Genel Cerrahi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi U\u011fur Ekici, a\u015f\u0131r\u0131 mide bulant\u0131s\u0131 ve kusman\u0131n safra kesesi ta\u015f\u0131 habercisi olabilece\u011fini s\u00f6yledi.<\/p>\n
Safra kesesi hastal\u0131klar\u0131 i\u00e7inde en s\u0131k g\u00f6r\u00fclen rahats\u0131zl\u0131klardan bir tanesi safra kesesi ta\u015flar\u0131. Safra kesesi ta\u015flar\u0131, safra kesesi i\u00e7erisinde bulunan \u00e7\u00f6z\u00fcnm\u00fc\u015f kat\u0131 maddelerin birle\u015ferek ta\u015f haline gelmesi sonucunda olu\u015fur. Medicana Bah\u00e7elievler Hastanesi Genel Cerrahi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi U\u011fur Ekici, safra kesesi ta\u015flar\u0131 hakk\u0131nda a\u00e7\u0131klamalarda bulundu. Dr. Ekici, a\u015f\u0131r\u0131 mide bulant\u0131s\u0131 ve kusman\u0131n safra kesesi ta\u015f\u0131 habercisi olabilece\u011fini s\u00f6yledi.<\/p>\n
“Kramplar halinde belirti g\u00f6sterir”<\/p>\n
Safra kesesi ta\u015flar\u0131n\u0131n genellikle kolesterol kristallerinin birle\u015fmesi ile olu\u015ftu\u011funu aktaran Dr. U\u011fur Ekici, “Kad\u0131nlarda, 40 ya\u015f\u0131ndan sonra, kilolu, beyaz \u0131rk ve do\u011fum yapm\u0131\u015f insanlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr. Safra kesesi ta\u015flar\u0131, \u00f6m\u00fcr boyu hi\u00e7 bir bulgu vermeyebilir. Bu durumlarda tesad\u00fcfen tespit edilirler. Bulgu veriyorsa s\u0131kl\u0131kla kar\u0131n a\u011fr\u0131lar\u0131na ve akut kolesistit denilen safra kesesi iltihab\u0131na neden olur. Ayr\u0131ca k\u00fc\u00e7\u00fck ta\u015flar safra kesesinden safra yollar\u0131na d\u00fc\u015ferek safra yollar\u0131nda t\u0131kanmalara ve Akut pankreatit (pankreas bezi iltihab\u0131) denilen ciddi bir tabloya neden olabilir. Bu hastal\u0131ktaki a\u011fr\u0131, biliyer kolik denen tekrarlayan kar\u0131n a\u011fr\u0131s\u0131 ataklar\u0131 \u015feklindedir. A\u011fr\u0131, karn\u0131n sa\u011f \u00fcst k\u0131sm\u0131nda ya da g\u00f6bek \u00fczerinde ortaya \u00e7\u0131kar. \u00d6zellikle a\u011f\u0131r yemeklerden sonra, kramplar \u015feklinde yava\u015f yava\u015f ba\u015flay\u0131p artarak birka\u00e7 saat devam eder ve s\u0131kl\u0131kla s\u0131rta ve sa\u011f k\u00fcrek kemi\u011fine do\u011fru yay\u0131l\u0131r. Beraberinde bulant\u0131 kusma olabilir. Safra kesesi ta\u015f\u0131na ba\u011fl\u0131 iltihaplanma geli\u015firse veya safra yoluna ta\u015f d\u00fc\u015ferse a\u011fr\u0131 ayn\u0131 b\u00f6lgede s\u00fcrekli ve ge\u00e7meyen tarzda devam eder ve tedavisiz kesilmez. Safra kesesi ameliyatlar\u0131 her ne kadar kapal\u0131 yap\u0131labilse de bazen kar\u0131n i\u00e7erisindeki yap\u0131\u015f\u0131kl\u0131klar ve iltihap nedeniyle dokular\u0131n tam ay\u0131rt edilememesi, g\u00fcvenli ameliyata engel olur. Bu gibi durumlarda nadiren de olsa ameliyat a\u00e7\u0131k ameliyata d\u00f6n\u00fc\u015febilir.” diye konu\u015ftu.<\/p>\n
“Diyabeti olan hastalarda risk daha fazlad\u0131r”<\/p>\n
