{"id":8849,"date":"2023-02-13T12:43:15","date_gmt":"2023-02-13T12:43:15","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=8849"},"modified":"2023-02-13T12:43:39","modified_gmt":"2023-02-13T12:43:39","slug":"safra-kesesi-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/","title":{"rendered":"Safra Kesesi Nedir?"},"content":{"rendered":"

Safra Kesesi<\/a> Nedir? <\/strong><\/h2>\n

Safra, karaci\u011ferde \u00fcretilerek oniki parmak ba\u011f\u0131rsa\u011fa d\u00f6k\u00fclen bir salg\u0131d\u0131r. Bu salg\u0131 arac\u0131l\u0131\u011f\u0131 ile baz\u0131 maddelerin v\u00fccuttan at\u0131lmas\u0131 sa\u011flan\u0131r. Ayn\u0131 zamanda baz\u0131 ya\u011fda eriyen vitaminlerin ve ya\u011flar\u0131n v\u00fccutta emilmesini de sa\u011flar. G\u00fcnl\u00fck ortalama 600 ml civar\u0131nda safra \u00fcretilir.<\/p>\n

Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra kanallar\u0131na ba\u011flan\u0131r.<\/p>\n

Safra Kesesinin G\u00f6revi<\/strong><\/h3>\n

Karaci\u011ferin \u00fcretti\u011fi safran\u0131n bir k\u0131sm\u0131n\u0131 \u00f6zellikle a\u00e7l\u0131k d\u00f6nemlerinde depolamak, yo\u011funla\u015ft\u0131rmak ve sindirim s\u0131ras\u0131nda yeniden ba\u011f\u0131rsa\u011fa salg\u0131lanmakt\u0131r. Safra kesesi yakla\u015f\u0131k 50 ml hacmindedir. Safray\u0131 10 kat\u0131na kadar yo\u011funla\u015ft\u0131rabilir. Mideye g\u0131da geli\u015fini takiben kas\u0131larak yar\u0131m saat i\u00e7inde i\u00e7eri\u011finin yar\u0131dan \u00e7o\u011funu ba\u011f\u0131rsa\u011fa bo\u015falt\u0131r. Karaci\u011fer \u00fcretti\u011fi safran\u0131n bir k\u0131sm\u0131n\u0131 da, safra kesesine ihtiya\u00e7 duymaks\u0131z\u0131n, do\u011frudan ba\u011f\u0131rsa\u011fa g\u00f6nderebilir. Safra kesesi yoklu\u011funda safran\u0131n tamam\u0131 ana safra kanal\u0131 arac\u0131l\u0131\u011f\u0131yla ba\u011f\u0131rsa\u011fa iletilebilir. Bu nedenle safra kesesi ya\u015fam i\u00e7in vazge\u00e7ilmez bir organ de\u011fildir. \u0130ltihap halinde \u00e7\u0131kart\u0131lmas\u0131 gerekti\u011finde i\u015fleyi\u015fte hayati bir noksanl\u0131k yaratmaz.<\/p>\n

