{"id":10655,"date":"2021-07-27T15:52:00","date_gmt":"2021-07-27T12:52:00","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=10655"},"modified":"2021-07-27T22:01:14","modified_gmt":"2021-07-27T19:01:14","slug":"deluzyonel-parazitoz-sanrisal-parazit-istilasi","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/deluzyonel-parazitoz-sanrisal-parazit-istilasi\/","title":{"rendered":"DEL\u00dcZYONEL PARAZ\u0130TOZ: SANRISAL PARAZ\u0130T \u0130ST\u0130LASI"},"content":{"rendered":"\n
\"\"<\/figure><\/div>\n\n\n\n

   Ekbom sendromu olarak da bilinen del\u00fczyonel parazitoz, herhangi bir parazit bulgusu olmamas\u0131na ra\u011fmen, \u00f6zellikle deride parazit istilas\u0131 oldu\u011funa dair \u0131srarl\u0131 bir yanl\u0131\u015f inan\u00e7la karakterize, seyrek g\u00f6r\u00fclen psikiyatrik bir bozukluktur. Hastalar, \u00e7o\u011funlukla derilerinde helmint gibi b\u00fcy\u00fck parazitlerin veya vir\u00fcs, bakteri gibi daha k\u00fc\u00e7\u00fck parazitlerin olabilece\u011fine inanmaktad\u0131r. Bu durum orta ya\u015f ve \u00fcst\u00fcnde, daha \u00e7ok kad\u0131nlarda g\u00f6r\u00fclmektedir. Del\u00fczyonel parazitoz tek ba\u015f\u0131na ortaya \u00e7\u0131kabilece\u011fi gibi ba\u015fka hastal\u0131klarla birlikte de g\u00f6r\u00fclebilir.<\/p>\n\n\n\n

 S\u0131n\u0131fland\u0131rma \u015f\u00f6yledir:<\/p>\n\n\n\n

Birincil del\u00fczyonel parazitoz:<\/strong> Ki\u015finin sanr\u0131sal bir inanc\u0131 oldu\u011fu zamand\u0131r. Altta yatan ba\u015fka bir hastal\u0131\u011fa ba\u011fl\u0131 de\u011fildir. Aniden ortaya \u00e7\u0131kar. Monosemptomatik bir hastal\u0131kt\u0131r.<\/p>\n\n\n\n

\u0130kincil del\u00fczyonel parazitoz:<\/strong><\/p>\n\n\n\n

a)\u0130\u015flevsel (fonksiyonel): <\/strong>Ki\u015finin depresyon, demans, obsesif-kompulsif bozukluk (OKB), bipolar bozukluk, travma sonras\u0131 stres bozuklu\u011fu veya \u015fizofreni gibi ba\u015fka zihinsel sa\u011fl\u0131k ko\u015fullar\u0131na sahip oldu\u011fu durumlarda ortaya \u00e7\u0131kar.<\/p>\n\n\n\n

b)Organik: <\/strong>Hipotiroidizm, anemi, diyabet, kalp hastal\u0131\u011f\u0131, B-12 vitamini eksikli\u011fi, enfeksiyon, kokain ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve menopoz gibi ba\u015fka rahats\u0131zl\u0131klar\u0131 veya hastal\u0131klar\u0131 olan ki\u015filerde g\u00f6r\u00fclebilir.<\/p>\n\n\n\n

