{"id":11124,"date":"2025-08-27T22:29:43","date_gmt":"2025-08-27T19:29:43","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/fallot-tetralojisi-nedir\/"},"modified":"2025-08-28T20:58:05","modified_gmt":"2025-08-28T17:58:05","slug":"fallot-tetralojisi-nedir","status":"publish","type":"post","link":"https:\/\/dryavuzbesogul.com\/en\/fallot-tetralojisi-nedir\/","title":{"rendered":"Fallot Tetralojisi (Mavi Bebek Hastal\u0131\u011f\u0131) Nedir? Fallot Tetralojisi Belirtileri Nelerdir?"},"content":{"rendered":"<p>Fallot tetralojisi, do\u011fu\u015ftan gelen ve d\u00f6rt ayr\u0131 kalp anomalisinin birlikte bulundu\u011fu kompleks bir kalp hastal\u0131\u011f\u0131d\u0131r. Bu d\u00f6rt bulgu; ventrik\u00fcler septal defekt, pulmoner darl\u0131k, aortan\u0131n sa\u011fa yerle\u015fmesi ve sa\u011f ventrik\u00fcl kas\u0131n\u0131n kal\u0131nla\u015fmas\u0131d\u0131r.<\/p>\n<p>Bu yap\u0131 bozukluklar\u0131, oksijeni d\u00fc\u015f\u00fck kan\u0131n v\u00fccuda pompalanmas\u0131na neden olur. En belirgin belirtisi dudak, t\u0131rnak ve ciltte morarma (siyanoz) olup, \u00f6zellikle efor s\u0131ras\u0131nda artar. Bebeklerde emerken yorulma, geli\u015fme gerili\u011fi ve \u201c\u00e7\u00f6melme\u201d pozisyonu alma g\u00f6r\u00fclebilir.<\/p>\n<p>Fallot tetralojisinin nedeni kesin olarak bilinmemekle birlikte genetik fakt\u00f6rler ve gebelikte ge\u00e7irilen baz\u0131 hastal\u0131klar risk olu\u015fturabilir. Erken tan\u0131, ciddi komplikasyonlar\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir.<\/p>\n<p>Tedavi, genellikle bebeklik veya \u00e7ocukluk d\u00f6neminde cerrahi d\u00fczeltme ile yap\u0131l\u0131r. Ameliyat sonras\u0131 ya\u015fam kalitesi artar, ancak \u00f6m\u00fcr boyu ekokardiyografi takibi ve baz\u0131 durumlarda ek m\u00fcdahaleler gerekebilir.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Tan\u0131m<\/td>\n<td>Do\u011fu\u015ftan gelen ve d\u00f6rt farkl\u0131 kalp yap\u0131sal bozuklu\u011funun (VSD, pulmoner darl\u0131k, aorta dekspozisyonu, sa\u011f ventrik\u00fcl hipertrofisi) birlikte g\u00f6r\u00fcld\u00fc\u011f\u00fc bir kalp hastal\u0131\u011f\u0131<\/td>\n<\/tr>\n<tr>\n<td>Nedenler<\/td>\n<td>Genetik fakt\u00f6rler, kromozomal anomaliler (Down sendromu, DiGeorge sendromu), anneye ait baz\u0131 riskler (gebelikte enfeksiyonlar, diyabet)<\/td>\n<\/tr>\n<tr>\n<td>Risk Fakt\u00f6rleri<\/td>\n<td>Ailede do\u011fumsal kalp hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc, kromozomal bozukluklar, annenin gebelikte enfeksiyon ge\u00e7irmesi<\/td>\n<\/tr>\n<tr>\n<td>Belirtiler<\/td>\n<td>Do\u011fumdan k\u0131sa s\u00fcre sonra veya bebeklikte morarma (siyanoz), nefes darl\u0131\u011f\u0131, beslenme g\u00fc\u00e7l\u00fc\u011f\u00fc, \u00e7abuk yorulma, b\u00fcy\u00fcme-geli\u015fme gerili\u011fi, parmak u\u00e7lar\u0131nda \u00e7omakla\u015fma, bay\u0131lma ataklar\u0131<\/td>\n<\/tr>\n<tr>\n<td>Tan\u0131 Y\u00f6ntemleri<\/td>\n<td>Fizik muayene, ekokardiyografi, EKG, akci\u011fer grafisi, kardiyak kateterizasyon<\/td>\n<\/tr>\n<tr>\n<td>Tedavi Y\u00f6ntemleri<\/td>\n<td>Cerrahi tedavi (tam d\u00fczeltme operasyonu), ge\u00e7ici \u015fant ameliyatlar\u0131, ila\u00e7 tedavisi (semptom kontrol\u00fc i\u00e7in), ya\u015fam boyu kardiyolojik takip<\/td>\n<\/tr>\n<tr>\n<td>Komplikasyonlar<\/td>\n<td>Kalp ritim bozukluklar\u0131, rezid\u00fcel kalp delikleri veya darl\u0131klar, kalp yetmezli\u011fi, enfektif endokardit, b\u00fcy\u00fcme-geli\u015fme gerili\u011fi<\/td>\n<\/tr>\n<tr>\n<td>\u00d6nleme Y\u00f6ntemleri<\/td>\n<td>Gebelik \u00f6ncesi ve s\u0131ras\u0131nda risk fakt\u00f6rlerinin y\u00f6netimi, genetik dan\u0131\u015fmanl\u0131k, erken tan\u0131 ve tedavi ile komplikasyonlar\u0131n \u00f6nlenmesi<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_Mavi_Bebek_Hastaligi_Nedir\" >Fallot Tetralojisi (Mavi Bebek Hastal\u0131\u011f\u0131) 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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisini_olusturan_dort_kalp_kusuru_nelerdir\" >Fallot Tetralojisi&#8217;ni olu\u015fturan d\u00f6rt kalp kusuru nelerdir?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_neden_ortaya_cikmaktadir\" >Fallot Tetralojisi neden ortaya \u00e7\u0131kmaktad\u0131r?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_icin_genetik_risk_faktorleri_var_midir\" >Fallot Tetralojisi i\u00e7in genetik risk fakt\u00f6rleri 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-5\" href=\"https:\/\/dryavuzbesogul.com\/en\/fallot-tetralojisi-nedir\/#Hamilelik_sirasinda_Fallot_Tetralojisi_riskini_artiran_faktorler_nelerdir\" >Hamilelik s\u0131ras\u0131nda Fallot Tetralojisi riskini art\u0131ran fakt\u00f6rler nelerdir?<\/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\/fallot-tetralojisi-nedir\/#Bebeklerde_ve_cocuklarda_Fallot_Tetralojisi_belirtileri_nelerdir\" >Bebeklerde ve \u00e7ocuklarda Fallot Tetralojisi belirtileri nelerdir?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_olan_bir_bebekte_%E2%80%9CTet_Nobeti%E2%80%9D_neden_olur\" >Fallot Tetralojisi olan bir bebekte &#8220;Tet N\u00f6beti&#8221; neden olur?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_dogumdan_once_nasil_teshis_edilebilir\" >Fallot Tetralojisi do\u011fumdan \u00f6nce nas\u0131l te\u015fhis edilebilir?<\/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\/fallot-tetralojisi-nedir\/#Dogumdan_sonra_Fallot_Tetralojisi_tanisi_nasil_konur\" >Do\u011fumdan sonra Fallot Tetralojisi tan\u0131s\u0131 nas\u0131l konur?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_cerrahisi_neden_tek_tedavi_secenegidir\" >Fallot Tetralojisi cerrahisi neden tek tedavi se\u00e7ene\u011fidir?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_icin_hangi_cerrahi_yontemler_uygulanir\" >Fallot Tetralojisi i\u00e7in hangi cerrahi y\u00f6ntemler uygulan\u0131r?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_icin_tam_duzeltme_ameliyati_nasil_yapilir\" >Fallot Tetralojisi i\u00e7in tam d\u00fczeltme ameliyat\u0131 nas\u0131l yap\u0131l\u0131r?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_ameliyatindan_sonra_yasam_nasil_devam_eder\" >Fallot Tetralojisi ameliyat\u0131ndan sonra ya\u015fam nas\u0131l devam eder?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_onarimi_sonrasi_hangi_uzun_donemli_sorunlar_gorulebilir\" >Fallot Tetralojisi onar\u0131m\u0131 sonras\u0131 hangi uzun d\u00f6nemli sorunlar g\u00f6r\u00fclebilir?