T\u00fcrkiye genelinde organ ve doku nakli hizmetleri alan\u0131nda \u00e7al\u0131\u015fan kurum ve kurulu\u015flar i\u00e7in gerekli doku teminini sa\u011flamak amac\u0131yla Kemik Bankas\u0131 (Atat\u00fcrk E\u011fitim ve Ara\u015ft\u0131rma Hastanesi) Kas-\u0130skelet Sistemine y\u00f6nelik Doku Bankas\u0131 (Ankara \u00dcniversitesi) a\u00e7\u0131ld\u0131. Organ ve Kemik \u0130li\u011fi Nakli hizmetlerinde b\u00fcy\u00fck \u00f6neme haiz Doku Tipleme Laboratuarlar\u0131 say\u0131s\u0131n\u0131n art\u0131r\u0131lmas\u0131 ve her b\u00f6lgede h\u0131zl\u0131 doku tipleme yap\u0131labilmesi amac\u0131yla yeni ruhsatland\u0131rmalar yap\u0131ld\u0131. B\u00f6ylece t\u00fcm \u00fclke genelinde Doku Tipleme Laboratuar\u0131 say\u0131s\u0131 32\u2019ye y\u00fckseldi.<\/p>\n\n\n\n
\u00dclke n\u00fcfusumuza oranla y\u0131lda yakla\u015f\u0131k 4 bin olmas\u0131 gereken kemik ili\u011fi nakli say\u0131s\u0131 uygun verici bulunamad\u0131\u011f\u0131ndan, y\u0131lda yakla\u015f\u0131k 800-900 ki\u015fiyle s\u0131n\u0131rl\u0131 kalmaktad\u0131r. Y\u0131lda 3 binden fazla ki\u015fi nakil i\u00e7in s\u0131ra beklemektedir. Kemik ili\u011fi nakillerinde vericilerin \u00e7o\u011fu akraba d\u0131\u015f\u0131 ki\u015filerdir ve iliklerin \u00e7o\u011fu yurt d\u0131\u015f\u0131ndan temin edilebilmektedir. T\u00fcrkiye\u2019deki kemik ili\u011fi verici say\u0131s\u0131n\u0131n 40 binin alt\u0131nda olmas\u0131 sebebiyle uygun ili\u011fin bulunabilmesi i\u00e7in yurt d\u0131\u015f\u0131 taramalar\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Yurt d\u0131\u015f\u0131 verici taramalar\u0131nda bulunan uygun ili\u011fin Sosyal G\u00fcvenlik Kurumu\u2019nca bedeli \u00f6denerek temini ihtiya\u00e7 sahiplerinin i\u015fini kolayla\u015ft\u0131rd\u0131. Her b\u00f6lgede aktif nakil merkezi olmas\u0131 ve hizmet sunumunun iyile\u015ftirilmesi amac\u0131yla yeni merkezlere ruhsat ve faaliyet izni vererek nakil merkezlerinin say\u0131s\u0131 art\u0131r\u0131ld\u0131. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019ndan edinilen bilgiler \u0131\u015f\u0131\u011f\u0131nda, Haziran 2011 itibariyle 14 pediatrik, 31 eri\u015fkin olmak \u00fczere toplam 45 nakil merkezi faaliyet g\u00f6steriyor.<\/p>\n\n\n\n
K\u00f6k h\u00fccre konusunda Graft Versus Host Disease (GVHD) vakalar\u0131nda mezenkimal uygulamalara bilimsel kriterler do\u011frultusunda izin vererek bu alanda d\u00fcnyan\u0131n \u00f6nde gelen \u00fclkeleri aras\u0131nda yer ald\u0131k. Ankara \u00dcniversitesi\u2019nde ger\u00e7ekle\u015ftirilen bir \u00e7al\u0131\u015fma ile spinal kord yaralanmalar\u0131nda k\u00f6k h\u00fccre nakli deneysel tedavisi 10 hasta \u00fczerinde yap\u0131ld\u0131.<\/p>\n\n\n\n
Kornea bekleyen hasta say\u0131s\u0131n\u0131n azalt\u0131lmas\u0131 ve kadavra donorlerden elde edilen kornea say\u0131s\u0131n\u0131n artt\u0131r\u0131lmas\u0131 amac\u0131yla yap\u0131lan \u00e7al\u0131\u015fmalar do\u011frultusunda, g\u00f6z bankalar\u0131n\u0131n say\u0131s\u0131 16\u2019ya \u00e7\u0131kar\u0131ld\u0131.<\/p>\n\n\n\n
