Hemoroid hastal\u0131\u011f\u0131 yap\u0131sal olarak varis hastal\u0131\u011f\u0131 ile olduk\u00e7a benzerdir.\nVaris hastal\u0131\u011f\u0131ndan bacaklara uygulanan bas\u0131n\u00e7 y\u00fcz\u00fcnden bacaklarda bulunan\ndamarlar yap\u0131sal olarak geni\u015fler ve varisler olu\u015fur. Hemoroitte ise makat\nb\u00f6lgesine bas\u0131n\u00e7 uygulanmas\u0131 anal kanal i\u00e7erisinde bulunan damarlar\u0131n\ngeni\u015fleyerek an\u00fcs d\u0131\u015f\u0131na sarkmas\u0131na neden olmaktad\u0131r. Sarkan bu yap\u0131lara ise\nhemoroid memesi ismi verilir. Bu memelerin olu\u015fumu b\u00f6lgeye g\u00f6re hastal\u0131k i\u00e7 ve\nd\u0131\u015f hemoroid olarak 2 gruba ayr\u0131l\u0131r. <\/p>\n\n\n\n
Hemoroid T\u00fcrleri Nelerdir?<\/strong><\/h2>\n\n\n\n![\"\"](\"https:\/\/www.ideaclinic.net\/tr\/wp-content\/uploads\/2019\/08\/hmrdt\u00fcrleri.jpg\")
<\/figure><\/li><\/ul>\n\n\n\nD\u0131\u015f Hemoroid<\/strong><\/h3>\n\n\n\nHemoroid memeleri an\u00fcs \u00e7evresinde geli\u015fir. Nadir g\u00f6r\u00fclen bir t\u00fcrd\u00fcr. \u0130\u00e7\nhemoroid daha s\u0131k g\u00f6r\u00fcl\u00fcr. Genellikle \u015fikayete neden olmazlar. Ancak an\u00fcs\nkenar\u0131nda bir \u015fi\u015flik estetik olarak rahats\u0131z edici oldu\u011fu i\u00e7in hastalar tedavi\nolmak ister. Ayr\u0131ca g\u00f6rsel olarak da rahats\u0131z edici olabilirler. <\/p>\n\n\n\n
\u0130\u00e7 Hemoroid<\/strong><\/h3>\n\n\n\nAn\u00fcs\u00fcn i\u00e7erisinde geli\u015fir. An\u00fcs i\u00e7inde bulunan damarlar\u0131n \u015fi\u015fmesi \u015feklinde\nolu\u015fur. \u0130lk a\u015famalarda memeler makat\u0131n i\u00e7erisinde iken zamanla makat\u0131n d\u0131\u015f\u0131na\n\u00e7\u0131kar. Pakelerin an\u00fcs d\u0131\u015f\u0131na \u00e7\u0131k\u0131\u015f\u0131 hastada \u015fiddetli a\u011fr\u0131ya neden olabilir.\nBunun nedeni ise hassas yap\u0131da olan hemoroid memelerinin makat kaslar\u0131\ntaraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131lmas\u0131d\u0131r. Bu t\u00fcr s\u0131k\u0131\u015fmalar\u0131n oldu\u011fu hemoroidler tromboze\nolarak grupland\u0131r\u0131l\u0131r. Ve hastan\u0131n hayat kalitesini en \u00e7ok etkileyen t\u00fcrd\u00fcr. <\/p>\n\n\n\n
\u0130\u00e7 Hemoroid<\/strong> Dereceleri<\/h3>\n\n\n\n\u0130\u00e7 hemoroitte damarlar anal kanal i\u00e7erisinden d\u0131\u015far\u0131ya sarkar.\nDerecelendirme sarkan pakelerin( memecikleri) g\u00f6sterdi\u011fi reaksiyona g\u00f6re\nyap\u0131l\u0131r. <\/p>\n\n\n\n
1.Derece: <\/strong>Bu derece hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 a\u015famas\u0131d\u0131r. Hemoroid memecikleri anal kanal i\u00e7erisinde olu\u015fmaya ba\u015flar. Durumun bu a\u015famada hasta taraf\u0131ndan fark edilmesi pek m\u00fcmk\u00fcn de\u011fildir. Ancak baz\u0131 hastalarda a\u011fr\u0131s\u0131z kanama \u015fikayeti olmaktad\u0131r. Hasta ancak kanama \u015fikayeti ile doktora ba\u015fvurursa doktor anoskop muayenesi ile 1. Derecede olan bir hemoroidi tespit edebilir. <\/p>\n\n\n\n2.Derece:<\/strong> Bu a\u015famada olu\u015fan memecikler tuvalet ihtiyac\u0131 giderilirken makattan d\u0131\u015far\u0131 \u00e7\u0131kar ve sonra kendili\u011finden makat i\u00e7erisinde d\u00f6ner. Bu a\u015famada da a\u011fr\u0131s\u0131z kanama ve ka\u015f\u0131nt\u0131 \u015fikayetleri g\u00f6r\u00fclebilir.