{"id":1876,"date":"2023-12-26T10:11:24","date_gmt":"2023-12-26T10:11:24","guid":{"rendered":"https:\/\/doktorsimsek.com\/?page_id=1876"},"modified":"2023-12-26T10:12:20","modified_gmt":"2023-12-26T10:12:20","slug":"beyin-damar-hastaliklari-cerrahisi","status":"publish","type":"page","link":"https:\/\/doktorsimsek.com\/en\/beyin-damar-hastaliklari-cerrahisi\/","title":{"rendered":"Beyin Damar Hastal\u0131klar\u0131 Cerrahisi"},"content":{"rendered":"

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Tedaviler<\/div>

Beyin Damar Hastal\u0131klar\u0131 Cerrahisi

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Beyinde kanamaya yol a\u00e7an ve hastan\u0131n acil olarak

hastaneye getirilmesini gerektiren \u00e7e\u015fitli beyin damar hastal\u0131klar\u0131 vard\u0131r.<\/strong><\/span><\/h1><\/div><\/header>
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Damar yumaklar\u0131, baloncuklar gibi damar yap\u0131s\u0131n\u0131n bozukluklar\u0131 bunlardan baz\u0131lar\u0131d\u0131r ve cerrahi olarak tedavi edilebilir. Ayr\u0131ca kanama olan bir beyinden bu kanaman\u0131n bo\u015falt\u0131lmas\u0131 bir\u00e7ok durumda m\u00fcmk\u00fcnd\u00fcr. T\u00fcm bu ameliyatlar cerrahi mikroskop alt\u0131nda ve mikro aletlerle, mikro teknikle yap\u0131lan ameliyatlard\u0131r. Son zamanlarda beyin damar hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131nda teknolojik geli\u015fime paralel olarak b\u00fcy\u00fck ilerlemeler olmu\u015f bu da ameliyat tekniklerine yans\u0131m\u0131\u015ft\u0131r. Vakit kaybedilmeden hastan\u0131n hastaneye ula\u015ft\u0131r\u0131lmas\u0131 bu hastal\u0131klarda en \u00f6nemli etkenlerden biridir.<\/h4>\n

Beyin damarlar\u0131n\u0131n \u00e7e\u015fitli patolojik durumlar nedeni ile daralmas\u0131, t\u0131kanmas\u0131 veya y\u0131rt\u0131larak kan\u0131n damar d\u0131\u015f\u0131na \u00e7\u0131kmas\u0131 sonucu olu\u015fan durumlard\u0131r. Serebrovask\u00fcler hastal\u0131k, stroke, inme gibi terimlerde ayn\u0131 anlamda kullan\u0131l\u0131r. Beyin damarlar\u0131n\u0131n daralma ve t\u0131kanmas\u0131 ile olu\u015fan duruma iskemik beyin damar hastal\u0131\u011f\u0131, damar\u0131n y\u0131rt\u0131larak kan\u0131n beyin i\u00e7inde yay\u0131lmas\u0131na beyin kanamas\u0131 denmektedir.<\/h4>\n

Beynimiz g\u00fcnl\u00fck ya\u015fam\u0131m\u0131zda \u00e7ok \u00f6nemli g\u00f6revler \u00fcstlenmi\u015f oldu\u011fundan, Beyin Damar Hastal\u0131klar\u0131 (BDH) sonucu, ki\u015filerde bilin\u00e7 bozuklu\u011fu, fel\u00e7 (pleji) veya k\u0131smi fel\u00e7 (parezi), konu\u015fma bozukluklar\u0131 (afazi), g\u00f6rme bozuklu\u011fu, denge bozuklu\u011fu vs. gibi beyin fonksiyonlar\u0131n\u0131n bozuklu\u011fu ile \u00e7e\u015fitli durumlar ortaya \u00e7\u0131kabilir. Bu ola\u011fan d\u0131\u015f\u0131 durumun gelip ge\u00e7ici veya hafif olmas\u0131 bu olaylar\u0131n \u00f6nemini azaltmamal\u0131, tam aksine hasta-hasta yak\u0131n\u0131 ve hekim taraf\u0131ndan ciddi bir \u015fekilde ele al\u0131narak ileride olu\u015fabilecek durumlar\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan \u00f6nem ta\u015f\u0131mal\u0131d\u0131r. Bu yakla\u015f\u0131m tarz\u0131 ile hafif olan bir durumun daha fazla a\u011f\u0131rla\u015fmas\u0131 da \u00f6nlenebilmektedir.<\/h4>\n