Safra Kesesi Ta\u015f\u0131 Niye Olur?<\/strong><\/h3>\n

Karaci\u011fer taraf\u0131ndan \u00fcretilen safran\u0131n bir k\u0131sm\u0131, \u00a0\u00f6zellikle a\u00e7l\u0131k an\u0131nda safra kesesinde depolan\u0131r. Safra y\u0131 olu\u015fturan ana bile\u015fenler kolesterol, lesitin, bilirubin, kalsiyum dur. Safray\u0131 olu\u015fturan bu maddeler aras\u0131nda normal \u015fartlarda bir denge mevcuttur. Bu dengenin bozulmas\u0131 durumunda safra ta\u015flar\u0131 ve \u00e7amuru olu\u015fmaktad\u0131r. \u00a0Ortamdaki \u00e7\u00f6z\u00fcn\u00fcrl\u00fck azal\u0131r ve s\u0131v\u0131 i\u00e7erik a\u015f\u0131r\u0131 derecede yo\u011funla\u015f\u0131r. At\u0131lmas\u0131 gereken baz\u0131 maddeler kristalle\u015ferek \u00e7\u00f6ker ve tortu olu\u015fturur. \u00c7\u00f6ken kolesterol kristalleri veya kalsiyumlu tanecikler safra kesesi duvar\u0131ndan salg\u0131lanan jelatin\u00f6z madde ile birle\u015ferek safra \u00e7amurunu meydana getirir. Uzun s\u00fcren a\u00e7l\u0131k d\u00f6nemleri safra \u00e7amuru olu\u015fumunu art\u0131r\u0131r. Safra kesesinin kas\u0131l\u0131p gev\u015feme fonksiyonunun ve duvar i\u00e7 y\u00fcz\u00fcnden salg\u0131 fonksiyonunun bozulmas\u0131 ta\u015fa zemin haz\u0131rlar. Zamanla daha sert bir \u00e7ekirdek olu\u015fur ve safra ta\u015f\u0131 haline gelir. Safra ta\u015flar\u0131 i\u00e7in ailesel bir yatk\u0131nl\u0131k s\u00f6z konusu olabilir.<\/p>\n

Fazla kilolularda, k\u0131rkl\u0131 ya\u015flarda, kad\u0131nlarda ve \u00e7ok do\u011fum yapm\u0131\u015flarda safra ta\u015flar\u0131 daha s\u0131k g\u00f6r\u00fcl\u00fcr. Safra ta\u015flar\u0131n\u0131n ki\u015fiye rahats\u0131zl\u0131k vermesi ve \u015fikayetlere yol a\u00e7mas\u0131 i\u00e7in kanal a\u011fz\u0131nda t\u0131kanma yapmas\u0131 veya i\u00e7 duvarda harabiyet yapacak b\u00fcy\u00fckl\u00fc\u011fe eri\u015fmesi gerekir.<\/p>\n

Safra ta\u015f\u0131n\u0131n olu\u015fumunu h\u0131zland\u0131ran fakt\u00f6rler de mevcuttur. Bunlardan baz\u0131lar\u0131: mideye y\u00f6nelik operasyon ge\u00e7iren hastalar, obezite, morbid obezite nedeni ile bypass ameliyatlar\u0131 yap\u0131lm\u0131\u015f hastalar.<\/p>\n

Safra Kesesi \u0130ltihab\u0131 (Kolesistit)<\/strong><\/h3>\n

Safra kesesi iltihab\u0131 akut ve kronik olmak \u00fczere iki \u015fekilde kar\u015f\u0131m\u0131za \u00e7\u0131kabilir. Her ikisinde de safra kesesi iltihab\u0131 genellikle safra kesesi kanal\u0131n\u0131n t\u0131kanmas\u0131 sonucu geli\u015fir. Kese i\u00e7inde olu\u015fan ta\u015f veya \u00e7amur safra kesesi kanal\u0131 a\u011fz\u0131na oturur. \u0130\u00e7erdeki \u00a0safran\u0131n bo\u015falmas\u0131na izin vermez. Safra kesesi \u015fi\u015fer, gerilir. Kese duvar\u0131nda \u00f6dem geli\u015fir.<\/p>\n

Safra kesesi iltihab\u0131n\u0131n en \u00f6nemli belirtisi kar\u0131n \u00f6zellikle sa\u011f \u00fcst taraf\u0131nda a\u011fr\u0131d\u0131r. Genellikle yemeklerden sonra olur. A\u011fr\u0131n\u0131n s\u0131rta ve omuza do\u011fru vurmas\u0131 tipik \u00f6zelli\u011fidir. A\u011fr\u0131ya s\u0131kl\u0131kla bulant\u0131, \u015fi\u015fkinlik, haz\u0131ms\u0131zl\u0131k, yanma, ek\u015fime, gibi \u015fikayetler e\u015flik edebilir.<\/p>\n

