{"id":2966,"date":"2021-10-29T16:58:01","date_gmt":"2021-10-29T13:58:01","guid":{"rendered":"http:\/\/localhost\/yasam-new\/?p=2966"},"modified":"2021-10-29T16:58:01","modified_gmt":"2021-10-29T13:58:01","slug":"girisimsel-anjiografi","status":"publish","type":"post","link":"https:\/\/www.yasamhastanesi.com.tr\/en\/girisimsel-anjiografi\/","title":{"rendered":"Giri\u015fimsel Anjiografi"},"content":{"rendered":"

Hastanemiz Anjiografi ve Kateterizasyon Laboratuvar\u0131nda Uzman Doktorlar\u0131m\u0131z y\u00f6netiminde Koroner Anjiyografi,Kalp Kateterizasyonu,Koroner Anjiyoplasti ve Stent \u0131\u015flemi,Periferik Anjiyografi ve Anjiyoplasti uygulamalar\u0131 yap\u0131lmaktad\u0131r.\u00a0KORONER ANJ\u0130YOGRAF\u0130<\/strong><\/p>\n

Koroner Anjiyografi, kalbi besleyen damarlar\u0131n (koroner arterlerin) g\u00f6r\u00fcnt\u00fclenmesi i\u015flemidir. Damar sertli\u011fi nedeni ile koroner arterlerin hangi b\u00f6lgesinin ne kadar darald\u0131\u011f\u0131n\u0131 veya t\u0131kand\u0131\u011f\u0131n\u0131 saptamak amac\u0131yla yap\u0131l\u0131r. Damar darl\u0131k veya t\u0131kan\u0131kl\u0131klar\u0131n\u0131 tespit ederek tedavinin gerekti\u011fi gibi y\u00f6nlendirilmesini sa\u011flar.<\/p>\n

Kas\u0131k veya kol atardamar\u0131ndan yerle\u015ftirilen kateter vas\u0131tas\u0131yla, daha ince ve i\u00e7i bo\u015f plastik yap\u0131da kan\u00fcller ve teller kullan\u0131larak kalp damarlar\u0131n\u0131z\u0131n a\u011f\u0131z k\u0131sm\u0131na kadar ilerlenir ve buradan boyal\u0131 madde verilirken damarlar\u0131n filmi \u00e7ekilir.<\/p>\n

Damar\u0131n ba\u015ftan a\u015fa\u011f\u0131ya filmi \u00e7ekildi\u011finden sadece daralmalar de\u011fil damardaki geni\u015flemeler, t\u0131kan\u0131kl\u0131lar, \u015fekil bozukluklar\u0131, do\u011fu\u015ftan veya sonradan olu\u015fan geni\u015flemeler de saptanm\u0131\u015f olur. Ba\u015fka bir deyi\u015fle kalbi besleyen damarlar\u0131n haritas\u0131 \u00e7\u0131kar\u0131l\u0131r. Hasta By-pass ameliyat\u0131 ge\u00e7irmi\u015fse gerekli g\u00f6r\u00fclen hallerde, bacaktan veya g\u00f6\u011f\u00fcsten al\u0131nan damarlar da ayn\u0131 y\u00f6ntemle g\u00f6r\u00fcnt\u00fclenir. Hastaya daha \u00f6nce tak\u0131lm\u0131\u015f olan stentlerin veya balon i\u015fleminin sonu\u00e7lar\u0131 anjiyografi ile net olarak ortaya \u00e7\u0131kar\u0131lm\u0131\u015f olur. \u0131\u015flemden sonra kas\u0131k veya koldaki kateter \u00e7\u0131kart\u0131l\u0131r.Hasta genellikle ayn\u0131 g\u00fcn hastaneden taburcu edilir.<\/p>\n

