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\u00dcroloji Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Ali Tekin, 50 ya\u015f\u0131ndan sonra her erke\u011fin kanda PSA (prostat spesifik antijen) bakt\u0131r\u0131p muayene olmas\u0131n\u0131n, prostat kanseri riskini ortaya koymak a\u00e7\u0131s\u0131ndan olduk\u00e7a yararl\u0131 oldu\u011funu s\u00f6yledi.<\/p>\n
D\u00fczce \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00dcroloji Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Ali Tekin, prostat kanseri ve tedavi y\u00f6ntemleri hakk\u0131nda \u00f6nemli bilgiler verdi. Prostat kanserinin erkeklerde akci\u011fer kanserinden sonra en fazla g\u00f6r\u00fclen kanser t\u00fcr\u00fc oldu\u011funu ifade eden Prof. Dr. Ali Tekin, prostat\u0131 sadece erkeklerde bulunan ve idrar torbas\u0131n\u0131n \u00e7\u0131k\u0131\u015f\u0131n\u0131 \u00e7epe\u00e7evre saran bir salg\u0131 bezidir \u015feklinde tan\u0131mlayarak, prostat i\u00e7indeki maddelerin sperm h\u00fccrelerini enfeksiyondan da korudu\u011funu s\u00f6yledi.<\/p>\n
Prostat kanserinin genelde 50 ya\u015f sonras\u0131nda g\u00f6r\u00fclmeye ba\u015flad\u0131\u011f\u0131n\u0131 ve ya\u015f ilerledik\u00e7e g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n art\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Tekin, prostat kanserine yol a\u00e7an ba\u015fl\u0131ca risk fakt\u00f6rlerini; ya\u015f, genetik miras ve \u0131rk olarak a\u00e7\u0131klad\u0131. Ailesinde, \u00f6zellikle birinci derece akrabas\u0131nda prostat kanseri olanlar\u0131n daha y\u00fcksek risk alt\u0131nda oldu\u011funu dile getiren Tekin, Amerika\u2019da ya\u015fayan siyah \u0131rktaki ki\u015filerde prostat kanserinin daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi. Ya\u015fam tarz\u0131 ve hayat \u015fartlar\u0131n\u0131n da prostat kanserin de risk te\u015fkil edebilece\u011fini ifade eden Prof. Dr. Ali Tekin, \u201c\u00d6rne\u011fin a\u015f\u0131r\u0131 ya\u011f t\u00fcketimi ve az lifli g\u0131da ile beslenme muhtemelen prostat kanseri olu\u015fumunu kolayla\u015ft\u0131rmaktad\u0131r. Yetersiz fiziksel aktivitenin de riski art\u0131rd\u0131\u011f\u0131 s\u00f6ylenebilir\u201d dedi.<\/p>\n
Prostat kanserini \u00f6nceden tahmin etmenin olduk\u00e7a zor oldu\u011funa dikkat \u00e7eken Tekin, \u201cProstat kanserinde ya\u015flanma en \u00f6nemli fakt\u00f6r olarak g\u00f6r\u00fclmektedir. 50 ya\u015f\u0131ndaki bir erkekte risk binde 10 iken, 70 ya\u015f\u0131ndan sonra yakla\u015f\u0131k y\u00fczde 10 civar\u0131na kadar y\u00fckselir\u201d diye konu\u015ftu. Babas\u0131nda prostat kanseri olan ki\u015filerde g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n 3-4 kat artt\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Tekin, \u201cAncak 50 ya\u015f\u0131ndan sonra her erke\u011fin, kanda PSA (prostat spesifik antijen) bakt\u0131r\u0131p muayene olmas\u0131, prostat kanseri riskini ortaya koymak a\u00e7\u0131s\u0131ndan olduk\u00e7a yararl\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
S\u0130NS\u0130 B\u0130R HASTALIK<\/p>\n
