{"id":1201,"date":"2022-01-14T23:05:46","date_gmt":"2022-01-14T23:05:46","guid":{"rendered":"https:\/\/uygarmicoogullari.com.tr\/?page_id=1201"},"modified":"2022-08-13T12:07:50","modified_gmt":"2022-08-13T12:07:50","slug":"prostat-kanseri","status":"publish","type":"page","link":"https:\/\/uygarmicoogullari.com.tr\/en\/prostat-kanseri\/","title":{"rendered":"Prostate Cancer"},"content":{"rendered":"
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Prostate Cancer<\/h1>\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
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Prostate Cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Epidemiyoloji<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tProstat kanseri, Amerikan Kanser Derne\u011fi verilerine g\u00f6re bat\u0131l\u0131 \u00fclkelerde erkeklerde en s\u0131k izlenen kanser t\u00fcr\u00fc olup, t\u00fcm kanser vakalar\u0131n\u0131n yakla\u015f\u0131k d\u00f6rtte birlik k\u0131sm\u0131n\u0131 olu\u015fturmaktad\u0131r. \u00dclkemizde de erkeklerde akci\u011fer kanseri ile birlikte en s\u0131k izlenen kanser t\u00fcrlerinden birini olu\u015fturmaktad\u0131r. Son yap\u0131lan \u00e7al\u0131\u015fmalarda bir erke\u011fin ya\u015fam boyu prostat kanserine yakalanma riskinin %15-20 aras\u0131nda olmas\u0131na kar\u015f\u0131n bu hastal\u0131\u011fa ba\u011fl\u0131 \u00f6l\u00fcm riskinin %3 civar\u0131nda oldu\u011fu rapor edilmektedir. Bu durum prostat kanserinin \u00e7ok g\u00f6r\u00fclen bir kanser olmas\u0131na kar\u015f\u0131n, \u00f6zellikle erken safhada te\u015fhis edildi\u011finde ve do\u011fru bir tedavi \u015femas\u0131 uyguland\u0131\u011f\u0131nda iyile\u015fme \u015fans\u0131n\u0131n \u00e7ok y\u00fcksek bir hastal\u0131k olmas\u0131yla ili\u015fkilidir.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Prostat Kanserinin Belirtileri Nelerdir?\n\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tProstat kanserinin tipik erken belirtileri yoktur ve kendini ancak ilerlemi\u015f d\u00f6nemde ortaya \u00e7\u0131kan \u015fikayetlerle belli etmektedir. Bu a\u015famada ise ki\u015finin bu hastal\u0131ktan kurtulma olana\u011f\u0131 m\u00fcmk\u00fcn olmayabilmektedir. Bu nedenle hastal\u0131\u011f\u0131n hen\u00fcz prostat i\u00e7inde s\u0131n\u0131rl\u0131 iken, yani hi\u00e7bir klinik bulgu vermedi\u011fi erken d\u00f6nemde tespit edilmesi olduk\u00e7a \u00f6nemlidir. Hi\u00e7bir \u015fikayeti olmasa bile erkeklerin 50 ya\u015f\u0131ndan sonra y\u0131lda bir kez prostat muayenesi i\u00e7in \u00fcroloji uzman\u0131na ba\u015fvurmas\u0131n\u0131 sa\u011flamak ancak bu hastal\u0131\u011fa fark\u0131ndal\u0131k olu\u015fturmakla m\u00fcmk\u00fcn olacakt\u0131r.\n\n\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
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Prostat Kanserinde Risk Fakt\u00f6rleri Nelerdir?<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tBir\u00e7ok kanser tipinde oldu\u011fu gibi bu hastal\u0131ktan da sorumlu tek bir ajan veya s\u00fcre\u00e7 tan\u0131mlanmam\u0131\u015ft\u0131r. Bununla birlikte prostat kanseri i\u00e7in kesin olarak ortaya konulmu\u015f \u00fc\u00e7 tane risk fakt\u00f6r\u00fc mevcuttur. Bunlar; ya\u015f, etnik k\u00f6ken ve genetiktir.