Medline Adana Hastanesi \u00c7ocuk Cerrahisi ve \u00dcrolojisi Uzman\u0131 Prof. Dr. Murat Alkan, inmemi\u015f testis rahats\u0131zl\u0131\u011f\u0131n\u0131n ilerde k\u0131s\u0131rl\u0131ktan kanser riskinin artmas\u0131na, testisin kaybedilmesinden \u00e7e\u015fitli psikolojik s\u0131k\u0131nt\u0131lara kadar bir\u00e7ok soruna yol a\u00e7abildi\u011fini bu hastal\u0131\u011f\u0131n ya\u015f ilerledik\u00e7e tedavi \u015fans\u0131 azald\u0131\u011f\u0131ndan vakit kaybetmeden \u00e7\u00f6z\u00fcmlenmesi gerekti\u011fini s\u00f6yledi.<\/p>\n
\u00c7ocuk Cerrahisi ve \u00dcrolojisi Uzman\u0131 Prof. Dr. Murat Alkan, erkek bebeklerin geli\u015fimi anne karn\u0131nda s\u00fcrerken, testis yap\u0131s\u0131n\u0131 olu\u015fturacak h\u00fccreler de b\u00f6breklerin alt taraf\u0131nda olu\u015fmaya ba\u015flad\u0131\u011f\u0131n\u0131 do\u011fumdan bir s\u00fcre sonra b\u00fcy\u00fcyen testislerin testis torbas\u0131na yerle\u015fti\u011fini ancak baz\u0131 bebeklerde testislerden biri ya da ikisinin torbaya inmedi\u011fini kas\u0131klarda, kar\u0131nda, penisin arka taraf\u0131nda ya da perianal b\u00f6lgede olabildi\u011fini bu durumun \u201cinmemi\u015f testis\u201d olarak adland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
\u0130nmemi\u015f testisin erkek \u00e7ocuklarda \u00e7ok s\u0131k g\u00f6r\u00fclen ve do\u011fu\u015ftan gelen bir durum oldu\u011funu ifade eden Prof. Dr. Murat Alkan, \u201c\u0130nmemi\u015f testis, bebek do\u011fdu\u011fu g\u00fcnden itibaren yap\u0131lan muayenelerde torba i\u00e7inde tek tarafl\u0131 veya iki tarafl\u0131 testislerin daimi olarak ele gelmemesi halidir. Testisin bir veya ikisinin torbada aral\u0131kl\u0131 olarak bulunmamas\u0131 durumu ise \u201cutanga\u00e7 testis\u201d olarak adland\u0131r\u0131l\u0131r. Utanga\u00e7 testis normal testisin farkl\u0131 bir \u015fekli olup, kendili\u011finden torban\u0131n d\u0131\u015f\u0131na \u00e7\u0131kabilir, sonra yine kendili\u011finden torbaya geri d\u00f6nebilir ve belli bir s\u00fcre torbada durabilir. Bu nedenle utanga\u00e7 testis ile inmemi\u015f testis ayr\u0131m\u0131 bazen olduk\u00e7a g\u00fc\u00e7 olabilir. Ayr\u0131ca e\u011fer iki tarafl\u0131 ele gelmeyen testis durumu varsa bu hastalar\u0131n genetik ve endokrinolojik olarak da ara\u015ft\u0131r\u0131lmas\u0131 gerekir\u201d dedi.<\/p>\n
\u0130nmezse ameliyat gerekiyor<\/p>\n
1 ya\u015f\u0131na kadar olan erkek \u00e7ocuklar\u0131n yakla\u015f\u0131k y\u00fczde 1\u2019inde inmemi\u015f testisin g\u00f6r\u00fclebildi\u011fini anlatan Alkan, \u201cBu rahats\u0131zl\u0131k erken do\u011fum veya d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131yla do\u011fan bebeklerde daha s\u0131k g\u00f6r\u00fcl\u00fcr. Hastalar\u0131n \u00fc\u00e7te birinde ise inmemi\u015f testis iki tarafl\u0131 olarak g\u00f6r\u00fclmektedir. Yeni do\u011fan bebeklerde genellikle 4 ila 6 ay gibi bir s\u00fcrede testislerin kendili\u011finden yerine inmesi beklenir. Bu zaman zarf\u0131nda bir geli\u015fme olmamas\u0131 halinde testislerin yerine getirilmesi i\u00e7in 6 aydan sonra ameliyat gerekebilir\u201d diye konu\u015ftu.<\/p>\n
