G\u00f6\u011f\u00fcs Cerrahisi Opr. Dr. Ahmet Erbey, el, koltuk alt\u0131, y\u00fcz ve boyun gibi b\u00f6lgesel terleme sorununun cerrahi tedavi ile giderilmesi hakk\u0131nda bilgi verdi.<\/p>\n
Memorial Diyarbak\u0131r Hastanesi G\u00f6\u011f\u00fcs Cerrahisi b\u00f6l\u00fcm\u00fcnden Opr. Dr. Ahmet Erbey, do\u011fal nedenlerle olu\u015fan fizyolojik terlemeden farkl\u0131 olarak, ortam veya oda \u0131s\u0131s\u0131ndan ba\u011f\u0131ms\u0131z, bir anda al\u0131nda, y\u00fczde, ellerde, koltuk alt\u0131nda ve ayaklarda olu\u015fan a\u015f\u0131r\u0131 terlemenin ki\u015finin ya\u015fam kalitesini b\u00fcy\u00fck oranda d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fcn\u00fc s\u00f6yledi. Op. Dr. Erbey, \u201cUtanma hissi, kayg\u0131, stres, motivasyon bozuklu\u011fu gibi ciddi sosyal s\u0131k\u0131nt\u0131lara neden olan bu hastal\u0131k, ruh sa\u011fl\u0131\u011f\u0131n\u0131 da olumsuz etkilemektedir. Bu durumda hasta, \u00f6z g\u00fcven sorunu ya\u015fayarak kendini d\u0131\u015f d\u00fcnyaya kapat\u0131r. Hastalar\u0131n \u00e7o\u011funda ergenlik d\u00f6neminde ba\u015flayan a\u015f\u0131r\u0131 terleme \u015fikayeti nadiren de olsa 20 ya\u015f\u0131ndan sonra g\u00f6r\u00fclebilir. El terlemesi \u015fikayeti olanlarda ortalama ba\u015flang\u0131\u00e7 ya\u015f\u0131 13 iken, koltuk alt\u0131 terlemesinde bu ortalama 19\u2019dur\u201d dedi.<\/p>\n
\u201cTerlemenin nedeni hastal\u0131k olabilir\u201d<\/p>\n
A\u015f\u0131r\u0131 terleme \u015fikayetinin nedeninin tam olarak bilinememekle birlikte baz\u0131 hastal\u0131klardan dolay\u0131 da ortaya \u00e7\u0131kabilece\u011fini kaydeden Op. Dr. Erbey, \u201cSinir sistemiyle ilgili bir rahats\u0131zl\u0131ktan kaynaklanan primer hiperhidrozis genellikle t\u00fcm aile fertlerinde g\u00f6r\u00fclebilir. Sekonder primer hidrozis ise altta yatan bir sistemik hastal\u0131k ya da ila\u00e7 kullan\u0131m\u0131na ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilir. Tiroit bezinin a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131, gut hastal\u0131\u011f\u0131, romatoid artrit, diyabet, feokromasitoma ve di\u011fer metabolik hastal\u0131klardan dolay\u0131 g\u00f6r\u00fclen sekonder hiperhidrozis terleme \u015fikayetine neden olabilir. A\u015f\u0131r\u0131 terlemenin tedavisi, nedenine ve \u015fiddetine ba\u011fl\u0131 olarak de\u011fi\u015febilir. Terlemeye neden olabilecek hastal\u0131klara y\u00f6nelik tetkikler yap\u0131lmal\u0131 ve altta yatan bir rahats\u0131zl\u0131k varsa belirlenmelidir. Belirlenen nedene g\u00f6re tedavi se\u00e7enekleri uygulanmal\u0131d\u0131r. Nedeni belli olmayan a\u015f\u0131r\u0131 b\u00f6lgesel terleme sorununun tedavisinde cerrahi uygulanabilir\u201d diye konu\u015ftu.<\/p>\n
\u201cKapal\u0131 ameliyat ile a\u015f\u0131r\u0131 terlemeden kurtulun\u201d<\/p>\n
G\u00fcn\u00fcm\u00fczde kapal\u0131 ameliyat\u0131n nedeni tam olarak bilinmeyen a\u015f\u0131r\u0131 b\u00f6lgesel terleme \u015fikayetinde uygulanan en \u00f6nemli cerrahi y\u00f6ntem oldu\u011funu vurgulayan Op. Dr. Erbey, \u015f\u00f6yle devam etti:<\/p>\n
\u201cAmeliyathane \u015fartlar\u0131nda ve genel anestezi alt\u0131nda yap\u0131l\u0131r. Koltuk alt\u0131ndan 1-2 santimetrelik k\u00fc\u00e7\u00fck bir kesi a\u00e7\u0131larak kamera ve endoskopik aletler ile yap\u0131lmaktad\u0131r. Ayn\u0131 seansta iki tarafl\u0131 ameliyat yakla\u015f\u0131k 45-60 dakikada tamamlanmaktad\u0131r. Bu sayede her iki el, koltuk alt\u0131, y\u00fcz ve boyun terlemesi tek seansta tedavi edilebilmektedir. Ameliyat bitti\u011finde etkisi hemen ba\u015flar ve terleme kesilir. Hasta ameliyattan bir iki g\u00fcn sonra taburcu olarak sosyal hayat\u0131na d\u00f6nebilmektedir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MEMOR\u0130AL D\u0130YARBAKIR HASTANES\u0130 G\u00d6\u011e\u00dcS CERRAH\u0130S\u0130 B\u00d6L\u00dcM\u00dcNDEN OPR. DR. AHMET ERBEY EL, KOLTUK ALTI, Y\u00dcZ VE BOYUN G\u0130B\u0130 B\u00d6LGESEL TERLEME SORUNUNUN CERRAH\u0130 TEDAV\u0130 \u0130LE G\u0130DER\u0130LMES\u0130 HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":160488,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[1402,10188,418,144,33747],"class_list":["post-160487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-asiri","tag-cerrahi","tag-sorununa","tag-tedavi","tag-terleme"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/asiri-terleme-sorununa-cerrahi-tedavi_bd64012.jpg?fit=827%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-FKv","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/160487","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=160487"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/160487\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/160488"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=160487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=160487"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=160487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}