{"id":83175,"date":"2019-07-24T11:07:22","date_gmt":"2019-07-24T07:07:22","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=83175","title":{"rendered":"G\u00fcnay \u018fhm\u0259dova: \u201cD\u00fczg\u00fcn qoyulan diaqnoz \u2013 m\u00fcalic\u0259nin u\u011furunun yar\u0131s\u0131d\u0131r\u201d"},"content":{"rendered":"

Ultras\u0259s müayin\u0259si (USM) – haz\u0131rda çox populyar prosedurdur v\u0259 maddi c\u0259h\u0259td\u0259n \u0259halinin bütün t\u0259b\u0259q\u0259l\u0259rin\u0259 yet\u0259rlidir. Müasir dövrd\u0259 Ultras\u0259s müayin\u0259si  tibbd\u0259 apar\u0131lan \u0259sas müayin\u0259 üsullar\u0131ndan biridir. Bu müayin\u0259 metodu orqanizm\u0259 z\u0259r\u0259r vurmadan daxili orqanlar v\u0259 bo\u015fluqlar haqq\u0131nda d\u0259qiq m\u0259lumat verm\u0259k imkan\u0131na malikdir. USM aparat\u0131 orqana yön\u0259ldilmi\u015f ultras\u0259s dal\u011falar\u0131n\u0131n \u0259ks olunma tezliyini qeyd\u0259 almaqla orqan\u0131n ölçüsü, formas\u0131, exogenliyi v\u0259 s. bar\u0259d\u0259 informasiya formala\u015fd\u0131raraq ekranda göst\u0259rir.<\/em><\/p>\n

Yax\u015f\u0131 h\u0259kim-sonoloqun  h\u0259r hans\u0131 x\u0259st\u0259nin bu v\u0259 ya dig\u0259r orqan\u0131n\u0131n v\u0259ziyy\u0259ti haqq\u0131nda verdiyi n\u0259tic\u0259 çox vaxt onun diaqnozunun qoyulmas\u0131nda h\u0259lledici olur.
\nUltras\u0259s müayin\u0259si diaqnostikas\u0131 sah\u0259sind\u0259 yax\u015f\u0131 müt\u0259x\u0259ssis olmaq üçün göz\u0259l m\u0259kan t\u0259x\u0259yyülün\u0259, anatomiya sah\u0259sind\u0259 ideal bilikl\u0259r\u0259 v\u0259 inki\u015faf etmi\u015f kliniki dü\u015fünc\u0259 t\u0259rzin\u0259 sahib olmas\u0131 t\u0259l\u0259b olunur. USM-in n\u0259tic\u0259l\u0259rin\u0259 müvafiq olaraq x\u0259st\u0259y\u0259 qoyulan düzgün diaqnoz onun düzgün müalic\u0259 edilm\u0259sin\u0259 müsb\u0259t t\u0259sir göst\u0259rir.<\/p>\n

Müsahibimiz M\u0259rk\u0259zi Gömrük Hospital\u0131n\u0131n h\u0259kim-sonoloqu (Ultras\u0259s müayin\u0259si ed\u0259n h\u0259kim\u0259 sonoloq deyilir. Bu söz sonoqrafiya sözünd\u0259n götürülüb. Sonoqrafiya – ultras\u0259s dal\u011falar\u0131n\u0131n köm\u0259yi il\u0259 insan orqanizminin qeyri-invaziv t\u0259dqiqidir) Günay \u018fhm\u0259dovad\u0131r.<\/p>\n

