12 - Yakın Doğu Üniversite Hastanesi

Transkript

ÜCRETSİZ
İ l k b a h a r - Ya z 2 0 1 5 S a y ı : 3
ALABİLİRSİNİZ
YAKIN
SAĞLIK
YA K I N D O Ğ U Ü N İ V E R S İ T E S İ H A S TA N E S İ D E R G İ S İ
SAYI 03 Đ İlkbahar - Yaz / 2015 - 6 ayda bir yayınlanır
DOSYA KONUSU:
KALBİNİZİ
ÖNEMSİYORUZ!
YA K I N S A Ğ L I K D E R G İ S İ
SİGARAYI
BIRAKMA
STRATEJİLERİ
Toplumda
Damgalama
ÇARPINTI HASTALIK
BELİRTİSİ Mİ?
02
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SAYI: 3 / İLKBAHAR - YAZ / 2015
İÇİNDEKİLER
6 Ayda bir yayınlanır.
Dosya Konusu:
KARDİYOLOJİ - Kalbinizi Önemsiyoruz
04 Mütevelli Heyet Başkanı
05 Ön Söz
06 Katkıda Bulunanlar
10 Adet Düzensizliği
12 Bahar Nezlesi
14 Behçet Hastalığı
18 Besin Maddeleri Riskli mi?
20 Yazı Formda Yaşayın
22 Çocuklarda Laparoskopi
23 Dijital Gülüş Dizaynı
24 Çocuklarda Tik Bozuklukları
26 Toplumda Damgalama
28 Demir Eksikliği Anemisi
30 Adım Adım Liposuction
33 Fazlalıklara Elveda
34 Gül Hastalığı
36 Yaz Aylarında Güneşe Dikkat
38 5 Soruda Gut Hastalığı
40 YDÜ Hayvan Hastanesi
42 İç Kulak Kristal Hastalığı
44 HPV Enfeksiyonundan
Korunun
45 Dosya Konusu: Kalbinizi
Önemsiyoruz!
46 Yüksek Tansiyon Artıyor
48 Kalp ve Damar Hastalıkları
51 Kalbiniz İle İlgili Öneriler
52 Kalp Yetersizliği
55 Sigarayı Bırakma Stratejileri
56 Çarpıntı Hastalık Belirtisi mi?
58 Kırma Kusurları
60 Lazer Tedavisi Nedir?
62 Lösemi ve Genetik
66 Baş Ağrılarının %90’ı Migren
68 Prematüre Bebeklerin Yaşadığı
Sorunlar
72 Erkeğin Makyajı Saçıdır
74 Tekrarlayan Kafa Travmaları
76 Ayak ve Topuk Ağrısı
78 Varikosel
80 Yaz İshalleri Ölümcül Olabilir
82 Reflü Hastalığı ve Önlemleri
84 Güncel Haberler
94 Bulmaca
DOSYA KONUSU
24
68
GEÇEN SAYININ CEVABI
Taşınır
perde
Leyleğin
gaga sesi
L
Düş
Evin
mülkiyet
belgesi
45
T
Fotoğraftaki
oyuncu
H
Haykırma,
bağırma
Yersiz,
zamansız söz
G
Toprağa gizlenen
patlayıcı
Sahibi
Yakın Doğu Üniversitesi Hastanesi adına
YDÜ HASTANESİ
Sorumlu Yazı İşleri Müdürü: Dr. Sevim Erkmen
Görsel Danışman: Gökçe Şekeroğlu
Yayın Yönetmeni: Burcu Süerdem
Reklam Ajansı : Tabir-i Caiz İletişim Hizmetleri
Görsel Yönetmen: Orçun Peköz
Yayın Kurulu:
Prof. Dr. Nedime Serakıncı
Prof. Dr. Finn Rassmussen
Prof. Dr. Mustafa Asım Şafak
Doç. Dr. Ulaş Yavuz
Dr. Sevim Erkmen
P
A
R
A
V
A
N
A
Birden
saldırıp
kaybolma
Bitkinlik
Pabuç
1
Üflemeli bir
çalgı, flavta
'Ey, hey' anlamında söz
9 Baryum' un
simgesi
Yağmur getirmeyen fırtına
8
Kedinin ön
ayağı
P
P
A L A
F L Ü T
A
P İ
K A Ç
R G Ü Ç
E
Bir cins
güvercin
Apartman
görevlisi
Öfke,
kızgınlık
Dileme, dilek
Nişanlı,
yavuklu
6
Kısa süren
yağmur
Afiş
Kederli
ANAHTAR
KELİME
1
2
3
Tümler
açının
sinüsü
Bedavacı
Geminin yan
yatması
B
Yoksulluk,
fukaralık
Baş, kafa
Dili tutulmuş
Cildi ölü
hücrelerden
arındırma
Gümüş' ün
simgesi
Bir masal
kuşu
Alfabede 4.
harfin adı
L
A
L
Kayak
İyileştirdiğine inanılan
soluk
Ü
A F
Ü
G R
Ü
A K
N
L A
I
K A
O Ğ U
Doğal yıkım,
kıran
Olması
beklenilen şey
Nar çiçeği
renginde taş
Güzel kokulu
bir madde
Hakkı yerine
getiren
Aşırıya
kaçmayan,
ölçülü
Bir haber
ajansı
Argoda para
Ağabey
Okyanusun
derin yerleri
A
L
Y
U
V
A
R
İlave
E
K
A K
Ü
A
P
B
U R
Z
R E
A
A
F
Ğ
İ T A
Y I N
E K
T I M
R İ C
A
S E
D A K L
İ S
A
L I M L
Y A K
Hacim ölçü
birimi
Eski dilde
verme,
ödeme
M A
Y
Y A
K
A K
A
A B
I
Bir, tek
Gemi
direğinin
eğimi
Kana rengini
veren hücre
2
K
İ
A
P
P K E
I
K
C I L
I
İ
I N D
'III' rakamının
adı
İpek içeren
kumaş
Kısa süren,
enstantane
Temiz, saf
5
Türünde
örnek olan
eski eser
Dolaylı
anlatım
4
Bir yerde
oturma
4
5
6
Erkek
kardeş,
kayın
7
8
K
O
S
İ
N
Ü
S
Katı bitki yağı
Şöhret, şan
Yosunun
köksü organı
E
M
E
Ç
Eski dilde su
Ad
İ
S
İ
M
M
A
R
G
A
R
K İ
Ü N
T
İ T
N A
T
A B
N İ
İ K
M A
E T
Boyanın
verdiği özellik
7
R
E
N
K
Bitkide su
geçirmez
madde
3
Asker
birliklerinin
savaş
denemesi
Japon çizgi
filmi
9
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TIPTA YENİLİKLERİN MERKEZİ;
YAKIN DOĞU ÜNİVERSİTESİ
HASTANESİ
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Yakın Doğu Üniversitesi Hastanesi
Başhekim
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05
KATKIDA BULUNANLAR
Uzm. Diyetisyen Hatice Baygut
Doç. Dr. Ali İbrahim Shorbagi
Dr.Ayşe Çırakoğlu
Prof. Dr. Mustafa Asım Şafak
2010 yılında Hacettepe
Üniversitesi’nde lisans eğitimini, 2013
yılında Yakın Doğu Üniversitesi’nde
bilim uzmanlığını tamamladı. 2010
tarihinden itibaren Yakın Doğu Üniversitesi Hastanesi’nde Başdiyetisyen,
Sağlık Bilimleri Beslenme ve Diyetetik
Bölümü’nde öğretim görevlisi olarak
görev yapmaktadır.
2000 yılında tıp doktoru ünvanını
kazandıktan sonra 2007 yılında İç
Hastalıkları uzmanlığı, 2011 yılında
ise Gastroenteroloji uzmanlığını
aldı. 2008 yılında İstanbul’da
düzenlenen 18. Dünya Gastroenteroloji ve Genel Cerrahi Derneği
(IASGO) kongresinin genel sekreterliğini yaptı. Ulusal ve uluslararası
saygın tıbbi dergilerinde çok sayıda
bilimsel makalesi bulunmaktadır.
