{"id":212321,"date":"2019-10-07T10:32:35","date_gmt":"2019-10-07T07:32:35","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/guney-marmarada-kadavradan-bagis-ust-uste-5-yilda-milyonda-20nin-uzerinde-oldu\/"},"modified":"2019-10-07T10:32:35","modified_gmt":"2019-10-07T07:32:35","slug":"guney-marmarada-kadavradan-bagis-ust-uste-5-yilda-milyonda-20nin-uzerinde-oldu","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/guney-marmarada-kadavradan-bagis-ust-uste-5-yilda-milyonda-20nin-uzerinde-oldu\/","title":{"rendered":"\u2019\u2019G\u00fcney Marmara\u2019da kadavradan ba\u011f\u0131\u015f, \u00fcst \u00fcste 5 y\u0131lda milyonda 20\u2019nin \u00fczerinde oldu\u2019\u2019"},"content":{"rendered":"<p>Prof. Dr. B\u00fclent Oktay, \u2019\u2019Bug\u00fcn T\u00fcrkiye\u2019de milyon ba\u015f\u0131na kadavradan organ bulma 8 dolaylar\u0131nda iken, G\u00fcney Marmara\u2019da \u00fcst \u00fcste 5 y\u0131lda milyonda 20\u2019nin \u00fczerinde oldu. 2018\u2019de ise bu rakam 23 oldu. Bu da Avrupa ortalamas\u0131 de\u011ferindedir\u2019\u2019 dedi.<\/p>\n<p>T\u00fcrkiye\u2019de organ nakli gereken hasta say\u0131s\u0131 giderek art\u0131yor. Buna kar\u015f\u0131n yeterli organ ba\u011f\u0131\u015f\u0131 yap\u0131lm\u0131yor. Ac\u0131badem Organ Nakli Sempozyumu\u2019nda, organ ba\u011f\u0131\u015f\u0131 organizasyonundan organ naklinde yeni y\u00f6ntemlere kadar bilimin g\u00fcndemindeki bir\u00e7ok sorun masaya yat\u0131r\u0131ld\u0131.  Japonya, Fransa, ABD ve Almanya gibi farkl\u0131 \u00fclkelerden \u00e7ok say\u0131da uzman\u0131n izledi\u011fi sempozyum, Ac\u0131badem \u00dcniversitesi Kerem Ayd\u0131nlar Kamp\u00fcs\u00fc\u2019nde ger\u00e7ekle\u015fti. Sempozyum Ba\u015fkan\u0131 Prof. Dr. B\u00fclent Oktay\u2019\u0131n yan\u0131 s\u0131ra Prof. Dr. \u0130brahim Berber, Prof. Dr. Remzi Emiro\u011flu, Heidelberg \u00dcniversitesi Organ Nakli \u00c7al\u0131\u015fmalar\u0131 Koordinat\u00f6r\u00fc ve \u0130mm\u00fcnoloji Laboratuvar\u0131 Ba\u015fkan\u0131 Prof. Dr. Caner S\u00fcsal ve Prof. Dr. \u00dclkem \u00c7ak\u0131r ile alan\u0131nda \u00f6nde gelen uzmanlar yap\u0131lan \u00e7al\u0131\u015fmalar, organ naklinde gelinen noktalar\u0131 ve organ ba\u011f\u0131\u015f\u0131 hakk\u0131nda \u00f6nemli a\u00e7\u0131klamalarda bulundu.