{"id":6252,"date":"2020-07-15T19:46:47","date_gmt":"2020-07-15T16:46:47","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=6252"},"modified":"2020-09-28T13:43:00","modified_gmt":"2020-09-28T10:43:00","slug":"bir-nefes-daha-demir-akciger","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/bir-nefes-daha-demir-akciger\/","title":{"rendered":"Bir Nefes Daha: Demir Akci\u011fer"},"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=\"538\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-1024x538.jpg\" alt=\"\" data-id=\"6256\" data-link=\"https:\/\/blog.ulubat.org\/?attachment_id=6256\" class=\"wp-image-6256\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-1024x538.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-400x210.jpg 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-768x403.jpg 768w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-110x58.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-420x221.jpg 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1-770x404.jpg 770w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/lung-hero-1.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/li><\/ul>\n\n\n\n<p class=\"has-drop-cap has-medium-font-size\">Bir\ndakikal\u0131\u011f\u0131na solunum kaslar\u0131n\u0131z\u0131n \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131 ve nefes alamad\u0131\u011f\u0131n\u0131z o\nkorkutucu anlar\u0131 hayal edin. Siz bir nefes daha alabilmek i\u00e7in \u00e7\u0131rp\u0131n\u0131rken\nt\u0131bbi ekip sizi al\u0131p ayakl\u0131 tabuta benzeyen korkun\u00e7 bir cihaz\u0131n i\u00e7ine koyuyor.\nHem de bo\u011faz\u0131n\u0131za kadar t\u00fcm v\u00fccudunuzu kapatacak \u015fekilde. Ard\u0131ndan odan\u0131n her\nyerinde tuhaf, rahats\u0131z edici bir v\u0131z\u0131lt\u0131 sesi ba\u015fl\u0131yor. Rahatlay\u0131n\u2026\nAkci\u011ferleriniz temiz hava ile dolu ve yeniden nefes alabiliyorsunuz.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">\u201cDemir\nAkci\u011fer\u201d olarak da bilinen bu tabut benzeri solunum kabini 20. y\u00fczy\u0131l\u0131n ilk\nyar\u0131s\u0131nda ya\u015fam destek teknolojisinde kullan\u0131lan son teknoloji \u00fcr\u00fcn\u00fcyd\u00fc. \u0130lk demir akci\u011fer, 1928&#8217;de <em>poliomiyelit*<\/em> olan sekiz ya\u015f\u0131ndaki bir k\u0131z\u0131n hayat\u0131n\u0131 kurtarmak\ni\u00e7in Boston \u00c7ocuk Hastanesi&#8217;nde kullan\u0131ld\u0131.<\/p>\n\n\n\n<p style=\"font-size:30px;text-align:center\"><strong>Demir Akci\u011fer Nas\u0131l Ortaya \u00c7\u0131kt\u0131?<\/strong><\/p>\n\n\n\n<p class=\"has-medium-font-size\">Poliomiyelit\n(\u00e7ocuk felci), kaslar\u0131 hareket ettirme ve kontrol\netme yetene\u011finin de\u011fi\u015fken derecelerde ve t\u00fcrlerde kayb\u0131na neden olabilen <em>viral<\/em> bir enfeksiyondur. Akut\npoliomiyelitin en k\u00f6t\u00fc semptomlar\u0131ndan olan kas paralizisi (kas felci), e\u011fer\ng\u00f6\u011f\u00fcs kaslar\u0131n\u0131 etkilediyse hasta yard\u0131ms\u0131z nefes alam\u0131yor ve \u00f6l\u00fcm ka\u00e7\u0131n\u0131lmaz\noluyordu.