Kalp ve Damar Cerrahi uzman\u0131 Prof. Dr. Tulga Ulus, kalbe en \u00e7ok yap\u0131lan cerrahi m\u00fcdahalenin ba\u015f\u0131nda \u201ckoroner bypass\u201d\u0131n geldi\u011fini belirterek, t\u0131kanan veya daralan damara yeni bir damar ile m\u00fcdahale edilerek hastan\u0131n sa\u011fl\u0131\u011f\u0131na kavu\u015fturuldu\u011funu s\u00f6yledi.<\/p>\n
Bu yeni damar\u0131n hastan\u0131n kendi atar ve toplar damarlar\u0131ndan sa\u011fland\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Ulus, operasyonda, g\u00f6\u011f\u00fcsten, koldan al\u0131nan atar damar veya bacaktan al\u0131nan toplar damarlar\u0131n kullan\u0131ld\u0131\u011f\u0131n\u0131 bildirdi.<\/p>\n
Yeni damarlar\u0131n, hastan\u0131n t\u0131kal\u0131 olan damar\u0131na ilave edilerek kan ak\u0131m\u0131na yeni bir yol a\u00e7\u0131lmas\u0131na olanak sa\u011flad\u0131\u011f\u0131n\u0131 anlatan Ulus, \u201cB\u00f6ylelikle kalp ihtiyac\u0131 olan kan\u0131 yeni damar arac\u0131l\u0131\u011f\u0131yla alarak uygun \u015fekilde \u00e7al\u0131\u015fmaya ba\u015flar\u201d dedi.<\/p>\n
Ulus, kalbi besleyen damarlarda meydana gelen t\u0131kanmalar\u0131n, balon veya stentle a\u00e7\u0131lamamas\u0131 halinde g\u00fcndeme by-pass ameliyat\u0131n\u0131n geldi\u011fini anlatt\u0131.<\/p>\n
Prof. Dr. Ulus, kalp krizine yol a\u00e7an etkenlerin ba\u015f\u0131nda \u2018kalbin, yeterli kan veya oksijen alamamas\u0131n\u0131n\u2019 geldi\u011fine dikkati \u00e7ekerek, \u201ci\u015fte b\u00f6ylesi riskli bir durum ya\u015famamal\u0131y\u0131z.<\/p>\n
Koroner arterlerin ak\u0131m\u0131 tehlike olu\u015fturacak oranda engellenmesi halinde, kan ak\u0131\u015f\u0131n\u0131 sa\u011flamak i\u00e7in bypass ameliyat\u0131 yap\u0131lmas\u0131 gerekir\u201d diye konu\u015ftu.<\/p>\n
Bypass ameliyat\u0131n\u0131n hangi durumda yap\u0131lmas\u0131 gerekti\u011fine ili\u015fkin hastalar\u0131 bilgilendirdiklerini bildiren Prof. Dr. Ulus, \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201cKalbi besleyen ve kalbe \u00e7al\u0131\u015fmas\u0131 i\u00e7in kan ta\u015f\u0131yan damarlara koroner arterler denir. Bu koroner damarlar\u0131n daralmas\u0131 veya t\u0131kanmas\u0131 ile olu\u015fan hastal\u0131\u011fa koroner arter hastal\u0131\u011f\u0131 denir. Kalbi besleyen damarlar olan koroner arterler zaman i\u00e7inde \u00e7e\u015fitli risk fakt\u00f6rleri sebebiyle etkilenerek daralabilir ya da tamamen t\u0131kanabilirler. Bu hastal\u0131\u011f\u0131n tedavisi i\u00e7in uygulanan koroner arter bypass ameliyat\u0131 en s\u0131k yap\u0131lan kalp ameliyat tipidir. 3\/5 saat s\u00fcrebildi\u011fi gibi hastan\u0131n durumuna g\u00f6re kalp durdurularak yada \u00e7al\u0131\u015f\u0131r vaziyette cerrahi m\u00fcdahalemizi ger\u00e7ekle\u015ftirebiliyoruz.\u201d<\/p>\n
“Ameliyattan korkmay\u0131n”<\/p>\n
Bypass ameliyat\u0131n\u0131n g\u00fcn\u00fcm\u00fcz teknolojisi ile korkulan ameliyatlar aras\u0131nda yer almad\u0131\u011f\u0131na dikkat \u00e7eken Prof. Dr. Ulus, ba\u015far\u0131l\u0131 yap\u0131lan operasyonlar ile hastalar\u0131n hem \u00f6m\u00fcrlerinin uzad\u0131\u011f\u0131n\u0131, hem de ya\u015fam kalitelerin artt\u0131\u011f\u0131na dikkat \u00e7ekti.<\/p>\n
