{"id":938,"date":"2010-04-22T13:40:36","date_gmt":"2010-04-22T14:40:36","guid":{"rendered":"https:\/\/turanuslu.net\/?p=938"},"modified":"2021-03-20T08:58:05","modified_gmt":"2021-03-20T08:58:05","slug":"inme-felc","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/inme-felc\/","title":{"rendered":"\u0130nme (Fel\u00e7)"},"content":{"rendered":"<h1>\u0130NME (STROK,\u00a0 N\u00dcZ\u00dcL,\u00a0 FEL\u00c7, HEM\u0130PLEJ\u0130)<\/h1>\n<h3>\u0130nme (Strok) Nedir?<\/h3>\n<p><strong>\u0130nme (Fel\u00e7)\u00a0 <\/strong>\u0130nme beyni besleyen damarlardan birinin t\u0131kanmas\u0131 veya kanamas\u0131 sonucu ortaya \u00e7\u0131kan hastal\u0131k tablosudur. Her iki durumda da beynin kan ak\u0131m\u0131 bozulmaktad\u0131r. T\u0131kanan veya kanayan damar\u0131n besledi\u011fi beyin b\u00f6lgesine oksijen ve gerekli besin maddeleri ula\u015famaz. Sonu\u00e7ta beynin bu b\u00f6lgesinin v\u00fccut \u00fczerindeki kontrol\u00fc ortadan kalkar. \u0130nmeli hastada bu b\u00f6lgelerden biri etkilenmi\u015ftir ve hastal\u0131\u011f\u0131n bulgular\u0131 etkilenen b\u00f6lgeye g\u00f6re de\u011fi\u015fiklik g\u00f6sterir.<\/p>\n<p>Beynin sol yar\u0131s\u0131 v\u00fccudun sa\u011f taraf\u0131n\u0131, sa\u011f yar\u0131s\u0131 ise v\u00fccudun sol taraf\u0131n\u0131 kontrol eder. Konu\u015fma merkezi insanlar\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131nda beynin sol yar\u0131s\u0131nda yerle\u015fmi\u015ftir.<\/p>\n<p>\u0130nme pek \u00e7ok \u00fclkede en fazla \u00f6l\u00fcme yol a\u00e7an ve en fazla sakat b\u0131rakan hastal\u0131klar aras\u0131ndad\u0131r. Hastaya oldu\u011fu kadar, \u00e7evresine ve topluma maliyeti \u00e7ok y\u00fcksek bir hastal\u0131kt\u0131r.<\/p>\n<p>\u0130nmelerin b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fc beyni besleyen damarlar\u0131n t\u0131kan\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131d\u0131r. Damar t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n nas\u0131l geli\u015fti\u011fi \u015fekil 3&#8217;de g\u00f6sterilmi\u015ftir. \u0130nmelerin k\u00fc\u00e7\u00fck bir b\u00f6l\u00fcm\u00fc (%15) ise beyin damar\u0131n\u0131n y\u0131rt\u0131larak kanamas\u0131na ba\u011fl\u0131d\u0131r.<\/p>\n<h3>\u0130nme Bulgular\u0131 Nelerdir?<\/h3>\n<p>\u0130nme (Fel\u00e7) s\u0131ras\u0131nda beyir damar\u0131 t\u0131kan\u0131r t\u0131kanmaz hemen b\u00fct\u00fcn h\u00fccreler \u00f6lmez. M\u00fcmk\u00fcn oldu\u011funca erken tedaviye ba\u015flanarak bu h\u00fccrelerin fonksiyonlar\u0131 korunabilir. Daha \u00f6nemlisi damarlar\u0131 etkileyen risk fakt\u00f6rleri ile zaman\u0131nda m\u00fccadele edilirse inme geli\u015fimi engellenebilir. Bu nedenle hastal\u0131\u011f\u0131n baz\u0131 uyar\u0131c\u0131 belirti ve bulgular\u0131n\u0131 tan\u0131mak \u00f6nemlidir.