{"id":46,"date":"2021-12-03T22:18:30","date_gmt":"2021-12-03T19:18:30","guid":{"rendered":"https:\/\/www.drleventrenda.com\/?p=46"},"modified":"2021-12-04T15:03:36","modified_gmt":"2021-12-04T12:03:36","slug":"endoskopik-sinus-cerrahisi","status":"publish","type":"post","link":"https:\/\/www.drleventrenda.com\/tr\/endoskopik-sinus-cerrahisi\/","title":{"rendered":"Endoskopik Sin\u00fcs Cerrahisi"},"content":{"rendered":"<h2>Sin\u00fczit Nedir?<\/h2>\n<p>Sin\u00fcsler, anatomik olarak do\u011fdu\u011fumuz andan itibaren v\u00fccudumuzda bulunan, ba\u015flang\u0131\u00e7ta bezelye b\u00fcy\u00fckl\u00fc\u011f\u00fcnde olan, \u00e7ocukluk ve gen\u00e7lik eri\u015fkinlik d\u00f6nemiminde geli\u015fmeye devam eden hava bo\u015fluklar\u0131d\u0131r. Y\u00fcz\u00fcm\u00fczde, g\u00f6z ve burun \u00e7evreimizdeki iskeletimizde i\u00e7i hava ile dolu kemik bo\u015fluklar\u0131 mevcuttur. Bu sin\u00fcsler burun i\u00e7 y\u00fczeyini kaplayan zar\u0131n ayn\u0131s\u0131 bir yap\u0131yla kaplarlar, k\u00fc\u00e7\u00fck a\u00e7\u0131kl\u0131klar ile burun bo\u015flu\u011funa ba\u011flanmaktad\u0131rlar.<\/p>\n<p>Burun b\u00f6lgesinde meydana gelen t\u0131kan\u0131kl\u0131k, sin\u00fcslerin normal fonksiyonel i\u015fleyi\u015flerini engelleyerek, sin\u00fcslerin bo\u015falma mekanizmas\u0131n\u0131 bozmaktad\u0131r. B\u00f6ylece burun i\u00e7erisinde tutulmu\u015f olan bakteri ve vir\u00fcsler bo\u011faz yoluyla mideye y\u00f6nlendirilerek par\u00e7alanamamakta, sin\u00fcslerde kalarak bu b\u00f6lgede iltihaplanma meydana gelmesine yani sin\u00fczite sebep olmaktad\u0131r.<\/p>\n<h2>Sin\u00fczitin Nedenleri ve Belirtileri Nelerdir?<\/h2>\n<p>Sin\u00fczitin, en s\u0131k nedeni, \u00fcst solunum yollar\u0131nda meydana gelen enfeksiyonlard\u0131r. Enfeksiyonlar\u0131n nedeni, vir\u00fcs ya da bakteri olabilmektedir. Sin\u00fczite sebep olan bir di\u011fer fakt\u00f6r ise, alerji olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. Allerji s\u0131kl\u0131kla burun i\u00e7inde olu\u015fturdu\u011fu t\u0131kan\u0131kl\u0131k ve sekresyon (ak\u0131nt\u0131) art\u0131\u015f\u0131 ile enfeksiyona zemin haz\u0131rlar.<\/p>\n<p>Sin\u00fczitin belirtilerini ise \u015fu \u015fekilde s\u0131ralayabilmekteyiz;<\/p>\n<ul>\n<li>1 ya da 2 hafta boyunca azalma g\u00f6stermeden devam eden \u00f6ks\u00fcr\u00fck, burun t\u0131kan\u0131kl\u0131\u011f\u0131, burun ak\u0131nt\u0131s\u0131 hali<\/li>\n<li>G\u00f6z \u00e7evresinde olu\u015fan \u015fi\u015flikler ve a\u011fr\u0131lar<\/li>\n<li>Ate\u015f<\/li>\n<li>Bas\u0131n\u00e7 hissi<\/li>\n<li>Yanak kemiklerinde a\u011fr\u0131 ya da hassasiyet olu\u015fumu<\/li>\n<li>Kuru \u00f6ks\u00fcr\u00fck<\/li>\n<li>Mide bulant\u0131s\u0131<\/li>\n<li>Devaml\u0131l\u0131k g\u00f6steren ba\u015f a\u011fr\u0131lar\u0131<\/li>\n<\/ul>\n<p><strong>Her ba\u015f a\u011fr\u0131s\u0131 sin\u00fczit kaynakl\u0131 de\u011fildir<\/strong><\/p>\n<p>Ba\u015f a\u011fr\u0131s\u0131 sorunu ile kar\u015f\u0131 kar\u015f\u0131ya olan hastalar, bunun genellikle sin\u00fczit kaynakl\u0131 oldu\u011funu d\u00fc\u015f\u00fcnmekte ve sorunun as\u0131l nedeni belirlenememektedir. Oysa ba\u015f a\u011fr\u0131lar\u0131n\u0131n \u00e7ok az bir k\u0131sm\u0131na sin\u00fczit varl\u0131\u011f\u0131 neden olmaktad\u0131r. Sin\u00fczitten kaynaklanan a\u011fr\u0131lar \u00f6zellikle y\u00fcz b\u00f6lgesinde g\u00f6r\u00fclen ve akut sin\u00fczit belirtileri olan hasta gruplar\u0131nda ortaya \u00e7\u0131kmaktad\u0131r.<\/p>\n<h2>Sin\u00fczit tan\u0131s\u0131 nas\u0131l konur?<\/h2>\n<p>\u015eikayetleri bulunan hastaya yap\u0131lan nazal endoskopide burun i\u00e7inde p\u00fcr\u00fclan (iltihapl\u0131) ak\u0131nt\u0131lar\u0131n g\u00f6r\u00fclmesi tan\u0131 koydurucudur. Ek olarak \u00e7ekilen paranazal sin\u00fcs CT de sin\u00fcslerin i\u00e7i opak (dolu) olarak g\u00f6r\u00fcl\u00fcr.<\/p>\n<h2>Sin\u00fczit Nas\u0131l Tedavi Edilir?