Bing\u00f6l’de ya\u015fayan, KOAH hastas\u0131 da olan 4 \u00e7ocuk babas\u0131 65 ya\u015f\u0131ndaki Selim Tokay’a, 15 g\u00fcn \u00f6nce g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ve solunum \u015fikayetiyle gitti\u011fi Bing\u00f6l Devlet Hastanesinde, kalp krizi te\u015fhisi konularak m\u00fcdahale edildi.<\/p>\n
Ge\u00e7irdi\u011fi kriz nedeniyle kalp duvar\u0131nda y\u0131rt\u0131k tespit eden ve ambulansla acil a\u00e7\u0131k kalp ameliyat\u0131 i\u00e7in Erzurum Atat\u00fcrk \u00dcniversitesi Ara\u015ft\u0131rma Hastanesi kalp damar cerrahi klini\u011fine sevk edilen Tokay, kalpteki y\u0131rt\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcnden dolay\u0131 a\u00e7\u0131k ameliyat\u0131n \u00e7ok riskli olmas\u0131 nedeniyle T\u0131p Fak\u00fcltesi Kardiyoloji Ana Bilim Dal\u0131ndan Do\u00e7. Dr. G\u00f6khan Ceyhun’a y\u00f6nlendirildi.<\/p>\n
Ceyhun da hastan\u0131n b\u00f6brek, karaci\u011fer ve akci\u011fer de\u011ferlerinde bozulmalar meydana geldi\u011fini, yap\u0131lacak m\u00fcdahalenin \u00e7ok riskli oldu\u011funu, m\u00fcdahale edilmedi\u011finde ise bu durumun birka\u00e7 g\u00fcn i\u00e7erisinde \u00f6l\u00fcmle sonu\u00e7lanabilece\u011fi bilgisini hasta ve yak\u0131nlar\u0131yla payla\u015ft\u0131.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/9c85db40-ef31-40fe-a989-05c7e506d5d0\/11_2023%2F12112023%2Fkalp1_.jpg\"\/)
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Hasta ve yak\u0131nlar\u0131n\u0131n riskleri kabul etmesi \u00fczerine Ceyhun ve ekibince operasyona al\u0131nan Tokay, doktorlar\u0131n risk alarak do\u011fu\u015ftan kalbi delik hastalara uygulanan kapatma y\u00f6ntemine benzer teknik ile kalp y\u0131rt\u0131\u011f\u0131 b\u00f6lgesine m\u00fcdahalesiyle hayata tutundu.<\/p>\n
Doktorlar ba\u015far\u0131yla uygulad\u0131klar\u0131 bu y\u00f6ntemin literat\u00fcre ge\u00e7mesi i\u00e7in giri\u015fimlerde bulundu.<\/p>\n
Avrupa ve Amerika’daki vakalar incelenerek hastaya m\u00fcdahale edildi<\/h3>\n
Do\u00e7. Dr. Ceyhun, AA muhabirine, kalp krizi ge\u00e7iren hastan\u0131n kalp damarlar\u0131na Bing\u00f6l’de ba\u015far\u0131l\u0131 \u015fekilde m\u00fcdahale edildi\u011fini ancak kalp krizine ba\u011fl\u0131 kalp duvar\u0131nda y\u0131rt\u0131k meydana geldi\u011fini s\u00f6yledi.<\/p>\n
Hastaya literat\u00fcrdeki k\u0131s\u0131tl\u0131 vaka serilerinin verdi\u011fi bilgi e\u015fli\u011finde anjiyografi olarak giri\u015fim planlad\u0131klar\u0131n\u0131 aktaran Ceyhun, “Kalp duvar\u0131ndaki y\u0131rt\u0131k \u00f6l\u00fcmc\u00fcl bir durum, m\u00fcdahale edilmedi\u011fi takdirde 1 ay i\u00e7inde \u00f6l\u00fcm oran\u0131 y\u00fczde 90’lara ula\u015f\u0131yor. Literat\u00fcr\u00fc ara\u015ft\u0131rd\u0131\u011f\u0131m\u0131zda, benzer Avrupa’da 25, Amerika’da 30 yap\u0131lm\u0131\u015f vakay\u0131 inceleyip bu vakalar\u0131n nas\u0131l yap\u0131ld\u0131\u011f\u0131n\u0131 de\u011ferlendirerek hastam\u0131za m\u00fcdahale ettik. Yakla\u015f\u0131k 3 saatlik operasyonda do\u011fu\u015ftan kalp deli\u011fi hastalar\u0131na uygulanan kapatma aparat\u0131n\u0131, hasta \u00f6zelinde modifiye ederek uygulad\u0131k ve kalp y\u0131rt\u0131\u011f\u0131 ba\u015far\u0131l\u0131 \u015fekilde kapat\u0131ld\u0131.” dedi.<\/p>\n
