{"id":2425,"date":"2026-07-08T10:42:10","date_gmt":"2026-07-08T07:42:10","guid":{"rendered":"https:\/\/egetv.tr\/?p=2425"},"modified":"2026-07-08T10:42:10","modified_gmt":"2026-07-08T07:42:10","slug":"endonezyali-denizci-izmirde-sagligina-kavustu","status":"publish","type":"post","link":"https:\/\/egetv.tr\/?p=2425","title":{"rendered":"Endonezyal\u0131 denizci, \u0130zmir\u2019de sa\u011fl\u0131\u011f\u0131na kavu\u015ftu"},"content":{"rendered":"
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Uluslararas\u0131 kruvaziyer gemilerinde \u00e7al\u0131\u015fan 30 ya\u015f\u0131ndaki Endonezyal\u0131 Muhammad Arifandrita, \u015fiddetli s\u0131rt ve bacak a\u011fr\u0131lar\u0131 \u015fikayeti ile \u0130zmir\u2019de ba\u015fvurdu\u011fu Medicana International \u0130zmir Hastanesi\u2019nde yap\u0131lan muayenesinde nadir g\u00f6r\u00fclen omurga t\u00fcberk\u00fclozu (Pott apsesi) oldu\u011fu anla\u015f\u0131ld\u0131.<\/h2>\n<\/div>\n
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Gen\u00e7 denizci, Beyin ve Sinir Cerrahisi B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Seyhan Orak\u2019\u0131n ger\u00e7ekle\u015ftirdi\u011fi iki a\u015famal\u0131 cerrahi m\u00fcdahale ile hastal\u0131\u011f\u0131ndan kurtuldu.Uluslararas\u0131 kruvaziyer gemilerinde bar personeli olarak g\u00f6rev yapan Endonezyal\u0131 Muhammad Arifandrita, (30) yakla\u015f\u0131k iki ayd\u0131r devam eden ve ya\u015fam kalitesini ciddi \u015fekilde etkileyen \u015fiddetli s\u0131rt ve bacak a\u011fr\u0131lar\u0131 nedeniyle Medicana International \u0130zmir Hastanesi\u2019ne ba\u015fvurdu. Yap\u0131lan de\u011ferlendirmeler sonucunda hastaya, omurga t\u00fcberk\u00fclozu olarak bilinen ve nadir g\u00f6r\u00fclen “Pott Apsesi” tan\u0131s\u0131 konuldu. Beyin ve Sinir Cerrahisi B\u00f6l\u00fcm\u00fc\u2019n\u00fcn ger\u00e7ekle\u015ftirdi\u011fi iki a\u015famal\u0131 multidisipliner cerrahi tedavi sonras\u0131nda hastan\u0131n klinik durumunda belirgin iyile\u015fme sa\u011fland\u0131. Tedavi s\u00fcreci devam eden hastan\u0131n, tamamlanacak takip ve ila\u00e7 tedavisinin ard\u0131ndan \u00fclkesine d\u00f6nmesi planlan\u0131yor.<\/p>\n

“A\u011fr\u0131lar\u0131mdan dolay\u0131 oturarak uyuyabiliyordum”Gemide \u00e7al\u0131\u015ft\u0131\u011f\u0131 s\u00fcre boyunca a\u011fr\u0131lar\u0131n\u0131n giderek artt\u0131\u011f\u0131n\u0131 ve g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 zorla\u015ft\u0131rd\u0131\u011f\u0131n\u0131 belirten Muhammad Arifandrita, ya\u015fad\u0131\u011f\u0131 s\u00fcre\u00e7 hakk\u0131nda bilgi verdi. Muhammad Arifandrita, “Gemide barda \u00e7al\u0131\u015f\u0131yordum ve s\u00fcrekli hareket halindeydik. Yakla\u015f\u0131k iki ayd\u0131r \u00e7ok \u015fiddetli a\u011fr\u0131lar ya\u015f\u0131yordum. Yatt\u0131\u011f\u0131mda \u00e7ok a\u011fr\u0131 hissediyor, kalkmakta zorlan\u0131yordum. A\u011fr\u0131dan dolay\u0131 yatarak uyuyamad\u0131\u011f\u0131m i\u00e7in oturarak uyumaya \u00e7al\u0131\u015f\u0131yordum. A\u011fr\u0131, k\u0131sa s\u00fcrede s\u0131rt\u0131m\u0131n alt k\u0131sm\u0131ndan bacaklar\u0131ma kadar yay\u0131ld\u0131. \u00c7al\u0131\u015f\u0131rken o kadar zorlan\u0131yordum ki ta\u015f\u0131d\u0131\u011f\u0131m tepsi bile a\u011f\u0131r geliyordu. A\u011fr\u0131lar\u0131m dayan\u0131lmaz hale gelince hastaneye gitmem gerekti\u011fini anlad\u0131m ve Medicana International \u0130zmir Hastanesi\u2019ne ba\u015fvurdum. Ameliyattan sonra durumum \u00f6ncesine g\u00f6re \u00e7ok daha iyi, a\u011fr\u0131lar\u0131m b\u00fcy\u00fck oranda azald\u0131” dedi.<\/p>\n

