{"id":734,"date":"2024-04-28T20:24:06","date_gmt":"2024-04-28T17:24:06","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=734"},"modified":"2024-04-28T20:24:06","modified_gmt":"2024-04-28T17:24:06","slug":"tukuruk-bezleri","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/tukuruk-bezleri\/","title":{"rendered":"T\u00fck\u00fcr\u00fck bezleri"},"content":{"rendered":"

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/strong>T\u00dcK\u00dcR\u00dcK BEZLER\u0130<\/span><\/strong><\/p>\n

\u00a0\u00a0 T\u00fck\u00fcr\u00fck bezleri bo\u011faz\u0131n i\u00e7inde, \u00e7evresinde, \u00e7ene alt\u0131 ve \u00a0kulak kep\u00e7esi ile \u00e7ene k\u00f6\u015fesi b\u00f6lgesinde yer al\u0131rlar. B\u00fcy\u00fck (maj\u00f6r) t\u00fck\u00fcr\u00fck bezleri parotis, submandibular ve sublingual bezler olarak adland\u0131r\u0131l\u0131rlar. \u00c7ift olan bu bezlerin hepsi a\u011fz\u0131n i\u00e7ine t\u00fck\u00fcr\u00fck salg\u0131larlar.<\/span><\/p>\n

\u00b7\u00a0\u00a0 Parotis bezi kulak \u00f6n\u00fcnde ba\u015flayarak yanak boyunca devam eder kanal\u0131 \u00fcst di\u015flerin yak\u0131n\u0131na a\u00e7\u0131l\u0131r en iyi bilinen hastal\u0131\u011f\u0131 kabakulakd\u0131r. <\/span><\/p>\n

\u00b7\u00a0\u00a0 Submandibular \u00e7ene alt\u0131nda yer al\u0131r ve dil alt\u0131 \u00f6n b\u00f6l\u00fcm\u00fcne salg\u0131s\u0131n\u0131 b\u0131rak\u0131r.<\/span><\/p>\n

\u00b7\u00a0\u00a0 Sublingual \u00a0dil alt\u0131nda yani a\u011f\u0131z taban\u0131nda yer al\u0131r salg\u0131s\u0131n\u0131 kanallar ile buraya verir.<\/span><\/p>\n

Bu bezlere ek olarak, dudaklarda, alt \u00e7ene b\u00f6lgesinde (yanak mukozas\u0131) ve yayg\u0131n olarak a\u011f\u0131z ve bo\u011faz\u0131n \u00f6teki b\u00f6lgelerinde yer alan, k\u00fc\u00e7\u00fck (min\u00f6r) t\u00fck\u00fcr\u00fck bezi ad\u0131 verilen y\u00fczlerce bez vard\u0131r. T\u00fck\u00fcr\u00fck; a\u011fz\u0131n nemlendirilmesini sa\u011flar, sindirime yard\u0131mc\u0131 olur ve di\u015flerin \u00e7\u00fcr\u00fcmesini \u00f6nler.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

T\u00fckr\u00fck bezi hastal\u0131klar\u0131:<\/span><\/p>\n

1.T\u0131kanma
T\u00fck\u00fcr\u00fck ak\u0131m\u0131n\u0131n t\u0131kanmas\u0131 \u00e7o\u011funlukla parotis ve submandibular bezlerde, genellikle ta\u015f olu\u015fumuna ba\u011fl\u0131 olarak meydana gelir. Belirtiler tipik olarak\u00a0 yemek s\u0131ras\u0131nda ortaya \u00e7\u0131kar. T\u00fck\u00fcr\u00fck \u00fcretimi ba\u015flar, ama t\u00fck\u00fcr\u00fc\u011f\u00fcn\u00a0 kanallardan d\u0131\u015far\u0131 \u00e7\u0131kamay\u0131\u015f\u0131 sonucu bezin \u015fi\u015fmesine, a\u011fr\u0131ya ve bazen de enfeksiyona yol a\u00e7ar.<\/span><\/p>\n

2.\u0130ltihap(\u0130nfeksiyon)
Ta\u015flar tamamen t\u0131kay\u0131c\u0131 olmazsa b\u00fcy\u00fck bezler yemek s\u0131ras\u0131nda \u015fi\u015fecek ve yemek sonras\u0131 bir sonraki \u00f6\u011f\u00fcne kadar kademeli olarak ineceklerdir. Enfeksiyon \u00e7o\u011funlukla anormal olarak g\u00f6llenmi\u015f t\u00fck\u00fcr\u00fckte, bezlerde daha \u015fiddetli a\u011fr\u0131 ve \u015fi\u015fe sebep olacak \u015fekilde geli\u015fir. Yeteri kadar uzun bir s\u00fcre tedavi edilemezse, bezlerde abse geli\u015febilir. Baz\u0131 ki\u015filerde, b\u00fcy\u00fck t\u00fck\u00fcr\u00fck bezlerinin kanallar\u0131 anormal olabilir. Bu kanallar, enfeksiyona ve t\u0131kanmaya yol a\u00e7abilir.. <\/span><\/p>\n

