{"id":165450,"date":"2026-02-02T20:39:50","date_gmt":"2026-02-02T17:39:50","guid":{"rendered":"https:\/\/epochtimestr.com\/?p=165450"},"modified":"2026-02-02T20:39:52","modified_gmt":"2026-02-02T17:39:52","slug":"yaygin-kullanilan-dehb-ilaci-obeziteye-mi-neden-oluyor","status":"publish","type":"post","link":"https:\/\/epochtimestr.com\/index.php\/yaygin-kullanilan-dehb-ilaci-obeziteye-mi-neden-oluyor","title":{"rendered":"Yayg\u0131n Kullan\u0131lan DEHB \u0130lac\u0131 Obeziteye Mi Neden Oluyor"},"content":{"rendered":"\n

Uzmanlar ilac\u0131n faydalar\u0131n\u0131n risklerden fazla oldu\u011funu s\u00f6yl\u00fcyor.<\/h2>\n\n\n
\n
\"Hindistan
Hindistan pazar\u0131nda Add Wize markas\u0131 alt\u0131nda sat\u0131lan iki farkl\u0131 DEHB \u0130lac\u0131 metilfenidat form\u00fclasyonu. (Foto\u011fraf: Wikimedia)<\/figcaption><\/figure><\/div>\n\n\n

Yak\u0131n zamanda yap\u0131lan geni\u015f kapsaml\u0131 bir ara\u015ft\u0131rmaya g\u00f6re, DEHB ilac\u0131 kullanan \u00e7ocuklar, ilerleyen ya\u015flarda a\u015f\u0131r\u0131 kilo alma ve boy k\u0131sal\u0131\u011f\u0131 riskleriyle kar\u015f\u0131 kar\u015f\u0131ya kalabilirler. Ara\u015ft\u0131rma, dikkat eksikli\u011fi \/ hiperaktivite bozuklu\u011funda (DEHB) \u00f6zellikle uzun s\u00fcreli Ritalin tedavisinin, riskleri art\u0131rd\u0131\u011f\u0131n\u0131 g\u00f6steriyor.<\/p>\n\n\n\n

Bu \u00e7al\u0131\u015fmada<\/a>, G\u00fcney Kore\u2019de yakla\u015f\u0131k 35.000 gencin 12 y\u0131l boyunca sa\u011fl\u0131k verileri incelendi. Ara\u015ft\u0131rmac\u0131lar, 2008 – 2013 y\u0131llar\u0131 aras\u0131nda, DEHB tan\u0131s\u0131 alan 6 ila 19 ya\u015f aras\u0131 \u00e7ocuklar\u0131 ele ald\u0131lar. Daha sonra onlar\u0131 12 y\u0131l boyunca, yani yeti\u015fkinli\u011fe ula\u015fana kadar onlar\u0131 izlediler. Ard\u0131ndan, EHB ilac\u0131 kullanan \u00e7ocuk grubunu ila\u00e7 kullanmayan ya\u015f\u0131tlar\u0131ndan olu\u015fan kontrol grubu ile kar\u015f\u0131la\u015ft\u0131rd\u0131lar.<\/p>\n\n\n\n

Kilo ve Boy De\u011fi\u015fimleri<\/strong><\/h3>\n\n\n\n

JAMA Network Open\u2019da yay\u0131nlanan<\/a> bulgular, ila\u00e7 kullanan \u00e7ocuklar\u0131n v\u00fccut kitle indeksinin daha y\u00fcksek oldu\u011funu g\u00f6sterdi. Buna g\u00f6re ila\u00e7 kullanan \u00e7ocuklar\u0131n ortalama VK\u0130\u2019si 24,3 iken, kontrol grubunda bu de\u011fer 23,3 oldu.<\/p>\n\n\n\n

Ara\u015ft\u0131rmac\u0131lar \u00f6zellikle piyasa ad\u0131 Ritalin olan metilfenidat\u2019\u0131 bir y\u0131ldan uzun s\u00fcre kullanan \u00e7ocuklar\u0131 incelediler. Sonu\u00e7lara g\u00f6re bunlar, ya\u015f\u0131tlar\u0131na k\u0131yasla %60 daha fazla olas\u0131l\u0131kla a\u015f\u0131r\u0131 kilolu veya obez olma e\u011filimindeler.<\/p>\n\n\n\n

\u00d6zellikle uzun s\u00fcreli Ritalin tedavisi g\u00f6ren \u00e7ocuklarda \u015fiddetli obezite (VK\u0130 30 veya \u00fczeri) yayg\u0131nl\u0131\u011f\u0131 incelendi. Bu de\u011fer kontrol grubundaki %9,3\u2019ten, DEHB ilac\u0131 grubunda %16,1\u2019e y\u00fckselerek, neredeyse iki kat\u0131na \u00e7\u0131kt\u0131.<\/p>\n\n\n\n

