{"id":2672,"date":"2024-11-20T23:46:06","date_gmt":"2024-11-20T23:46:06","guid":{"rendered":"https:\/\/kamranaghayev.com\/hidrosefali\/"},"modified":"2025-05-11T12:38:46","modified_gmt":"2025-05-11T12:38:46","slug":"hidrosefali","status":"publish","type":"post","link":"https:\/\/kamranaghayev.com\/tr\/hidrosefali\/","title":{"rendered":"Hidrosefali"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-what-is-hydrocephalus\">Hidrosefali nedir?<\/h2>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2c61a8&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2c61a8\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-1.webp\" alt=\"\" class=\"wp-image-557\" style=\"width:600px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<p>Hidrosefali, beyinde beyin omurilik s\u0131v\u0131s\u0131n\u0131n birikmesinden kaynaklanan bir durumdur. Beyin kafatas\u0131 bo\u015flu\u011funda yer al\u0131r. Sabit hacimli kapal\u0131 bir aland\u0131r. Yine de beyin kafatas\u0131 i\u00e7indeki t\u00fcm alan\u0131 kaplamaz. Beyin omurilik s\u0131v\u0131s\u0131 (BOS) ile \u00e7evrilidir. BOS, beyinde koroid pleksus taraf\u0131ndan s\u00fcrekli olarak \u00fcretilir. Beyin ventrik\u00fcllerini ve subaraknoid bo\u015flu\u011fu doldurur. Beyinde subaraknoid bo\u015flu\u011fa ba\u011fl\u0131 d\u00f6rt ventrik\u00fcl vard\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-enlarged-ventricles-and-csf-dynamics\">Geni\u015flemi\u015f Ventrik\u00fcller ve BOS Dinamikleri<\/h2>\n\n\n\n<p>BOS ventrik\u00fcllerden subaraknoid bo\u015flu\u011fa ge\u00e7er ve daha sonra araknoid gran\u00fclasyonlar veya villus sistemi taraf\u0131ndan kan dola\u015f\u0131m\u0131na geri emilir. Beyin omurilik s\u0131v\u0131s\u0131 s\u00fcrekli olarak \u00fcretilir ve geri emilir. G\u00fcnl\u00fck BOS \u00fcretimi yakla\u015f\u0131k 600 ml&#8217;dir ve merkezi sinir sistemindeki toplam beyin omurilik s\u0131v\u0131s\u0131 hacmi yakla\u015f\u0131k 150 ml&#8217;dir. Bu nedenle BOS her g\u00fcn 4-5 kez yenilenir. BOS \u00fcretimi bas\u0131n\u00e7tan ba\u011f\u0131ms\u0131zd\u0131r &#8211; yani beynin i\u00e7indeki bas\u0131n\u00e7 ne olursa olsun, yeni olu\u015fan BOS miktar\u0131 sabittir.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2c6b73&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2c6b73\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-2.webp\" alt=\"\" class=\"wp-image-558\" style=\"width:500px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<p>\u00d6te yandan, BOS&#8217;un emilimi bas\u0131nca ba\u011fl\u0131d\u0131r. Subaraknoid bo\u015fluktaki bas\u0131n\u00e7 ne kadar y\u00fcksek olursa emilim oran\u0131 da o kadar y\u00fcksek olur. Bu tuhaf mekanizma, kafatas\u0131 bo\u015flu\u011fu i\u00e7indeki normal bas\u0131nc\u0131 korur ve beyin fonksiyonlar\u0131n\u0131 optimize eder.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fluid-on-the-brain-how-does-hydrocephalus-develop\">Beyindeki S\u0131v\u0131: Hidrosefali Nas\u0131l Geli\u015fir?<\/h2>\n\n\n\n<p>Hidrosefali, s\u0131v\u0131 beyinde birikti\u011finde bu dengenin bozulmas\u0131d\u0131r. Bunun nedeni genellikle ya ak\u0131\u015f\u0131n t\u0131kanmas\u0131 ya da yetersiz emilimdir. Beyinde s\u0131v\u0131 birikerek ba\u015f\u0131n i\u00e7indeki bas\u0131nc\u0131 y\u00fckseltir.