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_hastalari_icin_neden_yeniden_ameliyat_gerekebilir\" >Fallot Tetralojisi hastalar\u0131 i\u00e7in neden yeniden ameliyat gerekebilir?<\/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\/fallot-tetralojisi-nedir\/#Fallot_Tetralojisi_onarimi_sonrasi_omur_boyu_takip_neden_bu_kadar_onemlidir\" >Fallot Tetralojisi onar\u0131m\u0131 sonras\u0131 \u00f6m\u00fcr boyu takip neden bu kadar \u00f6nemlidir?<\/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\/fallot-tetralojisi-nedir\/#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-18\" href=\"https:\/\/dryavuzbesogul.com\/en\/fallot-tetralojisi-nedir\/#Fallot_tetralojisi_nedir\" >Fallot tetralojisi nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/dryavuzbesogul.com\/en\/fallot-tetralojisi-nedir\/#Hangi_dort_anomali_bulunur\" >Hangi d\u00f6rt anomali bulunur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/dryavuzbesogul.com\/en\/fallot-tetralojisi-nedir\/#Belirtileri_nelerdir\" >Belirtileri nelerdir?<\/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\/fallot-tetralojisi-nedir\/#Bu_hastalik_neden_olur\" >Bu hastal\u0131k neden olur?<\/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\/fallot-tetralojisi-nedir\/#Ne_zaman_teshis_edilir\" >Ne zaman te\u015fhis edilir?<\/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\/fallot-tetralojisi-nedir\/#Tehlikeli_midir\" >Tehlikeli midir?<\/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\/fallot-tetralojisi-nedir\/#Tedavi_yontemleri_nelerdir\" >Tedavi y\u00f6ntemleri nelerdir?<\/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\/fallot-tetralojisi-nedir\/#Ameliyat_sonrasi_yasam_nasildir\" >Ameliyat sonras\u0131 ya\u015fam nas\u0131ld\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\/fallot-tetralojisi-nedir\/#Tamamen_iyilesme_mumkun_mu\" >Tamamen iyile\u015fme m\u00fcmk\u00fcn m\u00fc?<\/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\/fallot-tetralojisi-nedir\/#Egzersiz_yapilabilir_mi\" >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-28\" href=\"https:\/\/dryavuzbesogul.com\/en\/fallot-tetralojisi-nedir\/#Genetik_gecis_var_mi\" >Genetik ge\u00e7i\u015f var m\u0131?<\/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\/fallot-tetralojisi-nedir\/#Fetal_EKO_ile_tespit_edilebilir_mi\" >Fetal EKO ile tespit edilebilir mi?<\/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\/fallot-tetralojisi-nedir\/#Yasam_boyu_takip_gerekir_mi\" >Ya\u015fam boyu takip gerekir mi?<\/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\/fallot-tetralojisi-nedir\/#Kalp_pili_gerekir_mi\" >Kalp pili gerekir mi?<\/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\/fallot-tetralojisi-nedir\/#Hangi_uzmanlik_ilgilenir\" >Hangi uzmanl\u0131k ilgilenir?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_Mavi_Bebek_Hastaligi_Nedir\"><\/span>Fallot Tetralojisi (Mavi Bebek Hastal\u0131\u011f\u0131) Nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fallot tetralojisi, do\u011fu\u015ftan g\u00f6r\u00fclen ve kalpte d\u00f6rt farkl\u0131 yap\u0131sal anormalli\u011fin birlikte bulundu\u011fu bir kalp hastal\u0131\u011f\u0131d\u0131r. Bu bozukluklar; <strong>ventrik\u00fcler septal defekt (kalp deli\u011fi), pulmoner darl\u0131k, aortan\u0131n \u00f6ne yerle\u015fmesi ve sa\u011f kar\u0131nc\u0131k hipertrofisi<\/strong>dir. Sonu\u00e7 olarak kirli ve temiz kan kar\u0131\u015f\u0131r, v\u00fccuda yeterince oksijen ta\u015f\u0131namaz. Bu durum bebeklerde dudak, cilt ve t\u0131rnaklarda morarma (siyanoz) ile kendini g\u00f6sterir. Tedavi cerrahi operasyon olup, erken ya\u015fta yap\u0131lan kalp ameliyat\u0131 ile \u00e7ocuklar\u0131n ya\u015fam s\u00fcresi ve kalitesi belirgin \u015fekilde artar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisini_olusturan_dort_kalp_kusuru_nelerdir\"><\/span>Fallot Tetralojisi&#8217;ni olu\u015fturan d\u00f6rt kalp kusuru nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div>\n<dl id=\"attachment_8532\">\n<dt><a href=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2020\/06\/Fallot-Tetralojisi-bulunan-kalp-ile-normal-kalbin-karsilastirmali-resmi.svg\"><img decoding=\"async\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2020\/06\/Fallot-Tetralojisi-bulunan-kalp-ile-normal-kalbin-karsilastirmali-resmi.svg\" alt=\"Fallot Tetralojisi bulunan kalp ile normal kalbin kar\u015f\u0131la\u015ft\u0131rmal\u0131 resmi\" width=\"614\" height=\"441\" \/><\/a><\/dt>\n<dd>Fallot Tetralojisi bulunan kalp ile normal kalbin kar\u015f\u0131la\u015ft\u0131rmal\u0131 resmi<\/dd>\n<\/dl>\n<\/div>\n<p>Fallot Tetralojisi, ad\u0131ndan da anla\u015f\u0131laca\u011f\u0131 gibi d\u00f6rt temel anatomik sorunun birle\u015fiminden olu\u015fur. Bu sorunlar, bebe\u011fin anne karn\u0131ndaki geli\u015fimi s\u0131ras\u0131nda kalbin ana damarlar\u0131n\u0131 ay\u0131ran duvar\u0131n hatal\u0131 hizalanmas\u0131 gibi tek bir temel geli\u015fimsel hatan\u0131n zincirleme sonu\u00e7lar\u0131d\u0131r. Bu d\u00f6rt kusur \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Ventrik\u00fcler Septal Defekt (VSD)<\/li>\n<li aria-level=\"1\">Pulmoner Stenoz (Akci\u011fer Atardamar\u0131 Darl\u0131\u011f\u0131)<\/li>\n<li aria-level=\"1\">Ata Biner Tarzda Aorta<\/li>\n<li aria-level=\"1\">Sa\u011f Ventrik\u00fcl Hipertrofisi (Kalbin Sa\u011f Kar\u0131nc\u0131\u011f\u0131n\u0131n Kal\u0131nla\u015fmas\u0131)<\/li>\n<\/ul>\n<p>Bu t\u0131bbi terimleri daha anla\u015f\u0131l\u0131r bir \u015fekilde a\u00e7\u0131klamak gerekirse, Ventrik\u00fcler Septal Defekt (VSD), kalbin alt iki odac\u0131\u011f\u0131 olan kar\u0131nc\u0131klar (ventrik\u00fcller) aras\u0131ndaki duvarda b\u00fcy\u00fck bir deli\u011fin bulunmas\u0131d\u0131r. Bu delik, oksijence zengin temiz kan ile oksijence fakir kirli kan\u0131n birbirine kar\u0131\u015fmas\u0131na neden olur. Bu durum v\u00fccuda yeterli oksijen ta\u015f\u0131yan kan\u0131n gitmesini engelleyerek morarman\u0131n ana sebeplerinden birini olu\u015fturur.