  Bu sendromun kesin etiyolojisi hen\u00fcz belirlenmemi\u015ftir. \u00c7\u00fcnk\u00fc  yayg\u0131n bir semptom olan ka\u015f\u0131nt\u0131 hissi genellikle yanl\u0131\u015f yorumlan\u0131r. Ka\u015f\u0131nt\u0131ya neden olabilecek di\u011fer bir\u00e7ok hastal\u0131\u011f\u0131 d\u0131\u015flamak i\u00e7in her zaman kapsaml\u0131 bir muayene gereklidir. Bu sanr\u0131lardan muzdarip hastalar s\u0131kl\u0131kla kar\u0131ncalanma, deri alt\u0131nda hareket hissi, yanma ve a\u011fr\u0131 gibi di\u011fer semptomlara sahiptir ve her zaman semptomlar\u0131n b\u00f6cekler, pireler, bitler, solucanlar veya di\u011fer parazitlerin varl\u0131\u011f\u0131ndan kaynakland\u0131\u011f\u0131na inan\u0131rlar. Bu semptomlar dokunsal hal\u00fcsinasyonlar veya parestezi olarak yorumlan\u0131r. Ciltteki soyulma, gizli \u00e7\u00fcr\u00fckler ve kesikler, parazitleri giderme giri\u015fimlerinin neden oldu\u011fu s\u0131k g\u00f6r\u00fclen kendine zarar verme \u015fekilleridir. Bunlara ek olarak cilt hasar\u0131, tak\u0131nt\u0131l\u0131 temizlik ve hayali paraziti gidermek i\u00e7in kimyasal veya yak\u0131c\u0131 maddelerin kullan\u0131lmas\u0131yla olu\u015fabilir. Ciltlerindeki parazit varl\u0131\u011f\u0131n\u0131 kan\u0131tlamak i\u00e7in hastalar muayenehaneye \u00e7e\u015fitli toz par\u00e7ac\u0131klar\u0131, deri par\u00e7alar\u0131, parazitin bula\u015ft\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fckleri kuma\u015f par\u00e7alar\u0131n\u0131 kibrit kutusu gibi bir kutunun i\u00e7inde getirebilirler. Bu davran\u0131\u015fa genellikle “kibrit kutusu belirtisi” veya “numune belirtisi” denir. Bu materyallerin \u00f6rnekleri bir\u00e7ok kez \u00e7e\u015fitli laboratuvarlara g\u00f6nderilmekte ve hi\u00e7bir parazit bulgusu bulunmamaktad\u0131r.<\/p>\n\n\n\n

  Yak\u0131n akrabalarda da buna benzer sanr\u0131lar g\u00f6r\u00fclebilir. \u0130lgin\u00e7 bir \u015fekilde, del\u00fczyonel parazitozlu ki\u015fiden uzakla\u015fan birinin semptomlar\u0131 kaybolabilir ancak hastalar\u0131n \u00e7o\u011fu ayn\u0131 zamanda psikoterapi ve farmakoterapiye de ihtiya\u00e7 duyar.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Del\u00fczyonel parazitozun nedeni tam olarak saptanamam\u0131\u015ft\u0131r ancak etiyolojisine y\u00f6nelik bir\u00e7ok yakla\u015f\u0131m bulunmaktad\u0131r. Gamper, anormal dokunsal duyular\u0131n talamusun invol\u00fcsyonel dejenerasyonuna ba\u011fl\u0131 oldu\u011funu ileri s\u00fcrm\u00fc\u015ft\u00fcr. Liebart ve Klages ise bu durumu hem talamus hem parietal bozukluklarla ili\u015fkilendirmi\u015ftir. Huber ve arkada\u015flar\u0131 del\u00fczyonel parazitoz nedeninin striatal dopamin ta\u015f\u0131y\u0131c\u0131 fonksiyonunun azalmas\u0131n\u0131n rol oynad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnm\u00fc\u015ft\u00fcr. Dopamin ta\u015f\u0131y\u0131c\u0131 inhibit\u00f6rlerden olan pemolin, kokain, metilfenidat gibi maddelerin kullan\u0131m\u0131 ile ind\u00fcklenen del\u00fczyonel parazitoz olgular\u0131ndan, dopamin ta\u015f\u0131y\u0131c\u0131lar\u0131n fonksiyonunda azalman\u0131n del\u00fczyonel parazitozun etyolojisinde rol oynad\u0131\u011f\u0131 g\u00f6r\u00fc\u015f\u00fcn\u00fc ortaya atm\u0131\u015flard\u0131r.<\/p>\n\n\n\n

