{"id":752,"date":"2026-08-20T17:07:20","date_gmt":"2026-08-20T15:07:20","guid":{"rendered":"https:\/\/4beauty.de\/glossar\/succinylcholin-nebenwirkungen\/"},"modified":"2026-08-28T11:48:11","modified_gmt":"2026-08-28T09:48:11","slug":"sueksinilkolinin-yan-etkileri","status":"publish","type":"glossary","link":"https:\/\/4beauty.de\/tr\/glossar\/succinylcholin-nebenwirkungen\/","title":{"rendered":"S\u00fcksinilkolin Yan Etkileri: Tan\u0131m, Riskler ve Kontrendikasyonlar"},"content":{"rendered":"<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>S\u00fcksinilkolinin yan etkileri<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin (Suksametonyum, ATC kodu M03AB01), insan t\u0131bb\u0131nda kullan\u0131lan tek depolarize edici kas gev\u015fetici maddedir. Yan etkileri aras\u0131nda fasik\u00fclasyonlar, hiperkalemi, kardiyak aritmiler ve \u2014 nadiren \u2014 ya\u015fam\u0131 tehdit eden malign hipertermi yer al\u0131r. Farmakolojik antagonizasyon m\u00fcmk\u00fcn de\u011fildir.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>\u0130\u00e7indekiler<\/h2><nav><ul><li class=\"\"><a href=\"#wie-funktioniert-succinylcholin-wirkmechanismus-und-pharmakokinetik\">S\u00fcksinilkolin nas\u0131l etki eder? Etki mekanizmas\u0131 ve farmakokinetik<\/a><\/li><li class=\"\"><a href=\"#succinylcholin-nebenwirkungen-ubersicht-nach-organsystemen\">S\u00fcksinilkolin Yan Etkileri: Organ sistemlerine g\u00f6re genel bak\u0131\u015f<\/a><\/li><li class=\"\"><a href=\"#faszikulationen-und-postoperative-myalgien\">Fasik\u00fclasyonlar ve ameliyat sonras\u0131 kas a\u011fr\u0131lar\u0131<\/a><\/li><li class=\"\"><a href=\"#hyperkaliamie-kaliumanstieg-als-herzrisiko\">Hiperkalemi: Kalp sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan risk olu\u015fturan potasyum d\u00fczeyindeki art\u0131\u015f<\/a><\/li><li class=\"\"><a href=\"#maligne-hyperthermie-seltene-notfallkomplikation\">Malign hipertermi: nadir g\u00f6r\u00fclen bir acil durum komplikasyonu<\/a><\/li><li class=\"\"><a href=\"#kardiovaskulare-effekte-bradykardie-und-herzrhythmusstorungen\">Kardiyovask\u00fcler etkiler: Bradikardi ve kalp ritmi bozukluklar\u0131<\/a><\/li><li class=\"\"><a href=\"#anstieg-des-augeninnendrucks-risiko-bei-glaukom-und-offenen-augenverletzungen\">G\u00f6z i\u00e7i bas\u0131nc\u0131nda art\u0131\u015f: Glokom ve a\u00e7\u0131k g\u00f6z yaralanmalar\u0131nda risk<\/a><\/li><li class=\"\"><a href=\"#kontraindikationen-wann-ist-succinylcholin-ungeeignet\">Kontrendikasyonlar: S\u00fcksinilkolin hangi durumlarda uygun de\u011fildir?<\/a><\/li><li class=\"\"><a href=\"#succinylcholin-vs-rocuronium-vergleich-und-entscheidungskriterien\">S\u00fcksinilkolin ve Rokuroniyum: Kar\u015f\u0131la\u015ft\u0131rma ve Karar Kriterleri<\/a><\/li><li class=\"\"><a href=\"#narkosekomplikationen-bei-schonheitsoperationen-finanzielle-absicherung\">Estetik ameliyatlarda anestezi komplikasyonlar\u0131: mali g\u00fcvence<\/a><\/li><li class=\"\"><a href=\"#haufig-gestellte-fragen-zu-succinylcholin-nebenwirkungen\">S\u00fcksinilkolin Yan Etkileriyle \u0130lgili S\u0131k Sorulan Sorular<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>\u00d6nemli uyar\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu makale yaln\u0131zca bilgilendirme ama\u00e7l\u0131d\u0131r ve t\u0131bbi tan\u0131 veya tavsiyenin yerini almaz. Herhangi bir belirsizlik durumunda ve ki\u015fiye \u00f6zel bir tedavi plan\u0131 haz\u0131rlamak i\u00e7in, uzman bir hekimle g\u00f6r\u00fc\u015fmek \u015fartt\u0131r.<\/p>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Estetik ameliyat planlayan ki\u015filer, genellikle fark\u0131nda olmadan s\u00fcksinilkolin adl\u0131 aktif maddeyle kar\u015f\u0131la\u015f\u0131rlar: Bu madde, anestezinin ba\u015flat\u0131lmas\u0131nda standart olarak kullan\u0131l\u0131r. \u0130nsan t\u0131bb\u0131nda tek depolarize edici kas gev\u015fetici olan s\u00fcksinilkolin, k\u0131sa s\u00fcreli ve tam bir kas felci yarat\u0131r \u2014 ve bununla birlikte a\u00e7\u0131k\u00e7a tan\u0131mlanm\u0131\u015f bir yan etki profili de beraberinde getirir. Bu aktif maddenin antagonisti bulunmad\u0131\u011f\u0131ndan, risklerini bilmek \u00f6nemlidir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach.png\" alt=\"Organ sistemlerine, kaslara, kalbe ve g\u00f6zlere g\u00f6re s\u00fcksinilkolin yan etkilerinin \u015fematik \u00f6zeti\" class=\"wp-image-486\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-schematische-bersicht-der-succinylcholin-nebenwirkungen-nach-40x27.png 40w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"wie-funktioniert-succinylcholin-wirkmechanismus-und-pharmakokinetik\">S\u00fcksinilkolin nas\u0131l etki eder? Etki mekanizmas\u0131 ve farmakokinetik<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>S\u00fcksinilkolin, motor sinir u\u00e7 plakas\u0131ndaki nikotinik asetilkolin resept\u00f6rlerine ba\u011flan\u0131r<\/li>\n\n\n\n<li>Etki ba\u015flang\u0131c\u0131: \u0130ntraven\u00f6z enjeksiyondan 40\u201360 saniye sonra<\/li>\n\n\n\n<li>Etki s\u00fcresi: Normal ko\u015fullar alt\u0131nda 4\u20136 dakika<\/li>\n\n\n\n<li>Plazmada ps\u00f6dokolinesteraz taraf\u0131ndan par\u00e7alan\u0131r; metabolit: s\u00fcksinilmono-kolin<\/li>\n\n\n\n<li>Farmakolojik antagonizasyon m\u00fcmk\u00fcn de\u011fildir<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin (Suksametonyum), iskelet kaslar\u0131n\u0131n motor sinaps u\u00e7lar\u0131ndaki nikotinik asetilkolin resept\u00f6rlerine ba\u011flan\u0131r. Asetilkolin, bu sinapsta bulunan do\u011fal n\u00f6rotransmiterdir. S\u00fcksinilkolin, asetilkolinin etkisini taklit eder, ancak sinaptik asetilkolinesteraz taraf\u0131ndan par\u00e7alanmaz. Membran kal\u0131c\u0131 olarak depolarize halde kal\u0131r. Kas lifi art\u0131k aksiyon potansiyeli \u00fcretemez ve gev\u015fer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durum, plazma enzimi <strong>Ps\u00f6dokolinesteraz<\/strong> (di\u011fer ad\u0131yla: butirilkolinesteraz) bu aktif maddeyi hidrolize eder. \u0130lk par\u00e7alanma \u00fcr\u00fcn\u00fc s\u00fcksinilmono-kolindir. S\u00fcksinilmono-kolin, daha sonra s\u00fcksinik asit ve koline ayr\u0131\u015fmadan \u00f6nce resept\u00f6rlere sadece zay\u0131f bir \u015fekilde ba\u011flan\u0131r. Normal ko\u015fullar alt\u0131nda bu par\u00e7alanma s\u00fcreci h\u0131zl\u0131 bir \u015fekilde ger\u00e7ekle\u015fir. Bu nedenle s\u00fcksinilkolin, ultra k\u0131sa etkili kas gev\u015feticiler aras\u0131nda yer al\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"warum-succinylcholin-klinisch-unverzichtbar-bleibt\">S\u00fcksinilkolin neden klinik a\u00e7\u0131dan vazge\u00e7ilmez olmaya devam ediyor?