Kalp ve Damar Cerrah\u0131 Op. Dr. Aybanu G\u00f6k\u00e7en, \u201cVaris tedavisi ki\u015fiye \u00f6zel olmal\u0131\u201d dedi.<\/p>\n
Op. Dr. Aybanu G\u00f6k\u00e7en, varisin toplardamar sisteminin yap\u0131s\u0131 a\u00e7\u0131s\u0131ndan ki\u015fiden ki\u015fiye de\u011fi\u015fkenlik g\u00f6sterdi\u011fini belirtti. \u0130nsan bedeninin son derece \u00f6zg\u00fcn ve benzersiz bir yap\u0131ya sahip oldu\u011funu belirten Op. Dr. G\u00f6k\u00e7en, \u201c\u0130nsan toplardamar sistemi sorunlar\u0131, di\u011fer hastal\u0131klara g\u00f6re biraz daha farkl\u0131l\u0131k g\u00f6steren bir durum. Dolay\u0131s\u0131yla toplardamar sistemi, yap\u0131s\u0131 a\u00e7\u0131s\u0131ndan ki\u015fiden ki\u015fiye de\u011fi\u015fkenlik g\u00f6sterir ve her ki\u015fide farkl\u0131 bir y\u00f6nde yay\u0131larak farkl\u0131 damar olu\u015fumlar\u0131, doku de\u011fi\u015fimleri ve farkl\u0131 klinik bulgular ile kar\u015f\u0131m\u0131za \u00e7\u0131kar. Bu da do\u011fal olarak mutlak surette ki\u015fiye \u00f6zel tan\u0131 ve tedavi gerektirecektir\u201d diye konu\u015ftu.<\/p>\n
Dr. Aybanu G\u00f6k\u00e7en, ki\u015fiye \u00f6zel varis tedavisinin d\u00f6rt ana s\u00fcre\u00e7ten olu\u015ftu\u011funu belirterek \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201c\u015eik\u00e2yetlerin dinlenmesi, fizik muayene, damar haritas\u0131 \u00e7\u0131kar\u0131lmas\u0131, tedavi ve takip. Birinci a\u015famada hastan\u0131n \u015fik\u00e2yetleri detayl\u0131 olarak dinlenir, bunlar\u0131n ger\u00e7ekten varisle ilgili olup olmad\u0131\u011f\u0131 belirlenir. \u00d6rne\u011fin bacak sorunlar\u0131 kimi hastada bel f\u0131t\u0131\u011f\u0131, n\u00f6rolojik ve ortopedik sorunlar nedeniyledir veya bu sorunlarla birlikte seyreder. Hastan\u0131n diyabet, hipertansiyon, kalp sorunlar\u0131, tiroit hastal\u0131klar\u0131, alerjileri, romatizmal hastal\u0131klar, n\u00f6rolojik, hatta psikiyatrik sorunlar gibi fark\u0131nda olmad\u0131\u011f\u0131 ancak hen\u00fcz g\u00fcn y\u00fcz\u00fcne \u00e7\u0131kmam\u0131\u015f birlikte ya\u015fad\u0131\u011f\u0131 bir\u00e7ok di\u011fer hastal\u0131\u011f\u0131 olabilir. Ayr\u0131ca varis bir hastal\u0131k de\u011fildir, ven\u00f6z hipertansiyonun (toplardamar y\u00fcksek tansiyonunun) en s\u0131k g\u00f6r\u00fclen bulgusudur. Bu yakla\u015f\u0131m tedavi planlamas\u0131n\u0131n temelini olu\u015fturur. Sadece varisi de\u011fil, altta yatan ve y\u00fcksek tansiyon yaratan nedeni de bulup ortadan kald\u0131rmak gerekmektedir.”<\/p>\n
\u0130kinci a\u015faman\u0131n hastan\u0131n \u201cdamar haritas\u0131\u201dn\u0131n \u00e7\u0131kart\u0131lmas\u0131 s\u00fcreci oldu\u011funu belirten Dr. G\u00f6k\u00e7en, “Varisi olu\u015fturan nedenler kimi zaman kapaklardaki yetmezlik, kimi zaman t\u0131kan\u0131kl\u0131k, kimi zaman bas\u0131 gibi \u00e7e\u015fitlenebilir. \u0130\u015fte t\u00fcm bu bilinmezleri a\u00e7\u0131kl\u0131\u011fa kavu\u015fturmak i\u00e7in \u2019doppler ultrasonografi\u2019 devreye girer. Doppler ultrasonografi olmazsa olmaz bir \u2019alt\u0131n standart\u2019t\u0131r. Her ki\u015finin damar yap\u0131s\u0131 kendine \u00f6zg\u00fcd\u00fcr