{"id":8517,"date":"2022-06-27T10:13:00","date_gmt":"2022-06-27T07:13:00","guid":{"rendered":"https:\/\/www.gazeteyenisehir.com\/?p=8517"},"modified":"2022-06-27T10:13:00","modified_gmt":"2022-06-27T07:13:00","slug":"kas-gucsuzlugunun-nedeni-miyastenia-gravis-olabilir","status":"publish","type":"post","link":"https:\/\/www.yenisehirgundem.com\/index.php\/2022\/06\/27\/kas-gucsuzlugunun-nedeni-miyastenia-gravis-olabilir\/","title":{"rendered":"Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fcn\u00fcn nedeni Miyastenia Gravis olabilir"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>T\u00fcrk N\u00f6roloji Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi, N\u00f6romusk\u00fcler Hastal\u0131klar \u00c7al\u0131\u015fma Grubu Moderat\u00f6r\u00fc ve Marmara \u00dcniversitesi T\u0131p Fak\u00fcltesi N\u00f6roloji Ana Bilim Dal\u0131 \u00d6<\/strong><strong>\u011f<\/strong><strong>retim\u00a0<\/strong><strong>\u00dc<\/strong><strong>yesi<\/strong> <strong>Prof. Dr. Kay\u0131han Ulu\u00e7, Miyastenia Gravis Fark\u0131ndal\u0131k Ay\u0131 vesilesiyle nadir g\u00f6r\u00fclen hastal\u0131k hakk\u0131nda \u00f6nemli bilgiler payla\u015ft\u0131.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Prof. Dr. Kay\u0131han Ulu\u00e7; her ya\u015f, \u0131rk ve cinsiyette g\u00f6r\u00fclebilen<\/strong>,&nbsp;<strong>g\u00fcn i\u00e7inde de\u011fi\u015fkenlik g\u00f6steren, yorulmakla art\u0131p dinlenmekle azalan g\u00f6z kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc, yutma veya konu\u015fma g\u00fc\u00e7l\u00fc\u011f\u00fc, kol ve elleri kullanmada zorluk, y\u00fcr\u00fcme g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7eken, kendilerini bitkin hisseden hastalar\u0131n do\u011fru tan\u0131 i\u00e7in mutlaka bir n\u00f6roloji hekimine ba\u015fvurmas\u0131n\u0131 \u00f6nerdi. Bu otoimm\u00fcn hastal\u0131kta genetik ge\u00e7i\u015f beklenmese de, ayn\u0131 ailede birden fazla hastan\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc durumlarla da kar\u015f\u0131la\u015f\u0131labilmektedir.<\/strong><br><br>Miyastenia Gravis (MG), nadir g\u00f6r\u00fclen hastal\u0131klardand\u0131r. S\u0131kl\u0131\u011f\u0131, yakla\u015f\u0131k olarak 100 bin ki\u015fide 20&#8217;dir. Her ne kadar \u00fclkemiz i\u00e7in bir prevalans \u00e7al\u0131\u015fmas\u0131 olmasa da hastal\u0131k her \u0131rk, ya\u015f ve cinsiyette g\u00f6r\u00fclebildi\u011finden, \u00fclkemizde de hastal\u0131k s\u0131kl\u0131\u011f\u0131n\u0131n benzer oldu\u011fu s\u00f6ylenebilir.<br><br>Miyastenia Gravis&#8217;in en tipik ve ay\u0131rt edici bulgusu, kaslar\u0131n kullan\u0131m\u0131 ve yorulmakla artan, dinlenmekle d\u00fczelen, g\u00fcn i\u00e7inde dalgal\u0131 seyir g\u00f6steren kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fcd\u00fcr. Hastalar, genellikle uyand\u0131klar\u0131nda daha iyi olduklar\u0131n\u0131, ak\u015fama do\u011fru yorulmakla yak\u0131nmalar\u0131n\u0131n artt\u0131\u011f\u0131n\u0131, bitkin hissettiklerini belirtir. Bazen bu bitkinlik, ba\u015fkalar\u0131 taraf\u0131ndan tembellik olarak bile alg\u0131lanabilmektedir. Miyastenia Gravis (MG) hastalar\u0131nda bitkinlik ve di\u011fer n\u00f6rolojik bulgular\u0131n dinlenmekle d\u00fczeldi\u011fi bilinmelidir.