{"id":160828,"date":"2022-10-21T10:35:19","date_gmt":"2022-10-21T06:35:19","guid":{"rendered":""},"modified":"-0001-11-30T00:00:00","modified_gmt":"-0001-11-29T20:00:00","slug":"","status":"publish","type":"post","link":"https:\/\/ucnoqta.az\/?p=160828","title":{"rendered":"Nikahdan \u00f6nc\u0259 tibbi m\u00fcayin\u0259<\/b><\/font> – Valideynl\u0259r \u00f6vladlar\u0131n\u0131n qatilin\u0259 \u00e7evrilm\u0259m\u0259lidir"},"content":{"rendered":"

Az\u0259rbaycan talassemiyan\u0131n geni\u015f yay\u0131ld\u0131\u011f\u0131 ölk\u0259l\u0259r s\u0131ras\u0131ndad\u0131r. Talassemiyal\u0131 insanlar\u0131n normalda oldu\u011fundan daha az hemoqlobini v\u0259 çox az q\u0131rm\u0131z\u0131 qan hüceyr\u0259si olur. Bu x\u0259st\u0259liyin yay\u0131lmas\u0131n\u0131n qar\u015f\u0131s\u0131n\u0131 almaq üçün yollardan biri nikaha girm\u0259zd\u0259n \u0259vv\u0259l cütlükl\u0259rin tibbi müayin\u0259d\u0259n keçm\u0259yidir. \u018fg\u0259r iki talassemiya da\u015f\u0131y\u0131c\u0131s\u0131 evl\u0259nirs\u0259, onlar\u0131n u\u015fa\u011f\u0131n\u0131n talassemiyal\u0131 olma ehtimal\u0131 25 faizdir. \u018fg\u0259r iki talassemiya x\u0259st\u0259si evl\u0259nirs\u0259, onlar\u0131n övlad\u0131 bu x\u0259st\u0259liyi irs\u0259n alacaq.<\/strong><\/p>\n

Bu v\u0259 dig\u0259r m\u0259s\u0259l\u0259l\u0259rl\u0259 ba\u011fl\u0131 Ucnoqta.az-\u0131n suallar\u0131n\u0131 M\u0259rk\u0259zi Qan Bank\u0131n\u0131n L\u0259nk\u0259ran bölm\u0259sinin müdiri \u0130lkin \u018fs\u0259dullayev cavabland\u0131r\u0131r.
\n\"\"
\n– Talassemiya x\u0259st\u0259liyinin yay\u0131lmas\u0131n\u0131n qar\u015f\u0131s\u0131n\u0131 almaq üçün yollardan biri nikaha girm\u0259zd\u0259n \u0259vv\u0259l cütlükl\u0259rin tibbi müayin\u0259d\u0259n keçm\u0259sidir. L\u0259nkaranda bu i\u015f nec\u0259 t\u0259\u015fkil olunur?<\/strong>
\n–  2015-ci il\u0259d\u0259k evl\u0259nm\u0259k ist\u0259y\u0259n cütlükl\u0259r tibbi müayin\u0259d\u0259n keçmirdil\u0259r v\u0259 talassemiyal\u0131 olduqlar\u0131na dair m\u0259lumatl\u0131 deyildil\u0259r v\u0259 dünyaya x\u0259st\u0259 u\u015faqlar g\u0259tirilm\u0259si riski art\u0131rd\u0131. V\u0259ziyy\u0259t 2015-ci ild\u0259n d\u0259yi\u015fm\u0259y\u0259 ba\u015flad\u0131. H\u0259min ild\u0259n b\u0259ri Az\u0259rbaycanda evl\u0259nm\u0259y\u0259 haz\u0131rla\u015fan cütlükl\u0259r tibbi müayin\u0259d\u0259n keçirl\u0259r. L\u0259nkaranda bütün cütlükl\u0259rin talassemiya da\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131na gör\u0259 yoxlan\u0131lmas\u0131n\u0131 biz h\u0259yata keçiririk. Y\u0259ni L\u0259nk\u0259ran Qan M\u0259rk\u0259zind\u0259. Bütün cütlükl\u0259r hökm\u0259n müayin\u0259d\u0259n keçirl\u0259r. Ola bilsin ki b\u0259zi cütlükl\u0259r\u0259 müayin\u0259nin n\u0259tic\u0259l\u0259ri aç\u0131qlanmadan \u0259vv\u0259l aray\u0131\u015f verilsin. Bunun üçün ciddi s\u0259b\u0259bl\u0259r olmal\u0131d\u0131r.<\/p>\n

