Beyin ve Sinir Cerrahisi Uzman\u0131 Prof. Dr. G\u00f6khan Kurt, beyindeki elektriksel aktivitenin normalin d\u0131\u015f\u0131na \u00e7\u0131kmas\u0131yla olu\u015fan epilepsi n\u00f6betlerinin hastalar\u0131 toplum d\u0131\u015f\u0131na itti\u011fini belirterek, \u201cPek \u00e7ok hasta yayg\u0131n uygulanan ila\u00e7 tedavisine kar\u015f\u0131 diren\u00e7li ve cerrahi uygulaman\u0131n varl\u0131\u011f\u0131 ile ba\u015far\u0131 oran\u0131 konusundan habersiz\u201d dedi.<\/p>\n
Medicana International Ankara Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Prof. Dr. G\u00f6khan Kurt, epilepsi rahats\u0131zl\u0131\u011f\u0131nda ilaca diren\u00e7li hastalarda tedavide b\u00fcy\u00fck \u00f6nemi olan cerrahiyi tercih edebildiklerini s\u00f6yleyerek, “Uygun olan hastalar\u0131n y\u00fczde 90-95\u2019i cerrahi sonras\u0131 n\u00f6betsiz hale gelir. Bu b\u00fcy\u00fck bir avantajd\u0131r ve hastan\u0131n hayat\u0131nda beyaz bir sayfan\u0131n a\u00e7\u0131lmas\u0131 anlam\u0131na gelir. Kalan y\u00fczde 5-7\u2019lik k\u0131s\u0131mda da asl\u0131nda bir pozitif de\u011fi\u015fimden bahsediyoruz; n\u00f6bet say\u0131lar\u0131 ve s\u00fcrelerinin azald\u0131\u011f\u0131n\u0131 g\u00f6zl\u00fcyoruz” dedi.<\/p>\n
Cerrahi karar\u0131n\u0131 konsey al\u0131yor<\/p>\n
Prof. Dr. G\u00f6khan Kurt, ila\u00e7 tedavisine ra\u011fmen n\u00f6betleri devam eden hasta grubuna i\u015faret ederek \u015funlar\u0131 kaydetti:<\/p>\n
“Epilepsinin as\u0131l tedavisi a\u00e7\u0131k cerrahidir. Ancak \u00f6ncelikle medikal\/ila\u00e7 tedavisiyle epilepsiye \u00e7\u00f6z\u00fcm bulunmaya \u00e7al\u0131\u015f\u0131l\u0131r. E\u011fer bu tedaviye diren\u00e7li bir vaka s\u00f6z konusu ise bir tak\u0131m ila\u00e7 de\u011fi\u015fiklikleri ve kombinasyonlar uygulan\u0131r. Ne yaz\u0131k ki hastalar\u0131n \u00f6nemli k\u0131sm\u0131nda ilaca diren\u00e7 s\u00f6z konusudur. Ortalama 2 y\u0131ll\u0131k b\u00f6yle bir m\u00fccadelenin ard\u0131ndan ilaca ra\u011fmen n\u00f6betleri devam eden hastan\u0131n art\u0131k cerrahi y\u00f6nden de\u011ferlendirmesini yapmak gerekir. Epilepsi cerrahisine karar vermek ise bir ekip i\u015fidir. Cerrahi m\u00fcdahale karar\u0131, gerek radyolojik olsun, gerekse hastan\u0131n davran\u0131\u015flar\u0131n\u0131 ve n\u00f6bet \u015feklini g\u00f6steren bir tak\u0131m tetkikler sonucu konsey taraf\u0131ndan al\u0131n\u0131r. Beyin-sinir cerrahlar\u0131n\u0131n yan\u0131 s\u0131ra \u00e7ocuk ya\u015ftaki hastalar i\u00e7in \u00e7ocuk n\u00f6rolo\u011fu, yeti\u015fkinler i\u00e7in eri\u015fkin n\u00f6rolo\u011fu, psikiyatrist ve psikolog ile n\u00fckleer t\u0131p\u00e7\u0131 ve radyolo\u011fun olu\u015fturdu\u011fu bir konseyde hastan\u0131n t\u00fcm verileri masaya yat\u0131r\u0131larak cerrahiye uygunlu\u011fu de\u011ferlendirilir.\u201d<\/p>\n
Pek \u00e7ok hastalar\u0131n\u0131n tedavinin ard\u0131ndan i\u015f sahibi oldu\u011funu ya da mesleklerini daha iyi bi\u00e7imde icra eder hale geldi\u011fini ifade eden Prof. Dr. Kurt, \u201cKimi evleniyor, \u00e7ocuk sahibi olabiliyor. Kendi tabirleriyle \u2019yeniden do\u011fmu\u015f gibi\u2019 hayata yeni bir ba\u015flang\u0131\u00e7 yap\u0131yorlar. O nedenle epilepsi tedavisinde cerrahinin yeri b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. Ancak ne yaz\u0131k ki cerrahi yapan merkez say\u0131s\u0131 \u00e7ok az. Bir de cerrahi tedavinin varl\u0131\u011f\u0131ndan ve ba\u015far\u0131 oran\u0131ndan haberdar olan hasta say\u0131s\u0131 \u00e7ok d\u00fc\u015f\u00fck\u201d dedi.<\/p>\n
Di\u011fer bir tedavi de radyocerrahi<\/p>\n
Prof. Dr. G\u00f6khan kurt, epilepsi tedavisinde radyocerrahi uygulamas\u0131n\u0131n da m\u00fcmk\u00fcn olmakla birlikte s\u0131n\u0131rl\u0131 bir alana sahip oldu\u011funu, uygun hastalarda yani cerrahiye elveri\u015fli olmayan beyin t\u00fcm\u00f6rlerinde, damarsal bozuklu\u011fu olan ki\u015filerde bu se\u00e7ene\u011fin tercih edilebilece\u011fini bildirdi.<\/p>\n","protected":false},"excerpt":{"rendered":"
BEY\u0130N VE S\u0130N\u0130R CERRAH\u0130S\u0130 UZMANI PROF. DR. G\u00d6KHAN KURT, BEY\u0130NDEK\u0130 ELEKTR\u0130KSEL AKT\u0130V\u0130TEN\u0130N NORMAL\u0130N DI\u015eINA \u00c7IKMASIYLA OLU\u015eAN EP\u0130LEPS\u0130 N\u00d6BETLER\u0130N\u0130N HASTALARI TOPLUM DI\u015eINA \u0130TT\u0130\u011e\u0130N\u0130 BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":105981,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_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}},"categories":[1],"tags":[1437,10188,9020,192,5125,26831,1240],"class_list":["post-105980","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-buluyor","tag-cerrahi","tag-epilepsi","tag-ile","tag-mudahale","tag-nobetleri","tag-son"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/epilepsi-nobetleri-cerrahi-mudahale-ile-son-buluyor_ad8a673.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-rzm","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/105980","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=105980"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/105980\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/105981"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=105980"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=105980"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=105980"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}