Annesini ve a\u011fabeyini gen\u00e7 ya\u015fta kal\u0131n ba\u011f\u0131rsak kanserinden kaybeden Mardinli 26 ya\u015f\u0131ndaki Onur Cevhero\u011flu, ayn\u0131 kadere 3. evrede yakaland\u0131. Tan\u0131n\u0131n bir y\u0131l \u00f6nce tesad\u00fcfen koyuldu\u011funa dikkat \u00e7eken Cevhero\u011flu, \u201cKimse kaderini tesad\u00fcflere b\u0131rakmas\u0131n ve zaman\u0131nda gerekli tetkikleri, taramalar\u0131 yapt\u0131rs\u0131n\u201d derken, Prof. Dr. Cem Terzi erken ba\u015flang\u0131\u00e7l\u0131 kolorektal kanserlerin k\u00fcresel olarak art\u0131\u015f g\u00f6sterdi\u011fini s\u00f6yledi. Terzi, \u201cMaalesef gen\u00e7 eri\u015fkinler i\u00e7in alarm zilleri \u00e7al\u0131yor. 2023\u2019de yay\u0131nlanan bir ara\u015ft\u0131rmaya g\u00f6re, 1995\u2019te 10 kal\u0131n ba\u011f\u0131rsak kanserli hastan\u0131n biri 55 ya\u015f\u0131n alt\u0131nda iken bug\u00fcn tan\u0131 konulan her 5 hastadan biri bu ya\u015f\u0131n alt\u0131nda. Kolonoskopi kolorektal kanseri \u00f6nleme ve erken te\u015fhis i\u00e7in harika bir ara\u00e7, ancak yeterince yararlanam\u0131yoruz.\u201d dedi.<\/p>\n
Anne ve a\u011fabeyini kaybetti
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Mardin\u2019de ya\u015fayan Onur Cevhero\u011flu (26) annesini ve a\u011fabeyini hayattan koparan kal\u0131n ba\u011f\u0131rsak kanseri tan\u0131s\u0131n\u0131n 2023 Aral\u0131k\u2019ta konuldu\u011funu s\u00f6yledi. Kal\u0131n ba\u011f\u0131rsak kanserinin ailesinde ilk kez annesi Sadiye\u2019de g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc, ard\u0131ndan ayn\u0131 tan\u0131y\u0131 a\u011fabeyi Ferhat\u2019\u0131n ald\u0131\u011f\u0131n\u0131 belirten Onur Cevhero\u011flu, \u015f\u00f6yle konu\u015ftu: \u201cAnnemi 42, a\u011fabeyimi 24 ya\u015f\u0131ndayken bu hastal\u0131ktan kaybettim. Annemi kaybetti\u011fimde 2, a\u011fabeyimi kaybetti\u011fimde 18 ya\u015f\u0131mdayd\u0131m. A\u011fabeyime tan\u0131 koyulduktan sonra bana kolonoskopi yap\u0131ld\u0131, temiz \u00e7\u0131kt\u0131. Sonras\u0131nda ba\u015fka bir tetkik yapt\u0131rmad\u0131m. 2023 Aral\u0131k\u2019ta apandisit ameliyat\u0131 oldum, bu s\u00fcre\u00e7te ya\u015fad\u0131\u011f\u0131m s\u0131k\u0131nt\u0131lar \u00fczerine kolonoskopi yap\u0131ld\u0131 ve kal\u0131n ba\u011f\u0131rsak kanseri tan\u0131s\u0131 ald\u0131m. Tesad\u00fcfen ortaya \u00e7\u0131kt\u0131. 