Estetik Plastik ve Rekonstr\u00fcktif Cerrahi Uzman\u0131 Op. Dr. Onurkan \u0130dac\u0131, fazla stresin kad\u0131nlarda sa\u00e7 d\u00f6k\u00fclmesine neden oldu\u011funu belirtti.<\/p>\n
Erkeklerde daha s\u0131k rastlanan sa\u00e7 d\u00f6k\u00fclmesinin genetik miras\u0131n en etkili fakt\u00f6r oldu\u011fu ayn\u0131 zamanda yetersiz sa\u00e7 bak\u0131m\u0131, hava kirlili\u011fi, kimyasallara maruziyet gibi \u00e7evresel etkilerin de katk\u0131da bulundu\u011fu pop\u00fclasyonun olduk\u00e7a b\u00fcy\u00fck k\u0131sm\u0131n\u0131 etkileyen bir problem oldu\u011funu anlatan Op. Dr. Onurkan \u0130dac\u0131, \u201cKad\u0131nlarda sa\u00e7 d\u00f6k\u00fclmesi farkl\u0131 ele al\u0131nmal\u0131, altta yatan sebepler ara\u015ft\u0131r\u0131l\u0131p ortaya konmadan planlama yap\u0131lmamal\u0131d\u0131r. Kad\u0131nlardaki sa\u00e7 d\u00f6k\u00fclmesi, erkeklere g\u00f6re hormonal de\u011fi\u015fkenliklerden daha fazla etkilenir. Stres nedeniyle g\u00f6r\u00fclen sa\u00e7 d\u00f6k\u00fclmesi genellikle kad\u0131nlarda g\u00f6r\u00fcl\u00fcr\u201d dedi.<\/p>\n
Op. Dr. Onurkan \u0130dac\u0131, sa\u00e7 d\u00f6k\u00fclmesinin \u00f6zellikle erkek hastalarda, s\u0131kl\u0131kla testosteron d\u00fczeyine ve sa\u00e7 k\u00f6klerinde bulunan testosteron resept\u00f6rlerinin say\u0131s\u0131na ve hassasiyetine ba\u011fl\u0131 oldu\u011funu ifade ederek, \u201cGenetik miras\u0131n fazlas\u0131yla etkili oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmekle birlikte,bir tak\u0131m d\u0131\u015f etkenler de d\u00f6k\u00fclmeyi h\u0131zland\u0131ran fakt\u00f6rler olarak g\u00f6ze \u00e7arpar\u201d diye konu\u015ftu.<\/p>\n
Op. Dr. Onurkan \u0130dac\u0131, sa\u00e7 ekimi konusunad ise \u015funlar\u0131 s\u00f6yledi;<\/p>\n
\u201cLokal anestezi alt\u0131nda yap\u0131lan bir ameliyat olan sa\u00e7 ekimi prosed\u00fcr\u00fcn a\u011f\u0131rl\u0131\u011f\u0131 dolay\u0131s\u0131yla uzman hekimler taraf\u0131ndan y\u00f6netilmesi gereken bir i\u015flemdir. Temelde iki kulak aras\u0131nda, ense k\u0131sm\u0131nda kalan, d\u00f6k\u00fclmemeye programlanm\u0131\u015f sa\u00e7 k\u00f6klerinin sa\u00e7 kayb\u0131 olan b\u00f6lgeye transferini i\u00e7eren bir doku naklidir.<\/p>\n
Operasyon \u00f6ncesinde sa\u00e7 \u00e7izgisi planlamas\u0131 hasta ile birlikte yap\u0131l\u0131r. B\u00f6lge i\u015faretlenir. Sa\u00e7lar t\u0131ra\u015f makinesi yard\u0131m\u0131yla kesilir. Hasta y\u00fcz \u00fcst\u00fc yat\u0131r\u0131l\u0131r. Sinir blokajlar\u0131 ve lokal anestezi ile hastan\u0131n a\u011fr\u0131 duymas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilir. \u0130lk a\u015fama sa\u00e7 k\u00f6klerinin al\u0131nmas\u0131d\u0131r. S\u00fcre al\u0131nacak sa\u00e7 k\u00f6k\u00fc say\u0131s\u0131na g\u00f6re de\u011fi\u015fmektedir. Sa\u00e7 k\u00f6kleri al\u0131n\u0131rken yard\u0131mc\u0131 eleman sa\u00e7 k\u00f6klerini tiplerine g\u00f6re dizmektedir. Daha kaliteli ve tek k\u00f6k i\u00e7eren \u00f6rnekler daha g\u00f6r\u00fcn\u00fcr olan \u00f6n k\u0131s\u0131m i\u00e7in ayr\u0131l\u0131r ve dizilir. Al\u0131m i\u015flemi tamamland\u0131ktan sonra, hasta kald\u0131r\u0131l\u0131r ve dinlendirilir. \u0130stendi\u011fi durumlarda hasta bu s\u0131rada yemek yiyebilir. \u0130kinci b\u00f6l\u00fcmde hasta s\u0131rt \u00fcst\u00fc yat\u0131r\u0131l\u0131r ve ekim i\u015flemi yap\u0131l\u0131r. Ekim i\u015flemi sonras\u0131nda pansuman ile alan kapat\u0131l\u0131r\u201d<\/p>\n
