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Samsun B\u00fcy\u00fck Anadolu Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Op.Dr. Ali Kemal Ula\u015f, kafa i\u00e7i-beyin kanamalar\u0131, nedenleri ve belirtileri ile ilgili bilgi verdi.<\/p>\nSamsun B\u00fcy\u00fck Anadolu Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Op.Dr. Ali Kemal Ula\u015f, kafa i\u00e7i-beyin kanamalar\u0131, nedenleri ve belirtileri ile ilgili bilgi verdi.<\/p>\n
Ba\u015f a\u011fr\u0131s\u0131, bulant\u0131, kusma, kuvvet kayb\u0131, fel\u00e7, konu\u015fma bozuklu\u011fu, g\u00f6rme bozuklu\u011fu, denge bozuklu\u011fu, bilin\u00e7 kayb\u0131 gibi belirtilerin beyin kanamas\u0131n\u0131n habercisi olabilece\u011finin alt\u0131n\u0131 \u00e7izen Ula\u015f, \u201cKafa i\u00e7i-beyin kanamas\u0131 farkl\u0131 bir\u00e7ok hastal\u0131k nedeni ile kafatas\u0131 i\u00e7indeki damarlar\u0131n y\u0131rt\u0131larak, kan\u0131n damar d\u0131\u015f\u0131na \u00e7\u0131k\u0131p, beyin dokusu i\u00e7ine, aras\u0131na veya beyin zarlar\u0131 ile kafa kemi\u011fi aras\u0131na yay\u0131larak \u00e7e\u015fitli patolojilere ve hatta \u00f6l\u00fcme kadar yol a\u00e7mas\u0131d\u0131r. Kanama olgusu \u00e7a\u011fr\u0131\u015f\u0131mla akla \u00f6nce travmay\u0131 getirmektedir. Klasik bir\u00e7ok yay\u0131n kafa i\u00e7i kanamalar\u0131 incelerken travma ve travma d\u0131\u015f\u0131 nedenleri ayr\u0131 ayr\u0131 ele almaktad\u0131r\u201d dedi.<\/p>\n
Beyin kanamalar\u0131n\u0131n belirtileri hakk\u0131nda bilgi veren Ula\u015f, \u201cHer t\u00fcrl\u00fc beyin kanamas\u0131, kanaman\u0131n yerine g\u00f6re hastada \u00e7e\u015fitli belirtilere yol a\u00e7maktad\u0131r. S\u0131kl\u0131kla devam eden ba\u015f a\u011fr\u0131s\u0131, bulant\u0131, kusma, kuvvet kayb\u0131 ve fel\u00e7, konu\u015fma bozuklu\u011fu, g\u00f6rme bozuklu\u011fu, denge bozuklu\u011fu, hatta bilin\u00e7 kayb\u0131 en belirgin belirtilerdir. Bu nedenle yukar\u0131da sayd\u0131\u011f\u0131m\u0131z belirtiler veya travma ya\u015fayan ki\u015filer, hipertansiyon, diyabet hastas\u0131ysa, sigara kullan\u0131yorsa ya da ya\u015fl\u0131 ise derhal hastaneye ba\u015fvurarak gerekli olan tetkikleri yapt\u0131rmal\u0131d\u0131r. Kafa i\u00e7i kanamalar nas\u0131l s\u0131n\u0131fland\u0131r\u0131l\u0131r? Bunlar, epidural kanama yani kafatas\u0131 ile beyin zar\u0131 aras\u0131 olan, subdural kanama yani beynin kal\u0131n zar\u0131 ile beyin dokusu \u00fczerindeki \u00f6r\u00fcmcek zar aras\u0131, Subaraknoid kanama yani beyin bo\u015fluklar\u0131 aras\u0131 ve \u0130ntraserebral kanama yani beyin dokusu i\u00e7ine oland\u0131r. Kanama nedenleri ise, travma, anevrizma, arterioven\u00f6z malformasyon (AVAA) ile Ateroksleroz ve hipertansiyon\u2019dur. Travma, t\u00fcm kafa i\u00e7i kanama t\u00fcrlerine yol a\u00e7abilirken kafatas\u0131nda k\u0131r\u0131k olsun veya olmas\u0131n beyin katmanlar\u0131ndaki y\u0131rt\u0131lma sonucu veya beyin dokusunun ani yer de\u011fi\u015ftirmesi sonucu damarlar\u0131n gerilerek y\u0131rt\u0131lmas\u0131 ile de kanamalar olu\u015fturmaktad\u0131r. Anevrizma, kural olarak bir anevrizma, damar