{"id":8063,"date":"2025-01-14T10:08:26","date_gmt":"2025-01-14T07:08:26","guid":{"rendered":"https:\/\/www.egemtv.com\/?p=8063"},"modified":"2025-01-14T10:08:34","modified_gmt":"2025-01-14T07:08:34","slug":"acil-tip-uzmanlari-medicana-international-izmir-hastanesinde-bulustu","status":"publish","type":"post","link":"https:\/\/www.egemtv.com\/?p=8063","title":{"rendered":"Acil t\u0131p uzmanlar\u0131 Medicana International \u0130zmir Hastanesinde bulu\u015ftu"},"content":{"rendered":"

Medicana Sa\u011fl\u0131k Grubu\u2019nun liderli\u011finde \u0130zmir\u2019de acil t\u0131p alan\u0131nda g\u00f6rev alan hekimler \u201cAcil T\u0131p\u00e7\u0131lar\u0131 Bulu\u015fuyor\u201d ba\u015fl\u0131kl\u0131 toplant\u0131da bir araya geldi. Medicana International \u0130zmir Hastanesi\u2019nde d\u00fczenlenen toplant\u0131n\u0131n i\u00e7eri\u011finde acil t\u0131bb\u0131n en \u00f6nemli konular\u0131ndan olan \u201cTravmatik Beyin Hasar\u0131 Y\u00f6netimi\u201d ve \u201cOmurga De\u011ferlendirmesindeki Temel Yakla\u015f\u0131mlar\u201d ele al\u0131nd\u0131.
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Medicana International \u0130zmir Hastanesi, bir y\u0131ld\u0131r d\u00fczenledi\u011fi ve bunu geleneksel hale getirdi\u011fi \u2018Acil T\u0131p\u00e7\u0131lar\u0131 Bulu\u015fuyor\u2019 ba\u015fl\u0131kl\u0131 toplant\u0131da \u0130zmir\u2019in b\u00fct\u00fcn acil t\u0131p hekimlerini a\u011f\u0131rlad\u0131. Hastanenin Acil T\u0131p B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Ali Fuat Oduncu ve Uzm. Dr. Mehmet Emin Kaya\u2019n\u0131n moderat\u00f6r oldu\u011fu toplant\u0131da acil t\u0131p uzmanlar\u0131 a\u00e7\u0131s\u0131ndan en \u00f6nemli konular ele al\u0131nd\u0131.
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\u201cTravmatik Beyin Hasar\u0131 (TBH) Y\u00f6netimi\u201dyle ilgili bilgi veren Medicana International \u0130zmir Hastanesi Acil T\u0131p B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Ali Fuat Oduncu, travmatik beyin hasar\u0131n\u0131n n\u00f6rolojik hastal\u0131klar i\u00e7inde en y\u00fcksek insidans ve prevalansa sahip grup oldu\u011funu s\u00f6yledi. D\u00fcnya genelinde her y\u0131l yakla\u015f\u0131k 50-60 milyon ki\u015finin travmatik beyin hasar\u0131 ya\u015fad\u0131\u011f\u0131n\u0131 belirten Uzm. Dr. Ali Fuat Oduncu, \u201cABD verilerine g\u00f6re her y\u0131l 4.8 milyon acil servis ba\u015fvurusuna, 214 bin hastane yat\u0131\u015f\u0131na ve 69 bin \u00f6l\u00fcme sebep olmaktad\u0131r. Kurtulanlar\u0131n da \u00f6nemli bir k\u0131sm\u0131nda kal\u0131c\u0131 veya ge\u00e7ici n\u00f6rolojik sekellere sebep olmaktad\u0131r\u201d dedi. TBH semptom ve bulgular\u0131n\u0131n \u00fc\u00e7e ayr\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yleyen Uzm. Dr. Ali Fuat Oduncu, fiziksel, bili\u015fsel ve davran\u0131\u015fsal ile alg\u0131 ve duygusal belirtileri a\u00e7\u0131klad\u0131.<\/p>\n

