\u00c7ocuk Cerrahisi Uzman\u0131 Op. Dr. Perihan Top\u00e7u, \u00e7ocuklardaki kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131n hafife al\u0131nmamas\u0131 gerekti\u011fini s\u00f6yledi.<\/p>\n
\u00c7ocuk cerrahisi uygulamalar\u0131nda en s\u0131k yap\u0131lan operasyonlardan birinin kas\u0131k f\u0131t\u0131\u011f\u0131 oldu\u011funu ifade eden Medicana Bursa Hastanesi \u00c7ocuk Cerrahisi Uzman\u0131 Op. Dr. Perihan Top\u00e7u, \u201cBebe\u011fin anne karn\u0131nda geli\u015fimi s\u0131ras\u0131nda, erkek \u00e7ocuklarda testis denilen yumurtal\u0131klar \u00f6nce b\u00f6breklerin \u00fcst kutbunda olu\u015fur ve daha sonra kar\u0131n i\u00e7ine g\u00f6\u00e7er. Do\u011fumdan 3 hafta \u00f6nce kas\u0131k kanal\u0131ndan ge\u00e7erek skrotum denilen torbalara iner. K\u0131zlarda ise yumurtal\u0131klar kar\u0131n i\u00e7inde kal\u0131r. Ancak rahimin kar\u0131n i\u00e7inde sabit durmas\u0131na yarayan ba\u011flardan round ligaman kas\u0131k kanal\u0131ndan ge\u00e7er. Kas\u0131k kanal\u0131ndan ge\u00e7en bu olu\u015fumlar beraberinde processus vaginalis denilen kar\u0131n zar\u0131n\u0131 da beraberinde s\u00fcr\u00fckler. Her on \u00e7ocu\u011fun dokuzunda bu zar kapan\u0131r. Ancak birinde ise kapanmaz. \u0130\u015fte bu zar\u0131n kapanmad\u0131\u011f\u0131 durumlarda, kar\u0131n bo\u015flu\u011fu ile skrotum ad\u0131 verilen torbalar aras\u0131nda bir kesecik olu\u015fur. Bu keseye kas\u0131k f\u0131t\u0131\u011f\u0131 denir\u201d diye konu\u015ftu.<\/p>\n
Bebe\u011fin ve \u00e7ocu\u011fun kas\u0131k b\u00f6lgesinde g\u00f6r\u00fclen ve ara ara kaybolan \u015fi\u015fli\u011fin en \u00f6nemli ve ilk belirtisi oldu\u011funu belirten Top\u00e7u, \u201cK\u0131zlarda labium majorda \u015fi\u015flik olur. Bu \u015fi\u015flik \u0131k\u0131nma, \u00f6ks\u00fcr\u00fck, a\u011flama gibi kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131n artt\u0131\u011f\u0131 durumlarda daha belirgin hale gelir. Kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131n azald\u0131\u011f\u0131 durumlarda ise k\u00fc\u00e7\u00fclebilir. Bu durum f\u0131t\u0131\u011f\u0131n ge\u00e7ti\u011fi anlam\u0131na gelmez. Kas\u0131k f\u0131t\u0131\u011f\u0131 tek tarafl\u0131 veya \u00e7ift tarafl\u0131 olabilir. Kas\u0131k f\u0131t\u0131\u011f\u0131 her ya\u015fta g\u00f6r\u00fclebilir. Bazen bir g\u00fcnl\u00fck bebekte g\u00f6r\u00fclebilirken bazen de ileri ya\u015flarda g\u00f6r\u00fclebilir. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131, g\u00fcn\u00fcnde do\u011fmu\u015f normal kilodaki bir \u00e7ocuk da y\u00fczde 1-3 iken, premat\u00fcr dedi\u011fimiz erken do\u011fan bebeklerde bu oran y\u00fczde 16-25\u2019dir. Kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131n tek tedavisi, \u00e7ocuk hangi ya\u015fta olursa olsun cerrahidir\u201d dedi.<\/p>\n
Te\u015fhisi konulur konulmaz uygun \u015fartlar sa\u011flan\u0131p, bir an \u00f6nce yap\u0131lmas\u0131 gereken acele bir ameliyat oldu\u011funa da dikkat \u00e7eken Top\u00e7u, \u201cAksi takdirde f\u0131t\u0131k kesesi i\u00e7ine kar\u0131n organlar\u0131 olan ba\u011f\u0131rsaklar, omentum, k\u0131zlarda yumurtal\u0131klar girerek s\u0131k\u0131\u015fabilirler. Bo\u011fulmu\u015f f\u0131t\u0131k dedi\u011fimiz bu durum son derece tehlikelidir. Bo\u011fulmu\u015f f\u0131t\u0131klarda ise hastan\u0131n hayat\u0131 risk alt\u0131na girebilir veya organ kayb\u0131 gibi durumlar ortaya \u00e7\u0131kabilir. Kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131 g\u00fcn\u00fcbirlik bir ameliyatt\u0131r. Yani ameliyat sonras\u0131 hasta hastanede kalmaz. Anestezi alt\u0131nda yap\u0131lmaktad\u0131r. E\u011fer \u00e7ocuk sa\u011fl\u0131kl\u0131 ise, beraberinde bir hastal\u0131\u011f\u0131 yoksa ameliyat \u00f6ncesi ilave bir tetkik gerektirmez. Ameliyat sonras\u0131 birka\u00e7 saat takip edilen hasta basit bir a\u011fr\u0131 kesici ile eve g\u00f6nderilir\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7OCUK CERRAH\u0130S\u0130 UZMANI OP. DR. PER\u0130HAN TOP\u00c7U, \u00c7OCUKLARDAK\u0130 KASIK FITI\u011eININ HAF\u0130FE ALINMAMASI GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":223293,"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":[8107,31968,30182,13068,24746],"class_list":["post-223292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-almayin","tag-cocuklardaki","tag-fitigini","tag-hafife","tag-kasik"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/cocuklardaki-kasik-fitigini-hafife-almayin_8a43b24.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-W5u","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/223292","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=223292"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/223292\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/223293"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=223292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=223292"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=223292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}