{"id":38403,"date":"2021-03-22T15:28:09","date_gmt":"2021-03-22T12:28:09","guid":{"rendered":"https:\/\/avicennaint.com\/tibbi-bolum\/kardiologiya\/"},"modified":"2021-03-22T15:28:09","modified_gmt":"2021-03-22T12:28:09","slug":"kardiologiya","status":"publish","type":"project","link":"https:\/\/avicennaint.com\/az\/tibbi-\u015f\u00f6b\u0259l\u0259r\/kardiologiya\/","title":{"rendered":"Kardiologiya"},"content":{"rendered":"
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Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131n\u0131n Kardiologiya \u015f\u00f6b\u0259si \u00fcr\u0259k sa\u011flaml\u0131\u011f\u0131n\u0131 qorumaq, \u00fcr\u0259k x\u0259st\u0259likl\u0259rinin diaqnozu v\u0259 m\u00fcalic\u0259si \u00fc\u00e7\u00fcn d\u00fcnya s\u0259viyy\u0259li avadanl\u0131q v\u0259 infrastrukturla xidm\u0259t g\u00f6st\u0259rir.<\/p>\n<\/p>\n

Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131nda yeni do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259n tutmu\u015f \u0259n ya\u015fl\u0131 yetkinl\u0259r\u0259 q\u0259d\u0259r h\u0259r c\u00fcr \u00fcr\u0259k x\u0259st\u0259sikl\u0259rinin diaqnozu v\u0259 m\u00fcalic\u0259si il\u0259 t\u0259min edilmi\u015fdir. M\u0259rk\u0259zimiz \u00fcr\u0259k x\u0259st\u0259likl\u0259rind\u0259 m\u00fcayin\u0259, diaqnoz, m\u00fcalic\u0259, reabilitasiya v\u0259 koroner reanimasiyada x\u0259st\u0259l\u0259rin\u0259 xidm\u0259t g\u00f6st\u0259rir.<\/p>\n<\/p>\n

\u00dcr\u0259k Sa\u011flaml\u0131\u011f\u0131 M\u0259rk\u0259zind\u0259 Kardioloji M\u00fcayin\u0259l\u0259r<\/strong><\/p>\n<\/p>\n

Kardiologiya Poliklinikas\u0131 M\u00fcayin\u0259l\u0259ri h\u0259ft\u0259nin 6 g\u00fcn\u00fc (bazar g\u00fcn\u00fcnd\u0259n ba\u015fqa) saat 09:00 – 17:30 aras\u0131nda, m\u00fct\u0259x\u0259ssisl\u0259r, dosentl\u0259r v\u0259 professorlar t\u0259r\u0259find\u0259n apar\u0131l\u0131r.<\/p>\n<\/p>\n

Elektrokardioqrafiya (EKG)<\/strong><\/p>\n<\/p>\n

\u00dcr\u0259k \u0259z\u0259l\u0259si v\u0259 sinir ke\u00e7iriciliyi sisteminin i\u015fini ara\u015fd\u0131rmaq \u00fc\u00e7\u00fcn \u00fcr\u0259kd\u0259 meydana g\u0259l\u0259n elektrik f\u0259aliyy\u0259tl\u0259rinin qeyd edilm\u0259sidir. EKQ, \u00fcr\u0259k x\u0259st\u0259likl\u0259rinin diaqnozu h\u0259kim m\u00fcayin\u0259si zaman\u0131 tap\u0131lan simptomlarla birlikd\u0259, dig\u0259r analizl\u0259rind\u0259 n\u0259z\u0259r\u0259 al\u0131nmas\u0131yla h\u0259yata ke\u00e7irilir. \u00dcr\u0259k-damar t\u0131xan\u0131ql\u0131\u011f\u0131, ritm poz\u011funluqlar\u0131, \u00fcr\u0259k qapa\u011f\u0131 x\u0259st\u0259likl\u0259ri v\u0259 \u00fcr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 diaqnozunda \u00f6n\u0259mli bir \u0259h\u0259miyy\u0259t\u0259 malikdir.<\/p>\n<\/p>\n

EFOR (qa\u00e7\u0131\u015f trenajoru) Testi<\/strong><\/p>\n<\/p>\n

Efor testi, \u00fcr\u0259k-damar x\u0259st\u0259likl\u0259rinin m\u00f6vcudlu\u011funun ara\u015fd\u0131r\u0131lmas\u0131, m\u0259lum \u00fcr\u0259k-damar x\u0259st\u0259likl\u0259rind\u0259 m\u00fcalic\u0259nin effektivliyinin m\u00fc\u0259yy\u0259nl\u0259\u015fdirilm\u0259si, \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcs\u00fc pozulmas\u0131n\u0131n meydana g\u0259lm\u0259sinin t\u0259yin edilm\u0259si, ba\u015fqa s\u00f6zl\u0259 aritmiya, xroniki \u00fcr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 x\u0259st\u0259l\u0259rind\u0259 eforun qan t\u0259zyiqi \u00fcz\u0259rind\u0259ki t\u0259sirl\u0259rinin ara\u015fd\u0131r\u0131lmas\u0131 v\u0259 \u00fcr\u0259k qapa\u011f\u0131 x\u0259st\u0259likl\u0259rind\u0259 \u0259m\u0259liyyat m\u00fcdd\u0259tini t\u0259yin etm\u0259k \u00fc\u00e7\u00fcn istifad\u0259 edil\u0259n bir testdir. Efor testi zaman\u0131 x\u0259st\u0259 bir qa\u00e7\u0131\u015f trenajoru \u00fcz\u0259rind\u0259 g\u0259zir. Yeri\u015fin s\u00fcr\u0259ti, \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcs\u00fcn\u00fc art\u0131rmaq \u00fc\u00e7\u00fcn h\u0259kim t\u0259r\u0259find\u0259n t\u0259nziml\u0259nir. Qa\u00e7\u0131\u015f trenajoru testi, insan\u0131n m\u00fc\u0259yy\u0259n s\u00fcr\u0259tl\u0259rd\u0259 qa\u00e7\u0131\u015f zola\u011f\u0131nda g\u0259z\u0259rk\u0259n EKQ-l\u0259rinin ard\u0131c\u0131l olaraq g\u00f6t\u00fcr\u00fclm\u0259si v\u0259 qan t\u0259zyiqinin \u00f6l\u00e7\u00fclm\u0259si il\u0259 apar\u0131lan bir m\u00fcayin\u0259dir. \u0130stirah\u0259t zaman\u0131nda EKQ-d\u0259 a\u015fkar edil\u0259 bilm\u0259y\u0259n anormal hallar\u0131n efordan sonra a\u015fkarlanmas\u0131na imkan verir. Efor testi \u0259vv\u0259ld\u0259n sona q\u0259d\u0259r m\u00fct\u0259x\u0259ssis bir h\u0259kim t\u0259r\u0259find\u0259n izl\u0259nm\u0259si laz\u0131md\u0131r. Efor testi \u00fcr\u0259k x\u0259st\u0259likl\u0259rinin erk\u0259n diaqnozunda b\u00f6y\u00fck \u0259h\u0259miyy\u0259t\u0259 malikdir. N\u0259tic\u0259 m\u00fcayin\u0259d\u0259n d\u0259rhal sonra verilir.<\/p>\n<\/p>\n

Efor testind\u0259n \u0259vv\u0259l diqq\u0259t edil\u0259c\u0259kl\u0259r<\/strong><\/p>\n<\/p>\n

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  • Testd\u0259n 3 saat \u0259vv\u0259l \u00e7ox az yem\u0259k yeyin, bundan sonra ehtiyac\u0131n\u0131z varsa az miqdarda su i\u00e7\u0259 bil\u0259rsiniz.<\/li>\n
  • Daha \u0259vv\u0259l \u00e7\u0259kilmi\u015f EKQ-ni \u00f6z\u00fcn\u00fczl\u0259 g\u0259tirin.<\/li>\n
  • Ki\u015fi x\u0259st\u0259l\u0259rin sin\u0259sind\u0259 t\u00fck varsa t\u0259mizl\u0259nm\u0259lidir.<\/li>\n
  • Qad\u0131n x\u0259st\u0259l\u0259rin paltar geyinm\u0259si daha uy\u011fundur.<\/li>\n
  • Efor testind\u0259n \u0259vv\u0259l h\u0259kiminiz b\u0259zi d\u0259rmanlar\u0131n dayand\u0131rma\u011f\u0131n\u0131z\u0131 ist\u0259y\u0259 bil\u0259r. Bu m\u0259s\u0259l\u0259ni h\u0259kiminizl\u0259 m\u0259sl\u0259h\u0259tl\u0259\u015fin.<\/li>\n<\/ul>\n

