{"id":11032,"date":"2025-08-27T22:29:43","date_gmt":"2025-08-27T19:29:43","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/sternotomi\/"},"modified":"2025-09-06T03:04:12","modified_gmt":"2025-09-06T00:04:12","slug":"sternotomi","status":"publish","type":"post","link":"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/","title":{"rendered":"Sternotomi"},"content":{"rendered":"<p>Sternotomi, g\u00f6\u011f\u00fcs kemi\u011finin (sternum) cerrahi olarak ortadan kesilerek g\u00f6\u011f\u00fcs bo\u015flu\u011funa ula\u015f\u0131lmas\u0131n\u0131 sa\u011flayan bir ameliyat y\u00f6ntemidir. En s\u0131k kalp cerrahisi, akci\u011fer ameliyatlar\u0131 ve b\u00fcy\u00fck damar operasyonlar\u0131nda uygulan\u0131r. G\u00f6\u011f\u00fcs kemi\u011fi, i\u015flem sonras\u0131 tellerle sabitlenerek kapat\u0131l\u0131r.<\/p>\n<p>Median sternotomi, kalp ameliyatlar\u0131nda en yayg\u0131n kullan\u0131lan tekniktir. Cerraha geni\u015f bir \u00e7al\u0131\u015fma alan\u0131 sunar ve kalp, b\u00fcy\u00fck damarlar ile akci\u011fer yap\u0131lar\u0131na do\u011frudan eri\u015fim sa\u011flar. \u0130\u015flem genellikle genel anestezi alt\u0131nda yap\u0131l\u0131r.<\/p>\n<p>Sternotomi sonras\u0131 iyile\u015fme s\u00fcrecinde g\u00f6\u011f\u00fcs kemi\u011finin kaynamas\u0131 yakla\u015f\u0131k 6-8 hafta s\u00fcrer. Bu d\u00f6nemde a\u011f\u0131r kald\u0131rmaktan, ani g\u00f6vde hareketlerinden ve \u00f6ks\u00fcr\u00fck s\u0131ras\u0131nda g\u00f6\u011f\u00fcse a\u015f\u0131r\u0131 y\u00fcklenmekten ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n<p>Olas\u0131 komplikasyonlar aras\u0131nda yara yeri enfeksiyonu, kanama, g\u00f6\u011f\u00fcs kemi\u011fi kaynamas\u0131nda gecikme ve nadiren yeniden a\u00e7\u0131lma bulunur. D\u00fczenli takip ve yara bak\u0131m\u0131na dikkat edilmesi, komplikasyon riskini azalt\u0131r ve iyile\u015fmeyi h\u0131zland\u0131r\u0131r.<\/p>\n<table>\n<tbody>\n<tr>\n<td>T\u0131bbi Ad\u0131<\/td>\n<td>Sternotomi<\/td>\n<\/tr>\n<tr>\n<td>T\u00fcr\u00fc<\/td>\n<td>Cerrahi giri\u015fim tekni\u011fi<\/td>\n<\/tr>\n<tr>\n<td>Etkilenen Sistem<\/td>\n<td>Torasik (g\u00f6\u011f\u00fcs) b\u00f6lge \u2013 \u00f6zellikle kardiyovask\u00fcler ve pulmoner sistemler<\/td>\n<\/tr>\n<tr>\n<td>Kullan\u0131m Alanlar\u0131<\/td>\n<td>A\u00e7\u0131k kalp ameliyatlar\u0131 (koroner bypass, kapak cerrahileri), aort cerrahileri, baz\u0131 mediasten ve akci\u011fer cerrahileri<\/td>\n<\/tr>\n<tr>\n<td>Uygulama Y\u00f6ntemi<\/td>\n<td>Sternum orta hatt\u0131ndan testere ile kesilir; i\u015flem sonras\u0131 tellerle tekrar birle\u015ftirilir<\/td>\n<\/tr>\n<tr>\n<td>Alternatif Y\u00f6ntemler<\/td>\n<td>Minimal invaziv cerrahiler (mini-sternotomi, torakotomi, video yard\u0131ml\u0131 cerrahi \u2013 VATS)<\/td>\n<\/tr>\n<tr>\n<td>Komplikasyonlar<\/td>\n<td>Enfeksiyon (mediastinit), kanama, sternum ayr\u0131lmas\u0131 (dehisans), kronik a\u011fr\u0131<\/td>\n<\/tr>\n<tr>\n<td>\u0130zlem<\/td>\n<td>Postoperatif g\u00f6\u011f\u00fcs bak\u0131m\u0131, enfeksiyon takibi, hareket k\u0131s\u0131tlamalar\u0131, iyile\u015fme s\u00fcreci boyunca sternum stabilitesinin korunmas\u0131<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Nedir\" >Sternotomi Nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Prosedurunun_Tiptaki_Yolculugu_Nasil_Gelisti\" >Sternotomi Prosed\u00fcr\u00fcn\u00fcn T\u0131ptaki Yolculu\u011fu Nas\u0131l Geli\u015fti?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Hangi_Durumlarda_Sternotomi_Yaklasimi_Gerekli_Gorulur\" >Hangi Durumlarda Sternotomi Yakla\u015f\u0131m\u0131 Gerekli G\u00f6r\u00fcl\u00fcr?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Bir_Sternotomi_Ameliyati_Oncesi_Gogus_Kemiginin_Yapisini_Bilmek_Neden_Hayati_Onem_Tasir\" >Bir Sternotomi Ameliyat\u0131 \u00d6ncesi G\u00f6\u011f\u00fcs Kemi\u011finin Yap\u0131s\u0131n\u0131 Bilmek Neden Hayati \u00d6nem Ta\u015f\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Bir_Sternotomi_Ameliyati_Sureci_Hastalar_Icin_Nasil_Isler\" >Bir Sternotomi Ameliyat\u0131 S\u00fcreci Hastalar \u0130\u00e7in Nas\u0131l \u0130\u015fler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Gogus_Kemigi_Nasil_Guvenle_Birlestirilir\" >Sternotomi Sonras\u0131 G\u00f6\u011f\u00fcs Kemi\u011fi Nas\u0131l G\u00fcvenle Birle\u015ftirilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Bir_Sternotomi_Operasyonunda_Cerrahlar_Riski_Azaltmak_Icin_Hangi_Onlemleri_Alir\" >Bir Sternotomi Operasyonunda Cerrahlar Riski Azaltmak \u0130\u00e7in Hangi \u00d6nlemleri Al\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Yerine_Uygulanabilen_Daha_Kucuk_Kesili_Alternatifler_Var_Midir\" >Sternotomi Yerine Uygulanabilen Daha K\u00fc\u00e7\u00fck Kesili Alternatifler Var M\u0131d\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Ameliyatlarinda_Karsilasilabilecek_Risk_Faktorleri_Nelerdir\" >Sternotomi Ameliyatlar\u0131nda Kar\u015f\u0131la\u015f\u0131labilecek Risk Fakt\u00f6rleri Nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Gorulen_Yara_Enfeksiyonu_Riski_Nasil_Yonetilir\" >Sternotomi Sonras\u0131 G\u00f6r\u00fclen Yara Enfeksiyonu Riski Nas\u0131l Y\u00f6netilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Gogus_Kemiginin_Ayrilmasi_Dehisens_Ne_Anlama_Gelir_ve_Nasil_Onlenir\" >Sternotomi Sonras\u0131 G\u00f6\u011f\u00fcs Kemi\u011finin Ayr\u0131lmas\u0131 (Dehisens) Ne Anlama Gelir ve Nas\u0131l \u00d6nlenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Gecmeyen_Agri_PSPS_Nedir_ve_Nasil_Bir_Yaklasim_Izlenir\" >Sternotomi Sonras\u0131 Ge\u00e7meyen A\u011fr\u0131 (PSPS) Nedir ve Nas\u0131l Bir Yakla\u015f\u0131m \u0130zlenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Iyilesme_Surecinde_Hastalari_Neler_Bekler\" >Sternotomi Sonras\u0131 \u0130yile\u015fme S\u00fcrecinde Hastalar\u0131 Neler Bekler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Evde_Bakim_Icin_Hayati_Ipuclari_Nelerdir\" >Sternotomi Sonras\u0131 Evde Bak\u0131m \u0130\u00e7in Hayati \u0130pu\u00e7lar\u0131 Nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_%E2%80%98Sternal_Onlemler_Neden_Onemlidir_ve_Neleri_Kapsar\" >Sternotomi Sonras\u0131 &#8216;Sternal \u00d6nlemler&#8217; Neden \u00d6nemlidir ve Neleri Kapsar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Kardiyak_Rehabilitasyonun_Sternotomi_Sonrasi_Iyilesmedeki_Yeri_Nedir\" >Kardiyak Rehabilitasyonun Sternotomi Sonras\u0131 \u0130yile\u015fmedeki Yeri Nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_Sonrasi_Agri_Yonetimi_Icin_Hangi_Yontemler_Kullanilir\" >Sternotomi Sonras\u0131 A\u011fr\u0131 Y\u00f6netimi \u0130\u00e7in Hangi Y\u00f6ntemler Kullan\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Bir_Sternotomi_Ameliyatinin_Ardindan_Duygusal_Dalgalanmalar_Yasamak_Normal_Midir\" >Bir Sternotomi Ameliyat\u0131n\u0131n Ard\u0131ndan Duygusal Dalgalanmalar Ya\u015famak Normal Midir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sikca_Sorulan_Sorular\" >S\u0131k\u00e7a Sorulan Sorular<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_nedir\" >Sternotomi nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Hangi_ameliyatlarda_sternotomi_yapilir\" >Hangi ameliyatlarda sternotomi yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_nasil_yapilir\" >Sternotomi nas\u0131l yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_sonrasi_iyilesme_suresi_nedir\" >Sternotomi sonras\u0131 iyile\u015fme s\u00fcresi nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Ameliyat_sonrasi_gogus_agrisi_olur_mu\" >Ameliyat sonras\u0131 g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 olur mu?