Erken evrede tespit edildi\u011finde \u00f6nlenebilen ve tedavi edilebilen bir hastal\u0131k olan kolon kanserinde e\u011fer aile hikayesi varsa taramalar\u0131n ortalama risk grubuna g\u00f6re 10 y\u0131l daha erken ba\u015flat\u0131lmas\u0131 gerekiyor. D\u00fczenli taramalar sayesinde risk grubunda olunsa da kolon kanseri erken d\u00f6nemde saptanabiliyor. Memorial G\u00f6ztepe Hastanesi Genel Cerrahi B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. M\u00fcr\u015fit Din\u00e7er, kolon kanserinin tan\u0131 ve tedavisi hakk\u0131nda bilgi verdi.<\/p>\n
Polipler hen\u00fcz kansere d\u00f6n\u00fc\u015fmeden \u00e7\u0131kar\u0131labilir<\/strong><\/p>\n Kolon kanseri (kolorektal kanserler), d\u00fcnya genelinde en s\u0131k g\u00f6r\u00fclen kanser t\u00fcrleri aras\u0131nda yer al\u0131r ve kansere ba\u011fl\u0131 ya\u015fam kay\u0131plar\u0131n\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcnden sorumludur. Hastal\u0131k \u00e7o\u011funlukla kal\u0131n ba\u011f\u0131rsa\u011f\u0131n veya rektumun mukozas\u0131ndan geli\u015fmektedir. Bir\u00e7ok vakada s\u00fcre\u00e7, ba\u015flang\u0131\u00e7ta iyi huylu olan adenomat\u00f6z poliplerin y\u0131llar i\u00e7erisinde k\u00f6t\u00fc huylu olan malign lezyonlara d\u00f6n\u00fc\u015f\u00fcm g\u00f6stermesi ile ilerlemektedir. Bu d\u00f6n\u00fc\u015f\u00fcm\u00fcn uzun bir zaman diliminde ger\u00e7ekle\u015fmesi ise kolon kanserinin erken tan\u0131 ve \u00f6nleme a\u00e7\u0131s\u0131ndan \u00f6nemli bir f\u0131rsat sunmas\u0131na olanak sa\u011flar. D\u00fczenli tarama programlar\u0131 sayesinde polipler hen\u00fcz kansere d\u00f6n\u00fc\u015fmeden tespit edilip \u00e7\u0131kar\u0131labilir.<\/p>\n 50 ya\u015f alt\u0131 kolon kanserindeki art\u0131\u015f dikkat \u00e7ekiyor<\/strong><\/p>\n Son y\u0131llarda kolon kanseri g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131nda dikkat \u00e7ekici bir art\u0131\u015f g\u00f6zlenmektedir. Bu art\u0131\u015f \u00f6zellikle 50 ya\u015f alt\u0131ndaki bireylerde daha belirgin haldedir. Bat\u0131 tipi beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n yayg\u0131nla\u015fmas\u0131, i\u015flenmi\u015f ve rafine g\u0131dalar\u0131n daha fazla t\u00fcketilmesi, liften fakir diyetler, obezite g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131ndaki art\u0131\u015f ve fiziksel aktivitenin azalmas\u0131 bu y\u00fckseli\u015fte \u00f6nemli rol oynamaktad\u0131r. Bunun yan\u0131 s\u0131ra ba\u011f\u0131rsak mikrobiyotas\u0131nda meydana gelen de\u011fi\u015fiklikler, ya\u015fam s\u00fcresinin uzamas\u0131 ve tan\u0131 y\u00f6ntemlerinin geli\u015fmesi de bildirilen vaka say\u0131lar\u0131n\u0131n artmas\u0131na katk\u0131da bulunmaktad\u0131r.