VM Medical Park Kocaeli Hastanesi Genel Cerrahi Uzman\u0131 Op. Dr. Faruk \u00d6zkul, halk aras\u0131nda \u2019basur\u2019 veya \u2019mayas\u0131l\u2019 hastal\u0131\u011f\u0131 olarak bilinen hemoroid tedavisindeki son geli\u015fmeler hakk\u0131nda bilgiler vererek, hastal\u0131klarda koruyucu \u00f6nlemleri a\u00e7\u0131klad\u0131. Op. Dr. \u00d6zkul, \u201cHemoroidden korunmak i\u00e7in \u00f6zellikle yaz aylar\u0131ndaki karpuz, kay\u0131s\u0131, \u015feftali gibi bol sulu ve lifli g\u0131dalar\u0131n bol al\u0131nmas\u0131 \u00f6nerilir\u201d dedi.<\/p>\n
Genel Cerrahi Uzman\u0131 Op. Dr. Faruk \u00d6zkul, “Hemoroidal hastal\u0131klar, halk aras\u0131nda basur veya mayas\u0131l hastal\u0131\u011f\u0131 olarak bilinir. Kal\u0131n ba\u011f\u0131rsa\u011f\u0131n son k\u0131sm\u0131 olan rektumun ve makat\u0131n \u00e7evresindeki toplar damarlar\u0131n bozuklu\u011fundan olu\u015fur. Dolay\u0131s\u0131yla hastalar bize en \u00e7ok makattan kanama ve a\u011fr\u0131 \u015fikayeti ile ba\u015fvururlar. \u0130lk belirti makatta ka\u015f\u0131nt\u0131 ve rahats\u0131zl\u0131k hissi de olabilir. Bu semptomlar hemoroidal damarlar\u0131n anormal geni\u015flemesiyle ortaya \u00e7\u0131kar. Makat \u00e7evresindeki toplar damarlar adeta balonla\u015f\u0131r. Bu balonla\u015fma alan\u0131na kan p\u0131ht\u0131s\u0131 \u00e7\u00f6kerse \u2018tromboze hemoroid\u2019 dedi\u011fimiz bir komplikasyon olu\u015fur. Hastaya verdi\u011fi a\u011fr\u0131 \u00e7ok \u015fiddetlidir. Hasta kal\u00e7as\u0131n\u0131n \u00fczerine oturamaz. A\u011fr\u0131dan uyuyamaz mutlaka bir sa\u011fl\u0131k kurulu\u015funa ba\u015fvurur. E\u011fer hemoroidal damarlardaki geni\u015fleme, i\u00e7 hemoroidlerde ise hasta o zaman kar\u015f\u0131m\u0131za makattan kanama ile gelir. Bazen bu kanama o kadar \u00f6nemli olur ki hastan\u0131n kan de\u011ferlerini d\u00fc\u015f\u00fcr\u00fcr” dedi.<\/p>\n
4 evreden ikisinde cerrahi \u015fart<\/p>\n
Hemoroidal hastal\u0131klar\u0131n 4 evresi oldu\u011funu belirten Dr. \u00d6zkul, “Hemoroidal hastal\u0131klar\u0131n 4 evresi vard\u0131r. Birinci evrede hastada sadece makatta rahats\u0131zl\u0131k hissi ve ka\u015f\u0131nt\u0131 olu\u015fur. \u0130kinci evrede ancak doktor muayenesiyle tespit edilebilecek kadar az hemoroidal damarlarda geni\u015fleme vard\u0131r. Bu iki evrede hastalara koruyucu ve \u00f6nleyici \u00f6nerilerde bulunulur. Hastalara ila\u00e7 tedavisi yararl\u0131 ve yeterlidir. \u00dc\u00e7\u00fcnc\u00fc evre hemoroidlerde as\u0131l problem, \u015fi\u015fen memelerin \u0131k\u0131nma ile ele gelmesi, kanama ve a\u011fr\u0131 yapmas\u0131d\u0131r. Bu safhaya gelmi\u015f hastal\u0131kta art\u0131k ila\u00e7 tedavisi yeterli olamaz. Hastalara baz\u0131 cerrahi y\u00f6ntemler uygulamak gerekir. Evre 4 ise art\u0131k hemoroid memelerinin makattan kendili\u011finden d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131 ve elle bile i\u00e7eri itilememesi \u015feklindeki durumdur. Bu evredeki hastalar\u0131n cerrahi tedaviden ba\u015fka \u015fans\u0131 yoktur” diye konu\u015ftu.<\/p>\n
Ba\u011f\u0131rsaklara al\u0131\u015fkanl\u0131k kazand\u0131r\u0131lmal\u0131<\/p>\n
