Eski Anayasa Mahkemesi Ba\u015fkan\u0131 \u015eevket M\u00fcft\u00fcgil 96 ya\u015f\u0131nda ameliyat masas\u0131na yatt\u0131. \u015eevket M\u00fcft\u00fcgil’in TAV\u0130 y\u00f6ntemiyle kalp kapak\u00e7\u0131\u011f\u0131 de\u011fi\u015ftirildi. Ameliyat\u0131 ger\u00e7ekle\u015ftiren Prof. Dr. Timur Timurkaynak, \u015eevket M\u00fcft\u00fcgil’in TAV\u0130 y\u00f6ntemiyle kalp kapak\u00e7\u0131\u011f\u0131 de\u011fi\u015ftirilen en ya\u015fl\u0131 hasta olarak d\u00fcnya t\u0131p literat\u00fcr\u00fcne girdi\u011fini s\u00f6yleyerek, “Hastam\u0131z\u0131n ya\u015f\u0131 96 ama kendisi 66 gibi. T\u00fcm organlar\u0131 p\u0131r\u0131l p\u0131r\u0131l. \u0130\u015flemi iki g\u00fcn \u00f6nce yapt\u0131k. 1 g\u00fcn yo\u011fun bak\u0131mda yatt\u0131. Ertesi g\u00fcn servise ald\u0131k. \u015eu anda serviste, Yar\u0131n taburcu edece\u011fiz. Bug\u00fcn serviste y\u00fcr\u00fcy\u00fc\u015f\u00fcn\u00fc yapt\u0131. Hi\u00e7bir s\u0131k\u0131nt\u0131s\u0131 yok” dedi.<\/p>\n
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\u0130\u00e7erenk\u00f6y’de bulunan Bay\u0131nd\u0131r Hastanesi’nde \u015eevket M\u00fcft\u00fcgil’in kalp kapak\u00e7\u0131\u011f\u0131 a\u00e7\u0131k kalp ameliyat\u0131 olmadan de\u011fi\u015ftirildi. Hastanenin Kardiyoloji B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. Timurkaynak, M\u00fcft\u00fcgil’in aort kapa\u011f\u0131n\u0131n darl\u0131\u011f\u0131n\u0131n s\u00f6z konusu oldu\u011funu belirterek, M\u00fcft\u00fcgil’in TAV\u0130 y\u00f6ntemiyle kalp kapak\u00e7\u0131\u011f\u0131n\u0131 de\u011fi\u015ftirdiklerini s\u00f6yledi. Operasyonun iyi ge\u00e7ti\u011fini anlatan Timurkaynak, “Tabii 96 ya\u015f\u0131na geldi\u011finizde b\u00fct\u00fcn organlar\u0131n\u0131z 96 ya\u015f\u0131na geliyor. Damar\u0131n\u0131z, karaci\u011feriniz, kalbiniz de \u00f6yle. Biraz tabii oralarda damar sertlikleri birikiyor. Bunlar bizi zorluyor. Giri\u015f yerleri ya\u015fl\u0131 hastalarda biraz daha dolamba\u00e7l\u0131 oluyor. \u0130\u015flemi bir sorun olmadan yakla\u015f\u0131k bir bu\u00e7uk saat i\u00e7inde yapt\u0131k. Hastam\u0131za genel anestezi vermedik, sadece biraz sakinle\u015ftirdik. Gayet ba\u015far\u0131l\u0131 bir \u015fekilde sonu\u00e7land\u0131” dedi.<\/p>\n
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“HASTAMIZIN YA\u015eI 96 AMA KEND\u0130S\u0130 66 G\u0130B\u0130”\u00a0<\/strong><\/p>\n “80 ya\u015f\u0131n \u00fczerinde b\u00f6yle \u00e7ok hastam\u0131z var” diyen Timurkaynak, “Fakat 96 ya\u015f d\u00fcnya tarihinde bir ilk. \u015eu anda bu kapak i\u015fleminin yap\u0131ld\u0131\u011f\u0131 en ya\u015fl\u0131 hasta. Hastam\u0131z\u0131n ya\u015f\u0131 96 ama kendisi 66 gibi. \u00c7ok din\u00e7, aktif, eski bir b\u00fcrokrat, her g\u00fcn iki saat sahilde y\u00fcr\u00fcy\u00fc\u015f\u00fcn\u00fc yapan kendi i\u015fini kendi yapan, hayat\u0131 seven bir hasta. T\u00fcm organlar\u0131 p\u0131r\u0131l p\u0131r\u0131l. Son bir bu\u00e7uk ayd\u0131r hayat kalitesi \u00e7ok d\u00fc\u015fm\u00fc\u015f evde koltuktan tuvalete gidene kadar nefesi daral\u0131yor. Bacaklar\u0131 \u015fi\u015fiyor, \u00e7ok ciddi kapak darl\u0131\u011f\u0131. ‘Bu hasta bu kapa\u011f\u0131 hak ediyor’ dedik. Kapa\u011f\u0131n\u0131 bu sistemle takt\u0131k. \u0130\u015flemi iki g\u00fcn \u00f6nce yapt\u0131k. Bir g\u00fcn yo\u011fun bak\u0131mda yatt\u0131. Ertesi g\u00fcn servise ald\u0131k. \u015eu anda serviste, Yar\u0131n taburcu edece\u011fiz. Bug\u00fcn serviste y\u00fcr\u00fcy\u00fc\u015f\u00fcn\u00fc yapt\u0131. Hi\u00e7bir s\u0131k\u0131nt\u0131s\u0131 yok” diye konu\u015ftu.