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">\u00c7ocuk\nfelci vakalar\u0131 Avrupa ve Kuzey Amerika\u2019da salg\u0131n boyutlar\u0131na ula\u015f\u0131rken, 1952\u2019\nde bir y\u0131lda 57.628 vaka ile Amerika Birle\u015fik Devletleri\u2019nde zirve noktas\u0131na\nula\u015fm\u0131\u015ft\u0131. Asl\u0131nda mekanik solunum cihaz\u0131 \u00fcretme fikri yeni bir fikir de\u011fildi;\nancak \u00e7ocuk felci salg\u0131nlar\u0131n\u0131n b\u00fcy\u00fck \u00f6l\u00e7eklere ula\u015fmas\u0131, ara\u015ft\u0131rmac\u0131lar\u0131 bir\ncihaz icat etme y\u00f6n\u00fcnde daha da motive etti. Nihayet, \u00e7\u00f6z\u00fcm Harvard\n\u00dcniversitesi\u2019ndeki bir ekipten geldi. Halk Sa\u011fl\u0131\u011f\u0131 Departman\u0131&#8217;ndan Philip Drinker ve Louis Agassiz Shaw \u201cDemir\nAkci\u011fer\u201d takma ad\u0131yla, hastan\u0131n i\u00e7erisine yerle\u015ftirildi\u011fi; havay\u0131 i\u00e7eri ve\nd\u0131\u015far\u0131 pompalamak i\u00e7in ucuna bir dizi k\u00f6r\u00fck tak\u0131lm\u0131\u015f; b\u00fcy\u00fck, metal bir kutudan\nolu\u015fan bir cihaz geli\u015ftirmi\u015fti. Hastan\u0131n kafas\u0131\nd\u0131\u015f\u0131nda t\u00fcm v\u00fccudu hava ge\u00e7irmez bir b\u00f6lmeye kapat\u0131l\u0131yor, boynu destekleyen\ns\u0131k\u0131 bir lastik conta sayesinde hava ka\u00e7a\u011f\u0131 engelleniyordu. K\u00f6r\u00fcklerin s\u00fcrekli\nolarak vakumlanmas\u0131 hastan\u0131n nefes almas\u0131n\u0131 sa\u011fl\u0131yordu. \u0130cat, k\u0131sa s\u00fcrede\nhastanelerin \u00e7ocuk felci servislerinin bir par\u00e7as\u0131 haline geldi. <\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-1024x1024.jpg\" alt=\"\u015eekil 1. Solunum cihaz\u0131na ait Philip Drinker'\u0131n patentinden bir diyagram. \n US Patent no. 1906 844, 1933. USA Patent and Trade Office \" class=\"wp-image-6267\" width=\"560\" height=\"560\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/dp33-420x420.jpg 420w\" sizes=\"(max-width: 560px) 100vw, 560px\" \/><figcaption>  <em>\u015eekil 1. Solunum cihaz\u0131na ait Philip Drinker&#8217;\u0131n patentinden bir diyagram. <\/em><br> <em>US Patent no. 1906 844, 1933. USA Patent and Trade Office<\/em> <\/figcaption><\/figure>\n\n\n\n<p class=\"has-medium-font-size\">1931&#8217;de John Haven Emerson, daha verimli ve konforlu kullan\u0131m a\u00e7\u0131s\u0131ndan Drinker\u2019\u0131n tasar\u0131m\u0131n\u0131 de\u011fi\u015ftirerek geli\u015ftirdi. Kabinin i\u00e7ine ve d\u0131\u015f\u0131na yatak s\u00fcrg\u00fcs\u00fc yerle\u015ftirdi. Ayr\u0131ca yan k\u0131s\u0131mlara kabini a\u00e7madan hastaya t\u0131bbi m\u00fcdahalede bulunabilmek ama\u00e7l\u0131 bas\u0131n\u00e7 kayb\u0131na sebep olmayacak ufak pencereler yerle\u015ftirdi. <\/p>\n\n\n\n<p class=\"has-medium-font-size\">Drinker ve Harvard \u00dcniversitesi, Emerson solunum cihaz\u0131n\u0131n orijinaline \u00e7ok benzer oldu\u011funu d\u00fc\u015f\u00fcnerek Emerson&#8217;a patentlerini ihlal etti\u011fi i\u00e7in dava a\u00e7t\u0131. Mahkemede Emerson&#8217;\u0131n avukatlar\u0131, Drinker taraf\u0131ndan kullan\u0131lan t\u00fcm teknolojilerin zaten var