{"id":2334,"date":"2011-08-19T11:25:08","date_gmt":"2011-08-19T08:25:08","guid":{"rendered":"http:\/\/www.islamidavet.com\/kutuphane\/\/?p=2334"},"modified":"2011-08-19T11:25:08","modified_gmt":"2011-08-19T08:25:08","slug":"beyin-tumorleri","status":"publish","type":"post","link":"https:\/\/www.islamidavet.com\/kutuphane\/beyin-tumorleri\/","title":{"rendered":"Beyin t\u00fcm\u00f6rleri"},"content":{"rendered":"<p>Beyin t\u00fcm\u00f6r\u00fc tan\u0131 ve tedavisinde g\u00fc\u00e7l\u00fckler arzeden bir hastal\u0131kt\u0131r. Konuya hasta a\u00e7\u0131s\u0131ndan yakla\u015f\u0131ld\u0131\u011f\u0131nda \u00fcrk\u00fct\u00fcc\u00fc gelen bu konu, \u00e7o\u011fu zaman kulaktan dolma bilgiler nedeniyle yanl\u0131\u015f bilinmektedir. Son 10 y\u0131lda gerek tan\u0131 koymada gerekse tedavide yeni geli\u015fmeler meydana gelmi\u015ftir. Beyin t\u00fcm\u00f6rleri \u00e7ocukluk \u00e7a\u011f\u0131 t\u00fcm\u00f6rleri aras\u0131nda 2. en s\u0131k g\u00f6r\u00fclen t\u00fcm\u00f6r gurubunu olu\u015ftururken, 50 ya\u015f\u0131ndan sonra s\u0131kl\u0131k a\u00e7\u0131s\u0131ndan ikinci kez art\u0131\u015f g\u00f6stererek \u00f6zellikle ba\u015fka organ kanserlerinin beyine olan yay\u0131l\u0131m\u0131da g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda 3. en s\u0131k g\u00f6r\u00fclen t\u00fcm\u00f6r gurubunu olu\u015fturur. Kafatas\u0131n\u0131n i\u00e7i, d\u0131\u015f ortamla ba\u011flant\u0131s\u0131 olmayan ve sabit bir bas\u0131nca sahip olu\u015fumlar i\u00e7erir: Kemik yap\u0131, beyin zar\u0131 ve beyin. Bu yap\u0131lardan herhangi birindeki normal d\u0131\u015f\u0131 b\u00fcy\u00fcyen kitle Beyin t\u00fcm\u00f6r\u00fc olarak adland\u0131r\u0131l\u0131r. Beyin t\u00fcm\u00f6rleri kabaca 3 guruba ayr\u0131l\u0131r: 1. Ba\u015fka organlardan beyine da\u011f\u0131lan t\u00fcm\u00f6rler (metastazlar) 2. Beynin dokusundan kaynaklanan t\u00fcm\u00f6rler ( glial t\u00fcm\u00f6rler ) 3. Beyin zar\u0131ndan kaynaklanan t\u00fcm\u00f6rler ( Menengiomlar) Daha bir \u00e7ok alt gurubu ve de\u011fi\u015fik varyasyonlar\u0131 mevcut olan Beyin t\u00fcm\u00f6r\u00fc hastaya iki \u015fekilde zarar verir: \u0130lki kapal\u0131 bir ortam olan kafatas\u0131 i\u00e7indeki bas\u0131nc\u0131 artt\u0131rarak beyin dola\u015f\u0131m\u0131nda azalmayla, di\u011feride t\u00fcm\u00f6r\u00fcn yerle\u015fti\u011fi beyin b\u00f6lgesine g\u00f6re verdi\u011fi hasarla . Bunun sonucunda hastalarda \u00e7ok de\u011fi\u015fik \u015fikayet ve bulgulara yol a\u00e7ar. Ba\u015f a\u011fr\u0131s\u0131, sara krizleri, ki\u015filik de\u011fi\u015fiklikleri, \u015fuur bulan\u0131kl\u0131\u011f\u0131, g\u00f6rme bozuklu\u011fu, kollarda veya ayaklarda fel\u00e7ler, dengesizlik, y\u00fcr\u00fcyememe, i\u015fitme kayb\u0131 , konu\u015fma bozuklu\u011fu gibi bulgular ortaya \u00e7\u0131kar. Hastal\u0131\u011f\u0131n ileri d\u00f6nemlerinde hasta yata\u011fa ba\u011f\u0131ml\u0131 hale gelir ve \u015fuur kayb\u0131 olu\u015fur. Burada \u00f6zellikle ba\u015f a\u011fr\u0131s\u0131 ve sara krizi \u00fczerinde durmak istiyorum. Ba\u015f a\u011fr\u0131s\u0131 ge\u00e7irmeyen ki\u015fi hemen hemen yok gibidir. Ancak g\u00fcn\u00fcn birinde daha \u00f6nce rastlamad\u0131\u011f\u0131n\u0131z \u015fekil ve \u015fiddette ba\u015f a\u011fr\u0131s\u0131 ataklar\u0131 ba\u015flarsa mutlaka hekime ba\u015fvurmak gerekir. Bu tip a\u011fr\u0131lar\u0131n \u00f6zellikle sabah olmas\u0131 ve a\u011fr\u0131 kesicilere cevap vermemesi tipiktir. Ayr\u0131ca 40 ya\u015f\u0131ndan sonra daha \u00f6nce hi\u00e7 sara krizi ge\u00e7irmemi\u015f ki\u015fide , n\u00f6bet g\u00f6r\u00fcl\u00fcrse bu ki\u015filerde beyin t\u00fcm\u00f6r\u00fc a\u00e7\u0131s\u0131nda mutlaka ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. <\/p>\n<p> Tan\u0131 koymak , geli\u015fmi\u015f radyoloji teknikleri kullanan kliniklerde son derece kolayd\u0131r. Bilgisayarl\u0131 Beyin Tomografisi ve gerekirse Beyin MR tetkiki \u00e7o\u011fu zaman yeterli olur. EEG, normal r\u00f6ntgen ve laboratuar bulgular\u0131da bazan gerekli olabilir. Hastanemizde Bilgisayarl\u0131 Beyin tomografisini bu hastalarda rutin olarak uygulamakta, \u015f\u00fcpheli durumlarda MR tetkiki yapt\u0131rmaktay\u0131z. Beyin t\u00fcm\u00f6r\u00fc tan\u0131s\u0131 alan hasta ve yak\u0131nlar\u0131ndaki \u015fa\u015fk\u0131nl\u0131k ve korkunun atlat\u0131lmas\u0131 hekimin ilk yapmas\u0131 gerekendir. Tedavinin en k\u0131sa s\u00fcrede t\u00fcm imkanlar seferber edilerek ba\u015flamas\u0131da gereklidir. \u00d6ncelikle cerrahi tedaviyle t\u00fcm\u00f6r\u00fcn tam veya tama yak\u0131n \u00e7\u0131kar\u0131lmas\u0131 ve takiben radyoterapi dedi\u011fimiz \u015fua tedavisinin uygulanmas\u0131 gerekir. Tedavide alt\u0131n anahtar cerrahidir. Ameliyat\u0131n amac\u0131 sadece t\u00fcm\u00f6r\u00fc \u00e7\u0131karmak de\u011fil, t\u00fcm\u00f6r h\u00fccrelerinin mikroskop muayenesiyle t\u00fcm\u00f6r\u00fcn tam cinsini saptamakt\u0131r. Dolay\u0131s\u0131yla ameliyat sonras\u0131 uygulanacak alternatif tedavilerede yol g\u00f6sterir. T\u00fcm\u00f6r kitlesi ameliyatla en az\u0131ndan k\u00fc\u00e7\u00fclt\u00fclmeyen t\u00fcm\u00f6rlerde \u015fua tedavisinin etkisi tart\u0131\u015fmal\u0131d\u0131r. Ancak baz\u0131 beyin t\u00fcm\u00f6rlerinde gerek yerle\u015fim, gerekse t\u00fcm\u00f6r\u00fcn ameliyat s\u0131n\u0131rlar\u0131n\u0131 a\u015fm\u0131\u015f olmas\u0131 sonucu ba\u015flang\u0131\u00e7ta \u015fua tedavisi yap\u0131l\u0131r ve takiben kemoterapi uygulan\u0131r. Cerrahi uygulanan hastalarda \u00e7o\u011fu zaman \u015fa\u015f\u0131rt\u0131c\u0131 derecede iyi sonu\u00e7lar