{"id":76566,"date":"2019-03-07T12:45:22","date_gmt":"2019-03-07T09:45:22","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/sikayetiniz-olmasa-dahi-kolon-kanserine-karsi-duzenli-kontrol-sart\/"},"modified":"2019-03-07T12:45:23","modified_gmt":"2019-03-07T09:45:23","slug":"sikayetiniz-olmasa-dahi-kolon-kanserine-karsi-duzenli-kontrol-sart","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/sikayetiniz-olmasa-dahi-kolon-kanserine-karsi-duzenli-kontrol-sart\/","title":{"rendered":"“\u015eikayetiniz olmasa dahi kolon kanserine kar\u015f\u0131 d\u00fczenli kontrol \u015fart”"},"content":{"rendered":"

Kal\u0131n Ba\u011f\u0131rsak (kolon) kanseri fark\u0131ndal\u0131k ay\u0131 nedeniyle a\u00e7\u0131klamalarda bulunan Gastroenteroloji Uzman\u0131 Prof. Dr. Ahmet Kemal G\u00fcrb\u00fcz, \u015fikayet olmasa dahi kolon kanserine kar\u015f\u0131 d\u00fczenli kontrol\u00fcn \u015fart oldu\u011funu s\u00f6ylerken, Genel Cerrahi Uzman\u0131 Prof. Dr. Zafer Ferahk\u00f6\u015fe de kanserin ileri evrelerinde bile cerrahi operasyonun y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar verdi\u011fini belirtti.<\/p>\n

1-31 Mart Kal\u0131n Ba\u011f\u0131rsak (kolon) kanseri fark\u0131ndal\u0131k ay\u0131 kapsam\u0131nda, T\u00fcrkiye \u0130\u015f Bankas\u0131 i\u015ftiraki Bay\u0131nd\u0131r \u0130\u00e7erenk\u00f6y Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. Ahmet Kemal G\u00fcrb\u00fcz ve Bay\u0131nd\u0131r S\u00f6\u011f\u00fct\u00f6z\u00fc Hastanesi Genel Cerrahi B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. Zafer Ferahk\u00f6\u015fe, kolon kanseri ve tedavi y\u00f6ntemleri ile ilgili a\u00e7\u0131klamalarda bulundu.<\/p>\n

“Kolon kanseri, toplumda 50 ya\u015ftan sonra s\u0131kla\u015farak g\u00f6r\u00fclmektedir”<\/p>\n

Kal\u0131n ba\u011f\u0131rsak kanseri olarak da adland\u0131r\u0131lan kolon kanserinin toplumda 50 ya\u015ftan sonra s\u0131kla\u015farak g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Bay\u0131nd\u0131r \u0130\u00e7erenk\u00f6y Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. Ahmet Kemal G\u00fcrb\u00fcz, \u2019\u2019Kolon kanseri vakalar\u0131n\u0131n y\u00fczde 95\u2019inde olay\u0131n ba\u015flang\u0131c\u0131 kolon polipleri \u015feklinde ortaya \u00e7\u0131kmaktad\u0131r. Kolon polipleri, noktasal doku b\u00fcy\u00fcmesinden ba\u015flayarak giderek irile\u015fen ve kal\u0131n ba\u011f\u0131rsak i\u00e7 dokusundan k\u00f6ken alm\u0131\u015f t\u00fcm\u00f6ral lezyonlard\u0131r. Bu polipler irile\u015ftik\u00e7e kolon kanserine d\u00f6nme olas\u0131l\u0131\u011f\u0131 art\u0131\u015f g\u00f6sterir. \u0130ki santimden daha b\u00fcy\u00fck poliplerde kansere d\u00f6nme ihtimali y\u00fczde 50 seviyesindedir. Di\u011fer taraftan vill\u00f6z yap\u0131da olan polipler, tubuler yahut tubulovill\u00f6z yap\u0131da olanlara nispetle kolon kanserine daha kolay d\u00f6n\u00fc\u015f\u00fcrler\u2019\u2019 dedi.<\/p>\n

