{"id":5846,"date":"2019-12-27T10:41:37","date_gmt":"2019-12-27T07:41:37","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=5846"},"modified":"2019-12-27T10:41:37","modified_gmt":"2019-12-27T07:41:37","slug":"patent-duktus-arteriosus-pda-nedir","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/patent-duktus-arteriosus-pda-nedir\/","title":{"rendered":"Patent Duktus Arteriosus (PDA) nedir?"},"content":{"rendered":"

Duktus arteriosus<\/strong>, bebekler<\/strong> hen\u00fcz\u00a0 anne karn\u0131ndayken kalpteki iki b\u00fcy\u00fck damar (akci\u011fere kan g\u00f6t\u00fcren pulmoner arter ve aort damar\u0131 ) aras\u0131nda ge\u00e7i\u015f sa\u011flayan damarsal bir yap\u0131d\u0131r. Duktus arteriosus\u2019un do\u011fumdan sonra kapanmayarak a\u00e7\u0131k kalmas\u0131na patent duktus arteriosus (PDA) denir.<\/p>\n

Bulgular\u0131 nelerdir?<\/b><\/p>\n

Bu ba\u011flant\u0131n\u0131n a\u00e7\u0131k kalmas\u0131 aort damar\u0131ndaki oksijenden zengin kan\u0131n bir k\u0131sm\u0131n\u0131n pulmoner artere ge\u00e7erek tekrar akci\u011fere d\u00f6nmesine neden olur. K\u00fc\u00e7\u00fck PDA\u2019s\u0131 olan \u00e7ocuklarda genelde bir bulgu yada \u015fikayet g\u00f6r\u00fclmezken b\u00fcy\u00fck olanlarda ise \u00e7abuk yorulma, solunum s\u0131k\u0131nt\u0131s\u0131, b\u00fcy\u00fcme gerili\u011fi, tart\u0131 alamama gibi bulgular g\u00f6r\u00fclebilir. B\u00fcy\u00fck PDA\u2019s\u0131 olan hastalarda bir s\u00fcre sonra ise tablo daha da a\u011f\u0131rla\u015farak kalp yetersizli\u011fi, kalp b\u00fcy\u00fcmesi geli\u015febilir. K\u00fc\u00e7\u00fck PDA\u2019s\u0131 olan \u00e7ocuklarda ise genelde rutin muayene s\u0131ras\u0131nda kalpte duyulan bir \u00fcf\u00fcr\u00fcm ile tan\u0131 konur.<\/p>\n

Tan\u0131 konulduktan sonra ne yap\u0131lmas\u0131 gerekir?<\/b><\/p>\n

\u00c7ok b\u00fcy\u00fck olmayan PDA\u2019larda e\u011fer \u00e7ocu\u011fun tart\u0131 al\u0131m\u0131 da yeterliyse kapatma i\u00e7in genelde 1 ya\u015f beklenir. Ancak b\u00fcy\u00fcme gerili\u011fi ve kalp yetersizli\u011fi bulgular\u0131 olan \u00e7ocuklarda PDA kapat\u0131lmas\u0131 i\u00e7in daha erken -hatta bazen yenido\u011fan d\u00f6neminde bile- m\u00fcdahale gerekir. \u00c7ok k\u00fc\u00e7\u00fck (sessiz) PDA\u2019larda ise genelde bir tedavi gerekmez ve bu hastalar m\u00fcdahale edilmeden izlenebilir.<\/p>\n

PDA\u2019s\u0131 olan \u00e7ocuklarda tedavi se\u00e7enekleri nelerdir?<\/b><\/p>\n

\u0130ki se\u00e7enek vard\u0131r; anjio y\u00f6ntemi ile ameliyats\u0131z kapatma ve cerrahi kapatma. G\u00fcn\u00fcm\u00fczde art\u0131k PDA\u2019lar\u0131n \u00e7ok b\u00fcy\u00fck bir k\u0131sm\u0131 anjio y\u00f6ntemi ile ameliyata gerek olmadan kapat\u0131labilmektedir. PDA\u2019n\u0131n anjio ile\u00a0 kapatma i\u015flemini bu konuda deneyimli \u00e7ocuk kardiyoloji uzmanlar\u0131 yapmaktad\u0131r. Bu ba\u011flant\u0131n\u0131n anjio ile\u00a0 kapat\u0131lmas\u0131 i\u00e7in nitinolden \u00fcretilmi\u015f k\u00fc\u00e7\u00fck t\u0131ka\u00e7lar kullan\u0131lmaktad\u0131r. Anjio y\u00f6ntemiyle kapatma,\u00a0 20 y\u0131l\u0131 a\u015fk\u0131n s\u00fcredir t\u00fcm d\u00fcnyada g\u00fcvenle uygulanan bir y\u00f6ntemdir ve tedavide ilk se\u00e7enek olmaya devam etmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Duktus arteriosus, bebekler hen\u00fcz\u00a0 anne karn\u0131ndayken kalpteki iki b\u00fcy\u00fck damar (akci\u011fere kan g\u00f6t\u00fcren pulmoner arter ve aort damar\u0131 ) aras\u0131nda ge\u00e7i\u015f sa\u011flayan damarsal bir yap\u0131d\u0131r. Duktus arteriosus\u2019un do\u011fumdan sonra kapanmayarak a\u00e7\u0131k kalmas\u0131na patent duktus arteriosus (PDA) denir. Bulgular\u0131 nelerdir? Bu ba\u011flant\u0131n\u0131n a\u00e7\u0131k kalmas\u0131 aort damar\u0131ndaki oksijenden zengin kan\u0131n bir k\u0131sm\u0131n\u0131n pulmoner artere ge\u00e7erek tekrar akci\u011fere […]<\/p>\n","protected":false},"author":65,"featured_media":5849,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[4182,4181,4179,4177,4180,4178],"class_list":{"0":"post-5846","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-bebeklerde-kalp-hastaliklari","9":"tag-cocuklarda-kalp-hastaliklari","10":"tag-kalpte-duktus-nedir","11":"tag-patent-duktus-arteriozus-ne-demek","12":"tag-pda-hastaligi-nedir","13":"tag-pda-tipta-ne-demek"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2019\/12\/cocuklarda-kalp-sagligi-1.jpg?fit=626%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/5846","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/65"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=5846"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/5846\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/5849"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=5846"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=5846"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=5846"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}