{"id":3171,"date":"2023-11-27T14:20:33","date_gmt":"2023-11-27T14:20:33","guid":{"rendered":"https:\/\/cankayahastanesi.site\/?p=3171"},"modified":"2023-11-27T14:21:47","modified_gmt":"2023-11-27T14:21:47","slug":"mesane-tumorleri","status":"publish","type":"post","link":"https:\/\/cankayahastanesi.com.tr\/tr\/mesane-tumorleri\/","title":{"rendered":"Mesane T\u00fcm\u00f6rleri"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3171\" class=\"elementor elementor-3171\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1d3ea01b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1d3ea01b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3eaeafd\" data-id=\"3eaeafd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ef70d13 elementor-widget elementor-widget-text-editor\" data-id=\"7ef70d13\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Genito\u00fcriner sistemde en s\u0131k g\u00f6r\u00fclen t\u00fcm\u00f6rlerden olup erkekte kad\u0131na oranla 3 kat fazla g\u00f6r\u00fcl\u00fcr.<br \/><img decoding=\"async\" class=\"alignright\" src=\"https:\/\/www.cankayahastanesi.com.tr\/images\/mesane-tumorleri.jpg\" alt=\"Mesane T\u00fcm\u00f6rleri\" \/><\/p><h3>Etiyoloji<\/h3><p>\u00c7e\u015fitli fakt\u00f6rler alt\u0131nda mesane epitelyum h\u00fccrelerinin malign de\u011fi\u015fim g\u00f6stermesi ile ortaya \u00e7\u0131kar. Hastalar\u0131n %30-50&#8217;si sigara i\u00e7enlerdir. Kimyasal ajanlarla u\u011fra\u015fanlar, lastik ve deri sanayi i\u015f\u00e7ileri risk alt\u0131ndad\u0131r. Uzun s\u00fcredir tedavi edilmeyen mesane ta\u015flar\u0131 da risk fakt\u00f6rlerindendir.<br \/><br \/><\/p><h3>Klinik Bulgular<\/h3><p>Hastalar\u0131n %85-90\u2018\u0131 idrarda kanama ile ba\u015fvururlar. Bunun d\u0131\u015f\u0131nda s\u0131k idrara \u00e7\u0131kma, idrar yaparken yanma belirtiler aras\u0131ndad\u0131r. \u00c7ok gecikmi\u015f olgularda bir veya iki taraf idrar kanal\u0131 t\u0131kanabilir ve buna ait belirtiler g\u00f6r\u00fclebilir.<br \/><br \/><\/p><h3>Laboratuvar Bulgular\u0131<\/h3><p>\u0130drar tetkikinde kan h\u00fccreleri g\u00f6r\u00fcl\u00fcr. USG&#8217;de t\u00fcm\u00f6r saptanabilir ,\u00e7ok k\u00fc\u00e7\u00fck t\u00fcm\u00f6rler USG&#8217;de g\u00f6r\u00fclmez. Tomografi ile t\u00fcm\u00f6r\u00fcn mesane duvar\u0131na, \u00e7evre lenf nodlar\u0131na veya uzak organlara metastaz\u0131 g\u00f6r\u00fclebilir.<br \/><br \/><\/p><h3>Tan\u0131 ve Tedavi<\/h3><p>Mesane t\u00fcm\u00f6r\u00fc tan\u0131s\u0131 sistoskopi ile birlikte yap\u0131lacak TUR biopsi ile konur zaten k\u00fc\u00e7\u00fck t\u00fcm\u00f6rlerin tedavisi bu \u015fekilde tamamlan\u0131r. Mesane t\u00fcm\u00f6rlerinin tedavisi y\u00fczeyel ve derin olarak t\u00fcm\u00f6rlerde farkl\u0131d\u0131r.<br \/><br \/><\/p><h4>Y\u00fczeyel T\u00fcm\u00f6rler<\/h4><p>Sistoskopi ve TUR sonras\u0131 al\u0131nan patolojik \u00f6rnek sonucuna g\u00f6re ya bu tedavi yeterli bulunur ve veya intravezikal kemoterapi, BCG tedavisi tedaviye eklenir.