25 ya\u015f\u0131ndaki BAYKAL, bir s\u00fcre \u00f6nce baca\u011f\u0131nda \u015fi\u015fkinlik, a\u011fr\u0131 ve s\u0131z\u0131 \u015fik\u00e2yetleri ile Mardin E\u011fitim ve Ara\u015ft\u0131rma Hastanemiz Kalp Damar Cerrahi poliklini\u011fine ba\u015fvurdu. Burada tetkikleri yap\u0131lan Baykal\u2019\u0131n diz \u00fcst\u00fcnde, en geni\u015f \u00e7ap\u0131 4.5 mm olan A-V malformasyon (atardamar ve toplardamar aras\u0131nda olu\u015fan anormal ba\u011flant\u0131) tespit edildi.<\/p>\n
Tedavi edilmedi\u011fi takdirde, etraf\u0131ndaki dokularda kompresyon (s\u0131k\u0131\u015fma) ve erozyona yol a\u00e7abilece\u011fi endovask\u00fcler (damar i\u00e7i) konseyce de\u011ferlendirilen hastan\u0131n kapal\u0131 y\u00f6ntemle tedavisine karar verildi.<\/p>\n
Mardin E\u011fitim ve Ara\u015ft\u0131rma Hastanesi\u2019nde Kalp ve Damar Cerrahisi Uzman\u0131 Opr. Dr. Orhan TARHAN ve Mardin E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Do\u00e7. Dr. Serhat G\u00fcnl\u00fc taraf\u0131ndan kapal\u0131 y\u00f6ntemle operasyon yap\u0131ld\u0131. Operasyonda 25 ya\u015f\u0131ndaki hastan\u0131n geni\u015f dev damar yuma\u011f\u0131 embolize (kan p\u0131ht\u0131s\u0131 veya di\u011fer bir maddenin kan dola\u015f\u0131m\u0131 yoluyla bir yerden ba\u015fka bir yere ta\u015f\u0131nmas\u0131) edildi. Ba\u015far\u0131l\u0131 ge\u00e7en operasyonun normal servise al\u0131nan hasta ertesi g\u00fcn taburcu edildi.<\/p>\n
\u2018Bu y\u00f6ntemi b\u00f6lgede ilk defa uygulad\u0131k\u2019<\/strong><\/p>\n Mardin E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Kalp ve Damar Cerrahisi Uzman\u0131 Opr. Dr. Orhan Tarhan, cerrahi s\u0131ras\u0131nda uygulad\u0131klar\u0131 y\u00f6ntemi b\u00f6lgede ilk defa uygulad\u0131klar\u0131n\u0131 ve ba\u015far\u0131l\u0131 bir sonu\u00e7 elde ettiklerini s\u00f6yledi.<\/p>\n Hastan\u0131n baca\u011f\u0131nda \u015fi\u015fkinlik, a\u011fr\u0131 ve s\u0131z\u0131 \u015fik\u00e2yetleri ile polikliniklerine ba\u015fvurdu\u011funu belirten TARHAN, \u201cYap\u0131lan tetkikler sonucunda en geni\u015f yerinde 4.5mm olan dev A-V malformasyon tespit edildi. Tedavi edilmedi\u011fi takdirde boyutunun ve lokalizasyonundan \u00f6t\u00fcr\u00fc etraf dokularda kompresyon ve erozyona yol a\u00e7abilece\u011finden hasta i\u00e7in m\u00fcdahale karar\u0131 al\u0131nd\u0131. B\u00fcy\u00fcme ve bas\u0131 semptomlar\u0131 olan olgularda kitlenin embolizasyonu ya da cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131 tek tedavi se\u00e7ene\u011fidir. Geni\u015f dev damar yuma\u011f\u0131n\u0131n cerrahi onar\u0131m\u0131 s\u0131ras\u0131nda g\u00f6r\u00fclebilecek ciddi kanamalar \u00f6l\u00fcmc\u00fcl seyredece\u011finden hastam\u0131z\u0131n ya\u015f\u0131 ve cerrahi riskleri g\u00f6z \u00f6n\u00fcne al\u0131narak endovask\u00fcler giri\u015fimsel y\u00f6ntemle m\u00fcdahale karar\u0131 al\u0131nd\u0131. B\u00f6ylece ilk defa uygulanan hemisferik embosfer mikro tanecikleri ile arteriolar yatak daha sonra da geni\u015f ak\u0131m sa\u011flayan arter vask\u00fcler t\u0131kay\u0131c\u0131 ile ba\u015far\u0131l\u0131 bir \u015fekilde dev damar yuma\u011f\u0131 (A-V malformasyon) tedavi edildi.\u201d diye konu\u015ftu.<\/p>\n \u2018Erken m\u00fcdahale edilmeli\u2019<\/strong><\/p>\n Mardin E\u011fitim ve Ara\u015ft\u0131rma Hastanemizden Do\u00e7. Dr. Serhat G\u00fcnl\u00fc ise, bu tip durumlarda s\u00fcresi, b\u00fcy\u00fckl\u00fc\u011f\u00fc ve lokalizasyonuna (\u00f6zellikle femoral arter yan dallar\u0131ndan geli\u015fen) ba\u011fl\u0131 olarak A-V malformasyonlar y\u00fcksek debili refrakter kalp yetmezli\u011fine yol a\u00e7abilece\u011finden erken m\u00fcdahale edilmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izdi.<\/p>\n G\u00fcnl\u00fc, \u201cHastanemizde b\u00f6lgede yap\u0131lmayan i\u015flemleri yaparak kalitemizi artt\u0131rmay\u0131 hedefliyoruz. Bu sayede hastalar\u0131m\u0131z\u0131n Mardin d\u0131\u015f\u0131na sevk oran\u0131n\u0131 da azaltarak ya\u015fad\u0131klar\u0131 ilde tedavi olmalar\u0131na gayret g\u00f6steriyoruz. \u00d6zellikle bu konuda desteklerinden \u00f6t\u00fcr\u00fc ba\u015fta Bakanl\u0131\u011f\u0131m\u0131za, \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fcm\u00fcz Uzm. Dr. Saffet Yavuz ve Mardin E\u011fitim ve Ara\u015ft\u0131rma Hastanesi hastane y\u00f6netimine te\u015fekk\u00fcr ederim.\u201d ifadelerini kulland\u0131.<\/p>\n K\u0131z\u0131ltepe Ekspres<\/p>\n","protected":false},"excerpt":{"rendered":" Mardin\u2019in Darge\u00e7it il\u00e7esinde ya\u015fayan 25 ya\u015f\u0131ndaki Abd\u00fclhakim Baykal, b\u00f6lgede ilk kez yap\u0131lan y\u00f6ntemle sa\u011fl\u0131\u011f\u0131na kavu\u015ftu.<\/p>\n","protected":false},"author":1,"featured_media":104820,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,9,19,30],"tags":[],"class_list":["post-104819","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel","category-mardin","category-saglik","category-ust-manset"],"_links":{"self":[{"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/posts\/104819","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=104819"}],"version-history":[{"count":1,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/posts\/104819\/revisions"}],"predecessor-version":[{"id":104821,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/posts\/104819\/revisions\/104821"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=\/wp\/v2\/media\/104820"}],"wp:attachment":[{"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=104819"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=104819"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mardinhaberyolu.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=104819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}