{"id":1458,"date":"2022-02-01T01:20:01","date_gmt":"2022-02-01T01:20:01","guid":{"rendered":"https:\/\/uygarmicoogullari.com.tr\/?page_id=1458"},"modified":"2022-08-13T13:43:50","modified_gmt":"2022-08-13T13:43:50","slug":"idrar-kacirma","status":"publish","type":"page","link":"https:\/\/uygarmicoogullari.com.tr\/en\/idrar-kacirma\/","title":{"rendered":"Urinary Incontinence"},"content":{"rendered":"
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Urinary Incontinence\n<\/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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\u00dcriner inkontinans (\u0130drar Ka\u00e7\u0131rma)\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u0130drar ka\u00e7\u0131rma veya t\u0131bbi ad\u0131yla \u00fcriner inkontinans her t\u00fcrl\u00fc istemsiz ve kontrol edilemeyen idrar tutamama durumudur. \u0130drar ka\u00e7\u0131rma ki\u015finin ya\u015fam konforunu bozdu\u011fu gibi s\u00fcrekli \u0131slakl\u0131k, tahri\u015f ve k\u00f6t\u00fc koku endi\u015fesi ki\u015fide ciddi sosyal ve psikolojik sorunlara da yol a\u00e7abilmektedir. \u0130drar ka\u00e7\u0131rma g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ya\u015fla birlikte artar ve kad\u0131nlarda erkeklere oranla daha s\u0131k izlenir.<\/p>\n

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\u0130drar Ka\u00e7\u0131rma Tipleri<\/b><\/h3>\n


Stres tipi idrar ka\u00e7\u0131rma: Efor s\u0131ras\u0131nda (\u00f6ks\u00fcrme, hap\u015f\u0131rma, a\u011f\u0131r y\u00fck kald\u0131rma, egzersiz vb) g\u00f6r\u00fclen idrar ka\u00e7\u0131rma durumudur. Peki bu durum niye olu\u015fur?
\u0130drar kanal\u0131 (\u00fcretra), pelvik yap\u0131lar taraf\u0131ndan bir hamak gibi as\u0131l\u0131 tutulur. Bu kanal\u0131 destekleyen yap\u0131lar\u0131n zay\u0131flamas\u0131 ya da idrar tutmay\u0131 sa\u011flayan sfinkter dedi\u011fimiz yap\u0131n\u0131n hasar g\u00f6rmesi stres tip idrar ka\u00e7\u0131rmayla sonu\u00e7lanmaktad\u0131r. \u00c7\u00fcnk\u00fc sfinkter mekanizmas\u0131 d\u00fczg\u00fcn \u00e7al\u0131\u015fmad\u0131\u011f\u0131nda tam olarak kapanamamakta ve efor s\u0131ras\u0131nda artan mesane i\u00e7i bas\u0131nc\u0131yla idrar istemsiz olarak d\u0131\u015far\u0131 ka\u00e7maktad\u0131r.
S\u0131k\u0131\u015fma tipi idrar ka\u00e7\u0131rma: Ertelenemeyen ani s\u0131k\u0131\u015fma hissi ile birlikte meydana gelen idrar ka\u00e7\u0131rma durumudur. Burada mesanede istemsiz kas\u0131lmalar s\u00f6z konusu olup idrar depolamakta sorun vard\u0131r.
Kar\u0131\u015f\u0131k tip idrar ka\u00e7\u0131rma: Her iki tip idrar ka\u00e7\u0131rma birliktedir.
Ta\u015fma tipi idrar ka\u00e7\u0131rma: Mesanenin dolarak fazla idrar\u0131n s\u0131z\u0131nt\u0131 \u015feklinde istemsiz olarak ka\u00e7\u0131r\u0131lmas\u0131d\u0131r.
\u0130drar Ka\u00e7\u0131rma Sebepleri Nedir?
Genetik yatk\u0131nl\u0131k
Pelvik taban kaslar\u0131n\u0131n zay\u0131fl\u0131\u011f\u0131
N\u00f6rolojik hastal\u0131klar
Hormon eksikli\u011fi ve menapoz
Gebelik ve zorlu do\u011fumlar
\u0130drar yolu enfeksiyonu
Ge\u00e7irilmi\u015f prostat ameliyatlar\u0131
Ge\u00e7irilmi\u015f \u00fcrolojik, jinekolojik ve barsak ameliyatlar\u0131
Prostat b\u00fcy\u00fcmesi
A\u015f\u0131r\u0131 aktif mesane
Radyoterapi
Obezite
Do\u011fu\u015ftan gelen \u00fcrolojik anomaliler
De\u011ferlendirme ve Tan\u0131
\u00d6ncelikle hastadan detayl\u0131 bir \u00f6yk\u00fc al\u0131n\u0131p, fizik muayene yap\u0131l\u0131r. \u0130drar ka\u00e7\u0131rman\u0131n ciddiyetini \u00f6\u011frenmek i\u00e7in i\u015feme g\u00fcnl\u00fc\u011f\u00fc doldurtulur. \u0130drar analizi, idrar k\u00fclt\u00fcr\u00fc, \u00fcriner ultrason, at\u0131k idrar \u00f6l\u00e7\u00fcm\u00fc, \u00fcroflovmetri, ped testi, \u00fcrodinamik inceleme ve sistoskopi gerekli durumlarda ba\u015fvurulan incelemelerdir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Treatment<\/b>
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Konservatif<\/b> Yakla\u015f\u0131m<\/b><\/h4>\n

