{"id":9880,"date":"2023-09-28T15:32:09","date_gmt":"2023-09-28T15:32:09","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=9880"},"modified":"2023-09-28T15:32:09","modified_gmt":"2023-09-28T15:32:09","slug":"girtlak-kanseri-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/girtlak-kanseri-nedir\/","title":{"rendered":"G\u0131rtlak Kanseri Nedir?"},"content":{"rendered":"

G\u0131rtlak Kanseri<\/a> Nedir?<\/strong><\/h2>\n

G\u0131rtlak, boyun b\u00f6lgesinde bulunan, yemek ile nefes borusunu ay\u0131ran organd\u0131r. Ses tellerini bar\u0131nd\u0131rd\u0131\u011f\u0131 i\u00e7in ses \u00fcretimi de burada yap\u0131l\u0131r. Solunum yolunun \u00f6nemli bir par\u00e7as\u0131 olan g\u0131rtlak, yutma esnas\u0131nda yeme\u011fin nefes borusuna ka\u00e7mas\u0131n\u0131n da \u00f6n\u00fcne ge\u00e7er.<\/p>\n

G\u0131rtlak b\u00f6lgesinde olu\u015fan k\u00f6t\u00fc huylu kitlesel hastal\u0131klara ise g\u0131rtlak kanseri denilmektedir. T\u0131p dilinde larenks olarak isimlendirildi\u011fi i\u00e7in larenks kanseri de denilmektedir. Genelde nefes borusunun ve ses tellerinin bulundu\u011fu glottis b\u00f6lgesinde ortaya \u00e7\u0131kar.<\/p>\n

G\u0131rtlak kanseri g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131, d\u00fcnya genelinde sigara ve t\u00fct\u00fcn mamullerinin t\u00fcketiminde ya\u015fanan art\u0131\u015fa paralel olarak artmaktad\u0131r. Ba\u015f ve boyun kanserleri aras\u0131nda en \u00e7ok g\u00f6r\u00fclen kanser t\u00fcr\u00fc olarak \u00f6ne \u00e7\u0131kar.<\/p>\n

G\u0131rtlak Kanserinin Nedenleri Nelerdir?<\/strong><\/h3>\n

G\u0131rtlak kanseri geli\u015fmesine neden olabilecek risk fakt\u00f6rleri bulunmaktad\u0131r.<\/p>\n

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    T\u00fct\u00fcn ve Alkol Kullan\u0131m\u0131:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

    Alkol ve t\u00fct\u00fcn kullan\u0131m\u0131 g\u0131rtlak kanseri riskini art\u0131ran en \u00f6nemli risk fakt\u00f6rlerinin ba\u015f\u0131nda gelmektedir. T\u00fct\u00fcn \u00fcr\u00fcn\u00fc ve alkol\u00fcn kullan\u0131m miktar\u0131 ve kullan\u0131lan y\u0131l ne kadar fazlaysa risk fakt\u00f6r\u00fc de ayn\u0131 oranda y\u00fckselmektedir. G\u00fcnde 25 taneden fazla sigara kullanan veya 30 y\u0131ldan fazla s\u00fcredir sigara i\u00e7enlerin, sigara i\u00e7meyenlere g\u00f6re g\u0131rtlak kanseri geli\u015fme olas\u0131l\u0131\u011f\u0131 yakla\u015f\u0131k 40 kat daha fazlad\u0131r. Ayn\u0131 \u015fekilde uzun s\u00fcredir ve d\u00fczenli alkol kullananlar alkol kullanmayanlara g\u00f6re 3 kat daha fazla risk alt\u0131ndad\u0131r. G\u0131rtlak kanserinin de i\u00e7inde bulundu\u011fu ba\u015f boyun kanserlerinin b\u00fcy\u00fck bir \u00e7o\u011funlu\u011funu nedeni sigara kullan\u0131m\u0131d\u0131r. Sigara veya t\u00fct\u00fcn \u00fcr\u00fcn\u00fc kullanmay\u0131n s\u00fcrekli olarak duman\u0131na maruz kalan ki\u015filerin de g\u0131rtlak kanseri olma riski artmaktad\u0131r.<\/p>\n

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      Cinsiyet:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

      Erkeklerin g\u0131rtlak kanseri olma riski kad\u0131nlara oranla 4-5 kat daha fazlad\u0131r. Ancak son y\u0131llarda kad\u0131nlar aras\u0131nda sigara kullan\u0131m\u0131n\u0131n yayg\u0131nla\u015fmas\u0131 g\u0131rtlak kanserinin kad\u0131nlarda da s\u0131k g\u00f6r\u00fclmesine neden olmaktad\u0131r.<\/p>\n

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        Genetik Fakt\u00f6rler:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

        Ailesinde ba\u015f boyun kanseri veya g\u0131rtlak kanseri ge\u00e7mi\u015fi olan ki\u015filerde g\u0131rtlak kanseri geli\u015fme riski olmayanlara oranla daha fazlad\u0131r.<\/p>\n

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          Ya\u015f:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

          Bir\u00e7ok kanser t\u00fcr\u00fcnde oldu\u011fu gibi g\u0131rtlak kanserinde de ilerleyen ya\u015f en \u00f6nemli risk fakt\u00f6rleri aras\u0131ndad\u0131r. G\u0131rtlak kanseri 40 ya\u015f alt\u0131nda nadir g\u00f6r\u00fclmektedir.<\/p>\n

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            Beslenme Tarz\u0131:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

            K\u0131rm\u0131z\u0131 et, i\u015flenmi\u015f g\u0131da veya k\u0131zarm\u0131\u015f yiyecekleri fazla t\u00fcketenlerde g\u0131rtlak kanseri geli\u015fme riski daha fazlad\u0131r.\u00a0<\/strong>Ayn\u0131 zamanda A ve E vitamininden eksik beslenmenin de g\u0131rtlak kanseri nedeni oldu\u011funu g\u00f6steren \u00e7al\u0131\u015fmalar bulunmaktad\u0131r.\u00a0<\/strong>Akdeniz diyeti olarak bilinen taze meyve ve sebze a\u011f\u0131rl\u0131kl\u0131 beslenmek yeteri miktarda A ve E vitamini almak g\u0131rtlak kanseri riskini azaltabilmektedir.<\/p>\n