\u00c7al\u0131\u015fma ayr\u0131ca, uzun s\u00fcreli Ritalin alan \u00e7ocuklarda yeti\u015fkin boyunun daha k\u0131sa olma e\u011filimini ortaya \u00e7\u0131kard\u0131. Asl\u0131nda ortalama boy fark\u0131 olduk\u00e7a d\u00fc\u015f\u00fck: kad\u0131nlarda yakla\u015f\u0131k 0,6 santimetre ve erkeklerde yakla\u015f\u0131k 0,1 santimetre.<\/p>\n\n\n\n

Ara\u015ft\u0131rmac\u0131lar ayn\u0131 zamanda, bu bulgular\u0131 a\u00e7\u0131klamaya yard\u0131mc\u0131 olabilecek baz\u0131 fakt\u00f6rler oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyor. \u00d6rne\u011fin Ritalin\u2019in i\u015ftah kesici etkileri ve uyku s\u0131ras\u0131nda b\u00fcy\u00fcme hormonu sal\u0131m\u0131nda bozulma.<\/p>\n\n\n\n

Bununla birlikte \u00e7al\u0131\u015fman\u0131n, bulgular\u0131n ge\u00e7erlili\u011fini etkileyebilecek birka\u00e7 \u00f6nemli s\u0131n\u0131rlamas\u0131 var. Ara\u015ft\u0131rmac\u0131lar, ebeveynlerin VK\u0130 ve boyu, ergenlik ve adet durumu, genetik, beslenme, uyku kalitesi, kalp at\u0131\u015f h\u0131z\u0131 ve b\u00fcy\u00fcme hormonu seviyeleri gibi, kar\u0131\u015ft\u0131r\u0131c\u0131 fakt\u00f6rleri tam olarak kontrol edemediler. \u00c7\u00fcnk\u00fc bu fakt\u00f6rlerin hepsi kilo ve boy sonu\u00e7lar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde etkileyebilir.<\/p>\n\n\n\n

Buna ek olarak, G\u00fcney Kore\u2019de ger\u00e7ekle\u015fen \u00e7al\u0131\u015fmada izlenen \u00e7ocuklar\u0131n tamam\u0131 Asya n\u00fcfusuna d\u00e2hil. Dolay\u0131s\u0131yla \u0131rka ba\u011fl\u0131 farkl\u0131l\u0131klar, bulgular\u0131n ne kadar geni\u015f bir alanda ge\u00e7erli olabilece\u011fini belirsiz hale getiriyor.<\/p>\n\n\n\n

\u00c7al\u0131\u015fmada ayr\u0131ca beslenme, fiziksel aktivite, uyku d\u00fczeni gibi ya\u015fam tarz\u0131 fakt\u00f6rlerinin ayr\u0131nt\u0131l\u0131 verileri de eksik. Sonu\u00e7 olarak, ara\u015ft\u0131rmac\u0131lar obezite riskinin \u00f6ncelikli nedenini belirleyemediler. Olas\u0131 kaynaklar \u015funlar: DEHB\u2019nin kendisi, kullan\u0131lan ila\u00e7 ya da bunlar\u0131n etkile\u015fimi. Ayr\u0131ca bu fakt\u00f6rlerden herhangi biriyle ilgili ya\u015fam tarz\u0131 de\u011fi\u015fikliklerinden de ortaya \u00e7\u0131km\u0131\u015f olabilir.<\/p>\n\n\n\n

Bulgular Dikkat \u00c7ekiyor<\/h3>\n\n\n\n

\u00c7al\u0131\u015fman\u0131n yazarlar\u0131, DEHB tedavisinde metilfenidat kullan\u0131m\u0131 avantajlar\u0131n\u0131n iyi bilindi\u011fini belirtmektedir. Ancak obezite ve boy k\u0131sal\u0131\u011f\u0131 gibi olas\u0131 uzun vadeli etkiler i\u00e7in dikkatli klinik de\u011ferlendirme \u00f6nemlidir.<\/p>\n\n\n\n

\u00c7al\u0131\u015fmaya d\u00e2hil olmayan Dr. Nona Kocher, Miami\u2019deki Quintessence Psikiyatri Klini\u011fi\u2019nde uzman psikiyatrist olarak g\u00f6rev yap\u0131yor. The Epoch Times\u2019a yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, bulgular\u0131n dikkat \u00e7ekici oldu\u011funu, ancak uygun tedavinin engellenmemesi gerekti\u011fini s\u00f6yledi.<\/p>\n\n\n\n

