{"id":1134,"date":"2019-07-26T12:00:44","date_gmt":"2019-07-26T12:00:44","guid":{"rendered":"http:\/\/bal90.org\/?p=1134"},"modified":"2019-07-26T12:05:15","modified_gmt":"2019-07-26T12:05:15","slug":"stent-by-me","status":"publish","type":"post","link":"http:\/\/bal90.org\/?p=1134","title":{"rendered":"Stent by me"},"content":{"rendered":"\n<p><strong>Bar\u0131\u015f Par\u0131lt\u0131 BAL&#8217;90<\/strong><\/p>\n\n\n\n<p><strong>OLAY<\/strong><br><\/p>\n\n\n\n<p><strong>10:08<\/strong> bo\u011faza atlay\u0131\u015f (start zaman\u0131m\u0131 \u00f6\u011frendim)<\/p>\n\n\n\n<ul><li>\u00e7ok rahat\u00e7a sa\u011f d\u0131\u015ftan, biraz dikine, bo\u011faz ortas\u0131na ilerledim, genelde ortada kald\u0131m, sadece K\u00fc\u00e7\u00fcksu hizas\u0131 \u00e7ok r\u00fczgar ald\u0131\u011f\u0131 i\u00e7in fazla dalgal\u0131yd\u0131, Kuleli\u2019yi yandan bi a\u00e7\u0131yla g\u00f6rene kadar \u00e7ok g\u00fczel sorunsuz ilerledim, so\u011fuk ak\u0131nt\u0131y\u0131 genelde takip etmi\u015f oldum. Aday\u0131 g\u00f6zl\u00fcyordum, hizas\u0131na gelince, beni ilerisine ta\u015f\u0131yacak ak\u0131nt\u0131ya g\u00fcvenerek adaya do\u011fru y\u00fczmeye ba\u015flad\u0131m. Daha ileride, daha dikine fini\u015fe giden y\u00fcz\u00fcc\u00fc hatt\u0131n\u0131 g\u00f6r\u00fcyordum, bilerek daha erken girdim, son anda fazla sprint ihtiyac\u0131 olmas\u0131n istedim. Ada d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm gibi giderek daha sa\u011f\u0131mda kal\u0131yordu ama tahminimden daha uza\u011f\u0131nda ters ak\u0131nt\u0131 varm\u0131\u015f. Tahminen sar\u0131 ince \u00e7izgide gittim ve kald\u0131\u011f\u0131m yer o u\u00e7:<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/oZ-ZXQ8yYwaq1lJAkaL-k-qGoHT2GXm2J9cUn6V7mrTETWO_Wvn1k998m0Jwq1oKCg4mEVObNclOA5KNNuSohpY2bR2q1KxsdUxjbGnBNA7o9HLM0N-mK54VNe4qJzzxdv8RCYgs\" alt=\"\"\/><\/figure>\n\n\n\n<ul><li><strong>3-4 dk<\/strong> galatasaray adas\u0131n\u0131n ilerisinde \u00e7\u0131rp\u0131nt\u0131larda oyalanmam, ters akt\u0131nt\u0131y\u0131 fark edip ileri hamlem, suyun ileri geri gitti\u011fi bi yerine ula\u015fmam, (k\u0131rm\u0131z\u0131 bi bot ada \u00f6n\u00fcndeki ak\u0131nt\u0131ya kar\u015f\u0131 2 kere uyard\u0131, oralardan uzakla\u015f\u0131n diye i\u015faret ettiler)<\/li><li><strong>en az 5 dk<\/strong> sakince d\u00fc\u015f\u00fcnmem, -g\u00f6zl\u00fc\u011f\u00fc \u00e7\u0131kart\u0131p \u00e7evreyi g\u00f6zledim- birka\u00e7 s\u0131rt\u00fcst\u00fc, kurba\u011falama, serbest kula\u00e7 denemem, tirb\u00fcnler se\u00e7iliyordu, sudan \u00e7\u0131kanlar\u0131 g\u00f6r\u00fcyordum uzakta, Kuleli taraf\u0131ndan y\u00fczenlerin k\u00f6p\u00fcklerini s\u0131ral\u0131 g\u00f6r\u00fcyordum, 10m kadar sol ilerimdekilerin rahat\u00e7a y\u00fcz\u00fcp ilerlediklerini g\u00f6r\u00fcyordum, sa\u011f arkamdakiler debeleniyordu, Ulus park\u0131ndaki bayra\u011fa g\u00f6re \u00e7ok az ilerledi\u011fimi g\u00f6zl\u00fcyordum, b\u0131raksam iyi olacak dedim, so\u011fuk giderek g\u00fc\u00e7leniyordu, beklersem belki ilerlerim yava\u015f\u00e7a ama iyice \u00fc\u015f\u00fcr\u00fcm