{"id":22154,"date":"2022-01-11T21:52:56","date_gmt":"2022-01-11T18:52:56","guid":{"rendered":"https:\/\/zdmaa.com\/7-questions-to-ask-your-doctor-before-getting-a-colonoscopy\/"},"modified":"2022-01-11T22:09:13","modified_gmt":"2022-01-11T19:09:13","slug":"7-questions-to-ask-your-doctor-before-getting-a-colonoscopy","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/7-questions-to-ask-your-doctor-before-getting-a-colonoscopy\/","title":{"rendered":"Kolonoskopi Olmadan \u00d6nce Doktorunuza Sorman\u0131z Gereken 7 Soru"},"content":{"rendered":"

Kolonoskopi Olmadan \u00d6nce Doktorunuza Sorman\u0131z Gereken 7 Soru<\/span><\/span><\/span><\/span><\/p>\n

\n

M<\/span><\/span><\/span><\/span><\/span> daha g\u00fcnde ortalama 40.000 ABD, daha kolonoskopi ge\u00e7mesi, ancak bir\u00e7ok aras\u0131nda <\/span>onlara hala nas\u0131l i\u015flerini anlam\u0131yorum ve ne s\u0131kl\u0131kla testleri yap\u0131lmal\u0131d\u0131r i\u00e7in <\/span>muayene, hatta neden olduklar\u0131 <\/span>\u00f6nemli. <\/span>Bir\u00e7o\u011funun bilmedi\u011fi bir di\u011fer ger\u00e7ek: Her g\u00fcn yap\u0131lan binlerce i\u015fleme ra\u011fmen kolonoskopi rutin bir i\u015flem de\u011fildir. <\/span>Prosed\u00fcrler kapsaml\u0131 haz\u0131rl\u0131k ve yat\u0131\u015ft\u0131rma gerektirdi\u011finden, sadece e\u011fitimli uzmanlar taraf\u0131ndan yap\u0131lmal\u0131d\u0131r. <\/span>Hastalar\u0131n ilgili gereklilikleri ve riskleri anlamalar\u0131na ve kapsaml\u0131 ve kapsaml\u0131 bir muayeneye haz\u0131rlanmalar\u0131na yard\u0131mc\u0131 olmak i\u00e7in Phoenix yak\u0131nlar\u0131ndaki hastanemizde gastroenterolog ve ba\u015f sa\u011fl\u0131k g\u00f6revlisi olan Dr. Jeffrey Weber’den birka\u00e7 soruyu yan\u0131tlamas\u0131n\u0131 istedik. <\/span>Hastalar\u0131n kullanabilece\u011fi yayg\u0131n \u015feyler. <\/span>Ya da soray\u0131m.<\/span><\/span><\/span><\/span><\/p>\n

D\u0131\u015fk\u0131 testi yapt\u0131rabilece\u011fim zaman ger\u00e7ekten kolonoskopiye ihtiyac\u0131m var m\u0131?<\/span><\/span><\/span><\/span><\/h2>\n

Teknoloji, kansere i\u015faret edebilecek DNA veya kan belirte\u00e7lerindeki mutasyonlar\u0131 tespit etmek i\u00e7in d\u0131\u015fk\u0131 testlerinin do\u011frulu\u011funu art\u0131rm\u0131\u015ft\u0131r. <\/span>Bu, kolonoskopi yapt\u0131rmay\u0131 reddeden hastalar\u0131 rahatlat\u0131r. <\/span>\u201cB\u00f6yle Cologuard olarak d\u0131\u015fk\u0131 testleri, \u00fczg\u00fcn\u00fcm <\/span><\/span>\u00ae<\/span><\/span><\/sup> Veya di\u011ferleri kolonoskopi yapt\u0131rmak istemeyen biri i\u00e7in uygundur” diyor Dr. Weber ve d\u0131\u015fk\u0131 testinin hi\u00e7 test olmamas\u0131ndan daha iyi oldu\u011funu ekliyor. Ancak Dr. Weber ve di\u011fer bir\u00e7ok doktor i\u00e7in d\u0131\u015fk\u0131 testleri do\u011fru de\u011fil. belirtileri ortaya \u00e7\u0131kar\u0131n Kanser olabilirsiniz, ancak olumsuz sonu\u00e7lar, daha sonra t\u00fcm\u00f6re d\u00f6n\u00fc\u015fme riski olu\u015fturan k\u00fc\u00e7\u00fck, gizli poliplerin olas\u0131l\u0131\u011f\u0131n\u0131 g\u00f6zden ka\u00e7\u0131r\u0131r.D\u0131\u015fk\u0131 testi sonucu pozitif \u00e7\u0131karsa, yine de kolonoskopiye ihtiyac\u0131n\u0131z olacak, diyor Dr. Weber.Y\u00fcksek kolon kanseri riski ta\u015f\u0131yan hastalar i\u00e7in de de\u011fil.Polip \u00f6yk\u00fcs\u00fc, pozitif d\u0131\u015fk\u0131 testleri veya ailesinde kolon kanseri \u00f6yk\u00fcs\u00fc olan hastalar i\u00e7in d\u0131\u015fk\u0131 testleri \u00f6nerilmez.<\/span><\/span><\/p>\n