<\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n “AORT DARLI\u011eININ TIBB\u0130 TEDAV\u0130S\u0130, \u0130LA\u00c7 TEDAV\u0130S\u0130 YOK”\u00a0<\/strong><\/p>\n TAV\u0130 y\u00f6ntemini 70 ya\u015f \u00fcst\u00fc ve ameliyat olamayacak olan hastalara uygulad\u0131klar\u0131n\u0131 belirten Timurkaynak, TAV\u0130 y\u00f6nteminin riskleri hakk\u0131nda da \u015fu bilgileri verdi:<\/p>\n <\/p>\n <\/p>\n <\/p>\n “Ya\u015famak bir risk. \u00d6l\u00fcp mezara girdi\u011finiz zaman riskler ‘0’ oluyor. Neden bu riski g\u00f6ze al\u0131yoruz. B\u00f6yle ya\u015famak daha riskli oldu\u011fu i\u00e7in. Kalp yetmezli\u011fi ortaya \u00e7\u0131kt\u0131ktan sonra 2 y\u0131l i\u00e7inde bu kapa\u011f\u0131 a\u00e7mazsan\u0131z hasta \u00f6l\u00fcr. Bu y\u00fczde 100. Aort darl\u0131\u011f\u0131n\u0131n t\u0131bbi tedavisi, ila\u00e7 tedavisi yok. O y\u00fczden bu riski g\u00f6ze almak durumunday\u0131z. Riskler neler? Kontrol edemedi\u011fimiz en \u00f6nemli risk fel\u00e7 riski var. O damarlarda giderken oradan bir p\u0131ht\u0131 atarsa, beyne atarsa bu fel\u00e7 olabiliyor hasta. \u0130kincisi damarlar y\u0131rt\u0131labilir. \u00c7\u00fcnk\u00fc olduk\u00e7a geni\u015f cihazlar\u0131 uzun yollardan g\u00f6nderiyoruz. Tabi bunlar\u0131n hepsini kontrol ederek gidiyoruz. Her a\u015famada kontrol\u00fcm\u00fcz\u00fc yap\u0131yoruz. Kapa\u011f\u0131 yerle\u015ftirirken bir risk olabilir, oradaki dokular zedelenebilir. Ama bunlar tabi d\u00fc\u015f\u00fck riskler b\u00f6yle oldu\u011fu i\u00e7in de \u015fu anda kapak darl\u0131\u011f\u0131 ya\u015faman\u0131n riskini g\u00f6ze alm\u0131yoruz. Bu i\u015flemi yap\u0131yoruz. Bu riskler \u00e7ok \u00e7ok d\u00fc\u015f\u00fck oranlarda. Fel\u00e7 riski y\u00fczde 2 civar\u0131nda diyebilirim.”<\/p>\n <\/p>\n <\/p>\n <\/p>\n “HASTAMIZ SERV\u0130STE Y\u00dcR\u00dcY\u00dc\u015e\u00dcN\u00dc YAPTI”\u00a0<\/strong><\/p>\n Doktor Timurkaynak, \u015eevket M\u00fcft\u00fcgil’in bug\u00fcn aya\u011fa kalkt\u0131\u011f\u0131n\u0131 belirterek, “Gayet aktif, dinamik. S\u00fctl\u00fc kahvesini i\u00e7ti. Serviste y\u00fcr\u00fcy\u00fc\u015f\u00fcn\u00fc yapt\u0131. Yar\u0131n da evine g\u00f6nderece\u011fiz. Hayattan zevk almas\u0131n\u0131 istiyoruz sadece. Kendisine ba\u015fka hi\u00e7bir \u00f6nerimiz yok” dedi.<\/p>\n <\/p>\n <\/p>\n <\/p>\n TAV\u0130 Y\u00d6NTEM\u0130N\u0130N AVANTAJLARI\u00a0<\/strong><\/p>\n TAV\u0130 y\u00f6nteminin avantaj\u0131 hakk\u0131nda ise Timurkaynak \u015fu bilgileri verdi:<\/p>\n “Cerrahiyle yap\u0131lan kapak de\u011fi\u015fimi insan\u0131n ba\u015f\u0131na gelebilecek en b\u00fcy\u00fck ameliyatlardan biri. G\u00f6\u011fs\u00fcn\u00fcz boydan boya a\u00e7\u0131l\u0131yor. Oraya bir kapak yerle\u015ftiriliyor. Kalp o s\u0131rada durduruluyor. Sonra anestezi al\u0131yorsunuz. Orada da fel\u00e7 olma riskiniz var. Bu y\u00f6ntemde anestezi vermiyoruz. Daha k\u0131sa bir i\u015flem, kas\u0131ktan girip, k\u00fc\u00e7\u00fcc\u00fck bir kesi yerinden girip 2 santimlik i\u015flemi yap\u0131p \u00e7\u0131k\u0131yoruz. \u00c7ok konforlu. Bunu cerrah\u0131n ‘Ben bunu ameliyat edemem y\u00fcksek riskli’ dedi\u011fi hastalarda uyguluyoruz \u015fuan i\u00e7in” dedi.