diye d\u00fc\u015f\u00fcnd\u00fcm&nbsp;<\/li><\/ul>\n\n\n\n<ul><li>Karar an\u0131, kanoyu g\u00f6rmem,&nbsp; kanoya el kald\u0131r\u0131p seslenmem, <strong>1dk i\u00e7inde <\/strong>onun zodiac\u2019a i\u015faret etmesi, bana y\u00f6nlendirmesi, onlar\u0131n bana gelmesi, ip atmalar\u0131 i\u015fe yaramad\u0131, pervaneden sak\u0131n\u0131yorlard\u0131 haliyle, aradaki 1-2 m i\u00e7in benim yakla\u015fmam\u0131 istediler ama \u00e7ok \u00e7alkant\u0131 vard\u0131, sa\u011folsunlar s\u0131f\u0131r yana\u015ft\u0131lar, s\u0131rt\u0131m\u0131 d\u00f6nmem ve beni \u00e7ekmeleri (hi\u00e7 hamle yapamad\u0131m, yapmak da istemedim, acayip \u015fekilde yukar\u0131 a\u015fa\u011f\u0131 ve sa\u011fa sola hareketliydi su), iyiyim dedim, bone numaram\u0131 ald\u0131lar, <strong>en fazla 1 dk i\u00e7inde<\/strong> (P7 ya da P9 demi\u015flerdi bi anonsta) bi g\u00f6revlinin oldu\u011fu tekneye aktard\u0131lar<\/li><li><strong>2 dk kadar<\/strong> teknedeki han\u0131mefendinin sorular\u0131na \u201cbi \u015feyim yok, sadece yorgun hissettim kollar\u0131m\u0131\u201d demem (hemen chip ve bonemi teslim ald\u0131), b\u0131rakt\u0131\u011f\u0131m i\u00e7in \u015fa\u015fk\u0131nl\u0131\u011f\u0131m, yaslanma ihtiyac\u0131 hissetti\u011fim i\u00e7in teknenin zeminine oturup yaslanmam, (\u00e7evrede y\u00fczd\u00fc\u011f\u00fc halde geri gidenler, farkl\u0131 farkl\u0131 y\u00f6nlere y\u00fczenler vard\u0131, \u00f6zellikle ada y\u00f6n\u00fcndekiler)<\/li><\/ul>\n\n\n\n<p><strong>11:22<\/strong> han\u0131m\u0131 zodiac sonras\u0131 ge\u00e7ti\u011fim teknede, bal\u0131k\u00e7\u0131 abinin cebinden aray\u0131\u015f\u0131m (\u00e7a\u011fr\u0131 kayd\u0131 \u00e7ok geride kald\u0131\u011f\u0131 i\u00e7in elde yok, ama tam o s\u0131rada \u00e7ekti\u011fi videonun benim aramamla kesilme an\u0131ndan yakalad\u0131k)<br><\/p>\n\n\n\n<ul><li>en son bi tam tahta kemi\u011fimi g\u00f6stererek, \u015furamda bir a\u011fr\u0131 var gibi dedi\u011fimde (<strong><em>3 dk ge\u00e7se 11:25\u2019te<\/em><\/strong>), o han\u0131mefendi hemen telsizle sa\u011fl\u0131k ekibinin oldu\u011fu tekneyi \u00e7a\u011f\u0131rd\u0131, yerimizi tarif etti, b\u00fcy\u00fck\u00e7e bir tekne yana\u015ft\u0131, bizim bal\u0131k\u00e7\u0131 teknesinin arka k\u0131sm\u0131ndan kalk\u0131p, o teknenin kenar\u0131na oturdum &#8211; tente nedeniyle ortadan ge\u00e7emiyordum, o teknenin kenar\u0131 y\u00fcksekti-aya\u011fa kalkt\u0131m, birisi e\u015flik etti, yandan y\u00fcr\u00fcy\u00fcp kapal\u0131 mekan\u0131na girdik (<strong><em>buraya kadar da 3-4 dk ge\u00e7mi\u015ftir, 11:28 ?<\/em><\/strong>), ekg ile \u00f6l\u00e7\u00fcm yap\u0131ld\u0131, grafikte sorun oldu\u011fu g\u00f6r\u00fcl\u00fcnce k\u0131y\u0131ya yana\u015f\u0131ld\u0131, ambulans haz\u0131rd\u0131, oradan daha iyi oldu\u011fu s\u00f6ylenen cihaz geldi, ekg\u2019ye tekrar bak\u0131ld\u0131 ve sandalye-sedye\u2019ye oturtup ba\u011flad\u0131lar ve ambulansa onlar ta\u015f\u0131d\u0131lar, ben s\u00fcrekli \u201ckendim y\u00fcr\u00fcp ge\u00e7eyim, e\u015fim-\u00e7ocuklar g\u00f6r\u00fcr, panik