{"id":15530,"date":"2026-02-04T13:41:01","date_gmt":"2026-02-04T10:41:01","guid":{"rendered":"https:\/\/www.draliolgun.com\/tr\/?page_id=15530"},"modified":"2026-02-08T20:13:55","modified_gmt":"2026-02-08T17:13:55","slug":"refraktif-cerrahi","status":"publish","type":"page","link":"https:\/\/www.draliolgun.com\/tr\/uzmanliklar\/refraktif-cerrahi\/","title":{"rendered":"Refraktif Cerrahi"},"content":{"rendered":"\t\t
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Sabah uyand\u0131\u011f\u0131n\u0131zda ilk i\u015finiz komodinin \u00fczerindeki g\u00f6zl\u00fc\u011f\u00fcn\u00fcz\u00fc aramak m\u0131? Ya da lenslerinizi takmadan g\u00fcne ba\u015flayamayanlardan m\u0131s\u0131n\u0131z? So\u011fuk bir havada s\u0131cak bir ortama girdi\u011finizde bu\u011fulanan camlar, denize veya havuza girerken ya\u015fanan “g\u00f6rsem mi y\u00fczsem mi” ikilemi, spor yaparken d\u00fc\u015fen \u00e7er\u00e7eveler veya g\u00fcn sonunda kuruyan, batan kontakt lensler…<\/p>

E\u011fer bu senaryolar size tan\u0131d\u0131k geliyorsa, yaln\u0131z de\u011filsiniz. D\u00fcnyada milyonlarca insan miyop, hipermetrop veya astigmat nedeniyle d\u00fcnyay\u0131 bir “arac\u0131” ile g\u00f6rmek zorunda kal\u0131yor. Ancak modern t\u0131p, bu zorunlulu\u011fu bir tercih haline getireli \u00e7ok oldu. T\u0131p literat\u00fcr\u00fcnde “Refraktif Cerrahi”<\/strong> olarak bilinen, halk aras\u0131nda ise “g\u00f6z \u00e7izdirme” ya da “lazer ameliyat\u0131” olarak genellenen bu y\u00f6ntemler, size kendi g\u00f6zlerinizle, net bir d\u00fcnyaya bakma \u00f6zg\u00fcrl\u00fc\u011f\u00fc sunuyor.<\/p>

Peki, bu s\u00fcre\u00e7 nas\u0131l i\u015fliyor? Herkes bu ameliyat\u0131 olabilir mi? Korkulacak bir \u015fey var m\u0131? Do\u00e7. Dr. Ali Olgun\u2019un uzmanl\u0131k alanlar\u0131ndan biri olan refraktif cerrahiyi, akl\u0131n\u0131zdaki t\u00fcm soru i\u015faretlerini giderecek \u015fekilde masaya yat\u0131r\u0131yoruz.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\r\n G\u00f6zl\u00fck Neyi D\u00fczeltiyor, Lazer Neyi Yap\u0131yor? <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Refraktif cerrahinin mant\u0131\u011f\u0131n\u0131 anlamak i\u00e7in g\u00f6z\u00fcm\u00fcz\u00fcn nas\u0131l \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 basit\u00e7e hat\u0131rlayal\u0131m. G\u00f6z\u00fcm\u00fcz\u00fc bir foto\u011fraf makinesi gibi d\u00fc\u015f\u00fcn\u00fcn. En \u00f6ndeki \u015feffaf tabaka olan kornea<\/strong> ve hemen arkas\u0131ndaki g\u00f6z merce\u011fi<\/strong>, d\u0131\u015far\u0131dan gelen \u0131\u015f\u0131\u011f\u0131 k\u0131rarak, g\u00f6z\u00fcn en arkas\u0131ndaki film tabakas\u0131na, yani retinaya<\/strong> odaklar. E\u011fer bu odaklama tam retinan\u0131n \u00fczerine d\u00fc\u015ferse “net” g\u00f6r\u00fcr\u00fcz.<\/p>