Qeyd ed\u0259k ki, Dr.Günay \u018fhm\u0259dova \u0259m\u0259k f\u0259aliyy\u0259tin\u0259 2011-ci ild\u0259 M\u0259rk\u0259zi Gömrük Hospital\u0131nda h\u0259kim-sonoloq kimi ba\u015flay\u0131b.  Günay xan\u0131m daim öz üz\u0259rind\u0259 çal\u0131\u015f\u0131r, dünya tibb elminin nailiyy\u0259tl\u0259rini izl\u0259yir v\u0259 i\u015find\u0259 tibbin \u0259n yeni metod v\u0259 üsullardan istifad\u0259 edir. “Düzgün qoyulan diaqnoz – müalic\u0259nin u\u011furunun yar\u0131s\u0131d\u0131r”, – dey\u0259n Dr.Günay \u018fhm\u0259dova i\u015fin\u0259 daim m\u0259suliyy\u0259tl\u0259 yana\u015f\u0131r, i\u015fl\u0259diyi q\u0131sa müdd\u0259t \u0259rzind\u0259 x\u0259st\u0259l\u0259rin v\u0259 hospital\u0131n kollektivinin hörm\u0259tini  qazan\u0131b.<\/p>\n

Günay xan\u0131m, uzun ill\u0259rdir siz M\u0259rk\u0259zi Gömrük Hospital\u0131nda h\u0259kim-sonoloq kimi çal\u0131\u015f\u0131rs\u0131n\u0131z. Sizin \u015f\u0259xsi t\u0259crüb\u0259niz\u0259 \u0259sas\u0259n  ultras\u0259s müayin\u0259l\u0259ri x\u0259st\u0259y\u0259 düzgün diaqnoz qoyulmas\u0131na nec\u0259 t\u0259sir edir v\u0259 n\u0259 q\u0259d\u0259r vacibdir?<\/p>\n

\u018flb\u0259tt\u0259, USM il\u0259 biz qoyulmu\u015f diaqnozu t\u0259sdiq edirik, y\u0259ni terapevtl\u0259r v\u0259 c\u0259rrahlar x\u0259st\u0259nin anamnezin\u0259 \u0259sas\u0259n ilkin diaqnozunu qoyur v\u0259 ona \u0259sas\u0259n biz onu ultras\u0259s t\u0259tbiq etm\u0259kl\u0259 bu diaqnozun USM-d\u0259 öz t\u0259sdiqini tapd\u0131\u011f\u0131n\u0131 v\u0259 ya tapmad\u0131\u011f\u0131n\u0131 görürük. Bir d\u0259 qoyulmu\u015f diaqnozun t\u0259sdiql\u0259nm\u0259sind\u0259 USM-in n\u0259tic\u0259si vacibdir: bura c\u0259rrahi x\u0259st\u0259likl\u0259r, onkoloji x\u0259st\u0259likl\u0259r, k\u0259skin qar\u0131n a\u011fr\u0131s\u0131 \u015fikay\u0259tl\u0259ri il\u0259 g\u0259l\u0259n x\u0259st\u0259l\u0259r aiddir. Ultras\u0259s müayin\u0259si il\u0259 diaqnoz düzgün qoyulursa, x\u0259st\u0259l\u0259ri müvafiq h\u0259kiml\u0259r\u0259, \u015föb\u0259l\u0259r\u0259 istiqam\u0259tl\u0259ndiririk. Onkoloji x\u0259st\u0259likl\u0259rd\u0259 onkoloqlar USM-\u0259 \u0259sas\u0259n müalic\u0259 metodlar\u0131n\u0131 d\u0259yi\u015fdir\u0259 bilirl\u0259r.<\/p>\n

