{"id":10994,"date":"2025-01-02T15:37:41","date_gmt":"2025-01-02T15:37:41","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=10994"},"modified":"2025-01-02T15:40:10","modified_gmt":"2025-01-02T15:40:10","slug":"perianal-fistul-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/","title":{"rendered":"Perianal Fist\u00fcl Nedir?"},"content":{"rendered":"<h2><a href=\"https:\/\/turkeyistanbulmedical.com\/tr\/\">Perianal Fist\u00fcl<\/a> Nedir?<\/h2>\n<p>Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.<\/p>\n<p>Genellikle yaralanma, enfeksiyon, ameliyat sonras\u0131 komplikasyonlar veya cerrahi tedavi sonucu olu\u015fur.<\/p>\n<p>Latince &#8220;fist\u00fcl&#8221; teriminden t\u00fcretilen ve &#8220;t\u00fcp&#8221; anlam\u0131na gelen bu durum, genellikle an\u00fcs \u00e7evresinde olu\u015fur. Apseler, cerrahi prosed\u00fcrler veya Crohn hastal\u0131\u011f\u0131 gibi \u00e7e\u015fitli fakt\u00f6rler nedeniyle ortaya \u00e7\u0131kabilir.<\/p>\n<p>Fist\u00fcller v\u00fccuttaki yerlerine ba\u011fl\u0131 olarak farkl\u0131 semptomlar g\u00f6sterebilir.<\/p>\n<h4><strong>\u00d6rne\u011fin,<\/strong><\/h4>\n<p>Ba\u011f\u0131rsaklar ve mesane aras\u0131nda meydana geldiklerinde, genellikle idrar yolu enfeksiyonlar\u0131 veya idrarda kan (hemat\u00fcri) gibi semptomlara yol a\u00e7abilirler.<\/p>\n<p>Fist\u00fcl cerrahisi genellikle fist\u00fcl\u00fcn kapat\u0131ld\u0131\u011f\u0131 bir tedavi olarak ger\u00e7ekle\u015ftirilir. Ancak tedavi yakla\u015f\u0131m\u0131, durumun ciddiyetine ve hastan\u0131n ihtiya\u00e7lar\u0131na ba\u011fl\u0131 olarak de\u011fi\u015febilir.<\/p>\n<h3><strong>Perianal Fist\u00fcl \u00c7e\u015fitleri Nelerdir?<\/strong><\/h3>\n<h4><strong>Prensip olarak,<\/strong><\/h4>\n<ul>\n<li>V\u00fccudun herhangi bir yerinde g\u00f6r\u00fclebilir.<\/li>\n<li>Ancak en s\u0131k ba\u011f\u0131rsaklarda ve an\u00fcste geli\u015fir.<\/li>\n<li>\u0130drar yolunda \u00e7e\u015fitli organlara a\u00e7\u0131lan fist\u00fcller de geli\u015febilir.<\/li>\n<\/ul>\n<h3><strong>Anal Fist\u00fcl\u00a0<\/strong><\/h3>\n<p>Anal fist\u00fcller, ba\u011f\u0131rsa\u011f\u0131n sonu ile an\u00fcs\u00fc \u00e7evreleyen deri aras\u0131nda olu\u015fan anormal, t\u00fcnel benzeri yap\u0131lard\u0131r.<br \/>\nGenellikle an\u00fcs yak\u0131n\u0131nda bir enfeksiyon sonucu geli\u015fen bir apse sonucu olu\u015furlar.<br \/>\nApse bo\u015fald\u0131\u011f\u0131nda k\u00fc\u00e7\u00fck bir kanal kalabilir.<br \/>\nAnal fist\u00fcller rahats\u0131zl\u0131k ve cilt tahri\u015fi gibi ho\u015f olmayan semptomlara neden olabilir.<br \/>\nGenellikle kendi kendine iyile\u015fmezler. \u00c7o\u011fu durumda cerrahi olarak kapat\u0131lmalar\u0131 gerekir.<br \/>\nAnal fist\u00fcllerin en \u00f6nemli nedeni an\u00fcs \u00e7evresinde geli\u015fen apselerdir.<\/p>\n<p>Her iki ila d\u00f6rt ki\u015fiden birinde anal apse geli\u015fece\u011fi tahmin edilmektedir.<\/p>\n<p>Anal fist\u00fcller genellikle tedavi edilmedikleri takdirde nadiren iyile\u015ftikleri i\u00e7in ameliyat gerektirirler.<\/p>\n<h3><strong>\u0130drar Yolu Fist\u00fclleri\u00a0<\/strong><\/h3>\n<p><strong>\u0130drar yolu fist\u00fclleri<\/strong>,\u00a0idrar yolunu olu\u015fturan organlar ile deri veya yak\u0131ndaki ba\u015fka bir organ aras\u0131nda anormal bir ba\u011flant\u0131d\u0131r.<br \/>\nBu \u0130drar fist\u00fclleri inkontinansa ve enfeksiyona neden olabilir.<br \/>\nGenellikle \u00e7e\u015fitli ameliyatlardan sonra, travma nedeniyle, belirli hastal\u0131klar\u0131n bir komplikasyonu olarak veya radyasyon tedavisi nedeniyle olu\u015furlar.<br \/>\nEn s\u0131k histerektomi (rahim al\u0131nmas\u0131) ve sezaryen gibi abdominal veya pelvik ameliyatlar s\u0131ras\u0131nda mesanenin hasar g\u00f6rmesi sonucu olu\u015furlar.<br \/>\n\u0130drar fist\u00fcllerinin \u00e7o\u011fu cerrahi olarak onar\u0131l\u0131r.<br \/>\nEn s\u0131k \u00fcretra ve vajina aras\u0131nda olu\u015furlar. Anormal ba\u011flant\u0131 vajinadan d\u0131\u015fk\u0131 ve idrar s\u0131zmas\u0131na neden olabilir. \u0130drar yolunda olu\u015fabilen bir\u00e7ok fist\u00fcl t\u00fcr\u00fc vard\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Vezikovajinal Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Vajina ve mesane aras\u0131nda g\u00f6r\u00fcl\u00fcr. Kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen idrar yolu fist\u00fcl\u00fc t\u00fcr\u00fcd\u00fcr. En s\u0131k rastlanan nedeni histerektomi ameliyat\u0131 ge\u00e7mi\u015fidir.