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin, \u00f6zellikle H\u0131zl\u0131 Sekans \u0130nd\u00fcksiyonu (RSI) s\u0131ras\u0131nda kullan\u0131l\u0131r. RSI, midesi dolu hastalarda aspirasyon riskini en aza indiren bir acil anestezi ind\u00fcksiyonu y\u00f6ntemidir. H\u0131zl\u0131 etki ba\u015flang\u0131c\u0131 ve k\u0131sa etki s\u00fcresi, s\u00fcksinilkolini bu uygulamada tercih edilen madde haline getirir. Ent\u00fcbasyon ba\u015far\u0131s\u0131z olursa, kas gev\u015femesi h\u0131zla sona erer ve hasta tekrar kendili\u011finden nefes alabilir. 40\u201360 saniye gibi k\u0131sa s\u00fcrede etkiye ba\u015flamas\u0131, hi\u00e7bir depolarize edici olmayan kas gev\u015fetici taraf\u0131ndan bu kadar k\u0131sa s\u00fcrede sa\u011flanamaz.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"pseudocholinesterase-mangel-wenn-die-wirkung-zu-lange-anhalt\">Ps\u00f6dokolinesteraz eksikli\u011fi: Etki \u00e7ok uzun s\u00fcrerse<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Genetik veya edinilmi\u015f ps\u00f6dokolinesteraz eksikli\u011finde, ilac\u0131n etki s\u00fcresi \u00f6nemli \u00f6l\u00e7\u00fcde uzar. Sonradan geli\u015fen eksikli\u011fin tipik nedenleri aras\u0131nda karaci\u011fer hastal\u0131klar\u0131, hamilelik, yetersiz beslenme veya kolinesteraz inhibit\u00f6rleri say\u0131labilir. Ciddi genetik bozuklu\u011fu olan hastalar, standart bir dozun uygulanmas\u0131ndan sonra saatlerce solunum yetmezli\u011fi ya\u015fayabilir. Bu durumda mekanik ventilasyon zorunludur. Succinylcholin 2 % Inresa \u00fcr\u00fcn bilgisi uyar\u0131nca, bu nedenle uygulamadan \u00f6nce kolinesteraz eksikli\u011fi risklerine ili\u015fkin bir anamnez al\u0131nmas\u0131 zorunludur.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase.png\" alt=\"Grafik: Plazmada ps\u00f6dokolinesteraz taraf\u0131ndan s\u00fcksinilkolinin par\u00e7alanmas\u0131\" class=\"wp-image-500\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-diagramm-abbau-von-succinylcholin-durch-pseudocholinesterase-40x27.png 40w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"succinylcholin-nebenwirkungen-ubersicht-nach-organsystemen\">S\u00fcksinilkolin Yan Etkileri: Organ sistemlerine g\u00f6re genel bak\u0131\u015f<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Fasik\u00fclasyonlar: felcin ba\u015flamas\u0131ndan \u00f6nce g\u00f6r\u00fclen kontrols\u00fcz kas se\u011firmeleri (\u00e7ok s\u0131k, &gt;1\/10)<\/li>\n\n\n\n<li>Ameliyat sonras\u0131 miyalji: Ameliyattan 12\u201324 saat sonra ortaya \u00e7\u0131kan kas a\u011fr\u0131lar\u0131 (\u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr, &gt;1\/10)<\/li>\n\n\n\n<li>Hiperkalemi: Kalp ritmi bozuklu\u011fu riski ta\u015f\u0131yan potasyum art\u0131\u015f\u0131 (ara s\u0131ra, 1\/100\u20131\/10)<\/li>\n\n\n\n<li>Kalp ritmi bozukluklar\u0131: Vagal stim\u00fclasyona ba\u011fl\u0131 bradikardi veya ta\u015fikardi (nadiren)<\/li>\n\n\n\n<li>G\u00f6z i\u00e7i bas\u0131nc\u0131nda art\u0131\u015f: Glokom ve g\u00f6z yaralanmalar\u0131nda kritik \u00f6neme sahiptir (bilinen bir etki)<\/li>\n\n\n\n<li>Malign hipertermi: ya\u015fam\u0131 tehdit eden kas sertli\u011fi ve ate\u015f (nadiren, <1>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolinin yan etkileri, etkilenen organ sistemlerine g\u00f6re s\u0131n\u0131fland\u0131r\u0131labilir. Bu s\u0131n\u0131fland\u0131rma, anestezi ekibinin risk alt\u0131ndaki hastalar\u0131 hedefli bir \u015fekilde belirlemesine yard\u0131mc\u0131 olur. A\u015fa\u011f\u0131da en \u00f6nemli kategoriler tek tek a\u00e7\u0131klanmaktad\u0131r.<\/p>\n\n\n\n<svg aria-label=\"\u00dcbersicht der Succinylcholin-Nebenwirkungen nach Organsystemen\" role=\"img\" style=\"width:100%;max-width:800px;display:block;\" viewbox=\"0 0 800 420\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<title>Organ sistemlerine g\u00f6re s\u00fcksinilkolin yan etkileri<\/title>\n<desc>\u0130nfografik: S\u00fcksinilkolinin her bir organ sistemi \u00fczerindeki yan etkileri, Temmuz 2026 itibar\u0131yla.<\/desc>\n<rect fill=\"var(--surface, #f9fafb)\" height=\"420\" rx=\"8\" stroke=\"var(--border, #e4e4e4)\" stroke-width=\"1\" width=\"800\"><\/rect>\n<text fill=\"var(--heading-color, #333333)\" font-family=\"'Roboto Slab', serif\" font-size=\"17\" font-weight=\"600\" text-anchor=\"middle\" x=\"400\" y=\"36\">S\u00fcksinilkolin, organ sistemlerine g\u00f6re yan etkiler<\/text>\n<line stroke=\"var(--border, #e4e4e4)\" stroke-width=\"1\" x1=\"60\" x2=\"740\" y1=\"50\" y2=\"50\"><\/line>\n<rect fill=\"#ffffff\" height=\"100\" rx=\"6\" stroke=\"#f14d97\" stroke-width=\"1.5\" width=\"224\" x=\"30\" y=\"65\"><\/rect>\n<rect fill=\"#f14d97\" height=\"28\" rx=\"6\" width=\"224\" x=\"30\" y=\"65\"><\/rect>\n<rect fill=\"#f14d97\" height=\"14\" rx=\"0\" width=\"224\" x=\"30\" y=\"79\"><\/rect>\n<text fill=\"#ffffff\" font-family=\"'Roboto Slab', serif\" font-size=\"13\" font-weight=\"600\" x=\"42\" y=\"84\">Kas sistemi<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"42\" y=\"111\">Fel\u00e7 \u00f6ncesi kas se\u011firmeleri<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"42\" y=\"126\">ba\u015flang\u0131\u00e7; ameliyat sonras\u0131 