{"id":98121,"date":"2024-11-26T10:28:35","date_gmt":"2024-11-26T07:28:35","guid":{"rendered":"https:\/\/www.tgrthaber.com\/mavikadin\/?p=98121"},"modified":"2024-11-26T10:29:37","modified_gmt":"2024-11-26T07:29:37","slug":"meme-enfeksiyonuna-ameliyatsiz-tedavi-turk-bilim-insanindan-umutlandiran-calisma","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/meme-enfeksiyonuna-ameliyatsiz-tedavi-turk-bilim-insanindan-umutlandiran-calisma\/","title":{"rendered":"Meme enfeksiyonuna ameliyats\u0131z tedavi! T\u00fcrk bilim insan\u0131ndan umutland\u0131ran \u00e7al\u0131\u015fma"},"content":{"rendered":"<p>Atat\u00fcrk \u00dcniversitesi T\u0131p Fak\u00fcltesi Radyoloji Ana Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Fatih Alper&#8217;in geli\u015ftirdi\u011fi tedavi, t\u0131p d\u00fcnyas\u0131nda heyecan uyand\u0131rd\u0131.<\/p>\n<p>Atat\u00fcrk \u00dcniversitesi T\u0131p Fak\u00fcltesi Radyoloji Ana Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Fatih Alper, 2015 y\u0131l\u0131nda ba\u015flatt\u0131\u011f\u0131 \u00e7al\u0131\u015fmalar sonucu meme enfeksiyonu hastal\u0131\u011f\u0131nda t\u0131p d\u00fcnyas\u0131nda heyecan uyand\u0131ran sonu\u00e7lara ula\u015ft\u0131. 9 senelik tecr\u00fcbenin sonucunda sadece meme i\u00e7erisine steroid vererek bazen krem deste\u011fi ile 5-10 seans aras\u0131 tedavi ile hastalarda tam k\u00fcr sa\u011fland\u0131\u011f\u0131n\u0131 ifade eden Alper, &#8220;Atat\u00fcrk \u00dcniversitesi radyoloji b\u00f6l\u00fcm\u00fcnde uygulad\u0131\u011f\u0131m\u0131z tedavi protokol\u00fcyle hastalarda hem ba\u015far\u0131l\u0131 sonu\u00e7lar ald\u0131k hem de s\u0131f\u0131ra yak\u0131n yan etki ile ameliyata gerek kalmadan \u00e7\u00f6z\u00fcmler \u00fcrettik&#8221; dedi.<\/p>\n<h3>&#8220;KANSER \u0130LE KARI\u015eAN BULGULARI VAR&#8221;<\/h3>\n<p>Prof. Dr. Fatih Alper, idiyopatik gran\u00fclomat\u00f6z mastitin kronik bir meme enfeksiyonu oldu\u011funu belirterek, &#8220;Bu d\u00fcnyada nadir olan ancak toplumumuzda s\u0131k g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Memede k\u0131zar\u0131kl\u0131k, \u015fi\u015flik, \u0131s\u0131 art\u0131\u015f\u0131, meme i\u00e7erisinde sertlikler, meme cildinde delinmeler, ak\u0131nt\u0131lar ve a\u00e7\u0131k yaralarla seyreden k\u00f6t\u00fc bir hastal\u0131kt\u0131r. Ba\u015flang\u0131c\u0131nda kanser ile kar\u0131\u015fan bulgular\u0131 mevcuttur.<br \/>\n\u00d6zellikle orta ya\u015f grubu annelerde daha s\u0131k g\u00f6r\u00fclmektedir. Bu hastalar antibiyoti\u011fe cevap vermeyen ve doktor doktor dola\u015fan hasta grubudur. Mevcut hastal\u0131\u011f\u0131n\u0131 \u00e7evresine anlatamamakta ve aylarca y\u0131llarca hastal\u0131kla ya\u015famaktad\u0131r. Halk aras\u0131nda s\u00fcr\u00fcnd\u00fcren denen bir durumdur&#8221; dedi.<\/p>\n<div style=\"width: 640px;\" class=\"wp-video\"><!--[if lt IE 9]><script>document.createElement('video');<\/script><![endif]-->\n<video class=\"wp-video-shortcode\" id=\"video-98121-1\" width=\"640\" height=\"640\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/Mastit.mp4?_=1\" \/><a href=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/Mastit.mp4\">https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/Mastit.mp4<\/a><\/video><\/div>\n<h3><\/h3>\n<h3>&#8220;AMEL\u0130YATA GEREK KALMIYOR\u201d<\/h3>\n<p>21 Eyl\u00fcl&#8217;de \u0130zmir&#8217;de yap\u0131lan IGM&#8217;ye ait tedavi \u00e7al\u0131\u015ftay\u0131na kat\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yleyen Prof. Dr. Alper, &#8220;Oraya pek \u00e7ok merkez kat\u0131lm\u0131\u015ft\u0131. Tedavide meme i\u00e7erisine steroid (lokal perilezyonel, intralezyonel), krem \u015feklinde (topikal), a\u011f\u0131zdan (oral y\u00fcksek doz d\u00fc\u015f\u00fck doz steroid), romatizma