PROKTOLOJİ : Kalın barsağın rectum ve anüs kısımlarının hastalıklarıyla ilgilenen dalıdır.
ANÜS : Rectumun dış açıklığıdır.
RECTUM : Kalın barsağın genişlemesi sonucu oluşan ortalama 15 cm uzunluğunda olup sindirim sistemimizin son kısmıdır.Anüsle dışarı açılır.
KALIN BARSAK (KOLON) -REKTUM VE ANÜS HASTALIKLARI
Kalın Barsak (Kolon), Rektum ve Anüs (Makat) sindirim sistemimizin İnce Barsaklardan sonra gelen kısımlarıdır.Kalın barsak ortalama 1,5 m uzunluğundadır.
Rektum, Kalın barsağın genişlemesi sonucu oluşan ortalama 15 cm uzunluğunda olup sindirim sistemimizin son kısmıdır. Anüsle(makat) dışarı açılır.
Kolon ve Rektum hastalıkları, hafif şiddette rahatsızlıklardan, hayatı tehdit edici durumlara kadar ilerleyen rahatsızlıklara neden olabilir. Bu hastalıklarda erken teşhis ve tedavi çoğu kez hayat kurtarıcı olabilmektedir. Ne var ki hastaların çoğu bilgi eksikliği, ihmal, utanma gibi nedenlerden dolayı hekime geç başvurmaktadır.
KOLO-REKTAL HASTALIKLARIN GENEL BELİRTİLERİ NELERDİR ?
- Anüsden ( Makattan ) KAN gelmesi ( taze-kırmızı veya durmuş-siyah kan şeklinde olabilir
- Büyük abdest yapmada (defekasyon) değişiklik olması ( gaitanın incelmesi ), düzensiz şekilde
- Konstipasyon( kabızlık)-diyare (ishal) olunması,
- Defekasyon ( büyük abdest yapma ) yaptıkdan sonra tam rahatlamama ve tekrar tekrar defekasyon yapmak isteği,
- Defekasyon sırasında ağrı olması,
- Anüs bölgesinde kaşıntı, şişlikler ve yaralar olması,
- Karında zaman zaman izah edilemeyen ağrıların olması,
- Zayıflama, kansızlık ( anemi )
olması gibi belirtilerde mutlaka hekime başvurulmalıdır.
!!! KALIN BAĞIRSAK KANSERİ ÖNLENEBİLİR BİR HASTALIKTIR !!!
TEŞHİSDE HANGİ YÖNTEMLER KULLANILIR?
Tüm inceleme ve tedavi; minyatür aletler ve tamamen doğal ağrı kesici merhemlerle ağrısız uygulanmaktadır.
Fiziki muayene: Hastanın genel olarak yapılan muayenesi.
Rektal Tuşe: Anüs ve Rektumun eldiven giyilip vazelin sürüldükten sonra parmakla yapılan muayenesi. Bu yöntemle bu bölgenin birçok hastalığı saptanır.
Endoskopik muayene;
Anoskopi: Anal bölgenin görüntülenmesi işlemidir.
Rektoskopi: Optik cihazla barsak içinin 30 cm e kadar görüntülenmesidir.
İşlem öncesinde barsakların temiz olması için bir gün önceden ya da fizik muayene sonrası hastaya barsak boşaltıcı ilaçlar verilebilir.Bu yöntemlerle tüm anüs ve rektum gözle incelenebilir, lezyonun (hastalığın) izlenmesi için fotoğrafı çekilebilir ,hastaya anında gösterilebilir, biyopsi alınabilir(kanser teşhisi için çok önemlidir) .Tüm bu işlemler 30 dk sürmektedir. Gerekirse lezyon üzerinde tedavi edici girişimler anında ağrısız-anestezisiz-dikişsiz-günlük hayatına devam edebilecek şekilde - modern tedavi teknikleri uygulanabilmektedir.
Laboratuar çalışmaları;
Hastalara gaitada gizli kan, parazit tetkikleri, genel kan testleri, tümör belirleyici testler gibi tetkikler de lüzumuna göre kliniğimizde uygulanmaktadır.
Bütün sonuçlar hekim tarafından değerlendirilir, uygun tedavi yöntemi anında belirlenir ve hastaya anlatılır.
TEDAVİ YÖNTEMLERİ
Kliniğimizde 4 farklı tedavi yöntemi uygulanmaktadır:
Hastaya herhangi bir çeşit anestezi uygulaması gerektirmeyen muayenehane şartlarında uygulanabilen yöntemlerdir.
- İNFRARED KOAGÜLATÖR: Lazer- ışınla pıhtılaştırma yöntemidir.
- SURGITRON: Radyo frekansı ile tedavi
- BAND LİGASYON: Bant ile düşürme yöntemi
- SKLERO TERAPİ: İlaç enjeksiyonu ile damarı büzüştürme yöntemi
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