{"id":61063,"date":"2022-12-11T07:51:02","date_gmt":"2022-12-11T07:51:02","guid":{"rendered":"https:\/\/haberulus.net\/?p=61063"},"modified":"2022-12-11T07:51:02","modified_gmt":"2022-12-11T07:51:02","slug":"turk-hekimden-onemli-bulus-hastanin-kanini-gozunden-anlayacak","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=61063","title":{"rendered":"T\u00fcrk hekimden \u00f6nemli bulu\u015f: Hastan\u0131n kan\u0131n\u0131 g\u00f6z\u00fcnden anlayacak"},"content":{"rendered":"

D\u00fcnya n\u00fcfusunun yakla\u015f\u0131k \u00fc\u00e7te birinde kans\u0131zl\u0131k oldu\u011fu tahmin ediliyor. Halsizlik, yorgunluk ve ciltte solgunluk belirtileriyle kendini g\u00f6steren kans\u0131zl\u0131\u011f\u0131n tespiti i\u00e7inse hastaneye gidilmesi, damardan kan al\u0131nmas\u0131 ve yakla\u015f\u0131k 2 saat s\u00fcren laboratuvar s\u00fcrecinin beklenmesi gerekiyor.<\/p>\n

Amerika\u2019da ya\u015fayan bir T\u00fcrk doktor ve m\u00fchendisin geli\u015ftirdi\u011fi tele t\u0131p uygulamas\u0131 ile kans\u0131zl\u0131k \u00f6l\u00e7\u00fcm\u00fc tam anlam\u0131yla \u201cg\u00f6z a\u00e7\u0131p kapay\u0131ncaya kadar\u201d yap\u0131labilecek.<\/p>\n

Uygulama, FDA onay\u0131 ald\u0131ktan sonra t\u00fcm d\u00fcnyada ayn\u0131 anda kullan\u0131labilecek. \u00d6zellikle saniyelerin bile kritik oldu\u011fu kanamal\u0131 acil travma hastalar\u0131nda, kans\u0131zl\u0131\u011f\u0131n belirteci olan \u201chemoglobin\u201d \u00f6l\u00e7\u00fcm\u00fcn\u00fc 2 saatten 2 saniyeye indirecek uygulamay\u0131 geli\u015ftiren T\u00fcrk M\u00fchendis ve Acil T\u0131p Uzman\u0131 Prof. Dr. Selim Suner, ge\u00e7ti\u011fimiz hafta T\u00fcrkiye Acil T\u0131p Derne\u011fi taraf\u0131ndan Antalya\u2019da ger\u00e7ekle\u015ftirilen uluslararas\u0131 kongreye kat\u0131ld\u0131.<\/p>\n

Prof. Dr. Suner, \u0130stanbul Robert Kolej\u2019den, ABD Brown \u00dcniversitesi M\u00fchendislik Fak\u00fcltesine, oradan ayn\u0131 \u00fcniversitenin t\u0131p fak\u00fcltesi ve \u015fimdi de Rhode Island Hastanesi Acil T\u0131p Departman\u0131 Afet T\u0131bb\u0131 Anabilim Dal\u0131 Ba\u015fkanl\u0131\u011f\u0131 ve Acil Durum Haz\u0131rl\u0131k Komitesi Ba\u015fkanl\u0131\u011f\u0131na uzanan hikayesini ve ekibiyle geli\u015ftirdi\u011fi eMoglobin uygulamas\u0131n\u0131n detaylar\u0131n\u0131 anlatt\u0131.<\/p>\n

\"\"<\/p>\n

Prof. Dr. Selim Suner<\/p>\n<\/div>\n

G\u00d6Z A\u00c7IP KAPAYINCAYA KADAR KANSIZLIK TESP\u0130T\u0130<\/strong><\/p>\n

Prof. Dr. Suner, \u201cAcil t\u0131pta asistanl\u0131k yaparken m\u00fchendislik a\u015fk\u0131m\u0131 t\u0131pla nas\u0131l birle\u015ftirebilirim diye d\u00fc\u015f\u00fcnmeye ba\u015flad\u0131m. Kans\u0131zl\u0131k projesi oradan ba\u015flad\u0131. Acillerde hastalar\u0131n y\u00fczde 80inde mutlaka kan al\u0131n\u0131r ve tahlil yap\u0131l\u0131r.<\/p>\n