T\u00fcrkiye K\u00f6k H\u00fccre Koordinasyon Merkezi (TURK\u00d6K)<\/strong><\/p>\n\n\n\n Son y\u0131llarda giderek \u00f6nem kazanan k\u00f6k h\u00fccre ve k\u00f6k h\u00fccre tedavileri konusunda karma\u015fay\u0131 engellemek i\u00e7in 16.06.2008 tarih ve 22739 say\u0131l\u0131 Makam Oluru ile T\u00fcrkiye Kok H\u00fccre Koordinasyon Merkezi (TURKOK) kurularak faaliyete ge\u00e7irildi. Proje ile birlikte \u015fu olanaklar sa\u011flanm\u0131\u015ft\u0131r: Replantasyon Uygulamalar\u0131<\/strong><\/p>\n\n\n\n Uzuv ya da uzuvlar\u0131n bir par\u00e7as\u0131n\u0131n kazalar ve benzeri sebepler sonucu kopmas\u0131 durumunda kopan k\u0131s\u0131mlar\u0131n\u0131n erkenden yerine dikilebilmesi i\u00e7in zamanla yar\u0131\u015f\u0131ld\u0131\u011f\u0131 bilinmektedir. Bu i\u015flemin ger\u00e7ekle\u015ftirilmesi saatlerce s\u00fcrebilmektedir. Replantasyon uygulamalar\u0131ndaki sorun, vakay\u0131 do\u011fru merkeze y\u00f6nlendirmede sa\u011fl\u0131k kurumlar\u0131 aras\u0131ndaki koordinasyonsuzluk ve organizasyonda ya\u015fanan aksakl\u0131klardan kaynaklanmaktad\u0131r. Eskiden komplike el yaralanmas\u0131 veya amp\u00fctasyon nedeniyle kendi imkanlar\u0131 ile hastaneye ba\u015fvuran hastalar bilgilendirilmemeleri ve stabil hale getirilmeden sevk edilmeleri sebebiyle hastane hastane dola\u015fmakta, 112 ambulanslar\u0131yla sevk edilen hastalar ise uygun merkezin bulunmas\u0131nda ya\u015fanan s\u0131k\u0131nt\u0131lardan dolay\u0131 vakit kayb\u0131 ya\u015famaktayd\u0131lar. Bug\u00fcn \u00fclkemizde y\u0131ll\u0131k ortalama 750 civar\u0131nda replantasyon yap\u0131lmaktad\u0131r. Komplike el yaralanmalar\u0131 ile birlikte yap\u0131lan mikro cerrahi uygulamas\u0131 say\u0131s\u0131 1.500 civar\u0131nda olmaktad\u0131r. Bu konuda aktif \u00e7al\u0131\u015fan uzman tabip say\u0131s\u0131 75 civar\u0131ndad\u0131r. Plastik cerrahi ve ortopedi uzmanlar\u0131na el cerrahisi alan\u0131nda yan dal uzmanl\u0131\u011f\u0131 verilmesi ile ilgili \u00e7al\u0131\u015fmalar tamamland\u0131\u011f\u0131nda bu say\u0131n\u0131n 300\u2019e \u00e7\u0131kar\u0131lmas\u0131 planlanmaktad\u0131r.<\/p>\n\n\n\n Replantasyon yapabilen kamu ve \u00f6zel sekt\u00f6re ait merkezlerin listesi de \u00e7\u0131kar\u0131lm\u0131\u015ft\u0131r. Bug\u00fcn 22 il merkezinde Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, \u00fcniversiteler ve \u00f6zel sekt\u00f6re ait hastanelerde komplike el yaralanmalar\u0131 ve amp\u00fctasyon vakalar\u0131n\u0131 tedavi edebilecek kapasite olu\u015fturulmu\u015ftur.<\/p>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":" T\u00fcrkiye genelinde organ ve doku nakli hizmetleri alan\u0131nda \u00e7al\u0131\u015fan kurum ve kurulu\u015flar i\u00e7in gerekli doku teminini sa\u011flamak amac\u0131yla Kemik Bankas\u0131…<\/p>\n","protected":false},"author":1,"featured_media":3194,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-2287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etkinlik"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/posts\/2287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/comments?post=2287"}],"version-history":[{"count":2,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/posts\/2287\/revisions"}],"predecessor-version":[{"id":3192,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/posts\/2287\/revisions\/3192"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/media\/3194"}],"wp:attachment":[{"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/media?parent=2287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/categories?post=2287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turkiyehealthtourismassociation.com\/index.php\/wp-json\/wp\/v2\/tags?post=2287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\u2022 