LDL\u2019si 800\u2019\u00fcn \u00fczerinde \u00e7\u0131kan S\u00f6zdar Osman\u2019\u0131n \u00e7ok ender g\u00f6r\u00fclen ‘ailevi homozigot hiperkolesterolemi’ hastas\u0131 oldu\u011fu anla\u015f\u0131ld\u0131. Bebe\u011fini sa\u011fl\u0131kl\u0131 olarak kuca\u011f\u0131na alan fakat taburcu olduktan 3 ay sonra ikinci kere kalp krizi ge\u00e7irip kalbi duran Osman, bu kere de kalp masaj\u0131 alt\u0131nda tak\u0131lan stentle hayata tutundu. Bu hastal\u0131kla ge\u00e7irdi\u011fi kalp krizlerine kar\u015f\u0131n en uzun m\u00fcddet hayatta kalan birinci hadise olarak 10 y\u0131l evvel literat\u00fcre giren Osman, d\u00fcnyada birinci defa ola\u011fandan 2-2,5 kat y\u00fcksek doz kolesterol tedavisi ile s\u0131hhatle hayat\u0131na devam edebilen hasta olarak 10 y\u0131l sonra ikinci kere literat\u00fcre girecek.<\/p>\n
Hem kalp krizi ge\u00e7iriyor hem de do\u011fum sanc\u0131lar\u0131 \u00e7ekiyordu. Genetik ge\u00e7i\u015fli y\u00fcksek kolesterol hastal\u0131\u011f\u0131 olarak bilinen \u2018ailevi homozigot hiperkolesterolemi\u2019 hastas\u0131 oldu\u011fu ortaya \u00e7\u0131kan S\u00f6zdar Osman (33), bundan 10 y\u0131l evvel tam iki sefer mevtten d\u00f6nd\u00fc ve operasyonlarla hayata tutundu. Suriye\u2019deki sava\u015ftan ka\u00e7arak e\u015fi ve k\u00fc\u00e7\u00fck k\u0131z\u0131yla y\u0131llar evvel \u00fclkemize s\u0131\u011f\u0131nan gen\u00e7 anne, ikinci \u00e7ocu\u011funu da 2016 y\u0131l\u0131nda ger\u00e7ekle\u015ftirilen sinema \u00fczere bir ameliyatla kuca\u011f\u0131na ald\u0131. 32 haftal\u0131k hamileyken g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u015fikayetiyle \u015ei\u015fli Etfal E\u011fitim ve Ara\u015ft\u0131rma Hastanesi\u2019ne ba\u015fvuran gen\u00e7 bayan\u0131n kalp krizi ge\u00e7irdi\u011fi anla\u015f\u0131ld\u0131. O y\u0131llarda \u015ei\u015fli Etfal\u2019de \u00e7al\u0131\u015fan Kardiyoloji Uzman\u0131 Do\u00e7. Dr. Serhat S\u0131\u011f\u0131rc\u0131, hastay\u0131 \u00e7abucak anjiyoya ald\u0131. Lakin anjiyo s\u0131ras\u0131nda do\u011fum kas\u0131lmalar\u0131 ba\u015flad\u0131. Bir yandan kalp krizi, bir yandan ba\u015flayan do\u011fum, Do\u00e7. Dr. S\u0131\u011f\u0131rc\u0131, aksiyon filmlerini aratmayacak bir s\u00fcratle \u201cMeslek hayat\u0131m\u0131n rekoru” dedi\u011fi bir m\u00fcddette, tam 30 saniye i\u00e7inde anjiyoyu yapmak zorunda kald\u0131. \u00dc\u00e7 damarda t\u0131kan\u0131kl\u0131k tespit edildi. Kalp Damar Cerrahisi ve Bayan Do\u011fum tak\u0131m\u0131 de s\u00fcrece dahil oldu. Anjiyo biter bitmez ameliyathaneye al\u0131nan anne, Kalp Damar Cerrahisi Klinik \u015eefi Prof. Dr. \u0130smail Koraman\u2019\u0131n liderli\u011finde, anestezi ve bayan do\u011fum tak\u0131m\u0131n\u0131n de kat\u0131ld\u0131\u011f\u0131 b\u00fcy\u00fck bir operasyonla evvel sezaryen, sonra bypass ameliyat\u0131 ge\u00e7irdi. O\u011flu \u0130van, \u00e7abucak kuv\u00f6ze, anne ise a\u011f\u0131r bak\u0131ma al\u0131nd\u0131.<\/p>\n
’30 SAN\u0130YEDE ANJ\u0130YO, HAYATIMDA \u0130LK’<\/p>\n