\n\nYa\u015f artt\u0131k\u00e7a prostat kanseri g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artmaktad\u0131r. \u00d6rne\u011fin t\u00fcm vakalar\u0131n sadece %2\u2019si 50 ya\u015f\u0131n alt\u0131ndad\u0131r. Yine yap\u0131lan epidemiyolojik \u00e7al\u0131\u015fmalarda prostat kanserinin hem ailesel ge\u00e7i\u015finin hem de genetik y\u00f6n\u00fcn\u00fcn oldu\u011fu g\u00f6sterilmi\u015ftir. Bu nedenle ailesinde prostat kanseri olan ki\u015filerde, normal pop\u00fclasyona g\u00f6re daha erken ya\u015fta ve daha s\u0131k aral\u0131klarla tarama yapt\u0131r\u0131lmas\u0131 \u00f6nerilmektedir. Etnik k\u00f6ken olarak en s\u0131k Amerika\u2019da ya\u015fayan siyah \u0131rkta, en d\u00fc\u015f\u00fck olarak ise Do\u011fu Asya\u2019da rastlanmaktad\u0131r. Ancak Do\u011fu Asya k\u00f6kenli bir ki\u015fi Amerika\u2019ya g\u00f6\u00e7 etti\u011finde yine prostat kanseri riskinin artt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Bu durum etnik k\u00f6ken d\u0131\u015f\u0131nda \u00e7evresel fakt\u00f6rlerinde (bol ya\u011fl\u0131 ve d\u00fc\u015f\u00fck fibrinli beslenme) prostat kanseri geli\u015fiminde risk fakt\u00f6r\u00fc olu\u015fturdu\u011funu d\u00fc\u015f\u00fcnd\u00fcrmektedir.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Prostat Kanseri Nas\u0131l Belirlenir?<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tProstattan salg\u0131lanan ve kana belli oranda ge\u00e7en PSA dedi\u011fimiz bir proteinin kandaki d\u00fczeyinin \u00f6l\u00e7\u00fclmesi ve prostat\u0131n makattan parmakla muayenesi tan\u0131da ilk basama\u011f\u0131 olu\u015fturan y\u00f6ntemlerdir. PSA d\u00fczeyinin y\u00fcksek olmas\u0131 mutlak kanser oldu\u011fu anlam\u0131na gelmezken, d\u00fc\u015f\u00fck olmas\u0131 ise kanser olmad\u0131\u011f\u0131 anlam\u0131na gelmemektedir. Ancak bu iki muayene metodunda prostat kanseri \u015f\u00fcphesi uyand\u0131racak bulgular tespit edilirse kesin tan\u0131 konulmas\u0131 amac\u0131yla prostat biyopsisi ile doku \u00f6rneklemesi yap\u0131lmas\u0131 gerekmektedir.\n\n\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
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Prostat Biyopsisi Nas\u0131l Yap\u0131l\u0131r?<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tKlasik prostat biyopsisi ultrason e\u015fli\u011finde makattan girilerek yap\u0131lmakta olup, prostat\u0131n 10-12 noktas\u0131na k\u00f6rlemesine at\u0131\u015f yap\u0131larak doku \u00f6rnekleri al\u0131nmaktad\u0131r. Ancak bu y\u00f6ntemle prostat kanseri olgular\u0131n\u0131n sadece %70-75\u2019e tan\u0131 konulabilmekte, kanser olgular\u0131n\u0131n \u00f6nemli bir k\u0131sm\u0131 atlanmaktad\u0131r. Biyopsi sonras\u0131 kanser tan\u0131s\u0131 konulmayan ancak kanser \u015f\u00fcphesi devam eden olgulara tekrarlayan biyopsiler yap\u0131lmas\u0131 \u00f6nerilmekte bu da hastalarda ciddi enfeksiyon, kanama ve a\u011fr\u0131 riski olu\u015fturmaktad\u0131r.\n\n\nSon y\u0131llarda geli\u015ftirilen MR F\u00fczyon Biyopsi Y\u00f6ntemi, prostatta kanser \u015f\u00fcphesi ta\u015f\u0131yan odaklar\u0131 saptayarak, bu hedeflere y\u00f6nelik nokta at\u0131\u015f yap\u0131lmas\u0131n\u0131 sa\u011flayan hassasiyeti y\u00fcksek \u201cak\u0131ll\u0131 biyopsi\u201d y\u00f6ntemidir. Bu y\u00f6ntem prostat kanseri tan\u0131s\u0131nda olduk\u00e7a y\u00fcksek do\u011fruluk oran\u0131na (%98) sahip olup, standart biyopsilerde oldu\u011fu gibi kanser olgular\u0131 atlanmamakta ve tekrarlayan biyopsilere gerek kalmamaktad\u0131r.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Tedavi Se\u00e7enekleri Nelerdir?<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tProstat kanserinde tedavi se\u00e7imi, t\u00fcm\u00f6r\u00fcn patolojik \u00f6zelliklerinin (evre, derece vb) yan\u0131 s\u0131ra hastan\u0131n ya\u015f\u0131 ve genel sa\u011fl\u0131k durumu g\u00f6z \u00f6n\u00fcnde bulundurularak yap\u0131lmaktad\u0131r.\n\nCerrahi Tedavi (Radikal Prostatektomi), I\u015f\u0131n Tedavisi (Radyoterapi), Fokal Tedaviler (HIFU), Hormon Tedavisi, \u0130la\u00e7 Tedavisi (Kemoterapi) veya Aktif \u0130zlem gibi tedavi se\u00e7enekleri mevcut olup, yukar\u0131da belirtilen kriterler g\u00f6z \u00f6n\u00fcne al\u0131narak, hasta, ailesi ve doktor taraf\u0131ndan birlikte verilmi\u015f bir karar en do\u011fru yakla\u015f\u0131m olacakt\u0131r.\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