olurlar\u201d diyordum<\/li><li><strong>(<\/strong><strong><em>ambulans hareket saati 11:40 olabilir, <\/em><\/strong><em>biraz sonras\u0131nda aram\u0131\u015ft\u0131m<\/em><strong>)<\/strong>, ambulansa ge\u00e7meden \u00f6nceki teknede aspirin gibi bi hap verdiler, ambulansta \u0130\u00e7erenk\u00f6y Bay\u0131nd\u0131r hastanesine gidece\u011fimizi s\u00f6ylediler, \u00fcst\u00fcmde sadece slip mayo, elimde y\u00fczme g\u00f6zl\u00fc\u011f\u00fcm vard\u0131, hareket halindeyken e\u015fimi bi daha arad\u0131m (ambulanstaki arkada\u015f\u0131n cebinden) <strong>11:50 gibi<\/strong> (hemen arkas\u0131ndan arkada\u015f\u0131m\u0131za yazd\u0131\u011f\u0131 mesaj saatinden yakalad\u0131k), hastaneyi s\u00f6yledim, ambulanstakilere s\u00fcrekli \u201colay\u0131 b\u00fcy\u00fctmeyin, ben iyiyim\u201d diyordum, g\u00f6\u011f\u00fcste hissetti\u011fim a\u011fr\u0131 biraz azald\u0131 gibi olmu\u015ftu, giderken bana kalp krizi ge\u00e7irdi\u011fimi, anjiyo yap\u0131laca\u011f\u0131n\u0131 s\u00f6ylediler, e\u015fime s\u00f6ylemeyi d\u00fc\u015f\u00fcnd\u00fcm, panik olmas\u0131n diye s\u00f6ylemedim ama bi daha arad\u0131m yolda, gidince kendim s\u00f6ylerim diye d\u00fc\u015f\u00fcnd\u00fcm ama o f\u0131rsat olmad\u0131 tabi, kalp krizini duyunca \u00e7ok k\u00f6t\u00fc olmu\u015f, ben asl\u0131nda t\u00fcm gidi\u015fi, acile giri\u015fi, operasyonun ba\u015flang\u0131c\u0131ndaki hafif uyutulma an\u0131na kadar her \u015feyi \u00e7ok iyi takip ettim, konu\u015fa konu\u015fa gittik, mayomun ipini kendim \u00e7\u00f6zd\u00fcm<\/li><li>i\u015flem s\u0131ras\u0131nda bi an tela\u015fl\u0131 konu\u015fmalarla birlikte, g\u00f6\u011f\u00fcs kenar\u0131mda fiske gibi bi \u015fey hissedip hafif\u00e7e uyand\u0131m, \u00e7ok k\u0131sa s\u0131k\u0131nt\u0131l\u0131 bi an ge\u00e7ti, tekrar uyumu\u015fumdur, sonradan \u00f6\u011frendim ki nab\u0131z 15-20\u2019lere inmi\u015f o an, hemen m\u00fcdahale etmi\u015fler (her zaman kulland\u0131\u011f\u0131m saatten bildi\u011fim ve t\u0131bbi cihazlardan do\u011frulad\u0131\u011f\u0131m dinlenme nabz\u0131m normalden d\u00fc\u015f\u00fckt\u00fcr)<\/li><\/ul>\n\n\n\n<p><strong>12:55<\/strong> anjiyo \u00e7\u0131k\u0131\u015f\u0131m, 1 saat s\u00fcrm\u00fc\u015f, rapordan<\/p>\n\n\n\n<p>demek ki <strong>11:55<\/strong> anjiyo giri\u015fim<\/p>\n\n\n\n<p>15 dakikada Kuru\u00e7e\u015fme&gt;Bostanc\u0131 sanayi sitesi civar\u0131na ambulansla gidilmi\u015f olabilir mi, bilmiyorum, 21 km, Pazar \u00f6\u011fle sonu\u00e7ta<br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh6.googleusercontent.com\/ERrICGgmJM5ArYJDev0_hpWSVxIZdpSCoucd1Fn2ZKx1oGWpz9pyfg45_VMsU2WiHzM8J1mCbcxVWvJaID1VSSmdWbsPi-R-foz1jua6-ANbUSBODcIUgnTqV3XfBTKyaoWzk1N5\" alt=\"\"\/><\/figure>\n\n\n\n<p><strong>Fini\u015fte Madalya m\u0131 Stent mi Taks\u0131nlar?<\/strong><br><\/p>\n\n\n\n<p>\u015fimdii, d\u00fczenli spor, \u00f6zenli beslenme (bi uykum 6 saat, biraz az), rahat bi ki\u015filik (ama serbest i\u015f yapma nedeniyle stres baya var arka planda) ve \u00e7ok \u00e7ok az alkol &#8211; net sigaras\u0131z bi hayata ra\u011fmen (maruz kald\u0131k tabi \u00e7ok\u00e7a), yak\u0131n d\u00f6nem \u00e7e\u015fitli check-up\u2019larla g\u00f6zlenemeyen ciddi bi sorun olmas\u0131 nedeniyle, tabi b\u00fcy\u00fck bir merak konusu var: Ne oldu, nas\u0131l \u00f6nlenebilir?