Kalp rahats\u0131zl\u0131klar\u0131 sebebiyle binlerce ki\u015fi kalbinde pille ya\u015famak zorunda kal\u0131rken, kullan\u0131lan pillerin, hastada bir tak\u0131m sorunlara neden olabildi\u011fi belirtildi. Uzmanlar, yeni geli\u015ftirilen kal\u0131c\u0131 his demeti pillerinin ise riski minimize etti\u011fini s\u00f6yledi.<\/p>\n
Hastalar\u0131n yeniden ya\u015fama ba\u011flanmalar\u0131n\u0131 sa\u011flayan kal\u0131c\u0131 kalp pilleri, 50 y\u0131ldan uzun bir s\u00fcredir tedavi y\u00f6ntemi olarak kullan\u0131l\u0131yor. Kalp pilleri, son y\u0131llarda teknolojik geli\u015fmelerden nasibini al\u0131rken, kal\u0131c\u0131 his demeti pilleri de yayg\u0131nla\u015fmaya ba\u015flad\u0131.<\/p>\n
Kardiyoloji Klini\u011finden Do\u00e7. Dr. Serkan Sayg\u0131, kal\u0131c\u0131 kalp pillerindeki yeni geli\u015fmeler hakk\u0131nda bilgi verdi. Her tedavide oldu\u011fu gibi kal\u0131c\u0131 kalp pilleri ile yap\u0131lan tedavide de k\u0131sa veya uzun d\u00f6nemde ortaya \u00e7\u0131kabilen yan etkilerin mevcut oldu\u011funu belirten Sayg\u0131, “Bu yan etkilerin en \u00f6nemlisi orta veya uzun d\u00f6nemde g\u00f6r\u00fclebilen kalp piline ba\u011fl\u0131 kalp yetmezli\u011fi geli\u015fmesidir. Standart kalp pilleri her ne kadar kalbin uyar\u0131 ve iletimini taklit ederek fonksiyon g\u00f6sterse de, pilin olu\u015fturdu\u011fu uyar\u0131 sa\u011fl\u0131kl\u0131 kalplerde oldu\u011fu gibi tam olarak ahenkli bir kas\u0131lma olu\u015fturamamaktad\u0131r. Kalbin kas\u0131l\u0131rken ahenginin bozulmas\u0131 orta veya uzun vadede kalp fonksiyonlar\u0131n\u0131n azalmas\u0131na ve kalp yetmezli\u011finin geli\u015fmesine sebep olabilmektedir. Bu risk \u00f6zellikle kalp fonksiyonlar\u0131 kal\u0131c\u0131 kalp pili tak\u0131lmadan \u00f6nce hafif-orta d\u00fczeyde azalm\u0131\u015f ve kalp pili uyar\u0131s\u0131na ba\u011f\u0131ml\u0131 hastalarda daha y\u00fcksektir” dedi.<\/p>\n
Tak\u0131lma \u015fekli standart pillerle ayn\u0131<\/p>\n
Standart pillerden farkl\u0131 olarak kal\u0131c\u0131 his pili uygulamas\u0131na da de\u011finen Medical Park \u0130zmir Hastanesi Kardiyoloji Klini\u011finden Do\u00e7. Dr. Serkan Sayg\u0131, “Kalbin do\u011fal kalp kas\u0131lmas\u0131n\u0131 sa\u011flamakta ve orta-uzun vadede kalp yetmezli\u011finin geli\u015fmesini \u00f6nleyebilmektedir. \u00d6zellikle kalp fonksiyonlar\u0131 hafif-orta d\u00fczeyde azalm\u0131\u015f ve y\u00fcksek miktarda kalp pili uyar\u0131s\u0131na ihtiya\u00e7 duyan hastalarda art\u0131k his demeti pilinin tak\u0131lmas\u0131 \u00f6nerilmektedir. His demeti pilinin tak\u0131lma \u015fekli hasta a\u00e7\u0131s\u0131ndan standart pillere g\u00f6re farkl\u0131 de\u011fildir; ancak pil uygulamas\u0131n\u0131 yapan hekim a\u00e7\u0131s\u0131ndan daha farkl\u0131d\u0131r. \u0130\u015flem esnas\u0131nda hekimin iletim sistemini bularak bu noktaya kabloyu ba\u011flamas\u0131 gerekmektedir. Hekimin elektro-fizyoloji uzman\u0131 yani