Ayrıca Gastroenteroloji alanında
ulusal ve uluslararası birçok dernekte üyeliği bulunmaktadır.
1992 yılında İstanbul Üniversitesi,
Cerrahpaşa Tıp fakültesi, Tıbbi
Biyolojik Bilimler Bölümü’nden mezun
oldu. Yüksek Lisans ve Doktorasını
İstanbul Üniversitesi Sağlık Bilimleri
Enstitüsü’ne bağlı Genetik Anabilim
Dalı’nda tamamladı. 2013 yılından
itibaren İstanbul Üniversitesi’nden
görevlendirme izniyle Yakın Doğu
Üniversitesi Tıp Fakültesi’nde görevine
devam etmektedir. European Cytogenetic Association, Tıbbi Biyologlar
Derneği, Tıbbi Genetik Derneği, Tıbbi
Biyoloji ve Genetik Derneği ile Türkiye
Solunum Araştırmaları Derneği’ne
üyelikleri bulunmaktadır.
1988 yılında Hacettepe Üniversitesinde Tıp eğitimini tamamladı.
1988- 1992 tarihinde Sağlık Bakanlığı Ankara Eğitim ve Araştırma
Hastanesi’nde KBB Hastalıkları
Uzmanı olarak atandı. 1992-1993
yıllarında Hacettepe Üniversitesi
Biyofizik Anabilim Dalı’nda doktora
programına devam etti, 2003 yılında doçent, 2010 yılında Profesör
ünvanını aldı.
Uzm. Dr. Rona Emiroğlu
1979 yılında Kosova’da doğdu. Ankara
Üniversitesi Tıp Fakültesi’ni 2004 yılında başarı ile bitirdi. 22/04/2010 Ankara
Eğitim ve Araştırma Hastanesi’nde Göz
Hastalıkları dalında uzmanlığını aldı.
06
Ƌo
Yrd. Doç. Dr. Ceyhun Dalkan
Uzm. Dr. Gönül Işık Şahlı
1998’de Ankara Gazi Üniversitesi
Tıp Fakültesi’nden mezun oldu.
Ardından Keçiören Eğitim ve
Araştırma Hastanesi İç Hastalıkları
Kliniği’nden 2011’de uzmanlığını
aldı. Ankara Keçiören Eğitim ve
Araştırma Hastanesi’nde 2011
yılına kadar asistanlığa devam etti.
2011-2013 yılları arasında Ankara
Nallıhan Devlet Hastanesi’nde, İç
Hastalıkları Uzmanı olarak çalıştı.
Teknik becerileri Gastrointestinal
Sistem Endoskopisi, tiroid ve karaciğer biyopsisi ile tanı koymadır.
Uzman Doktor Burcu Özbakır
1996-2002 İstanbul Üniversitesi
Cerrahpaşa Tıp Fakültesi’ni başarıyla
tamamladıktan sonra, Çukurova Üniversitesi Tıp Fakültesi Kadın Hastalıkları
ve Doğum Anabilim Dalı’nda uzmanlığını aldı. 1 Ekim 2014 ‘de Yakın Doğu
Üniversitesi Hastanesi’nde görevine
devam etmektedir.
İstanbul Üniversitesi İstanbul Tıp
Fakültesi’nde Tıp eğitimini gördü, ardından, Zeynep Kamil Kadın Doğum
ve Çocuk Hastalıkları Hastanesi’nde
Çocuk Sağlığı ve Hastalıkları eğitimini
tamamladı. Eğitimini tamamladıktan
sonra K.K.T.C.’nin ilk Tıp Fakültesi olan
Yakın Doğu Üniversitesi Hastanesi’nde
Çocuk Sağlığı ve Hastalıkları Anabilim
Dalı’nda Yardımcı Doçent olarak göreve başladı. Anne sütü eğitimi (2006),
Yenidoğan canlandırma Kursu (20062011), Çocuk Acil ve Yoğun Bakım Kursu (2009) ve Yenidoğan canlandırma
eğitimcisi (2011) eğitimlerini başarıyla
tamamlamıştır.
KATKIDA BULUNANLAR
Uzm. Dr. Didem Mullaaziz
Yrd. Doç. Dr. İpek Sönmez
Yrd. Doç. Dr. Tijen Ataçağ
Doç. Dr. Doğa GÜRKANLAR
Tıp eğitimini 2000-2006 yılları
arasında Trakya Üniversitesi Tıp
Fakültesi’nde, uzmanlık eğitimini
2008-2012 yılları arasında Süleyman
Demirel Üniversitesi Tıp Fakültesi Deri
ve Zührevi Hastalıklar alanında aldı.
2003 yılında Dokuz Eylül Üniversitesi
Tıp Fakültesi eğitimini tamamladı.
2003-2006 yılları arasında ilk yarı süre
psikiyatri asistanlığına Barış Ruh ve
Sinir Hastanesi’nde başlayıp, 2006
yılından itibaren İzmir Atatürk Eğitim
ve Araştırma Hastanesi’nde devam
etti. 2008 yılında İzmir Atatürk Eğitim
ve Araştırma Hastanesi’nden Psikiyatri
uzmanı olarak mezun oldu.
Ankara Üniversitesi Tıp Fakültesinden tıp doktoru olarak mezun
olduktan sonra, 1996 yılında
Ankara Dr. Zekai Tahir Burak Kadın
Hastanesinden Kadın Hastalıkları
ve Doğum Uzmanlığı ünvanını
aldı. 1996 – 2006 yılları arasında
Ankara’da Fatih Üniversitesi, Keçiören Belediye Hastanesi, Garanti
Bankası Sağlık Merkezsi, Ortadoğu
Polikiniği ve Bilgi Tıp Merkezi’nde
kadın hastalıkları ve doğum uzmanı olarak görev yaptı.
1991-1997 Akdeniz Üniversitesi Tıp
Fakültesi’ni Antalya’da tamamladıktan
sonra, 1998-2004 yılları arasında
Ankara SSK Eğitim Hastanesi’nde Nöroşirürji uzmanlığını aldı. 1998-2004
yılları arasında Ankara SSK Eğitim
Hastanesi’nde Dr. Araştırma Görevlisi
olarak çalıştıktan sonra, 2004-2005’de
Mustafa Kemal Üniversitesi Tıp
Fakültesi’nde Yar. Doç. olarak görevine
devam etti. 17 Mart 2015’den itibaren
görevine, Yakın Doğu Üniversitesi
Hastanesi’nde Doçent olarak devam
etmektedir.
Uzm. Dr. Mehmet Yavuz
Selhanoğlu
1976-1982 yılları arasında Trakya
Üniversitesi Edirne Tıp Fakültesi’nden
mezun oldu. Ardından 1984-1989
İstanbul Üniversitesi İstanbul Tıp
Fakültesi Üroloji Anabilim Dalı’nda
uzmanlığını aldı.
Uzm. Dr. Kamil Gülşen
Yrd. Doç. Dr. Mehtap Tınazlı
16.02.1971’de Kars doğumludur.
Uludağ Üniversitesi Tıp Fakültesi’nde
Üniversite eğitimini tamamladıktan
sonra, Dahiliye ihtisasını da Nisan
2011’de İstanbul Göztepe Eğitim ve
Araştırma Hastanesi’nde yapmıştır.
Branşı ile ilgili özel ilgi alanları Diabet
ve Romatolojik hastalıklardır.
Doç. Dr. Arzu Babayiğit
Hocaoğlu
1993-1999 Ege Üniversitesi Tıp
Fakültesi’nden mezun olduktan
sonra, Dokuz Eylül Üniversitesi Tıp
Fakültesi Çocuk Sağlığı ve Hastalıkları
uzmanlığını yaptı. 2004-2010 yılında
Çocuk Alerji Hastalıkları yan dal uzmanlığı yaptı. 2010 yılında “Doçentlik”
ünvanını aldı.
