Beyin ve Sinir Cerrah\u0131 Prof. Dr. Serta\u00e7 \u0130\u015flekel, halk aras\u0131nda \u201c\u00f6ld\u00fcrmeyen s\u00fcr\u00fcnd\u00fcren\u201d hastal\u0131k olarak adland\u0131r\u0131lan trigeminal nevraljinin y\u00fczde elektrik \u00e7arpmas\u0131 tarz\u0131nda a\u011fr\u0131yla kendini g\u00f6sterdi\u011fini; ancak hastalar\u0131n di\u015f a\u011fr\u0131s\u0131 sanarak solu\u011fu di\u015f hekiminde ald\u0131klar\u0131n\u0131 s\u00f6yledi. Hastalar\u0131n a\u011fr\u0131dan kurtulmak ad\u0131na di\u015flerinden oldu\u011funu belirten Prof. Dr. \u0130\u015flekel, “Bu hastal\u0131\u011f\u0131n \u015fu anda en etkili tedavi y\u00f6ntemi ameliyat gerektirmeyen, lokal anesteziyle tek dozla sonu\u00e7 al\u0131nabilen bir radyoterapi y\u00f6ntemi olan gamma knife tedavisidir” dedi.<\/p>\n
Beyin ve Sinir Cerrah\u0131 Prof. Dr. Serta\u00e7 \u0130\u015flekel, halk aras\u0131nda \u201c\u00f6ld\u00fcrmeyen s\u00fcr\u00fcnd\u00fcren\u201d hastal\u0131k olarak adland\u0131r\u0131lan trigeminal nevraljinin te\u015fhis s\u00fcrecinde yap\u0131lan hataya dikkat \u00e7ekti. Hastal\u0131\u011f\u0131n tipik a\u011fr\u0131 belirtileriyle kolayl\u0131kla tan\u0131 koyulabilen bir hastal\u0131k oldu\u011funu, art\u0131k ne\u015ftersiz bile tedavi edilebildi\u011fini kaydeden Prof. Dr. \u0130\u015flekel, “Trigeminal nevralji, y\u00fczdeki hisleri beyne ta\u015f\u0131yan trigeminal sinirinin damar taraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131lmas\u0131 sonucu ortaya \u00e7\u0131kar. Beyin t\u00fcm\u00f6rleri ve multiple skleroz da buna neden olur ama esas sebebi sinire damar\u0131n bas\u0131 yapmas\u0131d\u0131r. Hastan\u0131n y\u00fcz\u00fcnde, bazen de g\u00f6z\u00fc de i\u00e7ine alan, alt ya da \u00fcst \u00e7enede \u015fim\u015fek \u00e7akar tarzda bir a\u011fr\u0131d\u0131r. Tipik bir a\u011fr\u0131d\u0131r, 5-10 saniye s\u00fcrer. \u0130ki \u00fc\u00e7 saat ge\u00e7er, yine a\u011fr\u0131 gelir. Saatler s\u00fcren bir a\u011fr\u0131 de\u011fildir. Ancak y\u0131llar i\u00e7inde a\u011fr\u0131 s\u0131kl\u0131\u011f\u0131 artar, a\u011fr\u0131 s\u00fcresi uzar. Di\u015f a\u011fr\u0131s\u0131yla \u00e7ok kar\u0131\u015f\u0131r. Hastalar \u00e7o\u011funlukla di\u015f doktorlar\u0131na giderler, yanl\u0131\u015fl\u0131kla di\u015fler \u00e7ekilir. \u00d6zellikle k\u0131rsal kesimde hasta di\u015f kemine gidip a\u011fr\u0131yan di\u015finin \u00e7ekilmesini ister. O \u00e7ekilir, a\u011fr\u0131 kesilmez, bir ba\u015fkas\u0131 \u00e7ekilir. B\u00f6yle b\u00f6yle \u00e7ok di\u015finden olur. Bu sorun filmlerde her zaman g\u00f6r\u00fclemeyebilir” dedi.<\/p>\n
“Sinire bask\u0131 yapan damarla sinir aras\u0131nda teflon yast\u0131k konuyor”<\/p>\n
Hastal\u0131\u011f\u0131n tedavisinin ila\u00e7la ba\u015flad\u0131\u011f\u0131n\u0131; ancak zaman ge\u00e7tik\u00e7e ilac\u0131n etkisinin azald\u0131\u011f\u0131n\u0131 ve hastalar\u0131n bu y\u00f6ntemden yorulup ba\u015fka \u00e7areler arad\u0131\u011f\u0131n\u0131 belirten Kent Hastanesi N\u00f6ro\u015fir\u00fcrji Uzman\u0131 Prof. Dr. \u0130\u015flekel, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
