{"id":11179,"date":"2025-06-02T14:53:10","date_gmt":"2025-06-02T14:53:10","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=11179"},"modified":"2025-08-25T14:52:16","modified_gmt":"2025-08-25T14:52:16","slug":"sarilik-hastaligi-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/sarilik-hastaligi-nedir\/","title":{"rendered":"Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 Nedir?"},"content":{"rendered":"

Sar\u0131l\u0131k Hastal\u0131\u011f\u0131<\/a> Nedir?<\/strong><\/h2>\n

Kana\u00a0rengini veren ve oksijen ta\u015f\u0131yan yap\u0131lara hemoglobin denir. Hemoglobin k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin\u00a0(alyuvarlar\u0131n) ana yap\u0131s\u0131n\u0131 olu\u015fturan maddedir. Alyuvarlar\u0131n v\u00fccuttaki \u00f6mr\u00fc yakla\u015f\u0131k 120 g\u00fcnd\u00fcr. 120 g\u00fcn sonras\u0131nda kanda bulunan alyuvarlar y\u0131k\u0131l\u0131p\u00a0yenilenir.<\/p>\n

Alyuvarlardaki bu hemoglobin maddesi y\u0131k\u0131ld\u0131\u011f\u0131 zaman bilirubine d\u00f6n\u00fc\u015ft\u00fcr\u00fcl\u00fcr. Bilirubin ise sar\u0131 renkli bir maddedir. Karaci\u011fer,\u00a0bilirubinin v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131 ile g\u00f6revlidir.<\/p>\n

Fakat bilirubin herhangi bir nedenle v\u00fccuttan yeteri kadar uzakla\u015ft\u0131r\u0131lamazsa kan dola\u015f\u0131m\u0131na kat\u0131l\u0131r. Ve cildin, mukozalar\u0131n ve g\u00f6z ak\u0131n\u0131n sar\u0131 renkte g\u00f6z\u00fckmesine neden olur.<\/p>\n

Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 Neden Olur?<\/strong><\/h3>\n

Sar\u0131l\u0131k hastal\u0131\u011f\u0131 genellikle karaci\u011fer, safra kesesi veya pankreas ile ilgili olup, karaci\u011ferin i\u015fleyemedi\u011fi bilirubinin v\u00fccutta birikmesi, miktar\u0131n\u0131n artmas\u0131 ve kana kar\u0131\u015fmas\u0131d\u0131r.<\/p>\n

Karaci\u011fer, k\u0131rm\u0131z\u0131 kan h\u00fccrelerini par\u00e7alanma s\u00fcrecinde bilirubini d\u00f6n\u00fc\u015ft\u00fcremezse bu durum cilt ve g\u00f6zlerde sar\u0131 renk olu\u015fmas\u0131na yani sar\u0131l\u0131\u011fa neden olur.<\/p>\n

Sar\u0131l\u0131\u011fa neden olan durumlar genel olarak \u015funlard\u0131r:<\/strong><\/h4>\n
    \n
  • Safra ta\u015f\u0131<\/li>\n
  • Hepatit<\/li>\n
  • A\u015f\u0131r\u0131 alkol t\u00fcketimi<\/li>\n
  • Baz\u0131 ila\u00e7lar\u0131n yan etkileri<\/li>\n
  • Otoimm\u00fcn bozukluklar<\/li>\n
  • Safra kesesi iltihab\u0131<\/li>\n
  • Safra kesesi kanseri<\/li>\n
  • Pankreas t\u00fcm\u00f6r\u00fc<\/li>\n
  • Siroz<\/li>\n
  • Hemolitik anemi<\/li>\n
  • Diyabet<\/li>\n<\/ul>\n

    Sar\u0131l\u0131k Hastal\u0131\u011f\u0131n\u0131n Belirtileri Nelerdir?<\/strong><\/h3>\n

    Sar\u0131l\u0131\u011f\u0131n belirtileri<\/strong>, kandaki bilirubin<\/strong> seviyesinin y\u00fckselmesine ba\u011fl\u0131 olarak geli\u015fir.<\/p>\n

    Genellikle ciltte, g\u00f6zlerde ve v\u00fccut fonksiyonlar\u0131nda kendini g\u00f6sterir.<\/p>\n

    Belirtiler altta yatan nedene g\u00f6re de\u011fi\u015febilir. Ancak baz\u0131 ortak belirtiler vard\u0131r.<\/p>\n

    Sar\u0131l\u0131k Hastal\u0131\u011f\u0131n\u0131n <\/strong>En Yayg\u0131n Belirtileri<\/strong><\/h3>\n
      \n
    1. \n

      Ciltte ve G\u00f6zlerde Sararma:<\/strong><\/h4>\n<\/li>\n<\/ol>\n
        \n
      • En belirgin belirtidir.<\/li>\n
      • \u0130lk olarak g\u00f6z aklar\u0131nda fark edilir. Sonra cilde yay\u0131l\u0131r.<\/li>\n
      • Ciltteki sararma a\u00e7\u0131k tenlilerde daha belirgindir.<\/li>\n<\/ul>\n
          \n
        1. \n