“Pozitif d\u0131\u015fk\u0131 testiniz varsa, yine de kolonoskopiye ihtiyac\u0131n\u0131z olacak.” Jeffrey Weber, MD – gastroenterolog<\/span><\/span><\/p><\/blockquote>\n

Kolonoskopime nas\u0131l haz\u0131rlanmal\u0131y\u0131m?<\/span><\/span><\/h2>\n

Hastalar genellikle kolonoskopiye haz\u0131rlanmaktan prosed\u00fcr\u00fcn kendisinden daha fazla korkarlar. <\/span>Ancak zaman de\u011fi\u015fti ve \u00e7o\u011fu durumda m\u00fcshil veya g\u00fc\u00e7l\u00fc ba\u011f\u0131rsak temizleyicileri art\u0131k re\u00e7ete edilmiyor. <\/span>Se\u00e7enekler hakk\u0131nda doktorunuzla konu\u015fun. <\/span>Baz\u0131 doktorlar, yutmas\u0131 kolay, re\u00e7etesiz sat\u0131lan laksatifler \u00f6nerebilir. <\/span>Dr. Webber, “Her doktorun hastalar\u0131n\u0131 kolonoskopiye haz\u0131rlamak i\u00e7in kendi y\u00f6ntemi vard\u0131r” diyor. <\/span>“Ona bir haz\u0131rl\u0131k se\u00e7ene\u011fi vermeli. O kadar da k\u00f6t\u00fc olmayan baz\u0131 haz\u0131rl\u0131klar var.”<\/span><\/span><\/p>\n

Kolonoskopim i\u00e7in nas\u0131l uyu\u015fturulaca\u011f\u0131m?<\/span><\/span><\/h2>\n

Y\u0131llard\u0131r doktorlar fentanil, meperidin (Demerol <\/span><\/span>\u00ae<\/span><\/span><\/sup> ) ve midazolam (Versed <\/span>\u00ae<\/span><\/sup> ) <\/span>gibi bir <\/span>dizi yat\u0131\u015ft\u0131r\u0131c\u0131 ila\u00e7 kulland\u0131lar.<\/span><\/span> kolonoskopi s\u0131ras\u0131nda<\/span> )<\/span> . <\/span>Ancak ila\u00e7lar saatlerce, gerekenden \u00e7ok daha uzun s\u00fcr\u00fcyor ve baz\u0131 gen\u00e7 hastalarda veya alkol k\u00f6t\u00fcye kullan\u0131m\u0131 veya uyu\u015fturucu ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc olan hastalarda i\u015fe yarad\u0131klar\u0131 g\u00f6sterilmedi, diyor Dr. Webber. <\/span>Sakinle\u015ftirici propofol\u00fcn daha iyi bir se\u00e7enek olabilece\u011fini \u00e7\u00fcnk\u00fc i\u015flemden \u00f6nce h\u0131zl\u0131 \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 ve daha sonra iyile\u015fmesinin daha az zaman alabilece\u011fini s\u00f6yl\u00fcyor. <\/span>Dr. Webber, “Giriyorsunuz, operasyon yap\u0131l\u0131yor ve yar\u0131m saat sonra \u00e7\u0131kabiliyorsunuz” diyor. <\/span>Webber, baz\u0131 hastalar\u0131n i\u015flem s\u0131ras\u0131nda sedasyon istemedi\u011fini, ancak bu yakla\u015f\u0131m \u00f6nerilmedi\u011fini s\u00f6yl\u00fcyor. <\/span>“Herhangi bir a\u011fr\u0131l\u0131 prosed\u00fcr i\u00e7in uyan\u0131k veya yar\u0131 bilin\u00e7li olman\u0131za gerek yok” diyor. <\/span>Kolonoskopi a\u011fr\u0131l\u0131d\u0131r.<\/span><\/span><\/p>\n

Doktorumun gastroenteroloji alan\u0131nda kurul onayl\u0131 olmas\u0131 \u00f6nemli mi?<\/span><\/span><\/h2>\n