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_izi_kalici_midir\" >Sternotomi izi kal\u0131c\u0131 m\u0131d\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternum_nasil_iyilesir\" >Sternum nas\u0131l iyile\u015fir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_enfeksiyon_riski_tasir_mi\" >Sternotomi enfeksiyon riski ta\u015f\u0131r m\u0131?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_sonrasi_egzersiz_yapilabilir_mi\" >Sternotomi sonras\u0131 egzersiz yap\u0131labilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_sonrasi_uyku_pozisyonu_onemli_midir\" >Sternotomi sonras\u0131 uyku pozisyonu \u00f6nemli midir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_geciren_hastalarda_nelere_dikkat_edilmelidir\" >Sternotomi ge\u00e7iren hastalarda nelere dikkat edilmelidir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_sonrasi_araba_kullanmak_ne_zaman_serbesttir\" >Sternotomi sonras\u0131 araba kullanmak ne zaman serbesttir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-32\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_yerine_alternatif_yontemler_var_mi\" >Sternotomi yerine alternatif y\u00f6ntemler var m\u0131?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-33\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_sonrasi_psikolojik_etkiler_olabilir_mi\" >Sternotomi sonras\u0131 psikolojik etkiler olabilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-34\" href=\"https:\/\/dryavuzbesogul.com\/en\/sternotomi\/#Sternotomi_kalici_sorunlara_yol_acar_mi\" >Sternotomi kal\u0131c\u0131 sorunlara yol a\u00e7ar m\u0131?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Nedir\"><\/span>Sternotomi Nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sternotomi, g\u00f6\u011f\u00fcs kafesinin ortas\u0131ndaki g\u00f6\u011f\u00fcs kemi\u011fi (sternum) boyunca yap\u0131lan cerrahi kesidir. Bu y\u00f6ntem, kalp, b\u00fcy\u00fck damarlar ve baz\u0131 akci\u011fer cerrahilerine eri\u015fim sa\u011flamak amac\u0131yla uygulan\u0131r. En yayg\u0131n olarak a\u00e7\u0131k kalp ameliyatlar\u0131nda kullan\u0131l\u0131r. \u0130\u015flem sonras\u0131 kemik \u00f6zel tellerle kapat\u0131l\u0131r ve iyile\u015fme s\u00fcreci dikkatli bak\u0131m gerektirir. Geni\u015f cerrahi g\u00f6r\u00fc\u015f alan\u0131 sa\u011flamas\u0131 nedeniyle kalp cerrahisinde standart yakla\u015f\u0131m olarak kabul edilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Prosedurunun_Tiptaki_Yolculugu_Nasil_Gelisti\"><\/span>Sternotomi Prosed\u00fcr\u00fcn\u00fcn T\u0131ptaki Yolculu\u011fu Nas\u0131l Geli\u015fti?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sternotominin hikayesi, modern kalp cerrahisinin geli\u015fimine paralel bir yol izler. \u0130lk olarak 1800&#8217;lerin sonunda tan\u0131mlanm\u0131\u015f olsa da o d\u00f6nemde kullan\u0131m\u0131 olduk\u00e7a s\u0131n\u0131rl\u0131yd\u0131. Cerrahlar kalbe ula\u015fmak i\u00e7in genellikle &#8220;istiridye kabu\u011fu&#8221; (clamshell) olarak bilinen ve her iki g\u00f6\u011f\u00fcs kafesini de a\u00e7an \u00e7ok daha travmatik y\u00f6ntemler kullan\u0131yorlard\u0131. Bu eski y\u00f6ntemler hem hasta i\u00e7in \u00e7ok daha a\u011fr\u0131l\u0131yd\u0131 hem de komplikasyon riski \u00e7ok daha y\u00fcksekti.<\/p>\n<p>Sternotominin kaderi, 1950&#8217;li y\u0131llarda yeniden pop\u00fcler hale gelmesiyle de\u011fi\u015fti. Ancak onu d\u00fcnya \u00e7ap\u0131nda kalp cerrahisinin vazge\u00e7ilmezi yapan as\u0131l geli\u015fme, 1960&#8217;lar\u0131n sonunda koroner arter bypass ameliyatlar\u0131n\u0131n (CABG) yayg\u0131nla\u015fmas\u0131 oldu. Bypass ameliyatlar\u0131, kalbe giden \u00e7ok say\u0131da damara eri\u015fim gerektiriyordu ve sternotomi, bu ihtiyac\u0131 m\u00fckemmel bir \u015fekilde kar\u015f\u0131l\u0131yordu. O tarihten sonra, bu y\u00f6ntem h\u0131zla yay\u0131larak d\u00fcnya genelinde en s\u0131k uygulanan cerrahi prosed\u00fcrlerden biri haline geldi. Ba\u015flang\u0131\u00e7ta sadece kalp cerrahlar\u0131 taraf\u0131ndan benimsenen bu y\u00f6ntem zamanla g\u00f6\u011f\u00fcs bo\u015flu\u011fundaki t\u00fcm\u00f6rler veya her iki akci\u011feri ilgilendiren baz\u0131 durumlarda g\u00f6\u011f\u00fcs cerrahlar\u0131 taraf\u0131ndan da tercih edilmeye ba\u015fland\u0131. \u00c7\u00fcnk\u00fc iki ayr\u0131 yan kesiye k\u0131yasla daha az a\u011fr\u0131l\u0131 ve daha az travmatik bir iyile\u015fme s\u00fcreci sunuyordu.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Hangi_Durumlarda_Sternotomi_Yaklasimi_Gerekli_Gorulur\"><\/span>Hangi Durumlarda Sternotomi Yakla\u015f\u0131m\u0131 Gerekli G\u00f6r\u00fcl\u00fcr?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sternotomi, sa\u011flad\u0131\u011f\u0131 geni\u015f ve engelsiz g\u00f6r\u00fc\u015f alan\u0131 sayesinde bir\u00e7ok karma\u015f\u0131k ameliyat i\u00e7in en g\u00fcvenilir yakla\u015f\u0131md\u0131r. Hem kalp hem de kalp d\u0131\u015f\u0131 baz\u0131 g\u00f6\u011f\u00fcs cerrahilerinde standart y\u00f6ntem olarak kabul edilir.<\/p>\n<p>Kalp cerrahisinde sternotominin tercih edildi\u011fi ba\u015fl\u0131ca durumlar \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Koroner Arter Bypass Greftleme (CABG)<\/li>\n<li aria-level=\"1\">Aort kapak de\u011fi\u015fimi veya tamiri<\/li>\n<li aria-level=\"1\">Mitral kapak de\u011fi\u015fimi veya tamiri<\/li>\n<li aria-level=\"1\">Trik\u00fcspit kapak ameliyatlar\u0131<\/li>\n<li aria-level=\"1\">Kalp nakli<\/li>\n<li aria-level=\"1\">Aort anevrizmas\u0131 (balonla\u015fma) onar\u0131m\u0131<\/li>\n<li aria-level=\"1\">Kalp i\u00e7i t\u00fcm\u00f6rlerin \u00e7\u0131kar\u0131lmas\u0131<\/li>\n<li aria-level=\"1\">Do\u011fumsal kalp kusurlar\u0131n\u0131n (ASD, VSD gibi) d\u00fczeltilmesi<\/li>\n<\/ul>\n<p>Kalp d\u0131\u015f\u0131 g\u00f6\u011f\u00fcs cerrahilerinde ise \u015fu durumlarda kullan\u0131labilir:<\/p>\n<ul>\n<li aria-level=\"1\">Mediasten ad\u0131 verilen g\u00f6\u011f\u00fcs bo\u015flu\u011fu merkezindeki t\u00fcm\u00f6rlerin \u00e7\u0131kar\u0131lmas\u0131 (\u00f6rne\u011fin timoma)<\/li>\n<li aria-level=\"1\">Her iki akci\u011fere yay\u0131lm\u0131\u015f metastazlar\u0131n temizlenmesi<\/li>\n<li aria-level=\"1\">Soluk borusu (trakea) ve ana bron\u015flarla ilgili baz\u0131 ameliyatlar<\/li>\n<li aria-level=\"1\">G\u00f6\u011f\u00fcs bo\u015flu\u011funa do\u011fru b\u00fcy\u00fcm\u00fc\u015f tiroid bezlerinin (substernal guatr) \u00e7\u0131kar\u0131lmas\u0131<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Bir_Sternotomi_Ameliyati_Oncesi_Gogus_Kemiginin_Yapisini_Bilmek_Neden_Hayati_Onem_Tasir\"><\/span>Bir Sternotomi Ameliyat\u0131 \u00d6ncesi G\u00f6\u011f\u00fcs Kemi\u011finin Yap\u0131s\u0131n\u0131 Bilmek Neden Hayati \u00d6nem Ta\u015f\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ameliyat\u0131n ba\u015far\u0131s\u0131, sadece cerrah\u0131n el becerisine de\u011fil ayn\u0131 zamanda hastan\u0131n anatomisine olan h\u00e2kimiyetine de ba\u011fl\u0131d\u0131r. Sternum, g\u00f6\u011f\u00fcs kafesinin \u00f6n\u00fcnde yer alan, T \u015feklinde, d\u00fcz bir kemiktir. Kalp, ana damarlar ve akci\u011ferler gibi hayati organlar i\u00e7in do\u011fal bir kalkan g\u00f6revi g\u00f6r\u00fcr. Bu kemi\u011fin kanlanmas\u0131, yani onu besleyen damar yap\u0131s\u0131, \u00f6zellikle iyile\u015fme s\u00fcreci i\u00e7in kritik bir rol oynar.