{"id":10102,"date":"2023-12-08T09:06:08","date_gmt":"2023-12-08T09:06:08","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=10102"},"modified":"2023-12-08T09:08:38","modified_gmt":"2023-12-08T09:08:38","slug":"kunduraci-gogsu-pektus-ekskavatum-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/kunduraci-gogsu-pektus-ekskavatum-nedir\/","title":{"rendered":"Kundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum) Nedir?"},"content":{"rendered":"

Kundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum)<\/a> Nedir?<\/strong><\/h2>\n

Kas ve iskelet sistemindeki baz\u0131 anormallikler veya sadece g\u00f6\u011f\u00fcs kafesinin normalde olmas\u0131 gerekenden farkl\u0131 geli\u015fim g\u00f6stermesine ba\u011fl\u0131 olarak g\u00f6\u011f\u00fcs duvar\u0131nda \u015fekil bozukluklar\u0131 ortaya \u00e7\u0131kabilir. Ara\u015ft\u0131rmalara g\u00f6re Pektus ekskavatum yani\u00a0kundurac\u0131 g\u00f6\u011fs\u00fc g\u00f6\u011f\u00fcs deformitelerinin yakla\u015f\u0131k %88-90\u2019\u0131n\u0131 olu\u015fturur.<\/u>\u00a0 Kundurac\u0131 g\u00f6\u011fs\u00fc sternumun yani g\u00f6\u011f\u00fcs kemi\u011finin g\u00f6\u011f\u00fcs kafesinin i\u00e7ine do\u011fru \u00e7\u00f6kmesi ile karakterize olan bir sa\u011fl\u0131k sorunudur.<\/p>\n

2016 y\u0131l\u0131nda yap\u0131lan bir ara\u015ft\u0131rmaya g\u00f6re kundurac\u0131 g\u00f6\u011fs\u00fc \u00e7ocuklarda en yayg\u0131n rastlanan g\u00f6\u011f\u00fcs kemi\u011fi deformitesidir. Ayr\u0131ca ayn\u0131 ara\u015ft\u0131rma kundurac\u0131 g\u00f6\u011fs\u00fcn\u00fcn ba\u015fl\u0131ca nedeni olarak genetik fakt\u00f6rleri g\u00f6stermektedir. Baz\u0131 ara\u015ft\u0131rmalar ise g\u00f6\u011f\u00fcs kemi\u011fi deformitelerinin nedeni olarak kaburgan\u0131n olmas\u0131 gerekenden fazla b\u00fcy\u00fcmesini g\u00f6stermektedir.<\/p>\n

Kundurac\u0131 g\u00f6\u011fs\u00fc genellikle \u00e7ocukluk d\u00f6neminde fark edilir. Bununla birlikte baz\u0131 durumlarda kundurac\u0131 g\u00f6\u011fs\u00fcn\u00fcn ergenlik d\u00f6neminde fark edilmesi de m\u00fcmk\u00fcnd\u00fcr. Kaburgan\u0131n a\u015f\u0131r\u0131 b\u00fcy\u00fcmesi g\u00f6\u011f\u00fcs kafesini i\u00e7e veya d\u0131\u015far\u0131 do\u011fru itebilir.<\/p>\n

Kundurac\u0131 G\u00f6\u011fs\u00fcn\u00fcn (Pektus Ekskavatum) Nedenleri Nelerdir?<\/strong><\/h3>\n

Kundurac\u0131 g\u00f6\u011fs\u00fc ve g\u00fcvercin g\u00f6\u011fs\u00fc, baz\u0131 g\u00f6\u011f\u00fcs duvar\u0131 deformitelerini tan\u0131mlamak i\u00e7in kullan\u0131lan g\u00fcnl\u00fck terimlerdir.<\/p>\n

