{"id":5985,"date":"2026-05-01T22:01:36","date_gmt":"2026-05-01T21:01:36","guid":{"rendered":"https:\/\/drebruokyay.com\/?p=5985"},"modified":"2026-06-03T11:31:31","modified_gmt":"2026-06-03T10:31:31","slug":"folikuler-tikaniklik-hidradenitis-supurativa","status":"publish","type":"post","link":"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/","title":{"rendered":"Hidradenitis Suppurativa&#039;da Folik\u00fcler T\u0131kanma \u00dc\u00e7l\u00fcs\u00fcn\u00fcn 7 Belirtisi"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Tekrarlayan cilt &quot;\u00e7\u0131banlar\u0131n\u0131z&quot; asl\u0131nda \u00e7\u0131ban de\u011fil de, dermatolojik bir rahats\u0131zl\u0131k gibi g\u00f6r\u00fcnen yap\u0131sal bir sistemik bozukluksa ne olur? Bir\u00e7ok hasta i\u00e7in Hidradenitis Suppurativa (HS) tan\u0131s\u0131na giden yol ortalama yedi y\u0131l s\u00fcrer; bu s\u00fcre zarf\u0131nda <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong> Sessizce ilerleyerek derinin alt\u0131nda geri d\u00f6n\u00fc\u015f\u00fc olmayan t\u00fcneller olu\u015fturur. Bu, yetersiz hijyen veya basit bir enfeksiyonun sonucu de\u011fildir; ilk a\u011fr\u0131l\u0131 \u015fi\u015flik ortaya \u00e7\u0131kmadan \u00e7ok \u00f6nce ba\u015flayan karma\u015f\u0131k bir patofizyolojik s\u00fcre\u00e7tir. Bu \u00fc\u00e7l\u00fc mekanizmay\u0131 anlamak sadece akademik bir konu de\u011fildir; ilerlemeyi durdurman\u0131n ve Hurley Evre III ile ili\u015fkili ya\u015fam\u0131 de\u011fi\u015ftiren yara izlerinden ka\u00e7\u0131nman\u0131n tek yoludur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu klinik derinlemesine incelemede, &quot;t\u0131kanm\u0131\u015f g\u00f6zenekler&quot;in y\u00fczeysel tan\u0131mlar\u0131n\u0131n \u00f6tesine ge\u00e7ece\u011fiz. Hiperkeratoz, folik\u00fcler y\u0131rt\u0131lma ve kronik inflamasyon olmak \u00fczere \u00fc\u00e7 a\u015famal\u0131 mekanizmay\u0131 inceleyece\u011fiz. <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong>. Bu k\u0131lavuzun sonunda, bu mikroskobik olaylar\u0131n makroskobik hasara nas\u0131l yol a\u00e7t\u0131\u011f\u0131n\u0131 ve patolojinin tedaviye diren\u00e7li hale gelmeden \u00f6nce m\u00fcdahale etmek i\u00e7in hangi ad\u0131mlar\u0131 atman\u0131z gerekti\u011fini tam olarak anlayacaks\u0131n\u0131z. Dermatopatolojiye dayanan bu bak\u0131\u015f a\u00e7\u0131s\u0131, standart hasta bro\u015f\u00fcrlerinde nadiren bulunan bilgiler sunmaktad\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1262\" height=\"710\" src=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-36.png\" alt=\"\" class=\"wp-image-6003\" srcset=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-36.png 1262w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-36-300x169.png 300w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-36-1024x576.png 1024w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-36-768x432.png 768w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-36-18x10.png 18w\" sizes=\"(max-width: 1262px) 100vw, 1262px\" \/><\/figure>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130\u00e7indekiler<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"\u0130\u00e7indekiler Tablosunu A\u00e7\/Kapat\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Ge\u00e7i\u015f<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Phase_One_Infundibular_Hyperkeratosis_%E2%80%93_The_Biological_Ticking_Time_Bomb\" >Birinci A\u015fama: \u0130nfundibular Hiperkeratoz \u2013 Biyolojik Zaman Ayarl\u0131 Bomba<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Phase_Two_Follicular_Rupture_%E2%80%93_The_Immunological_Explosion\" >\u0130kinci A\u015fama: Folik\u00fcler Y\u0131rt\u0131lma \u2013 \u0130mm\u00fcnolojik Patlama<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#The_Comparative_Reality_HS_vs_Furunculosis\" >Kar\u015f\u0131la\u015ft\u0131rmal\u0131 Ger\u00e7eklik: HS ve Furunk\u00fcloz<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Phase_Three_Chronic_Inflammation_and_Fistulization_%E2%80%93_The_Tunnels_of_Despair\" >\u00dc\u00e7\u00fcnc\u00fc A\u015fama: Kronik \u0130ltihap ve Fist\u00fclle\u015fme \u2013 Umutsuzlu\u011fun T\u00fcnelleri<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Hurley_Staging_Correlation_Mapping_the_Triad_to_Progression\" >Hurley Evreleme Korelasyonu: \u00dc\u00e7l\u00fc Sendromun \u0130lerleme ile E\u015fle\u015ftirilmesi<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Why_Early_Diagnosis_is_Often_Missed_The_Hidden_Pathophysiological_Clues\" >Erken Te\u015fhisin S\u0131kl\u0131kla G\u00f6zden Ka\u00e7mas\u0131n\u0131n Nedenleri: Gizli Patofizyolojik \u0130pu\u00e7lar\u0131<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Therapeutic_Interventions_Halting_the_Triads_Progression\" >Tedavi Y\u00f6ntemleri: \u00dc\u00e7l\u00fc Sendromun \u0130lerlemesini Durdurmak<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#The_Path_Forward_5_Steps_to_Manage_Follicular_Occlusion_Today\" >\u0130leriye Giden Yol: Folik\u00fcler T\u0131kan\u0131kl\u0131\u011f\u0131 G\u00fcn\u00fcm\u00fczde Y\u00f6netmek \u0130\u00e7in 5 Ad\u0131m<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Frequently_Asked_Questions_FAQs\" >S\u0131k\u00e7a Sorulan Sorular (SSS)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#What_is_the_very_first_sign_of_the_follicular_occlusion_triad_in_Hidradenitis_Suppurativa\" >Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fcn ilk belirtisi nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Why_do_my_HS_lesions_always_turn_into_tunnels_and_scars\" >Hidradenitis suppurativa lezyonlar\u0131m neden hep t\u00fcnel ve yara izine d\u00f6n\u00fc\u015f\u00fcyor?