– T\u00fcrkiye’de spina bifida, d\u00fcnyadan daha s\u0131k: Anne karn\u0131nda ameliyat umut veriyor
\n – “Y\u00fcr\u00fcyen ve sa\u011fl\u0131kl\u0131 birey olabilirler”: Spina bifida hastalar\u0131na anne karn\u0131nda ameliyat umudu
\n – Folik asit eksikli\u011fi b\u00fcy\u00fck risk: Spina bifida T\u00fcrkiye’de beklenenden daha yayg\u0131n <\/p>\n
D\u00fcnyada binde 1-3 oran\u0131nda g\u00f6r\u00fclen spina bifida, T\u00fcrkiye’de binde 3-5 s\u0131kl\u0131kla daha yayg\u0131n g\u00f6r\u00fcl\u00fcyor. Her y\u0131l yakla\u015f\u0131k 3 bin 750 bebek bu hastal\u0131kla do\u011farken Op. Dr. \u0130brahim Alata\u015f, “Hastal\u0131\u011f\u0131n erken te\u015fhisi ve anne karn\u0131nda yap\u0131lan cerrahi sayesinde bu bebekler; y\u00fcr\u00fcyebilen, ko\u015fabilen ve zihinsel engeli olmayan sa\u011fl\u0131kl\u0131 bireyler olarak d\u00fcnyaya gelebilir” dedi.
\n Spina bifida, konjenital kalp hastal\u0131klar\u0131ndan sonra en s\u0131k g\u00f6r\u00fclen do\u011fumsal anomalilerden biri olarak \u00f6ne \u00e7\u0131k\u0131yor. T\u00fcrkiye’de g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 binde 3 ila binde 5 aras\u0131nda de\u011fi\u015firken her y\u0131l yakla\u015f\u0131k 3 bin 750 bebek bu hastal\u0131kla do\u011fuyor. \u0130stanbul Beykent \u00dcniversitesi Hastanesi Beyin ve Sinir Cerrahi b\u00f6l\u00fcm\u00fcnden Op. Dr. \u0130brahim Alata\u015f, spina bifidan\u0131n tan\u0131 ve tedavi s\u00fcrecine ili\u015fkin \u00f6nemli bilgiler payla\u015ft\u0131. Erken tan\u0131n\u0131n ve anne karn\u0131nda uygulanan fetal cerrahinin hayati rol oynad\u0131\u011f\u0131n\u0131 vurgulad\u0131.
\n “Anne karn\u0131nda tedavi \u015fans\u0131 var”
\n Dr. Alata\u015f, spina bifidan\u0131n anne karn\u0131nda cerrahi tedavi \u015fans\u0131 olan \u00f6nemli bir problem oldu\u011funu belirtti. “Fetal cerrahi genellikle gebeli\u011fin 26’nc\u0131 haftas\u0131nda yap\u0131l\u0131r. Bebe\u011fin s\u0131rt\u0131ndaki a\u00e7\u0131kl\u0131k kapat\u0131larak sinir sistemi korunur. Bu sayede \u00e7ocuklar y\u00fcr\u00fcyebilen, ko\u015fabilen ve zihinsel engeli olmayan sa\u011fl\u0131kl\u0131 bireyler olarak d\u00fcnyaya gelebilir” dedi.
\n Tan\u0131 ve de\u011ferlendirme s\u00fcreci
\n Spina bifidan\u0131n gebeli\u011fin erken d\u00f6nemlerinde tespit edilebildi\u011fini belirten Dr. Alata\u015f \u015fu bilgileri verdi:
\n “12-16’nc\u0131 haftalarda ultrasonla tan\u0131 konabilir. 18-20’nci haftalarda ise beyin cerrahisi, \u00e7ocuk cerrahisi, perinatoloji ve \u00e7ocuk hastal\u0131klar\u0131 uzmanlar\u0131n\u0131n yer ald\u0131\u011f\u0131 konseyde de\u011ferlendirme yap\u0131l\u0131r. Fetal cerrahi i\u00e7in bebe\u011fin bacak hareketlerinin olmas\u0131, genetik anomali bulunmamas\u0131 ve annenin cerrahiye uygun olmas\u0131 gerekir.”