<\/p>\n\n\n\n3.Derece: <\/strong>Bu a\u015famada d\u0131\u015fk\u0131lama esnas\u0131nda makattan \u00e7\u0131kan memecikler kendili\u011finden makat i\u00e7erisine d\u00f6nemezler. Makat i\u00e7erisine d\u00f6nebilmeleri i\u00e7in m\u00fcdahale gerekir. Bu nedenle hastan\u0131n memecikleri eli ile i\u00e7eri do\u011fru itmesi gerekir. Bu a\u015famada memecikleri sarkmas\u0131na ba\u011fl\u0131 olarak a\u011fr\u0131 \u015fikayeti g\u00f6r\u00fclebilir. <\/p>\n\n\n\n 4.Derece<\/strong>: Hastal\u0131\u011f\u0131n son ve en ileri evresidir. Bu evrede makat d\u0131\u015f\u0131na \u00e7\u0131kan hemoroidler s\u00fcrekli olarak makat d\u0131\u015f\u0131nda kal\u0131r. Ve makat kaslar\u0131 taraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131l\u0131r. Bu durum hastan\u0131n ya\u015fam kalitesini etkileyecek d\u00fczeyde a\u011fr\u0131 ya\u015fanmas\u0131na neden olabilir.<\/p>\n\n\n\n![\"\"](\"https:\/\/www.ideaclinic.net\/tr\/wp-content\/uploads\/2019\/08\/hmrdhazr.jpg\")
<\/figure><\/li><\/ul>\n\n\n\nHemoroid Neden Olur?<\/strong><\/h2>\n\n\n\nHemoroid d\u00fcnyada milyonlarca insan\u0131 etkileyen bir hastal\u0131kt\u0131r. ABD’de\nhemoroidg\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n, n\u00fcfusun% 4,4’\u00fcne tekab\u00fcl eden y\u0131lda 10 milyon gibi\nbi rakam oldu\u011fu tespit edilmi\u015ftir. [1]<\/a>\nBu nedenle hemoroide neden olan durumlar\u0131n bilinmesi hastal\u0131ktan korunma\na\u00e7\u0131s\u0131ndan \u00f6nemlidir. <\/p>\n\n\n\nHemoroide zemin haz\u0131rlayan durumlar makat b\u00f6lgesine bask\u0131 uygulayan\ndurumlard\u0131r. Bunlar\u0131n ba\u015f\u0131nda kab\u0131zl\u0131k gelmektedir. Ek olarak hamilelik, a\u015f\u0131r\u0131\nkilolu olmak, s\u00fcrekli a\u011f\u0131r kald\u0131rmak, ya\u015fl\u0131l\u0131k gibi sebeplerde yer almaktad\u0131r.<\/p>\n\n\n\n
Kab\u0131zl\u0131k<\/strong><\/h3>\n\n\n\nHemoroid dahil pek \u00e7ok makat hastal\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n ba\u015fl\u0131ca nedeni\nkab\u0131zl\u0131kt\u0131r. Kab\u0131zl\u0131k zorlu d\u0131\u015fk\u0131lama anlam\u0131na gelmektedir. Yani a\u015f\u0131r\u0131 \u0131k\u0131nma.\nA\u015f\u0131r\u0131 \u0131k\u0131nma makat b\u00f6lgesine uygulanan bask\u0131 ve bas\u0131nc\u0131n artmas\u0131na neden olarak\nanal b\u00f6lge damarlar\u0131n\u0131n geni\u015flemesine neden olabilir. \u00d6zellikle kronik kab\u0131zl\u0131k\nsorunun ya\u015fayan hastalarla hemoroid sorunu ka\u00e7\u0131n\u0131lmaz olabilir. <\/p>\n\n\n\n