          \u0130drarda Koyula\u015fma:<\/strong><\/h4>\n<\/li>\n<\/ol>\n
            \n
          • \u0130drar rengi \u00e7ay rengini al\u0131r.<\/li>\n
          • Bu, direkt bilirubin<\/strong> idrarla at\u0131ld\u0131\u011f\u0131 i\u00e7in olu\u015fur (\u00f6zellikle posthepatik<\/strong> tipte).<\/li>\n<\/ul>\n
              \n
            1. \n

              A\u00e7\u0131k Renkli D\u0131\u015fk\u0131:<\/strong><\/h4>\n<\/li>\n<\/ol>\n
                \n
              • Safra pigmentleri d\u0131\u015fk\u0131ya rengini verir.<\/li>\n
              • Safra yollar\u0131 t\u0131kand\u0131\u011f\u0131nda d\u0131\u015fk\u0131 beyaza yak\u0131n veya kil renginde<\/strong><\/li>\n<\/ul>\n
                  \n
                1. \n

                  Ka\u015f\u0131nt\u0131 (Pruritus):<\/strong><\/h4>\n<\/li>\n<\/ol>\n
                    \n
                  • \u00d6zellikle safra yollar\u0131 t\u0131kan\u0131kl\u0131klar\u0131nda safra asitleri deride birikir.<\/li>\n
                  • Yo\u011fun ve geceleri artan bir ka\u015f\u0131nt\u0131d\u0131r.<\/li>\n<\/ul>\n
                      \n
                    1. \n

                      Yorgunluk ve Halsizlik:<\/strong><\/h4>\n<\/li>\n<\/ol>\n
                        \n
                      • Karaci\u011fer hastal\u0131klar\u0131nda s\u0131k g\u00f6r\u00fcl\u00fcr.<\/li>\n
                      • \u0130\u015ftahs\u0131zl\u0131k, kilo kayb\u0131 ve uyku problemleri e\u015flik edebilir.<\/li>\n<\/ul>\n
                          \n
                        1. \n

                          Kar\u0131n A\u011fr\u0131s\u0131:<\/strong><\/h4>\n<\/li>\n<\/ol>\n
                            \n
                          • \u00d6zellikle sa\u011f \u00fcst kadranda (karaci\u011ferin bulundu\u011fu b\u00f6lge)<\/li>\n
                          • Safra ta\u015f\u0131, hepatit veya karaci\u011fer b\u00fcy\u00fcmesinde g\u00f6r\u00fclebilir.<\/li>\n<\/ul>\n
                              \n
                            1. \n

                              Bulant\u0131 ve Kusma:<\/strong><\/h4>\n<\/li>\n<\/ol>\n
                                \n
                              • Sindirim sistemi etkilenir.<\/li>\n
                              • Hepatit veya karaci\u011fer iltihaplar\u0131nda yayg\u0131nd\u0131r.<\/li>\n<\/ul>\n

                                Bebeklerde <\/strong>Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 <\/strong>Nedir?<\/strong><\/h3>\n

                                Bebeklerde g\u00f6zlenen sar\u0131l\u0131\u011fa yenido\u011fan sar\u0131l\u0131\u011f\u0131 denir. Bir\u00e7ok yenido\u011fanda sar\u0131l\u0131\u011fa rastlamak m\u00fcmk\u00fcnd\u00fcr.<\/p>\n

                                Premat\u00fcre bebeklerin %80\u2019inde, 37. haftadan sonra do\u011fan bebeklerin ise %80\u2019inde sar\u0131l\u0131k g\u00f6zlenebilir. Bebeklerdeki sar\u0131l\u0131\u011f\u0131n bir\u00e7ok nedeni olabilir.<\/p>\n

                                En s\u0131k g\u00f6zlenen nedenlerden bir tanesi fizyolojik sar\u0131l\u0131kt\u0131r. Bebeklerin karaci\u011feri, do\u011fduktan sonra\u00a0bilirubin y\u0131k\u0131lmas\u0131 g\u00f6revini plasentadan daha yeni devir alm\u0131\u015ft\u0131r.<\/p>\n

                                Geli\u015fmekte olan karaci\u011fer, bilirubinin uzakla\u015ft\u0131r\u0131lmas\u0131n\u0131 ilk zamanlar etkin bir \u015fekilde ger\u00e7ekle\u015ftiremez. Zaman ge\u00e7tik\u00e7e karaci\u011fer bilirubini etkin bir \u015fekilde uzakla\u015ft\u0131r\u0131r. Ve belirtiler kendili\u011finden kaybolur.<\/p>\n

                                Yenido\u011fan Sar\u0131l\u0131\u011f\u0131n\u0131n Nedenleri Nelerdir?<\/strong><\/h3>\n

                                Yenido\u011fan sar\u0131l\u0131\u011f\u0131, genellikle zarars\u0131z olan fizyolojik bir s\u00fcre\u00e7tir.<\/p>\n

                                Ancak baz\u0131 durumlarda altta yatan ba\u015fka nedenler de olabilir:<\/strong><\/h4>\n
                                  \n
                                • \n

                                  Fizyolojik Sar\u0131l\u0131k:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                  Bebeklerin \u00e7o\u011funda do\u011fumdan sonraki 2-4 g\u00fcn i\u00e7inde ortaya \u00e7\u0131kar. Genellikle 1-2 hafta i\u00e7inde kendili\u011finden ge\u00e7er.<\/p>\n