<\/p>\n<p>Pulmoner Stenoz ise kalbin sa\u011f kar\u0131nc\u0131\u011f\u0131ndan akci\u011ferlere kan ta\u015f\u0131yan damar\u0131n (pulmoner arter) ve\/veya kapa\u011f\u0131n\u0131n dar olmas\u0131d\u0131r. Bu darl\u0131k, sa\u011f kar\u0131nc\u0131\u011f\u0131n kan\u0131 akci\u011ferlere pompalamas\u0131n\u0131 zorla\u015ft\u0131r\u0131r ve akci\u011ferlere giden kan miktar\u0131n\u0131 ciddi \u015fekilde k\u0131s\u0131tlar. Bebe\u011fin ne kadar moraraca\u011f\u0131, b\u00fcy\u00fck \u00f6l\u00e7\u00fcde bu darl\u0131\u011f\u0131n \u015fiddetine ba\u011fl\u0131d\u0131r. E\u011fer darl\u0131k hafifse, bebekler daha az morar\u0131r ve bu duruma &#8220;pembe Fallot&#8221; denir.<\/p>\n<p>Ata Biner Tarzda Aorta, v\u00fccuda temiz kan\u0131 ta\u015f\u0131yan ana atardamar olan aortun, olmas\u0131 gereken yerden farkl\u0131 bir konumda bulunmas\u0131d\u0131r. Normalde sadece sol kar\u0131nc\u0131ktan \u00e7\u0131kmas\u0131 gerekirken, kar\u0131nc\u0131klar aras\u0131ndaki deli\u011fin tam \u00fczerine &#8220;ata biner gibi&#8221; yerle\u015fmi\u015ftir. Bu anormal konumlanma, hem sa\u011f kar\u0131nc\u0131ktan gelen kirli kan\u0131n hem de sol kar\u0131nc\u0131ktan gelen temiz kan\u0131n (kar\u0131\u015f\u0131k kan\u0131n) do\u011frudan aortaya pompalanmas\u0131na ve v\u00fccuda da\u011f\u0131lmas\u0131na neden olur.<\/p>\n<p>Sa\u011f Ventrik\u00fcl Hipertrofisi, asl\u0131nda bir sonu\u00e7tur, birincil bir kusur de\u011fildir. Sa\u011f kar\u0131nc\u0131k, \u00f6n\u00fcndeki akci\u011fer damar\u0131 darl\u0131\u011f\u0131n\u0131n yaratt\u0131\u011f\u0131 y\u00fcksek bas\u0131nca kar\u015f\u0131 kan pompalamak i\u00e7in s\u00fcrekli olarak normalden daha fazla \u00e7al\u0131\u015fmak zorunda kal\u0131r. T\u0131pk\u0131 bir kas\u0131n a\u011f\u0131rl\u0131k kald\u0131rd\u0131k\u00e7a b\u00fcy\u00fcmesi gibi, sa\u011f kar\u0131nc\u0131\u011f\u0131n kas duvar\u0131 da zamanla kal\u0131nla\u015f\u0131r. Bu durum kalbin a\u015f\u0131r\u0131 yorulmas\u0131n\u0131n bir g\u00f6stergesidir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_neden_ortaya_cikmaktadir\"><\/span>Fallot Tetralojisi neden ortaya \u00e7\u0131kmaktad\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fallot Tetralojisi&#8217;nin neden geli\u015fti\u011fi sorusu, ailelerin en \u00e7ok merak etti\u011fi konulardan biridir. Vakalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda bu durumun kesin ve tek bir nedeni yoktur. Genellikle genetik yatk\u0131nl\u0131klar ile hamilelik s\u0131ras\u0131ndaki baz\u0131 \u00e7evresel fakt\u00f6rlerin bir araya gelmesiyle ortaya \u00e7\u0131kt\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir. Bu durum bebe\u011fin kalbi anne karn\u0131nda, genellikle hamileli\u011fin ilk birka\u00e7 haftas\u0131nda geli\u015firken meydana gelen bir aksakl\u0131ktan kaynaklan\u0131r. \u00c7o\u011fu durumda bu durumun ortaya \u00e7\u0131kmas\u0131 tamamen tesad\u00fcfidir ve spesifik, tek bir neden bulunamaz. Bu noktay\u0131 vurgulamak \u00f6nemlidir: Bu durum ebeveynlerin yapt\u0131\u011f\u0131 veya yapmad\u0131\u011f\u0131 bir \u015feyin do\u011frudan bir sonucu de\u011fildir ve \u00f6nlenmesi genellikle m\u00fcmk\u00fcn olmayan karma\u015f\u0131k bir biyolojik s\u00fcre\u00e7tir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_icin_genetik_risk_faktorleri_var_midir\"><\/span>Fallot Tetralojisi i\u00e7in genetik risk fakt\u00f6rleri var m\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Evet, baz\u0131 genetik durumlar Fallot Tetralojisi riskini belirgin \u015fekilde art\u0131rmaktad\u0131r. Kalbin geli\u015fiminde rol oynayan genlerdeki baz\u0131 de\u011fi\u015fiklikler (mutasyonlar) veya kromozomlardaki anormallikler bu duruma zemin haz\u0131rlayabilir. En s\u0131k ili\u015fkilendirilen genetik durumlar a\u015fa\u011f\u0131daki gibidir:<\/p>\n<ul>\n<li aria-level=\"1\">22q11.2 Delesyon Sendromu (DiGeorge Sendromu)<\/li>\n<li aria-level=\"1\">Down Sendromu (Trizomi 21)<\/li>\n<li aria-level=\"1\">Alagille Sendromu<\/li>\n<\/ul>\n<p>Bu sendromlar aras\u0131nda DiGeorge Sendromu \u00f6zellikle dikkat \u00e7ekicidir, \u00e7\u00fcnk\u00fc Fallot Tetralojisi vakalar\u0131n\u0131n yakla\u015f\u0131k %15&#8217;i bu genetik durumla ili\u015fkilidir. Bu sendromun varl\u0131\u011f\u0131, sadece kalp sorunlar\u0131n\u0131 de\u011fil ayn\u0131 zamanda ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131fl\u0131\u011f\u0131, kalsiyum d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc ve geli\u015fimsel gecikmeler gibi ba\u015fka potansiyel sorunlar\u0131 da beraberinde getirebilir. Ailede (ebeveyn veya karde\u015f) Fallot Tetralojisi \u00f6yk\u00fcs\u00fc olmas\u0131, di\u011fer \u00e7ocuklarda da riskin ortalamadan bir miktar daha y\u00fcksek olmas\u0131na neden olabilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Hamilelik_sirasinda_Fallot_Tetralojisi_riskini_artiran_faktorler_nelerdir\"><\/span>Hamilelik s\u0131ras\u0131nda Fallot Tetralojisi riskini art\u0131ran fakt\u00f6rler nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Annenin hamilelik s\u0131ras\u0131ndaki baz\u0131 sa\u011fl\u0131k durumlar\u0131 ve ya\u015fam tarz\u0131 al\u0131\u015fkanl\u0131klar\u0131, genetik yatk\u0131nl\u0131\u011f\u0131 olan bir bebekte Fallot Tetralojisi&#8217;nin ortaya \u00e7\u0131kma olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131rabilir. Bu fakt\u00f6rler hastal\u0131\u011fa do\u011frudan neden olmaz, ancak riski y\u00fckseltebilir. Bu fakt\u00f6rlerden baz\u0131lar\u0131 \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Hamilelikte ge\u00e7irilen viral enfeksiyonlar (\u00f6zellikle k\u0131zam\u0131k\u00e7\u0131k)<\/li>\n<li aria-level=\"1\">Annenin kontrols\u00fcz diyabet hastal\u0131\u011f\u0131<\/li>\n<li aria-level=\"1\">Tedavi edilmemi\u015f fenilketon\u00fcri (PKU) gibi metabolik hastal\u0131klar<\/li>\n<li aria-level=\"1\">Hamilelik d\u00f6neminde alkol t\u00fcketimi<\/li>\n<li aria-level=\"1\">Hamilelikte sigara kullan\u0131m\u0131 veya pasif i\u00e7icilik<\/li>\n<li aria-level=\"1\">Yetersiz ve dengesiz beslenme<\/li>\n<li aria-level=\"1\">\u0130leri anne ya\u015f\u0131 (genellikle 40 ya\u015f ve \u00fczeri)<\/li>\n<\/ul>\n<p>Bu risk fakt\u00f6rlerinin bilinmesi, baz\u0131 \u00f6nleyici ad\u0131mlar\u0131n at\u0131lmas\u0131na olanak tan\u0131r. Hamilelik planlayan kad\u0131nlar\u0131n a\u015f\u0131lar\u0131n\u0131n tam olmas\u0131, folik asit kullanmas\u0131, sigara ve alkolden uzak durmas\u0131 ve kronik hastal\u0131klar\u0131n\u0131 kontrol alt\u0131nda tutmas\u0131, genel olarak do\u011fum kusurlar\u0131 riskini azaltmaya yard\u0131mc\u0131 olabilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Bebeklerde_ve_cocuklarda_Fallot_Tetralojisi_belirtileri_nelerdir\"><\/span>Bebeklerde ve \u00e7ocuklarda Fallot Tetralojisi belirtileri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fallot Tetralojisi&#8217;nin belirtileri ve bu belirtilerin \u015fiddeti, b\u00fcy\u00fck \u00f6l\u00e7\u00fcde akci\u011fer damar\u0131ndaki darl\u0131\u011f\u0131n ne kadar ciddi oldu\u011funa ba\u011fl\u0131d\u0131r. Baz\u0131 bebekler do\u011fumdan hemen sonra ciddi belirtiler g\u00f6sterirken, baz\u0131lar\u0131nda belirtiler haftalar veya aylar sonra ortaya \u00e7\u0131kabilir. En s\u0131k g\u00f6r\u00fclen belirtiler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Siyanoz (Morarma)<\/li>\n<li aria-level=\"1\">Nefes darl\u0131\u011f\u0131 ve h\u0131zl\u0131 nefes alma<\/li>\n<li aria-level=\"1\">Beslenme g\u00fc\u00e7l\u00fc\u011f\u00fc ve kilo alamama<\/li>\n<li aria-level=\"1\">\u00c7abuk yorulma<\/li>\n<li aria-level=\"1\">Kalp \u00fcf\u00fcr\u00fcm\u00fc<\/li>\n<li aria-level=\"1\">Huzursuzluk<\/li>\n<li aria-level=\"1\">\u00c7omak parmak (Clubbing)<\/li>\n<\/ul>\n<p>Siyanoz, cildin, dudaklar\u0131n ve t\u0131rnak yataklar\u0131n\u0131n oksijen eksikli\u011fi nedeniyle mavi veya gri bir renk almas\u0131d\u0131r ve en tipik bulgudur. Bu durum \u00f6zellikle bebek a\u011flarken veya beslenirken daha da belirginle\u015fir. Nefes darl\u0131\u011f\u0131, v\u00fccudun oksijen a\u00e7\u0131\u011f\u0131n\u0131 kapatma \u00e7abas\u0131n\u0131n bir sonucudur. Bebekler beslenirken nefessiz kal\u0131p \u00e7abuk yorulduklar\u0131 i\u00e7in yeterince beslenemeyebilir ve bu da kilo alamamalar\u0131na neden olabilir. Daha b\u00fcy\u00fck \u00e7ocuklar, oyun oynarken akranlar\u0131na g\u00f6re belirgin \u015fekilde \u00e7abuk yorulabilirler. Doktorun stetoskopla duydu\u011fu anormal &#8220;\u00fcfleme&#8221; sesi olan kalp \u00fcf\u00fcr\u00fcm\u00fc de s\u0131k bir bulgudur. Tedavi edilmemi\u015f ve uzun s\u00fcreli morarmas\u0131 olan daha b\u00fcy\u00fck \u00e7ocuklarda ise parmak u\u00e7lar\u0131nda geni\u015fleme ve t\u0131rnaklarda yuvarlakla\u015fma ile karakterize \u00e7omak parmak geli\u015febilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_olan_bir_bebekte_%E2%80%9CTet_Nobeti%E2%80%9D_neden_olur\"><\/span>Fallot Tetralojisi olan bir bebekte &#8220;Tet N\u00f6beti&#8221; neden olur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&#8220;Tet n\u00f6beti&#8221;, Fallot Tetralojisi&#8217;nin en endi\u015fe verici ve acil m\u00fcdahale gerektiren durumlar\u0131ndan biridir. Bu n\u00f6betler s\u0131ras\u0131nda, kan\u0131n oksijen seviyesinde ani ve tehlikeli bir d\u00fc\u015f\u00fc\u015f ya\u015fan\u0131r. N\u00f6bet, akci\u011ferlere giden damar\u0131n alt\u0131ndaki kaslar\u0131n aniden kas\u0131lmas\u0131 (spazm) sonucu akci\u011ferlere kan ak\u0131\u015f\u0131n\u0131n ge\u00e7ici olarak neredeyse tamamen engellenmesiyle tetiklenir. Bu durumda kalpteki delik nedeniyle sa\u011f kar\u0131nc\u0131ktaki t\u00fcm kirli kan do\u011frudan v\u00fccuda pompalan\u0131r ve kan\u0131n oksijen seviyesi dramatik bir \u015fekilde d\u00fc\u015fer.<\/p>\n<p>N\u00f6beti tetikleyen baz\u0131 durumlar vard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Yo\u011fun a\u011flama<\/li>\n<li aria-level=\"1\">Beslenme<\/li>\n<li aria-level=\"1\">Ik\u0131nma veya d\u0131\u015fk\u0131lama<\/li>\n<li aria-level=\"1\">Ate\u015f<\/li>\n<li aria-level=\"1\">V\u00fccudun susuz kalmas\u0131 (dehidrasyon)<\/li>\n<li aria-level=\"1\">Sabah uykudan uyanma an\u0131<\/li>\n<\/ul>\n<p>Bir tet n\u00f6beti s\u0131ras\u0131nda bebekte g\u00f6zlemlenen belirtiler olduk\u00e7a tipiktir:<\/p>\n<ul>\n<li aria-level=\"1\">Ani ve derin bir morarma<\/li>\n<li aria-level=\"1\">H\u0131zl\u0131 ve derin nefes al\u0131p verme<\/li>\n<li aria-level=\"1\">A\u015f\u0131r\u0131 huzursuzluk ve teskin edilemeyen a\u011flama<\/li>\n<li aria-level=\"1\">V\u00fccutta gev\u015feme (hipotoni)<\/li>\n<li aria-level=\"1\">Ciddi vakalarda bilin\u00e7 kayb\u0131 veya n\u00f6bet ge\u00e7irme<\/li>\n<\/ul>\n<p>Tet n\u00f6beti t\u0131bbi bir acil durumdur. Ailelere \u00f6\u011fretilen ilk ve en \u00f6nemli m\u00fcdahale, bebe\u011fi sakinle\u015ftirmeye \u00e7al\u0131\u015fmak ve hemen diz-g\u00f6\u011f\u00fcs pozisyonuna getirmektir. Bu pozisyonda bebek s\u0131rt \u00fcst\u00fc yat\u0131r\u0131l\u0131r ve dizleri karn\u0131na do\u011fru b\u00fck\u00fclerek g\u00f6\u011fs\u00fcne bast\u0131r\u0131l\u0131r. Bu manevra, kan\u0131n bir miktar\u0131n\u0131n tekrar akci\u011ferlere y\u00f6nlenmesine yard\u0131mc\u0131 olarak n\u00f6betin k\u0131r\u0131lmas\u0131n\u0131 sa\u011flayabilir. Daha b\u00fcy\u00fck \u00e7ocuklar bu ihtiyac\u0131 i\u00e7g\u00fcd\u00fcsel olarak hissederek kendili\u011finden \u00e7\u00f6melme (squatting) pozisyonu al\u0131rlar. E\u011fer n\u00f6bet bu manevrayla birka\u00e7 dakika i\u00e7inde d\u00fczelmezse, derhal acil t\u0131bbi yard\u0131m \u00e7a\u011fr\u0131lmal\u0131d\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_dogumdan_once_nasil_teshis_edilebilir\"><\/span>Fallot Tetralojisi do\u011fumdan \u00f6nce nas\u0131l te\u015fhis edilebilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>G\u00fcn\u00fcm\u00fczde teknolojinin ilerlemesi sayesinde, Fallot Tetralojisi vakalar\u0131n\u0131n \u00f6nemli bir k\u0131sm\u0131, bebek hen\u00fcz anne karn\u0131ndayken te\u015fhis edilebilmektedir. Bu s\u00fcre\u00e7 genellikle hamileli\u011fin 18-22. haftalar\u0131 aras\u0131nda yap\u0131lan detayl\u0131 ultrason taramas\u0131 s\u0131ras\u0131nda kalpte bir anormallikten \u015f\u00fcphelenilmesiyle ba\u015flar. Bu \u015f\u00fcphe \u00fczerine anne aday\u0131, bir pediatrik kardiyoloji uzman\u0131na y\u00f6nlendirilir. Uzman, sadece bebe\u011fin kalbini ve damar yap\u0131lar\u0131n\u0131 incelemeye y\u00f6nelik \u00f6zel, detayl\u0131 bir ultrason olan fetal ekokardiyogram (fetal eko) yapar. Bu test, Fallot Tetralojisi&#8217;nin d\u00f6rt temel bile\u015fenini y\u00fcksek do\u011frulukla te\u015fhis edebilir. Do\u011fum \u00f6ncesi tan\u0131, ailenin duruma psikolojik olarak haz\u0131rlanmas\u0131na ve do\u011fumun, yenido\u011fan yo\u011fun bak\u0131m \u00fcnitesi ve kalp cerrahisi ekibinin haz\u0131r bulundu\u011fu tam donan\u0131ml\u0131 bir merkezde planlanmas\u0131na olanak