Dr. Hamdi Ko\u00e7er, ya\u015fl\u0131larda kas\u0131k f\u0131t\u0131\u011f\u0131na dikkat edilmesi konusunda uyar\u0131larda bulundu.<\/p>\n
Genel Cerrahi Uzman\u0131 Dr. Hamdi Ko\u00e7er, \u201cD\u00fcnyada en \u00e7ok yap\u0131lan ameliyatlar kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyatlar\u0131d\u0131r. Kas\u0131k f\u0131t\u0131klar\u0131 her ya\u015ftan insanlarda g\u00f6r\u00fclebilir. Tek tedavi \u015fans\u0131 ameliyat ile f\u0131t\u0131\u011f\u0131n oldu\u011fu yerin yama ile onar\u0131lmas\u0131d\u0131r. Kas\u0131k f\u0131t\u0131\u011f\u0131 olan hastalar \u00e7ok ileri ya\u015flarda da bize ameliyat i\u00e7in ba\u015fvurur. Bu f\u0131t\u0131klar\u0131n bir k\u0131sm\u0131 \u00e7ok uzun zamand\u0131r bilinen ve y\u0131llar i\u00e7inde yava\u015f yava\u015f b\u00fcy\u00fcm\u00fc\u015f f\u0131t\u0131klard\u0131r. Hasta taraf\u0131ndan eski y\u0131llarda ihmal edilmi\u015f ancak \u00e7ok b\u00fcy\u00fck boyutlara ula\u015fm\u0131\u015ft\u0131r. Hastan\u0131n oturmas\u0131na kalkmas\u0131na ve y\u00fcr\u00fcmesine mani olup hastan\u0131n ya\u015fam rahatl\u0131\u011f\u0131n\u0131 bozan f\u0131t\u0131klard\u0131r\u201d dedi.<\/p>\n
Ya\u015fl\u0131larda kas\u0131kta g\u00f6r\u00fclen baz\u0131 f\u0131t\u0131klar\u0131n ise uzun bir ge\u00e7mi\u015fe sahip olmayabildi\u011fini ifade eden Dr. Ko\u00e7er, \u201cYanda\u015f hastal\u0131klara, kilo vermeye ve ya\u015flanma ile adale yap\u0131s\u0131n\u0131n zay\u0131flamas\u0131na ba\u011fl\u0131 olarak ortaya \u00e7\u0131kar. Ya\u015fl\u0131lar\u0131n eklem-adale-ba\u011f sistemi yeterince g\u00fc\u00e7l\u00fc olmad\u0131\u011f\u0131ndan tedavi edilemez ise bu f\u0131t\u0131klar \u00e7ok k\u0131sa zamanda h\u0131zla b\u00fcy\u00fcrler. Geli\u015fen ya\u015fam ve bak\u0131m ko\u015fullar\u0131 ile ortalama ya\u015fam s\u00fcresi uzuyor ve ya\u015fl\u0131 insanlar\u0131n toplumda oran\u0131 her ge\u00e7en g\u00fcn art\u0131yor. Ya\u015fl\u0131larda g\u00f6r\u00fclen kas\u0131k f\u0131t\u0131klar\u0131n\u0131n da gen\u00e7lerde oldu\u011fu gibi cerrahi olarak onar\u0131lmas\u0131 gerekir. Bu \u015fekilde gelecek de ortaya \u00e7\u0131kabilecek komplikayon risklerinden hasta korunmu\u015f olur\u201d diye konu\u015ftu.<\/p>\n
Ya\u015fl\u0131larda f\u0131t\u0131k te\u015fhisinin gen\u00e7lere g\u00f6re daha kolay kondu\u011funu kaydeden Dr. Ko\u00e7er, \u201cHemen hemen t\u00fcm hastalarda kas\u0131k b\u00f6lgesinde beliren \u015fi\u015flik rahat\u00e7a g\u00f6r\u00fcl\u00fcr veya ele gelir. Hastalar d\u0131\u015far\u0131 \u00e7\u0131kan f\u0131t\u0131\u011f\u0131 ustaca i\u00e7eri itip ya\u015famlar\u0131n\u0131 s\u00fcrd\u00fcrmeyi \u00f6\u011frenmi\u015flerdir. Kimi hastada f\u0131t\u0131k ba\u011f\u0131 kullanmay\u0131 tercih eder. Ya\u015fl\u0131 hastalarda el ile muayene d\u0131\u015f\u0131nda ileri tan\u0131 y\u00f6ntemine ancak \u00e7ok nadir gerek duyulabilir. Ya\u015fl\u0131larda ve b\u00fcy\u00fck f\u0131t\u0131\u011f\u0131 olan hastalarda kar\u015f\u0131 