{"id":9733,"date":"2021-02-05T21:53:47","date_gmt":"2021-02-05T18:53:47","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=9733"},"modified":"2021-02-05T21:59:48","modified_gmt":"2021-02-05T18:59:48","slug":"noropediatriye-adanmis-bir-hayat-prof-dr-haluk-aydin-topaloglu","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/noropediatriye-adanmis-bir-hayat-prof-dr-haluk-aydin-topaloglu\/","title":{"rendered":"N\u00f6ropediatriye Adanm\u0131\u015f Bir Hayat: Prof. Dr. Haluk Ayd\u0131n Topalo\u011flu"},"content":{"rendered":"\n<ul><li><strong>Bize \u00fcniversite \u00f6ncesi ve \u00fcniversitedeki e\u011fitim hayat\u0131n\u0131zdan bahsedebilir misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>Babam askerdi, o y\u00fczden Diyarbak\u0131r\u2019dayd\u0131k. D\u00f6rt sene orada okuduktan sonra Eski\u015fehir\u2019de Maarif Koleji\u2019ne ge\u00e7tim. B\u00fct\u00fcn arkada\u015flar\u0131mla halen g\u00f6r\u00fc\u015f\u00fcyorum. Maarif Koleji\u2019nde okurken bir burs ile Amerika\u2019ya gitme \u015fans\u0131m oldu. Orada bir sene kald\u0131m ve liseyi bitirdim. T\u00fcrkiye\u2019ye gelince Hacettepe T\u0131p Fak\u00fcltesine girdim. \u00dcniversite 3.s\u0131n\u0131ftan sonra pediatriye y\u00f6nelmek istedi\u011fimi biliyordum ve bu \u015fans\u0131 elde ettim. \u00c7ok iyi bir hastanede pediatri e\u011fitimi ald\u0131m ve sonras\u0131nda askerlik g\u00f6revimi yapt\u0131m. Daha sonra da yurt d\u0131\u015f\u0131nda \u00e7ocuk n\u00f6rolojisi e\u011fitimi ald\u0131m ve Hacettepe\u2019ye geri d\u00f6nd\u00fcm. O g\u00fcnden ge\u00e7en y\u0131la kadar olan s\u00fcrede Hacettepe\u2019de \u00e7al\u0131\u015ft\u0131m. Ge\u00e7en sene emekli oldum ve \u015fimdi \u0130stanbul Yeditepe \u00dcniversitesinde Pediatri Anabilim Dal\u0131nda \u00f6\u011fretim \u00fcyesiyim.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-1024x1024.png\" alt=\"\" class=\"wp-image-9741\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-5-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>Pediatri ve n\u00f6roloji alanlar\u0131nda ihtisas yapman\u0131z\u0131n sebepleri nelerdir?<\/strong><\/li><\/ul>\n\n\n\n<p>Baz\u0131 tesad\u00fcfler oldu. Biz \u00f6\u011frenciyken Hacettepe T\u0131p Fak\u00fcltesinde pediatri hocalar\u0131 \u00e7ok g\u00fczel ders anlat\u0131yorlard\u0131. \u00d6rne\u011fin, 3. s\u0131n\u0131ftaki bir dersimizi hi\u00e7 unutmuyorum; bir hocam\u0131z geldi 2 saat i\u00e7inde ola\u011fan\u00fcst\u00fc bir \u015fekilde s\u0131v\u0131-elektrolit tedavisi anlatt\u0131. Y\u0131llar ge\u00e7mesine ra\u011fmen hala hatr\u0131mdad\u0131r. Ben kendi kendime o zaman dedim ki <em>\u2018Aman Allah\u0131m ne kadar g\u00fczel ders anlatt\u0131 hocam\u0131z, ben bu hocam\u0131zla daha yak\u0131n olmal\u0131y\u0131m. Burda bir \u00e7ekicilik var, bilimsel bir \u00fcst\u00fcnl\u00fck s\u00f6z konusu.\u2019 <\/em>Sonra hocam\u0131zla tan\u0131\u015ft\u0131m, Prof. Dr. Say\u0131n Kalbiye Yalaz, hala g\u00f6r\u00fc\u015f\u00fcyoruz. Pediatriye olan ilgim bu \u015fekilde ortaya \u00e7\u0131kt\u0131. \u015eu da vard\u0131, pediatrideki \u00f6\u011fretim g\u00f6revlileri stajyerlerle daha \u00e7ok ilgileniyorlard\u0131. Bu da benim ho\u015fuma gidiyordu, akademik bir tart\u0131\u015fma ortam\u0131 vard\u0131, benim istedi\u011fim de buydu zaten. N\u00f6roloji de ayn\u0131 \u015fekilde hocam\u0131z\u0131 \u00f6rnek almam ile oldu. Nitekim akademik hayat\u0131m boyunca tedavi edilemez denilen baz\u0131 hastal\u0131klar\u0131n tedavi edilebilir oldu\u011funu g\u00f6rd\u00fcm. T\u0131bb\u0131n geli\u015fimine tan\u0131k oldum. Bu da benim i\u00e7in b\u00fcy\u00fck mutluluk oldu.