miyalji<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"42\" y=\"141\">Ameliyattan 12\u201324 saat sonra (\u00e7ok s\u0131k)<\/text>\n<rect fill=\"#ffffff\" height=\"100\" rx=\"6\" stroke=\"#d63f84\" stroke-width=\"1.5\" width=\"224\" x=\"288\" y=\"65\"><\/rect>\n<rect fill=\"#d63f84\" height=\"28\" rx=\"6\" width=\"224\" x=\"288\" y=\"65\"><\/rect>\n<rect fill=\"#d63f84\" height=\"14\" rx=\"0\" width=\"224\" x=\"288\" y=\"79\"><\/rect>\n<text fill=\"#ffffff\" font-family=\"'Roboto Slab', serif\" font-size=\"13\" font-weight=\"600\" x=\"300\" y=\"84\">Kalp-damar<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"300\" y=\"111\">Bradikardi, ta\u015fikardi;<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"300\" y=\"126\">A\u015fa\u011f\u0131dakilerden kaynaklanan kalp ritmi bozukluklar\u0131:<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"300\" y=\"141\">vagal stim\u00fclasyon m\u00fcmk\u00fcnd\u00fcr<\/text>\n<rect fill=\"#ffffff\" height=\"100\" rx=\"6\" stroke=\"#cc3578\" stroke-width=\"1.5\" width=\"224\" x=\"546\" y=\"65\"><\/rect>\n<rect fill=\"#cc3578\" height=\"28\" rx=\"6\" width=\"224\" x=\"546\" y=\"65\"><\/rect>\n<rect fill=\"#cc3578\" height=\"14\" rx=\"0\" width=\"224\" x=\"546\" y=\"79\"><\/rect>\n<text fill=\"#ffffff\" font-family=\"'Roboto Slab', serif\" font-size=\"13\" font-weight=\"600\" x=\"558\" y=\"84\">Metabolizma \/ Potasyum<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"558\" y=\"111\">Potasyum kaynakl\u0131 hiperkalemi<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"558\" y=\"126\">serbest b\u0131rakma; b\u00f6breklerdeki risk<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"558\" y=\"141\">yetmezlik ve yan\u0131klar<\/text>\n<rect fill=\"#ffffff\" height=\"100\" rx=\"6\" stroke=\"#a8003c\" stroke-width=\"1.5\" width=\"224\" x=\"30\" y=\"190\"><\/rect>\n<rect fill=\"#a8003c\" height=\"28\" rx=\"6\" width=\"224\" x=\"30\" y=\"190\"><\/rect>\n<rect fill=\"#a8003c\" height=\"14\" rx=\"0\" width=\"224\" x=\"30\" y=\"204\"><\/rect>\n<text fill=\"#ffffff\" font-family=\"'Roboto Slab', serif\" font-size=\"13\" font-weight=\"600\" x=\"42\" y=\"209\">Malign hipertermi<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"42\" y=\"236\">Nadir (<1>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"42\" y=\"251\">tehditkar tepki;<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"42\" y=\"266\">Tedavi: Dantrolen<\/text>\n<rect fill=\"#ffffff\" height=\"100\" rx=\"6\" stroke=\"#f14d97\" stroke-width=\"1.5\" width=\"224\" x=\"288\" y=\"190\"><\/rect>\n<rect fill=\"#f14d97\" height=\"28\" rx=\"6\" width=\"224\" x=\"288\" y=\"190\"><\/rect>\n<rect fill=\"#f14d97\" height=\"14\" rx=\"0\" width=\"224\" x=\"288\" y=\"204\"><\/rect>\n<text fill=\"#ffffff\" font-family=\"'Roboto Slab', serif\" font-size=\"13\" font-weight=\"600\" x=\"300\" y=\"209\">G\u00f6zler<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"300\" y=\"236\">G\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131n art\u0131\u015f\u0131<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"300\" y=\"251\">g\u00f6z i\u00e7i bas\u0131nc\u0131 (IOP); kontrendikedir<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"300\" y=\"266\">delici g\u00f6z yaralanmalar\u0131nda<\/text>\n<rect fill=\"#ffffff\" height=\"100\" rx=\"6\" stroke=\"#d63f84\" stroke-width=\"1.5\" width=\"224\" x=\"546\" y=\"190\"><\/rect>\n<rect fill=\"#d63f84\" height=\"28\" rx=\"6\" width=\"224\" x=\"546\" y=\"190\"><\/rect>\n<rect fill=\"#d63f84\" height=\"14\" rx=\"0\" width=\"224\" x=\"546\" y=\"204\"><\/rect>\n<text fill=\"#ffffff\" font-family=\"'Roboto Slab', serif\" font-size=\"13\" font-weight=\"600\" x=\"558\" y=\"209\">Ba\u011f\u0131\u015f\u0131kl\u0131k tepkisi<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"558\" y=\"236\">Anafilaksi (nadiren);<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"558\" y=\"251\">Histamin sal\u0131n\u0131m\u0131;<\/text>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11.5\" x=\"558\" y=\"266\">Alerjik reaksiyonlar g\u00f6r\u00fclebilir<\/text>\n<rect fill=\"#fff0f7\" height=\"42\" rx=\"6\" stroke=\"#f14d97\" stroke-width=\"1\" width=\"740\" x=\"30\" y=\"315\"><\/rect>\n<text fill=\"#a8003c\" font-family=\"'Montserrat', sans-serif\" font-size=\"11\" font-weight=\"700\" x=\"46\" y=\"333\">S\u0131kl\u0131klar:<\/text>\n<rect fill=\"#f14d97\" height=\"10\" rx=\"2\" width=\"10\" x=\"148\" y=\"321\"><\/rect>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11\" x=\"162\" y=\"332\">\u00c7ok s\u0131k (&gt;1\/10): Faszik\u00fclasyonlar, miyalji<\/text>\n<rect fill=\"#d63f84\" height=\"10\" rx=\"2\" width=\"10\" x=\"370\" y=\"321\"><\/rect>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11\" x=\"384\" y=\"332\">Ara s\u0131ra (1\/100\u20131\/10): Kalp ritmi bozukluklar\u0131, hiperkalemi<\/text>\n<rect fill=\"#a8003c\" height=\"10\" rx=\"2\" width=\"10\" x=\"148\" y=\"339\"><\/rect>\n<text fill=\"#333333\" font-family=\"'Montserrat', sans-serif\" font-size=\"11\" x=\"162\" y=\"350\">Nadir (<1>\n<text fill=\"#888888\" font-family=\"'Montserrat', sans-serif\" font-size=\"10.5\" text-anchor=\"middle\" x=\"400\" y=\"400\">Kaynak: Sukkinilkolin hakk\u0131nda uzman bilgisi, anesteziyoloji klinik standart k\u0131lavuzlar\u0131 | G\u00fcncelleme tarihi: Temmuz 2026 | 4beauty.com<\/text>\n<\/svg>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Organ sistemlerine g\u00f6re s\u00fcksinilkolin yan etkileri: s\u0131k g\u00f6r\u00fclen fasik\u00fclasyonlardan nadir g\u00f6r\u00fclen malign hipertermiye kadar. G\u00fcncelleme tarihi: Temmuz 2026.