Tiroit ultrasonlar\u0131nda s\u0131k\u00e7a g\u00f6r\u00fclen ancak \u00e7o\u011fu ki\u015finin ad\u0131n\u0131 bile duymad\u0131\u011f\u0131 \u201cyalanc\u0131 nod\u00fcller\u201d, uzmanlara g\u00f6re gereksiz biyopsilere ve hatta yanl\u0131\u015f ameliyatlara yol a\u00e7abiliyor. \u00d6zellikle 40 ya\u015f \u00fczeri kad\u0131nlarda yayg\u0131n olan bu olu\u015fumlar\u0131n, ger\u00e7ek nod\u00fcllerle kar\u0131\u015ft\u0131r\u0131lmas\u0131n\u0131n hem yanl\u0131\u015f tan\u0131lara, hem de y\u00fcksek riskli cerrahi m\u00fcdahalelere zemin haz\u0131rlad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Endokrin Cerrahisi Uzman\u0131 Prof. Dr. Erhan Ay\u015fan, yalanc\u0131 nod\u00fcllerin kanserle hi\u00e7bir ili\u015fkisi olmad\u0131\u011f\u0131n\u0131 vurgulayarak, en kritik hatan\u0131n bu yap\u0131lara biyopsi yap\u0131lmas\u0131 oldu\u011funu belirtti.\u00a0<\/p>\n
Tiroit hastal\u0131klar\u0131 toplumda \u00e7ok s\u0131k kar\u015f\u0131la\u015f\u0131lan bir sorun olmas\u0131na kar\u015f\u0131n bir\u00e7ok ki\u015fi \u201cyalanc\u0131 nod\u00fcl\u201d tan\u0131m\u0131n\u0131 bilmiyor. Yeditepe \u00dcniversitesi Ko\u015fuyolu Hastanesi Endokrin Cerrahisi Uzman\u0131 Prof. Dr. Erhan Ay\u015fan, tiroit nod\u00fclleri konusunda toplumda ve hatta baz\u0131 hekimlerde bile s\u0131k\u00e7a kar\u0131\u015ft\u0131r\u0131lan kritik bir yanl\u0131\u015f anla\u015f\u0131lmaya dikkat \u00e7ekti. Bu olu\u015fumlara \u00f6zellikle 40 ya\u015f \u00fcst\u00fc kad\u0131nlarda daha s\u0131k rastland\u0131\u011f\u0131n\u0131 belirten Prof. Ay\u015fan, yalanc\u0131 nod\u00fcllerin ger\u00e7ek nod\u00fcllerle kar\u0131\u015ft\u0131r\u0131lmas\u0131n\u0131n hem yanl\u0131\u015f tan\u0131lara hem de riskli cerrahi m\u00fcdahalelere zemin haz\u0131rlamas\u0131 a\u00e7\u0131s\u0131ndan ciddiye al\u0131nmas\u0131 gereken bir nokta oldu\u011funu anlatt\u0131.\u00a0<\/p>\n
GER\u00c7EK NOD\u00dcL \u0130LE YALANCI NOD\u00dcL ARASINDAK\u0130 KR\u0130T\u0130K FARK<\/p>\n
Endokrin Cerrahisi Uzman\u0131 Prof. Dr. Erhan Ay\u015fan, yalanc\u0131 ve ger\u00e7ek nod\u00fclleri birbirinden ay\u0131ran noktay\u0131 \u015f\u00f6yle ifade etti: \u201cGer\u00e7ek nod\u00fcl, tiroit bezinin i\u00e7inde s\u0131n\u0131rlar\u0131 belirgin, tiroit dokusundan net \u015fekilde ay\u0131rt edilen yap\u0131lard\u0131r. Yalanc\u0131 nod\u00fcl ise kaps\u00fcl\u00fc olmayan, ger\u00e7ek s\u0131n\u0131rlar\u0131 belirgin olmayan, ultrason s\u0131ras\u0131nda nod\u00fcl g\u00f6r\u00fcnt\u00fcs\u00fc veren ama asl\u0131nda ger\u00e7ek nod\u00fcl olmayan olu\u015fumlard\u0131r.\u201d\u00a0<\/p>\n
EN SIK 40 YA\u015e \u00dcZER\u0130 KADINLARDA G\u00d6R\u00dcL\u00dcYOR<\/p>\n