<\/p>\n<ul>\n<li>\n<h4><strong>Enterovezikal Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Mesane ve ba\u011f\u0131rsak aras\u0131nda bulunur. En yayg\u0131n idrar yolu fist\u00fcllerinden biridir.<\/p>\n<ul>\n<li>\n<h4><strong>Vezikouterin Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Mesane ve uterus aras\u0131nda bulunur.<\/p>\n<ul>\n<li>\n<h4><strong>\u00dcreterovajinal Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Vajina ve \u00fcreter aras\u0131nda bulunur. \u00dcreter b\u00f6brekler ve mesane aras\u0131nda idrar ta\u015f\u0131yan t\u00fcp \u015feklindeki organd\u0131r. Bu grup fist\u00fcllerin \u00e7o\u011fu ge\u00e7irilmi\u015f histerektomi veya di\u011fer pelvik cerrahi i\u015flemler nedeniyle ortaya \u00e7\u0131kar.<\/p>\n<ul>\n<li>\n<h4><strong>\u00dcretrovajinal Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Vajina ve \u00fcretra aras\u0131nda bulunur. \u00dcretra idrar\u0131 v\u00fccuttan atan idrar yolu b\u00f6l\u00fcm\u00fcd\u00fcr.<\/p>\n<ul>\n<li>\n<h4><strong>Kolovezikal Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Kal\u0131n ba\u011f\u0131rsak ile mesane aras\u0131ndad\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Rektovajinal Fist\u00fcl: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Vajina ile rektum (kal\u0131n ba\u011f\u0131rsa\u011f\u0131n son k\u0131sm\u0131) aras\u0131nda bulunur.<\/p>\n<h3><strong>\u00a0<\/strong><strong>Di\u011fer Fist\u00fcller:<\/strong><\/h3>\n<ul>\n<li>\n<h4><strong>Enteroenterik Fist\u00fcl: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Ba\u011f\u0131rsaklar\u0131n iki farkl\u0131 b\u00f6l\u00fcm\u00fc aras\u0131nda olu\u015fur.<\/p>\n<ul>\n<li>\n<h4><strong>Enterokolik Fist\u00fcl:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>\u0130nce ba\u011f\u0131rsak ile kal\u0131n ba\u011f\u0131rsak aras\u0131nda anormal bir ba\u011flant\u0131 vard\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Enterokutan Fist\u00fcl: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Ba\u011f\u0131rsak ile cilt aras\u0131nda bulunur.<\/p>\n<ul>\n<li>\n<h4><strong>Enterovaginal: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Vajina ile ba\u011f\u0131rsaklar aras\u0131nda olu\u015fur.<\/p>\n<p>Bu fist\u00fcller, v\u00fccudun farkl\u0131 b\u00f6lgelerinde meydana gelerek \u00e7e\u015fitli sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilir. Ve genellikle cerrahi m\u00fcdahale gerektirir.<\/p>\n<h3><strong>Perianal Fist\u00fcl Neden Olu\u015fur?\u00a0<\/strong><\/h3>\n<h3><strong>Fist\u00fcl Olu\u015fum Nedenleri: <\/strong><\/h3>\n<ul>\n<li>\n<h4><strong>\u0130yile\u015fmeyen Apseler:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Uzun s\u00fcre iyile\u015fmeyen ve v\u00fccut s\u0131v\u0131lar\u0131yla s\u00fcrekli dolan apseler, cilde, bir v\u00fccut bo\u015flu\u011funa veya bir organa do\u011fru uzanarak fist\u00fcl olu\u015fumuna sebep olabilir.<\/p>\n<ul>\n<li>\n<h4><strong>Do\u011fum S\u0131ras\u0131nda Olu\u015fan Y\u0131rt\u0131klar: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Do\u011fum s\u0131ras\u0131nda meydana gelen ciddi vajinal y\u0131rt\u0131klar ya <span class=\"diff--UX1Av\">da <\/span>epizyotomi kesiklerinde <span class=\"diff--UX1Av\">g<\/span>e<span class=\"diff--UX1Av\">li<\/span><span class=\"diff--UX1Av\">\u015f<\/span>en e<span class=\"diff--UX1Av\">nf<\/span>e<span class=\"diff--UX1Av\">k<\/span>si<span class=\"diff--UX1Av\">yon<\/span>, vajina <span class=\"diff--UX1Av\">i<\/span><span class=\"diff--UX1Av\">l<\/span>e rektum aras\u0131nda rektovajinal fist\u00fcl<span class=\"diff--UX1Av\">\u00fcn<\/span> olu\u015fma<span class=\"diff--UX1Av\">s\u0131na<\/span> yol a\u00e7abilir.