D\u00fcnyada 1990\u2019l\u0131 y\u0131llarda ke\u015ffedilen epilepsi pili ameliyat\u0131 y\u00f6nteminin bir\u00e7ok avantaj\u0131 oldu\u011funu aktaran Medical Park Bah\u00e7elievler Hastanesi\u2019nden Beyin ve Sinir Cerrahisi Uzman\u0131 Do\u00e7. Dr. Sait \u00d6zt\u00fcrk, \u201cEpilepsi pili ameliyat\u0131n\u0131n avantajlar\u0131 kafatas\u0131n\u0131 a\u00e7madan, uzun s\u00fcre anestezi gerektirmeyen, olduk\u00e7a d\u00fc\u015f\u00fck riskli bir ameliyat olmas\u0131d\u0131r. Hastalar ameliyattan 4 saat sonra beslenmeye ve y\u00fcr\u00fcmeye ba\u015flarlar. \u00c7o\u011fu zaman ameliyat\u0131n oldu\u011fu ak\u015fam da taburcu edilebilirler\u201d diye konu\u015ftu.<\/p>\n
AMEL\u0130YAT BOYUN B\u00d6LGES\u0130NDEN YAPILIR<\/strong><\/p>\n Epilepsi pili ameliyat\u0131n\u0131n (VNS) boyun b\u00f6lgesinden yap\u0131lan bir ameliyat oldu\u011funu belirten Do\u00e7. Dr. \u00d6zt\u00fcrk, \u201cBoyunda bulunan vagus isimli sinire yakla\u015f\u0131k 4 santimetrelik bir kesi ile ula\u015f\u0131l\u0131r ve bu sinire \u00e7ok k\u00fc\u00e7\u00fck bir kablo sar\u0131l\u0131r. Ard\u0131ndan g\u00f6\u011f\u00fcs b\u00f6lgesinde yeni a\u00e7\u0131lan yine 4 santimetrelik bir kesi ile kablonun ucu bu b\u00f6lgeye i\u00e7erden ula\u015ft\u0131r\u0131l\u0131p pil ile ba\u011flant\u0131s\u0131 sa\u011flan\u0131r. Pil ise bu g\u00f6\u011f\u00fcs b\u00f6lgesindeki cebe yerle\u015ftirilir\u201d ifadelerini kulland\u0131.<\/p>\n HANG\u0130 HASTALAR EP\u0130LEPS\u0130 P\u0130L\u0130 AMEL\u0130YATI OLAB\u0130L\u0130R?<\/strong><\/p>\n Do\u00e7. Dr. \u00d6zt\u00fcrk, ameliyat\u0131n hangi hastalara yap\u0131labilece\u011fi hakk\u0131nda \u015fu bilgileri payla\u015ft\u0131:<\/p>\n \u201c\u0130laca diren\u00e7li epilepsi hastalar\u0131nda, a\u00e7\u0131k ameliyata uygun olmayan hastalarda, a\u00e7\u0131k ameliyattan fayda g\u00f6rmeyen hastalarda ve de a\u00e7\u0131k ameliyat\u0131 risklerinden \u00f6t\u00fcr\u00fc kabul etmeyen epilepsi hastalar\u0131nda kullan\u0131lan bir y\u00f6ntemdir. Bir ki\u015fiye ilaca diren\u00e7li epilepsi hastas\u0131 diyebilmemiz i\u00e7in ise en az iki farkl\u0131 n\u00f6bet ilac\u0131n\u0131 iki y\u0131l boyunca uygun dozlarda kullanmas\u0131na ra\u011fmen kontrol alt\u0131na al\u0131namayan n\u00f6betleri devam ediyor olmas\u0131 gerekir. Ameliyat ortalama 1-2 saat s\u00fcrmektedir. Hastalar ameliyattan bir g\u00fcn sonra normal ya\u015famlar\u0131na d\u00f6nerler.\u201d<\/p>\n TEDAV\u0130N\u0130N AMACI N\u00d6BETLER\u0130N SIKLI\u011eINI EN AZA \u0130ND\u0130RMEK<\/strong><\/p>\n Uzun d\u00f6nem \u00e7al\u0131\u015fmalar sonucunda epilepsi pili ameliyatlar\u0131n\u0131n ard\u0131ndan birinci y\u0131l\u0131n sonunda hastalar\u0131n yar\u0131s\u0131ndan fazlas\u0131nda n\u00f6betlerin yar\u0131 yar\u0131ya azald\u0131\u011f\u0131n\u0131 vurgulayan Do\u00e7. Dr. \u00d6zt\u00fcrk, \u201cBu tedavideki temel ama\u00e7 sara n\u00f6betlerini tamamen ortadan kald\u0131rmak olmay\u0131p, n\u00f6betlerin say\u0131s\u0131n\u0131, s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azaltmakt\u0131r. Operasyon ard\u0131ndan \u00e7ocuk hastalarda genellik 3-6. aylarda ilk sonu\u00e7lar ortaya \u00e7\u0131kmaktad\u0131r. Eri\u015fkin hastalarda ise 1. y\u0131lda etkinin ne y\u00f6nde oldu\u011fu g\u00f6r\u00fclmektedir. Epilepsi pili tedavisinde uzun d\u00f6nemde etkinlik ila\u00e7lar\u0131n aksine artmaktad\u0131r\u201d dedi.<\/p>\n \u0130LK B\u0130R YIL N\u00d6BET \u0130LA\u00c7LARI AZALTILMAMALI<\/strong><\/p>\n Operasyondan sonra hastalar\u0131n ilk g\u00fcn i\u00e7inde normal hayatlar\u0131na d\u00f6nd\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Do\u00e7. Dr. \u00d6zt\u00fcrk, \u201cHastalarda ilk bir y\u0131l n\u00f6bet ila\u00e7lar\u0131n\u0131n azalt\u0131lmamas\u0131 olduk\u00e7a \u00f6nemlidir. Epilepsi pilini ila\u00e7lara ek bir tedavi olarak d\u00fc\u015f\u00fcnmeli ve 1. y\u0131l kontrollerinde ila\u00e7 dozu n\u00f6roloji hekimlerince gerek g\u00f6r\u00fcl\u00fcrse d\u00fc\u015f\u00fcr\u00fclmelidir\u201d diyerek a\u00e7\u0131klamalar\u0131n\u0131 sonland\u0131rd\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":" Epilepsi pili ameliyat\u0131n\u0131n ilaca diren\u00e7li epilepsi (sara) hastalar\u0131nda uygulanan bir y\u00f6ntem oldu\u011funu belirten Beyin ve Sinir Cerrahisi Uzman\u0131 Do\u00e7. Dr. Sait \u00d6zt\u00fcrk, \u201cK\u0131sa s\u00fcren bir ameliyat sayesinde hastalar\u0131n n\u00f6bet say\u0131lar\u0131n\u0131n, n\u00f6bet s\u00fcrelerinin ve n\u00f6bet s\u0131kl\u0131klar\u0131n\u0131n uzun d\u00f6nemde azalt\u0131lmas\u0131 temel ama\u00e7t\u0131r\u201d dedi.<\/p>\n","protected":false},"author":6,"featured_media":4089,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[1299,1298,87],"class_list":["post-4087","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-doc-dr-sait-ozturk","tag-epilepsi","tag-saglik"],"_links":{"self":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/4087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/comments?post=4087"}],"version-history":[{"count":1,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/4087\/revisions"}],"predecessor-version":[{"id":4090,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/4087\/revisions\/4090"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media\/4089"}],"wp:attachment":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media?parent=4087"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/categories?post=4087"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/tags?post=4087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}