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A\u015f\u0131r\u0131 s\u0131v\u0131 al\u0131m\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmesi ve s\u0131v\u0131 al\u0131m\u0131n\u0131n d\u00fczenlenmesi
Kahve, \u00e7ay, alkol ve gazl\u0131 i\u00e7eceklerin t\u00fcketiminin s\u0131n\u0131rland\u0131r\u0131lmas\u0131
Obez hastalarda kilo verilmesinin ve d\u00fczenli fiziksel egzersiz yap\u0131lmas\u0131n\u0131n sa\u011flanmas\u0131
Kab\u0131zl\u0131\u011f\u0131n giderilmesi
Mesanede iritasyon yapan ac\u0131l\u0131, baharatl\u0131 ve ek\u015fi yiyeceklerden ka\u00e7\u0131nmak
Sigara i\u00e7enlerde b\u0131rakmaya te\u015fvik etme
\u0130\u015feme e\u011fitimi ve pelvik taban kaslar\u0131n\u0131 g\u00fc\u00e7lendiren egzersizler
\u0130la\u00e7 Tedavisi: \u0130drar ka\u00e7\u0131rma bozuklu\u011funun tipine g\u00f6re ila\u00e7 tedavileri d\u00fczenlenmektedir. Tedavide kullan\u0131lan ba\u015fl\u0131ca ila\u00e7lar, muskarinik resept\u00f6r antagonistleri, mirabegron ve \u00f6strojendir. Di\u011fer ila\u00e7lar aras\u0131nda desmopressin ve duloksetin yer al\u0131r. Bu ila\u00e7lar\u0131n baz\u0131 olumsuz yan etkileri ve ba\u015fka ila\u00e7larla etkile\u015fimi olabilece\u011fi i\u00e7in mutlaka bir \u00fcroloji uzman\u0131 g\u00f6zetiminde kullan\u0131lmal\u0131d\u0131r<\/p>\n

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Surgical Treatment<\/b><\/h4>\n


S\u0131k\u0131\u015fma Tipi \u0130drar Ka\u00e7\u0131rma \u0130\u00e7in:<\/p>\n

Mesane \u0130\u00e7i Botoks Uygulmas\u0131: A\u015f\u0131r\u0131 aktif mesane, n\u00f6rojen mesane ve a\u011fr\u0131l\u0131 mesane sendromlar\u0131n\u0131n tedavisinde kulland\u0131\u011f\u0131m\u0131z bir tedavi y\u00f6ntemidir. S\u0131kl\u0131kla lokal anestezi alt\u0131nda uygulad\u0131\u011f\u0131m\u0131z bu i\u015flemde mesanenin 20-30 noktas\u0131na \u00f6zel bir i\u011fne yard\u0131m\u0131yla botoks enjeksiyonu yap\u0131lmaktad\u0131r.<\/p>\n