<\/p>\n<ul>\n<li>\n<h4><strong>Sindirim Sistemi Ameliyatlar\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Bu t\u00fcr <span class=\"diff--UX1Av\">c<\/span>e<span class=\"diff--UX1Av\">rr<\/span>a<span class=\"diff--UX1Av\">hi<\/span> <span class=\"diff--UX1Av\">m\u00fcd<\/span>a<span class=\"diff--UX1Av\">h<\/span>a<span class=\"diff--UX1Av\">lelerin<\/span> <span class=\"diff--UX1Av\">ard\u0131ndan <\/span>ba\u011f\u0131rsaklarda <span class=\"diff--UX1Av\">da <\/span>fist\u00fcl olu\u015fumu g\u00f6zlemlenebilir. Ay<span class=\"diff--UX1Av\">r<\/span>\u0131<span class=\"diff--UX1Av\">c<\/span>a, kanser tedavisi <span class=\"diff--UX1Av\">s\u0131ras\u0131nda <\/span>uygulanan radyoterapi sonras\u0131<span class=\"diff--UX1Av\">nda<\/span> da <span class=\"diff--UX1Av\">benzer<\/span> <span class=\"diff--UX1Av\">d<\/span>u<span class=\"diff--UX1Av\">r<\/span><span class=\"diff--UX1Av\">uml<\/span>ar <span class=\"diff--UX1Av\">ortaya \u00e7\u0131kabilir. <\/span><\/p>\n<ul>\n<li>\n<h4><strong>Kronik \u0130nflamatuar Ba\u011f\u0131rsak Hastal\u0131klar\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p><span class=\"diff--UX1Av\">Crohn <\/span>hastal\u0131\u011f\u0131 ve \u00fclseratif kolit gibi <span class=\"diff--UX1Av\">il<\/span>t<span class=\"diff--UX1Av\">ih<\/span>a<span class=\"diff--UX1Av\">bi<\/span> <span class=\"diff--UX1Av\">ba\u011f\u0131rsak hastal\u0131klar\u0131, <\/span>cinsel yolla bula\u015fan baz\u0131 enfeksiyonlar, HIV ve<span class=\"diff--UX1Av\">ya<\/span> t\u00fcberk\u00fcloz gibi <span class=\"diff--UX1Av\">hasta<\/span>l<span class=\"diff--UX1Av\">\u0131kl<\/span>ar <span class=\"diff--UX1Av\">da <\/span>fist\u00fcl olu\u015fumuna <span class=\"diff--UX1Av\">s<\/span>e<span class=\"diff--UX1Av\">b<\/span>e<span class=\"diff--UX1Av\">p<\/span> olabil<span class=\"diff--UX1Av\">ecek d<\/span>i<span class=\"diff--UX1Av\">\u011fe<\/span>r<span class=\"diff--UX1Av\"> etke<\/span>n<span class=\"diff--UX1Av\">l<\/span>er <span class=\"diff--UX1Av\">ara<\/span>s<span class=\"diff--UX1Av\">\u0131<\/span>nd<span class=\"diff--UX1Av\">a<\/span>d<span class=\"diff--UX1Av\">\u0131r. <\/span><\/p>\n<ul>\n<li>\n<h4><strong>Kanser: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p><span class=\"diff--UX1Av\">K<\/span>a<span class=\"diff--UX1Av\">n<\/span><span class=\"diff--UX1Av\">se<\/span>r b<span class=\"diff--UX1Av\">iyolojik<\/span> <span class=\"diff--UX1Av\">yap\u0131ya zarar vererek <\/span>fist\u00fcl olu\u015fumunu tetikleyebilir. Bu<span class=\"diff--UX1Av\">nun<\/span> <span class=\"diff--UX1Av\">yan\u0131 s\u0131ra, <\/span>kanser tedavi<span class=\"diff--UX1Av\">l<\/span><span class=\"diff--UX1Av\">er<\/span>inde <span class=\"diff--UX1Av\">k<\/span>ul<span class=\"diff--UX1Av\">l<\/span>an<span class=\"diff--UX1Av\">\u0131l<\/span>an radyoterapi de <span class=\"diff--UX1Av\">bu<\/span> s\u00fc<span class=\"diff--UX1Av\">r<\/span><span class=\"diff--UX1Av\">eci<\/span> <span class=\"diff--UX1Av\">h<\/span><span class=\"diff--UX1Av\">\u0131z<\/span>l<span class=\"diff--UX1Av\">a<\/span>n<span class=\"diff--UX1Av\">d\u0131r<\/span>a<span class=\"diff--UX1Av\">bi<\/span>lir.<\/p>\n<ul>\n<li>\n<h4><strong>T\u0131bbi Cihazlar:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Kateter veya endoskopi gibi t\u0131bbi cihazlar\u0131n yanl\u0131\u015f kullan\u0131m\u0131 sonucu<span class=\"diff--UX1Av\">nda<\/span> <span class=\"diff--UX1Av\">meyd<\/span>an<span class=\"diff--UX1Av\">a<\/span> <span class=\"diff--UX1Av\">gelebilecek <\/span>yaralar\u0131n iltihaplanmas\u0131 <span class=\"diff--UX1Av\">yine <\/span>fist\u00fcl <span class=\"diff--UX1Av\">g<\/span><span class=\"diff--UX1Av\">e<\/span>l<span class=\"diff--UX1Av\">i<\/span>\u015f<span class=\"diff--UX1Av\">i<\/span>m<span class=\"diff--UX1Av\">i<\/span>n<span class=\"diff--UX1Av\">e<\/span> <span class=\"diff--UX1Av\">zem<\/span><span class=\"diff--UX1Av\">in<\/span> <span class=\"diff--UX1Av\">h<\/span>a<span class=\"diff--UX1Av\">z<\/span><span class=\"diff--UX1Av\">\u0131rl<\/span>a<span class=\"diff--UX1Av\">ya<\/span>bilir.<\/p>\n<ul>\n<li>\n<h4><strong>Divertik\u00fclit: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Kal\u0131n ba\u011f\u0131rsakta <span class=\"diff--UX1Av\">yer<\/span> <span class=\"diff--UX1Av\">alan <\/span>k\u00fc\u00e7\u00fck keseciklerin enfek<span class=\"diff--UX1Av\">te<\/span> <span class=\"diff--UX1Av\">olmas\u0131, ba\u015fka bir <\/span>fist\u00fcl <span class=\"diff--UX1Av\">sebebi <\/span>ola<span class=\"diff--UX1Av\">rak<\/span> <span class=\"diff--UX1Av\">d<\/span>e<span class=\"diff--UX1Av\">\u011f<\/span>e<span class=\"diff--UX1Av\">r<\/span>l<span class=\"diff--UX1Av\">en<\/span><span class=\"diff--UX1Av\">d<\/span>i<span class=\"diff--UX1Av\">r<\/span>i<span class=\"diff--UX1Av\">lebili<\/span>r.