{"id":5041,"date":"2023-05-09T15:23:10","date_gmt":"2023-05-09T12:23:10","guid":{"rendered":"https:\/\/www.giresunadahastanesi.com\/kardiologiya\/"},"modified":"2023-05-21T22:03:34","modified_gmt":"2023-05-21T19:03:34","slug":"kardiologiya","status":"publish","type":"page","link":"https:\/\/www.giresunadahastanesi.com\/az\/kardiologiya\/","title":{"rendered":"Kardiologiya"},"content":{"rendered":"

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\u00dcr\u0259k x\u0259st\u0259likl\u0259ri v\u0259 x\u00fcsus\u0259n d\u0259 \u00fcr\u0259k-damar x\u0259st\u0259likl\u0259ri d\u00fcnyada oldu\u011fu kimi \u00f6lk\u0259mizd\u0259 d\u0259 \u00f6l\u00fcm hallar\u0131n\u0131n \u0259sas s\u0259b\u0259bl\u0259ri s\u0131ras\u0131ndad\u0131r. B\u0259d\u0259nimizd\u0259ki orqanlar canl\u0131l\u0131\u011f\u0131n\u0131 qorumaq v\u0259 v\u0259zif\u0259l\u0259rini yerin\u0259 yetirm\u0259k \u00fc\u00e7\u00fcn oksigen v\u0259 qida madd\u0259l\u0259rin\u0259 ehtiyac duyur.<\/p><\/div>\n<\/div>\n<\/div>\n

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Xidm\u0259tl\u0259r<\/h4>\n[vc_column_text css=”.vc_custom_1683634980103{margin-bottom: 10px !important;}”]<\/p>\n
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\u00dcr\u0259yimizin \u00f6z i\u015fini g\u00f6rm\u0259si \u00fc\u00e7\u00fcn onun qidalanmas\u0131 laz\u0131md\u0131r. \u00dcr\u0259yin \u00f6z\u00fcn\u00fc qidaland\u0131ran damarlara “koronar arteriyalar” (koronar arteriyalar) deyilir. Damarlar\u0131n s\u0259rtl\u0259\u015fm\u0259si (ateroskleroz) n\u0259tic\u0259sind\u0259 tac damarlar\u0131n daralmas\u0131 v\u0259 ya t\u0131xanmas\u0131 n\u0259tic\u0259sind\u0259 \u00fcr\u0259yimiz kifay\u0259t q\u0259d\u0259r qidalana bilmir v\u0259 f\u0259aliyy\u0259tini pozur. N\u0259tic\u0259d\u0259 nasos funksiyas\u0131 pozulduqca qanla orqanlar\u0131m\u0131za \u00e7atan oksigen v\u0259 qida madd\u0259l\u0259ri azal\u0131r v\u0259 zaman ke\u00e7dikc\u0259 m\u00fcxt\u0259lif orqanlar\u0131n \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 \u0259lam\u0259tl\u0259ri yaran\u0131r.<\/p>\n

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\u00dcr\u0259k x\u0259st\u0259likl\u0259ri v\u0259 x\u00fcsus\u0259n d\u0259 \u00fcr\u0259k-damar x\u0259st\u0259likl\u0259ri d\u00fcnyada oldu\u011fu kimi \u00f6lk\u0259mizd\u0259 d\u0259 \u00f6l\u00fcm hallar\u0131n\u0131n \u0259sas s\u0259b\u0259bl\u0259ri s\u0131ras\u0131ndad\u0131r. B\u0259d\u0259nimizd\u0259ki orqanlar canl\u0131l\u0131\u011f\u0131n\u0131 qorumaq v\u0259 v\u0259zif\u0259l\u0259rini yerin\u0259 yetirm\u0259k \u00fc\u00e7\u00fcn oksigen v\u0259 qida madd\u0259l\u0259rin\u0259 ehtiyac duyur. Laz\u0131m olan oksigen v\u0259 qida madd\u0259l\u0259ri arteriyalar (arteriyalar) vasit\u0259sil\u0259 qanla orqanlara da\u015f\u0131n\u0131r. \u00dcr\u0259yimiz qan\u0131 damarlara vurmaq i\u015fini g\u00f6r\u00fcr.<\/p>\n

