{"id":10971,"date":"2024-12-24T13:26:26","date_gmt":"2024-12-24T13:26:26","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=10971"},"modified":"2025-12-19T09:32:39","modified_gmt":"2025-12-19T09:32:39","slug":"perianal-apse-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-apse-nedir\/","title":{"rendered":"Perianal Apse Nedir?"},"content":{"rendered":"

Perianal Apse<\/a> Nedir?<\/strong><\/h2>\n

Anal Apsesi \u00a0yani perianal apse, an\u00fcs ve etraf\u0131nda ortaya \u00e7\u0131kan iris dolu bir \u015fi\u015fliktir.<\/p>\n

Enfeksiyonal bir durum olan makatta apse, an\u00fcs \u00e7evresinde bulunan bezlerin t\u0131kanmas\u0131 sonucunda geli\u015febilir.<\/p>\n

Cilt alt\u0131nda biriken iris dolu bir \u015fi\u015flik \u015feklinde g\u00f6r\u00fclen makat apsesi, a\u011fr\u0131, ate\u015f ve halsizlik \u015feklinde kendini g\u00f6sterebilir.<\/p>\n

Baz\u0131 durumlarda da bu belirtilere s\u0131cakl\u0131k hissi de eklenir. Makatta apsenin en \u00f6nemli tedavisi apseyi bo\u015faltarak olu\u015ftu\u011fu b\u00f6lgeyi temizlemektir.<\/p>\n

B\u00f6ylelikle enfeksiyonun yay\u0131lmas\u0131 \u00f6nlenmi\u015f olur. Tedavi edilmedi\u011fi durumda ise ciddi komplikasyonlara sebebiyet verir.<\/p>\n

Anal \u00a0Apsesinin Belirtileri Nelerdir?<\/strong><\/h3>\n

Makattaki apsenin en yayg\u0131n semptomu, an\u00fcs\u00fcn\u00fcz\u00fcn kenar\u0131na yak\u0131n \u015fi\u015fmi\u015f ve hassas bir \u00e7\u0131band\u0131r. (B\u00fcy\u00fck bir sivilceye benzer).<\/p>\n

Makat apsesi<\/strong>\u00a0k\u0131rm\u0131z\u0131, a\u015f\u0131r\u0131 derecede a\u011fr\u0131l\u0131 veya s\u00fcrekli zonklay\u0131c\u0131 olabilir.<\/p>\n

    \n
  • Oturmak,<\/li>\n
  • \u00d6ks\u00fcrmek ve<\/li>\n
  • Kaka yapmak<\/li>\n<\/ul>\n

    a\u011fr\u0131y\u0131 daha da k\u00f6t\u00fcle\u015ftirebilir.<\/p>\n

      \n
    • An\u00fcsten irin benzeri ak\u0131nt\u0131.<\/li>\n
    • An\u00fcs veya rektumda a\u011fr\u0131.<\/li>\n
    • K\u0131rm\u0131z\u0131, \u015fi\u015f ve a\u011fr\u0131l\u0131 yumru veya nod\u00fcl.<\/li>\n
    • Kab\u0131zl\u0131k veya a\u011fr\u0131l\u0131 ba\u011f\u0131rsak hareketleri.<\/li>\n
    • An\u00fcs\u00fcn etraf\u0131ndaki dokunun tahri\u015f olmas\u0131.<\/li>\n
    • Rektal kanama.<\/li>\n
    • Karn\u0131n alt k\u0131sm\u0131nda a\u011fr\u0131.<\/li>\n
    • Ate\u015f, titreme ve di\u011fer grip benzeri semptomlara neden olur.<\/li>\n<\/ul>\n

      Perianal Apsesi <\/strong>Neden Olur?<\/strong><\/h3>\n

      Makat apsesi, an\u00fcs ve \u00e7evresinde yer alan dokularda bakteri ya da bezlerin enfekte olmas\u0131ndan dolay\u0131 ortaya \u00e7\u0131kar.<\/p>\n

