{"id":139518,"date":"2019-04-17T10:30:14","date_gmt":"2019-04-17T07:30:14","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/lenf-bezlerinin-buyumesi-veya-gelismemesi-hastaliklarin-habercisi-olabilir\/"},"modified":"2019-04-17T10:30:16","modified_gmt":"2019-04-17T07:30:16","slug":"lenf-bezlerinin-buyumesi-veya-gelismemesi-hastaliklarin-habercisi-olabilir","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/lenf-bezlerinin-buyumesi-veya-gelismemesi-hastaliklarin-habercisi-olabilir\/","title":{"rendered":"Lenf bezlerinin b\u00fcy\u00fcmesi veya geli\u015fmemesi hastal\u0131klar\u0131n habercisi olabilir"},"content":{"rendered":"

\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Metin Demirkaya, lenf bezlerinin hi\u00e7 geli\u015fmemesi veya a\u015f\u0131r\u0131 b\u00fcy\u00fcmesinin baz\u0131 hastal\u0131klar\u0131n i\u015fareti olabilece\u011fini s\u00f6yledi.<\/p>\n

Lenf bezlerinin insan v\u00fccudunun ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bir par\u00e7as\u0131 oldu\u011funu belirten Medicana Bursa Hastanesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Metin Demirkaya, “Lenf bezlerinin hi\u00e7 geli\u015fmemesi veya a\u015f\u0131r\u0131 b\u00fcy\u00fcmesi baz\u0131 hastal\u0131klar\u0131n habercisi olabilir. Lenf bezlerinin yap\u0131s\u0131nda lenfosit, monosit, plazma h\u00fccresi ve histiyositler bulunur. N\u00f6trofil, malign h\u00fccre ve depo h\u00fccreleri d\u0131\u015far\u0131dan lenf bezine girerler. T\u00fcm bu h\u00fccrelerdeki \u00e7o\u011falma, lenf bezlerinde b\u00fcy\u00fcmeye sebep olur. Yabanc\u0131 antijenler, v\u00fccudun savunma h\u00fccreleri ile ilk olarak lenf bezlerinde kar\u015f\u0131la\u015f\u0131r. Dolay\u0131s\u0131yla bu yabanc\u0131 antijenlere kar\u015f\u0131 antikor \u00fcretimi lenf bezlerinde ger\u00e7ekle\u015fir” dedi.<\/p>\n

Lenfatik sistemin elemanlar\u0131n\u0131n lenf bezleri, dalak, tonsiller, adenoidler ba\u011f\u0131rsaklardaki peyer plaklar\u0131 ve timus oldu\u011funu belirten Demirkaya, “Bu sebeple lenfoid dokular\u0131 ilgilendiren hastal\u0131klarda, t\u00fcm bu yap\u0131lar\u0131n muayene ve de\u011ferlendirmesi yap\u0131lmal\u0131d\u0131r. Lenfadenopati, lenf d\u00fc\u011f\u00fcmlerinin boyut, say\u0131 ve k\u0131vam anormallikleri olarak tan\u0131mlan\u0131r. Lenf bezi b\u00fcy\u00fcmelerinin sebepleri s\u0131kl\u0131k s\u0131ras\u0131na g\u00f6re enfeksiyonlar, otoimmun hastal\u0131klar, ila\u00e7lar, a\u015f\u0131lar, depo hastal\u0131klar\u0131, maligniteler ve di\u011fer sebeplerdir. Lenfadenit, lenf bezlerinde geli\u015fen bir enfeksiyona yan\u0131t olarak lenf bezlerinde b\u00fcy\u00fcme, k\u0131zar\u0131kl\u0131k ve a\u011fr\u0131 gibi inflamasyon bulgular\u0131n\u0131n olmas\u0131d\u0131r” diye konu\u015ftu.<\/p>\n

