Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 resmi sosyal medya hesab\u0131ndan inme ile ilgili detaylar\u0131 payla\u015ft\u0131. \u0130nmenin, aniden geli\u015fen ve h\u0131zl\u0131 m\u00fcdahale gerektiren t\u0131bbi bir acil durum oldu\u011fu belirtildi. \u0130\u015fte Bakanl\u0131\u011f\u0131n o payla\u015f\u0131m\u0131;<\/p>\n
Uzmanlar, inmenin beyin damarlar\u0131n\u0131n t\u0131kanmas\u0131 veya y\u0131rt\u0131lmas\u0131 sonucu ortaya \u00e7\u0131kan acil bir durum oldu\u011funu belirterek, erken m\u00fcdahale ve rehabilitasyonun kal\u0131c\u0131 hasar riskini b\u00fcy\u00fck \u00f6l\u00e7\u00fcde azaltt\u0131\u011f\u0131n\u0131 bildirdi.<\/p>\n
Kanuni Sultan S\u00fcleyman E\u011fitim ve Ara\u015ft\u0131rma Hastanesi N\u00f6roloji Klini\u011finden Do\u00e7. Dr. Mehmet Demir, 29 Ekim D\u00fcnya \u0130nme G\u00fcn\u00fc dolay\u0131s\u0131yla AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, inmenin, beyin damarlar\u0131n\u0131n t\u0131kanmas\u0131 veya y\u0131rt\u0131lmas\u0131 sonucu ortaya \u00e7\u0131kan ani bir beyin hasar\u0131 oldu\u011funu s\u00f6yledi.<\/p>\n
\u0130nme s\u0131ras\u0131nda beyne giden kan ak\u0131m\u0131 ne kadar uzun s\u00fcre kesilirse, kal\u0131c\u0131 hasar ve sakatl\u0131k riskinin o kadar artt\u0131\u011f\u0131n\u0131 belirten Demir, “\u0130nme, kalp krizi kadar acil bir durumdur ve halk aras\u0131nda ‘beyin krizi’ olarak da adland\u0131r\u0131l\u0131r. \u0130lk 4,5 saat i\u00e7inde gelen uygun hastalara damar i\u00e7i p\u0131ht\u0131 \u00e7\u00f6z\u00fcc\u00fc tedavi uygulanabiliyor. \u0130lk 6 saate kadar, baz\u0131 durumlarda 24 saate kadar mekanik trombektomi yap\u0131labiliyor.” dedi.<\/p>\n
Demir, ancak ge\u00e7 kalman\u0131n bu tedavi \u015fans\u0131n\u0131 ortadan kald\u0131rd\u0131\u011f\u0131n\u0131 ve kal\u0131c\u0131 fel\u00e7 riskini art\u0131rd\u0131\u011f\u0131n\u0131 kaydederek, “Belirtiler ba\u015flad\u0131\u011f\u0131nda, yani y\u00fczde e\u011filme, konu\u015fma bozuklu\u011fu, kolda veya bacakta g\u00fc\u00e7s\u00fczl\u00fck fark edildi\u011finde vakit kaybetmeden 112 aranmal\u0131 ve hasta en yak\u0131n inme merkezine ula\u015ft\u0131r\u0131lmal\u0131d\u0131r. Beklenen her dakika, geri d\u00f6n\u00fc\u015fs\u00fcz beyin h\u00fccresi kayb\u0131 anlam\u0131na gelir.” diye konu\u015ftu.<\/p>\n
Toplumda inme fark\u0131ndal\u0131\u011f\u0131n\u0131 art\u0131rmak i\u00e7in uygulanan FAST testinin hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 aktaran Demir, “FAST testi, \u00f6\u011fretmenlerden aile bireylerine, i\u015f yerindeki ilk yard\u0131m ekiplerine kadar herkesin kolayl\u0131kla uygulayabilece\u011fi bir y\u00f6ntemdir. Bu fark\u0131ndal\u0131k her y\u0131l binlerce ki\u015finin hayat\u0131n\u0131 kurtarabilir.” ifadelerini kulland\u0131.<\/p>\n
“YA\u015e \u0130LERLED\u0130K\u00c7E DAMAR SERTL\u0130\u011e\u0130 VE PIHTILA\u015eMA E\u011e\u0130L\u0130M\u0130 ARTAR”<\/strong><\/p>\n Do\u00e7. Dr. Demir, inmelerin yakla\u015f\u0131k y\u00fczde 80’inin damar t\u0131kan\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 oldu\u011funu belirterek, hipertansiyon, diyabet, kalp hastal\u0131klar\u0131, ritim bozukluklar\u0131, y\u00fcksek kolesterol, sigara kullan\u0131m\u0131 ve obezitenin ba\u015fl\u0131ca risk fakt\u00f6rleri aras\u0131nda yer ald\u0131\u011f\u0131n\u0131 aktard\u0131.