Kalp rahats\u0131zl\u0131\u011f\u0131 olan hastalara uygulanabilen m\u00fcdahalelerin ard\u0131ndan hastal\u0131\u011f\u0131n tamamen bitti\u011fi y\u00f6n\u00fcndeki yanl\u0131\u015f alg\u0131, hayati riskleri de beraberinde getiriyor. Yap\u0131lan operasyonlar\u0131n hastal\u0131\u011f\u0131n kendisini de\u011fil, yaln\u0131zca mevcut t\u0131kan\u0131kl\u0131klar\u0131 d\u00fczeltmeye y\u00f6nelik birer onar\u0131m i\u015flemi oldu\u011funu vurgulayan Medicana Sa\u011fl\u0131k Grubu Kardiyoloji ve \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Abdi Sa\u011fcan, m\u00fcdahale sonras\u0131nda ila\u00e7lar\u0131n aksat\u0131lmas\u0131n\u0131n ve eski ya\u015fam al\u0131\u015fkanl\u0131klar\u0131na devam edilmesinin s\u00fcreci ba\u015fa sard\u0131rd\u0131\u011f\u0131n\u0131 belirterek uyard\u0131.
\n
Kalp rahats\u0131zl\u0131klar\u0131nda uygulanabilen m\u00fcdahalelerin ard\u0131ndan hastal\u0131\u011f\u0131n tamamen bitti\u011fi y\u00f6n\u00fcndeki yanl\u0131\u015f alg\u0131, hayati riskleri de beraberinde getiriyor. D\u00fcnya genelinde en fazla \u00f6l\u00fcme yol a\u00e7an iskemik kalp hastal\u0131klar\u0131 k\u00fcresel \u00f6l\u00fcmlerin y\u00fczde 13\u2019\u00fcn\u00fc olu\u015ftururken, T\u00fcrkiye \u0130statistik Kurumu (T\u00dc\u0130K) verileri de \u00fclkemizdeki \u00f6l\u00fcmlerin y\u00fczde 36\u2019s\u0131n\u0131n dola\u015f\u0131m sistemi hastal\u0131klar\u0131ndan kaynakland\u0131\u011f\u0131n\u0131 g\u00f6steriyor. T\u00fcrkiye\u2019deki en yayg\u0131n \u00f6l\u00fcm nedeni olan bu kronik s\u00fcre\u00e7te, tan\u0131 sonras\u0131 uygulanan balon-stent ve bypass operasyonlar\u0131 hayati \u00f6nem ta\u015f\u0131yor. Ancak bu m\u00fcdahalelerin hastal\u0131\u011f\u0131 tamamen ortadan kald\u0131rmad\u0131\u011f\u0131n\u0131 belirten Medicana International \u0130zmir Hastanesi Kardiyoloji ve \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Abdi Sa\u011fcan, s\u00f6z konusu m\u00fcdahalelerin sadece mevcut t\u0131kan\u0131kl\u0131klar\u0131 gidermeye y\u00f6nelik birer onar\u0131m i\u015flemi oldu\u011funu belirterek dikkat \u00e7eken a\u00e7\u0131klamalarda bulundu. Prof. Dr. Abdi Sa\u011fcan, operasyon sonras\u0131nda ila\u00e7lar\u0131n aksat\u0131lmas\u0131n\u0131n ve eski zararl\u0131 al\u0131\u015fkanl\u0131klara geri d\u00f6n\u00fclmesinin s\u00fcreci tamamen ba\u015fa sard\u0131rd\u0131\u011f\u0131na dikkat ederek hastalar\u0131 ve hasta yak\u0131nlar\u0131n\u0131 uyard\u0131.<\/p>\n
Bypass hastal\u0131\u011f\u0131 bitirmez, s\u00fcreci y\u00f6netir
\n
Kalp hastalar\u0131 aras\u0131nda genellikle \u2018ameliyat oldum, art\u0131k iyiyim\u2019 \u015feklinde bir yan\u0131lg\u0131 oldu\u011funu aktaran Prof. Dr. Abdi Sa\u011fcan, koroner arter hastal\u0131\u011f\u0131n\u0131n damar i\u00e7inde plak birikimiyle ilerleyen ve \u00f6m\u00fcr boyu s\u00fcren kronik bir rahats\u0131zl\u0131k oldu\u011funu s\u00f6yledi. Prof. Dr. Abdi Sa\u011fcan, “Yapt\u0131\u011f\u0131m\u0131z bypass ameliyat\u0131 hastal\u0131\u011f\u0131n kendisini de\u011fil, yol a\u00e7t\u0131\u011f\u0131 t\u0131kan\u0131kl\u0131klar\u0131 