Beyin damar hastal\u0131klar\u0131, d\u00fcnya \u00f6l\u00fcm istatistiklerinde, \u00f6l\u00fcm sebepleri aras\u0131nda, kalp hastal\u0131klar\u0131 ve kanserden sonra \u00fc\u00e7\u00fcnc\u00fc, morbidite (hasar b\u0131rakma) bak\u0131m\u0131ndan birinci s\u0131radad\u0131r. N\u00f6rolojik hastal\u0131klar i\u00e7inde en s\u0131k g\u00f6r\u00fclen hastal\u0131k grubudur. Son zamanlarda d\u00fczeltilebilir risk fakt\u00f6rleri ile sava\u015f\u0131m, g\u00f6r\u00fcnt\u00fcleme teknikleri ile erken tan\u0131 avantaj\u0131, stroke \u00fcnitelerinin devreye girmesi ve yeni tedavi olanaklar\u0131n\u0131n sunulmas\u0131 ile bu hastal\u0131k grubundan \u00f6l\u00fcm oranlar\u0131nda azalmalar olmaktad\u0131r. Beyin damar hastal\u0131klar\u0131n\u0131n % 72\u2019si 65 ya\u015f\u0131n \u00fczerinde, %3\u2019\u00fc 15-45 ya\u015f aras\u0131nda g\u00f6r\u00fcl\u00fcrken, \u00e7ocukluk \u00e7a\u011f\u0131nda nadirdir. ABD\u2019de genel populasyonda 300\/100.000 ki\u015fide g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 oldu\u011fu ve 70 ya\u015f\u0131ndan sonra bu s\u0131kl\u0131\u011f\u0131n 3000\/100.000 olarak artt\u0131\u011f\u0131 bildirilmi\u015ftir. Her y\u0131l yakla\u015f\u0131k 600.000 yeni beyin damar hastal\u0131\u011f\u0131 olgusu g\u00f6r\u00fcl\u00fcp, bunlar\u0131n yakla\u015f\u0131k %30\u2019unun \u00f6ld\u00fc\u011f\u00fc, % 40\u2019\u0131n\u0131n a\u011f\u0131r morbidite ile hastaneden \u00e7\u0131kt\u0131\u011f\u0131 ve sadece % 10\u2019unun tam sa\u011fl\u0131\u011f\u0131na kavu\u015ftu\u011fu bildirilmi\u015ftir. \u0130skemik (t\u0131kanma veya daralmaya ba\u011fl\u0131) BDH oran\u0131 %85 iken, hemorajik (kanamaya ba\u011fl\u0131) BDH ise % 15 olarak bildirilmi\u015ftir.<\/h4>\n

Beyin damar hastal\u0131klar\u0131, y\u00fcksek \u00f6l\u00fcm ve sakat b\u0131rakma riskinden dolay\u0131, \u00f6nemli bir sa\u011fl\u0131k sorunu olmas\u0131 yan\u0131nda, ayn\u0131 zamanda b\u00fcy\u00fck bir sosyal ve ekonomik sorun olma \u00f6zelli\u011fide ta\u015f\u0131maktad\u0131r. Bu bak\u0131mdan hastal\u0131k nedenlerinin saptanmas\u0131, korunma ve tedavi y\u00f6n\u00fcnden bir\u00e7ok \u00e7al\u0131\u015fma yap\u0131lm\u0131\u015f ve halen yap\u0131lmaya devam etmektedir. Risk fakt\u00f6rlerinin giderilmesi koruyucu tedavi y\u00f6n\u00fcnden \u00f6nem ta\u015f\u0131maktad\u0131r.<\/h4>\n

D\u00fczeltilebilir risk fakt\u00f6rleri:<\/strong>\u00a0Hipertansiyon, hiperlipidemi (kandaki ya\u011f y\u00fcksekli\u011fi), Diyabet, obezite, sigara, alkolizm, hiper\u00fcrisemi( \u00fcrik asit y\u00fcksekli\u011fi), inaktivite<\/h4>\n

D\u00fczeltilemeyen risk fakt\u00f6rleri:<\/strong>\u00a0Genetik yatk\u0131nl\u0131k, kalp hastal\u0131klar\u0131, enfeksiyon, do\u011fu\u015ftan damar hastal\u0131klar\u0131. Toplumumuzda \u00f6zellikle en s\u0131k hipertansiyon sonucu beyin damar hastal\u0131klar\u0131 g\u00f6r\u00fclmekte olup, \u00f6zellikle d\u00fczeltilebilir risk fakt\u00f6rlerinin azalt\u0131lmas\u0131 ile bu hastal\u0131k grubuna yakalanma oran\u0131 azalt\u0131labilir.<\/h4>\n

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