<br><\/p>\n\n\n\n<p>\u015fu 2-3 g\u00fcn i\u00e7inde farkl\u0131 doktorlarla konu\u015fmalar\u0131m, sorular\u0131m vs. kendimce derledi\u011fim \u015feyler ve yorumlar\u0131m \u015f\u00f6yle arkada\u015flar:<br><\/p>\n\n\n\n<p>bi kere t\u0131kanma o an ger\u00e7ekle\u015fen bi \u015fey, t\u0131kal\u0131 damarla spor yapm\u0131\u015f\/ya\u015fam\u0131\u015f falan de\u011filim ama o damarda bir s\u00fcredir, diyelim %30 seviyelerinde daralma olmas\u0131 b\u00fcy\u00fck olas\u0131l\u0131k.&nbsp;<br><\/p>\n\n\n\n<p>t\u0131kanman\u0131n tam birebir bir nedeni yok, y\u00fcksek efor, stres vs so\u011fuk bile etken olabilir, tek bir \u015fey de\u011fil yani kayna\u011f\u0131<br><\/p>\n\n\n\n<p>kopan bir plak oluyor, oras\u0131 h\u0131zla p\u0131ht\u0131la\u015f\u0131yor ve t\u0131kan\u0131yor. Yani damardaki o g\u00f6zlenebilen daralma, oradaki plakta kopu\u015f olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131r\u0131yor diye anlad\u0131m, eforla artan ak\u0131\u015f haliyle dar noktada daha fazla zorlama yapacakt\u0131r.<br><\/p>\n\n\n\n<p>bt anjiyo ile bak\u0131p g\u00f6rece\u011fimiz yine potansiyel bir daralma olacak, yani t\u0131kanma g\u00f6zlenmeyecek, t\u0131kanma ani olan bi \u015fey, daralma g\u00f6r\u00fcrsek de stent tak\u0131lmaz, a\u015f\u0131r\u0131 bi \u015fey g\u00f6r\u00fclmedik\u00e7e yine ila\u00e7 ba\u015flan\u0131r deniyor. bt anjiyonun radyasyon riski de var, normal anjiyonun kendi riski de var (damarlar\u0131n iyi durumda de\u011filse olas\u0131 y\u0131rt\u0131lma), bt anjiyo ile ciddi bi \u015fey g\u00f6r\u00fclse, \u00fcst\u00fcne bi de normal anjiyo yap\u0131lacak bu kez.<br><\/p>\n\n\n\n<p>stent tak\u0131l\u0131nca, kalite olay\u0131 var yine, tak\u0131lan gayet iyiymi\u015f, markas\u0131na falan bakt\u0131, ila\u00e7l\u0131s\u0131 makbul ama daha uzun ila\u00e7 kullan\u0131m\u0131 gerektiriyor (1 y\u0131l, di\u011ferleri 1 ay), v\u00fccud stente de reaksiyon g\u00f6steriyor, (p\u0131ht\u0131la\u015fmayla yine daralma etkisi), o ama\u00e7la 1 y\u0131l ayr\u0131 ila\u00e7 kullan\u0131m\u0131 var, ila\u00e7lar\u0131n takibi \u00e7ok \u00f6nemli, kimseyi dinleme, asla ara verme dendi \u0131srarla, emin de\u011filsen fazla al, eksik alma dediler<br><\/p>\n\n\n\n<p>toplu checkup\u2019\u0131 da sordum, pek mant\u0131kl\u0131 bulmad\u0131, bu i\u015fe tek tek e\u011filmek gerekir, te\u015fhis-tedavi ki\u015fiye \u00f6zel haliyle, paketlere o anlamda yeti\u015filmez diyor, kendi kapasitesine dayanarak dedi tabi, piyasadaki paketleri de pek anlaml\u0131 bulmad\u0131 gibi, bu bizim konu\u015ftu\u011fumuz beklentiler a\u00e7\u0131s\u0131ndan<br><\/p>\n\n\n\n<p>benim anlad\u0131\u011f\u0131m, spor yapanlarda dayan\u0131kl\u0131l\u0131k artt\u0131\u011f\u0131 i\u00e7in, efor, eko, ekg gibi y\u00f6ntemlerde s\u0131k\u0131nt\u0131 yakalamak daha zor