    <\/p>\n

    Transtorasik Ekokardiyografiya (EKO)<\/strong><\/p>\n

    <\/p>\n

    Ekokardiyografiya \u00fcr\u0259k qurulu\u015funun v\u0259 f\u0259aliyy\u0259tinin \u00fcr\u0259k dal\u011falar\u0131 (ultras\u0259s) vasit\u0259si il\u0259 \u00a0m\u00fcayin\u0259sidir. Radiasiya yayan bir \u00fcsul olmad\u0131\u011f\u0131 v\u0259 prosedur zaman\u0131 he\u00e7 bir d\u0259rman istifad\u0259 edilm\u0259diyi \u00fc\u00e7\u00fcn hamil\u0259 qad\u0131nlar v\u0259 yeni do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r daxil olmaqla h\u0259r k\u0259s\u0259, he\u00e7 bir risk v\u0259 a\u011fr\u0131 olmadan t\u0259tbiq oluna bil\u0259r. Prosedur zaman\u0131 x\u0259st\u0259d\u0259n x\u0259r\u0259kd\u0259 yatmas\u0131 ist\u0259nilir. Sond adlanan s\u0259s dal\u011fas\u0131 v\u0259 izolyasiya x\u00fcsusiyy\u0259tin\u0259 malik su \u0259sasl\u0131 bir gel g\u00f6nd\u0259r\u0259n cihaz, h\u0259kim t\u0259r\u0259find\u0259n sin\u0259 nahiy\u0259sind\u0259ki m\u00fcxt\u0259lif yerl\u0259r\u0259 tutularaq \u00fcr\u0259yin g\u00f6r\u00fcnt\u00fcl\u0259nm\u0259sin\u0259 imkan verir. Bu g\u00f6r\u00fcnt\u00fcl\u0259r \u00fcz\u0259rind\u0259 \u0259trafl\u0131 analizl\u0259r apar\u0131l\u0131r. \u00dcr\u0259yin b\u00fct\u00fcn x\u0259st\u0259likl\u0259rinin diaqnozu (\u00fcr\u0259k b\u00f6y\u00fcm\u0259si, \u00fcr\u0259k \u0259z\u0259l\u0259 x\u0259st\u0259likl\u0259ri, \u00fcr\u0259k qapaq x\u0259st\u0259likl\u0259ri, hipertenziv \u00fcr\u0259k x\u0259st\u0259likl\u0259ri, \u00fcr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131, \u00fcr\u0259k membran\u0131 x\u0259st\u0259likl\u0259ri, laxtalanma, \u00fcr\u0259k \u015fi\u015fl\u0259ri, anadang\u0259lm\u0259 \u00fcr\u0259k anomaliyalar\u0131, h\u0259tta\u00a0 aort deyil\u0259n b\u0259d\u0259nd\u0259ki damara ayid x\u0259st\u0259likl\u0259r) ekokardiyografiya prosesi il\u0259 qoyulur. Ekokardiyografiya \u00fc\u00e7\u00fcn \u0259vv\u0259lc\u0259d\u0259n haz\u0131rl\u0131q t\u0259l\u0259b olunmur. Bununla birlikd\u0259, ekokardiyografiya g\u00f6r\u00fc\u015f\u00fcn\u0259 g\u0259l\u0259rk\u0259n rahat bir paltar geyinm\u0259k laz\u0131md\u0131r. Bundan \u0259lav\u0259, \u00a0ekokardiyografiya prosedurunun h\u0259yata ke\u00e7irm\u0259sin\u0259 q\u0259rar veril\u0259n x\u0259st\u0259nin h\u0259kimind\u0259n, prosedurun m\u0259qs\u0259dini v\u0259 x\u0259st\u0259nin tibbi m\u0259lumatlar\u0131n\u0131 \u0259ks etdir\u0259n m\u00fcraci\u0259t ka\u011f\u0131z\u0131 al\u0131nmal\u0131 v\u0259 ekokardiyografiya aparacaq h\u0259kim\u0259 verilm\u0259lidir. Ekokardiyografiya rutin bir \u00fcsuldur. G\u00f6r\u00fc\u015f \u00fc\u00e7\u00fcn x\u00fcsusi bir haz\u0131rl\u0131q g\u00f6rm\u0259y\u0259 ehtiyac yoxdur. N\u0259tic\u0259 m\u00fcayin\u0259d\u0259n d\u0259rhal sonra verilir.<\/p>\n

    <\/p>\n

    \u00dc\u00e7 \u00d6l\u00e7\u00fcl\u00fc Transtorasik Ekokardiyografiya<\/strong><\/p>\n

    <\/p>\n

    Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131 d\u00fcnyan\u0131n \u0259n inki\u015faf etmi\u015f ekokardiyografiya cihazlar\u0131na sahibdir. \u00dc\u00e7 \u00f6l\u00e7\u00fcl\u00fc ekokardiyografiyas\u0131 \u00fcr\u0259k qapaq x\u0259st\u0259likl\u0259rind\u0259 v\u0259 \u00fcr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131nda, iki \u00f6l\u00e7\u00fcl\u00fc ekokardiyografiya yet\u0259rli olmad\u0131qda istifad\u0259 olunur. N\u0259tic\u0259 m\u00fcayin\u0259d\u0259n d\u0259rhal sonra verilir.<\/p>\n

    <\/p>\n

    Stres ekokardiyografiya<\/strong><\/p>\n

    <\/p>\n

    Stres ekokardiyografiya, \u00fcr\u0259yi qidaland\u0131ran damarlarda (koronar damarlar) bir t\u0131xanma v\u0259 ya daralma olub olmad\u0131\u011f\u0131n\u0131 ara\u015fd\u0131rmaq, infarkt (miyokard infarkt\u0131) olan x\u0259st\u0259l\u0259rd\u0259 d\u0259rman istifad\u0259si xaricind\u0259 bir m\u00fcalic\u0259nin laz\u0131m olub olmad\u0131\u011f\u0131n\u0131 t\u0259yin etm\u0259k v\u0259 x\u0259st\u0259liyin d\u0259r\u0259c\u0259sini t\u0259yin etm\u0259k \u00fc\u00e7\u00fcn istifad\u0259 olunur. \u00c7ox vacib m\u0259lumat ver\u0259n, t\u0259hl\u00fck\u0259siz v\u0259 asan t\u0259tniq olunan bir texnikad\u0131r. Stres ekokardiyografiya sad\u0259c\u0259 “yarad\u0131lacaq stres” dan \u0259vv\u0259l v\u0259 sonra \u00fcr\u0259yi s\u0259s dal\u011falar\u0131 il\u0259 m\u00fcayin\u0259 ed\u0259r\u0259k h\u0259yata ke\u00e7irilir. Bu prosedur zaman\u0131 he\u00e7 bir a\u011fr\u0131 hiss olunmur. \u0130stifad\u0259 edil\u0259c\u0259k stres metodu qa\u00e7\u0131\u015f trenajoru cihaz\u0131nda efor g\u00f6st\u0259rm\u0259k, y\u0259ni s\u00fcr\u0259tl\u0259 g\u0259z\u0259r\u0259k \u00fcr\u0259yin i\u015f y\u00fck\u00fcn\u00fc art\u0131rmaqd\u0131r. Stres ekokardiyografiya \u00a0qol damar\u0131ndan veril\u0259n bir d\u0259rmanlada apar\u0131l\u0131r. N\u0259tic\u0259 m\u00fcayin\u0259d\u0259n d\u0259rhal sonra verilir.<\/p>\n

    <\/p>\n

    Stres Ekokardiyografiya prosedurundan \u0259vv\u0259l diqq\u0259t edil\u0259c\u0259kl\u0259r<\/strong><\/p>\n

    <\/p>\n

      \n
    • G\u00f6r\u00fc\u015f\u00fcn\u00fcz\u0259 4 saat ac olaraq g\u0259lin.<\/li>\n
    • Prosedurdan \u0259vv\u0259l istifad\u0259 etdiyiniz d\u0259rmanlar\u0131 q\u0259bul edib etm\u0259y\u0259c\u0259yiniz bar\u0259d\u0259 h\u0259kiminizl\u0259 dan\u0131\u015f\u0131n.<\/li>\n
    • Prosedura rahat ayaqqab\u0131 v\u0259 rahat paltar g\u0259tirin.<\/li>\n
    • Daha \u0259vv\u0259l \u00fcr\u0259kl\u0259 \u0259laq\u0259li edilmi\u015f m\u00fcayin\u0259l\u0259ri d\u0259 \u00f6z\u00fcn\u00fczl\u0259 g\u0259tirin.<\/li>\n<\/ul>\n

      <\/p>\n

      Trans\u00f6zofageal Ekokardiyografiya (TEE) Testi<\/strong><\/p>\n

      <\/p>\n

      TEE \u00f6l\u00e7\u00fclm\u0259si x\u0259st\u0259nin sin\u0259 qurulu\u015funun (a\u011fciy\u0259r x\u0259st\u0259liyi, deformasiya v\u0259 s. s\u0259b\u0259bl\u0259rl\u0259) kifay\u0259t q\u0259d\u0259r keyfiyy\u0259tli ekokardiyografik g\u00f6r\u00fcnt\u00fc verm\u0259diyi v\u0259 ya \u00fcr\u0259k i\u00e7ind\u0259ki ba\u015f ver\u0259nl\u0259ri daha yax\u0131ndan g\u00f6rm\u0259k laz\u0131m olduqda istifad\u0259 edil\u0259n bir \u00fcsuldur. TEE endoskopik bir m\u00fcayin\u0259dir. A\u011f\u0131z hiss\u0259sind\u0259n yem\u0259k borusuna endiril\u0259n inc\u0259 bir t\u00fcp il\u0259 \u00fcr\u0259yin arxa t\u0259r\u0259fin\u0259 \u00e7at\u0131r v\u0259 \u00e7ox ayd\u0131n g\u00f6r\u00fcnt\u00fc al\u0131n\u0131r. Prosedurdan \u0259vv\u0259l haz\u0131rl\u0131q 30 d\u0259qiq\u0259 \u00e7\u0259kir. N\u0259tic\u0259 m\u00fcayin\u0259d\u0259n d\u0259rhal sonra verilir.<\/p>\n

      <\/p>\n

      M\u00fcayin\u0259y\u0259 g\u0259lm\u0259d\u0259n \u0259vv\u0259l edil\u0259c\u0259kl\u0259r<\/strong><\/p>\n

      <\/p>\n

        \n
      • 4-6 saat yem\u0259k yem\u0259d\u0259n v\u0259 su i\u00e7m\u0259d\u0259n g\u0259lin.<\/li>\n
      • \u015e\u0259k\u0259r x\u0259st\u0259liyiniz varsa, h\u0259kiminiz\u0259 m\u00fcraci\u0259t edin.<\/li>\n
      • A\u011fz\u0131n\u0131zda bir protez varsa, m\u00fcayin\u0259d\u0259n \u0259vv\u0259l \u00e7\u0131xar\u0131n.<\/li>\n
      • Udmaqda \u00e7\u0259tinlik \u00e7\u0259kirsinizs\u0259 v\u0259 ya yem\u0259k borusuyla \u0259laq\u0259li bir x\u0259st\u0259liyiniz varsa, \u0259vv\u0259lc\u0259d\u0259n h\u0259kiminiz\u0259 m\u0259lumat verin.<\/li>\n
      • X\u0259st\u0259xanaya g\u0259lm\u0259d\u0259n \u0259vv\u0259l m\u00fctl\u0259q \u0259vv\u0259lki m\u00fcayin\u0259 n\u0259tic\u0259l\u0259rini v\u0259 istifad\u0259 etdiyiniz d\u0259rmanlar\u0131 \u00f6z\u00fcn\u00fczl\u0259 g\u0259tirin.<\/li>\n<\/ul>\n

        <\/p>\n

        M\u00fcayin\u0259d\u0259n sonra diqq\u0259t edil\u0259c\u0259kl\u0259r<\/strong><\/p>\n

        <\/p>\n

          \n
        • 2 saat yem\u0259yin.<\/li>\n
        • Yuxu v\u0259 ba\u015fgic\u0259ll\u0259nm\u0259 hal\u0131 davam ed\u0259c\u0259yi \u00fc\u00e7\u00fcn bir ne\u00e7\u0259 saat ma\u015f\u0131n s\u00fcrm\u0259yin<\/li>\n<\/ul>\n

          <\/p>\n

          3 \u00f6l\u00e7\u00fcl\u00fc Transesophageal Ekokardiyografiya (TEE) Testi<\/strong><\/p>\n