ve sonu\u00e7lar\u0131n\u0131 d\u00fczeltmeye y\u00f6neliktir. T\u0131kal\u0131 ya da daralm\u0131\u015f damar\u0131n etraf\u0131ndan yeni bir yol olu\u015fturuyoruz. B\u00f6ylece kalp kas\u0131na giden kan ak\u0131\u015f\u0131n\u0131 art\u0131r\u0131yor, hastan\u0131n g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131n\u0131 azalt\u0131yor ve kalp krizi riskini d\u00fc\u015f\u00fcr\u00fcyoruz. Ancak damar sertli\u011fi t\u00fcm damarlarda devam edebilir. Tak\u0131lan bypass damarlar\u0131 da zaman i\u00e7inde etkilenebilir. E\u011fer kolesterol y\u00fcksekli\u011fi, sigara kullan\u0131m\u0131, diyabet ve hipertansiyon gibi risk fakt\u00f6rleri kontrol alt\u0131na al\u0131nmazsa hastal\u0131k ilerlemeye devam eder” dedi.
\n
Ameliyat sonras\u0131 d\u00f6nemin en az operasyon kadar \u00f6nemli oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. Abdi Sa\u011fcan, bypass\u0131n bir son de\u011fil, asl\u0131nda yeni bir ba\u015flang\u0131\u00e7 oldu\u011funu ifade ederek, “Hastalar mutlaka kolesterol d\u00fc\u015f\u00fcr\u00fcc\u00fc ve kan suland\u0131r\u0131c\u0131 ila\u00e7lar\u0131n\u0131 d\u00fczenli kullanmal\u0131, Akdeniz tipi beslenmeye ge\u00e7meli, sigaray\u0131 b\u0131rakmal\u0131 ve d\u00fczenli egzersiz yapmal\u0131d\u0131r. Ayr\u0131ca \u015feker ve tansiyon kontrol\u00fc de ihmal edilmemelidir. Bypass bir onar\u0131m i\u015flemidir, hastal\u0131\u011f\u0131n k\u00f6k\u00fcn\u00fc kaz\u0131maz. Bu nedenle tedavinin en \u00f6nemli par\u00e7as\u0131, ameliyat sonras\u0131 ya\u015fam tarz\u0131 de\u011fi\u015fiklikleridir” diye konu\u015ftu.<\/p>\n
Stent noktasal bir \u00e7\u00f6z\u00fcmd\u00fcr, s\u00fcre\u00e7 kroniktir
\n
Balon ve stent uygulamalar\u0131n\u0131n ard\u0131ndan da altta yatan koroner arter hastal\u0131\u011f\u0131n\u0131n devam etti\u011fini hat\u0131rlatan Prof. Dr. Abdi Sa\u011fcan, stentin damardaki belirli bir darl\u0131\u011f\u0131 ortadan kald\u0131rd\u0131\u011f\u0131n\u0131 fakat damar sertli\u011finin t\u00fcm damar sistemini ilgilendiren kronik bir s\u00fcre\u00e7 oldu\u011funu vurgulad\u0131. Prof. Dr. Abdi Sa\u011fcan, “Tek bir noktay\u0131 d\u00fczeltmek hastal\u0131\u011f\u0131n tamamen ortadan kalkt\u0131\u011f\u0131 anlam\u0131na gelmez. Damar sertli\u011fi zamanla ba\u015fka b\u00f6lgelerde de geli\u015febilir, stent tak\u0131lan yerde nadiren yeniden daralma olabilir. Ba\u015far\u0131l\u0131 bir sonu\u00e7 i\u00e7in tedavi sadece giri\u015fimle s\u0131n\u0131rl\u0131 de\u011fildir. Birincisi giri\u015fimsel tedavi yani balon ve stent, ikincisi kan suland\u0131r\u0131c\u0131lar ve kolesterol d\u00fc\u015f\u00fcr\u00fcc\u00fclerin hayati \u00f6nemde oldu\u011fu ila\u00e7 tedavisi, \u00fc\u00e7\u00fcnc\u00fcs\u00fc ve en kritik olan\u0131 ise ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fidir. Sigaran\u0131n b\u0131rak\u0131lmas\u0131, sa\u011fl\u0131kl\u0131 beslenme, d\u00fczenli egzersiz ve kilo kontrol\u00fc tedavinin temelini olu\u015fturur” a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
\u0130la\u00e7lar\u0131 b\u0131rakmak ve hareketsizlik hayati risk do\u011furuyor