En s\u0131k rastlanan t\u00fck\u00fcr\u00fck bezi iltihab\u0131, parotiste olan kabakulak't\u0131r. En s\u0131k \u00e7ocuklarda g\u00f6r\u00fclmesine kar\u015f\u0131n eri\u015fkinlerde de meydana gelebilir. Bununla beraber, e\u011fer bir eri\u015fkinin tek tarafl\u0131 parotis b\u00f6lgesinde \u015fi\u015fli\u011fi varsa, bu daha \u00e7ok bir t\u0131kanma ya da t\u00fcm\u00f6re ba\u011fl\u0131d\u0131r. Kom\u015fu lenf d\u00fc\u011f\u00fcmlerinden t\u00fck\u00fcr\u00fck bezi enfeksiyonlar\u0131 da meydana gelebilir. <\/span><\/p>\n

3.T\u00fcm\u00f6rler
T\u00fck\u00fcr\u00fck bezlerinin selim ve habis t\u00fcm\u00f6rleri genellikle bu bezlerin a\u011fr\u0131s\u0131z \u015fi\u015fmesi ile ortaya \u00e7\u0131karlar. T\u00fcm\u00f6rler nadiren birden fazla bezi i\u00e7erir ve parotis, submandibular b\u00f6lge, damak, a\u011f\u0131z taban\u0131, yanaklar ve dudaklarda bir b\u00fcy\u00fcme olarak fark edilirler. Bu b\u00fcy\u00fcmeler bir KBB & Ba\u015f-Boyun Cerrahisi uzman\u0131 taraf\u0131ndan de\u011ferlendirilmelidir. B\u00fcy\u00fck t\u00fck\u00fcr\u00fck bezlerinin habis t\u00fcm\u00f6rleri h\u0131zl\u0131 bir \u015fekilde b\u00fcy\u00fcyebilirler, a\u011fr\u0131l\u0131d\u0131rlar ve y\u00fcz\u00fcn tutulan taraf\u0131n\u0131n t\u00fcm\u00fcn\u00fcn ya da bir k\u0131sm\u0131n\u0131n hareket kayb\u0131na neden olabilirler.<\/span><\/p>\n

T\u00fck\u00fcr\u00fck bezi b\u00fcy\u00fcmeleri ayn\u0131 zamanda anlaml\u0131 derecede enflamasyona yol a\u00e7an otoimm\u00fcn hastal\u0131klarda da g\u00f6r\u00fclebilirler. Hastalar\u0131n genellikle kuru bir a\u011f\u0131z ve kuru g\u00f6zleri vard\u0131r. \u015eeker hastal\u0131\u011f\u0131 \u00f6zellikle parotis bezi b\u00fcy\u00fcmesine yol a\u00e7abilir. \u00d6zellikle iki tarafl\u0131 t\u00fck\u00fcr\u00fck bezi b\u00fcy\u00fcmesi alkoliklerde de g\u00f6r\u00fcl\u00fcr.<\/p>\n

<\/span><\/p>\n

Tan\u0131 : T\u00fck\u00fcr\u00fck bezlerinin hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131 dikkatli bir \u00f6yk\u00fc, fizik muayene ve laboratuar testlerine dayan\u0131r. B\u00fcy\u00fck t\u00fck\u00fcr\u00fck bezlerinde bir t\u0131kanmadan \u015f\u00fcpheleniliyor ise, a\u011f\u0131zda t\u00fck\u00fcr\u00fck kanallar\u0131n\u0131n a\u011f\u0131zlar\u0131n\u0131n anestezisi ve bir aletle t\u0131kanmaya yol a\u00e7an ta\u015f\u0131n ge\u00e7mesine yard\u0131m etmek \u00fczere kanal\u0131 geni\u015fletmek gerekli olabilir. Bu gibi alet kullan\u0131m\u0131 \u00f6ncesi, di\u015f r\u00f6ntgenleri kalsifiye ta\u015flar\u0131n yerini g\u00f6sterebilir. T\u00fck\u00fcr\u00fck bezinde bir\u00a0 kitle bulunursa, Bilgisayarl\u0131 Tomografi (BT) adl\u0131 radyolojik tetkik yararl\u0131 olur. BT kitlenin t\u00fck\u00fcr\u00fck bezinin bir par\u00e7as\u0131 m\u0131 yoksa bir lenf d\u00fc\u011f\u00fcm\u00fc m\u00fc oldu\u011funu g\u00f6sterecektir. \u00c7o\u011fu durumda ince i\u011fne aspirasyonu yararl\u0131 olur. Bu testin do\u011frulu\u011fu yakla\u015f\u0131k olarak %80 ile %90 dolaylar\u0131ndad\u0131r. Zorunluluk hallerinde cilt kesisi sonras\u0131 t\u00fckr\u00fck bezinden bir miktar par\u00e7a \u00e7\u0131kar\u0131larak tan\u0131ya gidilebilir. <\/span><\/p>\n