  • Miyoplar<\/strong>, g\u00f6r\u00fcnt\u00fcy\u00fc retinan\u0131n \u00f6n\u00fcne d\u00fc\u015f\u00fcr\u00fcr, uza\u011f\u0131 g\u00f6remezler.<\/li>
  • Hipermetroplar<\/strong>, g\u00f6r\u00fcnt\u00fcy\u00fc retinan\u0131n arkas\u0131na d\u00fc\u015f\u00fcr\u00fcr, yak\u0131n\u0131 (ve bazen uza\u011f\u0131) g\u00f6remezler.<\/li>
  • Astigmatlar<\/strong> ise kornean\u0131n \u015feklinin yumurta gibi oval olmas\u0131 nedeniyle \u0131\u015f\u0131\u011f\u0131 da\u011f\u0131n\u0131k odaklar, hem bulan\u0131k hem de g\u00f6lgeli g\u00f6r\u00fcrler.<\/li><\/ul>

    G\u00f6zl\u00fck veya lens, \u0131\u015f\u0131\u011f\u0131 g\u00f6z\u00fcn \u00f6n\u00fcne ek bir mercek koyarak do\u011fru yere d\u00fc\u015f\u00fcrmeye yarar. Refraktif cerrahi ise arac\u0131lar\u0131 ortadan kald\u0131r\u0131r. Lazer teknolojisi kullan\u0131larak, g\u00f6z\u00fcn en \u00f6ndeki \u015feffaf tabakas\u0131 olan kornean\u0131n \u015fekli mikron seviyesinde (bir sa\u00e7 telinden \u00e7ok daha ince bir hassasiyetle) yeniden bi\u00e7imlendirilir. Yani kornean\u0131z\u0131n kendisi, do\u011fal bir “g\u00f6zl\u00fck cam\u0131” g\u00f6revi g\u00f6recek \u015fekilde t\u0131ra\u015flan\u0131r. Sonu\u00e7? Kendi g\u00f6z\u00fcn\u00fczle, arac\u0131s\u0131z net g\u00f6r\u00fc\u015f.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n \"Ben Bu Ameliyata Uygun muyum?\" <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Refraktif cerrahi, hayat kurtaran bir ameliyat de\u011fil, hayat kalitesini art\u0131ran bir “konfor” cerrahisidir. Bu nedenle hasta se\u00e7imi, ba\u015far\u0131n\u0131n en kritik anahtar\u0131d\u0131r. Herkes lazer yapt\u0131ramaz ve d\u00fcr\u00fcst bir hekimin g\u00f6revi, uygun olmayan hastaya “Hay\u0131r” diyebilmektir.<\/p>

    Bir hastan\u0131n ameliyata uygun olup olmad\u0131\u011f\u0131na karar vermek i\u00e7in yap\u0131lan tetkikler, bazen ameliyat\u0131n kendisinden daha uzun s\u00fcrer. Genel olarak adaylarda aranan temel kriterler \u015funlard\u0131r:<\/p>

    1. Ya\u015f S\u0131n\u0131r\u0131:<\/strong> G\u00f6z numaras\u0131n\u0131n ilerlemesinin durmas\u0131 beklendi\u011fi i\u00e7in genellikle 18 ya\u015f (ideali 20-21 ya\u015f) \u00fczeri olmak gerekir.<\/p>

    2. Numara \u0130stikrar\u0131:<\/strong> Son bir y\u0131ld\u0131r g\u00f6zl\u00fck numaralar\u0131n\u0131z\u0131n de\u011fi\u015fmemi\u015f olmas\u0131 \u015fartt\u0131r. Numaralar hala art\u0131yorsa, lazer yapmak ge\u00e7ici bir \u00e7\u00f6z\u00fcm olur.<\/p>

    3. Kornea Kal\u0131nl\u0131\u011f\u0131 ve Yap\u0131s\u0131:<\/strong> Lazer i\u015flemi korneadan doku t\u0131ra\u015flayarak yap\u0131l\u0131r. E\u011fer kornean\u0131z do\u011fu\u015ftan \u00e7ok inceyse veya yap\u0131s\u0131nda “keratokonus” gibi gizli bir hastal\u0131k varsa, lazer yapmak tehlikeli olabilir. Bu durum, “Topografi” ad\u0131 verilen kornea haritalama cihazlar\u0131yla detayl\u0131ca incelenir.<\/p>

    4. Genel G\u00f6z Sa\u011fl\u0131\u011f\u0131:<\/strong> \u015eiddetli g\u00f6z kurulu\u011fu, glokom (g\u00f6z tansiyonu), retina y\u0131rt\u0131klar\u0131 veya katarakt gibi ba\u015fka g\u00f6z hastal\u0131klar\u0131 olmamal\u0131d\u0131r.<\/p>