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Cerrahi Tedavi (Radikal Prostatektomi)\n\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tRadikal prostatektomi ameliyat\u0131, prostat\u0131n t\u00fcm\u00fcyle \u00e7\u0131kar\u0131lmas\u0131 i\u015flemi olup, yay\u0131l\u0131m yapmam\u0131\u015f hastal\u0131kta tedavi y\u00f6ntemleri aras\u0131nda en etkin olan\u0131d\u0131r. Radikal prostatektomi operasyonu ge\u00e7iren hastalar\u0131n 10 y\u0131ll\u0131k sa\u011fkal\u0131m oranlar\u0131 %90\u2019\u0131n \u00fczerindedir. Bu nedenle radikal prostatektomi t\u00fcm tedavi y\u00f6ntemleri aras\u0131nda en \u00e7ok tercih edilendir.\n\nProstat dokusunun yerle\u015fim yeri cinsel i\u015flevleri sa\u011flayan sinirlere ve idrar tutmay\u0131 sa\u011flayan yap\u0131lara \u00e7ok yak\u0131nd\u0131r. Bu ameliyat s\u0131ras\u0131nda idrar tutmay\u0131 sa\u011flayan yap\u0131lara zarar verilmemesi ve cinsel i\u015flevleri sa\u011flayan sinirlerin korunmas\u0131 \u00f6nem arz etmektedir.\n\nRobotik cerrahi ile yap\u0131lan ameliyat\u0131n a\u00e7\u0131k cerrahiye olan en \u00f6nemli \u00fcst\u00fcnl\u00fc\u011f\u00fc cinsel fonksiyonlar\u0131 sa\u011flayan sinirlerin ve idrar tutmay\u0131 sa\u011flayan yap\u0131lar\u0131n daha rahat korunmas\u0131d\u0131r. Daha k\u00fc\u00e7\u00fck kesi, daha az kan kayb\u0131, daha h\u0131zl\u0131 taburculuk robotik cerrahinin a\u00e7\u0131k cerrahiye g\u00f6re sa\u011flam\u0131\u015f oldu\u011fu di\u011fer avantajlard\u0131r.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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HIFU (High Intensity Focused Ultrasound)<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tHifu y\u00fcksek yo\u011funlukta odaklanm\u0131\u015f ses dalgalar\u0131 yard\u0131m\u0131 ile prostat i\u00e7erisindeki kanser h\u00fccrelerinin yok edilmesi i\u015flemidir. Genel anestezi alt\u0131nda makattan yerle\u015ftirilen ultrason kayna\u011f\u0131 ile prostat dokusunda hedeflenen noktalar HIFU ile olu\u015fturulan y\u00fcksek \u0131s\u0131 enerjisiyle harap edilerek yok edilmektedir.\n\nProstat kanseri vakalar\u0131nda son y\u0131llarda ameliyats\u0131z bir tedavi \u015fekli olarak \u00f6ne \u00e7\u0131kan HIFU y\u00f6ntemi b\u00fcy\u00fck avantajlar sa\u011flamaktad\u0131r. \u00d6zellikle HIFU teknolojisinin son versiyonu ile \u00e7evre dokulara zarar verilmeden prostat\u0131n sadece hastal\u0131kl\u0131 b\u00f6lgesinin tedavi edilebilmesi sayesinde klasik cerrahinin olas\u0131 yan etkileri aras\u0131nda say\u0131lan idrar ka\u00e7\u0131rma veya cinsel fonksiyon bozuklu\u011fu gibi riskler de ortadan kald\u0131r\u0131lm\u0131\u015f olmaktad\u0131r.\n\n\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
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Prostat Kanseri Prostat Kanseri Epidemiyoloji Prostat kanseri, Amerikan Kanser Derne\u011fi verilerine g\u00f6re bat\u0131l\u0131 \u00fclkelerde erkeklerde en s\u0131k izlenen kanser t\u00fcr\u00fc olup, t\u00fcm kanser vakalar\u0131n\u0131n yakla\u015f\u0131k d\u00f6rtte birlik k\u0131sm\u0131n\u0131 olu\u015fturmaktad\u0131r. \u00dclkemizde de erkeklerde akci\u011fer kanseri ile birlikte en s\u0131k izlenen kanser t\u00fcrlerinden birini olu\u015fturmaktad\u0131r. Son yap\u0131lan \u00e7al\u0131\u015fmalarda bir erke\u011fin ya\u015fam boyu prostat kanserine yakalanma riskinin %15-20 […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1201","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1201","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/comments?post=1201"}],"version-history":[{"count":0,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1201\/revisions"}],"wp:attachment":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}