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              HPV Vir\u00fcs\u00fc<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

              Daha \u00e7ok cinsel yolla bula\u015fan ve kad\u0131nlarda genital si\u011fil, rahim a\u011fz\u0131 ve vajina kanserine neden olan HPV (Human papilomavirus enfeksiyonu) vir\u00fcs\u00fcn\u00fcn g\u0131rtlak kanserine neden olabilece\u011fini g\u00f6steren bilimsel \u00e7al\u0131\u015fmalar bulunmaktad\u0131r.\u00a0 HPV yayg\u0131n bir enfeksiyondur ve \u00e7o\u011fu insanda herhangi bir soruna neden olmadan kendi kendine ge\u00e7ebilmektedir.<\/p>\n

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                Zararl\u0131 Maddelere Maruziyet:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                Meslekten kaynaklanan baz\u0131 zararl\u0131 veya kimyasal maddelere uzun s\u00fcre maruz kalmak g\u0131rtlak kanseri nedeni olabilmektedir.<\/p>\n

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                • Tala\u015f<\/li>\n
                • Kurum veya k\u00f6m\u00fcr tozu<\/li>\n
                • Boya duman\u0131<\/li>\n
                • Boya \u00fcretimi ve kozmetik \u00fcr\u00fcnler gibi bir\u00e7ok end\u00fcstride kullan\u0131lan formaldehit<\/li>\n
                • Nikel<\/li>\n
                • Temizlik \u00e7\u00f6z\u00fcc\u00fc olarak kullan\u0131lan iziopropil alkol<\/li>\n
                • S\u00fclf\u00fcrik asit sisi<\/li>\n
                • Asbest<\/li>\n
                • K\u00f6t\u00fc a\u011f\u0131z hijyeni ve refl\u00fc hastal\u0131\u011f\u0131 da g\u0131rtlak kanseri nedeni olabilmektedir.<\/li>\n<\/ul>\n

                  G\u0131rtlak Kanseri Belirtileri Nelerdir?<\/strong><\/h3>\n

                  G\u0131rtlak kanseri belirtileri, hastal\u0131\u011f\u0131n erken evrelerinde genellikle hafif olabilir ve ba\u015fka sa\u011fl\u0131k sorunlar\u0131na benzerlik g\u00f6sterebilir. Ancak ilerleyen evrelerde belirtiler daha belirgin hale gelebilir. G\u0131rtlak kanseri belirtileri \u015funlar\u0131 i\u00e7erebilir:<\/p>\n

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                    Ses K\u0131s\u0131kl\u0131\u011f\u0131 veya Ses De\u011fi\u015fiklikleri: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                    En yayg\u0131n belirtilerden biri, uzun s\u00fcreli ses k\u0131s\u0131kl\u0131\u011f\u0131d\u0131r. Ses tellerindeki t\u00fcm\u00f6r nedeniyle ses kalitesinde de\u011fi\u015fiklikler olabilir.<\/p>\n

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                      Bo\u011faz A\u011fr\u0131s\u0131 veya Yutma G\u00fc\u00e7l\u00fc\u011f\u00fc: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                      Bo\u011fazda s\u00fcrekli a\u011fr\u0131 veya yutma zorlu\u011fu hissi olabilir. \u00d6zellikle kat\u0131 g\u0131dalar\u0131n yutulmas\u0131 s\u0131ras\u0131nda zorluk ya\u015fanabilir.<\/p>\n

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                        \u00d6ks\u00fcr\u00fck ve Kan T\u00fck\u00fcrme: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                        Kronik veya kanl\u0131 \u00f6ks\u00fcr\u00fck, g\u0131rtlak kanserinin belirtilerindendir. \u00d6ks\u00fcr\u00fckle birlikte kan t\u00fck\u00fcrme de g\u00f6r\u00fclebilir.<\/p>\n

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                          Nefes Darl\u0131\u011f\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                          G\u0131rtlak kanseri, hava yolunu daraltabilir ve bu da nefes almada g\u00fc\u00e7l\u00fck ya\u015fanmas\u0131na yol a\u00e7abilir.<\/p>\n

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                            Boyun \u015ei\u015fli\u011fi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                            Larenksin etraf\u0131ndaki lenf d\u00fc\u011f\u00fcmleri kanser h\u00fccrelerinin yay\u0131lmas\u0131n\u0131 \u00f6nlemeye \u00e7al\u0131\u015f\u0131rken \u015fi\u015febilir. Bu nedenle boyunda \u015fi\u015flik veya yumrular fark edilebilir.<\/p>\n

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                              A\u011f\u0131z veya Dilde Lezyonlar: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                              Baz\u0131 durumlarda, kanser h\u00fccreleri a\u011f\u0131z i\u00e7inde veya dilde lezyonlar olu\u015fturabilir.<\/p>\n

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                                Kulak A\u011fr\u0131s\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                \u0130lerlemi\u015f g\u0131rtlak kanseri bazen kulak a\u011fr\u0131s\u0131na da neden olabilir.<\/p>\n

                                G\u0131rtlak Kanserinin \u00c7e\u015fitleri Nelerdir?<\/strong><\/h3>\n
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                                  Nazofarenks Kanseri (Bo\u011faz\u0131n arkas\u0131nda ba\u015flar.): <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                  Nazofarenks yuta\u011f\u0131n \u00fcst k\u0131sm\u0131 ve burnun arkas\u0131nda kalan b\u00f6l\u00fcmd\u00fcr. Bu b\u00f6l\u00fcmde olu\u015fan kanser nazofarenks kanseri olarak adland\u0131r\u0131l\u0131r. Nadir g\u00f6r\u00fclen bir kanser t\u00fcr\u00fcd\u00fcr.<\/p>\n