Dr. \u00d6zkul, “Bu \u00f6neriler ki\u015filerin hi\u00e7 hemoroidal hastal\u0131\u011fa yakalanmamalar\u0131 veya mevcut hastal\u0131klar\u0131n\u0131n evrelerinin ilerlememesi i\u00e7in gereklidir. Hastalara d\u00fczenli ba\u011f\u0131rsak al\u0131\u015fkanl\u0131\u011f\u0131 kazand\u0131r\u0131lmas\u0131; yani hastalar\u0131n g\u00fcnl\u00fck olarak yakla\u015f\u0131k ayn\u0131 saatlerde d\u0131\u015fk\u0131lama yapmas\u0131 \u00f6nemlidir. Ba\u011f\u0131rsaklar\u0131m\u0131z kolay al\u0131\u015fkanl\u0131k kazanan organlar\u0131m\u0131zd\u0131r. Hastalar\u0131n d\u0131\u015fk\u0131lama hissi geldi\u011finde hemen bekletmeden tuvalete gitmeleri \u00f6nerilir. \u00c7\u00fcnk\u00fc bekletmekle gaitan\u0131n su k\u0131sm\u0131 ba\u011f\u0131rsaklar taraf\u0131ndan geri emilir. Sonu\u00e7ta d\u0131\u015fk\u0131 daha sert hale gelir. Bu da kab\u0131zl\u0131k ve \u0131k\u0131nma ile d\u0131\u015fk\u0131lamaya yol a\u00e7ar. A\u015f\u0131r\u0131 \u0131k\u0131narak d\u0131\u015fk\u0131lamak hemoroidal hastal\u0131klara yol a\u00e7ar. Mevcut hastal\u0131\u011f\u0131n da evresini artt\u0131r\u0131r. Hastalar\u0131n diyetinin d\u00fczenlenmesi; bunun i\u00e7in ba\u011f\u0131rsaklarda ve d\u0131\u015fk\u0131lamada irritasyona neden olan a\u015f\u0131r\u0131 ac\u0131l\u0131 yemekler, kolal\u0131 i\u00e7eceklerden uzak durmak lifli g\u0131dalar\u0131n sebze yemeklerinin oran\u0131n\u0131n artt\u0131r\u0131lmas\u0131 gerekir” dedi.<\/p>\n
“Sulu meyveler ve lifli sebzelerle beslenin”<\/p>\n
Sulu meyve ve lifli sebzelerle beslenilmesi gerekti\u011fini ifade eden Dr. \u00d6zkul, “T\u00fcm sebzeler, meyveler \u00f6zellikle yaz aylar\u0131ndaki karpuz, kay\u0131s\u0131, \u015feftali gibi bol sulu ve lifli g\u0131dalar\u0131n bol al\u0131nmas\u0131 \u00f6nerilir. Diyetteki lif oran\u0131n\u0131n sebzelerin artt\u0131r\u0131lmas\u0131 d\u0131\u015fk\u0131y\u0131 yumu\u015fat\u0131r. Ayr\u0131ca lif oran\u0131 artan d\u0131\u015fk\u0131 su \u00e7eker ve yo\u011fun yumu\u015fak bir hal al\u0131r. Bu da rahat d\u0131\u015fk\u0131lamaya neden olur. Hemoroid hastalar\u0131n\u0131n bu \u015fekilde beslenmesi hastal\u0131\u011f\u0131n evresinin artmas\u0131n\u0131 \u00f6nler. Hastalar\u0131n her d\u0131\u015fk\u0131lama sonras\u0131 s\u0131cak su ile makat b\u00f6lgelerine du\u015f tutmalar\u0131 \u00f6nerilir; \u00e7\u00fcnk\u00fc makat kaslar\u0131 a\u015f\u0131r\u0131 gergin olmas\u0131 durumunda, d\u0131\u015fk\u0131 yaparken gev\u015feyemez ve hemoroidlerin \u015fi\u015fmesine hatta makatta y\u0131rt\u0131klara neden olur. Spazm\u0131n s\u0131cak su ile gev\u015fetilmesi, makat b\u00f6lgesine s\u0131cak su ile du\u015f tutulmas\u0131, s\u0131cak banyo ve k\u00fcvetler, hatta kapl\u0131ca tedavileri \u00e7ok faydal\u0131d\u0131r. Beraberinde antiinflamatuar dedi\u011fimiz ila\u00e7lar\u0131n kullan\u0131lmas\u0131 makat b\u00f6lgesindeki a\u011fr\u0131 ve rahats\u0131zl\u0131k hissisini ciddi anlamda rahatlat\u0131r” \u015feklinde konu\u015ftu.<\/p>\n
Hemoridal hastal\u0131klarda lazer tedavisi<\/p>\n
