Gastroenteroloji Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi Serkan Uysal, belirti vermeden yava\u015f ilerleyen kolon kanserinin, \u00f6zellikle 50 ya\u015f \u00fczerindeki ki\u015fileri tehdit etti\u011fini s\u00f6yledi.<\/p>\n
Medicana Samsun Hastanesi Gastroenteroloji Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi Serkan Uysal, kolon kanseri ve tedavi y\u00f6ntemleri hakk\u0131nda bilgi verdi. Kolon kanserinin d\u00fcnyada her y\u0131l 655 bin ki\u015finin \u00f6l\u00fcm\u00fcne neden olan kanser t\u00fcrleri aras\u0131nda erkeklerde en yayg\u0131n \u00fc\u00e7\u00fcnc\u00fc, kad\u0131nlarda ikinci s\u0131kl\u0131kla g\u00f6r\u00fclen, \u00f6l\u00fcme sebep olan t\u00fcrler aras\u0131nda da \u00fc\u00e7\u00fcnc\u00fc kanser t\u00fcr\u00fc oldu\u011funu belirten Dr. Uysal, \u201cBelirti vermeyen ve yava\u015f ilerleyen kolon kanseri, \u00f6zellikle 50 ya\u015f ve \u00fczerindeki ki\u015fileri tehdit etmektedir.<\/p>\n
V\u00fccutta, ince ba\u011f\u0131rsa\u011f\u0131n bitim yerinden makata kadar olan k\u0131s\u0131m kolon (kal\u0131n barsak) olarak adland\u0131r\u0131l\u0131r. Kolon kanserinin olu\u015fmas\u0131nda beslenme al\u0131\u015fkanl\u0131\u011f\u0131 ve genetik fakt\u00f6rlerin etkin rol\u00fc vard\u0131r\u201d dedi.<\/p>\n
Risk alt\u0131ndaki ya\u015f gruplar\u0131<\/p>\n
Kolon kanserinin s\u0131kl\u0131kla 50\u2019li ya\u015flar\u0131n \u00fczerinde ortalama 65-70 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Dr. Serkan Uysal, \u201cAilesinde erken ya\u015fta kolon kanseri olmayanlar\u0131n, 40 ya\u015f alt\u0131nda bu hastal\u0131\u011fa yakalanma olas\u0131l\u0131\u011f\u0131 d\u00fc\u015f\u00fck olmakla beraber 40-50\u2019li ya\u015flardan itibaren bu olas\u0131l\u0131k giderek artar. Kolonda, ba\u011f\u0131rsak i\u00e7 k\u0131sm\u0131nda bulunan ve \u2018polip\u2019 denilen et par\u00e7alar\u0131n\u0131n varl\u0131\u011f\u0131 riski art\u0131r\u0131r. Ki\u015fiye daha \u00f6nceden kolon kanseri te\u015fhisi konmu\u015f ve tedavi g\u00f6rm\u00fc\u015f olsa da, risk devam etmektedir. Yumurtal\u0131k, rahim ve meme kanserli hastalar da kolon kanseri a\u00e7\u0131s\u0131ndan risk alt\u0131ndad\u0131r. Sigara kolon kanserine yakalanma riskini art\u0131r\u0131r. Beslenme al\u0131\u015fkanl\u0131klar\u0131 kolon kanseri \u00fczerinde \u00f6nemli bir etkiye sahiptir. Posadan fakir olan, k\u0131rm\u0131z\u0131 etten zengin ancak meyve ve sebzeden fakir yemek yeme al\u0131\u015fkanl\u0131klar\u0131 riski art\u0131r\u0131r. D\u00fc\u015f\u00fck selenyum d\u00fczeyi, iltihabi ba\u011f\u0131rsak hastal\u0131klar\u0131, baz\u0131 vir\u00fcs t\u00fcrleri, end\u00fcstrile\u015fmi\u015f \u00fclkeler gibi \u00e7evresel fakt\u00f6rler (fast food, i\u015flenmi\u015f besinler), a\u011f\u0131r alkol t\u00fcketimi kolon kanserine yakalanma ihtimalini art\u0131r\u0131r. B6 vitamini al\u0131n\u0131m\u0131 kanser riskini azalt\u0131r. Fiziksel olarak aktif insanlar\u0131n kansere yakalanma riski d\u00fc\u015f\u00fckt\u00fcr\u201d diye konu\u015ftu.<\/p>\n
