{"id":24031,"date":"2022-08-13T09:06:03","date_gmt":"2022-08-13T09:06:03","guid":{"rendered":"https:\/\/haberulus.net\/?p=24031"},"modified":"2022-08-13T09:06:03","modified_gmt":"2022-08-13T09:06:03","slug":"540-gramlik-parmak-bebek-hayata-tutundu","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=24031","title":{"rendered":"540 graml\u0131k parmak bebek hayata tutundu"},"content":{"rendered":"

Do\u011fumuna 4 ay varken, annesinde geli\u015fen komplikasyonlar nedeniyle sezaryenle al\u0131nmak zorunda kal\u0131nan ve 540 gram do\u011fan Rabia bebek, 137 g\u00fcnl\u00fck ya\u015fam sava\u015f\u0131n\u0131 kordon kan\u0131 k\u00f6k h\u00fccre tedavisiyle kazand\u0131.<\/b><\/p>\n

\u0130stanbul\u2019da ya\u015fayan Reyhan ve Kadir Mende\u015f (29) \u00e7iftinin ikinci \u00e7ocu\u011fu Rabia bebek, premat\u00fcre olarak 23 haftal\u0131kken d\u00fcnyaya geldi. 540 gram do\u011fan minik Rabiay\u0131 ya\u015fatabilmek i\u00e7in doktorlar\u0131 her yolu denedi.<\/p>\n

Erken do\u011fum nedeniyle akci\u011fer geli\u015fimi tamamlanmayan ve 65 g\u00fcn boyunca solunum cihaz\u0131ndan ayr\u0131lamayan Rabia bebek, aylarca \u00f6l\u00fcm kal\u0131m sava\u015f\u0131 verdi. \u0130stanbul Haseki Sultangazi E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Yenido\u011fan B\u00f6l\u00fcm\u00fcnden Dr. Burcu Cebeci ile Dr. Dilek Kurnaz, son \u00e7are olarak hen\u00fcz d\u00fcnyada da deneme a\u015famas\u0131nda olan \u201ckordon kan\u0131 k\u00f6k h\u00fccre nakli\u201d y\u00f6ntemini uygulad\u0131.<\/p>\n

Kordon kan\u0131 bankas\u0131ndan temin edilen mezenkimal k\u00f6k h\u00fccreler hem damar yoluyla kandan, hem de direkt akci\u011fere verildi. Ba\u015fka h\u00fccrelere d\u00f6n\u00fc\u015febilme \u00f6zelli\u011fi ta\u015f\u0131yan mezenkimal k\u00f6k h\u00fccreler sayesinde bebe\u011fin akci\u011fer dokusu h\u0131zla geli\u015fti ve parmak bebek Rabia, tam 137 g\u00fcnl\u00fck ya\u015fam sava\u015f\u0131ndan zaferle \u00e7\u0131kt\u0131. Minik Rabia, asl\u0131nda do\u011fmas\u0131 gereken tarihte, tam 4,5 ay sonra annesine kavu\u015ftu ve hastaneden taburcu oldu.<\/p>\n

\u2018YEN\u0130DO\u011eANLARDA DENEME A\u015eAMASINDA AMA SONU\u00c7LAR BA\u015eARILI\u2019<\/strong><\/p>\n

