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Dolaşım Sistemi

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.DOS RGDODU×QGDNL E \ PHQLQ GDKD L\L J|VWHULOPHVL DPDF×\OD |]RIDJXVD EDU\XP YHULOHUHN HOGH HGLOHQ DUND |Q YH KHU LNL REOLN U|QWJHQRJUDPGDQ ROXüDQ VHWH o \|QO EDU\XPOX WHOHU|QWJHQRJUDP DG× YHULOLU 6Dù YH VRO REOLN U|QWJHQRJUDPODU J|ù V |Q GXYDU× LOH NDOELQ DUDV×QGD NDODQ DODQ×Q JHQLüOLùLQH YH PLGH IXQGXV JD]× Q×Q \HULQH J|UH ELUELULQGHQ D\U×O×U 6Dù |Q REOLN U|QW JHQRJUDPGD EX DODQ GDU YH PLGH IXQGXV JD]× |QGHGLU VRO |Q REOLNWH LVH DODQ JHQLü YH IXQGXV JD]× RUWDGDG×U

A

.DOELQ UDG\RJUDÀN DQDWRPLVL .DOELQ UDG\RJUDÀN DQDWRPLVL J|ù V Q DUND |Q KHU LNL REOLN YH VRO \DQ U|QWJHQRJUDPODU×QGD LQFHOHQLU ûHNLO $UND |Q J|ù V U|QWJHQRJUDP×QGD VDù DW ULXP NDOELQ VDù NHQDU oL]JLVLQL \DSDU <XNDU×GD o×NDQ DRUW YDUG×U %X E|OJHGH DWULXPD GRùUX LQHQ V SHULRU YHQD NDYD QRUPDOGH J|U OPH] JHQLüOHGLùLQGH PH GLDVWHQLQ VDù×QGD LQFH ELU J|OJH RODUDN L]OHQLU 6RO GD VWWH DRUW NDYVLQLQ \DSW×ù× ELU NRQYHNVLWH YDUG×U %XQD DRUW WRSX]X ´NQREµ DG× YHULOLU $UWHUL\RVNOHUR WLN ROJXODUGD DRUWXQ X]DPDV× YH JHQLüOHPHVLQH EDùO× RODUDN EHOLUJLQOHüLU %X E|OJHGH DWHURVNOHURWLN NDOVL ÀN SODNODU×Q J|U OPH RUDQ× \ NVHNWLU $RUW NDYVLQLQ DOW×QGD QRUPDOGH G ] RODQ SXOPRQHU VHJPHQW YDUG×U 3XOPRQHU VHJPHQWLQ ELWLPLQGHQ GL\DIUDJPD\D NDGDU X]DQDQ NRQYHNV NHQDU× LVH VRO YHQWULN O \DSDU 3XOPR QHU VHJPHQW LOH VRO YHQWULN O Q ELUOHüWLùL QRNWDGD VRO DWULXPXQ RULN OHU DSHQGLNVLQLQ X]DQW×V× EXOXQXU $QD WRPLN RODUDN EX E|OJH\H \HUOHüHQ RULN OHU DSHQGLNV QRUPDO J|ù V U|QWJHQRJUDPODU×QGD D\U× ELU \DS× ROD UDN VHoLOHPH] 'L\DIUDJPD ]HULQH RWXUDQ VDù YHQWUL N O Q NHQDU× DUND |Q U|QWJHQRJUDPGD J|U OPH] <DQ YH REOLN U|QWJHQRJUDPODUGD NDOELQ |Q NHQDU× Q×Q E \ N ELU E|O P Q VDù YHQWULN O \DSDU 6Dù |Q REOLNWH VW NHVLPGH SXOPRQHU VHJPHQW J|U O U 3XO PRQHU VHJPHQWWHQ VRQUD o×NDQ DRUWXQ |Q NHQDU× EDü ODU .DOELQ DUND NHQDU× LVH VDù |Q REOLNWH WDPD \DN×Q üHNLOGH VRO DWULXP WDUDI×QGDQ \DS×O×U 6RO |Q REOLN YH VRO \DQ U|QWJHQRJUDPGD DUND NHQDU×Q VW NHVLPL VRO DWULXP DOW E|O P LVH VRO YHQWULN O WDUDI×QGDQ \DS×O×U <Dü×Q LOHUOHPHVL\OH ELUOLNWH DRUWWD DUWHUL\RVNOHUR WLN GHùLüLNOLNOHU RUWD\D o×NDU DRUW JHQLüOHU X]DU YH

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Kilinik Radyoloji

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Dolaşım Sistemi

A

B

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OLQGHGLU úNL YHQWULN O E \ PHVLQGH oRFXNODUGD VDù YHQWULN O \HWLüNLQOHUGH VRO YHQWULN O EXOJXODU× GDKD EHOLUJLQGLU

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A

B ûHNLO 6Dù YHQWULN O E \ PHVL $ $UND |Q % 6RO |Q REOLN


Kilinik Radyoloji

A

B ûHNLO 6RO DWULXP JHQLüOHPHVL $ $UND |Q % 6Dù |Q REOLN

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5HVLP $RUW NDSDN KDVWDO×ù× VWHQR] d×NDQ DRUWDGD SRVW VWHQRWLN GLODWDV\RQ RN YH EHOLUJLQ VRO YHQWULN O E \ PHVL

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Dolaşım Sistemi

Tablo 3.1 Mitral stenoz ve yetmezlik arasındaki röntgenolojik farklar

Özellikler Sol atrium büyüklüğü Sol ventrikül büyüklüğü Sağ ventrikül büyüklüğü Vasküler diskrepensi Kapak kalsifikasyonu

Stenoz + ++ ++ (erken) ++

Yetmezlik ++ +++ + + (geç) +

)ORURVNRSLGH NDUGL\DN SXOVDV\RQ D]DOP×üW×U +DVWD D\DNWD YH \DWDUNHQ LQFHOHQGLùLQGH NDOS VDS×QGD EHOLU JLQ JHQLüOHPH J|U O U g]HOOLNOH J|U QW \ NVHOWLFLOHU NXOODQ×OG×ù×QGD SHULNDUGL\DO DUDO×NWD HSLNDUGL\DO \Dù oL]JLVL J|U OHELOLU 3HULNDUGL\DO V×Y×Q×Q U|QWJHQOH D\×U×F× WDQ×V× ROGXN oD ]RUGXU 0L\RNDUGL\DO |GHP YH PLNV|GHP GH EHQ ]HU J|U Q P ROXüWXUXU

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5HVLP 3HULNDUGL\DO V×Y× .DOSWH VLPHWULN E \ PH YH G ] J Q YH NHVNLQ NHQDU

