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| DC Field | Value | Language |
|---|---|---|
| dc.contributor.advisor | Sarıerler, Murat | - |
| dc.contributor.author | Kaya, Şöhret Elif | - |
| dc.contributor.author | Kaya, Şöhret Elif | - |
| dc.date.accessioned | 2020-07-06T07:02:38Z | - |
| dc.date.available | 2020-07-06T07:02:38Z | - |
| dc.date.issued | 2019 | - |
| dc.date.submitted | 2019-06-11 | - |
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| dc.identifier.uri | http://hdl.handle.net/11607/3753 | - |
| dc.description.abstract | Bilgisayarlı Tomografi (BT) insan hekimliğinde teşhis amacıyla sıkça kullanılan, veteriner hekimlik alanında ise son yıllarda kullanımı yaygınlaşmaya başlayan bir görüntüleme tekniğidir. Veteriner hekimlik alanında son yıllarda bu tekniğin kullanılmaya başlanmasından dolayı BT ile ilgili henüz sınırlı sayıda doküman bulunmamaktadır. Yapılan araştırmalarında çoğunlukla patolojik vakalara ilişkin olması bizleri bu konuda çalışmaya yönlendirmiştir. Bu çalışmada toraks boşluğuna ait tüm yapılar BT ile detaylı bir şekilde incelenmiştir. İnceleme öncesinde çalışmaya dahil edilen tüm kediler detaylı bir muayeneden geçirilmiştir. Çalışmaya dahil edilen olguları İzmir ilindeki özel veteriner kliniğimize gelen 10 adet sağlıklı yetişkin kedi oluşturdu. Olguların hematolojik, biyokimyasal ve radyolojik tüm verilerine bakılmış ve bu sonuçlara göre herhangi bir patolojisi olmayan kediler çalışmaya dahil edilmiştir. Çalışma güvenli bir anestezi protokolü ile başlatılmıştır. Anestezi protokolü olarak medetomidin 0,08 ml/kg dozu ile hesap edilerek yapılmıştır. Olguların ilk olarak kontrastsız BT çekimleri yapılmıştır. Devamında v. jugularis’e yerleştirilen kataterden otomatik enjektör vasıtasıyla kedilerin vucüt ağırlıklarına göre kontrast madde verilmiş ve kontrastlı BT çekimleri alınmıştır. Çekimlerin bitiminde olgular tek tek güvenli bir şekilde anesteziden uyandırılmıştır. Olguların BT değerlendirilmesinde toraks boşluğu içerisinde olan trake, bronş, bronşioller, kalp ve odacıkları, büyük damarlar, mediastinum, timus v.b tüm yapıların metot bölümünde belirtilen tekniklerle ölçümleri alınmış standart sapmaları ve ortalamaları hesaplanmış ve not edilmiştir. Sırasıyla toraks boşluğunun en boy oranı, plöra kalınlığı, kalbin kısa ve uzun eksende ölçümü, perikard kalınlığı, kalbin tüm odacıklarının farklı kesitlerde interventriküler septum ve interatrial septum ölçümleri yapılmıştır. Yine akciğerler, trakea genişliği, bronş çapları, ve bronşiollerin pulmoner artere oranlarının BT ile anatomik değerlendirilmesi ve metotta belirtilen kriterler çerçevesinde ölçümlerinin alınması gerçekleştirilmiştir. Tüm bu verilerin ışığında yapılan çalışmada sağlıklı kedilerin anatomik oluşumlarının tomografik incelemelerini yapmış olmamız ileri de patolojik vakaların daha iyi bir şekilde yorumlanmasını sağlayacaktır. Aynı zamanda veteriner hekimlere yol gösterici bir kaynak olması bakımından bu çalışmanın önem arz ettiği düşüncesindeyiz. | tr_TR |
| dc.description.tableofcontents | KABUL VE ONAY SAYFASI .........................................................i TEŞEKKÜR ................................................................................. ii SİMGELER VE KISALTMALAR DİZİNİ ........................................vi RESİMLER DİZİNİ ...................................................................... vii TABLOLAR DİZİNİ ...................................................................... xiii ÖZET ........................................................................................... xiv ABSTRACT ................................................................................. xvi 1. GİRİŞ ......................................................................................... 1 2. GENEL BİLGİLER ..................................................................... 3 2.1. BT CihazınınTanıtılması .......................................................... 3 2.1.1. BT Cihazlarıyla İlgili Fiziksel Prensipler ve TeknikBilgiler.......3 2.1.2. BT Ünitelerinin Temel Yapısı ..................................................4 2.1.3. BT’de Görüntü Eldesi ............................................................ 5 2.1.4. Hastanın Sabitlenmesi ve BT Muayenesine Hazırlanması ..... 6 2.2. Kedilerin Anatomik, Topografik ve Radyografik Anatomisi .......... 8 2.3. Toraks Bölgesi ve Hastalıkları .................................................. 15 2.3.1 Toraks Duvarı .......................................................................... 15 2.3.2 Travma ..................................................................................... 16 2.3.3 Toraks Duvarının Yangısal Hastalıkları .................................... 17 2.3.4 Neoplazi ................................................................................... 17 2.4. Diyafram ve Hastalıkları ............................................................. 18 2.4.1. Diyafram Fıtığı ......................................................................... 19 2.4.2. Diyaframın Yangısal Hastalıkları .............................................. 19 2.4.3. Diyafram Neoplazileri ............................................................... 19 2.5. Plöra ............................................................................................ 20 2.5.1. Pnömotoraks ............................................................................ 20 2.5.2. Plöral Efüzyon ......................................................................... 22 2.5.3. Piyotoraks ................................................................................ 24 2.5.4. Hemotoraks .............................................................................. 24 2.5.5. Şilotoraks ................................................................................. 25 2.5.6. Hidrotoraks ................................................................................ 26 2.5.7. Plöral Tümörler ............................................................................. 26 2.6. Mediastinum ve Hastalıkları ........................................................... 27 2.6.1. Hemomediastinum ...................................................................... 27 2.6.2. Pnömomediastinum ................................................................... 27 2.6.3. Mediastinumun Yangısal Hastalıkları ......................................... 28 2.6.4. Mediastinal Kist ve Neoplaziler .................................................. 