<\/em><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Organ sistemi<\/th><th>Yan etki<\/th><th>S\u0131kl\u0131k \/ Risk fakt\u00f6r\u00fc<\/th><\/tr><\/thead><tbody><tr><td>\u0130skelet kaslar\u0131<\/td><td>Fasik\u00fclasyonlar, ameliyat sonras\u0131 miyaljiler<\/td><td>\u00c7ok s\u0131k (&gt;1\/10); \u00f6zellikle kasl\u0131 hastalarda<\/td><\/tr><tr><td>Elektrolitler \/ Kalp<\/td><td>Hiperkalemi, kalp ritmi bozukluklar\u0131<\/td><td>Ara s\u0131ra (1\/100\u20131\/10); yan\u0131klar, b\u00f6brek yetmezli\u011fi ve sinir kayb\u0131 durumlar\u0131nda tehlikeli<\/td><\/tr><tr><td>Kardiyovask\u00fcler<\/td><td>Bradikardi, ta\u015fikardi<\/td><td>Ara s\u0131ra; \u00f6zellikle tekrar dozlar\u0131ndan sonra<\/td><\/tr><tr><td>G\u00f6zler<\/td><td>G\u00f6z i\u00e7i bas\u0131nc\u0131nda art\u0131\u015f<\/td><td>Bilinen bir etki; glokom ve g\u00f6z\u00fcn i\u00e7 k\u0131sm\u0131na ula\u015fan yaralanmalarda kritik \u00f6neme sahiptir<\/td><\/tr><tr><td>Kas Metabolizmas\u0131<\/td><td>Malign hipertermi<\/td><td>Nadir (<1><\/tr><tr><td>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi<\/td><td>Anafilaksi \/ alerjik reaksiyon<\/td><td>Nadir; bilinen a\u015f\u0131r\u0131 duyarl\u0131l\u0131k durumunda<\/td><\/tr><tr><td>Mide-ba\u011f\u0131rsak sistemi<\/td><td>Mide i\u00e7i bas\u0131nc\u0131n artmas\u0131<\/td><td>Kar\u0131n duvar\u0131 kaslar\u0131nda g\u00f6r\u00fclen fasik\u00fclasyonlar nedeniyle<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"faszikulationen-und-postoperative-myalgien\">Fasik\u00fclasyonlar ve ameliyat sonras\u0131 kas a\u011fr\u0131lar\u0131<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Fasik\u00fclasyonlar, t\u00fcm kas liflerinin e\u015fzamanl\u0131 depolarizasyonu sonucu ortaya \u00e7\u0131kar (\u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr, &gt;1\/10)<\/li>\n\n\n\n<li>Fasik\u00fclasyonlar birka\u00e7 saniye s\u00fcrer; hasta bunlar\u0131 bilin\u00e7li olarak hissetmez<\/li>\n\n\n\n<li>Kas a\u011fr\u0131lar\u0131 ameliyattan 12\u201324 saat sonra ortaya \u00e7\u0131kar ve 1\u20132 g\u00fcn sonra ge\u00e7er<\/li>\n\n\n\n<li>Gen\u00e7 ve fiziksel olarak aktif hastalar, ya\u015fl\u0131lara g\u00f6re daha fazla etkilenmektedir<\/li>\n\n\n\n<li>Depolarize edici olmayan bir kas gev\u015fetici ile \u00f6n haz\u0131rl\u0131k, a\u011fr\u0131n\u0131n \u015fiddetini azaltabilir<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fasik\u00fclasyonlar<\/strong> K\u0131sa s\u00fcreli, kontrols\u00fcz kas se\u011firmeleridir. S\u00fcksinilkolin, t\u00fcm nikotinik asetilkolin resept\u00f6rlerini ayn\u0131 anda aktive eder. Bu da t\u00fcm kas liflerinin senkronize bir \u015fekilde kas\u0131lmas\u0131n\u0131 tetikler. Bu se\u011firmeler g\u00f6vde, kollar ve bacaklarda g\u00f6zle g\u00f6r\u00fcl\u00fcr. Estetik ameliyat planlayan hastalar i\u00e7in bunun somut anlam\u0131 \u015fudur: Bu se\u011firmeler bir komplikasyon belirtisi de\u011fil, anestezik ilac\u0131n beklenen bir etkisidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fasik\u00fclasyonlar, kas liflerinde mikromekanik hasara yol a\u00e7t\u0131klar\u0131 i\u00e7in sorun te\u015fkil eder. Bu etki, k\u0131sa s\u00fcreli ve yo\u011fun bir kas antrenman\u0131na benzer. Ameliyat sonras\u0131 kas a\u011fr\u0131lar\u0131 da buradan kaynaklan\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"postoperative-myalgien-wer-ist-starker-betroffen\">Ameliyat sonras\u0131 miyaljiler: Kimler daha fazla etkilenir?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin kullan\u0131m\u0131na ba\u011fl\u0131 postoperatif miyaljiler, s\u00f6n\u00fck kas a\u011fr\u0131lar\u0131 \u015feklinde kendini g\u00f6sterir. Hastalar bunu kas a\u011fr\u0131s\u0131 olarak tan\u0131mlar. \u015eikayetler ameliyattan 12\u201324 saat sonra ba\u015flar. 1\u20132 g\u00fcn sonra azal\u0131r. Gen\u00e7 ve fiziksel olarak formda olan hastalar, ya\u015fl\u0131 veya kas g\u00fcc\u00fc zay\u0131f olan ki\u015filere g\u00f6re daha \u015fiddetli miyalji g\u00f6sterir \u2014 \u00e7\u00fcnk\u00fc bu hastalarda kas se\u011firmeleri daha kuvvetli olur ve daha fazla mikro yaralanmaya neden olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Etkisini azaltmak i\u00e7in anestezi, s\u00f6zde bir <strong>Pr\u00e4curarisierung<\/strong> . Bu i\u015flemde, s\u00fcksinilkolinden birka\u00e7 dakika \u00f6nce, depolarize edici olmayan bir kas gev\u015fetici ilac\u0131n subparalitik bir dozu verilir. Bu ila\u00e7, asetilkolin resept\u00f6rlerinin bir k\u0131sm\u0131n\u0131 i\u015fgal eder ve fasik\u00fclasyon yo\u011funlu\u011funu azalt\u0131r. Ancak bu \u00f6nlem tam bir koruma sa\u011flamaz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"hyperkaliamie-kaliumanstieg-als-herzrisiko\">Hiperkalemi: Kalp sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan risk olu\u015fturan potasyum d\u00fczeyindeki art\u0131\u015f<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Depolarizasyon, kas h\u00fccrelerinden kan dola\u015f\u0131m\u0131na potasyum sal\u0131nmas\u0131na neden olur<\/li>\n\n\n\n<li>Normal art\u0131\u015f: yakla\u015f\u0131k 0,5 mmol\/l \u2014 sa\u011fl\u0131kl\u0131 hastalar i\u00e7in klinik a\u00e7\u0131dan \u00f6nemsiz<\/li>\n\n\n\n<li>Risk alt\u0131ndaki hastalarda potasyum d\u00fczeyleri 6,5 mmol\/l\u2019nin \u00fczerine \u00e7\u0131kabilir \u2014 kalp ritmi bozukluklar\u0131 riski vard\u0131r<\/li>\n\n\n\n<li>Ba\u015fl\u0131ca risk gruplar\u0131: Yan\u0131k hastalar\u0131, b\u00f6brek yetmezli\u011fi, denervasyon sendromlar\u0131, hareketsiz kalan hastalar<\/li>\n\n\n\n<li>De\u011ferler 7,0 mmol\/l\u2019nin \u00fczerine \u00e7\u0131kt\u0131\u011f\u0131nda ventrik\u00fcler fibrilasyon g\u00f6r\u00fclebilir<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hiperkalemi<\/strong> S\u00fcksinilkolin etkisiyle olu\u015fur; \u00e7\u00fcnk\u00fc kas liflerinin depolarizasyonu, h\u00fccre i\u00e7inden potasyum iyonlar\u0131n\u0131n kan dola\u015f\u0131m\u0131na sal\u0131nmas\u0131na neden olur. Sa\u011fl\u0131kl\u0131 hastalarda potasyum d\u00fczeyi yakla\u015f\u0131k 0,5 mmol\/l artar. Bu de\u011fer v\u00fccut \u00fczerinde herhangi bir y\u00fck olu\u015fturmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kas zar\u0131nda de\u011fi\u015fiklik olan veya \u00f6nceden potasyum fazlal\u0131\u011f\u0131 