Tedavi edilmedi\u011finde ani damar y\u0131rt\u0131lmas\u0131 ve \u00f6l\u00fcm riski ta\u015f\u0131yan, uzmanlar\u0131n \u201cgizli (sessiz) kanser\u201d olarak tan\u0131mlad\u0131\u011f\u0131 torakoabdominal aort anevrizmas\u0131, Memorial G\u00f6ztepe Hastanesi\u2019nde uygulanan ileri endovask\u00fcler y\u00f6ntemle ba\u015far\u0131l\u0131 \u015fekilde tedavi edildi. Yakla\u015f\u0131k bir y\u0131l boyunca bir\u00e7ok sa\u011fl\u0131k merkezinden \u201cBu ameliyat ancak a\u00e7\u0131k cerrahiyle yap\u0131labilir ve riski \u00e7ok y\u00fcksek\u201d yan\u0131t\u0131n\u0131 alan 67 ya\u015f\u0131ndaki Murat \u00d6zg\u00fcr, hastaya \u00f6zel planlanan operasyonla kas\u0131k b\u00f6lgesinden ger\u00e7ekle\u015ftirilen tamamen kapal\u0131 giri\u015fim sayesinde sa\u011fl\u0131\u011f\u0131na kavu\u015ftu. Operasyonda 8 farkl\u0131 stent kullan\u0131l\u0131rken, b\u00f6bre\u011fi besleyen do\u011fumsal damar varyasyonu da korunarak ba\u015far\u0131l\u0131 sonu\u00e7 elde edildi.<\/p>\n
Torakoabdominal aort anevrizmas\u0131 tan\u0131s\u0131 alan ve KOAH hastal\u0131\u011f\u0131 nedeniyle a\u00e7\u0131k cerrahi a\u00e7\u0131s\u0131ndan y\u00fcksek riskli g\u00f6r\u00fclen Murat \u00d6zg\u00fcr, yakla\u015f\u0131k bir y\u0131l boyunca farkl\u0131 sa\u011fl\u0131k merkezlerinde \u00e7\u00f6z\u00fcm arad\u0131. Memorial G\u00f6ztepe Hastanesi Kalp ve Damar Cerrahisi B\u00f6l\u00fcm\u00fc\u2019nde Prof. Dr. Mehmet Altu\u011f Tun\u00e7er ile Op. Dr. Hidayet Demir taraf\u0131ndan yap\u0131lan de\u011ferlendirmelerin ard\u0131ndan hastan\u0131n ileri endovask\u00fcler y\u00f6ntemle tedavi edilmesine karar verildi. Kas\u0131k b\u00f6lgesinden yap\u0131lan k\u00fc\u00e7\u00fck kesilerle ger\u00e7ekle\u015ftirilen operasyonda farkl\u0131 ebatlarda 8 stent kullan\u0131larak anevrizma tamamen kapal\u0131 y\u00f6ntemle onar\u0131ld\u0131.<\/p>\n
Bir y\u0131l boyunca \u00e7\u00f6z\u00fcm arad\u0131<\/strong><\/p>\n Ya\u015fad\u0131\u011f\u0131 s\u00fcreci anlatan Murat \u00d6zg\u00fcr, ilk belirtilerin aniden ba\u015flad\u0131\u011f\u0131n\u0131 belirterek \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cBanyodan \u00e7\u0131kt\u0131ktan sonra g\u00f6\u011fs\u00fcme \u00e7ok \u015fiddetli bir a\u011fr\u0131 sapland\u0131. Nefes alam\u0131yordum. A\u011fr\u0131 sabaha kadar s\u00fcrd\u00fc. Yap\u0131lan tetkiklerin ard\u0131ndan kalp ve damar cerrahisine gitmem gerekti\u011fi s\u00f6ylendi. Bir\u00e7ok doktora gittik. Hepsi ameliyat\u0131n \u00e7ok zor oldu\u011funu s\u00f6yledi. Sonra \u0130stanbul\u2019a geldim. Hocam beni ameliyat etti. \u015eimdi \u00e7ok iyiyim. Tek ba\u015f\u0131ma y\u00fcr\u00fcyebiliyor, rahatl\u0131kla gelip gidebiliyorum. Elbette \u00e7ok korkular\u0131m vard\u0131 ama \u015fimdi kendimi iyi hissediyorum.