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                                    Orofaringeal Kanser<\/strong> (A\u011fz\u0131n hemen arkas\u0131nda ba\u015flar.): <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                    Orofaringeal bo\u011faz\u0131n\u0131z ve a\u011fz\u0131n\u0131z\u0131n hemen arkas\u0131nda bademcikleri i\u00e7eren k\u0131s\u0131md\u0131r. Bu k\u0131s\u0131mda olu\u015fan kansere orofaringeal kanser denilir.<\/p>\n

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                                      Hipofarengeal Kanser: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                      Bo\u011faz\u0131n\u0131z\u0131n alt k\u0131sm\u0131nda, yemek borusu ve soluk borusunun \u00fczerinde yer alan hipofarenkste olu\u015fan kanser t\u00fcr\u00fcd\u00fcr.<\/p>\n

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                                        Glottik Kanser<\/strong> (Ses Tellerinde Ba\u015flar.):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                        G\u0131rtla\u011f\u0131n glottik denilen k\u0131sm\u0131nda ses telleri bulunur. Sesiniz bu k\u0131s\u0131mda olu\u015fur. Bu b\u00f6l\u00fcmde olu\u015fan kansere glottik kanser denilir.<\/p>\n

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                                          Supraglottik Kanser<\/strong> (Ses Tellerinin \u00dcst\u00fcnde Ba\u015flar.): <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                          Ses tellerinin \u00fcst k\u0131sm\u0131nda kalan ve \u00fcst g\u0131rtlak olarak bilinen b\u00f6lge supraglottik olarak adland\u0131r\u0131l\u0131r ve bu k\u0131s\u0131mda olu\u015fan kansere supraglottik kanser denilir. Kanser \u00fcst g\u0131rtlak b\u00f6lgesinde olu\u015ftu\u011fu i\u00e7in, yedi\u011fimiz g\u0131dalar\u0131n nefes borusuna girmesini engelleyen bir k\u0131k\u0131rdak olan epiglottisi etkileyebilir. T\u00fcm g\u0131rtlak kanserlerinin yakla\u015f\u0131k %35\u2019ini kapsar.<\/p>\n

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                                            Subglottik Kanser<\/strong> (Ses Tellerinin Alt\u0131nda Ba\u015flar.): <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                            Ses tellerinin alt k\u0131sm\u0131nda kalan alt g\u0131rtlak olarak adland\u0131r\u0131lan b\u00f6lgeye subglottik denilir. Bu b\u00f6lgede olu\u015fan kansere subglottik kanser denilir. T\u00fcm g\u0131rtlak kanserlerinin yakla\u015f\u0131k %5\u2019ini kapsar.<\/p>\n

                                            G\u0131rtlak Kanseri Dereceleri Nelerdir?<\/strong><\/h3>\n

                                            G\u0131rtlak kanserinin derecesi kanserli h\u00fccrelerin g\u00f6r\u00fcn\u00fcm\u00fcyle ilgidir. Genel olarak d\u00fc\u015f\u00fck dereceli ve y\u00fcksek dereceli g\u0131rtlak kanseri olarak ikiye ayr\u0131lmaktad\u0131r.<\/p>\n

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                                              D\u00fc\u015f\u00fck Dereceli G\u0131rtlak Kanseri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                              Kanser h\u00fccreleri kaynakland\u0131\u011f\u0131 \u00a0h\u00fccrelere benzer g\u00f6r\u00fcn\u00fcm sergilemektedir.<\/p>\n

                                              D\u00fc\u015f\u00fck dereceli g\u0131rtlak kanseri h\u00fccreleri genellikle yava\u015f b\u00fcy\u00fcr ve yay\u0131lma olas\u0131l\u0131\u011f\u0131 daha d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n

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                                                Y\u00fcksek Dereceli G\u0131rtlak Kanseri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                Kanser h\u00fccrelerindeki farkl\u0131la\u015f\u0131m fazlad\u0131r. Y\u00fcksek dereceli g\u0131rtlak kanseri h\u00fccreleri daha h\u0131zl\u0131 \u00e7o\u011falma e\u011filimindedir ve d\u00fc\u015f\u00fck dereceli kanser h\u00fccrelerine g\u00f6re yay\u0131lma olas\u0131l\u0131klar\u0131 daha y\u00fcksektir.<\/p>\n

                                                G\u0131rtlak Kanseri Evreleri Nelerdir?<\/strong><\/h3>\n

                                                G\u0131rtlak kanseri evreleri bulunan bir kanser t\u00fcr\u00fcd\u00fcr:<\/p>\n

                                                Evre 1:<\/strong><\/h4>\n

                                                Kanser h\u00fccreleri yaln\u0131zca g\u0131rtla\u011f\u0131n i\u00e7 astar k\u0131sm\u0131ndad\u0131r.<\/p>\n

                                                Evre 2:<\/strong><\/h4>\n

                                                K\u00fc\u00e7\u00fck boyutta olan t\u00fcm\u00f6r g\u0131rtla\u011f\u0131n d\u0131\u015f\u0131na ta\u015f\u0131n\u0131r.<\/p>\n

                                                Evre 3:<\/strong><\/h4>\n

                                                Daha b\u00fcy\u00fck boyutta olan t\u00fcm\u00f6r, tiroit bezinin i\u00e7 k\u0131sm\u0131na veya g\u0131rtla\u011f\u0131n \u00fcst k\u0131sm\u0131na do\u011fru b\u00fcy\u00fcr. Ses tellerinden birini de etkileyebilir.<\/p>\n

                                                Evre 4:<\/strong><\/h4>\n

                                                T\u00fcm\u00f6r yemek borusu, soluk borusu veya tiroit bezine yay\u0131labilir. Son evredir.<\/p>\n

                                                G\u0131rtlak Kanseri Nas\u0131l Te\u015fhis Edilir?<\/strong><\/h3>\n

                                                G\u0131rtlak kanserinden \u015f\u00fcpheleniyor ve 3 haftadan uzun s\u00fcredir ses k\u0131s\u0131kl\u0131\u011f\u0131 ya\u015f\u0131yorsan\u0131z ilk te\u015fhis ve tedavinin yap\u0131lmas\u0131 i\u00e7in kulak burun bo\u011faz doktoruna muayene olabilirsiniz.<\/p>\n