<\/p>\n<ul>\n<li>Ge\u00e7ici bulan\u0131k g\u00f6rmeden k\u0131sa s\u00fcreli k\u00f6rl\u00fc\u011fe kadar de\u011fi\u015fen, bir veya her iki g\u00f6zde ge\u00e7ici g\u00f6rme bozukluklar\u0131<\/li>\n<li>El parmaklar\u0131nda, b\u00fct\u00fcn elde, bacakta veya b\u00fct\u00fcn bir v\u00fccut yar\u0131s\u0131nda uyu\u015fukluk veya g\u00fc\u00e7s\u00fczl\u00fck hissi<\/li>\n<li>K\u0131sa s\u00fcreli konu\u015fma veya anlama bozuklu\u011fu<\/li>\n<li>Ba\u015f d\u00f6nmesi, g\u00f6rme bulan\u0131kl\u0131\u011f\u0131, bulant\u0131, kusma, her iki bacakta g\u00fc\u00e7s\u00fczl\u00fck, \u00e7ift g\u00f6rme<\/li>\n<li>Beyin kan ak\u0131m\u0131nda ge\u00e7ici bozulmalara ba\u011fl\u0131 d\u00fc\u015fme ataklar\u0131<\/li>\n<li>Birka\u00e7 saat i\u00e7inde d\u00fczelen \u015fuur bulan\u0131kl\u0131\u011f\u0131<\/li>\n<li>Bu belirtiler dakikalar veya saatler i\u00e7inde tamamen d\u00fczelir. Bu duruma ge\u00e7ici iskemik atak veya transient ischaemic attack&#8217;\u0131n ba\u015fharfleri al\u0131narak TIA denir. E\u011fer uygun bir tedavi ba\u015flanmazsa TIA&#8217;l\u0131 hastalar\u0131n \u00fc\u00e7te birinde takip eden haftalar i\u00e7inde veya ilk 5 y\u0131l i\u00e7inde herhangi bir d\u00f6nemde inme geli\u015fecektir. Bu nedenle TIA belirtileri g\u00f6steren hastalar\u0131n hemen bir uzmana ba\u015fvurmalar\u0131 gerekir.<\/li>\n<\/ul>\n<p>\u0130nme (Fel\u00e7) TIA herkes taraf\u0131ndan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 gibi ciddiyetle ele al\u0131nmal\u0131d\u0131r. G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ata\u011f\u0131 kalbin, ge\u00e7ici iskemik atak ise beynin kan ak\u0131m\u0131n\u0131n bozulmas\u0131 sonucu ortaya \u00e7\u0131kan bir durumdur. TIA genellikle birka\u00e7 dakika s\u00fcr\u00fcp ge\u00e7er. En \u00e7ok 24 saate kadar uzar. E\u011fer bulgular 1-14 g\u00fcn aras\u0131nda devam edip d\u00fczeliyorsa buna geriye d\u00f6nen iskemik n\u00f6rolojik hasar veya reversible ischaemic neurological deficit&#8217;in ba\u015f harflerine g\u00f6re RIND ad\u0131 verilir. Bulgular 14 g\u00fcnden daha fazla s\u00fcr\u00fcyorsa bu s\u00fcre i\u00e7inde tam d\u00fczelme olmam\u0131\u015fsa serebral infarkt veya tamamlanm\u0131\u015f inme ad\u0131 verilir.<\/p>\n<p>TIA, RIND ve tamamlanm\u0131\u015f inme nedenleri birbirinin ayn\u0131d\u0131r. Bu nedenle TIA infarkt habercisi olarak de\u011ferlendirilmektedir. Tamamlanm\u0131\u015f inme olu\u015fmu\u015fsa ortaya \u00e7\u0131kan a\u011f\u0131r fonksiyon kayb\u0131 tamamen geriye d\u00f6nmez.<\/p>\n<p>&nbsp;<\/p>\n<h3>Damar Sertli\u011fi (Arteriosklerozis) Nedir?<\/h3>\n<p>\u0130nme (Fel\u00e7) Beyin kan ak\u0131m\u0131, damarlardaki daralma veya t\u0131kanma sonucunda bozulur. Damar sertli\u011fi, atardamarlar\u0131n (arterlerin) kronik ilerleyici bir hastal\u0131\u011f\u0131d\u0131r. Bu hastal\u0131k damar duvar\u0131nda kal\u0131nla\u015fma ve harabiyete yol a\u00e7ar. Damar sertli\u011finin yol a\u00e7t\u0131\u011f\u0131 daralma \u015fekil-4&#8217;de g\u00f6r\u00fclmektedir.