28 2.6.5. Timoma ....................................................................................... 29 2.6.6. Lenfoma ..................................................................................... 30 2.6.7. Megaözefagus ............................................................................ 30 2.7. Kalp, Pulmoner ve Büyük Damarlar .............................................. 31 2.7.1. Perikardium ................................................................................ 31 2.7.2. Perikarditis .......................................................................... 32 2.7.3. Neoplazi ............................................................................... 32 2.7.4. Perikardial efüzyon .............................................................. 33 2.7.5. Kalp ......................................................................................33 2.7.6. Gelişimsel ve Edinsel KalpHastalıkları ................................ 37 2.7.7. Pulmoner Damarlar.............................................................. 37 2.7.8. Aorta .................................................................................... 37 2.7.9. Aortik Tromboz ve Mineralizasyon ...................................... 38 2.8. Trake ve Bronşlar .................................................................... 40 2.8.1. Trake ve Bronşların Gelişimsel Bozuklukları ........................ 41 2.8.2. Travma ................................................................................. 42 2.8.3. Yangısal Hastalıklar .............................................................. 42 2.8.4. Trakeabronşitis ...................................................................... 42 2.8.5. Feline Bronşiyel Hastalık ....................................................... 43 2.8.6. Bronşiyel Yabancı Cisimler..................................................... 43 2.8.7. Neoplazi ve Dejeneratif Hastalıklar ....................................... 44 2.9. Akciğerler ................................................................................. 44 2.9.1. Travma ................................................................................... 45 2.9.2. Atelektazi ................................................................................ 45 2.9.3. Amfizem .................................................................................. 46 2.9.4. Pulmoner Ödem ...................................................................... 46 2.9.5. Enfeksiyöz Akciğer Hastalıkları ............................................... 48 2.9.6. İntersitisyel Pnömoni .................................................................. 48 2.9.7. Kronik Eozinofilik Bronkopnömoni ........................................... 48 2.9.8. Lipid Pnömoni .......................................................................... 49 2.9.9. Viral Pnömoni .......................................................................... 50 2.9.10. Aspirasyon Pnömonisi .......................................................... 51 2.9.11. Bakteriyel Bronkopnömoni ................................................... 51 2.9.12. Pulmoner Abse ...................................................................... 52 2.9.13. Enfeksiyöz Granülomatöz Pnömoni ...................................... 52 2.9.14. Paraziter Pnömoni ............................................................... 52 2.9.15. Neoplazi ............................................................................... 53 3. GEREÇ VE YÖNTEM .................................................................. 55 3.1. Gereç ......................................................................................... 55 3.2. Yöntem ....................................................................................... 55 3.2.1. Fiziksel Muayene .................................................................... 55 3.2.2. Radyografik Muayene .............................................................. 56 3.2.3. BT ile Görüntüleme Protokolü ................................................... 56 4. BULGULAR .................................................................................... 66 4.1. Tez Olgularının Radyografik MuayeneSonuçları........................... 67 4.2. Tez Olgularının Tomografik MuayeneSonuçları ........................... 71 4.2.1. ToraksDuvarı ............................................................................ 71 4.2.2. Diyafram ...................................................................................74 4.2.3. Plöra ...................................................................................... 74 4.2.4. Mediastinum ........................................................................... 75 4.2.5. Kalp ........................................................................................... 79 4.2.6. Perikard ....................................................................................... 84 4.2.7. Büyük Damarlar ......................................................................... 88 4.2.8. Trakea ve Bronşlar..................................................................... 101 4.2.9. Özafagus .................................................................................... 107 4.2.10. Akciğer ve Bronşlar .................................................................. 108 5. TARTIŞMA ....................................................................................... 111 6. SONUÇ VE ÖNERİLER ................................................................... 115 KAYNAKLAR ....................................................................................... 116 ÖZGEÇMİŞ ......................................................................................... 125 | tr_TR |
| dc.language.iso | tur | tr_TR |
| dc.publisher | Adnan Menderes Üniversitesi, Sağlık Bilimleri Enstitüsü | tr_TR |
| dc.rights | info:eu-repo/semantics/openAccess | tr_TR |
| dc.subject | Bilgisayarlı Tomografi, Kedi, Toraks. | tr_TR |
| dc.title | SAĞLIKLI KEDİLERDE TORAKS BÖLGESİNİN BİLGİSAYARLI TOMOGRAFİK MUAYENESİ | tr_TR |
| dc.type | masterThesis | tr_TR |
| dc.contributor.department | Adnan Menderes Üniversitesi, Sağlık Bilimleri Enstitüsü, Veteriner Fakültesi | tr_TR |
| Appears in Collections: | Uzmanlık | |
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| ŞÖHRET ELİF KAYA tezkitaphalison.pdf | 38.27 MB | Adobe PDF | View/Open |
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