oldu\u011funu ve bu nedenle patentli olamayaca\u011f\u0131n\u0131 g\u00f6sterdi. Emerson davay\u0131 kazand\u0131 ve t\u00fcm patentler ge\u00e7ersiz ilan edildi. H\u00e2kim, bu hayat kurtaran teknolojinin herkesle payla\u015f\u0131lmas\u0131 gerekti\u011fi konusunda Emerson ile hemfikirdi. <\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-1024x1024.jpg\" alt=\"\ufeff\u015eekil 2. Emerson\u2019\u0131n geli\u015ftirdi\u011fi demir akci\u011fer modeli, 1960.    \n  CDC Public Health Image L\u0131brary \" class=\"wp-image-6260\" width=\"542\" height=\"542\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/C0222774-Iron_lung_1960-420x420.jpg 420w\" sizes=\"(max-width: 542px) 100vw, 542px\" \/><figcaption><em>\u015eekil 2. Emerson\u2019\u0131n geli\u015ftirdi\u011fi demir akci\u011fer modeli, 1960.&nbsp;&nbsp;&nbsp; <\/em><br><em>  CDC Public Health Image L\u0131brary<\/em> <\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-1024x792.jpg\" alt=\" \u015eekil 3. Bir poliomiyelit salg\u0131n\u0131nda demir akci\u011ferler i\u00e7indeki \u00e7ocuklar, ABD, 1950\u2019ler. \n  Photo at Science History Images \" class=\"wp-image-6261\" width=\"542\" height=\"418\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-1024x792.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-400x309.jpg 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-768x594.jpg 768w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-110x85.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-420x325.jpg 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu-556x430.jpg 556w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/\u00e7oklu.jpg 1200w\" sizes=\"(max-width: 542px) 100vw, 542px\" \/><figcaption> <br> <em>\u015eekil 3. Bir poliomiyelit salg\u0131n\u0131nda demir akci\u011ferler i\u00e7indeki \u00e7ocuklar, ABD, 1950\u2019ler. <\/em><br> <em>&nbsp;Photo at Science History Images<\/em> <\/figcaption><\/figure>\n\n\n\n<p class=\"has-medium-font-size\">Birka\u00e7\ny\u0131l sonra birtak\u0131m zorunluluklar sonucu \u201cBoth Solunum Cihaz\u0131\u201d do\u011fdu. 1937\u2019de\nAvustralya\u2019da \u00e7ocuk felci salg\u0131n\u0131 ba\u015f g\u00f6sterdi\u011finde Drinker\u2019\u0131n solunum\ncihazlar\u0131n\u0131 sat\u0131n alma ve Amerika\u2019dan Avustralya\u2019ya ta\u015f\u0131man\u0131n olduk\u00e7a maliyetli\nolaca\u011f\u0131 anla\u015f\u0131ld\u0131. Bunun \u00fczerine G\u00fcney Avustralya Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, biyomedikal\nm\u00fchendisi Edward Both\u2019dan daha ucuz bir alternatif bulmas\u0131n\u0131 istedi.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Both\u2019un\nsolunum cihaz\u0131 kontrplaktan yap\u0131lm\u0131\u015ft\u0131. Sadece ucuz de\u011fil, ayn\u0131 zamanda\n\u00fcretmesi ve ta\u015f\u0131nmas\u0131 da daha kolayd\u0131. Hatta \u00fcretimden sonraki bir saat i\u00e7inde\nkullan\u0131mdayd\u0131. \u0130\u015f insan\u0131 Lord Nuffield, Both tasar\u0131m\u0131ndan o kadar etkilendi ki,\n\u0130ngiltere&#8217;deki otomobil \u00fcretim tesisinde bu cihazdan yakla\u015f\u0131k 1.700 adet\n\u00fcrettirdi ve onlar\u0131 d\u00fcnyan\u0131n d\u00f6rt bir yan\u0131ndaki hastanelere ba\u011f\u0131\u015flad\u0131.