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Kilinik Radyoloji

5HVLP 3HULNDUGL\DO V×Y× .RQWUDVWOD GROX NDOS RGDODU×Q× oHY UHOH\HQ KLSRGHQV V×Y×

(SLNDUGL\DO \Dù×Q VW NHVLPLQGH SHULNDUG×Q VHU|] ELU WDEDNDGDQ LEDUHW RODQ YLVHUDO \DSUDù× EXOXQXU 3DU \HWDO SHULNDUG LVH ÀEU|] ELU \DS×G×U YH PP NDO×Q O×ù×QGDG×U 3HULNDUG×Q SDU\HWDO \DSUDù× HSLNDUGL\DO \Dù LOH PHGL\DVWLQDO \Dù DUDV×QGD KLSHUGHQV ELU \DS× RODUDN J|U O U 3HULNDUG \DSUDNODU× DUDV×QGD QRUPDOGH PO V×Y× EXOXQXU %7 LOH PO V×Y× VDSWDQDELOLU PO SHULNDUGL\DO V×Y× NDOELQ oHYUHVLQL VDUDU 5HVLP 3HULNDUGL\DO V×Y×\× VDSWDPDGD GX\DUO×O×ù× \ NVHN ROVD GD V×Y× DUDüW×UPDN DPDF×\OD %7 GHùLO 86 NXOODQ×O×U %7 LOH NRQVWU NWLI SHULNDUGLW LOH UHVWULNWLI WLS NDUGL \RPL\RSDWLQLQ D\×U×F× WDQ×V× \DS×ODELOLU (ùHU SHULNDUG NDO×QO×ù× PP YH GDKD ID]OD LVH ROD\ NRQVWU NWLI SHUL NDUGLWWLU 3HULNDUGL\DO NDO×QODüPD \RNVD ROD\ UHVWULNWLI NDUGL\RPL\RSDWL NDEXO HGLOPHOLGLU 3HULNDUWWD NDOVLÀ NDV\RQ J|U OHELOLU 3HULNDUG×Q QHRSOD]PODU× oRN QDGLU GLU /HQIRPD O|VHPL PHPH YH DNFLùHU NDQVHUOHUL YH PDOLJQ PHODQRPODU SHULNDUGD PHWDVWD] \DSDELOLU $WULDO PLNVRPD LQWUDNDUGL\DN WURPE V 5HVLP YH VRO YHQWULN OHU DQHYUL]PD 5HVLP JLEL OH]\RQ ODU %7 LOH VDSWDQDELOLU $\U×FD NRURQHU DUWHU JUHIWLQLQ Do×N ROGXùX J|]OHQHELOLU DRUW DQHYUL]PDV× GLVHNVL\R QX DQRPDOLOHUL YH \DUDODQPDV× VDSWDQ×U

(OHNWURQ GHPHWOL %7 ('%7 YH oRN NHVLWOL %7 d.%7

+DUHNHWOL ELU RUJDQ RODQ NDOELQ LQFHOHQHELOPHVL LoLQ

5HVLP 6Dù DWULXPGD WURPE VH DLW GROPD GHIHNWL RN .RQW UDVWO× NHVLW 6DùGD VHUEHVW SOHYUDO V×Y× J|U O \RU

oRN K×]O× NHVLW DODQ \|QWHPOHUH JHUHNVLQLP YDUG×U %X JHUHNVLQLP ·O× \×OODU×Q EDü×QGDQ LWLEDUHQ NDOS LQ FHOHPHOHUL LoLQ JHOLüWLULOPLü HOHNWURQ GHPHWOL %7 D\ J×WODU×\OD ´XOWUDIDVWµ %7 NDUü×ODQPDNWDG×U dRN K×]O× NHVLW DODQ EX D\J×WODUOD (.* LOH VHQNURQL]H oDO×ü×ODUDN PVQ·GH PP NDO×QO×ù×QGD NHVLW DO× QDELOLU VLQH %7 \DS×ODUDN GXYDU KDUHNHWOHUL HMHNVL\RQ IUDNVL\RQODU× YH NDSDN KDUHNHWOHUL GHùHUOHQGLULOLU dRN \HU NDSOD\DQ YH SDKDO× RODQ ('%7·OHULQ \HULQL J Q P ]GH D\Q× üHNLOGH K×]O× J|U QW DODQ NRQYDQVL \RQHO %7 \DS×V×QGD d.%7·OHU DOP×üW×U d.%7·OHU KHP K×]O× J|U QW DO×U KHP GH NHVLW NDO×QO×ù× oRN LQFHOPLüWLU NHVLWOL \|QWHPOHUGH W S Q G|Q ü K×]× PVQ·\H NHVLW NDO×QO×ù× LVH PP·\H G ü U OP üW U úQFHOHPH ELU QHIHV WXWXüWD \DS×O×U YH (.* VHQNURQL]H oDO×ü×O×U 'HGHNW|U V×UD VD\×V× J Q P ]GH YH KDWWD ·\D o×NP×üW×U dRN LQFH NHVLWOHU DO×QDELOPHVL\OH YRNVHO ER\XWODU× KHU G ]OHPGH HüLW L]RPHULN YRNVHO KDOH JHOPLüWLU .HVLW NDO×QO×ù×QD EDùO× o|] POHPH ND\E× EX NDGDU LQFH NHVLWOHUOH RUWDGDQ NDONDU %XQXQ VRQXFXQGD o|] POH PH ND\E× ROPDGDQ NRURQDO YH VDJLWDO YH\D LVWHQLOHQ G ]OHPOHUGH NDOLWHOL UHIRUPDV\RQ J|U QW OHUL HOGH HGLOHELOLU 5HVLP %X JHOLüPH 05·QLQ LVWHQLOHQ G ]OHPGH NHVLW DOPD VW QO ù Q GHQJHOHPLüWLU %X VD\HGH DRUW DQHYUL]PDV× GLVHNVL\RQX \×UW×OPDV× DQR PDOLOHUL YH SXOPRQHU DUWHU HPEROLOHUL oRN GDKD L\L J| U QW OHQHELOLU


Dolaşım Sistemi

A

B 5HVLP 6RO YHQWULN O DQHYUL]PDV× .DOS DSHNVLQGH DQRUPDO üHNLOOL JHQLüOHPH RNODU $ 5|QWJHQ % .RQWUDVWO× %7

d.%7·QLQ 615·VL YH X]D\VDO o|] POHPHVL ('%7·GHQ GDKD \ NVHN LQFHOHPH V UHVL GDKD N×VD G×U ('%7·GHNL 615 G ü NO ù [ ×ü×Q× LQWHQVLWHVLQLQ V×Q×UO× ROPDV×QD EDùO×G×U ('%7·GH LQFHOHPH V UHVL GDKD X]XQ ROPDNOD ELUOLNWH WHN NHVLWL GDKD N×VD V UHGH DODELOPHVL ]DPDQVDO o|] POHPH \ NVHNOLùL QHGHQL\ OH KDUHNHW DUWHIDNW× GDKD D]G×U

.RURQHU DUWHU %7 +×]OD YHUL WRSODQPDV× YH \ NVHN o|] POHPHOL UHIRU PDV\RQ \DS×ODELOPHVL\OH NRURQHU DUWHUOHUL LQFHOHPHN RODQDNO× KDOH JHOPLüWLU d.%7 LOH NRURQHU DUWHU NDOVL ÀNDV\RQODU× VNRUODQDUDN ULVN EHOLUOHQPH\H oDO×ü×O×U YH NRURQHU DUWHUOHULQ NHVLW DQML\RJUDÀVL \DS×ODELOLU