<br><br><strong>Miyastenia Gravis sinirler ve kaslar aras\u0131ndaki ileti\u015fim bozuklu\u011fuyla meydana geliyor<\/strong><br>Miyastenia Gravis&#8217;in sinirler ve kaslar aras\u0131ndaki ileti\u015fim bozuklu\u011fu sonucu ortaya \u00e7\u0131kan otoimm\u00fcn bir hastal\u0131k oldu\u011funu dile getiren&nbsp;<strong>T\u00fcrk N\u00f6roloji Derne\u011fi N\u00f6romusk\u00fcler Hastal\u0131klar \u00c7al\u0131\u015fma Grubu Moderat\u00f6r\u00fc ve Marmara \u00dcniversitesi T\u0131p Fak\u00fcltesi N\u00f6roloji Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Kay\u0131han Ulu\u00e7<\/strong>&nbsp;s\u00f6zlerine \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc: \u201cV\u00fccudumuzda g\u00f6z a\u00e7\u0131p kapama, konu\u015fma, yutma, merdiven inip \u00e7\u0131kma, y\u00fcz y\u0131kama, nefes al\u0131p verme gibi baz\u0131 istemli i\u015flevleri yerine getirmek kulland\u0131\u011f\u0131m\u0131z kaslar bulunmaktad\u0131r. Bu kaslar harekete ba\u015flayabilmek i\u00e7in kendilerini besleyen sinirlerden emir al\u0131r. Bu emir, sinirlerden serbestle\u015fen asetil kolin ad\u0131 verilen kimyasal bir maddenin sinir-kas kav\u015fa\u011f\u0131ndan ge\u00e7erek, kaslar \u00fczerinde bulunan \u00f6zelle\u015fmi\u015f alg\u0131lay\u0131c\u0131lara (asetil kolin resept\u00f6rleri) ula\u015fmas\u0131 ile ger\u00e7ekle\u015fir. Komutu alan kaslar harekete ge\u00e7er ve bu sayede istedi\u011fimiz hareketi yapm\u0131\u015f oluruz. \u00c7o\u011fu MG hastas\u0131nda kaslar\u0131n \u00fczerinde yer alan asetil kolin resept\u00f6rleri ki\u015finin kendi ba\u011f\u0131\u015f\u0131kl\u0131k sistemi taraf\u0131ndan sald\u0131r\u0131ya u\u011frar (otoimm\u00fcnite). Baz\u0131 MG hastalar\u0131nda da otoimm\u00fcn s\u00fcre\u00e7ler, asetil kolin resept\u00f6rlerinin k\u00fcmelenmesini engeller. Sonu\u00e7 olarak sinir-kas kav\u015fa\u011f\u0131n\u0131n kas taraf\u0131 hasara u\u011frar, resept\u00f6r say\u0131lar\u0131 azal\u0131r ve kas\u0131n sinirle ileti\u015fime ge\u00e7en y\u00fczeyinin \u015fekli bozulur. Bunun kar\u015f\u0131l\u0131\u011f\u0131nda sinirlerden uyar\u0131 gelse bile, kaslar bu emri alamaz, kaslarda yorulmakla artan g\u00fc\u00e7s\u00fczl\u00fck olu\u015fur. Otoimm\u00fcn MG, kal\u0131tsal veya bula\u015f\u0131c\u0131 bir hastal\u0131k de\u011fildir. \u00d6te yandan nadir de olsa, ayn\u0131 ailede birden fazla hastan\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc durumlarla da kar\u015f\u0131la\u015f\u0131labilmektedir.