3. Evreymi\u015f. Ocak 2024\u2019te \u0130zmir\u2019e Ac\u0131badem Kent Hastanesine geldim. Prof. Dr. Cem Terzi ameliyat\u0131m\u0131 ger\u00e7ekle\u015ftirdi, sonras\u0131nda memlekete d\u00f6nd\u00fcm. Ameliyat sonras\u0131nda Diyarbak\u0131r\u2019da kemoterapi g\u00f6rd\u00fcm. 12 k\u00fcr sonunda 3 ayda bir kontrole \u00e7a\u011fr\u0131ld\u0131m. Kontrol i\u00e7in \u00e7ekilen PET CT\u2019de lenflerde n\u00fcks saptand\u0131, ge\u00e7en Aral\u0131k sonunda bir kez daha ameliyat masas\u0131na yatt\u0131m. \u015eimdi iyiyim. Biri k\u0131z \u00fc\u00e7 karde\u015fim var. Hepsine kolonoskopi yap\u0131ld\u0131 ve normal \u00e7\u0131kt\u0131. Ancak bu kez tedbiri elden b\u0131rakmayaca\u011f\u0131z ve gerekli kontrolleri zaman\u0131nda yapt\u0131raca\u011f\u0131z. Ba\u015f\u0131ma gelenlerden sonra kontrollerin ne kadar \u00f6nemli oldu\u011funu bir kez daha anlad\u0131m. Arabalar\u0131m\u0131za verdi\u011fimiz de\u011feri kendimize vermiyor, arabalar\u0131 kontrolden ge\u00e7irtip kendimizi hi\u00e7e say\u0131yoruz. Oysa y\u0131lda bir yapt\u0131raca\u011f\u0131m kontrolle bir \u015fey kaybetmeyiz ama sa\u011fl\u0131\u011f\u0131m\u0131z\u0131, can\u0131m\u0131z\u0131 kazan\u0131r\u0131z.\u201d<\/p>\n
Kal\u0131n ba\u011f\u0131rsak kanseri art\u0131k sadece ya\u015fl\u0131l\u0131k hastal\u0131\u011f\u0131 de\u011fil
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\u00d6te yandan Ac\u0131badem Kent Hastanesi Genel Cerrahi Uzman\u0131 Kolerektal Cerrah Prof. Dr. Cem Terzi, hastas\u0131 Onur Cevhero\u011flu\u2019nun kal\u0131n ba\u011f\u0131rsak kanserinin gen\u00e7 eri\u015fkin olarak \u00f6rnek vaka oldu\u011funu s\u00f6yledi. Cevhero\u011flu\u2019nda tek \u015fikayetin kar\u0131n a\u011fr\u0131s\u0131 oldu\u011funu, apandisit ameliyat\u0131ndan sonra ge\u00e7meyince yap\u0131lan kolonoskopi ile tesad\u00fcfen kal\u0131n ba\u011f\u0131rsak tan\u0131s\u0131 koyuldu\u011funu belirten Prof. Dr. Terzi, \u015f\u00f6yle devam etti: “Hastam\u0131z\u0131n durumu \u015fimdi iyi. \u0130lk kez 18-19 ya\u015flar\u0131nda yap\u0131lan tetkikte her \u015fey normal \u00e7\u0131k\u0131nca bir daha gerisini getirmemi\u015f. Oysa genetik olarak bir risk varsa, sa\u011fl\u0131kl\u0131 ki\u015filerde 5 y\u0131lda bir yap\u0131lan kolonoskopi, bu ki\u015filerde 2 y\u0131lda bir yap\u0131lmal\u0131. Bu hastam\u0131z\u0131n her iki y\u0131lda bir kontrol olmas\u0131 gerekiyordu. Bu vaka bize kolonoskopinin erken tan\u0131 i\u00e7in \u00f6nemini ortaya koymaya yetiyor. Art\u0131k kal\u0131n ba\u011f\u0131rsak kanserini yaln\u0131zca ya\u015fl\u0131 insanlar\u0131n hastal\u0131\u011f\u0131 olarak g\u00f6rmememiz gereken bir noktaday\u0131z; gen\u00e7 eri\u015fkinler i\u00e7in alarm zilleri \u00e7al\u0131yor! Vaka say\u0131lar\u0131ndaki art\u0131\u015fla ba\u015fa \u00e7\u0131kmak i\u00e7in bu yeni durumun; erken ya\u015fta ortaya \u00e7\u0131kan kal\u0131n ba\u011f\u0131rsak kanseri nedenlerinin anla\u015f\u0131lmas\u0131 