          <\/p>\n

          \u00d6lk\u0259mizd\u0259 yaln\u0131z bir ne\u00e7\u0259 m\u0259rk\u0259zd\u0259 m\u00f6vcud olan bu \u00fcsulla anadang\u0259lm\u0259 \u00fcr\u0259k de\u015fikl\u0259rini, protez \u00fcr\u0259k qapaqlar\u0131 olan x\u0259st\u0259l\u0259rd\u0259 qapaqlarda s\u0131z\u0131nt\u0131lar\u0131 v\u0259 dig\u0259r \u00e7\u0259tin x\u0259st\u0259likl\u0259ri v\u0259 2 \u00f6l\u00e7\u00fcl\u00fc TEE il\u0259 dig\u0259r x\u0259st\u0259likl\u0259rin diaqnozunu a\u015fkar etm\u0259k m\u00fcmk\u00fcnd\u00fcr. M\u00fcayin\u0259d\u0259n \u0259vv\u0259l v\u0259 sonra edil\u0259c\u0259k i\u015fl\u0259r yuxar\u0131da g\u00f6st\u0259ril\u0259nl\u0259 eynidir. N\u0259tic\u0259 m\u00fcayin\u0259d\u0259n d\u0259rhal sonra verilir.<\/p>\n

          <\/p>\n

          Ritm (EKG) Holter EKG Holter; Cib telefonu kimi k\u0259m\u0259r\u0259 ba\u011flanan bir cihazd\u0131r. 3-4 \u00a0\u0259d\u0259d kabeli, elektrodlar vasit\u0259sil\u0259 (yumu\u015fak plastikd\u0259n d\u00fcz\u0259l\u0259n 3-4 sm diametrli yap\u0131\u015fan material) sin\u0259y\u0259 ba\u011flan\u0131r. \u0130nsan normal g\u00fcnd\u0259lik h\u0259yat\u0131n\u0131 davam etdir\u0259rk\u0259n, cihaz planlanan m\u00fcdd\u0259t\u0259d\u0259k \u00fcr\u0259k elektronlar\u0131n\u0131 qeyd edir. M\u00fcdd\u0259tin sonunda cihaz \u00e7\u0131xar\u0131l\u0131r v\u0259 al\u0131nan qeydl\u0259r komp\u00fcterd\u0259 analiz edilir. Bu cihaz say\u0259sind\u0259 m\u00fcayin\u0259 zaman\u0131 g\u00f6r\u00fcnm\u0259y\u0259n, lakin g\u00fcn \u0259rzind\u0259 q\u0131sa m\u00fcdd\u0259t davam ed\u0259n \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcl\u0259ri, sin\u0259 a\u011fr\u0131lar\u0131, hu\u015funu itirm\u0259 kimi \u00fcr\u0259kd\u0259n yaranan b\u00fct\u00fcn ritm poz\u011funluqlar\u0131 a\u015fkar edil\u0259 bil\u0259r. Holter testind\u0259n \u0259vv\u0259l istifad\u0259 olunan d\u0259rmanlar\u0131n dayand\u0131r\u0131l\u0131b-dayand\u0131r\u0131lmayaca\u011f\u0131 h\u0259kim\u0259 m\u00fcraci\u0259t edilm\u0259lidir. Holter cihaz\u0131 yerl\u0259\u015fdirildikd\u0259n sonra, x\u00fcsusil\u0259 \u015fikay\u0259tl\u0259r\u0259 s\u0259b\u0259b olan hadis\u0259l\u0259r t\u0259krarlanmal\u0131d\u0131r. Q\u0259hv\u0259 istifad\u0259si, pill\u0259k\u0259nl\u0259r\u0259 qalxmaq v\u0259 s. Event Recorder (hadis\u0259 qeydedici) Bu cihazlar EKG holter cihaz\u0131na b\u0259nz\u0259yir v\u0259 tez-tez t\u0259krarlanmayan ritm poz\u011funluqlar\u0131n\u0131 a\u015fkar etm\u0259k \u00fc\u00e7\u00fcn istifad\u0259 olunur. Cihaz x\u0259st\u0259d\u0259 14 g\u00fcn qala bil\u0259r. Yaln\u0131z x\u0259st\u0259nin \u015fikay\u0259ti olduqda qeyd m\u00fcdd\u0259ti ist\u0259diyi kimi d\u00fcz\u0259ldil\u0259 bil\u0259r. Qan T\u0259zyiqi Holteri, x\u0259st\u0259l\u0259rin g\u00fcn \u0259rzind\u0259 tez-tez fasil\u0259l\u0259rl\u0259 t\u0259zyiqini \u00f6l\u00e7\u0259r\u0259k qan t\u0259zyiqi v\u0259 n\u0259bzi qeyd etm\u0259sidir. 24-72 saat aras\u0131nda edil\u0259n \u00f6l\u00e7m\u0259l\u0259rl\u0259 \u0259vv\u0259ld\u0259n hipertoniya olmayan x\u0259st\u0259l\u0259rd\u0259 erk\u0259n diaqnoz qoyula bil\u0259r. T\u0259zyiq holteri il\u0259 x\u0259st\u0259l\u0259rin qan t\u0259zyiqi g\u00fcn \u0259rzind\u0259 tez-tez fasil\u0259l\u0259rl\u0259 \u00f6l\u00e7\u00fcl\u00fcr v\u0259 g\u00fcn \u0259rzind\u0259 f\u0259aliyy\u0259tl\u0259rind\u0259, yuxu zaman\u0131, istirah\u0259t zaman\u0131 qan t\u0259zyiql\u0259ri v\u0259 n\u0259bz d\u0259r\u0259c\u0259l\u0259ri qeyd olunur. Bel\u0259likl\u0259, uzun m\u00fcdd\u0259tli hiper tezyiq x\u0259st\u0259l\u0259rind\u0259 qan t\u0259zyiqi d\u0259y\u0259rl\u0259rinin g\u00fcn\u00fcn hans\u0131 saat\u0131nda artd\u0131\u011f\u0131 m\u00fc\u0259yy\u0259n edilir v\u0259 m\u00fcalic\u0259 t\u0259\u015fkil olunur. \u018fvv\u0259ll\u0259r hipertoniya ke\u00e7irm\u0259mi\u015f x\u0259st\u0259l\u0259rd\u0259 erk\u0259n diaqnoz qoyulur v\u0259 m\u00fcalic\u0259y\u0259 y\u00f6nl\u0259ndirm\u0259y\u0259 k\u00f6m\u0259k edir.<\/p>\n

          <\/p>\n

          Tilt Table Testi (\u018fyil\u0259n Masa Testi)<\/strong><\/p>\n

          <\/p>\n

          Bir yerd\u0259 uzun m\u00fcdd\u0259t h\u0259r\u0259k\u0259tsiz dayand\u0131qdan v\u0259 oturduqdan sonra q\u0259fild\u0259n duranda qan t\u0259zyiqi v\u0259 \/ v\u0259 ya \u00fcr\u0259k at\u0131\u015f\u0131nda q\u0259fil bir d\u00fc\u015fm\u0259 n\u0259tic\u0259sind\u0259 meydana g\u0259l\u0259n hu\u015funu itirm\u0259 (senkop) diaqnozunda t\u0259tbiq olunan bir testdir. Hu\u015funu itirm\u0259nin diferensial diaqnozunda istifad\u0259 olunur. Tilt Table testi poliklinikada \u0259yil\u0259 bil\u0259n bir masada apar\u0131l\u0131r. X\u0259st\u0259 masan\u0131n \u00fcz\u0259rin\u0259 qoyulur, sonra masa dik v\u0259ziyy\u0259t\u0259 g\u0259tirilir. H\u0259ddind\u0259n art\u0131q qan t\u0259zyiqinin d\u00fc\u015fm\u0259si v\u0259\/v\u0259ya n\u0259bzin d\u00fc\u015fm\u0259si anormal reaksiyan\u0131 g\u00f6st\u0259rir.<\/p>\n

          <\/p>\n

          \u00dcr\u0259k Sa\u011flaml\u0131\u011f\u0131 M\u0259rk\u0259zind\u0259 m\u00fcdaxil\u0259 prosedurlar\u0131<\/strong><\/p>\n

          <\/p>\n

          M\u00fcv\u0259qq\u0259ti Kardiostimulyatorlar \u00dcr\u0259kd\u0259ki stimul m\u0259rk\u0259zinin s\u00fcr\u0259tinin \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 s\u0259b\u0259bind\u0259n \u00fcr\u0259k at\u0131\u015f\u0131n\u0131n yava\u015flad\u0131\u011f\u0131 v\u0259 ya stimulun alt m\u0259rk\u0259zl\u0259r\u0259 \u00f6t\u00fcr\u00fcl\u0259 bilm\u0259diyi t\u0259qdird\u0259, x\u0259st\u0259nin normal bir h\u0259yat s\u00fcrm\u0259si \u00fc\u00e7\u00fcn b\u0259d\u0259n\u0259 kardiostimulyatorlar yerl\u0259\u015fdirilm\u0259si laz\u0131md\u0131r. Prosedura \u00fcmumiyy\u0259tl\u0259 lokal anesteziya alt\u0131nda bo\u011fazda, sin\u0259d\u0259 v\u0259 ya qas\u0131qda \u00fcr\u0259y\u0259 ged\u0259n b\u00f6y\u00fck damarlar aras\u0131ndan elektrodlar deyil\u0259n nazik tell\u0259ri yerl\u0259\u015fdir\u0259r\u0259k b\u0259d\u0259n xaricind\u0259ki bir generatora ba\u011flayaraq h\u0259yata ke\u00e7irilir. Bu prosedur yataq ba\u015f\u0131nda v\u0259 ya rentgen aparat\u0131 alt\u0131nda edil\u0259 bil\u0259r. Proses \u00fcmumiyy\u0259tl\u0259 20-30 d\u0259qiq\u0259 \u00e7\u0259kir.<\/p>\n