Op. Dr. Onurkan \u0130dac\u0131, sa\u00e7 ekimi sonras\u0131 iki g\u00fcnl\u00fck bandaj ard\u0131ndan sa\u00e7\u0131n y\u0131kanmaya ba\u015fland\u0131\u011f\u0131n\u0131 belirterek, \u201cYaralar yakla\u015f\u0131k on g\u00fcn i\u00e7inde iyile\u015fir ve kabuklar d\u00f6k\u00fcl\u00fcr. Sonraki s\u00fcre\u00e7te yakla\u015f\u0131k alt\u0131 ay kadar mevcut k\u00f6klerdeki sa\u00e7lar\u0131n d\u00f6k\u00fcl\u00fcp tekrar \u00e7\u0131kma periyodu ger\u00e7ekle\u015fir. Alt\u0131 ay-bir y\u0131l aras\u0131 s\u00fcre\u00e7te de sa\u00e7lar\u0131n uzay\u0131p do\u011fal hallerine ula\u015fmas\u0131 beklenir. Ekilen k\u00f6klerdeki sa\u00e7lar kal\u0131c\u0131d\u0131r ve \u00f6m\u00fcr boyu d\u00f6k\u00fclmez. Erken d\u00f6nemde verici alana ilk kontrolde yap\u0131lan pansuman yeterli olmaktad\u0131r. Sa\u00e7 ekimi yap\u0131lan b\u00f6lgeye ise \u00f6zel \u015fampuan ve losyonlar ile y\u0131kama yap\u0131lmaktad\u0131r. Ekim yap\u0131lan b\u00f6lgedeki sa\u00e7lar\u0131n b\u00fcy\u00fck k\u0131sm\u0131 3. haftada d\u00f6k\u00fclmeye ba\u015flar ve 3. ayda yeniden \u00e7\u0131kmaya ba\u015flar. Sa\u00e7lar\u0131n ayda ortalama 1 cm uzayaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcrse tatmin edici sonu\u00e7lar\u0131 g\u00f6rmek i\u00e7in ortalama 6 ay beklemek gereklidir\u201d diye konu\u015ftu.<\/p>\n
Op. Dr. Onurkan \u0130dac\u0131, sa\u00e7 ekiminde ba\u015far\u0131n\u0131n anahtarlar\u0131n\u0131 ise \u015f\u00f6yle aktard\u0131; \u201cUygun cerrahi \u015fartlar\u0131n sa\u011flanmas\u0131 kadar sonradan olu\u015fabilecek suni g\u00f6r\u00fcnt\u00fclere sebebiyet vermemek i\u00e7in uygun sa\u00e7 \u00e7izgisinin planlanmas\u0131, k\u00f6klerin s\u0131kl\u0131\u011f\u0131n\u0131n ve y\u00f6n\u00fcn\u00fcn iyi ayarlanmas\u0131 ve i\u015flem sonras\u0131nda uygun bak\u0131m prosed\u00fcrlerinin uygulanmas\u0131 elzemdir. \u00d6nceden var olan sa\u00e7lar\u0131n korunmas\u0131 ve ekilen sa\u00e7lar\u0131n daha sa\u011fl\u0131kl\u0131 b\u00fcy\u00fcmesi i\u00e7in cerrahi sonras\u0131n\u0131n PRP ile de desteklenmesi daha ba\u015far\u0131l\u0131 sonu\u00e7lar verecektir.<\/p>\n
Sa\u00e7 ekimi prosed\u00fcrleri, g\u00fcn\u00fcm\u00fczde \u00e7ok fazla suiistimal edilen bir konudur. Estetik ve Plastik Cerrahi Uzman\u0131 olmayan baz\u0131 bran\u015f doktorlar\u0131, pratisyen hekimler hatta baz\u0131 merkezlerde sa\u011fl\u0131k personeli dahi olmayan ki\u015filer taraf\u0131ndan sa\u00e7 ekimi i\u015flemi yap\u0131lmaktad\u0131r. Do\u011fru olan ise, Estetik ve Plastik Cerrahi Uzman\u0131 y\u00f6netiminde bir ekip taraf\u0131ndan, steril ko\u015fullarda (Ameliyathane ko\u015fullar\u0131) en az iki ki\u015filik bir ekiple sa\u00e7 ekiminin yap\u0131lmas\u0131d\u0131r. Ameliyat\u0131n uzun s\u00fcrmesi nedeniyle ekip olarak yap\u0131lmas\u0131 ba\u015far\u0131n\u0131n kap\u0131lar\u0131n\u0131 a\u00e7ar.<\/p>\n