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Is_the_follicular_occlusion_triad_caused_by_poor_hygiene\" >Folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc yetersiz hijyenden mi kaynaklan\u0131yor?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#How_does_smoking_affect_the_follicular_occlusion_triad\" >Sigara i\u00e7mek folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fc nas\u0131l etkiler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/drebruokyay.com\/tr\/follicular-occlusion-hidradenitis-suppurativa\/#Can_laser_hair_removal_help_with_the_follicular_occlusion_triad\" >Lazer epilasyon folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcne yard\u0131mc\u0131 olabilir mi?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Phase_One_Infundibular_Hyperkeratosis_%E2%80%93_The_Biological_Ticking_Time_Bomb\"><\/span>Birinci A\u015fama: \u0130nfundibular Hiperkeratoz \u2013 Biyolojik Zaman Ayarl\u0131 Bomba<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tarihsel t\u0131bbi inan\u0131\u015flar\u0131n aksine, HS&#039;nin olu\u015fumu apokrin bezlerinde ger\u00e7ekle\u015fmez. Bunun yerine, patoloji terminal k\u0131l folik\u00fcl\u00fcn\u00fcn infundibulumunda ba\u015flar. Bu ilk ad\u0131m... <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong> Bu durum, infundibular hiperkeratoz olarak bilinir. Esasen, k\u0131l folik\u00fcl\u00fcn\u00fcn astar\u0131, cildin d\u0131\u015f katman\u0131n\u0131 olu\u015fturan h\u00fccreler olan keratinositleri a\u015f\u0131r\u0131 \u00fcretmeye ba\u015flar. Bu h\u00fccreler do\u011fru \u015fekilde d\u00f6k\u00fclemez ve folik\u00fcl\u00fc kapatan yo\u011fun bir keratin t\u0131kac\u0131 olu\u015fur. Bu s\u00fcre\u00e7 pasif bir t\u0131kanma de\u011fildir; folik\u00fcl\u00fcn kendisinin yap\u0131sal bir yeniden \u015fekillenmesidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle, bu hiperkeratoz, k\u0131l kanal\u0131nda y\u00fcksek bas\u0131n\u00e7l\u0131 bir ortam yarat\u0131r. Yayg\u0131n akne de folik\u00fcl t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 i\u00e7erirken, HS mekanizmas\u0131 farkl\u0131d\u0131r \u00e7\u00fcnk\u00fc koltuk alt\u0131 ve kas\u0131k gibi s\u00fcrt\u00fcnmeye yatk\u0131n, k\u0131vr\u0131m b\u00f6lgelerinde meydana gelir. Dahas\u0131, HS hastalar\u0131ndaki genetik yatk\u0131nl\u0131k, folik\u00fcl duvarlar\u0131n\u0131 do\u011fal olarak daha k\u0131r\u0131lgan hale getirir. Sonu\u00e7 olarak, normal bir g\u00f6zenek sonunda bir t\u0131kan\u0131kl\u0131\u011f\u0131 atabilirken, HS folik\u00fcl\u00fc bir bas\u0131n\u00e7l\u0131 tencereye d\u00f6n\u00fc\u015f\u00fcr ve \u00fc\u00e7l\u00fcn\u00fcn ikinci, daha y\u0131k\u0131c\u0131 a\u015famas\u0131na haz\u0131rlan\u0131r. Bu bilginin &quot;eksikli\u011fi&quot;, \u00e7o\u011fu tedavinin bakterileri hedef almas\u0131ndan kaynaklan\u0131rken, as\u0131l sorun bu yap\u0131sal keratin disfonksiyonudur.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1262\" height=\"710\" src=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-37.png\" alt=\"\" class=\"wp-image-6004\" srcset=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-37.png 1262w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-37-300x169.png 300w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-37-1024x576.png 1024w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-37-768x432.png 768w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-37-18x10.png 18w\" sizes=\"(max-width: 1262px) 100vw, 1262px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Phase_Two_Follicular_Rupture_%E2%80%93_The_Immunological_Explosion\"><\/span>\u0130kinci A\u015fama: Folik\u00fcler Y\u0131rt\u0131lma \u2013 \u0130mm\u00fcnolojik Patlama<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Keratin t\u0131kac\u0131n\u0131n bas\u0131nc\u0131 s\u00fcrd\u00fcr\u00fclemez hale geldi\u011finde, folik\u00fcl duvar\u0131 ka\u00e7\u0131n\u0131lmaz olarak y\u0131rt\u0131l\u0131r. Bu y\u0131rt\u0131lma, s\u00fcre\u00e7teki en kritik d\u00f6n\u00fcm noktas\u0131d\u0131r. <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong>. Duvar par\u00e7aland\u0131\u011f\u0131nda, folik\u00fcl\u00fcn i\u00e7eri\u011fi (keratin, sebum ve kommensal bakteriler dahil) aniden \u00e7evredeki dermise at\u0131l\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi i\u00e7in bu maddeler yabanc\u0131 istilac\u0131lard\u0131r. Bu tetikleyici, v\u00fccudun b\u00fcy\u00fck ve yanl\u0131\u015f y\u00f6nlendirilmi\u015f bir iltihaplanma tepkisi ba\u015flatt\u0131\u011f\u0131 bir &quot;imm\u00fcnolojik patlama&quot;y\u0131 ba\u015flat\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle, v\u00fccut b\u00f6lgeye n\u00f6trofil ve makrofajlar\u0131 \u00e7eker ve bu da apse olu\u015fumuna yol a\u00e7ar. D\u0131\u015far\u0131 do\u011fru patlayan standart bir sivilcenin aksine, HS folik\u00fcl\u00fc genellikle i\u00e7eri veya yana do\u011fru patlar. Bu i\u00e7e do\u011fru yay\u0131lma, HS lezyonlar\u0131n\u0131n normal akneye g\u00f6re \u00e7ok daha a\u011fr\u0131l\u0131 ve derin olmas\u0131n\u0131n nedenidir. Bu nedenle, erken m\u00fcdahalenin amac\u0131, bu patlama meydana gelmeden \u00f6nce folik\u00fcl duvar\u0131n\u0131 stabilize etmektir. Folik\u00fcl k\u0131r\u0131ld\u0131\u011f\u0131nda, &quot;cin \u015fi\u015feden \u00e7\u0131km\u0131\u015f olur&quot; ve hastal\u0131k lokalize bir t\u0131kan\u0131kl\u0131ktan sistemik bir inflamatuar olaya d\u00f6n\u00fc\u015f\u00fcr. Bu ayr\u0131m, topikal antibiyotiklerin tek ba\u015f\u0131na genellikle ba\u015far\u0131s\u0131z olmas\u0131n\u0131n nedenidir; \u00e7\u00fcnk\u00fc y\u0131rt\u0131lm\u0131\u015f bir yap\u0131sal duvar\u0131 onaramazlar.