tan\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dogumdan_sonra_Fallot_Tetralojisi_tanisi_nasil_konur\"><\/span>Do\u011fumdan sonra Fallot Tetralojisi tan\u0131s\u0131 nas\u0131l konur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>E\u011fer Fallot Tetralojisi do\u011fumdan \u00f6nce te\u015fhis edilmemi\u015fse, tan\u0131 genellikle do\u011fumdan sonraki ilk birka\u00e7 g\u00fcn veya hafta i\u00e7inde konur. Tan\u0131 s\u00fcrecinde kullan\u0131lan temel y\u00f6ntemler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Fizik muayene<\/li>\n<li aria-level=\"1\">Pulse Oksimetre<\/li>\n<li aria-level=\"1\">Ekokardiyogram (Eko)<\/li>\n<li aria-level=\"1\">G\u00f6\u011f\u00fcs R\u00f6ntgeni<\/li>\n<li aria-level=\"1\">Elektrokardiyogram (EKG)<\/li>\n<\/ul>\n<p>Fizik muayenede doktor, bebe\u011fin cildindeki morarmay\u0131 fark eder ve kalbini dinledi\u011finde karakteristik bir \u00fcf\u00fcr\u00fcm duyar. Pulse oksimetre ile bebe\u011fin parma\u011f\u0131na veya aya\u011f\u0131na tak\u0131lan k\u00fc\u00e7\u00fck bir sens\u00f6rle kandaki oksijen doygunlu\u011fu a\u011fr\u0131s\u0131z bir \u015fekilde \u00f6l\u00e7\u00fcl\u00fcr. D\u00fc\u015f\u00fck de\u011ferler ileri tetkik gerektirir. Tan\u0131da alt\u0131n standart olan Ekokardiyogram (Eko), ses dalgalar\u0131 kullanarak kalbin hareketli g\u00f6r\u00fcnt\u00fclerini olu\u015fturur ve hastal\u0131\u011f\u0131n d\u00f6rt bile\u015fenini de net bir \u015fekilde g\u00f6stererek tan\u0131y\u0131 kesinle\u015ftirir. G\u00f6\u011f\u00fcs r\u00f6ntgeni, sa\u011f kar\u0131nc\u0131\u011f\u0131n b\u00fcy\u00fcmesine ba\u011fl\u0131 olarak kalbin karakteristik &#8220;\u00e7izme \u015fekli&#8221; ald\u0131\u011f\u0131n\u0131 g\u00f6sterebilir. EKG ise kalbin elektriksel aktivitesini kaydederek sa\u011f kar\u0131nc\u0131\u011f\u0131n a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131na ba\u011fl\u0131 bulgular\u0131 ortaya koyar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_cerrahisi_neden_tek_tedavi_secenegidir\"><\/span>Fallot Tetralojisi cerrahisi neden tek tedavi se\u00e7ene\u011fidir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fallot Tetralojisi, kalbin mimarisindeki bir dizi fiziksel kusurdan olu\u015ftu\u011fu i\u00e7in ila\u00e7larla d\u00fczeltilemez. \u0130la\u00e7 tedavileri, kalbin i\u015f y\u00fck\u00fcn\u00fc azaltmak veya semptomlar\u0131 ge\u00e7ici olarak kontrol alt\u0131na almak gibi destekleyici roller oynayabilir, ancak kalpteki bir deli\u011fi kapatamaz veya daralm\u0131\u015f bir kapa\u011f\u0131 geni\u015fletemez. Normal kan ak\u0131\u015f\u0131n\u0131 yeniden sa\u011flamak ve kalp yetmezli\u011fi, ciddi ritim bozukluklar\u0131, beyin apsesi gibi ya\u015fam\u0131 tehdit eden komplikasyonlar\u0131 \u00f6nlemek i\u00e7in cerrahi m\u00fcdahale kesinlikle zorunludur. Tedavi edilmedi\u011finde, Fallot Tetralojisi&#8217;nin sonu\u00e7lar\u0131 ciddidir. Bu nedenle cerrahi m\u00fcdahale bir se\u00e7enek de\u011fil bir zorunluluktur.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_icin_hangi_cerrahi_yontemler_uygulanir\"><\/span>Fallot Tetralojisi i\u00e7in hangi cerrahi y\u00f6ntemler uygulan\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fallot Tetralojisi&#8217;nin cerrahi tedavisi iki a\u015famal\u0131 olabilir: ge\u00e7ici (palyatif) cerrahi ve tam d\u00fczeltme ameliyat\u0131. G\u00fcn\u00fcm\u00fczde cerrahi tekniklerin ve anestezi y\u00f6netiminin geli\u015fmesiyle birlikte e\u011filim m\u00fcmk\u00fcn olan en erken d\u00f6nemde tek a\u015famal\u0131 tam d\u00fczeltme ameliyat\u0131 yapmakt\u0131r. Ancak baz\u0131 \u00f6zel durumlarda ge\u00e7ici bir prosed\u00fcr gerekebilir. Bu durumlar \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Bebe\u011fin premat\u00fcre (erken do\u011fmu\u015f) veya \u00e7ok d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131kl\u0131 olmas\u0131<\/li>\n<li aria-level=\"1\">Akci\u011fer atardamarlar\u0131n\u0131n tam d\u00fczeltme ameliyat\u0131 i\u00e7in \u00e7ok k\u00fc\u00e7\u00fck olmas\u0131<\/li>\n<li aria-level=\"1\">Bebe\u011fin ek karma\u015f\u0131k sa\u011fl\u0131k sorunlar\u0131n\u0131n bulunmas\u0131<\/li>\n<li aria-level=\"1\">Anormal seyreden koroner arterler gibi karma\u015f\u0131k bir anatominin mevcut olmas\u0131<\/li>\n<\/ul>\n<p>Bu durumlarda, bebe\u011fin tam d\u00fczeltme ameliyat\u0131 i\u00e7in b\u00fcy\u00fcmesini ve g\u00fc\u00e7lenmesini beklerken akci\u011ferlere yeterli kan ak\u0131\u015f\u0131n\u0131 sa\u011flamak i\u00e7in Modifiye Blalock-Taussig (BT) \u015fant\u0131 ad\u0131 verilen bir ameliyat yap\u0131labilir. Bu prosed\u00fcrde cerrah, v\u00fccut damarlar\u0131ndan biri ile akci\u011fer atardamar\u0131 aras\u0131na sentetik bir malzemeden yap\u0131lm\u0131\u015f k\u00fc\u00e7\u00fck bir t\u00fcp (\u015fant) yerle\u015ftirir. Alternatif olarak kalp kateterizasyonu yoluyla daralm\u0131\u015f b\u00f6lgeye bir stent tak\u0131larak da akci\u011fer kan ak\u0131m\u0131 ge\u00e7ici olarak art\u0131r\u0131labilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_icin_tam_duzeltme_ameliyati_nasil_yapilir\"><\/span>Fallot Tetralojisi i\u00e7in tam d\u00fczeltme ameliyat\u0131 nas\u0131l yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tam d\u00fczeltme ameliyat\u0131 Fallot Tetralojisi&#8217;nin kal\u0131c\u0131 tedavisidir ve genellikle bebek 3 ila 6 ayl\u0131kken, a\u00e7\u0131k kalp ameliyat\u0131 tekni\u011fiyle yap\u0131l\u0131r. Ameliyat s\u0131ras\u0131nda hastan\u0131n kan dola\u015f\u0131m\u0131 ge\u00e7ici olarak bir kalp-akci\u011fer makinesi taraf\u0131ndan devral\u0131n\u0131r. Ameliyat\u0131n iki temel ad\u0131m\u0131 vard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Ventrik\u00fcler Septal Defekt (VSD) kapat\u0131lmas\u0131<\/li>\n<li aria-level=\"1\">Sa\u011f Ventrik\u00fcl \u00c7\u0131k\u0131\u015f Yolu Darl\u0131\u011f\u0131n\u0131n (RVOTO) giderilmesi<\/li>\n<\/ul>\n<p>\u0130lk ad\u0131mda cerrah, kar\u0131nc\u0131klar aras\u0131ndaki b\u00fcy\u00fck deli\u011fi sentetik bir yama ile dikkatlice kapat\u0131r. Bu temiz ve kirli kan\u0131n birbirine kar\u0131\u015fmas\u0131n\u0131 tamamen engeller. \u0130kinci ve kritik ad\u0131mda ise akci\u011ferlere kan ak\u0131\u015f\u0131n\u0131 engelleyen darl\u0131k ortadan kald\u0131r\u0131l\u0131r. Bu darl\u0131\u011fa neden olan kal\u0131nla\u015fm\u0131\u015f kaslar\u0131n kesilip \u00e7\u0131kar\u0131lmas\u0131 veya daralm\u0131\u015f olan akci\u011fer kapa\u011f\u0131n\u0131n geni\u015fletilmesi ile ger\u00e7ekle\u015ftirilir. Bazen kapak halkas\u0131 \u00e7ok darsa, bu b\u00f6lge bir yama ile geni\u015fletilir (transann\u00fcler yama). Bu onar\u0131mlar tamamland\u0131\u011f\u0131nda, sa\u011f ventrik\u00fcl \u00fczerindeki a\u015f\u0131r\u0131 y\u00fck ortadan kalkar, kan\u0131n oksijen seviyesi h\u0131zla y\u00fckselir ve bebe\u011fin morarmas\u0131 tamamen d\u00fczelir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_ameliyatindan_sonra_yasam_nasil_devam_eder\"><\/span>Fallot Tetralojisi ameliyat\u0131ndan sonra ya\u015fam nas\u0131l devam eder?