A\u015f\u0131r\u0131 terleme sorununun sosyal ili\u015fkileri olumsuz etkiledi\u011fini, \u00f6zellikle gen\u00e7lerde \u00f6zg\u00fcven kayb\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 belirten G\u00f6\u011f\u00fcs Cerrahisi Uzman\u0131 Dr. Ayten G\u00fcner Akb\u0131y\u0131k \u00e7\u00f6z\u00fcm i\u00e7in ba\u015fvurulan Endoskopik Torasik Sempatektomi yani ETS cerrahisinde ba\u015far\u0131 oran\u0131n\u0131n \u00e7ok y\u00fcksek oldu\u011funu s\u00f6yledi.
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Ac\u0131badem Bodrum Hastanesi G\u00f6\u011f\u00fcs Cerrahisi Uzman\u0131 Dr. Ayten G\u00fcner Akb\u0131y\u0131k, ortam \u0131s\u0131s\u0131 ya da fiziksel eforla ili\u015fkili olmadan, \u00f6zellikle eller, koltuk altlar\u0131 ve y\u00fcz gibi b\u00f6lgelerde g\u00f6r\u00fclen a\u015f\u0131r\u0131 terleme problemi, t\u0131bbi ad\u0131yla “b\u00f6lgesel hiperhidrozis”in, bireylerin hem g\u00fcnl\u00fck ya\u015fam kalitesini hem de sosyal ili\u015fkilerini ciddi \u015fekilde olumsuz etkiledi\u011fini dile getirdi. A\u015f\u0131r\u0131 terlemenin \u00f6zellikle gen\u00e7 bireylerde \u00f6zg\u00fcven kayb\u0131na neden oldu\u011funa dikkat \u00e7eken Dr. Akb\u0131y\u0131k, bu durumun genellikle “Ellerimi saklama gere\u011fi hissediyorum” veya “Kar\u015f\u0131mdakine tokala\u015fmaya utan\u0131yorum” gibi ifadelerle tarif edildi\u011fini aktard\u0131.
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B\u00f6lgesel hiperhidrozisin, alt\u0131nda yatan ba\u015fka hastal\u0131klar olmaks\u0131z\u0131n g\u00f6r\u00fclebildi\u011fini vurgulayan Dr. Akb\u0131y\u0131k, “Bu t\u00fcr terleme, genellikle menopoz, hipertiroidizm, diyabet, enfeksiyon, tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc, kalp yetmezli\u011fi ya da b\u00f6brek \u00fcst\u00fc bezi hastal\u0131klar\u0131ndan ba\u011f\u0131ms\u0131zd\u0131r. Ancak tan\u0131 konulmadan \u00f6nce bu nedenlerin d\u0131\u015flanmas\u0131 gerekir” diyerek \u00f6ncelikle baz\u0131 kan tetkiklerinin yap\u0131lmas\u0131n\u0131n \u015fart oldu\u011funu ifade etti.
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“Terleme 6 aydan daha uzun s\u00fcredir varsa”
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Tan\u0131 s\u00fcrecinde fizik muayenenin ve hastadan al\u0131nan ayr\u0131nt\u0131l\u0131 t\u0131bbi \u00f6yk\u00fcn\u00fcn b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirten Dr. Akb\u0131y\u0131k, “E\u011fer terleme alt\u0131 aydan daha uzun s\u00fcredir devam ediyorsa, iki tarafl\u0131 yani simetrik ise ve yaln\u0131zca uyan\u0131kken g\u00f6r\u00fcl\u00fcp uyku s\u0131ras\u0131nda kayboluyorsa, b\u00f6lgesel hiperhidrozis tan\u0131s\u0131 konulabilir” dedi.
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Bu hastal\u0131\u011f\u0131n tedavisinde \u00f6ncelikle medikal y\u00f6ntemlerin denendi\u011fini anlatan Dr. Akb\u0131y\u0131k, “Terleme \u00f6nleyici kremler, botoks uygulamalar\u0131 ve iyontoforez gibi tedaviler ge\u00e7ici \u00e7\u00f6z\u00fcmler sunar. Bu nedenle bu y\u00f6ntemler tekrarlanmak zorundad\u0131r ve kal\u0131c\u0131 bir sonu\u00e7 vermez” \u015feklinde konu\u015ftu. A\u015f\u0131r\u0131 terlemenin ya\u015fam\u0131 zorla\u015ft\u0131rd\u0131\u011f\u0131 hastalarda kal\u0131c\u0131 \u00e7\u00f6z\u00fcm olarak cerrahi m\u00fcdahaleye ba\u015fvuruldu\u011funu belirten Dr. Akb\u0131y\u0131k bu noktada Endoskopik Torasik Sempatektomi yani ETS cerrahisinin g\u00fcndeme geldi\u011fini s\u00f6yledi.