                                    \n
                                  • \n

                                    Anne S\u00fct\u00fc Sar\u0131l\u0131\u011f\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                    Anne s\u00fct\u00fc ile beslenen bebeklerde g\u00f6r\u00fclebilir. Genellikle 1-2 hafta sonra ortaya \u00e7\u0131kar. Anne s\u00fct\u00fcn\u00fcn bile\u015fimindeki maddeler bilirubin metabolizmas\u0131n\u0131 etkileyebilir.<\/p>\n

                                      \n
                                    • \n

                                      Premat\u00fcre Bebek Sar\u0131l\u0131\u011f\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                      Premat\u00fcre bebeklerde karaci\u011fer olgunla\u015fmas\u0131 daha uzun s\u00fcrd\u00fc\u011f\u00fcnden, sar\u0131l\u0131k daha yayg\u0131n ve daha \u015fiddetli olabilir.<\/p>\n

                                        \n
                                      • \n

                                        Hemolitik Hastal\u0131k:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                        Anne ve bebe\u011fin kan gruplar\u0131n\u0131n uyu\u015fmamas\u0131 (\u00f6rne\u011fin, Rh uyu\u015fmazl\u0131\u011f\u0131) durumunda, bebe\u011fin k\u0131rm\u0131z\u0131 kan h\u00fccreleri h\u0131zla par\u00e7alanabilir. Bu da bilirubin seviyelerini art\u0131r\u0131r.<\/p>\n

                                          \n
                                        • \n

                                          Yetersiz Beslenme:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                          Bebek yeterince anne s\u00fct\u00fc veya form\u00fcl s\u00fct almazsa, bilirubin ba\u011f\u0131rsaklarda yeniden emilebilir. Ve sar\u0131l\u0131k \u015fiddetlenebilir.<\/p>\n

                                          Yenido\u011fan Sar\u0131l\u0131\u011f\u0131 Belirtileri Nelerdir?<\/strong><\/h3>\n

                                          Yenido\u011fan sar\u0131l\u0131\u011f\u0131, bebe\u011fin cildinin ve g\u00f6z beyazlar\u0131n\u0131n sar\u0131 bir renk almas\u0131na neden olur. Sar\u0131l\u0131k genellikle y\u00fczde ve kafada ba\u015flar. Bilirubin seviyesi artarsa renk v\u00fccuda yay\u0131l\u0131r.<\/p>\n

                                          \u00d6zellikle koyu tenli bebeklerde sar\u0131l\u0131\u011f\u0131n g\u00f6r\u00fclmesi zor olabilir. Bunu ay\u0131rt edebilmek i\u00e7in yenido\u011fan\u0131n burnu veya al\u0131n b\u00f6lgesinde deriye hafif\u00e7e bast\u0131rmak gerekir. Sar\u0131l\u0131k ise parmak kald\u0131r\u0131ld\u0131\u011f\u0131nda cilt sar\u0131 g\u00f6r\u00fcnecektir.<\/p>\n

                                          Yenido\u011fan sar\u0131l\u0131\u011f\u0131 belirtileri\u00a0<\/strong>genel olarak \u015fu \u015fekildedir;<\/strong><\/h4>\n

                                          Erken Belirtiler:<\/strong><\/h3>\n
                                            \n
                                          • Deride ve g\u00f6z beyazlar\u0131nda sar\u0131ms\u0131 bir renk tonu<\/li>\n
                                          • Hafif bas\u0131n\u00e7 uyguland\u0131\u011f\u0131nda sar\u0131 g\u00f6r\u00fcnen cilt<\/li>\n<\/ul>\n

                                            Altta yatan bir t\u0131bbi durumu g\u00f6sterebilecek \u015fiddetli sar\u0131l\u0131k belirtileri \u015funlar\u0131 i\u00e7erir:<\/strong><\/h4>\n
                                              \n
                                            • Yay\u0131lan veya yo\u011funla\u015fan sar\u0131l\u0131k belirtileri<\/li>\n
                                            • Sar\u0131 rengin derinle\u015fmesi<\/li>\n
                                            • 38 santigrat derecenin \u00fczerinde ate\u015f<\/li>\n
                                            • \u0130\u015ftahs\u0131zl\u0131k<\/li>\n
                                            • Halsizlik ve uyu\u015fukluk<\/li>\n
                                            • Y\u00fcksek sesle a\u011flama<\/li>\n<\/ul>\n

                                              \u00a0<\/strong>Yenido\u011fan Sar\u0131l\u0131\u011f\u0131 Nas\u0131l Te\u015fhis Edilir?<\/strong><\/h3>\n

                                              Doktorlar, cildin ve g\u00f6z beyazlar\u0131n\u0131n sararmas\u0131na dayanarak bir bebe\u011fin sar\u0131l\u0131k olup olmad\u0131\u011f\u0131n\u0131 anlayabilir.<\/p>\n

                                              T\u00fcm yeni do\u011fan bebekler hastaneden veya do\u011fum merkezinden ayr\u0131lmadan \u00f6nce sar\u0131l\u0131k a\u00e7\u0131s\u0131ndan kontrol edilir. Bebe\u011finizin kan\u0131ndaki bilirubin d\u00fczeyini \u00f6l\u00e7mek tedavinin seyrini belirleyece\u011fi i\u00e7in olduk\u00e7a \u00f6nemlidir.<\/p>\n

