Tam kapal\u0131 (full endoskopik) bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131 ile v\u00fccutta kesik a\u00e7\u0131lmadan, yumu\u015fak dokulara ve kas dokular\u0131na zarar verilmeden bel f\u0131t\u0131\u011f\u0131 hastalar\u0131 daha konforlu bir \u015fekilde sa\u011fl\u0131\u011f\u0131na kavu\u015fuyor.<\/p>\n
\u0130nsan ya\u015fam\u0131n\u0131n hemen hemen her d\u00f6neminde g\u00f6r\u00fclebilen bel a\u011fr\u0131lar\u0131 sonucunda olu\u015fan ve kendili\u011finden ge\u00e7meyen bel f\u0131t\u0131\u011f\u0131 rahats\u0131zl\u0131\u011f\u0131nda cerrahi m\u00fcdahaleler gerekebiliyor. Geli\u015fen teknolojilerle birlikte bel f\u0131t\u0131\u011f\u0131 bulunan hastalar, tam kapal\u0131 (full endoskopik) bel f\u0131t\u0131\u011f\u0131 ameliyat tekni\u011fiyle sa\u011fl\u0131\u011f\u0131na kavu\u015fuyor. Bu teknik, bel f\u0131t\u0131\u011f\u0131 bulunan ve ameliyat gereken hastalar\u0131n yakla\u015f\u0131k y\u00fczde 90\u2019\u0131na uygulanabiliyor. \u00d6nceden uygulanan tedavi y\u00f6ntemlerinde k\u00fc\u00e7\u00fck de olsa kesikler a\u00e7\u0131l\u0131rken, bu teknik sayesinde v\u00fccutta sadece bir kalemin geni\u015fli\u011fi kadar yani 0,6 milimetre gibi k\u00fc\u00e7\u00fck bir yerden i\u00e7eriye girilip f\u0131t\u0131\u011fa m\u00fcdahale ediliyor. B\u00f6ylece ameliyat s\u0131ras\u0131nda hastan\u0131n kas dokular\u0131na zarar verilmiyor.<\/p>\n
Bel f\u0131t\u0131\u011f\u0131 rahats\u0131zl\u0131\u011f\u0131nda bacak a\u011fr\u0131s\u0131 olu\u015fmas\u0131n\u0131n sebebi hakk\u0131nda bilgi veren Medicana Konya Hastanesi Beyin, Sinir ve Omurga Cerrahi Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi Timur Y\u0131ld\u0131r\u0131m, \u201cHer iki omurga kemi\u011finin aras\u0131nda bulunan diskin etraf\u0131n\u0131 \u00e7evreleyen zarda bir y\u0131rt\u0131lma oldu\u011fu zaman i\u00e7erideki daha sulu k\u0131vamdaki k\u0131k\u0131rdak par\u00e7as\u0131n\u0131n omurilik kanal\u0131n\u0131n i\u00e7ine do\u011fru itilmesiyle ortaya \u00e7\u0131kar. Her omurga segmentinde yani her omurga aras\u0131nda, sa\u011f ve sol baca\u011f\u0131m\u0131za sinirler \u00e7\u0131kmaktad\u0131r. Bu f\u0131t\u0131\u011f\u0131n omurilik kanal\u0131n\u0131n i\u00e7ine do\u011fru yer de\u011fi\u015ftirmesiyle kemikle k\u0131k\u0131rdak par\u00e7a aras\u0131nda baca\u011fa giden sinirin ezilmesiyle bacak a\u011fr\u0131s\u0131 olu\u015fur” dedi.<\/p>\n
“A\u011fr\u0131s\u0131 ge\u00e7meyen hastalarda cerrahi m\u00fcdahale ka\u00e7\u0131n\u0131lmazd\u0131r”<\/p>\n
