T\u0131pta bir d\u00f6n\u00fcm noktas\u0131 olarak NYU Langone Health’teki cerrahlar, d\u00fcnyan\u0131n ilk ba\u015far\u0131l\u0131 tam g\u00f6z naklini ger\u00e7ekle\u015ftirdi. Al\u0131c\u0131, 46 ya\u015f\u0131ndaki askeri gaz\u00ee Aaron James, 2021’de bir elektrik kazas\u0131nda ciddi y\u00fcz yaralanmalar\u0131 ya\u015fam\u0131\u015ft\u0131. Bir\u00e7ok rekonstr\u00fcktif ameliyata ra\u011fmen James sol g\u00f6z\u00fcn\u00fc kaybetti ve s\u00fcrekli a\u011fr\u0131 \u00e7ekiyordu.<\/p>\n\n
Tam bir g\u00f6z\u00fcn nakli, g\u00f6z\u00fcn beyne ba\u011flanan optik sinirin hassas yap\u0131s\u0131 nedeniyle son derece karma\u015f\u0131k bir prosed\u00fcrd\u00fcr. Optik sinire verilen zarar k\u00f6rl\u00fc\u011fe hatta \u00f6l\u00fcme yol a\u00e7abilir. Ayr\u0131ca, g\u00f6z\u00fcn ba\u011f\u0131\u015ftan sonra k\u0131sa bir s\u00fcre i\u00e7inde nakledilmesi, canl\u0131l\u0131\u011f\u0131n\u0131n korunmas\u0131 a\u00e7\u0131s\u0131ndan kritiktir.<\/p>\n\n
Kazan\u0131n ard\u0131ndan NYU Langone Health’teki y\u00fcz nakli uzmanlar\u0131, sadece k\u0131smi bir y\u00fcz nakli de\u011fil ayn\u0131 zamanda tam bir g\u00f6z nakli fikrini de \u00f6nerdi. James riskleri anlad\u0131 ve potansiyel faydalar\u0131n tehlikelerden a\u011f\u0131r bast\u0131\u011f\u0131na inand\u0131.<\/p>\n\n
\u015eubat 2023’te James potansiyel nakil al\u0131c\u0131s\u0131 olarak listelendi. \u00dc\u00e7 ay sonra, ba\u015fka bir New York City hastanesinde bir ba\u011f\u0131\u015f\u00e7\u0131 tespit edildi. Ba\u011f\u0131\u015f\u00e7\u0131, 30’lu ya\u015flarda gen\u00e7 bir erkekti ve organlar\u0131n\u0131 ba\u011f\u0131\u015flama konusunda g\u00fc\u00e7l\u00fc bir istek besliyordu.<\/p>\n\n
\u00c7\u0131\u011f\u0131r a\u00e7an cerrahinin ger\u00e7ekle\u015fti\u011fi g\u00fcn, NYU Langone Health’te 140’tan fazla sa\u011fl\u0131k profesyoneli topland\u0131. \u0130ki ameliyathane ayn\u0131 anda \u00e7al\u0131\u015farak James’in hasarl\u0131 y\u00fcz b\u00f6lgelerini \u00e7\u0131kard\u0131 ve ba\u011f\u0131\u015f\u00e7\u0131n\u0131n y\u00fcz\u00fc ile g\u00f6z\u00fcn\u00fc nakil i\u00e7in haz\u0131rlad\u0131.<\/p>\n\n
Cerrahi 21 saat s\u00fcrd\u00fc; bu s\u00fcre i\u00e7inde cerrahlar ba\u011f\u0131\u015f\u00e7\u0131n\u0131n burnunu, \u00fcst ve alt dudaklar\u0131n\u0131, sa\u011f g\u00f6z\u00fcn alt\u0131ndaki dokular\u0131, sol orbit kemiklerini, g\u00f6z yuvas\u0131n\u0131, g\u00f6z kapaklar\u0131n\u0131, ka\u015f\u0131n\u0131 ve \u00e7evresindeki dokular\u0131 nakledildi. Ayr\u0131ca, ba\u011f\u0131\u015f\u00e7\u0131n\u0131n kemik ili\u011finden al\u0131nan yeti\u015fkin k\u00f6k h\u00fccreler James’in optik sinirine enjekte edilerek olas\u0131 hasar\u0131n onar\u0131lmas\u0131 hedeflendi.<\/p>\n\n
James, yo\u011fun bak\u0131mda 17 g\u00fcn ge\u00e7irdikten sonra yak\u0131n\u0131ndaki bir daireye ta\u015f\u0131nd\u0131 ve rehabilitasyonuna devam etti. Bug\u00fcn, Arkansas’ta ailesiyle birlikte evinde ve ya\u015fam kalitesini yava\u015f yava\u015f geri kazan\u0131yor.<\/p>\n\n
James hen\u00fcz nakledilen g\u00f6zle g\u00f6remese de organ sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcn\u00fcyor. Erken testler, retina \u00fczerindeki \u0131\u015f\u0131k alg\u0131layan h\u00fccrelerin \u0131\u015f\u0131\u011f\u0131 alg\u0131lay\u0131p beyin korteksine sinyal g\u00f6nderdi\u011fini g\u00f6steriyor. Doktorlar, zaman ve ek ara\u015ft\u0131rmalarla James’in bir miktar g\u00f6rme kazanabilece\u011fine dair umutlu.<\/p>\n\n