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-1024x1024.jpg\" alt=\" \u015eekil 4. Both\u2019un demir akci\u011fer modeli, 1950 \u2013 1955. \n Science Museum Group Collection \" class=\"wp-image-6262\" width=\"541\" height=\"541\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/232608655-420x420.jpg 420w\" sizes=\"(max-width: 541px) 100vw, 541px\" \/><figcaption> <em>\u015eekil 4. Both\u2019un demir akci\u011fer modeli, 1950 \u2013 1955. <\/em><br> <em>Science Museum Group Collection<\/em> <\/figcaption><\/figure>\n\n\n\n<p style=\"font-size:30px;text-align:center\"><strong>Demir\nAkci\u011fer Nas\u0131l \u00c7al\u0131\u015f\u0131yordu?<\/strong><\/p>\n\n\n\n<p class=\"has-medium-font-size\">Solunum\ncihaz\u0131, \u201cHarici Negatif Bas\u0131n\u00e7l\u0131 Havaland\u0131rma (ENPV)\u201d ad\u0131 verilen yapay solunum\ny\u00f6ntemi ile havay\u0131 akci\u011ferlere iterek \u00e7al\u0131\u015f\u0131yordu. K\u00f6r\u00fckler hastan\u0131n bulundu\u011fu\nkutudan hava emiyor, kutudaki hava bas\u0131nc\u0131 d\u00fc\u015ft\u00fck\u00e7e hastan\u0131n ci\u011ferleri otomatik\nolarak geni\u015fleyerek diyaframa temiz hava \u00e7ekiyordu. K\u00f6r\u00fckler havan\u0131n tekrar\nkutuya girmesine izin verdi\u011findeyse hava bas\u0131nc\u0131 y\u00fckseldi\u011finden hastan\u0131n\nci\u011ferleri pasif bir \u015fekilde s\u00f6nerek havay\u0131 d\u0131\u015far\u0131 at\u0131yordu. Bu mekanizma sonucu\nhavan\u0131n \u00e7\u0131kard\u0131\u011f\u0131 ritmik v\u0131z\u0131lt\u0131 sesi hastalar i\u00e7in nefes almalar\u0131n\u0131 sa\u011flayan\nve onlara g\u00fcven veren bir sesti.<\/p>\n\n\n\n<p style=\"font-size:30px;text-align:center\"><strong>Peki\nHasta Neler Hissediyordu?<\/strong><\/p>\n\n\n\n<p class=\"has-medium-font-size\">\u00d6zellikle\n\u00e7ok fazla ac\u0131 \u00e7eken ve deliryumu* olan hastalar i\u00e7in demirden bir akci\u011fere\nsahip olmak \u015fa\u015f\u0131rt\u0131c\u0131 bir s\u00fcre\u00e7ti. Beklemedikleri bu rahatlama ba\u015flarda onlara\niyi hissettirse de s\u00fcre\u00e7 uzad\u0131k\u00e7a bu dev kutudaki ya\u015fam hem hastalar hem de\nbak\u0131c\u0131lar i\u00e7in gittik\u00e7e zorla\u015f\u0131yordu. Bak\u0131c\u0131lar\u0131n tedaviyle ilgili \u00e7ok say\u0131da\ng\u00f6revi vard\u0131: kan nakilleri, intraven\u00f6z glukoz takviyeleri, kateterleri\nyerle\u015ftirme ve yerlerini de\u011fi\u015ftirme, hastan\u0131n pozisyonu ve cihaz ekipmanlar\u0131\n\u00fczerinde say\u0131s\u0131z kere tekrarlanan ayarlamalar&#8230;<\/p>\n\n\n\n<p>__________________________________________________________________________<\/p>\n\n\n\n<p class=\"has-medium-font-size\">*=\nDeliryum; bilin\u00e7 de\u011fi\u015fikli\u011fine dikkat, alg\u0131, d\u00fc\u015f\u00fcnce, bellek, devinim, duygu-durum\nve uyku-uyan\u0131kl\u0131k d\u00f6ng\u00fcs\u00fc bozukluklar\u0131n\u0131n e\u015flik etti\u011fi, \u00f6zg\u00fcl olmayan organik\nbeyin sendromu olarak tan\u0131mlan\u0131r. Pek\n\u00e7ok sistemik hastal\u0131k, santral sinir sistemi hastal\u0131klar\u0131, metabolizma\nbozuklu\u011fu, ila\u00e7 ya da maddelerin toksik etkisi ve \u00e7evresel etkenlerin deliryuma\nneden oldu\u011fu bilinmektedir.