Bir \u00e7ok bel f\u0131t\u0131\u011f\u0131 hastas\u0131n\u0131n ameliyat olmadan da iyile\u015febilece\u011fini s\u00f6yleyen Dr. \u00d6\u011fretim \u00dcyesi Y\u0131ld\u0131r\u0131m, “Tabii baz\u0131 acil cerrahi durumlar\u0131m\u0131z var \u00f6zellikle bel f\u0131t\u0131\u011f\u0131nda; aniden geli\u015fen ayakta ve bacakta kuvvet kayb\u0131, idrar ka\u00e7\u0131rma, idrar yapamama ya da b\u00fcy\u00fck abdestle ilgili s\u0131k\u0131nt\u0131lar oldu\u011funda bel f\u0131t\u0131\u011f\u0131nda cerrahi m\u00fcdahale ka\u00e7\u0131n\u0131lmaz olur. Onun haricinde ba\u015flang\u0131\u00e7 a\u015famas\u0131ndaki bel f\u0131t\u0131klar\u0131nda bir tak\u0131m koruyucu y\u00f6ntemlerle, yatak istirahatiyle, a\u011fr\u0131 kesicilerle, kas gev\u015feticilerle bel f\u0131t\u0131klar\u0131 tedavi edilebilir. Ama acil cerrahi gerektiren durumlarda b\u00fct\u00fcn tedavi y\u00f6ntemlerini almas\u0131na ra\u011fmen a\u011fr\u0131s\u0131 ge\u00e7meyen hastalarda cerrahi m\u00fcdahale ka\u00e7\u0131n\u0131lmazd\u0131r” \u015feklinde konu\u015ftu.<\/p>\n
“0,6 milimetre kadar k\u00fc\u00e7\u00fck bir b\u00f6lgeden i\u00e7eriyi girilir”<\/p>\n
Geli\u015fen teknolojiyle birlikte 2000\u2019li y\u0131llar\u0131n sonundan itibaren art\u0131k bel f\u0131t\u0131\u011f\u0131 rahats\u0131zl\u0131\u011f\u0131nda tam kapal\u0131 bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131 uyguland\u0131\u011f\u0131n\u0131 kaydeden Dr. \u00d6\u011fretim \u00dcyesi Y\u0131ld\u0131r\u0131m, bu tedavi y\u00f6ntemi hakk\u0131nda bilgi verdi. Y\u0131ld\u0131r\u0131m, “Tam kapal\u0131 bel f\u0131t\u0131\u011f\u0131 cerrahisi y\u00f6nteminin mikro diskektomiye g\u00f6re daha az invaziv olmas\u0131 en b\u00fcy\u00fck avantaj\u0131d\u0131r. Normalde bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131 mikro diskektomide de belin arka k\u0131sm\u0131ndan k\u00fc\u00e7\u00fck de olsa bir cerrahi kesi\u011fiyle yap\u0131lmaktayken, tam endeskopik cerrahi y\u00f6ntemde sadece bir kalemin geni\u015fli\u011fi kadar, yani 0,6 milimetre kadar k\u00fc\u00e7\u00fck bir b\u00f6lgeden i\u00e7eriyi girilir ve herhangi bir \u015fekilde bel b\u00f6lgesindeki kemik ve yumu\u015fak dokulara, kas dokusuna zarar vermeden her iki omurga aras\u0131nda f\u0131t\u0131kla\u015farak bacakta a\u011fr\u0131ya sebep olan, cerrahi m\u00fcdahale gerektiren f\u0131t\u0131k par\u00e7as\u0131na ula\u015f\u0131l\u0131r ve kolayl\u0131kla, \u00e7evredeki di\u011fer normal dokulara zarar vermeden hasta sa\u011fl\u0131\u011f\u0131na kavu\u015fur” ifadelerini kulland\u0131.<\/p>\n
“Omurgan\u0131n di\u011fer hastal\u0131klar\u0131 i\u00e7in de uygulan\u0131yor”<\/p>\n
Hemen hemen her bel f\u0131t\u0131\u011f\u0131n\u0131n tam kapal\u0131 cerrahi y\u00f6ntemle tedavi edilebilece\u011fine de\u011finen Y\u0131ld\u0131r\u0131m, bu y\u00f6ntemin di\u011fer omurga hastal\u0131klar\u0131nda da kullan\u0131labilece\u011finin alt\u0131n\u0131 \u00e7izdi. Y\u0131ld\u0131r\u0131m, “Y\u00fczde 90\u2019dan fazla bel f\u0131t\u0131\u011f\u0131 hastas\u0131 kapal\u0131 y\u00f6ntemle tedavi edilebilir. Ancak beraberinde e\u015flik eden bir bel kaymas\u0131 varsa o gibi durumlarda mikro diskektomi y\u00f6nteminin avantaj\u0131 olabilir. Tam kapal\u0131 bu omurga cerrahisi asl\u0131nda sadece bel f\u0131t\u0131\u011f\u0131 i\u00e7in de\u011fil, omurgan\u0131n di\u011fer hastal\u0131klar\u0131 i\u00e7in de uygulan\u0131yor. \u00d6rne\u011fin, omurgada kanal daralmas\u0131 oldu\u011funda, omurga enfeksiyonlar\u0131nda, omurgada omurili\u011fi ilgilendiren omurilik t\u00fcm\u00f6rlerinde de art\u0131k geli\u015fen teknolojiye paralel olarak bu ameliyatlar yap\u0131labilmektedir” diye konu\u015ftu.<\/p>\n