      Bu bakteri ve enfeksiyon genellikle;<\/strong><\/h4>\n
        \n
      • ba\u011f\u0131\u015f\u0131kl\u0131k sistemi problemleri,<\/li>\n
      • hijyen eksikli\u011fi,<\/li>\n
      • cinsel hastal\u0131klara<\/li>\n
      • ya da travmalar<\/li>\n<\/ul>\n

        sonucunda meydana gelir.<\/p>\n

          \n
        • Anal fist\u00fcllerde bakterilerin cilt alt\u0131na girerek enfeksiyon olu\u015fturmas\u0131<\/li>\n
        • B\u00f6lgede travma<\/li>\n
        • Cinsel yolla bula\u015fan hastal\u0131klar<\/li>\n
        • Kronik ishal veya kab\u0131zl\u0131k gibi ba\u011f\u0131rsaklar\u0131 etkileyen t\u0131bbi durumlar<\/li>\n
        • Hidradenitis s\u00fcpp\u00fcrativa (k\u00f6pek memesi hastal\u0131\u011f\u0131)<\/li>\n
        • Anal bezlerin t\u0131kanmas\u0131<\/li>\n
        • HIV\/AIDS gibi ba\u011f\u0131\u015f\u0131kl\u0131k sistemi sorunlar\u0131<\/li>\n
        • Crohn hastal\u0131\u011f\u0131 veya \u00fclseratif kolit gibi inflamatuvar ba\u011f\u0131rsak hastal\u0131klar\u0131:<\/li>\n
        • Anal b\u00f6lgenin temiz tutulmamas\u0131<\/li>\n
        • An\u00fcs \u00e7evresindeki ciltte veya dokularda meydana gelen kesikler<\/li>\n<\/ul>\n

          Makat apsesi belirtisi g\u00f6r\u00fcld\u00fc\u011f\u00fc durumda enfeksiyonun yay\u0131lmas\u0131n\u0131 ve komplikasyonlar\u0131 \u00f6nlemek i\u00e7in uzman doktor ba\u015fvurmak \u00f6nemlidir.<\/p>\n

          Anal Apsesi \u00c7e\u015fitleri Nelerdir?<\/strong><\/h3>\n
            \n
          • \n

            \u0130ntersfinkterik Anal Apse<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

            Salg\u0131 bezlerinde olu\u015fan apsenin makat kastlar\u0131 aras\u0131ndaki bo\u015flu\u011fa dolmas\u0131 ile olu\u015fan apse \u00e7e\u015fididir.<\/p>\n

              \n
            • \n

              Perianal Apse<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

              Olu\u015fan apsenin makat kaslar\u0131 aras\u0131ndan cilde do\u011fru ilerleyerek perianal bo\u015flu\u011fa dolmas\u0131 ile olu\u015fan apse \u00e7e\u015fididir.<\/p>\n

                \n
              • \n

                Suprasfinkterik Anal Apse: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                Olu\u015fan apsenin makat\u0131n ters y\u00f6n\u00fcnde yukar\u0131ya do\u011fru ilerlemesi ile supralevator bo\u015flu\u011fa yay\u0131lmas\u0131 ile olu\u015fan apse \u00e7e\u015fididir.<\/p>\n

                  \n
                • \n

                  \u0130skional Anal Apse<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                  Olu\u015fan apsenin makat d\u0131\u015f kas\u0131n\u0131 ge\u00e7erek iskional bo\u015flu\u011fa yay\u0131lmas\u0131 ile olu\u015fan apse \u00e7e\u015fididir.<\/p>\n

