![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/hemofili-hastaya-koroner-by-pass-istanbul-universitesinde-basariyla-uygulaniyor_7fd6d13.jpg\")
\u0130stanbul \u00dcniversitesi (\u0130\u00dc) Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u2019nde, \u201chemofili hastaya koroner by-pass ameliyat\u0131 ger\u00e7ekle\u015ftirildi.<\/p>\n\u0130stanbul \u00dcniversitesi (\u0130\u00dc) Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u2019nde, \u201chemofili hastaya koroner by-pass ameliyat\u0131 ger\u00e7ekle\u015ftirildi.<\/p>\n
K\u00fc\u00e7\u00fck bir travmada bile tespit edilemeyen kanamalarla hayat\u0131n\u0131 kaybeden hemofili hastalar\u0131n\u0131n koroner by-pass ameliyat\u0131 olmas\u0131 neredeyse imk\u00e2ns\u0131z olarak g\u00f6r\u00fcl\u00fcyor. D\u00fcnyada 48 \u00f6rne\u011fi bulunan bu t\u0131bbi vaka, \u0130\u00dc Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u2019nde \u00fc\u00e7 kere ba\u015far\u0131yla ger\u00e7ekle\u015ftirildi.<\/p>\n
\u0130\u00dc Cerrahpa\u015fa T\u0131p Fak\u00fcltesi Cerrahi T\u0131p Bilimleri B\u00f6l\u00fcm\u00fc Kalp ve Damar Cerrahisi Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. G\u00f6khan \u0130pek, hemofili hastalara uygulanan koroner by-pass ameliyatlar\u0131 hakk\u0131nda verdi\u011fi bilgilerde, 2006 y\u0131l\u0131nda 48 ve 73 ya\u015flar\u0131nda iki hastaya, 20 Kas\u0131m 2015 tarihinde ise 49 ya\u015f\u0131ndaki bir hastaya bu ameliyat\u0131 yapt\u0131klar\u0131n\u0131 belirtti. Normal \u015fartlarda by-pass hastalar\u0131n\u0131 5 g\u00fcn i\u00e7erisinde taburcu ettiklerini s\u00f6yleyen Prof. Dr. \u0130pek, hemofili hastalar\u0131n\u0131n hematoloji b\u00f6l\u00fcm\u00fcn\u00fcn s\u0131k\u0131 takibinde oldu\u011fu ve kontrollerinin ba\u015far\u0131l\u0131 bir \u015fekilde devam ettirilebilmesi i\u00e7in 1-2 hafta kadar hastanede kald\u0131klar\u0131n\u0131 belirtti.<\/p>\n
Prof. Dr. \u0130pek, bu tip vakalarda ekip \u00e7al\u0131\u015fmas\u0131n\u0131n b\u00fcy\u00fck bir \u00f6nemi oldu\u011fundan s\u00f6z etti. Bu t\u00fcr hastalar\u0131n d\u00fcnyada ve \u00fclkemizde nadir olarak g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ifade eden Prof. Dr. \u0130pek, \u201cGenellikle hemofili hastalar\u0131n\u0131n ameliyat\u0131ndan herkes \u00e7ekinmektedir. B\u00f6yle bir \u015feyi yapmak i\u00e7in koordineli \u00e7al\u0131\u015fmak ve \u00e7ok emek harcamak laz\u0131m. Kalp ve damar cerrahisi, hematoloji, kan bankas\u0131 laboratuvar\u0131, anestezi ve kardiyolojinin el ele vererek bu tip ameliyatlar\u0131 yapmas\u0131 gerekiyor\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ameliyat \u00f6ncesi ve sonras\u0131 kontrollerin \u00f6nemine de de\u011finen Prof. Dr. \u0130pek, \u201cHastalar\u0131m\u0131z\u0131 ameliyat \u00f6ncesi, ameliyat s\u0131ras\u0131 ve ameliyat sonras\u0131 hematolog arkada\u015flar\u0131m\u0131z her g\u00fcn nerdeyse sabah, ak\u015fam, cumartesi ve pazar da d\u00e2hil olmak \u00fczere kontrol etti. Hastan\u0131n fakt\u00f6r eksikli\u011fine bakarak gerekli miktarda fakt\u00f6r\u00fcn\u00fc verdiler. Bu \u00e7ok \u00f6nemli bir konu. E\u011fer bunu fazla verirseniz sizin takt\u0131\u011f\u0131n\u0131z grafiler t\u0131kanabilir, az verirseniz kanamayla hastay\u0131 kaybedebilirsiniz. \u0130\u00dc Cerrahpa\u015fa T\u0131p Fak\u00fcltesi belki de T\u00fcrkiye\u2019nin en iyi hematoloji b\u00f6l\u00fcm\u00fc ve kan merkezi laboratuvarlar\u0131na sahip. B\u00f6yle bir ameliyat\u0131n alt\u0131ndan ba\u015far\u0131yla kalkmak bizi \u00e7ok sevindirdi\u201d dedi.<\/p>\n