Kimlere Safra Kesesi Ameliyat\u0131 Gerekir?<\/strong><\/h3>\n

Ultrasonografide safra kesesinde ta\u015f, \u00e7amur, iltihap saptanmas\u0131 durumunda kapal\u0131 safra kesesi ameliyat\u0131 yap\u0131lmal\u0131d\u0131r.<\/p>\n

Akut veya kronik kolesistit ata\u011f\u0131 (safra kesesi iltihab\u0131) ge\u00e7irmi\u015f olan ta\u015fl\u0131 safra kesesi olan hastalara safra kesesi ameliyat\u0131 yap\u0131l\u0131r.<\/p>\n

Akut pankreatit(pankreas iltihab\u0131) ge\u00e7irmi\u015f olan \u00e7ok say\u0131da k\u00fc\u00e7\u00fck safra kesesi ta\u015f\u0131 olan hastalara, safra kesesinde ta\u015f veya \u00e7amur olmadan safra kesesinde \u015fi\u015fme olmas\u0131 ve safra iltihab\u0131 ge\u00e7iren hastalarda(Akalk\u00fcloz kolesistit) ameliyat yap\u0131l\u0131r.<\/p>\n

Safra Kesesi Poliplerinde Ne Yapmal\u0131?<\/strong><\/h3>\n

Safra kesesi polibi, safra kesesi duvar\u0131n\u0131n i\u00e7 tabakas\u0131nda olu\u015fan kesenin i\u00e7ine do\u011fru b\u00fcy\u00fcyen genellikle sapl\u0131 olan bazen bir ka\u00e7\u0131 birlikte olan ve \u00fcz\u00fcm salk\u0131m\u0131na benzeyen milimetrik yumu\u015fak olu\u015fumlard\u0131r.<\/p>\n

Bu Safra kesesinde ultrasonu yap\u0131lan her 20 hastadan birinde polip g\u00f6r\u00fcl\u00fcr. Polibi olan hastalar\u0131n \u00fc\u00e7te birinde de birden fazla say\u0131da polip bulunur.<\/p>\n

\u00a0Safra kesesi poliplerinde kanseri geli\u015fme riskini art\u0131ran durumlar;<\/strong><\/h4>\n
    \n
  • 60 ya\u015f\u0131n \u00fcst\u00fcndeki hastalarda<\/li>\n
  • Safra kesesi ta\u015f\u0131 ile birlikte bulunan poliplerde ,<\/li>\n
  • Boyutlar\u0131 h\u0131zla artan poliplerlerde<\/li>\n
  • \u00c7ap\u0131 10 mm’den fazla olan poliplerde<\/li>\n<\/ul>\n

    Safra kesesi polibi olan hastalarda safra kesesi \u015fikayeti varsa polipin boyutuna bak\u0131lmaks\u0131z\u0131n ameliyat yap\u0131l\u0131r. Safra polipinin boyutu 10 mm’nin \u00fczerinde ise \u015fikayete bak\u0131lmaks\u0131z\u0131n ameliyat yap\u0131l\u0131r. Ve safra kesesi polipinde b\u00fcy\u00fcme tespit edilirse tekrar ameliyat yap\u0131l\u0131r. Safra kesesinde polip ve ta\u015f varsa tekrar operasyon yap\u0131l\u0131r.<\/p>\n

    Ameliyat Olmasam veya Sonra Olsam Ne Olur ?<\/strong><\/h3>\n

    Safra kesesinde ta\u015f olan ve hi\u00e7 bir yak\u0131nmas\u0131 olmayan hastalar\u0131n \u00e7o\u011fu y\u0131llarca sorunsuz ya\u015fayabilir. \u00d6zellikle \u015fikayeti olmayan ileri ya\u015ftaki hastalara ameliyat \u00f6nerilmez.<\/p>\n