\n
Bypass ameliyat\u0131 ya da stent tak\u0131lan hastalar\u0131n s\u00fcre\u00e7 sonras\u0131nda yapt\u0131\u011f\u0131 en b\u00fcy\u00fck hatan\u0131n \u2018art\u0131k iyile\u015ftim\u2019 d\u00fc\u015f\u00fcncesi oldu\u011funu s\u00f6yleyen Prof. Dr. Abdi Sa\u011fcan, as\u0131l tedavinin i\u015flemden sonra ba\u015flad\u0131\u011f\u0131na dikkat \u00e7ekti. Hastalar\u0131n kendilerini iyi hissedince ila\u00e7lar\u0131 b\u0131rakabildi\u011fini belirten Prof. Dr. Abdi Sa\u011fcan, “\u00d6zellikle kan suland\u0131r\u0131c\u0131lar\u0131n erken kesilmesi, stent i\u00e7inde p\u0131ht\u0131 olu\u015fumuna yol a\u00e7abilir ve bu durum hayati risk ta\u015f\u0131r. Sigaraya devam etmek ise yap\u0131lan t\u00fcm tedaviyi bo\u015fa \u00e7\u0131karabilir ve damarlar\u0131n yeniden t\u0131kanmas\u0131n\u0131 h\u0131zland\u0131r\u0131r. Ya\u011fl\u0131, tuzlu ve i\u015flenmi\u015f g\u0131dalarla beslenmeye devam eden hastalarda hastal\u0131k ilerler. Kalbe zarar verir korkusuyla hareketsiz kalmak da yanl\u0131\u015ft\u0131r, doktor kontrol\u00fcnde d\u00fczenli egzersiz tedavinin bir par\u00e7as\u0131d\u0131r. D\u00fczenli takip yap\u0131lmazsa yeni darl\u0131klar fark edilmeyebilir. Kolesterol, tansiyon ve diyabet kontrol alt\u0131na al\u0131nmazsa hastal\u0131k ilerlemeye devam eder. Do\u011fru ila\u00e7 kullan\u0131m\u0131 ve ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fi ile hastalar uzun y\u0131llar sorunsuz bir ya\u015fam s\u00fcrebilir ancak bunun i\u00e7in tedaviyi bir s\u00fcre\u00e7 olarak g\u00f6rmek \u015fartt\u0131r” dedi.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Kalp rahats\u0131zl\u0131\u011f\u0131 olan hastalara uygulanabilen m\u00fcdahalelerin ard\u0131ndan hastal\u0131\u011f\u0131n tamamen bitti\u011fi y\u00f6n\u00fcndeki yanl\u0131\u015f alg\u0131, hayati riskleri de beraberinde getiriyor. Yap\u0131lan operasyonlar\u0131n hastal\u0131\u011f\u0131n kendisini de\u011fil, yaln\u0131zca mevcut t\u0131kan\u0131kl\u0131klar\u0131 d\u00fczeltmeye y\u00f6nelik birer onar\u0131m i\u015flemi oldu\u011funu vurgulayan Medicana Sa\u011fl\u0131k Grubu Kardiyoloji ve \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Abdi Sa\u011fcan, m\u00fcdahale sonras\u0131nda ila\u00e7lar\u0131n aksat\u0131lmas\u0131n\u0131n ve eski ya\u015fam al\u0131\u015fkanl\u0131klar\u0131na devam edilmesinin…<\/p>\n","protected":false},"author":1,"featured_media":106732,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-106731","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/106731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=106731"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/106731\/revisions"}],"predecessor-version":[{"id":106733,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/106731\/revisions\/106733"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/106732"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=106731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=106731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=106731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}