{"id":10498,"date":"2021-04-07T13:11:08","date_gmt":"2021-04-07T10:11:08","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=10498"},"modified":"2021-04-07T13:11:39","modified_gmt":"2021-04-07T10:11:39","slug":"cocuklarda-kasik-fitigi-nedenleri-belirtileri-tedavisi","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-kasik-fitigi-nedenleri-belirtileri-tedavisi\/","title":{"rendered":"\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131: Nedenleri, belirtileri, tedavisi"},"content":{"rendered":"

\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 s\u0131k rastlanan ve sinsi ilerleyen bir rahats\u0131zl\u0131kt\u0131r. Erken do\u011fan bebeklerde kas\u0131k f\u0131t\u0131\u011f\u0131 ile daha \u00e7ok kar\u015f\u0131la\u015f\u0131l\u0131r. Peki, \u00e7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 neden olur, kas\u0131k f\u0131t\u0131\u011f\u0131 belirtileri nelerdir, kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131 nas\u0131l yap\u0131l\u0131r? \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzm. Dr. Burak Emre Demir,<\/strong> merak edilen t\u00fcm bu sorular\u0131 yan\u0131tlad\u0131, konuyla ilgili aileleri bilgilendirdi.<\/p>\n

Anne karn\u0131ndaki bebe\u011fin yumurtal\u0131klar\u0131, b\u00f6breklerin yan\u0131nda olu\u015fmaya ba\u015flar ve zaman i\u00e7inde kas\u0131k b\u00f6lgesine iner. Erkek \u00e7ocuklarda testisler kas\u0131k kanal\u0131ndan ge\u00e7er ve torbalara iner. K\u0131z \u00e7ocuklar\u0131nda rahmin kar\u0131n i\u00e7inde sabit durmas\u0131n\u0131 sa\u011flayan baz\u0131 yap\u0131lar kas\u0131k kanal\u0131ndan ge\u00e7er. Do\u011fumla birlikte buradaki kanal ve zar yap\u0131lar\u0131 kapan\u0131r. Uygun \u015fekilde kapanmazsa bir kese olu\u015fur ve kar\u0131n i\u00e7inde olmas\u0131 gereken organ ve dokular bu kesenin i\u00e7ine girerek kas\u0131k b\u00f6lgesinde \u015fi\u015flik meydana getirir.<\/p>\n

\"\"
\n\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzm. Dr. Burak Emre Demir<\/em><\/p>\n

\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 belirtileri nelerdir?<\/strong><\/p>\n

\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131n en \u00f6nemli belirtisi kas\u0131k b\u00f6lgesinde beliren \u015fi\u015fliktir. F\u0131t\u0131\u011f\u0131n bulundu\u011fu yerde yumu\u015fak bir kitle ele gelir. Kas\u0131ktaki \u015fi\u015flik erkek \u00e7ocuklarda torbalara kadar inebilir. F\u0131t\u0131k normalde a\u011fr\u0131 yapmaz. Ancak f\u0131t\u0131\u011f\u0131n bo\u011fulmas\u0131 halinde \u00e7ocukta huzursuzluk ve a\u011fr\u0131 g\u00f6r\u00fclebilir.<\/strong><\/p>\n

Doktora ba\u015fvuru geciktik\u00e7e kusma, kar\u0131n \u015fi\u015fli\u011fi, kaka yapamama gibi bulgular ortaya \u00e7\u0131kmaya ba\u015flar. \u015ei\u015fli\u011fin \u00fczeri k\u0131zar\u0131r. Bu acil bir durum olup bazen acil ameliyat gerektirmektedir.<\/p>\n

\u00c7ocuklar s\u0131rt \u00fcst\u00fc yatt\u0131\u011f\u0131nda bazen f\u0131t\u0131k kesesi k\u00fc\u00e7\u00fcl\u00fcp kaybolur ve g\u00f6r\u00fcnmez. Fakat asl\u0131nda f\u0131t\u0131k kesesi yine vard\u0131r. Ancak g\u00f6zle tan\u0131 konulmas\u0131 m\u00fcmk\u00fcn de\u011fildir.<\/p>\n