Tibbi müayin\u0259d\u0259n sonra cütlükl\u0259r tibbi aray\u0131\u015f al\u0131rlar. Bu aray\u0131\u015fda müayin\u0259nin n\u0259tic\u0259l\u0259ri qeyd olunur. Tibbi müayin\u0259nin n\u0259tic\u0259l\u0259ri müsb\u0259tdirs\u0259, cütlükl\u0259ri t\u0259brik edir, xo\u015fb\u0259xtlik arzulay\u0131r\u0131q. Amma n\u0259tic\u0259l\u0259r h\u0259mi\u015f\u0259 müsb\u0259t olmur. Bu bar\u0259d\u0259 d\u0259 onlar\u0131 m\u0259lumatland\u0131r\u0131r\u0131q: sizd\u0259 talassemiya x\u0259st\u0259liyi var (ola bilsin birind\u0259 v\u0259 ya h\u0259r ikisind\u0259), ya onun da\u015f\u0131y\u0131c\u0131s\u0131s\u0131n\u0131z. G\u0259l\u0259c\u0259kd\u0259 ortaya ç\u0131xacaq probleml\u0259r bar\u0259d\u0259 m\u0259lumatland\u0131r\u0131r\u0131q, evl\u0259ndikd\u0259n sonra do\u011fulan u\u015faqda mü\u0259yy\u0259n f\u0259sadlar ola bil\u0259c\u0259yi bar\u0259d\u0259 x\u0259b\u0259rdarl\u0131q edirik. Çal\u0131\u015f\u0131r\u0131q ki, evlilik q\u0259rar\u0131ndan dön\u0259 bilsinl\u0259r. Bundan sonra seçim onlar\u0131n olur, ail\u0259nin d\u0259, g\u0259l\u0259c\u0259k n\u0259slin sa\u011flaml\u0131\u011f\u0131 onlardan as\u0131l\u0131d\u0131r. Normal, a\u011fl\u0131 ba\u015f\u0131nda insan anlamal\u0131d\u0131r ki, ail\u0259 qurmaq yaln\u0131z iki n\u0259f\u0259rin birg\u0259 ya\u015fay\u0131\u015f\u0131ndan ibar\u0259t deyil. Ata da, ana da övladlar\u0131n\u0131n qatilin\u0259 çevrilm\u0259m\u0259lidirl\u0259r. Hans\u0131sa x\u0259st\u0259 cütlükd\u0259n sabah x\u0259st\u0259 u\u015faq dünyaya g\u0259l\u0259c\u0259ks\u0259, bunun günahkar\u0131 da valideynl\u0259r olacaq.  Bu s\u0259b\u0259bd\u0259n d\u0259 çal\u0131\u015f\u0131r\u0131q ki, evlilik q\u0259rar\u0131ndan dön\u0259 bilsinl\u0259r. Bundan sonra seçim onlar\u0131n olur. H\u0259r bir insan\u0131n hüququ var, h\u0259r k\u0259s öz q\u0259rar\u0131n\u0131 özü verm\u0259lidir. Qeyd edim ki, nikahdan \u0259vv\u0259l tibbi müayin\u0259 talassemiya il\u0259 do\u011fulan u\u015faqlar\u0131n say\u0131n\u0131 \u0259h\u0259miyy\u0259tli d\u0259r\u0259c\u0259d\u0259 azalmas\u0131na s\u0259b\u0259b olub.<\/p>\n