Yapt\u0131klar\u0131 literat\u00fcr \u00e7al\u0131\u015fmas\u0131nda T\u00fcrkiye\u2019de hemofili koroner by-pass hastalar\u0131na rastlamad\u0131klar\u0131n\u0131 belirten Prof. Dr. \u0130pek, \u201cBiz ilk ameliyat\u0131 2006\u2019da yapm\u0131\u015ft\u0131k. Son olarak da \u00fc\u00e7\u00fcnc\u00fc ameliyat\u0131 ger\u00e7ekle\u015ftirdik. D\u00fcnya literat\u00fcr\u00fcne bakt\u0131\u011f\u0131m\u0131zda ise 48-50 civar\u0131nda vaka tespit ettik. Yani bu \u00e7al\u0131\u015fmalar hem yurtd\u0131\u015f\u0131nda hem de yurti\u00e7inde son derece nadir bir \u015fekilde y\u00fcr\u00fct\u00fcl\u00fcyor. Bu \u015fekilde 3 vakay\u0131 ba\u015far\u0131yla ve koordineli bir \u015fekilde yapman\u0131n onurunu payla\u015f\u0131yoruz. Tekrar belirtmek isterim ki bu olay tek bir b\u00f6l\u00fcm\u00fcn de\u011fil, bir\u00e7ok b\u00f6l\u00fcm\u00fcn koordineli ve \u00f6zverili bir \u015fekilde \u00e7al\u0131\u015fmas\u0131 ile ba\u015far\u0131l\u0131 \u015fekilde tamamland\u0131\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n
Koroner by-pass ameliyat\u0131 ge\u00e7iren hemofili hastas\u0131 Murat Sagay yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, kendini \u00e7ok iyi hissetti\u011fini ve k\u0131sa s\u00fcrede toparland\u0131\u011f\u0131n\u0131 belirterek, \u201c\u015eu an \u00e7ok memnunum, iyi ki buraya gelmi\u015fim. Asl\u0131nda buraya gelmem de \u00e7ok tesad\u00fcfi oldu. Ba\u015fka bir hastaneden buraya sevkim geldi. Bu ekiple kar\u015f\u0131la\u015ft\u0131\u011f\u0131m i\u00e7in \u00e7ok \u015fansl\u0131y\u0131m\u201d \u015feklinde konu\u015ftu.<\/p>\n
D\u00fcnya literat\u00fcr\u00fcnde bile \u00f6rneklerine nadir rastlanan bu vakalar \u0130\u00dc Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u2019nde Prof. Dr. G\u00f6khan \u0130pek \u00f6nderli\u011finde, \u0130\u00dc Kalp ve Damar Cerrahisi Ana Bilim Dal\u0131\u2019ndan Do\u00e7. Dr. Deniz G\u00f6ksedef, \u0130\u00dc Kardiyoloji Ana Bilim Dal\u0131\u2019ndan Prof. Dr. Zeki \u00d6ngen ve Prof. Dr. Bilgehan Karada\u011f, \u0130\u00dc Anesteziyoloji ve Reanimasyon Ana Bilim Dal\u0131\u2019ndan Prof. Dr. Lale Y\u00fcceyar ve Uzman Dr. Cem Say\u0131lgan, \u0130\u00dc Hematoloji B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. Cem Ar ve Kan Merkezi M\u00fcd\u00fcr\u00fc Zafer Ba\u015flar\u2019dan olu\u015fan geni\u015f bir ekip taraf\u0131ndan ba\u015far\u0131yla ger\u00e7ekle\u015ftirildi. B\u00f6yle bir ekiple \u00e7al\u0131\u015fmaktan b\u00fcy\u00fck keyif ald\u0131\u011f\u0131n\u0131 belirten Prof. Dr. \u0130pek, \u0130\u00dc Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u2019nde farkl\u0131 b\u00f6l\u00fcmlerin koordineli bir \u015fekilde \u00e7al\u0131\u015fma i\u015fini y\u00fcr\u00fctme konusunda en \u00fcst seviyelerde yer ald\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130STANBUL \u00dcN\u0130VERS\u0130TES\u0130 (\u0130\u00dc) CERRAHPA\u015eA TIP FAK\u00dcLTES\u0130\u2019NDE, \u201cHEMOF\u0130L\u0130 HASTAYA KORONER BY-PASS AMEL\u0130YATI GER\u00c7EKLE\u015eT\u0130R\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[28047,29797,27320,29795,1112,29796,13628,29798],"class_list":["post-161981","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-basariyla","tag-by-pass","tag-hastaya","tag-hemofili","tag-istanbul","tag-koroner","tag-universitesinde","tag-uygulaniyor"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/161981","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=161981"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/161981\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=161981"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=161981"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=161981"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}