<\/p>\n\n\n\n<ul><li><strong>&nbsp;Yurt d\u0131\u015f\u0131ndaki e\u011fitim s\u00fcrecinizden bahseder misiniz? Kanada ve \u0130ngiltere\u2019yi tercih etmenizin sebepleri nelerdir?<\/strong><\/li><\/ul>\n\n\n\n<p>Hen\u00fcz asistanken, yurt d\u0131\u015f\u0131na gitmek ve oralar\u0131 g\u00f6rmek istedim. Daha ikinci sene asistan\u0131yd\u0131m. Birka\u00e7 yere yazd\u0131m, o zaman e-mail ve faks yoktu tabii. Sonra bana Amerika\u2019da k\u00fc\u00e7\u00fck bir yerden \u00e7ok olumlu bir yan\u0131t geldi. Ben de oraya gittim. Daha sonra birlikte \u00e7al\u0131\u015ft\u0131\u011f\u0131m profes\u00f6r Kanada\u2019ya gitti ve orada \u00e7al\u0131\u015fmaya ba\u015flad\u0131. Benim i\u00e7in de yeni bir olanak do\u011fdu ve onun yan\u0131na gittim. \u00c7ocuk n\u00f6roloji ihtisas\u0131m\u0131 orada yapm\u0131\u015f oldum. Daha asistanken 4 ay i\u00e7in izin al\u0131p gitmi\u015ftim. O zaman bu t\u00fcr \u015feyler \u00e7ok fazla olmuyordu ama ben izin alabilmi\u015ftim. Hocalar\u0131m anlay\u0131\u015f g\u00f6sterip izin vermi\u015flerdi. Daha sonra n\u00f6romuskuler hastal\u0131klar \u00fczerinde \u00e7al\u0131\u015fmak istedi\u011fim i\u00e7in \u0130ngiltere\u2019ye gittim. O alanda d\u00fcnyadaki en iyi yerlerden biri de Londra\u2019dayd\u0131. <em>Bana \u2018Hi\u00e7 temas etme, sana geri d\u00f6n\u00fc\u015f yapmazlar\u2019<\/em> demi\u015flerdi ama kendi bildi\u011fimi yap\u0131p \u0130ngiltere\u2019ye yazd\u0131m ve kabul ald\u0131m. Burs buldum ve o bursu kullanarak \u0130ngiltere\u2019ye gittim. Orada birlikte \u00e7al\u0131\u015ft\u0131\u011f\u0131m profes\u00f6r D\u00fcnya Kas Hastal\u0131klar\u0131 Cemiyetinin ba\u015fkan\u0131yd\u0131. Bende 18 sene onun sekreterli\u011fini yapt\u0131m. Ba\u011flant\u0131m\u0131z hi\u00e7 kopmad\u0131.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-1024x1024.png\" alt=\"\" class=\"wp-image-9743\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-7-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>Yan dal e\u011fitim s\u00fcrecinizden bahsedebilir misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>Eskiden bu e\u011fitimler bu kadar resmi de\u011fildi. \u015eu anda \u00e7ocuk n\u00f6rolojisi 3 y\u0131l, o zamanlar biraz ilgili olup anabilim dal\u0131nda bir miktar vakit ge\u00e7irince anlay\u0131\u015fla kar\u015f\u0131l\u0131yorlard\u0131 ve b\u00f6yle bir \u00fcst ihtisas belgesi alabiliyordun. Benimki de b\u00f6yle oldu. Zaten ben pediatride asistanken \u00e7ocuk n\u00f6roloji bilim dal\u0131nda tezimi yazm\u0131\u015ft\u0131m, 6 ay orada \u00e7al\u0131\u015fm\u0131\u015ft\u0131m. Kanada\u2019da ge\u00e7irdi\u011fim vakit de eklenince ihtisas\u0131m i\u00e7im yeterli vakit tamamlanm\u0131\u015f oldu. \u015eimdiki gibi TUS, YDUS s\u0131navlar\u0131 yoktu. \u0130lgisi olanlar sertifikalanabiliyordu. Ben de o eski ku\u015faktan\u0131m.<\/p>\n\n\n\n<ul><li><strong>ABD\u2019deki Ulusal Sa\u011fl\u0131k Enstit\u00fcs\u00fcnde yapt\u0131\u011f\u0131n\u0131z ara\u015ft\u0131rmalardan bahseder misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>Oras\u0131 \u00e7ok ilgin\u00e7ti, toplamda 2 sene ge\u00e7irdim Amerika\u2019da . Orada \u00e7ok nadir bir hastal\u0131k var, Fabry hastal\u0131\u011f\u0131. X resesif aktar\u0131l\u0131r, erkeklerde g\u00f6z\u00fcken sistemik bir hastal\u0131kt\u0131r. 24\u2019\u00fc ger\u00e7ek 24\u2019\u00fc plasebo olan 48 hastada faz 2-3 aras\u0131 olan bir klinik \u00e7al\u0131\u015fma yapt\u0131k. Ben hastalar\u0131 y\u00f6netiyordum, klinisyendim. Eksik olan Fabry enzimini damardan veriyorduk. Bu da hastal\u0131\u011fa ait vask\u00fcler bozukluklar\u0131n, b\u00f6brek tutulumunun , kardiyak tutulumunun iyile\u015fmesine yard\u0131mc\u0131 oluyordu. Biz \u00e7al\u0131\u015fmay\u0131 yapt\u0131ktan sonra ilac\u0131n etkin oldu\u011fu g\u00f6sterildi ve hastalar \u015fu anda aktif olarak ilac\u0131 kullan\u0131yorlar. Orada Prof. Dr. Brady ile \u00e7al\u0131\u015fm\u0131\u015ft\u0131m. Kendisi 1983 y\u0131l\u0131nda lenfoproliferatif ve dejeneratif bir hastal\u0131k olan Gaucher Hastal\u0131\u011f\u0131nda damardan enzim vererek yery\u00fcz\u00fcnde ilk kez intraven\u00f6z enzim tedavisi uygulayan ki\u015fidir.<\/p>\n\n\n\n<figure class=\"wp-block-image is-style-default\"><img src=\"https:\/\/images.pexels.com\/photos\/5726835\/pexels-photo-5726835.jpeg?auto=compress&amp;cs=tinysrgb&amp;h=750&amp;w=1260\" alt=\"analiz, analiz etmek, Ara\u015ft\u0131rma i\u00e7eren \u00dccretsiz stok foto\u011fraf\" \/><\/figure>\n\n\n\n<ul><li><strong>N\u00f6romuskuler alanda yapt\u0131\u011f\u0131n\u0131z \u00e7al\u0131\u015fmalar sonucu Gaetano Conte Academy Klinik Ara\u015ft\u0131rma \u00d6d\u00fcl\u00fc alma s\u00fcrecinizden bahsedebilir misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>Ben bunun fark\u0131nda de\u011fildim o zamanlar, demek ki takip etmi\u015fler. \u0130talyanlar\u0131n iddias\u0131yla 1838\u2019de Duchenne Muskuler Atrofi hastal\u0131\u011f\u0131n\u0131 ke\u015ffeden hekimdir Gaetano Conte. Ald\u0131\u011f\u0131m \u00f6d\u00fcl de onun ad\u0131na verilen bir \u00f6d\u00fcl. Y\u0131llar i\u00e7inde arkada\u015flar\u0131mla birlikte ulusal ve uluslararas\u0131 \u00e7al\u0131\u015fmalar ile yirmiden fazla hastal\u0131k tan\u0131mlad\u0131k. Bu \u00e7al\u0131\u015fmalar yeni anlay\u0131\u015flar, yeni bak\u0131\u015f a\u00e7\u0131lar\u0131 getirdi. Demek ki bunlar da dikkatlerini \u00e7ekti ve b\u00f6yle bir \u00f6d\u00fcl verdiler.<\/p>\n\n\n\n<ul><li><strong>Turkishtime dergisine g\u00f6re T\u0131p Bilimine Y\u00f6n Veren 100 T\u00fcrk aras\u0131nda g\u00f6sterilmeniz hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/strong><\/li><\/ul>\n\n\n\n<p>G\u00fczel bir \u015fey tabii. Ben yoluma \u00e7al\u0131\u015fmalar\u0131mla devam ediyorum, kendi halimdeyim, ulusal ve uluslararas\u0131 \u00e7evremle bilimsel anlamda ileti\u015fim halindeyim. Bizim i\u00e7in her zaman en \u00f6nemli \u015fey t\u0131bbi yay\u0131nlard\u0131r. Bir hekim, bir bilim insan\u0131 i\u00e7in daha ne olabilir, kendisini \u00e7evreye tan\u0131tabilmek, inand\u0131klar\u0131n\u0131 a\u00e7\u0131klayabilmek, buldu\u011fu yeni durumlar\u0131 yeni tedavi metodlar\u0131n\u0131 a\u00e7\u0131klayabilmek istiyorsa bunlar\u0131 yazarak kendilerini g\u00f6sterebilirler. Bir makale yaz\u0131p dergiye g\u00f6nderdi\u011finizde bu hemen bas\u0131lmaz. Dergide hakemler inceleyip karar veriyorlar, ele\u015ftiriyorlar. Bazen kabul ediyorlar bazen be\u011fenmedikleri hususlar oluyor. Yani b\u00fct\u00fcn bunlar kar\u015f\u0131l\u0131kl\u0131 etkile\u015fim \u015feklinde ilerliyor. \u00d6rne\u011fin; bundan 6 y\u0131l kadar \u00f6nce bizim klinik \u00e7al\u0131\u015fmalar \u00fczerine yazd\u0131\u011f\u0131m\u0131z bir makalemiz oldu. Makaleyi on hakem inceledi ve bizim g\u00f6remedi\u011fimiz hususlar\u0131 ortaya koydular. Demek istedi\u011fim bir bilim insan\u0131n en iyi ileti\u015fim arac\u0131 sosyal medya vs olamaz, sadece t\u0131bbi yay\u0131nlar olur. Tabii kaliteli, ince eleyip s\u0131k dokuyan dergilere g\u00f6ndermek laz\u0131m. \u0130\u015fte o zaman yay\u0131mlanm\u0131\u015f bir yaz\u0131n\u0131z olursa \u00e7ok ba\u015far\u0131l\u0131 olursunuz. Ben de \u00f6yle yapmay\u0131 tercih ettim.