<\/p>\n<p>Sternum, b\u00fcy\u00fck \u00f6l\u00e7\u00fcde g\u00f6\u011f\u00fcs duvar\u0131n\u0131n i\u00e7 k\u0131sm\u0131nda seyreden internal torasik arterler (IMA veya meme atardamar\u0131) taraf\u0131ndan beslenir. Koroner bypass ameliyatlar\u0131nda, bu damarlardan biri genellikle en iyi greft (yama) se\u00e7ene\u011fi olarak kullan\u0131l\u0131r ve kalbi beslemek \u00fczere yer de\u011fi\u015ftirilir. Bu son derece yayg\u0131n ve hayat kurtaran bir uygulama olsa da cerrah\u0131n bu hamlesi sternumun kanlanmas\u0131n\u0131 bir miktar azalt\u0131r. \u0130\u015fte bu noktada cerrah, bir denge kurmak zorundad\u0131r: Kalp i\u00e7in en iyi damar\u0131 kullan\u0131rken, kemi\u011fin iyile\u015fme potansiyelini de g\u00f6z \u00f6n\u00fcnde bulundurur.<\/p>\n<p>Diyabet, obezite veya sigara kullan\u0131m\u0131 gibi durumlar kan dola\u015f\u0131m\u0131n\u0131 olumsuz etkiledi\u011fi i\u00e7in kemik iyile\u015fmesini yava\u015flatabilir. Bu nedenle bu t\u00fcr ek hastal\u0131klar\u0131 olan hastalarda daha dikkatli bir takip ve bazen farkl\u0131 kapatma teknikleri gerekir. Ayr\u0131ca cerrah\u0131n kesiyi orta hattan yapmas\u0131 da \u00e7ok \u00f6nemlidir. Orta hattan sapmak, kemi\u011fin bir taraf\u0131n\u0131n daha zay\u0131f kalmas\u0131na ve kapatmada kullan\u0131lan tellerin kemi\u011fi keserek gev\u015femesine neden olabilir. Bu da iyile\u015fme sorunlar\u0131na ve enfeksiyona zemin haz\u0131rlayabilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Bir_Sternotomi_Ameliyati_Sureci_Hastalar_Icin_Nasil_Isler\"><\/span>Bir Sternotomi Ameliyat\u0131 S\u00fcreci Hastalar \u0130\u00e7in Nas\u0131l \u0130\u015fler?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hastalar\u0131n en \u00e7ok merak etti\u011fi konulardan biri de ameliyat\u0131n kendisinin nas\u0131l ger\u00e7ekle\u015fti\u011fidir. S\u00fcrecin ad\u0131mlar\u0131n\u0131 bilmek, bilinmeyene kar\u015f\u0131 duyulan kayg\u0131y\u0131 azaltabilir. Bir sternotomi ameliyat\u0131 \u015fu temel ad\u0131mlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li>Haz\u0131rl\u0131k ve Anestezi: Hasta ameliyathaneye al\u0131nd\u0131ktan sonra genel anestezi uygulan\u0131r, yani ameliyat boyunca tamamen uykuda ve a\u011fr\u0131s\u0131z olur. Solunumun bir makine arac\u0131l\u0131\u011f\u0131yla devam etmesi i\u00e7in solunum yoluna bir t\u00fcp yerle\u015ftirilir. Enfeksiyon riskini en aza indirmek i\u00e7in g\u00f6\u011f\u00fcs b\u00f6lgesi antiseptik sol\u00fcsyonlarla dikkatlice temizlenir ve koruyucu antibiyotikler verilir.<\/li>\n<li>Cilt Kesisinin Yap\u0131lmas\u0131: Cerrah, g\u00f6\u011f\u00fcs kemi\u011finin \u00fczerinde, k\u00f6pr\u00fcc\u00fck kemiklerinin birle\u015fti\u011fi \u00e7ukurdan ba\u015flay\u0131p kemi\u011fin alt ucuna kadar uzanan dikey bir cilt kesisi yapar. Bu kesinin uzunlu\u011fu genellikle 15-20 cm civar\u0131ndad\u0131r.<\/li>\n<li>Sternumun A\u00e7\u0131lmas\u0131 (Osteotomi): Cilt ve cilt alt\u0131 dokular ge\u00e7ildikten sonra sternum kemi\u011fine ula\u015f\u0131l\u0131r. Cerrah, \u00f6zel bir cerrahi alet olan sternal testere ile kemi\u011fi tam orta hattan dikkatlice keser. Bu i\u015flem s\u0131ras\u0131nda, altta yatan kalp ve ana damarlara zarar vermemek i\u00e7in b\u00fcy\u00fck bir hassasiyetle \u00e7al\u0131\u015f\u0131l\u0131r.<\/li>\n<li>G\u00f6\u011f\u00fcs Kafesinin A\u00e7\u0131lmas\u0131 (Ekartasyon): Kemik ikiye ayr\u0131ld\u0131ktan sonra, ekart\u00f6r ad\u0131 verilen metal bir alet yerle\u015ftirilir. Bu alet, g\u00f6\u011f\u00fcs kafesinin iki yan\u0131n\u0131 yava\u015f\u00e7a ve kontroll\u00fc bir \u015fekilde birbirinden ay\u0131rarak kalbe ve \u00e7evre yap\u0131lara geni\u015f bir \u00e7al\u0131\u015fma alan\u0131 yarat\u0131r.<\/li>\n<li>Kalp Ameliyat\u0131n\u0131n Yap\u0131lmas\u0131: G\u00f6\u011f\u00fcs kafesi a\u00e7\u0131ld\u0131ktan sonra, as\u0131l planlanan kalp ameliyat\u0131na ge\u00e7ilir. Bu a\u015fama, bypass, kapak de\u011fi\u015fimi veya ba\u015fka bir prosed\u00fcr\u00fc i\u00e7erebilir.<\/li>\n<li>Kapatma A\u015famas\u0131: Kalple ilgili i\u015flem tamamland\u0131\u011f\u0131nda, ekart\u00f6r \u00e7\u0131kar\u0131l\u0131r ve sternumun iki yar\u0131s\u0131 tekrar orijinal pozisyonuna getirilir.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Gogus_Kemigi_Nasil_Guvenle_Birlestirilir\"><\/span>Sternotomi Sonras\u0131 G\u00f6\u011f\u00fcs Kemi\u011fi Nas\u0131l G\u00fcvenle Birle\u015ftirilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div>\n<dl id=\"attachment_8559\">\n<dt><img decoding=\"async\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2025\/06\/Dogustan-kalp-kusurunu-duzeltmek-icin-genc-bir-Kafkasyali-erkekte-gerceklestirilen-median-sternotomi-ornegi-393x400.jpg\" alt=\"Do\u011fu\u015ftan kalp kusurunu d\u00fczeltmek i\u00e7in gen\u00e7 bir Kafkasyal\u0131 erkekte ger\u00e7ekle\u015ftirilen median sternotomi \u00f6rne\u011fi\" width=\"393\" height=\"400\" \/><\/dt>\n<dd>Do\u011fu\u015ftan kalp kusurunu d\u00fczeltmek i\u00e7in gen\u00e7 bir Kafkasyal\u0131 erkekte ger\u00e7ekle\u015ftirilen median sternotomi \u00f6rne\u011fi<\/dd>\n<\/dl>\n<\/div>\n<p>Ameliyat\u0131n en kritik ad\u0131mlar\u0131ndan biri de g\u00f6\u011f\u00fcs kemi\u011finin kapat\u0131lmas\u0131d\u0131r. Ama\u00e7 kemi\u011fin iki yar\u0131s\u0131n\u0131, iyile\u015fme s\u00fcreci boyunca oynamayacak veya ayr\u0131lmayacak \u015fekilde sa\u011flam bir bi\u00e7imde bir araya getirmektir. Bunun i\u00e7in farkl\u0131 materyaller ve teknikler kullan\u0131labilir.<\/p>\n<p>En yayg\u0131n kullan\u0131lan kapatma y\u00f6ntemleri \u015funlard\u0131r:<\/p>\n<ul>\n<li>Paslanmaz \u00c7elik veya Titanyum Teller: Bu en klasik ve en s\u0131k kullan\u0131lan y\u00f6ntemdir. G\u00fc\u00e7l\u00fc ve esnek teller, kaburgalar\u0131n etraf\u0131ndan veya do\u011frudan kemikten ge\u00e7irilerek sternumun iki yar\u0131s\u0131n\u0131 birbirine s\u0131k\u0131ca ba\u011flar. Bu teller genellikle \u00f6m\u00fcr boyu v\u00fccutta kal\u0131r ve herhangi bir soruna yol a\u00e7maz.<\/li>\n<li>Titanyum Plak ve Vidalar: \u00d6zellikle kemik yap\u0131s\u0131 zay\u0131f (osteoporoz gibi) olan a\u015f\u0131r\u0131 kilolu veya ikinci kez sternotomi ge\u00e7iren y\u00fcksek riskli hastalarda tercih edilebilir. Plaklar, kemi\u011fin \u00f6n y\u00fczeyine vidalarla sabitlenerek daha rijit ve g\u00fc\u00e7l\u00fc bir tutu\u015f sa\u011flar.<\/li>\n<li>Kablo ve Klips Sistemleri: Standart tellere g\u00f6re daha kal\u0131n ve g\u00fc\u00e7l\u00fc olan kablolar veya \u0131s\u0131yla \u015fekil alan Nitinol gibi \u00f6zel klipsler, \u00f6zellikle zorlu vakalarda daha fazla stabilite sa\u011flamak i\u00e7in kullan\u0131labilir.