Prensip olarak sa\u00e7 ekimi, ba\u015f\u0131n yan ve arka b\u00f6lgesinde bulunan ve d\u00f6k\u00fclmeme \u00f6zelli\u011fine sahip sa\u00e7 k\u00f6klerinin sa\u00e7s\u0131z alanlara transfer edilmesine dayan\u0131r. G\u00fcn\u00fcm\u00fczde uygulanan iki teknik vard\u0131r. FUE (Folik\u00fcler \u00dcnite Ekstraksiyonu) tekni\u011finde sa\u00e7 k\u00f6kleri bu i\u015f i\u00e7in tasarlanm\u0131\u015f bir motor ve \u00f6zel i\u011fneler yard\u0131m\u0131yla al\u0131n\u0131r ve al\u0131c\u0131 alana ekilir. Sa\u00e7 say\u0131s\u0131n\u0131n yetmedi\u011fi durumlarda s\u0131rt ve g\u00f6\u011f\u00fcs b\u00f6lgesinden de k\u0131l k\u00f6kleri al\u0131nabilir. FUE tekni\u011fi son y\u0131llarda ba\u015far\u0131 ile uygulanm\u0131\u015f ve iyi sonu\u00e7lar\u0131 ile sa\u00e7 ekimini g\u00fcndeme ta\u015f\u0131m\u0131\u015f olan tekniktir.<\/p>\n
Uygulad\u0131\u011f\u0131m\u0131z her iki prosed\u00fcrde de greft denilen doku par\u00e7alar\u0131n\u0131n ense b\u00f6lgesinden mikro motor yard\u0131m\u0131yla al\u0131nmas\u0131 standartt\u0131r. Greftler uygun bi\u00e7imde al\u0131n\u0131p, s\u0131n\u0131flan\u0131p, say\u0131ld\u0131ktan sonra FUE olarak adland\u0131r\u0131lan y\u00f6ntemde, i\u011fneler arac\u0131l\u0131\u011f\u0131yla a\u00e7\u0131lan kanallara yerle\u015ftirilir. DHI ad\u0131n\u0131 verdi\u011fimiz do\u011frudan ekim y\u00f6ntemindeyse greft, kaleme benzer bir cihaz\u0131n ucuna yerle\u015ftirildikten sonra \u00f6nceden kanal a\u00e7\u0131lmaks\u0131z\u0131n kalemin ucunun a\u00e7t\u0131\u011f\u0131 kanala do\u011frudan yerle\u015ftirilir. DHI y\u00f6ntemi bu haliyle birim alana daha s\u0131k ekim, sa\u00e7 y\u00f6nlerinin daha d\u00fczg\u00fcn ayarlanma imk\u00e2n\u0131 ve dokuyu daha az travmatize etme avantajlar\u0131n\u0131 beraberinde getirir.<\/p>\n
DHI (Direct Hair Implantation), son d\u00f6nemde FUE tekni\u011finin geli\u015ftirilmesi ile ortaya \u00e7\u0131kan ve daha s\u0131k ekim yap\u0131lmas\u0131 olana\u011f\u0131n\u0131 hastalara sunan tekniktir. Kamuoyu taraf\u0131ndan kalemli ekim olarak bilinen bu y\u00f6ntemde yakla\u015f\u0131k iki kat daha s\u0131k sa\u00e7lara kavu\u015fmak m\u00fcmk\u00fcn olmaktad\u0131r. Al\u0131nan k\u00f6kler \u00f6zel kalemlerle, direk olarak cilt i\u00e7ine ekilmektedir. Kanal a\u00e7ma prosed\u00fcr\u00fcn\u00fc ortadan kald\u0131rmas\u0131 nedeniyle ekim sonras\u0131 kabuklanma en az seviyeye inmektedir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
ESTET\u0130K PLAST\u0130K VE REKONSTR\u00dcKT\u0130F CERRAH\u0130 UZMANI OP. DR. ONURKAN \u0130DACI, FAZLA STRES\u0130N KADINLARDA SA\u00c7 D\u00d6K\u00dcLMES\u0130NE NEDEN OLDU\u011eUNU BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":166254,"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":[20172,2142,3901,31895,14017],"class_list":["post-166253","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dokuyor","tag-fazla","tag-kadinlarda","tag-saclari","tag-stres"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/06\/fazla-stres-kadinlarda-saclari-dokuyor_421110b.jpg?fit=529%2C530","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Hfv","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/166253","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=166253"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/166253\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/166254"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=166253"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=166253"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=166253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}