    5. Sistemik Hastal\u0131klar:<\/strong> Kontrols\u00fcz diyabet veya romatizmal baz\u0131 hastal\u0131klar iyile\u015fme s\u00fcrecini etkileyebilece\u011fi i\u00e7in engel te\u015fkil edebilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n Tek Bir Y\u00f6ntem Yok: Lazerlerin D\u00fcnyas\u0131 <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Halk aras\u0131nda “lazer oldum bitti” denilse de, asl\u0131nda tek bir y\u00f6ntem yoktur. G\u00f6z\u00fcn yap\u0131s\u0131na, numaralar\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ve hastan\u0131n ya\u015fam tarz\u0131na g\u00f6re farkl\u0131 teknolojiler kullan\u0131l\u0131r. Do\u00e7. Dr. Ali Olgun, hastan\u0131n g\u00f6z haritas\u0131na bakarak bir terzi titizli\u011fiyle en uygun y\u00f6ntemi belirler.<\/p>

    1. LASIK \/ iLASIK (Alt\u0131n Standart)<\/strong><\/p>

    D\u00fcnyada en s\u0131k uygulanan, iyile\u015fmesi en h\u0131zl\u0131 y\u00f6ntemdir. Kornean\u0131n y\u00fczeyinden incecik bir kapak\u00e7\u0131k (flep) kald\u0131r\u0131l\u0131r, alt\u0131ndaki yata\u011fa lazer uygulan\u0131r ve kapak\u00e7\u0131k tekrar kapat\u0131l\u0131r. Hasta ameliyattan \u00e7\u0131kt\u0131\u011f\u0131nda bile etraf\u0131 g\u00f6rmeye ba\u015flar, ertesi g\u00fcn ise genellikle net g\u00f6r\u00fc\u015fle uyan\u0131r ve i\u015fine d\u00f6nebilir. “B\u0131\u00e7aks\u0131z Lazer” olarak bilinen iLASIK’te bu kapak\u00e7\u0131k da tamamen lazerle olu\u015fturulur.<\/p>

    2. Y\u00fczey Tedavileri (No-Touch \/ PRK \/ LASEK)<\/strong><\/p>

    Korneas\u0131 ince olan veya boks\u00f6rler, askerler, polisler gibi g\u00f6ze darbe alma riski y\u00fcksek meslek gruplar\u0131 i\u00e7in tercih edilen y\u00f6ntemdir. Korneada bir kapak\u00e7\u0131k kald\u0131r\u0131lmaz, lazer do\u011frudan y\u00fczeye uygulan\u0131r. \u0130\u015flem s\u0131ras\u0131nda hi\u00e7bir temas olmaz (No-Touch). \u0130yile\u015fme s\u00fcreci LASIK’e g\u00f6re biraz daha uzundur; ilk 2-3 g\u00fcn g\u00f6zde batma, sulanma ve \u0131\u015f\u0131k hassasiyeti ya\u015fan\u0131r ancak sonu\u00e7lar\u0131 son derece g\u00fcvenilirdir.<\/p>

    3. SMILE (Yeni Nesil Teknoloji)<\/strong><\/p>

    Kapal\u0131 cerrahi olarak da bilinir. Kornean\u0131n i\u00e7inde lazerle ince bir disk olu\u015fturulur ve bu disk \u00e7ok k\u00fc\u00e7\u00fck bir kesiden d\u0131\u015far\u0131 al\u0131n\u0131r. \u00d6zellikle y\u00fcksek miyoplarda ve korneas\u0131 nispeten ince olanlarda tercih edilir.<\/p>