<\/h2>\n<p>\u00c7e\u015fitli a\u015famalara sahip olan ve genellikle ilk a\u015famalarda ila\u00e7 tedavisi uygulanan bir durumdur. Sin\u00fczit temel olarak; akut subakut ve kronik sin\u00fczit olmak \u00fczere \u00fc\u00e7 grup halinde s\u0131n\u0131fland\u0131r\u0131lmaktad\u0131r.<\/p>\n<p>Akut sin\u00fczit a\u015famas\u0131; yakla\u015f\u0131k 4 hafta s\u00fcren, ila\u00e7 tedavisi olarak uygulanarak ya da kendili\u011finden ge\u00e7en sin\u00fczit durumlar\u0131d\u0131r. Sin\u00fczit bakteri nedenli ortaya \u00e7\u0131km\u0131\u015f ise antibiyotik, alerji kaynakl\u0131 ise antihstaminik ila\u00e7lar kullan\u0131labilmektedir.<\/p>\n<p>Subakut sin\u00fczit a\u015famas\u0131; akut sin\u00fczit tam olarak iyile\u015fmedi\u011fi ve kronik sin\u00fczitin hen\u00fcz ortaya \u00e7\u0131kmad\u0131\u011f\u0131 a\u015famad\u0131r. Bu a\u015famada \u00f6zellikle ila\u00e7lar\u0131n kullan\u0131m\u0131na devam edilmesi, enfeksiyona sebep olan bakterilerin v\u00fccuttan tam olarak uzakla\u015ft\u0131r\u0131labilmesi i\u00e7in olduk\u00e7a \u00f6nemlidir.<\/p>\n<p>Kronik sin\u00fczit a\u015famas\u0131; ila\u00e7 ve gerekli tedavi y\u00f6ntemlerine ra\u011fmen 12 haftay\u0131 ge\u00e7en s\u00fcre ile sin\u00fczit belirtilerinin g\u00f6zlemlenmeye devam edilmesi durumudur. Bu s\u00fcre\u00e7te ila\u00e7lar ve \u00e7e\u015fitli tedavi y\u00f6ntemleri uygulanmakta olup ancak tedaviye olumlu yan\u0131t al\u0131namamas\u0131 durumunda sin\u00fczit cerrahisine ba\u015fvurulmaktad\u0131r.<\/p>\n<h2>Sin\u00fczit Cerrahisi Tedavisi<\/h2>\n<p>Sin\u00fczit hastal\u0131\u011f\u0131n\u0131n ila\u00e7 ve \u00e7e\u015fitli tedavi y\u00f6ntemlerine v\u00fccudun olumlu yan\u0131tlar vermemesi durumunda sin\u00fczit cerrahisi bir gereklilik olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r.<\/p>\n<h2><u>Endoskopik Sin\u00fcs Cerrahisi<\/u><\/h2>\n<p>Endoskop (teleskop) yard\u0131m\u0131 ile burun i\u00e7inin net ve ekran g\u00f6r\u00fcnt\u00fcs\u00fc \u015feklinde g\u00f6r\u00fclmesini sa\u011flayan ara\u00e7lar yard\u0131m\u0131 ile operasyon ger\u00e7ekle\u015ftirilir. Sin\u00fcslerin i\u00e7i bo\u015falt\u0131l\u0131r, burun i\u00e7ine do\u011fru uzanm\u0131\u015f ve t\u0131kan\u0131kl\u0131k yapan kitleler d\u0131\u015far\u0131 al\u0131n\u0131r.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"Sin\u00fczit Nedir? Sin\u00fcsler, anatomik olarak do\u011fdu\u011fumuz andan itibaren v\u00fccudumuzda bulunan, ba\u015flang\u0131\u00e7ta bezelye b\u00fcy\u00fckl\u00fc\u011f\u00fcnde olan, \u00e7ocukluk ve gen\u00e7lik eri\u015fkinlik d\u00f6nemiminde geli\u015fmeye devam eden hava bo\u015fluklar\u0131d\u0131r. Y\u00fcz\u00fcm\u00fczde, g\u00f6z ve burun \u00e7evreimizdeki iskeletimizde i\u00e7i hava ile dolu kemik bo\u015fluklar\u0131 mevcuttur. Bu sin\u00fcsler burun i\u00e7 y\u00fczeyini kaplayan zar\u0131n ayn\u0131s\u0131 bir yap\u0131yla kaplarlar, k\u00fc\u00e7\u00fck a\u00e7\u0131kl\u0131klar ile burun bo\u015flu\u011funa ba\u011flanmaktad\u0131rlar. Burun&hellip;","protected":false},"author":1,"featured_media":122,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-46","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-burun-cerrahisi"],"_links":{"self":[{"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/posts\/46","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/comments?post=46"}],"version-history":[{"count":2,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/posts\/46\/revisions"}],"predecessor-version":[{"id":56,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/posts\/46\/revisions\/56"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/media\/122"}],"wp:attachment":[{"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/media?parent=46"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/categories?post=46"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drleventrenda.com\/tr\/wp-json\/wp\/v2\/tags?post=46"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}