Gebelik<\/strong><\/h3>\n\n\n\nGebelikte anne v\u00fccudunda bulunan kan miktar\u0131nda art\u0131\u015f g\u00f6r\u00fcl\u00fcr. Yani\ndamarlarda dola\u015fan kan miktar\u0131n\u0131n daha fazla oldu\u011fu s\u00f6ylenebilir. Bu durumda\ndamarlara uygulanan bask\u0131n\u0131n artmas\u0131na neden olur. Ek olarak bebe\u011fin b\u00fcy\u00fcmeye\nba\u015flamas\u0131 ile i\u00e7 karna uygulanan bask\u0131 da artar. Bu durumlarda gebe kad\u0131nlarda\nhemoroid g\u00f6r\u00fclme riskini artt\u0131r\u0131r. <\/p>\n\n\n\n
A\u011f\u0131rl\u0131k Kald\u0131rmak<\/strong><\/h3>\n\n\n\nA\u011f\u0131rl\u0131k kald\u0131rmakta kan bas\u0131n\u0131n\u0131n artmas\u0131na ve dolayl\u0131 olarak makat\nb\u00f6lgesine uygulanan bask\u0131n\u0131n artmas\u0131na neden olmaktad\u0131r. B\u00f6lgede bask\u0131n\u0131n\nartmas\u0131 da basur sorununa uygun zemin haz\u0131rlanmas\u0131na neden olmaktad\u0131r.<\/p>\n\n\n\n
A\u015f\u0131r\u0131 Kilolu Olmak<\/strong><\/h3>\n\n\n\nA\u015f\u0131r\u0131 kilolu olmak t\u0131pk\u0131 a\u011f\u0131rl\u0131k kad\u0131rmak gibi anal b\u00f6lgeye uygulanan\nbas\u0131nc\u0131n artmas\u0131na ve hemoroid olu\u015fmas\u0131na neden olur. Yap\u0131lan ara\u015ft\u0131rmalar\na\u015f\u0131r\u0131 kilolu yani v\u00fccut kitle indeksi y\u00fcksek olan bireylerde normal bireylere\ng\u00f6re hemoroid g\u00f6r\u00fclme riskinin 3 kat daha fazla oldu\u011funu tespit etmi\u015ftir. [2]<\/a><\/p>\n\n\n\n\u0130leri Ya\u015f<\/strong><\/h3>\n\n\n\nYa\u015f ilerlemesi ile birlikte ba\u011f\u0131rsak hareketlerinde yava\u015flama g\u00f6r\u00fcl\u00fcr. Buna\nba\u011fl\u0131 olarak s\u0131kl\u0131kla kab\u0131zl\u0131k sorunu ya\u015fan\u0131r. Kab\u0131zl\u0131k sorunun s\u0131k ya\u015fanmas\u0131\nise hemoroid hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131 i\u00e7in en temel sebeptir. Ayr\u0131ca ya\u015f\u0131n\nilerlemesi ile dokularda ve kaslarda zay\u0131flama g\u00f6r\u00fcl\u00fcr. Bu durumda riski\nartt\u0131r\u0131r. Yap\u0131lan ara\u015ft\u0131rmalar hastal\u0131\u011f\u0131n en \u00e7ok 45 60 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc\nve 20 ya\u015f\u0131ndan \u00f6nce hemoroid sorunu g\u00f6r\u00fclmedi\u011fini tespit etmi\u015ftir. [3]<\/a><\/p>\n\n\n\nHemoroidden Korunma Yollar\u0131<\/strong><\/h2>\n\n\n\nHemoroid hastal\u0131\u011f\u0131ndan korunmak i\u00e7in ilk olarak beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n\ng\u00f6zden ge\u00e7irilmesi gerekmektedir. Bu sayede kab\u0131zl\u0131k sorunu \u00f6nlenebilir.\nB\u00f6ylece basur hastal\u0131\u011f\u0131ndan da korunmu\u015f olunur.<\/p>\n\n\n\n
Kabz\u0131l\u0131ktan korunmak i\u00e7in beyaz unlu yap\u0131lm\u0131\u015f \u00fcr\u00fcnler yerine kepek veya tam\nbu\u011fday unundan yap\u0131lm\u0131\u015f \u00fcr\u00fcnlerin tercih edilmesi gerekir. Ayr\u0131ca meyve ve\nsebzeler gibi lif oran\u0131 y\u00fcksek olan g\u0131dalar\u0131n t\u00fcketimi de artt\u0131r\u0131lmal\u0131d\u0131r. Bu\nsayede d\u0131\u015fk\u0131lama daha kolay bir \u015fekilde yap\u0131labilir. Ayr\u0131ca tuvalet ihtiyac\u0131n\u0131n\nertelenmesi de d\u0131\u015fk\u0131n\u0131n bekleyerek sertle\u015fmesine ve buna ba\u011fl\u0131 olarak zorlu\nd\u0131\u015fk\u0131lamaya neden olmaktad\u0131r. Bu nedenle d\u0131\u015fk\u0131lama ihtiyac\u0131n\u0131n ertelenmemesi\ngerekmektedir.<\/p>\n\n\n\n