&nbsp;(Kaynak: <em>Deliryum: Nedenleri ve Klinik\nYakla\u015f\u0131m, <\/em><a href=\"https:\/\/www.turkiyeklinikleri.com\/\">https:\/\/www.turkiyeklinikleri.com\/<\/a> <em>)<\/em><\/p>\n\n\n\n<p class=\"has-medium-font-size\">T\u0131bbi\nbak\u0131ma ek olarak hastan\u0131n pek tabii ki\u015fisel ihtiya\u00e7lar\u0131n\u0131n giderilmesi,\ntemizlik ve bak\u0131m\u0131n\u0131n da yap\u0131lmas\u0131 gerekiyordu. Sa\u00e7lar\u0131 taran\u0131yor, v\u00fccutlar\u0131\ny\u0131kan\u0131yor ve yatak \u00f6rt\u00fcleri k\u00fc\u00e7\u00fck pencerelerden m\u00fcmk\u00fcn oldu\u011funca yerle\u015ftirilip\n\u00e7\u0131kart\u0131l\u0131yordu. Bu pencereler\nyetersiz\noldu\u011funda, hastan\u0131n demir akci\u011fer d\u0131\u015f\u0131nda kendi kendine nefes alabilece\u011fi\nbirka\u00e7 dakika i\u00e7inde fizik tedavi gibi g\u00f6revlerin tamamlanmas\u0131 gerekiyordu.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Hastalar\ni\u00e7in en b\u00fcy\u00fck sorunlardan biri can s\u0131k\u0131nt\u0131s\u0131yd\u0131. Bazen hastan\u0131n ba\u015f\u0131n\u0131n \u00fczerine\nbir ayna tak\u0131l\u0131yor, b\u00f6ylece etraflar\u0131nda neler oldu\u011funu g\u00f6rebiliyorlard\u0131.\nBirisi sayfalar\u0131 onlar i\u00e7in \u00e7evirirse, y\u00fczlerinin \u00f6n\u00fcnde as\u0131l\u0131 duran kitaplar\u0131\nokuyorlard\u0131. Daha b\u00fcy\u00fck demir akci\u011fer servislerinde olanlar i\u00e7in yak\u0131nlar\u0131nda\narkada\u015fl\u0131k edecek ve psikolojik destek sa\u011flayacak ba\u015fka hastalar vard\u0131, ancak\naileleri i\u00e7in ziyaret saatleri s\u0131n\u0131rl\u0131yd\u0131.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1024\" height=\"634\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-1024x634.jpg\" alt=\"\u015eekil 5. Demir akci\u011fer kabininde poliomiyelit hastas\u0131 \u00e7ocuklar. \" class=\"wp-image-6264\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-1024x634.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-400x248.jpg 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-768x476.jpg 768w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-110x68.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-420x260.jpg 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter-694x430.jpg 694w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/07\/yetter.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption> <em>\u015eekil 5. Demir akci\u011fer kabininde poliomiyelit hastas\u0131 \u00e7ocuklar.<\/em> <\/figcaption><\/figure>\n\n\n\n<p style=\"font-size:30px;text-align:center\"><strong>\u201cNe\nZamana Kadar Bunun \u0130\u00e7inde Kalaca\u011f\u0131m?\u201d<\/strong><\/p>\n\n\n\n<p class=\"has-medium-font-size\">\u00c7o\u011fu\nhasta, \u00e7ocuk felci ata\u011f\u0131n\u0131n \u015fiddetine ba\u011fl\u0131 olarak demir akci\u011feri sadece birka\u00e7\nhafta veya ay boyunca kulland\u0131 ancak g\u00f6\u011f\u00fcs kaslar\u0131 kal\u0131c\u0131 olarak fel\u00e7 olan\nhastalar \u00f6m\u00fcr boyu hapsedilmeyle kar\u015f\u0131 kar\u015f\u0131ya kald\u0131lar.