Vakalarda ileri ya\u015f \u00f6nem arz etmektedir
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Uzm. Dr. Ali Fuat Oduncu, \u015fu ifadeleri kulland\u0131: \u201cTravmatik beyin hasar\u0131 acil t\u0131bb\u0131n en \u00f6nemli konular\u0131ndan biridir. Bu t\u00fcr vakalar\u0131n \u00f6nce s\u0131n\u0131fland\u0131r\u0131l\u0131p, hastalar\u0131n uygun hastaneye sevki hayati rol oynamaktad\u0131r. Ya\u015fa ba\u011fl\u0131 fizyolojik de\u011fi\u015fiklikler, k\u0131r\u0131lganl\u0131k, \u00e7oklu ila\u00e7 kullan\u0131m\u0131 (\u00f6zellikle antiagregan ve antiplatelet) nedeniyle ya\u015fl\u0131 hastalar\u0131n de\u011ferlendirilmesinde \u015f\u00fcphe ve gerekirse g\u00f6r\u00fcnt\u00fcleme e\u015fi\u011finin d\u00fc\u015f\u00fck tutulmas\u0131nda fayda olmaktad\u0131r. Beyin atrofisi nedeniyle kranyal hemorajilerin erken d\u00f6nem bulgu verme ihtimali azalmaktad\u0131r. \u0130lk de\u011ferlendirme TBH \u015f\u00fcphesi olan veya mevcut TBH\u2019ye sahip olan hastalar\u0131n tan\u0131nmas\u0131, klinik durumda de\u011fi\u015fikli\u011fin fark edilmesi ve hayati m\u00fcdahalelerin planlanmas\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Hedef her zaman ikincil hasar\u0131 azaltmakt\u0131r. Acil serviste yap\u0131lacak ilk de\u011ferlendirme ile bilin\u00e7 d\u00fczeyi, g\u00f6z reaksiyonu ve n\u00f6rolojik bulgu a\u00e7\u0131s\u0131ndan de\u011ferlendirilmesini i\u00e7ermektedir.\u201d
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Uzm. Dr. Ali Fuat Oduncu, \u201cTBH ya\u015fayan bir ki\u015fiye acilde ne yapmal\u0131y\u0131z?\u201d sorusuna ise \u015fu d\u00f6rt maddenin \u00f6nemini vurgulayarak, \u201cTravma tan\u0131s\u0131 konulduktan sonra hedef hastada ikincil hasar\u0131 engellemek, hastan\u0131n sabitlenmesini sa\u011flamak, medikal tedavilere ba\u015flamak, do\u011fru zamanda kons\u00fcltasyon almak ve ilgili alanlara hastay\u0131 y\u00f6nlendirmek olmal\u0131d\u0131r\u201d dedi.<\/p>\n

Ya\u015flanan n\u00fcfusta omurga k\u0131r\u0131klar\u0131 da artmaktad\u0131r
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Uzm. Dr. Mehmet Emin Kaya ise \u201cOmurga De\u011ferlendirmesindeki Temel Yakla\u015f\u0131mlar\u201d konusunda bilgi verdi. \u201cOmurga k\u0131r\u0131klar\u0131n\u0131n, travmatik yaralanmalardan kaynaklanan t\u00fcm k\u0131r\u0131klar aras\u0131ndaki oran\u0131 y\u00fczde 4-23\u2019t\u00fcr. Uzun s\u00fcreli sakatl\u0131k potansiyeli buna ba\u011fl\u0131 sa\u011fl\u0131k bak\u0131m sonu\u00e7lar\u0131 ve maliyetleri olduk\u00e7a y\u00fcksektir. K\u00fcresel olarak, ya\u015flanan n\u00fcfus artmakta ve bununla birlikte osteoporoza ba\u011fl\u0131 olarak travmatik omurga yaralanmalar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 da artmaktad\u0131r\u201d diyen Uzm. Dr. Mehmet Emin Kaya, y\u0131lda 5 milyon adet servikal boyunluk tak\u0131ld\u0131\u011f\u0131n\u0131 belirtti. Uzm. Dr. Mehmet Emin Kaya, \u201cN\u00f6rolojik muayenesi normal olan, y\u00fcksek riskli yaralanma mekanizmas\u0131 bulunmayan, servikal hareket a\u00e7\u0131kl\u0131\u011f\u0131 olan ve boyun hassasiyeti olmayan uyan\u0131k, belirtisi olmayan, yeti\u015fkin bir travma hastas\u0131nda ek radyografik g\u00f6r\u00fcnt\u00fcleme yap\u0131lmadan boyunluk \u00e7\u0131kar\u0131labilmektedir\u201d diye konu\u015ftu.<\/p>\n

