{"id":21717,"date":"2024-05-27T04:02:00","date_gmt":"2024-05-27T04:02:00","guid":{"rendered":"https:\/\/www.euegeajans.com\/?p=21717"},"modified":"2024-05-27T07:09:13","modified_gmt":"2024-05-27T07:09:13","slug":"prof-dr-karapinar-yilmaz-losemili-cocuklarin-dogru-tedaviyle-yasam-sansi-yuzde-90in-uzerinde","status":"publish","type":"post","link":"https:\/\/www.euegeajans.com\/index.php\/2024\/05\/27\/prof-dr-karapinar-yilmaz-losemili-cocuklarin-dogru-tedaviyle-yasam-sansi-yuzde-90in-uzerinde\/","title":{"rendered":"Prof. Dr. Karap\u0131nar Y\u0131lmaz, \u201cL\u00f6semili \u00e7ocuklar\u0131n do\u011fru tedaviyle ya\u015fam \u015fans\u0131 y\u00fczde 90\u2019\u0131n \u00fczerinde\u201d"},"content":{"rendered":"

\u201cD\u00fcnya L\u00f6semili \u00c7ocuklar Haftas\u0131\u201d<\/strong><\/p>\n

Sinem Durmaz- Miray Ezgi \u00c7elen- Agit Tatl\u0131<\/p>\n

T\u00fcrkiye’de ve d\u00fcnyada her y\u0131l binlerce \u00e7ocuk l\u00f6semi hastal\u0131\u011f\u0131na yakalan\u0131yor. Ailelerde l\u00f6semi konusunda fark\u0131ndal\u0131k yaratmak, l\u00f6semi tedavisi g\u00f6ren \u00e7ocuklar\u0131n moral ve motivasyonunun sevgiyle y\u00fcksek tutulmas\u0131n\u0131n \u00f6nemine dikkat \u00e7ekmek ad\u0131na her y\u0131l d\u00fcnyada 25-31 May\u0131s tarihleri aras\u0131nda\u00a0 \u201cD\u00fcnya L\u00f6semili \u00c7ocuklar Haftas\u0131\u201d kapsam\u0131nda \u00e7e\u015fitli bilgilendirme etkinlikleri d\u00fczenleniyor. Ege \u00dcniversitesi (E\u00dc) T\u0131p Fak\u00fcltesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00f6\u011fretim \u00fcyesi Prof. Dr. Deniz Y\u0131lmaz Karap\u0131nar, hafta dolay\u0131s\u0131yla l\u00f6semi konusunda dikkat \u00e7ekici a\u00e7\u0131klamalarda bulundu.<\/p>\n

L\u00f6semi hastal\u0131\u011f\u0131n\u0131n \u00e7ocukluk \u00e7a\u011f\u0131nda daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc dile getiren Prof. Dr. Deniz Y\u0131lmaz Karap\u0131nar, \u201cL\u00f6semi, \u00e7ocukluk \u00e7a\u011flar\u0131n\u0131n k\u00f6t\u00fc huylu kanserleri dedi\u011fimiz hastal\u0131klar\u0131n \u00fc\u00e7te birini olu\u015fturuyor. \u00c7ok \u00f6l\u00fcmc\u00fcl oldu\u011fu i\u00e7in de\u011fil \u00e7ok fazla g\u00f6r\u00fcld\u00fc\u011f\u00fc i\u00e7in bilinen bir hastal\u0131k. Bu y\u00fczden ad\u0131 halk taraf\u0131ndan \u00e7ok iyi biliniyor. 1960\u2019l\u0131 y\u0131llarda ilk tan\u0131nd\u0131\u011f\u0131 zamanlarda hastal\u0131\u011f\u0131n tedavi edilmesi m\u00fcmk\u00fcn de\u011fildi. Hastalar\u0131n y\u00fczde 5\u2019i birka\u00e7 y\u0131l ya\u015fat\u0131labiliyordu. Ama aradan ge\u00e7en 60 y\u0131ll\u0131k periyotta, \u00e7ocuklar\u0131n y\u00fczde 90 \u00fczerinde ya\u015fam \u015fans\u0131 var. Tedavide \u00e7ok b\u00fcy\u00fck yol al\u0131nd\u0131. Normalde bizim kemik ili\u011fimizde baz\u0131 kan h\u00fccreleri \u00fcretiliyor. Bu h\u00fccreler v\u00fccutta baz\u0131 hayati g\u00f6revleri yerine getiriyor. Kan\u0131m\u0131z\u0131n i\u00e7inde \u00fc\u00e7 tip h\u00fccre var. Bunlar da kemik ili\u011fi dedi\u011fimiz yerde \u00fcretilir. Bu \u00fc\u00e7 tip h\u00fccrenin yap\u0131s\u0131 bozuldu\u011funda fonksiyonlar\u0131n\u0131 yerine getiremezler. Bu durum; kanama, enfeksiyonlar, v\u00fccudun oksijen ihtiyac\u0131n\u0131n kar\u015f\u0131lanmamas\u0131 gibi sorunlara yol a\u00e7ar. V\u00fccudumuzdaki b\u00fct\u00fcn h\u00fccrelerin bir \u00f6mr\u00fc var; biz buna programlanm\u0131\u015f \u00f6l\u00fcm diyoruz. \u00d6zellikle \u00fcretilen bu kan h\u00fccreleri, di\u011fer h\u00fccrelerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda k\u0131sa bir \u00f6mre sahipler. \u00dcreme halindeki h\u00fccreler duraklama ya\u015fad\u0131klar\u0131nda \u00e7ok fazla \u00fcreme ve hata yapma gibi sonu\u00e7lar do\u011furabilirler. Normal h\u00fccrelere g\u00f6re \u00e7ok fazla \u00fcreyen bu h\u00fccreler \u00e7ok fazla yer doldururlar. Sa\u011fl\u0131kl\u0131 kan h\u00fccrelerinin \u00fcremesi i\u00e7in yer b\u0131rakmaz ve \u00fcretilememelerine sebep olurlar. Normal kan h\u00fccreleriyle ayn\u0131 fonksiyona sahip olmayan bu h\u00fccreler \u00f6lmezler ancak kemik ili\u011finden \u00e7\u0131kan kan\u0131n gitti\u011fi yere ula\u015f\u0131rlar. Burada bir\u00e7ok organa ula\u015f\u0131rlar. Bu da l\u00f6semili bireylerdeki lenf \u015fi\u015fliklerinin olu\u015fmas\u0131na neden olur\u201d diye konu\u015ftu.<\/p>\n