Bu ko\u015fullar\u0131n spesifik nedenleri tam olarak anla\u015f\u0131lamam\u0131\u015ft\u0131r, ancak genellikle genetik ve \u00e7evresel fakt\u00f6rlerin bir kombinasyonundan kaynakland\u0131\u011f\u0131na inan\u0131lmaktad\u0131r:<\/p>\n

    \n
  • \n

    Genetik Yatk\u0131nl\u0131k:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

    Bazen ailelerde g\u00f6r\u00fcld\u00fc\u011f\u00fc i\u00e7in pektus karinatumun genetik bir bile\u015feni olabilir.<\/p>\n

      \n
    • \n

      Ba\u011f Dokusu Anormallikleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

      Pectus carinatum, Marfan sendromu veya Ehlers-Danlos sendromu gibi baz\u0131 ba\u011f dokusu bozukluklar\u0131 ile ili\u015fkilendirilmi\u015ftir.<\/p>\n

      Bu ko\u015fullar v\u00fccuttaki ba\u011f dokular\u0131n\u0131n g\u00fcc\u00fcn\u00fc ve esnekli\u011fini etkileyerek potansiyel olarak g\u00f6\u011f\u00fcs duvar\u0131 deformitesine katk\u0131da bulunur.<\/p>\n

        \n
      • \n

        B\u00fcy\u00fcme Dengesizli\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

        Ergenlik d\u00f6nemindeki h\u0131zl\u0131 b\u00fcy\u00fcme d\u00f6neminde kaburgalar, g\u00f6\u011f\u00fcs kemi\u011fi ve \u00e7evresindeki k\u0131k\u0131rdaklar\u0131n b\u00fcy\u00fcmesinde bir dengesizlik meydana gelebilir ve bu da g\u00f6\u011f\u00fcs kemi\u011finin d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131na neden olur.<\/p>\n

        Kundurac\u0131 G\u00f6\u011fs\u00fcn\u00fcn (Pektus Ekskavatum) Belirtileri Nelerdir?<\/strong><\/h3>\n

        Kundurac\u0131 g\u00f6\u011fs\u00fc, iman tahtas\u0131n\u0131n \u015fekli nedeniyle akci\u011ferlerin ve kalbin \u00e7al\u0131\u015fmas\u0131n\u0131 zorla\u015ft\u0131rabilir. Belirtiler hem fiziksel hem de psikolojik olarak ortaya \u00e7\u0131kabilir.<\/p>\n

        Fiziksel Belirtiler<\/strong><\/h4>\n
          \n
        • Egzersiz s\u0131ras\u0131nda nefes almada zorluk<\/li>\n
        • Ya\u015f\u0131tlar\u0131na g\u00f6re kuvvet eksikli\u011fi<\/li>\n
        • Yorgunluk<\/li>\n
        • G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131<\/li>\n
        • D\u00fczensiz kalp at\u0131\u015f\u0131<\/li>\n<\/ul>\n

          Psikolojik Belirtiler<\/strong><\/h4>\n
            \n
          • G\u00f6\u011fs\u00fcn g\u00f6r\u00fcnt\u00fcs\u00fcnden utanma hali<\/li>\n
          • Kendine sayg\u0131n\u0131n azalmas\u0131<\/li>\n
          • Depresyon<\/li>\n<\/ul>\n

            Kundurac\u0131 G\u00f6\u011fs\u00fcn\u00fcn (Pektus Ekskavatum) Tan\u0131s\u0131 Nas\u0131l Konulur?<\/strong><\/h3>\n

            \u00c7o\u011fu zaman alan\u0131nda uzman bir doktor taraf\u0131ndan ger\u00e7ekle\u015ftirilen\u00a0fiziki muayene ile kundurac\u0131 g\u00f6\u011fs\u00fc tan\u0131s\u0131 konulabilir.<\/strong>\u00a0Ayr\u0131ca kundurac\u0131 g\u00f6\u011fs\u00fc tan\u0131s\u0131nda;<\/p>\n