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-1024x1024.png\" alt=\"\" class=\"wp-image-9744\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-8-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>250\u2019nin \u00fczerinde yay\u0131mlanm\u0131\u015f makaleniz var, 8.800\u2019\u00fcn \u00fczerinde at\u0131f alm\u0131\u015fs\u0131n\u0131z ve h indeksiniz 52. Ba\u015far\u0131n\u0131z\u0131n s\u0131rr\u0131 nedir?<\/strong><\/li><\/ul>\n\n\n\n<p>Hep merak ettim, yeni bir bulgu varsa bunu payla\u015fmak istedim, d\u00fc\u015f\u00fcncelerimi aktarmak istedim. Bir\u00e7ok \u00e7al\u0131\u015fmam ba\u015fka hekimlerle ortak \u00e7al\u0131\u015fmalar \u015feklindedir. Makalelerimizde 8-10 isim olur, belki birden fazla \u00fclke yer al\u0131r, hep uluslararas\u0131 \u00e7abalar vard\u0131r. 1990\u2019l\u0131 y\u0131llar\u0131n ba\u015f\u0131ndan ba\u015flayarak n\u00f6roloji ve genetik \u00e7al\u0131\u015fmalar \u00fczerinden \u00e7ok ciddi geli\u015fmeler ortaya \u00e7\u0131kt\u0131. Bizim hastalar\u0131m\u0131z\u0131n \u00e7o\u011fu da n\u00f6rogenetik kapsam\u0131nda yeni tan\u0131mlanan hastal\u0131klara sahip, tedavisi i\u00e7in u\u011fra\u015ft\u0131\u011f\u0131m\u0131z hastalard\u0131. \u00d6zellikle T\u00fcrkiye\u2019de g\u00f6r\u00fclen de\u011fi\u015fik hastal\u0131klar \u00fczerine \u00e7al\u0131\u015ft\u0131k. Mesela bir makalemde Anadolu\u2019da g\u00f6r\u00fclen n\u00f6romuskuler hastal\u0131klara ve kendi deneyilerime \u00f6rnekler verdim. \u0130yi yorumlar ald\u0131m, be\u011fenildi\u011fini san\u0131yorum. Y\u0131llar i\u00e7inde genetikteki ola\u011fan\u00fcst\u00fc h\u0131z sayesinde bu yaz\u0131lar ortaya \u00e7\u0131kt\u0131. Dedi\u011fim gibi bunlar\u0131n bir k\u0131sm\u0131 T\u00fcrkiye\u2019den arkada\u015flar\u0131mla olan \u00e7al\u0131\u015fmalar\u0131m bir k\u0131sm\u0131 da uluslararas\u0131 boyuttaki \u00e7al\u0131\u015fmalar\u0131m sonucu oldu.<\/p>\n\n\n\n<ul><li><strong>2002\u2019den beri D\u00fcnya Kas Cemiyetinin (WMS) Genel Sekreterli\u011fini yapmaktas\u0131n\u0131z. D\u00fcnya \u00c7ocuk N\u00f6rolojisi Birli\u011fi (ICNA), Infantile Seizure Soicety (ISS) ve Mediterranean Society of Myology (MSM) kurulu\u015flar\u0131nda y\u00f6netim kurulu \u00fcyesisiniz . Ayr\u0131ca T\u00fcrkiye Bilimler Akademisi (T\u00dcBA) asli \u00fcyesisiniz. Ayn\u0131 anda bu kadar yere nas\u0131l yeti\u015febiliyorsunuz?<\/strong><\/li><\/ul>\n\n\n\n<p>\u015eunu s\u00f6yleyebilirim bu konuda, hi\u00e7 televizyon seyretmem ve bu y\u00fczden hi\u00e7bir \u015feyden de geri kalm\u0131\u015f de\u011filim. Bo\u015f zamanlar\u0131mda hep bir \u015fey yapar\u0131m, tatile uzun s\u00fcre gitmem, bazen bir hafta sonu giderim. Elimde her zaman yapaca\u011f\u0131m bir i\u015f vard\u0131r. Bug\u00fcn cumartesi mesela ve 6.30\u2019ta kalk\u0131p i\u015flerime bakt\u0131m. Bu bir ya\u015fam \u015fekli. Merak da diyebiliriz. Mesela sekreterli\u011fimin ilk y\u0131llar\u0131nda, elektronik bu kadar \u00e7ok geli\u015fmemi\u015fti ve \u00e7ocuklar\u0131m da k\u00fc\u00e7\u00fckt\u00fc o zamanlar. Her pazar g\u00fcn\u00fc hastaneye gelip saat 9 ile 12 aras\u0131 sekreterlik i\u015flerimi yapabilmek i\u00e7in \u00e7al\u0131\u015f\u0131rd\u0131m. Buna kendini adama meselesi diyebiliriz, prensipler ve hayata bak\u0131\u015f \u015fekli ile ilgili bir durum.