“B\u00fcy\u00fcyen polip kanser habercisi olabilir”<\/p>\n

B\u00fcy\u00fcyen polipin kanser habercisi olabilece\u011fini aktaran Prof. Dr. G\u00fcrb\u00fcz, \u2019\u2019Polip \u00fczerinden al\u0131nan biyopsilerin patolojik incelemesinde h\u00fccresel de\u011fi\u015fimler ile kar\u015f\u0131la\u015f\u0131lm\u0131\u015fsa, kolon kanseri hususunda risk olduk\u00e7a artm\u0131\u015f demektir. Kolon poliplerinin b\u00fcy\u00fckl\u00fcklerinin iki kat\u0131na \u00e7\u0131kma s\u00fcresi birka\u00e7 y\u0131l ile ifade edilen bir s\u00fcredir. Dolay\u0131s\u0131 ile belirli aral\u0131klarla yap\u0131lacak olan takip ama\u00e7l\u0131 kolonoskopi uygulamalar\u0131, kolona ait poliplerin mevcut olup olmad\u0131\u011f\u0131n\u0131 ortaya koyarak, bu poliplerin y\u00fcksek kanser riski ta\u015f\u0131y\u0131p ta\u015f\u0131mad\u0131klar\u0131n\u0131n tespit edilebilmesine imkan sa\u011flar. D\u00fczenli takiplerle riskli kolon polipleri daha b\u00fcy\u00fck boyutlara varmadan te\u015fhis edilmi\u015f olur ve kolonoskopik y\u00f6ntemle (polipektomi i\u015flemi) \u00e7\u0131kart\u0131labilirler. B\u00f6ylece olay kolon kanseri evresine varmadan durdurulmu\u015f olur\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n

“\u015eikayet olu\u015fmadan 5 y\u0131lda bir kontrole gidilmeli”<\/p>\n

Prof. Dr. G\u00fcrb\u00fcz s\u00f6zlerine \u015f\u00f6yle devam etti: “Avrupa ve Amerika Birle\u015fik Devletleri sa\u011fl\u0131k politikalar\u0131nda, hi\u00e7bir \u015fikayeti olmayan, tamamen sa\u011fl\u0131kl\u0131 bireylerde 50 ya\u015ftan itibaren 5 y\u0131lda bir kolonoskopik tetkikler yap\u0131lmas\u0131 yolu ile kolon kanserinin ya\u015fam\u0131 tehdit edecek d\u00fczeylere varmadan te\u015fhis edilmesi kabul g\u00f6rm\u00fc\u015ft\u00fcr. Bu nedenle ba\u011f\u0131rsak incelemesi 50 ya\u015ftan itibaren check-up programlar\u0131na dahil edilmi\u015ftir. B\u00f6ylece kal\u0131n ba\u011f\u0131rsak kanserinin ba\u015far\u0131yla tedavi edilebilmesi ve hayat\u0131n kurtar\u0131lmas\u0131 \u00f6ng\u00f6r\u00fclmektedir. Ailesinde kolon kanseri bulunan bireylerde ise kanserli vakan\u0131n \u00f6zellikleri ile alakal\u0131 olarak bu kolonoskopik inceleme programlar\u0131 daha gen\u00e7 ya\u015flarda ba\u015flat\u0131labilmektedir”.<\/p>\n

“Tedaviyi kanserin evresi belirler”<\/p>\n

Tedavi i\u00e7in kanserin evresinin \u00f6nemine de\u011finen Bay\u0131nd\u0131r S\u00f6\u011f\u00fct\u00f6z\u00fc Hastanesi Genel Cerrahi B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. Zafer Ferahk\u00f6\u015fe, “\u00dc\u00e7 tabakadan olu\u015fan kolonda, kanser i\u00e7 tabakadan kas tabakas\u0131na, daha sonra d\u0131\u015f tabaka katmanlar\u0131na ve d\u0131\u015fa periton bo\u015flu\u011funa yay\u0131l\u0131m g\u00f6sterir. Mukoza d\u00fczeyindeki kanser erken evre, adele tabakas\u0131ndan itibaren geli\u015fen kanser ise ileri evre kanser olarak bilinir. Doktor taraf\u0131ndan tan\u0131 kolonoskopi ve biyopsi ile netle\u015ftirildikten sonra kanserin hangi evrede oldu\u011fu ultrason, bilgisayarl\u0131 tomografi ve PET ile belirlenir. Kanserin evresine g\u00f6re kullan\u0131lacak tedavi y\u00f6ntemleri, t\u00fcm\u00f6r\u00fcn seviyesine, tipine, yay\u0131l\u0131m derecesine, t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131labilme \u00f6zelli\u011fine ve t\u00fcm\u00f6r\u00fcn ge\u00e7i\u015fi kapat\u0131p kapatmamas\u0131na g\u00f6re farkl\u0131l\u0131klar olu\u015fturur” ifadelerini kulland\u0131.<\/p>\n

“T\u00fcm\u00f6r ile birlikte onu besleyen dokularda \u00e7\u0131kart\u0131l\u0131r”<\/p>\n