<\/p>\n<p>Sempozyumun \u00f6nemine de\u011finen Prof. Dr. B\u00fclent Oktay, \u2019\u2019Organ yetmezli\u011finin en etkili tedavisi organ naklidir. Ancak \u00fclkemiz, canl\u0131 vericide d\u00fcnyada lider olmas\u0131na ra\u011fmen kadavra vericide ayn\u0131 ba\u015far\u0131y\u0131 g\u00f6sterememektedir. T\u00fcrkiye\u2019de yap\u0131lan karaci\u011fer ve b\u00f6brekte canl\u0131 vericili nakiller, hem say\u0131sal a\u00e7\u0131s\u0131ndan hem de sonu\u00e7lar a\u00e7\u0131s\u0131ndan d\u00fcnya \u00f6l\u00e7eklerinde yar\u0131\u015f\u0131r durumdad\u0131r. Ayn\u0131 durumu kadavradan nakilde yapabilme gayretlerimiz var. Bu sempozyumun amac\u0131, T\u00fcrkiye\u2019de olu\u015fan bilgi birikimini yurtd\u0131\u015f\u0131ndan gelen misafirlerimize kar\u015f\u0131l\u0131kl\u0131 olarak vermektir. Misafirlerimizin aras\u0131nda yurtd\u0131\u015f\u0131ndaki b\u00fcy\u00fck merkezlerde ara\u015ft\u0131rma gruplar\u0131nda \u00e7al\u0131\u015fan iki tane T\u00fcrk bilim insan\u0131 var\u2019\u2019 dedi.<\/p>\n<p>\u2019\u2019G\u00fcney Marmara\u2019da kadavradan ba\u011f\u0131\u015f \u00fcst \u00fcste 5 y\u0131lda milyonda 20\u2019nin \u00fczerinde oldu\u2019\u2019<\/p>\n<p>G\u00fcney Marmara\u2019da kadavradan organ naklinin art\u0131\u015f\u0131n\u0131n nas\u0131l ger\u00e7ekle\u015fti\u011fi konusunda bilgilendirme yapan Prof. Dr. Oktay, \u2019\u2019Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n deste\u011fi ile G\u00fcney Marmara\u2019da bir kadro uzun s\u00fcre ve tek i\u015f olarak organ bulma ve koordine etme i\u015fi yap\u0131ld\u0131. Kadavran\u0131n kayna\u011f\u0131 olan yo\u011fun bak\u0131mlara s\u00fcrekli e\u011fitim yap\u0131ld\u0131. T\u00fcm bunlar Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n organizasyonu ile oldu. Beraberinde k\u0131\u015fladan okula kadar her kesime y\u00f6nelik e\u011fitimlerle ba\u015far\u0131 geldi.  Bug\u00fcn T\u00fcrkiye\u2019de milyon ba\u015f\u0131na kadavradan organ bulma 8 dolaylar\u0131nda iken, G\u00fcney Marmara\u2019da \u00fcst \u00fcste 5 y\u0131lda 20\u2019nin \u00fczerinde oldu. 2018\u2019de ise bu rakam 23 oldu. Bu da Avrupa ortalamas\u0131 de\u011ferindedir\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n<p>\u2019\u20192 b\u00f6bre\u011fi 1 ki\u015fiye takma e\u011filimini ger\u00e7ekle\u015ftirdik\u2019\u2019<\/p>\n<p>Ger\u00e7ekle\u015ftirdikleri \u2019Dual  B\u00f6brek\u2019 naklini anlatan Prof. Dr. Oktay,  \u2019\u2019Her sunulan organ kabul edilemiyor, belli de\u011ferde ve canl\u0131l\u0131kta olmas\u0131 gerekiyor. G\u00fcney Marmara \u00f6zelinde; ba\u011f\u0131\u015flanan kadavran\u0131n \u00e7o\u011fu ileri ya\u015ftayd\u0131. \u0130leri ya\u015ftaki kadavradan al\u0131nan b\u00f6brek; b\u00f6brekler al\u0131nd\u0131\u011f\u0131nda 2 b\u00f6brek oldu\u011fu i\u00e7in birer ki\u015fiye tak\u0131l\u0131r. Tek tak\u0131ld\u0131\u011f\u0131nda yeteri kadar g\u00f6rev yapamayaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen b\u00f6brekler genelde d\u00fcnyan\u0131n her yerinde