Erciyes \u00dcniversitesi (ER\u00dc) \u00c7ocuk Kardiyologlar\u0131 ba\u015far\u0131l\u0131 bir operasyona imza atarak, 750 gram a\u011f\u0131rl\u0131\u011f\u0131ndaki premat\u00fcre bebe\u011fin kalbindeki deli\u011fi ameliyats\u0131z olarak kas\u0131ktan girerek giri\u015fimsel y\u00f6ntemle kapatt\u0131. Bug\u00fcne kadar 1 kilogram\u0131n alt\u0131nda 5 bebe\u011fin giri\u015fimsel olarak kalbindeki deli\u011fi kapatan ER\u00dc \u00e7ocuk kardiyologlar\u0131, 750 gram a\u011f\u0131rl\u0131\u011f\u0131ndaki bebe\u011fe yapt\u0131klar\u0131 son operasyon ile d\u00fcnyada en d\u00fc\u015f\u00fck a\u011f\u0131rl\u0131ktaki bebe\u011fe giri\u015fimsel kalp operasyonu yapma ba\u015far\u0131s\u0131 g\u00f6stermi\u015f oldu.<\/p>\n

Vaka ile ilgili bilgiler veren ER\u00dc \u00c7ocuk Kardiyoloji Bilim Dal\u0131\u2019ndan Prof. Dr. Nazmi Narin, premat\u00fcre bebeklerdeki kalp deliklerinin kapat\u0131lmas\u0131nda uygulad\u0131klar\u0131 giri\u015fimsel i\u015flemlerdeki ba\u015far\u0131 ve tecr\u00fcbeleri art\u0131rarak, di\u011fer meslekta\u015flar\u0131na \u00f6rnek te\u015fkil etme amac\u0131nda olduklar\u0131n\u0131 s\u00f6yledi.<\/p>\n

Prof. Dr. Narin, “19 Kas\u0131m 2015 tarihinde Hastanemiz Kad\u0131n Do\u011fum Servisinde 25 haftal\u0131k premat\u00fcre olarak d\u00fcnyaya gelen bebe\u011fimiz solunum s\u0131k\u0131nt\u0131s\u0131 nedeniyle kuv\u00f6zde solunum cihaz\u0131na ba\u011fl\u0131yd\u0131. Kalbi \u00e7ok yoruluyordu. Yapt\u0131\u011f\u0131m\u0131z tetkikler sonucu bu bebe\u011fimizin kalbindeki PDA denilen deli\u011fi giri\u015fimsel olarak kapatmaya karar verdik. Fakat bebe\u011fin d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131na sahip olmas\u0131, i\u015flem s\u0131ras\u0131nda olu\u015fabilecek komplikasyonlar bir riskti. Fakat \u00f6nceki vakalardan kazand\u0131\u011f\u0131m\u0131z tecr\u00fcbeler ile kas\u0131ktan girerek bu bebe\u011fimizin kalbindeki PDA denilen deli\u011fi kapatt\u0131k. \u015euan bebe\u011fimizin sa\u011fl\u0131k durumu gayet iyi. Solunumu, nabz\u0131 normal. Tam iyile\u015fip kuv\u00f6zden \u00e7\u0131kmas\u0131 1-2 ay\u0131 bulur” dedi.<\/p>\n

“D\u00dcNYADA BU A\u011eIRLIKTA PREMAT\u00dcRE BEBE\u011eE YAPILMI\u015e PDA YOK”<\/p>\n

Prof. Dr. Nazmi Narin, premat\u00fcre bebeklerde kalpte do\u011fu\u015ftan olu\u015fan fakat ileriki g\u00fcnlerde kapanmayan deliklerin tedavi edilmesinin iki y\u00f6ntemle yap\u0131ld\u0131\u011f\u0131 belirtirken, “Bu y\u00f6ntemlerden biri cerrahi yani a\u00e7\u0131k kalp ameliyat\u0131, di\u011feri ise kas\u0131ktan girerek giri\u015fimsel olarak kalp deli\u011finin kapat\u0131lmas\u0131. Giri\u015fimsel olan\u0131 zor fakat vakan\u0131n \u00e7abuk toparlanmas\u0131 i\u00e7in iyi bir y\u00f6ntem. Ancak deneyimli merkezlerde yap\u0131lmas\u0131 gerekir. Biz Erciyes \u00dcniversitesi \u00c7ocuk Kardiyoloji B\u00f6l\u00fcm\u00fc olarak daha \u00f6nce 1 kilogram\u0131n alt\u0131nda 5 premat\u00fcre bebe\u011fin kalbindeki deli\u011fi kapatm\u0131\u015ft\u0131k. Bu alt\u0131nc\u0131 vakam\u0131z. Fakat bu vakan\u0131n bir \u00f6zelli\u011fi 750 gram a\u011f\u0131rl\u0131\u011f\u0131ndaki premat\u00fcre bebe\u011fe uygulanm\u0131\u015f olmas\u0131. T\u00fcrkiye\u2019de bu a\u011f\u0131rl\u0131kta bebe\u011fe yap\u0131lan PDA i\u015flemi yok. D\u00fcnyada tarad\u0131k bu a\u011f\u0131rl\u0131kta premat\u00fcre bebe\u011fe yap\u0131lm\u0131\u015f bir PDA i\u015flemi yok. D\u00fcnyada en d\u00fc\u015f\u00fck a\u011f\u0131rl\u0131ktaki premat\u00fcre bebe\u011fe yap\u0131lan giri\u015fimsel operasyon diyebiliriz” \u015feklinde konu\u015ftu.<\/p>\n