Yalanc\u0131 nod\u00fcllerin yayg\u0131nl\u0131\u011f\u0131n\u0131n tiroit hastal\u0131klar\u0131yla, \u00f6zellikle de tiroit iltihaplar\u0131yla yak\u0131n ili\u015fkili oldu\u011funu belirten Prof. Ay\u015fan, \u201cBu yap\u0131lar\u0131 en s\u0131k 40 ya\u015f \u00fczerindeki kad\u0131nlarda g\u00f6r\u00fcyoruz. Kad\u0131n cinsiyeti ve 40 ya\u015f \u00fczeri grup, yalanc\u0131 nod\u00fcllerin en yayg\u0131n oldu\u011fu ya\u015f ve cinsiyet grubudur\u201d diye konu\u015ftu.\u00a0<\/p>\n
Bu olu\u015fumlar\u0131n ortaya \u00e7\u0131kmas\u0131ndaki en b\u00fcy\u00fck etkenin Ha\u015fimoto hastal\u0131\u011f\u0131 oldu\u011funu belirtin Prof. Ay\u015fan, s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cHa\u015fimoto tiroit bezinin iltihab\u0131d\u0131r ve 40 ya\u015f \u00fczerindeki kad\u0131nlarda \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr. \u0130ltihap h\u00fccreleri bir b\u00f6lgede k\u00fcmelenerek bir kitlesel yap\u0131 olu\u015fturuyorlar ve bu yap\u0131lar ultrasonda yalanc\u0131 nod\u00fcl imaj\u0131n\u0131n olu\u015fmas\u0131na neden oluyor. \u0130\u015fte Ha\u015fimoto gibi iltihabi hastal\u0131klarda yalanc\u0131 nod\u00fcllerin s\u0131k g\u00f6r\u00fclmesinin nedeni de budur.\u201d\u00a0<\/p>\n
\u00a0<\/p>\n
\u201cBEL\u0130RT\u0130 VERMEZ, \u00c7O\u011eU ULTRASON SIRASINDA TESAD\u00dcFEN BULUNUR\u201d<\/p>\n
Yalanc\u0131 nod\u00fcllerin t\u0131pk\u0131 ger\u00e7ek nod\u00fcller gibi \u00e7o\u011fu zaman hi\u00e7bir belirti vermedi\u011fini vurgulayan Prof. Ay\u015fan, s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cHi\u00e7bir bulgu vermedikleri i\u00e7in s\u0131kl\u0131kla rastlant\u0131sal olarak tespit edilirler. Ha\u015fimoto sebebiyle ya da di\u011fer tiroid bezi hastal\u0131klar\u0131nda yap\u0131lan ultrasonlarda tesad\u00fcfen yalanc\u0131 nod\u00fclleri tespit ediyoruz. \u201c<\/p>\n
Bu nod\u00fcllerin hormon i\u015flevi \u00fczerinde de bir etkisi olmad\u0131\u011f\u0131na de\u011finen Prof. Ay\u015fan, \u201cYalanc\u0131 nod\u00fcllerle tiroid hormon salg\u0131s\u0131 aras\u0131nda herhangi bir ili\u015fki bulunmuyor. Tiroit bezindeki yalanc\u0131 nod\u00fcl say\u0131s\u0131n\u0131n az ya da \u00e7ok olmas\u0131 da bu sonucu etkilemiyor. Ancak, tiroid bezindeki iltihap yani altta yatan sebep hormon salg\u0131s\u0131n\u0131 bozabilir\u201d dedi.<\/p>\n
\u201cGER\u00c7EK NOD\u00dcLE D\u00d6N\u00dc\u015eMEZ, KANSER R\u0130SK\u0130 TA\u015eIMAZ\u201d<\/p>\n