\u00dcr\u0259yimizin \u00f6z i\u015fini g\u00f6rm\u0259si \u00fc\u00e7\u00fcn onun qidalanmas\u0131 laz\u0131md\u0131r. \u00dcr\u0259yin \u00f6z\u00fcn\u00fc qidaland\u0131ran damarlara “koronar arteriyalar” (koronar arteriyalar) deyilir. Damarlar\u0131n s\u0259rtl\u0259\u015fm\u0259si (ateroskleroz) n\u0259tic\u0259sind\u0259 tac damarlar\u0131n daralmas\u0131 v\u0259 ya t\u0131xanmas\u0131 n\u0259tic\u0259sind\u0259 \u00fcr\u0259yimiz kifay\u0259t q\u0259d\u0259r qidalana bilmir v\u0259 f\u0259aliyy\u0259tini pozur. N\u0259tic\u0259d\u0259 nasos funksiyas\u0131 pozulduqca qanla orqanlar\u0131m\u0131za \u00e7atan oksigen v\u0259 qida madd\u0259l\u0259ri azal\u0131r v\u0259 zaman ke\u00e7dikc\u0259 m\u00fcxt\u0259lif orqanlar\u0131n \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 \u0259lam\u0259tl\u0259ri yaran\u0131r.<\/p>\n

Niy\u0259 koronar angioqrafiya apar\u0131lmal\u0131d\u0131r?<\/h3>\n

X\u00fcsusil\u0259 \u00fcr\u0259k x\u0259st\u0259liyi risk faktorlar\u0131 olan insanlarda koronar arteriya x\u0259st\u0259liyinin erk\u0259n tan\u0131nmas\u0131 v\u0259 m\u00fcalic\u0259si \u00e7ox vacibdir. M\u0259qs\u0259d insan\u0131 m\u00fcmk\u00fcn infarkt\u0131n n\u0259tic\u0259l\u0259rind\u0259n qorumaqd\u0131r. Buna g\u00f6r\u0259 d\u0259 EKQ (\u00fcr\u0259yin rentgenoqrafiyas\u0131), exokardioqrafiya (\u00fcr\u0259yin ultras\u0259si), idman kimi kardioloji m\u00fcayin\u0259l\u0259r n\u0259tic\u0259sind\u0259 koronar arteriya x\u0259st\u0259liyind\u0259n \u015f\u00fcbh\u0259l\u0259n\u0259n \u015f\u0259xsl\u0259rd\u0259 diaqnozu d\u0259qiql\u0259\u015fdirm\u0259k \u00fc\u00e7\u00fcn koronar angioqrafiya adlanan diaqnostik prosedurun apar\u0131lmas\u0131 laz\u0131m ola bil\u0259r. EKQ (qa\u00e7\u0131\u015f yolu).<\/p>\n