reddedilir. Ba\u011f\u0131\u015flanan organ zaten az, onlar\u0131n da y\u00fczde13-15\u2019i bu  gerek\u00e7e ile reddediliyor. Bu nedenle tek ba\u015f\u0131na kald\u0131\u011f\u0131nda 1 ki\u015finin y\u00fck\u00fcn\u00fc ta\u015f\u0131yamayacak durumda olan b\u00f6brek yerine, 2 b\u00f6bre\u011fi 1 ki\u015fiye takma e\u011filimini ger\u00e7ekle\u015ftirdik. \u0130kili yani \u2019Dual B\u00f6brek\u2019 durumu budur. Eri\u015fkin d\u00f6nemlerinde diyalize ba\u011fl\u0131 kalmak zorunda kalan hastalara bu b\u00f6brekleri takarak onlar\u0131 yeniden daha farkl\u0131 bir hayat kazanmas\u0131n\u0131 sa\u011flad\u0131k\u2019\u2019 diye konu\u015ftu.<\/p>\n<p>\u2019\u2019Bizim tek sorunumuz var; kadavradan organ ba\u011f\u0131\u015f\u0131 yetersizli\u011fi\u2019\u2019<\/p>\n<p>T\u00fcrkiye\u2019deki nakil durumunu de\u011ferlendiren Genel Cerrahi Uzman\u0131 Prof. Dr. \u0130brahim Berber, \u2019\u2019Organ nakli ve onun alt ba\u015fl\u0131\u011f\u0131nda b\u00f6brek nakli alan\u0131nda T\u00fcrkiye, \u015fu anda teknik ve yeti\u015fmi\u015f insan g\u00fcc\u00fc olarak d\u00fcnyan\u0131n en ileri \u00fclkelerinden bir tanesi konumundad\u0131r. Bizim tek sorunumuz var; kadavradan organ ba\u011f\u0131\u015f\u0131 yetersizli\u011fi. Bu nedenle T\u00fcrkiye\u2019de, geli\u015fmi\u015f \u00fclkelerin tam tersine olacak \u015fekilde kadavradan organ ba\u011f\u0131\u015f\u0131yla yap\u0131lan nakiller y\u00fczde 20 civar\u0131nda, canl\u0131dan yap\u0131lan nakiller y\u00fczde 80 civar\u0131nda. Bizim \u00e7abam\u0131z kadavradan organ ba\u011f\u0131\u015f\u0131n\u0131 artt\u0131rmak\u2019\u2019 a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n<p>\u2019\u2019Do\u011fum yolundan b\u00f6bre\u011fin \u00e7\u0131kart\u0131nca hastan\u0131n karn\u0131nda herhangi bir kesi yapmak zorunda kalm\u0131yoruz\u2019\u2019<\/p>\n<p>Do\u011fum yolundan b\u00f6brek \u00e7\u0131kar\u0131m\u0131n\u0131n sa\u011flad\u0131\u011f\u0131 faydalar\u0131 aktaran Prof. Dr. Berber, \u2019\u2019B\u00f6bre\u011fi kar\u0131n d\u0131\u015f\u0131na sa\u011flam \u00e7\u0131kartmak zorunday\u0131z, par\u00e7alayarak \u00e7\u0131kart\u0131rsak bir i\u015fe yaramaz. Ameliyat\u0131 kapal\u0131 y\u00f6ntemle de yapsak hastan\u0131n karn\u0131nda b\u00f6bre\u011fin b\u00fcy\u00fckl\u00fc\u011f\u00fcnde 5-6 santim kesi yapmak zorunday\u0131z b\u00f6bre\u011fi b\u00fct\u00fcn olarak \u00e7\u0131kartabilmek i\u00e7in. \u0130\u015fte bu durumda do\u011fal a\u00e7\u0131kl\u0131k cerrahisi dedi\u011fimiz do\u011fum yolundan b\u00f6bre\u011fin \u00e7\u0131kar\u0131lmas\u0131 devreye giriyor. Yani b\u00f6bre\u011fi kar\u0131n duvar\u0131ndan de\u011fil, vajinal