Kalp ve damar hastal\u0131klar\u0131 i\u00e7erisinde en sinsi seyreden ve \u00f6l\u00fcme sebep olabilen hastal\u0131klardan birisi olan, tromboz hastal\u0131\u011f\u0131 hakk\u0131nda, Prof. Dr. Barlas Naim Ayta\u00e7o\u011flu a\u00e7\u0131klamada bulundu.<\/p>\n
Girne Amerikan \u00dcniversitesi (GA\u00dc) T\u0131p Fak\u00fcltesi Kurucu Dekan\u0131 Prof. Dr. Barlas Naim Ayta\u00e7o\u011flu a\u00e7\u0131klamas\u0131nda, Tromboz yani \u201cKan P\u0131ht\u0131la\u015fmas\u0131n\u0131n\u201d, kalp ve damar hastal\u0131klar\u0131 i\u00e7erisinde en sinsi seyreden ve ya\u015fam kayb\u0131 olu\u015fturacak kadar a\u011f\u0131r sonu\u00e7lar\u0131 olabilen hastal\u0131klardan birisi oldu\u011funu belirtti. Tromboz denilen kan p\u0131ht\u0131la\u015fmas\u0131 ve bundan kopan p\u0131ht\u0131 par\u00e7alar\u0131n\u0131n bilhassa akci\u011fere gidip solunum yollar\u0131n\u0131n t\u0131kanmas\u0131na neden olan emboli oldu\u011funa de\u011findi.<\/p>\n
\u201cD\u00fcnya \u00e7ap\u0131nda \u00f6l\u00fcmlere neden olmaktad\u0131r\u201d<\/p>\n
Prof. Dr. Ayta\u00e7o\u011flu \u201cBu hastal\u0131k yaln\u0131zca Avrupa\u2019da y\u0131lda yakla\u015f\u0131k 500 bin insan\u0131n \u00f6l\u00fcm\u00fcne neden olmaktad\u0131r. Bu rakam AIDS, meme kanseri, prostat kanseri ve trafik kazalar\u0131nda bir y\u0131lda \u00f6lenlerin say\u0131s\u0131n\u0131n yakla\u015f\u0131k olarak iki kat\u0131na e\u015fittir. \u2018Venoz tromboz\u2019 her ya\u015fta, her cinste ve \u0131rkta e\u015fit \u015fekilde g\u00f6r\u00fclmektedir. Bu nedenle bu rahats\u0131zl\u0131\u011fa yakalanacak insanlar\u0131n \u015fans da\u011f\u0131l\u0131m\u0131nda \u00f6nemli bir farkl\u0131l\u0131k g\u00f6ze \u00e7arpmamaktad\u0131r. Ancak, ki\u015filerde baz\u0131 yatk\u0131nl\u0131klar\u0131n olmas\u0131 tromboz a\u00e7\u0131s\u0131ndan riski y\u00fckseltmektedir\u201d ifadelerini kulland\u0131.<\/p>\n
\u201cRiskin \u00f6n\u00fcne ge\u00e7mek m\u00fcmk\u00fcn\u201d<\/p>\n
Risk fakt\u00f6rlerinin d\u00fczeltilebilece\u011fini belirten Ayta\u00e7o\u011flu, \u201cBunlar\u0131n ba\u015f\u0131nda da sigara i\u00e7mek ve kilo kontrol\u00fc gelmektedir. Sigara KOAH\u2019\u0131n da ba\u015f nedenlerinden birisidir. Dolay\u0131s\u0131yla sigara i\u00e7memekle bir di\u011fer risk fakt\u00f6r\u00fcn\u00fc de elimine etmi\u015f oluruz. Bu risk fakt\u00f6rlerini ta\u015f\u0131yan ki\u015filer tromboz y\u00f6n\u00fcnden son derece dikkatli olmal\u0131d\u0131rlar. Hastanelerde uzun s\u00fcreli yatan ya da s\u00f6z edildi\u011fi gibi \u00f6nemli cerrahi giri\u015fimler yap\u0131lan hastalara trombozu \u00f6nlemek i\u00e7in varis \u00e7orab\u0131 tedavileri ya da p\u0131ht\u0131 olmas\u0131n\u0131 \u00f6nlemek i\u00e7in kan suland\u0131r\u0131c\u0131 tedaviler zaten \u00f6nleyici olarak yap\u0131lmaktad\u0131r. Rahats\u0131zl\u0131\u011f\u0131 evde ya da bir sa\u011fl\u0131k kurumu d\u0131\u015f\u0131nda ba\u015flayan ki\u015filerin ise problemi ciddiye almalar\u0131 ve zaman yitirmeden hekime ba\u015fvurmalar\u0131 hem komplikasyonlar\u0131n \u00f6nlenmesi hem de problemin \u00f6l\u00fcmc\u00fcl sonu\u00e7lar\u0131ndan korunulmas\u0131 bak\u0131m\u0131ndan \u00e7ok \u00f6nemlidir\u201d dedi.<\/p>\n
Zaman\u0131nda m\u00fcdahale gerekli<\/p>\n