Ceyhun, operasyondan yakla\u015f\u0131k 14 g\u00fcn sonra laboratuvar parametreleri ve klinik tablosu tamamen normale d\u00f6nen Tokay’\u0131 taburcu etmenin mutlulu\u011funu ya\u015fad\u0131klar\u0131n\u0131 belirtti.<\/p>\n
“Bu vakay\u0131 uluslararas\u0131 literat\u00fcrde yay\u0131nlayaca\u011f\u0131z”<\/h3>\n
Uygulad\u0131klar\u0131 bu y\u00f6ntemin t\u0131p d\u00fcnyas\u0131na adeta \u0131\u015f\u0131k tutaca\u011f\u0131n\u0131 dile getiren Ceyhun, “Bu vakay\u0131 uluslararas\u0131 literat\u00fcrde yay\u0131nlayaca\u011f\u0131z. Bizim vakam\u0131za benzer t\u00fcm d\u00fcnyada k\u0131s\u0131tl\u0131 vaka serileri var, bunlar\u0131n y\u00fczde 50’den daha az\u0131 ba\u015far\u0131l\u0131 sonu\u00e7lanm\u0131\u015f. Bizim vakam\u0131z \u00e7ok \u015f\u00fck\u00fcr ba\u015far\u0131l\u0131 sonu\u00e7land\u0131.” diye konu\u015ftu.<\/p>\n
Ceyhun, kalp y\u0131rt\u0131klar\u0131nda kullan\u0131lmak i\u00e7in \u00fcretilen t\u0131bbi teknolojik cihaz hen\u00fcz bulunmad\u0131\u011f\u0131n\u0131 ifade ederek, operasyonda kalbin i\u00e7erisine yerle\u015ftirilen ge\u00e7ici kalp pili ve yemek borusuna yerle\u015ftirilen ultrason e\u015fli\u011findeki g\u00f6r\u00fcnt\u00fclerle y\u0131rt\u0131k b\u00f6lgeye m\u00fcdahale ettiklerini anlatt\u0131.<\/p>\n
Bu vakalarla s\u0131k kar\u015f\u0131la\u015f\u0131lmad\u0131\u011f\u0131na dikkati \u00e7eken Ceyhun, \u015funlar\u0131 kaydetti:<\/p>\n
“Bu tarz hastalar genelde kaderine terk ediliyor ve \u00e7o\u011fu vefat ediyor ama biz bu tekni\u011fi ba\u015far\u0131l\u0131 \u015fekilde uygulay\u0131p hastam\u0131z\u0131n sa\u011fl\u0131\u011f\u0131na vesile olduk. Bundan sonra b\u00f6yle vakalar ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda literat\u00fcrde bizim de pay\u0131m\u0131z olacak. Yap\u0131lan \u00f6nceki vakalara bakt\u0131\u011f\u0131m\u0131zda T\u00fcrkiye’de kar\u015f\u0131m\u0131za \u00e7\u0131kan literat\u00fcr verisi yok ve denenen hastalar\u0131n \u00e7o\u011fu vefatla sonu\u00e7lanm\u0131\u015f. Avrupa’da 25 vakadan 16’s\u0131, ABD’de ise 30 vakadan y\u00fczde 30’u vefat etmi\u015f. Bizim vakam\u0131z y\u0131rt\u0131\u011f\u0131n anatomik yeri dikkate al\u0131nd\u0131\u011f\u0131nda \u00fclkemizde bildi\u011fimiz kadar\u0131yla ba\u015far\u0131l\u0131 \u015fekilde kapat\u0131lan ilk vakalardan.”<\/p>\n
Hasta Selim Tokay da Do\u00e7. Dr. Ceyhun’a te\u015fekk\u00fcr ederek, “\u00c7ok mutluyum, G\u00f6khan hocamdan Allah raz\u0131 olsun, Allah’a binlerce \u015f\u00fck\u00fcrler olsun hayata bir daha d\u00f6nd\u00fck.” dedi.<\/p>\n
“Babam\u0131z\u0131 hayata tutundurdu”<\/h3>\n
Hastan\u0131n o\u011flu Mehmet Tokay da Erzurum’a ambulansla geldiklerinde babas\u0131n\u0131n \u00e7ok k\u00f6t\u00fc durumda oldu\u011funu belirtti.<\/p>\n
Ceyhun ve ekibine te\u015fekk\u00fcr eden Tokay, “Hocam, ameliyat\u0131n risklerini anlatt\u0131, ufak bir umut da olsa babam\u0131za m\u00fcdahale etmek istediklerini s\u00f6yledi. Biz de g\u00fcvendik ve kabul ettik. Babam\u0131z\u0131 hayata tutundurdu, bizi umutland\u0131rd\u0131lar. Doktorlar\u0131m\u0131z ve hastane personelinden Allah raz\u0131 olsun. \u00c7ok duygu doluyum.” ifadelerini kulland\u0131.<\/p>\n