{"id":62049,"date":"2018-04-06T10:49:20","date_gmt":"2018-04-06T06:49:20","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=62049","title":{"rendered":"Az\u0259rbaycanl\u0131 h\u0259kiml\u0259rd\u0259n m\u00fcr\u0259kk\u0259b c\u0259rrahiyy\u0259 \u0259m\u0259liyyat\u0131"},"content":{"rendered":"

ATU-nun h\u0259kiml\u0259ri x\u0259st\u0259nin dilalt\u0131 nahiy\u0259sin\u0259 qoldan götürülmü\u015f toxuma köçürübl\u0259r<\/strong><\/p>\n

Az\u0259rbaycan Tibb Universitetinin (ATU) T\u0259dris C\u0259rrahiyy\u0259 Klinikas\u0131nda mür\u0259kk\u0259b c\u0259rrahiyy\u0259 \u0259m\u0259liyyat\u0131 u\u011furla icra olunub. Ucnoqta.az Tibb Universitetinin m\u0259tbuat xidm\u0259tin\u0259 istinad\u0259n x\u0259b\u0259r verir ki, a\u011f\u0131z bo\u015flu\u011funda v\u0259 ç\u0259n\u0259sind\u0259 \u015fi\u015f olan bir x\u0259st\u0259d\u0259 \u015fi\u015fl\u0259 yana\u015f\u0131, ç\u0259n\u0259nin bir qismi d\u0259 götülürüb. Ç\u0259n\u0259d\u0259n ç\u0131xar\u0131lan sümüyün \u0259v\u0259zin\u0259 is\u0259 titandan rekonstruktiv lövh\u0259 qoyulub.<\/p>\n

ATU-nun T\u0259dris C\u0259rrahiyy\u0259 Klinikas\u0131n\u0131n Üzç\u0259n\u0259 C\u0259rrahiyy\u0259si \u015föb\u0259sinin müdiri M\u0259h\u0259mm\u0259d Davudovun sözl\u0259rin\u0259 gör\u0259, bu x\u0259st\u0259d\u0259 h\u0259l\u0259 4 il qabaq ç\u0259n\u0259alt\u0131 tüpürc\u0259k v\u0259zind\u0259 \u015fi\u015f mü\u015fahid\u0259 olunub. H\u0259min vaxt pasiyentin ç\u0259n\u0259alt\u0131 tüpürc\u0259k v\u0259zinin patohistoloji müayin\u0259si n\u0259tic\u0259sind\u0259 b\u0259dxass\u0259li \u015fi\u015f oldu\u011funu a\u015fkarlan\u0131b. X\u0259st\u0259 sonrak\u0131 müalic\u0259 üçün onkoloji müalic\u0259 mü\u0259ssis\u0259sin\u0259 gönd\u0259rilib, lakin növb\u0259ti müayin\u0259l\u0259r\u0259 g\u0259lm\u0259yib.<\/p>\n

H\u0259min pasiyent 4 ild\u0259n sonra yenid\u0259n ATU T\u0259dris C\u0259rrahiyy\u0259 Klinikas\u0131na müraci\u0259t edib. M\u0259lum olub ki, bu müdd\u0259t \u0259rzind\u0259 x\u0259st\u0259 özunu yax\u015f\u0131 hiss edib, heç bir problemi olmay\u0131b: «Lakin dekabr ay\u0131nda x\u0259st\u0259 özü biz\u0259 müraci\u0259t etdi. B\u0259lli oldu ki, art\u0131q \u0259m\u0259liyyat yerind\u0259 deyil, a\u011f\u0131z bo\u015flu\u011funda da tör\u0259m\u0259 \u0259m\u0259l\u0259 g\u0259lib. Rentgenoloji v\u0259 kliniki müayin\u0259 n\u0259tic\u0259sind\u0259 a\u015fkarlan\u0131b ki, bu tör\u0259m\u0259 ç\u0259n\u0259 sümüyün\u0259 v\u0259 dilalt\u0131 toxumalara da yay\u0131l\u0131b.<\/p>\n