\u201cHastal\u0131\u011f\u0131n durumuna g\u00f6re tedavi y\u00f6ntemleri uygulan\u0131yor\u201d<\/b><\/p>\n

L\u00f6seminin tan\u0131 ve tedavisine de\u011finen Prof. Dr. Deniz Y\u0131lmaz Karap\u0131nar, \u201cGenellikle 2 ile 6 ya\u015f aras\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fclmektedir. Ancak b\u00fct\u00fcn ya\u015f gruplar\u0131nda da g\u00f6r\u00fclebilir. \u00c7ocukluk \u00e7a\u011f\u0131nda g\u00f6r\u00fclen \u00e7o\u011funlukla \u2018akut\u2019 olarak adland\u0131r\u0131l\u0131r. Yani h\u0131zl\u0131ca ortaya \u00e7\u0131kar, \u00f6rne\u011fin bir ay \u00f6ncesinde tamamen sa\u011fl\u0131kl\u0131 bireyler iken bir anda ortaya \u00e7\u0131kan burun kanamalar\u0131, kalpte \u00e7arp\u0131nt\u0131, halsizlik, ciltte morarmalar, ate\u015f y\u00fckseklikleri g\u00f6r\u00fclebilir \u00e7\u00fcnk\u00fc v\u00fccut mikroplara kar\u015f\u0131 koyamaz. Eri\u015fkinlerde g\u00f6r\u00fclen l\u00f6semi ise kronik dedi\u011fimiz uzun zamana yay\u0131lan bulgular g\u00f6sterir. \u00c7ocuklarda y\u00fczde 95\u2019inde akut geri kalan\u0131nda kronik l\u00f6semi g\u00f6r\u00fclmektedir, \u00e7ocuklarda yava\u015f geli\u015fen l\u00f6semi \u00e7ok nadirdir. Tedavi k\u0131sm\u0131nda ise her \u00e7ocu\u011fun ila\u00e7 tedavisi almas\u0131 gerekir. Kemoterapi tedavisiyle l\u00f6semi h\u00fccrelerinin \u00f6ld\u00fcr\u00fclmesi hedeflenir ancak normal h\u00fccreler de bu tedaviyle yok edilmektedir. Kemoterapi, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin ba\u015fka yard\u0131mc\u0131 elemanlar\u0131n\u0131 da olumsuz etkileyebiliyor. Kortizon tedavisi uygulanan \u00e7ocuklarda ila\u00e7; y\u00fcz \u015fi\u015fkinli\u011fine, bulant\u0131, kusma, enfeksiyonlara kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin daha e\u011filimli hale gelmesine yol a\u00e7ar. Kemoterapiden sonra baz\u0131 \u00e7ocuklara \u0131\u015f\u0131n tedavisi uygulanmaktad\u0131r. I\u015f\u0131n tedavisini kan beyin bariyerine ge\u00e7me ihtimali olan h\u00fccreler i\u00e7in kullan\u0131yoruz. Bilinen ba\u015fka bir tedavi y\u00f6ntemi ise kemik ili\u011fi naklidir. \u00c7ocuklar\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131 kemik ili\u011fi nakli olmadan iyile\u015fip hayatlar\u0131na devam edebiliyorlar\u201d dedi.<\/p>\n

