Guatr\u0131n v\u00fccudun metabolizma hormonlar\u0131n\u0131 salg\u0131layan tiroit bezinin, kanser olmayan b\u00fcy\u00fcmeleri ile ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 s\u00f6yleyen Genel Cerrahi Uzman\u0131 Prof. Dr. Alihan G\u00fcrkan, “S\u0131kl\u0131kla iyot azl\u0131\u011f\u0131na ba\u011fl\u0131 olarak geli\u015fen guatr hastal\u0131\u011f\u0131, T\u00fcrkiye\u2019de yayg\u0131n olarak Karadeniz ve Akdeniz B\u00f6lgesi\u2019nin i\u00e7 kesimlerinde kar\u015f\u0131m\u0131za \u00e7\u0131k\u0131yor. Genetik olmayan bu rahats\u0131zl\u0131kta, aile bireylerinin ayn\u0131 b\u00f6lgede ve ayn\u0131 \u015fartlarda ya\u015famas\u0131 g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131 art\u0131r\u0131yor” dedi.<\/p>\n
Hasta olan tiroit belirti verir<\/p>\n
Farkl\u0131 \u015fekillerde ve t\u00fcrlerde ortaya \u00e7\u0131kabilen guatr hastal\u0131\u011f\u0131n temelinde, tiroit bezinin b\u00fcy\u00fcyerek a\u015f\u0131r\u0131 hormon salg\u0131lamas\u0131n\u0131n yer ald\u0131\u011f\u0131n\u0131 belirten Memorial Antalya Hastanesi Genel Cerrahi B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. Alihan G\u00fcrkan, sa\u011fl\u0131kl\u0131 bireylerde d\u0131\u015far\u0131dan fark edilmedi\u011fi gibi el ile de hissedilemeyen tiroit bezinin, guatr hastalar\u0131nda g\u00f6zle g\u00f6r\u00fclen ciddi bir belirginlik g\u00f6sterdi\u011fini s\u00f6yledi. Boynun \u00f6n k\u0131sm\u0131nda, erkeklerde adem elmas\u0131 olarak bilinen \u00e7\u0131k\u0131nt\u0131n\u0131n 1-2 santim alt\u0131nda bulunan tiroit bezinin, guatr hastalar\u0131nda yutkunma hareketi s\u0131ras\u0131nda yukar\u0131 ve a\u015fa\u011f\u0131ya do\u011fru oynad\u0131\u011f\u0131n\u0131 kaydeden G\u00fcrkan, “Guatr hastal\u0131\u011f\u0131n\u0131n kanser riski ta\u015f\u0131y\u0131p ta\u015f\u0131mad\u0131\u011f\u0131 d\u00fczenli yap\u0131lan biyopsilerle \u00f6ng\u00f6r\u00fclebilir. \u0130\u011fne biyopsisi olarak bilinen y\u00f6ntemle, hastan\u0131n tiroit bezinde bulunan nod\u00fcllerden par\u00e7a al\u0131narak, hastal\u0131\u011f\u0131n iyi huylu olup olmad\u0131\u011f\u0131 veya ileri d\u00f6nemler i\u00e7in risk te\u015fkil edip etmedi\u011fi anla\u015f\u0131labilir. Biyopsi sonu\u00e7lar\u0131 do\u011frultusunda, tiroit bezinin riskli olabilece\u011fi d\u00fc\u015f\u00fcn\u00fclen k\u0131sm\u0131 cerrahi ile al\u0131nmal\u0131d\u0131r” dedi.<\/p>\n
Hastal\u0131\u011f\u0131n t\u00fcr\u00fc tedavi \u015feklini belirliyor<\/p>\n
Guatr tedavisinin hastal\u0131\u011f\u0131n t\u00fcr\u00fcne g\u00f6re de\u011fi\u015fiklik g\u00f6sterdi\u011fi bilgisini payla\u015fan Prof. Dr. Alihan G\u00fcrkan, \u00f6rne\u011fin toksik guatr olarak adland\u0131r\u0131lan, halk aras\u0131nda zehirli guatr olarak bilinen t\u00fcrde ameliyats\u0131z tedavinin m\u00fcmk\u00fcn oldu\u011funu s\u00f6yledi. Bu ki\u015filerde, artan tiroit fonksiyonlar\u0131n\u0131 bask\u0131lay\u0131c\u0131, azalt\u0131c\u0131 ila\u00e7 tedavileri uygulanarak, tiroit fonksiyonlar\u0131 normal seviyelere indirilebildi\u011fini kaydeden G\u00fcrkan, “Guatr tedavisinde uygulanan di\u011fer y\u00f6ntemler ise cerrahi m\u00fcdahale ile tiroit bezinin tamamen al\u0131nmas\u0131 veya radyoaktikf iyot tedavisiyle organ\u0131n tamamen tahrip edilmesi \u015feklindedir. Her iki tedavide de tiroit bezinin tamamen ortadan kald\u0131r\u0131lmas\u0131 s\u00f6z konusudur. Genellikle a\u00e7\u0131k y\u00f6ntemle yap\u0131lmas\u0131 tercih edilen tiroit cerrahisinde, hasta 1 g\u00fcn i\u00e7inde taburcu olarak normal ya\u015fant\u0131s\u0131na k\u0131sa s\u00fcrede d\u00f6nebilmektedir” diye konu\u015ftu.<\/p>\n