<\/li>\n<\/ul>\n<p>Cerrah, hastan\u0131n kemik yap\u0131s\u0131na, kilosuna ve genel sa\u011fl\u0131k durumuna g\u00f6re en uygun kapatma y\u00f6ntemini se\u00e7ecektir. Kapatma i\u015flemi bittikten sonra, i\u00e7eride birikebilecek s\u0131v\u0131 ve havay\u0131 d\u0131\u015far\u0131 atmak i\u00e7in g\u00f6\u011f\u00fcs t\u00fcpleri (drenler) yerle\u015ftirilir ve son olarak cilt diki\u015flerle kapat\u0131larak ameliyat sonland\u0131r\u0131l\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Bir_Sternotomi_Operasyonunda_Cerrahlar_Riski_Azaltmak_Icin_Hangi_Onlemleri_Alir\"><\/span>Bir Sternotomi Operasyonunda Cerrahlar Riski Azaltmak \u0130\u00e7in Hangi \u00d6nlemleri Al\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hasta g\u00fcvenli\u011fi, bir sternotomi operasyonunun her an\u0131nda en \u00f6ncelikli konudur. Cerrahlar ve ameliyat ekibi, komplikasyon riskini en aza indirmek i\u00e7in bir dizi titiz \u00f6nlem al\u0131r. Bu prosed\u00fcr, en ufak bir hatan\u0131n bile \u00f6nemli sonu\u00e7lar do\u011furabilece\u011fi, bu y\u00fczden de b\u00fcy\u00fck bir dikkat gerektiren bir i\u015flemdir.<\/p>\n<p>Al\u0131nan temel \u00f6nlemlerden baz\u0131lar\u0131 \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Kesinin tam orta hatta yap\u0131lmas\u0131na \u00f6zen g\u00f6sterilir.<\/li>\n<li aria-level=\"1\">Kemi\u011fi keserken alttaki kalp ve damar yap\u0131lar\u0131n\u0131n korunmas\u0131 i\u00e7in \u00f6zel manevralar uygulan\u0131r.<\/li>\n<li aria-level=\"1\">Kemik kesildikten sonra olu\u015fan kanama, dokulara zarar vermeyecek \u015fekilde dikkatlice kontrol alt\u0131na al\u0131n\u0131r.<\/li>\n<li aria-level=\"1\">Kemi\u011fin kapat\u0131lmas\u0131 s\u0131ras\u0131nda tellerin veya plaklar\u0131n bas\u0131nc\u0131 e\u015fit da\u011f\u0131tacak ve kan damarlar\u0131na zarar vermeyecek \u015fekilde yerle\u015ftirilmesi sa\u011flan\u0131r.<\/li>\n<li aria-level=\"1\">G\u00f6\u011f\u00fcs kafesini a\u00e7an ekart\u00f6r\u00fcn, kaburga k\u0131r\u0131klar\u0131na yol a\u00e7mamak i\u00e7in yava\u015f ve nazik\u00e7e kullan\u0131lmas\u0131na dikkat edilir.<\/li>\n<li aria-level=\"1\">Enfeksiyon riskini azaltmak i\u00e7in sterilizasyon kurallar\u0131na harfiyen uyulur ve koruyucu antibiyotikler kullan\u0131l\u0131r.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Yerine_Uygulanabilen_Daha_Kucuk_Kesili_Alternatifler_Var_Midir\"><\/span>Sternotomi Yerine Uygulanabilen Daha K\u00fc\u00e7\u00fck Kesili Alternatifler Var M\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Teknolojinin geli\u015fmesiyle birlikte kalp cerrahisinde de daha az invaziv, yani daha k\u00fc\u00e7\u00fck kesilerle yap\u0131lan y\u00f6ntemler ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Bu y\u00f6ntemler her hasta i\u00e7in uygun olmasa da belirli durumlarda sternotomiye bir alternatif olabilirler. Temel ama\u00e7 sternumu tamamen kesmekten ka\u00e7\u0131narak iyile\u015fmeyi h\u0131zland\u0131rmak ve a\u011fr\u0131y\u0131 azaltmakt\u0131r.<\/p>\n<ul>\n<li>K\u0131smi Sternotomi (Ministernotomi): Bu y\u00f6ntemde g\u00f6\u011f\u00fcs kemi\u011finin tamam\u0131 yerine sadece k\u00fc\u00e7\u00fck bir k\u0131sm\u0131 (genellikle \u00fcst veya alt b\u00f6l\u00fcm\u00fc) kesilir. Kesi daha k\u00fc\u00e7\u00fckt\u00fcr (yakla\u015f\u0131k 7-10 cm). \u00d6zellikle izole aort kapak ameliyatlar\u0131 gibi tek bir soruna odaklan\u0131lan durumlarda tercih edilebilir. Daha az a\u011fr\u0131, daha iyi kozmetik sonu\u00e7 ve daha h\u0131zl\u0131 iyile\u015fme gibi avantajlar sunabilir. Ancak g\u00f6r\u00fc\u015f alan\u0131 daha s\u0131n\u0131rl\u0131 oldu\u011fu i\u00e7in karma\u015f\u0131k veya \u00e7oklu prosed\u00fcrler i\u00e7in uygun de\u011fildir.<\/li>\n<li>Minimal \u0130nvaziv Kalp Cerrahisi (Mini-Torakotomi): Bu yakla\u015f\u0131mda g\u00f6\u011f\u00fcs kemi\u011fi hi\u00e7 kesilmez. Bunun yerine, g\u00f6\u011fs\u00fcn yan taraf\u0131nda, kaburgalar\u0131n aras\u0131ndan yap\u0131lan yakla\u015f\u0131k 5-8 cm&#8217;lik k\u00fc\u00e7\u00fck bir kesiden girilir. Cerrah, bu kesiden i\u00e7eriye yerle\u015ftirilen uzun, \u00f6zel aletler ve bir kamera yard\u0131m\u0131yla ameliyat\u0131 ger\u00e7ekle\u015ftirir. \u00d6zellikle mitral kapak tamiri veya de\u011fi\u015fimi i\u00e7in s\u0131k\u00e7a kullan\u0131l\u0131r. En b\u00fcy\u00fck avantajlar\u0131 daha az a\u011fr\u0131, daha h\u0131zl\u0131 iyile\u015fme ve \u00e7ok daha k\u00fc\u00e7\u00fck bir yara izidir.<\/li>\n<li>Robotik Cerrahi: Minimal invaziv cerrahinin en ileri teknolojiye sahip \u015feklidir. Cerrah, hastan\u0131n yan\u0131nda de\u011fil bir konsolda oturarak ameliyat\u0131 y\u00f6netir. Birka\u00e7 k\u00fc\u00e7\u00fck delikten v\u00fccuda sokulan robotik kollar, cerrah\u0131n el hareketlerini taklit eder. Robotun sa\u011flad\u0131\u011f\u0131 3 boyutlu ve b\u00fcy\u00fct\u00fclm\u00fc\u015f g\u00f6r\u00fcnt\u00fc ile insan elinden \u00e7ok daha hassas hareket kabiliyeti, \u00f6zellikle karma\u015f\u0131k kapak tamirlerinde b\u00fcy\u00fck avantaj sa\u011flar.<\/li>\n<\/ul>\n<p>Bu y\u00f6ntemler aras\u0131ndaki se\u00e7im; hastan\u0131n genel sa\u011fl\u0131k durumuna, kalp hastal\u0131\u011f\u0131n\u0131n t\u00fcr\u00fcne, anatomik yap\u0131s\u0131na ve cerrah\u0131n tecr\u00fcbesine ba\u011fl\u0131d\u0131r. &#8220;En iyi&#8221; y\u00f6ntem hasta i\u00e7in en g\u00fcvenli ve en etkili olan\u0131d\u0131r. Geleneksel sternotomi, \u00f6zellikle \u00e7oklu damar bypass veya birden fazla kapakla ilgili sorunlar gibi karma\u015f\u0131k durumlarda hala en g\u00fcvenilir ve en do\u011fru se\u00e7enektir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Ameliyatlarinda_Karsilasilabilecek_Risk_Faktorleri_Nelerdir\"><\/span>Sternotomi Ameliyatlar\u0131nda Kar\u015f\u0131la\u015f\u0131labilecek Risk Fakt\u00f6rleri Nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Her b\u00fcy\u00fck cerrahi i\u015flem gibi sternotominin de potansiyel riskleri vard\u0131r. Ancak bu riskler genellikle d\u00fc\u015f\u00fckt\u00fcr ve cerrahi ekip taraf\u0131ndan yak\u0131ndan y\u00f6netilir. Baz\u0131 hasta \u00f6zellikleri veya durumlar komplikasyon riskini bir miktar art\u0131rabilir. Bu risk fakt\u00f6rlerini bilmek, hem \u00f6nlem almay\u0131 hem de s\u00fcreci daha iyi y\u00f6netmeyi sa\u011flar.<\/p>\n<p>Hastan\u0131n kendisiyle ili\u015fkili ba\u015fl\u0131ca risk fakt\u00f6rleri \u015funlard\u0131r:<\/p>\n<ul>\n<li>Obezite: A\u015f\u0131r\u0131 kilo, hem g\u00f6\u011f\u00fcs kemi\u011fi \u00fczerindeki mekanik y\u00fck\u00fc art\u0131r\u0131r hem de dokular\u0131n kanlanmas\u0131n\u0131 azaltarak yara iyile\u015fmesini zorla\u015ft\u0131r\u0131r.<\/li>\n<li>Diyabet (\u015eeker Hastal\u0131\u011f\u0131): Kontrols\u00fcz kan \u015fekeri, ba\u011f\u0131\u015f\u0131kl\u0131k sistemini zay\u0131flat\u0131r ve enfeksiyon riskini art\u0131r\u0131r. Ayr\u0131ca damar yap\u0131s\u0131n\u0131 bozarak iyile\u015fmeyi yava\u015flat\u0131r.<\/li>\n<li>Sigara Kullan\u0131m\u0131: Sigara, dokulara giden oksijen miktar\u0131n\u0131 azalt\u0131r ve kan dola\u015f\u0131m\u0131n\u0131 bozar. Ayr\u0131ca ameliyat sonras\u0131 \u00f6ks\u00fcr\u00fc\u011f\u00fc art\u0131rarak kemik \u00fczerinde bask\u0131 olu\u015fturur.<\/li>\n<li>KOAH (Kronik Akci\u011fer Hastal\u0131\u011f\u0131): \u015eiddetli ve s\u0131k \u00f6ks\u00fcr\u00fck, iyile\u015fmekte olan g\u00f6\u011f\u00fcs kemi\u011fini zorlayabilir.