{"id":3356,"date":"2020-05-20T17:59:58","date_gmt":"2020-05-20T14:59:58","guid":{"rendered":"https:\/\/mobidictum.com\/?p=3356"},"modified":"2023-04-25T10:54:31","modified_gmt":"2023-04-25T07:54:31","slug":"oyunlastirma-ile-kistik-fibroz-tedavisi","status":"publish","type":"post","link":"https:\/\/mobidictum.com\/tr\/oyunlastirma-ile-kistik-fibroz-tedavisi\/","title":{"rendered":"Oyunla\u015ft\u0131rma \u0130le Kistik Fibroz Tedavisi"},"content":{"rendered":"<p>Video oyunlar\u0131 bir \u00e7ocu\u011fa neredeyse her \u015feyi yapt\u0131rabilir, buna Kistik Fibroz hastalar\u0131n\u0131n hayat\u0131n\u0131 kurtaracak olan s\u0131k\u0131c\u0131 nefes egzersizleri de dahil.<\/p>\n<h2>Oyunlar \u00e7ocuklara her \u015feyi yapt\u0131rabilir.<\/h2>\n<p>Dieter Kirsch\u2019in o\u011flu Jordi, kal\u0131t\u0131msal solunum hastal\u0131\u011f\u0131 olan Kistik Fibroz hastal\u0131\u011f\u0131ndan muzdarip. Tedavi edilmedi\u011fi s\u00fcrece genellikle \u00f6l\u00fcmc\u00fcl olan bu hastal\u0131\u011fa kar\u015f\u0131 son y\u0131llarda neyse ki tedaviler ola\u011fan\u00fcst\u00fc derecede artt\u0131. Amerika\u2019da 30.000 ki\u015fi Kistik Fibroz hastal\u0131\u011f\u0131ndan muzdaripken ne yaz\u0131k ki bunlar\u0131n 15.000 kadar\u0131 \u00e7ocuk. Bu tedaviler, ki bir nebulizat\u00f6r yard\u0131m\u0131 ile nefes egzersizlerini de bar\u0131nd\u0131r\u0131yor, Jordi gibi \u00e7ocuklar i\u00e7in ortalama ya\u015fam s\u00fcresini b\u00fcy\u00fck \u00f6l\u00e7\u00fcde artt\u0131r\u0131yor.<\/p>\n<p>Ne yaz\u0131k ki, Kirsch Jordi\u2019ye nefes egzersizlerini d\u00fczg\u00fcn ve d\u00fczenli yapt\u0131r\u0131rken zorlan\u0131yor. Tedavinin tam etkisini g\u00f6sterebilmesi i\u00e7in hastalar yava\u015f\u00e7a ve derince bir nefes almal\u0131 ki dumandan olu\u015fan ila\u00e7 t\u00fcm hava yoluna ula\u015fabilsin. Ancak k\u00fc\u00e7\u00fck bir \u00e7ocu\u011fu her g\u00fcn \u00a0yar\u0131m saat veya daha fazla s\u00fcre boyunca oturtup, ona, olmas\u0131 gereken h\u0131zda ve derinlikte egzersiz yapt\u0131rmak kolay bir i\u015f de\u011fil.<\/p>\n<figure id=\"attachment_3745\" aria-describedby=\"caption-attachment-3745\" style=\"width: 807px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-3745 size-full\" src=\"https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/kistik-fibrozis.jpg\" alt=\"\" width=\"807\" height=\"457\" srcset=\"https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/kistik-fibrozis.jpg 807w, https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/kistik-fibrozis-600x340.jpg 600w, https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/kistik-fibrozis-300x170.jpg 300w, https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/kistik-fibrozis-768x435.jpg 768w, https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/kistik-fibrozis-585x331.jpg 585w\" sizes=\"(max-width: 807px) 100vw, 807px\" \/><figcaption id=\"caption-attachment-3745\" class=\"wp-caption-text\">\u201cKistik Fibrozis (KF) kal\u0131tsal (ailevi ge\u00e7i\u015f g\u00f6steren) bir hastal\u0131kt\u0131r. Do\u011fumdan itibaren pek \u00e7ok organ\u0131n salg\u0131 bezlerini etkileyerek fonksiyon bozukluklar\u0131na yol a\u00e7ar.