ila\u00e7lar\u0131 (metotreksat), ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan ila\u00e7lar (imuran), antibiyotikler, antit\u00fcberk\u00fcloz ila\u00e7lar ve meme ameliyatlar\u0131 gibi pek \u00e7ok uygulama yap\u0131ld\u0131\u011f\u0131 anlat\u0131ld\u0131. Tedavi yakla\u015f\u0131m\u0131nda T\u00fcrkiye ve d\u00fcnyada bir fikir birli\u011fi olmay\u0131p kaos mevcuttur. \u00c7al\u0131\u015fmakta oldu\u011fumuz Atat\u00fcrk \u00dcniversitesi radyoloji b\u00f6l\u00fcm\u00fcnde uygulad\u0131\u011f\u0131m\u0131z tedavi protokol\u00fcyle hastalarda hem ba\u015far\u0131l\u0131 sonu\u00e7lar ald\u0131k hem de s\u0131f\u0131ra yak\u0131n yan etki ile ameliyata gerek kalmadan \u00e7\u00f6z\u00fcmler \u00fcrettik&#8221; \u015feklinde konu\u015ftu. Prof. Dr. Alper, ya\u015fad\u0131\u011f\u0131 tecr\u00fcbeleri ve yapt\u0131\u011f\u0131 \u00e7al\u0131\u015fmalar\u0131 Atat\u00fcrk \u00dcniversitesi T\u0131p Fak\u00fcltesi&#8217;nde \u00f6\u011frenim g\u00f6ren \u00f6\u011frencilere de detaylar\u0131yla aktar\u0131yor.<\/p>\n<h3>&#8220;KOMPL\u0130KE TEDAV\u0130LERE GEREK KALMIYOR&#8221;<\/h3>\n<p>9 senelik tecr\u00fcbenin sonucunda sadece meme i\u00e7erisine steroid vererek bazen krem deste\u011fi ile 5-10 seans aras\u0131 tedavi ile hastalarda tam k\u00fcr sa\u011fland\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Alper, &#8220;Tedavi s\u00fcrecinde hastalara uygulanan toplam steroid dozu 400 mg ile 800 mg civar\u0131ndad\u0131r (oral steroid dozu 0.8 mg\/kg olup 100 kg hastada 1 g\u00fcnl\u00fck oral doz 80 mg iken biz bu dozu haftal\u0131k seansta vermekteyiz). Di\u011fer merkezlerde oral steroidin ve di\u011fer ila\u00e7lar\u0131n pek \u00e7ok yan etkilerinin ya\u015fand\u0131\u011f\u0131 ifade edilmektedir. Bu y\u00f6ntemle ameliyat veya di\u011fer komplike tedavilere gerek kalmadan k\u00fcr sa\u011flanarak yakla\u015f\u0131k 650 hastay\u0131 tedavi ettik. T\u00fcm hastalar tedavi sonras\u0131 mutlu bir \u015fekilde ve iyi dileklerini ileterek ayr\u0131ld\u0131lar. Bu y\u00f6ntemin etkili oldu\u011funun bilinmesi gerekti\u011fini d\u00fc\u015f\u00fcnmekteyiz. Literat\u00fcrde ilk benim buldu\u011fum ve kulland\u0131\u011f\u0131ma dair meme i\u00e7i steroid uygulamas\u0131, oral ve meme i\u00e7i uygulamay\u0131 kar\u015f\u0131la\u015ft\u0131rd\u0131\u011f\u0131m\u0131z, literat\u00fcrdeki ilk ultrasonik evreleme yapt\u0131\u011f\u0131m\u0131z ve 40 mg ve 80 mg dozlar\u0131n kar\u015f\u0131la\u015ft\u0131rd\u0131\u011f\u0131m\u0131z makaleler uluslararas\u0131 dergilerde yay\u0131nland\u0131. Bu yay\u0131nlar t\u0131p d\u00fcnyas\u0131nda olduk\u00e7a fazla ilgi g\u00f6rd\u00fc. Bizler de mutlu olduk&#8221; dedi.<\/p>\n<figure id=\"attachment_98124\" aria-describedby=\"caption-attachment-98124\" style=\"width: 640px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-98124\" src=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_01-1024x575.jpg\" alt=\"Meme enfeksiyonuna ameliyats\u0131z tedavi\" width=\"640\" height=\"359\" title=\"\" srcset=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_01-1024x575.jpg 1024w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_01-300x168.jpg 300w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_01-768x431.jpg 768w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_01-1536x862.jpg 1536w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_01-2048x1149.jpg 2048w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-98124\" class=\"wp-caption-text\">Meme enfeksiyonuna ameliyats\u0131z tedavi<\/figcaption><\/figure>\n<h3>&#8216;B\u0130R\u0130NE &#8216;FAT\u0130H&#8217; D\u0130\u011eER\u0130NE &#8216;ALPER&#8217; BULGUSU \u0130SM\u0130N\u0130 KOYACA\u011eIM&#8221;<\/h3>\n<p>Hastal\u0131\u011f\u0131n Erzurum ve Do\u011fu Anadolu&#8217;da