\u201d<br><br><strong>Miyastenia Gravis her hastay\u0131 farkl\u0131 etkileyebilir<\/strong><br><strong>Prof. Dr. Kay\u0131han Ulu\u00e7<\/strong>: \u201cG\u00fc\u00e7s\u00fczl\u00fck; g\u00f6z, y\u00fcz mimik, konu\u015fma, yutma, nefes alma, g\u00f6vde ve kol-bacak kaslar\u0131nda g\u00f6r\u00fclebilir. Etkilenen kaslar\u0131n da\u011f\u0131l\u0131m\u0131 ve \u015fiddeti hastadan hastaya de\u011fi\u015fkenlik g\u00f6sterir.&nbsp;\u00d6rne\u011fin, baz\u0131 hastalarda sadece g\u00f6z kapa\u011f\u0131n\u0131 a\u00e7ma ve kapama g\u00f6revini \u00fcstlenen kaslar ile g\u00f6zlerimizi hareket ettiren kaslar etkilenir. Bu hastalar \u201cOk\u00fcler MG\u201d olarak s\u0131n\u0131flan\u0131r ve genellikle asimetrik g\u00f6z kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc ve\/veya \u00e7ift g\u00f6rme yak\u0131nmalar\u0131 ile ba\u015fvururlar. MG hastalar\u0131n\u0131n yar\u0131s\u0131ndan fazlas\u0131 ba\u015flang\u0131\u00e7ta ok\u00fcler belirti ve bulgularla ba\u015fvururken, her be\u015f hastadan birinde hastal\u0131k sadece ok\u00fcler kaslarla s\u0131n\u0131rl\u0131 kal\u0131r. Bunun d\u0131\u015f\u0131ndaki hastalarda kol ve bacak proksimallerinde h\u00e2kim g\u00fc\u00e7s\u00fczl\u00fck (\u00f6rn., sa\u00e7 tarama, y\u00fcz y\u0131kama, merdiven inip-\u00e7\u0131kmada g\u00fc\u00e7l\u00fck), mimik kaslar\u0131nda g\u00fc\u00e7s\u00fczl\u00fck, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc ve konu\u015fmada bozulma (konu\u015fmaya devam ettik\u00e7e seste k\u0131s\u0131lma, kelimeleri \u00e7\u0131karmada g\u00fc\u00e7l\u00fck), solunum kaslar\u0131n\u0131n etkilenmesine ba\u011fl\u0131 nefes almada zorlanma gibi \u015fikayetler ok\u00fcler bulgulara e\u015flik etmektedir. Ekstraok\u00fcler kaslar d\u0131\u015f\u0131nda uzuv kaslar\u0131 ve\/veya bulbar kaslar\u0131n (yutma ve konu\u015fma gibi fonksiyonlar\u0131 yerine getiren kaslar) etkilendi\u011fi durum \u201cJeneralize MG\u201d olarak adland\u0131r\u0131l\u0131r. MG, en s\u0131k g\u00f6r\u00fclen otoimm\u00fcn sinir-kas kav\u015fa\u011f\u0131 hastal\u0131\u011f\u0131d\u0131r. Di\u011fer sinir-kas kav\u015fa\u011f\u0131 hastal\u0131klar\u0131nda oldu\u011fu gibi t\u00fcm MG hastalar\u0131 da mutlaka bir n\u00f6roloji hekimi taraf\u0131ndan de\u011ferlendirilmelidir.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Miyastenia Gravis i\u00e7in do\u011fru tan\u0131 n\u00f6rolojik muayene ile ba\u015flar<\/strong><br>Do\u011fru tan\u0131n\u0131n, ayr\u0131nt\u0131l\u0131 \u00f6yk\u00fc ve n\u00f6rolojik muayene ile ba\u015flad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen&nbsp;<strong>Prof. Dr. Kay\u0131han Ulu\u00e7<\/strong>&nbsp;s\u00f6zlerine \u015funlar\u0131 ekledi: \u201cG\u00fcn i\u00e7inde de\u011fi\u015fkenlik g\u00f6steren kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc mutlaka sorgulan\u0131r. Hasta ba\u015f\u0131nda yap\u0131lan baz\u0131 testler (g\u00f6z kapa\u011f\u0131nda d\u00fc\u015f\u00fckl\u00fck