{"id":7025,"date":"2019-02-07T09:46:53","date_gmt":"2019-02-07T06:46:53","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/igne-deligi-kadar-alandan-yapilan-islemle-sagligina-kavustu\/"},"modified":"2019-02-07T09:46:56","modified_gmt":"2019-02-07T06:46:56","slug":"igne-deligi-kadar-alandan-yapilan-islemle-sagligina-kavustu","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/igne-deligi-kadar-alandan-yapilan-islemle-sagligina-kavustu\/","title":{"rendered":"\u0130\u011fne deli\u011fi kadar alandan yap\u0131lan i\u015flemle sa\u011fl\u0131\u011f\u0131na kavu\u015ftu"},"content":{"rendered":"

Isparta\u2019da b\u00f6bre\u011fi d\u0131\u015f\u0131nda k\u00f6t\u00fc huylu t\u00fcm\u00f6r olu\u015fumu tespit edilen 70 ya\u015f\u0131ndaki hasta, uygulanan radyofrekans ablasyon y\u00f6ntemiyle 1 g\u00fcnde sa\u011fl\u0131\u011f\u0131na kavu\u015ftu. Lokal anestezi ile v\u00fccuda i\u011fne deli\u011fi b\u00fcy\u00fckl\u00fc\u011f\u00fcnde a\u00e7\u0131lan b\u00f6lgeden girilerek yap\u0131lan uygulaman\u0131n d\u00fcnyada nadir, T\u00fcrkiye\u2019de de ilk te\u015fkil etti\u011fi belirtilirken, ba\u015far\u0131l\u0131 \u00e7al\u0131\u015fman\u0131n ulusal ve uluslararas\u0131 kongrelerde yay\u0131nlanabilece\u011fi bildirildi.<\/p>\n

Isparta\u2019da daha \u00f6nce b\u00f6bre\u011findeki t\u00fcm\u00f6r\u00fc ameliyatla al\u0131nd\u0131ktan sonra ayn\u0131 b\u00f6lgede meydana gelen k\u00f6t\u00fc huylu kitle olu\u015fumu nedeniyle hayati riski bulunan 70 ya\u015f\u0131ndaki Sultan Demir, S\u00fcleyman Demirel \u00dcniversitesi (SD\u00dc) T\u0131p Fak\u00fcltesi Ara\u015ft\u0131rma ve Uygulama Hastanesinde, ger\u00e7ekle\u015ftirilen ablasyon uygulamas\u0131 sayesinde i\u011fne deli\u011fi b\u00fcy\u00fckl\u00fc\u011f\u00fcnde bir kesi ile yap\u0131lan operasyonla sa\u011fl\u0131\u011f\u0131na kavu\u015ftu. Operasyonun lokal anestezi ile 10-15 dakika kadar k\u0131sa s\u00fcrede tamamland\u0131\u011f\u0131n\u0131, m\u00fcdahale s\u0131ras\u0131nda hastan\u0131n di\u011fer organlar\u0131n\u0131n zarar g\u00f6rmemesi i\u00e7in kar\u0131n i\u00e7ine su verme i\u015flemi yap\u0131ld\u0131\u011f\u0131n\u0131 kaydeden SD\u00dc T\u0131p Fak\u00fcltesi Ara\u015ft\u0131rma ve Uygulama Hastanesi Radyoloji Ana Bilim Dal\u0131 Dr. \u00d6\u011fretim \u00dcyesi Demet \u00dcnal, hastan\u0131n yaln\u0131zca 1 gece takipte kald\u0131\u011f\u0131n\u0131 ve ertesi g\u00fcn ise taburcu edildi\u011fini s\u00f6yledi. \u00dcnal, d\u00fcnyada ve T\u00fcrkiye\u2019de nadir yap\u0131lan radyofrekans ablasyon (yakma i\u015flemi) uygulamas\u0131nda hastan\u0131n \u00f6ncesi ve sonras\u0131 g\u00f6r\u00fcnt\u00fclerinin \u00f6n\u00fcm\u00fczdeki g\u00fcnlerde ulusal ve uluslararas\u0131 kongrelerde yay\u0131nlanabilece\u011fini iletti.<\/p>\n

“T\u00fcrkiye\u2019de ilk kez yap\u0131lan ve d\u00fcnyada da bir ka\u00e7 merkezde yap\u0131lan m\u00fcdahale \u015fekli bu”<\/p>\n

