Genel Cerrahi Uzman\u0131 Prof. Dr. Cem Terzi, s\u0131cak kemoterapinin (H\u0130PEK) baz\u0131 kanser tu\u00a8rlerinin ileri evresinde, ameliyat s\u0131ras\u0131nda genel cerrahlar taraf\u0131ndan uyguland\u0131g\u02c6\u0131n\u0131 belirterek, \u201cS\u0131cak kemoterapi kanser tedavisinde bas\u00b8l\u0131 bas\u00b8\u0131na bir tedavi de\u011fil, bir alternatif tedavi yo\u00a8ntemi de deg\u02c6ildir\u201d dedi.<\/p>\n
Genel Cerrahi Uzman\u0131 Prof. Dr. Cem Terzi, Kent Onkoloji Merkezinde Op. Dr. Mustafa Go\u00a8ztok ile birlikte uygulad\u0131klar\u0131 Hipertermik \u0130ntraperitoneal Kemoterapi (HI\u00b7PEK), halk aras\u0131nda ise \u201cs\u0131cak kemoterapi\u201d denilen tedavi konusunda hastalar\u0131n ayd\u0131nlat\u0131c\u0131 bilgilere ihtiyac\u0131 oldug\u02c6unu so\u00a8yledi. S\u0131cak kemoterapinin, ad\u0131nda \u201ckemoterapi\u201d yer ald\u0131g\u02c6\u0131 ic\u00b8in her kanser hastas\u0131na uygulanabilecek bir tedavi yo\u00a8ntemi olarak alg\u0131land\u0131g\u02c6\u0131n\u0131 belirten Prof. Dr. Terzi, \u201cO\u00a8ncelikle bilinmesi gereken kanser tedavisi bir hekimin tek bas\u00b8\u0131na alacag\u02c6\u0131 kararla yap\u0131lan bir tedavi deg\u02c6ildir, olmamal\u0131d\u0131r. Multidisipliner bir yaklas\u00b8\u0131m ister. O da c\u00b8es\u00b8itli brans\u00b8lardan uzmanlar\u0131n bir araya gelerek hasta ic\u00b8in en dog\u02c6ru tedavi (kemoterapi, radyoterapi ya da cerrahi) yo\u00a8ntemini belirlemeleriyle olur. Hastan\u0131n yas\u00b8\u0131ndan cinsiyetine, kilosuna, boyuna, fiziki durumundan varsa dig\u02c6er hastal\u0131klar\u0131na kadar c\u00b8ok c\u00b8es\u00b8itli fakto\u00a8r deg\u02c6erlendirilerek kis\u00b8iye o\u00a8zel tedavi program\u0131 planlan\u0131r. S\u0131cak kemoterapi (HI\u00b7PEK), bu yo\u00a8ntemler aras\u0131ndaki cerrahi tedavi ic\u00b8inde yer alan bir uygulamad\u0131r. S\u0131cak kemoterapi kanser tedavisinde bas\u00b8l\u0131 bas\u00b8\u0131na bir tedavi de\u011fil, bir alternatif tedavi yo\u00a8ntemi de deg\u02c6ildir\u201d dedi.<\/p>\n
S\u0131cak kemoterapinin etkili olabilmesi i\u00e7in ameliyatta t\u00fcm kanserli dokunun, organlar\u0131n tamamen \u00e7\u0131kar\u0131lmas\u0131 gerekti\u011fini ifade eden Prof. Dr. Terzi, \u201cS\u0131cak kemoterapi, bunun akabinde tamamlay\u0131c\u0131 olarak uygulan\u0131r. G\u00f6zle g\u00f6r\u00fclen b\u00fcy\u00fckl\u00fckteki kansere etkili de\u011fildir. Onlar\u0131n ameliyatta \u00e7\u0131kar\u0131lmas\u0131 gerekir. G\u00f6zle g\u00f6r\u00fclmeyecek kadar k\u00fc\u00e7\u00fck 2 mm \u00e7ap\u0131ndaki kanserlere H\u0130PEK etki eder. Ayr\u0131ca her kanser hastas\u0131na uygulanmaz. I\u00b7leri evre rektum, kolon, apendiks, yumurtal\u0131k kanserleri ve periton hu\u00a8crelerinden kaynaklanan periton kanseri ya da mezotelyoma (bir t\u00fcr kar\u0131n zar\u0131 kanseri) gibi vakalara uygulan\u0131r\u201d diye konu\u015ftu.<\/p>\n
