{"id":64363,"date":"2016-04-08T20:55:59","date_gmt":"2016-04-08T17:55:59","guid":{"rendered":"http:\/\/www.sorubak.com\/blog\/?p=64363"},"modified":"2016-04-11T21:48:18","modified_gmt":"2016-04-11T18:48:18","slug":"kolon-ve-rektum-kanseri-belirtileri","status":"publish","type":"post","link":"https:\/\/www.sorubak.com\/blog\/kolon-ve-rektum-kanseri-belirtileri.html","title":{"rendered":"Kolon ve Rektum Kanseri Belirtileri"},"content":{"rendered":"<p><strong><a href=\"https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/kolon.jpg\" rel=\"attachment wp-att-64364\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-64364 aligncenter\" src=\"https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/kolon.jpg\" alt=\"kolon\" width=\"650\" height=\"343\" srcset=\"https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/kolon.jpg 650w, https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/kolon-300x158.jpg 300w\" sizes=\"auto, (max-width: 650px) 100vw, 650px\" \/><\/a>KOLON VE REKTUM KANSERLER\u0130<\/strong><strong>\u00a0<\/strong><strong>\u00a0<\/strong><\/p>\n<p>Bat\u0131 \u00fclkelerinde kolon ve rektum kanserleri her y\u0131l akci\u011fer haricinde di\u011fer v\u00fccut b\u00f6lgelerinde saptanan kanserler aras\u0131nda en s\u0131k rastlan\u0131lan kanser t\u00fcr\u00fcd\u00fcr.<\/p>\n<p>\u25baEn s\u0131k kolonun rektum ve sigmoidkolon b\u00f6l\u00fcm\u00fcnde (ki bu oran %70 civar\u0131ndad\u0131r) yerle\u015fmektedir.<\/p>\n<p>\u25baErkek ve kad\u0131nlarda en s\u0131k \u00f6l\u00fcm nedenleri aras\u0131nda yer almaktad\u0131r. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 40 ya\u015f\u0131ndan itibaren artmaya ba\u015flar, ancak en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc ya\u015f ise 60-75 aras\u0131 ya\u015f grubudur.<\/p>\n<p>\u25baKolon kanseri kad\u0131nlarda, rektum kanseri ise erkeklerde daha s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n<p>\u25baKolon kanserlerinin %95\u2019i adeno kanserlerdir.<\/p>\n<p><strong>KOLON VE REKTUM KANSERLER\u0130 NEDENLER\u0130<\/strong><\/p>\n<p>\u25baKolon ve rektum kanseri g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fcksek oldu\u011fu ki\u015filer; lifli g\u0131dalardan az, hayvansal proteini, ya\u011f\u0131 ve i\u015flenmi\u015f karbonhidrattan bol beslenen toplumda ya\u015fayan ki\u015filerdir.<\/p>\n<p>\u25baKal\u0131n barsak kanserlerinin genetik ge\u00e7i\u015f oran\u0131 d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n<p>\u25baBu kanser t\u00fcrlerine yol a\u00e7an di\u011fer bir olay ise altta yatan baz\u0131 hastal\u0131klar\u0131n ki\u015fide bulunmas\u0131 ile artar bunlar:<\/p>\n<p>1.) Kronik \u00fclseratif kolit<\/p>\n<p>2.) Gran\u00fclomat\u00f6z kolit<\/p>\n<p>3.) Familiyal polipozis olup bu hastal\u0131klar\u0131n ba\u015flang\u0131\u00e7 ya\u015f\u0131 ve hastal\u0131\u011f\u0131n s\u00fcresi kanser riski a\u00e7\u0131s\u0131ndan \u00f6nemli iki kriterdir.