Amans\u0131z bilinen omurilik felcinin tedavisinde umut verici bir ilerleme kaydedildi. Jimnastik yaparken sakatlanan ve omurilik felci ge\u00e7iren David Mzee isimli \u0130svi\u00e7reli yeni geli\u015ftirilen elektro terapi tedavisi sayesinde desteksiz olarak ad\u0131m atmay\u0131 ba\u015fard\u0131. D\u00fcnyaca \u00fcnl\u00fc t\u0131p dergisi Nature\u2019da yay\u0131mlanan makaleye g\u00f6re, tedavi y\u00f6ntemi bilim d\u00fcnyas\u0131nda \u00e7\u0131\u011f\u0131r a\u00e7t\u0131.<\/p>\n
Omurilik felcine kal\u0131c\u0131 \u00e7\u00f6z\u00fcm bulabilmek i\u00e7in \u00e7al\u0131\u015fmalar s\u00fcrerken, bir omurilik fel\u00e7lisinin ilk desteksiz ad\u0131mlar\u0131n\u0131 atmas\u0131 di\u011fer omurilik fel\u00e7lileri i\u00e7in umut oldu. David Mzee (28) isimli \u0130svi\u00e7reli 8 y\u0131l \u00f6nce spor yaparken ge\u00e7irdi\u011fi basit bir kaza sonucu omurilik sistemini zedelemi\u015f ve omurilik felci olmu\u015ftu. Lozan\u2019daki \u0130svi\u00e7re Federal Teknik \u00dcniversitesi taraf\u0131ndan geli\u015ftirilen Wings For Life Vakf\u0131 taraf\u0131ndan desteklenen elektrikli uyar\u0131m terapisi sayesinde Mzee\u2019nin bacak kaslar\u0131 yeniden harekete ge\u00e7ti ve bunun sonucunda Mzee desteksiz ilk ad\u0131mlar\u0131n\u0131 atmay\u0131 ba\u015fard\u0131. Bu tedaviyi di\u011ferlerinden ay\u0131ran kritik detay ise; beynin bacak kaslar\u0131na hareket sinyali g\u00f6nderdi\u011fi zamanlaman\u0131n yapay ortamda tespit edilmesi ve buna g\u00f6re belirlenen elektrikli titre\u015fimlerin de e\u015f zamanl\u0131 olarak g\u00f6nderilmesi. Nature Dergisi\u2019nde yay\u0131mlanan makalede tedaviyi de\u011ferlendiren \u0130svi\u00e7re Federal Teknik \u00dcniversitesi\u2019nden ara\u015ft\u0131rma ekibi, uygulad\u0131klar\u0131 titre\u015fimlerin zamanlamas\u0131 ile beynin uyar\u0131m sistemi ile e\u015fle\u015ftirilerek sinir h\u00fccrelerinin kas sisteminde yeni ba\u011flant\u0131 noktalar\u0131 geli\u015ftirdi\u011fini tespit etti.<\/p>\n
Omurilik felci olan Mzee, ge\u00e7irdi\u011fi kazan\u0131n ard\u0131ndan bedeninin yaln\u0131zca \u00fcst k\u0131sm\u0131nda ve sa\u011f aya\u011f\u0131nda \u00e7ok az bir his kontrol\u00fc sa\u011flayabiliyordu. Bacaklar\u0131ndaki kaslara uygulanan be\u015f ayl\u0131k elektro terapi sayesinde Mzee, sol aya\u011f\u0131nda da ciddi bir kas kontraksiyonu sa\u011flamay\u0131 ba\u015fard\u0131. Art\u0131k desteksiz y\u00fcr\u00fcyebiliyor.<\/p>\n
“Zedelenmi\u015f sinir sisteminde yeni ba\u011flant\u0131 noktalar\u0131 geli\u015ftirdik”<\/p>\n
Ara\u015ft\u0131rma ekibinin ba\u015f\u0131nda bulunan N\u00f6robilim uzman\u0131 Gregoire Courtine, “Bir\u00e7ok omurilik zedelenmesinde, sinirlerin sadece k\u00fc\u00e7\u00fck bir k\u0131sm\u0131 sa\u011flam kal\u0131r, ancak ta\u015f\u0131d\u0131klar\u0131 sinyaller uzuvlar\u0131 hareket ettirmek veya bir ki\u015finin v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131 desteklemek i\u00e7in zay\u0131ft\u0131r. Bu \u015fekilde sinirleri uyard\u0131\u011f\u0131m\u0131zda, h\u00fccrelerdeki esnekli\u011fi tetiklemi\u015f olduk. Beyin, kaslar\u0131 uyar\u0131rken biz de ayn\u0131 anda kaslar\u0131 elektro terapi ile uyar\u0131yoruz ve bunun yeni sinir ba\u011flant\u0131lar\u0131n\u0131n b\u00fcy\u00fcmesini tetikledi\u011fini d\u00fc\u015f\u00fcn\u00fcyoruz” diye konu\u015ftu.<\/p>\n
Mzee d\u0131\u015f\u0131nda omurilik felci rahats\u0131zl\u0131\u011f\u0131 bulunan iki ki\u015finin daha elektro terapinin sa\u011flad\u0131\u011f\u0131 do\u011fal tepkimelerle desteksiz ad\u0131m atabildi\u011fi a\u00e7\u0131kland\u0131. Doktor Courtine tedavi y\u00f6ntemini, “Di\u011fer 2 ki\u015fi zeminde ellerini kullanmadan, hi\u00e7bir destek almadan birka\u00e7 ad\u0131m bile atabildi. \u00c7\u00fcnk\u00fc, ayn\u0131 m\u00fcdahaleyi yapt\u0131\u011f\u0131m\u0131zda yapay ortamda yeni sinir ba\u011flant\u0131lar\u0131n\u0131n b\u00fcy\u00fcd\u00fc\u011f\u00fcn\u00fc g\u00f6rd\u00fck. S\u00fcrekli elektriksel stim\u00fclasyon uygulamak yerine, omurili\u011fin fizyolojik etkinle\u015fmesini destekleyen hedeflenmi\u015f elektriksel stim\u00fclasyonu geli\u015ftirdik. Bu da demektir ki \u00f6zel bir noktaya y\u00f6nlendirilen elektrik sinyalleri, beynin omurili\u011fi normalde etkinle\u015ftirmesini taklit etmek i\u00e7in ger\u00e7ek zamanl\u0131 olarak kontrol ediliyor” ifadesi ile a\u00e7\u0131klad\u0131.<\/p>\n