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Comparative_Reality_HS_vs_Furunculosis\"><\/span>Kar\u015f\u0131la\u015ft\u0131rmal\u0131 Ger\u00e7eklik: HS ve Furunk\u00fcloz<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Basit bir \u00e7\u0131ban (furunkuloz) ile HS&#039;de g\u00f6r\u00fclen folik\u00fcler t\u0131kan\u0131kl\u0131k aras\u0131ndaki fark\u0131 anlamak, do\u011fru te\u015fhis i\u00e7in hayati \u00f6nem ta\u015f\u0131r. A\u015fa\u011f\u0131daki tablo, HS&#039;nin neden farkl\u0131 bir klinik yakla\u015f\u0131m gerektirdi\u011fini vurgulamaktad\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>\u00d6zellik<\/th><th>\u00c7\u0131ban (Furunk\u00fcloz)<\/th><th>HS (Folik\u00fcler T\u0131kanma \u00dc\u00e7l\u00fcs\u00fc)<\/th><\/tr><\/thead><tbody><tr><td><strong>Birincil Sebep<\/strong><\/td><td>Stafilokok Enfeksiyonu<\/td><td>Folik\u00fcler Hiperkeratoz<\/td><\/tr><tr><td><strong>Tekrarlama<\/strong><\/td><td>Rastgele\/Aral\u0131kl\u0131<\/td><td>Kronik ve Konuma \u00d6zg\u00fc<\/td><\/tr><tr><td><strong>\u0130\u00e7 Y\u0131rt\u0131lma<\/strong><\/td><td>Nadir (Genellikle d\u0131\u015fa do\u011fru y\u00f6nelir)<\/td><td>S\u0131k (Derin iltihaplanmay\u0131 tetikler)<\/td><\/tr><tr><td><strong>Uzun Vadeli Etki<\/strong><\/td><td>Hafif bir iz b\u0131rakarak soluyor<\/td><td>Fist\u00fcl olu\u015fumuna\/t\u00fcnellere yol a\u00e7ar<\/td><\/tr><tr><td><strong>Antibiyotiklere Yan\u0131t<\/strong><\/td><td>H\u0131zl\u0131 \u00e7\u00f6z\u00fcm<\/td><td>K\u0131smi\/Ge\u00e7ici yard\u0131m<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1262\" height=\"710\" src=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-38.png\" alt=\"\" class=\"wp-image-6005\" srcset=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-38.png 1262w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-38-300x169.png 300w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-38-1024x576.png 1024w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-38-768x432.png 768w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-38-18x10.png 18w\" sizes=\"(max-width: 1262px) 100vw, 1262px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Phase_Three_Chronic_Inflammation_and_Fistulization_%E2%80%93_The_Tunnels_of_Despair\"><\/span>\u00dc\u00e7\u00fcnc\u00fc A\u015fama: Kronik \u0130ltihap ve Fist\u00fclle\u015fme \u2013 Umutsuzlu\u011fun T\u00fcnelleri<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Son unsur <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong> Kronik iltihaplanmaya ge\u00e7i\u015f ve sin\u00fcs yollar\u0131 olarak bilinen epitelize t\u00fcnellerin geli\u015fmesi s\u00f6z konusudur. Folik\u00fcl y\u0131rt\u0131ld\u0131ktan ve v\u00fccut kal\u0131nt\u0131lar\u0131 &quot;temizleyemeyince&quot; iltihaplanma kendi kendini besleyen bir d\u00f6ng\u00fcye girer. V\u00fccut, hasar\u0131 kontrol alt\u0131na almak i\u00e7in \u00e7aresiz bir giri\u015fimde bulunarak, bu iltihapl\u0131 b\u00f6lgelerin etraf\u0131nda deri benzeri astarlar (epitel) geli\u015ftirmeye ba\u015flar. Bu, derinin alt\u0131ndaki farkl\u0131 apseleri birbirine ba\u011flayan t\u00fcnellerin (fist\u00fclle\u015fme) olu\u015fmas\u0131na neden olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En \u00f6nemlisi, bu t\u00fcneller sadece pasif borular de\u011fildir; biyolojik olarak aktiftirler ve s\u00fcrekli olarak iltihapl\u0131 s\u0131v\u0131 s\u0131zd\u0131r\u0131rlar. Bu a\u015fama, Hurley Evre II veya III&#039;e ge\u00e7i\u015fi i\u015faret eder. Bu noktada, hastal\u0131k art\u0131k tek tek folik\u00fcllerle ilgili de\u011fil, deri alt\u0131 bir y\u0131k\u0131m a\u011f\u0131yla ilgilidir. Sonu\u00e7 olarak, &quot;umutsuzluk t\u00fcnelleri&quot; iltihaplanma i\u00e7in kal\u0131c\u0131 bir yuva sa\u011flad\u0131\u011f\u0131 i\u00e7in t\u0131bbi tedavi \u00f6nemli \u00f6l\u00e7\u00fcde zorla\u015f\u0131r. Bu nedenle bizim <a href=\"https:\/\/drebruokyay.com\/tr\/blog\/\">dermatoloji blogu<\/a> Erken te\u015fhise \u00f6nem veriyoruz; t\u0131bbi m\u00fcdahalenin \u00fc\u00e7\u00fcnc\u00fc evredeki kal\u0131c\u0131 yap\u0131sal de\u011fi\u015fiklikleri \u00f6nleyebilece\u011fi birinci veya ikinci evrede \u00fc\u00e7l\u00fc sendromu yakalamay\u0131 hedefliyoruz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hurley_Staging_Correlation_Mapping_the_Triad_to_Progression\"><\/span>Hurley Evreleme Korelasyonu: \u00dc\u00e7l\u00fc Sendromun \u0130lerleme ile E\u015fle\u015ftirilmesi<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HS&#039;nin klinik \u015fiddeti, Hurley Evreleme sistemi ile \u00f6l\u00e7\u00fcl\u00fcr ve bu sistem, hastal\u0131\u011f\u0131n ne kadar ilerledi\u011fiyle do\u011frudan ili\u015fkilidir. <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong> Geli\u015fme kaydedildi. Bu \u00f6l\u00e7ekte nerede oldu\u011funuzu belirleyerek, size \u00f6zel, sistematik bir tedavi plan\u0131 olu\u015fturabiliriz.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hurley A\u015famas\u0131 I:<\/strong> Sin\u00fcs yollar\u0131 veya skarla\u015fma olmaks\u0131z\u0131n lokalize apse olu\u015fumu. Bu, erken hiperkeratoz ve ilk y\u0131rt\u0131lma evrelerine kar\u015f\u0131l\u0131k gelir.