Uzmanlar, do\u011fu\u015ftan kalp a\u00e7\u0131kl\u0131\u011f\u0131 olarak bilinen \u2018PFO\u2019ya dikkat edilmesi ve ilerleyen d\u00f6nemlerde fel\u00e7 ve kalp krizine kar\u015f\u0131 kontrol\u00fcn\u00fcn mutlaka yap\u0131lmas\u0131 gerekti\u011fini ifade ederek, \u201cAnne karn\u0131nda geli\u015fim halinde iken olabilen bu gizli tehlike y\u0131llar sonra bile fark edilemeyebiliyor\u201d uyar\u0131s\u0131nda bulundu.<\/p>\n
\u00d6zel Denizli Tekden Hastanesi Kardiyoloji Uz. Dr. Nihat Pekel, 8 y\u0131l \u00f6nce kalp krizi ge\u00e7irmi\u015f, bir y\u0131l \u00f6nce de ge\u00e7ici fel\u00e7 ge\u00e7irmesi nedeni ile hastaneye ba\u015fvuran bir hastay\u0131 hastane doktorlar\u0131ndan N\u00f6roloji Uzman\u0131 Dr. B\u00fclent \u00dcnl\u00fc ile muayene ettiklerini s\u00f6yledi. Pekel, \u201cBeyin arterine emboliyi a\u00e7\u0131klayacak di\u011fer bir neden bulunmay\u0131p bize y\u00f6nlendirilen 54 Ya\u015f\u0131nda bayan hastam\u0131zda saptad\u0131\u011f\u0131m\u0131z do\u011fu\u015ftan kalp a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n \u2018PFO\u2019 halk aras\u0131nda \u015femsiye y\u00f6ntemi olarak da bilinen \u00f6zel cihazlarla ameliyats\u0131z olarak kapal\u0131 y\u00f6ntemle kapatt\u0131k. Hastam\u0131za bu i\u015flemi narkoz vermeden, kas\u0131kta bulunan toplar damara i\u011fne ile girerek, kateter dedi\u011fimiz \u00f6zel borularla kalbin sa\u011f taraf\u0131ndan a\u00e7\u0131kl\u0131\u011fa ula\u015farak ger\u00e7ekle\u015ftirdik. Hastam\u0131z\u0131 da ertesi g\u00fcn \u015fifa ile taburcu ettik. Burada ilgin\u00e7 olan bu hastam\u0131z\u0131n beyin felcinden yakla\u015f\u0131k 8 y\u0131l \u00f6nce kalp krizi ge\u00e7irmi\u015f olmas\u0131 ve bu olay\u0131nda y\u00fcksek ihtimalle mevcut kalp a\u00e7\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 muhtemel p\u0131ht\u0131 atmas\u0131 durumu oldu\u011fudur. \u00c7\u00fcnk\u00fc biz bu hikayeden dolay\u0131 hastam\u0131za kalp damar anjiyosu da yapt\u0131k ve \u00f6nceden t\u0131kal\u0131 olan kalp damar\u0131n\u0131n \u015fu anda tamamen normal ve a\u00e7\u0131k oldu\u011funu saptad\u0131k\u201d dedi.<\/p>\n
\u201cToplumda insanlar\u0131n yakla\u015f\u0131k y\u00fczde 20\u2019sinde bu kayna\u015fma tam olmaz\u201d<\/p>\n
Pakel, Patent Foramen Ovale \u2018PFO\u2019 denilen olu\u015fumu, anne karn\u0131nda geli\u015fim halinde iken anneden g\u00f6bek ba\u011f\u0131 ile kalbin sa\u011f kulak\u00e7\u0131\u011f\u0131na gelen temiz kan\u0131n sol kulak\u00e7\u0131\u011fa ve oradan sol kar\u0131nc\u0131k vas\u0131tas\u0131 ile v\u00fccuda da\u011f\u0131lmas\u0131n\u0131 sa\u011flayan olmas\u0131 gereken do\u011fal bir a\u00e7\u0131kl\u0131k olarak nitelendirdi. Pakel, \u201cAnne karn\u0131ndaki fetusta akci\u011ferler oksijenlenme g\u00f6revi g\u00f6rmediklerinden bu a\u00e7\u0131kl\u0131k sayesinde anneden gelen oksijenden zengin kan organlar\u0131m\u0131z\u0131n geli\u015fmesini sa\u011flar. Ancak do\u011fumla birlikte akci\u011ferler \u00e7al\u0131\u015fmaya ba\u015flad\u0131\u011f\u0131nda kan\u0131n oksijenlenmesi sa\u011flanm\u0131\u015f olur ve kulak\u00e7\u0131klar\u0131n taban\u0131ndan ve \u00e7at\u0131s\u0131ndan gelen iki yapra\u011f\u0131n aras\u0131nda kalan bu a\u00e7\u0131kl\u0131k, sol taraf bas\u0131nc\u0131n\u0131n artmas\u0131 ile birbirine yakla\u015f\u0131r ve zaman i\u00e7inde kayna\u015farak kapan\u0131r. Ancak toplumda insanlar\u0131n yakla\u015f\u0131k y\u00fczde 20\u2019sinde bu kayna\u015fma tam olmaz ve belli derecelerde bu a\u00e7\u0131kl\u0131k devam eder. Ya\u015fam\u0131n ileriki y\u0131llar\u0131nda toplay\u0131c\u0131 damarlar\u0131m\u0131zda olu\u015fan p\u0131ht\u0131lar bu a\u00e7\u0131kl\u0131k olmad\u0131\u011f\u0131nda normalde kalbimizin sa\u011f taraf\u0131ndan ge\u00e7erek akci\u011ferlerde temizlenir ve kalbin sol taraf\u0131na ve dolay\u0131s\u0131yla