<\/p>\n<p><strong>KOLON VE REKTUM KANSERLER\u0130 NASIL YAYILIR?<\/strong><\/p>\n<p>\u25baBa\u011f\u0131rsak duvar\u0131ndan direkt yay\u0131l\u0131m<\/p>\n<p>\u25baKan yolu ile yay\u0131l\u0131m<\/p>\n<p>\u25baB\u00f6lgesel lenf yolu yay\u0131l\u0131m\u0131<\/p>\n<p>\u25baPeri n\u00f6ral yay\u0131l\u0131m (sinir \u00e7evre dokusunu takip ederek)<\/p>\n<p>\u25baBa\u011f\u0131rsak l\u00fcmeni i\u00e7i yay\u0131l\u0131m<\/p>\n<p><strong>BEL\u0130RT\u0130LER<\/strong><\/p>\n<p>\u25baKolon ve rektum adeno kanserleri yava\u015f b\u00fcy\u00fcmektedir. Bu y\u00fczden bulgular ortaya \u00e7\u0131k\u0131ncaya kadar uzun zaman ge\u00e7mesi gerekmektedir.<\/p>\n<p>\u25ba<strong>Sa\u011f kolonun<\/strong>\u00a0\u00e7ap\u0131 geni\u015f duvar\u0131 ince ve i\u00e7eri\u011fi daha s\u0131v\u0131ca oldu\u011fu i\u00e7in, barsak l\u00fcmeninin t\u0131kanmas\u0131 ge\u00e7 bir bulgu olarak ortaya \u00e7\u0131kar. Kanserler daha \u00e7ok mantar gibi bir yap\u0131ya sahip oldu\u011fundan ileride b\u00fcy\u00fck boyutlara kadar ula\u015f\u0131p kar\u0131ndan muayene esnas\u0131nda hissedilebilir. Gizli kanama olu\u015fup bu kanamaya\u00a0\u00a0ba\u011fl\u0131 olarak zay\u0131flama ve halsizlik olu\u015fabilir.<\/p>\n<p>\u25baKanser yerle\u015fimi\u00a0<strong>sol kolonda<\/strong>\u00a0meydana geldi\u011finde ise l\u00fcmen dar, d\u0131\u015fk\u0131 yar\u0131 kat\u0131 ve kanser l\u00fcmenin i\u00e7ini \u00e7evreleme e\u011filiminde oldu\u011fundan dolay\u0131 bazen kab\u0131zl\u0131k bazen ise ishal ile kar\u015f\u0131 kar\u015f\u0131ya kal\u0131nabilir. K\u0131smi t\u0131kanma ile beraber kolik tarz\u0131nda kar\u0131n a\u011fr\u0131s\u0131 veya l\u00fcmenin tamamen t\u0131kanmas\u0131 durumu ortaya \u00e7\u0131kabilir. D\u0131\u015fk\u0131 ile beraber, d\u0131\u015fk\u0131 \u00fczerinde \u00e7izgi \u015feklinde veyahut d\u0131\u015fk\u0131ya kar\u0131\u015fm\u0131\u015f bir bi\u00e7imde kanama g\u00f6r\u00fclebilir.<\/p>\n<p>\u25baRektum kanserlerinin en s\u0131k g\u00f6r\u00fclen bulgusu b\u00fcy\u00fck d\u0131\u015fk\u0131da kanamad\u0131r. S\u0131k s\u0131k tuvalete \u00e7\u0131kma iste\u011fi, buna ra\u011fmen tam bo\u015falamama hissi g\u00f6r\u00fcl\u00fcr.<\/p>\n<p><strong>KOLOREKTAL KANSER R\u0130SK\u0130 TA\u015eIYAN K\u0130\u015e\u0130LER \u015eUNLARDIR<\/strong><\/p>\n<p>\u25ba45-50 ya\u015f \u00fczerindeki ki\u015filer<\/p>\n<p>\u25baAnne, baba, karde\u015f gibi yak\u0131n aile bireylerinde kolorektal kanseri veya polipleri olanlar<\/p>\n<p>\u25baRahim ,yumurtal\u0131k veya meme kanseri olan kad\u0131nlar<\/p>\n<p>\u25ba\u00dclseratif Kolit veya Crohn gibi hastal\u0131klar\u0131 olanlar.