﻿{"id":1322191,"date":"2018-10-09T18:48:45","date_gmt":"2018-10-09T15:48:45","guid":{"rendered":"http:\/\/www.erzurumflas.com\/cocuklarda-inmemis-testis-sorununa-dikkat-2\/"},"modified":"2018-10-09T18:48:54","modified_gmt":"2018-10-09T15:48:54","slug":"cocuklarda-inmemis-testis-sorununa-dikkat-2","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=1322191","title":{"rendered":"\u00c7ocuklarda inmemi\u015f testis sorununa dikkat"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2018\/10\/cocuklarda-inmemis-testis-sorununa-dikkat_a1f2b5e.jpg\" width=\"600\">Medical Park Gaziantep Hastanesi \u00c7ocuk Cerrahisi Op. Dr. Serdar \u015eiyve, \u00e7ocuklarda inmemi\u015f testis sorunu hakk\u0131nda bilgiler verdi.<\/p>\n<p>Dr. Serdar \u015eiyve 1 ya\u015f erkek bebeklerin y\u00fczde 1\u2019inde inmemi\u015f testis tan\u0131s\u0131 konuldu\u011funu ifade etti. Dr. \u015eiyve, \u201cErkek bebeklerde testisler gebelik s\u00fcresince b\u00f6breklere yak\u0131n retroperitoneal alan denilen bir b\u00f6lgede geli\u015fmi\u015fken gebeli\u011fin son aylar\u0131nda kas\u0131k kanal\u0131ndan ge\u00e7erek bulunmas\u0131 gereken yer olan skrotal keseye\/ yumurtal\u0131k torbas\u0131na iner.  Ancak \u00e7ok \u00e7e\u015fitli nedenlerle do\u011fumda y\u00fczde 4-5, premat\u00fcrelerde y\u00fczde 30\u2019a varan oranlarda bu ini\u015f tam ger\u00e7ekle\u015fmez. Ancak ilerleyen haftalarda bu inmemi\u015f testislerin bir k\u0131sm\u0131 kendili\u011finden bu g\u00f6\u00e7\u00fc tamamlar ve 1 ya\u015f civar\u0131 erkek bebeklerin y\u00fczde 1\u2019inde inmemi\u015f testis tan\u0131s\u0131 kesinle\u015fir. \u0130nmemi\u015f testisin lokasyonu \u00e7ok yukar\u0131larda kar\u0131n i\u00e7i b\u00f6lgeden ba\u015flay\u0131p kas\u0131k kanal\u0131n\u0131n herhangi bir yerinde olabilir. Kas\u0131k b\u00f6lgesinde bulunan inmemi\u015f testisler i\u00e7in sadece muayene yeterlidir. Ancak daha yukar\u0131 seviyelerde kar\u0131n i\u00e7inde yerle\u015fmi\u015f testisler i\u00e7in g\u00fcn\u00fcm\u00fczde laparoskopik yani kapal\u0131 ameliyat ile tan\u0131 konulmas\u0131 ve ayn\u0131 zamanda tedavisi ge\u00e7erli yoldur. \u0130ki tarafl\u0131 ve muayenede ele hi\u00e7 gelmeyen testisler i\u00e7in ise \u00f6ncelikle testis dokusu varl\u0131\u011f\u0131n\u0131 g\u00f6stermek i\u00e7in hormon uyar\u0131 testi yap\u0131labilir\u201d dedi.<\/p>\n<p>\u0130nmemi\u015f testis tedavi \u015fekli, ya\u015f\u0131 nedir<\/p>\n<p>\u0130nmemi\u015f testis tedavi \u015fekli be ya\u015f\u0131 hakk\u0131nda a\u00e7\u0131klamalarda bulunan Dr. \u015eiyve, &#8220;Tedavi \u015fekli, gerekiyorsa, cerrahi operasyon ile olmas\u0131 gereken yumurtal\u0131k torbas\u0131na indirilmesidir. \u00c7ok eski ve \u015fu anda g\u00fcncel ve ge\u00e7erli olmayan hormon tedavileri denenmi\u015f ancak yap\u0131lan \u00e7ift-k\u00f6r kar\u015f\u0131la\u015ft\u0131rmal\u0131 \u00e7al\u0131\u015fmalarla hormon tedavisinin inmemi\u015f testiste yeri olmad\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Literat\u00fcrde alt\u0131 ayl\u0131ktan sonra ameliyatlar yap\u0131lm\u0131\u015fsa da 1-2 ya\u015f aras\u0131 d\u00f6nemde cerrah\u0131n tecr\u00fcbe ve bu konudaki bilgisine g\u00f6re yap\u0131lmas\u0131 \u00e7ok daha uygundur. Kas\u0131k b\u00f6lgesinde bulunan inmemi\u015f testiste kas\u0131k ve yumurtal\u0131k b\u00f6lgesinden yap\u0131lan kesilerle g\u00fcn\u00fcbirlik ayaktan ameliyat \u015feklinde tedavi edilir (or\u015fiopeksi, orkidopeksi). Ancak daha yukar\u0131larda kar\u0131n i\u00e7erisinde yerle\u015fmi\u015f testis i\u00e7in laparoskopik yani kapal\u0131 ameliyat ile yakla\u015f\u0131m sonras\u0131 e\u011fer doku yeterli ve damar\u0131 yeterince uzunsa bir defada yoksa evreli ameliyatlarla skrotuma indirilir. \u00c7ocu\u011fun gelecekteki sa\u011fl\u0131\u011f\u0131 i\u00e7in testisin yerine getirilmesi \u015fu anki bilgilerimizle \u00e7ok \u00f6nemlidir. 1 ya\u015f\u0131 ge\u00e7en durumlarda testislerin kendili\u011finden yerine inmesi m\u00fcmk\u00fcn de\u011fildir ve \u00f6zellikle 2 ya\u015f\u0131ndan sonraki gecikmeler her ge\u00e7en zaman i\u00e7inde \u00e7e\u015fitli nedenlerle testisin sa\u011f kal\u0131m\u0131 ve sa\u011fl\u0131kl\u0131 geli\u015fimi i\u00e7in olumsuzluk olu\u015fturmaktad\u0131r. Bu nedenle ailelerin \u00e7ocuklar\u0131n\u0131n geli\u015fimini yak\u0131ndan takip etmeleri ve testislerin yerle\u015fimi konusunda endi\u015feler bulundu\u011funda mutlaka bu konuda deneyimli bir \u00e7ocuk cerrahisi veya \u00e7ocuk \u00fcroloji uzman\u0131na ba\u015fvurmas\u0131 gerekir\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>MED\u0130CAL PARK GAZ\u0130ANTEP HASTANES\u0130 \u00c7OCUK CERRAH\u0130S\u0130 OP. DR. SERDAR \u015e\u0130YVE<\/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":[19067,4992,25605,24583,25606],"class_list":["post-1322191","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-cocuklarda","tag-dikkat","tag-inmemis","tag-sorununa","tag-testis"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1322191","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=1322191"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1322191\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1322191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1322191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1322191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}