          <\/p>\n

          M\u00fcv\u0259qq\u0259ti batareya t\u0259l\u0259bi aradan qald\u0131r\u0131ld\u0131qda, \u00fcr\u0259yin i\u00e7in\u0259 qoyulmu\u015f tel \u00e7\u0131xar\u0131l\u0131r. D\u00fcnyada milyonlarla insan kardiostimulyatorlar da\u015f\u0131y\u0131r. Bu y\u00fcks\u0259k texnologiyal\u0131 ki\u00e7ik cihazlar yava\u015f \u00fcr\u0259k at\u0131\u015f\u0131n\u0131n qar\u015f\u0131s\u0131n\u0131 almaqdan \u00fcr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131n\u0131 m\u00fcalic\u0259 etm\u0259y\u0259, \u00fcr\u0259k \u00fc\u00e7\u00fcn nasos rolunu oynama\u011fa v\u0259 q\u0259fil \u00f6l\u00fcml\u0259rin qar\u015f\u0131s\u0131n\u0131 alma\u011fa q\u0259d\u0259r bir \u00e7ox m\u0259qs\u0259d \u00fc\u00e7\u00fcn istifad\u0259 olunur. Tax\u0131ld\u0131qdan sonra ya\u015fanan \u015fikay\u0259tl\u0259ri aradan qald\u0131ran cihaz, h\u0259yat keyfiyy\u0259tini art\u0131raraq x\u0259st\u0259nin normal h\u0259yata qay\u0131tmas\u0131na k\u00f6m\u0259k edir. \u018fsas\u0259n 3 tip kardiostimulyator var: \u00fcr\u0259k d\u0259r\u0259c\u0259sinin l\u0259ngim\u0259sinin qar\u015f\u0131s\u0131n\u0131 alan t\u0259k telli v\u0259 2 telli batareyalar, \u00fcr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 m\u00fcalic\u0259si \u00fc\u00e7\u00fcn istifad\u0259 edil\u0259n 3 telli batareyalar v\u0259 elektro\u015fokla h\u0259yat qurtaran batareyalar, y\u0259ni defibrilatorlar. Kardiostimulyatorlar \u00fcr\u0259k ritm poz\u011funlu\u011fu olan v\u0259 h\u0259yatlar\u0131n\u0131 normal \u015f\u0259kild\u0259 apara bilm\u0259y\u0259n insanlara yerl\u0259\u015fdirilir. Bu x\u0259st\u0259l\u0259r kardiostimulyatorun k\u00f6m\u0259yi il\u0259 normal h\u0259yata qay\u0131da bil\u0259rl\u0259r. Bu insanlar t\u0259krar i\u015f\u0259 ged\u0259 , ev i\u015fl\u0259ri il\u0259 m\u0259\u015f\u011ful ola, ma\u015f\u0131n s\u00fcr\u0259, g\u0259zintiy\u0259 \u00e7\u0131xa bil\u0259, \u00fcz\u0259 bil\u0259, hobbil\u0259rin\u0259 v\u0259 cinsi h\u0259yatlar\u0131na davam ed\u0259 bil\u0259rl\u0259r. Kardiostimulyatoru olan insanlar h\u0259r zaman kardiostimulyatora aid \u015f\u0259xsiyy\u0259t v\u0259siq\u0259l\u0259rini yan\u0131nda aparmal\u0131d\u0131rlar. S\u0259yah\u0259t zaman\u0131 getdikl\u0259ri \u0259n yax\u0131n klinikalar\u0131 \u00f6yr\u0259nm\u0259lidirl\u0259r. Kardiostimulyator qura\u015fd\u0131r\u0131ld\u0131qdan sonra onun f\u0259aliyy\u0259tin\u0259 n\u0259zar\u0259t edilm\u0259lidir. \u018fslind\u0259, ki\u00e7ik bir komp\u00fcter olan kardiostimulyator, k\u0259nardan ba\u015fqa bir komp\u00fcterin k\u00f6m\u0259yi il\u0259 telemetrik metod adlanan bir metoddan istifad\u0259 ed\u0259r\u0259k oxunur. Bu \u015f\u0259kild\u0259 x\u0259st\u0259nin n\u0259bzinin nec\u0259 ir\u0259lil\u0259diyi, kardiostimulyatorun n\u0259 q\u0259d\u0259r i\u015fl\u0259diyi, ritminin nec\u0259 i\u015fl\u0259diyi v\u0259 ritm poz\u011funluqlar\u0131 kimi m\u0259lumatlar\u0131 almaq m\u00fcmk\u00fcn olur. \u018flav\u0259 olaraq, batareyan\u0131n ne\u00e7\u0259 voltla i\u015fl\u0259m\u0259sini v\u0259 ya \u00fcr\u0259k s\u00fcr\u0259tinin saxlamal\u0131 oldu\u011fu d\u0259y\u0259rl\u0259ri k\u0259nardan proqramla\u015fd\u0131rmaq m\u00fcmk\u00fcnd\u00fcr. X\u0259st\u0259 orta batareyan\u0131n \u00f6mr\u00fc olan 7 il \u0259rzind\u0259 h\u0259r 6 ayda bir yoxlamaya g\u0259lm\u0259lidir.\u00a0 Batareyan\u0131n t\u00fck\u0259n\u0259c\u0259yini \u0259vv\u0259lc\u0259d\u0259n t\u0259yin etm\u0259k m\u00fcmk\u00fcn oldu\u011fu \u00fc\u00e7\u00fcn bu \u00e7ox vacibdir.<\/p>\n

          <\/p>\n

          Elektrofizyolojik T\u0259dqiqat<\/strong><\/p>\n

          <\/p>\n

          Elektrofizyoloji \/ angioqrafiya laboratoriyas\u0131nda qas\u0131q damarlar\u0131na qoyulmu\u015f nazik qab\u0131qlardan ke\u00e7\u0259r\u0259k elektrod kateter adlanan nazik kabell\u0259rin \u00fcr\u0259y\u0259 yerl\u0259\u015fdirilm\u0259si il\u0259 h\u0259yata ke\u00e7iril\u0259n diaqnoz v\u0259 m\u00fcalic\u0259 metodudur. Birba\u015fa \u00fcr\u0259kd\u0259n al\u0131nan elektrik siqnallar\u0131 komp\u00fcterl\u0259r t\u0259r\u0259find\u0259n ara\u015fd\u0131r\u0131l\u0131r v\u0259 qiym\u0259tl\u0259ndirilir. Bu \u015f\u0259kild\u0259 \u00fcr\u0259yin ana m\u0259rk\u0259z x\u0259b\u0259rdarl\u0131q sisteminin yax\u015f\u0131 i\u015fl\u0259yib i\u015fl\u0259m\u0259diyi v\u0259 x\u0259b\u0259rdarl\u0131qlar\u0131 \u00f6t\u00fcr\u0259n sistemin i\u015fini etibarl\u0131 bir \u015f\u0259kild\u0259 g\u00f6r\u00fcb, g\u00f6r\u0259bilm\u0259diyi anla\u015f\u0131la bil\u0259r.<\/p>\n

          <\/p>\n

          Tez-tez s\u00fcr\u0259tli at\u0131\u015f \u015f\u0259klind\u0259 \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcs\u00fc ke\u00e7ir\u0259n x\u0259st\u0259l\u0259rd\u0259, x\u0259st\u0259nin \u015fikay\u0259tin\u0259 s\u0259b\u0259b olan s\u00fcr\u0259tli at\u0131\u015flar x\u00fcsusi \u00fcsullarla \u00fcr\u0259y\u0259 yerl\u0259\u015fdiril\u0259n bu kabell\u0259rd\u0259n veril\u0259n x\u0259b\u0259rdarl\u0131qlarla yarad\u0131laraq meydana g\u0259lm\u0259sinin s\u0259b\u0259bl\u0259ri ara\u015fd\u0131r\u0131l\u0131r. Q\u0131sa d\u00f6vr\u0259l\u0259rin varl\u0131\u011f\u0131 a\u015fkar edildikd\u0259, radio dal\u011falar\u0131ndan meydana g\u0259l\u0259n \u00a0x\u00fcsusi bir c\u0259r\u0259yan enerjisi t\u0259tbiq ed\u0259r\u0259k taxikardiya \u00a0tamamil\u0259 m\u00fcalic\u0259 edil\u0259 bil\u0259r. Bu yolla bug\u00fcn s\u00fcr\u0259tli \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcs\u00fc \u015f\u0259klind\u0259 \u00e7arp\u0131nt\u0131lar\u0131n (taxikardiya) \u00e7oxunun qal\u0131c\u0131 m\u00fcalic\u0259si m\u00fcmk\u00fcn olmu\u015fdur. Diaqnostik m\u0259qs\u0259dl\u0259 apar\u0131lan elektrofizyoloji m\u00fcayin\u0259l\u0259r 30-60 d\u0259qiq\u0259 \u00e7\u0259kir. Terapevtik m\u00fcdaxil\u0259 t\u0259l\u0259b olunursa, 1-4 saata q\u0259d\u0259r \u00e7\u0259k\u0259 bil\u0259r. Kateter Ablasyonu aritmiyan\u0131n radio dal\u011falar\u0131 il\u0259 m\u00fcalic\u0259sidir. Bu \u00fcsul, d\u0259rmanlarla n\u0259zar\u0259t edil\u0259 bilm\u0259y\u0259n ritm poz\u011funluqlar\u0131nda v\u0259 ya x\u0259st\u0259l\u0259r \u00f6m\u00fcr boyu d\u0259rman q\u0259bul etm\u0259k ist\u0259m\u0259dikd\u0259 istifad\u0259 olunur. B\u0259zi hallarda ritm poz\u011funlu\u011fu o q\u0259d\u0259r ciddi ola bil\u0259r ki, h\u0259yat \u00fc\u00e7\u00fcn t\u0259hl\u00fck\u0259 yarada bil\u0259r. Bel\u0259 hallarda birba\u015fa kateter ablasyon metodu t\u0259l\u0259b oluna bil\u0259r. Prosedura \u0259sas\u0259n iyn\u0259 yerl\u0259rini lokal anesteziya il\u0259 v\u0259 b\u0259zi hallarda \u00fcmumi anesteziyayla h\u0259yata ke\u00e7irilir. Prosedur zaman\u0131 x\u0259st\u0259nin \u00f6z\u00fcn\u00fc rahat hiss etm\u0259si \u00fc\u00e7\u00fcn sakitl\u0259\u015fdirici d\u0259rman istifad\u0259 edil\u0259 bil\u0259r. \u00dcr\u0259yin kateter ablasyonu il\u0259 \u00fcr\u0259yin s\u00fcr\u0259tli d\u00f6y\u00fcnt\u00fcs\u00fc \u015f\u0259klind\u0259 ritm poz\u011funluqlar\u0131n\u0131n m\u00fcalic\u0259sind\u0259 u\u011furlu olma ehtimal\u0131, m\u00fcalic\u0259ni h\u0259d\u0259f alan \u00e7arp\u0131nt\u0131 n\u00f6v\u00fcn\u0259 v\u0259 q\u0131sa qapanma yerind\u0259n as\u0131l\u0131 olaraq 70-100 % aras\u0131nda d\u0259yi\u015fir. U\u011furlu m\u00fcalic\u0259d\u0259n sonra \u00e7\u0131rp\u0131nman\u0131n t\u0259krarlanma ehtimal\u0131 aritmiya n\u00f6v\u00fcn\u0259 g\u00f6r\u0259 d\u0259yi\u015fir. M\u0259s\u0259l\u0259n, \u00fcr\u0259kd\u0259ki q\u0131sa qapanmalar s\u0259b\u0259bind\u0259n \u00e7arp\u0131nt\u0131larda bu ehtimal 3-5 % aras\u0131ndad\u0131r.<\/p>\n

          <\/p>\n

          Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131nda, “yanma” metodu adland\u0131r\u0131lan radiotezlik ablasyon metodundan ba\u015fqa, “dondurma” metodu il\u0259 d\u0259 aritmiya m\u00fcalic\u0259si h\u0259yata ke\u00e7iril\u0259 bil\u0259r.<\/p>\n