<\/p>\n<ul>\n<li>\n<h4><strong>Hidradenitis Suppurativa:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p><span class=\"diff--UX1Av\">Kron<\/span><span class=\"diff--UX1Av\">i<\/span>k cilt hastal\u0131<span class=\"diff--UX1Av\">k<\/span><span class=\"diff--UX1Av\">lar<\/span>\u0131 <span class=\"diff--UX1Av\">da <\/span>apselere ve yara izlerine neden ola<span class=\"diff--UX1Av\">rak <\/span>b<span class=\"diff--UX1Av\">e<\/span>r<span class=\"diff--UX1Av\">ab<\/span>e<span class=\"diff--UX1Av\">rinde<\/span> fist\u00fcl olu\u015fumunu <span class=\"diff--UX1Av\">g<\/span>e<span class=\"diff--UX1Av\">ti<\/span>r<span class=\"diff--UX1Av\">e<\/span>b<span class=\"diff--UX1Av\">il<\/span>i<span class=\"diff--UX1Av\">r.<\/span><\/p>\n<ul>\n<li>\n<h4><strong>Cerrahi \u0130\u015flemler:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p><span class=\"diff--UX1Av\">R<\/span>e<span class=\"diff--UX1Av\">k<\/span>t<span class=\"diff--UX1Av\">al <\/span>b<span class=\"diff--UX1Av\">\u00f6<\/span>l<span class=\"diff--UX1Av\">ge<\/span>de veya <span class=\"diff--UX1Av\">an\u00fcs \u00e7evresinde yap\u0131lan <\/span>hemoroid <span class=\"diff--UX1Av\">y<\/span>a <span class=\"diff--UX1Av\">da di\u011fer ameliyatlar, <\/span>rahmin al\u0131nmas\u0131, sezaryen <span class=\"diff--UX1Av\">oper<\/span>a<span class=\"diff--UX1Av\">sy<\/span><span class=\"diff--UX1Av\">on<\/span>lar<span class=\"diff--UX1Av\">\u0131<\/span> ve vajinan\u0131n arka duvar\u0131na y<span class=\"diff--UX1Av\">\u00f6n<\/span><span class=\"diff--UX1Av\">e<\/span>l<span class=\"diff--UX1Av\">ik<\/span> <span class=\"diff--UX1Av\">c<\/span>er<span class=\"diff--UX1Av\">r<\/span>a<span class=\"diff--UX1Av\">hi<\/span> <span class=\"diff--UX1Av\">i\u015flemler de <\/span>fist\u00fcl <span class=\"diff--UX1Av\">g<\/span><span class=\"diff--UX1Av\">e<\/span>l<span class=\"diff--UX1Av\">i<\/span>\u015f<span class=\"diff--UX1Av\">i<\/span>m<span class=\"diff--UX1Av\">i<\/span>n<span class=\"diff--UX1Av\">i<\/span> <span class=\"diff--UX1Av\">t<\/span>e<span class=\"diff--UX1Av\">t<\/span><span class=\"diff--UX1Av\">ikl<\/span>e<span class=\"diff--UX1Av\">ye<\/span>n <span class=\"diff--UX1Av\">f<\/span>a<span class=\"diff--UX1Av\">kt<\/span><span class=\"diff--UX1Av\">\u00f6r<\/span>l<span class=\"diff--UX1Av\">e<\/span>r <span class=\"diff--UX1Av\">aras\u0131nd<\/span><span class=\"diff--UX1Av\">a<\/span> <span class=\"diff--UX1Av\">y<\/span>e<span class=\"diff--UX1Av\">r a<\/span>l<span class=\"diff--UX1Av\">\u0131<\/span>r<span class=\"diff--UX1Av\">. <\/span><span class=\"diff--UX1Av\">T<\/span>\u00fc<span class=\"diff--UX1Av\">m<\/span> <span class=\"diff--UX1Av\">bu nedenler, v\u00fccudun <\/span>farkl\u0131 b\u00f6lgeler<span class=\"diff--UX1Av\">in<\/span>de fist\u00fcl olu\u015fumuna yol a\u00e7abilir <span class=\"diff--UX1Av\">v<\/span>e \u00e7o\u011fu <span class=\"diff--UX1Av\">du<\/span><span class=\"diff--UX1Av\">ru<\/span>m<span class=\"diff--UX1Av\">d<\/span>a <span class=\"diff--UX1Av\">tedavi i\u00e7in <\/span>cerrahi m\u00fcdahale gerektirir.<\/p>\n<h3><strong>Perianal Fist\u00fcl Belirtileri Nelerdir?\u00a0<\/strong><\/h3>\n<p>Fist\u00fcl belirtileri anormal ba\u011flant\u0131n\u0131n nerede olu\u015ftu\u011funa ba\u011fl\u0131d\u0131r. Perianal fist\u00fclde makatta s\u00fcrekli bir a\u011fr\u0131 veya \u015fi\u015flik olabilir. Ba\u011f\u0131rsak ve mesane aras\u0131ndaki bir fist\u00fcl, tekrar eden idrar yolu enfeksiyonlar\u0131na neden olabilir. Ba\u011f\u0131rsa\u011f\u0131n iki b\u00f6l\u00fcm\u00fc aras\u0131ndaki fist\u00fcller herhangi bir belirtiye neden olmayabilir. Fist\u00fcl belirtileri aras\u0131nda a\u011fr\u0131, ate\u015f, hassasiyet, ka\u015f\u0131nt\u0131, irin veya k\u00f6t\u00fc kokulu ak\u0131nt\u0131 bulunur. Belirtiler fist\u00fcl\u00fcn ciddiyeti ve konumuna g\u00f6re de\u011fi\u015fir.<\/p>\n<h3><strong>Perianal Fist\u00fcl Belirtileri\u00a0<\/strong><\/h3>\n<ul>\n<li>An\u00fcs \u00e7evresindeki ciltte tahri\u015f<\/li>\n<li>Otururken, hareket ederken, d\u0131\u015fk\u0131lama s\u0131ras\u0131nda veya \u00f6ks\u00fcr\u00fcrken artan s\u00fcrekli ve zonklay\u0131c\u0131 bir a\u011fr\u0131<\/li>\n<li>Makat \u00e7evresinde k\u00f6t\u00fc kokulu ak\u0131nt\u0131<\/li>\n<li>D\u0131\u015fk\u0131lama s\u0131ras\u0131nda irin veya kan gelmesi<\/li>\n<li>Apse varsa makat etraf\u0131nda \u015fi\u015fme, k\u0131zar\u0131kl\u0131k ve \u0131s\u0131 art\u0131\u015f\u0131<\/li>\n<li>Baz\u0131 durumlarda ba\u011f\u0131rsak hareketlerini kontrol etmede zorluk<\/li>\n<\/ul>\n<p>Fist\u00fcl\u00fcn ucu deride makat yak\u0131n\u0131nda k\u00fc\u00e7\u00fck bir delik \u015fekilde g\u00f6r\u00fclebilir, ancak bunu hastan\u0131n kendisinin g\u00f6rmesi zor olabilir.