    Safra kesesinde tesad\u00fcfen saptanan ve hi\u00e7bir \u015fikayete yol a\u00e7mayan ta\u015flar i\u00e7in belli aral\u0131klarla kontrol yeterlidir. Ancak bu hastalardan her y\u0131l %5 kadar\u0131nda \u015fikayetler ortaya \u00e7\u0131kmaktad\u0131r.<\/p>\n

    E\u015f zamanl\u0131 \u015feker hastal\u0131\u011f\u0131 da varsa, bu hastalar\u0131nda genel olarak ameliyat se\u00e7ene\u011fine daha yak\u0131n durmak gerekir. \u00c7\u00fcnk\u00fc \u015feker hastalar\u0131nda safra kesesi iltihab\u0131 h\u0131zla ilerleyerek kolayca \u00e7\u00fcr\u00fcme ve delinmeye yol a\u00e7abilir.<\/p>\n

    Boyutlar\u0131 2-3 milimetreden k\u00fc\u00e7\u00fck, kum ve \u00e7amur gibi ta\u015flar\u0131 olan hastalar i\u00e7in \u015fikayetler hafif olsa dahi ameliyat \u00f6nerilir. \u00c7\u00fcnk\u00fc bu t\u00fcr ta\u015flar safra yollar\u0131na ge\u00e7erek t\u0131kanma yapmaya daha m\u00fcsaittir. T\u0131kanma sonucunda sar\u0131l\u0131k, pankreatit gibi tehlikeli ikincil sorunlar geli\u015febilir.<\/p>\n

    \u00c7aplar\u0131 2 cm’den b\u00fcy\u00fck ta\u015flar i\u00e7in de ameliyat \u00f6nerilir. B\u00fcy\u00fck ta\u015flar \u00e7evre dokulara bas\u0131 etkisiyle safra yollar\u0131na hasar verebilir. B\u00fcy\u00fck ta\u015f\u0131 olan hastalarda uzun vadede safra kesesi kanseri geli\u015fme riskinin artar. Ameliyat olmas\u0131 gerekti\u011fi halde bunu erteleyen hastalarda tekrarlayan iltihap ataklar\u0131 ya\u015fand\u0131k\u00e7a yap\u0131lacak ameliyat\u0131n zorlu\u011fu ve ameliyat sonras\u0131 \u00e7\u0131kabilecek sorun da artar.<\/p>\n

    Tekrarlayan iltihap ataklar\u0131, organlar\u0131n birbirine yap\u0131\u015fmas\u0131na, safra kesesi duvar\u0131n\u0131n kal\u0131nla\u015f\u0131p iyice bozulmas\u0131na sebep olur. Bu durumda ameliyat\u0131n kapal\u0131 (laparoskopik) bitirebilme \u015fans\u0131 d\u00fc\u015fer. Ameliyat esnas\u0131nda bu tarz\u00a0 hastalarda hayat\u0131 tehdit edebilecek komplikasyonlar geli\u015febilir.<\/p>\n

    Ameliyat \u00d6ncesi Haz\u0131rl\u0131klar Nelerdir?<\/strong><\/h3>\n

    Ameliyata al\u0131nacak t\u00fcm hastalar anestezi uzman\u0131 taraf\u0131ndan muayene edilmelidir. Hastan\u0131n bir hastal\u0131\u011f\u0131 varsa bu belirtilmeli ve ilgili b\u00f6l\u00fcmden kons\u00fcltasyon yapt\u0131r\u0131lmal\u0131 ve \u00f6nerilerine uyulmal\u0131d\u0131r.<\/p>\n

    Hasta ameliyattan \u00f6nceki 12 saat, a\u011f\u0131zdan hi\u00e7bir \u015fey yiyip-i\u00e7meyecek \u015fekilde a\u00e7 kalmal\u0131. Ameliyata oru\u00e7 tutuyormu\u015f gibi gelmelidir.<\/p>\n

