{"id":422,"date":"2012-07-08T12:25:51","date_gmt":"2012-07-08T09:25:51","guid":{"rendered":"http:\/\/www.hvtd.org\/?p=422"},"modified":"2012-07-08T12:25:51","modified_gmt":"2012-07-08T09:25:51","slug":"idiopatik-trombositopenik-purpura","status":"publish","type":"post","link":"https:\/\/www.hvtd.org\/?p=422","title":{"rendered":"\u0130diopatik Trombositopenik Purpura"},"content":{"rendered":"
\n

\"\"<\/a>Olgu: <\/strong>28 ya\u015f\u0131ndaki kad\u0131n pilot, 1. S\u0131n\u0131f t\u0131bbi sertifika ba\u015fvurusunda, di\u015f f\u0131r\u00e7alama sonras\u0131 di\u015feti kanamalar\u0131 ve bir \u00f6nceki g\u00fcn ba\u015flayan pete\u015fiyal kanamalar\u0131 oldu\u011funu s\u00f6yl\u00fcyordu. Bir hafta \u00f6ncesinde nezle benzeri semptomlar ya\u015fam\u0131\u015ft\u0131. Fiziksel muayenesinde, alt ekstremitelerinde pete\u015fiyal d\u00f6k\u00fcnt\u00fcler ve sa\u011f elinin \u00f6n k\u0131sm\u0131nda ekimoz oldu\u011fu, lenfadenopati ya da splenomegalinin bulunmad\u0131\u011f\u0131 belirlendi. Oral mukozada aktif bir kanamas\u0131 yoktu. Labarotuvar sonu\u00e7lar\u0131, 30.000 x109<\/sup>\/L d\u00fc\u015f\u00fck trombosit say\u0131m\u0131 a\u00e7\u0131s\u0131ndan \u00f6nem te\u015fkil ediyordu. Son menstruasyon d\u00f6neminde menoraji ve halsizlik \u00f6nemli boyuttayd\u0131. Kan hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc olan bir aileden gelmedi\u011fini ve herhangi bir ila\u00e7 da kullanmad\u0131\u011f\u0131n\u0131 belirtti.<\/strong><\/p>\n

Havac\u0131l\u0131k T\u0131bb\u0131 ile \u0130li\u015fkisi: <\/strong>\u0130diopatik trombositopenik purpuran\u0131n (ITP) havac\u0131l\u0131kla ilgili en \u00f6nemli olumsuz etkilerinden biri, nadir olmas\u0131na ra\u011fmen, d\u00fc\u015f\u00fck trombosit seviyesine sahip hastalarda meydana gelebilecek olan muhtemel intrakraniyal kanama sonucu ani inkapasitasyondur. Bu risk 60 ya\u015f \u00fcst\u00fc ve trombosit seviyesi 10\u00d7109<\/sup>\/L\u2019den az olan hastalarda \u00e7ok y\u00fcksektir.<\/p>\n

Sonu\u00e7: <\/strong>Hasta k\u0131sa s\u00fcreli y\u00fcksek doz stereoid ile ayakta tedavi\u00a0 edildi ve tedaviye olumlu yan\u0131t verdi. \u0130yile\u015ftikten sonra tekrar t\u0131bbi sertifika i\u00e7in ba\u015fvurdu. ITP\u2019s\u0131 g\u00f6z \u00f6n\u00fcne al\u0131narak\u00a0 doktorundan FAA\u2019ya t\u0131bbi ge\u00e7mi\u015finin iletilmesi tavsiye edildi. 12 ay s\u00fcreli \u00f6zel 3. S\u0131n\u0131f t\u0131bbi sertifika verildi. Sertifikan\u0131n yenilenmesi i\u00e7in doktorundan mevcut sa\u011fl\u0131k durumunu belirtir rapor, CBC ve trombosit say\u0131m\u0131 yapt\u0131rmas\u0131 \u015fart\u0131 konuldu. Trombosit seviyesi 40.000\u2032in alt\u0131nda oldu\u011funda u\u00e7mamas\u0131, sa\u011fl\u0131\u011f\u0131yla ilgili herhangi bir de\u011fi\u015fiklik oldu\u011funda bunu FAA\u2019ya bildirmesi tavsiye edildi.<\/p>\n

Kaynak<\/strong>: <\/strong>Alan John S. Delos Santos. <\/strong>Adult idiopathic thrombocytopenic purpura. Federal Air Surgeon\u2019s Medical Bulletin. Vol. 47 No.2, 2009<\/strong><\/p>\n

\u00c7eviri<\/strong>: Dr. Bilal Ermerak<\/strong>. \u0130\u00e7 Hast.Uzm. U\u00e7u\u015f Dr. \u0130stanbul<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Olgu: 28 ya\u015f\u0131ndaki kad\u0131n pilot, 1. S\u0131n\u0131f t\u0131bbi sertifika ba\u015fvurusunda, di\u015f f\u0131r\u00e7alama sonras\u0131 di\u015feti kanamalar\u0131 ve bir \u00f6nceki g\u00fcn ba\u015flayan pete\u015fiyal kanamalar\u0131 oldu\u011funu s\u00f6yl\u00fcyordu. Bir hafta \u00f6ncesinde nezle benzeri semptomlar ya\u015fam\u0131\u015ft\u0131. Fiziksel muayenesinde, alt ekstremitelerinde pete\u015fiyal d\u00f6k\u00fcnt\u00fcler ve sa\u011f elinin \u00f6n k\u0131sm\u0131nda ekimoz oldu\u011fu, lenfadenopati ya da splenomegalinin bulunmad\u0131\u011f\u0131 belirlendi. Oral mukozada aktif bir kanamas\u0131 yoktu. Labarotuvar sonu\u00e7lar\u0131, 30.000 x109\/L […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-422","post","type-post","status-publish","format-standard","hentry","category-bulten"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=422"}],"version-history":[{"count":2,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/422\/revisions"}],"predecessor-version":[{"id":425,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/422\/revisions\/425"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}