Kal\u0131c\u0131 g\u00f6rme kayb\u0131na yol a\u00e7an premat\u00fcre retinopatisi (ROP) ile 30 haftal\u0131kken bir kilo 600 gram a\u011f\u0131rl\u0131\u011f\u0131 d\u00fcnyaya geleni bebek, Gazi \u00dcniversitesi (G\u00dc) T\u0131p Fak\u00fcltesi Hastanesi’nde yap\u0131lan \u00f6zel cerrahi operasyon sayesinde sa\u011fl\u0131kl\u0131 g\u00f6rebilecek.<\/p>\n
G\u00dc T\u0131p Fak\u00fcltesi G\u00f6z Hastal\u0131klar\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. \u015eeng\u00fcl \u00d6zdek \u00f6nc\u00fcl\u00fc\u011f\u00fcnde, 1600 gram a\u011f\u0131rl\u0131kla d\u00fcnyaya gelen premat\u00fcre bebe\u011fin iki g\u00f6z\u00fcndeki ROP hastal\u0131\u011f\u0131n\u0131 tedavi etmeye y\u00f6nelik nadir yap\u0131lan bir cerrahi operasyona imza at\u0131ld\u0131.<\/p>\n
AA ekibi, premat\u00fcre bebekte kal\u0131c\u0131 g\u00f6rme kayb\u0131 olu\u015fmamas\u0131 i\u00e7in zamanla yar\u0131\u015fan cerrahlar\u0131n kritik operasyonunun t\u00fcm a\u015famalar\u0131n\u0131 g\u00f6r\u00fcnt\u00fcledi.<\/p>\n
Ba\u015far\u0131yla ger\u00e7ekle\u015ftirilen ROP ameliyat\u0131n\u0131n ard\u0131ndan a\u00e7\u0131klamalarda bulunan Prof. Dr. \u00d6zdek, “30 haftal\u0131k, 1600 gram a\u011f\u0131rl\u0131\u011f\u0131nda d\u00fcnyaya gelen bebe\u011fimizde k\u0131saca ROP hastal\u0131\u011f\u0131 dedi\u011fimiz retina problemi vard\u0131. Bu, premat\u00fcre do\u011fumlarda g\u00f6r\u00fclen bir rahats\u0131zl\u0131k. Hastal\u0131k erken d\u00f6nemde te\u015fhis ve tedavi edilirse gayet g\u00fczel sonu\u00e7lar al\u0131n\u0131yor ama ge\u00e7 kal\u0131n\u0131rsa kal\u0131c\u0131 k\u00f6rl\u00fc\u011fe sebep oluyor.” ifadelerini kulland\u0131.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/23525b19-4139-468c-8051-ba931b6738e4\/EYL%C3%9CL%202022%2F07%2FAA-31358451.jpg\"\/)
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“Retina taramalar\u0131 hastal\u0131\u011f\u0131n te\u015fhisinde \u00f6nemli”<\/h3>\n
ROP’un \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 sorunu oldu\u011funu, do\u011fumun birinci ay\u0131ndan itibaren yap\u0131lan retina taramalar\u0131n\u0131n, hastal\u0131\u011f\u0131n erken te\u015fhisi a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 s\u00f6yleyen \u00d6zdek, erken d\u00f6nemde yakaland\u0131\u011f\u0131nda hastal\u0131\u011f\u0131n lazer, g\u00f6z i\u00e7ine ila\u00e7 enjeksiyonu gibi y\u00f6ntemlerle kolayl\u0131kla tedavi edildi\u011fini vurgulad\u0131.<\/p>\n
Prof. Dr. \u00d6zdek, erken d\u00f6nemde tedavi a\u015famas\u0131n\u0131n ka\u00e7\u0131r\u0131lmas\u0131 veya uygulanan tedavilere cevap al\u0131namamas\u0131 durumunda ameliyat se\u00e7ene\u011finin de\u011ferlendirildi\u011fini anlatt\u0131.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/23525b19-4139-468c-8051-ba931b6738e4\/EYL%C3%9CL%202022%2F07%2FAA-31358458.jpg\"\/)