<\/li>\n<li>Osteoporoz (Kemik Erimesi): Kemiklerin zay\u0131f ve k\u0131r\u0131lgan olmas\u0131, kapatmada kullan\u0131lan tellerin kemi\u011fi kesme riskini art\u0131r\u0131r.<\/li>\n<li>\u0130leri Ya\u015f: V\u00fccudun kendini yenileme kapasitesinin yava\u015flamas\u0131 ve ek hastal\u0131klar\u0131n varl\u0131\u011f\u0131 riski art\u0131rabilir.<\/li>\n<\/ul>\n<p>Ameliyat s\u00fcreciyle ili\u015fkili risk fakt\u00f6rleri ise \u015funlard\u0131r:<\/p>\n<ul>\n<li>Bilateral IMA Kullan\u0131m\u0131: Bypass i\u00e7in her iki g\u00f6\u011f\u00fcs atardamar\u0131n\u0131n da kullan\u0131lmas\u0131, sternumun kanlanmas\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde azaltabilir.<\/li>\n<li>Yeniden Ameliyat (Re-sternotomi): Daha \u00f6nce ayn\u0131 b\u00f6lgeden ameliyat olmu\u015f olmak, yap\u0131\u015f\u0131kl\u0131klar ve bozulmu\u015f anatomi nedeniyle riski art\u0131r\u0131r.<\/li>\n<li>Uzun Ameliyat S\u00fcresi: Ameliyat s\u00fcresinin uzamas\u0131, dokular\u0131n d\u0131\u015f ortama maruz kalma s\u00fcresini ve dolay\u0131s\u0131yla enfeksiyon riskini art\u0131rabilir.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Gorulen_Yara_Enfeksiyonu_Riski_Nasil_Yonetilir\"><\/span>Sternotomi Sonras\u0131 G\u00f6r\u00fclen Yara Enfeksiyonu Riski Nas\u0131l Y\u00f6netilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sternotomi sonras\u0131 en \u00e7ok endi\u015fe edilen komplikasyonlardan biri yara yeri enfeksiyonudur. Bu risk genellikle d\u00fc\u015f\u00fckt\u00fcr, ancak ciddiye al\u0131nmas\u0131 gerekir. Enfeksiyonlar y\u00fczeysel veya derin olabilir.<\/p>\n<p>Y\u00fczeysel Enfeksiyon: Sadece cilt ve cilt alt\u0131 dokuyu etkiler. Genellikle k\u0131zar\u0131kl\u0131k, \u015fi\u015flik ve ak\u0131nt\u0131 ile kendini belli eder. Tedavisi genellikle antibiyotikler ve lokal yara bak\u0131m\u0131 ile m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<p>Derin Enfeksiyon (Mediastinit): \u00c7ok daha nadir g\u00f6r\u00fclen ancak hayat\u0131 tehdit edebilen ciddi bir durumdur. Enfeksiyon kemi\u011fe ve alt\u0131ndaki g\u00f6\u011f\u00fcs bo\u015flu\u011funa yay\u0131lm\u0131\u015ft\u0131r. Ate\u015f, \u015fiddetli g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, yara yerinden iltihapl\u0131 ak\u0131nt\u0131 ve kemikte oynama hissi gibi belirtilerle ortaya \u00e7\u0131kar. Tedavisi \u00e7ok daha agresif bir yakla\u015f\u0131m gerektirir: enfekte dokular\u0131n cerrahi olarak temizlenmesi (debridman), uzun s\u00fcreli damardan antibiyotik tedavisi ve genellikle yaran\u0131n negatif bas\u0131n\u00e7l\u0131 pansuman sistemleriyle (VAC tedavisi) kapat\u0131lmas\u0131n\u0131 i\u00e7erir. Enfeksiyon kontrol alt\u0131na al\u0131nd\u0131ktan sonra, olu\u015fan bo\u015flu\u011fu kapatmak i\u00e7in genellikle plastik cerrahi taraf\u0131ndan kas dokusu kayd\u0131rma (flep) ameliyatlar\u0131 gerekebilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Gogus_Kemiginin_Ayrilmasi_Dehisens_Ne_Anlama_Gelir_ve_Nasil_Onlenir\"><\/span>Sternotomi Sonras\u0131 G\u00f6\u011f\u00fcs Kemi\u011finin Ayr\u0131lmas\u0131 (Dehisens) Ne Anlama Gelir ve Nas\u0131l \u00d6nlenir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sternal dehisens, ameliyat sonras\u0131 birle\u015ftirilen g\u00f6\u011f\u00fcs kemi\u011fi yar\u0131lar\u0131n\u0131n birbirinden ayr\u0131lmas\u0131 veya gev\u015femesidir. Bu durum genellikle mekanik stresten (\u015fiddetli \u00f6ks\u00fcr\u00fck, a\u011f\u0131r kald\u0131rma) veya altta yatan bir enfeksiyondan kaynaklan\u0131r. Hastalar g\u00f6\u011f\u00fcslerinde bir &#8220;t\u0131klama&#8221;, &#8220;g\u0131c\u0131rdama&#8221; veya oynama hissi fark edebilirler.<\/p>\n<p>\u00d6nlenmesi i\u00e7in hem cerraha hem de hastaya g\u00f6revler d\u00fc\u015fer. Cerrah, ameliyat s\u0131ras\u0131nda kemi\u011fi m\u00fcmk\u00fcn olan en sa\u011flam teknikle kapat\u0131r. Hastan\u0131n ise taburcu olduktan sonra &#8220;sternal \u00f6nlemler&#8221; olarak adland\u0131r\u0131lan kurallara harfiyen uymas\u0131 gerekir. Bu kurallar, iyile\u015fmekte olan kemi\u011fi a\u015f\u0131r\u0131 y\u00fckten korumay\u0131 ama\u00e7lar. E\u011fer dehisens geli\u015firse, tedavi genellikle yaran\u0131n temizlenmesini ve kemi\u011fin genellikle plak-vida gibi daha sa\u011flam bir y\u00f6ntemle yeniden kapat\u0131lmas\u0131n\u0131 i\u00e7erir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Gecmeyen_Agri_PSPS_Nedir_ve_Nasil_Bir_Yaklasim_Izlenir\"><\/span>Sternotomi Sonras\u0131 Ge\u00e7meyen A\u011fr\u0131 (PSPS) Nedir ve Nas\u0131l Bir Yakla\u015f\u0131m \u0130zlenir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hastalar\u0131n bir k\u0131sm\u0131nda, ameliyattan aylar hatta y\u0131llar sonra bile devam eden bir g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 durumu g\u00f6r\u00fclebilir. Buna Post-Sternotomi A\u011fr\u0131 Sendromu (PSPS) denir. Bu a\u011fr\u0131 genellikle yan\u0131c\u0131, bat\u0131c\u0131 veya s\u0131zlay\u0131c\u0131 nitelikte olabilir ve ya\u015fam kalitesini olumsuz etkileyebilir.<\/p>\n<p>Nedenleri bilinmemekle birlikte birka\u00e7 olas\u0131 fakt\u00f6r \u00fczerinde durulmaktad\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Ameliyat s\u0131ras\u0131nda kaburgalar aras\u0131 sinirlerin zedelenmesi veya diki\u015f materyalleri taraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131lmas\u0131 (n\u00f6ropatik a\u011fr\u0131).<\/li>\n<li aria-level=\"1\">Kaburga k\u0131k\u0131rdaklar\u0131nda iltihaplanma (kostokondrit).<\/li>\n<li aria-level=\"1\">Kemi\u011fin tam kaynamamas\u0131 veya kronik instabilite.<\/li>\n<\/ul>\n<p>Tedavisi genellikle ki\u015fiye \u00f6zel, \u00e7ok y\u00f6nl\u00fc bir yakla\u015f\u0131m gerektirir. Basit a\u011fr\u0131 kesiciler, n\u00f6ropatik a\u011fr\u0131ya \u00f6zel ila\u00e7lar, fizik tedavi, sinir blokajlar\u0131 ve psikolojik destek gibi y\u00f6ntemler bir arada kullan\u0131labilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Iyilesme_Surecinde_Hastalari_Neler_Bekler\"><\/span>Sternotomi Sonras\u0131 \u0130yile\u015fme S\u00fcrecinde Hastalar\u0131 Neler Bekler?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0130yile\u015fme s\u00fcreci bir maratondur, sprint de\u011fil. Herkesin iyile\u015fme h\u0131z\u0131 farkl\u0131d\u0131r, ancak genel bir zaman \u00e7izelgesi hastalar\u0131n ne bekleyece\u011fini anlamas\u0131na yard\u0131mc\u0131 olabilir. G\u00f6\u011f\u00fcs kemi\u011finin kaynamas\u0131 genellikle 8 ila 12 hafta s\u00fcrer. Ancak kendinizi tamamen &#8220;eski halinizde&#8221; hissetmeniz 6 ay veya daha uzun bir zaman alabilir.<\/p>\n<ul>\n<li>Hastanede (\u0130lk 1-5 g\u00fcn): Odak noktas\u0131, akci\u011fer sorunlar\u0131n\u0131 \u00f6nlemek ve sizi m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede aya\u011fa kald\u0131rmakt\u0131r. Derin nefes egzersizleri yapman\u0131z, \u00f6ks\u00fcrmeniz (g\u00f6\u011fs\u00fcn\u00fcz\u00fc yast\u0131kla destekleyerek) ve k\u0131sa y\u00fcr\u00fcy\u00fc\u015fler yapman\u0131z te\u015fvik edilir.