bulunan hastalarda durum farkl\u0131d\u0131r. Succinylcholin 2 % Inresa \u00fcr\u00fcn bilgisi belgesine g\u00f6re, y\u00fcksek risk gruplar\u0131 aras\u0131nda \u015funlar yer almaktad\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Geni\u015f alanl\u0131 yan\u0131klar\u0131 olan hastalar (olaydan sonraki ikinci haftadan itibaren)<\/li>\n\n\n\n<li>Kronik b\u00f6brek yetmezli\u011fi olan ve \u00f6nceden potasyum d\u00fczeyi y\u00fcksek olan hastalar<\/li>\n\n\n\n<li>Akut veya kronik denervasyon sendromlar\u0131 olan hastalar (\u00f6rne\u011fin, omurilik yaralanmalar\u0131 sonras\u0131, \u015fiddetli polin\u00f6ropatilerde)<\/li>\n\n\n\n<li>Uzun s\u00fcreli hareketsizlik veya yo\u011fun bak\u0131m tedavisi g\u00f6rm\u00fc\u015f hastalar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">6,5 mmol\/l\u2019nin \u00fczerindeki potasyum de\u011ferleri ciddi kalp ritmi bozukluklar\u0131na yol a\u00e7ar. 7,0 mmol\/l\u2019nin \u00fczerindeki de\u011ferler ventrik\u00fcler fibrilasyon ve kalp durmas\u0131na neden olabilir. Bu nedenle hiperkalemi \u00f6yk\u00fcs\u00fc, g\u00f6receli bir kontrendikasyon olarak kabul edilir. Anestezi ekibi bu durumda tercihen rokuronyum kullan\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"maligne-hyperthermie-seltene-notfallkomplikation\">Malign hipertermi: nadir g\u00f6r\u00fclen bir acil durum komplikasyonu<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Malign hipertermi, tetikleyici fakt\u00f6rlere kar\u015f\u0131 genetik k\u00f6kenli bir reaksiyondur (nadiren, <1>\n\n\n\n<li>S\u00fcksinilkolin, halojenli inhalasyon anesteziklerinin yan\u0131 s\u0131ra bilinen bir tetikleyicidir<\/li>\n\n\n\n<li>Belirtiler: Kas sertli\u011fi, 40 \u00b0C\u2019nin \u00fczerindeki v\u00fccut \u0131s\u0131s\u0131, asidoz, ta\u015fikardi<\/li>\n\n\n\n<li>Tedavi: Tetikleyicinin derhal kesilmesi, intraven\u00f6z dantrolen, v\u00fccut so\u011futma, asidoz d\u00fczeltme<\/li>\n\n\n\n<li>Bilinen yatk\u0131nl\u0131k veya pozitif aile \u00f6yk\u00fcs\u00fc durumunda mutlak kontrendikasyon<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eu <strong>malign hipertermi<\/strong> (MH), iskelet kaslar\u0131nda g\u00f6r\u00fclen nadir ve potansiyel olarak \u00f6l\u00fcmc\u00fcl bir farmakogenetik bozukluktur. S\u00fcksinilkolin ve sevofluran veya izofluran gibi halojenli inhalasyon anestezikleri, genetik yatk\u0131nl\u0131\u011f\u0131 olan hastalarda bu bozuklu\u011fu tetikler. Mekanizma \u015f\u00f6yledir: Ryanodin resept\u00f6r\u00fcnde (RYR1) meydana gelen bir kusur, kas liflerinin sarkoplazmik retikulumundan kontrols\u00fcz kalsiyum sal\u0131n\u0131m\u0131na yol a\u00e7ar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu kalsiyum a\u015f\u0131r\u0131 y\u00fcklemesinin sonu\u00e7lar\u0131 aras\u0131nda kal\u0131c\u0131 kas sertli\u011fi, metabolizman\u0131n a\u015f\u0131r\u0131 h\u0131zlanmas\u0131 ve v\u00fccut s\u0131cakl\u0131\u011f\u0131n\u0131n 40 \u00b0C\u2019nin \u00fczerine, bazen 44 \u00b0C\u2019ye kadar h\u0131zla y\u00fckselmesi yer al\u0131r. Ayn\u0131 zamanda ciddi bir metabolik asidoz ortaya \u00e7\u0131kar. Kalp, ta\u015fikardi ve ritim bozukluklar\u0131 ile tepki verir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"symptome-und-diagnose-der-malignen-hyperthermie\">Malign hiperterminin belirtileri ve te\u015fhisi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Erken d\u00f6nemde, ekspiratuar son CO\u2082 (ETCO\u2082) d\u00fczeyinde bir art\u0131\u015f ve ta\u015fikardi g\u00f6ze \u00e7arpar \u2014 her ikisi de metabolizman\u0131n h\u0131zland\u0131\u011f\u0131n\u0131n belirtileridir. K\u0131sa bir s\u00fcre sonra, \u00e7ene kaslar\u0131nda artan sertlik (masseter spazm\u0131) ile fark edilebilen kas rijiditesi geli\u015fir. Derhal tedavi edilmezse, malign hipertermi hayati tehlike arz eder. Tan\u0131 klinik olarak konur. Bir do\u011frulama testi (in vitro kontrakt\u00fcr testi) yaln\u0131zca ameliyat sonras\u0131 d\u00f6nemde uzmanla\u015fm\u0131\u015f merkezlerde yap\u0131labilir. Almanya\u2019da, Alman Anesteziyoloji ve Yo\u011fun Bak\u0131m T\u0131bb\u0131 Derne\u011fi (DGAI) bu MH referans merkezlerini koordine etmektedir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"behandlung-dantrolen-als-spezifisches-antidot\">Tedavi: Spesifik antidot olarak dantrolen<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Malign hipertermi te\u015fhis edildi\u011finde, a\u015fa\u011f\u0131daki acil \u00f6nlemler al\u0131nmal\u0131d\u0131r:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>T\u00fcm tetikleyici fakt\u00f6rlerin kullan\u0131m\u0131n\u0131 derhal durdurun (s\u00fcksinilkolin, halojenli anestezikler)<\/li>\n\n\n\n<li>Anesteziyi tetikleyici olmayan maddelere ge\u00e7irmek (\u00f6rne\u011fin, Propofol ile tam intraven\u00f6z anestezi)<\/li>\n\n\n\n<li>Spesifik bir antidot olarak intraven\u00f6z dantrolen; dantrolen, sarkoplazmatik retikulumdan kalsiyum sal\u0131n\u0131m\u0131n\u0131 engeller<\/li>\n\n\n\n<li>Hastan\u0131n fiziksel olarak so\u011futulmas\u0131 (buz torbalar\u0131, so\u011futulmu\u015f inf\u00fczyonlar)<\/li>\n\n\n\n<li>Asidoz ve elektrolit dengesizliklerinin d\u00fczeltilmesi<\/li>\n\n\n\n<li>En az 24 saat s\u00fcreyle yo\u011fun bak\u0131m g\u00f6zetimi<\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-group is-style-boxed is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>\u00d6nemli<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin, bilinen malign hipertermi vakalar\u0131nda veya aile \u00f6yk\u00fcs\u00fcnde bu durumun varl\u0131\u011f\u0131 durumunda mutlak bir kontrendikasyondur. Bilinen MH yatk\u0131nl\u0131\u011f\u0131 olan hastalar, acil durum kart\u0131 ta\u015f\u0131mal\u0131d\u0131r ve her anestezi \u00f6ncesinde bunu anestezi ekibine bildirmelidir.