– Qanköçürm\u0259 insan\u0131n h\u0259yat\u0131n\u0131 xilas edir. Hans\u0131 qan qrupu hans\u0131na köçürül\u0259 bil\u0259r?<\/strong>
\n– Talassemiya x\u0259st\u0259l\u0259rinin müalic\u0259sind\u0259 qan ön\u0259mli rol oynay\u0131r. Lakin x\u0259st\u0259y\u0259 ist\u0259nil\u0259n qrupdan qan köçürm\u0259k olmaz. Qanköçürm\u0259 zaman\u0131 t\u0259k qan qrupu deyil, rezus faktor (müsb\u0259t v\u0259 ya m\u0259nfi ola bil\u0259r) n\u0259z\u0259r\u0259 al\u0131nmal\u0131d\u0131r. Dünyada insanlar\u0131n 85 faizi müsb\u0259t qan rezusuna malik oldu\u011fu halda, 15 faizinin qan\u0131 m\u0259nfi rezus olur. H\u0259mi\u015f\u0259 e\u015fitmisiniz ki, I Qan qrupu bütün qan qruplar\u0131na qan ver\u0259 bil\u0259r. \u0130ndi d\u0259 ver\u0259 bil\u0259r. Dünyada n\u0259 q\u0259d\u0259r insan varsa, o q\u0259d\u0259r d\u0259 qan qrupu var. Biz \u015f\u0259rti olaraq qan qruplar\u0131n\u0131 8 qrupa bölürük. Bu qruplar\u0131n da alt qruplar\u0131 var. Talassemiya x\u0259st\u0259sin\u0259 qan köçürül\u0259rk\u0259n bunlar n\u0259z\u0259r\u0259 al\u0131n\u0131r. Çünki uy\u011fun olmayan qan\u0131n köçürülm\u0259si n\u0259tic\u0259sind\u0259 orqanizmin bütün sisteml\u0259rind\u0259 a\u011f\u0131r pozuntular yaran\u0131r.<\/p>\n

Haz\u0131rda L\u0259nk\u0259ran bölg\u0259sind\u0259 300-400 talassemiya x\u0259st\u0259si var ki, onlardan da 40 n\u0259f\u0259r\u0259 yax\u0131n\u0131 aktiv transfuziya al\u0131r. Onlar\u0131n qan\u0131nda parçalanma olur v\u0259 aktiv \u015f\u0259kild\u0259 qan (eritrosid kütl\u0259) köçürülür. Yuxar\u0131da qeyd etdiyim kimi, x\u0259st\u0259y\u0259 qan köçürül\u0259rk\u0259n diqq\u0259tli olmaq laz\u0131md\u0131r. Hökm\u0259n x\u0259st\u0259 üçün uy\u011fun qan qrupu seçilm\u0259lidir. Seçim is\u0259 müasir üsullarla h\u0259yata keçirilir. M\u0259s\u0259l\u0259n, biz\u0259 I qrup talassemiya x\u0259st\u0259si müraci\u0259t ed\u0259nd\u0259, ilk növb\u0259d\u0259 onun qan\u0131ndan nümun\u0259 götürürük, bu nümun\u0259 \u0259sas\u0131nda da qan\u0131n hans\u0131 alt qrupuna aid oldu\u011funu t\u0259yin edirik v\u0259 uy\u011fun qan\u0131 seçirik. V\u0259 ya x\u0259st\u0259nin qan\u0131ndan nümun\u0259 götürürük, bizd\u0259 mövcud olan 8 qandan da nümun\u0259 götürüb yoxlay\u0131r\u0131q. N\u0259tic\u0259d\u0259 x\u0259st\u0259y\u0259 daha uy\u011fun qan\u0131, daha a\u011f\u0131rla\u015fma verm\u0259y\u0259n qan\u0131 götürürük. Bel\u0259 olan halda transfusiya müdd\u0259ti, y\u0259ni iki qanköçürm\u0259 aras\u0131nda müdd\u0259t uzan\u0131r. N\u0259tic\u0259d\u0259 art\u0131q miqdarda d\u0259mirin toplanmas\u0131 da azal\u0131r. Xat\u0131rlad\u0131m ki, talassemiya x\u0259st\u0259l\u0259rinin \u0259n böyük problemi müt\u0259madi qan transfuziyas\u0131 (qan köçürülm\u0259si) il\u0259 \u0259laq\u0259dar orqanizml\u0259rd\u0259 parçalanma m\u0259hsulu olan d\u0259mirin toplanmas\u0131d\u0131r. N\u0259tic\u0259d\u0259, d\u0259mir müxt\u0259lif toxumalarda – ür\u0259k v\u0259 qaraciy\u0259rd\u0259 toplanaraq f\u0259sadlar tör\u0259dir. Bel\u0259 x\u0259st\u0259l\u0259rin müalic\u0259si zaman\u0131 xelator (d\u0259mirt\u0259mizl\u0259m\u0259) preparatlar\u0131ndan istifad\u0259 olunur.<\/p>\n