<\/p>\n Baba 50 ya\u015f\u0131nda tan\u0131 alm\u0131\u015fsa \u00e7ocuk 40 ya\u015f\u0131nda taramalara ba\u015flamal\u0131<\/strong><\/p>\n Kolon kanseri, d\u00fczenli tarama programlar\u0131 sayesinde erken evrede saptanabilen ve hatta polip a\u015famas\u0131nda \u00f6nlenebilen bir hastal\u0131k olarak kabul edilmektedir. Ortalama risk grubunda yer alan bireylerde tarama programlar\u0131na genellikle 45 ya\u015f\u0131nda ba\u015flanmas\u0131 \u00f6nerilmektedir. Gaitada gizli kan testi y\u0131lda bir veya iki y\u0131lda bir uygulanabilmekte, kolonoskopi ise yakla\u015f\u0131k 10 y\u0131lda bir yap\u0131lmas\u0131 \u00f6nerilen ve tan\u0131 a\u00e7\u0131s\u0131ndan alt\u0131n standart olarak kabul edilen y\u00f6ntemlerden biri olarak de\u011ferlendirilmektedir.<\/p>\n Aile \u00f6yk\u00fcs\u00fc bulunanlar, daha \u00f6nce polip saptananlar veya inflamatuar ba\u011f\u0131rsak hastal\u0131\u011f\u0131 olan bireyler y\u00fcksek risk grubunda yer almakta; bu ki\u015filerde taramalar\u0131n daha erken ya\u015fta ba\u015flat\u0131lmas\u0131 ve daha s\u0131k aral\u0131klarla yap\u0131lmas\u0131 \u00f6nerilmektedir. Ailede kolon kanseri ka\u00e7 ya\u015f\u0131nda saptanm\u0131\u015fsa bu ya\u015ftan 10 ya\u015f \u00f6nce tarama programlar\u0131na ba\u015flamak gerekir. \u00d6rne\u011fin; anne ya da baba 50 ya\u015f\u0131nda kolon kanseri tan\u0131s\u0131 alm\u0131\u015fsa \u00e7ocuklar\u0131 40 ya\u015f\u0131nda taramalara ba\u015flamal\u0131d\u0131r.<\/p>\n Fazla miktarda k\u0131rm\u0131z\u0131 et ve i\u015flenmi\u015f etlerin t\u00fcketimine dikkat!<\/strong><\/p>\n Beslenme al\u0131\u015fkanl\u0131klar\u0131 kolon kanseri geli\u015fiminde \u00f6nemli rol oynar. Lif a\u00e7\u0131s\u0131ndan zengin beslenme, ba\u011f\u0131rsak ge\u00e7i\u015f s\u00fcresini k\u0131saltmakta ve potansiyel kanserojen maddelerin ba\u011f\u0131rsak mukozas\u0131 ile temas s\u00fcresini azaltmaktad\u0131r. Ayr\u0131ca lifli g\u0131dalar\u0131n ba\u011f\u0131rsak mikrobiyotas\u0131n\u0131 olumlu y\u00f6nde etkiledi\u011fi ve inflamasyonu azaltabildi\u011fi g\u00f6sterilmektedir. \u0130\u015flenmi\u015f et \u00fcr\u00fcnleri (sucuk, salam, sosis gibi), a\u015f\u0131r\u0131 k\u0131rm\u0131z\u0131 et t\u00fcketimi ve y\u00fcksek oranda rafine \u015feker i\u00e7eren g\u0131dalar\u0131n ise risk art\u0131\u015f\u0131 ile ili\u015fkilendirildi\u011fi belirtilmektedir. Buna kar\u015f\u0131l\u0131k tam tah\u0131llar, sebzeler (\u00f6zellikle turpgiller), meyveler, baklagiller ve fermente s\u00fct \u00fcr\u00fcnleri ba\u011f\u0131rsak sa\u011fl\u0131\u011f\u0131n\u0131 destekleyen besinler aras\u0131nda yer almaktad\u0131r.<\/p>\n De\u011fi\u015ftirilebilir fakt\u00f6rlere dikkat ederek kanser riskini azalt\u0131n<\/strong><\/p>\n Kolon kanseri a\u00e7\u0131s\u0131ndan risk fakt\u00f6rleri de\u011fi\u015ftirilemeyen ve de\u011fi\u015ftirilebilir fakt\u00f6rler olarak iki ana grupta toplanmaktad\u0131r. \u0130leri ya\u015f, ailede kolon kanseri \u00f6yk\u00fcs\u00fc bulunmas\u0131, kal\u0131tsal kanser sendromlar\u0131 ve inflamatuar ba\u011f\u0131rsak hastal\u0131klar\u0131 ba\u015fl\u0131ca de\u011fi\u015ftirilemeyen risk fakt\u00f6rleridir. Buna kar\u015f\u0131l\u0131k obezite, hareketsiz ya\u015fam tarz\u0131, sigara ve alkol kullan\u0131m\u0131, fazla miktarda k\u0131rm\u0131z\u0131 et ve i\u015flenmi\u015f etlerin t\u00fcketimi ile liften fakir beslenme \u00f6nlenebilir ya da azalt\u0131labilir risk fakt\u00f6rleri aras\u0131ndad\u0131r. Kolon