yak\u0131nmas\u0131 ile ba\u015fvuran hastalar\u0131n ba\u015flar\u0131n\u0131 hareket ettirmeden yukar\u0131 bakmas\u0131n\u0131 isteyerek, g\u00f6z kapa\u011f\u0131nda d\u00fc\u015f\u00fckl\u00fck olup olmad\u0131\u011f\u0131n\u0131n veya g\u00f6z kapa\u011f\u0131 \u00fczerine buz uygulayarak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn d\u00fczelip d\u00fczelmedi\u011finin test edilmesi gibi) tan\u0131 a\u00e7\u0131s\u0131ndan yol g\u00f6stericidir. Sinir-kas kav\u015fa\u011f\u0131n\u0131n elektrofizyolojisini inceleyen testlerin hastal\u0131\u011f\u0131 tan\u0131ma a\u00e7\u0131s\u0131ndan duyarl\u0131l\u0131klar\u0131 \u00e7ok y\u00fcksektir. \u00d6te yandan, antikor testleri (asetil kolin resept\u00f6r ve kas spesifik kinaz [MuSK] resept\u00f6r antikorlar\u0131 gibi) MG i\u00e7in \u00f6zg\u00fcll\u00fc\u011f\u00fc en y\u00fcksek testlerdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavide klinik bulgular\u0131 minimuma indirmek ama\u00e7lan\u0131r. Bu durum, hastada yan etki olu\u015fturmadan veya m\u00fcdahale gerektirmeyen minimum yan etki ile sa\u011flanmaya \u00e7al\u0131\u015f\u0131l\u0131r. MG tedavisi hastal\u0131\u011f\u0131n \u015fiddeti, ilerleme h\u0131z\u0131, kuvvetsizli\u011fin da\u011f\u0131l\u0131m\u0131, hastan\u0131n ya\u015f\u0131, MuSK antikor varl\u0131\u011f\u0131 ve e\u015flik eden hastal\u0131klar gibi \u00e7e\u015fitli fakt\u00f6rler g\u00f6z \u00f6n\u00fcne al\u0131narak bireyselle\u015ftirilir. Semptomatik tedaviye hemen hemen t\u00fcm hastalara asetilkolinesteraz inhibit\u00f6rleri verilerek ba\u015flan\u0131r. \u015eiddetli seyreden veya semptomatik tedaviye diren\u00e7li olgularda hastal\u0131\u011f\u0131n otoimm\u00fcn mekanizmalar\u0131n\u0131 kontrol edebilmek i\u00e7in imm\u00fcn sistemi bask\u0131lay\u0131c\u0131 ila\u00e7lar ba\u015flan\u0131r. Solunum ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc gibi hayat\u0131 tehdit eden durumlarda, tedaviye h\u0131zl\u0131 yan\u0131t gerektiren durumlarda, di\u011fer tedavi se\u00e7eneklerinin yetersiz kald\u0131\u011f\u0131 durumlarda intraven\u00f6z imm\u00fcnoglobulin (IVIg) veya terap\u00f6tik plazma de\u011fi\u015fimi (TPD) tercih edilir. \u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 MG hastalar\u0131n\u0131n tedavisinde tercih edilen y\u00f6ntemlerden biri de cerrahi y\u00f6ntemle timus bezinin al\u0131nmas\u0131 i\u015flemi olan timektomidir diyen&nbsp;<strong>Prof. Dr. Kay\u0131han Ulu\u00e7<\/strong>: \u201cTimus bezi ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bir par\u00e7as\u0131 olup g\u00f6\u011f\u00fcs kemi\u011finin alt\u0131nda, \u00fcst g\u00f6\u011f\u00fcs b\u00f6lgesinde bulunur. Bebeklik d\u00f6neminde b\u00fcy\u00fck olan timus bezi sa\u011fl\u0131kl\u0131 yeti\u015fkinlerde k\u00fc\u00e7\u00fcl\u00fcr. Ancak baz\u0131 MG&#8217;li eri\u015fkinlerde timus bezi anormal derecede