Rabia Mende\u015fe k\u00f6k h\u00fccre tedavisini uygulayan ekipten Dr. Burcu Cebeci, pek\u00e7ok alanda ba\u015far\u0131l\u0131 tedaviler sa\u011flayan k\u00f6k h\u00fccre nakli y\u00f6nteminin yenido\u011fanlarda hen\u00fcz deneme a\u015famas\u0131nda oldu\u011funu ancak literat\u00fcrdeki bilimsel yay\u0131nlara g\u00f6re sonu\u00e7lar\u0131n olduk\u00e7a y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc oldu\u011funa i\u015faret ederek, \u201cRabia bebe\u011fimiz 23 haftada annede geli\u015fen baz\u0131 komplikasyonlar sebebiyle acil sezaryen ile do\u011furtularak yeniden yo\u011fun bak\u0131m \u00fcnitemize al\u0131nd\u0131. 540 gram olarak do\u011fdu. Do\u011fum sonras\u0131 yo\u011fun bak\u0131m \u00fcnitesinde ciddi akci\u011fer problemleri sebebiyle t\u00fcm tedavileri almas\u0131na ra\u011fmen maalesef takibi esnas\u0131nda s\u0131k\u0131nt\u0131 ya\u015fad\u0131\u011f\u0131m\u0131z bebeklerden biriydi. Ailesiyle de g\u00f6r\u00fc\u015ferek k\u00f6k h\u00fccre tedavisini teklif ettik ve onlar\u0131n da onay\u0131 ile bebek yakla\u015f\u0131k 16 g\u00fcnl\u00fckken k\u00f6k h\u00fccre tedavisi verdik\u201d dedi.<\/p>\n

\"\"<\/p>\n

\u2018\u0130K\u0130 AY BOYUNCA SOLUNUM C\u0130HAZINDAN AYIRAMADILAR\u2019<\/strong><\/p>\n

K\u00f6k h\u00fccre tedavisi \u00f6ncesi bebe\u011fin \u00e7ok ciddi oksijen ihtiyac\u0131 oldu\u011funu ve 65 g\u00fcn boyunca solunum cihaz\u0131ndan ay\u0131ramad\u0131klar\u0131n\u0131 kaydeden Dr. Cebeci, \u201cK\u00f6k h\u00fccre tedavisi sonras\u0131 bebe\u011fin yakla\u015f\u0131k 2nci ay\u0131nda solunum cihaz\u0131ndan ay\u0131rmay\u0131 ba\u015farabildik. Sonras\u0131nda yine oksijen deste\u011fi devam etti. Ama \u015fu an 137nci g\u00fcn\u00fcnde, nazal oksijen deste\u011fi ile eve gidebilecek duruma kadar geldi. Bu kadar erken haftada, bu kadar d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131kl\u0131 olan bir bebekte tabii ki, bu noktaya gelebilmek bizim a\u00e7\u0131m\u0131zdan \u00e7ok sevindirici bir durum. \u00c7\u00fcnk\u00fc bu bebeklerin mortalitesi (\u00f6l\u00fcm riski) \u00e7ok \u00e7ok y\u00fcksek, yakla\u015f\u0131k y\u00fczde 70-80 civar\u0131nda. Rabia da 137 g\u00fcn\u00fcn\u00fcn 60-65 g\u00fcn\u00fcn\u00fc solunum cihaz\u0131na ba\u011fl\u0131 olarak ge\u00e7irdi. En b\u00fcy\u00fck ba\u015far\u0131m\u0131z, bu tedavi sayesinde cihazdan ay\u0131r\u0131p ailesine kavu\u015fturabilmemiz oldu. Bundan sonraki bak\u0131m ve tedavi gereksinimlerini ailesinin yan\u0131nda ge\u00e7irebilecek d\u00fczeye kadar geldi\u201d diye konu\u015ftu.<\/p>\n