<\/li>\n\n\n\n<li><strong>Hurley A\u015famas\u0131 II:<\/strong> Sin\u00fcs yollar\u0131 ve skarla\u015fma ile birlikte tekrarlayan apseler. Bu yollar tek veya \u00e7oklu olabilir ancak birbirlerinden olduk\u00e7a uzaktad\u0131rlar. Bu, fist\u00fclle\u015fme evresinin ba\u015flang\u0131c\u0131n\u0131 g\u00f6sterir.<\/li>\n\n\n\n<li><strong>Hurley A\u015famas\u0131 III:<\/strong> B\u00fct\u00fcn bir b\u00f6lgeyi (\u00f6rne\u011fin, t\u00fcm koltuk alt\u0131n\u0131) kapsayan yayg\u0131n veya yayg\u0131na yak\u0131n tutulum, birbirine ba\u011fl\u0131 t\u00fcneller ve s\u00fcrekli apseler i\u00e7erir. Bu, kronik iltihaplanma evresinin doruk noktas\u0131d\u0131r.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle, bir hastan\u0131n I. Evreden III. Evreye ge\u00e7me h\u0131z\u0131 genetik, sigara i\u00e7me durumu ve hormonal fakt\u00f6rlere ba\u011fl\u0131 olarak de\u011fi\u015fmektedir. Bununla birlikte, altta yatan etken ayn\u0131 kalmaktad\u0131r: folik\u00fcler \u00fc\u00e7l\u00fcn\u00fcn kontrols\u00fcz ilerlemesi. Tedavi edilmeyen I. Evre durumunda ge\u00e7irilen her ay, geri d\u00f6n\u00fc\u015f\u00fc olmayan III. Evreye girme olas\u0131l\u0131\u011f\u0131n\u0131 istatistiksel olarak art\u0131rmaktad\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1262\" height=\"710\" src=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-39.png\" alt=\"\" class=\"wp-image-6006\" srcset=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-39.png 1262w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-39-300x169.png 300w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-39-1024x576.png 1024w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-39-768x432.png 768w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-39-18x10.png 18w\" sizes=\"(max-width: 1262px) 100vw, 1262px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Why_Early_Diagnosis_is_Often_Missed_The_Hidden_Pathophysiological_Clues\"><\/span>Erken Te\u015fhisin S\u0131kl\u0131kla G\u00f6zden Ka\u00e7mas\u0131n\u0131n Nedenleri: Gizli Patofizyolojik \u0130pu\u00e7lar\u0131<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HS&#039;nin erken te\u015fhisi s\u0131kl\u0131kla atlanmaktad\u0131r \u00e7\u00fcnk\u00fc ilk belirtiler ge\u00e7 ortaya \u00e7\u0131kar. <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong> Bunlar ince ayr\u0131nt\u0131lard\u0131r. Bir\u00e7ok hastaya &quot;bat\u0131k k\u0131l&quot; veya &quot;s\u00fcrt\u00fcnme d\u00f6k\u00fcnt\u00fcs\u00fc&quot; te\u015fhisi konulur. Ancak, e\u011fitimli bir dermatolog, \u00fc\u00e7l\u00fc belirtiye i\u015faret eden belirli ipu\u00e7lar\u0131n\u0131 arar. \u00d6rne\u011fin, &quot;\u00e7ift u\u00e7lu komedonlar\u0131n&quot; (cilt alt\u0131nda birbirine ba\u011fl\u0131 g\u00f6r\u00fcnen iki siyah nokta) varl\u0131\u011f\u0131, folik\u00fcler yeniden yap\u0131lanma ve hiperkeratozun ay\u0131rt edici bir i\u015faretidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dahas\u0131, lezyonlar\u0131n simetrisi \u00f6nemli bir ipucudur. Her iki koltuk alt\u0131n\u0131zda veya kas\u0131klar\u0131n\u0131z\u0131n her iki taraf\u0131nda tekrarlayan &quot;\u00e7\u0131banlar\u0131n\u0131z&quot; varsa, bu neredeyse kesinlikle rastgele bir enfeksiyon de\u011fildir. Bu, o b\u00f6lgelerdeki k\u0131l folik\u00fcllerinin sistemik bir duyarl\u0131l\u0131\u011f\u0131d\u0131r. Bu kal\u0131plar\u0131 erken te\u015fhis etmek, lezyon i\u00e7i kortikosteroidler veya folik\u00fcl\u00fc do\u011frudan hedef alan \u00f6zel lazer tedavileri gibi terapileri kullanmam\u0131z\u0131 ve potansiyel olarak \u00fc\u00e7l\u00fc sendromu y\u0131rt\u0131lma a\u015famas\u0131 ba\u015flamadan \u00f6nce durdurmam\u0131z\u0131 sa\u011flar. Bu uzman odakl\u0131 yakla\u015f\u0131m, bizi di\u011ferlerinden ay\u0131ran \u015feydir. <a href=\"https:\/\/drebruokyay.com\/tr\/hakkimizda\/\">uzman dermatolog<\/a> Genel bak\u0131mdan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tedavi Y\u00f6ntemleri: \u00dc\u00e7l\u00fc Sendromun \u0130lerlemesini Durdurmak<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HS&#039;nin etkili bir \u015fekilde tedavi edilmesi, hastal\u0131\u011f\u0131n her bir b\u00f6l\u00fcm\u00fcn\u00fc ele alan \u00e7ok y\u00f6nl\u00fc bir yakla\u015f\u0131m gerektirir. <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong>. Biz sadece semptomlar\u0131 tedavi etmiyoruz; mekanizmay\u0131 hedefliyoruz. Bu da k\u0131sa vadeli rahatlamadan uzun vadeli folik\u00fcler stabiliteye ge\u00e7i\u015fi gerektiriyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle, tedavi protokollerimiz a\u015fa\u011f\u0131daki \u00fc\u00e7 temel \u00fczerine odaklanmaktad\u0131r:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Hiperkeratozu Azaltmak:<\/strong> Folik\u00fcler astar\u0131 inceltmek ve ilk keratin t\u0131kac\u0131n\u0131n olu\u015fmas\u0131n\u0131 \u00f6nlemek i\u00e7in topikal retinoidler ve \u00f6zel y\u0131kama sol\u00fcsyonlar\u0131 (resorsinol gibi) kullan\u0131yoruz.<\/li>\n\n\n\n<li><strong>\u0130mm\u00fcnolojik Patlamay\u0131 Kontrol Alt\u0131na Almak:<\/strong> S\u0131k s\u0131k folik\u00fcler r\u00fcpt\u00fcr ya\u015fayan hastalarda, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin a\u015f\u0131r\u0131 tepkisini azaltmak i\u00e7in biyolojik ila\u00e7lar (TNF-alfa inhibit\u00f6rleri) gibi sistemik ila\u00e7lar kullan\u0131yoruz. Bu, folik\u00fcler r\u00fcpt\u00fcr\u00fc takip eden b\u00fcy\u00fck apselerin olu\u015fmas\u0131n\u0131 \u00f6nler.