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"kardiovaskulare-effekte-bradykardie-und-herzrhythmusstorungen\">Kardiyovask\u00fcler etkiler: Bradikardi ve kalp ritmi bozukluklar\u0131<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin, kalpteki sadece nikotinik de\u011fil, ayn\u0131 zamanda muskarinik asetilkolin resept\u00f6rlerini de uyar\u0131r. Bu durum, vagal bir uyar\u0131lmaya yol a\u00e7ar ve bu da <strong>Bradikardi<\/strong> belirtilmi\u015ftir. Bu etki \u00f6zellikle \u00e7ocuklarda ve tekrarlanan uygulamalardan sonra belirgindir. Yeti\u015fkinlerde ise, stim\u00fclasyonun \u00f6ncelikle sempatik ganglionlar \u00fczerinden ger\u00e7ekle\u015fmesi durumunda paradoksal bir \u015fekilde ta\u015fikardi de ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vagal stim\u00fclasyon ile hiperkaleminin birle\u015fimi, daha ciddi kalp ritmi bozukluklar\u0131na yol a\u00e7ar. Bu birle\u015fim, \u00f6nceden risk alt\u0131ndaki hastalar i\u00e7in tehlikelidir. Bu nedenle, s\u00fcksinilkolin uygulamas\u0131 s\u0131ras\u0131nda EKG izlemesi zorunludur.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"anstieg-des-augeninnendrucks-risiko-bei-glaukom-und-offenen-augenverletzungen\">G\u00f6z i\u00e7i bas\u0131nc\u0131nda art\u0131\u015f: Glokom ve a\u00e7\u0131k g\u00f6z yaralanmalar\u0131nda risk<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin, g\u00f6z d\u0131\u015f\u0131 kaslarda g\u00f6r\u00fclen fasik\u00fclasyonlar ve santral ven\u00f6z bas\u0131nc\u0131n artmas\u0131 yoluyla <strong>g\u00f6z i\u00e7i bas\u0131nc\u0131 (G\u0130B)<\/strong> ge\u00e7icidir. \u00c7o\u011fu hastada bu etki klinik a\u00e7\u0131dan \u00f6nemsizdir. Ancak glokomlu veya penetran g\u00f6z yaralanmas\u0131 olan hastalarda, artm\u0131\u015f g\u00f6z i\u00e7i bas\u0131nc\u0131 (G\u0130B), vitreus i\u00e7eri\u011finin yara yoluyla d\u0131\u015far\u0131ya itilmesine neden olabilir \u2014 bu da kal\u0131c\u0131 g\u00f6rme bozukluklar\u0131 riskini beraberinde getirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle, s\u00fcksinilkolin penetran g\u00f6z yaralanmalar\u0131nda nispeten kontrendikedir. Karar, deneyimli anestezist taraf\u0131ndan verilir: Anestezist, aspirasyon riskini (RSI endikasyonu) ile g\u00f6ze y\u00f6nelik riski kar\u015f\u0131la\u015ft\u0131rarak de\u011ferlendirir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"kontraindikationen-wann-ist-succinylcholin-ungeeignet\">Kontrendikasyonlar: S\u00fcksinilkolin hangi durumlarda uygun de\u011fildir?<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Mutlak kontrendikasyonlar, ilac\u0131n verilmesini tamamen imkans\u0131z k\u0131lar<\/li>\n\n\n\n<li>G\u00f6receli kontrendikasyonlar, fayda-risk dengesinin dikkatli bir \u015fekilde de\u011ferlendirilmesini gerektirir<\/li>\n\n\n\n<li>\u00dcr\u00fcn bilgisi k\u0131lavuzuna g\u00f6re, s\u00fcksinilkolin yaln\u0131zca deneyimli anestezistler taraf\u0131ndan kullan\u0131lmal\u0131d\u0131r<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin her hasta i\u00e7in uygun de\u011fildir. \u201cS\u00fcksinilkolin 2 % Inresa\u201d adl\u0131 \u00fcr\u00fcn bilgisi, a\u00e7\u0131k ve net mutlak ve g\u00f6receli kontrendikasyonlar\u0131 tan\u0131mlamaktad\u0131r:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au.png\" alt=\"Anestezi uzman\u0131, ameliyattan \u00f6nce izleme monit\u00f6r\u00fcnden hasta dosyas\u0131n\u0131 inceleyerek kontrendikasyon olup olmad\u0131\u011f\u0131n\u0131 kontrol eder.\" class=\"wp-image-522\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-an-sthesistin-pr-ft-vor-einer-operation-die-patientenakte-au-40x27.png 40w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Mutlak kontrendikasyon:<\/strong> bilinen malign hipertermi veya ailesel yatk\u0131nl\u0131k<\/li>\n\n\n\n<li><strong>Mutlak kontrendikasyon:<\/strong> yapay solunum imk\u00e2n\u0131n\u0131n bulunmamas\u0131<\/li>\n\n\n\n<li><strong>G\u00f6receli kontrendikasyon:<\/strong> Ps\u00f6dokolinesteraz eksikli\u011fi (uzam\u0131\u015f n\u00f6rom\u00fcsk\u00fcler blokaj)<\/li>\n\n\n\n<li><strong>G\u00f6receli kontrendikasyon:<\/strong> Hiperkalemi riski (ikinci haftadan itibaren yan\u0131klar, b\u00f6brek yetmezli\u011fi, denervasyon sendromlar\u0131)<\/li>\n\n\n\n<li><strong>G\u00f6receli kontrendikasyon:<\/strong> Glokom veya g\u00f6z\u00fcn i\u00e7 k\u0131sm\u0131na uzanan yaralanmalar<\/li>\n\n\n\n<li><strong>G\u00f6receli kontrendikasyon:<\/strong> n\u00f6rom\u00fcsk\u00fcler hastal\u0131klar (\u00f6rn. kas distrofileri, miyastenia gravis)<\/li>\n\n\n\n<li><strong>G\u00f6receli kontrendikasyon:<\/strong> di\u011fer kas gev\u015fetici ila\u00e7lara kar\u015f\u0131 bilinen a\u015f\u0131r\u0131 duyarl\u0131l\u0131k<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u00dcr\u00fcn bilgisi k\u0131lavuzuna g\u00f6re, s\u00fcksinilkolin yaln\u0131zca ent\u00fcbasyon, yapay solunum ve res\u00fcsitasyon uygulamalar\u0131n\u0131 bilen hekimler taraf\u0131ndan kullan\u0131lmal\u0131d\u0131r. Ameliyat s\u0131ras\u0131nda n\u00f6rom\u00fcsk\u00fcler fonksiyon, bir <strong>Sinir uyar\u0131c\u0131lar\u0131<\/strong> A\u015f\u0131r\u0131 doz ve yetersiz dozu \u00f6nlemek amac\u0131yla izlenmelidir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"succinylcholin-vs-rocuronium-vergleich-und-entscheidungskriterien\">S\u00fcksinilkolin ve Rokuroniyum: Kar\u015f\u0131la\u015ft\u0131rma ve Karar Kriterleri<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>En \u00f6nemli noktalar bir bak\u0131\u015fta<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Rokuronium, hiperkalemi riski ta\u015f\u0131mayan, depolarize edici olmayan bir kas gev\u015fetici ila\u00e7t\u0131r.