Onlar x\u0259st\u0259liyi t\u0259qib etm\u0259kl\u0259, hans\u0131 müalic\u0259nin daha keyfiyy\u0259tli, \u0259lveri\u015fli, müsb\u0259t n\u0259tic\u0259 verdiyini USM-in n\u0259tic\u0259l\u0259ri \u0259sas\u0131nda görürl\u0259r.  Onkoloji x\u0259st\u0259l\u0259rd\u0259 qeyd olunan strukturdan material\u0131n invaziv üsulla al\u0131n\u0131b patohistoloji laboratoriyaya gönd\u0259rilm\u0259sind\u0259 USM-in biz\u0259 göst\u0259rdiyi yard\u0131m ondan ibar\u0259t olur ki, USM aparat\u0131n\u0131n alt\u0131nda iyn\u0259ni mü\u015fayi\u0259t ed\u0259r\u0259k, y\u0259ni invaziv üsulla h\u0259min o görüntüd\u0259n – strukturdan, tör\u0259m\u0259d\u0259n material\u0131 alark\u0259n bir daha \u0259min oluruq ki, material\u0131 m\u0259hz h\u0259min tör\u0259m\u0259d\u0259n ald\u0131q. Bununla da, patohistoloqun i\u015fini s\u0259hv istiqam\u0259t\u0259 yönl\u0259ndirm\u0259kd\u0259n qoruyuruq. Dem\u0259li, bu i\u015f US alt\u0131nda h\u0259yata keçirildikd\u0259 daha d\u0259qiq olur v\u0259 biz bir daha \u0259min oluruq ki, material\u0131 do\u011fru yerd\u0259n ald\u0131q. Bizim verdiyimiz diaqnoz h\u0259kiml\u0259rin i\u015fini yüngüll\u0259\u015fdirir v\u0259 x\u0259st\u0259l\u0259rin maddi d\u0259y\u0259ri daha yüks\u0259k olan müayin\u0259 metodlar\u0131na müraci\u0259t etm\u0259sin\u0259 ehtiyac qalm\u0131r.<\/p>\n

– Siz\u0259 daha çox hans\u0131 x\u0259st\u0259likl\u0259rl\u0259 müraci\u0259t edirl\u0259r?
\n– <\/strong>USM-n\u0259 h\u0259r ya\u015fda, h\u0259m kiçik ya\u015flarda, h\u0259m d\u0259 böyükl\u0259rd\u0259 qar\u0131n bo\u015flu\u011funda olan a\u011fr\u0131lar zaman\u0131, boyunda \u0259l\u0259 g\u0259l\u0259n \u015fi\u015fkinlik, süd v\u0259zil\u0259rind\u0259 a\u011fr\u0131l\u0131 nahiy\u0259 v\u0259 ya \u0259l\u0259 g\u0259l\u0259n \u015fi\u015fkinlik olduqda müraci\u0259t edirl\u0259r. Biz onlar\u0131 müayin\u0259 etdikd\u0259n sonra müvafiq uy\u011fun bölm\u0259l\u0259r, \u015föb\u0259l\u0259r üzr\u0259 yönl\u0259ndiririlk. X\u0259st\u0259liyin diaqnozu c\u0259rrahidirs\u0259 c\u0259rrahlara, müalic\u0259 olunand\u0131rsa, terapevtl\u0259r\u0259 gönd\u0259ririk.<\/p>\n

– Hans\u0131 x\u0259st\u0259likl\u0259r ad\u0259t\u0259n gizli ba\u015flay\u0131r v\u0259 ancaq US aparatlar\u0131nda özünü göst\u0259rir?<\/strong>
\n– Gizli ba\u015flayan x\u0259st\u0259likl\u0259rd\u0259n son 5 ili n\u0259z\u0259r\u0259 alsaq, daha çox onkoloji x\u0259st\u0259likl\u0259r a\u015fkar olunur. X\u0259st\u0259 ad\u0259t\u0259n heç n\u0259d\u0259n \u015fübh\u0259l\u0259nm\u0259d\u0259n rutin bir müayin\u0259 üçün müraci\u0259t edir. Heç bir a\u011fr\u0131s\u0131 olmayan x\u0259st\u0259l\u0259rd\u0259 onkoliji x\u0259st\u0259likl\u0259r a\u015fkar edirik, bu daha çox ya\u015fl\u0131 qruplarda – 25 ya\u015fdan sonra rast g\u0259linir. Onlarda ad\u0259t\u0259n \u0259l\u0259 g\u0259l\u0259n \u015fi\u015fkinlik v\u0259 q\u0131zart\u0131 olmur. Heç bir \u015fikay\u0259tl\u0259ri olmayan  pasiyentl\u0259rd\u0259 h\u0259r hans\u0131 d\u0259yi\u015fmi\u015f struktur a\u015fkarkananda biz onlara sonrak\u0131 etaplar\u0131 izah edirik. <\/p>\n