\u201d<\/p>\n Benzer durumda olan hastalar umutsuzlu\u011fa kap\u0131lmas\u0131n<\/strong><\/p>\n Hastan\u0131n o\u011flu Mert \u00d6zg\u00fcr ise yakla\u015f\u0131k 8-9 ay boyunca farkl\u0131 merkezlerde \u00e7\u00f6z\u00fcm arad\u0131klar\u0131n\u0131 belirterek \u015f\u00f6yle konu\u015ftu:<\/p>\n \u201cBabam\u0131n tip II torakoabdominal aort anevrizmas\u0131 vard\u0131. A\u00e7\u0131k ameliyat\u0131n \u00e7ok riskli oldu\u011fu s\u00f6ylendi. KOAH hastas\u0131 oldu\u011fu i\u00e7in ameliyat\u0131n uygun olmayabilece\u011fi ifade edildi. Daha sonra hocalar\u0131m\u0131za ula\u015ft\u0131k ve kapal\u0131 stent tedavisi uyguland\u0131. \u015eu anda babam y\u00fcr\u00fcyebiliyor, b\u00f6brek fonksiyonlar\u0131nda hi\u00e7bir sorun yok. Bu s\u00fcre\u00e7te \u00e7ok zor g\u00fcnler ya\u015fad\u0131k. S\u00fcrekli damar\u0131n y\u0131rt\u0131lmas\u0131ndan korkuyorduk. Benzer durumda olan hastalar kesinlikle umutsuzlu\u011fa kap\u0131lmas\u0131n. Bu hastal\u0131\u011f\u0131n tedavisi var ve bu konuda \u00e7ok ba\u015far\u0131l\u0131 hekimlerimiz bulunuyor.\u201d<\/p>\n Aort anevrizmas\u0131 sessiz kanser gibi ilerliyor<\/strong><\/p>\n Operasyonu ger\u00e7ekle\u015ftiren Memorial G\u00f6ztepe Hastanesi Kalp ve Damar Cerrahisi B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Mehmet Altu\u011f Tun\u00e7er, torakoabdominal aort anevrizmas\u0131n\u0131n damar cerrahisinin en zorlu hastal\u0131klar\u0131ndan biri oldu\u011funu belirterek hastal\u0131\u011f\u0131n \u00e7o\u011fu zaman belirti vermeden ilerledi\u011fine dikkat \u00e7ekti.<\/p>\n \u201cBiz aort anevrizmas\u0131n\u0131 \u2018sessiz kanser\u2019 olarak tan\u0131ml\u0131yoruz. \u00c7\u00fcnk\u00fc hastal\u0131k \u00e7o\u011fu zaman hi\u00e7bir belirti vermeden ilerliyor. Hastalar g\u00fcnl\u00fck ya\u015famlar\u0131na devam ederken damar yava\u015f yava\u015f b\u00fcy\u00fcyor. Belirli bir seviyeye ula\u015ft\u0131\u011f\u0131nda ise damar y\u0131rt\u0131lmas\u0131 veya diseksiyon geli\u015febiliyor ve bu durum ani \u00f6l\u00fcme neden olabiliyor.\u201d<\/p>\n Aort damar\u0131ndaki geni\u015fleme 12 santimetreye ula\u015fm\u0131\u015ft\u0131<\/strong><\/p>\n Hastan\u0131n kendilerine ula\u015ft\u0131\u011f\u0131nda aort damar\u0131ndaki geni\u015flemenin yakla\u015f\u0131k 12 santimetreye ula\u015ft\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Tun\u00e7er, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cHastan\u0131n aort damar\u0131ndaki geni\u015fleme 12 santimetreye ula\u015fm\u0131\u015ft\u0131. Normalde hastalar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc bu boyuta ula\u015famadan damar y\u0131rt\u0131lmas\u0131 nedeniyle hayat\u0131n\u0131 kaybedebiliyor. K\u0131sacas\u0131 olduk\u00e7a ileri evredeydi. Detayl\u0131 incelemelerimizin ard\u0131ndan kapal\u0131 y\u00f6ntemle tedavi edilebilece\u011fine karar verdik. Kas\u0131k b\u00f6lgesinden yakla\u015f\u0131k 3 santimetrelik kesilerle ana stenti yerle\u015ftirdik. Ba\u011f\u0131rsak, karaci\u011fer ve b\u00f6brek damarlar\u0131n\u0131 \u00f6zel stentlerle ana sisteme ba\u011flayarak i\u015flemi tamamen kapal\u0131 y\u00f6ntemle tamamlad\u0131k. Hastam\u0131z\u0131 operasyondan 5 g\u00fcn sonra taburcu ettik.