Kardiyolog Do\u00e7. Dr. Serhat S\u0131\u011f\u0131rc\u0131, \u201cBen orada hayat\u0131mda tahminen en s\u00fcratli anjiyomu yapt\u0131m, 30 saniye tahminen bir dakika i\u00e7inde anjiyoyu bitirmek zorunda kald\u0131m. Bayan do\u011fum, do\u011fumun ba\u015flad\u0131\u011f\u0131n\u0131 teyit etti. Kardiyojenik \u015fokta ve do\u011fum yaparken yapt\u0131k anjiyoyu. O g\u00fcne kadar g\u00f6rd\u00fc\u011f\u00fcn en mak\u00fbs damarlardan biriydi. 3 damar hastal\u0131\u011f\u0131 vard\u0131 ve stentle tedavi edilebilecek bir \u015fey de\u011fildi. \u00c7abucak sezaryenle \u00e7ocuk al\u0131nacak ve t\u0131pk\u0131 masada, birebir anestezi alt\u0131nda bypass yap\u0131lacakt\u0131. Sezaryenle \u00e7ocuk al\u0131nd\u0131, kuv\u00f6ze ald\u0131lar bebe\u011fi ve bypass\u2019a devam etti tak\u0131m. Hasta bypass’tayken de kan sonu\u00e7lar\u0131 gelmi\u015fti. LDL\u2019si yani berbat kolesterol\u00fcn\u00fcn 800’\u00fcn \u00fczerinde oldu\u011funu g\u00f6rd\u00fck. Bu \u00e7ok \u00e7ok az bir durum. Ailevi homozigot hiperlipidemi dedi\u011fimiz hastal\u0131\u011f\u0131n\u0131n oldu\u011funu anlad\u0131k. Bu hastal\u0131\u011f\u0131n tedavisi, kandan o kolesterol\u00fc ay\u0131rmak. Bunu da diyaliz gibisi aferez dedi\u011fimiz bir s\u00fcre\u00e7le yap\u0131yoruz. \u00c7abucak endokrinoloji devreye girdi ve aferezini ger\u00e7ekle\u015ftirdik. 800 olan LDL\u2019si 80’e kadar geriledi” dedi.<\/p>\n
‘KALB\u0130 DURDU KALP MASAJI ALTINDA STENT TAKILDI’<\/p>\n
Taburcu olurken 15 g\u00fcnde bir afereze gelmesi gerekti\u011fini s\u00f6ylediklerini kaydeden Do\u00e7. Dr. S\u0131\u011f\u0131rc\u0131, S\u00f6zdar\u2019\u0131n ikinci defa vefattan d\u00f6n\u00fc\u015f\u00fcn\u00fc ise \u015fu s\u00f6zlerle anlatt\u0131: “D\u00fczenli tedavisini takip edemedi zira meskende e\u015fine bak\u0131yor, yeni bypass olmu\u015f, bir tane bebe\u011fi var, bakacak kimsesi yok vs. Yaln\u0131zca ila\u00e7 tedavisini d\u00fczenledik ve akabinde taburculu\u011funu yapt\u0131k. Lakin takiplere de gelemedi. 3 ay sonra g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ile beni arad\u0131. \u00c7abucak hastaneye gelmesini s\u00f6yledim. Geldi\u011finde g\u00f6rd\u00fck ki yeniden kalp krizi ge\u00e7iriyor. \u00c7abucak anjiyoya ald\u0131k. Bypass yap\u0131lan damar\u0131n\u0131n biri tekrar t\u0131kanm\u0131\u015ft\u0131. Stent karar\u0131 verdik. Ana damar\u0131na stent takarken bu sefer kalbi durdu. Zira yorgun bir kalbi vard\u0131. Bu sefer kalp masaj\u0131 alt\u0131nda stentini takt\u0131k. Tekrar hayata tutundu. 4 g\u00fcn sonra hastaneden muvaffakiyetle taburcu ettik”<\/p>\n
\u0130LK DEFA ONDA UYGULANAN \u0130LA\u00c7 TEDAV\u0130S\u0130 \u0130LE L\u0130TERAT\u00dcRE G\u0130RECEK<\/p>\n
S\u00f6zdar Osman nizaml\u0131 afereze gidemedi\u011fi i\u00e7in d\u00fcnyada birinci defa literat\u00fcrde olmayan bir tedavi d\u00fczenlemek zorunda kal\u0131nd\u0131 ve ola\u011fan dozlar\u0131n 2-2,5 kat\u0131 daha y\u00fcksek dozda kadar kolesterol ilac\u0131 ba\u015fland\u0131. Do\u00e7. Dr. S\u0131\u011f\u0131rc\u0131, bypass\u2019dan sa\u011f salim \u00e7\u0131kmas\u0131 ile zati bir defa literat\u00fcre giren S\u00f6zdar\u2019\u0131n, bu defa de y\u00fcr\u00fctt\u00fckleri ila\u00e7 tedavisiyle ikinci kere t\u0131p tarihine