\u0130stanbul\u2019da ailesiyle ya\u015fayan Berat \u00d6z, \u00fcniversite okumay\u0131 planlarken, 19 ya\u015f\u0131nda ge\u00e7irdi\u011fi grip sonras\u0131 geli\u015fen kalp yetmezli\u011fi nedeniyle, kendini kalp nakli bekleme listesinde buldu.<\/p>\n
Basit bir \u00fcst solunum enfeksiyonu sand\u0131\u011f\u0131 hastal\u0131\u011f\u0131, bir s\u00fcre sonra mide bulant\u0131s\u0131, nefes darl\u0131\u011f\u0131, kar\u0131n a\u011fr\u0131s\u0131, a\u015f\u0131r\u0131 halsizlik gibi belirtilerle k\u00f6t\u00fcle\u015fti. Bir gece Ko\u015fuyolu Y\u00fcksek \u0130htisas E\u011fitim ve Ara\u015ft\u0131rma Hastanesi aciline kald\u0131r\u0131lan gence yap\u0131lan tetkikler sonucu, kalp fonksiyonlar\u0131n\u0131n y\u00fczde 15\u2019e kadar d\u00fc\u015ft\u00fc\u011f\u00fc anla\u015f\u0131ld\u0131.<\/p>\n
Acilen kalp nakli bekleme listesine al\u0131nd\u0131 ve uygun organ \u00e7\u0131kana kadar hayatta kalabilmesi i\u00e7in hemen yapay kalp cihaz\u0131 (LVAD) tak\u0131ld\u0131. 1 y\u0131l sonra bu cihaz\u0131n da yetersiz geldi\u011fi bir anda fenala\u015f\u0131nca, bu kez yo\u011fun bak\u0131ma kald\u0131r\u0131ld\u0131. Tam 24 g\u00fcn, LVAD\u2019a ek olarak \u2018intraaortik balon\u2019 ad\u0131 verilen ikinci bir kalp pompas\u0131na ba\u011fland\u0131.<\/p>\n
HEL\u0130KOPTER AMBULANSLA GELEN \u0130K\u0130NC\u0130 HAYAT<\/strong><\/p>\n Yo\u011fun bak\u0131mdan \u00e7\u0131ksa da Berat \u00d6z\u2019\u00fcn sa\u011fl\u0131\u011f\u0131na kavu\u015fabilmesi i\u00e7in h\u00e2l\u00e2 tek \u015fans\u0131, kalp nakliydi. Pandemi d\u00f6nemine de denk gelmesiyle, organ ba\u011f\u0131\u015f\u0131n\u0131n neredeyse hi\u00e7 olmad\u0131\u011f\u0131 2 y\u0131l\u0131, umutsuzluk i\u00e7inde ge\u00e7iren Berat\u2019a umut olan haber, ge\u00e7ti\u011fimiz 26 Ekim gecesi \u00e7alan telefonla geldi.<\/p>\n Beylikd\u00fcz\u00fc\u2019nde beyin kanamas\u0131 sonucu ya\u015fam\u0131n\u0131 yitiren, kendisiyle ayn\u0131 ya\u015fta bir gencin kalbi, ona uygundu. Helikopterle Beylikd\u00fcz\u00fc\u2019nden Kartal\u2019daki Ko\u015fuyolu Y\u00fcksek \u0130htisas E\u011fitim ve Ara\u015ft\u0131rma Hastanesi\u2019ne acilen getirilen kalp, Hastane Ba\u015fhekimi ve Kalp Damar Cerrahisi Uzman\u0131 Prof. Dr. Kaan K\u0131rali ve ekibi taraf\u0131ndan ger\u00e7ekle\u015ftirilen ba\u015far\u0131l\u0131 bir operasyonla Berat\u2019a ikinci hayat\u0131n\u0131 verdi.<\/p>\n \u0130K\u0130NC\u0130 B\u0130R KALP POMPASI TAKMAK ZORUNDA KALDILAR<\/strong><\/p>\n Operasyonu ger\u00e7ekle\u015ftiren ekipten Ko\u015fuyolu Y\u00fcksek \u0130htisas E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Kalp Damar Cerrahisi Uzman\u0131 Dr. Hakan Han\u00e7er, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cBiz Berat\u2019a 2020 Aral\u0131k ay\u0131nda son d\u00f6nem kalp yetmezli\u011fi te\u015fhisi ile yapay kalp cihaz\u0131 takt\u0131k. Asl\u0131nda ani geli\u015fen bir kalp yetmezli\u011fi tablosuydu. Bir viral \u00fcst solunum yolu enfeksiyonu sonras\u0131 geli\u015fmi\u015fti.<\/p>\n Kalp fonksiyonlar\u0131 ila\u00e7la d\u00fczelmeyince sol ventrik\u00fcler destek cihaz\u0131 (LVAD) yerle\u015ftirdik. Sonras\u0131nda da kalp nakli bekleme listesine ald\u0131k. Kalbindeki yetmezlik tablosu ilerledi\u011fi i\u00e7in 1 y\u0131l sonra tekrar hastaneye yat\u0131r\u0131ld\u0131. Yo\u011fun bak\u0131ma al\u0131nd\u0131.<\/p>\n \u0130ntraaortik balon pompas\u0131 ad\u0131n\u0131 verdi\u011fimiz ek bir cihazla 25 g\u00fcn boyunca yo\u011fun bak\u0131mda tedavi g\u00f6rd\u00fc. Sonras\u0131nda toparlad\u0131 ama kesin tedavi y\u00f6ntemi sadece kalp nakli ile olacakt\u0131. 