Ayaz, 2007’de bayg\u0131nl\u0131k ge\u00e7irmesi ve\u00a0kalbinin durmas\u0131 \u00fczerine kald\u0131r\u0131ld\u0131\u011f\u0131 hastanede, do\u011fu\u015ftan gelen, bin ki\u015fiden 1 ila 2’sinde rastlanan, hayat\u0131 tehdit edici ritim bozuklu\u011funa sebep olan Brugada sendromuna sahip oldu\u011funu \u00f6\u011frendi.<\/p>\n
Genetik ge\u00e7i\u015fli ve \u00f6l\u00fcmle sonu\u00e7lanabilen bu hastal\u0131\u011fa \u00e7are olarak Alper Ayaz’a, kalp ritmi d\u00fczensizle\u015fti\u011finde \u015fok vererek ritmin normale d\u00f6nmesini sa\u011flayan, “\u015foklu kalp pili” olarak da adland\u0131r\u0131lan “\u0130mplante Edilebilen Kardiyoverter Defibrilat\u00f6r (ICD)” tak\u0131ld\u0131.<\/p>\n
\u015eok cihaz\u0131 g\u00f6revi g\u00f6ren bu pille ya\u015famaya ba\u015flayan Alper Ayaz, i\u015fteyken, arkada\u015flar\u0131yla vakit ge\u00e7irirken, hatta trafikte ara\u00e7 kullan\u0131rken bir\u00e7ok kez\u00a0kalbinde meydana gelen ciddi ritim bozuklu\u011fu nedeniyle devreye giren ICD’nin verdi\u011fi elektro\u015fokun etkisini ya\u015fad\u0131.<\/p>\n
Ayaz, son aylarda kalp pilinin \u00e7ok s\u0131k \u015foklama yapt\u0131\u011f\u0131 ve kendini g\u00fc\u00e7s\u00fcz hissetti\u011fi i\u00e7in \u0130stanbul’daki Ko\u015fuyolu Y\u00fcksek \u0130htisas E\u011fitim ve Ara\u015ft\u0131rma Hastanesi’ne ba\u015fvurdu. Burada Kardiyoloji Uzman\u0131 Do\u00e7. Dr. Serdar Demir taraf\u0131ndan kontrolleri yap\u0131lan Ayaz’a\u00a0kalbindeki d\u00fczensiz ve anormal ritmi engelleyecek ablasyon tedavisi uyguland\u0131.<\/p>\n
\u00a0<\/p>\n
Anormal kalp ritimlerine yol a\u00e7an k\u00fc\u00e7\u00fck bir kalp dokusuna radyofrekans enerjisi ya da dondurma y\u00f6ntemiyle uygulanan bu minimal invaziv prosed\u00fcr\u00fc sonras\u0131nda Ayaz, art\u0131k\u00a0kalbinin durmad\u0131\u011f\u0131 ve \u015foklanmad\u0131\u011f\u0131 g\u00fcnlere “merhaba” dedi.<\/p>\n
\u00a0<\/p>\n
“S\u00dcREKL\u0130\u00a0KALB\u0130N DURMASINA BA\u011eLI KALP P\u0130L\u0130 DEVREYE G\u0130REREK \u015eOKLADI\u011eI \u0130\u00c7\u0130N HASTALAR C\u0130DD\u0130 ACI H\u0130SSEDEB\u0130L\u0130YOR” <\/strong><\/p>\n Ayaz’\u0131n hastal\u0131\u011f\u0131 ve tedavi s\u00fcreciyle ilgili konu\u015fan Do\u00e7. Dr. Serdar Demir, sendrom nedeniyle hastalar\u0131n\u00a0kalbinde elektriksel \u00fcretimde bir bozukluk meydana geldi\u011fini belirtti.<\/p>\n Do\u00e7. Dr. Demir, 3 farkl\u0131 tipi bulunan ve erkeklerde daha s\u0131k g\u00f6r\u00fclen bu sendromda, genellikle 27 ila 40’l\u0131 ya\u015flarda ani kalp durmalar\u0131na ba\u011fl\u0131, hastalar\u0131n ya\u015fam\u0131n\u0131 yitirdi\u011fini s\u00f6yledi.<\/p>\n Hastalar\u0131n kalp durmas\u0131 \u00f6ncesinde hi\u00e7bir belirtiyle kar\u015f\u0131la\u015fmayabildikleri i\u00e7in tan\u0131 konamad\u0131\u011f\u0131n\u0131, bu nedenle de Brugada’dan \u00f6l\u00fcmlerin s\u0131k ya\u015fand\u0131\u011f\u0131n\u0131 aktaran Demir, ailesinde ani \u00f6l\u00fcm ve bay\u0131lma hikayesi olan hastalarda, \u00f6ncelikli olarak bu sendromun akla gelmesi gerekti\u011fini vurgulad\u0131.