– Qan donorlar\u0131 kiml\u0259r ola bil\u0259r?<\/strong>
\n-Ya\u015f h\u0259ddi 18-65 aras\u0131nda, ç\u0259kisi is\u0259 50 kq-dan yuxar\u0131 olan \u015f\u0259xsl\u0259r donor ola bil\u0259r. Bunun üçün \u015f\u0259xsiyy\u0259t v\u0259siq\u0259si il\u0259 müraci\u0259t etm\u0259k laz\u0131md\u0131r. Donor qan verm\u0259d\u0259n \u0259vv\u0259l \u0259n az\u0131 son iki saat \u0259rzind\u0259 müxt\u0259lif qida v\u0259 mayel\u0259r q\u0259bul etm\u0259lidir. Donor olmaq ist\u0259y\u0259n \u015f\u0259xsin \u015f\u0259xsiyy\u0259t v\u0259siq\u0259sini qeydiyyata al\u0131n\u0131r v\u0259 hemoqlobinin miqdar\u0131 yoxlan\u0131l\u0131r. Hemoqlobinin miqdar\u0131  normal olduqdan (Qan donoru olmaq üçün hemoqlobin s\u0259viyy\u0259si ki\u015fil\u0259rd\u0259 minimum 13,5g\/dl, maksimum 18,0 g\/dl, qad\u0131nlarda is\u0259 12,5 g\/dl, maksimum 16,5 g\/dl olmal\u0131d\u0131r.Hemoqlobinin miqdar\u0131 qad\u0131nlarda 120 q\/l-d\u0259n, ki\u015fil\u0259rd\u0259 is\u0259 130q\/l-d\u0259n az olmamal\u0131d\u0131r)  sonra h\u0259kim müayin\u0259sind\u0259n keçirilirOnun n\u0259bzi, t\u0259zyiq v\u0259 temperaturu yoxlan\u0131l\u0131r, müxt\u0259lif suallar verilir. Müayin\u0259 zaman\u0131 donorda n\u0259bzin vurmas\u0131 münt\u0259z\u0259m olaraq bir d\u0259qiq\u0259d\u0259 50-100, sistolik qan t\u0259zyiqi 180 mm c.s, diastolik t\u0259zyiq is\u0259 100 mm c.s-d\u0259n art\u0131q olmamal\u0131d\u0131r. Donorun tibbi müayin\u0259d\u0259n keçm\u0259si, qan\u0131n, qan komponentl\u0259rinin götürülm\u0259si qaydas\u0131na \u0259sas\u0259n h\u0259yata keçirilir.  Donorlar\u0131n\u0131n tibbi müayin\u0259d\u0259n keçirilm\u0259sind\u0259 \u0259sas m\u0259qs\u0259d onlar\u0131n sa\u011flaml\u0131\u011f\u0131n\u0131n q\u0259na\u0259tb\u0259x\u015f olmas\u0131n\u0131 t\u0259yin etm\u0259kl\u0259 yana\u015f\u0131, h\u0259m donorlar\u0131n, h\u0259m d\u0259 resipiyentl\u0259rin sa\u011flaml\u0131\u011f\u0131na x\u0259l\u0259l g\u0259tirm\u0259m\u0259kdir. Donor olmaq ist\u0259y\u0259n h\u0259r bir \u015f\u0259xs öz s\u0259hh\u0259ti, keçirdiyi v\u0259 haz\u0131rk\u0131 x\u0259st\u0259likl\u0259ri, h\u0259mçinin narkotik vasit\u0259l\u0259r v\u0259 psixotrop madd\u0259l\u0259r q\u0259bul edib-etm\u0259m\u0259si v\u0259 s. bar\u0259d\u0259 aidiyy\u0259ti tibb i\u015fçisin\u0259 düzgün m\u0259lumat verm\u0259li v\u0259 Az\u0259rbaycan Respublikas\u0131n\u0131n S\u0259hiyy\u0259 Nazirliyi t\u0259r\u0259find\u0259n t\u0259sdiq edil\u0259n xüsusi sor\u011fu v\u0259r\u0259q\u0259sini doldurmal\u0131d\u0131r. Yaln\u0131z sa\u011flam v\u0259 heç bir \u0259ks-göst\u0259ricil\u0259ri (donorlu\u011fa müv\u0259qq\u0259ti \u0259ksgöst\u0259ri\u015fl\u0259r \u0259lav\u0259 olunur) olmayan \u015f\u0259xsl\u0259r müalic\u0259 m\u0259qs\u0259dil\u0259 istifad\u0259 edil\u0259n qan m\u0259hsullar\u0131n\u0131n donoru ola bil\u0259rl\u0259r.<\/p>\n

