{"id":1415,"date":"2020-08-30T12:05:45","date_gmt":"2020-08-30T12:05:45","guid":{"rendered":"http:\/\/healthtourismcenterturkey.com\/?page_id=1415"},"modified":"2020-11-25T20:00:39","modified_gmt":"2020-11-25T20:00:39","slug":"micropulse-lazer","status":"publish","type":"page","link":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/micropulse-lazer\/","title":{"rendered":"Micropulse Lazer"},"content":{"rendered":"
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Retina tabakas\u0131na uygulanan lazer tedavileri a\u00e7\u0131s\u0131ndan yeni bir teknoloji olan Micropulse Laser doku hasarlar\u0131n\u0131n minimum seviyede olmas\u0131n\u0131 sa\u011flamak i\u00e7in geli\u015ftirilmi\u015ftir. Bu yeni lazer uygulamas\u0131n\u0131n \u00e7al\u0131\u015fma prensibi, lazer uygulanan b\u00f6lgeye \u00e7ok k\u0131sa at\u0131mlar ile lazer uygulanmas\u0131d\u0131r. Bu sayede olu\u015fan k\u0131sa aral\u0131klarda dokunun so\u011fumas\u0131 ama\u00e7lanmaktad\u0131r. Geleneksel lazerlere oranla daha az doku hasar\u0131 dokunun so\u011fumas\u0131na izin veren bu k\u0131sa aral\u0131klar ile sa\u011flanmaktad\u0131r. Geleneksel laserlerde 1 laser at\u0131m\u0131 s\u00fcresince enerji dokuya kesintisiz ula\u015f\u0131rken, mikropulse veya subliminal laserlerde enerji paketler halinde (a\u00e7\u0131k ve kapal\u0131 s\u00fcreler i\u00e7eren) g\u00f6nderilir<\/span><\/p>\n

KONVANS\u0130YONEL (GELENEKSEL) TERMAL LASERLER VE ETK\u0130LER\u0130<\/span><\/h2>\n

Konvansiyonel veya geleneksel termal (\u0131s\u0131 etkisi g\u00f6steren) laserler uzun y\u0131llard\u0131r g\u00f6z\u00fcn g\u00f6rme h\u00fccrelerinin (fotoresept\u00f6rler) bulundu\u011fu tabaks\u0131 olan retinan\u0131n damarsal hastal\u0131klar\u0131nda g\u00fcvenli ve etkili olarak kullan\u0131lmaktad\u0131r. Laser tedavisinin uyguland\u0131\u011f\u0131 belli ba\u015fl\u0131 retina hastal\u0131klar\u0131 aras\u0131nda:<\/span><\/p>\n

– Diyabetik retinopati (\u015eeker hastal\u0131\u011f\u0131na ba\u011fl\u0131 olu\u015fan retina kanamalar\u0131 ve t\u0131kan\u0131kl\u0131klar)<\/span><\/p>\n

– Hipertansif retinopati<\/span><\/p>\n

– Retina damar t\u0131kan\u0131kl\u0131klar\u0131<\/span><\/p>\n

– Retinal makroanevrizmalar (damarlarda balonla\u015fma)<\/span><\/p>\n

– Santral ser\u00f6z retinopati say\u0131labilir<\/span><\/p>\n<\/div>\n

\"\"<\/div>\n<\/div>\n
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Ancak, geleneksel termal laserlerin faydal\u0131 etkilerinin yan\u0131s\u0131ra, \u0131s\u0131ya ba\u011fl\u0131 olu\u015fan yan\u0131klar\u0131n geni\u015flemesi veya derinle\u015fmesi nedeniyle (\u015eekil 2) baz\u0131 yan etkileri de ortaya \u00e7\u0131kmaktad\u0131r. Bunlar aras\u0131nda:<\/span><\/p>\n

– G\u00f6rme alan\u0131 defektleri (\u015eekil 3)<\/span><\/p>\n

– Renkli g\u00f6rmede azalma<\/span><\/p>\n

– Kontrast duyarl\u0131l\u0131kta (netlik) azalma<\/span><\/p>\n

– Derin tabakalarda yeni damarlar\u0131n olu\u015fumu (koroidal neovask\u00fclarizasyon) ve buna ba\u011fl\u0131 kanamalar<\/span><\/p>\n

– Retina y\u00fczeyinde buru\u015fukluk ve k\u0131r\u0131\u015f\u0131kl\u0131klara yol a\u00e7abilen yara iyile\u015fmesi (Epiretinal fibrozis) ve buna ba\u011fl\u0131 e\u011fri b\u00fc\u011fr\u00fc g\u00f6rme<\/span><\/p>\n

– A\u015f\u0131r\u0131 laser uyguland\u0131\u011f\u0131nda geli\u015fen retina lat\u0131 s\u0131v\u0131 toplanmas\u0131 (ser\u00f6z retina dekolman\u0131)<\/span><\/p>\n

Bu yan etkiler ve uygulanma esnas\u0131nda \u0131s\u0131 art\u0131\u015f\u0131na ba\u011fl\u0131 hastalar\u0131n a\u011fr\u0131 hissedebilmesi nedeniyle daha k\u0131sa s\u00fcreli laser at\u0131ml\u0131 ve uyguland\u0131\u011f\u0131 dokuyu yakmadan etki g\u00f6sterebilen e\u015fik alt\u0131 laserler geli\u015ftirilmi\u015ftir. Subliminal veya mikropulse laserler de bir e\u015fik alt\u0131 laser t\u00fcr\u00fcn\u00fcn ismidir.<\/span><\/p>\n