\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 ne s\u0131kl\u0131kta g\u00f6r\u00fcl\u00fcr?<\/strong><\/p>\n

Kas\u0131k f\u0131t\u0131\u011f\u0131 her ya\u015fta ortaya \u00e7\u0131kabilir. Zaman\u0131nda do\u011fan bebeklerin %1-4\u2019\u00fcnde kas\u0131k f\u0131t\u0131\u011f\u0131 olmaktad\u0131r. Premat\u00fcre bebeklerde bu oran %40\u2019a kadar \u00e7\u0131kmaktad\u0131r. Kas\u0131k f\u0131t\u0131\u011f\u0131 %80-90 erkek \u00e7ocuklar\u0131nda olmaktad\u0131r. Kas\u0131k f\u0131t\u0131klar\u0131n\u0131n %60\u2019\u0131 sa\u011f tarafta, %30\u2019u sol tarafta, %10\u2019u \u00e7ift tarafl\u0131 g\u00f6r\u00fcl\u00fcr. Baz\u0131 do\u011fumsal ba\u011f dokusu hastal\u0131klar\u0131 olan \u00e7ocuklarda daha s\u0131k rastlan\u0131r.<\/p>\n

\u00c7evresel fakt\u00f6rler, kronik kab\u0131zl\u0131k, ate\u015f ve \u00f6ks\u00fcr\u00fckle seyreden bo\u011fmaca gibi \u015fiddetli enfeksiyonlar ya da kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131 art\u0131ran \u015fiddetli kusma gibi durumlar kas\u0131k f\u0131t\u0131\u011f\u0131na direkt olarak neden olmaz. Ancak kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131n belirgin hale gelmesine neden olabilir ya da mevcut olan a\u00e7\u0131kl\u0131\u011f\u0131n b\u00fcy\u00fcyerek f\u0131t\u0131k kesesi haline gelmesine yol a\u00e7ar.<\/p>\n

\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 bo\u011fulmas\u0131 nedir?<\/strong><\/p>\n

\u00c7ocukluk \u00e7a\u011f\u0131 kas\u0131k f\u0131t\u0131klar\u0131nda en \u00f6nemli sorun, bo\u011fulmad\u0131r. F\u0131t\u0131k kesesi i\u00e7ine giren kar\u0131n i\u00e7i yap\u0131lar\u0131n bu kese i\u00e7inde s\u0131k\u0131\u015farak kan dola\u015f\u0131m\u0131n\u0131n bozulmas\u0131 durumudur. Bu durumda \u00e7ocukta huzursuzluk, a\u011fr\u0131 ve kusma ortaya \u00e7\u0131kabilir. Devam ederse i\u015ftah kayb\u0131, d\u0131\u015fk\u0131 yapamama ve kar\u0131n \u015fi\u015fli\u011fi ortaya \u00e7\u0131kabilir. Bir ya\u015f alt\u0131 \u00e7ocuklarda daha s\u0131k g\u00f6r\u00fcl\u00fcr. Zaman\u0131nda tan\u0131nmaz ve acil olarak tedavi edilmez ise kese i\u00e7inde s\u0131k\u0131\u015fan organ ve dokular\u0131n kangren olmas\u0131 ile hayati risk ya\u015fanabilmektedir.<\/p>\n

Okumal\u0131s\u0131n\u0131z: \u0130nmemi\u015f testis nedir? \u00c7ocuklarda inmemi\u015f testis ameliyat\u0131 nas\u0131l yap\u0131l\u0131r?<\/a><\/strong><\/p>\n

\"\"<\/p>\n

Kas\u0131k f\u0131t\u0131\u011f\u0131 \u015f\u00fcphesi olunca ne yap\u0131lmal\u0131?<\/strong><\/p>\n

