Kalp ve Damar Cerrahisi Op. Dr. Burak Tamtekin, \u2018aort anevrizmas\u0131\u2019 diye adland\u0131r\u0131lan, aort damar\u0131n\u0131n geni\u015fleyip y\u0131rt\u0131lmas\u0131 h\u0131zla m\u00fcdahale edilmezse \u00f6l\u00fcmle sonu\u00e7lanabilece\u011fini kaydederek, \u201cBu durumdaki hastalara do\u011fru tedavi uygulanmad\u0131\u011f\u0131nda ise hastan\u0131n ya\u015fam\u0131n\u0131 y\u00fczde 70 oran\u0131nda tehdit edebiliyor\u201d dedi.<\/p>\n
Denizli \u00d6zel Tekden Hastanesi Kalp ve Damar Cerrahisi B\u00f6l\u00fcm\u00fcnde g\u00f6revli Op. Dr. Burak Tamtekin, anevrizman\u0131n ameliyats\u0131z tedavisi olan \u201cendovask\u00fcler stent\u201d hakk\u0131nda bilgi vererek, v\u00fccudun en b\u00fcy\u00fck atardamar\u0131 olan aortun, g\u00f6\u011f\u00fcs veya kar\u0131n b\u00f6l\u00fcmlerinde normal \u00e7ap\u0131n \u00fcst\u00fcnde geni\u015flemesi ile ortaya \u00e7\u0131kan anevrizman\u0131n, hastada var olan hipertansiyona ba\u011fl\u0131 olarak damar\u0131n tabakalar\u0131n\u0131n ayr\u0131\u015fmas\u0131 ve y\u0131rt\u0131lmas\u0131na neden olabilece\u011fini kaydetti. Bu durumdaki hastalara do\u011fru tedavi uygulanmad\u0131\u011f\u0131nda hastan\u0131n ya\u015fam\u0131n\u0131n tehdit alt\u0131nda oldu\u011funu ifade eden Dr. Tamtekin, \u201c10 y\u0131l \u00f6ncesine kadar a\u00e7\u0131k ameliyatlarla ve y\u00fcksek riskler g\u00f6ze al\u0131narak tedavi edilebilen aort geni\u015flemeleri yani anevrizmalar, art\u0131k ameliyats\u0131z bir y\u00f6ntem olan endovask\u00fcler stent ile tedavi edilebiliyor. Giri\u015fimsel olarak a\u00e7\u0131k ameliyata g\u00f6re \u00e7ok daha d\u00fc\u015f\u00fck bir riskle yap\u0131lan i\u015flem sonras\u0131 hasta normal ya\u015fam\u0131na k\u0131sa s\u00fcrede geri d\u00f6nebiliyor. B\u00fcy\u00fck damarlarda ortaya \u00e7\u0131kan geni\u015fleme, normalin 1.5 kat\u0131na \u00e7\u0131kt\u0131\u011f\u0131nda anevrizmadan s\u00f6z edilebilir. Bir\u00e7ok nedene ba\u011fl\u0131 olarak ortaya \u00e7\u0131kan anevrizmada, hastan\u0131n ya\u015f\u0131 \u00f6nemli rol oynar. \u00d6zellikle 60 ya\u015f\u0131ndan sonra anevrizma riski artar. Belli \u00e7aplar\u0131n alt\u0131ndaki anevrizmalar hasta i\u00e7in y\u00fcksek risk olu\u015fturmad\u0131\u011f\u0131ndan, her anevrizma hastas\u0131 da ameliyat edilmemektedir. Bu hastalarda cerrahi risk medikal tedavi riski ile kar\u015f\u0131la\u015ft\u0131r\u0131larak karar verilir ve genellikle hastalar d\u00fczenli olarak takip edilir. Hastalar\u0131n takipleri MR ve tomografi ile yap\u0131l\u0131r. Damarlar\u0131n \u00e7aplar\u0131 belli oranda art\u0131yorsa ya da \u00e7aplar\u0131 d\u00fc\u015f\u00fcn\u00fclenden daha h\u0131zl\u0131 art\u0131yorsa cerrahi m\u00fcdahale g\u00fcndeme gelir\u201d diye konu\u015ftu.<\/p>\n
\u201cAmeliyats\u0131z m\u00fcdahale de bulunulabiliyor\u201d<\/p>\n
Anevrizmada ameliyats\u0131z tedavi d\u00f6nemi hakk\u0131nda da bilgiler veren Dr. Tamtekin, anevrizma varl\u0131\u011f\u0131na ra\u011fmen d\u00fczenli takip alt\u0131nda olmayan hastalarda aniden geli\u015febilen damar\u0131n i\u00e7 tabakas\u0131 ve d\u0131\u015f tabakas\u0131n\u0131n birbirinden ayr\u0131lmas\u0131, dolay\u0131s\u0131yla kan\u0131n organ bo\u015fluklar\u0131na, kar\u0131n ve g\u00f6\u011f\u00fcs bo\u015flu\u011funa yay\u0131lmas\u0131n\u0131n ya\u015fam\u0131 tehdit etti\u011fini hat\u0131rlatt\u0131. Dr. Tamtekin, \u201cB\u00f6yle durumlarda erken m\u00fcdahale hasta i\u00e7in hayati \u00f6nem ta\u015f\u0131r ve acil cerrahi gerekebilir. Ancak baz\u0131 hasta gruplar\u0131nda ameliyat ya\u015famsal risk olu\u015fturabilir. \u0130leri derecede akci\u011fer hastal\u0131klar\u0131 ile anestezi alamayacak durumda olan hastalar i\u00e7in ameliyats\u0131z tedavi se\u00e7enekleri g\u00fcndeme gelir. G\u00fcn\u00fcm\u00fczde, anevrizman\u0131n ameliyats\u0131z tedavisi \u2018endovask\u00fcler stent\u2019 y\u00f6ntemidir. Ameliyats\u0131z olarak ger\u00e7ekle\u015ftirilen i\u015flemde v\u00fccutta herhangi bir kesi olu\u015fturulmadan giri\u015fimsel olarak yap\u0131lmaktad\u0131r. \u0130\u015flem, lokal anestezi ya da sedasyon y\u00f6ntemi ile uyutma \u015feklinde uygulan\u0131r. Hastan\u0131n iyile\u015fme ve normal ya\u015fam\u0131na d\u00f6n\u00fc\u015f s\u00fcresini \u00f6nemli \u00f6l\u00e7\u00fcde k\u0131saltan bu tedavi y\u00f6ntemi, klasik cerrahinin yerine tercih edilmektedir\u201d dedi.<\/p>\n
