{"id":1617,"date":"2022-02-16T18:57:32","date_gmt":"2022-02-16T18:57:32","guid":{"rendered":"https:\/\/uygarmicoogullari.com.tr\/?page_id=1617"},"modified":"2022-02-17T00:45:16","modified_gmt":"2022-02-17T00:45:16","slug":"inmemis-testis","status":"publish","type":"page","link":"https:\/\/uygarmicoogullari.com.tr\/en\/inmemis-testis\/","title":{"rendered":"Undescended Testicle"},"content":{"rendered":"
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Undescended Testicle<\/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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Undescended Testicle<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Testisler anne karn\u0131nda geli\u015fim s\u00fcrecinde ilk olarak kar\u0131n arka duvar\u0131nda olu\u015furlar. Daha sonra hormonal ve mekanik birtak\u0131m fakt\u00f6rlerin etkisiyle a\u015fa\u011f\u0131ya do\u011fru hareket ederek kas\u0131k kanal\u0131ndan ge\u00e7ip torbaya (skrotum) ula\u015f\u0131rlar. Bu ini\u015f gebeli\u011fin son \u00fc\u00e7 ay\u0131 i\u00e7erisinde ya da hemen do\u011fum sonras\u0131 tamamlanm\u0131\u015f olur.<\/p>\n

Yenido\u011fan bebekte testisler torbada de\u011filse bu durumun 3 nedeni olabilir;<\/p>\n

Testisler kar\u0131n i\u00e7inden a\u015fa\u011f\u0131 do\u011fru ini\u015fini tamamlamam\u0131\u015f ve kas\u0131k kanal\u0131nda veya kar\u0131n i\u00e7erisinde bir noktada kalm\u0131\u015f olabilir. Bu durum inmemi\u015f testis olarak adland\u0131r\u0131l\u0131r.
\nTestis hi\u00e7 geli\u015fmemi\u015f veya anne karn\u0131ndayken yok olmu\u015f olabilir.
\nTestis normal ini\u015f yolu \u00fczerinde bir noktada bulunmay\u0131p, farkl\u0131 bir noktada yerle\u015fmi\u015f (ektopik testis)<\/p>


\nRetraktil (Utanga\u00e7) Testis Nedir?<\/b><\/p>\n

Baz\u0131 \u00e7ocuklarda, retraktil testis denilen, bazen skrotuma inen bazen de yukar\u0131 ka\u00e7an testisler g\u00f6r\u00fclebilir. Bu durum kremasterik kas\u0131n a\u015f\u0131r\u0131 aktivitesinden kaynaklanan bir durum olup yakla\u015f\u0131m inmemi\u015f testisten farkl\u0131d\u0131r. Retraktil ile inmemi\u015f testis ay\u0131r\u0131m\u0131n\u0131n uzman bir hekim taraf\u0131ndan yap\u0131lmas\u0131 gereklidir. Bu olgular\u0131n 1\/3\u2019\u00fc zamanla inmemi\u015f testise d\u00f6n\u00fc\u015fmektedir, bu nedenle yak\u0131n takip alt\u0131nda tutulmal\u0131d\u0131r.<\/p>\n

\u0130nmemi\u015f Testis Ne S\u0131kl\u0131kta G\u00f6r\u00fcl\u00fcr?<\/b><\/p>\n

It is one of the most commonly observed genital anomalies, occurring in 1\u20134% of full-term male newborns and up to 45% of preterm births. Within the first three months after birth, 70\u201377% of undescended testes descend spontaneously into the scrotum. However, after the sixth month, the likelihood of spontaneous descent significantly decreases (to around 6%).<\/p>\n

What is the cause<\/b><\/p>\n

\u0130nmemi\u015f testise sebep olan nedenler tam olarak bilinmese de birtak\u0131m genetik ve \u00e7evresel fakt\u00f6rlerin (hormonal bozucular gibi) neden oldu\u011fu tahmin edilmektedir.<\/p>\n

\u0130nmemi\u015f Testisin Yol A\u00e7t\u0131\u011f\u0131 Riskler Nedir?<\/b><\/p>\n