    4. G\u00f6z \u0130\u00e7i Lens (ICL) – Lazerin Yetmedi\u011fi Durumlar<\/strong><\/p>

    E\u011fer g\u00f6z numaralar\u0131 lazerle d\u00fczeltilemeyecek kadar y\u00fcksekse (\u00f6rne\u011fin 10 numara \u00fczeri miyop) veya kornea \u00e7ok inceyse, lazer yerine ba\u015fka bir \u00e7\u00f6z\u00fcm devreye girer. G\u00f6z\u00fcn kendi merce\u011fine dokunulmadan, hemen \u00f6n\u00fcne, hastan\u0131n \u00f6m\u00fcr boyu kullanabilece\u011fi “implante edilebilir kontakt lens (ICL)” yerle\u015ftirilir. Bu, g\u00f6z\u00fcn i\u00e7ine kal\u0131c\u0131 bir lens takmak gibidir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n Korkular ve Ger\u00e7ekler: \"Ya K\u00f6r Olursam?\" <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Lazer ameliyatlar\u0131 hakk\u0131nda \u015fehir efsaneleri hi\u00e7 bitmez. Hastalar\u0131n akl\u0131ndaki en b\u00fcy\u00fck korkular\u0131 netle\u015ftirelim:<\/p>

    Yanl\u0131\u015f:<\/strong><\/span> “Ameliyat s\u0131ras\u0131nda \u00e7ok a\u011fr\u0131 olur.”<\/p>

    Ger\u00e7ek:<\/strong><\/span> Hay\u0131r. \u0130\u015flem \u00f6ncesi g\u00f6ze damlat\u0131lan uyu\u015fturucu damlalar sayesinde ameliyat s\u0131ras\u0131nda hi\u00e7bir a\u011fr\u0131 veya ac\u0131 hissedilmez. Sadece g\u00f6z\u00fcn\u00fcze dokunuldu\u011fu hissi ve k\u0131sa s\u00fcreli bir bask\u0131 olabilir.<\/p>

    Yanl\u0131\u015f:<\/strong><\/span> “Lazer s\u0131ras\u0131nda g\u00f6z\u00fcm\u00fc oynat\u0131rsam k\u00f6r olurum.”<\/p>

    Ger\u00e7ek:<\/strong><\/span> Bu m\u00fcmk\u00fcn de\u011fildir. Modern lazer cihazlar\u0131, “g\u00f6z takip sistemi” (eye-tracker) ile donat\u0131lm\u0131\u015ft\u0131r. Siz g\u00f6z\u00fcn\u00fcz\u00fc milimetrik oynatsan\u0131z bile cihaz bunu takip eder, e\u011fer \u00e7ok oynat\u0131rsan\u0131z cihaz otomatik olarak durur. K\u00f6rl\u00fck riski, modern teknolojide yok denecek kadar azd\u0131r.<\/p>

    Yanl\u0131\u015f:<\/strong><\/span> “Lazer olanlar ileride katarakt ameliyat\u0131 olamaz.”<\/p>

    Ger\u00e7ek:<\/strong><\/span> Tamamen yanl\u0131\u015ft\u0131r. Lazer korneaya yap\u0131l\u0131r, katarakt ise g\u00f6z\u00fcn i\u00e7indeki merce\u011fin hastal\u0131\u011f\u0131d\u0131r. \u0130kisi birbirinden ba\u011f\u0131ms\u0131zd\u0131r. Lazer olan biri, ileride herkes gibi katarakt ameliyat\u0131 olabilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n S\u00fcre\u00e7 Nas\u0131l \u0130\u015fliyor? <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Do\u00e7. Dr. Ali Olgun ile bu yola \u00e7\u0131kmaya karar verdi\u011finizde s\u00fcre\u00e7 genellikle \u015f\u00f6yle i\u015fler:<\/p>

    1. Detayl\u0131 \u00d6n Muayene (En \u00d6nemli A\u015fama):<\/strong> Yakla\u015f\u0131k 1-1,5 saat s\u00fcren, g\u00f6z\u00fcn t\u00fcm katmanlar\u0131n\u0131n incelendi\u011fi, damlal\u0131 \u00f6l\u00e7\u00fcmlerin yap\u0131ld\u0131\u011f\u0131 a\u015famad\u0131r. Burada “uygunluk” karar\u0131 verilir ve hangi y\u00f6ntemin uygulanaca\u011f\u0131 netle\u015fir.<\/p>

    2. Ameliyat G\u00fcn\u00fc:<\/strong> Heyecanl\u0131 ama k\u0131sa bir g\u00fcn. Ameliyathaneye giri\u015f \u00e7\u0131k\u0131\u015f\u0131n\u0131z toplamda 15-20 dakika s\u00fcrerken, lazerin g\u00f6z\u00fcn\u00fczde \u00e7al\u0131\u015ft\u0131\u011f\u0131 s\u00fcre genellikle her g\u00f6z i\u00e7in 1 dakikan\u0131n alt\u0131ndad\u0131r.<\/p>