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\u0130ki g\u00f6z\u00fcnde ROP hastal\u0131\u011f\u0131 bulunan bebe\u011fin daha \u00f6nce uygulanan tedavilere yan\u0131t vermedi\u011fi i\u00e7in ameliyata al\u0131nd\u0131\u011f\u0131n\u0131 anlatan \u00d6zdek, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
“Bebe\u011fimize yapt\u0131\u011f\u0131m\u0131z bu ameliyat ‘vitrektomi’ dedi\u011fimiz, g\u00f6z i\u00e7ine girerek retinay\u0131 \u00e7eken birtak\u0131m bant ve zarlar\u0131 temizleyip lazerlerini yeniledi\u011fimiz bir operasyon. Bebe\u011fimizin ameliyat\u0131 \u00e7ok ba\u015far\u0131l\u0131 ge\u00e7ti, art\u0131k iyi bir g\u00f6rmesi olaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz. Ameliyatta bebe\u011fimizin g\u00f6z i\u00e7ine hava konuldu, bu hava bir s\u00fcre sonra kendili\u011finden emilecek. Bunun ard\u0131ndan da gayet g\u00fczel bir \u015fekilde g\u00f6rmeye ba\u015flayacak.”<\/p>\n
“Erken do\u011fum g\u00f6z hastal\u0131klar\u0131n\u0131 da g\u00fcndeme getiriyor”<\/h3>\n
Premat\u00fcre bebeklerde g\u00f6z hastal\u0131klar\u0131n\u0131n s\u0131kl\u0131kla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktaran \u00d6zdek, “Bir bebe\u011fin sadece erken do\u011fmas\u0131 bile belli g\u00f6z hastal\u0131klar\u0131n\u0131 g\u00fcndeme getiriyor. Premat\u00fcre retinopatisi olmasa bile erken do\u011fan bebeklerde normalden daha az g\u00f6rme, \u015fa\u015f\u0131l\u0131k, g\u00f6z tembelli\u011fi, y\u00fcksek miyopi veya astigmat gibi problemler, ileri d\u00f6nemde retinada y\u0131rt\u0131klar, g\u00f6z tansiyonu gibi sa\u011fl\u0131k sorunlar\u0131 premat\u00fcre bebeklerde daha s\u0131k kar\u015f\u0131m\u0131za \u00e7\u0131k\u0131yor. Bu nedenle t\u00fcm erken do\u011fan bebekler, di\u011fer bebeklere g\u00f6re g\u00f6z taramalar\u0131 a\u00e7\u0131s\u0131ndan daha s\u0131k takip edilmelidir.” bilgisini payla\u015ft\u0131.<\/p>\n
– “Premat\u00fcre bebeklerde mutlaka y\u0131lda 1 kez g\u00f6z kontrol\u00fc yap\u0131lmal\u0131”<\/p>\n
Prof. Dr. \u00d6zdek, herhangi bir problemi olmayan t\u00fcm bebek ve \u00e7ocuklar\u0131n d\u00fczenli g\u00f6z taramalar\u0131ndan ge\u00e7irilmesinin \u00f6nemine i\u015faret ederek, \u015funlar\u0131 kaydetti:<\/p>\n
“Sa\u011fl\u0131k sorunu olmayan bebekler i\u00e7in de do\u011fduktan sonra ilk 1 ya\u015f i\u00e7erisinde, 3 ya\u015f\u0131n\u0131 doldurdu\u011funda ve bir de okul \u00f6ncesi olan 5 ya\u015f\u0131nda rutin g\u00f6z taramas\u0131n\u0131 \u00f6neriyoruz. \u00c7\u00fcnk\u00fc bazen bir g\u00f6zde problem olabiliyor, di\u011feri ise iyi g\u00f6r\u00fcyor. B\u00f6yle oldu\u011funda ne aile ne de \u00f6yle do\u011fdu\u011fu i\u00e7in \u00e7ocuk durumu fark edebiliyor. Ge\u00e7 fark edildi\u011finde ise i\u015f i\u015ften ge\u00e7ebiliyor.<\/p>\n