b\u00fcy\u00fckt\u00fcr. Ayr\u0131ca, baz\u0131 MG&#8217;li bireylerde timus bezi t\u00fcm\u00f6rleri (timomalar) bulunur. Genellikle timomalar kanserli de\u011fildir (malign), ancak kanserli hale gelebilirler. Timus bezinin asetilkolini bloke eden antikorlar\u0131n \u00fcretimini tetikledi\u011fine veya s\u00fcrd\u00fcrd\u00fc\u011f\u00fcne inan\u0131ld\u0131\u011f\u0131ndan ve timektomi sonras\u0131nda hastalar\u0131n bu tedaviden uzun d\u00f6nemde fayda g\u00f6rd\u00fc\u011f\u00fc g\u00f6sterildi\u011finden bu i\u015flem timomal\u0131 t\u00fcm hastalar ile 18-65 ya\u015f aral\u0131\u011f\u0131ndaki jeneralize MG&#8217;li hastalarda \u00f6nerilir. Timektomi, MuSK antikoru pozitif hastalarda \u00f6nerilmez. Timektomi acil bir i\u015flem de\u011fildir, hastan\u0131n klinik durumu stabil oldu\u011funda ameliyat yap\u0131lmal\u0131d\u0131r\u201d dedi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Miyastenia Gravis hastalar\u0131nda seyir de ba\u015flang\u0131\u00e7 gibi \u00e7ok de\u011fi\u015fken<\/strong><br>Solunum kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc veya yutma bozuklu\u011fu nedeniyle ya\u015fam\u0131 tehlikeye sokan \u015fiddetli MG ataklar\u0131na miyastenik kriz ismini verdiklerini ifade eden\u00a0<strong>Prof. Dr. Kay\u0131han Ulu\u00e7<\/strong>: \u201cMiyastenik kriz genellikle hastal\u0131\u011f\u0131n ilk 2 y\u0131l\u0131nda ortaya \u00e7\u0131kar. G\u00f6r\u00fclme oran\u0131 y\u00fczde 15- 20&#8217;dir. Genel toplumla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda MG hastalar\u0131nda hipo\/hipertiroidizm, romatoid artrit ve lupus gibi baz\u0131 otoimm\u00fcn hastal\u0131klar\u0131n\u0131n g\u00f6r\u00fclme ihtimali y\u00fcksektir. Miyastenia Gravis hastalar\u0131nda seyir de ba\u015flang\u0131\u00e7 gibi \u00e7ok de\u011fi\u015fiklik g\u00f6sterir. Hastal\u0131k genellikle kontrol alt\u0131nda seyreder, k\u00f6t\u00fcle\u015fme olursa en \u00e7ok ilk iki y\u0131l i\u00e7inde g\u00f6r\u00fcl\u00fcr. Enfeksiyonlar, duygusal stres, menstrual d\u00f6ng\u00fc, hipo\/hipertirodizm, cerrahi i\u015flemler ve baz\u0131 tedaviler bulgular\u0131n k\u00f6t\u00fcle\u015fmesine neden olabilir. B\u00f6yle durumlarda hastalar\u0131n mutlaka doktorlar\u0131n\u0131 bilgilendirmeleri \u00f6nerilir. Ayr\u0131ca, MG hastalar\u0131 s\u0131caktan olumsuz etkilenebilir, s\u0131cak havalarda bitkinlikleri artabilir. Hastalar\u0131m\u0131z\u0131n bu risk fakt\u00f6rleri a\u00e7\u0131s\u0131ndan dikkatli olmalar\u0131 ve hekimlerinin tedavi \u00f6nerilerine uymas\u0131 \u00f6nerilir. Yorgun hisseden hastalar\u0131m\u0131z\u0131n kaslar\u0131na iyile\u015fme \u015fans\u0131 vermek i\u00e7in yeterince dinlenmelerini, stres ve s\u0131caktan ka\u00e7\u0131nmalar\u0131n\u0131, kullan\u0131lmamas\u0131 gereken ila\u00e7lar konusunda bilgi sahibi olmalar\u0131n\u0131, yeni tedavilere ba\u015flamadan \u00f6nce doktorlar\u0131na dan\u0131\u015fmalar\u0131n\u0131 tavsiye ederim\u201d dedi.