<\/p>\n<h3><strong>\u0130drar Yolu Fist\u00fcl\u00fc Belirtileri\u00a0<\/strong><\/h3>\n<ul>\n<li>Vajinadan s\u0131v\u0131 s\u0131zmas\u0131<\/li>\n<li>S\u00fcrekli idrar ka\u00e7a\u011f\u0131<\/li>\n<li>Vajinadan k\u00f6t\u00fc koku gelmesi<\/li>\n<li>Vajinadan d\u0131\u015fk\u0131 s\u0131zmas\u0131<\/li>\n<li>S\u0131k tekrarlayan idrar yolu enfeksiyonlar\u0131<\/li>\n<li>\u0130drar yaparken idrar yollar\u0131ndan gaz \u00e7\u0131k\u0131\u015f\u0131 olmas\u0131<\/li>\n<li>Kad\u0131nlarda genital b\u00f6lge cildinde tahri\u015f<\/li>\n<li>Kar\u0131n a\u011fr\u0131s\u0131<\/li>\n<\/ul>\n<h3><strong>Perianal Fist\u00fcl Tan\u0131s\u0131 Nas\u0131l Konur?\u00a0<\/strong><\/h3>\n<h3><strong>Fist\u00fcl Tan\u0131s\u0131 ve G\u00f6r\u00fcnt\u00fcleme Y\u00f6ntemleri: <\/strong><\/h3>\n<p>Fist\u00fcllerin te\u015fhisi genellikle hastan\u0131n \u015fikayetlerine ve fizik muayenesine dayanarak yap\u0131l\u0131r. Gerekli durumlarda \u00e7e\u015fitli g\u00f6r\u00fcnt\u00fcleme teknikleri kullan\u0131labilir.<\/p>\n<h4><strong>\u0130\u015fte bu y\u00f6ntemlerden baz\u0131lar\u0131:<\/strong><\/h4>\n<ul>\n<li>\n<h4><strong>Anal Fist\u00fcl Testleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<ol>\n<li>Anoskopi yap\u0131l\u0131r. (An\u00fcs ve rektumunuzun i\u00e7ini g\u00f6rmek i\u00e7in \u00f6zel bir aletin kullan\u0131ld\u0131\u011f\u0131 bir prosed\u00fcrd\u00fcr.)<\/li>\n<li>Doktorunuz fist\u00fcl yolunu daha iyi g\u00f6rebilmek i\u00e7in anal b\u00f6lgenin ultrason veya MRG\u2019sini ister.<\/li>\n<li>Bazen cerrah\u0131n\u0131z\u0131n fist\u00fcl\u00fc te\u015fhis etmek i\u00e7in sizi ameliyathanede anestezi alt\u0131nda muayene etmesi gerekebilir.<\/li>\n<\/ol>\n<ul>\n<li>\n<h4><strong>Bilgisayarl\u0131 Tomografi (BT): <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>BT taramas\u0131, fist\u00fcl\u00fcn yerini ve yay\u0131l\u0131m\u0131n\u0131 tespit etmek i\u00e7in kullan\u0131labilir.<\/p>\n<ul>\n<li>\n<h4><strong>Baryum Lavman\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Kolonun r\u00f6ntgen filmi \u00e7ekilirken baryum sol\u00fcsyonu kullan\u0131l\u0131r. Bu y\u00f6ntem, ba\u011f\u0131rsaklardaki fist\u00fcllerin belirlenmesinde etkilidir.<\/p>\n<ul>\n<li>\n<h4><strong>Kolonoskopi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Ba\u011f\u0131rsaklar\u0131n i\u00e7 y\u00fczeyinin incelenmesi i\u00e7in kullan\u0131lan bir y\u00f6ntemdir. Ve ba\u011f\u0131rsak fist\u00fcllerinin te\u015fhisinde \u00f6nemli olabilir.<\/p>\n<ul>\n<li>\n<h4><strong>Sigmoidoskopi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Rektum ve sigmoid kolonun i\u00e7 y\u00fczeyinin incelenmesi i\u00e7in kullan\u0131l\u0131r. Ve bu b\u00f6lgelerdeki fist\u00fcllerin tespit edilmesine yard\u0131mc\u0131 olabilir.<\/p>\n<ul>\n<li>\n<h4><strong>\u00dcst Endoskopi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Mide ve onikiparmak ba\u011f\u0131rsa\u011f\u0131 gibi \u00fcst sindirim sistemi organlar\u0131n\u0131n incelenmesinde kullan\u0131l\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Fistulogram:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Fist\u00fcl i\u00e7ine kontrast boya enjekte edilerek r\u00f6ntgen filmi \u00e7ekilir. Bu y\u00f6ntem, fist\u00fcl\u00fcn yap\u0131s\u0131n\u0131 ve y\u00f6n\u00fcn\u00fc belirlemeye yard\u0131mc\u0131 olur. Rektumdaki fist\u00fcller i\u00e7in lavman benzeri bir uygulama yap\u0131l\u0131rken, cilde a\u00e7\u0131lan fist\u00fcllerde k\u00fc\u00e7\u00fck bir t\u00fcp arac\u0131l\u0131\u011f\u0131yla boya enjekte edilir. \u00c7ekilen grafiler, hastan\u0131n pozisyonu de\u011fi\u015ftirilerek farkl\u0131 a\u00e7\u0131lardan elde edilir.<\/p>\n<h3><strong>Perianal Fist\u00fcl Tedavisi<\/strong><\/h3>\n<p>Fist\u00fclleri tedavi etmek i\u00e7in \u00e7e\u015fitli y\u00f6ntemler vard\u0131r.<br \/>\nCerrahi m\u00fcdahale gereklidir.<br \/>\nTedavi antibiyotiklerle de desteklenir.<br \/>\nAncak, antibiyotikler tek ba\u015f\u0131na durumu iyile\u015ftirmez.