ge\u00e7ece\u011fini s\u00f6yleyerek kelamlar\u0131n\u0131 \u015f\u00f6yle noktalad\u0131: “Yak\u0131n takip edelim, yan tesirlerini g\u00f6relim, tolere edebiliyorsa bu bi\u00e7imde devam edece\u011fiz dedik. \u00d6teki baht\u0131m\u0131z yoktu. O tarihten sonra \u00e7ok ho\u015f gitti i\u015fler. S\u00fcrecin yakla\u015f\u0131k 5\u2019inci y\u0131l\u0131nda tekrar denetim anjiyosunu yapt\u0131k. Damarlar\u0131n\u0131n rahatlam\u0131\u015f oldu\u011funu, toparlam\u0131\u015f oldu\u011funu g\u00f6rd\u00fck. Art\u0131k 10\u2019uncu y\u0131l takibindeyiz. Birinci anjiyo ve bypass yapt\u0131\u011f\u0131m\u0131zda literat\u00fcre bakt\u0131k, bu t\u00fcrl\u00fc bir olay\u0131n d\u00fcnyada olmad\u0131\u011f\u0131n\u0131 g\u00f6rd\u00fck, makale olarak yazd\u0131k ve literat\u00fcre girdi. Art\u0131k takiplerinde de bu kadar y\u00fcksek doz ila\u00e7 kullanan tahminen d\u00fcnyadaki tek hasta. Ayr\u0131yeten bu ya\u015flara ula\u015fabilen ailevi homozigot hiperlipidemi hastas\u0131 da literat\u00fcrde yok. Tahminen k\u0131z\u0131m\u0131z bu mevzuda da birinci olacak. \u0130ki sefer literat\u00fcre girecek yani. Benim de birinci defa kar\u015f\u0131la\u015ft\u0131\u011f\u0131m \u00e7ok \u015fa\u015f\u0131rd\u0131\u011f\u0131m bir hasta oldu”<\/p>\n
‘KALB\u0130 Y\u0130NE \u00c7ALI\u015eINCA DER\u0130N B\u0130R OH \u00c7EKT\u0130M’<\/p>\n
S\u00f6zdar Osman\u2019\u0131n bypass ameliyat\u0131n\u0131 ger\u00e7ekle\u015ftiren Prof. Dr. \u0130smail Koramaz ise 10 y\u0131ld\u0131r unutamad\u0131\u011f\u0131 o g\u00fcn\u00fc \u015f\u00f6yle anlatt\u0131: “Kardiyoloji grubundan haber geldi\u011finde biz ameliyathaneyi derhal bo\u015falt\u0131p jet s\u00fcratiyle anjiyo laboratuvar\u0131na ko\u015ftuk. Hastay\u0131 s\u00fcratle ameliyathaneye \u00e7ekmek zorundayd\u0131k. Al\u0131\u015f\u0131lm\u0131\u015f \u00f6nemli kas\u0131lmalar\u0131 oldu\u011fu i\u00e7in do\u011fum hareketi de ba\u015flam\u0131\u015ft\u0131. Bayan do\u011fum grubu, anestezi grubu de geldi. Kalp damar cerrahisi ve kardiyoloji tak\u0131m\u0131yla birlikte hastay\u0131 \u00e7ok s\u00fcratli bir halde ameliyathaneye ald\u0131k. Kalp krizi ge\u00e7irirken ameliyat olmas\u0131, bu hastaya anestezi verilmesi epeyce tehlikeli bir durumdu zati. Sa\u011folsun anestezi grubumuz \u00e7ok ho\u015f bir muvaffakiyet \u00f6rne\u011fi g\u00f6sterdi ve e\u015f vakitli olarak bayan do\u011fumla birlikte ameliyata girdik. Onlar sezaryeni bitirdi biz hastay\u0131 kalp akci\u011fer makinesine ba\u011flayarak bypass’a ba\u015flad\u0131k. Vakitle yar\u0131\u015f\u0131yorduk. Ameliyat sonras\u0131 kalp tekrar \u00e7al\u0131\u015fmaya ba\u015flad\u0131ktan sonra derin bir oh \u00e7ektik. Bu, hem T\u00fcrkiye’de hem d\u00fcnyada \u00e7ok ender bir olay. Benim bildi\u011fim kadar\u0131yla Cleveland Klinik\u2019te bu t\u00fcrl\u00fc bir olay vard\u0131, lakin onlar\u0131n ameliyat\u0131 maalesef pek g\u00fczel sonu\u00e7lanmam\u0131\u015f, hasta kaybedilmi\u015f. Kardiyoloji tak\u0131m\u0131m\u0131z sa\u011folsun hastan\u0131n hayat\u0131n\u0131 asl\u0131nda iki sefer kurtarm\u0131\u015f oldu. \u015eu anda da sa\u011fl\u0131kl\u0131 olarak 10\u2019uncu y\u0131l\u0131nda. San\u0131r\u0131m d\u00fcnyada 10 y\u0131ld\u0131r ya\u015fayabilen birinci homozigot hiper kolesterol hastas\u0131”<\/p>\n