Doç. Dr. Emil Mammadov
1998-2004 yılları arasında Tıp
eğitimini Hacettepe Üniversitesi Tıp
Fakültesi’nde aldıktan sonra, 2005 yılında İstanbul Üniversitesi Cerrahpaşa
Tıp Fakültesi’nde Çocuk Cerrahisi uzmanlık ihtisasına başlamış ve başarılı
bir şekilde 2010 yılında tamamlamıştır.
2010-2011 yılları arasında İstanbul
Florence Nightingale Hastanesi,
Minimal İnvazif ve Robotik Cerrahi
Merkezi’nde robotik ameliyatlara aktif
olarak katılarak bu dalda uzmanlaşma
konusunda ilk adımlarını atmıştır.
Çukurova Üniversitesi Tıp Fakültesi’ni
1999-2005 yıllarında başarı ile tamamladı. İstanbul Üniversitesi Kardiyoloji
Enstitüsü’nde 2005-2010 yıllarında
kardiyoloji uzmanlığını aldı. Mesleki
ilgi alanları; invaziv kardiyoloji, aritmi,
Ekokardiografi, kalp yetmezliği ve
tıbbi istatistiktir.
333Ċ*!.!/0$+/,%0(Ċ+)ƋĐƋ
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07
KATKIDA BULUNANLAR
Başhekim Dr. Sevim Erkmen
Doç. Dr. Aslı Feride Kaptanoğlu
Prof. Dr. Nedim Çakır
Uzm. Dr. Selda Öktem
1972 yılında Ankara Üniversitesi
Tıp Fakültesi’nden mezun oldu.
1977’de Dahiliye Uzmanlığı ihtisasını
tamamladı.1988 Hacettepe Üniversitesi Tıp Fakültesi Hastanesi ve 1999
yılında Unıversity London Collage
Hospital’de Kan Hastalıkları dalında
eğitim aldı. 4 Haziran 2010’dan itibaren halen YDÜ Hastanesi Başhekim
görevini sürdürmektedir.
1995 yılında Ankara Üniversitesi Tıp
Fakültesi’nden mezun oldu. 1996
yılında Ege Üniversitesi Tıp Fakültesi,
Deri ve Zührevi Hastalıklar Anabilim
Dalı’nda ihtisasa başladı ve 2000
yılında ihtisasını tamamlayarak Deri
ve Zührevi Hastalıkları Uzmanı oldu.
2010 yılında Yakındoğu Üniveristesi
Tıp Fakültesi, Deri ve Zührevi Hastalıkları Bölümü’nde Yrd. Doç Dr. olarak
görevine devam etmektedir.
Ege Üniversitesi Tıp Fakültesi’ni 19671973 yılları arasında tamamladıktan
sonra, Ege Üniversitesi Tıp Fakültesi
Klinik Mikrobiyoloji ve İnfeksiyon
Hastalıkları Anabilim Dalı’nda Tıpta
Uzmanlık Eğitimini bitirdi. ‘Yardımcı
Doçent’lik ünvanını Dokuz Eylül Üniversitesi Tıp Fakültesi Mikrobiyoloji ve
Klinik Mikrobiyoloji Anabilim Dalı’nda
1982-1986 yılları arasında aldı.
‘Doçentlik’ ünvanını ise Dokuz Eylül
Üniversitesi Tıp Fakültesi Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim
Dalı’nda 1986-1996’da, ‘Profesörlük’
ünvanını ise Dokuz Eylül Üniversitesi
Tıp Fakültesi Klinik Mikrobiyoloji ve
İnfeksiyon Hastalıkları Anabilim
Dalı’nda aldı.
1995 yılında Ege Üniversitesi Tıp
Fakültesi’nden mezun oldu. 2000
yılında Dokuz Eylül Üniversitesi Tıp Fakültesi İç Hastalıkları Anabilim Dalı’nda
uzmanlık eğitimini tamamladı. 2004
yılında Ege Üniversitesi Tıp Fakültesi
İç Hastalıkları ABD, Romatoloji Bilim
Dalı’nda üst uzmanlığını bitirdi. Nisan
2015’ten itibaren Yakın Doğu Üniversitesi Hastanesi’nde yarı zamanlı
doktor olarak görev yapmaktadır.
Doç. Dr. İbrahim Orgun Deren
1984 yılında T.C. Öğrenci Seçme ve
Yerleştirme Sınavları’nda Kıbrıs ikincisi
ve dördüncüsü oldu. 1984 yılında
Ankara Üniversitesi Tıp fakültesine
girdi ve 1990 yılında mezun oldu.
1991 yılında Ankara Numune Eğitim
ve Araştırma Hastanesinde Plastik
Çerrahi eğitimine başlayan Doç. Dr.
Orgun Deren 1997 yılında Uzmanlığını aldı. 2007 Yılında T.C. Üniversiteler
arası Kurulun düzenlediği doçentlik
sınavını kazanarak doçentlik ünvanını
aldı.
08
Ƌo
Prof. Dr. Onur Akpınar
Yrd. Doç. Dr. Osman Ergene
2005-2006 yılları arasında Urfa
Devlet Hastanesi’nde, 2006-2009
‘da 25 Aralık Devlet Hastanesi’nde,
Gaziantep Medikal Park Hastanesi’nde
2009-2011 yılları arasında çalıştı.
2011’den 2014 yılına kadar Adana
Medline Hastanesi’nde görev yaptıktan sonra, Yakın Doğu Üniversitesi
Hastanesi’nde göreve başladı.
2005 yılında Ankara Üniversitesi
Veteriner Fakülte’sinden mezun oldu.
Aynı yıl yine Ankara Üniversitesi Veteriner Fakültesi Doğum ve Jinekoloji
Anabilim Dalı’nda doktora eğitimine
başladı. 2009 yılında Dr. ünvanı alarak
Yakın Doğu Üniversitesi Veteriner
Fakültesi’nin kurucu kadrosunda yer
aldı. 2011 yılında Yrd. Doç. Dr. ünvanı
almış ve aynı yıl Veteriner Fakültesi
Dekan Yardımcılığı’na atanmıştır. 2014
yılında ise Yakın Doğu Üniversitesi
Hayvan Hastanesi Başhekimi olarak
görev yapmaya başlamıştır.
Doç. Dr. Gökçe Meriç
2001 yılında Gazi Üniversitesi Diş
Hekimliği Fakültesi’nden mezun
olup, Gazi Üniversitesi Diş Hekimliği
Fakültesi Protetik Diş Tedavisi Anabilim Dalı’nda doktora öğrencisi olarak
çalışmalarına başladı. Yakın Doğu
Üniversitesi’nde 2012 yılında doçent
kadrosuna atanan Dr. Meriç, halen
aynı görevi sürdürmektedir.
KATKIDA BULUNANLAR
Prof. Dr. Nedime Serakıncı
Doç. Dr. Ulaş Yavuz
1992 yılında İstanbul Üniversitesi
Biyoloji Bölümü’nden mezun oldu.
1993’de İstanbul Üniversitesi Çapa Tıp
Fakültesi İç Hastalıkları Anabilim dalında master eğitimini aldı. 2003’de Tıbbi
Genetik Doçentliği’ni 2007’de ikinci
çalışma alanı olan yaşlanma ve kök
hücre genetiği dalında ikinci doçentliğini aldı. 2011’de Tıbbi Genetik ve
Kök Hücre Genetiği Bölümleri’nden
Profesörlüğünü aldı.