A

B 5HVLP 1RUPDO NRURQHU DUWHUOHU $ 6Dù NRURQHU DUWHU % .RURQHU DUWHUOHULQ % UHIRUPDV\RQ J|U QW OHUL


Kilinik Radyoloji

.RURQHU NDOVL\XP VNRUODPDV× .RURQHU DUWHU NDOVLÀNDV\RQODU×Q× VDSWDPDGD UDG\RJUDÀQLQ GX\DUO×O× ù× G ü NW U )ORURVNRSL NDOVLÀNDV\RQX UDG\RJUDÀGHQ GDKD GX\DUO× RODUDN J|VWHULULU .DOVLÀNDV\RQXQ J|VWH ULOPHVLQGH HQ GX\DUO× \|QWHP %7·GLU .RURQHU DUWHU NDOVLÀNDV\RQX LQWLPDGD J|U O U YH LOHUOHPLü DWHURPDW|] KDVWDO×N YH NRURQHU DUWHU GDUDO PDV× LOH GRùUXGDQ LOLüNLOLGLU $QML\RJUDÀGH GD PDU GDUO×ù× RODQ ROJXODU×Q ·LQGH NDOVLÀNDV\RQ VDSWDQP×üW×U &LGGL ELU NRURQHU DUWHU KDVWDO×ù× ROPD \DQ HUNHNOHULQ VDGHFH ·LQGH NRURQHU NDOVLÀNDV \RQ J|U O U 6HPWRPDWLN JUXSWD WHN GDPDU KDVWDO×ù× RODQODU×Q ·VLQGH LNL GDPDU× KDVWDO×ù× RODQODU×Q ·VLQGH YH o GDPDU KDVWDO×ù× RODQODU×Q ·V×QGD NRURQHU NDOVLÀNDV\RQ VDSWDQ×U .RURQHU NDOVLÀNDV\RQOD NRURQHU KDVWDO×ù× DUDV×Q GDNL EX LOLüNL NRURQHU DUWHU KDVWDO×ù× ULVNLQL EHOLUOH PHN LoLQ ELU NDOVLÀNDV\RQ WDUDPD YH VNRUODPD VLVWHPL JHOLüWLULOPHVLQH QHGHQ ROPXüWXU 6NRUODPD LoLQ IDUNO× \|QWHPOHU NXOODQ×ODELOLU $JDWVWRQ \|QWHPLQGH GDQVLWHVL +h·GHQ \ N VHN RODQ PP ·GHQ JHQLü DODQODU NRURQHU NDOVLÀNDV \RQ RODUDN WDQ×PODQ×U 6DSWDQDQ NDOVLÀN DODQODU |Oo OHQ \RùXQOXNODU×Q×Q NDUü×O×ù× RODQ ELU NDWVD\× LOH oDU S×O×U %X NDWVD\×ODU NDOVLÀN DODQ×Q GDQVLWHVL +h LVH LVH LVH YH GDKD ]HUL LVH ·W U +HU NRURQHU DUWHU E|OJHVLQGHNL VDSWD QDQ NDOVLÀNDV\RQODU EX üHNLOGH KHVDSODQDUDN WRSODQ×U 'DPDUODU×Q WRSODP GHùHUOHUL GH WRSODQDUDN NRURQHU VLVWHPLQ WRWDO NDOVLÀNDV\RQ VNRUX EXOXQXU %X VNR UD $JDWVWRQ VNRUX DG× YHULOLU %X GHùHU LVH ULVN oRN G ü N LVH RUWD LVH RUWD GHUHFHGH \ NVHN ·GHQ ID]OD LVH oRN \ NVHNWLU 5LVNLQ oRN \ NVHN ROGXùX VRQ JUXSWD VWHQR] YH JHOHFHNWH NRURQHU VRUXQ RODV×O×ù× oRN \ NVHNWLU +Lo NDOVLÀNDV\RQ VDS WDQPD\DQ ROJXODUGD QHJDWLI NHVWLULP GHùHUL FLYDU×QGDG×U .RURQHU NDOVL\XP VNRUODPDV× YH \RUX PX 7DEOR ·GH J|VWHULOPLüWLU

Tablo 3.2 Koroner kalsiyum skorlaması

Kalsiyum skoru 0 1-10 11-100 101-400 >400

Yorumu (ASP: aterosklerotik plak, KAH: koroner arter hastalığı) Saptabilir ASP yok, KAH olasılığı % 5’den az Minimal ASP, ciddi KAH olasılığı çok az Hafif ASP, minimal veya hafif KAH olasılığı Orta ASP, orta derece tıkanma oluşturmayan KAH olasılığı Yaygın ASP, en az bir ciddi (>% 50) KAH olasılığı çok yüksek

$OWHUQDWLI ELU VNRUODPD \|QWHPL KDFLP VNRUODPD \|QWHPLGLU %X \|QWHPGH oHYUHVL oL]LOHUHN |Oo OHQ NDOVLÀN DODQGDNL HüLN GHùHUL JHoHQ \RùXQOXùD VDKLS YRNVHOOHU WRSODQ×U 6DSWDQDQ NDOVLÀNDV\RQGDNL KLGUR DNVLDSDWLW NULVWDOOHULQLQ PLOLJUDP FLQVLQGHQ NDUü×O×ù× Q×Q EHOLUOHQPHVLQH LVH N WOH VNRUODPD \|QWHPL GHQLU .RURQHU NDOVL\XP VNRUODPDV× J Q P ]GH DVHPS WRPDWLN KDVWDODUGD NRURQHU DUWHU KDVWDO×ù× ULVNLQL KH VDSODPDN YH EXQD J|UH KDVWDQ×Q \DüDP×QGDNL ULVN IDN W|UOHULQL PRGLÀ\H HWPHN DPDF×\OD NXOODQ×OPDNWDG×U +DVWDQ×Q DOG×ù× ×ü×Q GR]X YH PDOL\HW J|] |Q QH DO×Q G×ù×QGD JHQHO UDG\RORMLN DOJRULWP Do×V×QGDQ E|\OH ELU X\JXODPDQ×Q GRùUXOXùX WDUW×ü×ODELOLU %7 NRURQHU DQML\RJUDÀ %7.$ %7.$ oRN K×]O× NHVLW DODELOHQ d.%7 D\J×WODU× LOH \DS×O×U (.* X\XPOX oDO×ü×O×U < NVHN QDE×] K×]× KDUHNHW DUWHIDNW×QD QHGHQ RODFDù× LoLQ NHVLW DOPD V UHVLQGH QDE×] VQ ROPDO×G×U .DOS DW×P VD\×V×Q× EX VHYL\H\H oHNHELO PHN LoLQ RUDO YH\D ú9 EHWD EORNHUOHU YHULOLU úQFHOH PHGH PO NRQWUDVW NXOODQ×O×U .RQWUDVW PDGGH MXJXOHU YH\D SHULIHULN YHQOHU NDWHWHUL]H HGLOHUHN PO VQ K×]OD YHULOLU .RQWUDVW PDGGHQLQ DUNDV×QGDQ GDPDU PO VHUXP À]\RORMLNOH \×NDQ×U 7DUDPD\D EDü ODPD ]DPDQ× WHVW EROXVX YHULOHUHN NDUDUODüW×U×O×U YH\D WDUDPD\D NRQWUDVW×Q ELWLPLQGHQ KHPHQ VRQUD EDüODQ×U .HVLWOHU J|U QW NDOLWHVLQLQ HQ \ NVHN ROGXùX QRN WDGD DO×Q×U %X QRNWD VRO YHQWULN O YH NRURQHU DUWHU RSDVLÀNDV\RQXQXQ SLN QRNWDGD ROGXùX DQFDN VDù YHQWULN O YH SXOPRQHU DUWHULQ ]D\×I RSDVLÀ\H ROGXùX ]DPDQG×U .HVLW DO×Q×UNHQ KDVWDQ×Q NROODU× \XNDU×GDG×U (.* VHQNURQL]H oDO×üPDGD VLVWRO V UHVLQFH W S DN×P× G ü U O S YHULOHULQ WRSODQG×ù× GL\DVWRO ID]×QGD DUW×U×ODUDN KDVWDQ×Q DOG×ù× GR]GD \DNODü×N ·\H YD UDQ ELU D]DOPD VDùODQDELOLU .HVLW NDO×QO×NODU× PP YH\D DOW×QGD ROPDO×G×U 5HNRQVWU NVL\RQ \XPXüDN GRNX DOJRULWPL LOH \DS×O×U (OGH ROXQDQ YHULOHUGHQ JH OLüPLü ELOJLVD\DU SURJUDPODU× DUDF×O×ù× LOH NRURQHU DU WHUOHUL HQ L\L üHNLOGH J|VWHUHFHN % YH % J|U QW OHUL HOGH HGLOLU %7.$ LOH NRURQHU DUWHUOHU DWHURVNOHURWLN SODN NDO VLÀNDV\RQ YH GDUO×N GHUHFHVL Do×V×QGDQ GHùHUOHQGLULOLU 5HVLP 'DUO×N ·\L Dü×\RUVD KHPRGLQDPLN Do×GDQ |QHPOL ·L DüW×ù×QGD FLGGL NDEXO HGLOLU <R ùXQ NDOVLÀN SODN YH\D VWHQWLQ DOW×QGDNL GDUO×ù× VDùO×NO× RODUDN GHùHUOHQGLUPHN P PN Q ROPD] %X GXUXPGD R NHVLPGHNL GDPDU O PHQL GLVWDOLQGHNL DN×P×Q GHEL VLQH EDNDUDN GHùHUOHQGLULOLU %7.$ J Q P ]GH NRURQHU DUWHU KDVWDO×ù×QD EHQ ]HU \DN×QPDODU× RODQ DQFDN NRURQHU DUWHU RODV×O×ù×


