Dergi Ara >>
Yıl:2001; Cilt: 1; Sayı: 4>> Özet
Demans Dergisi; 2001;1(4):105-109
Alzheimer Hastalığında Hormon Replasman Tedavisi ve Diğer Potansiyel Tedavi Yöntemleri
AK Erdemoğlu, A Varlıbaş
Kırıkkale Üniversitesi Tıp Fakültesi Nöroloji ABD, Kırıkkale
Ülkelerin sanayileşmeleri neticesinde görülen
yaşam sürelerindeki artış ile demansiyel
hastalıklar güncellik kazanmaktadır. Alzheimer
hastalığı (AH) demansın en sık nedenidir. AH günlük
yaşam aktivitelerinde yetersizliğe yol açan
hafıza ve zihinsel yetilerdeki bozuklukların
görüldüğü, ilerleyici klinik tablodur.
AH ekonomik ve sosyal boyutları ile toplumda
önemli bir sağlık problemi oluşturmaktadır. Bu
nedenle AH'nin oluşumunu ve ilerlemesini önlemeye
yönelik çabalar hastalığın semptomatik
tedavisi kadar önem kazanmaktadır. Bu amaçla
çeşitli ilaçlar ve tedavi protokolleri denenmektedir.
AH'de bozulan kognitif fonksiyonların küratif
tedavisi yoktur. Primer amaç kognitif fonksiyonların
iyileştirilmesi ve hastalığın ilerleyişinin durdurulmasıdır.
Kolinerjik ilaçlar, özellikle kolinesteraz
inhibitörleri kognitif semptomların tedavisinde kullanılmaktadır.
Hastalığın semptomlarının ortaya
çıkışını geciktirmeye ve progresyonunu önlemeye
yönelik tedavi arayışları devam etmektedir. Bu
konuda bir çok ilaç denenmiş olsa da günümüzde
antioksidantlar, östrojenler ve nonsteroidal antiinflamatuvar
ilaçlar (NSAI) potansiyel tedavi yöntemlerini
oluşturmaktadır.

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