<\/p>\n<p><strong>TARAMA TESTLER\u0130<\/strong><\/p>\n<p>Kolo-Rektal kanserlerin klinik belirtileri ortaya \u00e7\u0131kmadan risk alt\u0131ndaki ki\u015filere yap\u0131lan testlerdir.Bu kanserlerin olu\u015fmas\u0131nda esas neden % 90-95 oran\u0131nda polipler oldu\u011fundan ve polipler zaman i\u00e7erisinde kansere d\u00f6n\u00fc\u015febilece\u011finden dolay\u0131 tarama tetkiklerinde ama\u00e7 bu polipleri hen\u00fcz kansere d\u00f6n\u00fc\u015fmeden veya d\u00f6n\u00fc\u015fm\u00fc\u015f ise erken devrede hen\u00fcz klinik belirti vermeden te\u015fhis etmek ve polipektomi ile ( kolonoskopi yard\u0131m\u0131 ile polipin al\u0131nmas\u0131) \u00e7\u0131kar\u0131lmalar\u0131n\u0131 sa\u011flamakt\u0131r. Bu durumda hastan\u0131n d\u00fczelme oran\u0131 olduk\u00e7a y\u00fcksektir.<\/p>\n<p>\u25ba45 ya\u015f \u00fczerinde y\u0131lda bir kez rektal tu\u015fe (makattan muayene) yapt\u0131rmal\u0131d\u0131r<\/p>\n<p>\u25ba50 ya\u015f \u00fczerinde y\u0131lda bir kez gaitada (d\u0131\u015fk\u0131da) gizli kan bakt\u0131rmal\u0131d\u0131r<\/p>\n<p>\u25ba50 ya\u015f \u00fczerinde 3 &#8211; 5 y\u0131lda bir kez kolonoskopi veya sigmoidoskopi yapt\u0131rmal\u0131d\u0131r<\/p>\n<p>\u25ba50 ya\u015f \u00fczerinde 5 y\u0131lda bir kez kolon grafisi yapt\u0131rmal\u0131d\u0131r.<\/p>\n<p>\u25baAilesinde kolorektal kanseri olanlar 45 ya\u015fdan sonra 2 &#8211; 3 y\u0131lda bir defa kolonoskopik tetkik yapt\u0131rmal\u0131d\u0131r.<\/p>\n<p>\u25ba\u00dclseratif Koliti olanlar y\u0131lda bir defa kolonoskopi ve biyopsi yapt\u0131rmal\u0131d\u0131rlar.<\/p>\n<p><strong>TANI Y\u00d6NTEMLER\u0130<\/strong><\/p>\n<p>\u25baBasit ve ucuz bir y\u00f6ntem olan d\u0131\u015fk\u0131da gizli kan arama testi y\u00fcksek riskli ki\u015filerde ve toplum taramalar\u0131nda kullan\u0131lmas\u0131 \u00f6nerilmektedir.<\/p>\n<p>\u25baKolo-Rektal kanserlerde kesin tan\u0131 barsak i\u00e7erisindeki t\u00fcm\u00f6rden endoskopik y\u00f6ntemler ile ( Rektoskopi, Fleksibl Sigmoidoskopi, kolonoskopi ) al\u0131nacak par\u00e7an\u0131n patolog taraf\u0131ndan mikroskopik olarak incelenmesi ile konur.<\/p>\n<p>\u25baBaryumlu lavmanl\u0131 filmler kolon kanserinin tespiti i\u00e7in \u00f6nemli bir ba\u015flang\u0131\u00e7 ad\u0131m\u0131 olmas\u0131na kar\u015f\u0131n rektum kanserinin tespiti i\u00e7in g\u00fcvenli de\u011fildir.<\/p>\n<p>Karsinoembriyonik antijen (CEA) d\u00fczeyleri %70 hastada y\u00fcksek olarak saptanmas\u0131na kar\u015f\u0131n di\u011fer baz\u0131 hastal\u0131klarda da y\u00fckselebildi\u011finden \u00e7ok fazla tan\u0131sal de\u011fere sahip de\u011fildir. E\u011fer CEA d\u00fczeyi kanser dokusu ameliyatla al\u0131nmadan \u00f6nce y\u00fcksek olmas\u0131na ra\u011fmen ameliyattan sonra d\u00fc\u015fm\u00fc\u015f ise ileriki d\u00f6nemde takip etmek a\u00e7\u0131s\u0131ndan \u00f6nem arzeder. CS-19-9 VE CA 125 y\u00fckselen di\u011fer t\u00fcm\u00f6r belirleyicileridir.