yoldan kar\u0131n d\u0131\u015f\u0131na \u00e7\u0131kartt\u0131\u011f\u0131m\u0131z zaman hastan\u0131n karn\u0131nda herhangi bir kesi yapmak zorunda kalm\u0131yoruz. Bunun faydalar\u0131 \u015f\u00f6yle: Verici ameliyat sonras\u0131 daha az a\u011fr\u0131 \u00e7ekiyor. Daha \u00e7abuk aya\u011fa kalk\u0131yor. \u00c7al\u0131\u015f\u0131yorsa daha \u00e7abuk i\u015fe d\u00f6nebiliyor. Daha az yara izi kal\u0131yor. Daha iyi kozmetik sonu\u00e7 elde ediyoruz. Ameliyat sonras\u0131 a\u011fr\u0131 kesici ihtiyac\u0131 daha az oluyor\u2019\u2019 ifadelerini kulland\u0131.<\/p>\n<p>\u2019\u2019T\u00fcrkiye organ naklinde basamaklar\u0131 \u00e7ok h\u0131zl\u0131 bir \u015fekilde \u00e7\u0131kt\u0131\u2019\u2019<\/p>\n<p>T\u00fcrkiye\u2019nin karaci\u011fer naklinde geldi\u011fi noktaya vurgu yapan Genel Cerrahi Uzman\u0131 Prof. Dr. Remzi Emiro\u011flu,\u2019\u2019Eskiden T\u00fcrkiye\u2019de insanlar karaci\u011fer nakli olmak i\u00e7in ellerinde dosyalar ile Numune Hastanesi\u2019nin kap\u0131s\u0131nda beklerlerdi. Orada bir heyet de\u011ferlendirir ve uygun g\u00f6r\u00fcl\u00fcrse hastalar yurtd\u0131\u015f\u0131na nakil i\u00e7in giderlerdi. O g\u00fcnlerden bu g\u00fcnlere \u00e7ok \u015fey de\u011fi\u015fti. T\u00fcrkiye organ naklinde hakikaten basamaklar\u0131 \u00e7ok h\u0131zl\u0131 bir \u015fekilde \u00e7\u0131kt\u0131. \u015eu anda d\u00fcnyada canl\u0131dan nakil yapan en iyi merkezler T\u00fcrkiye\u2019de yer al\u0131yor. G\u00fcney Kore\u2019yle kar\u015f\u0131la\u015ft\u0131rd\u0131\u011f\u0131m\u0131z zaman asl\u0131nda milyon n\u00fcfus oran\u0131 belki G\u00fcney Kore\u2019den az gibi duruyor ama yap\u0131lan nakil say\u0131s\u0131 onlardan az de\u011fil. Eskisi gibi de\u011fil, \u00e7ok ba\u015far\u0131l\u0131 sonu\u00e7lar ortaya \u00e7\u0131k\u0131yor. Ama hala halledemedi\u011fimiz ve y\u0131llard\u0131r kanayan yaram\u0131z olan organ ba\u011f\u0131\u015f\u0131nda \u00e7ok zay\u0131f\u0131z. \u0130ran, Irak gibi \u00fclkelerde organ ba\u011f\u0131\u015f\u0131 sorunlar\u0131n\u0131 \u00e7\u00f6zd\u00fcler. Art\u0131k onlar bile nakillerinin y\u00fczde 95\u2019ini kadavradan yap\u0131yorlar\u2019\u2019 dedi.<\/p>\n<p>\u2019\u2019T\u00fcrkiye\u2019de 2 bin 200 civar\u0131nda karaci\u011fer nakli bekleyen hasta var\u2019\u2019<\/p>\n<p>Karaci\u011fer nakli bekleyen hastalara dair bilgiler payla\u015fan Prof. Dr. Emiro\u011flu, \u2019\u2019T\u00fcrkiye\u2019de bekleme listesine bakt\u0131\u011f\u0131m\u0131z zaman, 2 bin 200 civar\u0131nda hasta var. Y\u0131ll\u0131k ortalama bin 600 civar\u0131nda nakil yap\u0131l\u0131yor. Bin 600 nakilin 400 tanesi kadavradan, di\u011ferleri de canl\u0131dan