Sinsi olmas\u0131 ve yava\u015f ilerlemesi sebebiyle prostat kanserinin di\u011fer bir\u00e7ok kanser t\u00fcr\u00fcnden ayr\u0131ld\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Tekin, hastal\u0131k genelde erken d\u00f6nemde belirti vermedi\u011finden hastalar\u0131n \u015fikayeti olmad\u0131\u011f\u0131n\u0131 ancak hastal\u0131k ilerledikten sonra idrar yolunun t\u0131kanmas\u0131yla; idrar yaparken zorlanma, s\u0131k s\u0131k idrara \u00e7\u0131kma, gece idrar i\u00e7in uyanma ve idrarda kan g\u00f6r\u00fclmesi \u015feklinde belirtilerin ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 s\u00f6yledi. Bu belirtilerin, prostat\u0131n iyi huylu b\u00fcy\u00fcmesi sonucunda da g\u00f6r\u00fclebilece\u011fini ifade eden Prof. Dr. Tekin, \u201cB\u00f6lgesel a\u011fr\u0131 hali ile idrara veya meniye kan kar\u0131\u015fmas\u0131 halleri ilerlemi\u015f safhada tespit edilebilir. Bu belirtiler genellikle, t\u00fcm\u00f6r\u00fcn bu safhadan sonra prostat\u0131n yan\u0131ndaki di\u011fer dokulara yay\u0131ld\u0131\u011f\u0131n\u0131n belirtisidir. Siyatik ve kemik a\u011fr\u0131lar\u0131 ile kal\u00e7a kemiklerinde, bel kemi\u011finin alt kesimlerinde veya iskeletin di\u011fer kesimlerindeki a\u011fr\u0131lar ise genellikle yay\u0131lm\u0131\u015f olan t\u00fcm\u00f6rlerden (metastaz) kaynaklanabilir. \u00c7\u00fcnk\u00fc ilerlemi\u015f safhadaki prostat kanserlerinin y\u00fczde 60 kadar\u0131 kemiklerde metastaz olu\u015fturur. Bunlar baz\u0131 hallerde t\u00fcm\u00f6r\u00fcn sebep oldu\u011fu ilk a\u011fr\u0131lard\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
KES\u0130N NEDEN\u0130 BELL\u0130 DE\u011e\u0130L<\/p>\n
Prostat kanserinin kesin nedeninin bilinmedi\u011fini ancak beslenme \u015fekli ve ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri ile bu riskin azalt\u0131labilece\u011finin alt\u0131n\u0131 \u00e7izen Tekin, i\u00e7erisinde likopen maddesi bulunan domates ile bitkisel \u00f6strojenler i\u00e7eren soya fasulyesi t\u00fcketmenin, prostat kanseri riskini azaltt\u0131\u011f\u0131n\u0131 s\u00f6yledi. Omega-3 ya\u011f asitlerinin kalp hastal\u0131klar\u0131n\u0131n yan\u0131 s\u0131ra kanser \u00fczerine koruyucu etkilerinin bilindi\u011fini ifade eden Tekin, meyvelerin, brokoli ve br\u00fcksel lahanas\u0131 ile selenyum maddesinin de prostat kanseri riskini azaltt\u0131\u011f\u0131n\u0131 s\u00f6zlerine ekledi. Polifenoller i\u00e7ermesi sebebiyle ye\u015fil \u00e7ay\u0131n kanser h\u00fccresi geli\u015fimini yava\u015flatt\u0131\u011f\u0131n\u0131n ve kanser h\u00fccrelerinin sald\u0131rganl\u0131\u011f\u0131n\u0131 artt\u0131ran polyamin maddesini azaltt\u0131\u011f\u0131n\u0131n \u00f6ne s\u00fcr\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Prof. Dr. Tekin, \u201cD\u00fczenli egzersiz yapmak, fazla kilolar\u0131n at\u0131lmas\u0131n\u0131 sa\u011flar ve prostat kanseri riskini azalt\u0131r. Prostat kanseri geli\u015fiminde testosteron \u00e7ok \u00f6nemli bir rol oynar. Egzersiz, v\u00fccuttaki testosteron seviyesinin y\u00fckselmesini \u00f6nler\u201d ifadelerini kulland\u0131.<\/p>\n
DO\u011eRU B\u0130LD\u0130\u011e\u0130M\u0130Z YANLI\u015eLAR<\/p>\n
Prostat kanseri konusunda toplumda bir\u00e7ok yanl\u0131\u015f bilginin bulundu\u011fundan s\u00f6z eden Prof. Dr. Ali Tekin, “prostat kanseri sadece ileri ya\u015flarda g\u00f6r\u00fcl\u00fcr, erken ya\u015fta yap\u0131lacak prostat ameliyat\u0131 prostat kanserinden korur, makattan par\u00e7a al\u0131nmas\u0131 i\u015flemi cinsel ya\u015fam\u0131 etkiler, s\u0131k cinsellik prostat kanseri yapar” gibi yanl\u0131\u015f bilgilerin yan\u0131 s\u0131ra, “Prostat kanseri varsa biyopsi kanserin v\u00fccuda yay\u0131lmas\u0131na neden olur, PSA testinin y\u00fcksek \u00e7\u0131kmas\u0131 kanser oldu\u011funu g\u00f6sterir, ameliyat edilirse prostat kanseri v\u00fccuda yay\u0131l\u0131r” \u015feklinde kamuoyunda bir\u00e7ok yanl\u0131\u015f bilginin oldu\u011funa dikkat \u00e7ekti.<\/p>\n