Dr. Webber, kolonoskopinin invaziv do\u011fas\u0131 nedeniyle, yaln\u0131zca \u00f6zel e\u011fitim, deneyim ve profesyonel sertifikaya sahip doktorlar taraf\u0131ndan ger\u00e7ekle\u015ftirilmesi gerekti\u011fini s\u00f6yl\u00fcyor. <\/span>“Kolonoskopinin nas\u0131l yap\u0131laca\u011f\u0131na dair hafta sonu kurslar\u0131 var ve baz\u0131 eyaletlerin e\u011fitim almas\u0131 gereken tek \u015fey bu.” <\/span>Diyor. <\/span>Kurul onayl\u0131 gastroenterologlar, kolonoskopi ve di\u011fer te\u015fhis ve tedavi prosed\u00fcrleri konusunda kapsaml\u0131 bir e\u011fitimden ge\u00e7erler ve s\u00fcrekli t\u0131p e\u011fitimi dersleri almal\u0131d\u0131rlar. <\/span>Dr. Webber, “Kalite g\u00fcvencesi istiyorsan\u0131z, kurul sertifikas\u0131na sahip birine gitmelisiniz” diyor. <\/span>“Kurul sertifikas\u0131, bu uzmanlar\u0131n tam e\u011fitim programlar\u0131n\u0131 ge\u00e7ti\u011fini, uygun s\u0131navlara girdi\u011fini ve ge\u00e7ti\u011fini g\u00f6sterir.”<\/span><\/span><\/p>\n

“Kalite g\u00fcvencesi istiyorsan\u0131z, kurul onayl\u0131 bir ki\u015fiye gitmelisiniz.” <\/span><\/span>– Jeffrey Weber, MD – gastroenterolog<\/span><\/span><\/em><\/p><\/blockquote>\n

Adenom tespit oran\u0131n\u0131 (ADR) neden doktoruma sormal\u0131y\u0131m?<\/span><\/span><\/h2>\n

Adenomlar, kolonun i\u00e7 duvar\u0131ndaki polipler veya b\u00fcy\u00fcmelerdir. <\/span>Baz\u0131lar\u0131 k\u00f6t\u00fc huylu t\u00fcm\u00f6rler geli\u015ftirir. <\/span>Zaman i\u00e7inde kolonoskopi sonu\u00e7lar\u0131n\u0131n ge\u00e7mi\u015fine bak\u0131ld\u0131\u011f\u0131nda, uzmanlar 50 ya\u015f\u0131n \u00fczerindeki hastalarda kolonoskopinin erkeklerin en az y\u00fczde 25’inde ve kad\u0131nlar\u0131n y\u00fczde 15’inde adenom tespit edece\u011fini biliyorlar. <\/span>Amerikan Gastroenteroloji Koleji’ne g\u00f6re, bu kriter kapsam\u0131nda t\u00fcm gastroenterologlara bu art\u0131\u015f\u0131 tespit etme yeteneklerini \u00f6l\u00e7en bir ADR atan\u0131r. <\/span>Dr. Webber, “Bu tespit oran\u0131n\u0131 kar\u015f\u0131layan veya a\u015fan doktorlar genellikle bilgili ve kolonoskopi yapabilecek durumda olarak kabul edilir” diyor. <\/span>Amerikan Gastrointestinal Endoskopi Derne\u011fi T\u0131p Dergisi’ndeki bir ba\u015fyaz\u0131ya g\u00f6re, advers ila\u00e7 reaksiyonlar\u0131 “uzman gruplar taraf\u0131ndan kolonoskopi kalitesinin \u00f6nemli bir \u00f6l\u00e7\u00fcs\u00fc olarak geni\u015f \u00e7apta kabul g\u00f6rm\u00fc\u015ft\u00fcr”.<\/span><\/span><\/p>\n

\u0130\u015flemde ortam havas\u0131 m\u0131 yoksa karbondioksit mi kullan\u0131l\u0131yor?<\/span><\/span><\/h2>\n