oluyor. G\u00f6n\u00fcl isterdi ki bu oran tersi olsun. Fakat karaci\u011ferdeki sorun bizim hastalar\u0131m\u0131z\u0131n bekleyememesidir. Bu hastalar\u0131n, b\u00f6brek hastalar\u0131nda oldu\u011fu gibi diyaliz gibi bir alternatifi yok. Bu y\u00fczden bekleme listeleri \u00e7ok y\u00fckselmiyor. \u00c7ok fazla hasta hayat\u0131n\u0131 kaybediyor. \u00c7\u00fcnk\u00fc T\u00fcrkiye\u2019de hala hepatit B \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcyor. Bir\u00e7ok hasta hala doktora ula\u015famadan hayat\u0131n\u0131 kaybediyor\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n<p>\u2019\u2019Nakilden sonra hastan\u0131n ila\u00e7lar\u0131n\u0131 d\u00fczenli bir \u015fekilde kullanmal\u0131\u2019\u2019<\/p>\n<p>B\u00f6brek nakli sonras\u0131 b\u00f6bre\u011fin v\u00fccutta uzun s\u00fcre kalmas\u0131 konusunda yapt\u0131klar\u0131 ara\u015ft\u0131rma konusunda bilgilendiren Heidelberg \u00dcniversitesi Organ Nakli \u00c7al\u0131\u015fmalar\u0131 Koordinat\u00f6r\u00fc ve \u0130mm\u00fcnoloji Laboratuvar\u0131 Ba\u015fkan\u0131 Prof. Dr. Caner S\u00fcsal \u015f\u00f6yle konu\u015ftu: \u2019\u2019Bizim \u00fcnitenin \u00f6nemli bir \u00e7al\u0131\u015fmas\u0131 var; d\u00fcnya \u00e7ap\u0131nda 471 merkezin kat\u0131ld\u0131\u011f\u0131 ve t\u0131p alan\u0131ndaki en b\u00fcy\u00fck \u00e7al\u0131\u015fmalardan bir tanesi. Senede a\u015fa\u011f\u0131 yukar\u0131 20-25 bin organ naklinin sonu\u00e7lar\u0131 bizim \u00fcniteye geliyor. Biz bunlar\u0131 bilgisayara giriyoruz. Bunu 1984 y\u0131l\u0131ndan beri yap\u0131yoruz. \u015euan itibariyle a\u015fa\u011f\u0131-yukar\u0131 500 binden fazla b\u00f6brek nakli ve 100 binden fazla da karaci\u011fer nakli sonu\u00e7lar\u0131 bulunmaktad\u0131r. Bunlar\u0131 geriye do\u011fru analiz ediyoruz. Hangi fakt\u00f6rler neyi ve hangi durumu etkilemi\u015f diye analiz ediyoruz. En son yapt\u0131\u011f\u0131m\u0131z bir \u00e7al\u0131\u015fmada; 21 \u00fclkeden 6 bin 600 hasta \u00fczerinde yap\u0131lan \u00e7al\u0131\u015fma. Diyelim ki, 3 sene boyunca bir b\u00f6brek hastada \u00e7al\u0131\u015fm\u0131\u015f. Hastan\u0131n kulland\u0131\u011f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 d\u00fc\u015f\u00fcren ila\u00e7lar\u0131n her sene olan etkisi g\u00f6zlemleniyor. Bunlar\u0131 analiz etti\u011fimiz zaman ortaya \u00e7ok ilgin\u00e7 bir \u015fey \u00e7\u0131kt\u0131. E\u011fer hastan\u0131n de\u011ferleri bir a\u015fa\u011f\u0131 bir de yukar\u0131 hareket ediyorsa ileride sa\u011f kal\u0131m oranlar\u0131 olduk\u00e7a d\u00fc\u015f\u00fck \u00e7\u0131k\u0131yor. Niye ini\u015f \u00e7\u0131k\u0131\u015flar oluyor? Ya hasta