              \n
            • BT (Bilgisayarl\u0131 Tomografi),<\/li>\n
            • MR (Manyetik Rezonans )<\/li>\n<\/ul>\n

              gibi g\u00f6r\u00fcnt\u00fcleme tekniklerinden de faydalan\u0131labilir.<\/p>\n

              G\u00f6\u011f\u00fcs kemi\u011finin i\u00e7e \u00e7\u00f6kmesi solunum yetmezli\u011fi, kalpte ritim bozuklu\u011fu gibi kalp ve akci\u011fer sorunlar\u0131na neden olabilir.<\/p>\n

              Bu nedenle uzman doktor hastan\u0131n kalp ve akci\u011feri ile ilgili bir problemi olup olmad\u0131\u011f\u0131n\u0131 de\u011ferlendirmek i\u00e7in de baz\u0131 tetkikler yap\u0131lmas\u0131n\u0131 isteyebilir.<\/p>\n

              Kundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum) Tedavi Y\u00f6ntemleri Nelerdir?<\/strong><\/h3>\n
                \n
              • \n

                Cerrahi Tedavi<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                Cerrahi m\u00fcdahale ile g\u00f6\u011f\u00fcs deformitesinin d\u00fczeltilerek hastan\u0131n kalp ve solunum fonksiyonlar\u0131n\u0131n iyile\u015ftirilmesi ama\u00e7lan\u0131r. Kundurac\u0131 g\u00f6\u011fs\u00fcn\u00fcn ameliyat ile d\u00fczeltilmesi i\u00e7in ideal ya\u015f aral\u0131\u011f\u0131 7-14\u2019t\u00fcr. H\u0131zl\u0131 b\u00fcy\u00fcme d\u00f6neminde g\u00f6\u011f\u00fcs kafesi normal \u015feklini daha rahat alabilece\u011fi i\u00e7in ameliyat\u0131n, ergenlik d\u00f6neminden \u00f6nce yap\u0131lmas\u0131 \u00f6nemlidir.<\/p>\n

                  \n
                • \n

                  Modifiye Ravitch Ameliyat\u0131<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                  Modifiye Ravitch Ameliyat\u0131, kundurac\u0131 g\u00f6\u011fs\u00fc tedavisinde uzun y\u0131llar kullan\u0131lan geleneksel bir a\u00e7\u0131k ameliyat \u00e7e\u015fididir. Bu y\u00f6ntem, g\u00f6\u011f\u00fcs kafesinin \u00f6n taraf\u0131na at\u0131lan g\u00f6rece uzun bir kesiden i\u00e7eri girilerek, g\u00f6\u011fs\u00fcn geriye itilmesine neden olan kaburgalar\u0131n k\u0131k\u0131rdakl\u0131 k\u0131sm\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131 i\u015flemidir. B\u00f6ylece, iman tahtas\u0131n\u0131n kalpten ve akci\u011ferlerden uza\u011fa, g\u00f6\u011f\u00fcs duvar\u0131n\u0131n normal d\u00fczlemine do\u011fru \u00e7ekilmesi sa\u011flan\u0131r.<\/p>\n

                    \n
                  • \n

                    Nuss Ameliyat\u0131<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                    Amerikal\u0131 cerrah Dr. Donald Nuss taraf\u0131ndan geli\u015ftirilen bu teknik, g\u00fcn\u00fcm\u00fczde kullan\u0131lan en g\u00fcncel tedavi \u00e7eklidir. Nuss ameliyat\u0131, minimal invaziv y\u00f6ntemler kullan\u0131larak yap\u0131lan kapal\u0131 bir ameliyatt\u0131r.<\/p>\n