<br \/><br \/><\/p><h4>Derin T\u00fcm\u00f6rler<\/h4><p>Bunlardan uygun olanlara parsiyel sistektomi (mesanenin o k\u0131sm\u0131n\u0131n \u00e7\u0131kart\u0131lmas\u0131) veya tamam\u0131n\u0131n \u00e7\u0131kart\u0131lmas\u0131 (total sistektomi) ameliyatlar\u0131 yap\u0131l\u0131r. Mesane \u00e7\u0131kart\u0131ld\u0131ktan sonra ya Konduit Diversiyon (idrar kanallar\u0131 bir barsak par\u00e7as\u0131na ba\u011flan\u0131r, barsak cilde a\u011f\u0131zla\u015ft\u0131r\u0131l\u0131r ve hasta torba kullan\u0131r) ya da Kontinent Diversiyon yap\u0131l\u0131r. (Bunda da idrar kanallar\u0131 barsaktan olu\u015fan bir mesaneye ba\u011flan\u0131r hasta kendi takt\u0131\u011f\u0131 sonda ile bu mesaneyi g\u00fcnde 3-4 kez bo\u015falt\u0131r.)<br \/><br \/><\/p><h4>Radyoterapi<\/h4><p>Bazen ameliyat edilen hastaya ek tedavi olarak bazen de uzak metastazlar nedeniyle ameliyat edilemeyen hastalara verilir.<br \/><br \/><\/p><h4>Kemoterapi<\/h4><p>Bazen cerrahi tedaviye ek olarak sistemik kemoterepi verilmesi gerekmektedir. Bunlar mesane \u00e7evresindeki lenf nod\u00fclleri tutulmu\u015f olanlar veya cerrahi uygulanm\u0131\u015f ancak n\u00fcks g\u00f6r\u00fclen hastalard\u0131r.<br \/><br \/><\/p><h3>\u0130zlem<\/h3><p>Hastalar operasyon sonras\u0131 \u00fc\u00e7er ayl\u0131k kontrollere gelirler. Y\u00fczeyel mesane t\u00fcm\u00f6rl\u00fc hastalar\u0131n sistoskopik kontrol yap\u0131l\u0131r. Bu aral\u0131klar 2. y\u0131lda 6 aya, 3. y\u0131l ve sonras\u0131nda 1 y\u0131la \u00e7\u0131kar. 5 y\u0131l sonras\u0131nda bir sorunu olmayan hasta takipten \u00e7\u0131kart\u0131l\u0131r.<br \/><br \/><\/p><h3>Korunma<\/h3><p>Hastalar\u0131n kesin olarak sigara i\u00e7memeleri i\u00e7ilen ortamda bulunmamalar\u0131, her t\u00fcrl\u00fc boya i\u00e7eren yiyecek ve i\u00e7eceklerden, toksik madde bulunan ortamlardan uzak kalmalar\u0131 \u00f6nerilir.<\/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":"<p>\u00c7e\u015fitli fakt\u00f6rler alt\u0131nda mesane epitelyum h\u00fccrelerinin malign de\u011fi\u015fim g\u00f6stermesi ile ortaya \u00e7\u0131kar. Hastalar\u0131n %30-50&#8217;si sigara i\u00e7enlerdir. Kimyasal ajanlarla u\u011fra\u015fanlar, lastik ve deri sanayi i\u015f\u00e7ileri risk alt\u0131ndad\u0131r. Uzun s\u00fcredir tedavi edilmeyen mesane ta\u015flar\u0131 da risk fakt\u00f6rlerindendir.<\/p>\n","protected":false},"author":1,"featured_media":3173,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,87],"tags":[],"class_list":["post-3171","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tibbi-makaleler","category-uroloji"],"acf":[],"_links":{"self":[{"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts\/3171","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=3171"}],"version-history":[{"count":4,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts\/3171\/revisions"}],"predecessor-version":[{"id":3176,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/posts\/3171\/revisions\/3176"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/media\/3173"}],"wp:attachment":[{"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/media?parent=3171"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/categories?post=3171"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cankayahastanesi.com.tr\/tr\/wp-json\/wp\/v2\/tags?post=3171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}