\u201cOnkologlar deg\u02c6\u0131\u00b7l genel cerrahlar uygular\u201d<\/p>\n
S\u0131cak kemoterapi uygulamas\u0131n\u0131n bir ekip is\u00b8i oldug\u02c6unu, Kent Onkoloji Merkezi gibi say\u0131l\u0131 merkezlerde uygulanabildig\u02c6ini kaydeden Prof. Dr. Cem Terzi, s\u00f6zlerini s\u00b8o\u00a8yle su\u00a8rdu\u00a8rdu\u00a8:<\/p>\n
\u201cBilinenin aksine de s\u0131cak kemoterapi uygulamas\u0131 bu kanser vakalar\u0131n\u0131n ameliyat\u0131 s\u0131ras\u0131nda genel cerrahlar taraf\u0131ndan yap\u0131l\u0131r. Yani bu tedaviyi onkolog uygulamaz. Onkolog, cerrah ile birlikte hangi ilac\u0131n kullan\u0131laca\u011f\u0131na karar verir, uygulamay\u0131 cerrah yapar. Ameliyat ile kanserin yerles\u00b8tig\u02c6i bag\u02c6\u0131rsak ve yay\u0131l\u0131m yapt\u0131g\u02c6\u0131 kar\u0131n zar\u0131 bo\u00a8lgelerinin c\u00b8\u0131kar\u0131lmas\u0131n\u0131n ard\u0131ndan yaklas\u00b8\u0131k 43 derece s\u0131cakl\u0131ktaki s\u0131v\u0131 kar\u0131n bos\u00b8lug\u02c6una kemoterapik ilac\u00b8la birlikte verilir. \u00d6zel bir pompa arac\u0131l\u0131\u011f\u0131 ile 60-90 dakika kar\u0131na s\u0131cak kemoterapi uygulan\u0131r. I\u00b7s\u00b8te buna HI\u00b7PEK ya da s\u0131cak kemoterapi diyoruz. H\u0130PEK tedavisi; ameliyat\u0131 kar\u0131n bos\u00b8lug\u02c6unda \u0131s\u0131t\u0131lm\u0131s\u00b8 kemoterapi ile birles\u00b8tirerek tu\u00a8m kanser hu\u00a8crelerini kar\u0131n bos\u00b8lug\u02c6undan radikal bic\u00b8imde uzaklas\u00b8t\u0131rmaya c\u00b8al\u0131s\u00b8\u0131r. Bu tedavinin amac\u0131 uzun su\u00a8reli sag\u02c6kal\u0131m\u0131 sag\u02c6lamak, hatta hastay\u0131 tam tedavi etmektir. Etkin bir cerrahi sonras\u0131 HI\u00b7PEK, baz\u0131 hastalar ic\u00b8in k\u00fcr sa\u011flayan yani hastal\u0131\u011f\u0131 tamamen yok eden bu y\u00fczden de hayat kurtaran bir tedavi olabilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
GENEL CERRAH\u0130 UZMANI PROF. DR. CEM TERZ\u0130, HASTALARIN \u201cSICAK KEMOTERAP\u0130\u201d OLARAK ADLANDIRILAN TEDAV\u0130Y\u0130 KANSER TEDAV\u0130S\u0130NDE YEN\u0130 B\u0130R YO\u0308NTEM SANARAK PES\u0327\u0130NE DU\u0308S\u0327TU\u0308KLER\u0130N\u0130 SO\u0308YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[10338,3932,13131,256,17259],"class_list":["post-198118","post","type-post","status-publish","format-standard","hentry","category-genel","tag-alternatif","tag-degildir","tag-kemoterapi","tag-sicak","tag-yontem"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Pxs","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/198118","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=198118"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/198118\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=198118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=198118"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=198118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}