Koronar angioqrafiya bir \u0259m\u0259liyyat n\u00f6v\u00fc deyil, diaqnostik \u00fcsuldur. Koronar angioqrafiya x\u00fcsusi bir d\u0259rman\u0131n \u00fcr\u0259k damarlar\u0131na (koronar arteriya) yeridilm\u0259si v\u0259 x\u00fcsusi g\u00f6r\u00fcnt\u00fcl\u0259m\u0259 sistemind\u0259n istifad\u0259 ed\u0259r\u0259k \u015f\u0259kill\u0259rin \u00e7\u0259kilm\u0259si prosesidir. Koronar angioqrafiya qabaqc\u0131l laboratoriyalarda angioqrafiya cihaz\u0131 v\u0259 t\u0259cr\u00fcb\u0259li kardioloq v\u0259 s\u0259hiyy\u0259 i\u015f\u00e7il\u0259ri il\u0259 apar\u0131l\u0131r. Prosedur \u00fc\u00e7\u00fcn x\u0259st\u0259nin yatmas\u0131na ehtiyac yoxdur, x\u0259st\u0259 oyaqd\u0131r v\u0259 prosedur zaman\u0131 dan\u0131\u015fa bilir. Koronar angioqrafiya \u00fcr\u0259k damarlar\u0131na \u00e7atmaq \u00fc\u00e7\u00fcn daha \u00e7ox sa\u011f qas\u0131q arteriyas\u0131ndan (b\u0259z\u0259n qol) istifad\u0259 edir. Sa\u011f qas\u0131q arteriyas\u0131na (femoral arteriya) daxil olmaq \u00fc\u00e7\u00fcn qas\u0131q nahiy\u0259si iyn\u0259 il\u0259 anesteziya edilir v\u0259 damara plastik qab\u0131q qoyulur. X\u0259st\u0259 b\u0259z\u0259n bu prosedur zaman\u0131 y\u00fcng\u00fcl a\u011fr\u0131 hiss ed\u0259 bil\u0259r. N\u00f6vb\u0259ti hiss\u0259d\u0259 x\u0259st\u0259 he\u00e7 n\u0259 hiss etmir. Daha sonra plastik qab\u0131\u011f\u0131n i\u00e7ind\u0259n \u00fcr\u0259yi qidaland\u0131ran ki\u00e7ik arteriyalar\u0131n (koronar damarlar\u0131n) \u00e7\u0131xd\u0131\u011f\u0131 \u0259n b\u00f6y\u00fck arteriyaya (aorta) nazik-ki\u00e7ik v\u0259 \u0259yil\u0259 bil\u0259n boru (kateter) yeridilir v\u0259 boyal\u0131 madd\u0259 (kontrast madd\u0259) yeridilir. koronar arteriyalar\u0131n aorta giri\u015f n\u00f6qt\u0259l\u0259rin\u0259 yerl\u0259\u015fdir\u0259r\u0259k koronar arteriyaya. ) verilir. Bel\u0259 ki, m\u00fcxt\u0259lif bucaqlardan \u00e7\u0259kilmi\u015f filml\u0259rd\u0259 koronar damarlar izl\u0259nil\u0259 v\u0259 hans\u0131 b\u00f6lg\u0259d\u0259 n\u0259 q\u0259d\u0259r daralma oldu\u011fu t\u0259yin oluna bil\u0259r. Boyal\u0131 madd\u0259nin vurulmas\u0131 a\u011fr\u0131 hissi verm\u0259y\u0259c\u0259k. Ancaq boyanm\u0131\u015f madd\u0259 damarlara veril\u0259rk\u0259n 20-30 saniy\u0259 \u0259rzind\u0259 m\u00fcv\u0259qq\u0259ti q\u0131zd\u0131rma, q\u0131zart\u0131 v\u0259 \u00fcr\u0259kbulanma hiss oluna bil\u0259r.<\/p>\n

ARITM\u0130YA N\u018fD\u0130R (\u00dcR\u018fKD\u018f R\u0130TM\u0130YA POZUNLU\u011eU, Alovlanma), NEC\u018f D\u018fQ\u0130S ED\u0130L\u0130R, NEC\u018f M\u00dcAL\u0130C\u018f ED\u0130L\u0130R?<\/strong><\/p>\n

Sa\u011flam bir \u00fcr\u0259k istirah\u0259td\u0259 d\u0259qiq\u0259d\u0259 60-80 d\u0259f\u0259 d\u00f6y\u00fcn\u00fcr. V\u0259 h\u0259r vuru\u015f aras\u0131ndak\u0131 vaxtlar b\u0259rab\u0259rdir, y\u0259ni ritmikdir. B\u0259d\u0259n f\u0259aliyy\u0259ti artd\u0131qda, m\u0259s\u0259l\u0259n, g\u0259z\u0259rk\u0259n, idman ed\u0259rk\u0259n, a\u011f\u0131r i\u015fl\u0259rd\u0259 v\u0259 ya stress alt\u0131nda olduqda, \u00fcr\u0259yimizin d\u0259qiq\u0259d\u0259 d\u00f6y\u00fcnm\u0259 s\u00fcr\u0259ti art\u0131r. Bununla bel\u0259, vuru\u015flar aras\u0131ndak\u0131 vaxt b\u0259rab\u0259r v\u0259 t\u0259krar ritmikdir. \u00dcr\u0259yimizd\u0259 ritm yaradan bir n\u00f6qt\u0259 var, elektrik stimulunu \u00f6z\u00fc yaradan bu n\u00f6qt\u0259 anormal ritml\u0259 d\u00f6y\u00fcnt\u00fcl\u0259r \u00e7\u0131xaracaq v\u0259 b\u0259z\u0259n sa\u011flam ritm stimulunun bu n\u00f6qt\u0259d\u0259n \u00fcr\u0259k \u0259z\u0259l\u0259sin\u0259 lifl\u0259r vasit\u0259sil\u0259 \u00f6t\u00fcr\u00fclm\u0259si zaman\u0131 ke\u00e7irm\u0259 q\u00fcsurlar\u0131 ola bil\u0259r. H\u0259r halda, anormal ritml\u0259rl\u0259 \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcl\u0259ri meydana g\u0259lm\u0259sin\u0259 s\u0259b\u0259b ola bil\u0259r. X\u0259st\u0259l\u0259r b\u0259z\u0259n bu anormal d\u00f6y\u00fcnt\u00fcl\u0259ri hiss edib \u00f6zl\u0259ri h\u0259kim\u0259 m\u00fcraci\u0259t etdikl\u0259rind\u0259n, b\u0259z\u0259n h\u0259r hans\u0131 m\u0259qs\u0259dl\u0259 \u00e7\u0259kilmi\u015f adi EKQ-d\u0259 t\u0259sad\u00fcf\u0259n h\u0259kim t\u0259r\u0259find\u0259n anormal ritm \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcl\u0259ri oldu\u011fu f\u0259rq edil\u0259 bil\u0259r.<\/p>\n

