Kalbi delik hastalara müjde…<br /> <p style="clear: both;"><!--[if gte mso 9]><xml><br /> <w_WordDocument><br /> <w_View>Normal</w_View><br /> <w_Zoom>0</w_Zoom><br /> <w_TrackMoves /><br /> <w_TrackFormatting /><br /> <w_HyphenationZone>21</w_HyphenationZone><br /> <w_PunctuationKerning /><br /> <w_ValidateAgainstSchemas /><br /> <w_SaveIfXMLInvalid>false</w_SaveIfXMLInvalid><br /> <w_IgnoreMixedContent>false</w_IgnoreMixedContent><br /> <w_AlwaysShowPlaceholderText>false</w_AlwaysShowPlaceholderText><br /> <w_DoNotPromoteQF /><br /> <w_LidThemeOther>TR</w_LidThemeOther><br /> <w_LidThemeAsian>X-NONE</w_LidThemeAsian><br /> <w_LidThemeComplexScript>X-NONE</w_LidThemeComplexScript><br /> <w_Compatibility><br /> <w_BreakWrappedTables /><br /> <w_SnapToGridInCell /><br /> <w_WrapTextWithPunct /><br /> <w_UseAsianBreakRules /><br /> <w_DontGrowAutofit /><br /> <w_SplitPgBreakAndParaMark /><br /> <w_EnableOpenTypeKerning /><br /> <w_DontFlipMirrorIndents /><br /> <w_OverrideTableStyleHps /><br /> </w_Compatibility><br /> <m_mathPr><br /> <m_mathFont m_val="Cambria Math" /><br /> <m_brkBin m_val="before" /><br /> <m_brkBinSub m_val="--" /><br /> <m_smallFrac m_val="off" /><br /> <m_dispDef /><br /> <m_lMargin m_val="0" /><br /> <m_rMargin m_val="0" /><br /> <m_defJc m_val="centerGroup" /><br /> <m_wrapIndent m_val="1440" /><br /> <m_intLim m_val="subSup" /><br /> <m_naryLim m_val="undOvr" /><br /> </m_mathPr></w_WordDocument><br /> </xml><![endif]--><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> text-indent:35.4pt;line-height:normal"><span style="font-size:10.0pt;<br /> font-family:"Times New Roman","serif";color:black">Geçmişte, kalp içi delikler ağırlıklı olarak ameliyatla kapatılırken, günümüzde ameliyatsız olarak kapatılma yöntemleri tercih ediliyor. Hastalarımız işlemin ardından 24 saate içerisinde taburcu olmaktadırlar. Burada ekip çalışması çok önemli. İşlemi gerçekleştirirken uygun görüntüler alınması önem arzetmektedir. Özellikle deliğin etrafında cihazı tutacak olan ritmlerin yeterli olup olmadığı ve yerleştirilecek cihazın boyutu, tek başına yapılabilecek işlemler değil. Ekip halinde çeşitli ölçümlerle gerçekleştirilecek işlemlerdir. İşlem süresi 35 dakika ile 1 saat arasında değişiyor.</span></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> text-indent:35.4pt;line-height:normal"><span style="font-size:10.0pt;<br /> font-family:"Times New Roman","serif";color:black">Afyon Özel Park Hastanesi Kalp Merkezimize nefes darlığı ve çabuk yorulma ile başvuran hastamız Mesut Yüce’nin yapılan EKO’sunda kalpte delik diye tabir edilen atriyal septal defkt saptanıldı. Yapılan diğer incelemelerinde mevcut deliğin ameliyatsız olarak<span style="mso-spacerun:yes"> </span>kapatılabileceği<span style="mso-spacerun:yes"> </span>kararına varıldı ve sonrasında hastamıza anjiografi laboratuarında yakşalık olarak 45 dk süren işlem netivcesinde kalp deliği başarılı bir işlem neticesinde kapatıldı. Ve hastamız ertesi gün taburcu edildi.</span></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> text-indent:35.4pt;line-height:normal"><span style="font-size:10.0pt;<br /> font-family:"Times New Roman","serif"">Özel Park Hastanesi <u><span style="color:#146EDF"><span style="mso-spacerun:yes"> </span>Kardiyoloji </span></u><span style="mso-spacerun:yes"> </span>Uzmanlarından Dr.Ali Seydi Özgül’ün yaptığı açıklamada, tüm kalp deliklerini anjiografi laboratuarında ameliyatsız olarak kapatma olanağının günümüzde henüz mevcut olmadığını belirterek, yeni uygulamayla klinikte en sık rastlanan sekundum tipte ASD'ler, kapatma gerekliliği olan PFO'lar ve uygun bazı VSD'leri cihazla kapatmalarının teknik olarak mümkün olacağını kaydetti.