\u0131nda Bir Kohort \u00c7al\u0131\u015fmas\u0131. J Clin Med. 2024.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39124827\/\" 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>Ara\u015ft\u0131rmac\u0131lar\u0131n neyi ortaya \u00e7\u0131kard\u0131\u011f\u0131<\/strong><\/p>\n\n\n\n<p>250.000'den fazla insan yakla\u015f\u0131k 15 y\u0131l boyunca g\u00f6zlemlendi. Sonu\u00e7: BPLS'li insanlar\u0131n bir <strong>2,6 kat daha y\u00fcksek risk<\/strong>, BPLS'li olmayan insanlara g\u00f6re yaralanma, \u00f6zellikle \u015fu durumlarda yayg\u0131nd\u0131:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u00fc\u015fmeler<\/strong> \u2013 BPLS'si olmayan insanlara g\u00f6re 3 kattan fazla s\u0131kl\u0131kta<\/li>\n\n\n\n<li><strong>Trafik kazalar\u0131<\/strong> \u2013 ayr\u0131ca 3 kattan fazla bir s\u0131kl\u0131kta, muhtemelen arabada ba\u015f\u0131 \u00e7evirirken ani bir ba\u015f d\u00f6nmesi ata\u011f\u0131n\u0131n \u00e7ok tehlikeli olabilmesi nedeniyle<\/li>\n<\/ul>\n\n\n\n<p>Ve bir ki\u015fide ne kadar s\u0131k pozisyonel vertigo (pozisyona ba\u011fl\u0131 ba\u015f d\u00f6nmesi) ge\u00e7mi\u015fi varsa, yaralanma riski de o kadar y\u00fcksekti.<\/p>\n\n\n\n<p><strong>Tedavi neden otomatik olarak yard\u0131mc\u0131 olmuyor?<\/strong><\/p>\n\n\n\n<p>Ba\u015far\u0131l\u0131 bir kurtarma manevras\u0131n\u0131n (\u00f6rne\u011fin Epley manevras\u0131) bu riski yeniden s\u0131f\u0131ra indirdi\u011fi varsay\u0131labilir. Ancak \u00e7al\u0131\u015fma \u015funu g\u00f6steriyor: Yaralanma riski tedaviden sonra da y\u00fcksek kalmaya devam etti. Olas\u0131 bir neden: \u201eBa\u015far\u0131l\u0131\u201c bir manevradan sonra bile bir\u00e7ok insan bir s\u00fcre daha g\u00fcvensiz bir y\u00fcr\u00fcy\u00fc\u015f tarz\u0131na veya yayg\u0131n bir sallant\u0131 hissine sahip olmaya devam ediyor ve tam da bu durum d\u00fc\u015fme riskini art\u0131rmaya devam ediyor.<\/p>\n\n\n\n<p><strong>Ne yapabilirim?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pozisyonel ba\u015f d\u00f6nmesini ciddiye al\u0131n; tek bir atak sadece saniye s\u00fcrse bile.<\/li>\n\n\n\n<li>Bir kurtarma manevras\u0131ndan sonra dengenizin tekrar tamamen g\u00fcvenli oldu\u011funa otomatik olarak g\u00fcvenmeyin. Y\u00fcr\u00fcy\u00fc\u015f\u00fcn\u00fcz\u00fcn ve duru\u015f dengenizin uzman bir terapist taraf\u0131ndan kontrol edilmesini sa\u011flay\u0131n.<\/li>\n\n\n\n<li>BPPV ata\u011f\u0131ndan sonraki ilk d\u00f6nemde ara\u00e7 kullan\u0131rken h\u0131zl\u0131 ba\u015f hareketlerine kar\u015f\u0131 \u00f6zellikle dikkatli olun.<\/li>\n\n\n\n<li>E\u011fer tekrarlayan pozisyonel ba\u015f d\u00f6nmesi ya\u015fad\u0131ysan\u0131z: Doktorunuza veya terapistinize artan d\u00fc\u015fme ve kaza riskinden mutlaka bahsedin.<\/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> Pozisyonel ba\u015f d\u00f6nmenizin ba\u015far\u0131l\u0131 bir \u015fekilde akut tedavisinin ard\u0131ndan, hedefli bir \u015fekilde size yard\u0131mc\u0131 oluyoruz <a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/bas-doenmesi-egzersizleri\/\" data-type=\"page\" data-id=\"104\">Denge ve Y\u00fcr\u00fcy\u00fc\u015f E\u011fitimi<\/a> g\u00fcnl\u00fck ya\u015fam\u0131n\u0131zda ve trafikte g\u00fcvenli\u011finizi yeniden kazanman\u0131za yard\u0131mc\u0131 olarak \u2013 tedavi edilen ata\u011f\u0131n bir sonraki d\u00fc\u015f\u00fc\u015fe d\u00f6n\u00fc\u015fmemesini sa\u011flamak i\u00e7in. Uzman meslekta\u015flar\u0131m\u0131z\u0131 \u015fu adreste bulabilirsiniz: <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: Der gutartige Lagerungsschwindel (BPLS) gilt gemeinhin als &#8222;harmlose&#8220;, gut behandelbare Erkrankung \u2013 schlie\u00dflich stehen mit den Befreiungsman\u00f6vern wirksame und kosteng\u00fcnstige Therapien zur Verf\u00fcgung. Eine aktuelle taiwanesische Registerstudie stellt dieses Bild jedoch infrage: Menschen mit BPLS haben \u00fcber Jahre hinweg ein deutlich erh\u00f6htes Risiko, sich zu verletzen \u2013 und zwar unabh\u00e4ngig davon, ob sie [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18926,"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":80,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-18925","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\/18925","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=18925"}],"version-history":[{"count":4,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/18925\/revisions"}],"predecessor-version":[{"id":18931,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/18925\/revisions\/18931"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18926"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=18925"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=18925"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=18925"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}