<\/p>\n Sendrom tan\u0131s\u0131n\u0131n detayl\u0131 anamnez ve fiziki muayene sonras\u0131nda \u00e7ekilen EKG ile yap\u0131lan genetik analizin sonucuna g\u00f6re konuldu\u011funu anlatan Demir, arada kald\u0131klar\u0131 vakalarda ise farkl\u0131 bir testle tan\u0131y\u0131 kesinle\u015ftirdiklerini dile getirdi.<\/p>\n Do\u00e7. Dr. Serdar Demir, “ventrik\u00fcler fibrilasyon” denilen, ani ve hayat\u0131 tehdit eden ritim bozuklu\u011funa sahip bu hastalar\u0131n\u00a0kalbi\u00a0s\u00fcrekli durdu\u011fu i\u00e7in \u015fok tedavisi uygulayarak ritmin tekrar normale \u00e7evrilmesini sa\u011flayan bir kalp pili tak\u0131ld\u0131\u011f\u0131n\u0131 anlatt\u0131.<\/p>\n Alper Ayaz’da da bulunan \u015fok pilinin hastalar\u0131n ya\u015fama tutunmas\u0131n\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Demir, “Ancak bu tedavi, hastalar\u0131n hayat\u0131n\u0131 kabusa d\u00f6n\u00fc\u015ft\u00fcrebiliyor. \u00c7\u00fcnk\u00fc s\u00fcrekli\u00a0kalbin durmas\u0131na ba\u011fl\u0131 kalp pili devreye girerek \u015foklad\u0131\u011f\u0131 i\u00e7in hastalar \u00e7ok ciddi ac\u0131 hissedebiliyor.” dedi.<\/p>\n Demir, halk aras\u0131nda “\u015foklama” olarak bilinen bu y\u00f6ntemde, defibrilat\u00f6r cihaz\u0131n\u0131n kalp pili \u015feklinde\u00a0kalbin i\u00e7erisindeki iki bo\u015flu\u011fa yerle\u015ftirilerek, elektrik ak\u0131m\u0131 verdi\u011fini aktard\u0131.<\/p>\n \u00a0<\/p>\n “HASTA R\u0130T\u0130M BOZUKLU\u011eU OLMADAN HAYATINI \u0130DAME ETT\u0130REB\u0130L\u0130YOR” <\/strong><\/p>\n Hastas\u0131 Ayaz’a uygulad\u0131klar\u0131 tedaviye ili\u015fkin Demir, “Biz bu hastada, son zamanlarda g\u00fcncel olan ablasyon tedavisini uygun g\u00f6rd\u00fck. Yapt\u0131\u011f\u0131m\u0131z ba\u015far\u0131l\u0131 operasyon sonras\u0131nda hastada uzun s\u00fcreden beri herhangi bir \u015foklama, ciddi bir ritim bozuklu\u011fu olmuyor. Hasta herhangi bir aktivitesi s\u0131ras\u0131nda ritim bozuklu\u011fu olmadan hayat\u0131n\u0131 idame ettirebiliyor.\u00a0Kalbi\u00a0durmuyor, pili gereksiz yere \u015foklam\u0131yor.” bilgisini verdi.<\/p>\n Do\u00e7. Dr. Serdar Demir, ablasyon y\u00f6nteminin son birka\u00e7 y\u0131ld\u0131r olduk\u00e7a g\u00fcndeme gelmeye ba\u015flad\u0131\u011f\u0131n\u0131, T\u00fcrkiye’de de birka\u00e7 merkezde ba\u015far\u0131l\u0131 \u015fekilde uyguland\u0131\u011f\u0131n\u0131 aktard\u0131.<\/p>\n Y\u00f6ntemi uygulamadan \u00f6nce\u00a0kalbin hem i\u00e7inden hem d\u0131\u015f\u0131ndan 3 boyutlu haritas\u0131n\u0131n \u00e7\u0131kar\u0131ld\u0131\u011f\u0131n\u0131 ve elektriksel aktivite bozuklu\u011funa neden olan b\u00f6lgelerin tespit edildi\u011fini anlatan Demir, “Alper Bey’de biz buralar\u0131 tespit ettik. Verdi\u011fimiz radyofrekans ablasyon y\u00f6ntemi sonras\u0131 bu elektriksel anormal aktiviteleri yakarak tamamen ortadan kald\u0131rd\u0131k. Damardan verdi\u011fimiz ila\u00e7larla anormal aktivitelerin bir daha tekrarlamad\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcnce i\u015flemimizin ba\u015far\u0131l\u0131 oldu\u011funu kabul ederek, sonland\u0131rd\u0131k.” diye konu\u015ftu.