                                                Doktorunuz boynun i\u00e7 k\u0131sm\u0131n\u0131 incelemek i\u00e7in \u00f6ncelikle fiziksel muayene yapar. Doktorunuz do\u011fru te\u015fhis konulmas\u0131 i\u00e7in biyopsi ve PET-CT (tomografi) gibi g\u00f6r\u00fcnt\u00fcleme testlerine de ihtiya\u00e7 duyabilir. G\u0131rtlak kanserini te\u015fhis etmek i\u00e7in kullan\u0131lan testler \u015funlard\u0131r:<\/p>\n

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                                                  Fiziksel Muayene: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                  Doktorunuz hastal\u0131k belirtilerinizi ve g\u0131rtlak kanseri riskini art\u0131rabilecek aktiviteleri sorar. Ayr\u0131ca a\u011fz\u0131n\u0131zda bir yara ya da boynunuzda \u015fi\u015fmi\u015f lenf d\u00fc\u011f\u00fcmleri gibi herhangi anormal bir belirti olup olmad\u0131\u011f\u0131n\u0131 kontrol etmek i\u00e7in fiziksel bir muayene yapar. Laringoskopi: Doktorunuz bo\u011faz\u0131n\u0131z\u0131 daha detayl\u0131 muayene etmek i\u00e7in laringoskop kullanabilir. Laringoskop, \u0131\u015f\u0131kl\u0131 ince bir t\u00fcp ve lensten olu\u015fan bo\u011faz\u0131n arka k\u0131sm\u0131n\u0131 g\u00f6r\u00fcnt\u00fclemeye yard\u0131mc\u0131 olan bir alettir.<\/p>\n

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

                                                    Doktorunuz bu testi orofaringeal kanseri te\u015fhis etmek i\u00e7in yapar. Faringoskopi i\u00e7in \u00f6zel bir haz\u0131rl\u0131k gerekmemektedir. Doktorunuz dilinizi bast\u0131racak tek kullan\u0131ml\u0131k bir ah\u015fap ya da plastik spatula kullan\u0131r. Faringoskopiyi bast\u0131rd\u0131ktan sonra a\u011fz\u0131n\u0131z\u0131 incelemek i\u00e7in 5-10 mm boyutunda bir ayna kullan\u0131r.<\/p>\n

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                                                      Bilgisayarl\u0131 Tomografi (CT) Taramas\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                      CT tarama testi ba\u015fta kanser olmak \u00fczere bir\u00e7ok hastal\u0131\u011f\u0131n te\u015fhisinde kullan\u0131lan t\u0131bbi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir. Doktorunuz bu testi, orofaringeal kanseri te\u015fhis etmek i\u00e7in kullanabilir.<\/p>\n

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                                                        Manyetik Rezonans G\u00f6r\u00fcnt\u00fcleme (MR) Taramas\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                        Bo\u011faz\u0131n\u0131z\u0131n ayr\u0131nt\u0131l\u0131 g\u00f6r\u00fcnt\u00fclerini olu\u015fturmak i\u00e7in radyo dalgalar\u0131, g\u00fc\u00e7l\u00fc m\u0131knat\u0131slar ve bilgisayar kullan\u0131l\u0131r.<\/p>\n

                                                          \n
                                                        • \n

                                                          Pozitron Emisyon Tomografisi (PET) Taramas\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                          Kanser hastalar\u0131nda t\u00fcm\u00f6r\u00fc belirlemek, kanserin yay\u0131l\u0131p yay\u0131lmad\u0131\u011f\u0131n\u0131 kontrol etmek i\u00e7in pet \u00e7ekimi yap\u0131l\u0131r. \u00c7ekim yap\u0131lan b\u00f6lgenin \u00fc\u00e7 boyutlu g\u00f6r\u00fcnt\u00fcs\u00fc al\u0131n\u0131r.<\/p>\n

                                                            \n
                                                          • \n

                                                            Endoskopik Biyopsi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                            Doktorunuz doku \u00f6rne\u011fi almak i\u00e7in endoskopi i\u015flemi yapabilir. Endoskopi ucunda \u0131\u015f\u0131kl\u0131 k\u00fc\u00e7\u00fck bir kamera bulunan bir alet yard\u0131m\u0131yla yemek borusu,mide ve ba\u011f\u0131rsaklar\u0131 g\u00f6r\u00fcnt\u00fclemeye ve gerekirse doku \u00f6rne\u011fi almaya yarayan bir i\u015flemdir.<\/p>\n