\u201cRitalin, bir\u00e7ok \u00e7ocu\u011fun DEHB ile ba\u015fa \u00e7\u0131kmas\u0131na a\u00e7\u0131k\u00e7a yard\u0131mc\u0131 oluyor. B\u00f6ylece okul performans\u0131n\u0131, sosyal ya\u015fam\u0131n\u0131 ve genel refah\u0131n\u0131 iyile\u015ftirebiliyor\u201d dedi. \u201cBoy ve kilodaki k\u00fc\u00e7\u00fck de\u011fi\u015fiklikler dikkate de\u011fer. Ancak \u00e7o\u011fu \u00e7ocuk i\u00e7in ilac\u0131n faydalar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7miyor.\u201d<\/p>\n\n\n\n

Kocher, 1 santimetrenin alt\u0131ndaki boy de\u011fi\u015fikli\u011fini ciddi bir sorun olarak de\u011ferlendirmedi\u011fini s\u00f6yledi. Bununla birlikte tedavi edilmeyen DEHB\u2019nin \u00f6\u011frenme, ili\u015fkiler ve \u00f6zg\u00fcven konusunda zorluklara yol a\u00e7abilece\u011fini belirtti. Dolay\u0131s\u0131yla bu zorluklar\u0131n da uzun vadede kendi sonu\u00e7lar\u0131n\u0131 do\u011furabilece\u011fini vurgulad\u0131.<\/p>\n\n\n\n

Ayr\u0131ca b\u00fcy\u00fcme veya kilo konusunda endi\u015feler varsa, aileler ve doktorlar\u0131n bu durumu de\u011ferlendirebileceklerini s\u00f6yledi. \u00d6rne\u011fin farkl\u0131 dozlama stratejilerini veya alternatif ila\u00e7lar\u0131 g\u00f6r\u00fc\u015febileceklerini s\u00f6zlerine ekledi.<\/p>\n\n\n\n

Kocher, \u201cB\u00fcy\u00fcme, kilo, beslenme ve egzersizi takip etmek, DEHB\u2019yi etkili bir \u015fekilde y\u00f6netirken uzun vadeli k\u00fc\u00e7\u00fck etkileri gidermeye yard\u0131mc\u0131 olacakt\u0131r\u201d dedi.<\/p>\n\n\n\n

\u00c7al\u0131\u015fman\u0131n yazarlar\u0131 ayr\u0131ca, gelecekteki ara\u015ft\u0131rmalarda de\u011fi\u015ftirilebilir risk fakt\u00f6rlerinin belirlenmesi gerekti\u011fini belirttiler. Ara\u015ft\u0131rmalarda hedefin, tedavi yakla\u015f\u0131mlar\u0131n\u0131 iyile\u015ftirmek ve DEHB\u2019li bireylerde b\u00fcy\u00fcme ve metabolik sa\u011fl\u0131\u011f\u0131n izlenmesi i\u00e7in daha net k\u0131lavuzlar olu\u015fturmak olmas\u0131 gerekti\u011fini vurgulad\u0131lar.<\/p>\n\n\n\n

\n
<\/div>\n<\/div>\n\n\n\n

Yazan: George Citroner, The Epoch Times
\u00c7eviren: Hatice Atmaca, The Epoch Times T\u00fcrkiye<\/p>\n","protected":false},"excerpt":{"rendered":"

Uzmanlar ilac\u0131n faydalar\u0131n\u0131n risklerden fazla oldu\u011funu s\u00f6yl\u00fcyor. Yak\u0131n zamanda yap\u0131lan geni\u015f kapsaml\u0131 bir ara\u015ft\u0131rmaya g\u00f6re, DEHB ilac\u0131 kullanan \u00e7ocuklar, ilerleyen ya\u015flarda a\u015f\u0131r\u0131 kilo alma ve boy k\u0131sal\u0131\u011f\u0131 riskleriyle kar\u015f\u0131 kar\u015f\u0131ya kalabilirler. Ara\u015ft\u0131rma, dikkat eksikli\u011fi \/ hiperaktivite bozuklu\u011funda (DEHB) \u00f6zellikle uzun s\u00fcreli Ritalin tedavisinin, riskleri art\u0131rd\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Bu \u00e7al\u0131\u015fmada, G\u00fcney Kore\u2019de yakla\u015f\u0131k 35.000 gencin 12 y\u0131l […]<\/p>\n","protected":false},"author":12379,"featured_media":165451,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"DEHB \u0130lac\u0131","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"Bir ara\u015ft\u0131rmaya g\u00f6re, DEHB ilac\u0131 kullanan \u00e7ocuklar, ilerleyen ya\u015flarda a\u015f\u0131r\u0131 kilo alma ve boy k\u0131sal\u0131\u011f\u0131 riskleriyle kar\u015f\u0131 kar\u015f\u0131ya.","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":"","_yoast_wpseo_focuskw_text_input":""},"categories":[519,19],"tags":[3507,10551,10548,10547,10550,10234,10549],"yoast_head":"\nYayg\u0131n Kullan\u0131lan DEHB \u0130lac\u0131 Obeziteye Mi Neden Oluyor - 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