\u201d<\/p>\n \u201cKapal\u0131 y\u00f6ntemle iyile\u015fme s\u00fcresi k\u0131sal\u0131yor\u201d<\/strong><\/p>\n Memorial G\u00f6ztepe Hastanesi Kalp ve Damar Cerrahisi B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Hidayet Demir ise torakoabdominal aort anevrizmalar\u0131n\u0131n endovask\u00fcler y\u00f6ntemle tedavisinin T\u00fcrkiye\u2019de son y\u0131llarda uygulanmaya ba\u015flanan ileri tekniklerden biri oldu\u011funu belirtti.<\/p>\n \u201cSon 1-2 y\u0131l \u00f6ncesine kadar bu tip hastalarda temel tedavi se\u00e7ene\u011fi a\u00e7\u0131k cerrahiydi. Hastam\u0131z\u0131 ayr\u0131nt\u0131l\u0131 \u00fc\u00e7 boyutlu \u00f6l\u00e7\u00fcmler ve analizlerle de\u011ferlendirdikten sonra kapal\u0131 y\u00f6ntemle tedavi edebilece\u011fimizi belirledik. Bu y\u00f6ntem sayesinde hastalar \u00e7ok daha k\u0131sa s\u00fcrede taburcu oluyor ve g\u00fcnl\u00fck ya\u015famlar\u0131na daha h\u0131zl\u0131 d\u00f6nebiliyor. A\u00e7\u0131k cerrahiye g\u00f6re akci\u011fer ve ba\u011f\u0131rsak komplikasyonlar\u0131 da belirgin \u015fekilde azal\u0131yor.\u201d<\/p>\n Aort anevrizmas\u0131nda risk fakt\u00f6rlerine dikkat!<\/strong><\/p>\n Op. Dr. Demir, tedavinin ard\u0131ndan hastalar\u0131n ya\u015fam boyu takip edilmesi gerekti\u011fini vurgulayarak \u015fu uyar\u0131larda bulundu:<\/p>\n \u201cSigara, y\u00fcksek tansiyon ve genetik yatk\u0131nl\u0131k en \u00f6nemli risk fakt\u00f6rleri aras\u0131nda yer al\u0131yor. \u00d6zellikle a\u011f\u0131r kald\u0131rma, \u015fiddetli \u00f6ks\u00fcrme ve a\u015f\u0131r\u0131 \u0131k\u0131nma gibi ani bas\u0131n\u00e7 art\u0131\u015flar\u0131 damar y\u0131rt\u0131lmas\u0131 riskini art\u0131rabiliyor. Bu nedenle hastalar\u0131n tansiyonlar\u0131n\u0131 kontrol alt\u0131nda tutmalar\u0131, sigaradan uzak durmalar\u0131 ve d\u00fczenli hekim kontrollerini aksatmamalar\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.\u201d<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" Tedavi edilmedi\u011finde ani damar y\u0131rt\u0131lmas\u0131 ve \u00f6l\u00fcm riski ta\u015f\u0131yan, uzmanlar\u0131n \u201cgizli (sessiz) kanser\u201d olarak tan\u0131mlad\u0131\u011f\u0131 torakoabdominal aort anevrizmas\u0131, Memorial G\u00f6ztepe Hastanesi\u2019nde uygulanan ileri endovask\u00fcler y\u00f6ntemle ba\u015far\u0131l\u0131 \u015fekilde tedavi edildi.<\/p>\n","protected":false},"author":1,"featured_media":26704,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"class_list":["post-26703","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/26703","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=26703"}],"version-history":[{"count":1,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/26703\/revisions"}],"predecessor-version":[{"id":26705,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/26703\/revisions\/26705"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media\/26704"}],"wp:attachment":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=26703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=26703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=26703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}