\u0130\u00e7 hastal\u0131klar\u0131, Gastroenteroloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, yemek borusu kanserinin de en s\u0131k g\u00f6r\u00fclen belirtilerinden \u2018yutma zorlu\u011fu\u2019 ya\u015fayanlar\u0131 uyard\u0131.<\/p>\n
Sindirim sistemi, kas ve sinir hastal\u0131klar\u0131 hatta az su ile ila\u00e7 i\u00e7mekten bile kaynaklanabilen yutma g\u00fc\u00e7l\u00fc\u011f\u00fcn\u00fcn; a\u011f\u0131z i\u00e7erisinde enfeksiyon veya bademciklerin iltihaplanmas\u0131, yemek borusu veya sindirim sistemi hastal\u0131klar\u0131ndan kaynaklanabildi\u011fini s\u00f6yleyen Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, yutma zorlu\u011fu ve tedavisi hakk\u0131nda bilgi verdi.<\/p>\n
Bademcik, a\u011f\u0131z enfeksiyonu gibi hastal\u0131klardan da kaynaklanabilen yutma g\u00fc\u00e7l\u00fc\u011f\u00fcn\u00fcn, yemek borusu kanserlerinin de s\u0131k rastlanan belirtilerinden oldu\u011fu uyar\u0131s\u0131nda bulunan Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, \u00f6zellikle kat\u0131 g\u0131dalar\u0131 yutmakta zorlanma ve yutarken su i\u00e7me ihtiyac\u0131 hissetmek yemek borusu kanserleri ihtimalini g\u00fc\u00e7lendirdi\u011fini dile getirdi. G\u00fcm\u00fcrd\u00fcl\u00fc, bu belirtilerin yan\u0131 s\u0131ra, sindirilememi\u015f g\u0131dalar\u0131n kusarak \u00e7\u0131kart\u0131lmas\u0131, a\u011f\u0131zda kanamalar, a\u011fr\u0131 ve yemek yerken tak\u0131lma hissi gibi \u015fikayetleri bulunanlar\u0131n, durumu g\u00f6zard\u0131 etmeden ve ge\u00e7er demeden mutlaka bir uzmana g\u00f6r\u00fcnmeleri gerekti\u011finin alt\u0131n\u0131 \u00e7izdi.<\/p>\n
Do\u011fu\u2019da g\u00f6r\u00fclme oran\u0131 Bat\u0131\u2019ya oranla daha y\u00fcksek<\/p>\n
Yemek borusu kanserinde beslenme \u015fekli ve genetik fakt\u00f6rlerin \u00f6nemli bir yer tuttu\u011funu belirten G\u00fcm\u00fcrd\u00fcl\u00fc, “T\u00fcts\u00fclenmi\u015f ve tuzda bekletilmi\u015f g\u0131dalar\u0131n s\u0131kl\u0131kla t\u00fcketildi\u011fi Anadolu illerinde ve \u0130ran, Afganistan\u2019a do\u011fru ilerleyen ku\u015fakta yemek borusu kanseri olduk\u00e7a s\u0131k g\u00f6r\u00fclmektedir. Ayn\u0131 zamanda i\u015flenmi\u015f g\u0131dalar\u0131n fazla t\u00fcketilmesi, uygun olmayan \u015fartlarda ve \u015fekilde, mangalda pi\u015firilen et ve toprakta bulunan a\u011f\u0131r metaller de yemek borusu kanseri i\u00e7in risk fakt\u00f6rleri aras\u0131ndad\u0131r. Yemek borusu kanserinden korunmak i\u00e7in t\u00fcts\u00fclenmi\u015f ve tuzda bekletilmi\u015f g\u0131dalardan uzak durmak gerekir” diye konu\u015ftu.<\/p>\n
“Yemek borunuzu tahri\u015f etmeyin”<\/p>\n
\u00c7ay, kahve gibi i\u00e7eceklerin, \u00e7orbalar\u0131n ve yemeklerin h\u0131zl\u0131 ve \u00e7ok s\u0131cak t\u00fcketilmesinin yemek borusunda tahri\u015fe yol a\u00e7arak rahats\u0131zl\u0131klara zemin haz\u0131rlad\u0131\u011f\u0131n\u0131 belirten G\u00fcm\u00fcrd\u00fcl\u00fc, sigara ve alkol t\u00fcketimi konusunda da hastalar\u0131 uyard\u0131.<\/p>\n
G\u00fcm\u00fcrd\u00fcl\u00fc, a\u00e7\u0131klamalar\u0131na \u015fu s\u00f6zlerle devam etti:<\/p>\n
“A\u015f\u0131r\u0131 s\u0131cak yiyecek ve i\u00e7ecekler, sigara ve alkol t\u00fcketimi ilerleyen d\u00f6nemlerde yemek borusu kanserlerine zemin haz\u0131rl\u0131yor. Refl\u00fc hastal\u0131\u011f\u0131n\u0131n da kanser olu\u015fumuna yol a\u00e7t\u0131\u011f\u0131 bilinmekle birlikte bu oran, \u00f6zellikle \u00fclkemizde d\u00fc\u015f\u00fckt\u00fcr.”<\/p>\n
Tan\u0131 ve tedavi<\/p>\n
\u0130\u00e7 hastal\u0131klar\u0131, Gastroenteroloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc \u015fikayetiyle ba\u015fvuran hastalarda sorunun belirlenebilmesi i\u00e7in endoskopik incelemenin ilk tercih oldu\u011funu ifade etti. Endoskopi sonu\u00e7lar\u0131na g\u00f6re yemek borusunda kitle ya da t\u00fcm\u00f6r g\u00f6r\u00fcl\u00fcrse endoskopik ultrasonografi, tomografi, MR gibi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131larak tedavi planlanabilece\u011fini s\u00f6yleyen G\u00fcm\u00fcrd\u00fcl\u00fc, “Uygun hastalarda cerrahi y\u00f6ntem kullan\u0131lmaktad\u0131r. Ancak cerrahi i\u00e7in uygun olmayan hastalarda yutman\u0131n rahatlat\u0131lmas\u0131 i\u00e7in endoskopik y\u00f6ntem ile sorunlu b\u00f6lgeye stent yerle\u015ftirilmektedir. Hem cerrahiye hem de endoskopik y\u00f6ntemlere uygun olmayan hastalarda ise mideye d\u0131\u015far\u0131dan ba\u011flanan basit bir hortumla beslenme sa\u011flanmaktad\u0131r” dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130\u00c7 HASTALIKLARI, GASTROENTEROLOJ\u0130 VE HEPATOLOJ\u0130 UZMANI PROF. DR. Y\u00dcKSEL G\u00dcM\u00dcRD\u00dcL\u00dc, YEMEK BORUSU KANSER\u0130N\u0130N DE EN SIK G\u00d6R\u00dcLEN BEL\u0130RT\u0130LER\u0130NDEN \u2018\u2019YUTMA ZORLU\u011eU\u2019\u2019 YA\u015eAYANLARI UYARDI.<\/p>\n","protected":false},"author":1,"featured_media":236455,"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":[39332,1440,59375,59376],"class_list":["post-236454","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cekenler","tag-dikkat","tag-yutkunma","tag-zorlugu"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/yutkunma-zorlugu-cekenler-dikkat_90d8267.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-ZvM","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/236454","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=236454"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/236454\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/236455"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=236454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=236454"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=236454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}