Elektro terapi nas\u0131l \u00e7al\u0131\u015f\u0131r?<\/p>\n
Bir darbe jenerat\u00f6r\u00fcne ba\u011fl\u0131 bir dizi elektrot; omurili\u011fin bacak kaslar\u0131n\u0131 kontrol eden b\u00f6lgesine ameliyatla yerle\u015ftiriliyor. B\u00fct\u00fcn bacak kaslar\u0131n\u0131 y\u00f6netmesinin hedeflendi\u011fi operasyonun ard\u0131ndan uyar\u0131mlar\u0131n zaman\u0131; bacak hareketlerine denk d\u00fc\u015fecek \u015fekilde ger\u00e7ek zamanl\u0131 olarak kontrol ediliyor. Elektriksel stim\u00fclasyon kapat\u0131ld\u0131\u011f\u0131 anda istemli bacak hareketleri duruyor, ama stim\u00fclasyon tekrar a\u00e7\u0131ld\u0131\u011f\u0131 anda devam ediyor. B\u00f6ylece do\u011fal yollarda yeni sinir ileti\u015fim noktalar\u0131 geli\u015ftiriliyor.<\/p>\n
Mzee, tedavinin ba\u015far\u0131l\u0131 oldu\u011fu ilk anlar\u0131 \u015fu s\u00f6zlerle a\u00e7\u0131klad\u0131: “San\u0131r\u0131m en \u00f6nemli anlardan biri ko\u015fu band\u0131nda ellerimi kullanmadan y\u00fcr\u00fcmeye ba\u015flad\u0131\u011f\u0131m and\u0131. V\u00fccut a\u011f\u0131rl\u0131\u011f\u0131 deste\u011fi vard\u0131 ama \u00e7ubuklar\u0131 b\u0131rak\u0131p ellerimi kullanmadan bir-iki-\u00fc\u00e7 ad\u0131m atmak \u00e7\u0131lg\u0131ncayd\u0131. Daha \u00f6nce bunu yapam\u0131yordum”.<\/p>\n
Courtine, omurilik felcinin kesin tedavisinin bulunmas\u0131na y\u00f6nelik ara\u015ft\u0131rmalara fon sa\u011flamak i\u00e7in kurulan Wings For Life Derne\u011fi\u2019nin katk\u0131lar\u0131yla bulunan ara\u015ft\u0131rmaya ili\u015fkin olarak, “Bu daha ba\u015flang\u0131\u00e7. Amac\u0131m\u0131z gelecekte bu tedaviyi herkese ula\u015ft\u0131rabilmek” dedi.<\/p>\n
2014 y\u0131l\u0131ndan beri t\u00fcm d\u00fcnyada milyonlarca iyi insan\u0131n omurilik fel\u00e7lileri i\u00e7in ayn\u0131 g\u00fcn ayn\u0131 saatte bir araya getiren Wings For Life World Run, bu y\u0131l 5 May\u0131s\u2019ta \u0130zmir\u2019de ger\u00e7ekle\u015ftirilecek.<\/p>\n","protected":false},"excerpt":{"rendered":"
AMANSIZ B\u0130L\u0130NEN OMUR\u0130L\u0130K FELC\u0130N\u0130N TEDAV\u0130S\u0130NDE UMUT VER\u0130C\u0130 B\u0130R \u0130LERLEME KAYDED\u0130LD\u0130. J\u0130MNAST\u0130K YAPARKEN SAKATLANAN VE OMUR\u0130L\u0130K FELC\u0130 GE\u00c7\u0130REN DAV\u0130D MZEE \u0130S\u0130ML\u0130 \u0130SV\u0130\u00c7REL\u0130 YEN\u0130 GEL\u0130\u015eT\u0130R\u0130LEN ELEKTRO TERAP\u0130 TEDAV\u0130S\u0130 SAYES\u0130NDE DESTEKS\u0130Z OLARAK ADIM ATMAYI BA\u015eARDI. D\u00dcNYACA \u00dcNL\u00dc TIP DERG\u0130S\u0130 NATURE\u2019DA YAYIMLANAN MAKALEYE G\u00d6RE, TEDAV\u0130 Y\u00d6NTEM\u0130 B\u0130L\u0130M D\u00dcNYASINDA \u00c7I\u011eIR A\u00c7TI.<\/p>\n","protected":false},"author":1,"featured_media":147863,"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":[10213,13948,6081,32870,5085,15637,11229],"class_list":["post-147862","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-acan","tag-cigir","tag-elektro","tag-felcinde","tag-gelisme","tag-omurilik","tag-terapi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/omurilik-felcinde-cigir-acan-gelisme-elektro-terapi_13602b9.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-CsS","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/147862","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=147862"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/147862\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/147863"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=147862"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=147862"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=147862"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}