Dolaşım Sistemi

A

B

5HVLP 6RO DQWHULRU GHVVDQGDQ NRURQHU DUWHULQ PXOWLSODQDU UHIRUPDV\RQ J|U QW OHUL $ 'DPDUGD G ]HQVL]OLN % 6WHQW \HUOHüWLULOGLNWHQ VRQUD NRQWURO

G ü N ROJXODUGD X\JXODQ×U $PDo EX KDVWDODU× GDKD LQYD]LY ELU \|QWHP RODQ NDWDWHU DQML\RJUDÀVLQGHQ NXU WDUPDNW×U +DVWDGD JLULüLPOH WHGDYL HGLOPHVL G ü Q OHQ NRURQHU DUWHU KDVWDO×ù× RODV×O×ù× \ NVHNVH %7.$ \HULQH NDWHWHU DQML\RJUDÀVL \DS×OPDO×G×U %7.$ VR QXoODU×QD EDNDUDN GRùUXGDQ JLULüLP \DS×ODPD\DFDù× LoLQ E|\OH ROJXODUGD LNL GHID KDVWD\D \ NVHN PLNWDU GD NRQWUDVW PDGGH YH \ NVHN ×ü×Q GR]X YHULOPLü ROXU .RURQHU JUHIWOHULQ Do×N ROXS ROPDG×ù× GD %7.$ LOH NRQWURO HGLOHELOLU

5HVLP *5( J|U QW OHUGH DN×P ]HQJLQOHüPHVL DN×P K×]× LOH GRùUX NHVLW \D GD KDFLP NDO×QO×ù× YH 75 V UHVL LOH WHUV RUDQW×O×G×U *5( VHNDQV×QGD DN×POD ELU OLNWH PL\RNDUG×Q NRQWUDNWLELOLWHVL GH GHùHUOHQGLULOLU .DUGL\DN 05·GH (.* LOH VHQNURQL]H oDO×ü×O×U YH NDOS VLNOXVXQXQ EHOLUOL QRNWDODU×QGDQ NHVLWOHU DO×Q×U %X NHVLWOHULQ V×UDO× J|VWHULPOHUL LOH NDOS KDUHNHWOHUL FDQO× RODUDN L]OHQLS IRQNVL\RQHO GHùHUOHQGLUPHOHU \D S×O×U .HVLW G ]OHPOHUL DPDFD J|UH LVWHQLOHQ VHYL\HGHQ YH LVWHQLOHQ Do×GDQ DO×QDELOLU gUQHùLQ NDOS RGDQ×Q

05 .DOELQ LQFHOHQPHVLQGH NXOODQ×ODQ ELUoRN UDG\RORMLN \|QWHPLQ YHULVL WHN EDü×QD NDUGL\DN 05 LOH HOGH HGL OHELOLU 0 NHPPHO DQDWRPLN J|U QW OHULQ \DQ×QGD GL QDPLN J|U QW OHU HOGH HGLOHUHN IRQNVL\RQHO oDO×üPDODU \DS×O×U 7HPHO HQGLNDV\RQODU× GRùXPVDO NDOS KDVWDO×N ODU× DRUW YH SXOPRQHU DUWHU KDVWDO×NODU× SHULNDUG KDVWD O×NODU× YHQWULN O YH NDSDN IRQNVL\RQODU×Q×Q GHùHUOHQ GLULOPHVL NDUGL\RPL\RSDWLOHU YH NDUGL\DN NLWOHOHUGLU 05·QLQ VLQ\DO NDUDNWHULVWLNOHULQLQ DQODü×OPDV× YH IDUNO× VHYL\HOHUGHQ IDUNO× G ]OHPOHUGH HOGH HGLOHQ NH VLWOHULQ YH % UHIRUPDV\RQ J|U QW DQDWRPLVLQLQ oRN L\L ELOLQPHVL 05·QLQ ID\GDO× NXOODQ×P× LoLQ NULWLN |QHPH VDKLSWLU (Q L\L DQDWRPLN J|U QW OHU 7 $ VL\DK NDQ \|QWHPL LOH VDùODQ×U 5HVLP $N×P× VL\DK RODUDN J|U QW OHPHQLQ HQ oRN NXOODQ×ODQ \|QWHPL oLIW ,5 SXOVX X\ JXODPDV×G×U *5( J|U QW OHULQGH LVH DN×P SDUODN J| U O U YH O PHQ LoLQGHNL NRQWUDVW PDGGH JLEL GDYUDQ×U