gereklidir. Gen\u00e7 ya\u015fta ba\u015flayan kal\u0131n ba\u011f\u0131rsak kanseri (kolorektal kanser) olarak da adland\u0131r\u0131lan erken ba\u015flang\u0131\u00e7l\u0131 kolorektal kanser 50 ya\u015f\u0131n alt\u0131ndaki bireylerde te\u015fhis edilen kal\u0131n ba\u011f\u0131rsak kanseri olarak tan\u0131mlan\u0131r. Erken ba\u015flang\u0131\u00e7l\u0131 kolorektal kanserler k\u00fcresel olarak art\u0131\u015f g\u00f6stermektedir. Amerika Birle\u015fik Devletleri\u2019nde (ABD) 2030 y\u0131l\u0131na kadar 20-49 ya\u015f aras\u0131 bireylerde kansere ba\u011fl\u0131 \u00f6l\u00fcmlerin en \u00f6nemli nedeninin kal\u0131n ba\u011f\u0131rsak kanserleri olaca\u011f\u0131 tahmin edilmektedir. Bu \u00e7ok yeni ve korkutucu bir geli\u015fme. \u00dclkemizde kanser istatistikleri istenilen d\u00fczeyde de\u011fil. Bu y\u00fczden s\u0131kl\u0131kla Bat\u0131 kaynaklar\u0131ndan yararlan\u0131yoruz. 2023 y\u0131l\u0131nda Amerikan Kanser Derne\u011fi taraf\u0131ndan yay\u0131nlanan bir ara\u015ft\u0131rmaya g\u00f6re, 1995\u2019te 10 kal\u0131n ba\u011f\u0131rsak kanserli hastan\u0131n bir tanesi 55 ya\u015f\u0131n alt\u0131nda iken bug\u00fcn tan\u0131 konulan hastalar\u0131n be\u015fte biri bu ya\u015f\u0131n alt\u0131ndad\u0131r. Di\u011fer endi\u015fe verici durum ilerlemi\u015f kanser vakalar\u0131ndaki art\u0131\u015f. Kolonoskopinin kanser \u00f6ncesi lezyonlar\u0131 tespit edip ortadan kald\u0131rabilen bir tarama y\u00f6ntemi olmas\u0131na ra\u011fmen erken evre tan\u0131dan ziyade ilerlemi\u015f vaka oran\u0131 art\u0131yor. Oysa kolonoskopi kolorektal kanseri \u00f6nleme ve erken te\u015fhis i\u00e7in harika bir ara\u00e7t\u0131r. Bundan yeterince yararlanam\u0131yoruz. Kal\u0131n ba\u011f\u0131rsak kanserinde erken tan\u0131 alan hastalarda bu hastal\u0131ktan tamamen kurtulma oran\u0131 geli\u015fmi\u015f \u00fclkelerde y\u00fczde 90\u2019d\u0131r. Bu imkan\u0131 hastalara yeterince sunam\u0131yoruz maalesef. \u201c<\/p>\n
Gen\u00e7 hastalarda g\u00f6r\u00fclen \u015fikayetler
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Bir hastada makattan kanama ve a\u00e7\u0131klanamayan demir eksikli\u011fi gibi belirtiler varsa ya\u015f\u0131ndan ba\u011f\u0131ms\u0131z olarak kanser olup olmad\u0131\u011f\u0131n\u0131n ciddi bir \u015fekilde ara\u015ft\u0131r\u0131lmas\u0131 gerekti\u011fini s\u00f6yleyen Prof. Dr. Cem Terzi s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc: \u201cHastalar\u0131n y\u00fczde 30\u2019unda DNA\u2019daki genetik hasar nesilden nesile ge\u00e7er ve bunlar kal\u0131tsal kal\u0131n ba\u011f\u0131rsak kanserleridir. Geri kalan y\u00fczde 70 hastada ise