1991-1998 Hacettepe Üniversitesi Tıp
Fakültesinden mezun oldu. İtalya’da
Messina Üniversitesi Hastanesi ve
Hırvatistan’da Rijeka Üniversitesi
Hastanesi’nde Genel Cerrahi ve
İspanya’da Barcelona Vall D’hebron
Üniversitesi Hastane’sinde Ortopedi
ve Travmatoloji stajı yaptı. 2002
yılında Hacettepe Üniversitesi’nde
Spor Hekimliği yüksek lisansını
tamamladı. 2007’de yine Hacettepe
Üniversitesi’nde Spor Bilimleri ve Teknolojisi-Egzersiz Fizyolojisi doktorasını
aldı. Yardımcı Doçentliğini 1 Eylül
2012 ‘de Yakın Doğu Üniversitesi’nde
almıştır.
Yrd. Doç. Dr. Teoman Toni
Sevinç
1979-1985 yılları arasında İstanbul
Üniversitesi Cerrahpaşa Tıp Fakültesi’ni
bitirdikten sonra, 1992- 1997 yılları
arasında Marmara Üniversitesi Tıp
Fakültesi Ortopedi ve Travmatoloji
Kliniği Uzmanlık eğitimini tamamladı.
Omurga cerrahisi, omuz cerrahisi,
spor yaralanmaları, Artroskopik Cerrahi mesleki ilgi alanlarıdır.
Uzm. Dr. Yeliz Cengiz
1999-2005 İstanbul Üniversitesi
İstanbul Tıp Fakültesi’ni bitirdi.
2006-2011’de İstanbul Üniversitesi
Cerrahpaşa Tıp Fakültesi Çocuk ve
Ergen Sağlığı ve Hastalıkları Anabilim Dalı’nda uzmanlığını aldı.
Prof. Dr. Hamza Duygu
Diyetisyen Banu Özbingül
Arslansoyu
Yrd. Doç. Dr. Senem
Ertuğrul Mut
Ankara Üniversitesi Tıp Fakültesi’nden
2003 yılında mezun oldu. Ardından
S.B. Ankara Eğitim ve Araştırma
Hastanesi’nde Nöroloji dalında uzmanlığını 2009 yılında aldı. Alzheimer
Hastalığı, Başağrısı, Nöromusküler
Hastalıklar ilgi alanına girmektedir.
Medikal Estetik Hekimi Tayfun
Oğuzoğlu
1990 yılında Gazi Üniversitesi Tıp
Fakültesi’ni başarı ile bitirdikten sonra,
“The İntetnational Society of Hair Restoration Surgery” , “American Society
of Hair Restoration Surgery”, “European Society of Hair Restoration Surgery”
sertfikaları bulunmaktadır. Yakın Doğu
Üniversitesi Hastanesi Nearestetica
Güzellik merkezinin kurucularındandır.
2007- 2011 Yakın Doğu Üniversitesi Sağlık Bilimleri Fakültesi
Beslenme ve Diyetetik Bölümü’nü
başarı ile bitirdi. 2011-2012 yılları
arasında Yakın Doğu Üniversitesi
Eğitim Bilimleri Fakültesi Pedagojik
Formasyon Tezsiz Yüksek Lisans
Programını tamamladı. Lisans
eğitimi boyunca Kıbrısta çeşitli hastane, klinik ve kurumlarda, Türkiye’
de Hacettepe Üniversitesi İhsan
Doğramacı Çocuk Hastanesi ve
Bilkent Üniversitesinde staj eğitimi
yapmıştır.
1994-2001 Ege Üniversitesi Tıp
Fakültesi’ni başarıyla bitirdikten sonra,
2001- 2006 yılında Ege Üniversitesi Tıp
Fakültesi Kardiyoloji Anabilim Dalı’nda
uzmanlığını aldı. 2006-2008 yılı arası
İzmir Karşıyaka Devlet Hastanesi’nde
uzman doktor olarak görevine devam
etti. 2012’de doçentlik ünvanını
aldı. 1 Aralık 2014’den itibaren tam
zamanlı olarak Yakın Doğu Üniversitesi Hastanesi’nde görevine devam
etmektedir.
333Ċ*!.!/0$+/,%0(Ċ+)ƋĐƋ
Ƌo
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09
Op. Dr. Burcu Özbakır
KADINDOĞUM
Kadın Hastalıkları ve Doğum Anabilim Dalı
Yakın Doğu Üniversitesi Tıp Fakültesi Hastanesi
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BAHAR NEZLESİ
Ülkemizde bütün
alerjik hastalıklar da
olduğu gibi, alerjik
rinit sıklığında da
son yıllarda ciddi bir
artış gözlenmiştir.
Araştırmalar her
üç kişiden birinde
alerjik rinit olduğunu
göstermektedir.
R
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Yıl boyu alerjik rinitte nedenler daha çok ev
tozu akarı, küf
mantarı, hamam
böceği, hayvan
tüyü gibi ev
içi alerjenlerdir.
*¾QO¾NbSUDWLNWHLVHGDKDVéNRODUDNEDKDU PHYVLPLQGH J¸U¾O¾\RUVD ȢPHYVLPVHOȣ
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ALERJİK RİNİT TANISINDA
HASTANIN ŞİKAYETLERİ
YARDIMCI OLUR
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BELİRTİLERİN SÜRESİNE VE
ŞİDDETİNE GÖRE ALERJİK
RİNİT
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Uzman Doktor Selda Öktem
ROMATOLOJİ
Romatoloji
BEHÇET HASTALIĞI
KARMAŞIK BİR HASTALIK
Behçet hastalığı, vücuttaki birçok doku ve
organ sistemini etkileyebilme özelliği olan
kronik romatolojik bir
hastalıktır. Birçok hekim grubunun ortak
çalışmasını gerektirir,
oldukça karmaşıktır.
14
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BELİRTİLERİ
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FLOW DOWé EH]HOHUL \HU DOPDNWDGéU +DVWDODU EX
ROMATOLOJİ
Behçet hastalığının gençlerde ve
erkeklerde daha
çok görüldüğü
bilinmektedir.
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YAKINMALAR HASTALARA
GÖRE FARKLILIK GÖSTERİR
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ROMATOLOJİ
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16
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Genetik yatkınlığı
olan ve ailesinde
Behçet hastalığı olan kişilerde
geçirilen enfeksiyonlar hastalığı
başlatıcı faktör
olabilir. Ama suçlanan özel bir enfeksiyon yoktur.
Ailesel Behçet
hastalığı görülme
sıklığı Türkiye’de
%8’dir.
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Yrd. Doç. Dr. Emil Mammadov
ÇOCUK CERRAHİSİ
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bir arzu olmuştur.
Kişiler tarafından ilk
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ön planda olmuştur.
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23
ÇOCUK ve ERGEN RUH SAĞLIGI HASTALIKLARI
Uzm. Dr. Yeliz Cengiz
Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları
ÇOCUKLARDA
TİK BOZUKLUKLARI
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24
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25
Yrd. Doç. Dr. İpek Sönmez
PSKİYATRİ
Pskiyatri
RUHSAL HASTALIĞI OLANLAR
TOPLUMDAN DIŞLANIYOR
Dünya Psikiyatri Birliği’nin şizofreni nedeniyle damgalanma ve
ayrımcılıkla küresel savaş kampanyası kapsamında toplumun şizofreni
hastalarına yaklaşımını incelediği ankette, ruhsal hastaların soyutlandığı
sonucuna ulaşıldı.
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26
ŞİZOFRENLER TOPLUMDA
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PSKİYATRİ
Ruhsal hastalığa
yönelik
damgalamanın
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toplumsal
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olabilmektedir.
BİREYLER
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Yrd. Doç. Dr. Osman Ergene
HAYVAN HASTANESİ
Yakın Doğu Üniversitesi Hayvan Hastanesi Başhekimi
YAKIN DOĞU ÜNİVERSİTESİ
HAYVAN HASTANESİ
Yakın Doğu Üniversitesi Hayvan Hastanesi, Kuzey Kıbrıs Türk
Cumhuriyeti’nin ilk ve tek hayvan hastanesi olarak 15 Kasım 2014
tarihinde yapılan görkemli bir törenle hizmet vermeye başladı.