En \u00e7ok merak edilen konulardan biri olan yalanc\u0131 nod\u00fcllerin ger\u00e7ek nod\u00fcle d\u00f6n\u00fc\u015fmesi ya da kanser riski ta\u015f\u0131mas\u0131yla ilgili olarak Prof. Ay\u015fan \u015fu a\u00e7\u0131klamay\u0131 yapt\u0131: \u201cYalanc\u0131 nod\u00fcllerin zaman i\u00e7inde ger\u00e7ek nod\u00fcle d\u00f6n\u00fc\u015fmedi\u011finin alt\u0131n\u0131 \u00e7izmemiz gerek. Tiroid bezindeki iltihab\u0131n \u015fiddetine ba\u011fl\u0131 olarak \u015fekil ve boyut de\u011fi\u015ftirebilirler, b\u00fcy\u00fcy\u00fcp k\u00fc\u00e7\u00fclebilirler ancak ger\u00e7ek nod\u00fcle d\u00f6n\u00fc\u015fme riskleri yoktur. \u00a0Yalanc\u0131 nod\u00fcllerin kanser geli\u015fmesiyle de hi\u00e7bir ili\u015fkisi yoktur. Zaten bu olu\u015fumlarla ilgili olarak ya\u015fad\u0131\u011f\u0131m\u0131z en \u00f6nemli sorun da bu. Konuyu bilmeyen ya da konudan uzak olan meslekta\u015flar\u0131m\u0131z bunlar\u0131 ger\u00e7ek nod\u00fcl gibi alg\u0131layabiliyor ve boyutlar\u0131 artt\u0131\u011f\u0131nda kanser oldu\u011funu d\u00fc\u015f\u00fcnebiliyorlar.\u201d<\/p>\n
\u201cKANSER ZANNED\u0130L\u0130P B\u0130YOPS\u0130 YAPILIP AMEL\u0130YATA G\u0130D\u0130LEB\u0130L\u0130YOR\u201d<\/p>\n
Yalanc\u0131 nod\u00fcller konusunda en kritik noktan\u0131n gereksiz biyopsiler oldu\u011funu vurgulayan Prof. Ay\u015fan, tabloyu \u015f\u00f6yle \u00f6zetledi. \u00a0\u201cYalanc\u0131 nod\u00fcllere kesinlikle biyopsi yap\u0131lmaz. Bak\u0131n \u2018biyopsiye gerek yoktur\u2019 demiyorum \u2018kesinlikle biyopsi yap\u0131lmamal\u0131d\u0131r\u2019 diyorum. Buras\u0131 \u00e7ok \u00f6nemli! \u00c7\u00fcnk\u00fc biyopsi yap\u0131ld\u0131\u011f\u0131nda iltihap h\u00fccreleri mikroskop alt\u0131nda t\u00fcm\u00f6r h\u00fccrelerine \u00e7ok benzedi\u011fi i\u00e7in patolog bunu kanser riskli olarak yorumlayabiliyor. \u0130\u015fte sorun tam da bu noktada ba\u015fl\u0131yor. Bu raporu alan klinisyen hastaya \u2018kanser riskiniz var, mutlaka ameliyat olmal\u0131s\u0131n\u0131z\u2019 diyor. \u0130\u015fte yap\u0131lmamas\u0131 gereken bir biyopsi hastay\u0131 ameliyathane kap\u0131s\u0131na kadar getirebiliyor, ne yaz\u0131k ki. Dolay\u0131s\u0131yla yalanc\u0131 nod\u00fcllerin do\u011fru te\u015fhisi kritik d\u00fczeyde \u00f6nemli bir konu.\u201d<\/p>\n
Yanl\u0131\u015f tan\u0131yla birlikte ger\u00e7ekle\u015ftirilen ameliyat\u0131n da hasta a\u00e7\u0131s\u0131ndan y\u00fcksek risk bar\u0131nd\u0131rd\u0131\u011f\u0131na i\u015faret eden Prof. Ay\u015fan, \u201cTiroit bezi iltihapl\u0131 oldu\u011fu i\u00e7in bu ameliyatlarda komplikasyon riski y\u00fcksektir. \u00c7\u00fcnk\u00fc iltihap cerrah\u0131n \u00e7al\u0131\u015fma planlar\u0131n\u0131 bozar, g\u00f6r\u00fc\u015f alan\u0131n\u0131 k\u0131s\u0131tlar, kanama riskini artt\u0131r\u0131r. Bu durumda paratiroid bezleri ve ses siniri gibi \u00e7ok \u00f6nemli organ ve yap\u0131lar hasar g\u00f6rebilir. \u00dcstelik bunlar kal\u0131c\u0131 olabilir\u201d diye konu\u015ftu.\u00a0<\/p>\n