<\/p>\n<h3>Risk fakt\u00f6rleri:<\/h3>\n<ul>\n<li>Kan bas\u0131nc\u0131 y\u00fcksekli\u011fi<\/li>\n<li>Kan lipidleri (ya\u011flar\u0131) y\u00fcksekli\u011fi<\/li>\n<li>\u015eeker hastal\u0131\u011f\u0131<\/li>\n<li>Gut hastal\u0131\u011f\u0131<\/li>\n<li>Sigara<\/li>\n<li>\u015ei\u015fmanl\u0131k<\/li>\n<li>Do\u011fum kontrol haplar\u0131<\/li>\n<\/ul>\n<p>Kalp hastal\u0131klar\u0131 inme geli\u015fimini tetikleyebilir. Kalp ritim bozukluklar\u0131, kalp kapaklar\u0131n\u0131n ve kas\u0131n\u0131n fonksiyon bozukluklar\u0131 beyin damar hastal\u0131klar\u0131na zemin haz\u0131rlar. Bu nedenle kalp hastal\u0131klar\u0131n\u0131n tan\u0131 ve tedavisi inme geli\u015fimini \u00f6nlemede \u00e7ok \u00f6nemlidir.<\/p>\n<p>G\u00fcn\u00fcm\u00fczde risk fakt\u00f6rlerinin \u00e7o\u011fu tedavi edilebilmektedir. Bunun i\u00e7in 40 ya\u015f \u00fczerindeki her hastan\u0131n bir hekim taraf\u0131ndan g\u00f6r\u00fclmesi ve uygun testlerden ge\u00e7irilmesi \u00f6nerilir. \u00d6zellikle ailede inme (strok) veya kalp krizi (miyokart infarkt\u0131) hikayesi varsa mutlaka uygun tetkikler yap\u0131lmal\u0131d\u0131r. E\u011fer erken \u00f6nlem al\u0131n\u0131rsa damar sertli\u011fi b\u00fcy\u00fck \u00f6l\u00e7\u00fcde \u00f6nlenebilir bir hastal\u0131kt\u0131r.<\/p>\n<h3>Damar sertli\u011fini \u00f6nlemek i\u00e7in neler yap\u0131labilir?<\/h3>\n<p>Damar sertli\u011fi damarlar\u0131 y\u0131llar i\u00e7inde yava\u015f ve sinsi bir \u015fekilde etkiler. Hasta ancak damardaki daralma \u00e7ok ilerledi\u011fi zaman bunun fark\u0131na varmaya ba\u015flar. Baz\u0131 risk fakt\u00f6rleri damar sertli\u011fi geli\u015fimini belirgin \u00f6l\u00e7\u00fcde art\u0131rd\u0131\u011f\u0131 i\u00e7in damar hastal\u0131\u011f\u0131 olan kimselerin s\u00fcrekli olarak koruyucu tedavi alt\u0131nda olmalar\u0131 gerekir. Damar sertli\u011fi damar\u0131n tamamen t\u0131kanmas\u0131na yol a\u00e7masada buradan kopan bir par\u00e7a daha uzaktaki bir damar\u0131 t\u0131kayabilir (emboli) veya daralm\u0131\u015f damar t\u0131kanarak (tromboz) kan ak\u0131m\u0131n\u0131n kesintiye u\u011fratabilir.<\/p>\n<p>Damar sertli\u011fi geli\u015fimini \u00f6nlemek i\u00e7in veya en aza indirmek i\u00e7in,<\/p>\n<p>a\u015fa\u011f\u0131daki \u00f6nerilere uyulmal\u0131d\u0131r:<\/p>\n<ul>\n<li>Kilo verin, m\u00fcmk\u00fcnse ideal kilonuza gelin.<\/li>\n<li>Sigaray\u0131 b\u0131rak\u0131n.<\/li>\n<li>Tansiyonunuzu d\u00fczenli olarak \u00f6l\u00e7t\u00fcr\u00fcn.<\/li>\n<li>Tansiyonunuz y\u00fcksekse kontrol alt\u0131na al\u0131nmas\u0131 i\u00e7in mutlaka bir uzman hekime ba\u015fvurun.<\/li>\n<li>Diyet yap\u0131n. Ya\u011fl\u0131 yiyeceklerden, kolesteroll\u00fc yiyeceklerden \u00f6rne\u011fin yumurta ve mayonezden uzak durun.<\/li>\n<li>Kan \u015fekerinizi kontrol ettirin. E\u011fer y\u00fcksekse mutlaka bir hekimle g\u00f6r\u00fc\u015f\u00fcn.<\/li>\n<li>Kan \u00fcrik asit d\u00fczeyinizi kontrol ettirin.<\/li>\n<li>D\u00fczenli egzersiz yap\u0131n. \u00d6zellikle hareketsiz bir i\u015fte \u00e7al\u0131\u015f\u0131yorsan\u0131z mutlaka yap\u0131n.<\/li>\n<li>Ruhsal gerginlik yaratan durumlardan sak\u0131n\u0131n.