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Prof.Dr. Mustafa Asım Şafak
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ÖNLENEBİLİR ÖLÜMLERDE İLK SIRADA:
KALP VE DAMAR HASTALIKLARI
Kalp ve damar hastalıkları, günümüzde, gelişmiş ve gelişmekte olan ülkelerde
başta gelen ölüm ve iş görmezlik nedenlerindendir. Kalp-damar hastalıkları
birçok Avrupa ülkesinde orta ve ileri yaş grubunda en önemli ölüm nedenidir.
A
vrupa’da tüm ölümlerin %49’u, 65
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HASTALIKLARINI BİRÇOK
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RİSK TAŞIYAN KİŞİLER
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KARDİYOLOJİ
Düzenli olarak
sigara içenlerin
% 50’si sigara
içimi ile ilişkili nedenlerden
kaybedilmektedir. İçilen sigara
miktarı ile kalp
damar hastalıkları, kanser ve
solunum sistemi
hastalıkları ile
doğrudan bir
ilişki mevcuttur.
KALP SAĞLIĞINI KORUMADA
BESLENME ÖNEMLİ
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51
Prof. Dr. Onur Akpınar
KARDİYOLOJİ
Kardiyoloji
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Uzm. Dr. Kamil Gülşen
KARDİYOLOJİ
Kardiyoloji Anabilim Dalı
ÇARPINTI GERÇEKTEN
HASTALIK BELİRTİSİ MİDİR?
Çarpıntı toplumun hem genç hem yaşlı kesimlerini etkileyen, çoğu kişinin
zaman zaman hissetmiş olduğu bir yakınmadır. Bu şikayet kalpte herhangi bir
ritim bozukluğu olmadan da ortaya çıkabileceği gibi ciddi bir sağlık sorununun da habercisi olabilir.
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eder. Bugün tıbbın birçok dalı bu teknolojiyi kullanmaktadır. Lazer
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Prof. Dr. Nedime SERAKINCI
TIBBİGENETİK
Tıbbi Genetik Anabilim Dalı Başkanı
LÖSEMİ ve GENETİK
Vücudumuzdaki kan üretim sistemini tutan bir kanser türü olan lösemi, kan
veya kemik iliği kanseri olarak da adlandırılmaktadır. Lösemi, kemik iliğinin
çok miktarda anormal/sağlıksız özellikte akyuvar üretmesi sonucu kendini
gösteren geniş bir kanser grubudur.
L
ösemiler,
somatik
hücrelerdeki
/¸VHPL KHP ©RFXNODUGD KHP GH \HWLč-
*HQHO RODUDN DNXW O¸VHPLOHU ©RFXNODUGD YH
DNAȠGDPH\GDQDJHOHQKDVDUYHGHÝL-
NLQOHUGHJ¸U¾OHELOHQNDQVHUW¾UOHULQGHQROXS
JHQ©OHUGH GDKD VéN J¸U¾O¾UNHQ NURQLN O¸VH-
čLNOLNOHUNDQVHU\DSéFéJHQOHURODQon-
IDUNOé©HčLWOHULEXOXQPDNWDGéU/¸VHPLOHUPLN-
PLOHU GDKD LOHUOH\HQ \DčODUGD RUWD\D ©éNPD
kogenlerinDNWLYDV\RQXYH\DW¾PRUEDVNéOD-
URVNRSWDNLJ¸U¾Q¾čOHUL\DQéVéUDW¾P¸U¾Q\D-
HÝLOLPLQGHGLU
\éFéJHQOHULQGHYUHGéčéNDOPDVéVRQXFXK¾FUH
\éOéPYHJHOLčLP¸]HOOLNOHULQHJ¸UHDNXWYH\D
E¸O¾QPHVLQLQ©RÝDOPDVéQéQUHJ¾ODV\RQXQXQ
NURQLNRODUDNVéQéˊDUDD\UéOPDNWDGéUODU
ER]XOPDVé\OD ROXčDQ GHQJHVL] K¾FUH ©RÝDOPDVé RODUDN NHQGLQL J¸VWHUPHNWHGLU '1$ȠGD
ROXčDQEXKDVDUDJHQHWLNVHEHSOHULQ\DQéVéUD
2OJXQNDQK¾FUHVLRODQOHQIRVLWHG¸Q¾čPHVL JHUHNHQ ROJXQODčPDPéč ¸QF¾O K¾FUH
İLERLEME HIZINA GÖRE
LÖSEMİLER
RODQOHQIREODVWODUéQDčéUé©RÝDOPDVéYHJHQHOGH OHQI G¾Ý¾POHULQGH ELULNHUHN NDUDNWHUL]H
kanserojen, radyasyon, kimyasal maddelerin
èOHUOHPHKé]éQ]DJ¸UHO¸VHPLOHUDNXWO¸-
ve ED]éYLU¾VOHULQ (HPV, EBV, HIV gibi) neden
semi, akut lenfoblastik lösemi ve akut mye-
ROGXÝXELOLQPHNWHGLU
loid lösemi olarak, kronik lösemi ise, kronik
Akut miyeloid lösemi (AML):
lenfositik lösemi ve kronik myeloid lösemi
$O\XYDUODUDYH WURPERVLWOHUH G¸Q¾čPHVL
RODUDN VéQéˊDQGéUéOPDNWDGéU *HQHO RODUDN
JHUHNHQ P\HOREODVW DGé YHULOHQ K¾FUHOHULQ
DNXWO¸VHPLOHUELUGHQRUWD\D©éNéSKé]OéLOHU-
©RÝDOPDER]XNOXÝXRODUDNNHQGLQLJ¸VWHUHQ
OHUNHQNURQLNO¸VHPLOHUGDKD\DYDčVH\LUOLGLU
NDQVé]OéN.éUPé]éNDQK¾FUHOHULQLQ\HWHULQFH
LÖSEMİ HEM ÇOCUKLARDA
HEM YETİŞKİNLERDE
GÖRÜLEBİLİR
62
Akut lenfoblastik lösemi (ALL):
Ƌo
RODQYH\DčDOWéQGDHQVéNJ¸U¾OHQO¸VHPL
WLSLGLU
TIBBİGENETİK
¾UHWLOPHPHVLQGHQ RUWD\D ©éNPDNWDGéU YH
ROXS .//ȠQLQ \DYDč LOHUOH\HQ ELU W¾U¾G¾U
PL\HOREODVWODUéQ DQRUPDO ©RÝDOPDVé VRQXFX
%XOJXODUé YH EHOLUWLOHUL ©RN VSHVLˉN ROPD\éS
NHPLN LOLÝLQGH HULWURVLWYH WURPERVLW\DSéPé
¸]J¾Q EDčND ELU©RN KDVWDOéNOD RUWDNWéU 6D©Oé
ER]XOPDNWD YH EXQD EDÝOé RODUDN DQHPL YH
K¾FUHOHUNHPLNLOLÝLQGHELULNHUHNYHNHPLNLOL-
WURPERVLW VD\éVéQGD D]DOPD PH\GDQD JHO-
ÝLQLQ\HWHUOLVD\éGDQRUPDONDQK¾FUHVL¾UHW-
PHNWHGLU 1¸WURˉO PRQRVLW JLEL ROJXQ K¾F-
mesini engellemekte ve normal kan hücre-
UHOHU PH\GDQD JHOHPHGLÝL L©LQ PLNURSODUD
OHULQLQ¾UHWLPLQLER]PDNWDGéU$\UéFD.//ȠGHQ
NDUčé Y¾FXW VDYXQPDVé] NDOéU YH VéN WHNUDU
WHGDYL\H YHUGLÝL FHYDS GROD\éVé LOH IDUNOéOéN
HGHQHQIHNVL\RQODUJ¸]OHQLU\Dč¾]HULQGH
J¸VWHUPHNWHGLUOHU
GHJ¸U¾OPHNOHEHUDEHUHUJHQOLNYHȠOL\Dč
O¸VHPLOHULQLQȠVLQLROXčWXUPDNWDGéU
Kronik myeloid lösemi (KML):
2OJXQ J¸U¾Q¾čO¾ DPD IRQNVL\RQODUéQ-
Kronik lenfoid lösemi (KLL):
GD ]D\éˊéNND\éS EXOXQDQ DN\XYDUODUéQ DčéUé
Moleküler
genetik
çalışmalar,
lösemilerde,
onkogenler ve
tümör baskılayıcı
genlerde ve
bu genlerin
etkileştiği
birçok gende
mutasyonların
meydana
geldiğini ortaya
koymuştur.
