Dudak yar\u0131kl\u0131 veya dudak damak yar\u0131kl\u0131 bebeklerin yakla\u015f\u0131k y\u00fczde 10\u2019unda di\u011fer organlarda ve yap\u0131larda da sorun olabilece\u011fine dikkat \u00e7eken Estetik, Plastik ve Rekonstr\u00fcktif Cerrahi Uzman\u0131 Prof. Dr. Hakan A\u011f\u0131r, izole damak yar\u0131kl\u0131 bebeklerde bu oran\u0131n y\u00fczde 30\u2019a yakla\u015ft\u0131\u011f\u0131n\u0131 ve ba\u015fka yerlerde de sorun olma olas\u0131l\u0131\u011f\u0131n\u0131n daha y\u00fcksek olabildi\u011fini ifade etti.<\/p>\n
En s\u0131k kalp damar yap\u0131sal rahats\u0131zl\u0131klar\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Prof. Dr. Hakan A\u011f\u0131r, genetik kons\u00fcltasyonun bu nedenle \u00e7ok \u00f6nemli oldu\u011funu vurgulad\u0131. Prof. Dr. Hakan A\u011f\u0131r, anne veya babadan herhangi birisinde DDY(dudak damak yar\u0131klar\u0131) varsa, DDY l\u0131 bir bebe\u011fin tekrar d\u00fcnyaya gelme olas\u0131l\u0131\u011f\u0131n\u0131n y\u00fczde 2-5 aras\u0131nda oldu\u011funu dile getirdi. Prof. Dr. Hakan A\u011f\u0131r, \u2018\u2019E\u011fer ikinci bir DDY\u2019l\u0131 varsa \u00fc\u00e7\u00fcnc\u00fcs\u00fcn\u00fcn dudak yar\u0131kl\u0131 gelmesi \u015fans\u0131 y\u00fczde 10-14 t\u00fcr. Damak yar\u0131\u011f\u0131 i\u00e7in bu risk y\u00fczde 8\u2019dir. Damak yar\u0131kl\u0131 \u00e7ocuklarda y\u00fczde 5 ile y\u00fczde 15 aras\u0131nda diren\u00e7li konu\u015fma bozuklu\u011funun d\u00fczelmesi i\u00e7in ameliyat yap\u0131lmaktad\u0131r. S\u0131kl\u0131kla genizden yani bo\u011faz\u0131n gerisinden doku dama\u011fa eklenir veya yanlardan arkaya ta\u015f\u0131n\u0131r. Bu ameliyat hastan\u0131n probleminin ciddiyeti ve konu\u015fma terapisine yan\u0131t\u0131na g\u00f6re 4,5-6 ya\u015f aras\u0131 yap\u0131lmaktad\u0131r\u2019\u2019 \u015feklinde a\u00e7\u0131klamalarda bulundu.<\/p>\n
Anla\u015f\u0131laca\u011f\u0131 \u00fczere Dudak Damak Yar\u0131klar\u0131n\u0131n san\u0131ld\u0131\u011f\u0131 kadar az g\u00f6r\u00fclmedi\u011finin alt\u0131n\u0131 \u00e7izen Prof. Dr. Hakan A\u011f\u0131r, her y\u0131l \u00fclkemizde bu soruna sahip 1500 ile 2500 bebe\u011fin d\u00fcnyaya geldi\u011finin tahmin edildi\u011fini ve dolay\u0131s\u0131 ile \u00e7ok nadir bir durum olmad\u0131\u011f\u0131n\u0131 anlatt\u0131.<\/p>\n
\u201cEn fazla g\u00f6r\u00fcnen tek tarafl\u0131 dudak damak yar\u0131klar\u0131\u201d<\/p>\n
Prof. Dr. Hakan A\u011f\u0131r, \u2018\u2019Taraf\u0131m\u0131zca yap\u0131lan bir \u00f6n \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131na g\u00f6re T\u00fcrkiye\u2019deki oran daha \u00f6nce ki \u00e7al\u0131\u015fmalarda belirtilenle paraleldir. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 her 700 ile 1000 canl\u0131 do\u011fumdan birdir. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 en fazla olan\u0131 tek tarafl\u0131 dudak damak yar\u0131klar\u0131d\u0131r. Onu Damak yar\u0131klar\u0131 takip eder. Yar\u0131k k\u00fc\u00e7\u00fck dil, \u00e7atall\u0131 k\u00fc\u00e7\u00fck dil diye tabir edilen yar\u0131k asl\u0131nda en s\u0131k g\u00f6r\u00fclen tiptir ve toplumda sa\u011fl\u0131kl\u0131 bireylerde y\u00fczde 1-2 oran\u0131nda g\u00f6r\u00fclebilir. Bunlar\u0131n \u00e7ok \u00f6nemli k\u0131sm\u0131 fark edilmez ve bir soruna da yol a\u00e7maz. Bebekte \u00e7atall\u0131 k\u00fc\u00e7\u00fck dil fark edildi\u011finde mutlaka dudak damak yar\u0131k cerrah\u0131 bebe\u011fi g\u00f6rmelidir. Aksi takdirde konu\u015fma sorunu olmad\u0131\u011f\u0131 s\u00fcrece kapat\u0131lmalar\u0131 gerekmez\u2019\u2019 dedi.<\/p>\n
Dudak Damak Yar\u0131klar\u0131n\u0131n en s\u0131k g\u00f6r\u00fclen y\u00fcz b\u00f6lgesi do\u011fumsal problemlerinden oldu\u011funu vurgulayan Prof. Dr. Hakan A\u011f\u0131r, T\u00fcrkiye \u0130statistik Kurumu verilerine g\u00f6re hesapland\u0131\u011f\u0131nda her y\u0131l \u00fclkemizde 1500 ile 2000 aras\u0131 dudak damakl\u0131 bebe\u011fin d\u00fcnyaya geldi\u011finin tahmin edildi\u011fini belirtti.<\/p>\n
\u201cGebelik \u00f6ncesi takibin ve do\u011fum sonras\u0131 kontrollerin \u00f6nemi\u201d<\/p>\n
Gebelik d\u00f6neminde yap\u0131lan rutin ultrason incelemelerde damaktaki yar\u0131klar\u0131 g\u00f6rmenin ve tan\u0131mlaman\u0131n \u00e7ok zor oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. Hakan A\u011f\u0131r, dudaktaki yar\u0131klarda ise yar\u0131k geni\u015f ve \u00f6zellikle iki tarafl\u0131 ise y\u00fcz\u00fcn ultrasonda g\u00f6r\u00fclmesi durumunda tan\u0131mlanabildi\u011fine dikkat \u00e7ekti.<\/p>\n
USG de ana rahmindeki bebe\u011fin y\u00fcz pozisyonunun da \u00f6nemli oldu\u011funu ifade eden Prof. Dr. Hakan A\u011f\u0131r, rahme yaslanarak gizlenen y\u00fczlerde yar\u0131klar\u0131n g\u00f6r\u00fclemeyece\u011fini, di\u011fer yandan rahme yaslanarak \u015fekli de\u011fi\u015febilen y\u00fczde yar\u0131klar\u0131n tan\u0131mlanmas\u0131n\u0131n yine \u00e7ok zor olabilece\u011fini belirtti. Bu konuda ultrasonu yapan do\u011fum uzman\u0131n\u0131n bilgi beceri ve deneyimi kulland\u0131\u011f\u0131 cihaz\u0131n geli\u015fmi\u015fli\u011fi kadar \u00f6nemlidir. Do\u011fum sonras\u0131 ilk 24-72 saat i\u00e7erisinde bebe\u011finizi de\u011ferlendiren cerrah\u0131n gerekli g\u00f6r\u00fcrse di\u011fer kons\u00fcltasyonlar\u0131 isteyebilece\u011fini de hat\u0131rlatan Prof. Dr. Hakan A\u011f\u0131r, \u00f6rne\u011fin daha detayl\u0131 bir pediatri de\u011ferlendirmesinin, di\u011fer uzuvlarda \u00f6rne\u011fin ellerde ayaklarda veya ba\u015fka organlarda do\u011fumsal ek anomaliler olmas\u0131 halinde ilgili alan uzmanlar\u0131ndan da kons\u00fcltasyon istenebilece\u011fini s\u00f6zlerine ekledi.<\/p>\n
