{"id":3157,"date":"2023-11-27T14:16:06","date_gmt":"2023-11-27T14:16:06","guid":{"rendered":"https:\/\/cankayahastanesi.site\/?p=3157"},"modified":"2023-11-27T14:17:38","modified_gmt":"2023-11-27T14:17:38","slug":"prostat-kanseri","status":"publish","type":"post","link":"https:\/\/cankayahastanesi.com.tr\/tr\/prostat-kanseri\/","title":{"rendered":"Prostat Kanseri"},"content":{"rendered":"\t\t
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Erkekte en s\u0131k rastlan\u0131lan kanser tipi olan prostat kanseri hem genetik hem de \u00e7evre fakt\u00f6rlerine ba\u011fl\u0131 olarak ortaya \u00e7\u0131kmaktad\u0131r. D\u00fcnyada kuzey \u00fclkelerinde s\u0131k, sar\u0131 \u0131rkta ise daha az g\u00f6r\u00fclmektedir.<\/p>

Risk Fakt\u00f6rleri<\/h3>

Yo\u011fun enerjili hayvansal \u00fcr\u00fcnlerin \u00e7ok t\u00fcketildi\u011fi toplumlarda daha s\u0131k g\u00f6r\u00fclmektedir. Di\u011fer risk fakt\u00f6rleri ise ba\u015fta genetik olmak \u00fczere (Ailede prostat kanseri varsa di\u011fer bireylerde g\u00f6r\u00fclme \u015fans\u0131 artmaktad\u0131r.), sigara ve alkol t\u00fcketimi, radyasyon, cinsel yolla bula\u015fan hastal\u0131klar ve obezitedir.<\/p>

Korunma<\/h3>

Soya, ye\u015fil \u00e7ay, \u00fcz\u00fcm \u00e7ekirde\u011fi \u00f6z\u00fct\u00fc, Karoten, Lutein, Likopen i\u00e7eren g\u0131dalar (havu\u00e7, balkaba\u011f\u0131, domates, brokoli, ye\u015fil fasulye) yemenin riskleri azaltt\u0131\u011f\u0131 ileri s\u00fcr\u00fclmektedir.<\/p>

Tan\u0131<\/h3>

PSA (prostat spesifik Antijen) prostat kanseri tan\u0131s\u0131nda ba\u015far\u0131 ile kullan\u0131lan bir belirte\u00e7tir.PSA de\u011feri ya\u015fla de\u011fi\u015fkenlik g\u00f6stermektedir.\u00d6rne\u011fin 40-50 ya\u015flar\u0131nda 2.5ng\/ml de\u011feri y\u00fcksek kabul edilirken, 50-60 ya\u015f aras\u0131nda 3-4ng\/ml, 60-70 ya\u015f aras\u0131nda ise 4ng\/ml nin \u00fczerindeki de\u011ferler y\u00fcksek kabul edilebilir.Kesin tan\u0131 ise transrektal USG(Ultrasonografi) e\u015fli\u011finde al\u0131nacak 12 kadranl\u0131 prostat biopsisi ile konur. Biopside kanser g\u00f6r\u00fclmemesi hi\u00e7bir zaman prostat kanserini ekarte ettirmez. 2. hatta 3. biopside kanser tan\u0131s\u0131 alan hastalar vard\u0131r.

Prostat kanseri tan\u0131s\u0131nda son y\u0131llarda multiparametrik MR s\u0131kl\u0131kla kullan\u0131lmaktad\u0131r.Bu tetkikte prostat dokusundaki lezyonlar skorlanmaktad\u0131r. Buna g\u00f6re :<\/p>

  • PI-RADS 1 lezyon benign<\/li>
  • PI-RADS 2 lezyon benign<\/li>
  • PI-RADS 3 lezyon \u015f\u00fcpheli takibi gerekir<\/li>
  • PI-RADS 4 lezyon kanser olma olas\u0131l\u0131\u011f\u0131 y\u00fcksek<\/li>
  • PI-RADS 5 lezyon kanser olma olas\u0131l\u0131\u011f\u0131 \u00e7ok y\u00fcksek olarak de\u011ferlendirilmektedir.<\/li><\/ul>

    Bu g\u00f6r\u00fcnt\u00fcleme sonucunda biopsi al\u0131nmas\u0131na karar verilirse daha sa\u011fl\u0131kl\u0131 sonu\u00e7lar elde edilmektedir hele hele 2. Biopsi yap\u0131lacak hastaya biopsi \u00f6ncesi bu tetkik mutlak yap\u0131lmal\u0131d\u0131r<\/p>