duvar\u0131ndaki zay\u0131fl\u0131k sonucu damar\u0131n geni\u015fleyerek kan bas\u0131nc\u0131n\u0131n etkisi ile zay\u0131f yerden y\u0131rt\u0131larak kanamaya yol a\u00e7maktad\u0131r. Anevrizmalar, konjenital (do\u011fu\u015ftan) olabildi\u011fi gibi sonradan da olu\u015fabilmektedir. AVAA, konjenital hastal\u0131kta da b\u00fct\u00fcn anomalilerde oldu\u011fu gibi nedenini bilemedi\u011fimiz bir mekanizma ile normal olan damar yap\u0131s\u0131 bozularak bir damar yuma\u011f\u0131 olu\u015fur. B\u00f6ylelikle kanama, AVM\u2019nin damar duvar\u0131nda y\u00fcksek kan bas\u0131nc\u0131na dayanamayan bir b\u00f6lgenin y\u0131rt\u0131lmas\u0131 sonucu ortaya \u00e7\u0131kar. Ateroskleroz ve hipertansiyon ise, kanama nedeni olarak vurgulanmas\u0131 gereken di\u011fer bir neden ateroskleroz yani damar duvar\u0131nda kolesterol ve fibrin birikimi ile damar \u00e7ap\u0131n\u0131n azalmas\u0131 ve hipertansiyondur. Ya\u015fla ilerleyen bu dejeneratif olgu s\u00fcrecinde ateroskleroz bir damar duvar\u0131n\u0131 bazen o kadar y\u0131prat\u0131r ki; i\u00e7indeki y\u00fcksek kan bas\u0131nc\u0131na dayanamayan damar y\u0131rt\u0131l\u0131r. Hipertansiyon, travma d\u0131\u015f\u0131ndaki t\u00fcm kanama nedenleri i\u00e7inde olay\u0131 ba\u015flatan ana fakt\u00f6rd\u00fcr. Ayr\u0131ca nadir de olsa beyin t\u00fcm\u00f6rleri, kanama-p\u0131ht\u0131la\u015fma hastal\u0131klar\u0131, antikoag\u00fclan ila\u00e7 kullan\u0131m\u0131 ve vask\u00fclit denilen damar hastal\u0131\u011f\u0131 sonras\u0131nda da kanamalar olu\u015fabilir. Tan\u0131 ve tedavi y\u00f6ntemleri ise g\u00fcn\u00fcm\u00fczde teknolojik geli\u015fmeler sayesinde bu hastal\u0131klar kolayl\u0131kla tan\u0131nabilmektedir. Bilgisayarl\u0131 tomografi, magnetik rezonans (MR), dijital anjiografi gibi teknolojik geli\u015fmeler, bu hastal\u0131klarda tan\u0131y\u0131 kolayla\u015ft\u0131rmaktad\u0131r. Bilinmelidir ki, bu t\u00fcr hastal\u0131klar\u0131 \u00f6nlemenin bir ba\u015fka yolu da koruyucu hekimlik hizmetleriyle hipertansiyon, hiperlipidemi, diyabet, obezite, sigara, alkolizm gibi d\u00fczeltilebilir risk fakt\u00f6rlerinin \u00f6n\u00fcne ge\u00e7ilmesidir\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
SAMSUN B\u00dcY\u00dcK ANADOLU HASTANES\u0130 BEY\u0130N VE S\u0130N\u0130R CERRAH\u0130S\u0130 UZMANI OP.DR. AL\u0130 KEMAL ULA\u015e, KAFA \u0130\u00c7\u0130-BEY\u0130N KANAMALARI, NEDENLER\u0130 VE BEL\u0130RT\u0130LER\u0130 \u0130LE \u0130LG\u0130L\u0130 B\u0130LG\u0130 VERD\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],"tags":[8229,17345,17346],"class_list":["post-103116","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-beyin","tag-kanamalarinin","tag-nedenleri"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/103116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=103116"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/103116\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=103116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=103116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=103116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}