<\/p>\n Demir, Ayaz’\u0131n kalp pilinin de hala durdu\u011funu \u00e7\u00fcnk\u00fc g\u00fcncel tedavi k\u0131lavuzuna g\u00f6re kalp pilinin \u00e7\u0131kar\u0131lmas\u0131n\u0131n s\u00f6z konusu olmad\u0131\u011f\u0131n\u0131, ileriki d\u00f6nemlerde ablasyonun birincil basamak tedavi olmas\u0131 halinde pil ihtiyac\u0131n\u0131n kalmayabilece\u011fini kaydetti.<\/p>\n \u00a0<\/p>\n HERHANG\u0130 B\u0130R ANDA KALP P\u0130L\u0130 \u015eOKLAMASI YA\u015eAYAB\u0130L\u0130YORDU <\/strong><\/p>\n Alper Ayaz da, 17 y\u0131l \u00f6nce Trabzon’dayken aniden bay\u0131ld\u0131\u011f\u0131 i\u00e7in kald\u0131r\u0131ld\u0131\u011f\u0131 hastanede rahats\u0131zl\u0131\u011f\u0131n\u0131n te\u015fhis edilemedi\u011fini, ard\u0131ndan \u0130stanbul \u00dcniversitesi \u0130stanbul T\u0131p Fak\u00fcltesine sevk edildi\u011fini ve burada Brugada sendromu tan\u0131s\u0131 ald\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n Doktorlar\u0131n kendisine kalp pili tak\u0131lmas\u0131na karar verdi\u011fini aktaran Ayaz, pil tak\u0131ld\u0131ktan sonra \u015foklama an\u0131nda ya\u015fad\u0131klar\u0131na de\u011finerek, “Bir anda gelebiliyor, (\u015foklaman\u0131n) geldi\u011fini ortalama 3-4 saniye \u00f6nceden anl\u0131yorum. Mesela ara\u00e7 kullan\u0131rken, yolculuk yaparken veya ba\u015fka bir ara\u00e7ta yan koltukta otururken b\u00f6yle bir tehlikeye maruz kalabiliyorum. Arkada\u015flar\u0131mla yemek yerken, sohbet esnas\u0131nda bir anda kas\u0131lma oluyor ama bu 3-4 saniye s\u00fcr\u00fcyor. Kalp duruyor, pil devreye giriyor.” diye konu\u015ftu.<\/p>\n \u00a0<\/p>\n KALP P\u0130L\u0130 1 G\u00dcNDE 12 KEZ \u015eOKLADI <\/strong><\/p>\n Ayaz, ritim bozuklu\u011fu nedeniyle ge\u00e7mi\u015fte\u00a0kalbinde birka\u00e7 kez a\u011f\u0131r \u015foklamalar da ya\u015fad\u0131\u011f\u0131n\u0131 belirterek, o anlar\u0131 \u015f\u00f6yle anlatt\u0131:<\/strong><\/em><\/p>\n “Bazen ritim d\u00fczene girmedi\u011finde kalp \u00e7\u0131ld\u0131r\u0131rcas\u0131na at\u0131yor, pil hemen devreye giriyor. Bir g\u00fcnde 12 \u015fok ald\u0131\u011f\u0131m\u0131 hat\u0131rl\u0131yorum. Sonras\u0131nda acile gittim, nabz\u0131m \u00e7ok y\u00fcksekti, hemen hastaneye yat\u0131rd\u0131lar. Yine a\u011f\u0131r olarak 6-7 \u015fok ald\u0131m. Bir de bu ablasyon i\u015flemini yapt\u0131rmadan \u00f6nce evdeyken 7-8 \u015fok birden ald\u0131m. Bu durumun zaten normal olmad\u0131\u011f\u0131n\u0131 kendim anlayabiliyordum \u00e7\u00fcnk\u00fc 1 ya da 2 \u015fokla v\u00fccudun d\u00fczene girmesi laz\u0131m. 1-2 \u015fok yap\u0131ld\u0131\u011f\u0131 zaman ortalama 4 ila 7 ay aras\u0131nda v\u00fccut \u015fok almaz. \u00c7ok y\u00fcksek \u015fok ald\u0131\u011f\u0131m i\u00e7in en son ya\u015fad\u0131\u011f\u0131m \u015fok 9 ay sonra oldu. 9 ay\u0131n \u00fczerine Ko\u015fuyolu’na geldim. \u00c7ok a\u011f\u0131r \u015foklar al\u0131nca art\u0131k v\u00fccudum halsizle\u015fti, v\u00fccudumu ta\u015f\u0131yam\u0131yordum \u00e7\u00fcnk\u00fc elektrik veriyor bana do\u011fal olarak.”