Cerrahi operasyon konusunda bilgi veren Prof. Dr. Ferahk\u00f6\u015fe, “Kolonoskopi esnas\u0131nda polipten al\u0131nan biyopsi halihaz\u0131rda kolon kanseri geli\u015fmi\u015f oldu\u011funu g\u00f6sterdi\u011finde ise tedavi hususunda hen\u00fcz \u00e7\u00f6z\u00fcms\u00fcz bir d\u00f6neme girilmemi\u015f olundu\u011fundan, yap\u0131lacak bir cerrahi operasyonla hastan\u0131n ya\u015fam\u0131 kurtar\u0131lm\u0131\u015f olacakt\u0131r. Ana prensipte, t\u00fcm\u00f6rs\u00fcz bir alan b\u0131rakma amac\u0131yla, ana t\u00fcm\u00f6rle birlikte o b\u00f6lgeyi b\u00fcy\u00fcten ana arterin besledi\u011fi alanlar \u00e7\u0131kar\u0131l\u0131r. T\u00fcm\u00f6rle temasta olan kom\u015fu organ veya yap\u0131, omentum birlikte \u00e7\u0131kar\u0131l\u0131r. E\u011fer t\u00fcm\u00f6r tam olarak \u00e7\u0131kar\u0131lamazsa, bu ya\u015fam \u015fans\u0131na cerrahinin katk\u0131s\u0131 olmaz sadece pasaj\u0131n a\u00e7\u0131lmas\u0131n\u0131 sa\u011flar. Var olan kanser ile birlikte beraberinde ikinci bir kolon t\u00fcm\u00f6r\u00fc veya familyal adenomalar veya polipoid yap\u0131lar varsa t\u00fcm kolon risk alt\u0131nda olabilir.Buna ba\u011fl\u0131 olarak mutlaka cerrahi operasyon yap\u0131lmas\u0131 gerekir” dedi.<\/p>\n

“Lenf nodlar\u0131 tedaviye y\u00f6n verir”<\/p>\n

Lenf nodlar\u0131n\u0131n tedaviye y\u00f6n verdi\u011fini hat\u0131rlatan Prof. Dr. Ferahk\u00f6\u015fe, “\u00c7\u0131kar\u0131lan spesmende lenf nodlar\u0131n\u0131n say\u0131s\u0131 onkolojik cerrahi yeterlili\u011fi a\u00e7\u0131s\u0131ndan \u00f6nem kazan\u0131r. Lenf nodlar\u0131n\u0131n tutulum miktar\u0131 ve seviyeleri yine ya\u015fam \u015fans\u0131 ve ilave tedavi se\u00e7eneklerinin verilmesinde etkili olur. Bug\u00fcn i\u00e7in kabul edilen en az 12 lenf nodunun spesmende \u00e7\u0131kar\u0131lm\u0131\u015f olmas\u0131d\u0131r. Bu da yeterli t\u00fcm\u00f6r evrelenmesinde yard\u0131mc\u0131 olur. Pozitif lenf nodlar\u0131n\u0131n ve total lenf nodlar\u0131n\u0131n oran\u0131 da ya\u015fam \u015fans\u0131nda etkilidir. Operasyon esnas\u0131nda beklenmedik metastaza rastlan\u0131l\u0131rsa, \u00f6ncelikli t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131na ilaveten, metastatik alan \u00e7\u0131kar\u0131labilir. T\u00fcm bunlar\u0131n yan\u0131 s\u0131ra hastan\u0131n durumu ve operasyon s\u0131ras\u0131nda g\u00f6zlemlenen yeni dokular, cerrahi operasyonun ve sonraki tedavinin gidi\u015fat\u0131na y\u00f6n verir\u2019\u2019 a\u00e7\u0131klamas\u0131nda bulundu.

\""\u015eikayetiniz <\/a> <\/div> <\/div> <\/div> <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

BAYINDIR S\u00d6\u011e\u00dcT\u00d6Z\u00dc HASTANES\u0130 GENEL CERRAH\u0130 B\u00d6L\u00dcM BA\u015eKANI PROF. DR. ZAFER FERAHK\u00d6\u015eE, KANSER\u0130N \u0130LER\u0130 EVRELER\u0130NDE B\u0130LE CERRAH\u0130 OPERASYONUN Y\u00dcZ G\u00dcLD\u00dcR\u00dcC\u00dc SONU\u00c7LAR VERD\u0130\u011e\u0130N\u0130 BEL\u0130RTT\u0130<\/p>\n","protected":false},"author":1,"featured_media":76567,"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":[22001,19240,22002,18871,2541,18870,868,11017,14580],"class_list":["post-76566","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-sikayetiniz","tag-dahi","tag-duzenli","tag-kanserine","tag-karsi","tag-kolon","tag-kontrol","tag-olmasa","tag-sart"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/sikayetiniz-olmasa-dahi-kolon-kanserine-karsi-duzenli-kontrol-sart_bbba95c.jpg?fit=648%2C921","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-jUW","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/76566","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=76566"}],"version-history":[{"count":1,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/76566\/revisions"}],"predecessor-version":[{"id":76569,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/76566\/revisions\/76569"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/76567"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=76566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=76566"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=76566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}