Hematopoetik kok h\u00fccre nakli ile ilgili merkezlerin koordinasyonunun bir \u00e7at\u0131 alt\u0131nda-toplanmas\u0131,
\u2022 Ulusal Kemik \u0130li\u011fi Bankas\u0131n\u0131n kurulmas\u0131 ile hematopoetik k\u00f6k h\u00fccre nakli yap\u0131lacak hastalar i\u00e7in imk\u00e2nlar\u0131n art\u0131r\u0131lmas\u0131,
\u2022 Avrupa Birli\u011fi standartlar\u0131n\u0131n yakalanmas\u0131 ve idari kapasitenin g\u00fc\u00e7lendirilmesi, yurt i\u00e7inde \u00e7e\u015fitli HLA tiplemesine sahip g\u00f6n\u00fcll\u00fc vericilerden ve Ulusal Akraba D\u0131\u015f\u0131 Kordon Kan\u0131 Bankas\u0131na ba\u011f\u0131\u015flanan kordon kanlar\u0131ndan yap\u0131lacak tarama ile nakil bekleyen hastalara, hematopoetik k\u00f6k h\u00fccre temini i\u00e7in koordinasyonun sa\u011flanmas\u0131,
\u2022 Yurt i\u00e7inde g\u00f6n\u00fcll\u00fc verici bulunamayan nakil bekleyen hastalara, yurt d\u0131\u015f\u0131ndaki bankalardan en k\u0131sa surede hematopoetik kok h\u00fccre temini i\u00e7in koordinasyonun sa\u011flanmas\u0131,
\u2022 2013\u2019e kadar toplam 50.000 kordon kan\u0131 ba\u011f\u0131\u015f\u0131n\u0131n kazan\u0131lmas\u0131,
\u2022 Y\u0131lda 2.500 ve \u00fczerinde nakil yap\u0131lmas\u0131,
\u2022 Hedeflenen g\u00f6n\u00fcll\u00fc verici say\u0131s\u0131na ula\u015fabilmek i\u00e7in ilk a\u015famada 29 sa\u011fl\u0131k b\u00f6lgesinde \u201cB\u00f6lge Koordinasyon Merkezi\u201dnin kurulmas\u0131,
\u2022Her b\u00f6lgede, B\u00f6lge Koordinat\u00f6rlerinin tespitleri do\u011frultusunda ihtiya\u00e7 duyulan say\u0131da \u201cG\u00f6n\u00fcll\u00fc Verici Merkezi\u201dnin kurulmas\u0131,
\u2022Ulusal Akraba D\u0131\u015f\u0131 Kordon Kan\u0131 Bankas\u0131 ve kordon kan\u0131 toplama merkezlerinin kurulmas\u0131
\u2022 Yurt i\u00e7i ve yurtd\u0131\u015f\u0131 merkezler aras\u0131 koordinasyonun sa\u011flanmas\u0131 ile nakil gereken hastalar\u0131n en k\u0131sa surede ve en y\u00fcksek nitelikte tedavi olma \u015fans\u0131n\u0131n art\u0131r\u0131larak nakil i\u00e7in bekleyen hasta say\u0131s\u0131n\u0131n ve \u00f6l\u00fcmlerin azalt\u0131lmas\u0131,
\u2022 Hematopoetik kok hucre nakli ile ilgili merkezlerin Avrupa Kemik \u0130li\u011fi Donor Bilgi Sistemi (EMDIS), D\u00fcnya Kemik \u0130li\u011fi Donorleri (BMDW), D\u00fcnya Kemik \u0130li\u011fi Birli\u011fi (WMDA), Avrupa Kan ve Kemik \u0130li\u011fi Transplantasyonu Grubu (EBMT) gibi uluslararas\u0131 kurulu\u015flarla akreditasyon surecinin ba\u015flat\u0131lmas\u0131, entegrasyon ve koordinasyonun sa\u011flanmas\u0131,
\u2022 2013\u2019e kadar kurulu\u015f maliyetlerini kar\u015f\u0131lay\u0131p, i\u015fletme maliyetlerini ek bir \u00f6denek almadan kar\u015f\u0131layabilecek duruma gelmesi,
\u2022 Gelirleri ile yurt ici ve yurt d\u0131\u015f\u0131 bilimsel projelere sponsor olmas\u0131, teknik destek vermesi.<\/p>\n\n\n\n