                    Ameliyat\u0131n s\u00fcreci \u015f\u00f6yle i\u015flemektedir:<\/strong><\/h4>\n
                      \n
                    • Hastan\u0131n sigara kullan\u0131m\u0131 var ise ameliyat \u00f6ncesinde en az iki ay \u00f6nce sigaraya ara vermesi istenir.<\/li>\n
                    • Ameliyat s\u0131ras\u0131nda genel anestezi uygulan\u0131r.<\/li>\n
                    • Olu\u015fan \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fc gidermek i\u00e7in hastan\u0131n \u00f6l\u00e7\u00fclerine g\u00f6re \u00f6zel haz\u0131rlanm\u0131\u015f \u201cbar\u201d ismi verilen kavisli \u00e7elik \u00e7ubuk kullan\u0131l\u0131r.<\/li>\n
                    • G\u00f6\u011fs\u00fcn her iki yan\u0131na iki\u015fer santimlik k\u00fc\u00e7\u00fck kesiler a\u00e7\u0131l\u0131r.<\/li>\n
                    • Haz\u0131rlanan bar, her iki delik arac\u0131l\u0131\u011f\u0131yla, iman tahtas\u0131n\u0131n alt\u0131na sokulur ve \u00f6zel d\u00f6nd\u00fcr\u00fcc\u00fc aletler yard\u0131m\u0131yla bar\u0131n kavisi ters \u00e7evrilerek \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fcn kald\u0131r\u0131lmas\u0131 sa\u011flan\u0131r.<\/li>\n
                    • Yerle\u015ftirilen bar, kesi yap\u0131lan b\u00f6lgelerde erimeyen iplikler ile kas dokusuna dikilerek sabitlenir.<\/li>\n
                    • Hastan\u0131n ihtiyac\u0131na g\u00f6re 2 ya da nadir de olsa 3 bar kullan\u0131labilir.<\/li>\n
                    • Ameliyat\u0131n s\u00fcresi yakla\u015f\u0131k 45-60 dakika s\u00fcrer.<\/li>\n<\/ul>\n

                      Ravitch veya Nuss Ameliyat\u0131 Sonras\u0131 Evde Bak\u0131m<\/strong><\/h3>\n

                      G\u00f6\u011f\u00fcs deste\u011fi olmadan Ravitch prosed\u00fcr\u00fc uygulanan hastalar, ameliyat sonras\u0131 ilk kontrol randevusundan sonra sadece ihtiya\u00e7 duyuldu\u011funda g\u00f6r\u00fcl\u00fcr. G\u00f6\u011f\u00fcs deste\u011fi ile ravitch veya Nuss prosed\u00fcr\u00fc ger\u00e7ekle\u015ftirilen hastalar, ilk ziyaretten sonra y\u0131lda bir kez kontrol randevusuna \u00e7a\u011f\u0131r\u0131l\u0131r. Destek veya \u00e7ubuk genellikle 2-3 y\u0131l yerinde kalacakt\u0131r.<\/p>\n