kalp ritim bozuklu\u011fu konusunda uzman olmas\u0131 ve bu konuda e\u011fitim alm\u0131\u015f olmas\u0131 ideal olan\u0131d\u0131r. His demeti pilinin k\u0131sa ve uzun d\u00f6nem yan etkileri ve izlemi standart kalp pilleri ile hemen hemen ayn\u0131d\u0131r. \u00d6l\u00fcmc\u00fcl yan etki g\u00f6r\u00fclme ihtimali standart kalp pilleri ile benzer yani \u00e7ok d\u00fc\u015f\u00fckt\u00fcr. Standart pillerden en \u00f6nemli fark iletim sistemine tak\u0131lan kablonun k\u0131sa-orta vadede yerinden \u00e7\u0131kmas\u0131 veya fonksiyonunda kay\u0131p meydana gelmesidir. 100 hastan\u0131n 5\u2019inde bu sebeple kablonun d\u00fczeltilmesi i\u00e7in yeniden i\u015flem yapmak gerekebilmektedir. Bu risk standart pillerde de mevcuttur ancak oran 100 hastada 1 d\u00fczeylerindedir” dedi.<\/p>\n
Do\u00e7. Dr. Sayg\u0131, \u015f\u00f6yle devam etti:<\/p>\n
“Herhangi bir sebeple kal\u0131c\u0131 kalp pili tak\u0131lmas\u0131 \u00f6nerilen hastalar\u0131n muhakkak bir kardiyak elektrofizyoloji yani kalp ritim uzman\u0131 ile hangi kalp pilinin tak\u0131lmas\u0131 gerekti\u011fini ve kal\u0131c\u0131 his demeti piline hastan\u0131n uygun olup olmad\u0131\u011f\u0131n\u0131 g\u00f6r\u00fc\u015fmeleri \u00f6nerilmektedir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
KARD\u0130YOLOJ\u0130 KL\u0130N\u0130\u011e\u0130NDEN DO\u00c7. DR. SERKAN SAYGI, “STANDART KALP P\u0130LLER\u0130 HER NE KADAR KALB\u0130N UYARI VE \u0130LET\u0130M\u0130N\u0130 TAKL\u0130T EDEREK FONKS\u0130YON G\u00d6STERSE DE, P\u0130L\u0130N OLU\u015eTURDU\u011eU UYARI SA\u011eLIKLI KALPLERDE OLDU\u011eU G\u0130B\u0130 TAM OLARAK AHENKL\u0130 B\u0130R KASILMA OLU\u015eTURAMAMAKTADIR. KALB\u0130N KASILIRKEN AHENG\u0130N\u0130N BOZULMASI ORTA VEYA UZUN VADEDE KALP FONKS\u0130YONLARININ AZALMASINA VE KALP YETMEZL\u0130\u011e\u0130N\u0130N GEL\u0130\u015eMES\u0130NE SEBEP OLAB\u0130LMEKTED\u0130R” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":183973,"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":[12910,125,45505,3716,45504,2120,223,45506,7133],"class_list":["post-183972","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-aldiracak","tag-bir","tag-demeti","tag-hastalarina","tag-his","tag-kalp","tag-nefes","tag-pilleri","tag-rahat"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/his-demeti-pilleri-kalp-hastalarina-rahat-bir-nefes-aldiracak_003b743.jpg?fit=1000%2C665","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-LRi","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/183972","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=183972"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/183972\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/183973"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=183972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=183972"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=183972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}