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“Ameliyat ba\u015far\u0131s\u0131 y\u00fczde 95\u2019in \u00fczerinde”
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Sempatektomi ameliyat\u0131n\u0131n halk aras\u0131nda “el terlemesi ameliyat\u0131” olarak bilindi\u011fini ifade eden Dr. Akb\u0131y\u0131k, bu i\u015flemin kapal\u0131 y\u00f6ntemle ve y\u00fcksek ba\u015far\u0131 oran\u0131yla uyguland\u0131\u011f\u0131n\u0131 vurgulad\u0131. G\u00f6\u011f\u00fcs bo\u015flu\u011funa koltuk alt\u0131ndan yap\u0131lan yakla\u015f\u0131k 1 santimetrelik kesiyle ula\u015f\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yleyen Dr. Akb\u0131y\u0131k, sempatik sinirin klipslenerek, yak\u0131larak veya cerrahi olarak kesilerek iletiminin durduruldu\u011funu anlatt\u0131. “Bu y\u00f6ntemle terlemeye neden olan sinir uyar\u0131m\u0131 ortadan kald\u0131r\u0131l\u0131r ve etkisi ameliyat biter bitmez ba\u015flar. \u00dcstelik bu etki kal\u0131c\u0131d\u0131r” diyen Dr. Akb\u0131y\u0131k, ameliyat\u0131n ba\u015far\u0131s\u0131n\u0131n y\u00fczde 95\u2019in \u00fczerinde oldu\u011funu ve hastalar\u0131n genellikle ayn\u0131 g\u00fcn ya da ertesi g\u00fcn taburcu edilebildi\u011fini dile getirdi.
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“Hayat kalitesini y\u00fckseltiyor”
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Sempatektomi ameliyat\u0131n\u0131n genellikle g\u00fcvenli oldu\u011funu ve kal\u0131c\u0131 \u00e7\u00f6z\u00fcm sundu\u011funu aktaran Dr. Akb\u0131y\u0131k, nadiren de olsa g\u00f6r\u00fclebilecek baz\u0131 yan etkiler konusunda hastalar\u0131n bilgilendirilmesinin \u00f6nemine dikkat \u00e7ekti. En s\u0131k kar\u015f\u0131la\u015f\u0131lan ancak zamanla kendili\u011finden d\u00fczelme e\u011filiminde olan durumun kompansatuar terleme oldu\u011funu kaydeden Dr. Akb\u0131y\u0131k, bu terleme t\u00fcr\u00fcn\u00fcn ameliyatla kurutulan b\u00f6lgelerin d\u0131\u015f\u0131nda kalan v\u00fccut alanlar\u0131nda, \u00f6rne\u011fin s\u0131rt, kar\u0131n veya bacaklarda ortaya \u00e7\u0131kabilece\u011fini ifade etti. Bu terleme tipinin genellikle 6 ay ile 1 y\u0131l i\u00e7inde azalarak kaybolaca\u011f\u0131n\u0131, ancak her ihtimalin hasta taraf\u0131ndan bilinmesi ve takip edilmesi gerekti\u011fini s\u00f6zlerine ekledi.
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Cerrahi m\u00fcdahalenin uygun hasta grubunda uzun vadeli ve etkili bir \u00e7\u00f6z\u00fcm sundu\u011funa i\u015faret eden Dr. Akb\u0131y\u0131k “A\u015f\u0131r\u0131 el, koltuk alt\u0131 ya da y\u00fcz terlemesi sosyal hayat\u0131 zora sokuyorsa ve medikal y\u00f6ntemler etkisiz kal\u0131yorsa, cerrahi sempatektomi hayat kalitesini ciddi \u015fekilde y\u00fckseltir” \u015feklinde konu\u015ftu.
<\/p>\n","protected":false},"excerpt":{"rendered":"
A\u015f\u0131r\u0131 terleme sorununun sosyal ili\u015fkileri olumsuz etkiledi\u011fini, \u00f6zellikle gen\u00e7lerde \u00f6zg\u00fcven kayb\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 belirten G\u00f6\u011f\u00fcs Cerrahisi Uzman\u0131 Dr. Ayten G\u00fcner Akb\u0131y\u0131k \u00e7\u00f6z\u00fcm i\u00e7in ba\u015fvurulan Endoskopik Torasik Sempatektomi yani ETS cerrahisinde ba\u015far\u0131 oran\u0131n\u0131n \u00e7ok y\u00fcksek oldu\u011funu s\u00f6yledi. Ac\u0131badem Bodrum Hastanesi G\u00f6\u011f\u00fcs Cerrahisi Uzman\u0131 Dr. Ayten G\u00fcner Akb\u0131y\u0131k, ortam \u0131s\u0131s\u0131 ya da fiziksel eforla ili\u015fkili olmadan, \u00f6zellikle…<\/p>\n","protected":false},"author":1,"featured_media":34295,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-34294","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\/34294","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=34294"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/34294\/revisions"}],"predecessor-version":[{"id":34296,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/34294\/revisions\/34296"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/34295"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}