<\/li>\n<li>Evde \u0130lk D\u00f6nem (1-6. Hafta): Bu en dikkatli olman\u0131z gereken d\u00f6nemdir. Kemi\u011fin iyile\u015fmesini desteklemek i\u00e7in &#8220;sternal \u00f6nlemlere&#8221; s\u0131k\u0131 s\u0131k\u0131ya uyman\u0131z gerekir. Dinlenmek \u00f6nemlidir, ancak k\u0131sa y\u00fcr\u00fcy\u00fc\u015fler gibi hafif aktiviteler kan dola\u015f\u0131m\u0131n\u0131 art\u0131rarak iyile\u015fmeye yard\u0131mc\u0131 olur.<\/li>\n<li>Orta D\u00f6nem (6-12. Hafta): 6-8. haftadan sonra kemik b\u00fcy\u00fck \u00f6l\u00e7\u00fcde stabil hale gelir. Doktorunuzun onay\u0131yla, kald\u0131rd\u0131\u011f\u0131n\u0131z a\u011f\u0131rl\u0131\u011f\u0131 yava\u015f yava\u015f art\u0131rabilir ve araba kullanmak gibi aktivitelere geri d\u00f6nebilirsiniz.<\/li>\n<li>Uzun D\u00f6nem (3 Ay ve Sonras\u0131): \u00dc\u00e7\u00fcnc\u00fc ay\u0131n sonunda kemik genellikle tamamen kaynam\u0131\u015f kabul edilir. Daha yorucu aktivitelere, spora ve normal ya\u015fant\u0131n\u0131za kademeli olarak d\u00f6nebilirsiniz.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Evde_Bakim_Icin_Hayati_Ipuclari_Nelerdir\"><\/span>Sternotomi Sonras\u0131 Evde Bak\u0131m \u0130\u00e7in Hayati \u0130pu\u00e7lar\u0131 Nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hastaneden taburcu olduktan sonra iyile\u015fme s\u00fcrecinin sorumlulu\u011fu b\u00fcy\u00fck \u00f6l\u00e7\u00fcde size ge\u00e7er. Evde do\u011fru bak\u0131m uygulamak, komplikasyonlar\u0131 \u00f6nlemek ve s\u00fcreci h\u0131zland\u0131rmak i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n<p>\u0130\u015fte evde dikkat etmeniz gereken baz\u0131 kilit noktalar:<\/p>\n<ul>\n<li aria-level=\"1\">Yara yerinizi her zaman temiz ve kuru tutun.<\/li>\n<li aria-level=\"1\">Doktorunuz izin verene kadar yara \u00fczerine losyon veya krem s\u00fcrmeyin.<\/li>\n<li aria-level=\"1\">K\u0131zar\u0131kl\u0131k, artan \u015fi\u015flik, ak\u0131nt\u0131 veya ate\u015f gibi enfeksiyon belirtilerini takip edin.<\/li>\n<li aria-level=\"1\">A\u011fr\u0131 kesicilerinizi, a\u011fr\u0131n\u0131n \u015fiddetlenmesini beklemeden, d\u00fczenli olarak al\u0131n.<\/li>\n<li aria-level=\"1\">Protein a\u00e7\u0131s\u0131ndan zengin, dengeli bir diyetle beslenin.<\/li>\n<li aria-level=\"1\">Kab\u0131zl\u0131\u011f\u0131 \u00f6nlemek i\u00e7in bol s\u0131v\u0131 t\u00fcketin ve lifli g\u0131dalar yiyin.<\/li>\n<li aria-level=\"1\">Her g\u00fcn k\u0131sa y\u00fcr\u00fcy\u00fc\u015fler yap\u0131n, ancak kendinizi a\u015f\u0131r\u0131 yormaktan ka\u00e7\u0131n\u0131n.<\/li>\n<li aria-level=\"1\">Yataktan kalkarken veya sandalyeye otururken kollar\u0131n\u0131zdan g\u00fc\u00e7 almay\u0131n.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_%E2%80%98Sternal_Onlemler_Neden_Onemlidir_ve_Neleri_Kapsar\"><\/span>Sternotomi Sonras\u0131 &#8216;Sternal \u00d6nlemler&#8217; Neden \u00d6nemlidir ve Neleri Kapsar?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sternal \u00f6nlemler taburculuk sonras\u0131 ilk 6-8 hafta boyunca iyile\u015fmekte olan g\u00f6\u011f\u00fcs kemi\u011finizi korumak i\u00e7in tasarlanm\u0131\u015f bir dizi kurald\u0131r. Bu kurallara uymak, kemi\u011fin d\u00fczg\u00fcn kaynamas\u0131 i\u00e7in hayati \u00f6nem ta\u015f\u0131r.<\/p>\n<p>Ka\u00e7\u0131nman\u0131z gereken temel hareketler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">5 kilogramdan daha a\u011f\u0131r bir \u015fey kald\u0131rmak.<\/li>\n<li aria-level=\"1\">Kollar\u0131n\u0131zla itme veya \u00e7ekme hareketleri yapmak (\u00f6rne\u011fin a\u011f\u0131r bir kap\u0131y\u0131 a\u00e7mak, mobilya itmek).<\/li>\n<li aria-level=\"1\">Kollar\u0131n\u0131z\u0131 omuz seviyesinin \u00fczerine kald\u0131rmak veya arkan\u0131za do\u011fru uzatmak.<\/li>\n<li aria-level=\"1\">Yataktan kalkarken veya otururken kollar\u0131n\u0131zdan destek almak.<\/li>\n<li aria-level=\"1\">Araba kullanmak (genellikle ilk 4-6 hafta).<\/li>\n<\/ul>\n<p>Yapman\u0131z gerekenler ise \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">\u00d6ks\u00fcr\u00fcrken, hap\u015f\u0131r\u0131rken veya g\u00fclerken g\u00f6\u011fs\u00fcn\u00fcze bir yast\u0131k bast\u0131rarak desteklemek.<\/li>\n<li aria-level=\"1\">Hareket ederken v\u00fccudunuzu simetrik tutmaya \u00e7al\u0131\u015fmak.<\/li>\n<li aria-level=\"1\">Size a\u011fr\u0131 veya rahats\u0131zl\u0131k veren herhangi bir hareketten ka\u00e7\u0131nmak.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Kardiyak_Rehabilitasyonun_Sternotomi_Sonrasi_Iyilesmedeki_Yeri_Nedir\"><\/span>Kardiyak Rehabilitasyonun Sternotomi Sonras\u0131 \u0130yile\u015fmedeki Yeri Nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kardiyak rehabilitasyon, kalp ameliyat\u0131 sonras\u0131 iyile\u015fmenin en \u00f6nemli par\u00e7alar\u0131ndan biridir. Bu sadece egzersiz yapmaktan \u00e7ok daha fazlas\u0131n\u0131 i\u00e7eren, t\u0131bbi g\u00f6zetim alt\u0131ndaki bir programd\u0131r. Amac\u0131, fiziksel g\u00fcc\u00fcn\u00fcz\u00fc g\u00fcvenli bir \u015fekilde yeniden kazanman\u0131za, kalp sa\u011fl\u0131\u011f\u0131n\u0131z hakk\u0131nda bilgi edinmenize ve ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri yapman\u0131za yard\u0131mc\u0131 olmakt\u0131r.<\/p>\n<p>Program genellikle \u015fu bile\u015fenleri i\u00e7erir:<\/p>\n<ul>\n<li>G\u00f6zetimli Egzersiz: Kondisyonunuzu g\u00fcvenli bir \u015fekilde art\u0131rmak i\u00e7in size \u00f6zel olarak planlanm\u0131\u015f egzersiz seanslar\u0131.<\/li>\n<li>E\u011fitim: Kalp sa\u011fl\u0131\u011f\u0131, beslenme, ila\u00e7lar ve risk fakt\u00f6rlerinin y\u00f6netimi hakk\u0131nda e\u011fitimler.<\/li>\n<li>Dan\u0131\u015fmanl\u0131k: Stres y\u00f6netimi ve ameliyat sonras\u0131 ya\u015fanabilecek duygusal zorluklarla ba\u015fa \u00e7\u0131kma konusunda destek.<\/li>\n<\/ul>\n<p>Kardiyak rehabilitasyonun, hastalar\u0131n ya\u015fam kalitesini art\u0131rd\u0131\u011f\u0131, hastaneye yeniden yat\u0131\u015f oranlar\u0131n\u0131 d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fc ve genel sa\u011fkal\u0131m\u0131 iyile\u015ftirdi\u011fi bilimsel olarak kan\u0131tlanm\u0131\u015ft\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sternotomi_Sonrasi_Agri_Yonetimi_Icin_Hangi_Yontemler_Kullanilir\"><\/span>Sternotomi Sonras\u0131 A\u011fr\u0131 Y\u00f6netimi \u0130\u00e7in Hangi Y\u00f6ntemler Kullan\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ameliyat sonras\u0131 a\u011fr\u0131, beklenen bir durumdur ve etkili bir \u015fekilde y\u00f6netilmesi, hem konforunuz hem de iyile\u015fmeniz i\u00e7in \u00e7ok \u00f6nemlidir. A\u011fr\u0131 kontrol\u00fc, daha rahat hareket etmenizi, daha iyi nefes alman\u0131z\u0131 ve daha iyi uyuman\u0131z\u0131 sa\u011flar. G\u00fcn\u00fcm\u00fczde a\u011fr\u0131y\u0131 y\u00f6netmek i\u00e7in tek bir ilaca bel ba\u011flamak yerine, &#8220;\u00e7ok modlu&#8221; bir yakla\u015f\u0131m benimsiyoruz. Bu farkl\u0131 mekanizmalarla etki eden \u00e7e\u015fitli y\u00f6ntemlerin bir arada kullan\u0131lmas\u0131 anlam\u0131na gelir.<\/p>\n<p>Bu yakla\u015f\u0131m genellikle \u015funlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li aria-level=\"1\">Parasetamol gibi temel a\u011fr\u0131 kesiciler.<\/li>\n<li aria-level=\"1\">\u0130buprofen gibi non-steroid anti-inflamatuar ila\u00e7lar (NSAID&#8217;ler).<\/li>\n<li aria-level=\"1\">\u00d6zellikle ilk g\u00fcnlerdeki \u015fiddetli a\u011fr\u0131lar i\u00e7in kullan\u0131lan opioid grubu ila\u00e7lar.