Ba\u015fkent \u00dcniversitesi T\u0131p Fak\u00fcltesi Kalp ve Damar Cerrahisi \u00d6\u011fretim \u00dcyesi Hakk\u0131 TankutAkay, 24. ASVS Kongresi i\u00e7in geldi\u011fi Antalya’da, AA muhabirine, \u015fah damar\u0131n (karotis) boyun b\u00f6lgesinin sa\u011f\u0131ndan ve solundan beyne oksijen ta\u015f\u0131yan iki ana damar oldu\u011funu s\u00f6yledi.<\/p>\n
T\u00fcrkiye’de \u015fah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktaran Akay, \u015funlar\u0131 kaydetti:<\/p>\n
“\u015eah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131 son derece \u00f6nemli bir hastal\u0131k. Bu damar\u0131n belli bir dereceye kadar daralmas\u0131 ya da t\u0131kanmas\u0131 durumunda inme yani fel\u00e7 kar\u015f\u0131m\u0131za \u00e7\u0131kar. Yayg\u0131n kalp ya da bacak damarlar\u0131m\u0131z\u0131 t\u0131kayan her sebep, boyun damarlar\u0131m\u0131z\u0131 da t\u0131kayabilir. Kolesterol y\u00fcksekli\u011fi, hipertansiyon, sigara i\u00e7mek, genetik yatk\u0131nl\u0131k, beslenme bozukluklar\u0131, hareketsiz ya\u015fam tarz\u0131 \u015fah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131na neden olabiliyor. Bu hastal\u0131\u011f\u0131n belirtileri g\u00f6ze perde inmesi, g\u00f6rme kayb\u0131, elde, kolda ya da bacakta tutmama, fel\u00e7 olma, uyu\u015fma, kar\u0131ncalanma, y\u00fcz felci, dilimizin bir tarafa do\u011fru \u00e7ekmesidir.”<\/p>\n
Ailesinde damar t\u0131kan\u0131kl\u0131\u011f\u0131 olanlar\u0131n dikkatli olmas\u0131n\u0131 isteyen Akay, \u00f6zellikle 50 ya\u015f\u0131ndan sonra kalp ve damar cerrah\u0131na giderek d\u00fczenli damar kontrol\u00fc yapt\u0131rmak gerekti\u011fini ifade etti.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/c9f1ae26-3cf3-4ab4-9d72-230dedd01a4c\/20231202_2_61511659_95514628.jpg\"\/)
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Ultrasonla tarama yaparak, damarda ne kadar darl\u0131k oldu\u011funu tespit edebildiklerini aktaran Akay, \u015f\u00f6yle konu\u015ftu:<\/p>\n
“Rutin kontroller \u00e7ok \u00f6nemli. MR anjiyo ya da BT anjiyo dedi\u011fimiz y\u00f6ntemlerle darl\u0131\u011f\u0131n yerini tespit edip, tan\u0131s\u0131n\u0131 koyup, tedavisini yapabiliyoruz. Arkas\u0131ndan da tedaviye ba\u015fl\u0131yoruz. Tedaviyi \u00fc\u00e7 a\u015famada uygulayabiliyoruz. T\u0131bbi tedavide, kan bas\u0131nc\u0131n\u0131n ve kan ya\u011flar\u0131n\u0131n kontrol\u00fcn\u00fcn yap\u0131lmas\u0131, y\u00fcksek kan \u015fekerinin engellenmesi ve kan suland\u0131r\u0131c\u0131 ila\u00e7lar, radyasyon tedavisi. Darl\u0131k belli bir dereceye ula\u015fm\u0131\u015fsa da ameliyat ediyoruz. Ameliyat edilemedi\u011fi durumlarda stent koyuyoruz. Ba\u015f boyun kanseri sebebiyle boyunda daha \u00f6nce ge\u00e7irilmi\u015f bir cerrahi tedavinin olmas\u0131 ameliyat\u0131 zorla\u015ft\u0131racakt\u0131r. Bu durumda da stent tedavisi uygun olabilmektedir.”<\/p>\n
“Ya\u015f artt\u0131k\u00e7a g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 art\u0131yor”<\/h3>\n
\u015eah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n toplumda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fczde 15 ile 30 oran\u0131nda de\u011fi\u015fti\u011fini dile getiren Akay, ya\u015fl\u0131 n\u00fcfusun artmas\u0131yla bu hastal\u0131\u011f\u0131n g\u00f6r\u00fclme oran\u0131n\u0131n y\u00fckseldi\u011fini bildirdi.<\/p>\n
“Ya\u015fl\u0131l\u0131k hastal\u0131\u011f\u0131” olarak da bilindi\u011fini vurgulayan Akay, “50 ya\u015f\u0131ndan sonra s\u0131kl\u0131k art\u0131yor. 70 ya\u015f\u0131ndan sonra biraz daha, 80 ya\u015f\u0131ndan sonra \u00e7ok daha fazla art\u0131yor. Ya\u015f artt\u0131k\u00e7a g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 art\u0131yor. D\u00fcnyada kardiyovask\u00fcler hastal\u0131klarda kalp d\u0131\u015f\u0131ndaki \u00f6l\u00fcmlerden sonra ikinci s\u0131rada \u015fah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131 yer almakta. Bu hastal\u0131kta \u00f6l\u00fcm riski olduk\u00e7a fazla.” ifadesini kulland\u0131.<\/p>\n
\u015eah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n tedavisine y\u00f6nelik T\u00fcrkiye’de \u00f6nemli \u00e7al\u0131\u015fmalar oldu\u011funu aktaran Akay, “D\u00fcnyada uygulanan t\u00fcm tedaviler \u00fclkemizde de ba\u015far\u0131l\u0131 \u015fekilde yap\u0131l\u0131yor. T\u00fcrkiye, \u015fah damar\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131na y\u00f6nelik t\u00fcm tedavileri etkin \u015fekilde uygulanmakta.” diye konu\u015ftu.<\/p>\n