Kans\u0131zl\u0131\u011f\u0131 g\u00f6steren hemoglobin \u00f6l\u00e7\u00fcm\u00fc bu verilerden biridir. Hemoglobin \u00f6l\u00e7\u00fcm\u00fcn\u00fc kan almadan ve h\u0131zl\u0131 bir \u015fekilde nas\u0131l yapabiliriz, onu d\u00fc\u015f\u00fcnd\u00fck. \u0130lk \u00f6nce t\u0131rnaklara bakt\u0131k, oradan olmad\u0131. Sonra g\u00f6z kapa\u011f\u0131n\u0131n i\u00e7ine y\u00f6neldik. G\u00f6z i\u00e7i k\u0131rm\u0131z\u0131, neden k\u0131rm\u0131z\u0131? \u00c7\u00fcnk\u00fc oradan kan ge\u00e7iyor ve deri yok, derideki maddeler yok.<\/p>\n

Hemen damarlar\u0131, kan\u0131 g\u00f6rebiliyorsunuz. Onun foto\u011fraf\u0131n\u0131 \u00e7ekip \u00f6l\u00e7ebilir miyiz diye d\u00fc\u015f\u00fcnd\u00fck ve proje b\u00f6yle ba\u015flad\u0131. \u0130lk \u00f6nce telefon uygulamas\u0131 de\u011fildi. Dijital foto\u011fraf makinesiyle g\u00f6z i\u00e7i foto\u011fraflar\u0131n\u0131 \u00e7ektik, o dijital datay\u0131 matematiksel olarak de\u011ferlendirdik ve korelasyonlar yapt\u0131k hastalardaki hemoglobin verileriyle. Sonu\u00e7lar iyiydi.<\/p>\n

Telefonlardaki foto\u011fraf makineleri art\u0131k o kadar g\u00fc\u00e7l\u00fc ki, megapiksel, 16 bit datay\u0131 g\u00f6steren \u00e7ok b\u00fcy\u00fck kabiliyeti var bu telefonlar\u0131n. O y\u00fczden cep telefonuna d\u00f6nd\u00fc proje.<\/p>\n

Onda da gayet iyi sonu\u00e7lar ald\u0131k ve bunu bir aplikasyon (uygulama) olarak geli\u015ftirdik. \u0130steyen cep telefonu ile g\u00f6z\u00fcn resmini \u00e7ekiyor ve 2 saniye sonra hemoglobin konsantrasyonu belirleniyor\u201d dedi.<\/p>\n

SA\u011e VE SOL G\u00d6Z \u0130LE DAMARDAN ALINAN KAN \u00d6L\u00c7\u00dcMLER\u0130 KIYASLANDI<\/strong><\/p>\n

Etik kurul onaylar\u0131 al\u0131narak y\u00fczlerce hastan\u0131n dahil edildi\u011fi \u00e7al\u0131\u015fmalarda, hem sa\u011f hem sol g\u00f6z foto\u011fraflar\u0131ndan elde edilen verilerle, ayn\u0131 hastan\u0131n kan\u0131ndan yap\u0131lan \u00f6l\u00e7\u00fcmleri k\u0131yaslayarak eMoglobin uygulamas\u0131n\u0131 geli\u015ftirdiklerini anlatan Prof. Dr. Suner, Y\u00fczlerce hastada sa\u011f ve sol g\u00f6zden al\u0131nan verileri kar\u015f\u0131la\u015ft\u0131rd\u0131k.<\/p>\n

3 bin 500 foto\u011fraf\u0131m\u0131z var bu \u015fekilde. Hatta 500 hastayla daha \u00e7al\u0131\u015fma yap\u0131yoruz \u015fu anda. Verilere bakt\u0131\u011f\u0131m\u0131zda 2 gram desilitre (g\u00a0\/\u00a0dL) hata pay\u0131 oluyor ki bu \u00e7ok tolere edilebilir bir d\u00fczey.<\/p>\n