                                                            G\u0131rtlak Kanserinin Cerrahi Tedavisi<\/strong><\/h3>\n

                                                            Endoskopik (Y\u00f6ntem \u0130le K\u0131smi G\u0131rtlak Al\u0131nmas\u0131 ) Rezeksiyon (Endoskopik Lazer Cerrahisi)<\/strong><\/h4>\n
                                                              \n
                                                            • Daha \u00e7ok erken evre g\u0131rtlak kanserleri ve lokal ileri evre g\u0131rtlak kanseri hastalar\u0131 i\u00e7in uygun bir cerrahi y\u00f6ntemdir.<\/li>\n
                                                            • Halk aras\u0131nda a\u011f\u0131z i\u00e7i lazer ameliyat\u0131 olarak bilinen endoskopik rezeksiyon ameliyat\u0131 a\u011f\u0131z yoluyla ger\u00e7ekle\u015ftirildi\u011fi i\u00e7in her hangi bir kesi uygulanmamaktad\u0131r.<\/li>\n
                                                            • \u0130\u015flem s\u0131ras\u0131nda lazer kullan\u0131ld\u0131\u011f\u0131 i\u00e7in kanama daha azd\u0131r.<\/li>\n
                                                            • \u0130\u015flem genel anestezi alt\u0131nda ameliyathanede ger\u00e7ekle\u015ftirilir.<\/li>\n
                                                            • A\u011f\u0131zdan ses tellerine kadar yerle\u015ftirilen t\u00fcpten gerekli cerrahi aletler ve lazer ge\u00e7irilir. Mikroskop alt\u0131nda ger\u00e7ekle\u015ftirilen operasyonda cerrah kanserli t\u00fcm\u00f6r\u00fc net bir \u015fekilde g\u00f6rmektedir.<\/li>\n
                                                            • T\u00fcm\u00f6r\u00fcn durumuna g\u00f6re cerrah bir k\u0131sm\u0131n\u0131 lazerle kesebilir veya y\u00fcksek enerji kullan\u0131lan lazerle tamamen yok edebilir.<\/li>\n
                                                            • Endoskopik lazer cerrahi i\u015fleminden \u00f6nce hastan\u0131n bu ameliyata uygun olup olmad\u0131\u011f\u0131 belirlenmelidir. Lazer ameliyat\u0131 a\u011f\u0131z yoluyla yap\u0131ld\u0131\u011f\u0131 i\u00e7in hastan\u0131n di\u015flerinin ve bo\u011faz yap\u0131s\u0131n\u0131n bu i\u015fleme uygun olmas\u0131 gerekmektedir.<\/li>\n
                                                            • A\u011f\u0131z i\u00e7in lazer ameliyat\u0131ndan sonra hastanede yat\u0131\u015f s\u00fcresi t\u00fcm\u00f6r\u00fcn bulundu\u011fu b\u00f6lge ve b\u00fcy\u00fckl\u00fc\u011f\u00fcne g\u00f6re de\u011fi\u015febilmektedir.<\/li>\n
                                                            • Genellikle b\u00fcy\u00fck t\u00fcm\u00f6rlerde yap\u0131lan endoskopik lazer ameliyatlar\u0131ndan sonra olu\u015fan \u015fi\u015flik nefes alma veya beslenmede sorunlara yol a\u00e7abilir.<\/li>\n
                                                            • A\u011f\u0131z i\u00e7i lazer ameliyat\u0131 genellikle konu\u015fma ve yutma konusunda kal\u0131c\u0131 sorunlara yol a\u00e7mamaktad\u0131r. Ameliyattan sonraki birka\u00e7 g\u00fcn konu\u015fma k\u0131s\u0131tlamas\u0131 getirilebilir. Uzun s\u00fcren konu\u015fma sorunlar\u0131nda konu\u015fma terapisti ile \u00e7al\u0131\u015fmak olumlu sonu\u00e7lar verebilir.<\/li>\n<\/ul>\n

                                                              G\u0131rtlak Kanseri Larenjektomi Ameliyat\u0131<\/strong><\/h3>\n
                                                                \n
                                                              • T\u00fcm\u00f6r\u00fcn b\u00fcy\u00fckl\u00fc\u011f\u00fcne ve yerine ba\u011fl\u0131 olarak g\u0131rtla\u011f\u0131n kanserden etkilenen k\u0131sm\u0131 veya tamam\u0131 cerrahi olarak \u00e7\u0131kart\u0131l\u0131r.<\/li>\n
                                                              • K\u0131sm\u0131 larenjektomi denilen g\u0131rtla\u011f\u0131n sadece bir k\u0131sm\u0131n\u0131n al\u0131nd\u0131\u011f\u0131 ameliyatlar boyunda k\u00fc\u00e7\u00fck bir kesi a\u00e7\u0131larak yap\u0131labildi\u011fi gibi a\u011f\u0131z yoluyla kesi yap\u0131lmadan da ger\u00e7ekle\u015ftirilebilir.<\/li>\n
                                                              • K\u0131smi larenjektomi ameliyatlar\u0131nda hastan\u0131n nefes alabilmesi i\u00e7in boyunda k\u00fc\u00e7\u00fck bir delik a\u00e7\u0131l\u0131r. Bu delik genellikle ameliyattan sonra kapan\u0131r.<\/li>\n
                                                              • K\u0131smi larenjektomi ameliyatlar\u0131ndan sonra ge\u00e7ici bir s\u00fcre konu\u015fma sorunu ya\u015fanabilir. Ancak genellikle iyile\u015fme s\u00fcrecinden sonra konu\u015fma ve nefes alma sorunu g\u00f6r\u00fclmemektedir.<\/li>\n
                                                              • G\u0131rtla\u011f\u0131n tamam\u0131m\u0131n \u00e7\u0131kart\u0131ld\u0131\u011f\u0131 yani total larenjektomi ameliyatlar\u0131nda soluk al\u0131p verebilmek i\u00e7in nefes borusu bo\u011faza a\u00e7\u0131lan deli\u011fe ba\u011flan\u0131r.<\/li>\n
                                                              • Total larenjektomi yani g\u0131rtla\u011f\u0131n tamam\u0131n\u0131n al\u0131nd\u0131\u011f\u0131 ameliyatlarda bo\u011faza a\u00e7\u0131lan delik kal\u0131c\u0131d\u0131r.<\/li>\n
                                                              • Total larenjektomi ameliyatlar\u0131ndan sonra hasta sesini kaybetmektedir. Konu\u015fma cihaz\u0131 veya ses cihaz\u0131 olarak \u00fcretilen ses protezleri ile hasta ileti\u015fimini sa\u011flayabilmektedir.<\/li>\n
                                                              • Total larenjektomi ameliyatlar\u0131ndan sonra ses sorununun yan\u0131nda yutkunma, tat ve koku alma gibi s\u0131k\u0131nt\u0131lar da g\u00f6r\u00fclebilmektedir.<\/li>\n<\/ul>\n

                                                                Boyun Diseksiyon Ameliyat\u0131<\/strong><\/h3>\n

                                                                Bu ameliyat g\u0131rtlak kanseri hastal\u0131\u011f\u0131n\u0131n boyundaki lenf bezlerine yay\u0131lmas\u0131 durumunda uygulan\u0131r. Bu nedenle ameliyatta lenf bezlerinin bir k\u0131sm\u0131 ya da tamam\u0131 \u00e7\u0131kar\u0131labilir. Ayn\u0131 zamanda kas, sinir ve kom\u015fu dokular\u0131n \u00e7\u0131kar\u0131lmas\u0131 da gerekebilir. Her hasta i\u00e7in uygun bir ameliyat tekni\u011fi de\u011fildir ve bunun nedeni de yan etkileridir. Kulakta uyu\u015fma, alt dudakta hareket kayb\u0131 gibi baz\u0131 yan etkiler ortaya \u00e7\u0131kabilir.<\/p>\n