<\/p>\n Bu fakt\u00f6rlerin kontrol alt\u0131na al\u0131nmas\u0131n\u0131n inme riskini b\u00fcy\u00fck \u00f6l\u00e7\u00fcde azaltt\u0131\u011f\u0131n\u0131 vurgulayan Demir, “Ayr\u0131ca ya\u015f ilerledik\u00e7e damar sertli\u011fi ve p\u0131ht\u0131la\u015fma e\u011filimi artar. Bu da 60 ya\u015f \u00fczerindeki bireylerde inme riskini y\u00fckseltir. Genetik yatk\u0131nl\u0131k ve stresli ya\u015fam tarz\u0131 da dolayl\u0131 risk unsurlar\u0131 aras\u0131nda yer al\u0131r.” bilgisini payla\u015ft\u0131.<\/p>\n Demir, Kanuni Sultan S\u00fcleyman E\u011fitim ve Ara\u015ft\u0131rma Hastanesinin inme merkezinde, tedavi s\u00fcrecinin acil servisten n\u00f6rolojiye uzanan h\u0131zl\u0131 bir algoritmayla y\u00f6netildi\u011fini belirterek, \u015funlar\u0131 kaydetti:<\/p>\n “Acil serviste inme alarm\u0131 verildi\u011finde, n\u00f6roloji ve radyoloji ekipleri e\u015f zamanl\u0131 olarak bilgilendirilir. Bilgisayarl\u0131 tomografi h\u0131zla \u00e7ekilir, kanama d\u0131\u015flan\u0131r. Uygun hastalarda damar i\u00e7i p\u0131ht\u0131 \u00e7\u00f6z\u00fcc\u00fc tedavi ba\u015flat\u0131l\u0131r, gerekirse anjiyografik trombektomi uygulan\u0131r. Tedavi sonras\u0131 hastalar inme \u00fcnitesi veya yo\u011fun bak\u0131mda izlenir. Bu s\u00fcre\u00e7 hastanemizde 7\/24 i\u015fler durumdad\u0131r.”<\/p>\n “ERKEN REHAB\u0130L\u0130TASYON \u0130Y\u0130LE\u015eMEN\u0130N KAL\u0130TES\u0130N\u0130 BEL\u0130RL\u0130YOR”<\/strong><\/p>\n Hastanenin Fizik Tedavi ve Rehabilitasyon Klini\u011finden Do\u00e7. Dr. \u0130smail Mert Zure ise inme rehabilitasyonuna m\u00fcmk\u00fcn olan en erken d\u00f6nemde, hastan\u0131n t\u0131bbi durumu stabil hale gelir gelmez ba\u015flanmas\u0131 gerekti\u011fini belirtti.<\/p>\n Bu s\u00fcrenin inmenin \u015fiddetine ve hastan\u0131n genel sa\u011fl\u0131k durumuna g\u00f6re de\u011fi\u015fti\u011fini aktaran Zure, “Ancak erken d\u00f6nemde ba\u015flanmas\u0131 kas sertli\u011fi, eklem k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, bas\u0131 yaralar\u0131 ve akci\u011fer enfeksiyonlar\u0131 gibi komplikasyonlar\u0131 \u00f6nler. Erken rehabilitasyon iyile\u015fmenin kalitesini belirliyor.” diye konu\u015ftu.<\/p>\n Zure, beynin yeniden yap\u0131lanma kapasitesinin ilk haftalar ve aylarda en y\u00fcksek seviyede oldu\u011funu vurgulayarak, “Bu d\u00f6nemde yap\u0131lan do\u011fru egzersizler, beynin kaybedilen fonksiyonlar\u0131 ba\u015fka b\u00f6lgeler \u00fczerinden yeniden \u00f6\u011frenmesini sa\u011flar. Bu nedenle erken rehabilitasyon, iyile\u015fmenin kalitesini ve h\u0131z\u0131n\u0131 belirleyen en \u00f6nemli fakt\u00f6rlerden biridir.” de\u011ferlendirmesinde bulundu.<\/p>\n Her hastan\u0131n tedavi plan\u0131n\u0131n ki\u015fiye \u00f6zel olarak haz\u0131rland\u0131\u011f\u0131n\u0131 belirten Zure, “Brunnstrom Evreleme Sistemi, Fonksiyonel Ba\u011f\u0131ms\u0131zl\u0131k \u00d6l\u00e7e\u011fi (FIM) ve Fonksiyonel Ambulasyon Skalas\u0131 (FAS) gibi de\u011ferlendirme ara\u00e7lar\u0131yla hastan\u0131n iyile\u015fme d\u00fczeyini belirliyoruz. Denge testleri ve spastisiteyi \u00f6l\u00e7t\u00fc\u011f\u00fcm\u00fcz \u00e7e\u015fitli \u00f6l\u00e7ekler de hasta takibini standartlara uygun \u015fekilde yapmam\u0131za olanak sa\u011fl\u0131yor.” \u015feklinde konu\u015ftu.