\u2018Ven\u00f6z trombozun\u2019 kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z en \u00f6nemli komplikasyon oldu\u011funu belirten Ayta\u00e7o\u011flu, \u201cS\u0131kl\u0131kla \u00f6l\u00fcmc\u00fcl sonu\u00e7lar\u0131 olan akci\u011fer embolisi (Pulmoner emboli)dir. Bilhassa diz ve kas\u0131k b\u00f6lgesine kadar uzanm\u0131\u015f p\u0131ht\u0131lar\u0131n varl\u0131\u011f\u0131nda p\u0131ht\u0131dan kopan par\u00e7alar sa\u011f kalp arac\u0131l\u0131\u011f\u0131yla pulmoner arter denilen akci\u011fer damar\u0131na gider ve oray\u0131 t\u0131kar. Kan akci\u011fere ula\u015famaz ve dolay\u0131s\u0131yla oksijenlenemez. Bu durum ayn\u0131 zamanda sa\u011f kalp kas\u0131nda da, artan bas\u0131n\u00e7 nedeniyle yetmezli\u011fe neden olur. Hasta ise bu tabloyu g\u00f6\u011f\u00fcste ani ba\u015flayan a\u011fr\u0131, nefes almada zorlanma ve h\u0131zl\u0131 nefes al\u0131p verme ve \u00e7arp\u0131nt\u0131 olarak hisseder. Zaman\u0131nda m\u00fcdahale edilemeyen vak\u2019alar neredeyse y\u00fczde 60-75 oran\u0131nda \u00f6l\u00fcmle sonu\u00e7lan\u0131r\u201d dedi.<\/p>\n
En pratik y\u00f6ntem \u2018Renkli Dopler Ultrasonografi\u2019 uygulamas\u0131<\/p>\n
Ven\u00f6z trombozun te\u015fhisinde en \u00e7ok kullan\u0131lan en h\u0131zl\u0131 ve en pratik tan\u0131 y\u00f6ntemi Renkli Dopler Ultrasonografi uygulamas\u0131 oldu\u011funu belirten Ayta\u00e7o\u011flu, \u201cTan\u0131s\u0131 teyit edilen hastalarda ilk yakla\u015f\u0131m olu\u015fan p\u0131ht\u0131y\u0131 eritmeyi ama\u00e7layan kan suland\u0131r\u0131c\u0131 tedaviler olmaktad\u0131r. Bu tedaviler a\u011f\u0131zdan, cilt alt\u0131ndan ve\/veya damardan yap\u0131labilmektedir ancak ilk dozlar\u0131n damardan yap\u0131lmas\u0131 etkinlik a\u00e7\u0131s\u0131ndan biraz daha fazla tercih edilen bir metoddur. Belli bir doygunlu\u011fa ula\u015f\u0131ld\u0131ktan sonra a\u011f\u0131zdan tedaviler ile devam edilebilir. E\u011fer hastalardaki tromboz d\u00fczeyi bilhassa kas\u0131k b\u00f6lgesine kadar \u00e7\u0131k\u0131yorsa ve hasta erken d\u00f6nemde ba\u015fvurmu\u015fsa p\u0131ht\u0131 eritici uygulamalar ile p\u0131ht\u0131n\u0131n eritilmesi ve yine kan suland\u0131r\u0131c\u0131 tedavilerle tedaviye devam edilmesi m\u00fcmk\u00fcnd\u00fcr. Yine ilk 20-25 g\u00fcn kadar s\u00fcrede olan ba\u015fvurularda hem mekanik p\u0131ht\u0131 temizleme ve birlikte p\u0131ht\u0131 eritici tedavi verilip tekrar kan suland\u0131r\u0131c\u0131 tedavilerle devam edilebilir. Ayr\u0131ca hastalar d\u0131\u015far\u0131dan damarlara bas\u0131n\u00e7 uygulanmas\u0131 ve p\u0131ht\u0131la\u015fman\u0131n \u00f6nlenmesi amac\u0131yla varis \u00e7oraplar\u0131 kullanmaya y\u00f6nlendirilebilir. Kan suland\u0131r\u0131c\u0131 tedaviler en az 3 ay ortalama 6 ay s\u00fcreyle ve devam\u0131nda hastan\u0131n durumuna g\u00f6re \u00f6m\u00fcr boyu olacak \u015fekilde planlan\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
KALP VE DAMAR HASTALIKLARI \u0130\u00c7ER\u0130S\u0130NDE EN S\u0130NS\u0130 SEYREDEN VE \u00d6L\u00dcME SEBEP OLAB\u0130LEN HASTALIKLARDAN B\u0130R\u0130S\u0130 OLAN, TROMBOZ HASTALI\u011eI HAKKINDA, PROF. DR. BARLAS NA\u0130M AYTA\u00c7O\u011eLU A\u00c7IKLAMADA BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":193899,"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":[48587,13622,48588,2120,24776],"class_list":["post-193898","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-tromboz","tag-damar","tag-hastaligidir","tag-kalp","tag-sinsi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/tromboz-en-sinsi-kalp-ve-damar-hastaligidir_03b0761.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Oro","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/193898","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=193898"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/193898\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/193899"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=193898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=193898"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=193898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}