– Günay xan\u0131m, bir s\u0131ra x\u0259st\u0259likl\u0259r m\u0259hz sizin müayin\u0259l\u0259r say\u0259sind\u0259 a\u015fkarlan\u0131r. \u0130nsanlara gözl\u0259m\u0259dikl\u0259ri x\u0259b\u0259rl\u0259ri verirsiniz. Ç\u0259tin deyilmi?<\/strong>
\n– \u018flb\u0259tt\u0259, ç\u0259tin olur. A\u011f\u0131r x\u0259st\u0259likl\u0259rin uzunmüdd\u0259tli müalic\u0259y\u0259 tabe olan v\u0259 ya tabe olmayan x\u0259st\u0259lik olaca\u011f\u0131n\u0131 dem\u0259k ç\u0259tin olur. Etik olaraq x\u0259st\u0259 il\u0259 söhb\u0259t \u0259snas\u0131nda biz bunun  onun özün\u0259 v\u0259 ya  qohumlar\u0131na deyilm\u0259sin\u0259 q\u0259rar veririk.  Yen\u0259 d\u0259, bu m\u0259s\u0259l\u0259d\u0259 h\u0259r bir x\u0259st\u0259y\u0259  individual yana\u015fmaq laz\u0131md\u0131r. X\u0259st\u0259nin psixoloji durumu buna haz\u0131rd\u0131rm\u0131? M\u0259n h\u0259kim kimi t\u0259r\u0259fdar\u0131yam ki, h\u0259r bir x\u0259st\u0259 öz x\u0259st\u0259liyini bilm\u0259li, sa\u011falmaq üçün inaml\u0131 add\u0131mlar atmal\u0131d\u0131r. Onlarla söhb\u0259t ed\u0259rk\u0259n b\u0259zi misallar g\u0259tir\u0259r\u0259k, ba\u015fa sal\u0131r\u0131q ki, bu cür x\u0259st\u0259l\u0259r çox olub, bir sözl\u0259, onlar\u0131 müalic\u0259d\u0259n sonra sa\u011fal\u0131b normal h\u0259yata qay\u0131tma\u011f\u0131n mümkünlüyün\u0259 inand\u0131r\u0131r\u0131q.<\/p>\n

– Günay xan\u0131m, insanlar ad\u0259t\u0259n h\u0259r hans\u0131 orqanlar\u0131 a\u011fr\u0131yanda, onlar\u0131 narahat ed\u0259nd\u0259 h\u0259kim\u0259 v\u0259 ya USM-\u0259 müraci\u0259t edirl\u0259r. \u018fslind\u0259 bu, nec\u0259 olmal\u0131d\u0131r? \u0130nsanlar münt\u0259z\u0259m olaraq müayin\u0259d\u0259n keçm\u0259lidirl\u0259rmi? Bu müayin\u0259l\u0259r aras\u0131nda fasil\u0259l\u0259rin müdd\u0259ti n\u0259 q\u0259d\u0259r olmal\u0131d\u0131r?<\/strong><\/p>\n