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Terapistler,\nhastalar\u0131n g\u00f6\u011f\u00fcs kaslar\u0131n\u0131n g\u00fc\u00e7 kazanmas\u0131na yard\u0131mc\u0131 olmak i\u00e7in \u00e7e\u015fitli\nteknikler kulland\u0131lar. Hastalar\u0131n kabinin d\u0131\u015f\u0131nda ge\u00e7irdikleri s\u00fcreyi yava\u015f\nyava\u015f uzatarak hastalar\u0131 g\u00fcn\u00fcn \u00e7o\u011funu demir akci\u011ferin d\u0131\u015f\u0131nda ge\u00e7irebilecekleri\nnoktaya kadar getirmeye \u00e7al\u0131\u015ft\u0131lar. Geceleri ise dinlenmeleri i\u00e7in yorgun\nbedenlerin kabine geri d\u00f6nmelerine izin verdiler.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Teknik\nbasit g\u00f6r\u00fcnse de pratikte tekrar nefes almay\u0131 \u00f6\u011frenmek zor ve korkutucu bir\ns\u00fcre\u00e7ti. Bu durumu deneyimleyen bir hasta olan Kenneth Kingery&#8217;nin de\nbahsetti\u011fi gibi, <em>\u201cHavay\u0131 solumak i\u00e7in her\nbir kas lifimi zorlamam gerekiyordu. Ve s\u00fcrekli, \u00e7aresizce e\u011fer nefessiz\nkal\u0131rsam tank\u0131n zaman\u0131nda kapan\u0131p kapanmayaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyordum.\u201d<\/em><\/p>\n\n\n\n<p class=\"has-medium-font-size\">G\u00f6\u011f\u00fcs kaslar\u0131 g\u00fcc\u00fcn\u00fc geri kazand\u0131k\u00e7a, baz\u0131 hastalar nefes almaya yard\u0131mc\u0131 olmak i\u00e7in yer\u00e7ekimini kullanan, sallanan yataklara transfer edildi. Yata\u011f\u0131n ba\u015f\u0131 yukar\u0131 do\u011fru kalkt\u0131\u011f\u0131nda, yer\u00e7ekimi i\u00e7 organlar\u0131 a\u015fa\u011f\u0131 do\u011fru \u00e7ekerek akci\u011ferlere hava \u00e7ekiyor; a\u015fa\u011f\u0131 do\u011fru e\u011fildi\u011finde ise i\u00e7 organlar\u0131 diyaframa ve havay\u0131 da akci\u011ferlerden d\u0131\u015far\u0131 itiyordu.<br> \u0130yile\u015fme s\u00fcreci uzun ve zor olabiliyordu. Akci\u011ferlerin rehabilitasyonuna ek olarak, kullan\u0131lmayan di\u011fer kaslar\u0131n atrofisini \u00f6nlemek i\u00e7in buz paketleri, \u0131s\u0131 paketleri ve masaj \u015feklinde fizik tedavi gerekliydi. Hasarl\u0131 kaslar\u0131n maksimum i\u015flevselli\u011fi geri kazanmas\u0131 iki y\u0131la kadar s\u00fcrebiliyordu. Bu s\u00fcre zarf\u0131nda hastan\u0131n s\u0131k\u0131 bir fizik tedavi ve egzersiz rejimine devam etmesi gerekiyordu. <\/p>\n\n\n\n<p style=\"font-size:30px;text-align:center\"><strong>G\u00fcn\u00fcm\u00fczde\nKullan\u0131l\u0131yor mu?<\/strong><\/p>\n\n\n\n<p class=\"has-medium-font-size\">1950&#8217;lerde\nJonas Edward Salk taraf\u0131ndan etkili bir \u00e7ocuk felci a\u015f\u0131s\u0131 geli\u015ftirildikten\nsonra \u00e7ocuk felci enfeksiyonu vakalar\u0131 dramatik bir \u015fekilde d\u00fc\u015ft\u00fc ve\nhastanelerde \u00e7ok az demir akci\u011fere ihtiya\u00e7 duyuldu. Ancak ona ba\u011f\u0131ml\u0131 olarak\nsoluyan hastalar i\u00e7in eski demir akci\u011ferler yava\u015f yava\u015f modern