\u201cEge \u00dcniversitesi \u00e7ok kapsaml\u0131 bir tedavi sunuyor\u201d<\/b><\/p>\n

E\u00dc\u2019n\u00fcn l\u00f6semi tedavisinde \u00fcstlendi\u011fi misyon hakk\u0131nda bilgi veren Prof. Dr. Deniz Y\u0131lmaz Karap\u0131nar, \u201cL\u00f6seminin her a\u015famas\u0131nda burada l\u00f6semili \u00e7ocuklar\u0131n tedavileri m\u00fcmk\u00fcn. Genetik problemlerin saptanmas\u0131, kemoterapilerin verilmesi, radyoterapilerin verilmesi farkl\u0131 farkl\u0131 b\u00f6l\u00fcmlerin \u00e7ok b\u00fcy\u00fck bir i\u015f birli\u011fiyle \u00e7al\u0131\u015farak ger\u00e7ekle\u015ftirdi\u011fi bir s\u00fcre\u00e7. Kemoterapinin verildi\u011fi k\u0131sm\u0131 E\u00dc \u00c7ocuk Hemotolojisi olarak biz yap\u0131yoruz, radyoterapiyi Radyasyon Onkolojisi, T\u0131bbi Genetik genetik defektlerini de\u011ferlendiriyor, Patoloji, kemik ili\u011fi biyopsilerini de\u011ferlendirmeye \u00e7al\u0131\u015f\u0131yor, kemik ili\u011fi nakil \u00fcnitesi de kemik ili\u011fi naklini yap\u0131yor. Ege \u00dcniversitesinin \u00e7ok kapsaml\u0131 bir tedavi sundu\u011funu s\u00f6yleyebiliriz\u201d ifadelerini kulland\u0131.<\/p>\n

Prof. Dr. Deniz Y\u0131lmaz Karap\u0131nar, l\u00f6semi ile ilgili en b\u00fcy\u00fck problemlerden birinin kemik ili\u011fi don\u00f6rleri oldu\u011funu s\u00f6yleyerek bu konuda fark\u0131ndal\u0131k yarat\u0131lmas\u0131 gerekti\u011fini vurgulad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cD\u00fcnya L\u00f6semili \u00c7ocuklar Haftas\u0131\u201d Sinem Durmaz- Miray Ezgi \u00c7elen- Agit Tatl\u0131 T\u00fcrkiye’de ve d\u00fcnyada her…<\/p>\n","protected":false},"author":2,"featured_media":21718,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[99,1,70,68],"tags":[],"class_list":["post-21717","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-egitim","category-gncl","category-kampus","category-saglik"],"featured_image_urls":{"full":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar.jpg",1990,1269,false],"thumbnail":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-150x150.jpg",150,150,true],"medium":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-300x191.jpg",300,191,true],"medium_large":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-768x490.jpg",640,408,true],"large":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-1024x653.jpg",640,408,true],"1536x1536":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-1536x979.jpg",1536,979,true],"2048x2048":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar.jpg",1990,1269,false],"newsphere-slider-full":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-1280x720.jpg",1280,720,true],"newsphere-featured":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-1024x653.jpg",1024,653,true],"newsphere-medium":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2024\/05\/Prof.-Dr.-Deniz-Yilmaz-Karapinar-720x380.jpg",720,380,true]},"author_info":{"display_name":"Editor","author_link":"https:\/\/www.euegeajans.com\/index.php\/author\/editor\/"},"category_info":"E\u011fitim<\/a> G\u00fcncel<\/a> Kamp\u00fcs<\/a> Sa\u011fl\u0131k<\/a>","tag_info":"Sa\u011fl\u0131k","comment_count":"0","_links":{"self":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts\/21717","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/comments?post=21717"}],"version-history":[{"count":1,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts\/21717\/revisions"}],"predecessor-version":[{"id":21719,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts\/21717\/revisions\/21719"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/media\/21718"}],"wp:attachment":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/media?parent=21717"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/categories?post=21717"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/tags?post=21717"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}