\u0130K\u0130 KEZ MEVTTEN D\u00d6ND\u00dc, \u0130K\u0130NC\u0130 HAYATINA KAVU\u015eTU<\/p>\n
Sava\u015ftan kurtulup \u00fclkemize gelen, ikinci \u00e7ocu\u011funu T\u00fcrkiye\u2019de kuca\u011f\u0131na alan ve bu sefer kalp krizi y\u00fcz\u00fcnden iki defa mevtten d\u00f6nerek hayata tutunan S\u00f6zdar Osman ise hislerini \u015fu c\u00fcmlelerle s\u00f6z etti: “Hastayd\u0131m biliyordum. Kolesterol y\u00fcksekti ancak bu kadar b\u00fcy\u00fck bir olay ya\u015fayaca\u011f\u0131m\u0131 bilmiyordum. Ameliyattan sonra birinci uyand\u0131\u011f\u0131mda yine d\u00fcnyaya gelmi\u015f \u00fczereydim g\u00fcya. Zira inanamad\u0131m tekrar ya\u015fayabildi\u011fime, \u00e7ocuklar\u0131m\u0131 g\u00f6rebilece\u011fime. Bu hayatta benim i\u00e7in en k\u0131ymetli \u015fey \u00e7ocuklar\u0131m. Ne kadar g\u00fc\u00e7 olursa olsun onlar i\u00e7in hayatta kalmak istiyorum. Bebe\u011fim yan\u0131mda yoktu uyand\u0131\u011f\u0131mda. Bana foto\u011fraf\u0131n\u0131 g\u00f6sterdiler ben a\u011f\u0131r bak\u0131mdayken ve rahatlad\u0131m, keyifli oldum. \u0130smail Bey ve Serhat Bey beni ikinci hayat\u0131m\u0131 kavu\u015fturdular. Onlara \u00e7ok te\u015fekk\u00fcr ediyorum, yeterli ki varlar”<\/p>\n","protected":false},"excerpt":{"rendered":"
Suriye\u2019deki sava\u015ftan ka\u00e7\u0131p T\u00fcrkiye\u2019ye gelerek \u0130stanbul\u2019a yerle\u015fen S\u00f6zdar Osman, 2016\u2019da \u015fimdi 23 ya\u015f\u0131ndayken gebeli\u011finin 32\u2019nci haftas\u0131nda g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131yla acile gitti. Kalp krizi ge\u00e7irdi\u011fi anla\u015f\u0131lan Osman\u2019a Kardiyolog Do\u00e7. Dr. Serhat S\u0131\u011f\u0131rc\u0131 taraf\u0131ndan anjiyo yap\u0131ld\u0131. Do\u00e7. Dr. S\u0131\u011f\u0131rc\u0131\u2019n\u0131n ’30 saniye s\u00fcrd\u00fc, meslek hayat\u0131m\u0131n rekoru’ dedi\u011fi anjiyonun akabinde Osman\u2019a birebir masada hem sezaryen hem de bypass ameliyat\u0131 yap\u0131ld\u0131.<\/p>\n","protected":false},"author":1,"featured_media":83258,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[780,5645,9343,3431,519],"class_list":["post-83257","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-ameliyat","tag-anjiyo","tag-bypass","tag-damar","tag-hasta"],"_links":{"self":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/83257","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/comments?post=83257"}],"version-history":[{"count":1,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/83257\/revisions"}],"predecessor-version":[{"id":83259,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/83257\/revisions\/83259"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/media\/83258"}],"wp:attachment":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/media?parent=83257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/categories?post=83257"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/tags?post=83257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}