Anormal ritmli \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcl\u0259ri problemin \u015fidd\u0259tind\u0259n as\u0131l\u0131 olaraq \u00fcr\u0259yin nasos funksiyas\u0131n\u0131 pozsa da, dig\u0259r t\u0259r\u0259fd\u0259n laxtalanma \u0259m\u0259l\u0259 g\u0259lm\u0259sin\u0259 s\u0259b\u0259b ola bil\u0259r v\u0259 bu laxtalar \u00fcr\u0259k, a\u011fciy\u0259r, beyin v\u0259 b\u0259zi damarlar\u0131 ba\u011flaya bil\u0259r. t\u0259cili v\u0259 h\u0259yati probleml\u0259r\u0259 s\u0259b\u0259b olan dig\u0259r orqanlar. Bu s\u0259b\u0259bd\u0259n ritm poz\u011funlu\u011fu m\u00fcalic\u0259 edilm\u0259si laz\u0131m olan \u0259h\u0259miyy\u0259tli bir \u00fcr\u0259k sa\u011flaml\u0131\u011f\u0131 problemi olaraq g\u00f6r\u00fclm\u0259lidir.<\/p>\n

H\u0259r hans\u0131 s\u0259b\u0259bd\u0259n ritm poz\u011funlu\u011fu olan x\u0259st\u0259l\u0259r \u00fc\u00e7\u00fcn x\u00fcsusi haz\u0131rlanm\u0131\u015f Elektrofiziologiya laboratoriyalar\u0131 yarad\u0131lm\u0131\u015fd\u0131r. Bu laboratoriyada \u00fcr\u0259k d\u00f6y\u00fcnt\u00fcl\u0259ri d\u0259rind\u0259n ara\u015fd\u0131r\u0131l\u0131r v\u0259 ilk n\u00f6vb\u0259d\u0259 anormal ritm, y\u0259ni ad\u0131 diaqnoz edilir. Daha sonra ritm poz\u011funlu\u011funun stimulun yarand\u0131\u011f\u0131 n\u00f6qt\u0259d\u0259 v\u0259 ya \u00f6t\u00fcr\u00fclm\u0259 yollar\u0131nda olub-olmad\u0131\u011f\u0131 ba\u015fa d\u00fc\u015f\u00fclm\u0259y\u0259 \u00e7al\u0131\u015f\u0131l\u0131r. X\u0259rit\u0259\u00e7\u0259km\u0259 adlanan bu prosesd\u0259n sonra x\u0259st\u0259nin \u00fcr\u0259yind\u0259 ke\u00e7iricilik yollar\u0131na d\u0259qiq harada m\u00fcdaxil\u0259 edil\u0259c\u0259yi ayd\u0131nla\u015fd\u0131r\u0131l\u0131r. Yen\u0259 koronar angioqrafiya laboratoriyas\u0131 m\u00fchitind\u0259 v\u0259 kateter texnikas\u0131 il\u0259 bu anormal ke\u00e7irici n\u00f6qt\u0259l\u0259r\u0259 radiotezlik \u00fcsullar\u0131 il\u0259 m\u00fcdaxil\u0259 edil\u0259r\u0259k anormal ritml\u0259r yaradan ocaqlar aradan qald\u0131r\u0131laraq x\u0259st\u0259nin normal \u00fcr\u0259k ritmin\u0259 \u00e7atmas\u0131na \u015f\u0259rait yarad\u0131l\u0131r.<\/p><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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