\u201d (toraks.org)<\/figcaption><\/figure>\n<h3>Jordi\u2019nin nebulizat\u00f6r\u00fc bir video oyunu sistemine entegre edildi<\/h3>\n<p>Kirsh, Jordi\u2019nin nebulizat\u00f6r\u00fcn\u00fc bir video oyunu sistemine entegre ederek nebulizat\u00f6r vas\u0131tas\u0131yla oynamas\u0131n\u0131 sa\u011flad\u0131. E\u011fer Jordi egzersizlerini do\u011fru yaparsa oyunda ba\u015far\u0131l\u0131 oluyor. Bir oyunda Jordi\u2019nin nefes al\u0131\u015f veri\u015fleri bir s\u0131cak hava balonunu kontrol ederek haritadaki engellerden ka\u00e7\u0131nmas\u0131n\u0131 sa\u011fl\u0131yordu. Di\u011fer oyunda ise, Jordi bir astronota uzayda s\u00fcz\u00fcl\u00fcrken \u00a0e\u015fyalar\u0131 toplamas\u0131na ve bu s\u0131rada gelen g\u00f6k cisimlerinden ka\u00e7\u0131nmas\u0131na yard\u0131mc\u0131 oluyordu. Almanya\u2019da ya\u015fayan Kirsch \u201cJordi-\u00c7ubu\u011fu\u201d ad\u0131n\u0131 verdi\u011fi yeni cihaz\u0131 yak\u0131nda t\u00fcm d\u00fcnyaya duyurmay\u0131 ama\u00e7l\u0131yor.<\/p>\n<h3>\u00c7ocuklara istedi\u011finizi yapt\u0131rmak \u00f6zellikle k\u00fc\u00e7\u00fcl ya\u015fta olduk\u00e7a zor<\/h3>\n<p>\u201c\u00c7ocuklara istedi\u011finizi yapt\u0131rmak \u00f6zellikle k\u00fc\u00e7\u00fcl ya\u015fta olduk\u00e7a zor\u201d diyor, Jordi \u00c7ubu\u011fu\u2019nun \u00e7\u0131kmas\u0131na yard\u0131mc\u0131 olan yenilik\u00e7i sa\u011fl\u0131k \u015firketi Edison Nation Medical\u2019den Kenneth Paulus. \u201dBu tedaviler yeti\u015fkinler i\u00e7in bile zorlay\u0131c\u0131. Bundan birka\u00e7 y\u0131l \u00f6ncesine kadar kistik fibroz bir \u00e7ocuk i\u00e7in resmen \u00f6l\u00fcm ferman\u0131yd\u0131. O y\u00fczden Jordi\u2019nin d\u00fczg\u00fcnce y\u00f6netilen bir solunum tedavasi onun i\u00e7in fazlas\u0131yla \u00f6nemli\u201d<\/p>\n<p>\u0130\u015fin ilgin\u00e7 k\u0131sm\u0131 ise Jordi \u00c7ubu\u011fu\u2019nu icat eden Kirsch\u2019in doktorlukla uzaktan yak\u0131ndan alakas\u0131 yok. Hatta kendisi doktorluktan olabilecek en uzak meslekte, profesyonel bir g\u00f6ky\u00fcz\u00fc dal\u0131\u015f\u00e7\u0131s\u0131. O sadece \u00e7ocu\u011funun ihtiyac\u0131 olan \u015feyi g\u00f6rd\u00fc ve ona bir \u00e7\u00f6z\u00fcm \u00fcretti. \u201cSan\u0131r\u0131m bu hikayenin en etkileyici yanlar\u0131ndan biri de bu\u201d diyor Paulus. \u201d O sadece bir \u00e7\u00f6z\u00fcm arayan ve kendi imkanlar\u0131yla bu prototipi yaratm\u0131\u015f bir baba.\u201d<\/p>\n<figure id=\"attachment_3748\" aria-describedby=\"caption-attachment-3748\" style=\"width: 800px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-3748\" src=\"https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/oyunla\u015ft\u0131rma-scaled-e1589986759457.jpg\" alt=\"\" width=\"800\" height=\"473\" srcset=\"https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/oyunla\u015ft\u0131rma-scaled-e1589986759457.jpg 800w, https:\/\/mobidictum.com\/wp-content\/uploads\/2020\/05\/oyunla\u015ft\u0131rma-scaled-e1589986759457-600x355.jpg 600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-3748\" class=\"wp-caption-text\">Oyunla\u015ft\u0131rma<\/figcaption><\/figure>\n<p>Kirsch\u2019in t\u0131bbi e\u011fitiminin olmamas\u0131na ra\u011fmen, uzmanlar da Kirsch ve Paulus\u2019un Jordi \u00c7ubu\u011fu ile i\u015faret etti\u011fi problem konusunda hemfikirler. 