Divertik\u00fclozis olarak adland\u0131r\u0131lan, kal\u0131n ba\u011f\u0131rsaktaki keseciklerin olu\u015fma nedeni kesin olarak bilinmemekle birlikte, en b\u00fcy\u00fck etkenin ba\u011f\u0131rsak i\u00e7i bas\u0131n\u00e7 art\u0131\u015f\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. Genellikle hi\u00e7bir belirti vermeyen bu kesecikler; hafif kar\u0131n kramplar\u0131na, \u015fi\u015fkinli\u011fe ve gaz ya da d\u0131\u015fk\u0131lama al\u0131\u015fkanl\u0131klar\u0131nda de\u011fi\u015fikliklere (kab\u0131zl\u0131k veya ishal) yol a\u00e7abiliyor. Ancak kesecikler iltihapland\u0131\u011f\u0131nda (Divertik\u00fclit) tablo ciddile\u015ferek; \u015fiddetli kar\u0131n a\u011fr\u0131s\u0131, ate\u015f, titreme, mide bulant\u0131s\u0131, kusma ve i\u015ftah kayb\u0131 gibi belirtiler ortaya \u00e7\u0131k\u0131yor. \u00a0 \u00d6zellikle \u015fiddetli kar\u0131n a\u011fr\u0131s\u0131 ve ate\u015f durumunda vakit kaybetmeden bir doktora ba\u015fvurulmas\u0131 hayati \u00f6neme sahip.\u00a0<\/p>\n
Lif y\u00f6n\u00fcnden fakir beslenmeye ba\u011fl\u0131 s\u00fcrekli kab\u0131zl\u0131\u011f\u0131n olu\u015fmas\u0131 ve hareketsiz ya\u015fam gibi fakt\u00f6rlerin hastal\u0131\u011fa davetiye \u00e7\u0131kard\u0131\u011f\u0131n\u0131 belirten\u00a0\u0130stanbul Okan \u00dcniversitesi Hastanesi Genel Cerrahi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Osman An\u0131l Sava\u015f, ayn\u0131 zamanda genetik fakt\u00f6rlerin ve ya\u015fa ba\u011fl\u0131 olarak ba\u011f\u0131rsak duvarlar\u0131n\u0131n zay\u0131flamas\u0131 sebebiyle de 60 ya\u015f \u00fcst\u00fc bireylerde bu durumla s\u0131kl\u0131kla kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7iziyor.\u00a0<\/p>\n
Divertik\u00fclit Tedavisinde Cerrahi Y\u00f6ntemler\u00a0<\/p>\n
Divertik\u00fcller genellikle ba\u015fka bir sebeple yap\u0131lan taramalarda tesad\u00fcfen bulunurken, tan\u0131 i\u00e7in kolonoskopi ve bilgisayarl\u0131 tomografiden (BT) faydalan\u0131l\u0131yor. Tedavi \u015fekli ise hastal\u0131\u011f\u0131n evresine g\u00f6re de\u011fi\u015fmekte. Keseciklerin oldu\u011fu sessiz evrede (Divertik\u00fclozis), ila\u00e7 tedavisine gerek yokken, bu evrede ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fi (bol lifli diyet, su t\u00fcketimi) yeterli oluyor. Hafif ataklar\u0131n ba\u015flad\u0131\u011f\u0131 evrede istirahat, s\u0131v\u0131 a\u011f\u0131rl\u0131kl\u0131 beslenme ve uzman doktorun re\u00e7ete edece\u011fi antibiyotikler kullan\u0131l\u0131yor. \u015eiddetli ataklarda hastaneye yat\u0131\u015f, damardan antibiyotik tedavisi ve ba\u011f\u0131rsa\u011f\u0131n dinlendirilmesi gerekebiliyor. Nadiren ba\u011f\u0131rsak delinmesi, iki defadan fazla tekrarlayan divertik\u00fclit ata\u011f\u0131, s\u0131k tekrarlayan kanama gibi komplikasyonlar\u0131n geli\u015fmesi gibi\u00a0durumlarda ise cerrahi m\u00fcdahale gerekebiliyor. Cerrahi y\u00f6ntemler, hastal\u0131kl\u0131 (divertik\u00fcll\u00fc ve iltihapl\u0131) ba\u011f\u0131rsak b\u00f6l\u00fcm\u00fcn\u00fcn \u00e7\u0131kar\u0131lmas\u0131na ve kalan sa\u011fl\u0131kl\u0131 u\u00e7lar\u0131n birbirine dikilmesine dayan\u0131yor. Ancak