<br \/>\nCerrahi tedavi gereklidir.<br \/>\n\u0130yile\u015fmenin sa\u011flanmas\u0131 esast\u0131r. Semptomlar <span class=\"diff--UX1Av\">b<\/span><span class=\"diff--UX1Av\">eli<\/span>r<span class=\"diff--UX1Av\">di\u011fi<\/span> <span class=\"diff--UX1Av\">and<\/span>a m\u00fcdahale edilmesi <span class=\"diff--UX1Av\">tavs<\/span>i<span class=\"diff--UX1Av\">y<\/span><span class=\"diff--UX1Av\">e ed<\/span>i<span class=\"diff--UX1Av\">li<\/span>r. \u00c7\u00fcnk\u00fc ne kadar uzun beklerseniz, bu sorun o kadar k\u00f6t\u00fcle\u015fecektir.<\/p>\n<h3><strong>Perianal Fist\u00fcl Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h3>\n<p>Fist\u00fcl ameliyat\u0131, fist\u00fcl\u00fcn kapat\u0131lmas\u0131 veya d\u00fczeltilmesi i\u00e7in yap\u0131lan cerrahi bir i\u015flemdir. Bu cerrahi i\u015flemin \u00e7e\u015fitli uygulama t\u00fcrleri vard\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Fist\u00fcl Flep Cerrahisi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Fist\u00fcl, uygun g\u00f6r\u00fclen doku transferi yap\u0131larak kapat\u0131l\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Ba\u011flant\u0131 Tamamlama Cerrahisi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Fist\u00fcl\u00fcn iki ucu aras\u0131ndaki ba\u011flant\u0131y\u0131 tamir edilerek fist\u00fcl kapat\u0131l\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Fist\u00fcl Odac\u0131\u011f\u0131 Kapatma Cerrahisi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Fist\u00fcl, bir doku transferi veya da doku geni\u015fletici bir materyalle doldurularak fist\u00fcl kapat\u0131l\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Endorektal Flap Cerrahisi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Fist\u00fcl, rektumun i\u00e7inden ge\u00e7en bir doku kullan\u0131larak kapat\u0131l\u0131r. Ameliyat an\u00fcs yolundan ula\u015f\u0131larak yap\u0131l\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Seton Uygulamas\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Bir ip veya par\u00e7a, fist\u00fcl etraf\u0131na yerle\u015ftirilir. Fist\u00fcl\u00fcn drenaj\u0131n\u0131 sa\u011flamak ve iyile\u015fme s\u00fcrecini k\u0131saltmak i\u00e7in uygulan\u0131r.<\/p>\n<ul>\n<li>\n<h4><strong>Fist\u00fclotomi:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Fist\u00fcl\u00fcn \u00e7evresindeki cilt ve dokular\u0131n kesildi\u011fi ameliyat t\u00fcr\u00fcd\u00fcr. Bu y\u00f6ntem, fist\u00fcl a\u011fz\u0131n\u0131 temizleyerek fist\u00fcl\u00fcn iyile\u015fmesini ama\u00e7lar.<\/p>\n<h3><strong>Perianal Fist\u00fcl Ameliyat\u0131 Riskleri Nelerdir?<\/strong><\/h3>\n<ul>\n<li>Hastan\u0131n genel sa\u011fl\u0131k durumu,<\/li>\n<li>Ya\u015f\u0131,<\/li>\n<li>Fist\u00fcl boyutu<\/li>\n<li>Ve yeri<\/li>\n<\/ul>\n<p>ameliyat riskini etkileyen fakt\u00f6rlerdir.<\/p>\n<div class=\"section--ib3tH\">\n<div class=\"heading--zixiM\">\n<div class=\"tool-operation-panel--CBBR6\">\n<div class=\"card--s0Wp3\">\n<div class=\"panels--H9NE_\">\n<div class=\"panel--qnBYP\">\n<div class=\"output-box--uf4HV\">\n<div class=\"result-content--vZPWP\">Fist\u00fcl ameliyat\u0131, <span class=\"diff--UX1Av\">genellikle y\u00fcksek bir <\/span>ba\u015far\u0131 oran\u0131<span class=\"diff--UX1Av\">na<\/span> s<span class=\"diff--UX1Av\">ahip<\/span> olsa da her cerrahi m<span class=\"diff--UX1Av\">\u00fc<\/span>d<span class=\"diff--UX1Av\">ahal<\/span>e<span class=\"diff--UX1Av\">de<\/span> oldu\u011fu gibi <span class=\"diff--UX1Av\">b<\/span><span class=\"diff--UX1Av\">az\u0131 r<\/span>is<span class=\"diff--UX1Av\">k<\/span>l<span class=\"diff--UX1Av\">er<\/span> <span class=\"diff--UX1Av\">t<\/span>a<span class=\"diff--UX1Av\">\u015f\u0131<\/span>ya<span class=\"diff--UX1Av\">bil<\/span><span class=\"diff--UX1Av\">i<\/span>r.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Kanama<\/li>\n<li>Enfeksiyon<\/li>\n<li>Ba\u011f\u0131rsak zedelenmesi<\/li>\n<li>\u0130drar torbas\u0131 zedelenmesi g\u00f6r\u00fclebilir.<\/li>\n<\/ul>\n<h3><strong>Perianal Fist\u00fcl Ameliyat\u0131 Sonras\u0131 Dikkat Edilmesi Gerekenler Nelerdir?<\/strong><\/h3>\n<p><strong>Anal fist\u00fcl ameliyat\u0131 sonras\u0131<\/strong><strong>nda dikkat edilmesi gereken durumlar \u015funlard\u0131r:<\/strong><\/p>\n<ul>\n<li>Ameliyat sonras\u0131 uygun hijyen, sorunsuz bir iyile\u015fme i\u00e7in olmazsa olmazd\u0131r. Tuvaleti kulland\u0131ktan sonra, tahri\u015fi \u00f6nlemek i\u00e7in cerrahi b\u00f6lge nazik\u00e7e temizlenmelidir.