{"id":5572,"date":"2020-05-02T14:25:50","date_gmt":"2020-05-02T11:25:50","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=5572"},"modified":"2020-05-02T17:00:03","modified_gmt":"2020-05-02T14:00:03","slug":"yuz-nakli-devrimi-operasyon-sureci-ve-doku-uyumu","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/yuz-nakli-devrimi-operasyon-sureci-ve-doku-uyumu\/","title":{"rendered":"Y\u00dcZ NAKL\u0130 DEVR\u0130M\u0130 (OPERASYON  S\u00dcREC\u0130 ve DOKU UYUMU)"},"content":{"rendered":"\n<ul class=\"wp-container-2 wp-block-gallery-1 wp-block-gallery columns-1 is-cropped\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-1024x1024.jpg\" alt=\"\" data-id=\"5578\" data-link=\"https:\/\/blog.ulubat.org\/index.php\/genel\/yuz-nakli-devrimi-operasyon-sureci-ve-doku-uyumu\/attachment\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-3\/\" class=\"wp-image-5578\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor-2-768x768.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>https:\/\/www.hemensaglik.com\/Uploads\/PageContentImages\/26827\/dunya-turkiye-nin-ilk-yuz-nakli-ameliyatini-konusuyor.jpg<\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<p>Yaz\u0131 dizimize y\u00fcz nakillerinin biyolojik a\u00e7\u0131dan nas\u0131l ger\u00e7ekle\u015fti\u011fi ve v\u00fccudumuz taraf\u0131ndan bu transplantasyonun alg\u0131lan\u0131\u015f ve kabulleni\u015f mekanizmas\u0131 konusuyla devam ediyoruz. <\/p>\n\n\n\n<p>Y\u00fcz nakillerini operasyon \u00f6ncesi, operasyon esnas\u0131 ve operasyon sonras\u0131 olarak \u00fc\u00e7 d\u00f6neme ay\u0131rabiliriz. \u0130lk olarak yap\u0131lan i\u015flem al\u0131c\u0131n\u0131n fizyolojik ve psikolojik olarak nakli kald\u0131rabilecek kapasitede olup olmad\u0131\u011f\u0131d\u0131r. E\u011fer ki\u015fi bu zorlu ameliyat\u0131 kald\u0131rabilecek konumdaysa verici belirlenir.Y\u00fcz nakli ba\u011f\u0131\u015f\u00e7\u0131s\u0131 \u00f6ncelikle beyin \u00f6l\u00fcm\u00fc ger\u00e7ekle\u015fmi\u015f makineye ba\u011fl\u0131 kalp at\u0131\u015f\u0131n\u0131 s\u00fcrd\u00fcren bir ba\u011f\u0131\u015f\u00e7\u0131 olmal\u0131d\u0131r. Don\u00f6r se\u00e7ilirken dikkat edilen bir di\u011fer husus ise don\u00f6r ve al\u0131c\u0131n\u0131n ten rengi uyumu ve ya\u015flar\u0131d\u0131r. Bu iki birey a\u00e7\u0131s\u0131ndan  iki fakt\u00f6r\u00fcn birbirine yak\u0131nl\u0131\u011f\u0131  \u00f6nem ta\u015f\u0131r. Ayn\u0131 zamanda cinsiyetlerine ve kan gruplar\u0131na bak\u0131l\u0131r. Daha sonra iki birey aras\u0131nda doku uyum testleri yap\u0131l\u0131r. D\u00fcnya \u00fczerinde tek yumurta ikizleri hari\u00e7  her bireyin dokular\u0131  kendine \u00f6zg\u00fcd\u00fcr. Ancak yine de birbirine en yak\u0131n HLA tipleri aran\u0131r. HLA (Human leukocyte entigens) v\u00fccudumuzda bulunan ve yabanc\u0131 maddelere kar\u015f\u0131 savunmay\u0131 uyaran, bize ait olan\u0131 ve olmayan\u0131 ay\u0131ran antijenlerdir. HLA uyumu nakil i\u00e7in \u00e7ok \u00f6nemli bir fakt\u00f6rd\u00fcr.Bir sonraki a\u015famada al\u0131c\u0131n\u0131n y\u00fcz\u00fcnde tahrip olan b\u00f6lgelerin tamam\u0131 temizlenir ve yeni dokulara  haz\u0131r hale getirilir. E\u015f zamanl\u0131 bir \u015fekilde don\u00f6r\u00fcn y\u00fcz\u00fc kaslar, k\u0131k\u0131rdaklar, sinirler ve ya\u011f tabakas\u0131yla birlikte \u00e7\u0131kar\u0131l\u0131r. Buzlu bir kapta muhafaza edilerek al\u0131c\u0131ya ula\u015ft\u0131r\u0131l\u0131r. Operasyon s\u00fcrecine girilir. Operasyon esnas\u0131 olduk\u00e7a zorlu bir s\u00fcre\u00e7tir. Cerrahlar organ \u00fczerinde mikroskobik boyuttaki ip ve i\u011fnelerle \u00e7al\u0131\u015f\u0131r. Bu teknikle en ince damarlar bile birbirine itinayla dikilir ve kaslar a\u011f\u0131zla\u015ft\u0131r\u0131l\u0131r. Ameliyat s\u00fcresince anestezi hastan\u0131n de\u011ferlerini s\u00fcrekli takip eder. S\u00fcrekli bir kan takviyesi mevcuttur. Operasyon yakla\u015f\u0131k 12-15 saat s\u00fcrer.