Tedavi:Burada ila\u00e7 tedavisi ve cerrahi giri\u015fimler yer al\u0131r. Tedavi se\u00e7imi sorunun i\u00e7eri\u011fine ba\u011fl\u0131d\u0131r. Sistemik hastal\u0131klara ( izole bir b\u00f6lgeyi de\u011fil, t\u00fcm v\u00fccudu ilgilendiren hastal\u0131klar) ba\u011fl\u0131 ise altta yatan neden tedavi edilmelidir. Hastal\u0131k s\u00fcreci t\u00fck\u00fcr\u00fck bezi t\u0131kan\u0131kl\u0131l\u0131\u011f\u0131na ve buna ba\u011fl\u0131 infeksiyonla ili\u015fkili ise antibiyotikler kullan\u0131l\u0131r. Bazen, kanallara aletle m\u00fcdahale gerekli olabilir.<\/span><\/p>\n

T\u00fck\u00fcr\u00fck bezinde bir kitle geli\u015firse, bu kitlenin ortadan kald\u0131r\u0131lmas\u0131 gerekebilir. Parotis bezi b\u00f6lgesindeki \u00e7o\u011fu kitle selimdir. Cerrahi gerekti\u011fi zaman, bezin i\u00e7inden ge\u00e7en y\u00fcz sinirine zarar vermemek i\u00e7in \u00e7ok dikkatli olunmal\u0131d\u0131r. Bu b\u00f6lge anatomisini iyi bilen ve mikroskop alt\u0131nda siniri ortaya koyarak \u00e7al\u0131\u015fan KBB & Ba\u015f-Boyun cerrahisi uzman\u0131 y\u00fcz sinirinin korunmas\u0131n\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde sa\u011flayacakt\u0131r. Habis t\u00fcm\u00f6rlerde ameliyat sonras\u0131 s\u0131kl\u0131kla radyoterapi tavsiye edilir.<\/span><\/p>\n

\u00a0
Ayn\u0131 genel prensipler \u00e7enealt\u0131n\u0131n, dilalt\u0131 ve bo\u011faz\u0131n \u00fcst k\u0131sm\u0131ndaki k\u00fc\u00e7\u00fck t\u00fck\u00fcr\u00fck bezleri i\u00e7in de ge\u00e7erlidir. Selim hastal\u0131klar en iyi \u015fekilde tek ba\u015f\u0131na cerrahi ile tedavi edilirken habis hastal\u0131klar cerrahi ve ameliyat sonras\u0131 \u0131\u015f\u0131n tedavisine ihtiya\u00e7 g\u00f6sterirler. Bir t\u00fck\u00fcr\u00fck bezinin kom\u015fulu\u011fundaki kitle ba\u015fka bir taraftan kaynaklanan kanser nedeniyle b\u00fcy\u00fcyen bir lenf d\u00fc\u011f\u00fcm\u00fc ise do\u011fal olarak ba\u015fka bir tedavi plan\u0131 gerekecektir. B\u00f6yle bir tedaviyi en iyi bi\u00e7imde KBB&Ba\u015f-Boyun cerrahisi uzman\u0131 d\u00fczenleyebilir.
\u00d6zetle, t\u00fck\u00fcr\u00fck bezi hastal\u0131klar\u0131 bir\u00e7ok sebebe ba\u011fl\u0131d\u0131r. Bu hastal\u0131klar hem ila\u00e7 tedavisiyle hem ameliyatla tedavi edilebilirler. B\u00f6yle bir tedavi mutlak olarak bu alanda deneyimli KBB&Ba\u015f-Boyun cerrahisi uzman\u0131 taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.<\/span><\/p>\n

\u00a0www.drselcukonart.com<\/span><\/p>\n

Prof.Dr.Sel\u00e7uk Onart<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00fck\u00fcr\u00fck bezleri Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[110,52,88,42,104],"class_list":["post-734","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-bolge","tag-cerrahi","tag-hastalik","tag-tedavi","tag-tum"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=734"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/734\/revisions"}],"predecessor-version":[{"id":735,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/734\/revisions\/735"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=734"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=734"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}