    Ameliyat g\u00fcn\u00fc sabah banyolar\u0131n\u0131 yapmalar\u0131 ve ki\u015fisel bak\u0131mlar\u0131n\u0131 yapmalar\u0131 ve di\u015flerini f\u0131r\u00e7alamalar\u0131 \u00f6nerilir. Ameliyat sonras\u0131nda giymede sorun yaratmayacak geni\u015f rahat k\u0131yafetlerle gelmeleri \u00f6nerilir. Hasta e\u011fer sigara ve alkol i\u00e7iyorsa kesinlikle b\u0131rakmal\u0131d\u0131r.<\/p>\n

    Kapal\u0131 Safra Kesesi Ameliyat Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h3>\n

    G\u00fcn\u00fcm\u00fczde safra kesesi ameliyat\u0131n\u0131n hemen hepsi kapal\u0131 (laparoskopik) teknikle yap\u0131l\u0131r. Ameliyat kar\u0131n \u00f6n duvar\u0131na yap\u0131lan minik kesilerden sokulan ince aletlerle yap\u0131l\u0131r. Ameliyat genellikle genel anestezi alt\u0131nda yan\u0131 hasta tamamen uyutularak yap\u0131l\u0131r. Safra kesesi karaci\u011ferden ve ana safra kanallar\u0131 ile olan ba\u011flant\u0131lar\u0131 kesilerek, safra kesesi tamamen \u00e7\u0131kar\u0131l\u0131r.<\/p>\n

    \u00d6nce g\u00f6bekten 0.5 cm\u2019lik bir kesi yap\u0131l\u0131r ve buradan girilen 5 mm lik trokar dedi\u011fimiz borudan karin i\u00e7ine gaz (CO2) verilir. Bu ince borudan kar\u0131n i\u00e7ine ince \u00e7ubuk \u015feklinde bir kamera girilir. Bu kameran\u0131n g\u00f6r\u00fcnt\u00fcs\u00fc bir ekrana yans\u0131t\u0131l\u0131r. Bu sayede kar\u0131n i\u00e7ini g\u00f6rerek di\u011fer aletleri de yine 0.5 cm ve 1 cm lik kesilerden kar\u0131na girilir. Kamera g\u00f6r\u00fcnt\u00fcy\u00fc 10 kat b\u00fcy\u00fct\u00fcr. \u0130stenilen a\u00e7\u0131dan yans\u0131tabildi\u011fi i\u00e7in cerrah\u0131n g\u00f6r\u00fc\u015f imkan\u0131 a\u00e7\u0131k ameliyetlardan\u00a0daha iyidir.<\/p>\n

    Ameliyatta \u00f6nce kar\u0131n i\u00e7i organlar\u0131 g\u00f6zden ge\u00e7irilir. Bir sorun var m\u0131 diye bak\u0131l\u0131r. Ard\u0131ndan safra kesesinin safra kanal\u0131na ba\u011fland\u0131\u011f\u0131 b\u00f6lge ve safra kesesini besleyen damar ince ince \u00e7evre yap\u0131lardan ayr\u0131l\u0131r. G\u00f6r\u00fcn\u00fcr hale getirilir. Ard\u0131ndan titanyum klipsler ile kliplenerek kesilirler.<\/p>\n

    Sonra safra kesesi karaci\u011fere yap\u0131\u015f\u0131k oldu\u011fu yerden ayr\u0131l\u0131r. Serbest hale getirilir. Safra kesesi deliklerden d\u0131\u015far\u0131 \u00e7\u0131kart\u0131l\u0131r. \u0130\u015flemi bitirmeden safra kesesini \u00e7\u0131kard\u0131\u011f\u0131m\u0131z b\u00f6lge ve t\u00fcm kar\u0131n i\u00e7erisini son bir kez daha g\u00f6zden ge\u00e7iririz. Ard\u0131ndan kar\u0131n i\u00e7indeki gaz\u0131 bo\u015falt\u0131r\u0131z. Minik kesiler gizli diki\u015flerle ameliyat tamamlan\u0131r. Ameliyat s\u00fcresi ekstra bir sorun yoksa genellikle 30-50 dakika aras\u0131nda de\u011fi\u015fir.<\/p>\n