                                              Yenido\u011fan sar\u0131l\u0131\u011f\u0131 te\u015fhisi ve bilirubini \u00f6l\u00e7mek i\u00e7in kullan\u0131lan y\u00f6ntemler \u015funlar\u0131 i\u00e7erir:<\/strong><\/h4>\n
                                                \n
                                              • Fiziksel muayene<\/li>\n
                                              • Bebe\u011fe ait kan \u00f6rne\u011finin laboratuvar testi<\/li>\n
                                              • Deriden ge\u00e7en \u00f6zel bir \u0131\u015f\u0131\u011f\u0131n yans\u0131mas\u0131n\u0131 \u00f6l\u00e7en, transk\u00fctan\u00f6z bilirubinometre ad\u0131 verilen bir cihazla yap\u0131lan cilt testi<\/li>\n
                                              • Ultrason taramas\u0131, karaci\u011fer biyopsisi veya ke\u015fif ameliyat\u0131 (nadiren)<\/li>\n<\/ul>\n

                                                Bebek sar\u0131l\u0131\u011f\u0131n\u0131n altta yatan bir bozukluktan kaynakland\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyorsa doktorunuz ek kan testleri veya idrar testleri isteyebilir.<\/p>\n

                                                Yenido\u011fan Sar\u0131l\u0131\u011f\u0131n\u0131n Tedavisi Nas\u0131l Uygulan\u0131r?\u00a0<\/strong><\/h3>\n

                                                Yenido\u011fan bebeklerde g\u00f6r\u00fclen sar\u0131l\u0131k i\u00e7in genellikle tedavi uygulanmaz. Bebe\u011fin karaci\u011feri geli\u015ftik\u00e7e bu sar\u0131l\u0131k kendi kendine ge\u00e7er. \u0130yile\u015fme zaman\u0131 bir ya da iki hafta devam edebilir. Bu s\u00fcre\u00e7te bebe\u011fi s\u0131k s\u0131k emzirmek d\u0131\u015fk\u0131lamay\u0131 tetikleyece\u011fi i\u00e7in bilirubinin v\u00fccuttan daha h\u0131zl\u0131 atmas\u0131n\u0131 sa\u011flar.<\/p>\n

                                                Ancak kendi kendine ge\u00e7meyen ve bebe\u011fin bilirubin seviyesinin y\u00fcksek oldu\u011fu ya da y\u00fckselmeye devam etti\u011fi durumlarda a\u015fa\u011f\u0131daki tedavi y\u00f6ntemleri kullan\u0131l\u0131r:<\/strong><\/h4>\n
                                                  \n
                                                • \n

                                                  I\u015f\u0131k Tedavisi (Fototerapi)<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                  Bebe\u011fin mavi-ye\u015fil spektrumda \u0131\u015f\u0131k yayan \u00f6zel bir lamban\u0131n alt\u0131na yerle\u015ftirilerek bilirubin d\u00fczeylerinde d\u00fc\u015fme ama\u00e7lan\u0131r. I\u015f\u0131k, bilirubin molek\u00fcllerinin \u015feklini ve yap\u0131s\u0131n\u0131,\u00a0 hem idrarda hem de d\u0131\u015fk\u0131da sal\u0131n\u0131labilecek \u015fekilde de\u011fi\u015ftirir. Tedavi s\u0131ras\u0131nda koruyucu g\u00f6z yamalar\u0131 kullan\u0131r.<\/p>\n

                                                    \n
                                                  • \n

                                                    \u0130ntraven\u00f6z Imm\u00fcnglobulin:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                    Y\u00fcksek bilirubin seviyelerinin d\u00fc\u015f\u00fcr\u00fclmesi i\u00e7in baz\u0131 durumlarda birtak\u0131m ila\u00e7 uygulamalar\u0131 tercih edilebilir. Tedavide kullan\u0131lan farmakolojik ajanlar v\u00fccuttaki bilirubinin at\u0131l\u0131m\u0131n\u0131 h\u0131zland\u0131rmaya ve bilirubin \u00fcretimini azaltmaya yard\u0131mc\u0131 olarak etki g\u00f6sterir.<\/p>\n

                                                      \n
                                                    • \n

                                                      Kan De\u011fi\u015fimi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                      Nadiren, \u015fiddetli sar\u0131l\u0131k di\u011fer tedavilere cevap vermedi\u011finde kan transf\u00fczyonu gerekebilir. Bu, k\u00fc\u00e7\u00fck miktarlarda kan\u0131 tekrar tekrar \u00e7ekmeyi ve bunu don\u00f6r kanla de\u011fi\u015ftirmeyi, b\u00f6ylece yeni do\u011fan yo\u011fun bak\u0131m \u00fcnitesinde ger\u00e7ekle\u015ftirilen bir prosed\u00fcr olan bilirubin ve maternal antikorlar\u0131 seyreltilmesi ama\u00e7lan\u0131r.<\/p>\n

                                                      Sar\u0131l\u0131k Hastal\u0131\u011f\u0131n\u0131n\u00a0 T\u00fcrleri Nelerdir?<\/strong><\/h3>\n