<\/p>\n<p><strong>TEDAV\u0130S\u0130:<\/strong><\/p>\n<p>Tedavi olarak k\u00fcratif yada palyatif rezeksiyon (t\u00fcm\u00f6r\u00fcn cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131) uygulan\u0131r. Cerrahi \u00f6ncesi radyoterapi uygulanmas\u0131 kanser dokusunun \u00e7\u0131kar\u0131lmas\u0131nda daha ba\u015far\u0131l\u0131 olunmas\u0131n\u0131 sa\u011flad\u0131\u011f\u0131 gibi ya\u015fam\u0131 uzatt\u0131\u011f\u0131 da bilim adamlar\u0131nca saptanm\u0131\u015ft\u0131r. Kanser dokusunda n\u00fcksler g\u00f6r\u00fclebilir. Cerrahi sonras\u0131 hasta 2 y\u0131l boyunca 6 ayda bir, daha sonra y\u0131lda bir kez baryumlu kolon tetkiki ve endoskopik muayeneden ge\u00e7irilmelidir. Kanser e\u011fer tekrarl\u0131yor ise CEA (karsinoembriyonik antijen) d\u00fczeyine bak\u0131lmas\u0131\u00a0\u00a0takip a\u00e7\u0131s\u0131ndan \u00f6nem arzeder.<\/p>\n<p><strong>\u00d6nemli<\/strong>: <strong>Kolon ve Rektum Kanseri Belirtileri\u00a0<\/strong>ile ilgili\u00a0<strong>\u00a0<\/strong>bilgiler internet ortam\u0131ndan derlenmi\u015ftir. Konuyla ilgili daha sa\u011fl\u0131kl\u0131 bilgi ve hastal\u0131\u011f\u0131n tedavisi i\u00e7in mutlaka uzman bir hekime ba\u015fvurman\u0131z\u0131\u00a0\u00f6neriyoruz.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>KOLON VE REKTUM KANSERLER\u0130\u00a0\u00a0 Bat\u0131 \u00fclkelerinde kolon ve rektum kanserleri her y\u0131l akci\u011fer haricinde di\u011fer v\u00fccut b\u00f6lgelerinde saptanan kanserler aras\u0131nda en s\u0131k rastlan\u0131lan kanser t\u00fcr\u00fcd\u00fcr. \u25baEn s\u0131k kolonun rektum ve sigmoidkolon b\u00f6l\u00fcm\u00fcnde (ki bu oran %70 civar\u0131ndad\u0131r) yerle\u015fmektedir. \u25baErkek ve kad\u0131nlarda en s\u0131k \u00f6l\u00fcm nedenleri aras\u0131nda yer almaktad\u0131r. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 40 ya\u015f\u0131ndan itibaren artmaya ba\u015flar, &#8230; <a title=\"Kolon ve Rektum Kanseri Belirtileri\" class=\"read-more\" href=\"https:\/\/www.sorubak.com\/blog\/kolon-ve-rektum-kanseri-belirtileri.html\" aria-label=\"More on Kolon ve Rektum Kanseri Belirtileri\">Devam\u0131n\u0131 oku&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":64364,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20947,20865],"tags":[],"class_list":["post-64363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-manset-haberler","category-saglik-kosesi"],"_links":{"self":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/posts\/64363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/comments?post=64363"}],"version-history":[{"count":0,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/posts\/64363\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/media\/64364"}],"wp:attachment":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/media?parent=64363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/categories?post=64363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/tags?post=64363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}