<\/li>\n<li>Do\u011fum kontrol hap\u0131 kullan\u0131yorsan\u0131z kesinlikle sigaradan uzak durun. Nikotin ve hormonlar\u0131n birlikte al\u0131nmas\u0131 inme riskini art\u0131r\u0131r. Bu risk gen\u00e7 ya\u015fta bile y\u00fcksektir.<\/li>\n<\/ul>\n<p>\u0130nme beyin hastal\u0131\u011f\u0131d\u0131r. Hastalar mutlaka beyin hastal\u0131klar\u0131 uzman\u0131, n\u00f6rolog, taraf\u0131ndan g\u00f6r\u00fclmelidir. N\u00f6rolog hastan\u0131n \u015fikayet ve muayene bulgular\u0131 ile beynin etkilenen b\u00f6lgesini belirler. Tan\u0131s\u0131n\u0131 kesinle\u015ftirmek i\u00e7in baz\u0131 tetkikler ister. Bunlar\u0131n sonucunda nedeni ortaya koyarak uygun tedaviye ba\u015flar.<\/p>\n<p><strong>\u0130nceleme Y\u00f6ntemleri<\/strong><\/p>\n<p>Hastada risk fakt\u00f6rlerini belirleyen, damarlar\u0131n durumu hakk\u0131nda fikir veren a\u011fr\u0131s\u0131z ve kolay uygulanan bir dizi inceleme y\u00f6ntemi mevcuttur. Toplardamardan al\u0131nan kanda baz\u0131 laboratuar incelemeleri yap\u0131l\u0131r. 40 ya\u015f \u00fczerinde b\u00fct\u00fcn hastalarda bunlar d\u00fczenli yap\u0131lmal\u0131d\u0131r. Bu laboratuar incelemelerine ilaveten EKG, kalp grafisi, kan bas\u0131nc\u0131 \u00f6l\u00e7\u00fcmleri ilk yap\u0131lacaklar aras\u0131ndad\u0131r. Daha sonra hekim baz\u0131 detayl\u0131 incelemelere gerek duyabilir.<\/p>\n<h3>1-Ultrasonografik metodlar:<\/h3>\n<p><strong>a-<\/strong> Doppler sonografi;<\/p>\n<p>Doppler incelemesi atardamarlarda ak\u0131m\u0131n y\u00f6n\u00fc ve h\u0131z\u0131 konusunda bilgi verir. E\u011fer damarda %50&#8217;den fazla bir oranda darl\u0131k varsa bulgularda belirgin de\u011fi\u015fiklik ortaya \u00e7\u0131kar. Bu inceleme karotis, vertabral arterler ve arkus aorta gibi atardamarlar\u0131n incelenmesi i\u00e7in uygundur.<\/p>\n<p><strong>b-<\/strong> B mod inceleme;<\/p>\n<p>Boyunda yer alan damarlar\u0131n (karotis ve vertabral) kesitlerinin g\u00f6r\u00fcnt\u00fclenebilmesini sa\u011flayan tetkik y\u00f6ntemidir.<\/p>\n<p><strong>c-<\/strong> Transkranyal Doppler;<\/p>\n<p>Kafa i\u00e7inde yer alan ve beyni besleyen damarlar\u0131n ak\u0131m h\u0131zlar\u0131n\u0131 ve ak\u0131m y\u00f6nlerini kafatas\u0131 d\u0131\u015f\u0131ndan incelemeye imkan veren bir tetkik y\u00f6ntemidir.<\/p>\n<h3>2- Bilgisayarl\u0131 beyin tomografisi (BT veya BBT):<\/h3>\n<p>R\u00f6ntgen teknikleri kullan\u0131larak beyin kesitlerinin g\u00f6r\u00fcnt\u00fclenmesi m\u00fcmk\u00fcnd\u00fcr. Kolay ve \u00e7abuk uygulanabilen bir tetkikdir. Beyin kanamas\u0131 ile damar t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 ay\u0131rmak, beyin dokusunun beslenme durumu hakk\u0131nda bilgi sahibi olmak bu tetkik ile kolayd\u0131r.<\/p>\n<h3>3- Manyetik Rezonans \u0130nceleme (MR veya MRI):<\/h3>\n<p>Kuvvetli bir manyetik alan i\u00e7inde beyin dokusunun farkl\u0131 \u00f6zelliklerini yans\u0131tmaya yarayan ve baz\u0131 a\u00e7\u0131lardan BT&#8217;ye g\u00f6re daha kesin bilgiler verebilen bir tetkik y\u00f6ntemidir.