Genetik olarak ge\u00e7en kolon kanseri hakk\u0131nda bilgi veren Uysal, \u201cAilesel genetik tan\u0131mlamada ba\u011f\u0131rsak kanseri te\u015fhisi varsa, bu ge\u00e7mi\u015fe sahip ki\u015fide de mutasyona u\u011fram\u0131\u015f bir gen nedeniyle ba\u011f\u0131rsak kanserinin ortaya \u00e7\u0131kma olas\u0131l\u0131\u011f\u0131 daha y\u00fcksektir. Bu ko\u015fullar bilimsel anlamda \u015f\u00f6yle tan\u0131mlanabilir; ailenin ayn\u0131 kanad\u0131ndan (anne, day\u0131, b\u00fcy\u00fckanne) en az iki akrabada ba\u011f\u0131rsak kanseri varsa, yak\u0131n akrabalardan biri 50 ya\u015f\u0131ndan \u00f6nce ba\u011f\u0131rsak kanserine yakalanm\u0131\u015fsa ya da ailenin ayn\u0131 kanad\u0131nda ba\u011f\u0131rsak kanseri ya da rahim kanseri mevcutsa bunlar genetik yatk\u0131nl\u0131\u011f\u0131 art\u0131r\u0131r. 40\u2019l\u0131 ya\u015flardan itibaren erken te\u015fhis i\u00e7in gerekli tetkikler yapt\u0131r\u0131lmal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
Erken te\u015fhis ve tedavi<\/p>\n
Gastroenteroloji Uzman\u0131 Dr. Serkan Uysal, kolon kanserinin enken te\u015fhis ve tedavisi hakk\u0131nda \u015fu bilgileri verdi:<\/p>\n
\u201cBu ama\u00e7la kolerektal kanser taramas\u0131 yap\u0131l\u0131r. Kolerektal kanser taramas\u0131 i\u00e7inde d\u0131\u015fk\u0131da gizli kan bak\u0131lmas\u0131, ila\u00e7l\u0131 barsak filmi denilen kolon grafisi, kolonoskopi, sanal kolonoskopi denilen bilgisayarl\u0131 tomografi ile inceleme, d\u0131\u015fk\u0131da DNA testleri yap\u0131labilir. Bu y\u00f6ntemler i\u00e7inde genellikle en uygunu hem direkt tan\u0131 koymas\u0131 hem de gerekti\u011finde i\u015flem s\u0131ras\u0131nda g\u00f6r\u00fclebilecek kanser habercisi poliblerin \u00e7\u0131kar\u0131larak tedavisinin sa\u011flanabildi\u011fi kolonoskopidir. 50 ya\u015f ve \u00fczerinde toplumda herkese tarama yap\u0131lmas\u0131, e\u011fer kolon kanseri riskinde art\u0131\u015f olu\u015fturacak ba\u015fka bir sebep varsa riske g\u00f6re daha erken ya\u015flarda bu taramalar\u0131n yap\u0131lmas\u0131 uygundur. Kolonoskopide al\u0131nan poliplerin \u00fczerinde, kanser erken evrede yakaland\u0131\u011f\u0131nda ameliyat gerekmeyebilir, bu hastalar yak\u0131n takibe al\u0131n\u0131r. Kanser ileri evredeyse durumuna g\u00f6re ya do\u011frudan ameliyat yap\u0131l\u0131r, yada \u00f6nce kemoterapi denilen ila\u00e7 tedavisi ile t\u00fcm\u00f6r y\u00fck\u00fcn\u00fcn azalt\u0131lmas\u0131 sonras\u0131nda ameliyat yap\u0131labilir. Ameliyat a\u00e7\u0131k veya laparoskopik denilen kapal\u0131 i\u015flemle yap\u0131labilir. Bazen \u00e7ok ileri evrelerde, ba\u011f\u0131rsak t\u0131kanmas\u0131 ve kar\u0131n \u015fi\u015fkinli\u011fi ile acilen ameliyat yap\u0131lan hastalarda ba\u011f\u0131rsa\u011f\u0131n ucu kar\u0131na al\u0131nabilir. Daha sonra doktor karar\u0131na g\u00f6re, ila\u00e7 ya da \u0131\u015f\u0131n tedavisi de tedaviye eklenebilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
GASTROENTEROLOJ\u0130 UZMANI DR. \u00d6\u011eRET\u0130M \u00dcYES\u0130 SERKAN UYSAL, BEL\u0130RT\u0130 VERMEDEN YAVA\u015e \u0130LERLEYEN KOLON KANSER\u0130N\u0130N, \u00d6ZELL\u0130KLE 50 YA\u015e \u00dcZER\u0130NDEK\u0130 K\u0130\u015e\u0130LER\u0130 TEHD\u0130T ETT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[12904,12751,14234,63827,1610,105783,2262],"class_list":["post-1279267","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-ediyor","tag-kanseri","tag-kolon","tag-ozellikle","tag-tehdit","tag-uzerindekileri","tag-yas"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1279267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1279267"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1279267\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1279267"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1279267"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1279267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}