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Modern cerrahi onar\u0131m sonras\u0131 Fallot Tetralojisi hastalar\u0131 i\u00e7in uzun d\u00f6nem ya\u015fam beklentisi m\u00fckemmeldir ve \u00e7o\u011fu hasta aktif, \u00fcretken bir yeti\u015fkin ya\u015fam\u0131 s\u00fcrd\u00fcr\u00fcr. G\u00fcncel bilimsel veriler, ba\u015far\u0131l\u0131 bir onar\u0131m sonras\u0131 30 y\u0131ll\u0131k sa\u011fkal\u0131m oranlar\u0131n\u0131n %90&#8217;\u0131n \u00fczerinde oldu\u011funu g\u00f6stermektedir. Ameliyat sonras\u0131 hastalar\u0131n \u00e7o\u011fu normal bir ya\u015fam s\u00fcrd\u00fcrme kapasitesine sahiptir; okula gidebilir, arkada\u015flar\u0131yla oyun oynayabilir ve rekabet\u00e7i olmayan sporlar da dahil olmak \u00fczere bir\u00e7ok fiziksel aktiviteye kat\u0131labilirler. Ancak bu ba\u015far\u0131l\u0131 sonu\u00e7lara ra\u011fmen, Fallot Tetralojisi onar\u0131m\u0131n\u0131n bir &#8220;k\u00fcr&#8221; de\u011fil bir &#8220;tedavi&#8221; oldu\u011fu unutulmamal\u0131d\u0131r. Hastalar, \u00f6m\u00fcr boyu s\u00fcrecek potansiyel komplikasyonlar a\u00e7\u0131s\u0131ndan izlenmesi gereken bireylerdir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_onarimi_sonrasi_hangi_uzun_donemli_sorunlar_gorulebilir\"><\/span>Fallot Tetralojisi onar\u0131m\u0131 sonras\u0131 hangi uzun d\u00f6nemli sorunlar g\u00f6r\u00fclebilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fallot Tetralojisi onar\u0131m\u0131n\u0131n ba\u015far\u0131s\u0131, hastalar\u0131n daha \u00f6nce hi\u00e7 ula\u015famad\u0131klar\u0131 ya\u015flara gelmelerini sa\u011flam\u0131\u015ft\u0131r. Ancak bu durum onar\u0131m\u0131n uzun vadedeki sonu\u00e7lar\u0131n\u0131n ve yeni sorunlar\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n g\u00f6zlemlenmesine yol a\u00e7m\u0131\u015ft\u0131r. Bu komplikasyonlar genellikle yava\u015f geli\u015fir ve y\u0131llarca belirti vermeyebilir:<\/p>\n<ul>\n<li aria-level=\"1\">Pulmoner Reg\u00fcrjitasyon (Akci\u011fer Kapa\u011f\u0131 Yetmezli\u011fi)<\/li>\n<li aria-level=\"1\">Sa\u011f Ventrik\u00fcl Geni\u015flemesi ve Fonksiyon Bozuklu\u011fu<\/li>\n<li aria-level=\"1\">Aritmiler (Ritim Bozukluklar\u0131)<\/li>\n<li aria-level=\"1\">Rezid\u00fcel Lezyonlar (Ameliyat Sonras\u0131 Kalan Sorunlar)<\/li>\n<li aria-level=\"1\">Aort K\u00f6k\u00fc Geni\u015flemesi<\/li>\n<li aria-level=\"1\">Kalp \u0130\u00e7i Enfeksiyon (Endokardit)<\/li>\n<\/ul>\n<p>Bu sorunlar aras\u0131nda en s\u0131k g\u00f6r\u00fcleni pulmoner reg\u00fcrjitasyondur. \u00d6zellikle sa\u011f ventrik\u00fcl \u00e7\u0131k\u0131\u015f yolunu geni\u015fletmek i\u00e7in transann\u00fcler yama kullan\u0131lan hastalarda neredeyse ka\u00e7\u0131n\u0131lmaz bir sonu\u00e7tur. Akci\u011ferlere pompalanan kan\u0131n bir k\u0131sm\u0131n\u0131n her kalp at\u0131\u015f\u0131nda sa\u011f ventrik\u00fcle geri s\u0131zmas\u0131, y\u0131llar i\u00e7inde sa\u011f ventrik\u00fcl\u00fcn geni\u015flemesine ve kas\u0131lma fonksiyonlar\u0131n\u0131n bozulmas\u0131na yol a\u00e7ar. Aritmiler de yayg\u0131nd\u0131r ve ameliyat s\u0131ras\u0131nda olu\u015fan yara dokusu veya geni\u015flemi\u015f kalp odac\u0131klar\u0131ndan kaynaklanabilir. En ciddi risk, hayat\u0131 tehdit edebilen ventrik\u00fcler ta\u015fikardi ve buna ba\u011fl\u0131 ani kardiyak \u00f6l\u00fcm riskidir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_hastalari_icin_neden_yeniden_ameliyat_gerekebilir\"><\/span>Fallot Tetralojisi hastalar\u0131 i\u00e7in neden yeniden ameliyat gerekebilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0130lk d\u00fczeltme ameliyat\u0131 hastan\u0131n hayat\u0131n\u0131 kurtarsa da kalbin b\u00fcy\u00fcmesi ve onar\u0131lan b\u00f6lgelerin zamanla y\u0131pranmas\u0131 nedeniyle ilerleyen y\u0131llarda ek m\u00fcdahaleler gerekebilir. Yeniden ameliyat i\u00e7in en s\u0131k neden, zamanla ciddi hale gelen pulmoner kapak yetmezli\u011fini d\u00fczeltmek ve sa\u011f ventrik\u00fcl fonksiyonlar\u0131n\u0131 korumakt\u0131r. Bu ama\u00e7la yap\u0131lan en yayg\u0131n ameliyat, Pulmoner Kapak Replasman\u0131 (PVR), yani akci\u011fer kapa\u011f\u0131n\u0131n de\u011fi\u015ftirilmesidir. PVR i\u00e7in do\u011fru zamanlama, sa\u011f ventrik\u00fclde geri d\u00f6nd\u00fcr\u00fclemez hasar olu\u015fmadan m\u00fcdahale etmek i\u00e7in kritik \u00f6neme sahiptir.<\/p>\n<p>Di\u011fer yeniden ameliyat nedenleri \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Ameliyat sonras\u0131 kalan \u00f6nemli VSD s\u0131z\u0131nt\u0131lar\u0131n\u0131n kapat\u0131lmas\u0131<\/li>\n<li aria-level=\"1\">Sa\u011f ventrik\u00fcl \u00e7\u0131k\u0131\u015f yolunda yeniden geli\u015fen darl\u0131klar\u0131n giderilmesi<\/li>\n<li aria-level=\"1\">Sa\u011f ventrik\u00fcl geni\u015flemesine ba\u011fl\u0131 geli\u015fen ciddi trik\u00fcspit kapak yetmezli\u011finin onar\u0131m\u0131<\/li>\n<li aria-level=\"1\">\u00d6zel ameliyatlarda kullan\u0131lan kapakl\u0131 t\u00fcplerin (kond\u00fcit) de\u011fi\u015ftirilmesi<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Fallot_Tetralojisi_onarimi_sonrasi_omur_boyu_takip_neden_bu_kadar_onemlidir\"><\/span>Fallot Tetralojisi onar\u0131m\u0131 sonras\u0131 \u00f6m\u00fcr boyu takip neden bu kadar \u00f6nemlidir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00d6m\u00fcr boyu takip, potansiyel uzun d\u00f6nemli komplikasyonlar\u0131 erken evrede saptamak, do\u011fru zamanda m\u00fcdahale etmek ve hastan\u0131n ya\u015fam kalitesini ve s\u00fcresini en \u00fcst d\u00fczeye \u00e7\u0131karmak i\u00e7in kesinlikle gereklidir. Fallot Tetralojisi onar\u0131m\u0131, hastay\u0131 &#8220;normal&#8221; yapmaz; onu, iyi i\u015fleyen ancak kendine \u00f6zg\u00fc zorluklar\u0131 olan bir kalple ya\u015fayan, kronik bir hastal\u0131\u011f\u0131 olan bir birey haline getirir. Bu nedenle &#8220;ameliyat oldum, bitti&#8221; d\u00fc\u015f\u00fcncesi son derece yanl\u0131\u015ft\u0131r. Bu takip, ideal olarak Yeti\u015fkin Konjenital Kalp Hastal\u0131klar\u0131 (ACHD) konusunda uzmanla\u015fm\u0131\u015f merkezlerde ve bu alanda deneyimli kardiyologlar taraf\u0131ndan yap\u0131lmal\u0131d\u0131r. Bu d\u00fczenli takipler, hastan\u0131n sadece hayatta kalmas\u0131n\u0131 de\u011fil ayn\u0131 zamanda kaliteli bir ya\u015fam s\u00fcrmesini de sa\u011flar.