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2c73ae&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2c73ae\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-3.webp\" alt=\"\" class=\"wp-image-559\" style=\"width:500px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<p>Kafatas\u0131 kapal\u0131 bir alan oldu\u011fundan, az miktarda ekstra s\u0131v\u0131 bile bas\u0131n\u00e7ta \u00f6nemli bir art\u0131\u015fa neden olur. Beyindeki y\u00fcksek bas\u0131n\u00e7 son derece tehlikeli bir durumdur ve derhal tedavi edilmelidir. Bas\u0131nc\u0131n y\u00fckselmedi\u011fi istisnai bir hidrosefali \u015fekli vard\u0131r. Normal bas\u0131n\u00e7l\u0131 hidrosefali (NPH) olarak adland\u0131r\u0131l\u0131r ve sadece ya\u015fl\u0131 hastalarda g\u00f6r\u00fcl\u00fcr.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-causes-hydrocephalus\">Hidrosefali Neden Olur?<\/h2>\n\n\n\n<p>Hidrosefali, BOS \u00fcretiminin artmas\u0131, ak\u0131\u015f\u0131n t\u0131kanmas\u0131 veya emilimin azalmas\u0131ndan kaynaklan\u0131r. \u0130\u015fte hidrosefali ile ili\u015fkili birka\u00e7 durum.<\/p>\n\n\n\n<p>Ventrik\u00fcler sistemde t\u0131kan\u0131kl\u0131k veya daralma. Akuaduktal stenoz, foramen Monro stenozu, kolloid kist, intraventrik\u00fcler araknoid kistler, t\u00fcm\u00f6rler ve ventrik\u00fcl i\u00e7ine kanama bu tipe \u00f6rnektir. Bu durumlarda BOS serbest\u00e7e akamaz ve hidrosefaliye neden olur. Mekanizma, safra kesesi veya b\u00f6brek \u00e7\u0131k\u0131\u015f\u0131n\u0131n ta\u015flar taraf\u0131ndan engellenmesine olduk\u00e7a benzer.<\/p>\n\n\n\n<p>Subaraknoid bo\u015flukta t\u0131kan\u0131kl\u0131k. Menenjit, subaraknoid kanama ve subaraknoid bo\u015flu\u011fa yay\u0131lan kanser iyi bilinen \u00f6rneklerdir. Hidrosefali s\u0131kl\u0131kla anevrizmalara ba\u011fl\u0131 subaraknoid kanama sonras\u0131nda g\u00f6r\u00fcl\u00fcr. Bu hidrosefali formu, hem subaraknoid bo\u015fluktaki BOS ak\u0131\u015f\u0131n\u0131n t\u0131kanmas\u0131 hem de araknoid gran\u00fclasyonlar taraf\u0131ndan emilimin engellenmesinden kaynaklan\u0131r.<\/p>\n\n\n\n<p>Normal bas\u0131n\u00e7l\u0131 hidrosefali. Sadece ya\u015fl\u0131 hastalarda g\u00f6r\u00fclen spesifik bir hastal\u0131k \u015feklidir. Bu durumda bas\u0131n\u00e7 y\u00fcksek de\u011fildir. Aksine, beyin normal bas\u0131nc\u0131 tolere edemez ve hidrosefali geli\u015fir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hydrocephalus-symptoms-in-adults-and-babies\">Yeti\u015fkinlerde ve Bebeklerde Hidrosefali Belirtileri<\/h2>\n\n\n\n<p>Hidrosefali belirtileri bebeklerde ve yeti\u015fkinlerde b\u00fcy\u00fck \u00f6l\u00e7\u00fcde farkl\u0131d\u0131r. Bebeklerde kafatas\u0131 b\u00fcy\u00fcyebilir ve bu nedenle s\u0131v\u0131 birikimi bas\u0131nc\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde art\u0131rmaz. Daha ziyade, ba\u015f\u0131n boyutunun artmas\u0131na yol a\u00e7ar. Daha b\u00fcy\u00fck \u00e7ocuklarda ve yeti\u015fkinlerde hidrosefali kafay\u0131 deforme edemez. Aksine, kafa i\u00e7i bas\u0131nc\u0131n\u0131 art\u0131rarak beyin fonksiyonlar\u0131n\u0131 tehlikeye atar.