5HVLP (.* VHQNURQL]H NDUGL\DN VL\DK NDQ 05 J|U QW OHUL


Kilinik Radyoloji

5HVLP (.* VHQNURQL]H *5( 66)3 VHNDQV LOH DO×QDQ VLQH EH\D] NDQ J|U QW V

L]OHQHELOGLùL NHVLWOHUOH DRUW LVH VRO |Q REOLN SR]LV\RQ GDNL J|U QW Q Q DQDORùX X]XQODPDV×QD NHVLWOHUOH LQ FHOHQLU .DUGL\DN 05 LOH \DS×ODQ GLQDPLN oDO×üPDODU LOH GXYDU KDUHNHWOHUL DQDOL] HGLOHELOLU GXYDU NDO×QO×ù× |O o OHELOLU RGDODU×Q KDFLPOHUL DW×P KDFLPOHUL YH HMHNVL \RQ IUDNVL\RQODU× KHVDSODQDELOLU YH NDSDN KDUHNHWOHUL GHùHUOHQGLULOHELOLU 'L\DVWRO VRQX GXYDU NDO×QO×ù× VRO YHQWULN OGH PP VDù YHQWULN OGH PP·\L JHoPH PHOLGLU $NDQ NDQ×Q VWHQRWLN ELU NDSDNWDQ JHoPHVL MHW IH QRPHQLQH JHQLüOHPLü ELU NDSDNWDQ JHoPHVL GH UH JXUMLWDV\RQD QHGHQ ROXU +HU LNL ROJXGD GD W UE ODQV ROD\× QHGHQL\OH ID] ND\E× YH GROD\×V×\OD VLQ\DO ND\E× YDUG×U -HW IHQRPHQLQGH DN×P \|Q QGH UHJ UMLWDV\RQ GD WHUV \|QGH WHSHVL NDSDNODUGD RODQ oJHQ üHNOLQGH VLQ\DOVL] DODQODU J|U O U %X DODQODU×Q E \ NO ù QH EDN×ODUDN NDSDN DQRUPDOOLùL GHUHFHOHQGLULOLU gOo OHQ DODQODU×Q VDù YH VRO YHQWULN O DW×P KDFLPOHUL LOH NDU ü×ODüW×UPDODU× \DS×O×U )D] DQDOL]L NXOODQ×ODUDN \DS×ODQ K×] NRGODPDO× VLQH 05 WHNQLùL LOH UHJ UMLWH KDFLPOH ELUOLNWH DN×P K×]× YH DN×P KDFLPOHUL GH KHVDSODQDELOLU %X WHNQLNOHU ELUoRN ROJXGD DQML\RJUDÀ LOH EDùODQW×O× RODUDN NXOODQ×O×U 0L\RNDUG×Q GRNX NDUDNWHUL]DV\RQX 7 $* YH 7 $* LOH NRQWUDVW PDGGH YHUHUHN YH VSHNWURVNRSL LOH \DS×O×U QHRSOD]LN LQÀOWUDWLI YH\D LQÁDPDWXDU WXWXOXP GHùHUOHQGLULOLU $NXW PL\RNDUG HQIDUNW V QGH HQIDUNW

DODQ× X]XQ 7 GHùHUOHUL QHGHQL\OH \ NVHN VLQ\DO YHULU .RPüX YHQWULN O ERüOXùXQGD GD NDQ×Q \DYDü DN×P× QHGHQL\OH \ NVHN VLQ\DO LQWHQVLWHVL J|U O U %X GHùL üLNOLNOHU EDüODQJ×oWDQ G|UW VDDW VRQUD RUWD\D o×NDU *D GROLQLXPOX NRQWUDVW PDGGHOHU QRUPDO PL\RNDUG×Q VLQ \DO LQWHQVLWHVLQL G ü UHUHN QRUPDO YH ]D\×I SHUI ]\RQ DODQODU× DUDV×QGDNL NRQWUDVW× DUW×U×U YH HQIDUNW DODQ×Q×Q GDKD L\L J|U OPHVLQL VDùODU (VNL PL\RNDUG HQIDUNW V QGH LQFHOPLü YH KDUH NHWOHUL ER]XOPXü YHQWULN O GXYDU× L]OHQHELOLU 0XUDO WURPE V \ NVHN VLQ\DO LQWHQVLWHVL YHULU %X GHùLüLNOLN OHU 05 VLQH LQFHOHPHVL LOH GDKD L\L J|VWHULOHELOLU +LSHUWURÀN YH NRQMHVWLI NDUGL\RPL\RSDWL HNRNDU GL\RJUDÀGHQ GDKD L\L J|U O U 0L\RNDUG NDO×QO×ù× YH RGD JHQLüOLNOHUL Do×N YH GRùUX ELU üHNLOGH GHùHUOHQ GLULOLU 6HSWDO GHIHNWOHU YH DQD GDPDU DQRPDOLOHUL JLEL GRùXPVDO NDOS DQRPDOLOHUL J|VWHULOHELOLU 1RUPDO SHULNDUW G ü N VLQ\DO LQWHQVLWHVLQGH ELU oL]JL üHNOLQGHGLU 3HULNDUGL\DO NDO×QODüPD LQYD]\RQ YH V×Y× VDSWDQ×U 3HULNDUGL\DO NLVW SHULNDUGL\DO \Dù \DVW×ù× oRN L\L J|VWHULOLU 5HVLP úQWUD YH HNVWUD NDUGL\DN NLWOHOHU L]OHQHELOLU .RURQHUOHU YH NRURQHU JUHIWOHU J|U OHELOLU NRURQHU JUHIWOHULQ Do×N ROXS ROPDG×ù× NRQWURO HGLOHELOLU DQFDN NRURQHU 05 DQML\RJUDÀ GDPDUODU×Q N×YU×PO× VH\UL KDUHNHW YH o|] POHPH VRUXQX QHGHQL\OH üLPGLOLN NOL QLNWH VWDQGDUW NXOODQ×PD JLUHPHPLüWLU

86 .DOELQ 86 LQFHOHPHVLQH HNRNDUGL\RJUDÀ GHQLU (NRNDU GL\RJUDÀGH ]DPDQ SR]LV\RQ 0 PRGH YH LNL ER\XWOX % PRGH 5HVLP J|U QW OHPH \|QWHPOHUL YDUG×U =DPDQ SR]LV\RQ WHNQLùLQGH NDOELQ KDUHNHWOHUL JUDÀN üHNOLQGH \D]G×U×ODUDN RGD JHQLüOLNOHUL YH NDSDN KDUHNHW OHULQLQ |Oo POHUL \DS×ODELOLU úNL ER\XWOX % 0RGH üHN OLQGH LVH NDOELQ PRUIRORMLVL FDQO× RODUDN L]OHQLU 86·QLQ |]HO ELU DODQ× NDEXO HGLOHQ HNRNDUGL\RJUDÀ oRùXQOXNOD NDUGL\RORJODU WDUDI×QGDQ \DS×OPDNWDG×U (NRNDUGL\RJUDÀ NDOS KDVWDO×NODU×QGD WHPHO \|QWHP GLU JHQHOOLNOH (.*·GHQ VRQUD VWDQGDUW RODUDN X\JXODQ PDNWDG×U 'RùXPVDO NDOS KDVWDO×NODU×QGD DWUL\DO YHQWULN OHU YH\D GXNWDO üDQW×Q YDUO×ù× YH ER\XWX UHDO WLPH UHQNOL 'RSSOHU J|U QW OHPH LOH GRùUXGDQ YH\D NDOS RGDOD U×Q×Q ER\XWODU×Q×Q |Oo OPHVL LOH GROD\O× RODUDN J|VWH ULOHELOLU 86 EX ROJXODUGD NDUGL\DN NDWHWHUL]DV\RQXQ GDKD L\L \DS×ODELOPHVLQL VDùOD\DQ |Q ELOJLOHU YHULU 2EVWU NWLI NDOS KDVWDO×NODU×QGD REVWU NVL\RQXQ VDùGD VROGD YH\D E \ N DUWHUOHUGH ROXS ROPDG×ù×Q× J|VWHULU