                                                      Sar\u0131l\u0131k, farkl\u0131 nedenlere ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilen bir t\u0131bbi durum oldu\u011fundan, nedensel fakt\u00f6rlere dayal\u0131 \u00fc\u00e7 geni\u015f kategoride s\u0131n\u0131fland\u0131r\u0131lm\u0131\u015ft\u0131r. Bu s\u0131n\u0131fland\u0131rma, karaci\u011ferin hangi b\u00f6l\u00fcm\u00fcn\u00fcn hatal\u0131 \u00e7al\u0131\u015ft\u0131\u011f\u0131na ve bilirubinin kan dola\u015f\u0131m\u0131ndan at\u0131l\u0131m\u0131n\u0131n nas\u0131l etkilendi\u011fine g\u00f6re yap\u0131lmaktad\u0131r.<\/p>\n

                                                      Sar\u0131l\u0131k t\u00fcrleri, hepatosel\u00fcler, hemolitik ve t\u0131kanma sar\u0131l\u0131\u011f\u0131 olarak adland\u0131r\u0131lmaktad\u0131r:<\/strong><\/h4>\n
                                                        \n
                                                      • \n

                                                        Hepatosel\u00fcler Sar\u0131l\u0131k<\/strong>:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                        Karaci\u011ferdeki hasar nedeniyle ortaya \u00e7\u0131kan bir t\u00fcrd\u00fcr. Karaci\u011fer parankimal h\u00fccreleri, enfeksiyon veya di\u011fer nedenlerle hasar g\u00f6rd\u00fc\u011f\u00fcnde, karaci\u011fer metabolizmas\u0131nda azalma meydana gelir.<\/p>\n

                                                        Bu azalma, bilirubinin v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131n\u0131 engeller. Ve birikmesine yol a\u00e7ar. Hepatit A, B veya C vir\u00fcsleri, karaci\u011fer kanseri veya a\u015f\u0131r\u0131 alkol t\u00fcketimi gibi fakt\u00f6rler hepatosel\u00fcler sar\u0131l\u0131\u011fa neden olabilir.<\/p>\n

                                                          \n
                                                        • \n

                                                          Hemolitik Sar\u0131l\u0131k:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                          K\u0131rm\u0131z\u0131 kan h\u00fccrelerinin normalden h\u0131zl\u0131 bir \u015fekilde par\u00e7alanmas\u0131 sonucunda ortaya \u00e7\u0131kar.<\/p>\n

                                                          Bu durumda, karaci\u011fer y\u00fcksek bilirubinle ba\u015fa \u00e7\u0131kamaz.<\/p>\n

                                                          \u00d6l\u00fcmc\u00fcl olabilen bu durum s\u0131tma gibi hastal\u0131klarda g\u00f6zlenebilir.<\/p>\n

                                                          \u00c7\u00fcnk\u00fc s\u0131tma parazitleri k\u0131rm\u0131z\u0131 kan h\u00fccrelerine h\u0131zl\u0131 bir \u015fekilde sald\u0131rarak par\u00e7alanmalar\u0131na neden olur.<\/p>\n

                                                            \n
                                                          • \n

                                                            T\u0131kanma (Obstr\u00fcktif) Sar\u0131l\u0131\u011f\u0131<\/strong>:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                            Safra kanallar\u0131 aras\u0131nda olu\u015fan t\u0131kanmalardan kaynaklan\u0131r.<\/p>\n

                                                            Bu t\u0131kan\u0131kl\u0131k, karaci\u011ferin bilirubini uzakla\u015ft\u0131rmas\u0131n\u0131 engeller. Ve karaci\u011ferde bilirubin birikimine yol a\u00e7ar. Safra kanallar\u0131nda t\u0131kanmalara neden olabilen durumlar aras\u0131nda safra kesesi ta\u015flar\u0131 veya \u015fi\u015fmi\u015f lenf bezleri bulunabilir.<\/p>\n

                                                            Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 Tan\u0131s\u0131 Nas\u0131l Konur?<\/strong><\/h3>\n
                                                              \n
                                                            • Sar\u0131l\u0131k, farkl\u0131 nedenlere ba\u011fl\u0131 olarak geli\u015febildi\u011fi i\u00e7in tan\u0131 s\u00fcreci dikkatli bir de\u011ferlendirme ve bir dizi test gerektirir.<\/li>\n
                                                            • Tan\u0131 s\u00fcrecinin ilk ad\u0131m\u0131, hastan\u0131n t\u0131bbi ge\u00e7mi\u015finin detayl\u0131 bir \u015fekilde de\u011ferlendirilmesidir.<\/li>\n
                                                            • Doktor, hastan\u0131n belirtilerini, bu belirtilerin ne kadar s\u00fcredir devam etti\u011fini, varsa e\u015flik eden di\u011fer belirtileri ve hastan\u0131n genel sa\u011fl\u0131k durumunu sorgular.<\/li>\n
                                                            • Ayr\u0131ca, hastan\u0131n kulland\u0131\u011f\u0131 ila\u00e7lar, alkol t\u00fcketimi, \u00f6nceki hastal\u0131klar\u0131 ve ailede benzer durumlar\u0131n olup olmad\u0131\u011f\u0131 hakk\u0131nda bilgi toplan\u0131r.<\/li>\n
                                                            • Fiziksel muayene, sar\u0131l\u0131k tan\u0131s\u0131n\u0131n konulmas\u0131nda \u00f6nemli bir ad\u0131md\u0131r.<\/li>\n
                                                            • Doktor, cilt, g\u00f6zler ve mukoz membranlarda sararma olup olmad\u0131\u011f\u0131n\u0131 kontrol eder.<\/li>\n
                                                            • Ayr\u0131ca, karaci\u011ferin b\u00fcy\u00fckl\u00fc\u011f\u00fcn\u00fc ve hassasiyetini de\u011ferlendirmek i\u00e7in kar\u0131n b\u00f6lgesine dokunur. \u015ei\u015fkinlik, kar\u0131n a\u011fr\u0131s\u0131, ka\u015f\u0131nt\u0131 gibi belirtiler de incelenir.<\/li>\n<\/ul>\n