Doktor M.Davudovun sözl\u0259rin\u0259 gör\u0259, x\u0259st\u0259y\u0259 c\u0259rrahi müalic\u0259 v\u0259 \u0259m\u0259liyyatdan sonra radioterapiya m\u0259sl\u0259h\u0259t görülüb: «X\u0259st\u0259 \u0259trafl\u0131 müayin\u0259 olundu, \u0259m\u0259liyyat plan\u0131 d\u0259qiql\u0259\u015fdirildi. \u018fm\u0259liyyat plan\u0131na \u015fi\u015fin götürülm\u0259si, ç\u0259n\u0259 sümüyünün seqmentar rezeksiyasiyas\u0131, h\u0259min nahiy\u0259d\u0259 \u0259m\u0259l\u0259 g\u0259l\u0259n ç\u0259n\u0259 defektinin rekonstruktiv titan lövh\u0259 il\u0259 aradan qald\u0131r\u0131lmas\u0131 daxil olundu. Titandan haz\u0131rlanan rekonstruktiv lövh\u0259l\u0259r s\u0131rf bu cür ç\u0259n\u0259 konstruksiyalar\u0131 üçün n\u0259z\u0259rd\u0259 tutulub. Bu lövh\u0259l\u0259r vasit\u0259sil\u0259 defektin aradan qald\u0131r\u0131lmas\u0131 v\u0259 eyni zamanda yum\u015faq toxuma defektinin radial önqol s\u0259rb\u0259st damar ayaqc\u0131ql\u0131 dilimi il\u0259 aradan qald\u0131r\u0131lmas\u0131 m\u0259sl\u0259h\u0259t görülür”.<\/p>\n

H\u0259kim bildirir ki, bu \u0259m\u0259liyyat üçün “radial önqol diliminin” seçilm\u0259si t\u0259sadüfi deyil. Çünki böyü dilim, boyundak\u0131 lokal dilim v\u0259 s.diliml\u0259rl\u0259 müqayis\u0259d\u0259 bu x\u0259st\u0259d\u0259 \u0259n uy\u011fun variant uzaq bir nahiy\u0259d\u0259n “s\u0259rb\u0259st damar ayaqc\u0131ql\u0131 dilim”in götürülm\u0259si olub.<\/p>\n

Bu mür\u0259kk\u0259b \u0259m\u0259liyyat t\u0259xmin\u0259n 6 saat davam edib. N\u0259tic\u0259d\u0259 ç\u0259n\u0259 sümüyü rezeksiya olunub, \u015fi\u015f götürülüb. Eyni zamanda, boyunda da böyümü\u015f limfa v\u0259zil\u0259ri oldu\u011fu üçün radikal boyun diseksiyas\u0131 icra edilib. \u018fm\u0259liyyat\u0131n ikinci m\u0259rh\u0259l\u0259sind\u0259 a\u011f\u0131z bo\u015flu\u011fundak\u0131 defekt önqol nahiy\u0259sind\u0259n götürülmü\u015f s\u0259rb\u0259st ayaqc\u0131ql\u0131 dilim vasit\u0259sil\u0259 v\u0259 mikroc\u0259rrahi texnikan\u0131n köm\u0259kliyi il\u0259 damarlara anastomoz qoyularaq b\u0259rpa edilib. Bir h\u0259ft\u0259 önc\u0259 icra edil\u0259n \u0259m\u0259liyyatdan sonra x\u0259st\u0259nin ümumi v\u0259ziyy\u0259ti yax\u015f\u0131d\u0131r. Art\u0131q yaralar\u0131 sa\u011fald\u0131\u011f\u0131ndan, x\u0259st\u0259 yax\u0131n zamanda ev\u0259 yaz\u0131lacaq.<\/p>\n","protected":false},"excerpt":{"rendered":"

ATU-nun h\u0259kiml\u0259ri x\u0259st\u0259nin dilalt\u0131 nahiy\u0259sin\u0259 qoldan götürülmü\u015f toxuma köçürübl\u0259r Az\u0259rbaycan Tibb Universitetinin (ATU) T\u0259dris C\u0259rrahiyy\u0259 Klinikas\u0131nda mür\u0259kk\u0259b c\u0259rrahiyy\u0259 \u0259m\u0259liyyat\u0131 u\u011furla icra olunub. Ucnoqta.az Tibb Universitetinin m\u0259tbuat xidm\u0259tin\u0259 istinad\u0259n x\u0259b\u0259r verir…<\/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":[],"tags":[],"class_list":["post-62049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/62049","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=62049"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/62049\/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=62049"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62049"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}