<\/li>\n\n\n\n<li><strong>Yap\u0131sal Y\u00f6netim:<\/strong> T\u00fcneller olu\u015ftuktan sonra, tek ba\u015f\u0131na t\u0131bbi tedavi genellikle yetersiz kal\u0131r. Bu &quot;\u00e7at\u0131 a\u00e7ma&quot; prosed\u00fcrlerini -t\u00fcnelleri a\u00e7an ve alttan yukar\u0131ya do\u011fru iyile\u015fmelerini sa\u011flayan cerrahi bir teknik- kullanarak &quot;umutsuzluk t\u00fcnellerini&quot; kal\u0131c\u0131 olarak ortadan kald\u0131rabiliriz.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Dahas\u0131, kilo kontrol\u00fc ve sigaray\u0131 b\u0131rakma gibi ya\u015fam tarz\u0131 fakt\u00f6rleri sadece genel tavsiyeler de\u011fil; kritik \u00f6neme sahipler \u00e7\u00fcnk\u00fc hem obezite hem de sigara i\u00e7mek mekanik s\u00fcrt\u00fcnmeyi ve pro-enflamatuar sitokinleri art\u0131rarak \u00fc\u00e7l\u00fc d\u00f6ng\u00fcy\u00fc do\u011frudan besler. Bu nedenle, att\u0131\u011f\u0131n\u0131z her ad\u0131m\u0131 \u015fu a\u00e7\u0131dan de\u011ferlendirmelisiniz: &quot;Bu, sa\u00e7 k\u00f6klerimi stabilize etmeye yard\u0131mc\u0131 olur mu?&quot;\u201c<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1262\" height=\"710\" src=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-40.png\" alt=\"\" class=\"wp-image-6007\" srcset=\"https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-40.png 1262w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-40-300x169.png 300w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-40-1024x576.png 1024w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-40-768x432.png 768w, https:\/\/drebruokyay.com\/wp-content\/uploads\/2026\/05\/image-40-18x10.png 18w\" sizes=\"(max-width: 1262px) 100vw, 1262px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Path_Forward_5_Steps_to_Manage_Follicular_Occlusion_Today\"><\/span>\u0130leriye Giden Yol: Folik\u00fcler T\u0131kan\u0131kl\u0131\u011f\u0131 G\u00fcn\u00fcm\u00fczde Y\u00f6netmek \u0130\u00e7in 5 Ad\u0131m<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">E\u011fer \u015fu durumla kar\u015f\u0131 kar\u015f\u0131ya oldu\u011funuzdan \u015f\u00fcpheleniyorsan\u0131z... <strong>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc<\/strong>, \u201cBir sonraki sivilcenin kendili\u011finden ge\u00e7mesini\u201d beklemek tehlikeli bir stratejidir. \u0130lerleme d\u00fc\u015fmand\u0131r. Cilt sa\u011fl\u0131\u011f\u0131n\u0131z\u0131n kontrol\u00fcn\u00fc yeniden ele ge\u00e7irmek i\u00e7in \u015fu be\u015f klinik ad\u0131m\u0131 izleyin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ad\u0131m 1: Kal\u0131b\u0131 belgeleyin.<\/strong> Tek tek \u015fi\u015fliklere bakmay\u0131 b\u0131rak\u0131n. Yerlerini ve s\u0131kl\u0131\u011f\u0131n\u0131 not edin. Ayn\u0131 noktalarda m\u0131 \u00e7\u0131k\u0131yorlar? Her iki koltuk alt\u0131nda da m\u0131 oluyorlar? Bu veriler, dermatolo\u011funuzun basit bir enfeksiyon yerine \u00fc\u00e7l\u00fc sendromu do\u011frulamas\u0131 i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ad\u0131m 2: S\u00fcrt\u00fcnmeyi Ortadan Kald\u0131r\u0131n.<\/strong> Bol, nefes alabilen ve do\u011fal elyaflardan yap\u0131lm\u0131\u015f k\u0131yafetler giyin. S\u00fcrt\u00fcnme, folik\u00fcl y\u0131rt\u0131lmas\u0131 i\u00e7in mekanik bir tetikleyici g\u00f6revi g\u00f6r\u00fcr. Folik\u00fclleriniz \u00fczerindeki fiziksel stresi azaltmak, alevlenmelerin s\u0131kl\u0131\u011f\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde d\u00fc\u015f\u00fcrebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. Ad\u0131m: Cilt Bak\u0131m\u0131n\u0131z\u0131 \u0130yile\u015ftirin.<\/strong> K\u0131l k\u0131vr\u0131m b\u00f6lgelerinde sert peeling \u00fcr\u00fcnlerinden veya a\u011f\u0131r ya\u011flardan ka\u00e7\u0131n\u0131n. Bunlar hiperkeratozu k\u00f6t\u00fcle\u015ftirebilir. K\u0131l k\u00f6k duvar\u0131n\u0131 tahri\u015f etmeden bakteri y\u00fck\u00fcn\u00fc kontrol alt\u0131na almak i\u00e7in bir uzman\u0131n \u00f6nerdi\u011fi \u015fekilde nazik, antiseptik temizleyiciler kullan\u0131n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. Ad\u0131m: Uzman Te\u015fhisi Al\u0131n.<\/strong> Hidradenitis Suppurativa&#039;n\u0131n inceliklerini anlayan, alan\u0131nda uzmanla\u015fm\u0131\u015f bir dermatolo\u011fa dan\u0131\u015f\u0131n. Standart klinikler, altta yatan folik\u00fcler yetmezli\u011fi ele almayan sonsuz say\u0131da antibiyotik k\u00fcr\u00fc re\u00e7ete edebilir. Erken d\u00f6nemde uzman m\u00fcdahalesi, daha sonra ameliyattan ka\u00e7\u0131nman\u0131n tek yoludur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ad\u0131m 5: Sistemik Tetikleyicileri Ele Al\u0131n.<\/strong> Sigara i\u00e7iyorsan\u0131z, hemen b\u0131rakmak i\u00e7in destek aray\u0131n. Hormonal dengesizlikleriniz varsa (\u00f6rne\u011fin PCOS), bunlar\u0131 da e\u015f zamanl\u0131 olarak ele al\u0131n. HS, deri belirtileri g\u00f6steren sistemik bir hastal\u0131kt\u0131r; v\u00fccudu bir b\u00fct\u00fcn olarak tedavi etmek ba\u015far\u0131 i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu metodik yakla\u015f\u0131m\u0131 izleyerek, pasif bir \u015fekilde ac\u0131 \u00e7eken bir ki\u015fiden, durumunuzu aktif olarak y\u00f6neten bir ki\u015fiye d\u00f6n\u00fc\u015f\u00fcrs\u00fcn\u00fcz. Antalya&#039;da ki\u015fiselle\u015ftirilmi\u015f rehberlik i\u00e7in, <a href=\"https:\/\/drebruokyay.com\/tr\/temas-etmek\/\">Dr. Ebru Okyay ile ileti\u015fime ge\u00e7in.