<\/p>\n\n\n\n<p>Ba\u015f a\u011fr\u0131s\u0131, kafa i\u00e7i bas\u0131n\u00e7 art\u0131\u015f\u0131n\u0131n en yayg\u0131n belirtisidir. Bu bas\u0131n\u00e7 beyin \u00f6rt\u00fclerini, \u00f6zellikle de dura materyali gerer. Dura mater bir\u00e7ok a\u011fr\u0131 resept\u00f6r\u00fcne sahiptir ve bas\u0131nca kar\u015f\u0131 \u00e7ok hassast\u0131r. Beynin kendisi ac\u0131y\u0131 hissetmez.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-4.webp\" alt=\"\" class=\"wp-image-560\" style=\"width:auto;height:200px\"\/><\/figure>\n\n\n\n<p>Di\u011fer semptomlar aras\u0131nda bulant\u0131, kusma ve bilin\u00e7 de\u011fi\u015fikli\u011fi yer al\u0131r. Hidrosefalide g\u00f6rme bozukluklar\u0131 \u00e7ok yayg\u0131nd\u0131r. Optik sinir tehlikesine ba\u011fl\u0131 bulan\u0131k g\u00f6rme \u00e7ok yayg\u0131n bir bulgudur. G\u00f6z hareketleri de s\u0131kl\u0131kla tehlikeye girer. Parinaud semptomu veya yukar\u0131 bak\u0131\u015f felci hidrosefalide \u00e7ok yayg\u0131nd\u0131r. Ayr\u0131ca VI. kraniyal sinir, kafa i\u00e7i bas\u0131nc\u0131n\u0131n artmas\u0131yla tehlikeye girebilir ve yana bakamamaya neden olabilir.<\/p>\n\n\n\n<p>Semptomlar\u0131n \u015fiddeti bas\u0131nca ve ba\u015flang\u0131\u00e7 zaman\u0131na ba\u011fl\u0131d\u0131r. Akut hidrosefali k\u00f6t\u00fc tolere edilir \u00e7\u00fcnk\u00fc beyin telafi edici mekanizmalar\u0131 devreye sokamaz. Genellikle hayat\u0131 tehdit eden bir durumdur ve derhal tedavi edilmelidir. Kronik hidrosefali uzun s\u00fcre semptomatik olmayabilir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-normal-pressure-hydrocephalus-nph-and-its-triad\">Normal Bas\u0131n\u00e7l\u0131 Hidrosefali (NPH) ve Triad\u0131<\/h2>\n\n\n\n<p>Normal bas\u0131n\u00e7l\u0131 hidrosefali (NPH) di\u011fer formlardan farkl\u0131d\u0131r. Her zaman kroniktir ve karakteristik olarak \u00fc\u00e7 ana belirtisi vard\u0131r: bunama, y\u00fcr\u00fcme bozuklu\u011fu ve idrar ka\u00e7\u0131rma. Demans\u0131 olan her ya\u015fl\u0131 hasta NPH olas\u0131l\u0131\u011f\u0131n\u0131 ekarte etmek i\u00e7in beyin taramas\u0131 yapt\u0131rmal\u0131d\u0131r \u00e7\u00fcnk\u00fc bu demans\u0131n tedavi edilebilir tek \u015feklidir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hydrocephalus-diagnosis\">Hidrosefali Te\u015fhisi<\/h2>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2c9183&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2c9183\" class=\"wp-block-image alignright size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-5-e1741014860978.webp\" alt=\"\" class=\"wp-image-561\" style=\"width:200px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<p>Dikkatli bir hastal\u0131k \u00f6yk\u00fcs\u00fc ile klinik muayene, tan\u0131 koymak i\u00e7in ilk ad\u0131md\u0131r. Bebeklerde kafa b\u00fcy\u00fckl\u00fc\u011f\u00fcn\u00fcn artmas\u0131 kolayca tespit edilir ve tan\u0131 hemen konulabilir.