                                                              Sar\u0131l\u0131k tan\u0131s\u0131n\u0131n do\u011frulanmas\u0131 ve altta yatan nedenin belirlenmesi i\u00e7in \u00e7e\u015fitli laboratuvar testleri yap\u0131l\u0131r:<\/strong><\/h4>\n
                                                                \n
                                                              • \n

                                                                Bilirubin Testi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                Kandaki total bilirubin, direkt bilirubin ve indirekt bilirubin seviyeleri \u00f6l\u00e7\u00fcl\u00fcr. Bu test, bilirubin metabolizmas\u0131ndaki bozukluklar\u0131 belirlemeye yard\u0131mc\u0131 olur.<\/p>\n

                                                                  \n
                                                                • \n

                                                                  Karaci\u011fer Fonksiyon Testleri (LFT):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                  ALT, AST, ALP ve GGT gibi enzim seviyeleri \u00f6l\u00e7\u00fclerek karaci\u011ferin i\u015flevi de\u011ferlendirilir. Y\u00fcksek enzim seviyeleri karaci\u011fer hasar\u0131n\u0131 g\u00f6sterebilir.<\/p>\n

                                                                    \n
                                                                  • \n

                                                                    Tam Kan Say\u0131m\u0131 (CBC):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                    Anemi veya enfeksiyon belirtilerini tespit etmek i\u00e7in yap\u0131l\u0131r.<\/p>\n

                                                                      \n
                                                                    • \n

                                                                      Kan Uyu\u015fmazl\u0131k Testleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                      Anne ve bebe\u011fin kan gruplar\u0131n\u0131n uyu\u015fmazl\u0131\u011f\u0131 durumunda bebeklerde hemolitik hastal\u0131k ara\u015ft\u0131r\u0131l\u0131r.<\/p>\n

                                                                        \n
                                                                      • \n

                                                                        Viral Hepatit Testleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                        Hepatit A, B, C gibi viral enfeksiyonlar\u0131n varl\u0131\u011f\u0131n\u0131 kontrol etmek i\u00e7in yap\u0131l\u0131r.<\/p>\n

                                                                        Sar\u0131l\u0131\u011f\u0131n nedenini belirlemek ve safra yollar\u0131ndaki olas\u0131 t\u0131kan\u0131kl\u0131klar\u0131 de\u011ferlendirmek i\u00e7in \u00e7e\u015fitli g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131l\u0131r:<\/strong><\/h4>\n
                                                                          \n
                                                                        • \n

                                                                          Ultrasonografi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                          Karaci\u011fer, safra kesesi ve safra yollar\u0131n\u0131 g\u00f6r\u00fcnt\u00fclemek i\u00e7in kullan\u0131l\u0131r. Safra ta\u015flar\u0131, t\u00fcm\u00f6rler veya duktus t\u0131kan\u0131kl\u0131klar\u0131 tespit edilebilir.<\/p>\n

                                                                            \n
                                                                          • \n

                                                                            BT Tarama (Bilgisayarl\u0131 Tomografi):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                            Daha ayr\u0131nt\u0131l\u0131 g\u00f6r\u00fcnt\u00fcler elde etmek i\u00e7in kullan\u0131l\u0131r. Karaci\u011fer, pankreas ve safra yollar\u0131ndaki anomalileri de\u011ferlendirmek i\u00e7in uygundur.<\/p>\n

                                                                              \n
                                                                            • \n

                                                                              MRCP (Manyetik Rezonans Kolanjiyopankreatografi):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                              Safra ve pankreas kanallar\u0131n\u0131n g\u00f6r\u00fcnt\u00fclenmesinde kullan\u0131l\u0131r. T\u0131kan\u0131kl\u0131klar\u0131n ve di\u011fer yap\u0131sal sorunlar\u0131n belirlenmesine yard\u0131mc\u0131 olur.<\/p>\n

                                                                              Karaci\u011fer biyopsisi, karaci\u011fer hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131nda \u00f6nemli bir rol oynar. Lokal anestezi alt\u0131nda yap\u0131lan bu prosed\u00fcrde, karaci\u011ferden k\u00fc\u00e7\u00fck bir doku \u00f6rne\u011fi al\u0131narak mikroskop alt\u0131nda incelenir.<\/p>\n