ilac\u0131n\u0131 d\u00fczenli kullanm\u0131yor ya da genetik, baz\u0131 nedenler y\u00fcz\u00fcnden oluyor. Baz\u0131 zamanlarda belli meyve suyu t\u00fcketiminde \u00f6zellikle greyfurt suyu kullan\u0131m\u0131 da bu durumu etkiliyor. Fakat en \u00f6nemli etken hastan\u0131n ila\u00e7lar\u0131n\u0131 d\u00fczenli bir \u015fekilde kullanmamas\u0131d\u0131r. Ara\u015ft\u0131rmadaki seviye \u00f6l\u00e7\u00fcmleri bize bilgi veriyor. Genelde b\u00f6brek nakil sonu\u00e7lar\u0131 \u00e7ok iyi oluyor. \u00c7ok nadir organ kaybediliyor, sonu\u00e7lar \u00e7ok iyi. \u00d6nemli olan kalan kay\u0131plar\u0131n\u0131 da \u00f6nlemektir\u2019\u2019.<\/p>\n<p>Nakil sonras\u0131 takip \u00e7ok \u00f6nemli<\/p>\n<p>Nefroloji Uzman\u0131 Prof. Dr. \u00dclkem \u00c7ak\u0131r da, organ nakli \u00f6ncesi hem al\u0131c\u0131 hem de vericinin \u00e7ok iyi de\u011ferlendirilmesi gerekti\u011fini belirterek \u015f\u00f6yle konu\u015ftu: \u201cVericinin sa\u011fl\u0131kl\u0131 olmas\u0131, her iki b\u00f6bre\u011finin de ayr\u0131 ayr\u0131 \u00e7ok iyi \u00e7al\u0131\u015f\u0131yor olmas\u0131 laz\u0131m. Vericiye hi\u00e7bir zarar gelmeyecekse don\u00f6r olarak kabul ediyoruz ve alaca\u011f\u0131m\u0131z b\u00f6brek, genel sa\u011fl\u0131k durumlar\u0131n\u0131n yan\u0131nda birbiriyle doku uyumlar\u0131n\u0131n, reaksiyon verip vermeyece\u011fini, reddetme riskini bunlar\u0131 \u00e7ok detayl\u0131 ara\u015ft\u0131r\u0131yoruz. E\u011fer bunlarda bir problem \u00e7\u0131karsa o ki\u015fi al\u0131c\u0131 veya verici olam\u0131yor. Bu nedenle her vericiyi ya da al\u0131c\u0131y\u0131 kabul edemeyebiliyoruz\u2019\u2019.<\/p>\n<p>Transplantasyon merkezinde detayl\u0131 de\u011ferlendirme s\u00fcrecinden sonra hastan\u0131n al\u0131c\u0131 olup olamayaca\u011f\u0131na karar verilmesi gerekti\u011fini, olamayacaksa di\u011fer tedavi y\u00f6ntemlerine y\u00f6nlendirilmesi gerekti\u011fini belirten Prof. Dr. \u00c7ak\u0131r \u2019\u2019Genelde en b\u00fcy\u00fck \u00f6zveriyi vericiler yap\u0131yor. Genel cerrahlar \u00e7ok g\u00fczel ameliyatlar ger\u00e7ekle\u015ftiriyorlar, nakil sonras\u0131 hastalar\u0131n takipleri \u00e7ok d\u00fczenli olarak nefrologlar taraf\u0131ndan yap\u0131lmal\u0131. \u0130la\u00e7lar kontrol edilmeli, genel sa\u011fl\u0131k durumlar\u0131 kontrol edilmeli. Nakil olmakla bitmiyor, \u00e7ok d\u00fczenli takibinin yap\u0131lmas\u0131 gerekiyor\u2019\u2019 diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00dcRK\u0130YE\u2019DE ORGAN NAKL\u0130 GEREKEN HASTA SAYISI G\u0130DEREK ARTIYOR. BUNA KAR\u015eIN YETERL\u0130 ORGAN BA\u011eI\u015eI YAPILMIYOR. 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