\u201c40 ya\u015f\u0131ndan sonra damar geni\u015flemesi riskinin art\u0131yor\u201d<\/p>\n
Operasyonun ard\u0131ndan hastan\u0131n 3 g\u00fcn i\u00e7erisinde taburcu edildi\u011fini dile getiren Dr. Tamtekin a\u00e7\u0131klamalar\u0131n\u0131 \u015f\u00f6yle tamamlad\u0131:<\/p>\n
\u201cCerrahi m\u00fcdahale sonras\u0131 ya\u015fanabilecek komplikasyon riskleri en az orandad\u0131r. Hastanede kal\u0131\u015f s\u00fcresinin k\u0131salmas\u0131, hastan\u0131n normal ve aktif ya\u015fam\u0131na k\u0131sa s\u00fcrede d\u00f6nebilmesi ve v\u00fccutta herhangi bir ameliyat kesi\u011fi olu\u015fmamas\u0131 endovask\u00fcler stenti son y\u0131llarda uygulanan en pop\u00fcler i\u015flemlerden biri haline getirmi\u015ftir. Anevrizma ve buna ba\u011fl\u0131 olarak ortaya \u00e7\u0131kan diseksiyon yani y\u0131rt\u0131klar art\u0131k giri\u015fimsel olarak tedavi edilebilse de, 40 ya\u015f\u0131ndan sonra damar geni\u015flemesi riskinin artt\u0131\u011f\u0131 ger\u00e7e\u011fi g\u00f6z \u00f6n\u00fcne al\u0131narak, gerekli tahlil ve tetkiklerin yapt\u0131r\u0131lmas\u0131 \u00f6nem kazanmaktad\u0131r. Anevrizmalar\u0131n d\u00fczenli takip edilmemesi, damar y\u0131rt\u0131lmalar\u0131na yol a\u00e7abilir. Diseksiyon ad\u0131 verilen y\u0131rt\u0131lmalar, hastada \u00e7ok ciddi belirtiler ile ortaya \u00e7\u0131kar. Hastalar bu belirtileri \u2018sanki b\u0131\u00e7ak saplan\u0131yor\u2019 gibi s\u0131rt ve g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u015feklinde tan\u0131mlamaktad\u0131r. Y\u0131rt\u0131ld\u0131k\u00e7a a\u015fa\u011f\u0131 do\u011fru inen damar\u0131n i\u00e7inde sinir sistemine ba\u011fl\u0131 sinir u\u00e7lar\u0131 bulunmakta ve belirtiler s\u0131ras\u0131nda hasta bu iletim sayesinde a\u011fr\u0131 duymaktad\u0131r. Hasta y\u0131rt\u0131lma nedeniyle bir anda kaybedilebilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
DEN\u0130ZL\u0130 \u00d6ZEL TEKDEN HASTANES\u0130 KALP VE DAMAR CERRAH\u0130S\u0130 B\u00d6L\u00dcM\u00dc\u2019NDE G\u00d6REVL\u0130 OP. DR. BURAK TAMTEK\u0130N, \u2018AORT ANEVR\u0130ZMASI\u2019 D\u0130YE ADLANDIRILAN, AORT DAMARININ GEN\u0130\u015eLEY\u0130P YIRTILMASI HIZLA M\u00dcDAHALE ED\u0130LMEZSE \u00d6L\u00dcMLE SONU\u00c7LANAB\u0130LECE\u011e\u0130N\u0130 KAYDEDEREK, \u201cBU DURUMDAK\u0130 HASTALARA DO\u011eRU TEDAV\u0130 UYGULANMADI\u011eINDA \u0130SE HASTANIN YA\u015eAMINI Y\u00dcZDE 70 ORANINDA TEHD\u0130T EDEB\u0130L\u0130YOR\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":216200,"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":[18489,18490,606,5043,1432,5125,54666],"class_list":["post-216199","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-aort","tag-damari","tag-hayat","tag-hizli","tag-kurtariyor","tag-mudahale","tag-yirtilmasinda"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/aort-damari-yirtilmasinda-hizli-mudahale-hayat-kurtariyor_51a19d8.jpg?fit=830%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Uf5","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216199","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=216199"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216199\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/216200"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=216199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=216199"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=216199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}