<\/p>\n “TEKNOLOJ\u0130N\u0130N GEL\u0130\u015eMES\u0130YLE \u0130NME REHAB\u0130L\u0130TASYONUNDA B\u00dcY\u00dcK B\u0130R D\u00d6N\u00dc\u015e\u00dcM YA\u015eANDI”<\/strong><\/p>\n Zure, inmenin yaln\u0131zca kas g\u00fcc\u00fc kayb\u0131na neden olmad\u0131\u011f\u0131n\u0131; konu\u015fma, yutma, haf\u0131za ve ruhsal durum \u00fczerinde de etkili oldu\u011funu, bu nedenle ba\u015far\u0131l\u0131 bir rehabilitasyonun ancak multidisipliner bir ekip \u00e7al\u0131\u015fmas\u0131yla m\u00fcmk\u00fcn olabilece\u011fini vurgulad\u0131.<\/p>\n Son 10 y\u0131lda teknolojinin geli\u015fmesiyle inme rehabilitasyonunda b\u00fcy\u00fck bir d\u00f6n\u00fc\u015f\u00fcm ya\u015fand\u0131\u011f\u0131n\u0131 aktaran Zure, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n “Robotik y\u00fcr\u00fcme sistemleri, hastalar\u0131n g\u00fcvenli bir ortamda tekrar tekrar y\u00fcr\u00fcme prati\u011fi yapmas\u0131n\u0131 sa\u011fl\u0131yor. Bu, beynin \u00f6\u011frenme kapasitesini art\u0131r\u0131yor. Kol ve eli \u00e7al\u0131\u015ft\u0131ran robotik sistemlerle de \u00fcst ekstremite fonksiyonlar\u0131n\u0131n geri kazan\u0131m\u0131nda olduk\u00e7a iyi sonu\u00e7lar al\u0131yoruz. Sanal ger\u00e7eklik uygulamalar\u0131 da rehabilitasyon s\u00fcrecine motivasyon kazand\u0131r\u0131yor. Hastay\u0131 bir ormanda, deniz kenar\u0131nda veya e\u011flenceli bir oyun ortam\u0131nda hissettiren bu uygulamalar, egzersiz tekrar say\u0131s\u0131n\u0131 art\u0131rarak iyile\u015fmeyi destekliyor.”<\/p>\n Do\u00e7. Dr. Zure, inme rehabilitasyonunun uzun soluklu bir s\u00fcre\u00e7 oldu\u011funu belirterek, rehabilitasyonun ba\u015far\u0131s\u0131nda motivasyon ve aile deste\u011finin en az t\u0131bbi tedavi kadar belirleyici oldu\u011funu s\u00f6zlerine ekledi.<\/p>\n\n <\/p>\n Kaynak :\u00a0http:\/\/www.milliyet.com.tr\/gundem\/saglik-bakanligi-uyardi-iste-inme-belirtileri-ve-yapilmasi-gerekenler-7473581<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" 29 Ekim D\u00fcnya \u0130nme G\u00fcn\u00fc nedeniyle Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 a\u00e7\u0131klamalarda bulundu ve uyar\u0131 yapt\u0131. “\u0130nme, aniden geli\u015fen ve h\u0131zl\u0131 m\u00fcdahale gerektiren t\u0131bbi bir acil durumdur” diyen bakanl\u0131k inme belirtilerini de a\u00e7\u0131klad\u0131.<\/p>\n","protected":false},"author":1,"featured_media":134172,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[2211,87,356,8210,357],"class_list":["post-134171","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel","tag-demir","tag-durum","tag-hasta","tag-inme","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts\/134171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/comments?post=134171"}],"version-history":[{"count":1,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts\/134171\/revisions"}],"predecessor-version":[{"id":134173,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts\/134171\/revisions\/134173"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/media\/134172"}],"wp:attachment":[{"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/media?parent=134171"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/categories?post=134171"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/tags?post=134171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}