<\/p>\n<h3>4- Anjiografi:<\/h3>\n<p>Damar i\u00e7ine kontrast madde (r\u00f6ntgen tekni\u011finde damarlar\u0131n g\u00f6r\u00fcn\u00fcr hale gelmesini sa\u011flayan madde) verilerek yap\u0131lan bir tetkik y\u00f6ntemidir.<\/p>\n<p>Beyin damarlar\u0131nda daralmalar, t\u0131kanmalar ve \u00e7e\u015fitli hastal\u0131klar konusunda \u00e7ok g\u00fcvenilir bilgiler verir ve tedavi se\u00e7iminde yard\u0131mc\u0131 olur. Tetkik az da olsa bir risk ta\u015f\u0131d\u0131\u011f\u0131 i\u00e7in hastaneye yat\u0131r\u0131larak yap\u0131lmas\u0131 gerekir.<\/p>\n<h3>5- Elektroansefalografi:<\/h3>\n<p>Beynin elektriksel faaliyetinin yazd\u0131r\u0131lmas\u0131 esas\u0131na dayal\u0131 bir tetkikdir. Bu \u00f6zelli\u011fi nedeniyle kalpten kaydedilen EKG&#8217;ye benzer. \u0130nmeli hastalarda hekim bazen bu tetkik y\u00f6ntemine ba\u015fvurabilir.<\/p>\n<h3>6- Kalp hastal\u0131klar\u0131n\u0131 ara\u015ft\u0131rmaya y\u00f6nelik tetkikler:<\/h3>\n<p>Beyin damar hastal\u0131\u011f\u0131 nedeniyle gelen bir hastan\u0131n ayr\u0131ca bir kalp uzman\u0131 taraf\u0131ndan g\u00f6r\u00fclmesi ve EKG, kalp ultrasonografisi gibi incelemelerin yap\u0131lmas\u0131 beyin damar hastal\u0131\u011f\u0131n\u0131n nedenini ortaya koymada yard\u0131mc\u0131 olmaktad\u0131r.<\/p>\n<p>\u00d6zetle s\u00f6ylenecek olursa, hekim yukar\u0131da s\u00f6z edilen tetkiklerden uygun olanlar\u0131n\u0131 se\u00e7erek hastal\u0131k nedenini ortaya koymaya \u00e7al\u0131\u015f\u0131r. Ayr\u0131ca bunlara ilaveten baz\u0131 kan tetkikleri, \u00f6rne\u011fin kan ak\u0131\u015fkanl\u0131\u011f\u0131n\u0131 ara\u015ft\u0131ran tetkikleri, de isteyebilir.<\/p>\n<h3>\u0130nme Nas\u0131l Tedavi Edilir?<\/h3>\n<p>Beyinde kan dola\u015f\u0131m bozuklu\u011funa ba\u011fl\u0131 n\u00f6rolojik belirtiler geli\u015fti\u011fi zaman hi\u00e7 gecikilmeden acil tedavi uygulanmaya ba\u015flanmal\u0131d\u0131r. Beyin dokusunun dola\u015f\u0131m bozuklu\u011funa tahamm\u00fcl\u00fc \u00e7ok azd\u0131r, ancak birka\u00e7 dakikaya s\u0131n\u0131rl\u0131d\u0131r. Miyokard infarkt\u0131 (kalp krizi) gibi inme de \u00e7ok acil bir durumdur. En \u00f6nemli tedavi y\u00f6ntemleri a\u015fa\u011f\u0131da \u00f6zetlenmi\u015ftir:<\/p>\n<p>En \u00f6nde gelen ama\u00e7, kalbin kan at\u0131m g\u00fcc\u00fcn\u00fc ve kan bas\u0131nc\u0131n\u0131 d\u00fczenleyerek beynin kan ak\u0131m\u0131n\u0131n normale d\u00f6nmesini sa\u011flamakt\u0131r. Damar t\u0131kan\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 harabiyeti aza indirmek i\u00e7in kan\u0131n ak\u0131\u015fkanl\u0131\u011f\u0131n\u0131 art\u0131r\u0131c\u0131 baz\u0131 ila\u00e7lar kullan\u0131lmaktad\u0131r. Baz\u0131 hastalarda damar\u0131 t\u0131kay\u0131p p\u0131ht\u0131n\u0131n eritilmesi i\u00e7in ila\u00e7 verilmektedir. Ancak bu uygulama hasta \u00e7ok k\u0131sa s\u00fcrede hastaneye ula\u015fm\u0131\u015f ise ve merkez iyi geli\u015fmi\u015f ise yap\u0131labilmektedir.