\u0130nmemi\u015f testis, ileride k\u0131s\u0131rl\u0131k (infertilite) veya testis kanseri geli\u015fimine zemin haz\u0131rlayabilir. Bazen kas\u0131k f\u0131t\u0131\u011f\u0131yla da birlikte olabilir. Testis ne kadar erken indirilirse k\u0131s\u0131rl\u0131k geli\u015fme riski o kadar azal\u0131r. Kanser geli\u015fme riskinin azalmas\u0131 konusu tart\u0131\u015fmal\u0131d\u0131r ancak indirilen testiste geli\u015fen t\u00fcm\u00f6r\u00fcn elle muayenede saptanmas\u0131 kolayla\u015fmaktad\u0131r.<\/p>\n

How is the diagnosis made?<\/b><\/p>\n

\u00d6ncelikle elle muayene ile testislerin ele gelip gelmedi\u011fine bak\u0131l\u0131r. E\u011fer testis elle muayenede torbada ya da kas\u0131klarda hissedilemiyorsa (%20);<\/p>\n

Kar\u0131n i\u00e7erisinde ya da kanal a\u011fz\u0131nda yerle\u015fmi\u015f olabilir (%50-60)
\nKanal i\u00e7erisinde k\u00fc\u00e7\u00fck testis (atrofik veya rudimenter) (%30)
\nTestis hi\u00e7 geli\u015fmemi\u015f ya da sonradan kaybolmu\u015f (%20)
\nBu ay\u0131r\u0131m\u0131 yapabilmek i\u00e7in g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinin (MRI, Ultrason gibi) bir anlam\u0131 yoktur, ay\u0131r\u0131m i\u00e7in laparoskopi yap\u0131lmas\u0131 gereklidir. Laparoskopi kar\u0131n i\u00e7erisinin bir delikten sokulan optik yard\u0131m\u0131yla g\u00f6r\u00fcnt\u00fclenmesi i\u015flemidir.<\/p>\n

Treatment<\/b><\/p>\n

Tedavi i\u00e7in \u00f6nerilen zaman aral\u0131\u011f\u0131 6 ay \u2013 1 ya\u015f aras\u0131d\u0131r. \u0130lk 6 ay testislerin inme y\u00fczdesinin y\u00fcksek olu\u015fu nedeniyle beklemek \u00f6nerilmektedir. Onsekizinci aydan sonra ise sperm \u00fcreten h\u00fccreler ile testosteron \u00fcreten h\u00fccrelerin yap\u0131s\u0131nda bozulma s\u00fcreci ba\u015flamaktad\u0131r. Bu nedenle 6 ay \u2013 1 ya\u015f aral\u0131\u011f\u0131 en ideal zaman olarak kabul edilmektedir. En kesin tedavi y\u00f6ntemi ameliyatt\u0131r. Ameliyatla testisler torbadaki yerine indirilir.<\/p>\n

Hormon tedavisi ba\u015far\u0131 \u015fans\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131 (%20) ve yan etkileri (k\u0131llanma, sperm h\u00fccreleri \u00fczerine olumsuz etkileri, vb) nedeniyle g\u00fcn\u00fcm\u00fczde art\u0131k \u00e7ok fazla tercih edilmemektedir.<\/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":"

\u0130nmemi\u015f Testis \u0130nmemi\u015f Testis Testisler anne karn\u0131nda geli\u015fim s\u00fcrecinde ilk olarak kar\u0131n arka duvar\u0131nda olu\u015furlar. Daha sonra hormonal ve mekanik birtak\u0131m fakt\u00f6rlerin etkisiyle a\u015fa\u011f\u0131ya do\u011fru hareket ederek kas\u0131k kanal\u0131ndan ge\u00e7ip torbaya (skrotum) ula\u015f\u0131rlar. Bu ini\u015f gebeli\u011fin son \u00fc\u00e7 ay\u0131 i\u00e7erisinde ya da hemen do\u011fum sonras\u0131 tamamlanm\u0131\u015f olur. Yenido\u011fan bebekte testisler torbada de\u011filse bu durumun 3 […]<\/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-1617","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1617","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=1617"}],"version-history":[{"count":0,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1617\/revisions"}],"wp:attachment":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}