<\/li>\n<li aria-level=\"1\">Parasternal sinir blokajlar\u0131 gibi b\u00f6lgesel anestezi teknikleri.<\/li>\n<li aria-level=\"1\">S\u0131cak veya so\u011fuk uygulama gibi ila\u00e7 d\u0131\u015f\u0131 y\u00f6ntemler.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Bir_Sternotomi_Ameliyatinin_Ardindan_Duygusal_Dalgalanmalar_Yasamak_Normal_Midir\"><\/span>Bir Sternotomi Ameliyat\u0131n\u0131n Ard\u0131ndan Duygusal Dalgalanmalar Ya\u015famak Normal Midir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kesinlikle evet. B\u00fcy\u00fck bir kalp ameliyat\u0131 ge\u00e7irmek, sadece bedeni de\u011fil ruhu da etkileyen \u00f6nemli bir ya\u015fam olay\u0131d\u0131r. Ameliyat sonras\u0131 d\u00f6nemde kendinizi bir &#8220;duygusal rollercoaster&#8221; \u00fczerinde hissetmeniz \u00e7ok yayg\u0131nd\u0131r ve bu iyile\u015fme s\u00fcrecinin normal bir par\u00e7as\u0131d\u0131r.<\/p>\n<p>Hastalar \u015fu gibi duygular\u0131 ya\u015fayabilir:<\/p>\n<ul>\n<li aria-level=\"1\">Anksiyete veya endi\u015fe<\/li>\n<li aria-level=\"1\">Depresif veya \u00fczg\u00fcn hissetme<\/li>\n<li aria-level=\"1\">Sinirlilik veya kolayca \u00f6fkelenme<\/li>\n<li aria-level=\"1\">Ruh hali dalgalanmalar\u0131<\/li>\n<li aria-level=\"1\">Haf\u0131za ve konsantrasyon g\u00fc\u00e7l\u00fckleri (&#8220;pompa kafa&#8221; olarak da bilinir)<\/li>\n<li aria-level=\"1\">Kabuslar veya uyku sorunlar\u0131<\/li>\n<\/ul>\n<p>Bu duygular genellikle ameliyat\u0131n stresi, a\u011fr\u0131, ila\u00e7lar\u0131n yan etkileri ve normal hayattan bir s\u00fcreli\u011fine kopmu\u015f olman\u0131n bir birle\u015fimidir. Bu hisler genellikle ge\u00e7icidir ve iyile\u015ftik\u00e7e azal\u0131r. \u00c7o\u011fu hasta, altta yatan kalp sorunu \u00e7\u00f6z\u00fcld\u00fc\u011f\u00fc i\u00e7in 6 ay i\u00e7inde hem fiziksel hem de psikolojik olarak kendini \u00e7ok daha iyi hisseder. Bu s\u00fcre\u00e7te ailenizle, arkada\u015flar\u0131n\u0131zla konu\u015fmak, destek gruplar\u0131na kat\u0131lmak veya profesyonel yard\u0131m almak, bu zorlu ama ge\u00e7ici d\u00f6nemi daha kolay atlatman\u0131za yard\u0131mc\u0131 olabilir. Unutmay\u0131n bu yolculukta yaln\u0131z de\u011filsiniz.<br \/>\n<h2 class=\"accordion_title\"><span class=\"ez-toc-section\" id=\"Sikca_Sorulan_Sorular\"><\/span>S\u0131k\u00e7a Sorulan Sorular<span class=\"ez-toc-section-end\"><\/span><\/h2><div class=\"accordion\">\n\t<div id=\"accordion-306396788\" class=\"accordion-item\">\n\t\t<a id=\"accordion-306396788-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-306396788-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_nedir\"><\/span>Sternotomi nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-306396788-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-306396788-label\">\n\t\t\t\n<p>Sternotomi, g\u00f6\u011f\u00fcs kafesinin ortas\u0131nda yer alan sternum (iman tahtas\u0131) kemi\u011finin cerrahi olarak kesilmesiyle yap\u0131lan bir i\u015flemdir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3031624028\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3031624028-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-ameliyatlarda-sternotomi-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-3031624028-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_ameliyatlarda_sternotomi_yapilir\"><\/span>Hangi ameliyatlarda sternotomi yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3031624028-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3031624028-label\">\n\t\t\t\n<p>A\u00e7\u0131k kalp cerrahileri, b\u00fcy\u00fck damar ameliyatlar\u0131, kalp kapa\u011f\u0131 de\u011fi\u015fimi ve baz\u0131 g\u00f6\u011f\u00fcs i\u00e7i t\u00fcm\u00f6rlerde kullan\u0131l\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1182617638\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1182617638-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-nas\u0131l-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-1182617638-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_nasil_yapilir\"><\/span>Sternotomi nas\u0131l yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1182617638-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1182617638-label\">\n\t\t\t\n<p>Cerrah, g\u00f6\u011f\u00fcs kemi\u011fini ortadan keserek kalp ve g\u00f6\u011f\u00fcs bo\u015flu\u011funa ula\u015f\u0131r; i\u015flem sonras\u0131 kemik tel veya plaklarla sabitlenir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3346629768\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3346629768-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-sonras\u0131-iyile\u015fme-s\u00fcresi-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-3346629768-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_sonrasi_iyilesme_suresi_nedir\"><\/span>Sternotomi sonras\u0131 iyile\u015fme s\u00fcresi nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3346629768-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3346629768-label\">\n\t\t\t\n<p>Genellikle 6 ila 8 hafta aras\u0131nda de\u011fi\u015fir; bu s\u00fcre boyunca a\u011f\u0131r kald\u0131rmaktan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1880293799\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1880293799-label\" class=\"accordion-title plain\" href=\"#accordion-item-ameliyat-sonras\u0131-g\u00f6\u011f\u00fcs-a\u011fr\u0131s\u0131-olur-mu?\" aria-expanded=\"false\" aria-controls=\"accordion-1880293799-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Ameliyat_sonrasi_gogus_agrisi_olur_mu\"><\/span>Ameliyat sonras\u0131 g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 olur mu?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1880293799-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1880293799-label\">\n\t\t\t\n<p>Hafif veya orta \u015fiddette a\u011fr\u0131 normaldir; ila\u00e7larla kontrol alt\u0131na al\u0131nabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2897245158\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2897245158-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-izi-kal\u0131c\u0131-m\u0131d\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-2897245158-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_izi_kalici_midir\"><\/span>Sternotomi izi kal\u0131c\u0131 m\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2897245158-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2897245158-label\">\n\t\t\t\n<p>Evet, g\u00f6\u011f\u00fcs ortas\u0131nda dikey bir iz kal\u0131r; zamanla rengi solabilir ancak tamamen kaybolmaz.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2696308306\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2696308306-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternum-nas\u0131l-iyile\u015fir?\" aria-expanded=\"false\" aria-controls=\"accordion-2696308306-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternum_nasil_iyilesir\"><\/span>Sternum nas\u0131l iyile\u015fir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2696308306-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2696308306-label\">\n\t\t\t\n<p>Cerrahi olarak tel veya plakla sabitlenen kemik, do\u011fal s\u00fcre\u00e7te kaynar; bu s\u00fcre\u00e7te g\u00f6\u011f\u00fcs kafesi korunmal\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2029673843\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2029673843-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-enfeksiyon-riski-ta\u015f\u0131r-m\u0131?