“Kullan\u0131m\u0131 zor bir ila\u00e7, uyku, sersemlik yap\u0131yor, hasta ka\u00e7\u0131n\u0131yor. \u0130lac\u0131 b\u0131rak\u0131yor, tekrar a\u011fr\u0131 ba\u015fl\u0131yor. Bir zaman sonra da ilac\u0131n etkisi azal\u0131yor. Hasta bu k\u0131s\u0131r d\u00f6ng\u00fcden b\u0131k\u0131yor. Di\u011fer tedavi y\u00f6ntemleri ise; biri sinire alkol veya gliserol enjeksiyonu yapmak. Bu uyu\u015fturuyor, rahatlat\u0131yor; ama kesin tedavi etmiyor. Eskiden di\u015f hekimleri taraf\u0131ndan sinir kesilirdi, art\u0131k pek yap\u0131lm\u0131yor, yap\u0131lmas\u0131n\u0131 da \u00f6nermiyoruz. Yan etkisi \u00e7ok fazla bir y\u00f6ntem, \u00e7ok daha k\u00f6t\u00fc a\u011fr\u0131lara yol a\u00e7\u0131yor. Bir ba\u015fka y\u00f6ntem radyofrekans y\u00f6ntemi. Beyinden sinirin \u00e7\u0131kt\u0131\u011f\u0131 noktada radyofrekansla siniri yakma i\u015flemi. Bu i\u015flem a\u011fr\u0131y\u0131 \u00e7ok h\u0131zl\u0131 ge\u00e7irtiyor, olumsuz yan\u0131 i\u011fnenin yap\u0131ld\u0131\u011f\u0131 yer uyu\u015fuk kal\u0131yor. Kal\u0131c\u0131 uyu\u015fukluk (zaman i\u00e7inde azalsa da uyu\u015fma ge\u00e7miyor) oluyor, zaman i\u00e7erisinde n\u00fcks edebiliyor, yine radyofrekans i\u011fnesi yapmak gerekiyor ve her i\u011fne bir \u00f6ncekinden daha ba\u015far\u0131s\u0131z oluyor. Radyofrekansta hastaya i\u015flemin bir b\u00f6l\u00fcm\u00fcnde genel anestezi vermek gerekiyor. \u0130\u015flem lokal anestezi ile yap\u0131l\u0131yor; ama bir b\u00f6l\u00fcm\u00fcnde hasta bay\u0131ltarak sinir aktif \u015fekilde yak\u0131l\u0131yor. Ameliyatla da tedavi edilebiliyor. Sinire bask\u0131 yapan damarla sinir aras\u0131nda teflon yast\u0131k konuyor. Sonu\u00e7ta bir beyin ameliyat\u0131, her ameliyat gibi riskleri var. Son d\u00f6nemin en etkin tedavi y\u00f6ntemi ise bir radyoterapi y\u00f6ntemi olan gamma knife tedavisi. Ad\u0131nda b\u0131\u00e7ak var ama bir cerrahi y\u00f6ntem de\u011fil. \u0130yi yan\u0131 lokal anestezi alt\u0131nda yap\u0131lmas\u0131. V\u00fccuda giren, kal\u0131c\u0131 bir hasar yapan, i\u011fne tarz\u0131 bir yakma i\u015flemi yok. Hastaya tek dozda 190 ayr\u0131 noktadan \u0131\u015f\u0131n veriliyor. Sinirde odaklanan bir \u0131\u015f\u0131n. Birka\u00e7 g\u00fcn i\u00e7inde tedavinin etkisi ba\u015fl\u0131yor. Yakla\u015f\u0131k bir ay i\u00e7inde hastan\u0131n a\u011fr\u0131lar\u0131 ge\u00e7mi\u015f oluyor. N\u00fcks riski di\u011fer y\u00f6ntemlere g\u00f6re daha az. Uyu\u015fukluk yapma riski \u00e7ok daha d\u00fc\u015f\u00fck, iyile\u015ftirme etkisi ise daha fazla.”<\/p>\n","protected":false},"excerpt":{"rendered":"
BEY\u0130N VE S\u0130N\u0130R CERRAHI PROF. DR. SERTA\u00c7 \u0130\u015eLEKEL, TR\u0130GEM\u0130NAL NEVRALJ\u0130N\u0130N Y\u00dcZDE ELEKTR\u0130K \u00c7ARPMASI TARZINDA A\u011eRIYLA KEND\u0130N\u0130 G\u00d6STERD\u0130\u011e\u0130N\u0130; ANCAK HASTALARIN D\u0130\u015e A\u011eRISI SANARAK SOLU\u011eU D\u0130\u015e HEK\u0130M\u0130NDE ALDIKLARINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":213947,"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":[54092,54093],"class_list":["post-213946","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-oldurmuyor","tag-surunduruyor"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/oldurmuyor-surunduruyor_af6add9.jpg?fit=1000%2C558","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-TEK","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/213946","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=213946"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/213946\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/213947"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=213946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=213946"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=213946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}