<\/p>\n Ablasyon i\u015flemini buraya ba\u015fvurdu\u011funda tesad\u00fcfen \u00f6\u011frendi\u011fini belirten Ayaz, “Hocam\u0131z, ‘Yakaca\u011f\u0131z.’ dedi. Ben de ‘Yakacaks\u0131n\u0131z ama finalinde ne oluyor?’ dedim. ‘\u015eoklama olmayacak.’ dedi. ‘Ne kadar b\u00fcy\u00fck bulu\u015f, acaba ger\u00e7ek mi?’ dedim \u00e7\u00fcnk\u00fc insan ya\u015fad\u0131klar\u0131ndan dolay\u0131 ilk ba\u015fta inanam\u0131yor. Ablasyon bu konuda muhte\u015fem bir bulu\u015f gibi g\u00f6r\u00fcn\u00fcyor. Herhangi bir olumsuzlukla \u015fu ana kadar kar\u015f\u0131la\u015fmad\u0131m.” diye konu\u015ftu.<\/p>\n \u00a0<\/p>\n \u00a0“ABLASYONLA O G\u00dcNLER\u0130 GER\u0130DE BIRAKACA\u011eIM” <\/strong><\/p>\n Alper Ayaz, “2007’den beri ortalama 150 kez \u015fok alm\u0131\u015f\u0131md\u0131r. Dedi\u011fim gibi ablasyonla in\u015fallah o g\u00fcnleri geride b\u0131rakaca\u011f\u0131m, daha g\u00fczel g\u00fcnlere eri\u015fece\u011fim.” dedi.<\/p>\n Ailesinde de kalp rahats\u0131zl\u0131klar\u0131n\u0131n oldu\u011funu, iki amcas\u0131n\u0131n kalp krizi nedeniyle vefat etti\u011fini, babas\u0131na stent tak\u0131ld\u0131\u011f\u0131n\u0131, annesinin aort damar\u0131n\u0131n y\u0131rt\u0131ld\u0131\u011f\u0131n\u0131 anlatan Ayaz, kalp ile ilgili rahats\u0131zl\u0131klar\u0131n ailesinde genetik oldu\u011funu s\u00f6yledi.<\/p>\n Uygulanan i\u015flemden \u00e7ok memnun oldu\u011funu vurgulayan Ayaz, bu durumu ya\u015fayan birinin ablasyon yapt\u0131rmaktan \u00e7ekinmemesini \u00f6nerdi.<\/p>\n\n <\/p>\n Kaynak :\u00a0http:\/\/www.milliyet.com.tr\/gundem\/17-yilda-150-kez-kalbi-durdu-geldigini-3-4-saniye-onceden-anliyorum-7149811<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" 37 ya\u015f\u0131ndaki Alper Ayaz, ciddi ritim bozuklu\u011funa yol a\u00e7arak\u00a0kalbi\u00a0aniden durduran “Brugada sendromu” nedeniyle 17 y\u0131lda 150 kez\u00a0kalbi\u00a0durdu.<\/p>\n","protected":false},"author":1,"featured_media":88132,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[5577,2211,356,5576,5575],"class_list":["post-88131","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel","tag-ablasyon","tag-demir","tag-hasta","tag-kalp-pili","tag-sok"],"_links":{"self":[{"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts\/88131","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=88131"}],"version-history":[{"count":1,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts\/88131\/revisions"}],"predecessor-version":[{"id":88133,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/posts\/88131\/revisions\/88133"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/media\/88132"}],"wp:attachment":[{"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/media?parent=88131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/categories?post=88131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kamucalisani.net\/index.php\/wp-json\/wp\/v2\/tags?post=88131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}