\" aria-expanded=\"false\" aria-controls=\"accordion-2029673843-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_enfeksiyon_riski_tasir_mi\"><\/span>Sternotomi enfeksiyon riski ta\u015f\u0131r m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2029673843-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2029673843-label\">\n\t\t\t\n<p>Evet, \u00f6zellikle diyabetli, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 zay\u0131f olan veya obez hastalarda enfeksiyon riski daha y\u00fcksektir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-449873377\" class=\"accordion-item\">\n\t\t<a id=\"accordion-449873377-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-sonras\u0131-egzersiz-yap\u0131labilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-449873377-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_sonrasi_egzersiz_yapilabilir_mi\"><\/span>Sternotomi sonras\u0131 egzersiz yap\u0131labilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-449873377-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-449873377-label\">\n\t\t\t\n<p>Hafif y\u00fcr\u00fcy\u00fc\u015fler \u00f6nerilir; ancak doktorun onay\u0131 olmadan a\u011f\u0131rl\u0131k kald\u0131r\u0131lmamal\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2633713934\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2633713934-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-sonras\u0131-uyku-pozisyonu-\u00f6nemli-midir?\" aria-expanded=\"false\" aria-controls=\"accordion-2633713934-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_sonrasi_uyku_pozisyonu_onemli_midir\"><\/span>Sternotomi sonras\u0131 uyku pozisyonu \u00f6nemli midir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2633713934-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2633713934-label\">\n\t\t\t\n<p>S\u0131rt \u00fcst\u00fc yatmak genellikle \u00f6nerilir; yan yat\u0131\u015f a\u011fr\u0131ya neden olabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2567751328\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2567751328-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-ge\u00e7iren-hastalarda-nelere-dikkat-edilmelidir?\" aria-expanded=\"false\" aria-controls=\"accordion-2567751328-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_geciren_hastalarda_nelere_dikkat_edilmelidir\"><\/span>Sternotomi ge\u00e7iren hastalarda nelere dikkat edilmelidir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2567751328-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2567751328-label\">\n\t\t\t\n<p>Enfeksiyon belirtileri, a\u011fr\u0131 art\u0131\u015f\u0131, kanama ve ate\u015f durumunda doktora ba\u015fvurulmal\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-784211570\" class=\"accordion-item\">\n\t\t<a id=\"accordion-784211570-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-sonras\u0131-araba-kullanmak-ne-zaman-serbesttir?\" aria-expanded=\"false\" aria-controls=\"accordion-784211570-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_sonrasi_araba_kullanmak_ne_zaman_serbesttir\"><\/span>Sternotomi sonras\u0131 araba kullanmak ne zaman serbesttir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-784211570-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-784211570-label\">\n\t\t\t\n<p>Genellikle 6 hafta sonra, kemik iyile\u015fmesi tamamland\u0131ktan sonra \u00f6nerilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4143250754\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4143250754-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-yerine-alternatif-y\u00f6ntemler-var-m\u0131?\" aria-expanded=\"false\" aria-controls=\"accordion-4143250754-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_yerine_alternatif_yontemler_var_mi\"><\/span>Sternotomi yerine alternatif y\u00f6ntemler var m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-4143250754-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4143250754-label\">\n\t\t\t\n<p>Evet, baz\u0131 durumlarda mini-sternotomi, torakotomi veya robotik cerrahi gibi daha az invaziv y\u00f6ntemler tercih edilebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1151926779\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1151926779-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-sonras\u0131-psikolojik-etkiler-olabilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-1151926779-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_sonrasi_psikolojik_etkiler_olabilir_mi\"><\/span>Sternotomi sonras\u0131 psikolojik etkiler olabilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1151926779-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1151926779-label\">\n\t\t\t\n<p>Baz\u0131 hastalarda kayg\u0131, depresyon veya v\u00fccut imaj\u0131 bozuklu\u011fu geli\u015febilir; psikolojik destek faydal\u0131 olabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1312583108\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1312583108-label\" class=\"accordion-title plain\" href=\"#accordion-item-sternotomi-kal\u0131c\u0131-sorunlara-yol-a\u00e7ar-m\u0131?\" aria-expanded=\"false\" aria-controls=\"accordion-1312583108-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sternotomi_kalici_sorunlara_yol_acar_mi\"><\/span>Sternotomi kal\u0131c\u0131 sorunlara yol a\u00e7ar m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1312583108-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1312583108-label\">\n\t\t\t\n<p>Uygun bak\u0131m ve takip ile \u00e7o\u011fu hasta tamamen iyile\u015fir; komplikasyonlar nadirdir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Sternotomi, g\u00f6\u011f\u00fcs kemi\u011finin (sternum) cerrahi olarak ortadan kesilerek g\u00f6\u011f\u00fcs bo\u015flu\u011funa ula\u015f\u0131lmas\u0131n\u0131 sa\u011flayan bir ameliyat y\u00f6ntemidir. En s\u0131k kalp cerrahisi, akci\u011fer ameliyatlar\u0131 ve b\u00fcy\u00fck damar operasyonlar\u0131nda uygulan\u0131r. G\u00f6\u011f\u00fcs kemi\u011fi, i\u015flem sonras\u0131 tellerle sabitlenerek kapat\u0131l\u0131r. Median sternotomi, kalp ameliyatlar\u0131nda en yayg\u0131n kullan\u0131lan tekniktir. Cerraha geni\u015f bir \u00e7al\u0131\u015fma alan\u0131 sunar ve kalp, b\u00fcy\u00fck damarlar ile akci\u011fer yap\u0131lar\u0131na do\u011frudan [&#8230;]\n","protected":false},"author":7,"featured_media":9618,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[],"class_list":["post-11032","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11032","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/comments?post=11032"}],"version-history":[{"count":2,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11032\/revisions"}],"predecessor-version":[{"id":13743,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11032\/revisions\/13743"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/9618"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=11032"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=11032"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=11032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}