<br><br><strong>Miyastenia Gravis hastalar\u0131 yeme rutinini de ayarlamal\u0131lar<\/strong><br>Miyastenia Gravis hastalar\u0131n\u0131n yeme rutinini ayarlamalar\u0131 da \u00f6nemlidir diyen\u00a0<strong>Prof. Dr. Kay\u0131han Ulu\u00e7<\/strong>: \u201cHastalar kas g\u00fc\u00e7leri iyi oldu\u011funda yemeli, yeme\u011fi \u00e7i\u011fnemek i\u00e7in zaman ay\u0131rmal\u0131d\u0131r. \u00d6zellikle yutma problemi ya\u015fayan hastalar\u0131n a\u011f\u0131rl\u0131kl\u0131 olarak yumu\u015fak yiyecekler yemesi, \u00e7i\u011f meyve ve sebze gibi fazla \u00e7i\u011fneme gerektiren yiyeceklerden ka\u00e7\u0131nmas\u0131 \u00f6nerilir. MG, tedavi edilebilir bir sinir-kas kav\u015fak hastal\u0131\u011f\u0131d\u0131r. Erken tan\u0131 ve tedavi ile hastal\u0131\u011f\u0131n kontrol alt\u0131na al\u0131nmas\u0131, hastalar\u0131m\u0131z\u0131n rutin hayatlar\u0131na devam etmesi m\u00fcmk\u00fcnd\u00fcr.\u2018Miyastenia Gravis Fark\u0131ndal\u0131k Ay\u0131&#8217; gibi fark\u0131ndal\u0131k kampanyalar\u0131, genel toplumda hastal\u0131k fark\u0131ndal\u0131\u011f\u0131 i\u00e7in \u00f6nemlidir, ayr\u0131ca \u00e7ok ihtiya\u00e7 duyulan ara\u015ft\u0131rmalar i\u00e7in kaynak yaratmada ger\u00e7ekten yard\u0131mc\u0131 olabilirler\u201d dedi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u00fclten<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00fcrk N\u00f6roloji Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi, N\u00f6romusk\u00fcler Hastal\u0131klar \u00c7al\u0131\u015fma Grubu Moderat\u00f6r\u00fc ve Marmara \u00dcniversitesi T\u0131p Fak\u00fcltesi&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":8519,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,41],"tags":[3487,3632,3885,4588],"manset":[],"bilesen":[],"class_list":["post-8517","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel","category-saglik","tag-miyastenia-gravis","tag-noromuskuler-hastaliklar","tag-prof-dr-kayihan-uluc","tag-turk-noroloji-dernegi"],"_links":{"self":[{"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/posts\/8517","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/comments?post=8517"}],"version-history":[{"count":0,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/posts\/8517\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/media\/8519"}],"wp:attachment":[{"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/media?parent=8517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/categories?post=8517"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/tags?post=8517"},{"taxonomy":"manset","embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/manset?post=8517"},{"taxonomy":"bilesen","embeddable":true,"href":"https:\/\/www.yenisehirgundem.com\/index.php\/wp-json\/wp\/v2\/bilesen?post=8517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}