Mersin \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Sinan Bah\u00e7ac\u0131, “Organa ihtiya\u00e7 duyma ihtimaliniz organ ba\u011f\u0131\u015f\u0131 yapma ihtimalinizden \u00e7ok daha fazlad\u0131r. Ki\u015fi 94 ya\u015f\u0131nda dahi olsa uygun ise organlar kullan\u0131labilir” dedi.<\/p>\n
Organ Ba\u011f\u0131\u015f\u0131 Haftas\u0131 dolay\u0131s\u0131yla a\u00e7\u0131klama yapan Bah\u00e7ac\u0131, organ ba\u011f\u0131\u015f\u0131n\u0131n bir ki\u015finin hayatta iken olas\u0131 bir beyin \u00f6l\u00fcm\u00fc tan\u0131s\u0131 konulmas\u0131 durumunda organlar\u0131n\u0131n ba\u015fka hastalar\u0131n tedavisi i\u00e7in kullan\u0131lmas\u0131na izin vermesi ve bunu belgelendirmesi oldu\u011funu s\u00f6yledi. Organ ba\u011f\u0131\u015f\u0131 yap\u0131ld\u0131ktan sonra sadece bir yo\u011fun bak\u0131m \u00fcnitesinde ve beyin \u00f6l\u00fcm\u00fc karar\u0131 al\u0131nmas\u0131 halinde organlar\u0131n kullan\u0131labilece\u011fini kaydeden Bah\u00e7ac\u0131, “Di\u011fer \u00f6l\u00fcm hallerinde organlar kullan\u0131lamaz. Bu durum herkesin ba\u015f\u0131na gelmeyecek nadir bir durumdur, asl\u0131nda \u00f6l\u00fcm \u015fekli olarak bir l\u00fctuftur. \u015eundan emin olun, organa ihtiya\u00e7 duyma ihtimaliniz organ ba\u011f\u0131\u015f\u0131 yapma ihtimalinizden \u00e7ok daha fazlad\u0131r. \u00dclkemizde 18 ya\u015f\u0131n\u0131 doldurmu\u015f ve akli dengesi yerinde olan herkes, 2238 say\u0131l\u0131 yasaya g\u00f6re organlar\u0131n\u0131n tamam\u0131n\u0131 veya bir b\u00f6l\u00fcm\u00fcn\u00fc ba\u011f\u0131\u015flayabilir. Verilen ba\u011f\u0131\u015f kart\u0131na ra\u011fmen, beyin \u00f6l\u00fcm\u00fc geli\u015fmesi durumunda ki\u015finin ailesinden izin al\u0131nmaktad\u0131r. Bu nedenle l\u00fctfen organlar\u0131n\u0131z\u0131 ba\u011f\u0131\u015flamak istedi\u011finizi yak\u0131nlar\u0131n\u0131za da bildiriniz. Organ ba\u011f\u0131\u015f\u0131 yapt\u0131ktan sonra fikir de\u011fi\u015ftirirseniz organ ba\u011f\u0131\u015f kart\u0131n\u0131 y\u0131rt\u0131p atman\u0131z ve bir sa\u011fl\u0131k kurulu\u015funa bunu bildirmeniz yeterlidir, tabi yine yak\u0131nlar\u0131n\u0131z\u0131 haberdar etmelisiniz.<\/p>\n
Organ uygunlu\u011funa nakil cerrahlar\u0131 karar vermektedir. 94 ya\u015f\u0131nda dahi uygun ise organlar kullan\u0131labilir. Kanser, AIDS ve domuz gribi harici di\u011fer hastal\u0131klarda organlar kullan\u0131labilir. Organ nakli ise g\u00f6rev yapamayacak kadar hasta ve hatta bedene zararl\u0131 hale gelen bir organ\u0131n, bir yenisi ve sa\u011flam\u0131 ile de\u011fi\u015ftirilmesi i\u015flemidir” diye konu\u015ftu.<\/p>\n
Organ naklinin 2 verici kayna\u011f\u0131 bulundu\u011funu vurgulayarak, “Bunlardan birincisi canl\u0131 vericidir ki genellikle d\u00f6rd\u00fcnc\u00fc dereceye kadar ki\u015finin kendisinin veya e\u015finin akrabalar\u0131ndan olu\u015fur. \u0130kinci verici kayna\u011f\u0131 ise \u00f6l\u00fc vericilerdir. Bunlar, hastanelerin yo\u011fun bak\u0131m \u00fcnitelerinde makineye ba\u011fl\u0131 olarak tedavi g\u00f6rd\u00fc\u011f\u00fc s\u0131rada, beyin \u00f6l\u00fcm\u00fc ger\u00e7ekle\u015fen ki\u015filerden sa\u011flanmaktad\u0131r. Maalesef \u00fclkemizde organ vericilerinin yakla\u015f\u0131k y\u00fczde 80\u2019i canl\u0131, y\u00fczde 20\u2019si kadavra kaynakl\u0131d\u0131r. Bu oran b\u00f6brek nakillerine g\u00f6re \u00e7\u0131kart\u0131lmaktad\u0131r. \u00c7\u00fcnk\u00fc karaci\u011fer bekleyen hastalar\u0131n canl\u0131 vericiden organ nakli \u015fans\u0131 \u00e7ok d\u00fc\u015f\u00fck, kalp ve di\u011fer organ bekleyenlerin ise bu \u015fans\u0131 hi\u00e7 yoktur. Bu hastalar kadavradan organ ba\u011f\u0131\u015f\u0131 olmaz ise bekleme listelerine al\u0131nmalar\u0131n\u0131 takip eden k\u0131sa bir s\u00fcre i\u00e7inde kaybedilmektedir. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131m\u0131z ve organ nakli koordinat\u00f6rlerimiz her ge\u00e7en g\u00fcn daha etkin \u00e7al\u0131\u015farak, halk\u0131m\u0131z\u0131 bu durumdan haberdar etme ve bilin\u00e7lendirme \u00e7abalar\u0131n\u0131 s\u00fcrd\u00fcrmektedir. Asl\u0131nda beyin \u00f6l\u00fcm\u00fc tespit oran\u0131m\u0131z hi\u00e7 de az de\u011fildir. \u0130limizde bu g\u00fcne kadar 350 beyin \u00f6l\u00fcm\u00fc tespiti yap\u0131lm\u0131\u015f, bunlardan 98 ailenin izni ile organlar kullan\u0131larak, \u00f6l\u00fcm\u00fc bekleyen insanlara can olmu\u015ftur. Ailelerin organ ba\u011f\u0131\u015f\u0131n\u0131 reddetmelerinin en ba\u015fta gelen sebebi, organ ba\u011f\u0131\u015f\u0131n\u0131 o ana kadar hi\u00e7 duymamalar\u0131 ve \u00fczerinde hi\u00e7 d\u00fc\u015f\u00fcnmemi\u015f olmalar\u0131d\u0131r” \u015feklinde konu\u015ftu.<\/p>\n
“Beyin \u00f6l\u00fcm\u00fc ile koma ayn\u0131 \u015fey de\u011fil”<\/p>\n
Beyin \u00f6l\u00fcm\u00fc konusunda da bilgi veren Bah\u00e7ac\u0131, “Beyin \u00f6l\u00fcm\u00fcnde beyin fonksiyonlar\u0131 geri d\u00f6n\u00fc\u015f\u00fcm\u00fc olmaks\u0131z\u0131n kaybolur, beyne kan gitmez, yani bir nevi kangren olmu\u015ftur. Bu durumda sadece yo\u011fun bak\u0131m \u015fartlar\u0131nda solunum ile kalp at\u0131mlar\u0131 yapay olarak bir s\u00fcre devam ettirilebilir. Ki\u015fi, ancak beyni \u00f6ld\u00fc\u011f\u00fc zaman \u00f6l\u00fc kabul edilebilir ve her \u00f6l\u00fcm ger\u00e7ekte bir beyin \u00f6l\u00fcm\u00fcd\u00fcr. Klasik \u00f6l\u00fcmde kalp kan pompalayamad\u0131\u011f\u0131 i\u00e7in beyin kans\u0131z kal\u0131r, bu tarifledi\u011fimiz \u00f6l\u00fcmde ise travma sebebiyle beyin kans\u0131z kal\u0131r ve \u00f6l\u00fcm ger\u00e7ekle\u015fir. Beyin \u00f6l\u00fcm\u00fc ile koma s\u0131kl\u0131kla ayn\u0131 \u015fey zannedilmektedir. Oysa ki birbirinden \u00e7ok farkl\u0131d\u0131r. \u00c7ok basit bir benzetme ile iki \u00e7i\u00e7ekten birini dal\u0131ndan kopar\u0131p vazoya koydu\u011fumuzu, di\u011ferinin de dal\u0131n\u0131 k\u0131rd\u0131\u011f\u0131m\u0131z\u0131 d\u00fc\u015f\u00fcnelim. Dal\u0131n\u0131 k\u0131rd\u0131\u011f\u0131m\u0131z \u00e7i\u00e7ek \u00f6lmemi\u015ftir, yan\u0131na bir \u00e7\u0131ta koyup bak\u0131m\u0131n\u0131 iyi yapt\u0131\u011f\u0131m\u0131z takdirde tekrar canlanabilir. Buna bitkisel hayat diyoruz. Ancak dal\u0131ndan kopar\u0131p vazoya koydu\u011fumuz \u00e7i\u00e7ek istesek de istemesek de s\u00fcre sonra solacak ve kuruyacakt\u0131r. Yeniden canlanma ihtimali yoktur. Buna da beyin \u00f6l\u00fcm\u00fc diyoruz” ifadelerini kulland\u0131.<\/p>\n