          <\/p>\n

          Mitral Balon (Valvuloplastika)<\/strong> Mitral stenoz; U\u015faql\u0131q zaman\u0131 x\u0259st\u0259liyi olan “K\u0259skin Romatizmal Q\u0131zd\u0131rma” x\u0259st\u0259liyi, \u00fcr\u0259k qapaqlar\u0131n\u0131n tutulmas\u0131 s\u0259b\u0259bind\u0259n g\u0259l\u0259c\u0259kd\u0259 simptomlar ver\u0259n bir x\u0259st\u0259likdir. Mitral stenoz, qan\u0131n \u00fcr\u0259k i\u00e7ind\u0259ki f\u0259aliyy\u0259tini \u00e7\u0259tinl\u0259\u015fdir\u0259n \u015f\u0259kild\u0259 daralmas\u0131d\u0131r. Buna g\u00f6r\u0259 qan a\u011fciy\u0259rl\u0259rd\u0259 su \u015f\u0259klind\u0259 y\u0131\u011f\u0131l\u0131r. Bu da insanda n\u0259f\u0259s darl\u0131\u011f\u0131n\u0131 hiss etdirir. Y\u00fcng\u00fcl darl\u0131qlarda\u00a0 d\u0259rman m\u00fcalic\u0259si kifay\u0259tdir, lakin orta v\u0259 a\u011f\u0131r darl\u0131qlarda is\u0259 Mitral Valvuloplastika v\u0259 ya a\u00e7\u0131q \u00fcr\u0259k \u0259m\u0259liyyat\u0131 apar\u0131l\u0131r. Mitral valvuloplastika qas\u0131qdan kateterl\u0259 daxil olaraq h\u0259yata ke\u00e7iril\u0259n bir prosedurdur. X\u00fcsusi bir iyn\u0259 il\u0259 \u00fcr\u0259yin sa\u011f qulaqc\u0131\u011f\u0131ndan sol qulaqc\u0131\u011f\u0131na aradak\u0131 p\u0259rd\u0259 de\u015fil\u0259r\u0259k \u00f6t\u00fcr\u00fcl\u00fcr. \u0130yn\u0259 p\u0259rd\u0259d\u0259n \u00e7\u0131xar\u0131l\u0131r v\u0259 eyni yolla sol qulaq\u00e7\u0131\u011fa apar\u0131l\u0131r. Telin h\u0259r\u0259k\u0259tl\u0259ri ekranda izl\u0259nilir. Tel d\u00fczg\u00fcn yer\u0259 qoyulduqdan sonra, balon telin \u00fcst\u00fcn\u0259 apar\u0131laraq daralm\u0131\u015f qapa\u011f\u0131n i\u00e7\u0259risin\u0259 qoyulur. Balon qapa\u011f\u0131n dar oldu\u011fu yerd\u0259 \u015fi\u015firilir. Bel\u0259likl\u0259, \u00f6rt\u00fck m\u00fcmk\u00fcn q\u0259d\u0259r uzan\u0131r. Uy\u011fun x\u0259st\u0259l\u0259r\u0259 t\u0259tbiq edildikd\u0259, mitral balon m\u00fcalic\u0259si n\u0259tic\u0259l\u0259ri \u00fcr\u0259k \u0259m\u0259liyyat\u0131 olan x\u0259st\u0259l\u0259rd\u0259 oldu\u011fu q\u0259d\u0259r u\u011furlu olur.<\/p>\n

          <\/p>\n

          Mitral Valvuloplastikan\u0131n \u00fcst\u00fcnl\u00fckl\u0259ri<\/strong><\/p>\n

          <\/p>\n

            \n
          • Yerli anesteziya il\u0259 h\u0259yata ke\u00e7irildiyi \u00fc\u00e7\u00fcn x\u0259st\u0259 prosedur zaman\u0131 hu\u015fsuz v\u0259ziyy\u0259td\u0259 qal\u0131r. Sa\u011f v\u0259 ya sol qas\u0131q nahiy\u0259si anesteziya edilir v\u0259 balon burada a\u00e7\u0131lan ki\u00e7ik bir de\u015fikd\u0259n \u00fcr\u0259y\u0259 apar\u0131l\u0131r.<\/li>\n
          • Bel\u0259likl\u0259, sin\u0259 q\u0259f\u0259sinin a\u00e7\u0131lmas\u0131, \u00fcr\u0259yin dayand\u0131r\u0131lmas\u0131 v\u0259 \u00fcr\u0259k-a\u011fciy\u0259r aparat\u0131ndan istifad\u0259 etm\u0259k ehtiyac\u0131 aradan qald\u0131r\u0131l\u0131r.<\/li>\n
          • Prosedurdan sonra x\u0259st\u0259l\u0259r reanimasiya \u015f\u00f6b\u0259sind\u0259 deyil, xidm\u0259td\u0259 n\u0259zar\u0259t alt\u0131nda saxlan\u0131l\u0131r.<\/li>\n
          • X\u0259st\u0259l\u0259r ert\u0259si g\u00fcn aya\u011fa qalxa bil\u0259rl\u0259r.<\/li>\n
          • X\u0259st\u0259l\u0259rin \u0259ks\u0259riyy\u0259ti ert\u0259si g\u00fcn ev\u0259 burax\u0131la bil\u0259r.<\/li>\n
          • Mitral balonla il\u0259 qapa\u011f\u0131 a\u00e7\u0131lan v\u0259 ritm pozuntular\u0131 olmayan x\u0259st\u0259l\u0259rd\u0259 prosedurdan sonra qan durulducu d\u0259rman istifad\u0259sin\u0259 ehtiyac yoxdur.<\/li>\n
          • Alon mitral valvuloplastika il\u0259 x\u0259st\u0259l\u0259rin 90 % -i \u015fikay\u0259tl\u0259rind\u0259 geril\u0259m\u0259 m\u00fc\u015fahid\u0259 edilir. Bu d\u00fcz\u0259lm\u0259 20 il\u0259 q\u0259d\u0259r davam ed\u0259 bil\u0259r. \u018fks\u0259r x\u0259st\u0259l\u0259r \u0259n az\u0131 5 il\u0259 10 il\u0259d\u0259k rahat ya\u015fay\u0131rlar.<\/li>\n<\/ul>\n

            <\/p>\n

            Koroner Anjiyografi<\/strong><\/p>\n

            <\/p>\n

            Koroner Anjiyografi, \u00fcr\u0259yi qidaland\u0131ran arteriya x\u0259st\u0259liyini a\u015fkar etm\u0259k \u00fc\u00e7\u00fcn istifad\u0259 edil\u0259n bir \u00fcsuldur. \u00dcr\u0259k-damar x\u0259st\u0259likl\u0259rin\u0259 g\u00f6r\u0259 meydana g\u0259lir. Koroner angioqrafiya da \u00fcr\u0259yi t\u0259min ed\u0259n arteriyalar\u0131n hans\u0131 hiss\u0259sinin darald\u0131\u011f\u0131n\u0131 v\u0259 ya t\u0131xanmas\u0131n\u0131 t\u0259yin edir. \u00dcr\u0259k damarlar\u0131ndak\u0131 darl\u0131\u011f\u0131 v\u0259 ya t\u0131xanman\u0131 v\u0259 m\u00fcalic\u0259nin t\u0259l\u0259b olundu\u011fu istiqam\u0259td\u0259 apar\u0131lmas\u0131n\u0131 t\u0259min edir. Koroner anjioqrafiyada m\u00fcdaxil\u0259 yeri kimi qas\u0131q v\u0259 ya qol arteriyalar\u0131 istifad\u0259 olunur. M\u00fcdaxil\u0259 sah\u0259sind\u0259ki arteriyaya \u0259vv\u0259lc\u0259 bir qapaq qoyulur, bu qabaq vasit\u0259sil\u0259 \u00fcr\u0259k damarlar\u0131n\u0131n ba\u015flan\u011f\u0131c hiss\u0259sin\u0259 veril\u0259n qeyri-\u015f\u0259ffaf madd\u0259 (boyanm\u0131\u015f madd\u0259) il\u0259 damar qurulu\u015funu g\u00f6r\u00fcnt\u00fcl\u0259m\u0259k \u00fc\u00e7\u00fcn f\u0259rqli kateterl\u0259r istifad\u0259 olunur. Koroner anjioqrafiya x\u00fcsusi yerl\u0259\u015fdirilmi\u015f anju otaqlar\u0131nda apar\u0131l\u0131r. Prosedur ba\u015fa \u00e7atd\u0131qdan sonra m\u00fcdaxil\u0259 sah\u0259sind\u0259ki arteriyaya yerl\u0259\u015fdiril\u0259n qabaq \u00e7\u0131xar\u0131l\u0131r, o b\u00f6lg\u0259y\u0259 t\u0259zyiq g\u00f6st\u0259ril\u0259r\u0259k qanaxma dayand\u0131r\u0131l\u0131r. S\u0131x sar\u011f\u0131 t\u0259tbiq edildikd\u0259n sonra x\u0259st\u0259 yata\u011fa apar\u0131l\u0131r. Koroner anjiyografi x\u0259st\u0259nin anju ota\u011f\u0131na apar\u0131lmas\u0131ndan 20-30 d\u0259qiq\u0259 sonra tamamlan\u0131r. B\u0259zi hallarda (bypass x\u0259st\u0259l\u0259ri, \u0259vv\u0259ll\u0259r f\u0259rqli \u00fcr\u0259k \u0259m\u0259liyyatlar\u0131 ke\u00e7irmi\u015f x\u0259st\u0259l\u0259r, qas\u0131q v\u0259 ya qol damarlar\u0131nda t\u0131xan\u0131ql\u0131\u011f\u0131 olan x\u0259st\u0259l\u0259r v\u0259 s.) bu m\u00fcdd\u0259t uzana bil\u0259r. Koroner anjioqrafiya \u00fc\u00e7\u00fcn x\u0259st\u0259nin x\u0259st\u0259xanaya yerl\u0259\u015fdirilm\u0259si laz\u0131md\u0131r. Prosedur ba\u015fa \u00e7atd\u0131qdan sonra x\u0259st\u0259 6 saat dinc\u0259ldilir v\u0259 sonra aya\u011fa qalxmas\u0131na icaz\u0259 verilir. \u00dcmumi v\u0259ziyy\u0259t uy\u011fun olarsa v\u0259 h\u0259kim t\u0259sdiq ed\u0259rs\u0259, ev\u0259 burax\u0131l\u0131r. B\u0259zi hallarda, qabaq \u00e7\u0131xar\u0131ld\u0131qdan sonra tiki\u015f sistemi istifad\u0259 edil\u0259 bil\u0259r. Bu x\u0259st\u0259l\u0259r daha \u0259vv\u0259l aya\u011fa qald\u0131r\u0131laraq ev\u0259 burax\u0131la bil\u0259r. Anjiyografiyaya g\u0259lm\u0259d\u0259n bir ne\u00e7\u0259 g\u00fcn \u0259vv\u0259l, anjiyo seketerizasiyas\u0131 il\u0259 \u0259laq\u0259 qurulmal\u0131 v\u0259 edilm\u0259li olanlar haqq\u0131nda m\u0259lumat al\u0131nmal\u0131d\u0131r.<\/p>\n