<\/p>\n\n\n\n<p>Yeti\u015fkin hastalar bilin\u00e7siz olabilir ve bu nedenle \u00f6yk\u00fc veremeyebilirler. Dikkatli n\u00f6rolojik muayene, \u00f6zellikle g\u00f6rme bozukluklar\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131, hidrosefaliden \u015f\u00fcphelenmeye yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<p>Hidrosefali te\u015fhisinde radyolojik inceleme b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Beyin BT ve MR tercih edilen se\u00e7eneklerdir. MR, beynin i\u00e7 yap\u0131s\u0131n\u0131 g\u00f6stermede BT&#8217;den daha \u00fcst\u00fcnd\u00fcr. Her durumda, ventrik\u00fcler dilatasyon beyin taramalar\u0131nda a\u00e7\u0131k\u00e7a g\u00f6r\u00fcl\u00fcr ve hastal\u0131\u011f\u0131n ay\u0131rt edici \u00f6zelli\u011fidir.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2c9a51&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2c9a51\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-6.webp\" alt=\"\" class=\"wp-image-562\" style=\"width:500px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-is-hydrocephalus-treated\">Hidrosefali nas\u0131l tedavi edilir?<\/h2>\n\n\n\n<p>Ameliyat hidrosefali i\u00e7in tek kal\u0131c\u0131 tedavi se\u00e7ene\u011fidir. Nadir durumlarda, altta yatan neden ge\u00e7icidir ve bu nedenle, altta yatan durum kendili\u011finden ortadan kalkana kadar eksternal ventrik\u00fcler drenaj (EVD) gibi ge\u00e7ici \u00f6nlemler yararl\u0131 olabilir. \u00d6rne\u011fin, akut hidrosefali ile ventrik\u00fcler sisteme kanama EVD ile y\u00f6netilebilir. Kateter, BOS&#8217;u d\u0131\u015far\u0131ya bo\u015faltmak amac\u0131yla ventrik\u00fcler sisteme yerle\u015ftirilir. Bas\u0131n\u00e7 hafifletilir ve b\u00f6ylece hastan\u0131n durumu iyile\u015fir. Kan p\u0131ht\u0131lar\u0131 sonunda ortadan kald\u0131r\u0131l\u0131r, BOS ak\u0131\u015f ge\u00e7i\u015fi yeniden sa\u011flan\u0131r ve kateter \u00e7\u0131kar\u0131l\u0131r.<\/p>\n\n\n\n<p>Hidrosefaliyi y\u00f6netmenin en iyi yolu altta yatan nedeni ortadan kald\u0131rmakt\u0131r. \u00d6rne\u011fin, BOS yollar\u0131nda bir t\u0131kan\u0131kl\u0131k varsa, nedenin ortadan kald\u0131r\u0131lmas\u0131 hidrosefaliyi de iyile\u015ftirecektir. T\u00fcm\u00f6r, kan p\u0131ht\u0131s\u0131 ve kist \u00e7\u0131kar\u0131lmas\u0131 bu tedavi se\u00e7ene\u011finin \u00f6rnekleridir.<\/p>\n\n\n\n<p>Ancak vakalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda altta yatan neden ortadan kald\u0131r\u0131lamaz ve hidrosefalinin kendisinin tedavi edilmesi gerekir. \u0130ki t\u00fcr ameliyat vard\u0131r &#8211; \u015fant ve ventrik\u00fclostomi. BOS diversiyonu veya \u015fantlama, cerrah\u0131n \u015fant ad\u0131 verilen bir cihaz yerle\u015ftirerek s\u0131v\u0131y\u0131 beyinden emilmek \u00fczere v\u00fccudun ba\u015fka bir b\u00f6l\u00fcm\u00fcne y\u00f6nlendirdi\u011fi bir prosed\u00fcrd\u00fcr. En yayg\u0131n olarak, BOS kar\u0131n bo\u015flu\u011funa \u015fantlan\u0131r &#8211; buna ventrik\u00fcloperitoneal \u015fantlama denir. Genellikle bir \u015fant \u00fc\u00e7 b\u00f6l\u00fcmden olu\u015fur: ventrik\u00fcler kateter, valf ve peritoneal kateter. Ventrik\u00fcler kateter kafatas\u0131ndaki k\u00fc\u00e7\u00fck bir delikten beyin ventrik\u00fcllerine yerle\u015ftirilir. Periton kateteri ba\u015ftan kar\u0131na kadar derinin hemen alt\u0131na yerle\u015ftirilir ve ard\u0131ndan kar\u0131n bo\u015flu\u011funa yerle\u015ftirilir. Her iki kateter de bas\u0131n\u00e7 y\u00fcksek oldu\u011funda s\u0131v\u0131n\u0131n bo\u015falt\u0131lmas\u0131na izin veren bir valf ile ba\u011flant\u0131l\u0131d\u0131r.