<\/p>\n\n\n\n<figure class=\"wp-block-image is-style-default\"><img src=\"https:\/\/images.pexels.com\/photos\/4173244\/pexels-photo-4173244.jpeg?auto=compress&amp;cs=tinysrgb&amp;h=750&amp;w=1260\" alt=\"adam, ajanda, ak\u0131ll\u0131 telefon i\u00e7eren \u00dccretsiz stok foto\u011fraf\" \/><\/figure>\n\n\n\n<ul><li><strong>2003 y\u0131l\u0131nda T\u00dcB\u0130TAK Bilim, Hizmet ve Te\u015fvik \u00d6d\u00fcl\u00fcne lay\u0131k g\u00f6r\u00fclen \u00e7al\u0131\u015fmalar\u0131n\u0131zdan bahsedebilir misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>1990\u2019l\u0131 y\u0131llar\u0131n ba\u015f\u0131ndan itibaren bir tak\u0131m hastal\u0131klar g\u00f6rmeye ba\u015flad\u0131m. O zaman bu hastal\u0131klar ya bilinmiyor ya da az biliniyordu. Hatta baz\u0131 kitaplarda adlar\u0131 bile ge\u00e7miyordu. Sonradan bunlar\u0131n \u2018Konjenital Muskuler Distrofi\u2019 isimli \u00e7ok a\u011f\u0131r bir grup hastal\u0131k oldu\u011fu ortaya \u00e7\u0131kt\u0131. Benim \u00e7al\u0131\u015fmalar\u0131m da bu alanda yo\u011funla\u015ft\u0131. \u0130\u015fte bu \u00e7al\u0131\u015fmalar\u0131mdan dolay\u0131, 1990\u2019l\u0131 y\u0131llar\u0131n ba\u015f\u0131ndan itibaren olan \u00e7al\u0131\u015fmalar\u0131m, ayn\u0131 konuya odaklanmam ve ortaya \u00e7\u0131kan genler sayesinde bu \u00f6d\u00fcl\u00fc ald\u0131\u011f\u0131m\u0131 san\u0131yorum.<\/p>\n\n\n\n<figure class=\"wp-block-image is-style-default\"><img src=\"https:\/\/images.pexels.com\/photos\/3985166\/pexels-photo-3985166.jpeg?auto=compress&amp;cs=tinysrgb&amp;h=750&amp;w=1260\" alt=\"Aktarmak, ameliyat, ameliyathane i\u00e7eren \u00dccretsiz stok foto\u011fraf\" \/><\/figure>\n\n\n\n<ul><li><strong>SMA hastal\u0131\u011f\u0131 ve Duchenne Muskuler Atrofi hastal\u0131\u011f\u0131ndan ve bu hastal\u0131klar\u0131n prognozundan k\u0131saca bahsedebilir misiniz? T\u00fcrkiye\u2019de g\u00f6r\u00fclme s\u0131kl\u0131klar\u0131 nedir?<\/strong><\/li><\/ul>\n\n\n\n<p>\u00d6nce SMA\u2019dan bahsedeyim . SMA; otozomal resesif aktar\u0131lan bir hastal\u0131k. Ortaya \u00e7\u0131kmas\u0131 i\u00e7in hem annenin hem baban\u0131n ta\u015f\u0131y\u0131c\u0131 olmas\u0131 laz\u0131m. T\u00fcrkiye\u2019de yakla\u015f\u0131k her 6000 do\u011fumda bir g\u00f6z\u00fck\u00fcr. Avrupa\u2019ya g\u00f6re biraz daha fazla orana sahip olmas\u0131n\u0131n sebebi T\u00fcrkiye\u2019de akraba evlili\u011finin fazla olmas\u0131d\u0131r. A\u011f\u0131r, orta ve hafif form olmak \u00fczere \u00fc\u00e7 formu var. \u015eu anda bunlar i\u00e7in ila\u00e7lar uygulan\u0131yor. Yava\u015f yava\u015f tedaviler geli\u015fiyor. Mesela nusinersen isimli ila\u00e7 ilk defa T\u00fcrkiye\u2019de uyguland\u0131\u011f\u0131 zaman bizim de ara\u015ft\u0131rmalara kat\u0131lan hastalar\u0131m\u0131z vard\u0131. Toplam 6 hastam\u0131z vard\u0131. Bu ilac\u0131n etkin bir ila\u00e7 oldu\u011fu g\u00f6sterildi ve \u015fu anda 700 kadar \u00e7ocuk bu ila\u00e7tan al\u0131yor. Duchenne Muskuler Distrofi ise X resesif aktar\u0131lan, erkek \u00e7ocuklarda g\u00f6r\u00fclen bir hastal\u0131k. Onun i\u00e7in de baz\u0131 tedavi \u00e7al\u0131\u015fmalar\u0131 var. Gen tedavisi ve molek\u00fcler tedaviler var. Hayat standartlar\u0131n\u0131 y\u00fckseltmek i\u00e7in \u00e7e\u015fitli \u00e7abalar var. Eski zamanlardaki gibi de\u011filiz. Yak\u0131n gelecekte, 2-3 y\u0131l i\u00e7inde daha elle tutulur, hepimizin ho\u015funa gidecek, \u00e7ocuklara yarar g\u00f6sterecek tedaviler gelece\u011fe benziyor.