2OJXQ OHQIRVLWOHULQ NDQ YH NHPLN LOLÝLQ-
©RÝDOPDVé LOH NDUDNWHUL]H HGLOHQ ELU O¸VHPL
GH DčéUé ©RÝDOPDVé J¸]OHQPHNOH ELUOLNWH DQ-
WLSLGLU<HWLčNLQO¸VHPLOHULQȠXQXROXč-
FDN OHQIRVLWOHULQ VD\éVé DUWPDVé LOH EHUDEHU
WXUDQYH JHQHOOLNOH YH \Dč DUDOéÝéQGD
DQRPDOLOHUL EXOXQGXÝX J¸VWHULOPLčWLU YH EX
EDÝéčéNOéN VLVWHPL]D\éˊDPDNWDGéU ¾QN¾ EX
J¸]OHQHQO¸VHPLW¾U¾G¾U
DQRPDOLOHULQ©RÝXQOXNODO¸VHPLW¾U¾QH¸]J¾
OHQIRVLWOHUQRUPDOIRQNVL\RQODUéQé\HULQHJH-
/¸VHPLGHNLJHQHWLNGHÝLčLNOLNOHU
WHNUDUOD\DQ DQRPDOLOHU RODUDN EXOXQGXÝX
WLUHPHPHNWH YH PLNURSODUOD VDYDčDPDPDN-
/¸VHPL ROXčXPXQGD JHQHWLN IDNW¸UOHU
LOHUOH\HQ]DPDQ YH WHNQLNOHU LOH DQODčéOPéč-
WDGéUODU.HPLNLOLÝLQGHDčéUéGHUHFHGHOHQIR-
E¾\¾N ¸QHPH VDKLSWLU /¸VHPLOL KDVWDODUéQ
WéU%XGHÝLčLPOHU\DNURPR]RPG¾]H\LQGH\D
VLWOHULQ©RÝDOPDVéVRQXFXHULWURVLWWURPERVLW
NHPLN LOLÝL YH NDQ K¾FUHOHULQGH WHNUDUOD-
JHQ G¾]H\LQGH WUDQVORNDV\RQ NéUéN QRNWDODUé
JLELb QRUPDO K¾FUHOHULQ \DSéOPDVéb HQJHO-
\DQ NURPR]RP DQRPDOLOHUL J¸]OHQPHNWHGLU
IDUNOéOéNJ¸VWHUHUHNYH\DKHULNLVLELUGHQEX-
OHQPHNWHGLU$QRUPDO OHQIRVLWOHU NHPLN LOLÝL
.DQVHUOH LOLčNLOL ROGXÝX ELOLQHQ LON NURPR-
OXQDELOPHNWHGLU
OHQIEH]OHULNDUDFLÝHUYHGDODNWDELULNHUHNEX
]RP DQRPDOLVL \éOéQGD NURQLN P\HORLG
RUJDQODUéQE¾\¾PHVLQHQHGHQROPDNWDGéUODU
O¸VHPLOL .0/ KDVWDODUéQ NDQ N¾OW¾UOHULQGH
.URQLNOHQIRVLWLNO¸VHPLDNXWbOHQIREODVWLNO¸-
J¸VWHULOPLčRODQYHNURPR]RPODUDUD-
VHPLQLQDNVLQHb\DYDčLOHUOH\HQELUKDVWDOéNWéU
VéQGD SDU©D GHÝLčLPL 7UDQVORNDV\RQ VRQX-
Lösemilerde gözlenen kromozom ano-
7¾P O¸VHPLOHULQ \DNODčéN ȠXQX ROXčWXU-
FX RUWD\D ©éNDQ 3KLODGHOSKLD .URPR]RPX
PDOLOHUL NURPR]RP VD\éVéQGD $UWéč YH\D
PDNWDYHJHQHOOLNOH\DčéQDOWéQGDVH\UHN
3KȠGXU 3KLODGHOSKLD .URPR]RPXȠQXQ .0/
D]DOéč YH\D NURPR]RP \DSéVéQGD PH\GDQD
J¸]OHQLUNHQ \DčOD J¸U¾OPH VéNOéÝé DUWPDNWD
KDVWDODUéQéQȠWHQID]ODVéQGDEXOXQGXÝX
JHOHQ GHÝLčLNOLNOHU WUDQVORNDV\RQ .URPR-
YHȠOL\DčODUGDVéNOéNODJ¸]OHQPHNWHGLU
J¸VWHULOPLčWLU 3K NURPR]RPXȠQXQ NHčˉQLQ
]RPODU DUDVéQGD SDU©D GHÝLčLPL GHOHV\RQ
6D©OéK¾FUHOLO¸VHPL+&/
DUGéQGDQ \DSéODQ ©DOéčPDODUOD W¾P NDQVHU
.URPR]RPXQ ELU E¸OJHVLQLQ ND\Eé GXSOL-
/HQIRVLW ND\QDNOé ELU NURQLN O¸VHPL WLSL
türlerinde ve lösemi türlerinde kromozom
NDV\RQDPSOLˉNDV\RQ.URPR]RPXQELUE¸O-
LÖSEMİLERDE GÖZLENEN
KROMOZOM ANOMALİLERİ
333Ċ*!.!/0$+/,%0(Ċ+)ƋĐƋ
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TIBBİGENETİK
WHUPHNWHGLU UQHÝLQ $//ȠGH HQ VéN J¸U¾OHQ
VD\éVDO DQRPDOL KLSHUSORLGL \DQL NURPR]RP
VD\éVéQéQ \HULQH DUDVéQGD ROPDVé
¸]HOOLNOH;YHNURPR]RPODUéQéQ DUWéčé J¸]OHQLUNHQ HQ VéN \DSéVDO
DQRPDOL HULčNLQ G¸QHPGH W ©RFXNOXN
©DÝéQGDNURPR]RPLOHDUDVéQGDW
YH NURPR]RP LOH DUDVéQGD SDU©D GHÝLčLPL W ROPDVéGéU %HOLUWLOHQ EX DQRPDOLOHU KDVWDOéÝéQ WDQéVé NDGDU VH\UL YH\D
WHGDYL\HYHUHFHÝLFHYDSOD\DNéQGDQLOLčNLOLGLU
<XNDUéGDEHOLUWLOHQKLSHUSORLGLOHULQEXOXQPDVéKDVWDOéÝéQVH\ULQLROXPOXRODUDNHWNLOHUNHQ
ED]éODUéQéQEXOXQPDVéGDKDčLGGHWOLYHWHGDYL\HGLUHQ©OLROGXÝXQDLčDUHWHGHELOPHNWHGLU
Akut myeloid lösemi (AML):$NXWP\HORid lösemi hem klinik hem de genetik olarak
ROGXN©D KHWHURMHQ ELU KDVWDOéN JUXEXGXU YH
IDUNOé DOW JUXSODUD D\UéOPDNWDGéU 'DKD ¸QFH
EX VéQéˊDQGéUPD WXWXOXP J¸VWHUHQ K¾FUHOHULQ WLSOHULQH J¸UH\DSéOéUNHQ ȠGH '¾Q\D
JHVLQLQDUWéčéYH\DLQYHUVL\RQ.URPR]RPXQ
6DÝOéNUJ¾W¾ȠQ¾Q:+2\D\éQODGéÝéELOGLUL\-
ELU E¸OJHVLQLQ LNL E¸OJHGHQ NéUéODUDN NHQGL
OHJHQHWLNGHÝLčLPOHUGHVéQéˊDQGéUPDNULWHU-
L©LQGH \¾] VHNVHQ GHUHFH G¸Q¾S \HQLGHQ
OHULDUDVéQDJLUPLčWLU
ELUOHčPHVL JLEL NURPR]RP \DSé DQRPDOLOHUL
čHNOLQGHRODELOPHNWHGLU
1RUPDOGH K¾FUHOHULQ E¾\¾PH YH IDUNOéODčPDVéQGD UROOHUL RODQ SURWRRQNRJHQOHU
JHQHWLN čLIUHOHULQLQ \D]éOéPéQGD ROXčDQ ELU
GHÝLčLPOH 0XWDV\RQ DNWLYH RODUDN RQNRJHQH G¸Q¾č¾U YH ROPDVé JHUHNHQGHQ GDKD
IDUNOé ©DOéčDUDN K¾FUH G¸QJ¾V¾QGHNL NRQWURO
QRNWDODUéQéGLQOHPHGHQGHYDPOéRODUDNK¾FUH
E¸O¾QPHVLQLGHVWHNOHUOHU
7¾P¸UEDVNéOD\éFéJHQOHUK¾FUHE¸O¾QPHVLQLNRQWURODOWéQGDWXWDQYH'1$KDVDUODUéQéQ
WDPLU HGLOPHVLQL YH JHUHNWLÝLQGH SURJUDPOé