                        \n
                      • Ameliyattan 5 g\u00fcn sonra du\u015f al\u0131nabilir.<\/li>\n
                      • Al\u0131nacak diki\u015f yoktur. At\u0131\u015fan diki\u015fler deri alt\u0131ndad\u0131r ve kendili\u011finden \u00e7\u00f6z\u00fclebilir.<\/li>\n
                      • Ameliyattan sonraki bir aya kadar narkotik a\u011fr\u0131 tedavisi gerekebilir.<\/li>\n
                      • Kab\u0131zl\u0131k yayg\u0131n bir sorundur ve narkotik kullan\u0131rken g\u00fcnl\u00fck m\u00fcshil kullan\u0131m\u0131 \u00f6nerilir.<\/li>\n
                      • Kesi (ler) deki k\u0131zar\u0131kl\u0131k veya \u015fi\u015flik, fark edilir edilmez rapor edilmelidir.<\/li>\n
                      • Ki\u015fi bir dren ile taburcu edilirse, drenaj durdu\u011funda dren hastanede \u00e7\u0131kar\u0131lacakt\u0131r.<\/li>\n
                      • Pektus bar\u0131 olan \u00e7ocuklar, g\u00f6\u011f\u00fcste herhangi bir travma, kollarda a\u011fr\u0131, uyu\u015fma veya a\u011f\u0131zdan al\u0131nan ila\u00e7larla ge\u00e7meyen a\u011fr\u0131 durumunda hastaneyi aramal\u0131d\u0131r.<\/li>\n
                      • Cerrah bunun g\u00fcvenli oldu\u011funa karar verir vermez ki\u015fi spor yapmaya ba\u015flayabilir. Bar yerinde iken baz\u0131 temas sporlar\u0131na izin verilmeyebilir.<\/li>\n
                      • Pectus \u00e7ubu\u011fu yerinde iken MR g\u00f6r\u00fcnt\u00fclemesi yap\u0131lmamal\u0131d\u0131r.<\/li>\n
                      • Duru\u015fu iyile\u015ftirmede fizik tedavi yard\u0131mc\u0131 olabilir.<\/li>\n
                      • Acil durumlarda doktorlar\u0131 bir Pectus \u00e7ubu\u011funun varl\u0131\u011f\u0131ndan haberdar etmek i\u00e7in her zaman bir t\u0131bbi uyar\u0131 bilezi\u011fi veya kolye kullan\u0131lmas\u0131 \u00f6nerilir.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                        Kundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum) Nedir? Kas ve iskelet sistemindeki baz\u0131 anormallikler veya sadece g\u00f6\u011f\u00fcs kafesinin normalde olmas\u0131 gerekenden farkl\u0131 geli\u015fim g\u00f6stermesine ba\u011fl\u0131 olarak g\u00f6\u011f\u00fcs duvar\u0131nda \u015fekil bozukluklar\u0131 ortaya \u00e7\u0131kabilir. Ara\u015ft\u0131rmalara g\u00f6re Pektus ekskavatum yani\u00a0kundurac\u0131 g\u00f6\u011fs\u00fc g\u00f6\u011f\u00fcs deformitelerinin yakla\u015f\u0131k %88-90\u2019\u0131n\u0131 olu\u015fturur.\u00a0 Kundurac\u0131 g\u00f6\u011fs\u00fc sternumun yani g\u00f6\u011f\u00fcs kemi\u011finin g\u00f6\u011f\u00fcs kafesinin i\u00e7ine do\u011fru \u00e7\u00f6kmesi ile karakterize olan bir […]<\/p>\n","protected":false},"author":3,"featured_media":10095,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1164,732],"tags":[2651,2649,2652,2650],"yoast_head":"\nKundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum) Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Ara\u015ft\u0131rmalara g\u00f6re Pektus ekskavatum yani\u00a0kundurac\u0131 g\u00f6\u011fs\u00fc g\u00f6\u011f\u00fcs deformitelerinin yakla\u015f\u0131k -90\u2019\u0131n\u0131 olu\u015fturur.\u00a0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/kunduraci-gogsu-pektus-ekskavatum-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum) Nedir?\" \/>\n<meta property=\"og:description\" content=\"Ara\u015ft\u0131rmalara g\u00f6re Pektus ekskavatum yani\u00a0kundurac\u0131 g\u00f6\u011fs\u00fc g\u00f6\u011f\u00fcs deformitelerinin yakla\u015f\u0131k -90\u2019\u0131n\u0131 olu\u015fturur.\u00a0\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/kunduraci-gogsu-pektus-ekskavatum-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2023-12-08T09:06:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-12-08T09:08:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/12\/Pectus-Excavatum.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"436\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - Best Doctors and Hospital Istanbul\",\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr-TR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kunduraci-gogsu-pektus-ekskavatum-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/12\/Pectus-Excavatum.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/12\/Pectus-Excavatum.jpg\",\"width\":600,\"height\":436,\"caption\":\"Pectus Excavatum\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kunduraci-gogsu-pektus-ekskavatum-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kunduraci-gogsu-pektus-ekskavatum-nedir\/\",\"name\":\"Kundurac\u0131 G\u00f6\u011fs\u00fc (Pektus Ekskavatum) Nedir? 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