G\u00f6z a\u00e7\u0131s\u0131ndan ilk 7 ya\u015f hassas bir periyottur, bu d\u00f6nemde baz\u0131 g\u00f6z problemleri tespit edilip gereken tedavi uygulan\u0131rsa g\u00f6z tembelli\u011fi engellenebilir, olan g\u00f6z tembelli\u011fi de geri \u00e7evrilebilir. Fakat 7 ya\u015f\u0131ndan sonraki d\u00f6nemde bu problem tespit edilip tedavi edilse dahi geri d\u00f6nd\u00fcr\u00fclemez. Premat\u00fcre do\u011fan bebeklerde ise ilk aylarda yap\u0131lan ROP taramalar\u0131n\u0131n \u00f6tesinde de mutlaka y\u0131lda 1 kez g\u00f6z kontrol\u00fc yap\u0131lmas\u0131n\u0131 \u00f6neriyoruz.”<\/p>\n
“34 haftadan k\u00fc\u00e7\u00fck do\u011fan bebeklerin y\u00fczde 30’unda ROP g\u00f6r\u00fcl\u00fcyor”<\/h3>\n
T\u00fcrkiye’de 34 haftadan k\u00fc\u00e7\u00fck veya 1700 gram\u0131n alt\u0131nda do\u011fan t\u00fcm bebekler ile daha b\u00fcy\u00fck do\u011fsa da \u00e7e\u015fitli rahats\u0131zl\u0131klar\u0131 sebebiyle risk grubunda bulunan bebeklerde rutin retina taramalar\u0131n\u0131n yap\u0131ld\u0131\u011f\u0131na dikkati \u00e7eken \u00d6zdek, \u015f\u00f6yle konu\u015ftu:<\/p>\n
“ROP, 34 haftadan k\u00fc\u00e7\u00fck do\u011fan risk grubundaki bebeklerin yakla\u015f\u0131k y\u00fczde 30’unda g\u00f6r\u00fcl\u00fcyor ama bebe\u011fin genel durumu toparland\u0131k\u00e7a hastal\u0131k \u00e7o\u011funlukla geriliyor. Sadece bu bebeklerin y\u00fczde 5-10’unda ilerlemi\u015f hastal\u0131k tablosuyla kar\u015f\u0131la\u015f\u0131yoruz. Tedavi gerektirecek d\u00fczeyde hastal\u0131\u011f\u0131 bulunan bebekleri erken d\u00f6nemde saptayabilmek i\u00e7in mutlaka d\u00fczenli g\u00f6z taramalar\u0131n\u0131n yap\u0131lmas\u0131 gerekiyor. Bu a\u00e7\u0131dan premat\u00fcre bebe\u011fi olan ailelerin g\u00f6z hastal\u0131klar\u0131na kar\u015f\u0131 uyan\u0131k olmas\u0131, bebeklerinin d\u00fczenli g\u00f6z kontrollerini ihmal etmemeleri b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.”<\/p>\n
Bebeklere uygulanan vitrektomi ameliyatlar\u0131n\u0131n \u00f6zel bir e\u011fitim ve hastane a\u00e7\u0131s\u0131ndan t\u0131bbi donan\u0131m gerektirdi\u011fine de i\u015faret eden \u00d6zdek, Gazi \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi’nde bu ve benzeri cerrahi operasyonlar\u0131n ba\u015far\u0131yla uyguland\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n
Prof. Dr. \u015eeng\u00fcl \u00d6zdek, pediatrik retina cerrahisi alan\u0131nda daha fazla hekime ihtiya\u00e7 bulundu\u011funun alt\u0131n\u0131 \u00e7izerek, hem hastane b\u00fcnyesinde hem de T\u00fcrkiye’deki g\u00f6z doktorlar\u0131n\u0131 temsil eden T\u00fcrk Oftalmoloji Derne\u011fince e\u011fitimlerle d\u00fczenli kurslar d\u00fczenlendi\u011fini s\u00f6zlerine ekledi.<\/p>\n