K¾FUH¸O¾P¾QHJLWPHVLQLVDÝOD\DQJHQOHUGLU
%XJHQOHULQGHYUHGéčéNDOPDVéYH\DEXJHQOHULQ ND\Eé NRQWUROV¾] K¾FUH E¸O¾QPHVLQH
\RO D©DELOPHNWHGLU .DQVHU ROXčXPXQGD URO
R\QD\DQ ELU ¾©¾QF¾ JHQ JUXEX LVH '1$ WDPLUPHNDQL]PDODUéQGDUROR\QD\DQJHQOHUGLU
%X JHQOHU '1$ȠPé]GD PH\GDQD JHOHELOHFHN
KDWDODUéWDPLUHGHUHNK¾FUHG¸QJ¾V¾Q¾GHQJHGH WXWPDNOD J¸UHYOLGLUOHU %X JHQOHULQ GH
WDPRODUDNJ¸UHYLQL\DSDPDPDVéK¾FUHG¸Q-
64
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$0/ȠOL ROJXODUGD ȠGHQ ID]OD JHQHWLN
Çocukluk çağı
lösemilerinde
tedavide başarı
oranı %80’e
yükselmiştir.
J¾V¾Q¾QNRQWUROV¾]©DOéčPDVéQDYH\DKDVDUOé
©DOéčPDVéQD \RO D©DUDN NDQVHU ROXčXPXQD
\ROD©DELOPHNWHGLU
LÖSEMİLERDE GÖZLENEN
TANI VE TEDAVİDE ÖNEMLİ
GENETİK DEĞİŞİMLER
Akut lenfoblastik lösemi (ALL):RFXNOXN
©DÝéQGD GDKD VéN J¸U¾OHQ ELU KDVWDOéN RODQ
$//ȠGH JHQHWLN GHÝLčLPOHU KHP WDQé KHP
GH KDVWDOéÝéQ VH\UL D©éVéQGDQ E¾\¾N ¸QHPH
VDKLSWLU $//ȠGH \Dč JUXSODUéQD J¸UH JHQHWLN
DQRPDOLOHULQVéNOéÝéYHHWNLVLGHIDUNOéOéNJ¸V-
DQRPDOL ELOGLULOPLč ROPDNOD ELUOLNWH \DNODčéN ȠVLQGH NURPR]RP DQRPDOLVL EXOXQPDNWDGéU6éNOéNODVDSWDQDQYHWDQéVDOGHÝHUL RODQ NURPR]RP DQRPDOLOHULQLQ EDčéQGD
NURPR]RPYHDUDVéQGDSDU©DGHÝLčLPL
W D\Qé ]DPDQGD NURPR]RP YH
DUDVéQGD SDU©D GHÝLčLPL W NURPR]RP YH DUDGVéQGD SDU©D GHÝLčLPL
WYHRQDOWéQFéNURPR]RPXQELUSDU©DVéQéQNRSXSNHQGLHNVHQLHWUDIéQGDG¸QHUHN
WHNUDU \DSéčPDVé LOH ROXčDQ NURPR]P RQ
DOWé LQYHUVL\RQX LQY YH\D NRURPR]RP
RQ DOWéODU DUDVéQGD SDU©D GHÝLčLPL W
JHOPHNWHGLU $\UéFD NURPR]RPODUé QRUPDO
RODQ KDVWDODUéQ GD E¾\¾N ©RÝXQOXÝXQGD
JHQ G¾]H\LQGH GHÝLčLPOHU EXOXQGXÝX J¸]OHQPLčWLU
.URQLN OHQIRVLWLN O¸VHPLOL .// KDVWDODUéQȠLQGHJ¸]OHQHQNURPR]RPXQNéVD
NROXQGDNL SDU©D ND\Eé 'HOHV\RQ GHOS
ELU©RNNDQVHUW¾U¾LOHLOLčNLOLRODQ3W¾P¸U
EDVNéOD\éFéJHQLQLQND\EéQD\ROD©PDNWDGéU
TIBBİGENETİK
YLQLQSODQODQPDVéQGD¸QHPDU]HWPHNWHGLU
%XQXQ\DQéVéUDJ¸U¾OHQED]éJHQHWLNEXOJXODUKDVWDOéÝéQKDQJLHYUHGHROGXÝXQDGDLU
GHELOJLYHUHELOPHNWHGLUUQHÝLQDNXWP\Hloid lösemide birçok kromozom anomalisiQLQ ELU DUDGD EXOXQPDVé GD KDVWDOéÝéQ N¸W¾
VH\UHWPHVLQHYHN¸W¾\DčDPNDOLWHVLQHLčDUHW
RODUDNGHÝHUOHQGLULOPHNWHGLU
TEDAVİDE BAŞARI ORANI
ARTIYOR
0ROHN¾OHUEL\RORMLYHJHQHWLNWHNLLOHUOHPHOHU O¸VHPLOHU L©LQ\HQL WHGDYL\DNODčéPODUéQéQ JHOLčWLULOPHVLQGH ROGXN©D ¸QHPOL
DGéPODUDWéOPDVéQéVDÝODPéčWéU*¾Q¾P¾]GH
DUDčWéUPDFéODUJHQRPLN©DOéčPDODUGDQHOGH
HGLOHQ YHULOHU YH \HQL WHNQRORMLOHU GRÝUXOWXVXQGD NLčL\H ¸]J¾ WHGDYLOHU JHOLčWLUPH\L
KHGHˊHPHNWHGLU%¸\OHFHKDVWDGDPH\GDQD
JHOHFHNJHQHWLNGHÝLčLPOHUYHEXQODUéQPROHN¾OHUPHNDQL]PDODUéKHGHˊHQHUHNWHGDYL
\ROXQD JLGLOPHNWHGLU $\UéFD VRQ \éOODUGDNL
Kronik myeloid lösemi (KML): .URQLN
ÝLčWLUHELOPHNWHGLU .//ȠGH HQ VéN J¸]OHQHQ
©DOéčPDODU KHU ELUH\LQ JHQRPLN \DSéVé YH
P\HORLG O¸VHPL KDVWDODUéQ ȠLQGHQ ID]-
JHQHWLNGHÝLčLPOHUNURPR]RPGDSDU©D
JHQ LIDGHVL IDUNOé ROGXÝXQGDQ NHPRWHUD-
ODVéQGD 3K NURPR]RPX YH\D EX DQRPDOL-
ND\Eé'HOHV\RQSJHQE¸OJHVLQLWDčé\DQ
SL LOD©ODUéQD YHULOHQ \DQéW YH KDVVDVL\HWLQ
QLQ VRQXFX ROXčDQ %&5$%/ I¾]\RQ JHQL
NURPR]RPNéVDNROXQGDSDU©DND\Eé
GH IDUNOé ROGXÝXQX J¸VWHUPHNWHGLU /¸VHPL
EXOXQPDNWDGéU +DVWDOéÝéQ LOHUL HYUHOHULQGH
NURPR]RPGDSDU©DND\Eé'HOHV\RQYH
WHGDYLVLQGHKHGHˊHQHQWHGDYLEDčDUéRUDQ-
EX DQRPDOL\H HN RODUDN< NURPR]RP ND\-
NURPR]RPGD VD\é DUWéčé ELU EDčND GHÝLčOH
ODUéQéQ ȠH \¾NVHOWLOPHVL YH KDVWDODUéQ
Eé NURPR]RPGD DUWéč 7UL]RPL LODYH 3K
bu kromozomdan üç tane olma (Trizomisi)
\DčDPV¾UHOHULQLQX]DWéOPDVéGéU
NURPR]RPX YH NURPR]RPXQ NéVD NR-
GXUXPXGXU
<DNéQ 'RÝX QLYHUVLWHVL 7éEEL *HQHWLN
/DERUDWXYDUéȠQGDVLWRJHQHWLNPROHN¾OHUJH-
OXQXQ ND\Eé YH X]XQ NROXQXQ GXSOLNDV\R-
netik ve moleküler sitogenetik yöntemler
NURPR]RP DQRPDOLOHUL J¸U¾OPHNWHGLU $\-
KRONİK LENFOSİTİK LÖSEMİ
(KLL) İKİ GRUBA AYRILIR
UéFD.0/ȠGHJHQHWLNDQRPDOL\H¸]J¾WHGDYL
.OLQLN YH JHQHWLN 6LWRJHQHWLN YH PR-
GD JHUHNVH WHGDYL SODQODQPDVéYH WDNLELQ-
JHOLčWLULOPLčYH%&5$%/I¾]\RQSURWHLQLQLQ
OHN¾OHU VLWRJHQHWLN LQFHOHPH \DSéOGéÝéQGD
GH EDčDUé LOH X\JXODQPDNWDGéU 6LWRJHQHWLN