kanseri b\u00fcy\u00fck \u00f6l\u00e7\u00fcde \u00f6nlenebilir ve erken evrede tespit edildi\u011finde tedavi ba\u015far\u0131s\u0131 y\u00fcksek olan bir hastal\u0131kt\u0131r. Bu anlamda toplumda fark\u0131ndal\u0131\u011f\u0131n art\u0131r\u0131lmas\u0131, sa\u011fl\u0131kl\u0131 beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n te\u015fvik edilmesi, d\u00fczenli fiziksel aktivite ve uygun ya\u015fta ba\u015flat\u0131lan tarama programlar\u0131n\u0131n yayg\u0131nla\u015ft\u0131r\u0131lmas\u0131 \u00f6nemlidir.<\/p>\n Do\u011fru zamanda cerrahi m\u00fcdahale kolon kanserinde hayat kurtar\u0131yor<\/strong><\/p>\n Erken evrede tespit edilen t\u00fcm\u00f6rlerde, kanserli ba\u011f\u0131rsak b\u00f6lgesi \u00e7\u0131kar\u0131l\u0131p ve \u00e7evresindeki lenf d\u00fc\u011f\u00fcmleri temizlenebilir. Cerrahi s\u0131ras\u0131nda kullan\u0131lan y\u00f6ntemler hastan\u0131n durumuna ve t\u00fcm\u00f6r\u00fcn yerine g\u00f6re de\u011fi\u015fir. A\u00e7\u0131k cerrahi y\u00f6ntemlerinin yan\u0131 s\u0131ra laparoskopik ve robotik cerrahi teknikleri de yayg\u0131n \u015fekilde uygulan\u0131r. Laparoskopik ve robotik y\u00f6ntemler, kar\u0131n b\u00f6lgesinde k\u00fc\u00e7\u00fck kesilerle operasyon yap\u0131lmas\u0131n\u0131 sa\u011flar bu da iyile\u015fme s\u00fcresini k\u0131salt\u0131r ve hastalar\u0131n g\u00fcnl\u00fck ya\u015fama d\u00f6n\u00fc\u015f\u00fcn\u00fc h\u0131zland\u0131r\u0131r. Gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fcnde hastal\u0131\u011f\u0131n evresine g\u00f6re cerrahi \u00f6ncesi veya sonras\u0131 kemoterapi ve radyoterapi de uygulanabilir. Kolon kanserinde her kanser t\u00fcr\u00fcnde oldu\u011fu gibi ki\u015fiye \u00f6zel tedavi planlar\u0131 haz\u0131rlan\u0131r. D\u00fczenli takipler ile cerrahi sonras\u0131 hastal\u0131\u011f\u0131n tekrarlama riski izlenir ve koruyucu \u00f6nlemler al\u0131n\u0131r.<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" Erken evrede tespit edildi\u011finde \u00f6nlenebilen ve tedavi edilebilen bir hastal\u0131k olan kolon kanserinde e\u011fer aile hikayesi varsa taramalar\u0131n ortalama risk grubuna g\u00f6re 10 y\u0131l daha erken ba\u015flat\u0131lmas\u0131 gerekiyor.<\/p>\n","protected":false},"author":1,"featured_media":68239,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[350,571,5451,695,379],"class_list":["post-68238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bagirsak","tag-kanser","tag-kolon-kanseri","tag-risk","tag-yas"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/68238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/comments?post=68238"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/68238\/revisions"}],"predecessor-version":[{"id":68240,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/68238\/revisions\/68240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/68239"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=68238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=68238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=68238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}