Prof. Dr. Kaz\u0131m \u00dcz\u00fcm ise d\u00fcnyada bebeklerde kalp hastal\u0131\u011f\u0131 g\u00f6r\u00fclme oran\u0131n\u0131n y\u00fczde 5 oldu\u011funu, 10 premat\u00fcr bebe\u011fin 5-7\u2019sinde ise PDA \u00e7\u0131kt\u0131\u011f\u0131n\u0131 bildirdi. Prof. Dr. \u00dcz\u00fcm, “Premat\u00fcre bebeklerde olu\u015fan PDA\u2019lar\u0131n zamanla kapanmayanlar\u0131, ya ameliyat, ya da giri\u015fimsel i\u015flemle kapat\u0131l\u0131yor. Bizim i\u015fimiz zamanla kapanmayan premat\u00fcr bebeklerin kalbindeki deli\u011fi tedavi etmek. Giri\u015fimsel y\u00f6ntemle kapatmak. Bunda da ekip olarak olduk\u00e7a ba\u015far\u0131l\u0131 oldu\u011fumuzu s\u00f6yleyebiliriz” dedi.<\/p>\n

Prof. Dr. Ali Baykan da, premat\u00fcr bebeklerde do\u011fu\u015ftan kalp deliklerinin kal\u0131tsal olmad\u0131\u011f\u0131n\u0131, altta yatan genetik fakt\u00f6rlerin bu rahats\u0131zl\u0131k i\u00e7in etken olabilece\u011fini ifade ederken, “Bu t\u00fcr vakalarda e\u011fer premat\u00fcre bebeklere gerekli tedavi yap\u0131lmazsa akci\u011ferde tansiyon y\u00fckselir, solunum s\u0131k\u0131nt\u0131s\u0131 artar. Ve bebek i\u00e7in hayati tehlike olu\u015fur. Bu y\u00fczden bu t\u00fcr vakalarda ya a\u00e7\u0131k kalp ameliyat\u0131, ya da giri\u015fimsel y\u00f6ntem \u015fart” diye konu\u015ftu.<\/p>\n

\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Tamer G\u00fcne\u015f ise giri\u015fimsel olarak kalp deli\u011fi kapat\u0131lan premat\u00fcre bebeklerin zamanla toparland\u0131\u011f\u0131n\u0131 ve takiplerinin zaman\u0131nda ve iyi yap\u0131lmas\u0131 durumunda, sa\u011fl\u0131\u011f\u0131na daha \u00e7abuk kavu\u015ftuklar\u0131n\u0131 kaydetti.<\/p>\n

Giri\u015fimsel y\u00f6ntemle kalbindeki delik kapat\u0131lan 22 g\u00fcnl\u00fck premat\u00fcre bebe\u011fin annesi Kader Ho\u015faf\u00e7\u0131 ile babas\u0131 Mevl\u00fct Ho\u015faf\u00e7\u0131, \u00e7ocuklar\u0131n\u0131 sa\u011fl\u0131\u011f\u0131na kavu\u015fturmas\u0131ndan dolay\u0131 ER\u00dc \u00c7ocuk Kardiyoloji ekibi doktorlar\u0131na te\u015fekk\u00fcr etti.

\n\t\t\t

\n\t\t\t\t750 Gram Bebe\u011fin Kalbindeki Delik Ameliyats\u0131z Y\u00f6ntemle Kapat\u0131ld\u0131<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t 750 Gram Bebe\u011fin Kalbindeki Delik Ameliyats\u0131z Y\u00f6ntemle Kapat\u0131ld\u0131<\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"

ERC\u0130YES \u00dcN\u0130VERS\u0130TES\u0130 (ER\u00dc) \u00c7OCUK KARD\u0130YOLOGLARI BA\u015eARILI B\u0130R OPERASYONA \u0130MZA ATARAK, 750 GRAM A\u011eIRLI\u011eINDAK\u0130 PREMAT\u00dcRE BEBE\u011e\u0130N KALB\u0130NDEK\u0130 DEL\u0130\u011e\u0130 AMEL\u0130YATSIZ OLARAK KASIKTAN G\u0130REREK G\u0130R\u0130\u015e\u0130MSEL Y\u00d6NTEMLE KAPATTI.<\/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":[16202,17149,21308,28762,22997,28760,20005,15098],"class_list":["post-193096","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-16202","tag-ameliyatsiz","tag-bebegin","tag-delik","tag-gram","tag-kalbindeki","tag-kapatildi","tag-yontemle"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/193096","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=193096"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/193096\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=193096"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=193096"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=193096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}