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{"id":2302,"date":"2020-10-03T17:08:35","date_gmt":"2020-10-03T17:08:35","guid":{"rendered":"https:\/\/www.istanbulrobotikcerrahi.com\/?p=2302"},"modified":"2020-10-03T17:42:59","modified_gmt":"2020-10-03T17:42:59","slug":"mesane-tur-ameliyati-nedir","status":"publish","type":"post","link":"https:\/\/istanbulrobotikcerrahi.com\/mesane-tur-ameliyati-nedir\/","title":{"rendered":"Mesane TUR Ameliyat\u0131 Nedir?"},"content":{"rendered":"

Mesane TUR ameliyat\u0131<\/strong> ya da halk aras\u0131nda bilinen ad\u0131yla kapal\u0131 mesane t\u00fcm\u00f6r\u00fc ameliyat\u0131<\/strong>, mesane i\u00e7indeki t\u00fcm\u00f6r\u00fcn rezektoskop ad\u0131 verilen \u00f6zel bir alet ile kesilerek d\u0131\u015far\u0131 \u00e7\u0131kar\u0131lmas\u0131 i\u015flemidir. \u0130\u015flem s\u0131ras\u0131nda yar\u0131m ay \u015feklindeki bir telden elektrik ak\u0131m\u0131 ge\u00e7irilir. Bu halka sayesinde mesane i\u00e7indeki kanser dokusu k\u00fc\u00e7\u00fck par\u00e7ac\u0131klar halinde kesilir ve bu par\u00e7alar daha sonra idrar kesesinden d\u0131\u015far\u0131ya al\u0131n\u0131r. \u00a0TUR kelimesi \u0130ngilizcedeki TransUretral Rezeksiyon kelimelerinin ba\u015f harflerinin k\u0131saltmas\u0131ndan gelir. T\u00fcrk\u00e7esi \u00fcretra (idrar kanal\u0131) yolundan girilerek yap\u0131lan ameliyat demektir.<\/p>\n

Mesane Kanseri Nedir?<\/h2>\n

 <\/p>\n

\"mesane
mesane kanserinin sistoskopideki g\u00f6r\u00fcnt\u00fcs\u00fc<\/figcaption><\/figure>\n

Mesane kanseri<\/a> ya da t\u00fcm\u00f6r\u00fc, s\u0131k g\u00f6r\u00fclen kanser t\u00fcrlerinden biridir. Mesane kanseri, mesanenin i\u00e7ini d\u00f6\u015feyen ve mukoza ad\u0131 verilen tabakadaki h\u00fccrelerin kontrols\u00fcz bir \u015fekilde \u00e7o\u011falmas\u0131 sonucu olu\u015fur.\u00a0 Kanser h\u00fccreleri e\u011fer sadece mukoza tabakas\u0131nda s\u0131n\u0131rl\u0131 kal\u0131r, mukoza tabakas\u0131n\u0131 a\u015f\u0131p daha derinlere inmez ise \u2018y\u00fczeyel\u2019<\/strong> mesane kanseri, mukoza tabakas\u0131n\u0131 a\u015f\u0131p da daha derinde bulunan mesane duvar\u0131n\u0131 olu\u015fturan kas tabakas\u0131na uzanm\u0131\u015f ise buna \u2018derin\u2019<\/strong> mesane t\u00fcm\u00f6r\u00fc denir. Erkeklerde kad\u0131nlara g\u00f6re daha s\u0131k g\u00f6r\u00fcl\u00fcr. Mesane kanseri her ya\u015fta g\u00f6r\u00fclebilir, ancak ya\u015fl\u0131larda daha s\u0131kt\u0131r.<\/p>\n

 <\/p>\n

Mesane Kanseri Belirtileri Nelerdir?<\/h2>\n
\"mesane
mesane kanserinin filmde g\u00f6r\u00fcnt\u00fcs\u00fc<\/figcaption><\/figure>\n

Mesane kanserinin en s\u0131k g\u00f6r\u00fclen belirtisi idrarda kan g\u00f6r\u00fclmesidir. Bu kanama bazen g\u00f6zle g\u00f6r\u00fclemeyebilir. B\u00f6yle durumlarda idrardaki kan, ba\u015fka nedenlerle yap\u0131lan idrar tahlilinde saptan\u0131r. \u0130drarda kan enfeksiyon ya da ta\u015f gibi durumlarda da g\u00f6r\u00fclebilir.<\/p>\n

Bir di\u011fer belirti idrar yaparken yanma olmas\u0131d\u0131r. Ancak, idrar yaparken yanma her zaman mesane kanserine ba\u011fl\u0131 olmaz. \u0130drar yolu enfeksiyonlar\u0131, ta\u015f hastal\u0131\u011f\u0131, prostat iltihab\u0131 ya da b\u00fcy\u00fcmesi de buna neden olabilir.<\/p>\n

Mesane kanserinin di\u011fer belirtileri ars\u0131nda idrar yapmada zorlanma, idrar miktar\u0131nda azalma, s\u0131k idrara \u00e7\u0131kma, kilo kayb\u0131, zay\u0131flama, ileri evrelerde kal\u00e7alarda, s\u0131rtta, kaburgalarda a\u011fr\u0131 bulunmaktad\u0131r.<\/p>\n

Mesane Kanseri Tan\u0131 ve Evrelemesinde TUR Mesane Ameliyat\u0131<\/h2>\n
\"TUR
TUR mesaneden \u00f6nce ve sonra g\u00f6r\u00fcnt\u00fc<\/figcaption><\/figure>\n