bu i\u015flemin nas\u0131l yap\u0131laca\u011f\u0131 hastan\u0131n durumuna g\u00f6re de\u011fi\u015fiyor. Cerrahlar, m\u00fcmk\u00fcn olan her durumda hastan\u0131n daha h\u0131zl\u0131 iyile\u015fmesini sa\u011flayan kapal\u0131 y\u00f6ntemleri tercih ederken, baz\u0131 durumlarda a\u00e7\u0131k cerrahiye de ba\u015fvurulabiliyor. Kar\u0131n b\u00f6lgesine 3-4 adet \u00e7ok k\u00fc\u00e7\u00fck kesi a\u00e7\u0131larak yap\u0131lan laparoskopik cerrahi (kapal\u0131 y\u00f6ntem); daha az a\u011fr\u0131, daha k\u00fc\u00e7\u00fck ameliyat izi ve daha k\u0131sa hastanede yat\u0131\u015f s\u00fcresiyle hastalar\u0131n normal hayatlar\u0131na daha h\u0131zl\u0131 d\u00f6nmelerini sa\u011fl\u0131yor.\u00a0<\/p>\n
\u0130stanbul Okan \u00dcniversitesi Hastanesi Genel Cerrahi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Osman An\u0131l Sava\u015f, cerrahi s\u00fcre\u00e7te hastalar\u0131n en b\u00fcy\u00fck korkusunun, ba\u011f\u0131rsa\u011f\u0131n kar\u0131n duvar\u0131na a\u011f\u0131zla\u015ft\u0131r\u0131lmas\u0131yla d\u0131\u015fk\u0131n\u0131n bir torbaya (stoma) dolmas\u0131 oldu\u011funu s\u00f6yl\u00fcyor. Oysa laparoskopik y\u00f6ntemle ger\u00e7ekle\u015ftirilen ameliyatlarda genellikle torba tak\u0131lm\u0131yor. Hastal\u0131kl\u0131 k\u0131s\u0131m \u00e7\u0131kar\u0131larak sa\u011fl\u0131kl\u0131 u\u00e7lar birbirine dikilebiliyor. Acil ameliyatlarda ise, e\u011fer kar\u0131n i\u00e7i \u00e7ok iltihapl\u0131ysa, diki\u015flerin tutmama riski y\u00fcksek oldu\u011fu i\u00e7in, hasta g\u00fcvenli\u011fini sa\u011flamak amac\u0131yla ge\u00e7ici olarak ba\u011f\u0131rsa\u011f\u0131n kar\u0131n cildine a\u011f\u0131zla\u015ft\u0131r\u0131lmas\u0131 s\u00f6z konusu olabiliyor. Ancak enfeksiyon temizlenip hasta iyile\u015ftikten yakla\u015f\u0131k 3-6 ay sonra ikinci bir k\u00fc\u00e7\u00fck ameliyatla ba\u011f\u0131rsak i\u00e7eri al\u0131n\u0131yor ve torba iptal ediliyor.<\/p>\n
\u00a0<\/p>\n
Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"
Divertik\u00fclozis olarak adland\u0131r\u0131lan, kal\u0131n ba\u011f\u0131rsaktaki keseciklerin olu\u015fma nedeni kesin olarak bilinmemekle birlikte, en b\u00fcy\u00fck etkenin ba\u011f\u0131rsak i\u00e7i bas\u0131n\u00e7 art\u0131\u015f\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcyor.<\/p>\n","protected":false},"author":1,"featured_media":9274,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1713,966,4250,1280,1288],"class_list":["post-9273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bagirsak","tag-cerrahi","tag-divertikulit","tag-genellikle","tag-oldugu"],"_links":{"self":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/9273","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=9273"}],"version-history":[{"count":0,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/9273\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media\/9274"}],"wp:attachment":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=9273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=9273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=9273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}