<\/li>\n<li>Herhangi bir komplikasyonu \u00f6nlemek i\u00e7in b\u00f6lgenin kuru kalmas\u0131n\u0131 sa\u011flamak da ayn\u0131 derecede \u00f6nemlidir. Dengeli bir diyet s\u00fcrd\u00fcrmek bu a\u015famada bir di\u011fer \u00f6nemli fakt\u00f6rd\u00fcr.<\/li>\n<li>Yemeklerinize yeterli lif eklemek d\u00fczenli ba\u011f\u0131rsak hareketlerini te\u015fvik etmeye yard\u0131mc\u0131 olurken, bol s\u0131v\u0131 i\u00e7erek iyi su i\u00e7mek genel iyile\u015fmeyi destekler.<\/li>\n<li>Ameliyattan sonra biraz rahats\u0131zl\u0131k veya a\u011fr\u0131 normaldir. Ve re\u00e7eteli a\u011fr\u0131 kesiciler bunu etkili bir \u015fekilde y\u00f6netmeye yard\u0131mc\u0131 olabilir.<\/li>\n<li>Ameliyat b\u00f6lgesine a\u015f\u0131r\u0131 bask\u0131 yap\u0131lmas\u0131 iyile\u015fme s\u00fcrecini etkileyebilece\u011finden, yorucu aktivitelerden ka\u00e7\u0131nman\u0131z \u00f6nerilir.<\/li>\n<li>Doktorunuzla rutin takipler, ilerlemeyi takip etmek ve ortaya \u00e7\u0131kabilecek sorunlar\u0131 ele almak i\u00e7in kritik \u00f6neme sahiptir.<\/li>\n<li>Ek olarak, sigara ve alkol gibi al\u0131\u015fkanl\u0131klardan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc bunlar iyile\u015fmeyi \u00f6nemli \u00f6l\u00e7\u00fcde yava\u015flatabilir. Ve komplikasyon riskini art\u0131rabilir.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Perianal Fist\u00fcl Nedir? Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r. Genellikle yaralanma, enfeksiyon, ameliyat sonras\u0131 komplikasyonlar veya cerrahi tedavi sonucu olu\u015fur. Latince &#8220;fist\u00fcl&#8221; teriminden t\u00fcretilen ve &#8220;t\u00fcp&#8221; anlam\u0131na gelen bu durum, genellikle an\u00fcs \u00e7evresinde olu\u015fur. Apseler, cerrahi prosed\u00fcrler veya Crohn hastal\u0131\u011f\u0131 gibi \u00e7e\u015fitli fakt\u00f6rler nedeniyle [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":10988,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[791],"tags":[2920],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v18.4.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Perianal Fist\u00fcl Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.\" \/>\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\/perianal-fistul-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Perianal Fist\u00fcl Nedir?\" \/>\n<meta property=\"og:description\" content=\"Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-02T15:37:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-02T15:40:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"640\" \/>\n\t<meta property=\"og:image:height\" content=\"640\" \/>\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=\"10 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\/perianal-fistul-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg\",\"width\":640,\"height\":640,\"caption\":\"Anal Fistula\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/\",\"name\":\"Perianal Fist\u00fcl Nedir? - Turkey Istanbul Medical\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#primaryimage\"},\"datePublished\":\"2025-01-02T15:37:41+00:00\",\"dateModified\":\"2025-01-02T15:40:10+00:00\",\"description\":\"Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.\",\"breadcrumb\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#breadcrumb\"},\"inLanguage\":\"tr-TR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/turkeyistanbulmedical.com\/tr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Perianal Fist\u00fcl Nedir?\"}]},{\"@type\":\"Article\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#webpage\"},\"author\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc\"},\"headline\":\"Perianal Fist\u00fcl Nedir?