<\/p>\n
G\u00f6\u011fs\u00fcn\u00fcn sa\u011f taraf\u0131ndaki a\u011fr\u0131 nedeniyle ba\u015fvurdu\u011fu hastanede kalbi dahil t\u00fcm organlar\u0131n\u0131n ters tarafta oldu\u011funu \u00f6\u011frenen 29 ya\u015f\u0131ndaki Mert Kahraman, hayata tutunmas\u0131n\u0131 sa\u011flayan yapay kalbiyle organ ba\u011f\u0131\u015f\u0131 bekliyor. <\/p>\n
Kahraman, 2017’de g\u00f6\u011fs\u00fcn\u00fcn sa\u011f taraf\u0131nda hissetti\u011fi a\u011fr\u0131 nedeniyle bir hastanenin acil servisine ba\u015fvurdu. A\u011fr\u0131s\u0131n\u0131n neden kaynakland\u0131\u011f\u0131 ilk etapta tespit edilemeyen Kahraman’a detayl\u0131 tahlil ve tetkik yap\u0131larak, tomografi \u00e7ekildi.<\/p>\n
\u0130ncelemeler sonucunda Kahraman’\u0131n, d\u00fcnyada on binde bir g\u00f6r\u00fclen, t\u00fcm organlar\u0131n normal lokalizasyonlar\u0131 yerine ayna g\u00f6r\u00fcnt\u00fcs\u00fcnde oldu\u011fu gibi v\u00fccudun kar\u015f\u0131 taraf\u0131nda yer ald\u0131\u011f\u0131 ve t\u0131pta “situs inversus totalis” olarak adland\u0131r\u0131lan nadir bir hastal\u0131kla d\u00fcnyaya geldi\u011fi anla\u015f\u0131ld\u0131.<\/p>\n
Kalbi de sa\u011fda oldu\u011fu i\u00e7in kriz ge\u00e7irdi\u011fi 9 saatin sonunda tespit edilen Kahraman, 23 ya\u015f\u0131na kadar herhangi bir sa\u011fl\u0131k sorunu ya\u015famad\u0131\u011f\u0131 ve organlar\u0131n\u0131n terste oldu\u011funu bilmedi\u011fi hayat\u0131nda bir de kalp yetmezli\u011fiyle kar\u015f\u0131 kar\u015f\u0131ya kald\u0131.<\/p>\n
Mert Kahraman, acil t\u0131bbi m\u00fcdahale gerekti\u011finde bilinmesi i\u00e7in bu durumun t\u0131ptaki ad\u0131n\u0131 g\u00f6\u011fs\u00fcn\u00fcn sol taraf\u0131na d\u00f6vmeyle yazd\u0131rd\u0131.<\/p>\n
Bu arada, kalp yetmezli\u011finden dolay\u0131 y\u0131llar i\u00e7erisinde solunum s\u0131k\u0131nt\u0131s\u0131 artan ve kalp a\u011fr\u0131lar\u0131 s\u0131kla\u015fan Kahraman, tedavi i\u00e7in Ko\u015fuyolu Y\u00fcksek \u0130htisas E\u011fitim ve Ara\u015ft\u0131rma Hastanesi’ne ba\u015fvurdu.<\/p>\n
Buradaki doktorlar, kalp nakli olmas\u0131 gereken Kahraman’a uygun don\u00f6r bulununcaya kadar kalbin kan pompalama g\u00f6revini \u00fcstlenen “yapay kalp” cihaz\u0131 (ventrik\u00fcler destek cihaz\u0131) tak\u0131lmas\u0131na karar verildi.<\/p>\n
Ameliyatla yapay kalp cihaz\u0131 tak\u0131lan gen\u00e7 hasta, “ger\u00e7ek kalbine” kavu\u015faca\u011f\u0131 g\u00fcn\u00fc bekliyor.<\/p>\n
Kahraman’\u0131n tedavi s\u00fcrecini y\u00fcr\u00fcten ekipte g\u00f6rev alan Kalp ve Damar Cerrahisi Uzman\u0131 Dr. Hakan Han\u00e7er, AA muhabirine, sa\u011f g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131yla 2017’de bir sa\u011fl\u0131k kurulu\u015funa ba\u015fvuran hastan\u0131n tetkiklerinde t\u00fcm organlar\u0131n\u0131n “ayna g\u00f6r\u00fcnt\u00fcs\u00fc” \u015feklinde, 180 derece ters d\u00f6nm\u00fc\u015f oldu\u011funun tespit edildi\u011fini aktard\u0131.<\/p>\n
Kalbinin de sa\u011fda oldu\u011fu belirlenen Kahraman’a situs inversus totalis tan\u0131s\u0131 konuldu\u011funu anlatan Han\u00e7er, a\u011fr\u0131n\u0131n kalp krizinden kaynakland\u0131\u011f\u0131n\u0131n anla\u015f\u0131lmas\u0131 \u00fczerine kendisine stent tak\u0131ld\u0131\u011f\u0131n\u0131 dile getirdi.<\/p>\n
