{"id":3285,"date":"2021-10-10T12:22:54","date_gmt":"2021-10-10T12:22:54","guid":{"rendered":"http:\/\/quanticalabs.com\/wptest\/medicenter-new\/?p=3285"},"modified":"2021-10-19T12:50:14","modified_gmt":"2021-10-19T12:50:14","slug":"guatr-tiroid-hastaliklari","status":"publish","type":"post","link":"http:\/\/genelcerrahi.net\/?p=3285","title":{"rendered":"Guatr (Tiroid) Hastal\u0131klar\u0131"},"content":{"rendered":"

Tiroid Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/span><\/h4>\n

Tiroid ameliyat\u0131 boynun \u00f6n b\u00f6lgesine yap\u0131lan yakla\u015f\u0131k 4-5 cm uzunlu\u011fundaki kesi ile ba\u015flar. \u00d6nce cildin hemen alt\u0131ndaki ince kaslar a\u00e7\u0131larak tiroid bezine ula\u015f\u0131l\u0131r. Tiroid bezi bir kelebek gibi iki kanada sahip oldu\u011fundan \u00f6nce bir kanat, daha sonra di\u011fer kanat soluk borusu \u00fczerinden ayr\u0131l\u0131r. Bu s\u0131rada tiroid bezinin hemen arkas\u0131ndan ge\u00e7en ve ses tellerine giden sinirlere zarar vermemek ve yine tiroid bezinin hemen arkas\u0131nda bulunan birer pirin\u00e7 b\u00fcy\u00fckl\u00fc\u011f\u00fcndeki paratiroid bezlerini de yerinden oynatmamak gerekir. Ameliyat yakla\u015f\u0131k iki saat s\u00fcrer ve s\u0131kl\u0131kla hasta bir gece hastanede kald\u0131ktan sonra taburcu edilir.<\/p>\n

Tiroid Ameliyat\u0131n\u0131n Riskleri Neler?<\/strong><\/h4>\n

Her ameliyat\u0131n oldu\u011fu gibi tiroid ameliyat\u0131n\u0131n da baz\u0131 riskleri bulunmaktad\u0131r. Bunlar i\u00e7inde en \u00f6nemli olanlar\u0131 ses k\u0131s\u0131kl\u0131\u011f\u0131 ve kalsiyum d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcd\u00fcr. Ses k\u0131s\u0131kl\u0131\u011f\u0131; ameliyat s\u0131ras\u0131nda, tiroid bezinin hemen arkas\u0131ndan ge\u00e7en ses sinirlerinin zarar kesilmesi sonucu, kalsiyum d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc ise paratiroid bezlerinin fark edilmeden \u00e7\u0131kart\u0131lmas\u0131 ya da yerlerinden oynat\u0131larak beslenmelerinin bozulmas\u0131 sonucu ortaya \u00e7\u0131kar. Bu komplikasyonlar\u0131n olu\u015fmamas\u0131 i\u00e7in en \u00f6nemli \u00f6nlem ameliyat\u0131 bir endokrin cerrah\u0131n\u0131n yapmas\u0131d\u0131r. Deneyimli bir endokrin cerrah\u0131 bu noktada al\u0131nabilecek en de\u011ferli \u00f6nlemdir.<\/p>\n

Tiroid Ameliyat\u0131nda Ses Sinirlerini G\u00f6steren Cihaz Var m\u0131?<\/strong><\/h4>\n

Evet var. G\u00fcn\u00fcm\u00fczde bir\u00e7ok hastanenin ameliyathanesinde bu cihaz mevcuttur. Ameliyat s\u0131ras\u0131nda ses sinirlerinin bulunmas\u0131nda kolayl\u0131k sa\u011flarlar. B\u00f6ylece bu sinirlerin kesilmesinin \u00f6nlenmesinde b\u00fcy\u00fck katk\u0131 sa\u011flam\u0131\u015flard\u0131r.<\/p>\n

Tiroid Ameliyat\u0131ndan Sonra Hastanede Ka\u00e7 G\u00fcn Kal\u0131n\u0131r?<\/strong><\/h4>\n

