Bat\u0131g\u00f6z Sa\u011fl\u0131k Grubu Bal\u00e7ova Cerrahi T\u0131p Merkezi\u2019nden Tan\u0131sal Radyoloji Uzman\u0131 Dr. Aresh Soudmand, kollar ve bacaklarda uzun s\u00fcre ge\u00e7meyen \u015fi\u015fliklerin, halk aras\u0131nda fil hastal\u0131\u011f\u0131 olarak bilinen lenf\u00f6demin habercisi olabilece\u011fine dikkat \u00e7ekiyor. Hastal\u0131\u011f\u0131n erken evrede tan\u0131nmas\u0131n\u0131n ya\u015fam kalitesini belirgin \u015fekilde art\u0131rd\u0131\u011f\u0131n\u0131 vurgulayan Dr. Soudmand, lenf\u00f6demin te\u015fhis ve tedavisine ili\u015fkin \u00f6nemli bilgiler payla\u015ft\u0131.<\/p>\n\n\n\n
Lenf\u00f6dem, lenfatik sistemin i\u015flev bozuklu\u011fu nedeniyle dokularda s\u0131v\u0131 birikmesiyle ortaya \u00e7\u0131kan kronik bir rahats\u0131zl\u0131kt\u0131r. Uzm. Dr. Aresh Soudmand, \u201cLenf sistemi; proteinler, at\u0131k maddeler ve ba\u011f\u0131\u015f\u0131kl\u0131k h\u00fccrelerini ta\u015f\u0131yan lenf s\u0131v\u0131s\u0131n\u0131 dokulardan uzakla\u015ft\u0131r\u0131r. Bu sistemde meydana gelen t\u0131kan\u0131kl\u0131klar veya hasarlar, s\u0131v\u0131n\u0131n birikmesine yol a\u00e7arak \u015fi\u015fli\u011fe ve zamanla cilt dokusunda kal\u0131nla\u015fmaya sebep olur,\u201d dedi.<\/p>\n\n\n\n
Lenf\u00f6dem Neden Bacaklarda Daha S\u0131k G\u00f6r\u00fcl\u00fcyor<\/p>\n\n\n\n
Lenf dola\u015f\u0131m\u0131 yer\u00e7ekimine kar\u015f\u0131 \u00e7al\u0131\u015fan bir sistemdir. Bacaklardaki lenf ak\u0131\u015f\u0131, kollarla k\u0131yasland\u0131\u011f\u0131nda daha uzun bir mesafeyi kat eder. Ayr\u0131ca ge\u00e7irilmi\u015f pelvik b\u00f6lge ameliyatlar\u0131, ven\u00f6z yetmezlik ya da filaryazis gibi paraziter enfeksiyonlar bacak lenf\u00f6demini tetikleyebilir.<\/p>\n\n\n\n
Hastal\u0131\u011f\u0131n T\u00fcrleri Ya\u015f\u0131n\u0131za ve Nedene Ba\u011fl\u0131 Geli\u015febilir<\/p>\n\n\n\n
Lenf\u00f6dem temel olarak iki ana gruba ayr\u0131l\u0131r.<\/p>\n\n\n\n
Primer lenf\u00f6dem, do\u011fu\u015ftan gelen veya geli\u015fimsel olarak ortaya \u00e7\u0131kan formdur. Lenf damarlar\u0131n\u0131n yap\u0131sal eksikli\u011fi nedeniyle olu\u015fur ve gen\u00e7 ya\u015flarda belirginle\u015febilir.<\/p>\n\n\n\n
Sekonder lenf\u00f6dem ise travmalar, enfeksiyonlar, cerrahi m\u00fcdahaleler ve kanser tedavileri sonras\u0131nda geli\u015fir. Meme kanseri tedavisi s\u0131ras\u0131nda lenf bezlerinin \u00e7\u0131kar\u0131lmas\u0131 kol lenf\u00f6deminin en bilinen nedenlerinden biridir.<\/p>\n\n\n\n
Belirtiler Yava\u015f Yava\u015f Ortaya \u00c7\u0131kabilir<\/p>\n\n\n\n
Hastal\u0131\u011f\u0131n tipine ba\u011fl\u0131 olarak belirtiler kademeli \u015fekilde ilerleyebilir. Ba\u015flang\u0131\u00e7ta hafif \u015fi\u015flik ve a\u011f\u0131rl\u0131k hissi ile kendini g\u00f6sterir. Tedavi edilmedi\u011finde \u00f6dem artar, deri kal\u0131nla\u015f\u0131r ve renk de\u011fi\u015fiklikleri meydana gelir. Lenf\u00f6demli b\u00f6lgede \u00e7ukur izleri olu\u015fabilir, a\u011fr\u0131, hassasiyet ve tekrarlayan enfeksiyonlar tabloya e\u015flik edebilir.<\/p>\n\n\n\n
Tan\u0131 Koyarken G\u00f6r\u00fcnt\u00fcleme Y\u00f6ntemleri Tercih Edilir<\/p>\n\n\n\n
Tan\u0131 s\u00fcrecinin genellikle detayl\u0131 fizik muayene ile ba\u015flad\u0131\u011f\u0131n\u0131 belirten Uzm. Dr. Aresh Soudmand, \u201cUltrasonografi, Manyetik Rezonans G\u00f6r\u00fcnt\u00fcleme (MR) ve Lenfosintigrafi gibi ileri g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri, lenf sisteminin durumunu netle\u015ftirmede bize yol g\u00f6sterir,\u201d diye konu\u015ftu.<\/p>\n\n\n\n
Ultrasonografi dokulardaki s\u0131v\u0131 birikimini de\u011ferlendirirken, MR daha detayl\u0131 anatomik g\u00f6r\u00fcnt\u00fc sunar. Lenfosintigrafi ise lenfatik dola\u015f\u0131m\u0131n haritas\u0131n\u0131 \u00e7\u0131kar\u0131r.<\/p>\n\n\n\n
Enfeksiyon Riski Y\u00fcksek<\/p>\n\n\n\n
Erysipelas gibi cilt enfeksiyonlar\u0131 lenf\u00f6demli dokuda s\u0131k tekrarlar. Bu y\u00fczden d\u00fczenli cilt bak\u0131m\u0131, yaralanmalardan korunma ve hijyen kurallar\u0131na dikkat etmek \u00f6nemlidir.<\/p>\n\n\n\n