    Tedavi<\/h3>

    Prostat kanserinin en se\u00e7kin tedavisi radikal retropubik prostatektomidir.Bu ameliyat g\u00f6bek alt\u0131 insizyonu ile yap\u0131l\u0131r, hasta yakla\u015f\u0131k 3 g\u00fcn hastanede kal\u0131r,uretral kateteri ile taburcu edilir.\u0130drar kateteri cerrah\u0131n tercihine g\u00f6re 2.veya 3. haftada \u00e7ekilir.Son y\u0131llarda laparoskopik veya robotik cerrahi de \u00fclkemizde ba\u015far\u0131 ile uygulanmaktad\u0131r.<\/p>

    Komplikasyonlar<\/h3>
    • Erken D\u00f6nem:<\/strong>\u00a0Kanama,Rektum yaralanmas\u0131,ureter yaralanmas\u0131,Derin ven trombozu<\/li>
    • Ge\u00e7 D\u00f6nem:<\/strong>\u00a0Erektil disfonksiyon (Sertle\u015fme kayb\u0131) Sinir koruyucu cerrahi yap\u0131lsa bile hastalar\u0131n %30-40 \u0131nda sertle\u015fme sorunu g\u00f6r\u00fclmektedir.Bunlar\u0131n %10-40 \u0131 zamanla d\u00fczelebilmektedir.<\/li>
    • \u0130drar Ka\u00e7\u0131rma:<\/strong>\u00a0Hastalar\u0131n %5-30 aras\u0131nda g\u00f6r\u00fclmektedir.Bunlar\u0131n \u00e7o\u011fu 6 ay i\u00e7ersinde normale d\u00f6nmektedir.<\/li>
    • Mesane Boynu Darl\u0131\u011f\u0131:<\/strong>\u00a0% 0.8-20 oran\u0131nda g\u00f6r\u00fclmektedir.\u0130nternal uretrotomi veya laserle tedavi edilmektedir.<\/li><\/ul>

      Di\u011fer Tedavi Y\u00f6ntemleri<\/h3>
      • Brakiterapi:<\/strong>\u00a0Prostat dokusu i\u00e7ine yerle\u015ftirilen tohum(seed)denilen materyallerle yap\u0131lan bir t\u00fcr internal radyoterapidir.Daha \u00e7ok Ir_192 bu ama\u00e7la kullan\u0131lmaktad\u0131r.<\/li>
      • Eksternal Radyoterapi<\/strong><\/li>
      • Hormonal Tedavi:<\/strong>\u00a0Cerrahi tedaviyi istemeyen ileri ya\u015f hastalar\u0131 veya n\u00fcks olgula\u0131nda kullan\u0131l\u0131r.<\/li>
      • Kriyoterapi (Dondurma Tedavisi)<\/strong><\/li><\/ul>

        Sonu\u00e7<\/h3>

        Prostat kanseri erken tan\u0131 konuldu\u011funda \u00e7ok b\u00fcy\u00fck \u00f6l\u00e7\u00fcde tedavi edilebilen bir hastal\u0131kt\u0131r.Korunma y\u00f6ntemleri olarak 40 ya\u015f sonras\u0131 y\u0131ll\u0131k PSA kontrolleri,diyet ve egzersiz yaplmas\u0131n\u0131 \u015fiddetle \u00f6nermekteyiz.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Erkekte en s\u0131k rastlan\u0131lan kanser tipi olan prostat kanseri hem genetik hem de \u00e7evre fakt\u00f6rlerine ba\u011fl\u0131 olarak ortaya \u00e7\u0131kmaktad\u0131r. D\u00fcnyada kuzey \u00fclkelerinde s\u0131k, sar\u0131 \u0131rkta ise daha az g\u00f6r\u00fclmektedir.<\/p>\n","protected":false},"author":1,"featured_media":3159,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,87],"tags":[88],"class_list":["post-3157","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tibbi-makaleler","category-uroloji","tag-prostat"],"acf":[],"_links":{"self":[{"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts\/3157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/comments?post=3157"}],"version-history":[{"count":4,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts\/3157\/revisions"}],"predecessor-version":[{"id":3162,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts\/3157\/revisions\/3162"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/media\/3159"}],"wp:attachment":[{"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/media?parent=3157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/categories?post=3157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/tags?post=3157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}