<\/a> Remisyona giden klinik yol haritan\u0131za ba\u015flamak i\u00e7in.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions_FAQs\"><\/span>S\u0131k\u00e7a Sorulan Sorular (SSS)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq1\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><span class=\"ez-toc-section\" id=\"What_is_the_very_first_sign_of_the_follicular_occlusion_triad_in_Hidradenitis_Suppurativa\"><\/span>Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fcn ilk belirtisi nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>En erken belirti genellikle infundibular hiperkeratozdur; bu durum koltuk alt\u0131 veya kas\u0131k gibi b\u00f6lgelerde k\u00fc\u00e7\u00fck, sert siyah noktalar (komedonlar) veya tekrarlayan k\u0131rm\u0131z\u0131 \u015fi\u015flikler \u015feklinde ortaya \u00e7\u0131kar. Normal sivilcelerden farkl\u0131 olarak, bu \u015fi\u015flikler ayn\u0131 noktada tekrarlama e\u011filimindedir ve derinin daha derinlerinde hissedilebilir, bu da ilk folik\u00fcler t\u0131kan\u0131kl\u0131\u011f\u0131n bir i\u015faretidir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq2\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><span class=\"ez-toc-section\" id=\"Why_do_my_HS_lesions_always_turn_into_tunnels_and_scars\"><\/span>Hidradenitis suppurativa lezyonlar\u0131m neden hep t\u00fcnel ve yara izine d\u00f6n\u00fc\u015f\u00fcyor?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>T\u00fcneller veya sin\u00fcs kanallar\u0131, folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fcn \u00fc\u00e7\u00fcnc\u00fc a\u015famas\u0131nda olu\u015fur. Sa\u00e7 folik\u00fcl\u00fc i\u00e7ten y\u0131rt\u0131ld\u0131\u011f\u0131nda, v\u00fccut iltihab\u0131n etraf\u0131nda bir deri tabakas\u0131 olu\u015fturarak iyile\u015fmeye \u00e7al\u0131\u015f\u0131r. Bu, kal\u0131c\u0131 deri alt\u0131 kanallar\u0131 olu\u015fturur. Erken tedavi, bu geri d\u00f6n\u00fc\u015f\u00fc olmayan yap\u0131sal hasar\u0131 \u00f6nlemek i\u00e7in y\u0131rt\u0131lmay\u0131 engellemeye odaklan\u0131r.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq3\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><span class=\"ez-toc-section\" id=\"Is_the_follicular_occlusion_triad_caused_by_poor_hygiene\"><\/span>Folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc yetersiz hijyenden mi kaynaklan\u0131yor?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Hay\u0131r, bu te\u015fhisi geciktiren yayg\u0131n bir yan\u0131lg\u0131d\u0131r. Hidradenitis Suppurativa&#039;daki folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fc, genetik, hormonlar ve folik\u00fcler k\u0131r\u0131lganl\u0131ktan kaynaklanan yap\u0131sal ve imm\u00fcnolojik bir sorundur. Ne s\u0131kl\u0131kla banyo yapt\u0131\u011f\u0131n\u0131zla hi\u00e7bir ilgisi yoktur. B\u00f6lgeyi \u00e7ok sert ovmak asl\u0131nda daha fazla y\u0131rt\u0131lmaya neden olabilir ve durumu k\u00f6t\u00fcle\u015ftirebilir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq4\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><span class=\"ez-toc-section\" id=\"How_does_smoking_affect_the_follicular_occlusion_triad\"><\/span>Sigara i\u00e7mek folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fc nas\u0131l etkiler?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Sigara i\u00e7mek, hidradenitis suppurativa (HS) i\u00e7in en \u00f6nemli d\u0131\u015f tetikleyicilerden biridir. Nikotin ve di\u011fer kimyasallar hiperkeratozu (folik\u00fcl astar\u0131n\u0131n kal\u0131nla\u015fmas\u0131) te\u015fvik eder ve pro-enflamatuar sitokinlerin sal\u0131n\u0131m\u0131n\u0131 art\u0131r\u0131r. Bu durum, folik\u00fcllerin t\u0131kanma olas\u0131l\u0131\u011f\u0131n\u0131 ve t\u0131kand\u0131klar\u0131nda \u015fiddetli y\u0131rt\u0131lmalara daha yatk\u0131n hale gelmesine neden olarak hastal\u0131\u011f\u0131n ilerlemesini \u00f6nemli \u00f6l\u00e7\u00fcde h\u0131zland\u0131r\u0131r.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq5\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><span class=\"ez-toc-section\" id=\"Can_laser_hair_removal_help_with_the_follicular_occlusion_triad\"><\/span>Lazer epilasyon folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcne yard\u0131mc\u0131 olabilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Evet, lazer epilasyon bir\u00e7ok HS hastas\u0131 i\u00e7in tedavinin sistematik bir par\u00e7as\u0131 olabilir. K\u0131l folik\u00fcl\u00fcn\u00fc tamamen yok ederek, \u00fc\u00e7l\u00fc yap\u0131n\u0131n ba\u015flad\u0131\u011f\u0131 noktay\u0131 ortadan kald\u0131r\u0131yoruz. T\u0131kanacak veya y\u0131rt\u0131lacak bir folik\u00fcl olmad\u0131\u011f\u0131 i\u00e7in, iltihaplanma d\u00f6ng\u00fcs\u00fc k\u0131r\u0131l\u0131r. Ancak bu i\u015flem yaln\u0131zca HS konusunda uzmanla\u015fm\u0131\u015f bir dermatologun g\u00f6zetiminde yap\u0131lmal\u0131d\u0131r.