Safra kesesi ta\u015flar\u0131n\u0131n safra kesesi kanserine yol a\u00e7t\u0131\u011f\u0131n\u0131 bildiren veya bunun z\u0131dd\u0131 y\u00f6n\u00fcnde g\u00f6r\u00fc\u015fler oldu\u011funu da belirten Dr. Ekici, “Ancak, safra kesesi kanserleri hastalar\u0131n\u0131n y\u00fczde 95 inde kolelitiazis (safra kesesi ta\u015f\u0131) tespit edilmi\u015ftir. Bulgu veren hastalarda yap\u0131lan kar\u0131n ultrasononografisi ile tan\u0131 konulabilir. Bazen de hi\u00e7 bulgusu olmayan hastalara ba\u015fka bir sebeple yap\u0131lan ultrasonografide tesad\u00fcfen tespit edilir. Daha az duyarl\u0131 olmakla birlikte tomografi ve MR ile de tespit edilebilir. Laparoskopik kolesistektomi dedi\u011fimiz, kapal\u0131 y\u00f6ntemle yani kar\u0131ndan a\u00e7\u0131lan k\u00fc\u00e7\u00fck deliklerden kar\u0131n i\u00e7erisine g\u00f6nderilen kamera ve aletler yard\u0131m\u0131yla safra kesesi, ta\u015f veya ta\u015flar ile birlikte \u00e7\u0131kart\u0131labilir. Sadece ta\u015flar\u0131n \u00e7\u0131kart\u0131lmas\u0131 \u015feklinde bir tedavi yoktur.” dedi.<\/p>\n
Dr. Ekici, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: “Hasta bulgu veriyor ve iltihaplanmaya yol a\u00e7mayan ta\u015f\u0131 varsa acil olarak de\u011ferlendirilmez ve ameliyat haz\u0131rland\u0131ktan sonra operasyon ger\u00e7ekle\u015ftirilir. Hasta ameliyata haz\u0131rlan\u0131rken, ya\u011fs\u0131z g\u0131da ve i\u00e7eri\u011fi normalden az olan diyet yapmal\u0131d\u0131r. Diyabetli hastalarda, safra kesesi iltihab\u0131 riski artt\u0131\u011f\u0131ndan m\u00fcmk\u00fcn oldu\u011funca \u00e7abuk ameliyat edilmelidir. Gebe hastalara ise diyetle rahatlamazsa, 2\u2019nci trimestirde (4\u2019\u00fcnc\u00fc, 5\u2019inci, 6\u2019nc\u0131 aylar) g\u00fcvenle laparoskopik kolesistektomi uygulanabilir. Ameliyat sonras\u0131nda hastalar\u0131n \u00e7o\u011fu g\u00fcn\u00fcbirlik taburcu edilebilir. Ya da 1 gece yat\u0131r\u0131larak takip edilirler. Ameliyattan 4 saat sonra y\u00fcr\u00fcmeye ba\u015flayabilirler.”<\/p>\n","protected":false},"excerpt":{"rendered":"
GENEL CERRAH\u0130 UZMANI DR. \u00d6\u011eR. \u00dcYES\u0130 U\u011eUR EK\u0130C\u0130, A\u015eIRI M\u0130DE BULANTISI VE KUSMANIN SAFRA KESES\u0130 TA\u015eI HABERC\u0130S\u0130 OLAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":255714,"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_feature_clip_id":0,"_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":[1402,49791,16127,28512,29561,11330,5897,9424,3185],"class_list":["post-255713","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-asiri","tag-bulantisi","tag-habercisi","tag-kesesi","tag-kusma","tag-mide","tag-olabilir","tag-safra","tag-tasi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/asiri-mide-bulantisi-ve-kusma-safra-kesesi-tasi-habercisi-olabilir_1fac036.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-14wp","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/255713","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=255713"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/255713\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/255714"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=255713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=255713"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=255713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}