Bu yanl\u0131\u015f bilgilerin aksine, aktif cinsel ya\u015fam\u0131n prostat hastal\u0131klar\u0131ndan koruyabilece\u011fini belirten Prof. Dr. Ali Tekin, prostat kanserinin te\u015fhisinin ancak biyopsi ile konulabilece\u011fini ve biyopsilerin hi\u00e7bir \u015fekilde kanseri v\u00fccuda yayd\u0131\u011f\u0131na dair bir bulgu saptanmad\u0131\u011f\u0131n\u0131 s\u00f6yleyerek biyopsiyi takip eden 1-2 g\u00fcnl\u00fck s\u00fcre\u00e7te meninin hafif kanl\u0131 gelebilmesi d\u0131\u015f\u0131nda cinselli\u011fi etkileyen hi\u00e7bir etkisi bulunmad\u0131\u011f\u0131n\u0131 ifade etti. Bu kanser t\u00fcr\u00fcn\u00fcn 40\u2019l\u0131 ya\u015flardan itibaren g\u00f6r\u00fclebilece\u011fini ve prostat ameliyat\u0131 ge\u00e7irenlerde bile tekrar g\u00f6r\u00fclme riskinin oldu\u011funu s\u00f6zlerine ekleyen Tekin, prostat\u0131n iltihab\u0131 durumunda da PSA\u2019n\u0131n y\u00fckselebilece\u011fini, PSA testinin y\u00fcksek \u00e7\u0131kmas\u0131yla kesin kanser te\u015fhisi konulamad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Prostat kanserinin erken evrede y\u00fczde 100\u2019e yak\u0131n tedavi edilebildi\u011fini vurgulayan Prof. Dr. Tekin, t\u00fcm d\u00fcnyada ve \u00fclkemizde tedavi se\u00e7eneklerinin ba\u015f\u0131nda, cerrahi y\u00f6ntemin geldi\u011fini ifade etti.<\/p>\n
Prostat kanserinden korunmak isteyen ki\u015filere tavsiyelerde bulunan Prof. Dr. Ali Tekin, 50 ya\u015f\u0131ndan sonra d\u00fczenli rektal muayene ve PSA kan testinin yapt\u0131r\u0131lmas\u0131n\u0131 ancak yak\u0131n erkek akrabalar\u0131nda prostat kanseri \u00f6yk\u00fcs\u00fc olanlar\u0131n bu kontrollere 40 ya\u015f\u0131nda ba\u015flamas\u0131n\u0131 \u00f6nerdi. D\u00fczenli spor yapman\u0131n ve ideal kiloyu koruman\u0131n risk fakt\u00f6rlerini azaltt\u0131\u011f\u0131n\u0131 belirten Tekin, kontrols\u00fcz veya geli\u015fig\u00fczel hormon kullan\u0131lmamas\u0131 gerekti\u011fini belirterek alkol ve sigaradan uzak durulmas\u0131n\u0131 tavsiye etti.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00dcROLOJ\u0130 ANAB\u0130L\u0130M DALI BA\u015eKANI PROF. DR. AL\u0130 TEK\u0130N, 50 YA\u015eINDAN SONRA HER ERKE\u011e\u0130N KANDA PSA BAKTIRIP MUAYENE OLMASININ, PROSTAT KANSER\u0130 R\u0130SK\u0130N\u0130 ORTAYA KOYMAK A\u00c7ISINDAN OLDUK\u00c7A YARARLI OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[13083,19822,5210,12751,17272,19820,19821],"class_list":["post-114134","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-bir","tag-ilerleyen","tag-kanser","tag-kanseri","tag-prostat","tag-sinsi","tag-yavas"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/114134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=114134"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/114134\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=114134"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=114134"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=114134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}