\u201cTEDAV\u0130 NOD\u00dcL\u00dcN KEND\u0130S\u0130NE DE\u011e\u0130L, HA\u015e\u0130MATOYA Y\u00d6NEL\u0130K OLMALI\u201d<\/p>\n
\u201c\u015eu nokta \u00e7ok \u00f6nemli; yalanc\u0131 nod\u00fcl\u00fc olan bir hastada ama\u00e7 yalanc\u0131 nod\u00fcl\u00fc tedavi etmek de\u011fildir. Ama\u00e7, buna sebep olan altta yatan hastal\u0131\u011f\u0131 yani tiroit iltihab\u0131n\u0131 tedavi etmek olmal\u0131d\u0131r\u201d diyen Prof. Dr. Erhan Ay\u015fan \u201cHekim Ha\u015fimoto hastal\u0131\u011f\u0131na odaklanmal\u0131. Ancak \u015fu da var ki, Ha\u015fimoto kronik ve tedavisi zor hatta bir\u00e7ok zaman imkans\u0131z olan bir hastal\u0131kt\u0131r; iyile\u015fmeyebilir ama y\u00f6netilebilir\u201d \u015feklinde konu\u015ftu.\u00a0<\/p>\n
Prof. Dr. Erhan Ay\u015fan s\u00f6zlerini \u015fu uyar\u0131yla tamamlad\u0131: \u201cAlt\u0131n\u0131 \u00e7izmek istedi\u011fim ana mesaj\u0131m \u015fu: Yalanc\u0131 nod\u00fclleri ultrasonda do\u011fru tan\u0131mak ilk ve en \u00f6nemli noktad\u0131r. \u0130kinci \u00f6nemli nokta bu olu\u015fumlara kesinlikle biyopsi yap\u0131lmamas\u0131 gerekti\u011fidir. Aksi halde patoloji uzman\u0131ndan gelecek yan\u0131lt\u0131c\u0131 raporla hastalar gereksiz yere ameliyat edilebilirler. Tiroid bezlerini gereksiz yere kaybettikleri gibi ameliyata ba\u011fl\u0131 komplikasyonlarla da u\u011fra\u015fmak zorunda kalabilirler.\u201d\u00a0<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"
Tiroit ultrasonlar\u0131nda s\u0131k\u00e7a g\u00f6r\u00fclen ancak \u00e7o\u011fu ki\u015finin ad\u0131n\u0131 bile duymad\u0131\u011f\u0131 \u201cyalanc\u0131 nod\u00fcller\u201d, uzmanlara g\u00f6re gereksiz biyopsilere ve hatta yanl\u0131\u015f ameliyatlara yol a\u00e7abiliyor.<\/p>\n","protected":false},"author":1,"featured_media":8807,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1823,4091,325,4090,4089],"class_list":["post-8806","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-gercek","tag-nodullerin","tag-onemli","tag-tiroit","tag-yalanci"],"_links":{"self":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/8806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=8806"}],"version-history":[{"count":0,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/8806\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media\/8807"}],"wp:attachment":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=8806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=8806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=8806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}