Tan\u0131 koymada aileden al\u0131nacak olan hikaye ve fizik muayenenin \u00f6nemli oldu\u011funu vurgulayan Prof. Dr. Murat Alkan, \u201cTestislerin yerinin belirlenmesi i\u00e7in yap\u0131lacak g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinin ek bir katk\u0131s\u0131 olmamaktad\u0131r \u00e7\u00fcnk\u00fc bize bunu kesinlik d\u00fczeyinde g\u00f6stermezler. G\u00f6r\u00fcnt\u00fcleme i\u00e7in ultrasonografi ve manyetik rezonans tetkikleri kullan\u0131labilir. Ancak bunlar zaman kaybettirici ve do\u011fruluk oran\u0131 d\u00fc\u015f\u00fck tetkiklerdir. Ayr\u0131ca manyetik rezonans g\u00f6r\u00fcnt\u00fcleme anestezi yard\u0131m\u0131yla yap\u0131lmaktad\u0131r. Bu da \u00e7o\u011fu cerrahiye gidecek vakalar\u0131n ikinci kez anestezi almas\u0131na neden olur. Bilgisayarl\u0131 tomografi ise olas\u0131 radyasyon zarar\u0131ndan ka\u00e7\u0131nmak i\u00e7in tercih edilmez\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ge\u00e7 kal\u0131nmamal\u0131<\/p>\n
\u0130nmemi\u015f testis tan\u0131s\u0131 konulan bebeklerin 6 ayl\u0131k olur olmaz vakit kaybetmeden ameliyat plan\u0131 yap\u0131lmas\u0131 gerekti\u011fini anlatan Prof. Dr. Alkan, \u015funlar\u0131 kaydetti:<\/p>\n
\u201cTedaviye 6 ayl\u0131ktan itibaren ba\u015flanmal\u0131, testisi indirecek m\u00fcdahale 12. aya kadar tamamlanmal\u0131, en ge\u00e7 18. ayda bitirilmelidir. Burada ama\u00e7; yeterli hormon \u00fcretim \u015fans\u0131n\u0131 art\u0131rmak ve gelecekteki \u00e7ocuk sahibi olma \u00f6zelli\u011fini korumak, gereksiz g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131n\u0131 engellemek, ailenin endi\u015fesini azaltmak, varsa e\u015f zamanl\u0131 f\u0131t\u0131\u011f\u0131n\u0131 onarmak, kar\u0131n i\u00e7inde olup da g\u00f6zden ka\u00e7an testisin ileride olu\u015fturabilece\u011fi kanser riskini engellemek ve testis veya testisleri torban\u0131n i\u00e7ine yerle\u015ftirip normal anatomide tutarak psikolojik sorun olu\u015fumunun \u00f6n\u00fcne ge\u00e7mektir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MEDL\u0130NE ADANA HASTANES\u0130 \u00c7OCUK CERRAH\u0130S\u0130 VE \u00dcROLOJ\u0130S\u0130 UZMANI PROF. DR. MURAT ALKAN, \u0130NMEM\u0130\u015e TEST\u0130S RAHATSIZLI\u011eININ \u0130LERDE KISIRLIKTAN KANSER R\u0130SK\u0130N\u0130N ARTMASINA, TEST\u0130S\u0130N KAYBED\u0130LMES\u0130NDEN \u00c7E\u015e\u0130TL\u0130 PS\u0130KOLOJ\u0130K SIKINTILARA KADAR B\u0130R\u00c7OK SORUNA YOL A\u00c7AB\u0130LD\u0130\u011e\u0130N\u0130 BU HASTALI\u011eIN YA\u015e \u0130LERLED\u0130K\u00c7E TEDAV\u0130 \u015eANSI AZALDI\u011eINDAN VAK\u0130T KAYBETMEDEN \u00c7\u00d6Z\u00dcMLENMES\u0130 GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":216792,"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":[6873,35170,44799,8953,30811],"class_list":["post-216791","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gec","tag-inmemis","tag-kalmayin","tag-tedavisinde","tag-testis"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/inmemis-testis-tedavisinde-gec-kalmayin_01f834f.jpg?fit=670%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-UoD","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216791","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=216791"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216791\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/216792"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=216791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=216791"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=216791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}