al\u0131n\u0131r. \u00d6zellikle beyin zar\u0131 kaynakl\u0131 t\u00fcm\u00f6rler bening dedi\u011fimiz iyi huylu t\u00fcm\u00f6rler olup, tam \u00e7\u0131kar\u0131lmalar\u0131 halinde hasta \u00f6m\u00fcr boyu ya\u015fam\u0131n\u0131n problemsiz ge\u00e7irir. Hastanemizde Beyin T\u00fcm\u00f6rlerinin cerrahi tedavisi mikro\u015fir\u00fcrjikal olarak yap\u0131lmaktad\u0131r. Ameliyat sonras\u0131 yo\u011fun bak\u0131m \u00fcnitelerimizde takib edilen hasta yata\u011f\u0131na al\u0131nd\u0131ktan sonra gerekiyorsa fizyoterapi ba\u015flan\u0131r. Patoloji tan\u0131s\u0131 al\u0131nd\u0131ktan sonra Onkolog tar\u0131ndan g\u00f6r\u00fclen hastan\u0131n, radyoterapi veya kemoterapi gibi ek tedavileri gerekiyorsa planlan\u0131r . \u00d6neriler: -Daha \u00f6nce ya\u015famad\u0131\u011f\u0131n\u0131z ,yabanc\u0131 oldu\u011funuz ba\u015f a\u011fr\u0131lar\u0131na dikkat edin. -Sara krizi beyin t\u00fcm\u00f6r\u00fcn\u00fcn ilk bulgusu olabilir. -Gerekirse Bilgisayarl\u0131 beyin Tomografisi \u00e7ekilmesinden \u00e7ekinmeyin. -Beyin t\u00fcm\u00f6rlerinde erken tan\u0131 \u00e7ok \u00f6nemlidir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Beyin t\u00fcm\u00f6r\u00fc tan\u0131 ve tedavisinde g\u00fc\u00e7l\u00fckler arzeden bir hastal\u0131kt\u0131r. Konuya hasta a\u00e7\u0131s\u0131ndan yakla\u015f\u0131ld\u0131\u011f\u0131nda \u00fcrk\u00fct\u00fcc\u00fc gelen bu konu, \u00e7o\u011fu zaman kulaktan dolma bilgiler nedeniyle yanl\u0131\u015f bilinmektedir. Son 10 y\u0131lda gerek tan\u0131 koymada gerekse tedavide yeni geli\u015fmeler meydana gelmi\u015ftir. Beyin t\u00fcm\u00f6rleri \u00e7ocukluk \u00e7a\u011f\u0131 t\u00fcm\u00f6rleri aras\u0131nda 2. en s\u0131k g\u00f6r\u00fclen t\u00fcm\u00f6r gurubunu olu\u015ftururken, 50 ya\u015f\u0131ndan sonra s\u0131kl\u0131k a\u00e7\u0131s\u0131ndan &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1407,1403],"tags":[5903,5898,5900,5901,4401,5902,5899],"class_list":["post-2334","post","type-post","status-publish","format-standard","hentry","category-fen-ve-teknoloji-odevleri","category-odevler","tag-beyin-tomografisi","tag-beyin-tumorleri","tag-glial-tumorler","tag-menengiomlar","tag-patoloji","tag-radyoloji","tag-tumor"],"_links":{"self":[{"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/posts\/2334","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/comments?post=2334"}],"version-history":[{"count":0,"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/posts\/2334\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/media?parent=2334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/categories?post=2334"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.islamidavet.com\/kutuphane\/wp-json\/wp\/v2\/tags?post=2334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}