KALP KATETER\u0130ZASYON<\/strong><\/p>\n

Kas\u0131ktaki damarlardan girilerek kalp bo\u015fluklar\u0131na ve kalpten \u00e7\u0131kan damarlara ula\u015f\u0131l\u0131r. Girilen her kalp bo\u015flu\u011fundan kan \u00f6rne\u011fi al\u0131n\u0131r ve buradaki bas\u0131n\u00e7lar \u00f6l\u00e7\u00fcl\u00fcr. Gerekli g\u00f6r\u00fcl\u00fcrse bu bo\u015flulardan boyar madde verilerek film \u00e7ekilir. B\u00f6ylece kalp bo\u015fluklar\u0131n\u0131n ve damarlar\u0131n b\u00fcy\u00fcm\u00fc\u015f olup olmad\u0131\u011f\u0131 veya kalpte bo\u015fluklar aras\u0131nda ge\u00e7i\u015f olup olmad\u0131\u011f\u0131 saptan\u0131r. Kalpte delik oldu\u011fu s\u00f6ylenen ve ekokardiyografide bu te\u015fhis konmu\u015f hastalarda kalp kateterizasyonu yap\u0131larak ameliyat \u00f6ncesi i\u00e7in gerekli bilgiler saptan\u0131r. Kalp kateterizasyonu ile kalp kapaklar\u0131n\u0131n ve duvarlar\u0131n\u0131n \u00e7al\u0131\u015fmas\u0131ndaki kusurlar da g\u00f6sterilebilir. Kalp kateterizasyonu i\u015fleminden sonra kas\u0131k b\u00f6lgesine yerle\u015ftirilmi\u015f olan kateterler \u00e7\u0131kart\u0131l\u0131r. Hasta ayn\u0131 g\u00fcn taburcu edilir.<\/p>\n

KORONER ANJiYOPLASTi VE STENT \u0130\u015eLEM\u0130<\/strong><\/p>\n

Daralm\u0131\u015f veya t\u0131kand\u0131\u011f\u0131 i\u00e7in kan gelmeyen kalp damarlar\u0131 (koroner arterler) g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, kalp krizi veya ritm bozuklu\u011fu gibi problemlerin meydana gelmesine sebep olurlar. Bu sorunlar\u0131n giderilmesi i\u00e7in daralm\u0131\u015f veya t\u0131kanm\u0131\u015f damar\u0131n a\u00e7\u0131lmas\u0131 gereklidir. Kalp damarlar\u0131n\u0131n a\u00e7\u0131lmas\u0131 balon anjiyoplasti veya stent ile yap\u0131labilir. \u0131\u015flemin yap\u0131lmas\u0131 i\u00e7in haz\u0131rl\u0131k koroner anjiyografi ile benzerdir. Kas\u0131k veya kol b\u00f6lgesinden girilerek daralm\u0131\u015f veya t\u0131kanm\u0131\u015f damar\u0131n a\u011fz\u0131na kadar gidilir. Buradan damar\u0131n i\u00e7ine do\u011fru g\u00f6nderilen ince bir telin \u00fczerinden daralm\u0131\u015f b\u00f6lgeye balon yerle\u015ftirilir. S\u00f6nm\u00fc\u015f halde bu b\u00f6lgeye getirilen balon tam yerinde \u015fi\u015firilerek daralm\u0131\u015f damar a\u00e7\u0131l\u0131r. Bu geni\u015fleme (\u015fi\u015fme) esnas\u0131nda ki\u015fi, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 duyabilir. Baz\u0131 durumlarda bu \u015fi\u015firme ve indirmenin birka\u00e7 kez tekrarlanmas\u0131 gerekebilir. Damar tam a\u00e7\u0131lm\u0131\u015fsa stent tak\u0131lmadan hasta takip edilebilir. Ancak hastalar\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcnde balon damar\u0131 tam a\u00e7amad\u0131\u011f\u0131ndan veya a\u00e7\u0131lan damar k\u0131sa s\u00fcrede daralmaya ba\u015flad\u0131\u011f\u0131ndan hastaya stent takmak gerekmektedir. Stent ince metal bir tel \u015feklinde balonun \u00fczerine monte edilmi\u015ftir. Balonun \u00fczerine s\u0131k\u0131ca tak\u0131lm\u0131\u015f olan stent, balon \u015fi\u015firildi\u011finde a\u00e7\u0131larak damar duvar\u0131na kadar geni\u015fler ve orada a\u00e7\u0131k olarak kal\u0131r. B\u00f6ylece damar\u0131n esnekli\u011finden dolay\u0131 daralmas\u0131 engellenmi\u015f olur. \u0131\u015flem s\u0131ras\u0131nda y\u00fcksek miktarda kan suland\u0131r\u0131c\u0131 ila\u00e7lar kullan\u0131l\u0131r, bu nedenle kas\u0131k veya koldaki kateter hemen \u00e7\u0131kar\u0131lmaz, bir s\u00fcre beklendikten sonra \u00e7\u0131kar\u0131l\u0131r. Hasta \u00e7o\u011funlukla ertesi g\u00fcn taburcu edilir.<\/p>\n