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2ca6ba&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2ca6ba\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-7.webp\" alt=\"\" class=\"wp-image-563\" style=\"width:500px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<p>Endoskopik \u00fc\u00e7\u00fcnc\u00fc ventrik\u00fclostomi (ETV), BOS&#8217;un t\u0131kan\u0131kl\u0131\u011f\u0131 atlamas\u0131na izin vermek i\u00e7in yapay bir pencerenin yap\u0131ld\u0131\u011f\u0131 bir prosed\u00fcrd\u00fcr. \u00c7ok ince bir endoskop kafadaki k\u00fc\u00e7\u00fck bir delikten ventrik\u00fcle yerle\u015ftirilir. Daha sonra endoskop \u00fc\u00e7\u00fcnc\u00fc ventrik\u00fcle ilerletilir ve ventrik\u00fcl taban\u0131nda bir pencere olu\u015fturulur. Bu a\u00e7\u0131kl\u0131k BOS&#8217;un \u00fc\u00e7\u00fcnc\u00fc ventrik\u00fclden do\u011frudan subaraknoid bo\u015flu\u011fa akmas\u0131n\u0131 sa\u011flar.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d263c2cb1bd&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d263c2cb1bd\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/hydrocephalus-content-8.gif\" alt=\"\" class=\"wp-image-564\" style=\"width:500px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<p>Hem \u015fantlama hem de ETV hidrosefali tedavisinde etkili prosed\u00fcrlerdir. \u015eant\u0131n ana handikap\u0131, ya\u015fam\u0131n geri kalan\u0131nda kalmak zorunda olan yabanc\u0131 bir cihaz\u0131n implantasyonudur. \u015eant enfekte olabilir veya mekanik bir ar\u0131za ya\u015fayabilir. \u00d6te yandan ETV zarif ve basit bir prosed\u00fcrd\u00fcr, ancak hidrosefali s\u0131v\u0131 ak\u0131\u015f\u0131n\u0131n t\u0131kanmas\u0131ndan kaynakland\u0131\u011f\u0131nda en etkilidir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ocuklarda ve yeti\u015fkinlerde hidrosefali: belirtileri nelerdir, hidrosefaliye ne sebep olur, tan\u0131 prosed\u00fcrleri ve tedavi se\u00e7enekleri.<\/p>\n","protected":false},"author":2,"featured_media":3789,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[24,25],"tags":[],"class_list":["post-2672","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hastaliklar","category-beyin-hastaliklari"],"acf":[],"_links":{"self":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/posts\/2672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/comments?post=2672"}],"version-history":[{"count":0,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/posts\/2672\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/media\/3789"}],"wp:attachment":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/media?parent=2672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/categories?post=2672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/tags?post=2672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}