            <\/p>\n

            Perkutan Transluminal Koroner Anjiyoplastika (PTCA) \u2013 Stent<\/strong><\/p>\n

            <\/p>\n

            PTCA v\u0259 \/ v\u0259 ya stent, koronar angioqrafiyadan sonra a\u015fkarlanan \u00fcr\u0259yi b\u0259sl\u0259y\u0259n damarlarda daralma v\u0259 ya tam t\u0131xanma m\u00fcalic\u0259sind\u0259 istifad\u0259 edil\u0259n metodlard\u0131r. PTCA v\u0259 \/ v\u0259 ya stent koronar anjioqrafiya kimi, anjio laboratoriyas\u0131nda x\u0259st\u0259ni yat\u0131zd\u0131rmadan lokal anesteziya t\u0259tbiq edilir. \u018fm\u0259liyyat m\u00fcdd\u0259ti d\u0259yi\u015fk\u0259ndir. Prosedurun sonunda x\u0259st\u0259 h\u0259kim t\u00f6vsiy\u0259sin\u0259 uy\u011fun ota\u011fa apar\u0131l\u0131r. Koroner balon anjioplastikas\u0131 x\u00fcsusi haz\u0131rlanm\u0131\u015f materiallardan istifad\u0259 etm\u0259kl\u0259 h\u0259yata ke\u00e7irilir. \u018fvv\u0259lc\u0259 kateter m\u00fcdaxil\u0259 yerin\u0259 qoyulmu\u015f qapaq vasit\u0259siyl\u0259 kateter yerl\u0259\u015fdirilir v\u0259 damar bu kateterd\u0259n ke\u00e7ilmi\u015f \u00e7ox inc\u0259 bir tel il\u0259 darl\u0131q b\u00f6lg\u0259sind\u0259n ke\u00e7ir. Tel \u00fcz\u0259rind\u0259 balon s\u00fcr\u00fc\u015fd\u00fcr\u00fcl\u0259r\u0259k x\u0259st\u0259 b\u00f6lg\u0259sin\u0259 \u00e7atd\u0131r\u0131l\u0131r. Daha sonra bu balon k\u0259nardan maye veril\u0259r\u0259k \u015fi\u015firilir v\u0259 darl\u0131q a\u00e7\u0131l\u0131r. Sonrak\u0131 prosedurda, a\u00e7\u0131l\u0131\u015f\u0131n kifay\u0259t oldu\u011fu m\u00fc\u0259yy\u0259n edildikd\u0259, proses dayand\u0131r\u0131l\u0131r. D\u00fczg\u00fcn bir a\u00e7\u0131l\u0131\u015f etm\u0259k \u00e7ox \u00e7\u0259tindir. Bundan \u0259lav\u0259, g\u0259l\u0259c\u0259kd\u0259 daralma riskini azaltmaq \u00fc\u00e7\u00fcn x\u0259st\u0259l\u0259rin 95 % -d\u0259 stentl\u0259r\u0259 \u00fcst\u00fcnl\u00fck verilir. Ba\u015flan\u011f\u0131cda, yaln\u0131z \u00e7\u0131lpaq, x\u00fcsusi, paslanmayan metaldan haz\u0131rlanm\u0131\u015f stentl\u0259rd\u0259n istifad\u0259 olunurdu, bu g\u00fcn is\u0259 texnoloji inki\u015fafdan as\u0131l\u0131 olaraq \u00a0f\u0259rqli stentl\u0259rd\u0259n d\u0259 istifad\u0259 olunur. Hans\u0131 stentin hans\u0131 v\u0259ziyy\u0259td\u0259 istifad\u0259 edil\u0259c\u0259yi, h\u0259kiml\u0259 x\u0259st\u0259 aras\u0131nda dan\u0131\u015f\u0131laraq q\u0259rar verilm\u0259si vacibdir. PTCA stenti, x\u0259st\u0259nin bir g\u00fcn x\u0259st\u0259xanada qalmas\u0131n\u0131 t\u0259l\u0259b ed\u0259n bir t\u0259tbiqdir. X\u0259st\u0259; h\u0259kim uy\u011fun hesab ed\u0259rs\u0259 x\u0259st\u0259xanadan burax\u0131l\u0131r. 2 g\u00fcnl\u00fck ev v\u0259 15 g\u00fcnl\u00fck i\u015f istirah\u0259ti il\u0259 birlikd\u0259, \u00a015 g\u00fcn stresli m\u00fchitl\u0259rd\u0259n v\u0259 cinsi \u0259laq\u0259d\u0259n uzaq olmas\u0131 \u00e7ox vacibdir. X\u0259st\u0259nin istirah\u0259td\u0259n sonra t\u0259yyar\u0259 v\u0259ya uzun yol s\u0259yah\u0259t etm\u0259sid\u0259 h\u0259kimin t\u00f6vsiy\u0259sin\u0259 uy\u011fun olaraq t\u0259yin olunur.Koronar anjiyografi qas\u0131qdak\u0131 femoral arter adlanan arteriyadan apar\u0131ld\u0131\u011f\u0131 halda, koronar anjioqrafiya klinikam\u0131zdak\u0131 radial arter adlanan bil\u0259kd\u0259ki arteriyadan da apar\u0131la bil\u0259r. Ayr\u0131ca klinikam\u0131zda yaln\u0131z \u00fcr\u0259k damarlar\u0131 deyil, periferik damarlar adlanan b\u00f6yr\u0259k v\u0259 ayaq damarlar\u0131 kimi damarlar\u0131n t\u0131xan\u0131ql\u0131qlar\u0131 da balon v\u0259 stent \u00fcsullar\u0131 il\u0259 m\u00fcalic\u0259 edil\u0259 bil\u0259r.<\/p>\n

            <\/p>\n

            \u00dcr\u0259k kateterizasiya<\/strong><\/p>\n

            <\/p>\n

            \u00dcr\u0259k kateterizasiya, koronar anjioqrafiya proseduruna b\u0259nz\u0259r qas\u0131q v\u0259 qol arteriyalar\u0131nda h\u0259yata ke\u00e7iril\u0259n, lakin eyni zamanda venoz m\u00fcdaxil\u0259sini t\u0259l\u0259b ed\u0259n bir \u00fcsuldur. \u00dcr\u0259k kateterizasiya, \u00fcr\u0259yin qurulu\u015fu, anomaliyalar\u0131, anadang\u0259lm\u0259 v\u0259 ya sonrak\u0131 \u00fcr\u0259k de\u015fikl\u0259ri v\u0259 f\u0259rqli bir m\u00fcalic\u0259 t\u0259l\u0259b olunub olunmamas\u0131na ba\u011fl\u0131 olaraq anadang\u0259lm\u0259 v\u0259 ya sonrak\u0131 x\u0259st\u0259likl\u0259rin diaqnozunda istifad\u0259 edil\u0259n diaqnostik bir \u00fcsuldur. \u00dcr\u0259k kateterizasiya proseduru t\u0259xmin\u0259n 30 d\u0259qiq\u0259 \u00e7\u0259kir. Prosedurdan sonra arteriya v\u0259 damarlara qoyulmu\u015f qapaqlar \u00e7\u0259kilir v\u0259 k\u0259nardan t\u0259zyiql\u0259 qanaxma dayand\u0131r\u0131l\u0131r. O b\u00f6lg\u0259y\u0259 s\u0131x bir sar\u011f\u0131 qoyulur v\u0259 x\u0259st\u0259 yata\u011fa apar\u0131l\u0131r. Prosedurdan sonra \u00fcmumiyy\u0259tl\u0259 6 saat istirah\u0259t kifay\u0259t edir. \u0130stirah\u0259tin sonunda, h\u0259kim uy\u011fun hesab ed\u0259rs\u0259, x\u0259st\u0259 ev\u0259 burax\u0131la bil\u0259r. \u00dcr\u0259k kateterizasiya v\u0259 koronar anjioqrafiyada h\u0259yati risk son d\u0259r\u0259c\u0259 azd\u0131r.\u00dcr\u0259k kateterizasiya prosedurundan bir ne\u00e7\u0259 g\u00fcn \u0259vv\u0259l, anjiyo seketerizasiyas\u0131 il\u0259 \u0259laq\u0259 qurulmal\u0131 v\u0259 edil\u0259c\u0259kl\u0259r bar\u0259d\u0259 m\u0259lumat al\u0131nmal\u0131d\u0131r.<\/p>\n