Uzm. Dr. Han\u00e7er, ilerleyen s\u00fcre\u00e7te kalp yetmezli\u011fi tan\u0131s\u0131 konan Mert Kahraman’\u0131n zamanla \u015fikayetlerinin artt\u0131\u011f\u0131n\u0131 ve ya\u015f\u0131 gen\u00e7 oldu\u011fu i\u00e7in kalp nakli olmas\u0131 gerekti\u011fine karar verildi\u011fini belirterek, “Dekstrokardik (kalbin sa\u011fda olmas\u0131) bir hastada her ne kadar zor bir ameliyat olsa da olas\u0131 bir kalp nakli ameliyat\u0131 i\u00e7in bekleme listesine al\u0131yoruz. Ancak belirgin derecede, \u00f6zellikle son 2-3 ayd\u0131r \u015fikayetlerinin artmas\u0131 \u00fczerine hastaya ‘Sol Ventrik\u00fcl Mekanik Destek Cihaz\u0131’n\u0131n (yapay kalp cihaz\u0131) implantasyonu yapabilir miyiz?’ diye de\u011ferlendirdik ve yapay kalp cihaz\u0131n\u0131 dekstrokardik bir hastaya ba\u015far\u0131l\u0131 \u015fekilde implant ettik.” ifadelerini kulland\u0131.<\/p>\n
Bu hasta \u00f6zelinde solda olmas\u0131 gereken organlar\u0131n sa\u011fda olmas\u0131nda i\u015flevsel bir s\u0131k\u0131nt\u0131 olmad\u0131\u011f\u0131n\u0131 \u00e7\u00fcnk\u00fc organlar\u0131n g\u00f6revlerini yapmaya devam etti\u011fini s\u00f6yleyen Han\u00e7er, hastaya tomografi ya da film \u00e7ekilmedi\u011fi s\u00fcrece bu durumun tespit edilemeyece\u011fini bildirdi.<\/p>\n
Uzm. Dr. Hakan Han\u00e7er, Ko\u015fuyolu Y\u00fcksek \u0130htisas E\u011fitim ve Ara\u015ft\u0131rma Hastanesi’nde bu tan\u0131da olan bir hastaya ilk kez yapay kalp cihaz\u0131 ameliyat\u0131 yapt\u0131klar\u0131n\u0131 anlatt\u0131.<\/p>\n
Hastal\u0131\u011f\u0131n d\u00fcnyada g\u00f6r\u00fclme oran\u0131na ili\u015fkin de bilgi veren Han\u00e7er, “Literat\u00fcre bakt\u0131\u011f\u0131n\u0131zda situs inversus totalis on binde bir g\u00f6r\u00fcn\u00fcyor. (D\u00fcnyada) Literat\u00fcrde kalbi sa\u011f tarafta olup kalp cihaz\u0131 yerle\u015ftirilen 10 civar\u0131nda bildiri var. T\u00fcrkiye’de benim bildi\u011fim tek. Onun d\u0131\u015f\u0131nda 2023’te bu son teknoloji cihaz\u0131n yerle\u015ftirildi\u011fi d\u00fcnyada da ikinci hasta oldu.” ifadesini kulland\u0131.<\/p>\n
Han\u00e7er, yapay kalp cihaz\u0131 takt\u0131klar\u0131 Mert Kahraman’\u0131n taburcu edildikten sonra normal hayat\u0131na d\u00f6nebilece\u011fini belirterek, hastaya kalp nakli zor olsa da bunun imkans\u0131z olmad\u0131\u011f\u0131n\u0131, kendisini de bu konuda bilgilendirdiklerini, anatomik olarak uygun bir kalp don\u00f6r\u00fc bulunursa nakli ger\u00e7ekle\u015ftireceklerini s\u00f6zlerine ekledi.<\/p>\n
Mert Kahraman da y\u0131llar \u00f6nce sa\u011f g\u00f6\u011fs\u00fcn\u00fcn a\u011fr\u0131mas\u0131 nedeniyle ba\u015fvurdu\u011fu bir hastanede, i\u00e7 organlar\u0131n\u0131n ters oldu\u011funu \u00f6\u011frendi\u011fini belirterek, kalp krizi ge\u00e7irdi\u011finin de 9 saat sonunda anla\u015f\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Kalp krizi ge\u00e7irene kadar herhangi bir sa\u011fl\u0131k sorunu ya\u015famad\u0131\u011f\u0131na dikkati \u00e7eken Kahraman, “Bu s\u00fcre zarf\u0131nda hi\u00e7bir \u015fekilde rahats\u0131zlanmad\u0131m. Hi\u00e7bir \u015fekilde r\u00f6ntgen, tomografi ya da elektrokardiyografi (EKG) \u00e7ektirmemi gerektiren bir hastal\u0131\u011f\u0131m olmad\u0131. \u0130\u00e7 organlar\u0131m\u0131n ters olu\u015fu hayat\u0131mda herhangi bir problem sergilemedi. Ters oldu\u011funu \u00f6\u011frendi\u011fimde \u015fok oldum. B\u00f6yle bir \u015fey oldu\u011funu bile bilmiyordum.” diye konu\u015ftu.<\/p>\n
Kahraman, hastal\u0131\u011f\u0131 \u00e7ok fazla insanda g\u00f6r\u00fclmedi\u011fi i\u00e7in bu durumun kendisini farkl\u0131 hissettirdi\u011fini dile getirerek, tan\u0131 konulmadan \u00f6nce ko\u015ftu\u011funda ya da heyecanland\u0131\u011f\u0131nda kalbinin sa\u011fda att\u0131\u011f\u0131n\u0131 hi\u00e7 hissetmedi\u011fini, b\u00f6yle anlarda kalbine dokundu\u011funda \u00e7arp\u0131nt\u0131n\u0131n sa\u011f tarafa yans\u0131d\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fc i\u00e7in b\u00f6yle bir rahats\u0131zl\u0131\u011f\u0131 olaca\u011f\u0131n\u0131n akl\u0131na gelmedi\u011fini s\u00f6zlerine ekledi.<\/p>\n