Beyin \u00f6l\u00fcm\u00fc tan\u0131s\u0131n\u0131n da nas\u0131l konuldu\u011funu konusu a\u00e7\u0131klayan Bah\u00e7ac\u0131, “Biri n\u00f6rolog veya n\u00f6ro\u015fir\u00fcrjiyen, biri de anesteziyoloji ve reanimasyon veya yo\u011fun bak\u0131m uzman\u0131ndan olu\u015fan iki hekim taraf\u0131ndan t\u00fcm muayene ve tahlilleri yap\u0131larak saptan\u0131r. \u00d6l\u00fcm olay\u0131n\u0131n tutana\u011f\u0131n\u0131 d\u00fczenleyecek bu iki hekim, organ naklini ger\u00e7ekle\u015ftirecek olan hekim ekibinden ba\u011f\u0131ms\u0131zd\u0131r. Beyin \u00f6l\u00fcm\u00fc ger\u00e7ekle\u015fmeden ve bu iki doktor taraf\u0131ndan onaylanmadan \u00f6l\u00fcden organ nakli yap\u0131lamaz. Organ ba\u011f\u0131\u015f\u0131 yapt\u0131\u011f\u0131 ve organ ba\u011f\u0131\u015f kart\u0131n\u0131 ta\u015f\u0131d\u0131\u011f\u0131 takdirde \u00f6l\u00fcme terk edilebilece\u011fini d\u00fc\u015f\u00fcnen vatanda\u015flar\u0131m\u0131z da vard\u0131r. Oysa olduk\u00e7a yan\u0131lmaktalar. \u00d6l\u00fcm mutlakt\u0131r. Geli\u015ftikten sonra makineler sayesinde ve \u00e7ok titiz bir bak\u0131m ile organlar bir s\u00fcre daha canl\u0131 tutulmaktad\u0131r. Kald\u0131 ki organlar\u0131n al\u0131nabilmesi i\u00e7in ki\u015finin hayattayken ba\u011f\u0131\u015f yapt\u0131\u011f\u0131 halde yine de ailenin izninin al\u0131nmas\u0131 gerekti\u011fi unutulmamal\u0131d\u0131r. Bazen tam tersine daha iyi bak\u0131ma neden olmaktad\u0131r. Mesela bir kaza an\u0131nda \u00fczerinden organ ba\u011f\u0131\u015f kart\u0131 \u00e7\u0131kan bir vatanda\u015f, beyin \u00f6l\u00fcm\u00fc tespitinin yap\u0131labildi\u011fi en te\u015fekk\u00fcll\u00fc hastanelere ta\u015f\u0131nmak zorundad\u0131r. Beyin \u00f6l\u00fcm\u00fc tespiti sadece bunu muayene etmesi gereken uzmanlar\u0131n ve yo\u011fun bak\u0131m\u0131n bulundu\u011fu hastanelerde yap\u0131labilir. Bu da sizin eksiksiz bir bak\u0131m g\u00f6rmeniz demektir. Beyin \u00f6l\u00fcm\u00fc ger\u00e7ekle\u015fmeden, 2 uzman doktor taraf\u0131ndan onaylanmadan,<\/p>\n
\u00f6lenin yasal varislerinin imzal\u0131 izni olmadan organ \u00e7\u0131kar\u0131m ameliyat\u0131 ve hatta doku grup tahlilleri dahi yap\u0131lamaz” diye konu\u015ftu.<\/p>\n
“G\u00f6r\u00fcnt\u00fcs\u00fc bozulmuyor”<\/p>\n
Organ al\u0131nan ki\u015finin g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fcn bozulmayaca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Bah\u00e7ac\u0131, “Organ al\u0131m\u0131 ameliyat\u0131, ameliyathane ko\u015fullar\u0131nda, titizlikle yap\u0131l\u0131r, gizli diki\u015f ile cilt kapat\u0131larak v\u00fccut b\u00fct\u00fcnl\u00fc\u011f\u00fc bozulmadan aileye teslim edilir. O bedenler organlar\u0131n k\u0131ymetini \u00e7ok iyi bilen hekimler i\u00e7in kutsald\u0131r ve \u00e7ok b\u00fcy\u00fck bir sayg\u0131y\u0131 hak etmektedirler. Organ alacak hastalar \u00f6ncelikle t\u0131bbi aciliyet durumuna ve kan grubu ile doku grubu uyumuna g\u00f6re belirlenir. Cins, \u0131rk, din, zengin-fakir ayr\u0131m\u0131 yap\u0131lmaz. \u00d6zellikle ekonomik durumu