<\/p>\n<p>Beyinde kan dola\u015f\u0131m bozuklu\u011funa ba\u011fl\u0131 n\u00f6rolojik ila\u00e7 tedavisi d\u0131\u015f\u0131nda fizik tedavi (fizyoterapi) \u00e7ok yararl\u0131d\u0131r ve m\u00fcmk\u00fcn oldu\u011funca erken ba\u015flanmal\u0131d\u0131r<\/p>\n<h3>Hastal\u0131ktan Korunma<\/h3>\n<p>Hastal\u0131ktan korunmak i\u00e7in genellikle kan p\u0131ht\u0131la\u015fmas\u0131n\u0131 engelleyen, kan ak\u0131\u015fkanl\u0131\u011f\u0131n\u0131 art\u0131ran ila\u00e7lar kullan\u0131lmaktad\u0131r. Farkl\u0131 durumlarda se\u00e7ilen farkl\u0131 birka\u00e7 grup ila\u00e7 bulunmaktad\u0131r.<\/p>\n<p>Bu ila\u00e7lar hekim kontrol\u00fcnde kullan\u0131lmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc baz\u0131 yan etkiler ortaya \u00e7\u0131kabilir.<\/p>\n<p>Baz\u0131 damar hastal\u0131klar\u0131 cerrahi y\u00f6ntemlerle tedavi edilerek inme ortaya \u00e7\u0131k\u0131\u015f\u0131 veya tekrar\u0131 engellenebilir. \u0130nmenin engellenmesi i\u00e7in her t\u00fcrl\u00fc \u00e7aban\u0131n g\u00f6sterilmesi, \u00f6zellikle risk fakt\u00f6rleri olan hastalarda, en do\u011fru yakla\u015f\u0131md\u0131r.<\/p>\n<h3>SONU\u00c7<\/h3>\n<p>Pek \u00e7ok \u00fclkede toplumun inme konusunda ayd\u0131nlat\u0131lmas\u0131 ile ve risk fakt\u00f6rleriyle m\u00fccadele ile inme s\u0131kl\u0131\u011f\u0131nda \u00e7ok belirgin azalmalar sa\u011flanm\u0131\u015ft\u0131r. Bu kitap\u00e7\u0131\u011f\u0131n da bu ama\u00e7 do\u011frultusunda inmeli hastalara ve topluma yard\u0131mc\u0131 olaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir. \u0130nmeli hastalar\u0131n hastal\u0131k olu\u015ftuktan sonra hi\u00e7 vakit kaybetmeden bir merkeze ba\u015fvurmalar\u0131n\u0131n \u00f6nemi asla unutulmamal\u0131d\u0131r.<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/channel\/UC-EH3FtNo45g8-ja6zGzfTA\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"lazyload wp-image-2466 size-full alignleft\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\" alt=\"\" width=\"300\" height=\"150\" \/><\/a><a href=\"http:\/\/turanuslu.net\/es\/randevu\/\"><img decoding=\"async\" class=\"lazyload alignleft wp-image-2465 size-full\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg\" alt=\"\" width=\"300\" height=\"150\" \/><\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0130NME (STROK,\u00a0 N\u00dcZ\u00dcL,\u00a0 FEL\u00c7, HEM\u0130PLEJ\u0130) \u0130nme (Strok) Nedir? \u0130nme (Fel\u00e7)\u00a0 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[368],"tags":[241,374],"class_list":["post-938","post","type-post","status-publish","format-standard","hentry","category-rehabilitasyon","tag-felc","tag-inme"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/938","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/comments?post=938"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/938\/revisions"}],"predecessor-version":[{"id":10108,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/938\/revisions\/10108"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=938"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=938"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=938"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}