    Ameliyat\u0131n Sonu\u00e7lar\u0131 Nas\u0131ld\u0131r?<\/strong><\/h3>\n

    Kapal\u0131 safra kesesi ameliyat\u0131 otuz y\u0131l\u0131 a\u015fk\u0131n bir s\u00fcredir t\u00fcm d\u00fcnyada yayg\u0131n olarak uygulanan oturmu\u015f bir ameliyatt\u0131r. Do\u011fru te\u015fhisle, \u00f6zellikle laparoskopik cerrahi tecr\u00fcbesi fazla olan cerrahlar taraf\u0131ndan uyguland\u0131\u011f\u0131nda, sonu\u00e7 m\u00fckemmele yak\u0131nd\u0131r.<\/p>\n

    Safra kesesi al\u0131nan hastalarda safra kesesi ta\u015f ve iltihab\u0131na ba\u011fl\u0131 geli\u015fen sorunlar b\u00fcy\u00fck oranda \u00e7\u00f6z\u00fclm\u00fc\u015f olur. Safra kesesi tamamen al\u0131nd\u0131\u011f\u0131 i\u00e7in yeniden ta\u015f ve \u00e7amur olu\u015fumu s\u00f6z konusu de\u011fildir. Hasta a\u00e7\u0131s\u0131ndan ameliyat s\u00fcreci olduk\u00e7a konforludur. \u015eikayetlerin hemen hepsi ameliyattan sonra ortadan kalkar. Safra kesesinde iltihap d\u0131\u015f\u0131nda olabilecek sorunlar\u0131 g\u00f6zden ka\u00e7\u0131rmamak i\u00e7in ameliyatta \u00e7\u0131kart\u0131lan t\u00fcm safra keseleri patolojik incelemeye g\u00f6nderilir. Safra kesesi v\u00fccut fonksiyonlar\u0131 a\u00e7\u0131s\u0131ndan hayati bir organ de\u011fildir. Yaratt\u0131\u011f\u0131 riskler artt\u0131\u011f\u0131 zaman feda edilebilir. Genel sa\u011fl\u0131k ko\u015fullar\u0131nda \u00f6nemli bir de\u011fi\u015fiklik beklenmez.<\/p>\n

    Hastanede Ameliyat Sonras\u0131 Nas\u0131ld\u0131r?<\/strong><\/h3>\n

    Kapal\u0131 Safra Kesesi ameliyat\u0131 olan hastalar ameliyattan \u00e7\u0131kt\u0131ktan birka\u00e7 saat sonra t\u00fcm\u00fcyle kendine gelir, y\u00fcr\u00fcyebilir. \u00dc\u00e7-d\u00f6rt saat sonra a\u011f\u0131zdan g\u0131da almaya ba\u015flayabilir. Ameliyat gecesi olabilecek hafif derecede kar\u0131n a\u011fr\u0131s\u0131, s\u0131rt a\u011fr\u0131s\u0131 gibi \u015fikayetleri engellemek i\u00e7in birka\u00e7 kez a\u011fr\u0131 kesici verilmesi yeterlidir. \u00d6zellikle ameliyat esnas\u0131nda bu kesi b\u00f6lgelerine yap\u0131lan uzun etkili lokal anestezi ila\u00e7lar\u0131 ile de bu yara yeri a\u011fr\u0131s\u0131 iyice azalt\u0131labilir. Ameliyatta dren konulmas\u0131 nadiren gerekir. Bu kar\u0131n i\u00e7inden d\u0131\u015far\u0131ya do\u011fru uzanan 4-5 mm \u00e7ap\u0131nda plastik bir borudur. Ameliyat sonras\u0131 erken d\u00f6nemde ameliyat alan\u0131ndan olabilecek s\u0131zmalar\u0131 d\u0131\u015far\u0131ya almak i\u00e7in ihtiya\u00e7 duyulur. Genellikle ertesi sabah \u00e7\u0131kart\u0131l\u0131r.<\/p>\n