Yakla\u015f\u0131k 6-12 ay s\u00fcren bir etkinli\u011fi olan bu i\u015flemde hastalar\u0131n istemsiz mesane kas\u0131lmalar\u0131n\u0131n azalt\u0131lmas\u0131 ve mesane kapasitesinin artt\u0131r\u0131lmas\u0131 ama\u00e7lanmakta; bu sayede s\u0131k idrara \u00e7\u0131kma ve idrar ka\u00e7\u0131rma gibi \u015fikayetlerinin d\u00fczelmesi sa\u011flanmaktad\u0131r.<\/p>\n

Sakral N\u00f6romod\u00fclasyon (Mesane Pili): \u0130drar ka\u00e7\u0131rma, idrar yapamama, diren\u00e7li a\u015f\u0131r\u0131 aktif mesane ve a\u011fr\u0131l\u0131 mesane sendromunun tedavisinde kullan\u0131lmaktad\u0131r. Sakral N\u00f6romod\u00fclasyon (mesane pili) dedi\u011fimiz bu teknikte sakrum kemi\u011fi i\u00e7erisine yerle\u015ftirdi\u011fimiz elektrotlar bir pil yard\u0131m\u0131yla mesanenin fonksiyonlar\u0131n\u0131 sa\u011flayan sinirleri uyarmakta ve hastan\u0131n \u015fikayetlerinin giderilmesini sa\u011flamaktad\u0131r.<\/p>\n

Mesane B\u00fcy\u00fctme Ameliyat\u0131 (Augmentasyon)<\/b><\/h3>\n

Stres Tipi \u0130drar Ka\u00e7\u0131rma \u0130\u00e7in;
Ask\u0131 Ameliyatlar\u0131 (TOT & TVT) Hastan\u0131n vajinas\u0131ndan konulan bir mesh yard\u0131m\u0131yla idrar ka\u00e7\u0131rmay\u0131 engelleyecek deste\u011fin sa\u011flanmas\u0131d\u0131r. Rahim veya mesanede bir sarkma yoksa 15 dakika s\u00fcren bu ameliyatla %90\u2019a varan oranda ba\u015far\u0131yla ciddi bir yan etki olmaks\u0131z\u0131n idrar ka\u00e7\u0131rma sorunu \u00e7\u00f6z\u00fclmektedir. G\u00fcn\u00fcbirlik yat\u0131\u015fla ger\u00e7ekle\u015ftirilen ve hastan\u0131n ayn\u0131 g\u00fcn taburcu edildi\u011fi bu ameliyat\u0131n etkisini hasta ertesi g\u00fcn g\u00f6rebilmektedir.<\/p>\n

-Burch Kolpos\u00fcspansiyon<\/p>\n

-Peri\u00fcretral Enjeksiyon<\/p>\n

-Artifisyel (Yapay) \u00dcriner Sfinkter<\/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>","protected":false},"excerpt":{"rendered":"

\u0130drar Ka\u00e7\u0131rma \u00dcriner inkontinans (\u0130drar Ka\u00e7\u0131rma) https:\/\/www.youtube.com\/watch?v=r9xLosr6xM8 \u0130drar ka\u00e7\u0131rma veya t\u0131bbi ad\u0131yla \u00fcriner inkontinans her t\u00fcrl\u00fc istemsiz ve kontrol edilemeyen idrar tutamama durumudur. \u0130drar ka\u00e7\u0131rma ki\u015finin ya\u015fam konforunu bozdu\u011fu gibi s\u00fcrekli \u0131slakl\u0131k, tahri\u015f ve k\u00f6t\u00fc koku endi\u015fesi ki\u015fide ciddi sosyal ve psikolojik sorunlara da yol a\u00e7abilmektedir. \u0130drar ka\u00e7\u0131rma g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ya\u015fla birlikte artar ve kad\u0131nlarda […]<\/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-1458","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1458","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=1458"}],"version-history":[{"count":0,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1458\/revisions"}],"wp:attachment":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}