26 Ekim\u2019de de uygun don\u00f6r \u00e7\u0131kmas\u0131yla nakil ameliyat\u0131n\u0131 ba\u015far\u0131yla ger\u00e7ekle\u015ftirdik\u201d<\/p>\n \u201cMAALESEF ORGAN BA\u011eI\u015eI SAYILARIMIZ \u00c7OK YETERS\u0130Z\u201d<\/strong><\/p>\n Uzm. Dr. Han\u00e7er, \u201cBerat\u2019\u0131n ilgin\u00e7 durumu, aniden geli\u015fen bir kalp yetmezli\u011fi olmas\u0131yd\u0131\u201d diyerek s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n \u201cViral bir \u00fcst solunum yolu enfeksiyonu sonras\u0131nda geli\u015fen bir kalp yetmezli\u011fiydi. Enfeksiyona ba\u011fl\u0131 miyokardit ve sonras\u0131 kardiyomiyopati, yani kalp yetmezli\u011fi geli\u015fmi\u015fti.<\/p>\n Normal, sa\u011fl\u0131kl\u0131 bir bireyde kalbin ejeksiyon fraksiyonu (EF) dedi\u011fimiz pompalama g\u00fcc\u00fc y\u00fczde 65 civar\u0131d\u0131r. Berat gibi son d\u00f6nem kalp yetmezli\u011fi hastalar\u0131nda bu de\u011fer y\u00fczde 15\u2019e kadar d\u00fc\u015fer. Yani asl\u0131nda 4 kat azalma var ortada. Bu da v\u00fccuda yetmiyor.<\/p>\n Kalp normalde dakikada 4-5 litre kan pompalarken, birdenbire 1 litreye d\u00fc\u015f\u00fcyor. Bu da hastada ciddi tablolara yol a\u00e7abiliyor. O nedenle \u2018Basit bir \u00fcst solunum yolu enfeksiyonu, bir hafta \u015fikayetim oldu sonra ge\u00e7ti. \u015eimdi de buna ba\u011fl\u0131 herhalde k\u0131rg\u0131nl\u0131\u011f\u0131m, halsizli\u011fim var\u2019 deyip ge\u00e7memek laz\u0131m.<\/p>\n Bu \u015fikayetleri ihmal etmeyip, e\u011fer genel v\u00fccut kondisyonunda nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 gibi \u015fikayetler varsa, ya\u015ftan ba\u011f\u0131ms\u0131z olarak, Berat\u2019\u0131n ya\u015f\u0131 o cihaz\u0131 takt\u0131\u011f\u0131m\u0131zda 19\u2019du \u015fu an 21 ya\u015f\u0131nda, mutlaka bir kardiyoloji muayenesi, eko kardiyografik de\u011ferlendirme yap\u0131lmas\u0131 gerekiyor.<\/p>\n Risk grubu olmayanlar, ya\u015f\u0131 ka\u00e7 olursa olsun y\u0131lda bir, bu muayeneleri yapt\u0131rmal\u0131. G\u00f6n\u00fcl ister ki s\u00fcrekli kalp nakli yapal\u0131m ve bu hastalar\u0131 \u015fifaya kavu\u015ftural\u0131m ama maalesef organ ba\u011f\u0131\u015f\u0131 say\u0131lar\u0131m\u0131z o anlamda \u00e7ok yetersiz.\u201d<\/p>\n \u201cORADA \u00d6LENLER\u0130 G\u00d6R\u00dcNCE S\u0130Z\u0130N DE UMUDUNUZ T\u00dcKEN\u0130YOR\u201d\u00a0<\/strong><\/p>\n Hi\u00e7bir sa\u011fl\u0131k sorunu yokken kendini aniden bir hastanede yeni bir kalp beklerken bulan Berat \u00d6z ise \u015f\u00f6yle konu\u015ftu:<\/p>\n \u201cBir grip sonras\u0131 olu\u015ftu bu hastal\u0131k. \u00c7al\u0131\u015famaz hale geldim, en ufak efor sarf edebilecek i\u015fleri dahi yapam\u0131yordum. 2020 Kas\u0131m ay\u0131nda te\u015fhisim kondu, son evre kalp yetmezli\u011fi Acilen kalp nakli olmam gerekti\u011fi s\u00f6ylendi.<\/p>\n Ama pandemi d\u00f6nemiydi, organ ba\u011f\u0131\u015f\u0131 zaten \u00e7ok yetersizdi. \u00c7ok ki\u015fi vefat ediyor nakil olamadan. Yapay kalp destek cihaz\u0131 takmak zorunda kald\u0131lar. Kalbim kendi i\u015flevini g\u00f6remiyordu.<\/p>\n Cihaz tak\u0131ld\u0131ktan sonra, pandemi d\u00f6nemi de oldu\u011fu i\u00e7in, toplum i\u00e7ine girmemem konusunda doktorlar\u0131m uyarm\u0131\u015ft\u0131. Arkada\u015flar\u0131mdan ayr\u0131 kald\u0131m; i\u015f hayat\u0131m\u0131 b\u0131rakt\u0131m, \u00fcniversiteye gidemedim.