                                                                G\u0131rtlak Kanseri Radyasyon Tedavisi<\/strong><\/h3>\n

                                                                Radyasyon tedavisinde, kanser h\u00fccrelerinin \u00f6lmelerine neden olmak i\u00e7in X-\u0131\u015f\u0131nlar\u0131 ve protonlar gibi kaynaklardan gelen y\u00fcksek enerjili \u0131\u015f\u0131nlar\u0131 kullan\u0131lmaktad\u0131r. Bu tedavi \u015feklinde \u0131\u015f\u0131nlar, v\u00fccudunuzun d\u0131\u015f\u0131ndaki b\u00fcy\u00fck bir makineden aktar\u0131lmaktad\u0131r. Bununla birlikte v\u00fccudunuzun i\u00e7ine, kanserin olu\u015ftu\u011fu b\u00f6lgenin hemen yan\u0131na yerle\u015ftirilebilecek k\u00fc\u00e7\u00fck radyoaktif tohumlar arac\u0131l\u0131\u011f\u0131yla da verilir.<\/p>\n

                                                                Erken evrelerde olan larinks kanseri i\u00e7in gerekli tek tedavi radyasyon tedavisi olabilmektedir.\u00a0Daha ileri evrelerdeki t\u00fcm\u00f6rler i\u00e7in radyasyon tedavisi \u00e7o\u011funlukla kemoterapi veya cerrahi y\u00f6ntemler ile birle\u015ftirilebilmektedir. Bununla birlikte son evre g\u0131rtlak kanseri olanlar i\u00e7in belirti ve semptomlar\u0131 azaltmak ve hastay\u0131 daha rahat ettirmek amac\u0131yla da radyasyon tedavisi kullan\u0131labilmektedir.<\/p>\n

                                                                G\u0131rtlak Kanseri Kemoterapi<\/strong><\/h3>\n

                                                                Kemoterapi, kanser h\u00fccrelerini \u00f6ld\u00fcrmek i\u00e7in ila\u00e7lar\u0131 kullan\u0131r. Kemoterapi s\u0131kl\u0131kla g\u0131rtlak kanserlerinin tedavisinde radyasyon tedavisi ile birlikte kullan\u0131l\u0131r. Belirli kemoterapi ila\u00e7lar\u0131 kanser h\u00fccrelerini radyasyon tedavisine daha duyarl\u0131 hale getirir. Ancak kemoterapi ve radyasyon terapisinin birle\u015ftirilmesi her iki tedavinin yan etkilerini art\u0131r\u0131r. Ya\u015faman\u0131z muhtemel olan yan etkileri ve kombine tedavilerin bu etkilere a\u011f\u0131r basacak yararlar sa\u011flay\u0131p sa\u011flayamayaca\u011f\u0131n\u0131 doktorunuzla g\u00f6r\u00fc\u015f\u00fcn.<\/p>\n

                                                                Hedefe Y\u00f6nelik Tedavi: <\/strong><\/h3>\n

                                                                Hedefe y\u00f6nelik tedavide sa\u011fl\u0131kl\u0131 h\u00fccrelere zarar vermeden kanser h\u00fccrelerini \u00f6ld\u00fcrmek i\u00e7in ila\u00e7lar kullan\u0131l\u0131r. Bu tedavide, kanser h\u00fccrelerinde bulunan ve h\u00fccrelerin b\u00fcy\u00fcmesine ve \u00e7o\u011falmas\u0131na destek olan proteinlere odaklan\u0131l\u0131r. Kullan\u0131lan ila\u00e7lar kanser h\u00fccrelerini \u00f6ld\u00fcr\u00fcr ve b\u00fcy\u00fcmelerini yava\u015flat\u0131r. Hedefe y\u00f6nelik tedavi daha \u00e7ok orofaringeal ve hipofarengeal kanser t\u00fcrlerinde tercih edilir.<\/p>\n

                                                                G\u0131rtlak kanserinin tedavisi olmakla birlikte erken te\u015fhis edilemeyen g\u0131rtlak kanseri kal\u0131c\u0131 ve \u00f6nemli hasarlara neden olabilir. Bu nedenle g\u0131rtlak kanserinin belirtilerini ya\u015f\u0131yorsan\u0131z vakit kaybetmeden bir sa\u011fl\u0131k uzman\u0131na muayene olman\u0131z erken te\u015fhis ve tedavi a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir. G\u0131rtlak kanserinden korunman\u0131n kesin bir yolu yoktur. Ancak t\u00fct\u00fcn ve alkol t\u00fcketimini azaltman\u0131z, HPV a\u015f\u0131s\u0131 uygulaman\u0131z ve sa\u011fl\u0131kl\u0131 beslenme al\u0131\u015fkanl\u0131\u011f\u0131 edinmeniz g\u0131rtlak kanserine yakalanma riskinizi \u00f6nemli derecede azaltabilir.<\/p>\n

                                                                G\u0131rtlak kanserine yakaland\u0131ysan\u0131z, tedavi g\u00f6rd\u00fckten sonra g\u0131rtlak kanserinin tekrarlama ihtimali vard\u0131r. Bu nedenle tedavinizden sonra sa\u011fl\u0131k\u00a0 kontrollerinizi aksatmaman\u0131z \u00e7ok \u00f6nemlidir.<\/p>\n

                                                                \u0130mm\u00fcnoterapi:<\/strong><\/h3>\n

                                                                \u0130mm\u00fcnoterapi, v\u00fccudun ba\u011f\u0131\u015f\u0131kl\u0131k sistemini kanser h\u00fccrelerine kar\u015f\u0131 sava\u015fmaya te\u015fvik etmek i\u00e7in kullan\u0131lan bir tedavi \u015feklidir. G\u0131rtlak kanserinde de imm\u00fcnoterapi, baz\u0131 hastalarda di\u011fer tedavilere ek olarak kullan\u0131labilir.<\/p>\n