   Del\u00fczyonel parazitoz, nadir g\u00f6r\u00fclen, \u00e7ok say\u0131da t\u0131bbi bran\u015f\u0131 ilgilendiren, tan\u0131nmas\u0131 kolay gibi g\u00f6r\u00fcnse de y\u00f6netimi olduk\u00e7a problemli bir sanr\u0131sal bozukluktur. Hastalar, \u00e7o\u011funlukla dermatolog, plastik cerrah, dahiliyeci veya entomologlara ba\u015fvurmaktad\u0131r ancak bu durum psikotik bir bozukluktur. Klinisyenler aras\u0131ndaki yak\u0131n multidisipliner i\u015fbirli\u011fi, genellikle bu bozuklu\u011fu te\u015fhis etmek i\u00e7in ge\u00e7en s\u00fcrenin k\u0131salmas\u0131n\u0131 sa\u011flar.  Del\u00fczyonel parazitozun kesin bir tedavisi yoktur ancak psikiyatrik bir hastal\u0131k oldu\u011fu i\u00e7in tedavisinde pimozid, aripiprazol, risperidon, olanzapin gibi antipsikotik ila\u00e7lar kullan\u0131labilir. Bununla birlikte tetikleyici bir hastal\u0131k varsa, bu hastal\u0131\u011f\u0131 tedavi etmek del\u00fczyonel parazitozu hafifletmeye veya durdurmaya yard\u0131mc\u0131 olabilir. Sanr\u0131l\u0131 parazitozu olan bir ki\u015fi, psikotik bir durumdan ziyade parazitik bir enfeksiyonu oldu\u011funa inand\u0131\u011f\u0131 i\u00e7in bu ila\u00e7lar\u0131 almak istemeyebilir. Bir\u00e7ok hasta, ak\u0131l hastal\u0131\u011f\u0131yla ili\u015fkili damgalanmaktan ve ayr\u0131ca psikiyatrik bir durum de\u011fil de parazit istilas\u0131na u\u011frad\u0131klar\u0131na dair kesin inan\u00e7lar\u0131ndan \u00f6t\u00fcr\u00fc psikiyatrik tedavileri reddederler. Pek \u00e7ok hasta i\u00e7in anlay\u0131\u015f eksikli\u011fi, empati ile yakla\u015fmama, izolasyona ve depresyon semptomlar\u0131n\u0131n geli\u015fmesine yol a\u00e7ar, bu nedenle bu durumdaki hastalara bakarken onlar\u0131n g\u00fcvenini kazanmak \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n

Daha fazla bilgi almak i\u00e7in:<\/p>\n\n\n\n

Reich A., Kwiatkowska D., \u201cDelusions of Parasitosis: An Update\u201d Springer, Dermatology and Therapy, <\/em>2019, 9(4): 631-638.,  Eri\u015fim Tarihi:19 Temmuz 2021, Doi: https:\/\/dx.doi.org\/10.1007%2Fs13555-019-00324-3<\/a><\/p>\n\n\n\n

Karaku\u015f G., \u201cDel\u00fczyonel Parazitoz: Klinik \u00d6zellikleri, Tan\u0131 ve Tedavi\u201d Current Approaches in Psychiatry,<\/em> 2010;2(3):384\u00ad400, Eri\u015fim Tarihi: 19 Temmuz 2021<\/p>\n\n\n\n

Iftikhar N.,(4 \u015eubat 2020)\u201cWhat Is Delusional Parasitosis?\u201d Healthline, <\/em>Eri\u015fim Tarihi: 20 Temmuz 2021, https:\/\/www.healthline.com\/health\/mental-health\/delusional-parasitosis<\/a><\/p>\n\n\n\n

Prakash J., Shashikumar R., Bhat P.,\u201c Delusional Parasitosis: Worms of the Mind\u201d Industrial Psychiatry Journal, <\/em>2012, 21(1): 72\u201374.,  Eri\u015fim Tarihi: 20 Temmuz 2021, Doi: https:\/\/dx.doi.org\/10.4103%2F0972-6748.110958<\/a><\/p>\n\n\n\n

Thakkar A., Ooi K., Coroneo M., \u201cDelusional Infestation: Are you being bugged?\u201d Dovepress, Clinical Ophthalmology, <\/em>2015; 9: 967\u2013970.,  Eri\u015fim Tarihi: 21 Temmuz 2021, Doi: https:\/\/dx.doi.org\/10.2147%2FOPTH.S76420<\/a><\/p>\n\n\n\n

Roberts K., Das A., Fuller M., \u201cCoexistence of Primary and Secondary Delusional Parasitosis\u201d Case Reports in Psychiatry, <\/em>2020; 2020: 2537014., Eri\u015fim Tarihi: 20 Temmuz 2021, Doi: https:\/\/dx.doi.org\/10.1155%2F2020%2F2537014<\/a><\/p>\n\n\n\n

g\u00f6rsel kayna\u011f\u0131: pixabay, shutterstock<\/p>\n","protected":false},"excerpt":{"rendered":"

   Ekbom sendromu olarak da bilinen del\u00fczyonel parazitoz, herhangi bir parazit bulgusu olmamas\u0131na ra\u011fmen, \u00f6zellikle deride parazit istilas\u0131 oldu\u011funa dair<\/p>\n","protected":false},"author":367,"featured_media":10659,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[2115,2109,341,2111,2114,1688,2113,2110,2112],"acf":[],"views":1381,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/10655"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/367"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=10655"}],"version-history":[{"count":10,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/10655\/revisions"}],"predecessor-version":[{"id":11052,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/10655\/revisions\/11052"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/10659"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=10655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=10655"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=10655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}