g\u00f6z\u00fck\u00fcyor, ama damar geni\u015flemesi, kapasite art\u0131\u015f\u0131 nedeniyle s\u0131k\u0131nt\u0131 an\u0131nda daha g\u00fc\u00e7l\u00fc de oluyorsun<br><\/p>\n\n\n\n<p>EKG \u00e7ekilip girdik, elde t\u00fcm \u00e7\u0131kt\u0131lar\u0131 sunduk, i\u015flemleri gayet ba\u015far\u0131l\u0131 buldu, ellerine sa\u011fl\u0131k dedi, ila\u00e7lar do\u011fru dedi (tabi ki ki\u015fiye \u00f6zel)<br><\/p>\n\n\n\n<p>di\u011fer 2 damardan birisinde hi\u00e7 sorun yok ama birisinde yine bir daralma var, sorun denmeyecek ufak tefek plaklar \u00e7e\u015fitli yerlerde var, dolay\u0131s\u0131yla \u00f6m\u00fcr boyu ila\u00e7 \u015fart, o plaklar\u0131 olabildi\u011fince yerine sabitlemek ama\u00e7 (i\u015flemi yapan doktorla parelel ama daha da keskin ifade alg\u0131lad\u0131m)<br><\/p>\n\n\n\n<p>eko ile kalp kaslar\u0131n\u0131 yan-arka vs y\u00f6nlerden inceledi ve hi\u00e7 hasar almam\u0131\u015fs\u0131n dedi (i\u015flemi yapan doktor da demi\u015fti), atlatt\u0131\u011f\u0131n olay \u00e7ok ciddi dedi, biraz \u015fa\u015f\u0131rd\u0131, olayda ge\u00e7en s\u00fcreye g\u00f6re, bu durum spor yapman, fit olman sayesindedir dedi<br><\/p>\n\n\n\n<p>08:00 Brilanta (stent i\u00e7in olan, 1 y\u0131l), Pulcet (mide koruyucu)<\/p>\n\n\n\n<p>18:00 Coraspin<\/p>\n\n\n\n<p>20:00 Brilanta, Lipitor (20\u2019lik, ilk ay 40\u2019l\u0131k)<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bar\u0131\u015f Par\u0131lt\u0131 BAL&#8217;90 OLAY 10:08 bo\u011faza atlay\u0131\u015f (start zaman\u0131m\u0131 \u00f6\u011frendim) \u00e7ok rahat\u00e7a sa\u011f d\u0131\u015ftan, biraz dikine, bo\u011faz ortas\u0131na ilerledim, genelde ortada kald\u0131m, sadece K\u00fc\u00e7\u00fcksu hizas\u0131 \u00e7ok r\u00fczgar ald\u0131\u011f\u0131 i\u00e7in fazla dalgal\u0131yd\u0131, Kuleli\u2019yi yandan bi a\u00e7\u0131yla g\u00f6rene kadar \u00e7ok g\u00fczel sorunsuz ilerledim, so\u011fuk ak\u0131nt\u0131y\u0131 genelde takip etmi\u015f oldum. Aday\u0131 g\u00f6zl\u00fcyordum, hizas\u0131na gelince, beni ilerisine ta\u015f\u0131yacak ak\u0131nt\u0131ya &hellip; <\/p>\n","protected":false},"author":1,"featured_media":1139,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"_links":{"self":[{"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/posts\/1134"}],"collection":[{"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/bal90.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1134"}],"version-history":[{"count":2,"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/posts\/1134\/revisions"}],"predecessor-version":[{"id":1136,"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/posts\/1134\/revisions\/1136"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/bal90.org\/index.php?rest_route=\/wp\/v2\/media\/1139"}],"wp:attachment":[{"href":"http:\/\/bal90.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1134"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/bal90.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1134"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/bal90.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}