{"id":9067,"date":"2023-03-03T14:00:17","date_gmt":"2023-03-03T14:00:17","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=9067"},"modified":"2023-03-03T14:23:40","modified_gmt":"2023-03-03T14:23:40","slug":"anjiyo","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/anjiyo\/","title":{"rendered":"Anjiyo"},"content":{"rendered":"

Anjiyo<\/strong><\/a><\/h2>\n

Kalp damar hastal\u0131klar\u0131n\u0131n te\u015fhisinde kullan\u0131lan anjiyo, ani kalp krizlerinde hayat kurtaran bir tetkik y\u00f6ntemidir. Kalbe giden damarlardaki problemi g\u00f6steren anjiyo i\u015fleminin sonucuna g\u00f6re tedavi planlamas\u0131 yap\u0131lmaktad\u0131r.<\/p>\n

Anjiyo Nedir? <\/strong><\/h3>\n

Koroner anjiyografi, koroner damarlar\u0131n (kalbi kanland\u0131ran ve besleyen damarlar\u0131n) boyal\u0131 bir s\u0131v\u0131 verilerek g\u00f6r\u00fcn\u00fcr hale getirilmesidir. Basit tan\u0131m\u0131yla anjiyo yani anjiyografi, koroner damarlar\u0131n filminin \u00e7ekilmesi anlam\u0131na gelmektedir. Halk aras\u0131nda \u201cAnjiyo olmak\u201d anjiyo i\u015fleminin ki\u015fiye uygulanm\u0131\u015f olmas\u0131 demektir. Eski d\u00f6nemlerde \u00e7ok daha zahmetliydi. Atardamarlar\u0131n kesilmesi gerekmekteydi. G\u00fcn\u00fcm\u00fczde sadece i\u011fne kullan\u0131lmaktad\u0131r.<\/p>\n

Koroner anjiyografi minimal invaziv denilebilecek, hastan\u0131n durumunu \u00e7ok daha az bozan, ameliyat denilemeyecek bir prosed\u00fcrd\u00fcr. Gerekti\u011finde hayat kurtar\u0131c\u0131 bir i\u015flemdir. Kalp krizi, spazm\u0131, kolesterol gibi konular s\u00f6z konusuysa koroner anjiyografi hayat kurtar\u0131c\u0131 olabilmektedir. Anjiyo faydalar\u0131 \u00e7ok olan bir i\u015flemdir. Anjiyo sayesinde kalp damarlar\u0131nda darl\u0131k ya da tam t\u0131kanma olup olmad\u0131\u011f\u0131 saptan\u0131r. Koroner anjiyografi, kateter laboratuvar\u0131nda ger\u00e7ekle\u015ftirilir. Bu b\u00f6l\u00fcmde gerek hastan\u0131n, gerek \u00e7al\u0131\u015fanlar\u0131n zarar g\u00f6rmeyece\u011fi \u015fekilde \u00f6nlemler al\u0131nm\u0131\u015ft\u0131r.<\/p>\n

Anjiyo Hangi Hastal\u0131klarda Kullan\u0131l\u0131r?<\/strong><\/h3>\n

Anjiyo bir tan\u0131 y\u00f6ntemidir.<\/p>\n

Hangi durumlarda anjiyo yap\u0131laca\u011f\u0131 ise \u015f\u00f6yle s\u0131ralanabilir:<\/strong><\/h4>\n
    \n
  • Hastada \u015fiddetli g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131<\/li>\n
  • Hastada kalp krizi durumu varsa<\/li>\n
  • Koroner darl\u0131k belirtileri mevcutsa<\/li>\n
  • Efor testi sonucunun pozitif \u00e7\u0131kmas\u0131 sonucunda<\/li>\n
  • Eko s\u0131ras\u0131nda kalp kas\u0131lmalar\u0131nda d\u00fczensizlik olmas\u0131yla<\/li>\n
  • Farkl\u0131 tetkiklerde koroner arter hastal\u0131\u011f\u0131 \u015f\u00fcphesi olmas\u0131yla<\/li>\n
  • Bilgisayarl\u0131 anjiyoda \u015f\u00fcpheli durumlar\u0131n olmas\u0131yla<\/li>\n
  • Kalp kapak hastal\u0131\u011f\u0131n\u0131n olmas\u0131yla<\/li>\n
  • Kalp ameliyat\u0131 d\u0131\u015f\u0131nda diyabet hastas\u0131 olup \u00f6nemli bir ameliyat ge\u00e7irilmesi s\u00f6z konusuysa<\/li>\n
  • Bypass olanlar\u0131 kontrol etmek amac\u0131yla<\/li>\n
  • 40 ya\u015f \u00fczerinde \u00f6nemli bir ameliyat ge\u00e7irilecekse<\/li>\n
  • Stent tak\u0131lan ya da balon tedavisi uygulananlarda kontrol etmek amac\u0131yla<\/li>\n<\/ul>\n