                                                                              Biyopsi, karaci\u011ferin yap\u0131s\u0131n\u0131 ve hasar derecesini de\u011ferlendirmede yard\u0131mc\u0131 olur. Baz\u0131 durumlarda, sar\u0131l\u0131\u011f\u0131n nedeni hakk\u0131nda daha fazla bilgi edinmek i\u00e7in ek testler gerekebilir:<\/p>\n

                                                                                \n
                                                                              • \n

                                                                                Endoskopik Retrograd Kolanjiyopankreatografi (ERCP):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                Safra ve pankreas kanallar\u0131n\u0131n incelenmesi ve gerekti\u011finde tedavi edilmesi i\u00e7in kullan\u0131l\u0131r.<\/p>\n

                                                                                  \n
                                                                                • \n

                                                                                  Serolojik Testler:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                  Otoimm\u00fcn hepatit veya di\u011fer otoimm\u00fcn hastal\u0131klar\u0131n tan\u0131s\u0131nda kullan\u0131l\u0131r.<\/p>\n

                                                                                  Sar\u0131l\u0131k Hastal\u0131\u011f\u0131n\u0131n Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h3>\n

                                                                                  Sar\u0131l\u0131\u011fa neden olan y\u00fcksek bilirubin seviyelerinin\u00a0uygun tedaviyle d\u00fc\u015f\u00fcr\u00fclmesi ve bilirubinin v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131 \u00e7ok \u00f6nemlidir.<\/p>\n

                                                                                  \u00c7\u00fcnk\u00fc y\u00fckselmi\u015f bilirubin seviyeleri beyinde kal\u0131c\u0131 hasara yol a\u00e7abilir.<\/p>\n

                                                                                  Sar\u0131l\u0131k tedavisi altta yatan hastal\u0131\u011f\u0131n t\u00fcr\u00fcne g\u00f6re de\u011fi\u015fir. Sar\u0131l\u0131k i\u00e7in kullan\u0131lan neredeyse t\u00fcm tedavi y\u00f6ntemleri sar\u0131l\u0131ktan ziyade altta yatan nedeni tedavi etmeye dayan\u0131r.<\/p>\n

                                                                                  Bu sar\u0131l\u0131k tedavisi i\u00e7in kullan\u0131lan yayg\u0131n tedavi y\u00f6ntemlerinin baz\u0131lar\u0131 \u015fu \u015fekilde s\u0131ralanabilir:<\/strong><\/h4>\n
                                                                                    \n
                                                                                  • \n

                                                                                    Hemolitik Sar\u0131l\u0131k Tedavisi<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                    Hemolitik sar\u0131l\u0131k tedavisi, kans\u0131zl\u0131\u011fa veya sa\u011fl\u0131kl\u0131 miktarda k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin \u00fcretimini engelleyen di\u011fer ko\u015fullar d\u00fczeltilerek ger\u00e7ekle\u015ftirilir.<\/p>\n

                                                                                    Genel aneminin neden oldu\u011fu sar\u0131l\u0131k i\u00e7in, diyette demir deste\u011finin bulunmas\u0131 sar\u0131l\u0131k tedavisinde yard\u0131mc\u0131 olabilir.<\/p>\n

                                                                                    Orak h\u00fccreli anemi ve k\u0131rm\u0131z\u0131 kan h\u00fccrelerini etkileyen di\u011fer genetik bozukluklar gibi di\u011fer durumlarda;<\/strong><\/h4>\n
                                                                                      \n
                                                                                    • IV rehidrasyon<\/li>\n
                                                                                    • ve kan transf\u00fczyonu<\/li>\n<\/ul>\n

                                                                                      Gibi di\u011fer tedavi y\u00f6ntemleri yap\u0131lmal\u0131d\u0131r.<\/p>\n

                                                                                      Folik asit takviyesi ve dalak \u00e7\u0131karma ameliyat\u0131, talasemi ve sferositoz gibi durumlardan kaynaklanan sar\u0131l\u0131\u011f\u0131 tedavi etmek i\u00e7in kullan\u0131lan di\u011fer hemolitik tedavi y\u00f6ntemlerindendir.<\/p>\n

                                                                                      Sa\u011fl\u0131kl\u0131 miktarda kan \u00fcretiminin olduk\u00e7a k\u0131s\u0131tl\u0131 oldu\u011fu ciddi vakalarda, kemik ili\u011fi replasman\u0131 gibi cerrahi i\u015flemler yap\u0131lmas\u0131 gerekir.<\/p>\n

                                                                                        \n
                                                                                      • \n

                                                                                        Hepatosell\u00fcler Sar\u0131l\u0131k Tedavisi<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                        Hepatosell\u00fcler\u00a0<\/strong>sar\u0131l\u0131k, karaci\u011ferdeki hasardan kaynakland\u0131\u011f\u0131ndan \u00f6ncelikle hasar\u0131n kayna\u011f\u0131 tedavi edilir.<\/p>\n

                                                                                        Enfeksiyonlardan kaynaklanan karaci\u011fer hasarlar\u0131nda, enfeksiyonun yay\u0131lmas\u0131n\u0131 \u00f6nlemek i\u00e7in antiviral ila\u00e7lar kullan\u0131l\u0131r ve iyile\u015fme daha yava\u015f g\u00f6zlemlenir.<\/p>\n