\u00c7ocukluk \u00e7a\u011f\u0131nda kas\u0131kta fark edilen \u015fi\u015flik kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131 akla getirmelidir. \u00c7ocukta kas\u0131k f\u0131t\u0131\u011f\u0131 \u015f\u00fcphesi varsa, en k\u0131sa zamanda de\u011ferlendirmesi ve sonras\u0131nda tan\u0131s\u0131n\u0131n kesinle\u015ftirilmesi gerekir. \u00c7\u00fcnk\u00fc \u00e7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 m\u00fcmk\u00fcn olan en k\u0131sa zamanda, yani belli bir ya\u015f veya aya kadar beklenilmeden ameliyat edilerek tedavi edilmelidir.<\/p>\n

Kas\u0131k f\u0131t\u0131\u011f\u0131 k\u0131s\u0131rl\u0131\u011fa neden olur mu?<\/strong><\/p>\n

Tedavideki gecikme, damarlara bask\u0131, \u0131s\u0131 farkl\u0131l\u0131klar\u0131 gibi sebepler testislerin zarar g\u00f6rmesine sebep olabilir. \u00c7ocuklara uygun olmayan tekniklerle ameliyat edilmesi testislere zarar verebilir. Bu y\u00fczden kas\u0131k f\u0131t\u0131\u011f\u0131 s\u00f6z konusuysa, alan\u0131nda uzman bir hekim taraf\u0131ndan ameliyat ger\u00e7ekle\u015ftirilmelidir.<\/strong><\/p>\n

Kas\u0131k f\u0131t\u0131\u011f\u0131 tedavisi nas\u0131l yap\u0131l\u0131r?<\/strong><\/p>\n

Kas\u0131k f\u0131t\u0131\u011f\u0131n\u0131n tek tedavisi ameliyatt\u0131r. Ameliyat genel anestezi alt\u0131nda ve g\u00fcn\u00fcbirlik ameliyat \u015feklinde yap\u0131lmaktad\u0131r. Kas\u0131k f\u0131t\u0131\u011f\u0131, kar\u0131n i\u00e7i organlar\u0131n\u0131n s\u0131k\u0131\u015farak bo\u011fulmas\u0131 riskini engellemek i\u00e7in m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede ameliyat ile onar\u0131lmal\u0131d\u0131r.<\/p>\n

E\u011fer f\u0131t\u0131k acil \u015fartlar olmadan, tespit edildikten hemen sonra uygun \u015fartlarda ameliyat edilirse zor bir ameliyat de\u011fildir. Ayr\u0131ca kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131 hem a\u00e7\u0131k ameliyat bi\u00e7iminde hem de laparoskopik yani kapal\u0131 ameliyat bi\u00e7iminde ger\u00e7ekle\u015ftirilebilir.<\/p>\n

Premat\u00fcre bebeklerde anestezinin risk ta\u015f\u0131ma olas\u0131l\u0131\u011f\u0131 nedeniyle bir iki ay beklenebilir. Buna ameliyat\u0131 yapacak olan cerrah ve anestezi doktoru karar vermektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00c7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 s\u0131k rastlanan ve sinsi ilerleyen bir rahats\u0131zl\u0131kt\u0131r. Erken do\u011fan bebeklerde kas\u0131k f\u0131t\u0131\u011f\u0131 ile daha \u00e7ok kar\u015f\u0131la\u015f\u0131l\u0131r. Peki, \u00e7ocuklarda kas\u0131k f\u0131t\u0131\u011f\u0131 neden olur, kas\u0131k f\u0131t\u0131\u011f\u0131 belirtileri nelerdir, kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131 nas\u0131l yap\u0131l\u0131r? \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzm. Dr. Burak Emre Demir, merak edilen t\u00fcm bu sorular\u0131 yan\u0131tlad\u0131, konuyla ilgili aileleri bilgilendirdi. Anne karn\u0131ndaki […]<\/p>\n","protected":false},"author":80,"featured_media":10499,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-10498","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cocuk"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/04\/kasik-fitigi.jpg?fit=640%2C472&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/10498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=10498"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/10498\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/10499"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=10498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=10498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=10498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}