    Anjiyo Nas\u0131l Yap\u0131l\u0131r? <\/strong><\/h3>\n

    Genellikle hastan\u0131n sa\u011f kas\u0131k b\u00f6lgesinde bulunan atardamar vas\u0131tas\u0131yla ger\u00e7ekle\u015ftirilir. Bu damar\u0131n kullan\u0131lmamas\u0131 durumunda (\u00f6rne\u011fin bu damar tam t\u0131kal\u0131 olabilir), sol kas\u0131k atardamar\u0131, sa\u011f-sol el bile\u011fi atardamarlar\u0131, dirsek ya da koltuk alt\u0131 atardamarlar\u0131 da kullan\u0131labilir. Koroner anjiyografi’de, g\u00f6r\u00fcnt\u00fclenmek istenen damar\u0131n \u00f6zelli\u011fine g\u00f6re se\u00e7ilen, uygun kullan\u0131ld\u0131\u011f\u0131nda damar zedelenmesine yol a\u00e7mayan, p\u0131ht\u0131 olu\u015fturmayan \u00f6zel maddelerden yap\u0131lm\u0131\u015f ince borucuklar (kateter) kullan\u0131l\u0131r.<\/p>\n

    Koroner anjiyografi i\u015flemi yakla\u015f\u0131k 10-20 dakika s\u00fcrer, damarlar\u0131n farkl\u0131 anatomik yap\u0131lar\u0131 ya da \u00e7ok k\u0131vr\u0131ml\u0131 olmalar\u0131 (\u00f6zellikle kar\u0131n ve kas\u0131k damarlar\u0131n\u0131n) nedeniyle bu s\u00fcre biraz daha uzayabilir.<\/p>\n

    By-pass\u2019l\u0131 hastalarda da bu s\u00fcre 20-30 dakikay\u0131 bulabilir. \u0130\u015flem \u00f6ncesi, giri\u015fim yap\u0131lacak b\u00f6lge lokal anestezi ile uyu\u015fturulur. Hastan\u0131n a\u011fr\u0131-s\u0131z\u0131 duymamas\u0131 sa\u011flan\u0131r.<\/p>\n

    Koroner anjiyografi \u00e7o\u011funlukla a\u011fr\u0131s\u0131z ve s\u0131k\u0131nt\u0131s\u0131z ger\u00e7ekle\u015ftirilen bir i\u015flemdir. \u0130\u015flem bittikten sonra giri\u015fim yerine konmu\u015f olan kan\u00fcl \u00e7ekilir, kanaman\u0131n durmas\u0131 i\u00e7in 15-20 dakika bas\u0131 uygulan\u0131r. Kanama durduktan sonra s\u0131k\u0131 bandaj ve a\u011f\u0131rl\u0131k uygulanarak yakla\u015f\u0131k 4-6 saat yat\u0131r\u0131larak hasta dinlendirilir. 6.saatin bitiminde hasta aya\u011fa kald\u0131r\u0131l\u0131r ve taburcu edilir. Ertesi g\u00fcn banyo yap\u0131labilir. E\u011fer giri\u015fim yerinde \u015fi\u015flik, rahats\u0131z edici boyutlarda a\u011fr\u0131 ya da geni\u015f morluk yoksa normal hayata d\u00f6n\u00fclebilir.<\/p>\n

    Anjiyoda \u00d6l\u00fcm Riski Var M\u0131d\u0131r?<\/strong><\/h3>\n

    \u00c7ok nadir olarak koroner anjiyografi s\u0131ras\u0131nda yol olarak kullan\u0131lan ana atar damarda (aort) ve koroner damara yerle\u015fme yerinde y\u0131rt\u0131k (diseksiyon) olu\u015fabilir. Aort damar\u0131ndaki y\u0131rt\u0131lma genellikle masum seyrederken, koroner a\u011fz\u0131ndaki y\u0131rt\u0131lma kalp kriziyle ve \u00f6l\u00fcmle sonu\u00e7lanabilir.<\/p>\n

    Bu risk \u00f6zellikle ciddi koroner sorunu olan ki\u015filerde ve \u00f6zellikle ana damarda darl\u0131k olanlarda daha fazlad\u0131r. Anjiyografi s\u0131ras\u0131nda bu tarz \u00f6l\u00fcmc\u00fcl sorunlar\u0131n olas\u0131l\u0131\u011f\u0131 kabaca 1000 hastada 1 olarak s\u00f6ylenebilir. Anjiyo riski \u00e7ok d\u00fc\u015f\u00fck bir i\u015flemdir.<\/p>\n

    Anjiyo Zararlar\u0131 Nelerdir?<\/strong><\/h3>\n

    Uzman bir kardiyoloji doktoru taraf\u0131ndan yap\u0131lacak anjiyo i\u015fleminin zarar\u0131 bulunmamaktad\u0131r. \u00dclkemizde her hastanede anjiyo i\u015flemi g\u00fcvenle yap\u0131labilmektedir.<\/p>\n