Tedavi Yakla\u015f\u0131mlar\u0131 Hastaya G\u00f6re Planlan\u0131r<\/p>\n\n\n\n
Lenf\u00f6demin kesin bir tedavisi olmad\u0131\u011f\u0131n\u0131 hat\u0131rlatan Uzm. Dr. Aresh Soudmand, bir\u00e7ok modern tedavinin ya\u015fam kalitesini art\u0131rd\u0131\u011f\u0131n\u0131 vurguluyor. Tedavi multidisipliner olarak planlan\u0131r ve \u015fu y\u00f6ntemleri i\u00e7erir:
<\/p>\n\n\n\n
Cerrahi se\u00e7enekler, konservatif tedavilere yan\u0131t vermeyen ileri evre hastalar i\u00e7in planlan\u0131r. B\u00fcy\u00fck alanda \u00f6demi olan, tekrarlayan enfeksiyon ge\u00e7iren veya g\u00fcnl\u00fck ya\u015fam\u0131 ciddi \u015fekilde k\u0131s\u0131tlanan hastalar de\u011ferlendirilir. Ancak her vakada cerrahi \u00e7\u00f6z\u00fcm uygun olmayabilir.<\/p>\n\n\n\n
Hastalar Nelere Dikkat Etmeli?<\/p>\n\n\n\n
\u00d6demli b\u00f6lgeyi darbelere kar\u015f\u0131 korumak gerekir. Uzun s\u00fcre ayakta kalmaktan ka\u00e7\u0131n\u0131lmal\u0131, bacaklar y\u00fckse\u011fe kald\u0131r\u0131lmal\u0131 ve kilo kontrol\u00fc sa\u011flanmal\u0131d\u0131r. D\u00fczenli egzersiz ve cilt bak\u0131m\u0131 lenf ak\u0131\u015f\u0131n\u0131 destekler, \u00f6demin ilerlemesini engeller.<\/p>\n\n\n\n
Ne Zaman Uzmana Ba\u015fvurulmal\u0131?<\/p>\n\n\n\n
Kol veya bacaklarda uzun s\u00fcre ge\u00e7meyen \u015fi\u015flik, deride kal\u0131nla\u015fma veya hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 fark eden ki\u015filerin en k\u0131sa s\u00fcrede sa\u011fl\u0131k kurulu\u015funa ba\u015fvurmalar\u0131 \u00f6nerilir. Erken d\u00f6nemde te\u015fhis ve tedavi, kal\u0131c\u0131 komplikasyonlar\u0131 \u00f6nleme a\u00e7\u0131s\u0131ndan hayati \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n
Uzm. Dr. Aresh Soudmand hastalara \u015fu hat\u0131rlatmada bulunuyor:
\u201cLenf\u00f6dem tedavisinde erken m\u00fcdahale kritiktir. \u0130hmal edilen \u015fi\u015flikler zamanla kal\u0131c\u0131 doku de\u011fi\u015fikliklerine ve ya\u015fam kalitesini d\u00fc\u015f\u00fcren sonu\u00e7lara neden olabilir. \u015eikayetleriniz varsa mutlaka bir uzmana ba\u015fvurun.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
Bat\u0131g\u00f6z Sa\u011fl\u0131k Grubu\u2019ndan Dr. Aresh Soudmand, kol ve bacaklarda kal\u0131c\u0131 \u015fi\u015fli\u011fin, halk aras\u0131nda fil hastal\u0131\u011f\u0131 olarak bilinen lenf\u00f6demin habercisi olabilece\u011fini vurguluyor. Erken tan\u0131 ve do\u011fru…<\/p>\n","protected":false},"author":6,"featured_media":2146,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_customify_content_layout":"","_customify_sidebar":"","_customify_page_header_display":"default","_customify_disable_header":"","_customify_disable_header_top":"","_customify_disable_header_main":"","_customify_disable_header_bottom":"","_customify_disable_page_title":"","_customify_disable_content_vertical_padding":"","_customify_disable_footer_top":"","_customify_disable_footer_main":"","_customify_disable_footer_bottom":"","_customify_breadcrumb_display":"","_customify_header_transparent_display":"","footnotes":""},"categories":[21],"tags":[],"class_list":["post-2145","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/posts\/2145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/comments?post=2145"}],"version-history":[{"count":1,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/posts\/2145\/revisions"}],"predecessor-version":[{"id":2147,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/posts\/2145\/revisions\/2147"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/media\/2146"}],"wp:attachment":[{"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/media?parent=2145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/categories?post=2145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mallandmotto.com\/index.php\/wp-json\/wp\/v2\/tags?post=2145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}