                  Perianal Apse \u00a0Olu\u015fumu \u0130\u00e7in Kimler Risk Alt\u0131ndad\u0131r?<\/strong><\/h3>\n
                    \n
                  • Crohn hastal\u0131\u011f\u0131veya\u00a0\u00fclseratif kolit\u00a0gibi iltihapl\u0131 ba\u011f\u0131rsak hastal\u0131\u011f\u0131 (IBD)<\/li>\n
                  • Diyabet<\/li>\n
                  • Divertik\u00fclit<\/li>\n
                  • HIV\/ AIDS<\/li>\n
                  • Cinsel yolla bula\u015fan enfeksiyonlar (CYBE)<\/li>\n
                  • Hamilelik<\/li>\n
                  • Sigara i\u00e7mek<\/li>\n
                  • Prednizon , kemoterapi gibi ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan ila\u00e7lar<\/li>\n
                  • S\u0131k s\u0131k ishal veya kab\u0131zl\u0131k ya\u015famak<\/li>\n
                  • Rektuma nesneler yerle\u015ftirmek (seks s\u0131ras\u0131nda oldu\u011fu gibi)<\/li>\n<\/ul>\n

                    Anal Apsenin Tan\u0131 ve Tedavi Y\u00f6ntemleri Nelerdir?<\/strong><\/h3>\n

                    Anal apse belirtileri ile ki\u015finin hekime ba\u015fvurmas\u0131n\u0131n ard\u0131ndan hekim \u00f6ncelikle hastan\u0131n \u00f6yk\u00fcs\u00fcn\u00fc dinler. Ve ard\u0131ndan fizik muayene ve rektal tu\u015fe yapar.<\/p>\n

                    Gerekli durumlarda;<\/strong><\/h4>\n
                      \n
                    • Endoskopi,<\/li>\n
                    • Anoskopi ve<\/li>\n
                    • Rektoskopi<\/li>\n<\/ul>\n

                      Yap\u0131l\u0131r.<\/p>\n

                      Ayr\u0131ca hekim anal apse tan\u0131s\u0131n\u0131n netle\u015ftirilmesi i\u00e7in;<\/strong><\/h4>\n
                        \n
                      • Endoanal ultrasonografi, (ERUS)<\/li>\n
                      • Pelvik BT veya<\/li>\n
                      • Pelvik MR<\/li>\n<\/ul>\n

                        ile g\u00f6r\u00fcnt\u00fcleme yap\u0131lmas\u0131n\u0131 isteyebilir.<\/p>\n

                        Anal Apse Tedavisi<\/strong><\/h3>\n

                        Anal apse genellikle tedavi i\u00e7in cerrahi m\u00fcdahale gerektirir. Lokal anestezi alt\u0131nda apse \u00fczerindeki deride k\u00fc\u00e7\u00fck bir kesi yap\u0131l\u0131r ve irinin bo\u015falt\u0131lmas\u0131na izin verilir.<\/p>\n

                        Baz\u0131 durumlarda, gerekirse s\u00fcrekli drenaj\u0131 kolayla\u015ft\u0131rmak i\u00e7in b\u00f6lgeye bir drenaj yerle\u015ftirilebilir. Daha derin anal apseler i\u00e7in genel anestezi uygulanabilir.<\/p>\n

                        Apse bo\u015falt\u0131ld\u0131ktan sonra kalan bo\u015flu\u011fun do\u011fal olarak dokuyla dolmas\u0131 genellikle yakla\u015f\u0131k bir ay s\u00fcrer. Ancak, anal apse vakalar\u0131n\u0131n yakla\u015f\u0131k %30’u tekrarlama e\u011filimindedir.<\/p>\n

                        Durum tekrar ortaya \u00e7\u0131karsa veya bo\u015fluk drenajdan sonra dokuyla dolmazsa, anal fist\u00fcl geli\u015fimine yol a\u00e7abilir.<\/p>\n

                        Anal Apse Bo\u015falt\u0131lmazsa Ne Olur?<\/strong><\/h3>\n

                        Anal apse bo\u015falt\u0131lmad\u0131\u011f\u0131 zaman cilde do\u011fru a\u00e7\u0131lmaya ba\u015flar. Cilt iltihab\u0131 ba\u015flar. Alan geni\u015fler.<\/p>\n