\",\"datePublished\":\"2025-01-02T15:37:41+00:00\",\"dateModified\":\"2025-01-02T15:40:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#webpage\"},\"wordCount\":2077,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg\",\"keywords\":[\"Perianal Fist\u00fcl\"],\"articleSection\":[\"Proktoloji\"],\"inLanguage\":\"tr-TR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#respond\"]}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc\",\"name\":\"Turkey Istanbul Medical\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#personlogo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g\",\"caption\":\"Turkey Istanbul Medical\"},\"sameAs\":[\"https:\/\/turkeyistanbulmedical.com\"],\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/author\/admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Perianal Fist\u00fcl Nedir? - Turkey Istanbul Medical","description":"Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/","og_locale":"tr_TR","og_type":"article","og_title":"Perianal Fist\u00fcl Nedir?","og_description":"Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.","og_url":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/","og_site_name":"Turkey Istanbul Medical","article_published_time":"2025-01-02T15:37:41+00:00","article_modified_time":"2025-01-02T15:40:10+00:00","og_image":[{"width":640,"height":640,"url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Written by":"Turkey Istanbul Medical","Est. reading time":"10 minutes"},"schema":{"@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\/perianal-fistul-nedir\/#primaryimage","inLanguage":"tr-TR","url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg","contentUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg","width":640,"height":640,"caption":"Anal Fistula"},{"@type":"WebPage","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#webpage","url":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/","name":"Perianal Fist\u00fcl Nedir? - Turkey Istanbul Medical","isPartOf":{"@id":"https:\/\/turkeyistanbulmedical.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#primaryimage"},"datePublished":"2025-01-02T15:37:41+00:00","dateModified":"2025-01-02T15:40:10+00:00","description":"Perianal Fist\u00fcl, iki ba\u011f\u0131ms\u0131z organ\u0131 veya kan damar\u0131n\u0131 birbirine ba\u011flayan anormal t\u00fcp benzeri bir ge\u00e7it veya ba\u011flant\u0131d\u0131r.","breadcrumb":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#breadcrumb"},"inLanguage":"tr-TR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/turkeyistanbulmedical.com\/tr\/"},{"@type":"ListItem","position":2,"name":"Perianal Fist\u00fcl Nedir?"}]},{"@type":"Article","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#article","isPartOf":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#webpage"},"author":{"@id":"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc"},"headline":"Perianal Fist\u00fcl Nedir?","datePublished":"2025-01-02T15:37:41+00:00","dateModified":"2025-01-02T15:40:10+00:00","mainEntityOfPage":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#webpage"},"wordCount":2077,"commentCount":0,"publisher":{"@id":"https:\/\/turkeyistanbulmedical.com\/#organization"},"image":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#primaryimage"},"thumbnailUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg","keywords":["Perianal Fist\u00fcl"],"articleSection":["Proktoloji"],"inLanguage":"tr-TR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/turkeyistanbulmedical.com\/tr\/perianal-fistul-nedir\/#respond"]}]},{"@type":"Person","@id":"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc","name":"Turkey Istanbul Medical","image":{"@type":"ImageObject","@id":"https:\/\/turkeyistanbulmedical.com\/#personlogo","inLanguage":"tr-TR","url":"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g","caption":"Turkey Istanbul Medical"},"sameAs":["https:\/\/turkeyistanbulmedical.com"],"url":"https:\/\/turkeyistanbulmedical.com\/tr\/author\/admin\/"}]}},"jetpack_featured_media_url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/01\/Anal-Fistula.jpg","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/10994"}],"collection":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/comments?post=10994"}],"version-history":[{"count":1,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/10994\/revisions"}],"predecessor-version":[{"id":10995,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/10994\/revisions\/10995"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/media\/10988"}],"wp:attachment":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/media?parent=10994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/categories?post=10994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/tags?post=10994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}