– Biz daha çox kliniki \u015fikay\u0259ti olan x\u0259st\u0259l\u0259r\u0259 rast g\u0259lirik. Çox az hallarda hec bir \u015fikay\u0259ti olmadan müayin\u0259y\u0259 g\u0259l\u0259nl\u0259r olur. B\u0259z\u0259n d\u0259 x\u0259st\u0259l\u0259r \u0259traflar\u0131nda kimins\u0259 h\u0259r hans\u0131 x\u0259st\u0259liy\u0259 tutuldu\u011funu görüb t\u0259\u015fvi\u015f\u0259 dü\u015für v\u0259 müayin\u0259d\u0259n keçm\u0259k üçün biz\u0259 müraci\u0259t edirl\u0259r. Qeyd edim ki, bütün ölk\u0259l\u0259rd\u0259 check-up deyil\u0259n müayin\u0259l\u0259r var. Bu müayin\u0259l\u0259rd\u0259n sonra insan\u0131n sa\u011flaml\u0131\u011f\u0131 haqq\u0131nda mü\u0259yy\u0259n m\u0259lumat almaq olur.<\/p>\n

M\u0259s\u0259l\u0259n,  \u0259vv\u0259ll\u0259r qad\u0131nlar mü\u0259yy\u0259n ya\u015f h\u0259dl\u0259rind\u0259 – 35-37 ya\u015flar\u0131nda süd v\u0259zisinin müayin\u0259si üçün biz\u0259 g\u0259lirdil\u0259r. Y\u0259ni bel\u0259 bir fikir formala\u015fm\u0131\u015fd\u0131 ki, 30-35 ya\u015f\u0131na q\u0259d\u0259r süd v\u0259zisinin müayin\u0259sin\u0259 getm\u0259k laz\u0131m deyil. Bu do\u011fru deyil, yanl\u0131\u015f yana\u015fmad\u0131r. H\u0259r ya\u015fda süd v\u0259zisinin müayin\u0259si laz\u0131md\u0131r v\u0259 vacibdir. \u015e\u0259xsi t\u0259crüb\u0259m\u0259 \u0259saslanaraq dey\u0259 bil\u0259r\u0259m ki, m\u0259nim x\u0259st\u0259l\u0259rim aras\u0131nda h\u0259r ya\u015f qrupundan olan x\u0259st\u0259 var. 18, 25, 35-d\u0259n yuxar\u0131 x\u0259st\u0259l\u0259r var ki, müayin\u0259 zaman\u0131 onlarda süd v\u0259zi x\u0259rç\u0259ngi a\u015fkarlan\u0131r. U\u015faqlarda ginekoloji müayin\u0259l\u0259rin edilm\u0259si d\u0259 vacibdir. Körp\u0259 u\u015faqlarda biz ginekoloji orqanlar\u0131n olub-olmama\u011f\u0131n\u0131 mü\u0259yy\u0259n etm\u0259liyik. <\/p>\n

Çünki b\u0259z\u0259n u\u015faqlar\u0131 a\u011fr\u0131larla g\u0259tir\u0259nd\u0259 art\u0131q gec olur, biz u\u015faqlarda olan müxt\u0259lif x\u0259st\u0259likl\u0259rl\u0259 rastla\u015f\u0131r\u0131q. M\u0259nim fikrimc\u0259, t\u0259qibli x\u0259st\u0259l\u0259rd\u0259  müayin\u0259l\u0259r aras\u0131nda \u0259n q\u0131sa interval 6 ay olmal\u0131d\u0131r. Heç olmazsa  h\u0259r bir v\u0259t\u0259nda\u015f özünü ild\u0259 1 d\u0259f\u0259 profilaktik müayin\u0259 etdirm\u0259lidir. Yax\u015f\u0131 olard\u0131 ki, sa\u011flaml\u0131\u011f\u0131 il\u0259 ba\u011fl\u0131 heç bir \u015fikay\u0259ti olmasa da  6 ayda bir d\u0259f\u0259 profilaktik olaraq müayin\u0259d\u0259n keçsin. M\u0259sl\u0259h\u0259t gör\u0259rdim ki,qad\u0131nlar süd v\u0259zisinin müayin\u0259sind\u0259n 37 ya\u015fdan sonra ild\u0259 1 d\u0259f\u0259 keçsinl\u0259r. \u015eikay\u0259t oldu\u011funda süd v\u0259zi USM müayin\u0259si h\u0259r ya\u015fda apar\u0131la bil\u0259r.<\/p>\n