Koroner bypass ameliyat\u0131n\u0131n d\u00fcnyada ve \u00fclkemizde \u00f6l\u00fcm oranlar\u0131n\u0131n y\u00fczde 1 \u2019in alt\u0131na indi\u011fini de hat\u0131rlatan Ulus, riskin ki\u015finin sa\u011fl\u0131k durumuna ve geneti\u011fine g\u00f6re farkl\u0131l\u0131k g\u00f6sterdi\u011fini kaydetti. \u00d6rne\u011fin fazla kilo, \u015feker hastal\u0131\u011f\u0131, b\u00f6brek yetmezli\u011fi, akci\u011fer rahats\u0131zl\u0131\u011f\u0131, y\u00fcksek tansiyon gibi rahats\u0131zl\u0131klar\u0131n kontrol alt\u0131na al\u0131narak operasyon yap\u0131ld\u0131\u011f\u0131n\u0131 anlatan Ulus, \u201cKoroner arter daralmalar\u0131nda ila\u00e7 tedavisi, koroner balon anjiyoplasti, stent, koroner bypass ameliyat\u0131 tedavi se\u00e7enekleri aras\u0131nda bulunuyor. Ki\u015fiye \u00f6zel tedavi \u015fekli belirliyoruz. Yani hastan\u0131n ve damar hastal\u0131\u011f\u0131n genel durumuna g\u00f6re hareket ediyoruz\u201d dedi.<\/p>\n
Ameliyat sonras\u0131<\/p>\n
Ameliyat sonras\u0131 diyete dikkat edilmesi, sigara kullan\u0131lmamas\u0131, \u00e7ok s\u0131cak ve \u00e7ok so\u011fuk havalar d\u0131\u015f\u0131nda, her g\u00fcn d\u00fczenli olarak y\u00fcr\u00fcmeye \u00e7al\u0131\u015f\u0131lmas\u0131n\u0131 \u00f6neren Prof. Dr. Ulus, \u201cY\u00fcr\u00fcy\u00fc\u015f yoku\u015f olmayan d\u00fcz yolda olsun. \u0130lk haftalarda 15 dakikal\u0131k y\u00fcr\u00fcy\u00fc\u015flere her hafta 5 dakika ilave edin. 2 ay sonunda, durmadan 45 dakika y\u00fcr\u00fcyecek duruma gelmelisiniz\u201d dedi.<\/p>\n
Diyabet hastal\u0131\u011f\u0131 ve tansiyon yoksa, a\u015f\u0131r\u0131ya ka\u00e7madan her \u015feyin yenebilece\u011fini anlatan Ulus, ameliyat sonras\u0131 ziyaret\u00e7i k\u0131s\u0131tlamas\u0131na, g\u00f6\u011f\u00fcs korsesi kullan\u0131lmas\u0131na, solunum egzersizleri yap\u0131lmas\u0131na, her gece d\u00fczenli 6 – 8 saat uyku gereklili\u011fine, bol su t\u00fcketmeye ve kontrolleri aksatmamaya dikkat edilmesi gerekti\u011fini s\u00f6zlerine ekledi.<\/p>\n","protected":false},"excerpt":{"rendered":"
KALP VE DAMAR CERRAH\u0130 UZMANI PROF. DR. TULGA ULUS, KALBE EN \u00c7OK YAPILAN CERRAH\u0130 M\u00dcDAHALEN\u0130N BA\u015eINDA \u201cKORONER BYPASS\u201dIN GELD\u0130\u011e\u0130N\u0130 BEL\u0130RTEREK, TIKANAN VEYA DARALAN DAMARA YEN\u0130 B\u0130R DAMAR \u0130LE M\u00dcDAHALE ED\u0130LEREK HASTANIN SA\u011eLI\u011eINA KAVU\u015eTURULDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":229189,"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":[19397,307,3716,192,2120,734],"class_list":["post-229188","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bypass","tag-gelen","tag-hastalarina","tag-ile","tag-kalp","tag-saglik"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/kalp-hastalarina-bypass-ile-gelen-saglik_cd308f1.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-XCA","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/229188","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=229188"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/229188\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/229189"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=229188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=229188"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=229188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}