                                                                Tedavi Sonras\u0131 Rehabilitasyon<\/strong><\/h3>\n

                                                                Kanser tedavisi genellikle yutma, kat\u0131 yiyecekler yeme ve konu\u015fma yetene\u011fini yeniden kazanmak i\u00e7in alan\u0131nda uzman doktorlarla birlikte \u00e7al\u0131\u015fmay\u0131 gerektirebilecek komplikasyonlara sebep olmaktad\u0131r.<\/p>\n

                                                                G\u0131rtlak kanseri tedavisi s\u0131ras\u0131nda ve sonras\u0131nda \u015fu konularda rehabilitasyon alman\u0131z gerekebilir:<\/strong><\/h4>\n
                                                                  \n
                                                                • Trakeostomi a\u00e7\u0131ld\u0131\u011f\u0131 durumlarda onun bak\u0131m\u0131,<\/li>\n
                                                                • Yeme problemleri,<\/li>\n
                                                                • Yutma zorlu\u011fu,<\/li>\n
                                                                • Boyunda hissedilen sertlik ve a\u011fr\u0131,<\/li>\n
                                                                • Konu\u015fma problemleri.<\/li>\n<\/ul>\n

                                                                  G\u0131rtlak Kanseri Hakk\u0131nda S\u0131k Sorulan Sorular\u00a0<\/strong><\/h3>\n

                                                                  G\u0131rtlak Kanseri \u00d6l\u00fcmc\u00fcl M\u00fcd\u00fcr?<\/strong><\/h4>\n

                                                                  D\u00fcnyada ba\u015f boyun b\u00f6lgesinin en yayg\u0131n kanserlerinden biri olan larinks kanserinden her y\u0131l y\u00fcksek say\u0131larda \u00f6l\u00fcmler g\u00f6r\u00fclmektedir. Erkeklerde kad\u0131nlara g\u00f6re daha \u00f6l\u00fcm riski daha y\u00fcksektir. Ancak erken evrede te\u015fhis edilen kanserlerin tedavi edilebilme olas\u0131l\u0131\u011f\u0131 neredeyse kesindir.<\/p>\n

                                                                  G\u0131rtlak Kanseri Nereye Metastaz (Yay\u0131lma) Yapar?<\/strong><\/h4>\n

                                                                  G\u0131rtlak kanseri \u00f6nce kom\u015fu dokulara yay\u0131l\u0131r. \u0130leri evrede ise uzak organlara da yay\u0131labilir.<\/p>\n

                                                                  \u00a0G\u0131rtlak kanserinin yay\u0131l\u0131m yapt\u0131\u011f\u0131 yerler ise;<\/strong><\/h4>\n
                                                                    \n
                                                                  • G\u0131rtlak Boyu<\/li>\n
                                                                  • Boyudaki Yumu\u015fak Dokular<\/li>\n
                                                                  • Ses Telleri<\/li>\n
                                                                  • Tiroit Bezi<\/li>\n
                                                                  • Dil Taban\u0131<\/li>\n
                                                                  • Dil Ve Boyun Kaslar\u0131<\/li>\n
                                                                  • Yutak<\/li>\n
                                                                  • Soluk Borusu (Trakea)<\/li>\n
                                                                  • Yemek Borusu<\/li>\n
                                                                  • Lenf Bezleri<\/li>\n
                                                                  • Akci\u011fer, Karaci\u011fer ve kemiklerdir.<\/li>\n<\/ul>\n

                                                                    G\u0131rtlak Kanseri Ameliyat\u0131ndan Sonra Konu\u015fabilecek Miyim?<\/strong><\/h4>\n

                                                                    K\u0131sm\u0131 ger\u00e7ekle\u015ftirilen g\u0131rtlak kanseri ameliyatlar\u0131nda ses telleri korunabilir. Ses tellerinin korundu\u011fu bu ameliyatlar\u0131n hemen ard\u0131ndan konu\u015fma zorlu\u011fu ya\u015fansa da bir s\u00fcre sonra ses eski haline gelebilmektedir.<\/p>\n

                                                                    Ancak g\u0131rtla\u011f\u0131n tamam\u0131n \u00e7\u0131kart\u0131ld\u0131\u011f\u0131 ameliyatlar\u0131n ard\u0131ndan hasta sesini kaybetmektedir.<\/p>\n

                                                                    Bu ameliyatlardan sonra hastan\u0131n durumuna g\u00f6re farkl\u0131 konu\u015fma teknikleri veya cihazlar kullan\u0131labilir. \u00d6zofagus konu\u015fmas\u0131 denilen havay\u0131 yemek borusundan a\u015fa\u011f\u0131 do\u011fru hareket ettirerek ve ard\u0131ndan a\u011fza geri getirerek konu\u015fma ger\u00e7ekle\u015ftirilebilir. Bunun i\u00e7in ses terapistleriyle \u00e7al\u0131\u015fma yap\u0131labilir.<\/p>\n

                                                                    Elektronik g\u0131rtlak denilen k\u00fc\u00e7\u00fck bir cihaz\u0131 boyna do\u011fru tutarak hastan\u0131n ses \u00e7\u0131karmas\u0131 m\u00fcmk\u00fcnd\u00fcr.<\/p>\n

                                                                    Halk aras\u0131nda ses mikrofonu olarak da bilinen ses protezleri ile hastan\u0131 konu\u015fmas\u0131 sa\u011flanabilir.<\/p>\n

                                                                    G\u0131rtlak Kanserinde Beslenmede Dikkat Edilmesi Gerekenler Nelerdir?<\/strong><\/h3>\n

                                                                    Kanser tedavisinin yan etkilerini en aza indirmek ve kilo kayb\u0131na ba\u011fl\u0131 sa\u011fl\u0131k sorunlar\u0131 ile kar\u015f\u0131la\u015fmamak i\u00e7in beslenmede baz\u0131 besin kaynaklar\u0131na yer verilmesinde fayda vard\u0131r:<\/p>\n