“Hasta ayn\u0131 g\u00fcn i\u00e7erisinde taburcu edilir”<\/p>\n
Tam kapal\u0131 bel f\u0131t\u0131\u011f\u0131 cerrahisi sonras\u0131nda hastalar\u0131n ameliyattan yakla\u015f\u0131k 2 saat sonra hareketlendirilebilece\u011fini ve aya\u011fa kald\u0131r\u0131labilece\u011fini vurgulayan Y\u0131ld\u0131r\u0131m, “Yakla\u015f\u0131k olarak 6 saat sonra da hasta ayn\u0131 g\u00fcn i\u00e7erisinde taburcu edilir. \u00c7ok k\u0131sa bir 3 ya da 4 g\u00fcnl\u00fck bir dinlenme s\u00fcrecinden sonra, sonu\u00e7ta bir ameliyat oldu\u011fu i\u00e7in, g\u00fcnl\u00fck ya\u015fant\u0131s\u0131na d\u00f6nebilir. Bu hasta i\u00e7in \u00e7ok konforlu bir durumdur. Tam kapal\u0131 bel f\u0131t\u0131\u011f\u0131 cerrahisi t\u00fcm d\u00fcnyada 2000\u2019li y\u0131llardan sonra asl\u0131nda uygulanmaya ba\u015fland\u0131. \u00dclkemizde de 2009\u2019dan sonra, yakla\u015f\u0131k olarak bir 10 y\u0131ld\u0131r sadece belli merkezlerde uygulanan bir teknik. Konya\u2019da da ilk kez bizim hastanemizde tam kapal\u0131, full endoskopik bel f\u0131t\u0131\u011f\u0131 tedavisini uygulamaktay\u0131z” ifadelerine yer verdi.<\/p>\n","protected":false},"excerpt":{"rendered":"
MED\u0130CANA KONYA HASTANES\u0130 BEY\u0130N, S\u0130N\u0130R VE OMURGA CERRAH\u0130 UZMANI DR. \u00d6\u011eRET\u0130M \u00dcYES\u0130 T\u0130MUR YILDIRIM, TAM KAPALI BEL FITI\u011eI CERRAH\u0130S\u0130 SONRASINDA HASTALARIN AMEL\u0130YATTAN YAKLA\u015eIK 2 SAAT SONRA HAREKETLEND\u0130R\u0130LEB\u0130LECE\u011e\u0130N\u0130 VE AYA\u011eA KALDIRILAB\u0130LECE\u011e\u0130N\u0130 VURGULADI.<\/p>\n","protected":false},"author":1,"featured_media":226643,"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":[2771,10188,2772,2004,19508,4160,629,8953,5839],"class_list":["post-226642","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bel","tag-cerrahi","tag-fitigi","tag-kapali","tag-konfor","tag-sagliyor","tag-tam","tag-tedavisinde","tag-yontemi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/bel-fitigi-tedavisinde-tam-kapali-cerrahi-yontemi-konfor-sagliyor_ac23b95.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-WXw","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/226642","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=226642"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/226642\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/226643"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=226642"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=226642"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=226642"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}