\u2018SADECE BELL\u0130 DRUJLARDA UYGULANAB\u0130L\u0130R\u2019<\/strong><\/p>\n

K\u00f6k h\u00fccre tedavisinin her yenido\u011fan bebekte uygulanamad\u0131\u011f\u0131n\u0131 ancak baz\u0131 durumlarda bu tedavi ile ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nabildi\u011fini anlatan Dr. Cebeci, \u015fu bilgileri verdi: \u201c\u00c7ok ciddi a\u011f\u0131r akci\u011fer problemleri olan bebeklerde, akci\u011fer geli\u015fimi daha tamamlanamam\u0131\u015f halde do\u011fmu\u015f bebeklerde, bu geli\u015fimi d\u0131\u015f ortamda sa\u011flayabilmesi i\u00e7in verilebiliyor. Bunun d\u0131\u015f\u0131nda \u00e7ok ciddi kafa i\u00e7i kanamalar\u0131 olan (introventrik\u00fcler kanamas\u0131 olan) bebeklerde denenebiliyor ve yeni yeni de ba\u011f\u0131rsak problemleri olan bebeklerde kullan\u0131m\u0131 yayg\u0131nla\u015fmaya ba\u015flad\u0131. Belki de bu bebeklerin ya\u015fam \u015fans\u0131 a\u00e7\u0131s\u0131ndan bir avantaj sa\u011flam\u0131\u015f oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz. \u00c7\u00fcnk\u00fc di\u011fer var olan, bilimsel olarak da kan\u0131tlanm\u0131\u015f t\u00fcm destek tedavilerini bebe\u011fe sa\u011flamam\u0131za ra\u011fmen sonu\u00e7 alamad\u0131k.\u201d<\/p>\n

\"\"<\/p>\n

\u2018NE VER\u0130C\u0130 NE DE ALICI BEBE\u011eE ZARARI YOK\u2019<\/strong><\/p>\n

Yenido\u011fan tedavisinde kullan\u0131lan k\u00f6k h\u00fccrelerin bebe\u011fin kendi kan\u0131ndan de\u011fil, zaman\u0131nda do\u011fmu\u015f bebeklerin kordon kan\u0131ndan temin edilerek baz\u0131 i\u015flemlerden ge\u00e7irilmi\u015f \u015fekilde haz\u0131r olarak \u201ckordon kan\u0131 bankalar\u0131ndan\u201d temine edildi\u011fine de i\u015faret eden Dr. Cebeci, s\u00f6zlerini \u015f\u00f6yle noktalad\u0131: \u201cDaha \u00f6nceden haz\u0131rlanm\u0131\u015f ve miyad\u0131nda do\u011fan bebeklerin g\u00f6bek kordonundan elde edilen mezenkimal kaynakl\u0131 k\u00f6k h\u00fccreler doku ortam\u0131nda art\u0131r\u0131larak \u00e7o\u011falt\u0131l\u0131yor. Haz\u0131r halde bu bankalardan temin ediliyor. Biz de bunu hem damar yolundan hem de akci\u011fere direkt olarak veriyoruz. Bunlar \u00f6nc\u00fcl h\u00fccreler asl\u0131nda. Daha akci\u011fer geli\u015fimini tamamlayamam\u0131\u015f olan dokularda \u00f6nc\u00fcl h\u00fccre olarak o h\u00fccrelerdeki geli\u015fimi destekliyor ve akci\u011feri iyile\u015ftiriyor. Zaten bu k\u00f6k h\u00fccreler, don\u00f6r ailelerin onam\u0131 ile al\u0131n\u0131p doku bankas\u0131nda saklan\u0131yor. Biz de al\u0131c\u0131 olarak bebe\u011fin ailesinden onam al\u0131yoruz. Ba\u011f\u0131\u015flanan mezenkimal k\u00f6k h\u00fccrelerin kayna\u011f\u0131 kord (g\u00f6bek kordonu) oldu\u011fu i\u00e7in bunun ne verici bebe\u011fe ne de al\u0131c\u0131 bebe\u011fe herhangi bir zarar\u0131 yok.\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":"

Do\u011fumuna 4 ay varken, annesinde geli\u015fen komplikasyonlar nedeniyle sezaryenle al\u0131nmak zorunda kal\u0131nan ve 540 gram do\u011fan Rabia bebek, 137 g\u00fcnl\u00fck …<\/p>\n","protected":false},"author":1,"featured_media":24032,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[4017,3327,82,5548,4480],"class_list":["post-24031","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-akciger","tag-bebek","tag-gun","tag-kok-hucre","tag-rabia"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/24031","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24031"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/24031\/revisions"}],"predecessor-version":[{"id":24033,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/24031\/revisions\/24033"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/24032"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24031"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24031"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24031"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}