ventilat\u00f6rler\nile de\u011fi\u015ftirildi. <\/p>\n\n\n\n<p class=\"has-medium-font-size\">Demir akci\u011fer b\u00fcy\u00fckt\u00fc, korkutucuydu, \u00e7ok maliyetliydi ama \u00f6zellikle \u00e7ocuklar olmak \u00fczere binlerce insana \u201cbir nefes daha\u201d ald\u0131rd\u0131, hayatlar\u0131n\u0131 kurtard\u0131, kurtarmaya da devam ediyor. Bug\u00fcn h\u00e2l\u00e2 demir akci\u011fere ba\u011f\u0131ml\u0131 olan son birka\u00e7 insandan biri olan 74 ya\u015f\u0131ndaki Paul Alexander\u2019\u0131n hikayesini bu linke t\u0131klayarak okuyabilirsiniz: <a href=\"https:\/\/www.theguardian.com\/society\/2020\/may\/26\/last-iron-lung-paul-alexander-polio-coronavirus\">https:\/\/www.theguardian.com\/society\/2020\/may\/26\/last-iron-lung-paul-alexander-polio-coronavirus<\/a><\/p>\n\n\n\n<p style=\"font-size:30px;text-align:center\"><strong>KAYNAK\u00c7A<\/strong><\/p>\n\n\n\n<p>1.Science Museum. The Iron Lung. Science Museum. <a href=\"https:\/\/www.sciencemuseum.org.uk\/objects-and-stories\/medicine\/iron-lung\">https:\/\/www.sciencemuseum.org.uk\/objects-and-stories\/medicine\/iron-lung<\/a> (Published: October 14,2018).<\/p>\n\n\n\n<p>2. The Wood Library-Museum. The Iron Lung. The Wood Library-Museum. <a href=\"https:\/\/www.woodlibrarymuseum.org\/museum\/item\/918\/iron-lung\">https:\/\/www.woodlibrarymuseum.org\/museum\/item\/918\/iron-lung<\/a> (Published:2020).<\/p>\n\n\n\n<p>3. Barr M. The iron lung \u2013 a polio patient&#8217;s story. <em>J. of The Royal Society of Medicine.<\/em>103 (6); 256-259, 2010.<\/p>\n\n\n\n<p>4. McRobbie L. R. The man in the iron lung. The Guardian. <a href=\"https:\/\/www.theguardian.com\/society\/2020\/may\/26\/last-iron-lung-paul-alexander-polio-coronavirus\">https:\/\/www.theguardian.com\/society\/2020\/may\/26\/last-iron-lung-paul-alexander-polio-coronavirus<\/a> (Published: May 26, 2020).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bir dakikal\u0131\u011f\u0131na solunum kaslar\u0131n\u0131z\u0131n \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131 ve nefes alamad\u0131\u011f\u0131n\u0131z o korkutucu anlar\u0131 hayal edin. Siz bir nefes daha alabilmek i\u00e7in \u00e7\u0131rp\u0131n\u0131rken<\/p>\n","protected":false},"author":338,"featured_media":6273,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,25,6,20],"tags":[981,978,976,982,975,972,979,980,977,66,969],"acf":[],"views":5017,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/6252"}],"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\/338"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=6252"}],"version-history":[{"count":3,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/6252\/revisions"}],"predecessor-version":[{"id":7858,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/6252\/revisions\/7858"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/6273"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=6252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=6252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=6252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}