ve detayl\u0131 ultrasonografik de\u011ferlendirme ile ki\u015fiye \u00f6zg\u00fc damar haritas\u0131 ortaya \u00e7\u0131kart\u0131l\u0131r. Ki\u015fiye \u00f6zg\u00fc damar haritas\u0131, ki\u015fiye \u00f6zg\u00fc tedavinin yol haritas\u0131d\u0131r. Sonraki a\u015fama, tedavi planlamas\u0131d\u0131r. \u0130lk iki a\u015famada elde edilen bilgiler ve bulgular do\u011fru ve yeterince detayl\u0131 ise zaten tedavi se\u00e7eneklerini kendili\u011finden ortaya koyacakt\u0131r. Ben t\u00fcm hastalar\u0131ma ayn\u0131 \u015feyi s\u00f6yl\u00fcyorum, en iyi tedavi de\u011fil, en uygun tedavi vard\u0131r. En etkili tedavi ki\u015fiye \u00f6zel varis tedavisidir. Kimi zaman ayn\u0131 hastada birden fazla tedavi se\u00e7ene\u011fi uygulanmas\u0131 gerekebilir. Bu se\u00e7enekler ayn\u0131 seansta ve ard\u0131\u015f\u0131k olarak da uygulanabilir. Ki\u015fiye \u00f6zel varis tedavisi, varisin tekrar etme riskini \u00e7ok azaltacak, hatta b\u00fcy\u00fck olas\u0131l\u0131kla tamamen ortadan kald\u0131racakt\u0131r. Ki\u015fiye \u00f6zel varis tedavisinde son a\u015famam\u0131z hastan\u0131n takibidir. Yine hastan\u0131n ve hastal\u0131\u011f\u0131n durumuna g\u00f6re ki\u015fiye \u00f6zel takip aral\u0131klar\u0131 belirlenir. Basit bir varis tek bir tedavi seans\u0131ndan sonra takip gerektirmezken, yeni p\u0131ht\u0131 problemi ya\u015fam\u0131\u015f bir hasta yak\u0131n takip, eski bir derin ven trombozu (derin toplardamarlarda p\u0131ht\u0131) hastas\u0131 ise her y\u0131l d\u00fczenli takip gerektirecektir\u201d dedi.<\/p>\n
\u201cHastal\u0131k yoktur, hasta vard\u0131r. Varis, ki\u015fiye \u00f6zel tan\u0131, ki\u015fiye \u00f6zel tedavi ve ki\u015fiye \u00f6zel takip gerektirir” diyen Dr. G\u00f6k\u00e7en, \u201c\u0130\u015fte bu nedenle varis sorunlar\u0131 olanlar doktorundan mutlaka kendilerine \u00f6zel bir tedavi planlamas\u0131 yapmas\u0131n\u0131 istemelidir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
KALP VE DAMAR CERRAHI OP. DR. AYBANU G\u00d6K\u00c7EN, VAR\u0130S TEDAV\u0130S\u0130NDE \u00c7OK \u00d6NEML\u0130 B\u0130R KONUNUN ALTINI \u00c7\u0130ZEREK, \u201cVAR\u0130S TEDAV\u0130S\u0130 K\u0130\u015e\u0130YE \u00d6ZEL OLMALI\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":103872,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[1073,2667,3815,6552,26418],"class_list":["post-103871","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-ozel","tag-kisiye","tag-olmali","tag-tedavisi","tag-varis"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/varis-tedavisi-kisiye-ozel-olmali_ac23b95.jpg?fit=945%2C876","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-r1l","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/103871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=103871"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/103871\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/103872"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=103871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=103871"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=103871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}