                                                                                        Hepatit gibi enfeksiyonlarda antiviral ila\u00e7lar haricinde steroidler de kullan\u0131l\u0131r.<\/p>\n

                                                                                        Siroz nedeniyle olu\u015fan karaci\u011fer hasar\u0131 olan hastalar i\u00e7in doktorlar genellikle d\u00fc\u015f\u00fck protein diyeti verir. Ve hastan\u0131n alkolden tamamen uzak durmas\u0131n\u0131 tavsiye eder.<\/p>\n

                                                                                        Beta bloker ve intraven\u00f6z antibiyotik de siroz tedavisinde kullan\u0131l\u0131r.<\/p>\n

                                                                                        Karaci\u011fer kanseri de sar\u0131l\u0131k varl\u0131\u011f\u0131n\u0131n \u00f6nde gelen nedenlerinden biridir. Bu durumda yayg\u0131n kanser tedavi y\u00f6ntemleri uygulan\u0131r.<\/p>\n

                                                                                        Kemoterapi ve radyoterapi gibi tedavi se\u00e7enekleri hastal\u0131\u011f\u0131n ilerleyi\u015fine ba\u011fl\u0131 olarak tercih edilir. A\u011f\u0131r vakalarda, tedavi i\u00e7in hastan\u0131n karaci\u011fer nakli olmas\u0131 gerekebilir.<\/p>\n

                                                                                          \n
                                                                                        • \n

                                                                                          T\u0131kan\u0131kl\u0131k Sar\u0131l\u0131\u011f\u0131 Tedavisi<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                          T\u0131kan\u0131kl\u0131ktan kaynaklanan sar\u0131l\u0131k vakalar\u0131,\u00a0cerrahi y\u00f6ntemler kullan\u0131larak tedavi edilir.<\/p>\n

                                                                                          Safra kesesi ta\u015f\u0131 nedeniyle olu\u015fan sar\u0131l\u0131k vakalar\u0131nda, doktorlar hastaya safra kesesi ta\u015f\u0131 \u00fcretimini engelleyebilecek bir diyet de\u011fi\u015fikli\u011fi \u00f6nerir.<\/p>\n

                                                                                          Safra ta\u015flar\u0131n\u0131n \u00e7\u00f6z\u00fclmesini ama\u00e7layan ila\u00e7lar da tedaviyi daha etkili hale getirmek i\u00e7in kullan\u0131l\u0131r.<\/p>\n

                                                                                          A\u011f\u0131r vakalarda, safra kesesi ta\u015flar\u0131n\u0131n veya safra kesesinin tamamen de\u011fi\u015ftirilmesini sa\u011flamak i\u00e7in ameliyat yap\u0131l\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

                                                                                          Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 Nedir? Kana\u00a0rengini veren ve oksijen ta\u015f\u0131yan yap\u0131lara hemoglobin denir. Hemoglobin k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin\u00a0(alyuvarlar\u0131n) ana yap\u0131s\u0131n\u0131 olu\u015fturan maddedir. Alyuvarlar\u0131n v\u00fccuttaki \u00f6mr\u00fc yakla\u015f\u0131k 120 g\u00fcnd\u00fcr. 120 g\u00fcn sonras\u0131nda kanda bulunan alyuvarlar y\u0131k\u0131l\u0131p\u00a0yenilenir. Alyuvarlardaki bu hemoglobin maddesi y\u0131k\u0131ld\u0131\u011f\u0131 zaman bilirubine d\u00f6n\u00fc\u015ft\u00fcr\u00fcl\u00fcr. Bilirubin ise sar\u0131 renkli bir maddedir. Karaci\u011fer,\u00a0bilirubinin v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131 ile g\u00f6revlidir. Fakat bilirubin herhangi bir […]<\/p>\n","protected":false},"author":3,"featured_media":11175,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[732],"tags":[2964,2965],"yoast_head":"\nSar\u0131l\u0131k Hastal\u0131\u011f\u0131 Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Sar\u0131l\u0131k hastal\u0131\u011f\u0131 genellikle karaci\u011fer, safra kesesi veya pankreas ile ilgili olup, karaci\u011ferin i\u015fleyemedi\u011fi bilirubinin v\u00fccutta birikmesi,\" \/>\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\/sarilik-hastaligi-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 Nedir?\" \/>\n<meta property=\"og:description\" content=\"Sar\u0131l\u0131k hastal\u0131\u011f\u0131 genellikle karaci\u011fer, safra kesesi veya pankreas ile ilgili olup, karaci\u011ferin i\u015fleyemedi\u011fi bilirubinin v\u00fccutta birikmesi,\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/sarilik-hastaligi-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2025-06-02T14:53:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-25T14:52:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/06\/Jaundice.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\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=\"11 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\/sarilik-hastaligi-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/06\/Jaundice.jpeg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2025\/06\/Jaundice.jpeg\",\"width\":1920,\"height\":1080,\"caption\":\"Jaundice\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/sarilik-hastaligi-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/sarilik-hastaligi-nedir\/\",\"name\":\"Sar\u0131l\u0131k Hastal\u0131\u011f\u0131 Nedir? 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