Dolaşım Sistemi

A

B 5HVLP 3HULNDOGL\DO NLVW $ 6Dù SDUDNDUGL\DN E|OJHGH 7 $*·GH KLSRLQWHQV % 7 $*·GH KLSHULQWHQV NLVWLN J| U Q P RNODU

2EVWU NVL\RQXQ GHUHFHVLQL (.* YH À]LN PXD\HQHGHQ GDKD L\L VDSWD\DELOLU 6L\DQRWLN YH NRPSOHNV GRùXP VDO NDOS KDVWDO×NODU×QGD NDUGL\DN NDWHWHUL]DV\RQ ]R UXQOX ROPDNOD ELUOLNWH JHQHO GXUXPX L\L ROPD\DQ ELU EHEHNWH HNRNDUGL\RJUDÀ LOH DQDWRPLN WDQ× NRQDUDN NDWHWHUL]DV\RQ LüOHPL EDVLWH LQGLUJHQLU +HU \DüWDNL ROJXODUGD HNRNDUGL\RJUDÀN YHULOHU DQML\RJUDÀN YHUL OHULQ \HULQH JHoHELOLU YH\D RQODU× WDPDPODU 3HULNDUGL\DO V×Y×\× VDSWDPDGD GX\DUO× ELU \|QWHP GLU 5HVLP 86 UHKEHUOLùLQGH SHULNDUGLRVHQWH] \DS×ODELOLU 6×Y× LoHULVLQGHNL S×KW× LQÁDPDWXDU GRNX YH\D W P|U QRG OOHUL J|U OHELOLU DQFDN V×Y×Q×Q \D S×V× KDNN×QGD ELU üH\ V|\OHQHPH] %XQXQOD ELUOLNWH FHUDKDW HNRODU LoHUHQ KLSRHNRLN J|U Q P LOH DQHNR

LN V×Y×GDQ IDUNO× J|U O U 3HULNDUGL\DO NDO×QODüPD YH NRQVWULNVL\RQXQ GHùHUOHQGLULOPHVLQGH 86·QLQ ID]OD ELU \DUDU× \RNWXU 0L\RNDUGL\DO LVNHPL YH UH]LG HO NDUGL\DN IRQNVL \RQ GHùHUOHQGLULOLU 'XYDU KDUHNHWOHULQGHNL E|OJHVHO DQRUPDOOLNOHU YHQWULN OHU DQHYUL]PD LOH ELUOLNWH EX OXQDELOHFHN WURPE V Q VDSWDQPDV× DQHYUL]PHNWRPL VRQXoODU×Q×Q GHùHUOHQGLULOPHVL PL\RNDUG HQIDUNW V QGH WHGDYL\H FHYDE×Q L]OHQPHVL YH SDSLOOHU NDV GLV IRQNVL\RQX 96' YH SV|GRDQHYUL]PD JLEL NRPSOLNDV \RQODU×Q×Q VDSWDQPDV× DQD HQGLNDV\RQODU×G×U .DUGL\RPL\RSDWLOHUGH REVWU NVL\RQXQ YDUO×ù× YH\D \RNOXùX J|VWHULOHELOLU .RQMHVWLI UHVWULNWLI YH LQÀOWUDWLI

A

B 5HVLP $ 0 PRGH HNRNDUGL\RJUDÀ % úNL ER\XWOX % HNRNDUGLRJUDÀ


Kilinik Radyoloji

A

B 5HVLP 3HULNDUGL\DO V×Y× $ .VLIRLG DOW×QGDQ SURED NUDQL\DO \|QH GRùUX EHOLUJLQ Do× YHULOHUHN DO×QDQ WUDQVYHUV NHVLW % (NRMHQ SHULNDUGL\DO V×Y× RNODU +DVWDGDQ SHULNDUGL\RVHQWH] LOH S ERüDW×OP×üW×U

NDUGL\RPL\RSDWLOHU ELUELUOHULQGHQ YH NRURQHU KDVWDO× ù×QGDQ D\U×ODELOLUOHU 6HUL HNRNDUGL\RJUDÀN oDO×üPDODU EX KDVWDO×NODU×Q VH\LUOHULQLQ L]OHQPHVLQGH YH WHGDYL\H YHUGLNOHUL FHYDE×Q GHùHUOHQGLULOPHVLQGH \DUDUO×G×U .DOS NDSDNODU× HNRNDUGL\RJUDÀ LOH D\U×QW×O× RODUDN J|U QW OHQLU .DSDNODU×Q KDUHNHWOHUL GHIRUPLWHOHUL NDOVLÀNDV\RQODU× VDSWDQ×U YH RULÀV ER\XWODU× |Oo O U %X \HWHQHùLQGHQ GROD\× KDVWDO×ù×Q L]OHQPHVL YH WH GDYLGH VHoLOHFHN \|QWHPLQ VDSWDQPDV×QGD NXOODQ×O×U (NRNDUGL\RJUDÀ ELUoRN HGLQVHO YDOYXOHU KDVWDO×NWD NDUGL\DN NDWHWHUL]DV\RQ HQGLNDV\RQXQX RUWDGDQ NDO G×UP×üW×U úQWUDNDUGL\DN NLWOHOHULQ \HUL E \ NO ù üHNOL YH KDUHNHWOHUL GHùHUOHQGLULOLU 7URPE V YHMHWDV\RQ YH W P|U D\×U×P× \DS×ODELOLU % \ N WURPE VOHUGH DQWL NRDJ ODQ WHGDYL X\JXODQG×ù×QGD VHUL LQFHOHPHOHUOH WURPE V Q ER\XW GHùLüLNOLùL L]OHQLU %HQ]HU üHNLOGH HQGRNDUGL\DO YHMHWDV\RQODU×Q WHGDYL\H FHYDE× L]OHQH ELOLU 0LNVRPDODU×Q 86 J|U Q POHUL WLSLNWLU dRùXQ OXNOD VDù DWULXPGD IRVVD RYDOLVH NRPüXGXU YH LQWUDW ULDO VHSWXPD WXWXQXU 0LNVRPDO× ROJXODUGD \DOQ×] 86 J|U Q POHUL LOH FHUUDKL X\JXODQDELOLU 6Dù DWULXP NLWOHVL RODQ KHU KDVWDGD LQIHULRU YHQD NDYDQ×Q KHSDWLN YH UHQDO GDOODU×Q×Q LQFHOHQPHVL |QHPOLGLU .DUDFLùHU YH\D E|EUHNWHQ WUDQVYHQ|] ROD UDN VDù DWULXPD JHoHQ W P|UDO WURPE V YH NLWOHOHUGH WHGDYL W P \OH IDUNO×G×U 0L\RNDUG LoHULVLQGHNL NLWOHOHULQ JUDQ ORP W P|U VDSWDQPDV× oRN ]RUGXU 3HULNDUGL\DO NLVW YH\D

PHGL\DVWLQDO W P|U JLEL SDUDNDUGL\DN NLWOHOHU J|U Q W OHQHUHN EL\RSVL \DS×ODELOLU $RUWXQ LQWUDSHULNDUGL\DO NHVLPLQGHNL GLVHNVL\RQ DQHYUL]PD YH\H KHPDWRP VDSWDQDELOLU dRFXNODUGD GHùHUOL RODQ VXSUDVWHUQDO J|U QW \HWLüNLQOHUGH QD GLUHQ \DUG×PF×G×U $RUWLN DUN J|U OPH] úQHQ DRUWXQ NDOELQ DUNDV×QGDNL NHVLPL J|U OHELOLU 0HGLNDO WHGD YL SODQODQDQ GLVHNVL\RQODUGD G ] U|QWJHQRJUDPODU YH HNRUNDUGLRJUDÀ JHQHOOLNOH \HWHUOLGLU &HUUDKL X\JXOD QDFDN ROJXODUGD 05 YH\D DRUWRJUDÀ JHUHNLU