Nadir g\u00f6r\u00fclen omurga t\u00fcberk\u00fclozu tan\u0131s\u0131 konuldu<\/p>\n

Hastan\u0131n klinik durumu, tan\u0131 s\u00fcreci ve uygulanan cerrahi y\u00f6ntem hakk\u0131nda bilgi veren Medicana International \u0130zmir Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Op. Dr. Seyhan Orak, hastan\u0131n gen\u00e7 ya\u015f\u0131na ra\u011fmen omurili\u011finde ileri derecede bas\u0131 bulundu\u011funu belirtti. Op. Dr. Seyhan Orak, “Otuz ya\u015f\u0131ndaki erkek hasta, s\u0131rttan ba\u015flay\u0131p her iki kal\u00e7aya do\u011fru yay\u0131lan \u015fiddetli a\u011fr\u0131 \u015fik\u00e2yetiyle ba\u015fvurdu. \u0130lk olarak ortopedi poliklini\u011finde yap\u0131lan muayene ve MR incelemelerinde, s\u0131rt b\u00f6lgesindeki 11. ve 12. omurlarda enfeksiyona ba\u011fl\u0131 patolojik \u00e7\u00f6kme tespit edildi. Bu \u00e7\u00f6kmenin omurili\u011fe ileri derecede bas\u0131 yapt\u0131\u011f\u0131n\u0131n g\u00f6r\u00fclmesi \u00fczerine hasta, Beyin ve Sinir Cerrahisi\u2019ne y\u00f6nlendirildi. Burada yap\u0131lan ileri tetkikler sonucunda hastaya, omurga t\u00fcberk\u00fclozuna ba\u011fl\u0131 geli\u015fen Pott Apsesi tan\u0131s\u0131 konuldu. Enfeksiyonun k\u0131r\u0131k omurlar\u0131n \u00fczerinde Torakal 7 (T7) seviyesine kadar uzand\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. Ayr\u0131ca apsenin bir k\u0131sm\u0131n\u0131n g\u00f6\u011f\u00fcs bo\u015flu\u011fundan ba\u015flayarak omurgaya uzand\u0131\u011f\u0131 ve omurili\u011fe bask\u0131 yapt\u0131\u011f\u0131 tespit edildi” s\u00f6zlerini kaydetti.<\/p>\n

Vakan\u0131n acil cerrahi m\u00fcdahale gerektirmesi \u00fczerine G\u00f6\u011f\u00fcs Cerrahisi Uzman\u0131 Prof. Dr. \u00d6zg\u00fcr Samanc\u0131lar ile birlikte koordineli bir tedavi plan\u0131 olu\u015fturuldu\u011funu belirten Op. Dr. Seyhan Orak, “Hasta i\u00e7in iki a\u015famal\u0131 cerrahi giri\u015fim planland\u0131. \u0130lk a\u015famada g\u00f6\u011f\u00fcs bo\u015flu\u011fundaki enfeksiyon temizlenerek apse bo\u015falt\u0131ld\u0131. Ard\u0131ndan enfeksiyon nedeniyle hasar g\u00f6ren ve k\u0131r\u0131lan omurlar \u00e7\u0131kar\u0131larak yerlerine omurgan\u0131n y\u00fck ta\u015f\u0131ma fonksiyonunu destekleyecek \u00f6zel kafes implantlar yerle\u015ftirildi. Omurga anatomisi yeniden d\u00fczenlendikten sonra ayn\u0131 cerrahi seans i\u00e7erisinde, omurili\u011fin korunmas\u0131 ve omurgan\u0131n stabilizasyonunun sa\u011flanmas\u0131 amac\u0131yla enstr\u00fcmantasyon sistemi uyguland\u0131” ifadelerini kulland\u0131.<\/p>\n

Vakaya ili\u015fkin a\u00e7\u0131klamada bulunan Prof. Dr. \u00d6zg\u00fcr Samanc\u0131lar da “Bu operasyonlar, multidisipliner yakla\u015f\u0131m gerektiren kompleks cerrahi giri\u015fimlerdir. Beyin ve Sinir Cerrahisi ekibinin omurgaya ula\u015fabilmesi i\u00e7in g\u00f6\u011f\u00fcs b\u00f6lgesi cerrahi olarak a\u00e7\u0131ld\u0131. Bu sayede gen\u00e7 ya\u015ftaki hastan\u0131n tedavisi ba\u015far\u0131yla ger\u00e7ekle\u015ftirildi ve cerrahi m\u00fcdahale ile sa\u011fl\u0131\u011f\u0131na kavu\u015fmas\u0131 hedeflendi” dedi.<\/p>\n