Op. Dr. Faruk \u00d6zkul, “Evre 3. ve 4. hemoroidal hastal\u0131kta koruyucu ve \u00f6nleyici y\u00f6ntemlerin kullan\u0131lmas\u0131 yeterli gelmez. \u00d6zellikle evre 3 hastalarda kullan\u0131lan \u2018lazer hemoroidopeksi\u2019 ameliyat\u0131 \u00e7ok konforlu \u00fcst d\u00fczey bir tekniktir. Tecr\u00fcbeli bir ekip ile yap\u0131lan lazer cihaz\u0131 kullan\u0131larak yap\u0131lan ameliyatta herhangi bir doku \u00e7\u0131kart\u0131lmaz. Hastan\u0131n hemoroid memeleri y\u00fcksek \u0131s\u0131 ve \u0131\u015f\u0131k veren lazer \u00e7ubu\u011fu ile adeta m\u00fch\u00fcrlenir ve s\u00f6nd\u00fcr\u00fcl\u00fcr. Hastaya diki\u015f at\u0131lmaz, kanamas\u0131 olmaz. Hasta isterse ayn\u0131 g\u00fcn taburcu edilebilir. Ameliyat sonras\u0131 \u015fiddetli a\u011fr\u0131lar\u0131 olmaz. Hastada cerrahi yara olmad\u0131\u011f\u0131 i\u00e7in pansumana gerek yoktur. Evre 4 hastalarda ise lazer ile ba\u015far\u0131 \u015fans\u0131 evre 3\u2019e g\u00f6re azd\u0131r. Bu y\u00fczden hastalar\u0131m\u0131z\u0131n ilerlemeden bir an \u00f6nce uygun merkeze ba\u015fvurmalar\u0131 gerekir. Evre 4 hemoridal hastal\u0131kta ise klasik cerrahi y\u00f6nteme g\u00f6re daha konforlu olan \u2018longo hemoroidopeksi\u2019 tekni\u011fi kullan\u0131labilir. Bu teknikte de hasta ertesi g\u00fcn\u00fc taburcu edilebilir ve klasik cerrahiye g\u00f6re daha az a\u011fr\u0131l\u0131d\u0131r. Pansuman gerektirmez. G\u00fcn\u00fcm\u00fczde geli\u015fen teknolojik cihazlar\u0131n hemoroid ameliyatlar\u0131nda kullan\u0131lmas\u0131yla bu hastal\u0131ktan kurtulmak art\u0131k daha kolay ve zahmetsizdir. Ancak bu hastal\u0131klar\u0131n tedavisini zorla\u015ft\u0131ran en \u00f6nemli neden hastalar\u0131n utanma ve s\u0131k\u0131lma nedeniyle doktora ge\u00e7 ba\u015fvurmalar\u0131d\u0131r. Hastal\u0131\u011f\u0131n evresi ge\u00e7 ba\u015fvurma nedeniyle ilerlemi\u015f ve kronik hal alm\u0131\u015f olur. Bu da tedavi se\u00e7eneklerini azaltmakta ve tedaviyi zorla\u015ft\u0131rmaktad\u0131r” ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
VM MED\u0130CAL PARK KOCAEL\u0130 HASTANES\u0130 GENEL CERRAH\u0130 UZMANI OP. DR. FARUK \u00d6ZKUL, HEMORO\u0130D TEDAV\u0130S\u0130NDEK\u0130 SON GEL\u0130\u015eMELER HAKKINDA B\u0130LG\u0130 VERD\u0130<\/p>\n","protected":false},"author":1,"featured_media":189224,"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":[47210,192,26446,10726,46473],"class_list":["post-189223","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-hemoroidden","tag-ile","tag-karpuz","tag-korunun","tag-seftali"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/hemoroidden-karpuz-ve-seftali-ile-korunun_65bc405.jpg?fit=1000%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-NdZ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/189223","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=189223"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/189223\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/189224"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=189223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=189223"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=189223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}