<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-3112871279\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3112871279-label\" class=\"accordion-title plain\" href=\"#accordion-item-fallot-tetralojisi-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-3112871279-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Fallot_tetralojisi_nedir\"><\/span>Fallot tetralojisi nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3112871279-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3112871279-label\" >\n\t\t\t\n<p>D\u00f6rt farkl\u0131 kalp anomalisinin bir arada bulundu\u011fu, do\u011fu\u015ftan gelen bir kalp hastal\u0131\u011f\u0131d\u0131r. Morarmayla seyreden (siyanozlu) konjenital kalp hastal\u0131klar\u0131n\u0131n en s\u0131k nedenidir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4013129245\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4013129245-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-d\u00f6rt-anomali-bulunur?\" aria-expanded=\"false\" aria-controls=\"accordion-4013129245-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_dort_anomali_bulunur\"><\/span>Hangi d\u00f6rt anomali bulunur?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-4013129245-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4013129245-label\" >\n\t\t\t\n<p>Ventrik\u00fcler septal defekt (VSD), pulmoner darl\u0131k, aortun yer de\u011fi\u015fikli\u011fi (deksi pozisyon) ve sa\u011f ventrik\u00fcl hipertrofisi.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2829490705\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2829490705-label\" class=\"accordion-title plain\" href=\"#accordion-item-belirtileri-nelerdir?\" aria-expanded=\"false\" aria-controls=\"accordion-2829490705-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Belirtileri_nelerdir\"><\/span>Belirtileri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2829490705-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2829490705-label\" >\n\t\t\t\n<p>Morarma (siyanoz), nefes darl\u0131\u011f\u0131, bay\u0131lma, \u00e7abuk yorulma, geli\u015fme gerili\u011fi ve parmak u\u00e7lar\u0131nda \u00e7omakla\u015fma g\u00f6r\u00fclebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2559546596\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2559546596-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-hastal\u0131k-neden-olur?\" aria-expanded=\"false\" aria-controls=\"accordion-2559546596-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_hastalik_neden_olur\"><\/span>Bu hastal\u0131k neden olur?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2559546596-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2559546596-label\" >\n\t\t\t\n<p>Gebelik s\u0131ras\u0131nda kalbin geli\u015fiminde olu\u015fan bozukluklara ba\u011fl\u0131d\u0131r; genetik ve \u00e7evresel fakt\u00f6rler etkili olabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-131744024\" class=\"accordion-item\">\n\t\t<a id=\"accordion-131744024-label\" class=\"accordion-title plain\" href=\"#accordion-item-ne-zaman-te\u015fhis-edilir?\" aria-expanded=\"false\" aria-controls=\"accordion-131744024-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Ne_zaman_teshis_edilir\"><\/span>Ne zaman te\u015fhis edilir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-131744024-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-131744024-label\" >\n\t\t\t\n<p>Do\u011fumda ya da erken bebeklik d\u00f6neminde morarma \u015fikayetleriyle te\u015fhis edilir. Fetal EKO ile anne karn\u0131nda da saptanabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1620045902\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1620045902-label\" class=\"accordion-title plain\" href=\"#accordion-item-tehlikeli-midir?\" aria-expanded=\"false\" aria-controls=\"accordion-1620045902-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Tehlikeli_midir\"><\/span>Tehlikeli midir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1620045902-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1620045902-label\" >\n\t\t\t\n<p>Tedavi edilmedi\u011finde ya\u015fam\u0131 tehdit edici ciddi komplikasyonlara yol a\u00e7abilir; ancak cerrahi tedaviyle ba\u015far\u0131 oran\u0131 y\u00fcksektir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3918824256\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3918824256-label\" class=\"accordion-title plain\" href=\"#accordion-item-tedavi-y\u00f6ntemleri-nelerdir?\" aria-expanded=\"false\" aria-controls=\"accordion-3918824256-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Tedavi_yontemleri_nelerdir\"><\/span>Tedavi y\u00f6ntemleri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3918824256-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3918824256-label\" >\n\t\t\t\n<p>Genellikle ya\u015fam\u0131n ilk y\u0131l\u0131nda a\u00e7\u0131k kalp ameliyat\u0131 ile tam onar\u0131m yap\u0131l\u0131r. Baz\u0131 bebeklerde ge\u00e7ici (palyatif) ameliyatlar da gerekebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3431923816\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3431923816-label\" class=\"accordion-title plain\" href=\"#accordion-item-ameliyat-sonras\u0131-ya\u015fam-nas\u0131ld\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-3431923816-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Ameliyat_sonrasi_yasam_nasildir\"><\/span>Ameliyat sonras\u0131 ya\u015fam nas\u0131ld\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3431923816-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3431923816-label\" >\n\t\t\t\n<p>Ba\u015far\u0131l\u0131 ameliyat sonras\u0131 bir\u00e7ok \u00e7ocuk normal veya normale yak\u0131n ya\u015fam s\u00fcrebilir. D\u00fczenli takip \u00f6nemlidir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2857708662\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2857708662-label\" class=\"accordion-title plain\" href=\"#accordion-item-tamamen-iyile\u015fme-m\u00fcmk\u00fcn-m\u00fc?