S\u0131kl\u0131kla hastanede bir gece kal\u0131n\u0131r. Cerrahlar ameliyat\u0131n ertesi sabah\u0131 hastalar\u0131n\u0131 yata\u011f\u0131nda ziyaret ederler. Hastaya dren (ameliyat sahas\u0131ndaki kanamalar\u0131 d\u0131\u015far\u0131 atacak ince hortum) konulmu\u015fsa bundan gelen miktar\u0131, hastan\u0131n a\u011fr\u0131 durumunu, boynunda beklenmedik bir \u015fi\u015fkinlik olup olmad\u0131\u011f\u0131n\u0131 kontrol edildikten sonra her \u015fey yolundaysa (varsa drenlerini alarak) taburcu i\u015flemlerini ger\u00e7ekle\u015ftirilir. E\u011fer hastan\u0131n t\u00fcm tiroid bezi al\u0131nm\u0131\u015fsa (total tiroidektomi), bir tiroid hormon ilac\u0131 kullanmas\u0131 istenir.<\/p>\n

Tiroid Ameliyat\u0131 Sonras\u0131 Nelere Dikkat Etmek Gerekir?<\/strong><\/h4>\n

Her ameliyatta oldu\u011fu gibi, yara yerinin darbeden, travmadan uzak tutulmas\u0131, k\u0131yafetlerin yaraya temas etmemesi \u00f6nemlidir. Hastalar en s\u0131k ne zaman banyo yapacaklar\u0131n\u0131 ve konu\u015fmalar\u0131n\u0131n zararl\u0131 olup olmad\u0131\u011f\u0131n\u0131 merak eder. Ameliyattan birka\u00e7 g\u00fcn sonra banyo yap\u0131labilir, a\u015f\u0131r\u0131ya ka\u00e7mamak ko\u015fuluyla konu\u015fman\u0131n ise hi\u00e7bir zarar\u0131 yoktur.<\/p>\n

Neden Sadece Nod\u00fcl Al\u0131nm\u0131yor?<\/strong><\/h4>\n

Sadece nod\u00fcl\u00fc almak cerrah i\u00e7in kolayl\u0131kt\u0131r. T\u0131pk\u0131 bir kaba\u011f\u0131n i\u00e7ini oyar gibi tiroid bezinin i\u00e7ini oyarak nod\u00fcl\u00fcn \u00e7\u0131kart\u0131lmas\u0131 kolay, h\u0131zl\u0131 ve komplikasyon riski d\u00fc\u015f\u00fck bir i\u015flemdir. Ancak b\u00f6yle bir cerrahi sonras\u0131 n\u00fcksler ka\u00e7\u0131n\u0131lmazd\u0131r \u00e7\u00fcnk\u00fc nod\u00fcl\u00fcn al\u0131nd\u0131\u011f\u0131 tiroid bezinde sonradan nod\u00fcl olu\u015fma riski olduk\u00e7a y\u00fcksektir ve bunun i\u00e7in tekrar ameliyat gerekecektir.<\/p>\n

Tiroid Ameliyat\u0131 Sonras\u0131 Kontroller Nas\u0131l Olmal\u0131?<\/strong><\/h4>\n

\u0130lk kontrol ameliyattan sonraki ilk hafta yap\u0131l\u0131r. Hekim taraf\u0131ndan yara yeri muayene edilerek hastan\u0131n ameliyat sonras\u0131 ilk g\u00fcnleri ile ilgili \u015fikayetleri dinlenir. Gerekli a\u00e7\u0131klamalar yap\u0131l\u0131r. Verilen tiroid ilac\u0131n\u0131n doz ayarlamas\u0131 i\u00e7in ameliyattan bir ay sonra kan tahlilleri yap\u0131l\u0131r. Daha sonra 6 ayl\u0131k periyotlarla rutin takip d\u00f6nemi ba\u015flar.<\/p>\n","protected":false},"excerpt":{"rendered":"

Tiroid Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r? Tiroid ameliyat\u0131 boynun \u00f6n b\u00f6lgesine yap\u0131lan yakla\u015f\u0131k 4-5 cm uzunlu\u011fundaki kesi ile ba\u015flar. \u00d6nce cildin hemen alt\u0131ndaki ince kaslar a\u00e7\u0131larak tiroid bezine ula\u015f\u0131l\u0131r. Tiroid bezi bir kelebek gibi iki kanada sahip oldu\u011fundan \u00f6nce bir kanat, daha sonra di\u011fer kanat soluk borusu \u00fczerinden ayr\u0131l\u0131r. Bu s\u0131rada tiroid bezinin hemen arkas\u0131ndan ge\u00e7en ve<\/p>\n","protected":false},"author":1,"featured_media":3218,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[44,45],"_links":{"self":[{"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/posts\/3285"}],"collection":[{"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3285"}],"version-history":[{"count":3,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/posts\/3285\/revisions"}],"predecessor-version":[{"id":4084,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/posts\/3285\/revisions\/4084"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=\/wp\/v2\/media\/3218"}],"wp:attachment":[{"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3285"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3285"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/genelcerrahi.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}