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Tekrarlayan cilt &quot;\u00e7\u0131banlar\u0131n\u0131z&quot; asl\u0131nda \u00e7\u0131ban de\u011fil de, dermatolojik bir rahats\u0131zl\u0131k gibi g\u00f6r\u00fcnen yap\u0131sal bir sistemik bozukluksa ne olur? Bir\u00e7ok hasta i\u00e7in Hidradenitis Suppurativa (HS) tan\u0131s\u0131na giden yol ortalama yedi y\u0131l s\u00fcrer; bu s\u00fcre zarf\u0131nda Hidradenitis Suppurativa&#039;daki folik\u00fcler t\u0131kanma \u00fc\u00e7l\u00fcs\u00fc sessizce \u00e7al\u0131\u015farak cildin alt\u0131nda geri d\u00f6n\u00fc\u015f\u00fc olmayan t\u00fcneller olu\u015fturur. Bu, k\u00f6t\u00fc hijyen veya basit bir enfeksiyonun sonucu de\u011fildir; ilk a\u011fr\u0131l\u0131 \u015fi\u015flik ortaya \u00e7\u0131kmadan \u00e7ok \u00f6nce ba\u015flayan karma\u015f\u0131k bir patofizyolojik s\u00fcre\u00e7tir. Bu \u00fc\u00e7l\u00fcy\u00fc anlamak sadece akademik bir konu de\u011fildir; ilerlemeyi durdurman\u0131n ve Hurley Evre III ile ili\u015fkili ya\u015fam\u0131 de\u011fi\u015ftiren yara izlerinden ka\u00e7\u0131nman\u0131n tek yoludur. Bu klinik derinlemesine incelemede, &quot;t\u0131kanm\u0131\u015f g\u00f6zenekler&quot;in y\u00fczeysel tan\u0131mlar\u0131n\u0131n \u00f6tesine ge\u00e7iyoruz. Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fc tan\u0131mlayan \u00fc\u00e7 a\u015famal\u0131 mekanizmay\u0131\u2014hiperkeratoz, folik\u00fcler y\u0131rt\u0131lma ve kronik inflamasyon\u2014inceleyece\u011fiz. Bu k\u0131lavuzun sonunda, bu mikroskobik olaylar\u0131n makroskobik hasara nas\u0131l yol a\u00e7t\u0131\u011f\u0131n\u0131 ve patoloji tedaviye diren\u00e7li hale gelmeden \u00f6nce m\u00fcdahale etmek i\u00e7in hangi ad\u0131mlar\u0131 atman\u0131z gerekti\u011fini tam olarak anlayacaks\u0131n\u0131z. Dermatopatolojiye dayanan bu bak\u0131\u015f a\u00e7\u0131s\u0131, standart hasta bro\u015f\u00fcrlerinde nadiren bulunan bilgiler sunmaktad\u0131r. Birinci A\u015fama: \u0130nfundibular Hiperkeratoz \u2013 Biyolojik Zaman Bombas\u0131 Tarihsel t\u0131bbi inan\u0131\u015flar\u0131n aksine, HS&#039;nin olu\u015fumu apokrin bezlerinde ger\u00e7ekle\u015fmez. Bunun yerine, patoloji terminal k\u0131l folik\u00fcl\u00fcn\u00fcn infundibulumunda ba\u015flar. Hidradenitis Suppurativa&#039;daki folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fcn bu ilk ad\u0131m\u0131 infundibular hiperkeratoz olarak bilinir. Esasen, k\u0131l folik\u00fcl\u00fcn\u00fcn astar\u0131, cildin d\u0131\u015f katman\u0131n\u0131 olu\u015fturan h\u00fccreler olan keratinositleri a\u015f\u0131r\u0131 \u00fcretmeye ba\u015flar. Bu h\u00fccreler do\u011fru \u015fekilde d\u00f6k\u00fclemez ve folik\u00fcl\u00fc kapatan yo\u011fun bir keratin t\u0131kac\u0131 olu\u015fur. Bu s\u00fcre\u00e7 pasif bir t\u0131kanma de\u011fildir; folik\u00fcl\u00fcn kendisinin yap\u0131sal bir yeniden \u015fekillenmesidir. \u00d6zellikle, bu hiperkeratoz, sa\u00e7 kanal\u0131nda y\u00fcksek bas\u0131n\u00e7l\u0131 bir ortam yarat\u0131r. Yayg\u0131n akne de folik\u00fcl t\u0131kanmas\u0131n\u0131 i\u00e7erirken, HS mekanizmas\u0131 farkl\u0131d\u0131r \u00e7\u00fcnk\u00fc koltuk alt\u0131 ve kas\u0131k gibi s\u00fcrt\u00fcnmeye yatk\u0131n, k\u0131vr\u0131m b\u00f6lgelerinde meydana gelir. Dahas\u0131, HS hastalar\u0131ndaki genetik yatk\u0131nl\u0131k, folik\u00fcl duvarlar\u0131n\u0131 do\u011fal olarak daha k\u0131r\u0131lgan hale getirir. Sonu\u00e7 olarak, normal bir g\u00f6zenek sonunda bir t\u0131kac\u0131 d\u0131\u015far\u0131 atabilirken, HS folik\u00fcl\u00fc bir bas\u0131n\u00e7l\u0131 tencereye d\u00f6n\u00fc\u015f\u00fcr ve \u00fc\u00e7l\u00fcn\u00fcn ikinci, daha y\u0131k\u0131c\u0131 a\u015famas\u0131na haz\u0131rlan\u0131r. Bu bilginin &quot;azl\u0131\u011f\u0131&quot;, \u00e7o\u011fu tedavinin bakterileri hedef almas\u0131ndan kaynaklan\u0131rken, as\u0131l sorun bu yap\u0131sal keratin disfonksiyonudur. \u0130kinci A\u015fama: Folik\u00fcler Y\u0131rt\u0131lma \u2013 \u0130mm\u00fcnolojik Patlama Keratin t\u0131kac\u0131ndan gelen bas\u0131n\u00e7 s\u00fcrd\u00fcr\u00fclemez hale geldi\u011finde, folik\u00fcl duvar\u0131 ka\u00e7\u0131n\u0131lmaz olarak y\u0131rt\u0131l\u0131r. Bu y\u0131rt\u0131lma, Hidradenitis Suppurativa&#039;daki folik\u00fcler t\u0131kanma \u00fc\u00e7l\u00fcs\u00fcn\u00fcn en kritik d\u00f6n\u00fcm noktas\u0131d\u0131r. Duvar par\u00e7aland\u0131\u011f\u0131nda, keratin, sebum ve kommensal bakteriler de dahil olmak \u00fczere folik\u00fcl\u00fcn i\u00e7eri\u011fi aniden \u00e7evredeki dermise at\u0131l\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi i\u00e7in bu maddeler yabanc\u0131 istilac\u0131lard\u0131r. Bu tetikleyici, v\u00fccudun b\u00fcy\u00fck ve yanl\u0131\u015f y\u00f6nlendirilmi\u015f bir inflamatuar yan\u0131t ba\u015flatt\u0131\u011f\u0131 bir &quot;imm\u00fcnolojik patlama&quot;y\u0131 ba\u015flat\u0131r. \u00d6zellikle, v\u00fccut b\u00f6lgeye n\u00f6trofiller ve makrofajlar \u00e7eker ve bu da apse olu\u015fumuna yol a\u00e7ar. D\u0131\u015far\u0131 do\u011fru patlayan standart bir sivilcenin aksine, HS folik\u00fcl\u00fc genellikle i\u00e7eri veya yana do\u011fru patlar. Bu i\u00e7e do\u011fru yay\u0131lma, HS lezyonlar\u0131n\u0131n normal akneye g\u00f6re \u00e7ok daha a\u011fr\u0131l\u0131 ve derin olmas\u0131n\u0131n nedenidir. Bu nedenle, erken m\u00fcdahalenin amac\u0131, bu y\u0131rt\u0131lma meydana gelmeden \u00f6nce folik\u00fcler duvar\u0131 stabilize etmektir. Folik\u00fcl k\u0131r\u0131ld\u0131\u011f\u0131nda, &quot;cin \u015fi\u015feden \u00e7\u0131km\u0131\u015ft\u0131r&quot; ve hastal\u0131k lokalize bir t\u0131kanmadan sistemik bir inflamatuar olaya d\u00f6n\u00fc\u015f\u00fcr. Bu ayr\u0131m, topikal antibiyotiklerin tek ba\u015f\u0131na s\u0131kl\u0131kla ba\u015far\u0131s\u0131z olmas\u0131n\u0131n nedenidir; y\u0131rt\u0131lm\u0131\u015f bir yap\u0131sal duvar\u0131 onaramazlar. Kar\u015f\u0131la\u015ft\u0131rmal\u0131 Ger\u00e7eklik: HS ve Furunk\u00fcloz Basit bir \u00e7\u0131ban (furunk\u00fcloz) ile HS&#039;de