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-1024x1024.png\" alt=\"\" class=\"wp-image-9742\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-300x300.png 300w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-6-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>Son d\u00f6nemde sosyal medya \u00fczerinden yap\u0131lan kampanyalarla g\u00fcndemde olan SMA hastal\u0131\u011f\u0131n\u0131n tedavi s\u00fcreci nas\u0131ld\u0131r?<\/strong><\/li><\/ul>\n\n\n\n<p>Kampanyalar\u0131 anl\u0131yorum, aileler \u00e7ocuklar\u0131 i\u00e7in \u00e7\u0131k\u0131\u015f noktas\u0131 ar\u0131yor. Bunun i\u00e7in gen tedavisi var, bu tedavinin erken olmas\u0131, bebe\u011fin 6 aydan b\u00fcy\u00fck olmamas\u0131 gerekiyor. Bu y\u00fczden SMA tedavisinde b\u00fct\u00fcn \u00e7abalar erken tan\u0131ya y\u00f6nelik olmal\u0131. Erken tan\u0131 da ilk 3 aydan \u00f6nce tan\u0131 konulmas\u0131 demek oluyor, sonras\u0131 ge\u00e7 kal\u0131nm\u0131\u015f oluyor. Konuyla ilgilenen herkesin, aileler olsun, hekimler olsun, devlet idareleri olsun hepsi tek yerde bulu\u015fmal\u0131, o da erken tan\u0131. Fakat \u015fu da var, bu ila\u00e7lar hastal\u0131\u011f\u0131 ortadan kald\u0131ram\u0131yor. Gen tedavisi de dahil olmak \u00fczere bu ila\u00e7lar\u0131n hepsi sadece hastal\u0131\u011f\u0131n gidi\u015fat\u0131n\u0131 de\u011fi\u015ftiriyor. Biz bunlara hastal\u0131\u011f\u0131 modifiye edici molek\u00fcller diyoruz. Tedavi erken uygulan\u0131rsa \u00e7ok daha y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar al\u0131yoruz. \u00d6rne\u011fin, ben ve arkada\u015flar\u0131m 3 g\u00fcnl\u00fck bir \u00e7ocu\u011fu tedavi etmeyi ba\u015fard\u0131k. \u0130lk dozunu ald\u0131\u011f\u0131 zaman \u00fc\u00e7 g\u00fcnl\u00fckt\u00fc. \u015eimdi 4.5 ya\u015f\u0131nda bu k\u0131z\u0131m\u0131z ve normal \u00e7ocuklar gibi ko\u015fup oynuyor. Di\u011fer \u00e7ocuklardan hi\u00e7bir fark\u0131 yok. \u00c7\u00fcnk\u00fc erken tedavi edildi. B\u00fct\u00fcn \u00e7abam\u0131z bu.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-1024x1024.png\" alt=\"\" class=\"wp-image-9736\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-1-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>SMA hastal\u0131\u011f\u0131 i\u00e7in kullan\u0131lan ila\u00e7lar\u0131n etkinli\u011fi nedir? T\u00fcrkiye\u2019de nas\u0131l bir yol izlenmektedir?<\/strong><\/li><\/ul>\n\n\n\n<p>Bu ila\u00e7lar\u0131n etkinli\u011fi erken olursa daha y\u00fcksek oluyor. Mesela hekim hastay\u0131 g\u00f6r\u00fcp \u015f\u00fcphelendi\u011fi zaman bu hastan\u0131n gen testinin hemen \u00e7\u0131kmas\u0131 laz\u0131m. M\u00fcmk\u00fcnse hekimin \u015f\u00fcphesinin oldu\u011fu hafta bu \u00e7ocuk ilac\u0131 almal\u0131. Haftalarca beklerse gecikmi\u015f oluruz. A\u011f\u0131r bir SMA hastas\u0131nda tedavi uygulanmad\u0131\u011f\u0131 takdirde, \u00e7ocuk 6 ayl\u0131k oldu\u011funda \u00f6n boynuz h\u00fccrelerinin %95\u2019e yak\u0131n\u0131 kaybolmu\u015f oluyor. Tedaviler bu kaybolup giden h\u00fccreleri geri getiremez, yaln\u0131zca olan h\u00fccreleri koruyabilir. Bu y\u00fczden s\u00fcre\u00e7 ilerlemeden \u00f6nce m\u00fcdahele etmemiz gerekiyor. Bu da zor bir \u015fey de\u011fil, erken tan\u0131 gerekiyor. Bu \u00e7ocuklar\u0131n muayenesi de kolayd\u0131r, deneyimli hekimler \u00e7ok k\u0131sa bir muayene ile hemen anlarlar. \u0130\u015fte o zaman genetik testinin sonucu \u00e7\u0131kmadan ilac\u0131n sipari\u015f edilmesi gerekir. Bu sayede g\u00fcn kayb\u0131n\u0131 \u00f6nlemi\u015f oluruz.