Qan donorlar\u0131n\u0131n qanverm\u0259 prosedurlar\u0131 aras\u0131ndak\u0131 interval, ki\u015fil\u0259r il \u0259rzind\u0259 4 d\u0259f\u0259, qad\u0131nlar is\u0259 3 d\u0259f\u0259 qan ver\u0259 bil\u0259r. Qan al\u0131nd\u0131qdan sonra h\u0259min kütl\u0259 3 \u0259sas hiss\u0259y\u0259- eritrosit kütl\u0259sin\u0259, trombosit v\u0259 plazmaya ayr\u0131l\u0131r. Bu elementl\u0259r is\u0259 h\u0259r biri müxt\u0259lif x\u0259st\u0259likl\u0259rd\u0259 istifad\u0259 olunur. Bir n\u0259f\u0259r qan ver\u0259n \u015f\u0259xs üç n\u0259f\u0259rin h\u0259yat\u0131n\u0131 xilas etmi\u015f olur.<\/p>\n

Pünhan \u018ff\u0259ndiyev<\/strong><\/p>\n

Yaz\u0131 "Leykozlu U\u015faqlara D\u0259st\u0259k" ictimai birliyinin Az\u0259rbaycan Respublikas\u0131n\u0131n Qeyri-Hökum\u0259t T\u0259\u015fkilatlar\u0131na Dövl\u0259t D\u0259st\u0259yi Agentliyinin maliyy\u0259 yard\u0131m\u0131 il\u0259 “Regionlarda talassemiya v\u0259 qan donorlu\u011fu bar\u0259d\u0259 maarifl\u0259ndirm\u0259” layih\u0259si ç\u0259rçiv\u0259sind\u0259 haz\u0131rlanm\u0131\u015fd\u0131r.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Az\u0259rbaycan talassemiyan\u0131n geni\u015f yay\u0131ld\u0131\u011f\u0131 ölk\u0259l\u0259r s\u0131ras\u0131ndad\u0131r. Talassemiyal\u0131 insanlar\u0131n normalda oldu\u011fundan daha az hemoqlobini v\u0259 çox az q\u0131rm\u0131z\u0131 qan hüceyr\u0259si olur. Bu x\u0259st\u0259liyin yay\u0131lmas\u0131n\u0131n qar\u015f\u0131s\u0131n\u0131 almaq üçün yollardan biri nikaha girm\u0259zd\u0259n…<\/p>\n","protected":false},"author":1,"featured_media":251278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[108],"tags":[],"class_list":["post-160828","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-leykoz"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/160828","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=160828"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/160828\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/media\/251278"}],"wp:attachment":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=160828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=160828"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=160828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}