Kolonoskopi s\u0131ras\u0131nda, kolonu hava ile \u015fi\u015firmek i\u00e7in \u015fi\u015firme ad\u0131 verilen bir i\u015flem kullan\u0131l\u0131r ve doktorun endoskopu organ\u0131n \u00e7oklu e\u011frileri etraf\u0131nda hareket ettirmesine izin verir. <\/span>Dr. Webber, “Y\u0131llard\u0131r oda havas\u0131 kullan\u0131yoruz ve sorun yoktu” diyor. <\/span>“Ama odadaki havan\u0131n v\u00fccuttan at\u0131lmas\u0131 gerekiyor.” <\/span>Baz\u0131 hastalar\u0131n gaz \u00e7\u0131karmalar\u0131n\u0131n saatler s\u00fcrebilece\u011fini s\u00f6yl\u00fcyor. <\/span>Bu arada, \u015fi\u015fkin, s\u0131k\u0131\u015f\u0131k veya \u015fi\u015fkin hissedebilirler. <\/span>Dr. Webber kolonu \u015fi\u015firmek i\u00e7in karbondioksit kullan\u0131lmas\u0131n\u0131 \u00f6nerir. <\/span>“Kolon astar\u0131 <\/span><\/span>iki<\/span><\/span><\/sup> karbondioksiti emer <\/span>ve nefes al\u0131rs\u0131n\u0131z.”<\/span><\/span><\/p>\n

Kolonoskopi i\u00e7in ne kadar beklemeliyim?<\/span><\/span><\/h2>\n

Ameliyat \u00f6ncesi haz\u0131rl\u0131klara ve iyile\u015fmeye izin vermek i\u00e7in prosed\u00fcr\u00fcn ger\u00e7ekle\u015ftirilece\u011fi hastanede veya ayakta tedavi merkezinde en az d\u00f6rt saat ge\u00e7irmeyi bekleyin. <\/span>Webber, hastalar\u0131 genellikle planlanan testten 90 dakika \u00f6nce getirdi\u011fini, b\u00f6ylece evrak i\u015flerini tamamlamalar\u0131, doktor ve\/veya hem\u015fireye gerekli bilgileri vermeleri, soyunmalar\u0131 ve IV yerle\u015ftirmeleri i\u00e7in zamanlar\u0131 oldu\u011funu s\u00f6yl\u00fcyor. <\/span>Kolonoskopi genellikle yakla\u015f\u0131k 45 dakika s\u00fcrer (endoskopi de yap\u0131l\u0131rsa daha uzun s\u00fcrer). <\/span>\u0130yile\u015fme, yat\u0131\u015ft\u0131r\u0131c\u0131ya ve kullan\u0131lan \u00fcfleme gaz\u0131n\u0131n t\u00fcr\u00fcne ba\u011fl\u0131 olarak genellikle 30 dakikadan az s\u00fcrer. <\/span>Ancak eve d\u00f6nd\u00fckten sonra bile hastalar\u0131n normal rutinlerine d\u00f6nmeleri biraz zaman almal\u0131d\u0131r. <\/span>“10 ila 12 saat rahatlay\u0131n” diyor. <\/span>“\u00d6nemli belgeleri imzalamay\u0131n. Tehlikeli bir \u015fey yapmay\u0131n. En az 10 saat araba kullanmay\u0131n.”<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Kolonoskopi Olmadan \u00d6nce Doktorunuza Sorman\u0131z Gereken 7 Soru M daha g\u00fcnde ortalama 40.000 ABD, daha kolonoskopi ge\u00e7mesi, ancak bir\u00e7ok aras\u0131nda onlara hala nas\u0131l i\u015flerini anlam\u0131yorum ve ne s\u0131kl\u0131kla testleri yap\u0131lmal\u0131d\u0131r i\u00e7in muayene, hatta neden olduklar\u0131 \u00f6nemli. Bir\u00e7o\u011funun bilmedi\u011fi bir di\u011fer ger\u00e7ek: Her g\u00fcn yap\u0131lan binlerce i\u015fleme ra\u011fmen kolonoskopi rutin bir i\u015flem de\u011fildir. Prosed\u00fcrler kapsaml\u0131 haz\u0131rl\u0131k …<\/p>\n","protected":false},"author":1,"featured_media":22138,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-22154","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nKolonoskopi Olmadan \u00d6nce Doktorunuza Sorman\u0131z Gereken 7 Soru - zdmaa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdmaa.com\/tr\/7-questions-to-ask-your-doctor-before-getting-a-colonoscopy\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kolonoskopi Olmadan \u00d6nce Doktorunuza Sorman\u0131z Gereken 7 Soru - zdmaa\" \/>\n<meta property=\"og:description\" content=\"Kolonoskopi Olmadan \u00d6nce Doktorunuza Sorman\u0131z Gereken 7 Soru M daha g\u00fcnde ortalama 40.000 ABD, daha kolonoskopi ge\u00e7mesi, ancak bir\u00e7ok aras\u0131nda onlara hala nas\u0131l i\u015flerini anlam\u0131yorum ve ne s\u0131kl\u0131kla testleri yap\u0131lmal\u0131d\u0131r i\u00e7in muayene, hatta neden olduklar\u0131 \u00f6nemli. 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