<\/p>\n Bir s\u00fcre sonra tekrar fenala\u015ft\u0131m. Akci\u011ferlerimde de s\u0131v\u0131 birikmesi oldu. Yo\u011fun bak\u0131ma yat\u0131r\u0131ld\u0131m. Yo\u011fun bak\u0131mdayken ba\u015fka bir kalp destek pompas\u0131 daha takt\u0131lar bana. 20-25 g\u00fcn hareketsiz yatt\u0131m.<\/p>\n Orada \u00f6len ki\u015fileri g\u00f6r\u00fcnce sizin de umudunuz t\u00fckeniyor. Ama organ bekleyen insanlar\u0131n umudunu yitirmemesi gerekiyor, \u00e7\u00fcnk\u00fc beklenmedik bir anda uygun don\u00f6r \u00e7\u0131kabiliyor. Nitekim bana da \u00f6yle oldu. Gece 2\u2019de \u00d6zlem Ot\u00e7u han\u0131m nakil koordinat\u00f6r\u00fcm\u00fcz, organ \u00e7\u0131kt\u0131\u011f\u0131n\u0131 s\u00f6yleyince \u015fa\u015f\u0131rd\u0131k. Apar topar hastaneye geldik\u201d<\/p>\n \u201cORGANLARINI BA\u011eI\u015eLAYAN GEN\u00c7 DE BEN\u0130M EVLADIM\u201d\u00a0<\/strong><\/p>\n Berat \u00d6z\u2019\u00fcn annesi Ay\u015fe \u00d6z ise o\u011flunun o ya\u015fa kadar hi\u00e7bir sa\u011fl\u0131k sorunu olmad\u0131\u011f\u0131n\u0131 kaydederek, organlar\u0131n\u0131 ba\u011f\u0131\u015flayan don\u00f6r\u00fcn ailesine de minnettarl\u0131\u011f\u0131n\u0131 dile getirdi ve \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cBir anda \u015foke olduk, a\u011f\u0131r bir grip de de\u011fildi ge\u00e7irdi\u011fi. \u015eikayetleri ilerledi, mide bulant\u0131s\u0131, kar\u0131n a\u011fr\u0131s\u0131, a\u011f\u0131r \u00f6ks\u00fcr\u00fc\u011f\u00fc vard\u0131. Bu \u015fikayetlerle bir gece acile geldik hastaneye. Kalp nakli olmas\u0131 gerekti\u011fi s\u00f6ylendi.<\/p>\n Bekleme s\u00fcreci de \u00e7ok zordu. Benim elimden hi\u00e7bir \u015fey gelmiyor, kendisi \u00fcz\u00fcl\u00fcyor. Ben de \u00fcz\u00fcl\u00fcyorum. Yeni bir hayat bekliyorduk a\u00e7\u0131k\u00e7as\u0131. \u00dcmidini kesmi\u015fti art\u0131k, \u2018Anne bana \u00e7\u0131kmayacak\u2019 diye \u00fcz\u00fcl\u00fcrd\u00fc. Rabbim bir mucize ya\u015fatt\u0131 bize.<\/p>\n Organlar\u0131n\u0131 ba\u011f\u0131\u015flayan o genci de evlad\u0131m\u0131n yerine koydum. Organ ba\u011f\u0131\u015f\u0131 ger\u00e7ekten \u00e7ok \u00f6nemli. O\u011flum da ailem de hepimiz organlar\u0131m\u0131z\u0131 ba\u011f\u0131\u015flad\u0131k. Hatta o\u011flum, \u2018Anne bana uygun kalp \u00e7\u0131kmazsa ba\u015fka bir aileye bir can, bir nefes olsun di\u011fer organlar\u0131m\u2019 dedi. Ba\u011f\u0131\u015fta bulunan aileye de \u00e7ok te\u015fekk\u00fcr ediyorum. Rabbim onlara sab\u0131r versin, g\u00fc\u00e7 kuvvet versin.\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":" \u0130stanbul\u2019da ailesiyle ya\u015fayan Berat \u00d6z, \u00fcniversite okumay\u0131 planlarken, 19 ya\u015f\u0131nda ge\u00e7irdi\u011fi grip sonras\u0131 geli\u015fen kalp yetmezli\u011fi nedeniyle …<\/p>\n","protected":false},"author":1,"featured_media":55400,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[5185,1003,3932,9547,3300],"class_list":["post-55399","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-berat","tag-hastane","tag-kalp","tag-kalp-yetmezligi","tag-organ"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/55399","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=55399"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/55399\/revisions"}],"predecessor-version":[{"id":55401,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/55399\/revisions\/55401"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/55400"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55399"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55399"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}