\" aria-expanded=\"false\" aria-controls=\"accordion-2857708662-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Tamamen_iyilesme_mumkun_mu\"><\/span>Tamamen iyile\u015fme m\u00fcmk\u00fcn m\u00fc?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2857708662-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2857708662-label\" >\n\t\t\t\n<p>Evet, \u00e7o\u011fu \u00e7ocuk uzun vadede sa\u011fl\u0131kl\u0131 bir ya\u015fam s\u00fcrebilir. Ancak baz\u0131 hastalarda ileri ya\u015flarda tekrar m\u00fcdahale gerekebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1993066596\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1993066596-label\" class=\"accordion-title plain\" href=\"#accordion-item-egzersiz-yap\u0131labilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-1993066596-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Egzersiz_yapilabilir_mi\"><\/span>Egzersiz yap\u0131labilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1993066596-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1993066596-label\" >\n\t\t\t\n<p>Cerrahi sonras\u0131 doktorun izniyle kontroll\u00fc egzersiz yap\u0131labilir. Spor yapacak \u00e7ocuklar d\u00fczenli de\u011ferlendirilmelidir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2675347138\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2675347138-label\" class=\"accordion-title plain\" href=\"#accordion-item-genetik-ge\u00e7i\u015f-var-m\u0131?\" aria-expanded=\"false\" aria-controls=\"accordion-2675347138-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Genetik_gecis_var_mi\"><\/span>Genetik ge\u00e7i\u015f var m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2675347138-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2675347138-label\" >\n\t\t\t\n<p>Baz\u0131 vakalar genetik sendromlarla (\u00f6rne\u011fin DiGeorge sendromu) ili\u015fkilidir; genetik dan\u0131\u015fmanl\u0131k \u00f6nerilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1379109780\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1379109780-label\" class=\"accordion-title plain\" href=\"#accordion-item-fetal-eko-ile-tespit-edilebilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-1379109780-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Fetal_EKO_ile_tespit_edilebilir_mi\"><\/span>Fetal EKO ile tespit edilebilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1379109780-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1379109780-label\" >\n\t\t\t\n<p>Evet, gebeli\u011fin ortalar\u0131nda fetal ekokardiyografi ile tan\u0131 koymak m\u00fcmk\u00fcnd\u00fcr.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2327973463\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2327973463-label\" class=\"accordion-title plain\" href=\"#accordion-item-ya\u015fam-boyu-takip-gerekir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-2327973463-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Yasam_boyu_takip_gerekir_mi\"><\/span>Ya\u015fam boyu takip gerekir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2327973463-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2327973463-label\" >\n\t\t\t\n<p>Evet, kalp fonksiyonlar\u0131n\u0131n d\u00fczenli izlenmesi i\u00e7in \u00e7ocuk kardiyolojisi ve eri\u015fkin konjenital kardiyoloji uzmanlar\u0131 taraf\u0131ndan takip gerekir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3448965389\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3448965389-label\" class=\"accordion-title plain\" href=\"#accordion-item-kalp-pili-gerekir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-3448965389-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Kalp_pili_gerekir_mi\"><\/span>Kalp pili gerekir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3448965389-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3448965389-label\" >\n\t\t\t\n<p>Baz\u0131 ileri durumlarda ritim bozukluklar\u0131 nedeniyle kalp pili gerekebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2518394048\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2518394048-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-uzmanl\u0131k-ilgilenir?\" aria-expanded=\"false\" aria-controls=\"accordion-2518394048-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_uzmanlik_ilgilenir\"><\/span>Hangi uzmanl\u0131k ilgilenir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2518394048-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2518394048-label\" >\n\t\t\t\n<p>Pediatrik kardiyoloji, \u00e7ocuk kalp damar cerrahisi ve eri\u015fkin konjenital kardiyoloji bu hastal\u0131\u011f\u0131n tan\u0131 ve tedavisinde rol al\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Fallot tetralojisi, do\u011fu\u015ftan gelen ve d\u00f6rt ayr\u0131 kalp anomalisinin birlikte bulundu\u011fu kompleks bir kalp hastal\u0131\u011f\u0131d\u0131r. Bu d\u00f6rt bulgu; ventrik\u00fcler septal defekt, pulmoner darl\u0131k, aortan\u0131n sa\u011fa yerle\u015fmesi ve sa\u011f ventrik\u00fcl kas\u0131n\u0131n kal\u0131nla\u015fmas\u0131d\u0131r. Bu yap\u0131 bozukluklar\u0131, oksijeni d\u00fc\u015f\u00fck kan\u0131n v\u00fccuda pompalanmas\u0131na neden olur. En belirgin belirtisi dudak, t\u0131rnak ve ciltte morarma (siyanoz) olup, \u00f6zellikle efor s\u0131ras\u0131nda artar. [&#8230;]\n","protected":false},"author":7,"featured_media":9023,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[427,428],"class_list":["post-11124","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-fallot-tetralojisi-en","tag-fallot-tetralojisi-tedavisi-en"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11124","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=11124"}],"version-history":[{"count":3,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11124\/revisions"}],"predecessor-version":[{"id":13295,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11124\/revisions\/13295"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/9023"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=11124"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=11124"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=11124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}