– \u0130nsanlar aras\u0131nda bel\u0259 bir fikir yay\u0131l\u0131b ki, h\u0259r hans\u0131 aparatdan çox keçm\u0259k orqanizm\u0259 ziyand\u0131r. Bu bar\u0259d\u0259 oxuculara n\u0259 dey\u0259 bil\u0259rsiz?<\/strong>
\n– USM dünyada tibbd\u0259 geni\u015f yay\u0131lm\u0131\u015f müayin\u0259 metodlar\u0131ndan biridir. Son ill\u0259rd\u0259 onun z\u0259r\u0259rsiz oldu\u011fu t\u0259sdiql\u0259nmi\u015fdir. Ultras\u0259s aparat\u0131n\u0131n i\u015f prinsipi ultras\u0259s dal\u011falar\u0131na \u0259saslan\u0131r v\u0259 bu s\u0259s dal\u011falar\u0131 orqanlarda f\u0259rqli \u015f\u0259kild\u0259 görüntül\u0259r \u0259ks etdirir v\u0259 biz o görüntül\u0259r \u0259sas\u0131nda diaqnozu qoyuruq. Bu s\u0259s dal\u011falar\u0131 insan qula\u011f\u0131n\u0131n e\u015fid\u0259 bilm\u0259y\u0259c\u0259yi dal\u011falard\u0131r. Tibbin bütün sah\u0259l\u0259rind\u0259 US müayin\u0259si, US görüntül\u0259nm\u0259si geni\u015f istifad\u0259 olunan müayin\u0259l\u0259r metodudur, z\u0259r\u0259rsizdir.<\/p>\n

Hamil\u0259l\u0259rd\u0259n tutmu\u015f yeni do\u011fulmu\u015f körp\u0259l\u0259r\u0259 v\u0259 h\u0259r ya\u015fda olan insan qrupuna t\u0259tbiq olunan müayin\u0259 metodudur. Z\u0259r\u0259rli olsayd\u0131, m\u0259s\u0259l\u0259n, hamil\u0259 qad\u0131nlar h\u0259r gün v\u0259 ya iki günd\u0259n bir USM-d\u0259n, dopplerd\u0259n keçm\u0259zdil\u0259r.  Biz onlar\u0131 ginekoloqlarla b\u0259rab\u0259r t\u0259qibd\u0259 saxlay\u0131r\u0131q. Z\u0259r\u0259rli olsayd\u0131 biz bunlar\u0131 sözsüz ki, t\u0259tbiq etm\u0259zdik. Sonda dem\u0259k ist\u0259rdim ki, USM bir profilaktik müayin\u0259 kimi  çox \u0259v\u0259zsiz  metoddur. Ham\u0131n\u0131n müt\u0259madi olaraq USM müayin\u0259sind\u0259n keçm\u0259yi m\u0259sl\u0259h\u0259tdir.<\/p>\n

Maraql\u0131 müsahib\u0259y\u0259 gör\u0259 sa\u011f olun.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Ultras\u0259s müayin\u0259si (USM) – haz\u0131rda çox populyar prosedurdur v\u0259 maddi c\u0259h\u0259td\u0259n \u0259halinin bütün t\u0259b\u0259q\u0259l\u0259rin\u0259 yet\u0259rlidir. Müasir dövrd\u0259 Ultras\u0259s müayin\u0259si  tibbd\u0259 apar\u0131lan \u0259sas müayin\u0259 üsullar\u0131ndan biridir. Bu müayin\u0259 metodu orqanizm\u0259 z\u0259r\u0259r…<\/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-83175","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/83175","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=83175"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/83175\/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=83175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=83175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=83175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}