Demirkaya, “Lenf d\u00fc\u011f\u00fcmlerinde b\u00fcy\u00fckl\u00fck, yeni do\u011fan d\u00f6nemi hari\u00e7, \u00e7ocukluk d\u00f6neminde s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcr. Antijenik uyar\u0131 sonucunda lenfatik doku zamanla belirgin hale gelir. \u00c7o\u011fu kez viral veya bakteriyel sebepler reaktif olarak lenf d\u00fc\u011f\u00fcmlerinin palpe edilen boyutunu art\u0131r\u0131r. \u00c7evresel uyar\u0131mlarla 8-12 ya\u015fa kadar lenf d\u00fc\u011f\u00fcmleri giderek artan bir boyuta ula\u015f\u0131r. Puberteden sonra ise giderek k\u00fc\u00e7\u00fcl\u00fcrler. \u00c7ocuklarda, servikal veya inguinal b\u00f6lgede lenf d\u00fc\u011f\u00fcm\u00fc saptanmamas\u0131 nadir bir durumdur. Lenf d\u00fc\u011f\u00fcmlerinin ve tonsillerin hipoplazik olu\u015fu X\u2019e ba\u011fl\u0131 bruton hastal\u0131\u011f\u0131 gibi baz\u0131 primer imm\u00fcn yetmezlikleri akla getirir” \u015feklinde konu\u015ftu.<\/p>\n

Genel olarak aksiller ve servikal b\u00f6lgede 1 santimetre, inguinal b\u00f6lgede 1,5 santimetre, epitroklear b\u00f6lgede 0,5 santimetrenin \u00fczeri ve supraklavik\u00fcler ve popliteal b\u00f6lgedeki t\u00fcm lenf bezlerinin anormal kabul edildi\u011fini ifade eden Demirkaya, “Normal lenf d\u00fc\u011f\u00fcmleri \u0131s\u0131 art\u0131m\u0131, duyarl\u0131l\u0131k ve fluktuasyon g\u00f6stermezler. Bulunduklar\u0131 b\u00f6lgede cilt g\u00f6r\u00fcn\u00fcm\u00fc normaldir. Hareketli ve genellikle oval yap\u0131dad\u0131rlar. Yumu\u015fak doku k\u0131vam\u0131nda palpe edilirler. Y\u00fczeysel yerle\u015fimli lenf d\u00fc\u011f\u00fcmleri, fizik muayene ile de\u011ferlendirilir. Lenf d\u00fc\u011f\u00fcm\u00fc muayenesi s\u0131ras\u0131nda t\u00fcm bu lenf d\u00fc\u011f\u00fcm\u00fc b\u00f6lgeleri palpe edilmeli ve palpe edilemeyecek derinlik ve yerle\u015fimde lenf bezlerinin olabilece\u011fi unutulmamal\u0131d\u0131r. Normalde ele gelmeyen abdominal yerle\u015fimdeki derin lenf d\u00fc\u011f\u00fcmleri birle\u015fip kitle etkisine yol a\u00e7t\u0131klar\u0131nda ele gelebilir. Ayr\u0131ca lenfoproliferatif hastal\u0131klarda karaci\u011fer, dalak ve tonsiller de dikkatle muayene edilmelidir. Lenf bezleri, erken \u00e7ocukluk d\u00f6neminde kistik higroma, tiroglossal kist, brankial yar\u0131k kisti, servikal kosta ve neonatal tortikollis gibi konjenital anomaliler ile; t\u00fcm ya\u015flarda ise guatr, hemanjiom, n\u00f6rofibrom ve teratomlar ile kar\u0131\u015fabilir” dedi.

\"Lenf <\/a> <\/div> <\/div> <\/div> <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00c7OCUK SA\u011eLI\u011eI VE HASTALIKLARI UZMANI DO\u00c7. DR. MET\u0130N DEM\u0130RKAYA, LENF BEZLER\u0130N\u0130N H\u0130\u00c7 GEL\u0130\u015eMEMES\u0130 VEYA A\u015eIRI B\u00dcY\u00dcMES\u0130 BAZI HASTALIKLARIN \u0130\u015eARET\u0130 OLAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":139519,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[31630,31631,31632,16127,28856,18584,5897,23503],"class_list":["post-139518","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bezlerinin","tag-buyumesi","tag-gelismemesi","tag-habercisi","tag-hastaliklarin","tag-lenf","tag-olabilir","tag-veya"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/lenf-bezlerinin-buyumesi-veya-gelismemesi-hastaliklarin-habercisi-olabilir_d3f0f49.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Aii","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/139518","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=139518"}],"version-history":[{"count":1,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/139518\/revisions"}],"predecessor-version":[{"id":139521,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/139518\/revisions\/139521"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/139519"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=139518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=139518"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=139518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}