Sivas Medicana Hastanesi G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Zeynep B\u00fcy\u00fckba\u015f, premat\u00fcre bebeklerde g\u00f6r\u00fclen Premat\u00fcre Retinopatisi (ROP) hastal\u0131\u011f\u0131na dikkat \u00e7ekerek, hastal\u0131\u011f\u0131n\u0131 k\u00f6rl\u00fc\u011fe yol a\u00e7abildi\u011fini s\u00f6yledi.<\/p>\n
Op. Dr. Zeynep B\u00fcy\u00fckba\u015f, ROP hastal\u0131\u011f\u0131n\u0131n premat\u00fcre bebeklerde g\u00f6r\u00fclen, retina hasar\u0131 yapan ve k\u00f6rl\u00fckle sonu\u00e7lanabilen bir g\u00f6z hastal\u0131\u011f\u0131 oldu\u011funu belirterek, \u201cPremat\u00fcrelerde olu\u015fabilecek retinopatinin erken tan\u0131s\u0131 ve tedavisi \u00f6nemlidir. Erken ve d\u00fc\u015f\u00fck kilolu do\u011fmu\u015f bebeklerde retina geli\u015fimi tamamlanmadan bebek do\u011far. Bebek do\u011fduktan sonra da geli\u015fim devam eder. Bir\u00e7ok risk fakt\u00f6r\u00fcn\u00fcn de etkisiyle g\u00f6zdeki damarlar anormal geli\u015febilir. Bu yeni damarlar bebe\u011fin retinas\u0131n\u0131 (a\u011f tabakas\u0131) etkileyerek kal\u0131c\u0131 k\u00f6rl\u00fc\u011fe neden olabilir. Bu y\u00fczden erken do\u011fan bebeklerin muhakkak g\u00f6z hekimi kontrol\u00fcnden ge\u00e7mesi ve izlenmesi gerekir. ROP geli\u015fiminde bir\u00e7ok fakt\u00f6r rol oynar. Bunlar\u0131n en \u00f6nemlileri aras\u0131nda erken do\u011fum haftas\u0131, d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131 ve oksijen tedavisi say\u0131labilir. Do\u011fum kilosu olarak 2000 gram alt\u0131 ve do\u011fum haftas\u0131 olarak 35 haftadan erken do\u011fan bebekler risk alt\u0131ndad\u0131r\u201d dedi.<\/p>\n
“35 haftan\u0131n alt\u0131nda do\u011fan t\u00fcm bebekler risk ta\u015f\u0131rlar”<\/p>\n
B\u00fcy\u00fckba\u015f, 354 haftan\u0131n alt\u0131nda do\u011fan t\u00fcm bebeklerin risk ta\u015f\u0131d\u0131klar\u0131n\u0131 s\u00f6yleyerek, \u201cYo\u011fun bak\u0131mda yatm\u0131\u015f ve suni solunum cihaz\u0131na ba\u011flanarak oksijen tedavisi verilmi\u015f bebeklere verilen oksijenin d\u00fczeyi ve tedavi s\u00fcresi \u00f6nemlidir. Kan oksijen d\u00fczeyi \u00e7ok y\u00fcksek de\u011ferlere \u00e7\u0131kt\u0131ysa veya \u00e7ok d\u00fc\u015f\u00fck de\u011ferlere indiyse ROP geli\u015fme riski daha fazlad\u0131r. Ancak oksijen tedavisi yap\u0131lmadan da premat\u00fcre bebeklerde ROP riski oldu\u011fu ak\u0131ldan \u00e7\u0131kar\u0131lmamal\u0131d\u0131r. Gebeli\u011fin 35. haftas\u0131ndan \u00f6nce do\u011fan ve 2 bin gram\u0131n alt\u0131nda do\u011fum a\u011f\u0131rl\u0131\u011f\u0131 olan t\u00fcm bebekler risk ta\u015f\u0131rlar ve retinalar\u0131 damarlanma s\u00fcreci tamamlana kadar kontrol edilmeliler. Premat\u00fcre retinopatisi en s\u0131k do\u011fumdan sonra ortalama 6-8\u2019inci haftalarda ortaya \u00e7\u0131kar. 28 haftal\u0131k do\u011fan bebeklerde 30. g\u00fcnden itibaren g\u00f6r\u00fcl\u00fcr. Risk