            <\/p>\n

            Tamamil\u0259 T\u0131xanan Damarlar\u0131n A\u00e7\u0131lmas\u0131 infarkt ke\u00e7irmi\u015f x\u0259st\u0259l\u0259rd\u0259 b\u0259zi damarlar 100 %- I \u00a0t\u0131xal\u0131 qal\u0131r v\u0259 x\u0259st\u0259l\u0259r \u00fcmumiyy\u0259tl\u0259 damarlar\u0131 a\u00e7maq \u00fc\u00e7\u00fcn \u0259m\u0259liyyata ehtiyac duyurlar. T\u00fcrkiy\u0259nin yaln\u0131z m\u00fc\u0259yy\u0259n \u00fcr\u0259k m\u0259rk\u0259zl\u0259rind\u0259 t\u0259tbiq olunan, damarlar\u0131n 100 %-I t\u0131xal\u0131 qalan koroner \u00fcr\u0259k damarlar\u0131n\u0131n \u0259m\u0259liyyat olmadan, balon v\u0259 stent prosedurlar\u0131 il\u0259 a\u00e7\u0131l\u0131\u015f proseduru Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131 Kardiologiya \u015f\u00f6b\u0259sinin h\u0259kiml\u0259ri t\u0259r\u0259find\u0259n h\u0259yata ke\u00e7iril\u0259 bil\u0259r.Klinikam\u0131z bu sah\u0259d\u0259 \u0259n \u00e7ox t\u0259cr\u00fcb\u0259y\u0259 v\u0259 x\u0259st\u0259 say\u0131na sahib h\u0259kiml\u0259rd\u0259n ibar\u0259tdir. Aorta Darl\u0131\u011f\u0131n\u0131n C\u0259rrahi Olmayan M\u00fcalic\u0259si (TAVI) Q\u0131saca TAVI (Transkateter Aorta Valve \u0130mplantasiyas\u0131) adlanan metod; a\u00e7\u0131q \u00fcr\u0259k \u0259m\u0259liyyat\u0131 apar\u0131lmadan kateter metodundan istifad\u0259 ed\u0259r\u0259k aorta qapa\u011f\u0131n\u0131n \u00fcr\u0259y\u0259 yerl\u0259\u015fdirilm\u0259si prosesini t\u0259svir edir. Bu prosedur zaman\u0131 yerl\u0259\u015fdiril\u0259n v\u0259 h\u0259l\u0259 d\u0259 b\u00fct\u00fcn d\u00fcnyada v\u0259 \u00f6lk\u0259mizd\u0259 qapaq d\u0259yi\u015fdirm\u0259 \u0259m\u0259liyyatlar\u0131nda istifad\u0259 edil\u0259n bioloji \u00fcr\u0259k klapan\u0131. TAVI metodunda bu bioloji klapan stent qapa\u011f\u0131na yerl\u0259\u015fdirilir v\u0259 stent a\u00e7\u0131ld\u0131qda qapaq olan yer\u0259 m\u00f6hk\u0259m yap\u0131\u015fd\u0131r\u0131l\u0131r. Bu metod zaman\u0131 2 f\u0259rqli texnika istifad\u0259 edil\u0259 bil\u0259r: Birinci texnikada, vena anjioqrafiya t\u0259tbiql\u0259rind\u0259 oldu\u011fu kimi bir kateter k\u00f6m\u0259yi il\u0259 qas\u0131qdan \u00fcr\u0259y\u0259 do\u011fru ir\u0259lil\u0259yir v\u0259 stent mexanizmi a\u00e7\u0131laraq burada yerl\u0259\u015fdirilir. Qas\u0131q nahiy\u0259sind\u0259ki v\u0259 ya qar\u0131n nahiy\u0259sind\u0259ki damarlarda \u00fcr\u0259y\u0259 \u00e7atmaq \u00fc\u00e7\u00fcn istifad\u0259 edil\u0259c\u0259k bir mane\u0259 varsa, dig\u0259r \u00fcsul t\u0259tbiq olunur. Bu texnikada \u00fcr\u0259yin ucuna \u00e7atmaq \u00fc\u00e7\u00fcn \u00f6n sin\u0259 divar\u0131nda t\u0259xmin\u0259n 4-5 sm ki\u00e7ik bir k\u0259sik edilir v\u0259 qapaq buradan \u00fcr\u0259y\u0259 do\u011fru ir\u0259lil\u0259y\u0259n bir kateterl\u0259 yerl\u0259\u015fdirilir.H\u0259r iki \u00fcsulda da \u00fcr\u0259yin dayand\u0131r\u0131lmas\u0131na v\u0259 a\u00e7\u0131q \u0259m\u0259liyyata ehtiyac olmur. Prosedur x\u0259st\u0259ni yat\u0131zd\u0131rmadan lokal anesteziya alt\u0131nda h\u0259yata ke\u00e7irilir. TAVI prosedurundan sonra x\u0259st\u0259l\u0259r koroner reanimasiyaya apar\u0131l\u0131r. Bu vaxt x\u0259st\u0259y\u0259 qan durulducu d\u0259rman verilir v\u0259 x\u0259st\u0259nin x\u0259st\u0259xanada normal \u015f\u0259raitd\u0259 4-5 g\u00fcn m\u00fcayin\u0259si apar\u0131l\u0131r. Bu m\u00fcdd\u0259td\u0259n sonra x\u0259st\u0259y\u0259 x\u0259st\u0259xanadan \u00e7\u0131x\u0131\u015f\u0131 verilir. Ev\u0259 ged\u0259n x\u0259st\u0259 bir ne\u00e7\u0259 g\u00fcn istirah\u0259t etdikd\u0259n sonra x\u0259st\u0259xanaya m\u00fcayin\u0259 \u00fc\u00e7\u00fcn g\u0259lir v\u0259 normal h\u0259yat\u0131na davam edir. TAVI metodu, ilk n\u00f6vb\u0259d\u0259, qapaq qoyulmas\u0131 \u00fc\u00e7\u00fcn a\u00e7\u0131q \u0259m\u0259liyyat ke\u00e7irm\u0259k riski y\u00fcks\u0259k olan x\u0259st\u0259l\u0259r \u00fc\u00e7\u00fcn t\u00f6vsiy\u0259 olunur. Bunun xaricind\u0259 bu \u00fcsul h\u0259r hans\u0131 bir \u0259lilliyi olan x\u0259st\u0259y\u0259 a\u00e7\u0131q \u0259m\u0259liyyat \u00fc\u00e7\u00fcnd\u0259 t\u0259tbiq oluna bil\u0259r. Bu bax\u0131mdan, x\u00fcsusil\u0259 \u00e7ox ya\u015fl\u0131 x\u0259st\u0259l\u0259r, a\u011fciy\u0259r, qaraciy\u0259r v\u0259 ya b\u00f6yr\u0259k funksiyas\u0131 pozulmu\u015f x\u0259st\u0259l\u0259r v\u0259 ya \u0259vv\u0259ll\u0259r dig\u0259r a\u00e7\u0131q \u00fcr\u0259k \u0259m\u0259liyyat\u0131 ke\u00e7irmi\u015f x\u0259st\u0259l\u0259r a\u00e7\u0131q \u0259m\u0259liyyat \u00fc\u00e7\u00fcn y\u00fcks\u0259k risk alt\u0131ndad\u0131r. TAVI metodunun a\u00e7\u0131q \u0259m\u0259liyyat\u0131n uy\u011fun olmad\u0131\u011f\u0131 bu x\u0259st\u0259l\u0259rin \u00f6mr\u00fcn\u00fc uzatmaqda v\u0259 x\u0259st\u0259nin klinik v\u0259ziyy\u0259tini yax\u015f\u0131la\u015fd\u0131rmaqda t\u0259sirli oldu\u011fu bilinir.<\/p>\n

            <\/p>\n

            \u00dcr\u0259k de\u015fikl\u0259rind\u0259 c\u0259rrahi olmayan m\u00fcalic\u0259 \u0259vv\u0259ll\u0259r \u00fcr\u0259k de\u015fikl\u0259ri c\u0259rrahi yolla ba\u011flan\u0131rd\u0131sa, lakin bu g\u00fcn c\u0259rrahi olmayan ba\u011flanma \u00fcsullar\u0131na \u00fcst\u00fcnl\u00fck verilir. \u00dcr\u0259kd\u0259 anadang\u0259lm\u0259 de\u015fik olan x\u0259st\u0259l\u0259rd\u0259 \u00fcr\u0259k normal i\u015fin\u0259 davam ed\u0259 bilmir, \u00e7irkl\u0259nmi\u015f qan v\u0259 t\u0259miz qan bir-birin\u0259 qar\u0131\u015f\u0131r. Klinikam\u0131zda bu x\u0259st\u0259l\u0259rin \u0259ks\u0259riyy\u0259tind\u0259ki de\u015fikl\u0259r bir kateter k\u00f6m\u0259yi il\u0259 qas\u0131qdak\u0131 arteriyadan ke\u00e7dikd\u0259n sonra \u0259m\u0259liyyat olmadan bir cihazla ba\u011flan\u0131r v\u0259 x\u0259st\u0259l\u0259rimiz prosedurdan sonra 48 saat \u0259rzind\u0259 ev\u0259 burax\u0131l\u0131r.<\/p>\n

            <\/p>\n

            \u018fm\u0259liyyats\u0131z damar m\u00fcalic\u0259si Endovaskulyar metod ilk n\u00f6vb\u0259d\u0259 a\u00e7\u0131q \u0259m\u0259liyyat \u00fc\u00e7\u00fcn y\u00fcks\u0259k riskli x\u0259st\u0259l\u0259r \u00fc\u00e7\u00fcn uy\u011fundur, lakin bu \u00fcsul h\u0259r x\u0259st\u0259y\u0259 t\u0259tbiq oluna bilm\u0259z. \u00c7\u00fcnki anevrizman\u0131 endovaskulyar metodla m\u00fcalic\u0259 etm\u0259k \u00fc\u00e7\u00fcn x\u0259st\u0259nin damar qurulu\u015fu uy\u011fun olmal\u0131d\u0131r. Bundan \u0259lav\u0259, tez v\u0259 praktik t\u0259tbiq olunmas\u0131na g\u00f6r\u0259 t\u0259cili \u0259m\u0259liyyat t\u0259l\u0259b ed\u0259n y\u0131rt\u0131lm\u0131\u015f anevrizmalarda tez-tez istifad\u0259 olunur. Prosedur lokal anesteziya alt\u0131nda apar\u0131l\u0131r. Bununla birlikd\u0259, kateter \u00fcsullar\u0131n\u0131n t\u0259tbiq oluna bil\u0259c\u0259yi m\u00fchitd\u0259 v\u0259 \u0259m\u0259liyyat ota\u011f\u0131 \u015f\u0259raitind\u0259 edilm\u0259lidir. Bu s\u0259b\u0259bd\u0259n h\u0259m \u0259m\u0259liyyat ota\u011f\u0131 \u015f\u0259raitinin t\u0259min edildiyi, h\u0259m d\u0259 kateter m\u00fcalic\u0259l\u0259rinin edil\u0259 bil\u0259c\u0259yi v\u0259 inki\u015faf etmi\u015f g\u00f6r\u00fcnt\u00fcl\u0259m\u0259 metodlar\u0131n\u0131n t\u0259tbiq oluna bil\u0259c\u0259yi hibrid \u0259m\u0259liyyat ota\u011f\u0131 deyil\u0259n bir m\u00fchitin yarad\u0131lmas\u0131 b\u00f6y\u00fck \u00fcst\u00fcnl\u00fckd\u00fcr. TEVAR: Endovaskulyar m\u00fcalic\u0259 metodunda, sin\u0259 nahiy\u0259sind\u0259ki damarlarda \u0259m\u0259l\u0259 g\u0259l\u0259n anevrizman\u0131n (baloncuk) aorta sah\u0259si kateterl\u0259 qas\u0131qdan ir\u0259li \u00e7\u0131xan bir stentl\u0259 d\u00fcz\u0259ldilir. Davaml\u0131 hipert\u0259zyiqda yeni bir m\u00fcalic\u0259 metodu: B\u00f6yr\u0259kl\u0259rin qorunmas\u0131,b\u00f6yr\u0259k damarlar\u0131n\u0131n \u0259traf\u0131nda qan t\u0259zyiqinin y\u00fcks\u0259lm\u0259sin\u0259 s\u0259b\u0259b olan ‘simpatik’ deyil\u0259n sinirl\u0259r. Bu simpatik sistem, anesteziya olmadan x\u00fcsusi bir material istifad\u0259 ed\u0259r\u0259k, anjioqrafiyaya b\u0259nz\u0259r bir \u00fcsulla damardan yand\u0131r\u0131l\u0131r. Hipertoniyaya s\u0259b\u0259b olan simpatik sinirl\u0259rin yanmas\u0131na \u0259saslanan bu \u00fcsula “b\u00f6yr\u0259k simpatik denervasiyas\u0131” deyilir. Bu \u00fcsulla, d\u00fc\u015fm\u0259y\u0259n v\u0259ya d\u00fc\u015fm\u0259y\u0259 r\u0259\u011fm\u0259n bir mudd\u0259t sonra t\u0259krar y\u00fcks\u0259l\u0259r\u0259n, x\u0259st\u0259nin h\u0259yat keyfiyy\u0259tini ciddi \u015f\u0259kild\u0259 t\u0259sir ed\u0259n davaml\u0131 qan t\u0259zyiqi m\u00fcalic\u0259 edil\u0259 bil\u0259r. Qan t\u0259zyiqinin m\u00fcalic\u0259sind\u0259 istifad\u0259 olunan b\u00f6yr\u0259k denervasyon metodu il\u0259 \u0259ld\u0259 edil\u0259n 80-90 %-lik u\u011fur, x\u0259st\u0259l\u0259rin istifad\u0259 etdiyi qan t\u0259zyiqi d\u0259rmanlar\u0131n\u0131n say\u0131n\u0131n azalmas\u0131na v\u0259 t\u0259zyiq\u0259 n\u0259zar\u0259t edilm\u0259sin\u0259 imkan verir.<\/p>\n