2009 y\u0131l\u0131nda Kraliyet T\u0131p Cemiyeti dergisinde kistik fibrozun tedavisi \u00fczerine yay\u0131nlanan bir makaleye g\u00f6re \u201d nebulizat\u00f6r tedavisinde g\u00f6z \u00f6n\u00fcnde bulundurulmas\u0131 gereken en \u00f6nemli fakt\u00f6rlerden biri de hastalar\u0131n tedaviye kar\u015f\u0131 ba\u011fl\u0131l\u0131klar\u0131d\u0131r. E\u011fer bir nebulizat\u00f6r m\u00fckemmel dozu verse bile s\u00fcre\u00e7 \u00e7ok yava\u015f veya \u00e7ok kar\u0131\u015f\u0131k ilerliyorsa ve hasta nebulizat\u00f6r kullanmaktan ho\u015fnut de\u011filse t\u00fcm s\u00fcre\u00e7 beyhudedir.\u201d<\/p>\n<p>Jordi \u00c7ubu\u011fu ise herhangi bir nebulizat\u00f6re ba\u011flanabilen basit bir mekanizmadan olu\u015fuyor. B\u00f6yle olmas\u0131 hastalar a\u00e7\u0131s\u0131ndan iyi \u00e7\u00fcnk\u00fc b\u00f6ylelikle insanlar zaten var olan nebulizat\u00f6rlerine takabilir ve b\u00f6ylelikle oyunla\u015ft\u0131rma yapabilmek ad\u0131na yeni bir d\u00fczenek almak zorunda kalmazlar.<\/p>\n<p>\u201cKendi sadeli\u011fi i\u00e7erisinde dahice\u201d diyor Paulus. T\u00fcm sistem nebulizat\u00f6rdeki a\u011f\u0131z par\u00e7as\u0131na ve hava b\u00f6l\u00fcm\u00fcne tak\u0131lan b\u00f6ylelikle bas\u0131nc\u0131 \u00f6l\u00e7en bir sens\u00f6rden ibaret. Bu bas\u0131n\u00e7 sens\u00f6r\u00fc ise bir USB ile bilgisayara ba\u011flan\u0131yor ve bas\u0131nc\u0131 oyunda d\u00f6k\u00fcyor. \u00a0Nefes s\u0131kl\u0131\u011f\u0131 ve bas\u0131nc\u0131 doktor taraf\u0131ndan yaz\u0131lm\u0131\u015f re\u00e7eteye uyabilmek ad\u0131na d\u00fczenlenebiliyor.<\/p>\n<p>A\u015fa\u011f\u0131daki video Almanca, ancak Jordi \u00c7ubu\u011funun nas\u0131l \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 gayet g\u00fczel a\u00e7\u0131klar nitelikte. Kistik Fibros hakk\u0131nda daha fazla bilgiyi\u00a0<a href=\"http:\/\/www.toraks.org.tr\/halk\/News.aspx?detail=3323\" rel=\"nofollow noopener\" target=\"_blank\">T\u00fcrk Toraks Derne\u011fi<\/a>\u00a0\u00fczerinden edinebilirsiniz.<\/p>\n<p><iframe title=\"Jordis Ballonfahrt (Spiel f\u00fcr den Jordi-Stick)\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/83aYxv0HZjM?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Oyun ile tedavi y\u00f6ntemleri geli\u015fiyor.<\/p>\n","protected":false},"author":3,"featured_media":3742,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8875],"tags":[],"class_list":["post-3356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-akademi"],"acf":[],"_links":{"self":[{"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/posts\/3356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/comments?post=3356"}],"version-history":[{"count":1,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/posts\/3356\/revisions"}],"predecessor-version":[{"id":152129,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/posts\/3356\/revisions\/152129"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/media\/3742"}],"wp:attachment":[{"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/media?parent=3356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/categories?post=3356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mobidictum.com\/tr\/wp-json\/wp\/v2\/tags?post=3356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}