 <\/p>\n

N\u00f6rolojik kay\u0131p riski vard\u0131<\/p>\n

Operasyon sonras\u0131nda hastan\u0131n n\u00f6rolojik durumunun stabil seyretti\u011fini ve iyile\u015fme g\u00f6sterdi\u011fini belirten Op. Dr. Seyhan Orak, s\u00f6zlerine \u015f\u00f6yle devam etti:<\/p>\n

“Ameliyat\u0131n ard\u0131ndan bir g\u00fcn yo\u011fun bak\u0131mda takip edilen hastada herhangi bir n\u00f6rolojik kay\u0131p veya komplikasyon geli\u015fmedi. A\u011fr\u0131lar\u0131, ilk ba\u015fvurdu\u011fu d\u00f6neme k\u0131yasla belirgin \u015fekilde azald\u0131 ve erken d\u00f6nemde cerrahiden \u00f6nemli fayda g\u00f6rd\u00fc. Hastan\u0131n aktif, akci\u011fer kaynakl\u0131 bir t\u00fcberk\u00fcloz \u00f6yk\u00fcs\u00fc bulunmuyordu. Ancak t\u00fcberk\u00fcloz mikrobunun kemi\u011fi tutan bu formu; ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bask\u0131lanmas\u0131, yo\u011fun \u00e7al\u0131\u015fma temposu veya beslenme d\u00fczenindeki bozulmalar gibi \u00e7e\u015fitli fakt\u00f6rlerle ili\u015fkilendirilebilmektedir. S\u0131k kar\u015f\u0131la\u015f\u0131lan bir durum olmamakla birlikte, omurilik bas\u0131s\u0131 ve n\u00f6rolojik kay\u0131p riski nedeniyle zaman\u0131nda m\u00fcdahale gerektiren bir tablodur. Enfeksiyon Hastal\u0131klar\u0131 b\u00f6l\u00fcm\u00fc taraf\u0131ndan t\u00fcberk\u00fcloza y\u00f6nelik damar i\u00e7i tedavi planland\u0131. Hastan\u0131n hastanede kal\u0131\u015f s\u00fcreci bu tedavinin tamamlanmas\u0131 ve e\u015f zamanl\u0131 uygulanan fizik tedavi program\u0131n\u0131n s\u00fcrd\u00fcr\u00fclmesi amac\u0131yla devam etmektedir. K\u0131sa s\u00fcre i\u00e7erisinde a\u011f\u0131zdan ila\u00e7 tedavisine ge\u00e7ilmesi planlanmakta olup, mevcut klinik de\u011ferlendirmelere g\u00f6re tedavi s\u00fcrecinin tamamlanmas\u0131n\u0131n ard\u0131ndan \u00fclkesine d\u00f6nmesi \u00f6ng\u00f6r\u00fclmektedir.”<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Uluslararas\u0131 kruvaziyer gemilerinde \u00e7al\u0131\u015fan 30 ya\u015f\u0131ndaki Endonezyal\u0131 Muhammad Arifandrita, \u015fiddetli s\u0131rt ve bacak a\u011fr\u0131lar\u0131 \u015fikayeti ile \u0130zmir\u2019de ba\u015fvurdu\u011fu Medicana International \u0130zmir Hastanesi\u2019nde yap\u0131lan muayenesinde nadir g\u00f6r\u00fclen omurga t\u00fcberk\u00fclozu (Pott apsesi) oldu\u011fu anla\u015f\u0131ld\u0131. Gen\u00e7 denizci, Beyin ve Sinir Cerrahisi B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Seyhan Orak\u2019\u0131n ger\u00e7ekle\u015ftirdi\u011fi iki a\u015famal\u0131 cerrahi m\u00fcdahale ile hastal\u0131\u011f\u0131ndan kurtuldu.Uluslararas\u0131 kruvaziyer gemilerinde bar personeli […]<\/p>\n","protected":false},"author":1,"featured_media":2426,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-2425","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"views":16,"_links":{"self":[{"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/posts\/2425","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/egetv.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2425"}],"version-history":[{"count":1,"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/posts\/2425\/revisions"}],"predecessor-version":[{"id":2427,"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/posts\/2425\/revisions\/2427"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/egetv.tr\/index.php?rest_route=\/wp\/v2\/media\/2426"}],"wp:attachment":[{"href":"https:\/\/egetv.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/egetv.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/egetv.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}