<\/li>\n\n\n\n<li>Rokuronium, sugammadex ile tamamen antagonize edilebilir; s\u00fcksinilkolin ise edilemez<\/li>\n\n\n\n<li>Y\u00fcksek dozda (1,2 mg\/kg) rokuronyum, benzer derecede h\u0131zl\u0131 bir etki ba\u015flang\u0131c\u0131 sa\u011flar<\/li>\n\n\n\n<li>Se\u00e7im, hastan\u0131n bireysel risk profiline ba\u011fl\u0131d\u0131r<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin ve rokuronyum, RSI i\u00e7in ba\u015fl\u0131ca olarak kullan\u0131lan iki kas gev\u015fetici ila\u00e7t\u0131r. Her ikisinin de farkl\u0131 yan etki profilleri vard\u0131r. A\u015fa\u011f\u0131daki tablo, aralar\u0131ndaki temel farklar\u0131 \u00f6zetlemektedir:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem-.png\" alt=\"Steril bir tepsinin \u00fczerinde yan yana duran iki dolu enjeksiyon \u015f\u0131r\u0131ngas\u0131, farkl\u0131 kas gev\u015fetici ila\u00e7lar aras\u0131nda yap\u0131lacak se\u00e7imi simgelemektedir.\" class=\"wp-image-557\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem-.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem--900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem--300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem--768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem--1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem--18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-zwei-aufgezogene-injektionsspritzen-nebeneinander-auf-einem--40x27.png 40w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u00d6zellik<\/th><th>S\u00fcksinilkolin<\/th><th>Rokuroniyum<\/th><\/tr><\/thead><tbody><tr><td>Etkin madde s\u0131n\u0131f\u0131<\/td><td>Depolarize edici kas gev\u015fetici<\/td><td>Depolarize edici olmayan kas gev\u015fetici<\/td><\/tr><tr><td>Etki ba\u015flang\u0131c\u0131 (i.v.)<\/td><td>40\u201360 saniye<\/td><td>60\u201390 saniye (1,2 mg\/kg dozunda: yakla\u015f\u0131k 60 saniye)<\/td><\/tr><tr><td>Etki s\u00fcresi<\/td><td>4\u20136 dakika<\/td><td>30\u201360 dakika (doza ba\u011fl\u0131 olarak)<\/td><\/tr><tr><td>Antagonize edilebilir<\/td><td>Hay\u0131r<\/td><td>Evet, Sugammadex ile tamamen<\/td><\/tr><tr><td>Hiperkalemi riski<\/td><td>Evet<\/td><td>Hay\u0131r<\/td><\/tr><tr><td>Malign hipertermi<\/td><td>Tetikleyici<\/td><td>Tetikleyici yok<\/td><\/tr><tr><td>Fasik\u00fclasyonlar<\/td><td>Evet<\/td><td>Hay\u0131r<\/td><\/tr><tr><td>RSI'n\u0131n avantaj\u0131<\/td><td>Ent\u00fcbasyon ba\u015far\u0131s\u0131zl\u0131\u011f\u0131 durumunda en k\u0131sa etki s\u00fcresi<\/td><td>Sugammadex sayesinde tersine \u00e7evrilebilir<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eunlar\u0131n mevcut olmas\u0131: <strong>Sugammadex<\/strong>, rokuronyumu se\u00e7ici olarak ba\u011flay\u0131p etkisiz hale getiren bir siklodekstrin t\u00fcrevi, klinik tart\u0131\u015fmalar\u0131 de\u011fi\u015ftirmi\u015ftir. \u201eCannot Intubate, Cannot Oxygenate\u201c durumu ortaya \u00e7\u0131kt\u0131\u011f\u0131nda, sugammadex blokaj\u0131 yakla\u015f\u0131k 3 dakika i\u00e7inde tamamen ortadan kald\u0131r\u0131r. Bu, antagonize edilemeyen s\u00fcksinilkoline k\u0131yasla \u00f6nemli bir g\u00fcvenlik avantaj\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bununla birlikte, s\u00fcksinilkolin belirli durumlarda h\u00e2l\u00e2 tercih edilen se\u00e7enek olmaya devam etmektedir: kontrendikasyonu olmayan hastalarda, etki s\u00fcresinin m\u00fcmk\u00fcn oldu\u011funca k\u0131sa olmas\u0131 kritik \u00f6neme sahip oldu\u011funda veya sugammadex bulunmad\u0131\u011f\u0131nda.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"narkosekomplikationen-bei-schonheitsoperationen-finanzielle-absicherung\">Estetik ameliyatlarda anestezi komplikasyonlar\u0131: mali g\u00fcvence<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Liposuction, kar\u0131n germe veya burun esteti\u011fi gibi estetik ameliyatlar neredeyse her zaman genel anestezi alt\u0131nda ger\u00e7ekle\u015ftirilir. Bu i\u015flemlerde s\u00fcksinilkolin gibi kas gev\u015fetici ila\u00e7lar kullan\u0131l\u0131r. Anestezi komplikasyonlar\u0131 nadirdir, ancak hem doktorun hem de hastan\u0131n herhangi bir kusuru olmaks\u0131z\u0131n ortaya \u00e7\u0131kabilir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr.png\" alt=\"Bir ki\u015fi, planlanm\u0131\u015f bir ameliyat s\u0131ras\u0131nda anestezi komplikasyonlar\u0131na kar\u015f\u0131 korunmak amac\u0131yla rahat bir \u015fekilde bir sigorta s\u00f6zle\u015fmesini imzalar.\" class=\"wp-image-562\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-eine-person-unterzeichnet-entspannt-einen-versicherungsvertr-40x27.png 40w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Bir estetik m\u00fcdahalenin ard\u0131ndan bir komplikasyon ortaya \u00e7\u0131karsa, yasal sa\u011fl\u0131k sigortalar\u0131 bunun sonucunda ortaya \u00e7\u0131kan masraflar\u0131 sadece k\u0131smen kar\u015f\u0131lar ya da hi\u00e7 kar\u015f\u0131lamaz. Tedaviler, d\u00fczeltme ameliyatlar\u0131 ve hastanede kal\u0131\u015f masraflar\u0131 bu durumda \u00f6zel olarak kar\u015f\u0131lanmak zorundad\u0131r. Bu t\u00fcr masraflar k\u0131sa s\u00fcrede olduk\u00e7a y\u00fcksek rakamlara ula\u015fabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir <a href=\"https:\/\/4beauty.de\/tr\/sonraki-masraf-sigortasi\/\">Sonras\u0131 Maliyet Sigortas\u0131<\/a> tam da bu durumda sizi korur: Sigortal\u0131 m\u00fcdahalenin sonucu olarak ortaya \u00e7\u0131kan, t\u0131bbi a\u00e7\u0131dan gerekli takip tedavileri ve ameliyatlar\u0131n masraflar\u0131n\u0131 kar\u015f\u0131lar \u2014 \u015feffaf bir \u015fekilde ve b\u00fcrokratik engeller olmaks\u0131z\u0131n. Ko\u015fullar ve sigortal\u0131 m\u00fcdahaleler hakk\u0131nda daha fazla bilgiyi \u015furada bulabilirsiniz: <a href=\"https:\/\/4beauty.de\/tr\/sonraki-masraf-sigortasi\/sorular-ve-cevaplar\/\">SSS b\u00f6l\u00fcm\u00fc<\/a>.<\/p>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-anchor-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Not<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Anestezik maddelerden kaynaklanan komplikasyonlar, ne hasta ne de doktorun hatal\u0131 davran\u0131\u015f\u0131 kan\u0131tlanamasa bile sigortalanabilir olaylar aras\u0131nda yer al\u0131r. Sonras\u0131 masraf sigortas\u0131, iyile\u015fmenize odaklanabilmeniz i\u00e7in size mali g\u00fcvence sa\u011flar.