\n “Riskler var ama faydalar\u0131 \u00e7ok daha fazla”
\n Fetal cerrahinin anne ve bebek i\u00e7in baz\u0131 riskler ta\u015f\u0131d\u0131\u011f\u0131n\u0131 ancak faydalar\u0131n\u0131n \u00f6n planda oldu\u011funu aktaran Dr. Alata\u015f, “Bebe\u011fin s\u0131rt\u0131ndaki yaran\u0131n erken kapanmas\u0131 sinir hasar\u0131n\u0131 \u00f6nler. B\u00f6ylece motor ve zihinsel engellerden korunarak sa\u011fl\u0131kl\u0131 bir \u015fekilde do\u011fma \u015fans\u0131 artar” \u015feklinde konu\u015ftu.
\n Folik asit eksikli\u011fine dikkat
\n Spina bifidan\u0131n en \u00f6nemli risk fakt\u00f6rlerinden birinin folik asit eksikli\u011fi oldu\u011funa de\u011finen Dr. Alata\u015f \u015fu uyar\u0131y\u0131 yapt\u0131:
\n “Avrupa ve Amerika’da 18 ya\u015f \u00fcst\u00fc t\u00fcm kad\u0131nlara g\u00fcnl\u00fck folik asit kullan\u0131m\u0131 \u00f6nerilir. T\u00fcrkiye’de ise genellikle gebelik tan\u0131s\u0131 konulduktan sonra ba\u015flan\u0131yor. Bu da koruyucu etkisini azalt\u0131yor. 18 ya\u015f \u00fcst\u00fc t\u00fcm kad\u0131nlar\u0131n g\u00fcnl\u00fck folik asit almas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.”
\n T\u00fcrkiye’deki durum ve \u00e7a\u011fr\u0131
\n T\u00fcrkiye’de bilin\u00e7li gebelik ve d\u00fczenli folik asit kullan\u0131m\u0131n\u0131n yeterli d\u00fczeyde olmad\u0131\u011f\u0131n\u0131 kaydeden Dr. Alata\u015f, \u015fu \u00e7a\u011fr\u0131da bulundu:
\n “Spina bifida tan\u0131s\u0131 alan gebelerin zaman kaybetmeden fetal cerrahi merkezlerine ba\u015fvurmas\u0131 gerekir. Ameliyat karar\u0131 zor olsa da sa\u011fl\u0131kl\u0131 y\u00fcr\u00fcyen bir \u00e7ocuk g\u00f6rmek bu riske de\u011ferdir. Gebelik planlayan t\u00fcm kad\u0131nlar\u0131n folik asit kullanmalar\u0131 ve d\u00fczenli kontrollerini aksatmamalar\u0131 b\u00fcy\u00fck fark olu\u015fturur.” <\/p>\n
27.09.2025 <\/p>\n","protected":false},"excerpt":{"rendered":"
– T\u00fcrkiye’de spina bifida, d\u00fcnyadan daha s\u0131k: Anne karn\u0131nda ameliyat umut veriyor – “Y\u00fcr\u00fcyen ve sa\u011fl\u0131kl\u0131 birey olabilirler”: Spina bifida hastalar\u0131na anne karn\u0131nda ameliyat umudu – Folik asit eksikli\u011fi b\u00fcy\u00fck risk: Spina bifida T\u00fcrkiye’de beklenenden daha yayg\u0131n D\u00fcnyada binde 1-3 oran\u0131nda g\u00f6r\u00fclen spina bifida, T\u00fcrkiye’de binde 3-5 s\u0131kl\u0131kla daha yayg\u0131n g\u00f6r\u00fcl\u00fcyor. Her y\u0131l yakla\u015f\u0131k 3 […]<\/p>\n","protected":false},"author":1,"featured_media":12200,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-12199","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"yoast_head":"\n