k\u00f6t\u00fc olan aileler yak\u0131nlar\u0131n\u0131n organlar\u0131n\u0131 satt\u0131klar\u0131n\u0131n d\u00fc\u015f\u00fcn\u00fclmesinden endi\u015fe etmektedir. Herkes bilmelidir ki b\u00f6yle bir \u015fey s\u00f6z konusu olamaz. Beyin \u00f6l\u00fcm\u00fc geli\u015fen \u015fahs\u0131n dokusunun kime uyaca\u011f\u0131n\u0131 \u00f6nceden bilmek bizim i\u00e7in de m\u00fcmk\u00fcn de\u011fildir. Bu ancak Ankara\u2019daki Ulusal Koordinasyon Merkezindeki liste ile beyin \u00f6l\u00fcm\u00fc olan \u015fah\u0131s kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda bilinebilir. Ailenin bu tip d\u00fc\u015f\u00fcnceleri varsa kendileri istemedi\u011fi takdirde, organ ba\u011f\u0131\u015f\u0131 yapt\u0131klar\u0131n\u0131n gizli kalaca\u011f\u0131 garantisi verilir. Aile gizlilik istiyor ise ilgili birimlerde \u00e7al\u0131\u015fan herkes bu konuda uyar\u0131l\u0131r ve ciddi hassasiyet g\u00f6sterilir. \u0130limizde bir tane nakil merkezi bulunmaktad\u0131r. Mersin \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Organ Nakli Merkezinde, b\u00f6brek ve karaci\u011fer nakilleri ba\u015far\u0131yla yap\u0131lmaktad\u0131r. \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc, il\u00e7e sa\u011fl\u0131k m\u00fcd\u00fcrl\u00fckleri, toplum sa\u011fl\u0131\u011f\u0131 merkezleri, aile sa\u011fl\u0131\u011f\u0131 merkezleri, t\u00fcm \u00f6zel ve kamu hastanelerinden kolayl\u0131kla organ ba\u011f\u0131\u015f kart\u0131 al\u0131nabilmektedir” dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
MERS\u0130N \u0130L SA\u011eLIK M\u00dcD\u00dcR\u00dc S\u0130NAN BAH\u00c7ACI, ORGAN BA\u011eI\u015eININ \u00d6NEML\u0130 OLDU\u011eUNU VURGULAYARAK, “MAALESEF \u00dcLKEM\u0130ZDE ORGAN VER\u0130C\u0130LER\u0130N\u0130N YAKLA\u015eIK Y\u00dcZDE 80\u2019\u0130 CANLI, Y\u00dcZDE 20\u2019S\u0130 KADAVRA KAYNAKLIDIR. BU ORAN B\u00d6BREK NAK\u0130LLER\u0130NE G\u00d6RE \u00c7IKARTILMAKTADIR. ORGANA \u0130HT\u0130YA\u00c7 DUYMA \u0130HT\u0130MAL\u0130N\u0130Z ORGAN BA\u011eI\u015eI YAPMA \u0130HT\u0130MAL\u0130N\u0130ZDEN \u00c7OK DAHA FAZLADIR. K\u0130\u015e\u0130 94 YA\u015eINDA DAH\u0130 OLSA UYGUN \u0130SE ORGANLAR KULLANILAB\u0130L\u0130R” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":223611,"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":[56536,1077,12188,56535,2487],"class_list":["post-223610","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bagislanabilir","tag-bile","tag-organ","tag-uygunsa","tag-yasinda"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/94-yasinda-bile-uygunsa-organ-bagislanabilir_91e0a65.jpg?fit=1000%2C742","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-WaC","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/223610","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=223610"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/223610\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/223611"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=223610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=223610"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=223610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}