                                                                      \n
                                                                    1. \n

                                                                      Protein: <\/strong><\/h4>\n<\/li>\n<\/ol>\n

                                                                      Dokular\u0131n onar\u0131lmas\u0131, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin g\u00fc\u00e7lenmesi ve v\u00fccuda enerji sa\u011flanmas\u0131nda rol oynayan protein, kanser hastalar\u0131n\u0131n beslenmesinde \u00f6nemli bir yere sahiptir. Kanser hastalar\u0131, sa\u011fl\u0131kl\u0131 bireylere g\u00f6re daha \u00e7ok proteine ihtiya\u00e7 duyar. Yeterli protein al\u0131m\u0131 ger\u00e7ekle\u015fmedi\u011fi zaman ise kas y\u0131k\u0131m\u0131, g\u00fc\u00e7 ve diren\u00e7 kayb\u0131 olur. Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin zay\u0131flamas\u0131 ile de hastal\u0131klara a\u00e7\u0131k hale gelinir.<\/p>\n

                                                                      G\u0131rtlak kanseri hastalar\u0131 g\u00fcnl\u00fck beslenmelerinde yumurta, tavuk, baklagiller, k\u0131rm\u0131z\u0131 et, yo\u011furt ve peynir gibi protein bak\u0131m\u0131ndan zengin g\u0131dalara yer vermelidir. Beslenme g\u00fc\u00e7l\u00fc\u011f\u00fc nedeniyle yetersiz protein al\u0131m\u0131 ger\u00e7ekle\u015ftiriyorsan\u0131z doktor ya da diyetisyen tavsiyesi ile t\u0131bbi beslenme deste\u011fi alabilirsiniz.<\/p>\n

                                                                        \n
                                                                      1. \n

                                                                        Karbonhidrat:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                                                                        V\u00fccudun g\u00fcnl\u00fck olarak ihtiya\u00e7 duydu\u011fu bir di\u011fer makro besin kayna\u011f\u0131 ise karbonhidratlard\u0131r. Karbonhidratlar, v\u00fccudun g\u00fcnl\u00fck enerji ihtiyac\u0131n\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcn\u00fc kar\u015f\u0131lar. Kanser hastalar\u0131n\u0131n, ya\u015fam kalitelerini y\u00fckseltmek ve tedavi i\u00e7in ihtiya\u00e7 duyduklar\u0131 enerjiyi bulabilmek i\u00e7in \u00f6\u011f\u00fcnlerinde ekmek, pirin\u00e7, makarna, patates ve tah\u0131l gibi karbonhidrat bak\u0131m\u0131ndan zengin besinlere yer vermelerinde fayda vard\u0131r.<\/p>\n

                                                                          \n
                                                                        1. \n

                                                                          Ya\u011f: <\/strong><\/h4>\n<\/li>\n<\/ol>\n

                                                                          V\u00fccudun bir di\u011fer enerji kayna\u011f\u0131 ya\u011fd\u0131r. Kanser tedavisi ve sonras\u0131ndaki iyile\u015fme s\u00fcrecinin beklenildi\u011fi gibi seyretmesi i\u00e7in g\u00fcnl\u00fck beslenmede sa\u011fl\u0131kl\u0131 ya\u011flara yer verilmelidir. G\u0131rtlak kanseri te\u015fhisi \u00f6ncesi herhangi bir diyet uyguluyor olsan\u0131z bile ya\u011f i\u00e7eren besinleri yeterince t\u00fcketmeye \u00f6zen g\u00f6sterebilirsiniz. Unutmay\u0131n; kanser hastalar\u0131 sa\u011fl\u0131kl\u0131 bireylere g\u00f6re g\u00fcnl\u00fck olarak daha y\u00fcksek kaloriye ihtiya\u00e7 duyabilir.<\/p>\n

                                                                          Beslenme problemlerine ba\u011fl\u0131 olarak maln\u00fctrisyon yani yetersiz beslenme durumu ile kar\u015f\u0131la\u015fmamak i\u00e7in doktorunuzun tavsiyesi ile v\u00fccudunuza diren\u00e7 ve enerji sa\u011flayan t\u0131bbi beslenme deste\u011fine ba\u015fvurabilirsiniz.<\/p>\n

                                                                            \n
                                                                          1. \n

                                                                            Vitamin ve Mineraller: <\/strong><\/h4>\n<\/li>\n<\/ol>\n

                                                                            Kanser hastalar\u0131n\u0131n ihtiya\u00e7 duyduklar\u0131 vitamin ve mineralleri almas\u0131 i\u00e7in mevsimine uygun taze sebze ve meyve t\u00fcketmeleri \u00f6nerilir. G\u00fcnl\u00fck 3 porsiyon sebze ve 2 porsiyon meyveyi ana ve ara \u00f6\u011f\u00fcnlerde t\u00fcketebilirsiniz.<\/p>\n","protected":false},"excerpt":{"rendered":"

                                                                            G\u0131rtlak Kanseri Nedir? G\u0131rtlak, boyun b\u00f6lgesinde bulunan, yemek ile nefes borusunu ay\u0131ran organd\u0131r. Ses tellerini bar\u0131nd\u0131rd\u0131\u011f\u0131 i\u00e7in ses \u00fcretimi de burada yap\u0131l\u0131r. Solunum yolunun \u00f6nemli bir par\u00e7as\u0131 olan g\u0131rtlak, yutma esnas\u0131nda yeme\u011fin nefes borusuna ka\u00e7mas\u0131n\u0131n da \u00f6n\u00fcne ge\u00e7er. G\u0131rtlak b\u00f6lgesinde olu\u015fan k\u00f6t\u00fc huylu kitlesel hastal\u0131klara ise g\u0131rtlak kanseri denilmektedir. T\u0131p dilinde larenks olarak isimlendirildi\u011fi i\u00e7in […]<\/p>\n","protected":false},"author":3,"featured_media":9872,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[765],"tags":[2532],"yoast_head":"\nG\u0131rtlak Kanseri Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"G\u0131rtlak b\u00f6lgesinde olu\u015fan k\u00f6t\u00fc huylu kitlesel hastal\u0131klara ise g\u0131rtlak kanseri denilmektedir. 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