Hastanede yap\u0131lan operasyonla ilgili gazetecilere a\u00e7\u0131klamalarda bulunan SD\u00dc T\u0131p Fak\u00fcltesi Ara\u015ft\u0131rma ve Uygulama Hastanesi Radyoloji Ana Bilim Dal\u0131 Dr. \u00d6\u011fretim \u00dcyesi Demet \u00dcnal, “Hasta 7-8 y\u0131l \u00f6nce b\u00f6bre\u011finden k\u00f6t\u00fc huylu bir t\u00fcm\u00f6r sebebiyle ameliyat olmu\u015ftu. B\u00f6bre\u011finin tamam\u0131 ameliyatla t\u00fcm\u00f6rden temizlenmi\u015fti. Daha sonradan kontrollerinde ameliyatla temizlenemeyecek boyutta bir yeni t\u00fcm\u00f6r oda\u011f\u0131 olu\u015ftu\u011fu g\u00f6r\u00fcld\u00fc. Bu yeni oda\u011f\u0131 biz tomografide g\u00f6rerek ayn\u0131 biyopsi yap\u0131yormu\u015f gibi k\u00fc\u00e7\u00fck bir delikten girip yakarak ablasyon uygulad\u0131k. Operasyonun \u00f6zelli\u011fi T\u00fcrkiye\u2019de ilk, d\u00fcnyada da bir ka\u00e7 merkezde yap\u0131lan organ d\u0131\u015f\u0131 karaci\u011fer, dalak ve b\u00f6brek d\u0131\u015f\u0131nda kar\u0131n i\u00e7i ya\u011f dokusu i\u00e7inde olan t\u00fcm\u00f6re m\u00fcdahale \u015fekli bu. Olduk\u00e7a nadir yap\u0131lan bir m\u00fcdahale hastal\u0131\u011f\u0131n \u00f6ncesi ve sonras\u0131 g\u00f6r\u00fcnt\u00fclerini de ulusal ve uluslararas\u0131 kongrelerde yay\u0131nlamay\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz” dedi.<\/p>\n

“Dokular yanmas\u0131n diye kar\u0131n i\u00e7ine su verdik”<\/p>\n

Uygulanan tedaviyle ilgili bilgi veren Dr. \u00dcnal, “Tedavi i\u015flemi s\u0131ras\u0131nda hasta anestezi alm\u0131yor. \u0130\u015flem, lokal anestezi ve hafif sedasyonla yap\u0131l\u0131yor. Hastan\u0131n 10-15 dakika yatma s\u00fcresi oluyor. Hastam\u0131z\u0131n t\u00fcm\u00f6r\u00fcn\u00fcn \u00f6zelli\u011fi nedeniyle etraf\u0131ndaki dokular yanmas\u0131n diye kar\u0131n i\u00e7ine su verdik. Bu su sayesinde \u00e7evredeki kal\u0131n ba\u011f\u0131rsak ve kas dokular\u0131 yanmad\u0131. 10 dakikal\u0131k ablasyon sonras\u0131 hasta 1 gece a\u011fr\u0131 kontrol\u00fc i\u00e7in yat\u0131r\u0131ld\u0131 ve g\u00f6zlendi. Bir g\u00fcn sonra sabahleyin taburcu edildi” diye konu\u015ftu.<\/p>\n

“En \u00e7ok k\u00f6t\u00fc huylu t\u00fcm\u00f6rlerde uygulanabilen bir y\u00f6ntem”<\/p>\n

Tedavinin ama\u00e7lar\u0131 ve uygulanma durumundan bahseden \u00dcnal \u015funlar\u0131 s\u00f6yledi:<\/p>\n

“Bu operasyon literat\u00fcrde en \u00e7ok karaci\u011ferde, birka\u00e7 vaka dalakta, akci\u011ferde yine hem yakarak hem de dondurarak tedaviler uygulanmakta. En \u00e7ok k\u00f6t\u00fc huylu t\u00fcm\u00f6rlerde ve k\u00f6t\u00fc huylu t\u00fcm\u00f6rlerin bir\u00e7ok \u00e7e\u015fidinde uygulanabilen bir y\u00f6ntem. Baz\u0131 durumlarda cerrahi bir alternatif baz\u0131 durumlarda da cerraha ameliyat i\u00e7in zaman kazand\u0131rabiliyor. Karaci\u011ferde \u00f6zellikle hastan\u0131n nakil olmas\u0131 i\u00e7in t\u00fcm\u00f6r\u00fcn k\u00fc\u00e7\u00fclt\u00fclerek nakil durumuna girmesi sa\u011flan\u0131yor. \u0130yi huylu t\u00fcm\u00f6rlerde de e\u011fer kanama varsa kas\u0131ktan girilerek anjiyo ile birlikte ablasyon uygulan\u0131yor. Nadiren de olsa bu operasyondan sonra tekrardan t\u00fcm\u00f6r \u00e7\u0131kma imkan\u0131 var ancak ikinci kez uygulamada cerrahi y\u00f6ntemlerde olan risk bu i\u015flem i\u00e7in yok ayn\u0131 i\u015flem g\u00fcvenceyle tekrarlanabilir.”<\/p>\n

