Dilkaya (Orta Çağ) İnsanlarının Sağlık Yapısı

Şahin, Serkan

doi:10.33613/antropolojidergisi.517217

Cited by 8 publications

(2 citation statements)

References 39 publications

(16 reference statements)

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“…Toplumları sürekli zorlayan yaşam koşulları sadece besin rejimi ile alakalı değildir (gıda çeşitliliğinin azalması, geçim ekonomisindeki zorunlu değişiklikler, dönemsel gıda kıtlığı, kuraklık). Aynı zamanda diğer faktörler de (iklim değişiklikleri, dönemsel salgın hastalıklar, göçler, toprak kaymaları, seller, depremler ve yaşadıkları ortamdaki siyasi değişiklikler) toplumların hayatta kalabilmek için, uyum sağlamasını gerektirebilir (Bourbou, 2003;Şahin, 2019). Tüm bu faktörler de insan iskeletleri üzerinde bazı tahribatlar oluşturmaktadır.…”

Section: Introductionunclassified

Paleopathological analysis of Ağlayan Ağaç population

ŞAHİN

2023

Antropoloji

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Ağlayan Ağaç, Bartın-Amasra’da yer alan Geç Doğu Roma Dönemine tarihlenen bir şapeldir. Amasra Ağlayan Ağaç Kazısı’ndan çıkarılan iskeletler paleopatolojik olarak incelenmiş ve elde edilen verilerin aynı döneme ait diğer Anadolu toplumlarıyla karşılaştırılması ile toplumun sağlık yapısı belirlenmeye çalışılmıştır. Ağlayan Ağaç toplumu cribra orbitalia görülme oranı çağdaşı topluluklardan erişkin yaş altı bireylerde yüksek değerlere sahiptir. Porotic hyperostosis oranları ise çağdaşlarına yakın değerlere sahiptir. Lezyonların sıtmaya ya da demir eksikliği anemisine bağlı olduğu düşünülmektedir. Bebek-çocuk ölüm oranı ise hızlı seyreden enfeksiyonel hastalıkları akla getirmektedir. Buraya gömülen bebeklerin %88,89’u yenidoğan statüsündedir. Burası kutsal bir alandır ve bu yüksek oran vaftiz edilmeden ölen bireylerin kutsal bir alana gömülmesiyle (Hristiyanlık inancına göre) günahlarının affedilmesiyle alakalı olabilir. Toplumda erişkin bireylerde yoğun günlük aktiviteleri arasında kol ve bacak gücüne dayalı, yüksek çaba gerektiren ağır yük kaldırma ve taşıma faaliyetlerine ait izler gözlemlenmiştir. Ağlayan Ağaç toplumu beslenme açısından özellikle çocuklar için kötü durumda olduğunu söylemek mümkündür. Ancak sıtma hariç enfeksiyonel hastalıkların düşük oranı çağdaş Anadolu toplumlarından daha yüksek hijyenik ortamı göstermektedir.

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Section: Introductionunclassified

Paleopathological analysis of Ağlayan Ağaç population

ŞAHİN

2023

Antropoloji

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“…Ankylosing spondylitis has plagued humanity since antiquity. Though the disease is sparse, cases of ankylosing spondylitis have been reported from various parts of the world and different temporal contexts: French Neolithic (Snorrason 1942), ancient Egypt (Feldtkeller et al 2002), Middle Euphrates (2900 BC, Nassar 2010), Roman Imperial Age (Minozzi et al 2012), ancient Midwest-ern (Morse 1969;Kidd 1954), Alaskan Eskimo (Ortner 2003), Plains Indians from the USA (Bass et al 1974), medieval Hungary, Switzerland (Kramar 1982;Pálfi et al 1996), Croatia (Klaus et al 2012), eighteenth century Spain (Gómez Bellard and Sánchez 1989) and Northern (Çırak et al 2013;Duyar 2019), and Eastern Turkey (Özer et al 1999;Sahin 2019). In Armenia, there are no accurately identified paleopathological finds of the disease though a few likely ankylosing spondylitis cases in this region have been reported (Khudaverdyan 2005;Karapetian et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Female with Ankylosing Spondylitis from the 7th–6th century BCE Lori Berd burial (Armenia)

Khudaverdyan

Դեվեջյան

Davtyan

et al. 2021

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A female skeleton from the Lori Berd archaeological cemetery, located near the city of Stepanavan (Lori Province of Armenia) is described. Palaeopathological analysis revealed a variety pathology (ankylosis of the sacroiliac joints, ankylosis of the vertebrae, syndesmophytes, ankylosed of the costovertebral and costotransverse joint fusions, kyphosis, lordosis, fracture of the anterior inferior iliac spine and traumatic lesions). This paper reports a new case of ankylosing spondylitis in a skeleton and a differential diagnosis performed to determine the etiology of the condition. The vertebral bodies remodel and together with the associated syndesmophytes form a continuous, smooth bone surface that is sometimes referred to as “bamboo spine”. In this skeleton changes in the spine, ribs, the sacrum, acetabulum, head of the femur and greater trochanter, as well as the anterior inferior iliac spine are typical of ankylosing spondylitis in advanced stage. Addtionally, there were signs of a traumatic death with injuries sustained to the scapula and vertebra. Using osteological markers in combination with the reconstruction of the archaeological context, the burial pattern suggests that the pathology the female suffered was likely due to her physical deficiencies.

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A case of ankylosing spondylitis from the excavations at Kılıçlı Necropolis (Sinope, Northern Turkey) and its implications on the antiquity of the disease in Anatolia

Duyar

2019

Intl J of Osteoarchaeology

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Ankylosing spondylitis (AS) is a chronic, inflammatory, and progressive rheumatic disease that is a member of a family of disease referred to as spondyloarthritis. Although the prevalence estimates of AS vary from 0.25% up to 4.5% in living human populations, the frequency of the disease in the past has not yet been determined. Some suspected AS cases have been reported only based on the vertebral ankyloses or fusions of sacroiliac joints dating from the Neolithic period to the Middle Ages among ancient Anatolian populations, but the AS diagnosis has not been definitively revealed in these cases. In this study, we aimed to identify an AS case that has AS‐originated pathological changes on a relatively well‐preserved middle‐aged male skeleton, recovered from the archaeological excavation of Kılıçlı Church, Sinope, Northern Turkey and dated to the 18–9th centuries. In addition, we made a differential diagnosis with other pathologies such as diffuse idiopathic skeletal hyperostosis, reactive arthritis, and psoriatic arthritis. In the specimen, there are four macroscopic features that are diagnostic of AS: (a) both sacroiliac joints were symmetrically obliterated, (b) spinal fusion was observed without skipping any vertebrae, (c) the spine has “bamboo spine” appearance, and (d) the vertebral syndesmophytes caused squaring of the vertebral bodies. We conclude that the Kılıçlı skeleton, one of the few archaeological specimens showing all symptoms of AS disease, is the first convincing case in Anatolia.

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Dilkaya (Orta Çağ) İnsanlarının Sağlık Yapısı

Cited by 8 publications

References 39 publications

Paleopathological analysis of Ağlayan Ağaç population

Paleopathological analysis of Ağlayan Ağaç population

Female with Ankylosing Spondylitis from the 7th–6th century BCE Lori Berd burial (Armenia)

A case of ankylosing spondylitis from the excavations at Kılıçlı Necropolis (Sinope, Northern Turkey) and its implications on the antiquity of the disease in Anatolia

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