                        Zaman i\u00e7erisinde orada bir kanal olu\u015fumu g\u00f6r\u00fcl\u00fcr.<\/p>\n

                        Anal Apsesi Kimlerde G\u00f6r\u00fcl\u00fcr?<\/strong><\/h3>\n

                        Makat apseleri genellikle erkek bireylerde g\u00f6zlenen t\u0131bbi bir tablodur. Makat apsesinin 20-60 ya\u015f aral\u0131\u011f\u0131nda g\u00f6r\u00fclme ihtimali daha y\u00fcksektir. Bunun yan\u0131 s\u0131ra ki\u015finin fiziksel \u00f6zellikleri ve ya\u015fam tarz\u0131ndan kaynaklanan baz\u0131 fakt\u00f6rler de makat apsesine dair riskleri artt\u0131r\u0131r.<\/p>\n

                        Anal Apsenin Komplikasyonlar\u0131 Nelerdir?<\/strong><\/h3>\n

                        Makat apsesinin yol a\u00e7t\u0131\u011f\u0131 komplikasyonlar\u0131 s\u0131ralamam\u0131z gerekirse:<\/strong><\/h4>\n
                          \n
                        • Tekrar eden apseler<\/li>\n
                        • Enfeksiyon veya sepsis<\/li>\n
                        • Anal fist\u00fcl<\/li>\n
                        • Fournier kangreni<\/li>\n<\/ul>\n

                          Perianal Apse Tedavisi Sonras\u0131 Nelere Dikkat Edilmelidir?<\/strong><\/h3>\n

                          Anal apse tedavisi sonras\u0131 dikkat edilmesi gerekenler a\u015fa\u011f\u0131daki gibidir:<\/strong><\/h4>\n
                            \n
                          • Anal b\u00f6lgenin temizli\u011fi son derece dikkatle yap\u0131lmal\u0131d\u0131r.<\/li>\n
                          • Ameliyat sonras\u0131 yumu\u015fak, lifli g\u0131dalar t\u00fcketin.<\/li>\n
                          • Kab\u0131zl\u0131\u011f\u0131 \u00f6nlemek i\u00e7in bol su i\u00e7in.<\/li>\n
                          • Ameliyat b\u00f6lgesinin temizli\u011fine dikkat edin.<\/li>\n
                          • Fiziksel olarak a\u011f\u0131r olan etkinliklerden ka\u00e7\u0131n\u0131n.<\/li>\n
                          • Ameliyat sonras\u0131 herhangi bir komplikasyon fark ederseniz doktorunuza dan\u0131\u015f\u0131n.<\/li>\n
                          • Doktorunuzun \u00f6nerilerine uyun ve iyile\u015fme s\u00fcrecinde dinlenin.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                            Perianal Apse Nedir? Anal Apsesi \u00a0yani perianal apse, an\u00fcs ve etraf\u0131nda ortaya \u00e7\u0131kan iris dolu bir \u015fi\u015fliktir. Enfeksiyonal bir durum olan makatta apse, an\u00fcs \u00e7evresinde bulunan bezlerin t\u0131kanmas\u0131 sonucunda geli\u015febilir. Cilt alt\u0131nda biriken iris dolu bir \u015fi\u015flik \u015feklinde g\u00f6r\u00fclen makat apsesi, a\u011fr\u0131, ate\u015f ve halsizlik \u015feklinde kendini g\u00f6sterebilir. Baz\u0131 durumlarda da bu belirtilere s\u0131cakl\u0131k hissi […]<\/p>\n","protected":false},"author":3,"featured_media":10966,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[791,20],"tags":[2915,2916],"yoast_head":"\nPerianal Apse Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Anal Apsesi \u00a0yani perianal apse, an\u00fcs ve etraf\u0131nda ortaya \u00e7\u0131kan iris dolu bir \u015fi\u015fliktir. 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