Ba\u015far\u0131l\u0131 tam g\u00f6z nakli, t\u0131p biliminde b\u00fcy\u00fck bir ilerleme olarak kabul ediliyor. \u015eiddetli yaralanmalar veya hastal\u0131klar nedeniyle g\u00f6rme kayb\u0131 ya\u015fayan hastalar i\u00e7in yeni tedavi olanaklar\u0131 a\u00e7\u0131yor. Ara\u015ft\u0131rmac\u0131lar, prosed\u00fcr\u00fc iyile\u015ftirmek ve g\u00f6rme kurtarma \u015fans\u0131n\u0131 art\u0131rmak i\u00e7in \u00e7al\u0131\u015f\u0131yor.<\/p>\n\n
Tam g\u00f6z nakli, \u00f6zellikle ba\u011f\u0131\u015f\u00e7\u0131 ve al\u0131c\u0131lar\u0131n onay\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemli etik sorular ortaya koyuyor. Potansiyel ba\u011f\u0131\u015f\u00e7\u0131lar\u0131n riskleri ve faydalar\u0131 tam olarak anlamalar\u0131, al\u0131c\u0131lar\u0131n da cerrahinin olas\u0131 sonu\u00e7lar\u0131 hakk\u0131nda iyi bilgilendirilmeleri \u015fart.<\/p>\n\n
Tam g\u00f6z nakli alan\u0131 hen\u00fcz erken a\u015famalarda olsa da, bu prosed\u00fcr\u00fcn a\u011f\u0131r yaral\u0131 hastalar\u0131n hayatlar\u0131n\u0131 d\u00f6n\u00fc\u015ft\u00fcrme potansiyeli \u00e7ok b\u00fcy\u00fck. Ara\u015ft\u0131rmac\u0131lar, cerrahi teknikleri geli\u015ftirmek, optik sinir rejenerasyonunu destekleyecek yeni tedaviler \u00fcretmek ve yapay zek\u00e2 ile cerrahi hassasiyetini art\u0131rmak \u00fczerine yo\u011funla\u015f\u0131yor.<\/p>\n\n
T\u0131p bilimindeki devam eden ilerlemelerle, tam g\u00f6z naklinin travma veya hastal\u0131k sonucu g\u00f6rme kayb\u0131 ya\u015fayan hastalar i\u00e7in standart bir tedavi se\u00e7ene\u011fi haline gelmesi hedefleniyor.<\/p>","protected":false},"excerpt":{"rendered":"
D\u00fcnyan\u0131n \u0130lk Tam G\u00f6z Nakli, A\u011f\u0131r Yaral\u0131 Gazilere Umut Veriyor Cerrahlar \u00c7\u0131\u011f\u0131r A\u00e7an Bir \u0130\u015flem Ger\u00e7ekle\u015ftirdi T\u0131pta bir d\u00f6n\u00fcm noktas\u0131 olarak NYU Langone Health’teki cerrahlar, d\u00fcnyan\u0131n ilk ba\u015far\u0131l\u0131 tam g\u00f6z…<\/p>\n","protected":false},"author":1,"featured_media":25473,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1016],"tags":[1015,1013,1014,1012,99],"class_list":["post-391","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-advancements","tag-hope-for-the-injured","tag-medical-milestone","tag-severely-injured-veterans","tag-whole-eyeball-transplant","tag-lifescienceart"],"_links":{"self":[{"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/posts\/391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/comments?post=391"}],"version-history":[{"count":2,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/posts\/391\/revisions"}],"predecessor-version":[{"id":25474,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/posts\/391\/revisions\/25474"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/media\/25473"}],"wp:attachment":[{"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/media?parent=391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/categories?post=391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifescienceart.com\/tr\/wp-json\/wp\/v2\/tags?post=391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}