Prof. Dr. Hakan A\u011f\u0131r, \u00f6rne\u011fin damak yar\u0131kl\u0131 bebeklerde kalp ve b\u00fcy\u00fck damarlardaki do\u011fumsal anomali riski nedeni ile pediatrik kardiyolojiden kons\u00fcltasyon istenebilece\u011fini, yine ileriye d\u00f6n\u00fck hasta takip ve tedavi ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan do\u011fum sonras\u0131 ilk 2-3 hafta i\u00e7erisinde ilgili ortodontistin g\u00f6rmesinin do\u011fru olaca\u011f\u0131n\u0131n da alt\u0131n\u0131 \u00e7izdi.<\/p>\n
\u201cDudak damak yar\u0131kl\u0131 bebeklerin takibi ve tedavisi\u201d<\/p>\n
Dudak Damak Yar\u0131kl\u0131 bebeklerin tedavisinin bir tak\u0131m i\u015fi oldu\u011funu ve bu tak\u0131m\u0131n kaptan\u0131n\u0131n plastik cerrahi uzman\u0131 oldu\u011fundan bahseden Prof. Dr. Hakan A\u011f\u0131r, plastik cerrah\u0131n bu konuda yeterli ve gerekli e\u011fitimi alm\u0131\u015f, beceriyi kazanm\u0131\u015f olmas\u0131n\u0131n \u00e7ok \u00f6nemli oldu\u011funu vurgulad\u0131. Prof. Dr. Hakan A\u011f\u0131r, tak\u0131m\u0131n di\u011fer \u00f6nemli \u00fcyelerinin; ortodontist, konu\u015fma terapisti, \u00e7ocuk di\u015f hekimi, \u00e7ocuk doktoru, KBB uzman\u0131, bunun yan\u0131 s\u0131ra sosyal hizmetler uzmanlar\u0131, genetik uzman\u0131 ve a\u011f\u0131z cerrah\u0131 oldu\u011funu belirterek s\u00f6zlerini noktalad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
DUDAK YARIKLI VEYA DUDAK DAMAK YARIKLI BEBEKLER\u0130N YAKLA\u015eIK Y\u00dcZDE 10\u2019UNDA D\u0130\u011eER ORGANLARDA VE YAPILARDA DA SORUN OLAB\u0130LECE\u011e\u0130NE D\u0130KKAT \u00c7EKEN ESTET\u0130K, PLAST\u0130K VE REKONSTR\u00dcKT\u0130F CERRAH\u0130 UZMANI PROF. DR. HAKAN A\u011eIR, \u0130ZOLE DAMAK YARIKLI BEBEKLERDE BU ORANIN Y\u00dcZDE 30\u2019A YAKLA\u015eTI\u011eINI VE BA\u015eKA YERLERDE DE SORUN OLMA OLASILI\u011eININ DAHA Y\u00dcKSEK OLAB\u0130LD\u0130\u011e\u0130N\u0130 \u0130FADE ETT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":215677,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[54527,31395,23564,29309,12497,41513,54528],"class_list":["post-215676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bebeklerdeki","tag-damak","tag-dudak","tag-gorulme","tag-sasirtiyor","tag-sikligi","tag-yariklarinin"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/bebeklerdeki-dudak-damak-yariklarinin-gorulme-sikligi-sasirtiyor_d4c6984.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-U6E","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/215676","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=215676"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/215676\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/215677"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=215676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=215676"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=215676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}