hücre bölünmesini tetikleyen etkisini yok
.// LNL JUXED D\UéODELOPHNWHGLU èON JUXSWDNL
\¸QWHPOHUOH NDQ YH NHPLN LOLÝLQGHNL NUR-
HWPH\LKHGHˊH\HQLOD©ODUJHOLčWLULOPLčWLU
.//%K¾FUHOHULQGHQND\QDNODQPDNWDYHèP-
mozomal anomaliler analiz edilirken, kro-
Kronik lenfositik lösemi (KLL): Erken
münglobulin geninin de IgVH mutasyonuna
PR]RPDO ER\XWWD J¸]OHQHPH\HQ 3 JHQ
HYUHOHULQGHVDGHFHEHOOLDUDOéNODUODNDQWHW-
VDKLSWLU%XJUXSHUNHQNOLQLNHYUHVWDELOKDV-
GHOHV\RQODUé YH\D W JLEL WHGDYL SODQ-
NLNOHUL \DSéODUDN WDNLEL \DSéODQ .// VHOLP
WDOéNYHP¾NHPPHO\DčDPV¾UHOHULQHVDKLSWLU
ODPDVéQGD¸QHPOLWUDQVORNDV\RQODUYH\LQH
ELU KDVWDOéN RODUDN GHÝHUOHQGLULOPHNWHGLU
èNLQFLJUXSWD.//GHLVH\LQH%K¾FUHOHULQGHQ
KHPDWRORMLGHVéNNDUčéODčéODQNRPSOHNVNUR-
.// X]XQ ELU V¾UHFH VDKLS ROPDVéQD UDÝ-
N¸NHQ DOPDNWD IDNDW ,J9+ PXWDV\RQX WDčé-
PR]RPDO DQRPDOLOHU LVH 0),6+ \¸QWHPL
PHQKDVWDQéQWDčéGéÝéJHQHWLNDQRPDOLOHUH
PDPDNWDGéU YH JHQHO RODUDN EX JUXS N¸W¾
NXOODQéODUDN PROHN¾OHU VLWRJHQHWLN ),6+
J¸UH GDKD NéVD V¾UHGH YH čLGGHWOL RODUDN
SURJQRVWLN NURPR]RPDO DQRPDOLOHUOH VH\LU
olarak belirlenebilmekte ve moleküler ge-
VH\UHWPHNWH YH\D GDKD L\L YH \DYDč VH\LU-
HGHU *¸U¾OHQ NURPR]RP YHYH\D JHQ DQR-
QHWLN\¸QWHPOHULOHGHPXWDV\RQODUéQYH\D
OL RODELOPHNWHGLU è]OHP V¾UHFLQGH ROXčDQ
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YAŞADIĞI SORUNLAR
Alerjenlerin kalite ve içeriğindeki teknolojik gelişmeler, yeni ve daha
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Saç ekimi son yıllarda hem ülkemizde hem de tüm dünyada erkekler arasında
çok popüler bir estetik uygulama haline gelmiştir. Bunun nedeni; erkeğin
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genellikle
konküzyon adını
verilen kafa
travmalarına
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Yrd. Doç. Dr. Teoman Toni Sevinç
Ortopedi ve Travmatoloji
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76
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Topuk ağrısının
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sonra ortalama
geriye dönüş ve
düzelme süresi
6 aydır.
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Op. Dr. Mehmet SELHANOĞLU
ÜROLOJİ
Üroloji Anabilim Dalı
VARİKOSEL SPERM KALİTESİNİ DÜŞÜRÜYOR
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VARİKOSELİ SICAKLIK DA
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78
Varikoselin daha çok sol testiste olma nedenleri:
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disfonksiyonu QHGHQL\OH /H\GLJ K¾FUHOHULQGH
GDVSHUPK¾FUHOHULGHUHFHVéFDNOéNWDJHOLčLU
testosteron\DSéPéQGDD]DOPDPH\GDQDJHOH-
ȧ6ROGDPDUGDNLEDVéQ©GDKDID]ODGéU%¸\OHFH
NDQéLOHULVHYNHGHPH]
VARİKOSEL BELİRTİLERİ
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ELOLUb%XGDFSHYHLHVHYL\HVLQGH\¾NVHOPH\H
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Normalde sağlıklı erkeklerin
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varikosel bulunurken, bu oran
infertil erkeklerde %20-40 arasında değişmektedir.
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VARİKOSEL TANISI
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VARİKOSEL TEDAVİSİ
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Prof. Dr. Nedim ÇAKIR
KLİNİKMİKROBİYOLOJİ
Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı Başkanı
YAZ İSHALLERİ
ÖLÜMCÜL OLABİLMEKTE
Yaz ishalleri, toplumun geniş kesimini etkisi altına alabilen, kimi zaman yaz
tatilini zehir eden, kimi zaman da ölümcül olabilen mevsimsel bir sorundur.
B
ilimsel
çevrelerin
“Gastroenterit”
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Unutulmamalıdır ki ishalle baş
etmede sorun
ishalin kendisi
değil, neden olduğu madensel
tuz ve su kayıplarıdır.
YAZ AYLARINDA FAZLA SU
TÜKETİLMELİ
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12 - Yakın Doğu Üniversite Hastanesi

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