g\u00f6r\u00fclen folik\u00fcler t\u0131kan\u0131kl\u0131k aras\u0131ndaki fark\u0131 anlamak, do\u011fru te\u015fhis i\u00e7in hayati \u00f6nem ta\u015f\u0131r. A\u015fa\u011f\u0131daki tablo, HS&#039;nin neden farkl\u0131 bir klinik yakla\u015f\u0131m gerektirdi\u011fini vurgulamaktad\u0131r. S\u0131k G\u00f6r\u00fclen \u00c7\u0131ban (Furunk\u00fcloz) HS (Folik\u00fcler T\u0131kanma \u00dc\u00e7l\u00fcs\u00fc) Birincil Neden Stafilokok Enfeksiyonu Folik\u00fcler Hiperkeratoz Tekrarlama Rastgele\/Sporadik Kronik ve B\u00f6lgeye \u00d6zg\u00fc \u0130\u00e7 Y\u0131rt\u0131lma Nadir (Genellikle d\u0131\u015far\u0131 do\u011fru ilerler) S\u0131k (Derin iltihab\u0131 tetikler) Uzun S\u00fcreli Etki K\u00fc\u00e7\u00fck bir iz b\u0131rakarak kaybolur Fist\u00fclle\u015fmeye\/t\u00fcnellere yol a\u00e7ar Antibiyotiklere Yan\u0131t H\u0131zl\u0131 iyile\u015fme K\u0131smi\/Ge\u00e7ici rahatlama \u00dc\u00e7\u00fcnc\u00fc A\u015fama: Kronik \u0130ltihap ve Fist\u00fclle\u015fme \u2013 Umutsuzluk T\u00fcnelleri Hidradenitis Suppurativa&#039;daki folik\u00fcler t\u0131kanma \u00fc\u00e7l\u00fcs\u00fcn\u00fcn son unsuru, kronik iltihaba ge\u00e7i\u015f ve sin\u00fcs yollar\u0131 olarak bilinen epitelize t\u00fcnellerin geli\u015fmesidir. Folik\u00fcl y\u0131rt\u0131ld\u0131ktan ve v\u00fccut kal\u0131nt\u0131lar\u0131 &quot;temizleyemeyince&quot;, iltihap kendi kendini devam ettirir. V\u00fccut, hasar\u0131 kontrol alt\u0131na almak i\u00e7in umutsuzca bir giri\u015fimde bulunarak, bu iltihapl\u0131 b\u00f6lgelerin etraf\u0131nda deri benzeri astarlar (epitel) geli\u015ftirmeye ba\u015flar. Bu durum, deri alt\u0131nda farkl\u0131 apseleri birbirine ba\u011flayan t\u00fcnellerin (fist\u00fclizasyon) olu\u015fmas\u0131na neden olur. \u00d6nemli olan, bu t\u00fcnellerin sadece pasif borular olmamas\u0131; biyolojik olarak aktif olmalar\u0131 ve s\u00fcrekli olarak iltihapl\u0131 s\u0131v\u0131 s\u0131zd\u0131rmalar\u0131d\u0131r. Bu a\u015fama, Hurley Evre II veya III&#039;e ge\u00e7i\u015fi i\u015faret eder. Bu noktada, hastal\u0131k art\u0131k tek tek folik\u00fcllerle ilgili de\u011fil, deri alt\u0131 bir y\u0131k\u0131m a\u011f\u0131yla ilgilidir. Sonu\u00e7 olarak, &quot;umutsuzluk t\u00fcnelleri&quot; iltihap i\u00e7in kal\u0131c\u0131 bir yuva sa\u011flad\u0131\u011f\u0131 i\u00e7in t\u0131bbi tedavi \u00f6nemli \u00f6l\u00e7\u00fcde zorla\u015f\u0131r. Bu nedenle dermatoloji blogumuz erken te\u015fhise \u00f6nem vermektedir; t\u0131bbi y\u00f6netimin \u00fc\u00e7\u00fcnc\u00fc a\u015faman\u0131n kal\u0131c\u0131 yap\u0131sal de\u011fi\u015fikliklerini \u00f6nleyebilece\u011fi birinci veya ikinci a\u015famada \u00fc\u00e7l\u00fc hastal\u0131\u011f\u0131 yakalamak istiyoruz. Hurley Evreleme Korelasyonu: \u00dc\u00e7l\u00fc Hastal\u0131\u011f\u0131n \u0130lerleme ile \u0130li\u015fkilendirilmesi HS&#039;nin klinik \u015fiddeti, Hidradenitis Suppurativa&#039;daki folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fcn ne kadar ilerledi\u011fiyle do\u011frudan ili\u015fkili olan Hurley Evreleme sistemi ile \u00f6l\u00e7\u00fcl\u00fcr. Bu \u00f6l\u00e7ekte nerede oldu\u011funuzu belirleyerek, sistematik bir tedavi plan\u0131 olu\u015fturabiliriz. \u00d6zellikle, bir hastan\u0131n Evre I&#039;den Evre III&#039;e ge\u00e7me h\u0131z\u0131 genetik, sigara i\u00e7me durumu ve hormonal fakt\u00f6rlere ba\u011fl\u0131 olarak de\u011fi\u015fir. Bununla birlikte, altta yatan etken ayn\u0131 kal\u0131r: folik\u00fcler \u00fc\u00e7l\u00fcs\u00fcn\u00fcn kontrols\u00fcz ilerlemesi. Tedavi edilmeyen Evre I durumunda ge\u00e7irilen her ay, geri d\u00f6n\u00fc\u015f\u00fc olmayan Evre III a\u015famas\u0131na girme olas\u0131l\u0131\u011f\u0131n\u0131 istatistiksel olarak art\u0131r\u0131r. Erken Te\u015fhisin S\u0131kl\u0131kla G\u00f6zden Ka\u00e7\u0131r\u0131lmas\u0131n\u0131n Nedenleri: Gizli Patofizyolojik \u0130pu\u00e7lar\u0131 Hidradenitis Suppurativa&#039;da folik\u00fcler t\u0131kan\u0131kl\u0131k \u00fc\u00e7l\u00fcs\u00fcn\u00fcn ilk belirtileri belirsiz oldu\u011fu i\u00e7in HS&#039;nin erken te\u015fhisi s\u0131kl\u0131kla g\u00f6zden ka\u00e7\u0131r\u0131l\u0131r. Bir\u00e7ok hastaya &quot;bat\u0131k k\u0131llar&quot; veya &quot;s\u00fcrt\u00fcnme d\u00f6k\u00fcnt\u00fcleri&quot; oldu\u011fu s\u00f6ylenir. Bununla birlikte, e\u011fitimli bir dermatolog belirli belirtiler arar.<\/p>","protected":false},"author":1,"featured_media":6002,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_daextam_enable_autolinks":"1","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[10],"tags":[],"class_list":["post-5985","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-common-skin-diseases"],"_links":{"self":[{"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/posts\/5985","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/comments?post=5985"}],"version-history":[{"count":1,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/posts\/5985\/revisions"}],"predecessor-version":[{"id":6008,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/posts\/5985\/revisions\/6008"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/media\/6002"}],"wp:attachment":[{"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/media?parent=5985"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/categories?post=5985"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drebruokyay.com\/tr\/wp-json\/wp\/v2\/tags?post=5985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}