taraf\u0131n muayenesinin iyi yap\u0131lmas\u0131 gerekir. Daha \u00f6nceden fark edilmeyen kar\u015f\u0131 taraftaki bir k\u00fc\u00e7\u00fck f\u0131t\u0131k, b\u00fcy\u00fck f\u0131t\u0131k onar\u0131ld\u0131\u011f\u0131nda h\u0131zla belirgin hale gelir. E\u011fer muayenede \u015f\u00fcphe varsa kar\u015f\u0131 taraf\u0131n kontrol\u00fc i\u00e7in ultrasonografi incelemesi yap\u0131labilir. Kas\u0131k f\u0131t\u0131klar\u0131n\u0131n ameliyat\u0131 a\u00e7\u0131k veya kapal\u0131 y\u00f6ntem ile yap\u0131labilir. Kapal\u0131 y\u00f6ntem daha ziyade beden g\u00fcc\u00fc ile \u00e7al\u0131\u015fan, aktif, dinamik veya sporcularda tercih edilir. \u00c7\u00fcnk\u00fc kapal\u0131 y\u00f6ntemin maliyet fark\u0131 vard\u0131r. Ayr\u0131ca kapal\u0131 ameliyat sadece genel anestezi ile yap\u0131l\u0131r. Buna kar\u015f\u0131l\u0131k ya\u015fl\u0131 hastalarda a\u00e7\u0131k y\u00f6ntem ile kapal\u0131 y\u00f6ntem aras\u0131nda \u00f6nemli bir konfor fark\u0131 olmayabilir. Sadece genel anestezi ile uygulanabilir olmas\u0131n\u0131 da d\u00fc\u015f\u00fcn\u00fcrsek, ya\u015fl\u0131lar i\u00e7in a\u00e7\u0131k ameliyatlar daha uygun olabilir. \u0130lk g\u00f6r\u00fc\u015fme ve muayene sonras\u0131 ameliyat\u0131n a\u00e7\u0131k veya kapal\u0131 olaca\u011f\u0131na cerrah ile birlikte karar vermek en do\u011frusu olacakt\u0131r. Kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131n\u0131n en b\u00fcy\u00fck avantaj\u0131 yada hasta hekim i\u00e7in kolayl\u0131\u011f\u0131 her t\u00fcrl\u00fc anestezi ile ameliyat\u0131n yap\u0131labilmesidir. Uygun olan hastalarda genel anestezi, uygun olmayan hastalarda spinal-epidural veya lokal anestezi ile de kolay ve g\u00fcvenle yap\u0131labilir bu ameliyatlar. Anestezinin se\u00e7imi hasta ile anestezi hekimi aras\u0131nda yap\u0131l\u0131r ve anestezi muayenesini takiben hastan\u0131 durumuna ve arzusuna uygun bir y\u00f6ntem se\u00e7ilir. Ya\u015fl\u0131 hastalarda a\u00e7\u0131k y\u00f6ntem ile birlikte lokal anestezi g\u00fcvenle uygulanabilir. Bu \u015fekilde kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131 olamayacak hasta hemen hemen hi\u00e7 yoktur. Sa\u011fl\u0131k durumu uygun hastalarda en g\u00fcvenli anestezi genel anestezidir. Hastan\u0131n t\u00fcm ya\u015famsal parmetreleri anestezi hekiminin kontrol\u00fcnde oldu\u011fu i\u00e7in ortaya \u00e7\u0131kabilecek her t\u00fcrl\u00fc sorunu \u00e7\u00f6zme imkan\u0131 da vard\u0131r. Anestezistlerin birinci derecede tercihi bu y\u00fczden hep genel anestezi olmaktad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