    Bir aksilik olmad\u0131\u011f\u0131 durumlarda bir g\u00fcn yat\u0131\u015f yeterlidir. Hastalar\u0131n hemen hemen hepsi ameliyat g\u00fcn\u00fcn\u00fcn gecesi hastanede kald\u0131ktan sonra ertesi sabah taburcu olabilir. Taburcu olurken birka\u00e7 g\u00fcn s\u00fcreyle g\u00fcnde birka\u00e7 kez kullan\u0131lmak \u00fczere a\u011fr\u0131 kesici hap re\u00e7ete edilir. Yara iltihap oran\u0131 olduk\u00e7a d\u00fc\u015f\u00fckt\u00fcr, antibiyotik kullan\u0131lmas\u0131na \u00e7o\u011fu zaman gerek yoktur. Sindirimi kolayla\u015ft\u0131rmak amac\u0131 ile ila\u00e7 verilebilir.<\/p>\n

    Taburcu Olduktan Sonra<\/strong><\/h3>\n

    Ameliyat\u0131n \u00fczerinden 48 saat ge\u00e7tikten sonra ameliyat yaralar\u0131nda bir sorun yoksa yaralar a\u00e7\u0131k b\u0131rak\u0131labilir. Banyo yap\u0131labilir. Tekrar pansuman gerekmez. Yara yerleri i\u00e7in kendili\u011finden eriyebilen gizli diki\u015fler kullan\u0131l\u0131r. Hasta ameliyattan sonraki haftas\u0131nda a\u011f\u0131r ve ya\u011fl\u0131 yiyecekler yememelidir. Sulu yumu\u015fak g\u0131dalar t\u00fcketmelidir. Kar\u0131n i\u00e7inde ameliyat alan\u0131nda kullan\u0131lan birka\u00e7 adet titanyum z\u0131mba \u00f6m\u00fcr boyu konuldu\u011fu yerde kal\u0131r.<\/p>\n