atardamarlara ula\u015famazlar. Ancak bu a\u00e7\u0131kl\u0131k varl\u0131\u011f\u0131nda \u0131k\u0131nma, \u00f6ks\u00fcr\u00fck gibi kalbin sa\u011f taraf\u0131nda anl\u0131k bas\u0131n\u00e7 art\u0131\u015f\u0131na neden olan durumlarda var olan bir p\u0131ht\u0131 o anda sol kulak\u00e7\u0131\u011fa ve oradan sol kar\u0131nc\u0131\u011fa ve atardamarlar vas\u0131tas\u0131 ile v\u00fccudumuzun herhangi bir organ\u0131na gidebilir. Bu duruma arteriyelemboli \u2018atardamar\u0131n p\u0131ht\u0131 atmas\u0131na ba\u011fl\u0131 t\u0131kanmas\u0131\u2019 diyoruz. E\u011fer bu organ beyin olursa sonu\u00e7 fel\u00e7 hali, e\u011fer kalp atardamar\u0131 olursa kalp krizi hali olabilir\u201d diye konu\u015ftu.<\/p>\n
\u201cTan\u0131da en \u00e7ok kulland\u0131\u011f\u0131m\u0131z EKO dedi\u011fimiz kalp ultrasonu\u201d<\/p>\n
Embolinin genelde fel\u00e7 ge\u00e7iren hastalar\u0131n yap\u0131lan kalp muayenelerinde tespit edildi\u011fini ifade eden ve mutlaka m\u00fcdahale edilmesi gerekti\u011fini dile getiren Pakel \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201cDi\u011fer organlara olan emboliler fark edilmeyebilir. Biz bu a\u00e7\u0131kl\u0131klar\u0131 genelde fel\u00e7 ge\u00e7iren hastalar\u0131n yap\u0131lan kalp muayenelerinde sapt\u0131yoruz. \u00d6zellikle n\u00f6roloji uzmanlar\u0131 taraf\u0131ndan beyin arteri embolisinin di\u011fer nedenleri saptanmad\u0131\u011f\u0131nda ve emboli nedeni gizli olarak kalm\u0131\u015fsa bu PFO dedi\u011fimiz olu\u015fumun baz\u0131 \u00f6zel tetkiklerle ara\u015ft\u0131r\u0131lmas\u0131 gerekir. Tan\u0131da en \u00e7ok kulland\u0131\u011f\u0131m\u0131z EKO dedi\u011fimiz kalp ultrasonu i\u015fleminin yemek borusundan yap\u0131lan endoskopik versiyonudur. Burada yemek borusunun kalbin kulak\u00e7\u0131klar\u0131na olan yak\u0131nl\u0131\u011f\u0131 nedeni ile kalbin kulak\u00e7\u0131klar\u0131n\u0131n ay\u0131ran b\u00f6lme \u00e7ok net olarak de\u011ferlendirilmektedir. Bu \u00f6zel tetkikle PFO varl\u0131\u011f\u0131 ve buradan sa\u011fdan sola serbest ge\u00e7i\u015f oldu\u011fu kan\u0131tland\u0131ktan sonra tedavide iki se\u00e7enek vard\u0131r. Ya uzun d\u00f6nem g\u00fc\u00e7l\u00fc kan suland\u0131r\u0131c\u0131 ila\u00e7lar kullanarak toplar damarlarda p\u0131ht\u0131 olu\u015fumunu engellemek yada \u00f6zel olarak \u00fcretilmi\u015f cihazlarla a\u00e7\u0131kl\u0131\u011f\u0131 kapatmak gerekir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
UZMANLAR, DO\u011eU\u015eTAN KALP A\u00c7IKLI\u011eI OLARAK B\u0130L\u0130NEN \u2018PFO\u2019YA D\u0130KKAT ED\u0130LMES\u0130 VE \u0130LERLEYEN D\u00d6NEMLERDE FEL\u00c7 VE KALP KR\u0130Z\u0130NE KAR\u015eI KONTROL\u00dcN\u00dcN MUTLAKA YAPILMASI GEREKT\u0130\u011e\u0130N\u0130 \u0130FADE EDEREK, \u201cANNE KARNINDA GEL\u0130\u015e\u0130M HAL\u0130NDE \u0130KEN OLAB\u0130LEN BU G\u0130ZL\u0130 TEHL\u0130KE YILLAR SONRA B\u0130LE FARK ED\u0130LEMEYEB\u0130L\u0130YOR\u201d UYARISINDA BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":150952,"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":[34125,1440,24377,2120],"class_list":["post-150951","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-acikligina","tag-dikkat","tag-dogustan","tag-kalp"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/dogustan-kalp-acikligina-dikkat_093c0ee.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-DgH","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/150951","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=150951"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/150951\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/150952"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=150951"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=150951"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=150951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}