Ya\u015fl\u0131 hastalarda e\u011fer hastan\u0131n kronik bir hastal\u0131\u011f\u0131 yoksa, di\u011fer hasta gurubu gibi ameliyat sabah\u0131 a\u00e7 olarak hastaneye gelmesinin yeterli oldu\u011funu belirten Dr. Ko\u00e7er, \u201cY\u00fcksek tansiyon veya diyabet ilac\u0131 kullanan hastalar, ameliyat g\u00fcn\u00fc sabah\u0131 ila\u00e7lar\u0131n\u0131 da yan\u0131nda getirebilirler. Anestezi hekimi g\u00f6rd\u00fckten sonra ila\u00e7lar\u0131n\u0131 alabilirler. Ya\u015fl\u0131 hastalar \u00e7ok s\u0131k kan suland\u0131r\u0131c\u0131 ila\u00e7lar kullan\u0131rlar. Bu ila\u00e7lar ameliyat sonras\u0131nda kanamaya ve ameliyat b\u00f6lgesinde morluk ve hematom denilen \u015fi\u015fmelere neden olabilir. O nedenle bu t\u00fcr ila\u00e7lar\u0131 ameliyattan \u00f6nce kesmek gerekir. Coraspin gibi ila\u00e7lar\u0131 3 g\u00fcn \u00f6nceden, heparin kumadin gibi daha g\u00fc\u00e7l\u00fc ila\u00e7lar\u0131 en az 7 g\u00fcn \u00f6nceden kesmek gerekir. Bu konuda hekiminizle konu\u015fmal\u0131s\u0131n\u0131z. Kalp hastal\u0131klar\u0131 nedeni ile by-pass; stend operasyonu ge\u00e7irmi\u015f hastalar , k\u0131sa s\u00fcre \u00f6nce kalp enfarkt\u00fcs\u00fc ge\u00e7irenler, ciddi solunum rahats\u0131zl\u0131\u011f\u0131 ya\u015fayan hastalar\u0131n ameliyattan bir ka\u00e7 g\u00fcn \u00f6nce anestezi muayenesi olmas\u0131 gerekir. Ameliyat \u00f6ncesi uygun ko\u015fullar\u0131n sa\u011flanmas\u0131 i\u00e7in hastaya bir \u00f6n haz\u0131rl\u0131k s\u00fcresi gerekebilir. \u00d6n haz\u0131rl\u0131\u011f\u0131 yap\u0131lm\u0131\u015f, uygun ko\u015fullar sa\u011flanm\u0131\u015f bir hastada ameliyattan sonra bir s\u0131k\u0131nt\u0131 ya\u015fama riski yok denecek kadar azd\u0131r. Ameliyattan sonra hastay\u0131 aya\u011fa kald\u0131rmadan \u00f6nce mutlaka suspansuar giydirmek gerekir. Ya\u015fl\u0131 hastalarda ameliyat sonras\u0131 kanama ve hematom yak\u0131nmas\u0131 \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr. Ya\u015fl\u0131 ve sistemik rahats\u0131zl\u0131\u011f\u0131 olan hastalar\u0131 ameliyattan sonraki ak\u015fam hastanede tutmay\u0131 tercih ediyoruz. Ayn\u0131 g\u00fcn ak\u015fam yeme\u011fini yiyen, aya\u011fa kalk\u0131p dola\u015fan hastan\u0131n 1 g\u00fcn misafirimiz olmas\u0131n\u0131 tercih ediyoruz. T\u0131bbi kaynaklar, her ya\u015ftaki hastan\u0131n kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131n ameliyat ile onar\u0131lmas\u0131n\u0131, daha sonra geli\u015febilecek acil komplikasyonlar\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan mant\u0131kl\u0131 ve gerekli bulmaktad\u0131r\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n","protected":false},"excerpt":{"rendered":"
GENEL CERRAH\u0130 UZMANI DR. HAMD\u0130 KO\u00c7ER<\/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":[4992,35263,12723,41836],"class_list":["post-1367986","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-dikkat","tag-fitigina","tag-kasik","tag-yaslilarda"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1367986","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=1367986"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1367986\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1367986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1367986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1367986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}