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-container-4 wp-block-gallery-3 wp-block-gallery columns-1 is-cropped\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-1024x1024.jpg\" alt=\"\" data-id=\"5577\" data-link=\"https:\/\/blog.ulubat.org\/index.php\/genel\/yuz-nakli-devrimi-operasyon-sureci-ve-doku-uyumu\/attachment\/hla-doku-tipleme-nedir-1-740x493\/\" class=\"wp-image-5577\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-420x420.jpg 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/05\/hla-doku-tipleme-nedir-1-740x493-768x768.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/li><\/ul>\n\n\n\n<p><br><br> Operasyon sonras\u0131 s\u00fcre\u00e7 nakil i\u00e7in en \u00f6nemli s\u00fcre\u00e7tir diyebiliriz. Bunun nedeni kafatas\u0131na  yerle\u015ftirilen y\u00fcz\u00fcn doku uyumunun tutup tutmama ve dikilen damarlarda p\u0131ht\u0131 olu\u015fup y\u00fcz\u00fcn kan ak\u0131m\u0131n\u0131 bozma riskidir.Nakil i\u00e7in birbirine ne kadar yak\u0131n HLA tipleri se\u00e7ilse de al\u0131c\u0131n\u0131n imm\u00fcn mekanizmas\u0131 taraf\u0131ndan reddedilebilir. Dokunun kesin uyumu operasyon sonras\u0131 s\u00fcre\u00e7te belli olur. Uyum ger\u00e7ekle\u015fmedi\u011fi takdirde \u00e7ok ciddi komplikasyonlar meydana gelebilir. \u0130mm\u00fcn sistem ciddi derecede tahrip olabilir. Ameliyat sonras\u0131 doku uyumu i\u00e7in verilen, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 ve reddi bask\u0131layan, kontrol alt\u0131nda tutan ila\u00e7lar bireyin diren\u00e7 mekanizmas\u0131n\u0131 zay\u0131flataca\u011f\u0131ndan  enfeksiyon, diyabet, kanser gibi dahili problemler ortaya \u00e7\u0131kabilir. Operasyon sonras\u0131 s\u00fcre\u00e7 bir bak\u0131ma bekleme ve g\u00f6rme s\u00fcreci diyebiliriz. \u00c7\u00fcnk\u00fc ki\u015finin v\u00fccudu ve imm\u00fcn mekanizmas\u0131 y\u00fcz naklinin kabul edip edilmeyece\u011fini belirler.<br> Y\u00fcz nakli ameliyatlar\u0131  ciddi konsantrasyon ve emek isteyen \u00e7ok zor ameliyatlard\u0131r. Ve nakil s\u00fcreci don\u00f6r, al\u0131c\u0131, cerrah ve ameliyat ekibini  i\u00e7eren i\u015flevsel  bir b\u00fct\u00fcnd\u00fcr.S\u00fcrecin sorunsuz tamamlanmas\u0131 i\u00e7in her a\u015faman\u0131n ve g\u00f6revin eksiksiz tamamlanmas\u0131 gerekir.T\u00fcm bunlar\u0131n yan\u0131nda \u015fans fakt\u00f6r\u00fc de operasyon sonras\u0131 uyum i\u00e7in gereklidir diyebiliriz.<br><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><a href=\"http:\/\/www.academia.edu\/download\/45512377\/396-410_Asuman_Kaya___E._Yuksel_vd_SON_HALI.docx\">http:\/\/www.academia.edu\/download\/45512377\/396-410_Asuman_Kaya___E._Yuksel_vd_SON_HALI.docx<\/a><br><\/p>\n\n\n\n<p><a href=\"http:\/\/www.journalagent.com\/z4\/vi.asp?pdir=tybdd&amp;plng=tur&amp;un=TYBDD-08760&amp;look4\">http:\/\/www.journalagent.com\/z4\/vi.asp?pdir=tybdd&amp;plng=tur&amp;un=TYBDD-08760&amp;look4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Yaz\u0131 dizimize y\u00fcz nakillerinin biyolojik a\u00e7\u0131dan nas\u0131l ger\u00e7ekle\u015fti\u011fi ve v\u00fccudumuz taraf\u0131ndan bu transplantasyonun alg\u0131lan\u0131\u015f ve kabulleni\u015f mekanizmas\u0131 konusuyla devam ediyoruz.<\/p>\n","protected":false},"author":146,"featured_media":5580,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"acf":[],"views":1037,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/5572"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/146"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=5572"}],"version-history":[{"count":5,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/5572\/revisions"}],"predecessor-version":[{"id":5583,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/5572\/revisions\/5583"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/5580"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=5572"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=5572"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=5572"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}