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"haufig-gestellte-fragen-zu-succinylcholin-nebenwirkungen\">S\u00fcksinilkolin Yan Etkileriyle \u0130lgili S\u0131k Sorulan Sorular<\/h2>\n\n\n\n<div data-wp-context=\"{ &quot;autoclose&quot;: false, &quot;accordionItems&quot;: [] }\" data-wp-interactive=\"core\/accordion\" role=\"group\" class=\"wp-block-accordion is-layout-flow wp-block-accordion-is-layout-flow\">\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-1&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-1-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-1\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">S\u00fcksinilkolinin en s\u0131k g\u00f6r\u00fclen yan etkileri nelerdir?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-1\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-1-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">MedDRA s\u0131n\u0131fland\u0131rmas\u0131na g\u00f6re s\u00fcksinilkolin yan etkileri \u00e7ok s\u0131k (&gt;1\/10) g\u00f6r\u00fcl\u00fcr: Faszik\u00fclasyonlar, felcin ba\u015flamas\u0131ndan hemen \u00f6nce ortaya \u00e7\u0131kan kontrols\u00fcz kas se\u011firmeleridir. Ameliyat sonras\u0131 miyaljiler, ameliyattan 12\u201324 saat sonra ba\u015flayan ve 1\u20132 g\u00fcn sonra azalan kas a\u011fr\u0131lar\u0131 \u015feklinde kendini g\u00f6sterir. Risk alt\u0131ndaki hastalarda buna hiperkalemi ve kalp ritmi bozukluklar\u0131 da eklenir.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-2&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-2-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-2\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">S\u00fcksinilkolin ne zaman kontrendikedir?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-2\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-2-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Bilinen veya ailesel yatk\u0131nl\u0131\u011f\u0131 olan malign hipertermi vakalar\u0131nda s\u00fcksinilkolin kullan\u0131lmamal\u0131d\u0131r. Yapay solunumun m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 durumlarda da mutlak bir kontrendikasyon s\u00f6z konusudur. Ps\u00f6dokolinesteraz eksikli\u011fi, b\u00f6brek yetmezli\u011fi, yayg\u0131n yan\u0131klar, glokom veya n\u00f6rom\u00fcsk\u00fcler hastal\u0131klar durumunda \u00f6zel dikkat g\u00f6sterilmelidir. Bu durumlarda anestezi ekibi, sugammadex ile antagonize edilen rokuronyum kullan\u0131m\u0131n\u0131 de\u011ferlendirir.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-3&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-3-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-3\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">S\u00fcksinilkolin ile malign hipertermi nas\u0131l tedavi edilir?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-3\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-3-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Malign hipertermi durumunda s\u00fcksinilkolin uygulamas\u0131 derhal kesilir. Anestezi, tetikleyici olmayan maddelere ge\u00e7ilir. Spesifik antidot olan dantrolen intraven\u00f6z olarak verilir; dantrolen, kas h\u00fccrelerinde kontrols\u00fcz kalsiyum sal\u0131n\u0131m\u0131n\u0131 engeller. Buna ek olarak, hastaya fiziksel so\u011futma uygulan\u0131r, asidoz d\u00fczeltilir ve en az 24 saat boyunca yo\u011fun bak\u0131m \u00fcnitesinde izlenir.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-4&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-4-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-4\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">S\u00fcksinilkolin ile rokuronyum aras\u0131ndaki fark nedir?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-4\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-4-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin, depolarize edici bir kas gev\u015fetici ila\u00e7t\u0131r. Etki ba\u015flang\u0131c\u0131: 40\u201360 saniye; etki s\u00fcresi: 4\u20136 dakika; antagonizasyon m\u00fcmk\u00fcn de\u011fildir. Rokuronium depolarize edici de\u011fildir, etkisi daha uzun s\u00fcrer ve sugammadex ile tamamen tersine \u00e7evrilebilir. Rokuronium, fasik\u00fclasyona neden olmaz ve hiperkalemi riski ta\u015f\u0131maz. \u0130kisinden hangisinin se\u00e7ilece\u011fi, hastan\u0131n bireysel risk profiline g\u00f6re belirlenir.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-5&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-5-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-5\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">S\u00fcksinilkolin kaynakl\u0131 miyaljiler \u00f6nlenebilir mi?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-5\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-5-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Ameliyat sonras\u0131 miyaljilerin tamamen \u00f6nlenmesi m\u00fcmk\u00fcn de\u011fildir. Prekurarizasyon \u2014 yani subparalitik dozda depolarize edici olmayan bir kas gev\u015fetici verilmesi \u2014 fasik\u00fclasyon yo\u011funlu\u011funu ve dolay\u0131s\u0131yla miyaljileri azalt\u0131r. Alternatif olarak, miyaljilerin hasta i\u00e7in \u00f6zellikle rahats\u0131z edici olaca\u011f\u0131 durumlarda rokuronyum kullan\u0131labilir.<\/p>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>S\u00fcksinilkolin, tek depolarize edici kas gev\u015fetici ila\u00e7t\u0131r; yan etkileri aras\u0131nda fasik\u00fclasyonlar, hiperkalemi ve nadiren malign hipertermi yer al\u0131r.<\/p>","protected":false},"template":"","class_list":["post-752","glossary","type-glossary","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/4beauty.de\/tr\/wp-json\/wp\/v2\/glossary\/752","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/4beauty.de\/tr\/wp-json\/wp\/v2\/glossary"}],"about":[{"href":"https:\/\/4beauty.de\/tr\/wp-json\/wp\/v2\/types\/glossary"}],"wp:attachment":[{"href":"https:\/\/4beauty.de\/tr\/wp-json\/wp\/v2\/media?parent=752"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}