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized is-style-default\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-3-1024x1024.png\" alt=\"\" class=\"wp-image-9739\" width=\"624\" height=\"646\" \/><\/figure>\n\n\n\n<ul><li><strong>T\u00fcrkiyede SMA ve Duchenne Muskuler Atrofi hastal\u0131klar\u0131n\u0131n tedavisi i\u00e7in yapt\u0131\u011f\u0131n\u0131z ara\u015ft\u0131rmalar nelerdir?<\/strong><\/li><\/ul>\n\n\n\n<p>Muskuler distrofide ilk hastam\u0131z\u0131 2011 y\u0131l\u0131nda ald\u0131k. Hi\u00e7 unutmuyorum, mart ay\u0131yd\u0131. Ekzon atlama \u00e7al\u0131\u015fmas\u0131 yap\u0131yorduk, yani hatal\u0131 olan ekzonu biz d\u00fc\u015f\u00fcr\u00fcyorduk. Bu \u00e7al\u0131\u015fma 2.5 y\u0131l sonra baz\u0131 yan etkilerden dolay\u0131 yar\u0131m kald\u0131. Bu s\u0131rada ba\u015fka bir molek\u00fcl denendi ve o da ba\u015far\u0131s\u0131z oldu. Sonras\u0131nda Spinal Muskuler Atrofi \u00e7al\u0131\u015fmalar\u0131 ba\u015flad\u0131. Bu \u00e7al\u0131\u015fmalarda nusinersen ilac\u0131 uyguland\u0131\u011f\u0131nda, birlikte \u00e7al\u0131\u015ft\u0131\u011f\u0131m arkada\u015flar\u0131m, ila\u00e7 aday\u0131 olan bu molek\u00fcl\u00fcn ilaca d\u00f6n\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc g\u00f6zlemlediler, bir tarihe tan\u0131k oldular. Daha sonras\u0131nda SMA i\u00e7in ba\u015fka bir molek\u00fcl ortaya \u00e7\u0131kt\u0131, o \u00e7al\u0131\u015fmada da 2 hastam\u0131z vard\u0131. Yeni denenen bu ilac\u0131n oral olmas\u0131 avantajl\u0131yd\u0131. Bu alandaki \u00e7al\u0131\u015fmalar\u0131m\u0131z halen s\u00fcr\u00fcyor. Bu \u00e7al\u0131\u015fmalar da ilaca d\u00f6n\u00fc\u015fece\u011fe benziyor. \u015eu anda bir ba\u015fka muskuler distrofi \u00e7al\u0131\u015fmas\u0131 daha y\u00fcr\u00fct\u00fcyoruz gen\u00e7 arkada\u015flar\u0131mla birlikte. Molek\u00fcl\u00fc biz veriyoruz, ekzon 53\u2019\u00fc d\u00fc\u015f\u00fcr\u00fcp yok ediyor ve bu sayede protein sentezi ba\u015fl\u0131yor. Bu grupta da 8 hastam\u0131z var. Baz\u0131lar\u0131 ger\u00e7ek baz\u0131lar\u0131 plasebo. Benim dahil oldu\u011fum \u00e7al\u0131\u015fmalar bu \u015fekilde, iyiye gidiyorlar. Zaman alacak \u00e7al\u0131\u015fmalar hepsi, haftalar aylar s\u00fcrecek ama y\u0131llar de\u011fil.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-1024x1024.png\" alt=\"\" class=\"wp-image-9740\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-4-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>Bu hastal\u0131klar\u0131n \u00f6nlenmesi i\u00e7in yap\u0131lmas\u0131 gerekenler nelerdir? Genetik dan\u0131\u015fmanl\u0131\u011f\u0131n ve tarama testlerinin de\u011feri nedir?<\/strong><\/li><\/ul>\n\n\n\n<p>SMA i\u00e7in \u015fart olan iki se\u00e7enek var. Birincisi, yenido\u011fan taramas\u0131. Bebek do\u011fduktan sonra, fenilketon\u00fcri taramas\u0131 gibi taranmas\u0131 laz\u0131m. \u0130kinci olas\u0131l\u0131k ise \u00e7iftler daha \u00e7ocuk sahibi olmadan ta\u015f\u0131y\u0131c\u0131 bireylerin tan\u0131nmas\u0131 laz\u0131m. Ebeveynlerden biri ta\u015f\u0131y\u0131c\u0131 de\u011filse hastal\u0131k olu\u015fmaz. Ta\u015f\u0131y\u0131c\u0131l\u0131k frekans\u0131 1\/40 ile 1\/60 aras\u0131nda de\u011fi\u015fmekte. Bu y\u00fczden \u00e7iftlerden birine, tercihen erke\u011fe, ta\u015f\u0131y\u0131c\u0131 m\u0131 diye bakmak laz\u0131m. Muskuler distrofiye gelince 1990\u2019l\u0131 y\u0131llardan itibaren yenido\u011fanlara kreatin kinaz bak\u0131lmak i\u00e7in test yap\u0131l\u0131yor. Duschenne Muskuler Atrofi\u2019de hen\u00fcz ola\u011fan\u00fcst\u00fc, y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc bir tedavi bulunmad\u0131\u011f\u0131 i\u00e7in bu biraz daha arkadan gelen bir s\u00fcre\u00e7.