\u00d6rne\u011fin birinin kan de\u011ferinde hemoglobin d\u00fczeyi 10 (g\u00a0\/\u00a0dL) ise bizim \u00f6l\u00e7\u00fcm\u00fcm\u00fczde 8 ila 12 aras\u0131nda bir de\u011fer veriyor. Klinik olarak da yeterli bu hata pay\u0131\u201d diye konu\u015ftu.<\/p>\n

AC\u0130L KANAMALI HASTALAR \u0130\u00c7\u0130N HAYAT KURTARICI OLACAK<\/strong><\/p>\n

\u00d6zellikle geli\u015fmekte olan \u00fclkelerde kan testlerinin yap\u0131lmas\u0131n\u0131n laboratuvar ve cihaz imkanlar\u0131n\u0131n k\u0131s\u0131tl\u0131 olmas\u0131 nedeniyle \u00e7ok zor oldu\u011funa de\u011finen Prof. Dr. Suner, \u00f6zellikle beslenmeye ba\u011fl\u0131 kans\u0131zl\u0131\u011f\u0131n te\u015fhisi a\u00e7\u0131s\u0131ndan hemoglobin d\u00fczeyinin \u00f6l\u00e7\u00fcm\u00fcn\u00fcn \u00e7ok \u00f6nemli oldu\u011funa dikkat \u00e7ekerek s\u00f6zlerini \u015f\u00f6yle noktalad\u0131:<\/p>\n

Bu \u00fclkelerde kan almak, laboratuvar imkanlar\u0131 \u00e7ok k\u0131s\u0131tl\u0131. Bu uygulamayla bir\u00e7ok ki\u015finin kans\u0131zl\u0131k seviyesi \u00e7ok h\u0131zl\u0131 bir \u015fekilde \u00f6l\u00e7\u00fclebilecek ve annemi tan\u0131s\u0131 yap\u0131lanlarda hemen m\u00fcdahale edilebilecek. Hastane \u00f6ncesinde uygulamas\u0131 da \u00e7ok b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. \u00d6rne\u011fin ambulanslarda kaza (veya i\u00e7 kanama riskli) vakalarda, hemen bak\u0131labilecek. Yar\u0131m saat sonra bir kez daha kontrol edilebilecek ve y\u00fcksek kanama varsa v\u00fccutta, b\u00f6ylece saniyeler i\u00e7inde belirlenebilecek.<\/p>\n

Ayr\u0131ca hastane i\u00e7inde maliyetleri de \u00e7ok d\u00fc\u015f\u00fcrecek. 2 saatte al\u0131nabilecek bir bilgi, 2 saniyede elimize ge\u00e7mi\u015f olacak. Tabii bunu hastalarda kullanabilmek i\u00e7in Amerika\u2019da FDA\u2019den onay almam\u0131z gerekiyor. O onay\u0131 almak i\u00e7in de baz\u0131 verilerle birlikte ba\u015fvuru yapmam\u0131z gerekiyor. Bu y\u0131l i\u00e7inde (2023) yapmay\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz; 200 hasta verisini daha ald\u0131ktan sonra FDA ba\u015fvurusunu da yapaca\u011f\u0131z.<\/p>\n

Onay \u00e7\u0131kt\u0131ktan sonra da bunu hemen t\u00fcm d\u00fcnyada yayg\u0131nla\u015ft\u0131rmak \u00e7ok kolay olacak. Telefon uygulama ma\u011fazalar\u0131ndan hemen y\u00fcklenebilecek ve d\u00fcnyadaki herkes bunu kullanabilecek.\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":"

Brown \u00dcniversitesi’nde hem acil t\u0131p, hem de m\u00fchendislik profes\u00f6r\u00fc olarak acil durum ve afet t\u0131bb\u0131 direkt\u00f6rl\u00fc\u011f\u00fc yapan Prof. Dr. Selim Suner, kans\u0131zl\u0131\u011f\u0131 g\u00f6z i\u00e7inden sadece 2 saniye i\u00e7inde \u00f6l\u00e7ebilen bir uygulama geli\u015ftirdi.<\/p>\n","protected":false},"author":1,"featured_media":61064,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[1874,318,159,169,9987],"class_list":["post-61063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-acil","tag-goz","tag-hasta","tag-kan","tag-tele"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/61063","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=61063"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/61063\/revisions"}],"predecessor-version":[{"id":61065,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/61063\/revisions\/61065"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/61064"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}