ta\u015f\u0131yan bebeklerin taranmas\u0131 i\u00e7in en ideal zaman 32-36 gebelik hatas\u0131 (\u00f6zellikle 31-33 haftalard\u0131r) veya do\u011fum sonras\u0131 4-6 haftalard\u0131r. Bu nedenle yukar\u0131da say\u0131lan t\u00fcm risk grubundaki bebekler do\u011fumdan sonra 4-6. haftal\u0131k olduklar\u0131nda mutlaka bu konuda deneyimli uzman bir g\u00f6z doktoru taraf\u0131ndan muayene edilmeliler\u201d diye konu\u015ftu.<\/p>\n
\u201cBebeklerin y\u00fczde 80\u2019inde ROP kendili\u011finden geriler\u201d<\/p>\n
B\u00fcy\u00fckba\u015f, bebeklerin y\u00fczde 80\u2019ninde ROP\u2019un kendili\u011finden geriledi\u011fine de\u011finerek, \u201cHastal\u0131k 5 evredir. Evre 1-2 kendili\u011finden gerileyebilir. Bu bebekler retina damarlanmas\u0131 tamamlan\u0131ncaya kadar takip edilir. Ancak 3. evreden itibaren tedavi gerekmektedir (lazer uygulamas\u0131, g\u00f6z i\u00e7i ila\u00e7 enjeksiyonu, cerrahi tedavi). Tedavi uygulanmad\u0131\u011f\u0131 takdirde hastal\u0131k ilerler ve son a\u015famada yani evre 4 ve 5\u2019de retina tabakas\u0131 geri d\u00f6n\u00fc\u015f\u00fcms\u00fcz olarak zarar g\u00f6r\u00fcr ve hastal\u0131k kal\u0131c\u0131 k\u00f6rl\u00fck ile sonu\u00e7lan\u0131r. Bebeklerin y\u00fczde 80\u2019inde ROP kendili\u011finden geriler ancak gerilemeyen vakalar\u0131n zaman\u0131nda m\u00fcdahalesi a\u00e7\u0131s\u0131ndan tarama ve d\u00fczenli takip \u015fartt\u0131r. Damar geli\u015fimleri tamamlanm\u0131\u015f ama ROP bulgular\u0131 yoksa \u00e7ocuklar 2-3 hafta ara ile izlenmelidir. ROP g\u00f6r\u00fclen bebekler g\u00f6z hekiminin \u00f6nerdi\u011fi aral\u0131klarla muayene edilmelidir\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
S\u0130VAS MED\u0130CANA HASTANES\u0130 G\u00d6Z HASTALIKLARI UZMANI OP.DR. ZEYNEP B\u00dcY\u00dcKBA\u015e, PREMAT\u00dcRE RET\u0130NOPAT\u0130S\u0130 HASTALI\u011eI (ROP) PREMAT\u00dcRE BEBEKLERDE G\u00d6R\u00dcLEN, RET\u0130NA HASARI YAPAN VE K\u00d6RL\u00dcKLE SONU\u00c7LANAB\u0130LEN B\u0130R G\u00d6Z HASTALI\u011eI OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"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_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":[1440,13085,40994,6810,6809],"class_list":["post-170240","post","type-post","status-publish","format-standard","hentry","category-genel","tag-dikkat","tag-hastaligina","tag-rop","tag-uyariyor","tag-uzmanlar"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-IhO","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/170240","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=170240"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/170240\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=170240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=170240"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=170240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}