Kanseri \u00f6nlemek i\u00e7in ameliyat gerekli<\/p>\n
Guatr ameliyatlar\u0131n\u0131n \u00e7o\u011funda amac\u0131n kanser riskine kar\u015f\u0131 tedbir almak oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. G\u00fcrkan, ki\u015fide guatr hastal\u0131\u011f\u0131n\u0131n bir t\u00fcr\u00fc olabilece\u011fini, bir veya birden fazla nod\u00fcl de bulunabilece\u011fini ifade etti. G\u00fcrkan, “Ancak ila\u00e7 tedavisi d\u0131\u015f\u0131nda, tiroit bezinin bir b\u00f6l\u00fcm\u00fcn\u00fcn veya tamam\u0131n\u0131n al\u0131nd\u0131\u011f\u0131 bir cerrahi giri\u015fim, sadece kanser riski olabilece\u011fini belirten bir tak\u0131m patolojiler varsa tercih edilmektedir. Di\u011fer yandan, ameliyat sonras\u0131nda geriye kalan tiroit dokusunda hastal\u0131\u011f\u0131n tekrarlama riski de bulunmaktad\u0131r” dedi.<\/p>\n
G\u00fcrkan, \u015f\u00f6yle devam etti:<\/p>\n
“Guatr ameliyat\u0131 olan hastalar daha s\u0131k kontrol edilmelidir. \u00c7\u00fcnk\u00fc al\u0131nan dokunun neden oldu\u011fu hormonal eksikli\u011fin kar\u015f\u0131lanmas\u0131 i\u00e7in uygulanan hormon tedavisinin yeterli olup olmad\u0131\u011f\u0131na en az 6 ayda bir bak\u0131lmal\u0131d\u0131r. \u00d6te yandan, kanser riski ta\u015f\u0131mayan ve tiroidin al\u0131nmad\u0131\u011f\u0131 guatr vakalar\u0131nda, hasta hayat\u0131n\u0131n sonuna kadar ya tedavi almal\u0131 ya da doktorunun y\u00f6nlendirmesi do\u011frultusunda sadece takip edilmelidir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
PROF. DR. AL\u0130HAN G\u00dcRKAN, “SIKLIKLA \u0130YOT AZLI\u011eINA BA\u011eLI OLARAK GEL\u0130\u015eEN GUATR HASTALI\u011eI, T\u00dcRK\u0130YE\u2019DE YAYGIN OLARAK KARADEN\u0130Z VE AKDEN\u0130Z B\u00d6LGES\u0130\u2019N\u0130N \u0130\u00c7 KES\u0130MLER\u0130NDE KAR\u015eIMIZA \u00c7IKIYOR. GENET\u0130K OLMAYAN BU RAHATSIZLIKTA, A\u0130LE B\u0130REYLER\u0130N\u0130N AYNI B\u00d6LGEDE VE AYNI \u015eARTLARDA YA\u015eAMASI G\u00d6R\u00dcLME SIKLI\u011eINI ARTIRIYOR” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":229728,"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":[23335,1871,7712,52274,13970,192],"class_list":["post-229727","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bilinmesi","tag-gercek","tag-gereken","tag-guatr","tag-hastaligi","tag-ile"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/guatr-hastaligi-ile-bilinmesi-gereken-5-gercek_050c92a.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-XLh","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/229727","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=229727"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/229727\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/229728"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=229727"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=229727"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=229727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}