</span></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> text-indent:35.4pt;line-height:normal"><span style="font-size:10.0pt;<br /> font-family:"Times New Roman","serif"">Dr.Özgül<span style="mso-spacerun:yes"> </span>ASD'lerin ameliyatsız kapatmaya uygun olduğuna yönelik değerlendirmede birkaç kriteri göz önünde tuttuklarını anlatarak, "Öncelikli olarak deliğin duvardaki yerleşimine göre 3 türde ASD söz konusu. Cihazla kapama bu gün için ancak sekundum tipte ASD denilen, deliğin kulakçıklar arasındaki duvarın tam ortasında yerleşmiş olduğu durumlarda mümkün olabiliyor. Ancak tüm ASD'lerin yaklaşık yüzde 60-70'inin sekundum tipte olduğu göz önünde tutulduğunda çoğunlukla hastalar bu kriteri karşılıyorlar.</span></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> line-height:normal"><b><span style="font-size:10.0pt;font-family:"Times New Roman","serif"">AMELİYATSIZ<span style="mso-spacerun:yes"> </span>KALP DELİĞİ<span style="mso-spacerun:yes"> </span>KAPATMA İŞLEMİ NASIL YAPILIR?</span></b></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> line-height:normal"><b><span style="font-size:10.0pt;font-family:"Times New Roman","serif"">Sorusunu<span style="mso-spacerun:yes"> </span>Kardiyoloklarımız şöyle anlattı..</span></b></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> text-indent:35.4pt;line-height:normal"><span style="font-size:10.0pt;<br /> font-family:"Times New Roman","serif"">Ameliyatsız kapatma işlemini lokal anestezi altında anjiografi laboratuarında uyguladıklarını belirterek: "Çoğunlukla hastanın kasığındaki geniş bir toplar damardan kateter dediğimiz plastik tüplerle giriyoruz. İşlem boyunca bir hastanın yemek borusuna yerleştirdiğimiz TÖE bize rehberlik ediyor. Kapatma cihazı çift taraflı bir şemsiye şeklindedir. Kateter vasıtasıyla kalpteki delikten sağdan sola geçtikten sonra önce ilk şemsiyeyi deliğin sol tarafında daha sonra ikinci şemsiyeyi deliğin sağ tarafında açıyoruz ve işlem tamamlanıyor. İşlem çoğunlukla yarım saat içerisinde tamamlanıyor ve başarı oranı yaklaşık yüzde 95 civarında. Cerrahi ile kıyaslarsak daha kısa hastanede yatış süresi, daha çabuk işlem sonrası iyileşme süresi, cerrahi bir yara izi olmaması ve genel anestezi gerekmemesi gibi üstünlükleri mevcut. İşlemde ciddi komplikasyonlar dediğimiz istenmeyen olayların gerçekleşme ihtimali genellikle yüzde 1'den daha az ancak hastalarda işlem sonrası işlem yapılan kasıkta şişlik ve morarma, yemek borusundaki ultrason cihazına bağlı boğaz ağrısı gibi şikayetler nispeten daha sık görülebiliyor. Hastalar çoğunlukla işlemden 24 saat sonra yaptığımız kontrol ekokardiyografinin ardından taburcu oluyorlar. Daha sonra 6 ayda bir ekokardiyografik kontrollere devam ediyoruz. İşlem sonrası cihaz üzerinde pıhtı gelişmesini engellemek için yaklaşık 6 ay boyunca kan sulandırıcı tedavi uyguluyoruz" dediler</span></p><br /> <p style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;<br /> text-indent:35.4pt;line-height:normal"><span style="font-size:10.0pt;<br /> font-family:"Times New Roman","serif"">Hasta Mesut Yüce Park Hastanesine ve doktorları Dr.Ali Seydi Özgül’e sonsuz teşekkürlerini ileterek bu tarz rahatsızlıkları olan kişilere tedavileri için başka şehirlerdeki merkezlere gerek kalmadan Afyon’da güvenli bir şekilde tedavi olabileceklerini<span style="mso-spacerun:yes"> </span>söyledi.</span></p><br /> <!--[if gte mso 9]><xml><br /> <w_LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"<br /> DefSemiHidden="true" DefQFormat="false" DefPriority="99"<br /> LatentStyleCount="267"><br /> <w_LsdException Locked="false" Priority="0" SemiHidden="false"<br /> UnhideWhenUsed="false" QFormat="true" Name="Normal" /><br /> <w_LsdException Locked="false" 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