<\/p>\n\n\n\n<ul><li><strong>SMA tedavisi i\u00e7in uygulanan ila\u00e7 ilk \u00e7\u0131kt\u0131\u011f\u0131nda bu ila\u00e7la ilgili Hacettepe \u00dcniversitesinde yapt\u0131\u011f\u0131n\u0131z \u00e7al\u0131\u015fmalardan bahsedebilir misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>Az \u00f6nceki soruda da s\u00f6yledi\u011fim gibi 6 hastam\u0131z vard\u0131. \u0130ntratekal yap\u0131lan tedavi i\u00e7in fizyoterapist arkada\u015flar bu hastalar\u0131 de\u011ferlendiriyordu. Daha sonra \u00e7al\u0131\u015fma s\u00fcrerken 18. ayda kontrol grubu ile ila\u00e7 grubu aras\u0131nda iyiye do\u011fru fark olu\u015ftu\u011fu i\u00e7in yar\u0131da kald\u0131 ve ilaca d\u00f6n\u00fc\u015ft\u00fc.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-1024x1024.png\" alt=\"\" class=\"wp-image-9738\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-1024x1024.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-110x110.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-1536x1536.png 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-2048x2048.png 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-420x420.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-400x400.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2021\/02\/image-2-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul><li><strong>SMA tedavisi i\u00e7in sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na g\u00f6n\u00fcll\u00fc e\u011fitim veriyorsunuz. Bu s\u00fcre\u00e7te yapt\u0131klar\u0131n\u0131zdan ve yap\u0131lmas\u0131 gerekenlerden bahsedebilir misiniz?<\/strong><\/li><\/ul>\n\n\n\n<p>Biz y\u0131llardan beri pediatrik n\u00f6roloji kongrelerinde gen\u00e7 pediatristlere y\u00f6nelik kurslar yap\u0131yoruz. Ayr\u0131ca fizyoterapist arkada\u015flar\u0131m\u0131z da tedavi \u00f6l\u00e7\u00fctleri i\u00e7in kurslar d\u00fczenliyor. Hekimlere ve ailelere y\u00f6nelik toplant\u0131lar yap\u0131yoruz. Kurslar devaml\u0131 yap\u0131l\u0131yor ve yap\u0131lmaya da devam edilmeli.<\/p>\n\n\n\n<p><strong>Not:<\/strong> SMA hakk\u0131nda daha detayl\u0131 bilgi almak i\u00e7in linkteki videoyu izleyebilirsiniz. https:\/\/www.youtube.com\/watch?v=ZGg39Lgv3oo<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bize \u00fcniversite \u00f6ncesi ve \u00fcniversitedeki e\u011fitim hayat\u0131n\u0131zdan bahsedebilir misiniz? Babam askerdi, o y\u00fczden Diyarbak\u0131r\u2019dayd\u0131k. D\u00f6rt sene orada okuduktan sonra Eski\u015fehir\u2019de<\/p>\n","protected":false},"author":281,"featured_media":9747,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[283,1814,1813,1812,513],"acf":[],"views":2310,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/9733"}],"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\/281"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=9733"}],"version-history":[{"count":3,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/9733\/revisions"}],"predecessor-version":[{"id":9750,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/9733\/revisions\/9750"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/9747"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=9733"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=9733"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=9733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}