Mesane kanserinin kesin tan\u0131s\u0131 ve tedavi se\u00e7eneklerinin belirlenmesi amac\u0131yla yap\u0131lmas\u0131 gereken ilk i\u015flem sistoskopi ve bu s\u0131rada uygulanan TUR mesane t\u00fcm\u00f6r\u00fc ameliyat\u0131d\u0131r. \u00a0TUR mesane t\u00fcm\u00f6r\u00fc ameliyat\u0131 s\u0131ras\u0131nda idrar yolundan girilerek g\u00f6zlenen t\u00fcm\u00f6rler, kapal\u0131 y\u00f6ntemle al\u0131n\u0131r ve inceleme i\u00e7in patoloji laboratuvar\u0131na g\u00f6nderilir.<\/p>\n

Mesane TUR Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/h2>\n
\"Kapal\u0131
Kapal\u0131 mesane ameliyat\u0131<\/figcaption><\/figure>\n

TUR mesane genellikle spinal ( belden yap\u0131lan) anestezi ile yap\u0131l\u0131r. Rezektoskop ad\u0131 verilen \u00f6zel bir alet ile idrar kanal\u0131ndan girilerek mesanenin i\u00e7ine bak\u0131l\u0131r. T\u00fcm\u00f6r ya da t\u00fcm\u00f6rler tespit edilir. Daha sonra g\u00f6r\u00fclen t\u00fcm t\u00fcm\u00f6rler al\u0131n\u0131r. T\u00fcm\u00f6r taban\u0131 ve \u015f\u00fcpheli alanlardan da ayr\u0131ca inceleme i\u00e7in par\u00e7alar (biyopsi) al\u0131n\u0131r. Ameliyat sonras\u0131 \u00e7\u0131kar\u0131lan t\u00fcm\u00f6r dokusu patolojik olarak incelendikten sonra en uygun olan tedavi se\u00e7ene\u011fi belirlenir. Patolojik incelemede t\u00fcm\u00f6r\u00fcn tipi, derecesi (sald\u0131rganl\u0131k oran\u0131) ve evresi (t\u00fcm\u00f6r\u00fcn mesane tabakalar\u0131nda ne kadar derine indi\u011fi) tespit edilir. Bu patoloji raporuna g\u00f6re hastan\u0131n ileri tedavisi planlan\u0131r. TUR mesane t\u00fcm\u00f6r\u00fc ameliyat\u0131 sonras\u0131 hastaya mesane sondas\u0131 konur ve bu sonda \u00e7\u0131kar\u0131lan t\u00fcm\u00f6r\u00fcn b\u00fcy\u00fckl\u00fc\u011f\u00fcne g\u00f6re 1 ila 7 g\u00fcn aras\u0131nda tutulur. Bu ameliyat i\u00e7in hastanede yat\u0131\u015f s\u00fcresi genellikle 1-2 g\u00fcn kadard\u0131r.<\/p>\n

Re-TUR Ameliyat\u0131 Nedir?<\/h2>\n

Baz\u0131 hastalarda t\u00fcm\u00f6r\u00fcn mesane TUR ameliyat\u0131 ile tamamen al\u0131nd\u0131\u011f\u0131ndan ve evresinden kesin olarak emin olmak amac\u0131yla, ilk mense TUR ameliyattan 4-6 hafta sonra 2. bir TUR ameliyat\u0131na gereksinim duyulabilir.\u00a0 Bu hastalarda 2. TUR ameliyat\u0131n\u0131n patolojik inceleme sonucuna g\u00f6re tedavi planlan\u0131r.<\/p>\n

\u00d6zet olarak TUR mesane ameliyat\u0131;<\/p>\n

\u0130drar kesesinin i\u00e7inde t\u00fcm\u00f6r veya t\u00fcm\u00f6r \u015f\u00fcphesi oldu\u011funda, bu dokunun ne oldu\u011funun anla\u015f\u0131lmas\u0131 gerekmektedir. Mesane t\u00fcm\u00f6rlerinin tan\u0131, evreleme ve tedavisinde ilk i\u015flem TUR mesane ameliyat\u0131 yani \u00fcretral yoldan yap\u0131lan kaz\u0131ma i\u015flemidir. \u00a0E\u011fer mesanenizdeki kitle patoloji raporunda t\u00fcm\u00f6r olarak gelirse ve t\u00fcm\u00f6r dokusu mesane kas\u0131n\u0131 tutmam\u0131\u015fsa TUR mesane ameliyat\u0131, tedavi i\u00e7in yeterli olacakt\u0131r. Ancak kas tabakas\u0131 tutulmu\u015fsa bu durumda mesanenin al\u0131nmas\u0131 (sistektomi) gerekecektir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Mesane TUR ameliyat\u0131 ya da halk aras\u0131nda bilinen ad\u0131yla kapal\u0131 mesane t\u00fcm\u00f6r\u00fc ameliyat\u0131, mesane i\u00e7indeki t\u00fcm\u00f6r\u00fcn rezektoskop ad\u0131 verilen \u00f6zel bir alet ile kesilerek d\u0131\u015far\u0131 \u00e7\u0131kar\u0131lmas\u0131 i\u015flemidir. \u0130\u015flem s\u0131ras\u0131nda yar\u0131m ay \u015feklindeki bir telden elektrik ak\u0131m\u0131 ge\u00e7irilir. Bu halka sayesinde mesane i\u00e7indeki kanser dokusu k\u00fc\u00e7\u00fck par\u00e7ac\u0131klar halinde kesilir ve bu par\u00e7alar daha sonra idrar kesesinden […]<\/p>\n","protected":false},"author":1,"featured_media":2303,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43],"tags":[],"yoast_head":"\nMesane TUR Ameliyat\u0131 Nedir? - \u0130stanbul Robotik Cerrahi<\/title>\n<meta name=\"description\" content=\"Mesane TUR ameliyat\u0131 nedir? Ne zaman yap\u0131l\u0131r? 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