5* 5DG\RQ NOLG J|U QW OHPH NDUGL\RORMLQLQ WHPHO WDQ× \|QWHPOHULQGHQ ELULGLU 63(&7 YH 3(7 JLEL \HQL \|Q WHPOHULQ SUDWLùH JLUPHVL \DQ×QGD \HQL IDUPDV|WLNOHULQ UHWLOPHVL YH J oO ELU ELOJLVD\DU GHVWHùL VD\HVLQGH Q NOHHU NDUGL\RORML KHP NDUGL\RORMLQLQ KHP GH Q N OHHU W×EE×Q HQ \RùXQ oDO×üPD DODQODU×QGDQ ELUL KDOLQH JHOPLüWLU 1 NOHHU NDUGL\RORMLN \|QWHPOHU PL\RNDUG SHUI ]\RQ VLQWLJUDÀVL 036 PL\RNDUGL\DO HQIDUNW J|U QW OHPH YH NDUGL\DN VLQWLDQML\RJUDÀ ROPDN ]HUH o DQD EDüO×N DOW×QGD LQFHOHQHELOLU

0L\RNDUG SHUI ]\RQ VLQWLJUDÀVL 1 NOHHU NDUGL\RORMLN X\JXODPDODU×Q ·×Q× ROXüWX UXU .RURQHU KDVWDO×NODU×Q WDQ×V×QGD GX\DUO×O×ù× \DNODü×N ·G×U ´%\ SDVVµ FHUUDKLVLQLQ JHOLüPHVL WHVWLQ |QH PLQL DUW×UP×üW×U úQFHOHPH WHUFLKDQ 63(&7 LOH \DS×O×U


036·QGH UDG\RIDUPDV|WLùLQ WXWXOXPXQX EHOLUOH \HQ IDNW|UOHU E|OJHVHO SHUI ]\RQ YH K FUHVHO FDQO×O×N W×U 6×N NXOODQ×ODQ ELU DMDQ 7O ·GLU (QHUML G ]H\L G ü N NH9 YH \DU× |PU X]XQ VDDW RODQ 7O PL\RNDUG K FUHVL WDUDI×QGDQ DNWLI WUDQVSRUW OD WXWXOXU ' ] VLQWLJUDÀ LoLQ P&L 63(&7 LoLQ P&L·OLN DNWLYLWH \HWHUOLGLU 7O À]LNVHO |]HOOLNOH ULQGHQ GROD\× JDPD NDPHUDODU LoLQ LGHDO ELU DMDQ GHùLO GLU %X QHGHQOH 7F P·OH LüDUHWOHQHQ UDG\RIDUPDV| WLNOHU JHOLüWLULOPLüWLU (Q \D\J×Q NXOODQ×ODQODU× 7F P VHVWDPLEL YH 7F P WHWUDIRVPLQGLU 036 oDO×üPDODU×QGD J|U QW OHPH HJ]HUVL] YH LVWL UDKDW ID]ODU×QGD \DS×O×U (J]HUVL] VHYL\HVL KDVWDQ×Q ND SDVLWHVLQH J|UH EHOLUOHQLU .RüX EDQG× YH\D ELVLNOHWOH \DSW×U×ODQ HJ]HUVL]OH PL\RNDUGL\DO NDQ DN×P× QRUPD OLQ NDW×QD o×NDU (J]HUVL] \DSDPD\DQ KDVWDODUGD D\Q× HWNL\L VDùOD\DFDN LODoODU NXOODQ×O×U %X DPDoOD HQ V×N NXOODQ×ODQ IDUPDV|WLNOHU GLSLULGDPRO YH GREXWD PLQGLU 5DG\RIDUPDV|WLN RODUDN 7O NXOODQ×O×\RUVD J|U QW OHPH KHPHQ 7F P W UHYOHULQGH LVH D]DPL WXWXOXP JHo ROGXùXQGDQ GDNLND VRQUD \DS×O×U úVWL UDKDW J|U QW OHPHOHUL KDVWD GLQOHQGLNWHQ VRQUD \DS×O×U 7F P VHVWDPLEL LOH \DS×ODQ oDO×üPDODUGD oRN \DYDü WXWXOXP J|VWHUHQ LVNHPLN DODQODU×Q HQIDUNW RODUDN \R UXPODQPDV×Q× |QOHPHN LoLQ \D VWUHVWHQ |QFH D] GR]OD YH\D HUWHVL J Q WDP GR] LNLQFL ELU LVWLUDKDW VLQWLJUDÀVL \DSPDN JHUHNLU 7O ·GH LVH JHQHOOLNOH LNLQFL HQ MHNVL\RQD JHUHN NDOPD] %X üHNLOGHNL \DYDü WXWXOXP J|VWHUHQ oRN üLGGHWOL LVNHPLN DODQODUD ´KLEHUQDWLQJµ PL\RNDUGL\XP DG× YHULOLU 1RUPDO 036 oDO×üPDODU×QGD PL\RNDUGGDNL DNWLYL WH WXWXOXPX KRPRMHQGLU (J]HUVL] VRQUDV× DO×QDQ J| U QW OHU QRUPDOVH LVWLUDKDW ID]×QGD oDO×üPD \DS×OPD] úVNHPLGH HJ]HUVL] ID]×QGD J|U OHQ GHIHNWOHU LVWLUDKDW ID]×QGDNL J|U QW OHUGH ND\EROXU ND\EROPDPDV× HQ IDUNW× WHPVLO HGHU 5HVLP 036 LOH NDUGL\RPL \RSDWLOHUGH SHUI ]\RQ ´E\ SDVVµ ROJXODU×QGD LVH JUHI WLQ oDO×ü×S oDO×üPDG×ù× DUDüW×U×O×U 3(7 PL\RNDUG×Q SHUI ]\RQ YH FDQO×O×ù×Q× GHùHU OHQGLUPHGH 63(&7·GHQ GDKD GX\DUO× ELU \|QWHPGLU 3HUI ]\RQ UXELGLXP YH D]RW LOH DUDüW×U×O×U ) )'* LOH \DS×ODQ oDO×üPDODUOD LVH PL\RNDUG×Q \Dù DVL GL YH JO NR] PHWDEROL]PDV× GHùHUOHQGLULOLU %|\OHFH 3(7 LOH LVNHPLQLQ HUNHQ ID]×QGD ROXüDQ PHWDEROLN GHùLüLNOLNOHU J|VWHULOLU + FUHQLQ FDQO×O×ù×Q×Q GHYDP HWWLùL IDNDW DOWHUQDWLI PHWDEROLN \ROODU×Q NXOODQ×OG×ù× G|QHP VDSWDQDELOLU %X G|QHPGH QRUPDOGH \Dù DVLGL NXOODQDQ PL\RNDUG×Q JO NR] NXOODQPD\D EDüODG×ù× J| U O U %X NHVLPOHU )'* J|U QW OHULQGH QRUPDO YH\D DUWP×ü DNWLYLWH J|VWHULUOHU