“Tedavide hi\u00e7bir s\u0131k\u0131nt\u0131m olmad\u0131”<\/p>\n

T\u00fcrkiye\u2019de ilk olarak tabir edilen operasyonla sa\u011fl\u0131\u011f\u0131na kavu\u015fan 70 ya\u015f\u0131ndaki Sultan Demir ise, “Bir seneden bu yana bu rahats\u0131zl\u0131\u011f\u0131m vard\u0131. Uygulanan tedavide a\u011fr\u0131m ve hi\u00e7bir s\u0131k\u0131nt\u0131m olmad\u0131” dedi.<\/p>\n

Kendisi gibi rahats\u0131zl\u0131\u011f\u0131 bulunanlar\u0131n \u00e7ekinmeden hastaneye gelerek, rahatl\u0131kla ayn\u0131 tedaviden faydalanabilece\u011fini ifade eden Demir, “Tavsiyem, b\u00f6yle bir \u015fikayeti olan hi\u00e7 \u00e7ekinmeden gelsin, doktorlara muayene olsun, durum ne ise ona g\u00f6re hareket etsin. Ben, \u015fimdi \u00e7ok rahat ge\u00e7iriyorum g\u00fcnlerimi. Doktorlar\u0131m\u0131z\u0131n eline koluna sa\u011fl\u0131k, Allah onlara zarar ziyan vermesin. Onlar olmasa biz bu g\u00fcnleri g\u00f6remeyece\u011fiz” ifadelerini kulland\u0131.

\"\u0130\u011fne <\/a> <\/div> <\/div>
\"\u0130\u011fne <\/a> <\/div>
\"\u0130\u011fne <\/a> <\/div> <\/div> <\/div>
\"\u0130\u011fne <\/a> <\/div> <\/div> <\/div> <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

ISPARTA S\u00dcLEYMAN DEM\u0130REL \u00dcN\u0130VERS\u0130TES\u0130 (SD\u00dc) TIP FAK\u00dcLTES\u0130 ARA\u015eTIRMA VE UYGULAMA HASTANES\u0130\u2019NDE, B\u00d6BRE\u011e\u0130 DI\u015eINDA K\u00d6T\u00dc HUYLU T\u00dcM\u00d6R OLU\u015eUMU TESP\u0130T ED\u0130LEN 70 YA\u015eINDAK\u0130 HASTA, UYGULANAN RADYOFREKANS ABLASYON Y\u00d6NTEM\u0130 SAYES\u0130NDE 1 G\u00dcNDE SA\u011eLI\u011eINA KAVU\u015eTU. LOKAL ANESTEZ\u0130 \u0130LE V\u00dcCUDA \u0130\u011eNE DEL\u0130\u011e\u0130 B\u00dcY\u00dcKL\u00dc\u011e\u00dcNDE A\u00c7ILAN B\u00d6LGEDEN G\u0130R\u0130LEREK YAPILAN UYGULAMANIN D\u00dcNYADA NAD\u0130R, T\u00dcRK\u0130YE\u2019DE DE \u0130LK TE\u015eK\u0130L ETT\u0130\u011e\u0130 BEL\u0130RT\u0130L\u0130RKEN, BA\u015eARILI \u00c7ALI\u015eMANIN ULUSAL VE ULUSLARARASI KONGRELERDE YAYINLANAB\u0130LECE\u011eI BEL\u0130RT\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":7026,"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":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[658],"tags":[3703,3701,3700,3704,3702,1825,3705,530],"class_list":["post-7025","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-alandan","tag-deligi","tag-igne","tag-islemle","tag-kadar","tag-kavustu","tag-sagligina","tag-yapilan"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/02\/igne-deligi-kadar-alandan-yapilan-islemle-sagligina-kavustu_279ebbf.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-1Pj","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/7025","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=7025"}],"version-history":[{"count":1,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/7025\/revisions"}],"predecessor-version":[{"id":7031,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/7025\/revisions\/7031"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/7026"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=7025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=7025"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=7025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}