DNA\u2019daki genetik hasar, \u00f6rne\u011fin hava kirlili\u011fi gibi \u00e7evresel fakt\u00f6rlerle olur. Gen\u00e7 hastalarda en s\u0131k g\u00f6r\u00fclen kolorektal kanser belirtileri kar\u0131n a\u011fr\u0131s\u0131, a\u00e7\u0131klanamayan kilo kayb\u0131, d\u0131\u015fk\u0131lama s\u0131kl\u0131\u011f\u0131nda, d\u0131\u015fk\u0131 boyutunda veya g\u00f6r\u00fcn\u00fcm\u00fcnde de\u011fi\u015fiklik ve makattan kanamad\u0131r. Makattan kanama, 50 ya\u015f \u00fcst\u00fc yeti\u015fkinlerde vakalar\u0131n y\u00fczde 26\u2019s\u0131nda, gen\u00e7 vakalar\u0131n y\u00fczde 46\u2019s\u0131nda g\u00f6r\u00fcl\u00fcr. Gen\u00e7ler, gen\u00e7liklerinden \u00f6t\u00fcr\u00fc sa\u011fl\u0131kl\u0131 olduklar\u0131n\u0131 varsayma e\u011filimindedir. Bu y\u00fczden baz\u0131 belirtiler olsa da bunlar\u0131 ciddiye almazlar. Bir di\u011fer sorun ise, bireylerin an\u00fcs veya d\u0131\u015fk\u0131lama ile ilgili belirtileri dile getirmekten utanmalar\u0131d\u0131r. Hekimlerin gen\u00e7 eri\u015fkinlerdeki belirtileri ciddiye almalar\u0131 gerekir. Gen\u00e7 bir hastaya sadece basur (hemoroid) tedavisi verilmesi ama birka\u00e7 ay sonra metastatik (yay\u0131lm\u0131\u015f) kolon kanserinin ortaya \u00e7\u0131kmas\u0131 hi\u00e7 istenilmeyen bir durum. Bu nedenle yak\u0131nmalar\u0131 olan bir hastada sadece d\u0131\u015fk\u0131da gizli kan testi de\u011fil, kolonoskopi de yap\u0131lmal\u0131d\u0131r.\u201d
<\/p>\n","protected":false},"excerpt":{"rendered":"
Annesini ve a\u011fabeyini gen\u00e7 ya\u015fta kal\u0131n ba\u011f\u0131rsak kanserinden kaybeden Mardinli 26 ya\u015f\u0131ndaki Onur Cevhero\u011flu, ayn\u0131 kadere 3. evrede yakaland\u0131. Tan\u0131n\u0131n bir y\u0131l \u00f6nce tesad\u00fcfen koyuldu\u011funa dikkat \u00e7eken Cevhero\u011flu, \u201cKimse kaderini tesad\u00fcflere b\u0131rakmas\u0131n ve zaman\u0131nda gerekli tetkikleri, taramalar\u0131 yapt\u0131rs\u0131n\u201d derken, Prof. Dr. Cem Terzi erken ba\u015flang\u0131\u00e7l\u0131 kolorektal kanserlerin k\u00fcresel olarak art\u0131\u015f g\u00f6sterdi\u011fini s\u00f6yledi. Terzi, \u201cMaalesef gen\u00e7…<\/p>\n","protected":false},"author":1,"featured_media":11932,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-11931","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/11931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11931"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/11931\/revisions"}],"predecessor-version":[{"id":11933,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/11931\/revisions\/11933"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/11932"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}