    3. Ameliyat Sonras\u0131 \u0130lk Saatler:<\/strong> Y\u00f6nteme g\u00f6re de\u011fi\u015fmekle birlikte, ilk birka\u00e7 saat g\u00f6zlerde yanma, sulanma ve hafif bulan\u0131kl\u0131k normaldir. Eve gidip birka\u00e7 saat uyumak en iyi ila\u00e7t\u0131r.<\/p>

    4. Ertesi G\u00fcn Kontrol\u00fc:<\/strong> \u0130\u015fte “mucize” an\u0131. \u00c7o\u011fu hasta (\u00f6zellikle LASIK olanlar) ertesi sabah uyand\u0131\u011f\u0131nda duvar saatini net g\u00f6rd\u00fc\u011f\u00fcn\u00fc, pencereden d\u0131\u015far\u0131 bakt\u0131\u011f\u0131nda yapraklar\u0131 se\u00e7ebildi\u011fini fark eder. \u0130lk kontrolde genellikle g\u00f6r\u00fc\u015f %90-100 seviyesine ula\u015fm\u0131\u015ft\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n Sonu\u00e7: Bir Yat\u0131r\u0131m Olarak G\u00f6rmek <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Refraktif cerrahi, sadece kozmetik bir d\u00fczelme de\u011fil, ya\u015fam kalitesine yap\u0131lan kal\u0131c\u0131 bir yat\u0131r\u0131md\u0131r. Y\u0131llarca al\u0131nacak lens sol\u00fcsyonlar\u0131, k\u0131r\u0131lan \u00e7er\u00e7eve maliyetleri d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde ekonomik olarak da mant\u0131kl\u0131 bir tercihtir. Ancak hepsinden \u00f6nemlisi; sabah kalkt\u0131\u011f\u0131n\u0131zda denizi net g\u00f6rmek, \u00e7ocu\u011funuza sar\u0131l\u0131rken g\u00f6zl\u00fc\u011f\u00fcn\u00fcz\u00fcn batmamas\u0131 veya spor yaparken \u00f6zg\u00fcr hissetmenin verdi\u011fi paha bi\u00e7ilemez duygudur.<\/p>

    Teknoloji ne kadar ilerlerse ilerlesin, en iyi sonu\u00e7 i\u00e7in teknolojiyi kullanan cerrah\u0131n tecr\u00fcbesi ve do\u011fru hasta se\u00e7imi esast\u0131r. Do\u00e7. Dr. Ali Olgun, binlerce ba\u015far\u0131l\u0131 vaka tecr\u00fcbesiyle, sizin i\u00e7in en g\u00fcvenli ve en uygun rotay\u0131 \u00e7izmek i\u00e7in yan\u0131n\u0131zdad\u0131r.<\/p>

    G\u00f6zleriniz d\u00fcnyaya a\u00e7\u0131lan pencerelerinizdir; onlar\u0131 \u00f6zg\u00fcr b\u0131rakman\u0131n vakti gelmedi mi?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Sabah uyand\u0131\u011f\u0131n\u0131zda ilk i\u015finiz komodinin \u00fczerindeki g\u00f6zl\u00fc\u011f\u00fcn\u00fcz\u00fc aramak m\u0131? Ya da lenslerinizi takmadan g\u00fcne ba\u015flayamayanlardan m\u0131s\u0131n\u0131z? So\u011fuk bir havada s\u0131cak bir ortama girdi\u011finizde bu\u011fulanan camlar, denize veya havuza girerken ya\u015fanan “g\u00f6rsem mi y\u00fczsem mi” ikilemi, spor yaparken d\u00fc\u015fen \u00e7er\u00e7eveler veya g\u00fcn sonunda kuruyan, batan kontakt lensler… E\u011fer bu senaryolar size tan\u0131d\u0131k geliyorsa, yaln\u0131z de\u011filsiniz. D\u00fcnyada […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":13845,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15530","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/15530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/comments?post=15530"}],"version-history":[{"count":7,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/15530\/revisions"}],"predecessor-version":[{"id":15548,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/15530\/revisions\/15548"}],"up":[{"embeddable":true,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/13845"}],"wp:attachment":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/media?parent=15530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}