Dolaşım Sistemi

A

B 5HVLP 7DO\XP PL\RNDUG 63(&7 oDO×üPDV× $ 6RO YHQWULN O Q VHSWD YH DUWHULRU GXYDUODU×QGD LVNHPL (J]HUVL] ID ]×QGD RUWD\D o×NDQ GHIHNWOHU LVWLUDKDW ID]×QGD ND\EROX\RU % úQIHUR ODWHUDO E|OJHGH HQIDUNW (J]HUVL] ID]×QGD RUWD\D o×NDQ GHIHNW LVWLUDKDW ID]×QGD GD GHYDP HGL\RU

0L\RNDUGL\DO HQIDUNW J|U QW OHPH úVNHOHW VLQWLJUDÀVLQGH NXOODQ×ODQ 7F P SLURIRVIDW DNXW PL\RNDUG HQIDUNW V Q VDSWDPDGD GD NXOODQ×O×U 0L\RVLWOHUGHQ Do×ùD o×NDQ NDOVL\XP IRVIDWODUOD ELU OHüHUHN GLVWURÀN NDOVL\XP ROXüWXUXU %X QHGHQOH NDO VL\XPXQ VHUEHVW NDOG×ù× HQIDUNW GRNXVX V×FDN DODQODU üHNOLQGH J|U O U 1HNURWLN GRNXGD UDG\RIDUPDV|WLùLQ ELULNLPLQL YDVN ODUL]DV\RQ GHUHFHVL VDSWDU % \ N HQIDUNWODUGD ED]HQ J|U OHQ KDOND ´GRXJKQXWµ |UQH ùL oHYUHGHNL NROODWHUDO JHOLüLPLQH YH RUWDGDNL DYDV N ODUL]DV\RQD EDùO×G×U (QIDUNW DODQ×Q× J|U QW OHPHGH NXOODQ×ODQ GLùHU UDG\RIDUPDV|WLN 7F P \D GD ,Q LOH LüDUHWOL DQ WLPL\R]LQ DQWLNRUODU×G×U (QIDUNW DODQ×QGD Do×ùD o×NDQ PL\R]LQ LOH EDùODQDUDN J|U QW YHUHQ EX DMDQODU KHP SDKDO× KHP GH ]RU HOGH HGLOGLNOHULQGHQ VWDQGDUW X\JX ODPD\D JLUPHPLüOHUGLU


Kilinik Radyoloji

0L\RNDUG HQIDUNW V VLQWLJUDPODUGD DUWP×ü DNWLYL WH DODQ× üHNOLQGH J|U O U 6XEHQGRNDUGL\DO HQIDUNW×Q J|U Q P GDKD D] VSHVLÀNWLU YH GLI ] DUWP×ü DNWLYLWH DODQ× üHNOLQGHGLU 6LQWLJUDPODU JHQHOOLNOH HQIDUNW VWHQ VRQUDNL VDDWWH SR]LWLI EXOJXODU YHULU YH VDDWWH EX EXOJXODU JLWWLNoH EHOLUJLQOHüLU $NWLYLWH LNL KDIWDGDQ ID]OD GHYDP HGHU 2OJXODU×Q ·×QGD DNWLYLWH o D\ VRQUD ELOH GHYDP HGHU YH EX EXOJX SURJ QR]XQ N|W ROGXùXQX J|VWHULU ú]OHPH V×UDV×QGD HQ IDUNW DODQ×QGD DNWLYLWHQLQ WHNUDU \ NVHOPHVL YH\D \HQL SR]LWLI DODQODU×Q RUWD\D o×NPDV× \HQL HQIDUNWODU× WHPVLO HGHU $NXW HQIDUNW J|U QW OHPHVL NOLQLNWH QDGLUHQ NXO ODQ×O×U ED]HQ VRO GDO EORNODU×QGD HQIDUNW DUDüW×UPDN DPDF×\OD X\JXODQ×U 0L\RNDUGL\DO KDVDUD QHGHQ RODQ |UQHùLQ DQVWDELO DQJLQD SHNWRULV PL\RNDUGL\DO WUDYPD NDUGL\RYHUVL RQ UDG\RWHUDSL YH NHPRWHUDSL PL\RNDUG PHWDVWD]× YDOYXOHU NDOVLÀNDV\RQ YH YHQWULN OHU DQHYUL]PD JLEL GXUXPODUGD \DODQF× SR]LWLI VRQXoODU DO×Q×U 6WHUQXP YH NDEXUJDODUGDNL V SHUSR]H N×U×NODU PHWDVWD]ODU YH PHPH NDQVHULQLQ V SHUSR]LV\RQX NDUGL\DN OH]\RQODU× WDNOLW HGHELOLU

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Dolaşım Sistemi

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Kilinik Radyoloji

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Dolaşım Sistemi

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Kilinik Radyoloji

Tablo 3.3 DoÄ&#x;umsal kalp hastalÄąklarÄąnÄąn akciÄ&#x;er kanlanmasÄąna gĂśre sÄąnÄąflandÄąrÄąlmasÄą ArtmÄąĹ&#x; kanlanma VentrikĂźler septal defekt (VSD) Atrial septal defekt (ASD) Patent duktus arteriyozus (PDA) Persistan ortak atrioventrikĂźler kanal Anormal pulmoner venĂśz dĂśnĂźĹ&#x; BĂźyĂźk arterlerin transpozisyonu BĂźyĂźk arterlerin dĂźzeltilmiĹ&#x; (“correctedâ€?) transpozisyonu Trunkus arteriyozus Aortopulmoner pencere (parsiyel trunkus) AzalmÄąĹ&#x; kanlanma Fallot tetralojisi SaÄ&#x;lam ventrikĂźler septumla birlikte pulmoner stenoz Pulmoner atrezi TrikĂźspit atrezisi Ebstein malformasyonu Pulmoner arter ana dallarÄąndan birinin stenozu Normal kanlanma Aort koarktasyonu DoÄ&#x;umsal aort stenozu Pulmoner venĂśz kan akÄąmÄąnda engellenme DoÄ&#x;umsal mitral stenoz Pulmoner venlerin doÄ&#x;umsal stenozu

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Dolaşım Sistemi

A

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Kilinik Radyoloji

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Dolaşım Sistemi

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Kilinik Radyoloji

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Dolaşım Sistemi

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Kilinik Radyoloji

SXOPRQHU DUWHULQ DQD GDOODU×QGDQ ELULVLQLQ DJHQH]LVL QL G ü QG UPHOLGLU 7XWXODQ DNFLùHULQ ELU YH\D ELUGHQ ID]OD VHJPHQWL KLSRSOD]LN YH\D DSOD]LNWLU

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Dolaşım Sistemi

SHUN WDQ \ROOD GRùUXGDQ JLULOHUHN ORPEHU DRUWRJUDÀ \DS×ODELOLU

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Kilinik Radyoloji

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05 .HVLW J|U QW OHPH \|QWHPL RODUDN 05 E \ N GDPDU ODU×Q GLVHNVL\RQ YH\D E \ N ER\XWOX DQHYUL]PD JLEL

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Dolaşım Sistemi

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A 5HVLP % \ N YHQOHULQ QRUPDO 'RSSOHU 6SHNWUXPODU× $ 3RUWDO YHQ % ú9.

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