PER\u0130FER\u0130K ANJ\u0130YOGRAF\u0130 VE ANJ\u0130YOPLAST\u0130<\/strong><\/p>\n

\u0131\u015flemlerin yap\u0131lma tekni\u011fi kalp damarlar\u0131n\u0131n g\u00f6r\u00fcnt\u00fclenmesi ve darl\u0131klar\u0131n\u0131n a\u00e7\u0131lmas\u0131 i\u015flemine benzerdir. Ancak burada girilen ve a\u00e7\u0131lan damarlar kalp damarlar\u0131 de\u011fil v\u00fccudun kol, bacak veya boyun damarlar\u0131 gibi daha b\u00fcy\u00fck damarlar\u0131d\u0131r. Damarlar daha geni\u015f oldu\u011fundan burada kullan\u0131lan materyallerde buna uygun olarak farkl\u0131 boyutlardad\u0131r.<\/p>\n

KALP P\u0130L\u0130<\/p>\n

Kalp dakikada ortalama 70 defa kas\u0131l\u0131p gev\u015feyerek v\u00fccudumuza kan pompalar. Sa\u011fl\u0131kl\u0131 bir insan\u0131n kalbi ortalama olarak g\u00fcnde 100.000 (y\u00fczbin) defa atmaktad\u0131r. Kalp at\u0131\u015flar\u0131nda duraklama olursa ki\u015fide bilin\u00e7 kayb\u0131 bay\u0131lma gibi belirtiler olur daha ileri d\u00fczeyde duraklama varsa \u00f6l\u00fcme kadar gidebilir. \u0131\u015fte bu gibi durumlarda kalp pili tak\u0131larak bay\u0131lma ve \u00f6l\u00fcm gibi durumlar\u0131n \u00f6n\u00fcne ge\u00e7ilir. Hastanemizde kalp pili tak\u0131lmas\u0131 i\u015flemi steril \u015fartlarda yap\u0131lmaktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Hastanemiz Anjiografi ve Kateterizasyon Laboratuvar\u0131nda Uzman Doktorlar\u0131m\u0131z y\u00f6netiminde Koroner Anjiyografi,Kalp Kateterizasyonu,Koroner Anjiyoplasti ve Stent \u0131\u015flemi,Periferik Anjiyografi ve Anjiyoplasti uygulamalar\u0131 yap\u0131lmaktad\u0131r.\u00a0KORONER ANJ\u0130YOGRAF\u0130 Koroner Anjiyografi, kalbi besleyen damarlar\u0131n (koroner arterlerin) g\u00f6r\u00fcnt\u00fclenmesi i\u015flemidir. Damar sertli\u011fi nedeni ile koroner arterlerin hangi b\u00f6lgesinin ne kadar darald\u0131\u011f\u0131n\u0131 veya t\u0131kand\u0131\u011f\u0131n\u0131 saptamak amac\u0131yla yap\u0131l\u0131r. Damar darl\u0131k veya t\u0131kan\u0131kl\u0131klar\u0131n\u0131 tespit ederek tedavinin gerekti\u011fi gibi […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"class_list":["post-2966","post","type-post","status-publish","format-standard","hentry","category-medical-units"],"_links":{"self":[{"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/posts\/2966","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/comments?post=2966"}],"version-history":[{"count":0,"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/posts\/2966\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/media?parent=2966"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/categories?post=2966"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.yasamhastanesi.com.tr\/en\/wp-json\/wp\/v2\/tags?post=2966"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}