SAMSUN (\u0130HA) \u2013 \u00dcroloji Uzman\u0131 Opr. Dr. Ahmet Gen\u00e7bay, \u201cB\u00f6brek ta\u015flar\u0131n\u0131n tedavisinde as\u0131l ama\u00e7 b\u00f6bre\u011fe en az zarar vererek maksimum ta\u015fs\u0131zl\u0131k sa\u011flamakt\u0131r\u201d dedi.<\/p>\n
Teknolojinin ilerlemesi ile birlikte b\u00f6brek ta\u015flar\u0131n\u0131n tedavisinde bir\u00e7ok alternatif tedavi se\u00e7eneklerin ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Medicana Samsun Hastanesinde \u00dcroloji Uzman\u0131 Opr. Dr. Ahmet Gen\u00e7bay, \u201cB\u00f6brek ta\u015flar\u0131n\u0131n tedavisinde as\u0131l ama\u00e7 b\u00f6bre\u011fe en az zarar vererek maksimum ta\u015fs\u0131zl\u0131k sa\u011flamakt\u0131r. Ge\u00e7mi\u015fte a\u00e7\u0131k cerrahi ile tedavi edilen b\u00f6brek ta\u015flar\u0131 son y\u0131llarda geli\u015fen teknoloji paralel olarak perk\u00fctan nefrolitotomi (PCNL), retrograd intrarenal cerrahi (RIRS) yada v\u00fccut d\u0131\u015f\u0131ndan \u015fok dalgalar\u0131 ile ta\u015f k\u0131rma (ESWL) tedavisi gibi bir\u00e7ok alternatif metotla tedavi edilmektedir. Gerek endoskopi teknolojisindeki ilerlemeler, gerekse lazer teknolojisindeki geli\u015fmeler sonucu yeni nesil fleksibl \u00fcreteroskoplar\u0131n klinik kullan\u0131ma girmesi ile b\u00f6brek ta\u015flar\u0131n\u0131n tedavisinde retrograd intrarenal cerrahi (RIRS) \u00f6nemli bir alternatif haline gelmi\u015ftir. G\u00fcn\u00fcm\u00fczde a\u00e7\u0131k cerrahiye, perk\u00fctan nefrolitotomiye (PCNL) gereksinim duyulmadan retrograd intrarenal cerrahi (RIRS) ile ba\u015far\u0131l\u0131 bir \u015fekilde tedavi edilmektedir\u201d diye konu\u015ftu.<\/p>\n
“Ta\u015flar\u0131 lazer enerjisiyle k\u0131r\u0131yoruz\u201d<\/p>\n
\u201cHastalar\u0131n do\u011fal anatomik bo\u015fluklar\u0131n\u0131 kullanarak herhangi bir kesme veya delme i\u015flemi yapmadan b\u00f6bre\u011fe ula\u015f\u0131p, ta\u015flar\u0131 lazer enerjisiyle k\u0131r\u0131yoruz\u201d diyen Opr. Dr. Gen\u00e7bay, \u201cTa\u015flar\u0131 kum taneciklerine d\u00f6n\u00fc\u015ft\u00fcr\u00fcyoruz. Kendili\u011finden rahat\u00e7a d\u00fc\u015febilecek 3 milim ve alt\u0131ndaki b\u00fcy\u00fckl\u00fcklere kadar par\u00e7al\u0131yoruz. Baz\u0131 hastalara ameliyat\u0131n durumuna ve ta\u015f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ba\u011fl\u0131 olarak stent konulabilir. Ki bu stent sayesinde hastalar ta\u015flar\u0131n\u0131 rahatl\u0131kla d\u00f6kebiliyor. Ertesi g\u00fcn hasta taburcu olup normal hayat\u0131na d\u00f6n\u00fcyor. Ameliyattan sonraki d\u00f6nemde a\u011fr\u0131 olduk\u00e7a az oluyor. Retrograd intrarenal cerrahinin (RIRS) d\u00fc\u015f\u00fck komplikasyon ve y\u00fcksek ba\u015far\u0131 oranlar\u0131 \u00fcrolojide kullan\u0131m\u0131n\u0131 h\u0131zl\u0131 bir \u015fekilde art\u0131rm\u0131\u015ft\u0131r. Bu tekni\u011fin \u00f6nemli bir avantaj\u0131 da, b\u00f6bre\u011finde do\u011fu\u015ftan anomali (rotasyon anomalisi, at nal\u0131 b\u00f6brek, kalisiel divertik\u00fcl vb.) olanlarda, obezlerde-\u015fi\u015fmanlarda, \u00e7ocuklarda, her iki b\u00f6bre\u011finde ta\u015f olanlarda ve kanama bozuklu\u011fu olan hastalara da uygulanabilmesidir\u201d \u015feklinde s\u00f6zlerini noktalad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00dcROLOJ\u0130 UZMANI DR. AHMET GEN\u00c7BAY, \u201cB\u00d6BREK TA\u015eLARININ TEDAV\u0130S\u0130NDE ASIL AMA\u00c7 B\u00d6BRE\u011eE EN AZ ZARAR VEREREK MAKS\u0130MUM TA\u015eSIZLIK SA\u011eLAMAKTIR\u201d DED\u0130<\/p>\n","protected":false},"author":1,"featured_media":216048,"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":[35185,11304,279,41265,22027,31948,19642,3185,54622,8953,41833,6871],"class_list":["post-216047","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-amac","tag-bobrek","tag-dr","tag-gencbay","tag-maksimum","tag-opr","tag-saglamak","tag-tasi","tag-tassizlik","tag-tedavisinde","tag-uroloji","tag-uzmani"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/uroloji-uzmani-opr-dr-gencbay-bobrek-tasi-tedavisinde-amac-maksimum-tassizlik-saglamak_e07b4d5.jpg?fit=738%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-UcD","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216047","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=216047"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216047\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/216048"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=216047"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=216047"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=216047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}