    Anjiyo \u00d6ncesi Yap\u0131lmas\u0131 Gerekenler Nelerdir?<\/strong><\/h3>\n

    Baz\u0131 hastalar kalp krizi ge\u00e7irerek hastaneye ba\u015fvurdu\u011funda anjiyo i\u00e7in bir haz\u0131rl\u0131k \u015fans\u0131 olmayabiliyor. Ama planl\u0131 anjiyografi vakalar\u0131nda birtak\u0131m \u00f6n haz\u0131rl\u0131klar gerekir.<\/p>\n

      \n
    • Kan say\u0131m\u0131 tetkikleri \u00f6nemlidir. Hastan\u0131n kan pulcuklar\u0131 d\u00fc\u015f\u00fckse i\u015flem esnas\u0131nda \u00e7ok fazla kanama meydana gelebilir.<\/li>\n
    • Kan p\u0131ht\u0131la\u015fma parametreleri \u00f6nceden mutlaka kontrol edilmelidir. Sonras\u0131nda anjiyo i\u015flemine ge\u00e7ilmeli.<\/li>\n
    • Hastalar\u0131n b\u00f6brek fonksiyonlar\u0131n\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131 gerekmektedir. Hastaya boyal\u0131 kontrast madde enjekte edildi\u011finden, bu maddenin b\u00f6brek yetmezli\u011fi olan ki\u015filerin durumu k\u00f6t\u00fcle\u015febilir.<\/li>\n
    • Hastan\u0131n anjio \u00f6ncesinde 8-10 saat a\u00e7 olmas\u0131 tercih ediliyor. Baz\u0131 \u015feker ila\u00e7lar\u0131n\u0131n- etken maddesi metformin olan- \u00f6nceden kesilmesi gerekir. Aksi halde b\u00f6brek yetmezli\u011fi, asidoz tablolar\u0131 ortaya \u00e7\u0131kabilir.<\/li>\n
    • Baz\u0131 kan suland\u0131r\u0131c\u0131lara da ara vermek gerekebilir. Ancak bu i\u015flemden \u00f6nce toplumda \u00e7ok s\u0131k olarak kullan\u0131lan asprine ara vermeye gerek yoktur.<\/li>\n<\/ul>\n

      Hangi Durumlarda Koldan Anjiyo Yap\u0131l\u0131r?<\/strong><\/h3>\n

      Kanama riskinin az olmas\u0131, biraz g\u00f6zlem sonras\u0131 hastan\u0131n evine g\u00f6nderilmesi durumlar\u0131nda yap\u0131labilir. Ancak deneyimli uzmanlar taraf\u0131ndan yap\u0131lm\u0131yorsa i\u015flem s\u00fcresi uzar ve i\u015flem yetersiz kalabilir. E\u011fer kas\u0131ktan kalbe ula\u015famama durumu varsa, kas\u0131\u011fa giden aort ve dallar\u0131nda darl\u0131k ya da t\u0131kan\u0131kl\u0131k varsa, kas\u0131kta kanama riski y\u00fcksek hastalar varsa koldan ya da bilekten anjiyo yap\u0131l\u0131r.<\/p>\n

      Anjiyo Sonras\u0131 Dikkat Edilmesi Gerekenler Nelerdir? <\/strong><\/h3>\n
        \n
      • Bol su t\u00fcketmek,<\/li>\n
      • Sigara ya da alkol kullanmamak,<\/li>\n
      • S\u0131v\u0131 i\u00e7ecekler t\u00fcketmek,<\/li>\n
      • \u0130lk 24 saat du\u015f almamak<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

        Anjiyo Kalp damar hastal\u0131klar\u0131n\u0131n te\u015fhisinde kullan\u0131lan anjiyo, ani kalp krizlerinde hayat kurtaran bir tetkik y\u00f6ntemidir. Kalbe giden damarlardaki problemi g\u00f6steren anjiyo i\u015fleminin sonucuna g\u00f6re tedavi planlamas\u0131 yap\u0131lmaktad\u0131r. Anjiyo Nedir? Koroner anjiyografi, koroner damarlar\u0131n (kalbi kanland\u0131ran ve besleyen damarlar\u0131n) boyal\u0131 bir s\u0131v\u0131 verilerek g\u00f6r\u00fcn\u00fcr hale getirilmesidir. Basit tan\u0131m\u0131yla anjiyo yani anjiyografi, koroner damarlar\u0131n filminin \u00e7ekilmesi anlam\u0131na […]<\/p>\n","protected":false},"author":3,"featured_media":9061,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1819,20],"tags":[2187,2189,2188,2190],"yoast_head":"\nAnjiyo - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Kalp damar hastal\u0131klar\u0131n\u0131n te\u015fhisinde kullan\u0131lan anjiyo, ani kalp krizlerinde hayat kurtaran bir tetkik y\u00f6ntemidir. 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