<\/p>\n <\/p>\n <\/p>\n <\/p>\n “D\u00dcNYA L\u0130TERAT\u00dcR\u00dcNDE TAV\u0130’Y\u0130 UYGULADIMIZ EN YA\u015eLI HASTA”\u00a0<\/strong><\/p>\n TAVi y\u00f6nteminin 2009 y\u0131l\u0131ndan beri hastanelerde yayg\u0131n olarak kullan\u0131ld\u0131\u011f\u0131n\u0131 anlatan Timurkaynak, “TAV\u0130 y\u00f6ntemi olmasayd\u0131 bu ya\u015fta insanlar ameliyat olabilir miydi?” \u015feklindeki soru \u00fczerine de, “Ameliyat olamazd\u0131. Cerrah bunu almayacakt\u0131. Y\u00fcksek riskli diyece\u011fi i\u00e7in. Bu hastalar maalesef eskiden \u00f6l\u00fcyorlard\u0131. Bu bir mucizevi y\u00f6ntem asl\u0131nda. Ameliyat edilemiyorlard\u0131. Bu ya\u015fta hastay\u0131 ameliyat edersek masada kal\u0131r’ diyordu cerrah. Bu hastalar ameliyat olmuyordu. \u015eevket M\u00fcft\u00fcgil’in TAV\u0130’yi uygulad\u0131\u011f\u0131m\u0131z en ya\u015fl\u0131 hasta d\u00fcnya literat\u00fcr\u00fcnde” diye cevap verdi.<\/p>\n <\/p>\n <\/p>\n <\/p>\n TAV\u0130 Y\u00d6NTEM\u0130 NED\u0130R?\u00a0<\/strong><\/p>\n \u0130ngilizce ‘Transcatheter aortic velve implantation’un k\u0131salt\u0131lm\u0131\u015fd\u0131r. Kalpte aort kapak darl\u0131\u011f\u0131 olan insanlar\u0131n a\u00e7\u0131k kalp ameliyat\u0131 ile tedavi edilmeleri y\u00fcksek riskli bulundu\u011funda, uygulanmas\u0131 \u00f6nerilen bir giri\u015fimdir. Tercihen kas\u0131k damar\u0131 yoluyla v\u00fccuda girerek yap\u0131l\u0131r. Kas\u0131k damar\u0131 uygun de\u011filse, g\u00f6\u011f\u00fcs duvar\u0131ndan direkt kalbe girerek veya omuz damar\u0131 gibi di\u011fer damarlardan v\u00fccuda girerek yap\u0131l\u0131r. Kas\u0131k damar\u0131ndan yap\u0131ld\u0131\u011f\u0131nda kalp anjiyosu veya balon \/stent i\u015fleminde oldu\u011fu gibi kas\u0131ktan kalbe ula\u015f\u0131p, teller ve balonlar kullan\u0131larak kalp kapa\u011f\u0131 ge\u00e7ilir, \u00f6nce dar kapak geni\u015fletilir, ard\u0131ndan ayn\u0131 sistemle yeni kapak, eski hastal\u0131kl\u0131 kapa\u011f\u0131n i\u00e7ine yerle\u015ftirilir.<\/p>\n","protected":false},"excerpt":{"rendered":" Eski Anayasa Mahkemesi Ba\u015fkan\u0131 \u015eevket M\u00fcft\u00fcgil 96 ya\u015f\u0131nda ameliyat masas\u0131na yatt\u0131. \u015eevket M\u00fcft\u00fcgil’in TAV\u0130 y\u00f6ntemiyle kalp kapak\u00e7\u0131\u011f\u0131 de\u011fi\u015ftirildi. Ameliyat\u0131 ger\u00e7ekle\u015ftiren Prof. Dr. Timur Timurkaynak, \u015eevket M\u00fcft\u00fcgil’in TAV\u0130 y\u00f6ntemiyle kalp kapak\u00e7\u0131\u011f\u0131 de\u011fi\u015ftirilen en ya\u015fl\u0131 hasta olarak d\u00fcnya t\u0131p literat\u00fcr\u00fcne girdi\u011fini s\u00f6yleyerek, “Hastam\u0131z\u0131n ya\u015f\u0131 96 ama kendisi 66 gibi. T\u00fcm organlar\u0131 p\u0131r\u0131l p\u0131r\u0131l. \u0130\u015flemi iki g\u00fcn \u00f6nce […]<\/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":[],"class_list":["post-59648","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/59648","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=59648"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/59648\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}