\u0130lk tercih edilen g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi BT
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Travmatik omurga yaralanmas\u0131 vakalar\u0131nda hasar tespiti i\u00e7in ilk tercih edilen g\u00f6r\u00fcnt\u00fcleme y\u00f6nteminin 3 boyutlu Bilgisayarl\u0131 Tomografi (BT) oldu\u011funu s\u00f6yleyen Uzm. Dr. Mehmet Emin Kaya, \u201cBT taramalar\u0131 negatif olan ancak n\u00f6rolojik semptomlar\u0131 devam eden hastalara MR \u00e7ekilmesi \u00f6nerilmektedir. Servikal boyunlu\u011fun \u00e7\u0131kar\u0131lmas\u0131 i\u00e7in MR gerekli olmamakla birlikte, tedavi eden doktorun takdirine ba\u011fl\u0131 olarak, negatif BT taramas\u0131na ra\u011fmen kal\u0131c\u0131 n\u00f6rolojik semptomlar\u0131, ligament\u00f6z hasar endi\u015fesi, y\u00fcksek riskli dejeneratif\/patolojik de\u011fi\u015fiklikleri olan hastalarda MR d\u00fc\u015f\u00fcn\u00fclebilmektedir\u201d dedi. Uzm. Dr. Mehmet Emin Kaya daha sonra, acil servise travmatik omurga yaralanmas\u0131 \u015f\u00fcphesiyle gelen hastaya yap\u0131lacak fiziki muayenenin ayr\u0131nt\u0131lar\u0131n\u0131 anlatt\u0131.<\/p>\n

Sonraki toplant\u0131 5 Mart \u00c7ar\u015famba g\u00fcn\u00fc
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Toplant\u0131y\u0131 de\u011ferlendiren Medicana International \u0130zmir Hastanesi Acil T\u0131p B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Fecri Bengi ise \u015funlar\u0131 s\u00f6yledi: \u201c\u0130ki ayda bir d\u00fczenledi\u011fimiz bu toplant\u0131lar sayesinde hem g\u00fcncel t\u0131bb\u0131 takip etme hem de \u0130zmir i\u00e7erisindeki bu i\u015fe g\u00f6n\u00fcl vermi\u015f arkada\u015flar\u0131m\u0131zla bulu\u015fma, g\u00f6r\u00fc\u015fme, dayan\u0131\u015fma imkan\u0131 bulmaktay\u0131z. \u0130zmir\u2019in acil t\u0131p\u00e7\u0131lar\u0131n\u0131 bir sonraki 5 Mart 2025 tarihindeki toplant\u0131m\u0131za bekliyoruz.\u201d
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\"\"\"\"\"\"<\/p>\n","protected":false},"excerpt":{"rendered":"

Medicana Sa\u011fl\u0131k Grubu\u2019nun liderli\u011finde \u0130zmir\u2019de acil t\u0131p alan\u0131nda g\u00f6rev alan hekimler \u201cAcil T\u0131p\u00e7\u0131lar\u0131 Bulu\u015fuyor\u201d ba\u015fl\u0131kl\u0131 toplant\u0131da bir araya geldi. Medicana International \u0130zmir Hastanesi\u2019nde d\u00fczenlenen toplant\u0131n\u0131n i\u00e7eri\u011finde acil t\u0131bb\u0131n en \u00f6nemli konular\u0131ndan olan \u201cTravmatik Beyin Hasar\u0131 Y\u00f6netimi\u201d ve \u201cOmurga De\u011ferlendirmesindeki Temel Yakla\u015f\u0131mlar\u201d ele al\u0131nd\u0131. Medicana International \u0130zmir Hastanesi, bir y\u0131ld\u0131r d\u00fczenledi\u011fi ve bunu geleneksel hale getirdi\u011fi…<\/p>\n","protected":false},"author":1,"featured_media":8064,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-8063","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\/8063","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=8063"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/8063\/revisions"}],"predecessor-version":[{"id":8068,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/8063\/revisions\/8068"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/8064"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}