NALTREKSON İMPLANTA BAĞLI GELİŞMİŞ LOKAL KOMPLİKASYONLARA MULTİDİSİPLİNER YAKLAŞIM: OLGU SUNUMU

Year 2020, Volume: 4 Issue: 1, 28 - 34, 07.04.2020

Mustafa Akan Sibel Altunışık Toplu Hatice Birgül Cumurcu

https://doi.org/10.5455/car.105-1581010511

Abstract

Madde bağımlılığı; tedavisi güç, hastanın kendisi ve yakın çevresine yıkıcı etkileri olan önemli bir halk sağlığı sorunudur. Tedavideki zorlukların ana kaynağı uyumu zayıf olan hastanın oral medikal tedavisini sonlandırması ve artan madde isteği ile birlikte yeniden madde kullanımına başlamasıdır. Bağımlılıkla mücadele için oral tedaviye alternatif yeni ajanlar geliştirilmiştir. Alkol ve opioid bağımlılıkları tedavisinde yeni tedavi seçenekleri arasında naltrekson cilt altı implant yer almaktadır. Ağrı, kusma, dehidratasyon, yara yerinde enfeksiyon ve hematom, kaşıntı, lokal doku reaksiyonu naltrekson implant kullanımında bildirilen sık yan etkilerdir. Bu çalışmada naltrekson implant uygulaması sonrasında yumuşak doku enfeksiyonu gelişmiş iki vaka tartışılacaktır. Çalışmamızın implanta bağlı gelişebilecek komplikasyonların yönetimi hususunda literatüre katkı sağlayacağını düşünmekteyiz

Keywords

bağımlılık, naltrekson implantı, komplikasyon, yumuşak doku enfeksiyonu, doku nekrozu

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