            <\/p>\n

            N\u00fcv\u0259 Tibb B\u00f6lm\u0259sind\u0259 h\u0259yata ke\u00e7iril\u0259n \u0259m\u0259liyyatlar<\/strong><\/p>\n

            <\/p>\n

            Miyokard Perf\u00fczyon Sintiqrafiyas\u0131 (Tallium Testi)<\/strong><\/p>\n

            <\/p>\n

            Bu test il\u0259 istirah\u0259t v\u0259 stres zaman\u0131 \u00fcr\u0259k \u0259z\u0259l\u0259sinin qanlanmas\u0131 (v\u0259 ya qidalanmas\u0131) m\u00fcayin\u0259 olunur. \u00dcr\u0259yi b\u0259sl\u0259y\u0259n damarlarda stenoz olub olmad\u0131\u011f\u0131 v\u0259 stenoz varsa, indiki stenozun \u00fcr\u0259yin qidalanmas\u0131nda bir narahatl\u0131\u011fa s\u0259b\u0259b olub olmad\u0131\u011f\u0131 ara\u015fd\u0131r\u0131l\u0131r. Efor testi il\u0259 m\u00fcqayis\u0259d\u0259 daha yax\u015f\u0131 bir \u00fcsuldur. \u018fvv\u0259lc\u0259 x\u0259st\u0259y\u0259 venadaxili radioaktiv verilir v\u0259 qamma kamera adl\u0131 bir cihazla istirah\u0259t g\u00f6r\u00fcnt\u00fcl\u0259ri al\u0131n\u0131r, sonra lent \u00fcz\u0259rind\u0259 yeridil\u0259r\u0259k v\u0259 ya d\u0259rmanla stres testi edilir v\u0259 yenid\u0259n radioaktiv madd\u0259 vurulur. Yenid\u0259n qamma kameradan g\u00f6r\u00fcnt\u00fcl\u0259r \u00e7\u0259kilir. Radioaktiv madd\u0259 \u00fcr\u0259y\u0259 qalxaraq \u00fcr\u0259k \u0259z\u0259l\u0259sin\u0259 \u00e7at\u0131r. Damar t\u0131xan\u0131ql\u0131\u011f\u0131 olan yerl\u0259rd\u0259 bu madd\u0259 daha az saxlan\u0131l\u0131r. Gamma, kamera g\u00f6r\u00fcnt\u00fcl\u0259rini \u00e7\u0259km\u0259yimiz\u0259 imkan ver\u0259n cihaz\u0131n ad\u0131d\u0131r. \u00dcr\u0259yin \u0259traf\u0131nda m\u00fc\u0259yy\u0259n aral\u0131qlarla f\u0131rlan\u0131r v\u0259 radioaktiv siqnallar\u0131 \u00fcr\u0259kd\u0259n bir komp\u00fcter\u0259 \u00f6t\u00fcr\u00fcr. Komp\u00fcter \u0259ld\u0259 etdiyi siqnallar\u0131 r\u0259ngli \u015f\u0259kill\u0259r\u0259 \u00e7evirir v\u0259 \u00fcr\u0259yin b\u00fct\u00fcn hiss\u0259l\u0259rinin qan b\u0259sl\u0259nm\u0259sini analiz edir. Hans\u0131 hallarda miyokard perfuziyas\u0131 sintiqrafiyas\u0131 t\u0259l\u0259b olunur; Sin\u0259 a\u011fr\u0131s\u0131n\u0131n \u00fcr\u0259k x\u0259st\u0259liyi il\u0259 \u0259laq\u0259sinin t\u0259yin edilm\u0259sind\u0259, \u00fcr\u0259k-damar x\u0259st\u0259likl\u0259rinin diaqnozunda, miokard infarkt\u0131ndan sonra canl\u0131l\u0131\u011f\u0131n t\u0259yin edilm\u0259sind\u0259 koroner balon anjiyoplastikas\u0131ndan \u0259vv\u0259l v\u0259 sonra t\u0259tbiqetm\u0259nin faydas\u0131 v\u0259 z\u0259ruriliyinin m\u00fc\u0259yy\u0259nl\u0259\u015fdirilm\u0259si, \u00fcr\u0259k-damar x\u0259st\u0259likl\u0259ri \u00fc\u00e7\u00fcn risk faktorlar\u0131 olan x\u0259st\u0259l\u0259rd\u0259 bir test olaraq, \u00fcr\u0259k-damar x\u0259st\u0259liyi olan insanlarda damar x\u0259st\u0259liyinin \u0259h\u0259miyy\u0259tini t\u0259yin ed\u0259n, koroner bypass \u0259m\u0259liyyat\u0131 v\u0259 ya d\u0259rman m\u00fcalic\u0259sind\u0259n sonra m\u00fcalic\u0259nin effektivliyini t\u0259yin ed\u0259n, x\u0259st\u0259l\u0259rin infarkt olub olmad\u0131\u011f\u0131n\u0131 t\u0259yin ed\u0259n, infarkt\u0131n d\u0259r\u0259c\u0259sini v\u0259 \u015fidd\u0259tini t\u0259yin ed\u0259n Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131 \u00dcr\u0259k Sa\u011flaml\u0131\u011f\u0131 M\u0259rk\u0259zinin Radiologiya \u015f\u00f6b\u0259sind\u0259 edil\u0259n prosedurlar: Koroner KT Anjiyografi Komp\u00fcter tomoqrafiyas\u0131 (KT) Koroner angioqrafiya \u00e7ox b\u00f6lm\u0259li “Multi Detector-Multislice-Multislice KT” cihaz\u0131 il\u0259 \u0259vv\u0259lc\u0259d\u0259n haz\u0131rlanmadan, kateter olmadan v\u0259 yaln\u0131z bir n\u0259f\u0259s tutma m\u00fcdd\u0259tind\u0259 edil\u0259 bil\u0259r.<\/p>\n

            <\/p>\n

            KT Koroner Anjiyografi, klassik anjiyografid\u0259n daha asan, daha s\u00fcr\u0259tli edil\u0259 bil\u0259n qans\u0131z v\u0259 a\u011fr\u0131s\u0131z bir \u015f\u0259kild\u0259 g\u00f6r\u00fcnt\u00fcl\u0259m\u0259 sah\u0259sind\u0259 h\u0259yata ke\u00e7iril\u0259n yeni bir \u00fcsuldur. X\u0259st\u0259xanada qalma m\u0259cburiyy\u0259tini ortadan qald\u0131r\u0131r. X\u0259st\u0259 prosedurdan sonra g\u00fcnd\u0259lik h\u0259yat\u0131na davam edir. Bu sistem say\u0259sind\u0259 risk faktoru olan insanlar\u0131n koroner anjioqrafiyas\u0131 asanl\u0131qla h\u0259yata ke\u00e7iril\u0259 bil\u0259r. X\u00fcsusil\u0259 klassik koronar anjioqrafiya apar\u0131lm\u0131\u015f x\u0259st\u0259l\u0259rin bu \u00fcsula \u00fcst\u00fcnl\u00fck verdikl\u0259ri v\u0259 bir \u00e7ox x\u0259st\u0259y\u0259 KT anjioqrafiya say\u0259sind\u0259 erk\u0259n diaqnozu qoyulub v\u0259 m\u00fcalic\u0259 edilmi\u015fdir. Avicenna Beyn\u0259lxalq X\u0259st\u0259xanas\u0131nda T\u00fcrkiy\u0259d\u0259 \u0259n inki\u015faf etmi\u015f BT koroner anjiyografi cihaz\u0131, 256 detektorlu KT m\u00f6vcuddur. \u00dcr\u0259k MRT perikard\u0131n, \u00fcr\u0259k otaqlar\u0131n\u0131n, klapanlar\u0131n, \u00fcr\u0259k \u0259z\u0259l\u0259l\u0259rinin, \u00fcr\u0259kd\u0259n \u00e7\u0131xan \u0259sas arteriyalar\u0131n v\u0259 b\u0259zi koronar arteriya x\u0259st\u0259likl\u0259rinin (h\u0259l\u0259lik yaln\u0131z \u0259sas qollara aid olanlar\u0131) son d\u0259r\u0259c\u0259 asan v\u0259 \u0259m\u0259liyyat edilm\u0259sin\u0259 ehtiyac olmayan bir g\u00f6r\u00fcnt\u00fcl\u0259m\u0259 \u00fcsuludur. Proses m\u00fcdd\u0259ti t\u0259xmin\u0259n 45 d\u0259qiq\u0259dir v\u0259 he\u00e7 bir haz\u0131rl\u0131q t\u0259l\u0259b etmir.<\/p>\n

            <\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":35820,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","format":"standard","meta":{"footnotes":""},"pj-categs":[],"pj-tags":[],"class_list":["post-38403","project","type-project","status-publish","format-standard","has-post-thumbnail","hentry"],"yoast_head":"\nKardiologiya | Avicenna Hastanesi Beyn\u0259lxalq X\u0259st\u0259xanas\u0131<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/avicennaint.com\/az\/tibbi-\u015f\u00f6b\u0259l\u0259r\/kardiologiya\/\" \/>\n<meta property=\"og:locale\" content=\"az_AZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kardiologiya\" \/>\n<meta property=\"og:url\" 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