daha yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc anlatan Prof. Dr. Fatih Alper, &#8220;\u00dclkemizde de s\u0131k\u00e7a rastlanan bir rahats\u0131zl\u0131k. \u00d6nceden nadir diye d\u00fc\u015f\u00fcn\u00fcrken yakla\u015f\u0131k 8-9 senelik s\u00fcre i\u00e7inde 650 vakaya ula\u015ft\u0131\u011f\u0131m\u0131z\u0131 g\u00f6r\u00fcyoruz. Erzurum, I\u011fd\u0131r, Kars ve Diyarbak\u0131r, Trabzon gibi pek \u00e7ok \u015fehrimizden bize hasta geliyor. Nah\u00e7\u0131van&#8217;dan bile takip etti\u011fimiz ve tedavi verdi\u011fimiz hastalar var. Yine \u0130zmir&#8217;den, Bilecik, \u0130stanbul&#8217;dan gelen hastalar\u0131m\u0131z var. T\u00fcrk Radyoloji Derne\u011fi Meme Grubunda bu hastal\u0131kla ilgili yard\u0131mc\u0131 olaca\u011f\u0131m\u0131z\u0131 ifade ettim. Benzer \u015fekilde Rize&#8217;den ve \u0130zmir&#8217;den hocalar\u0131m\u0131zla ba\u011flant\u0131 halindeyim. Yapt\u0131\u011f\u0131m\u0131z \u00e7al\u0131\u015fmalarda \u00f6zellikle y\u0131llar i\u00e7erisinde her g\u00fcn 1-2 saat ay\u0131rd\u0131\u011f\u0131m i\u00e7in yakla\u015f\u0131k 5 binden fazla ultrasona bakt\u0131m ve yapt\u0131\u011f\u0131m pek \u00e7ok bak\u0131da \u015funu fark ettim: Literat\u00fcre iki yeni bulgu ortaya koyaca\u011f\u0131m. Bununla alakal\u0131 \u00e7al\u0131\u015fmalar\u0131m son a\u015famada ve bulgulardan birisine &#8216;Fatih&#8217; di\u011ferine ise &#8216;Alper&#8217; bulgusu ismini koyaca\u011f\u0131m. Bu hastal\u0131\u011f\u0131 ta\u015f\u0131yan hastalar \u015funu bilmeli ki a\u011f\u0131r tedaviler (a\u011f\u0131zdan tedaviler steroid, metotreksat, kol\u015fisin, v.s ) ve ameliyat yap\u0131lmadan da iyi sonu\u00e7lar alabilmekteyiz&#8221; diye konu\u015ftu.<\/p>\n<figure id=\"attachment_98125\" aria-describedby=\"caption-attachment-98125\" style=\"width: 640px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-98125\" src=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_02-1024x575.jpg\" alt=\"Meme enfeksiyonuna ameliyats\u0131z tedavi\" width=\"640\" height=\"359\" title=\"\" srcset=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_02-1024x575.jpg 1024w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_02-300x168.jpg 300w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_02-768x431.jpg 768w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_02-1536x862.jpg 1536w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/AW337241_02-2048x1149.jpg 2048w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-98125\" class=\"wp-caption-text\">Meme enfeksiyonuna ameliyats\u0131z tedavi<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>D\u00fcnyada az ama \u00fclkemizde s\u0131k\u00e7a rastlan\u0131lan meme enfeksiyonunda T\u00fcrk bilim insan\u0131ndan umutland\u0131ran \u00e7al\u0131\u015fma geldi. Buna g\u00f6re meme enfeksiyonu ameliyats\u0131z \u00e7\u00f6z\u00fclebilecek.<\/p>\n","protected":false},"author":5,"featured_media":98126,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1991],"tags":[2881,2880],"class_list":["post-98121","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-mastit","tag-meme-enfeksiyonu"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/98121"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=98121"}],"version-history":[{"count":3,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/98121\/revisions"}],"predecessor-version":[{"id":98130,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/98121\/revisions\/98130"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/98126"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=98121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=98121"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=98121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}