    Bunlar daha sonra \u00e7ekilecek kar\u0131n filmlerinde g\u00f6r\u00fcl\u00fcr. Ancak herhangi bir soruna yol a\u00e7mazlar. Safra kesesinin al\u0131nmas\u0131 g\u00fcndelik ya\u015fam, yeme-i\u00e7me d\u00fczeni a\u00e7\u0131s\u0131ndan \u00f6nemli bir soruna yol a\u00e7maz. Bir aksilik olmad\u0131\u011f\u0131 taktir de hastalar\u0131n sosyal ortamlar\u0131na ve i\u015f hayatlar\u0131na d\u00f6nmeleri i\u00e7in bir hafta istirahat yeterlidir. Mevcut t\u0131bbi bilgilere g\u00f6re safra kesesinin al\u0131nm\u0131\u015f olmas\u0131 bedensel bir noksanl\u0131\u011fa yol a\u00e7maz. \u0130la\u00e7 veya vitamin takviyesi gerektirmez. \u0130lk 10 g\u00fcn sonraki kontrolleri yap\u0131ld\u0131ktan sonra uzun d\u00f6nemde takip ve kontrollere gerek yoktur.<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    Safra Kesesi Nedir? Safra, karaci\u011ferde \u00fcretilerek oniki parmak ba\u011f\u0131rsa\u011fa d\u00f6k\u00fclen bir salg\u0131d\u0131r. Bu salg\u0131 arac\u0131l\u0131\u011f\u0131 ile baz\u0131 maddelerin v\u00fccuttan at\u0131lmas\u0131 sa\u011flan\u0131r. Ayn\u0131 zamanda baz\u0131 ya\u011fda eriyen vitaminlerin ve ya\u011flar\u0131n v\u00fccutta emilmesini de sa\u011flar. G\u00fcnl\u00fck ortalama 600 ml civar\u0131nda safra \u00fcretilir. Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir […]<\/p>\n","protected":false},"author":3,"featured_media":8843,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[732],"tags":[2083],"yoast_head":"\nSafra Kesesi Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra\" \/>\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\/safra-kesesi-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Safra Kesesi Nedir?\" \/>\n<meta property=\"og:description\" content=\"Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2023-02-13T12:43:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-13T12:43:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\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\/safra-kesesi-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg\",\"width\":800,\"height\":500,\"caption\":\"gall bladder\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/\",\"name\":\"Safra Kesesi Nedir? - Turkey Istanbul Medical\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#primaryimage\"},\"datePublished\":\"2023-02-13T12:43:15+00:00\",\"dateModified\":\"2023-02-13T12:43:39+00:00\",\"description\":\"Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra\",\"breadcrumb\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#breadcrumb\"},\"inLanguage\":\"tr-TR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/turkeyistanbulmedical.com\/tr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Safra Kesesi Nedir?\"}]},{\"@type\":\"Article\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#webpage\"},\"author\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc\"},\"headline\":\"Safra Kesesi Nedir?\",\"datePublished\":\"2023-02-13T12:43:15+00:00\",\"dateModified\":\"2023-02-13T12:43:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#webpage\"},\"wordCount\":2138,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg\",\"keywords\":[\"Safra Kesesi\"],\"articleSection\":[\"\u0130\u00e7 hastal\u0131klar\u0131\"],\"inLanguage\":\"tr-TR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-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":"Safra Kesesi Nedir? - Turkey Istanbul Medical","description":"Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra","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\/safra-kesesi-nedir\/","og_locale":"tr_TR","og_type":"article","og_title":"Safra Kesesi Nedir?","og_description":"Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra","og_url":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/","og_site_name":"Turkey Istanbul Medical","article_published_time":"2023-02-13T12:43:15+00:00","article_modified_time":"2023-02-13T12:43:39+00:00","og_image":[{"width":800,"height":500,"url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.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\/safra-kesesi-nedir\/#primaryimage","inLanguage":"tr-TR","url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg","contentUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg","width":800,"height":500,"caption":"gall bladder"},{"@type":"WebPage","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#webpage","url":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/","name":"Safra Kesesi Nedir? - Turkey Istanbul Medical","isPartOf":{"@id":"https:\/\/turkeyistanbulmedical.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#primaryimage"},"datePublished":"2023-02-13T12:43:15+00:00","dateModified":"2023-02-13T12:43:39+00:00","description":"Safra kesesi armut \u015feklindedir. Karaci\u011ferin alt y\u00fcz\u00fcne yap\u0131\u015f\u0131k halde bulunur. Sistik kanal ad\u0131n\u0131 verdi\u011fimiz bir kanal ile ana safra","breadcrumb":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#breadcrumb"},"inLanguage":"tr-TR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/turkeyistanbulmedical.com\/tr\/"},{"@type":"ListItem","position":2,"name":"Safra Kesesi Nedir?"}]},{"@type":"Article","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#article","isPartOf":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#webpage"},"author":{"@id":"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc"},"headline":"Safra Kesesi Nedir?","datePublished":"2023-02-13T12:43:15+00:00","dateModified":"2023-02-13T12:43:39+00:00","mainEntityOfPage":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#webpage"},"wordCount":2138,"commentCount":0,"publisher":{"@id":"https:\/\/turkeyistanbulmedical.com\/#organization"},"image":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-nedir\/#primaryimage"},"thumbnailUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/02\/gall-bladder.jpg","keywords":["Safra Kesesi"],"articleSection":["\u0130\u00e7 hastal\u0131klar\u0131"],"inLanguage":"tr-TR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/turkeyistanbulmedical.com\/tr\/safra-kesesi-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\/2023\/02\/gall-bladder.jpg","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/8849"}],"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=8849"}],"version-history":[{"count":1,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/8849\/revisions"}],"predecessor-version":[{"id":8850,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/8849\/revisions\/8850"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/media\/8843"}],"wp:attachment":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/media?parent=8849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/categories?post=8849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/tags?post=8849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}