M\u0130KROPULSE-SUBL\u0130M\u0130NAL LASERLER\u0130N \u00c7ALI\u015eMA PRENS\u0130PLER\u0130 VE UYGULANMA ALANLARI<\/span><\/h2>\n

Bu yeni teknoloji laserler, geleneksel laserlere g\u00f6re uyguland\u0131klar\u0131 b\u00f6lgeye \u00e7ok k\u0131sa at\u0131ml\u0131 ve aralarda dokunun so\u011fumas\u0131na izin veren laserlerdir. Bunlara \u201ckesintili at\u0131ml\u0131\u201d laserler de denilebilir, \u00e7\u00fcnk\u00fc geleneksel laserlerde 1 laser at\u0131m\u0131 s\u00fcresince enerji dokuya kesintisiz ula\u015f\u0131rken, mikropulse veya subliminal laserlerde enerji paketler halinde (a\u00e7\u0131k ve kapal\u0131 s\u00fcreler i\u00e7eren) g\u00f6nderilir (\u015eekil 4). Bu da \u00e7ok hassas olan retina dokusunda \u0131s\u0131 art\u0131\u015f\u0131na yol a\u00e7madan, bu tabakan\u0131n hemen alt\u0131ndaki retina pigment epiteli (RPE) ad\u0131 verilen destek h\u00fccrelerinin uyar\u0131lmas\u0131n\u0131 sa\u011flar (\u015eekil 5). Bu uyar\u0131lma sonucu h\u00fccresel d\u00fczeyde baz\u0131 \u00f6zel maddeler salg\u0131lan\u0131r ve hastal\u0131kl\u0131 b\u00f6lgedeki s\u0131z\u0131nt\u0131, kanama vs. d\u00fczelir. Bu etkiye \u201cbiyostimulasyon\u201d denilmektedir (\u015eekil 6).<\/span><\/p>\n

M\u0130KROPULSE-SUBL\u0130M\u0130NAL LASERLER\u0130N AVANTAJLARI<\/span><\/h2>\n

– G\u00f6z\u00fcn retina tabakas\u0131nda iz b\u0131rakmadan uygulanabilmesi: So\u011fuk laserler, klasik argon ve diod laserlerden farkl\u0131 olarak retinaya hasar vermez<\/span><\/p>\n

– Ayn\u0131 tedavi b\u00f6lgesine defalarca tekrar uygulanabilme: Mikropulse-subliminal laserler retina dokusunda g\u00f6r\u00fcn\u00fcr herhangi bir hasar b\u0131rakmad\u0131\u011f\u0131 i\u00e7in ayn\u0131 b\u00f6lgeye g\u00fcvenle defalarca uygulanabilmektedir. Bu \u015fekilde tedavi etkinli\u011fi artmaktad\u0131r.<\/span><\/p>\n

– Her t\u00fcrl\u00fc vask\u00fcler retina hastal\u0131klar\u0131nda etkili: Retinan\u0131n bir\u00e7ok damarsal hastal\u0131klar\u0131nda (\u00f6r: diabet, retinal damar t\u0131kan\u0131kl\u0131\u011f\u0131, retina tabakalar\u0131nda ayr\u0131lma (SSR), retinal anevrizmalar) etkin ve g\u00fcvenilir bir \u015fekilde uygulanmaktad\u0131r.<\/span><\/p>\n

– G\u00f6zi\u00e7i enjeksiyonlarla \u2018kombine\u2019 uygulanabilme: G\u00fcn\u00fcm\u00fczde bir\u00e7ok retina hastal\u0131\u011f\u0131nda uygulanan g\u00f6zi\u00e7i (intravitreal) ila\u00e7 enjeksiyonlar\u0131 ile birlikte so\u011fuk laserlerin uygulanmas\u0131 tedavi etkinli\u011fini artt\u0131rmakta ve daha iyi g\u00f6rsel sonu\u00e7lar elde etmemizi sa\u011flamaktad\u0131r.<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Retina tabakas\u0131na uygulanan lazer tedavileri a\u00e7\u0131s\u0131ndan yeni bir teknoloji olan Micropulse Laser doku hasarlar\u0131n\u0131n minimum seviyede olmas\u0131n\u0131 sa\u011flamak i\u00e7in geli\u015ftirilmi\u015ftir. Bu yeni lazer uygulamas\u0131n\u0131n \u00e7al\u0131\u015fma prensibi, lazer uygulanan b\u00f6lgeye \u00e7ok k\u0131sa at\u0131mlar ile lazer uygulanmas\u0131d\u0131r. Bu sayede olu\u015fan k\u0131sa aral\u0131klarda dokunun so\u011fumas\u0131 ama\u00e7lanmaktad\u0131r. Geleneksel lazerlere oranla daha az doku hasar\u0131 dokunun so\u011fumas\u0131na izin veren bu […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1415","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1415"}],"collection":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/comments?post=1415"}],"version-history":[{"count":5,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1415\/revisions"}],"predecessor-version":[{"id":2058,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1415\/revisions\/2058"}],"wp:attachment":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/media?parent=1415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}