Ayr\u0131ca a\u015f\u0131r\u0131 baharatl\u0131 ve ac\u0131 g\u0131dalarda hemoroid olu\u015fumunu tetikledi\u011fi i\u00e7in\nbu t\u00fcr g\u0131dalardan da ka\u00e7\u0131nmak gerekmektedir.<\/p>\n\n\n\n
Beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n yan\u0131 s\u0131ra g\u00fcndelik hayattaki hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 da \u00f6nlem almak a\u00e7\u0131s\u0131ndan faydal\u0131 olacakt\u0131r. Hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 ba\u011f\u0131rsak hareketlerini olumlu etkileyip kilonun kontrol alt\u0131nda\ntutulmas\u0131n\u0131 sa\u011flar. Bu sayede kab\u0131zl\u0131k ve fazla kilodan dolay\u0131 ortaya \u00e7\u0131kan\nrisk en aza indirilmi\u015f olur. <\/p>\n\n\n\n
Hemoroid Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h2>\n\n\n\nHemoroidlerin tedavisi i\u00e7in 3 teknik kullan\u0131lmaktad\u0131r. Hangi teknik veya tekniklerin kullan\u0131laca\u011f\u0131 hemoroidn t\u00fcr ve derecesine g\u00f6re belirlenmektedir. G\u00fcncel olarak kullan\u0131lan teknikler; lazer, RBL( lastikle bo\u011fma) ve THD ( atardamar\u0131n kapat\u0131lmas\u0131) uygulamalar\u0131d\u0131r. <\/p>\n\n\n\n
Lazer Hemoroid Tedavisi<\/strong><\/h3>\n\n\n\nLazer cihaz\u0131 sayesinde herhangi bir kesi yap\u0131lmadan 1 ve 2. dereceli\nhemoroidler \u0131\u015f\u0131n ile tedavi edilebilmektedir. Lazer cihaz\u0131 ile olu\u015fmu\u015f\nmemecikler tahrip edilerek yok edilir. Tedavi 10 dakika kadar k\u0131sa bir s\u00fcrede\ntamamlanabilir. Hasta ayn\u0131 g\u00fcn i\u00e7erisinde i\u015fine\/hayat\u0131na d\u00f6nebilir. <\/p>\n\n\n\n
RBL ( Rubber Band Ligations-Lastikle Bo\u011fma)<\/strong><\/h3>\n\n\n\nLazer tedavisinin yetersiz oldu\u011fu durumlarda RBL yani lastikle bo\u011fma\ntekni\u011fi uygulan\u0131r. Lastikle bo\u011fma tekni\u011finde bir cihaz yard\u0131m\u0131 ile memeci\u011fin\nba\u015f k\u0131sm\u0131na bir lastik yerle\u015ftirilir. Bu sayede memeci\u011fin beslenmesi\nengellenir. Beslenemeyen memecik ise zamanla k\u00fc\u00e7\u00fclerek yok olur.<\/p>\n\n\n\n
THD ( Atar damar\u0131n ba\u011flanmas\u0131)<\/strong><\/h3>\n\n\n\nHastal\u0131\u011f\u0131n her evresinde uygulan\u0131r. Lazer ve RBL y\u00f6ntemi son evrede olan\nbasurlar i\u00e7in yetersiz kalmaktad\u0131r. Bu t\u00fcr vak\u0131alarda THD tekni\u011fi uygulan\u0131r.\nTHD ameliyat\u0131 lokal anestezi ile uygulan\u0131r. Bu teknikte cihaz yard\u0131m\u0131 ile\nan\u00fcsten girilerek memeci\u011fi besleyen atardamar ba\u011flan\u0131r. Bu sayede t\u0131pk\u0131\nlastikle bo\u011fma tekni\u011finde oldu\u011fu gibi memecik zaman i\u00e7erisinde k\u00fc\u00e7\u00fclerek\nkaybolur.
<\/p>\n\n\n\n
\n\n\n\n[1]<\/a> Sun, Z.,\n& Migaly, J. (2016). Review of hemorrhoid disease: presentation and\nmanagement. Clinics in colon and rectal surgery<\/em>, 29<\/em>(01),\n022-029. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4755769\/<\/a><\/p>\n\n\n\n[2]<\/a> Riss, S., Weiser, F. A., Schwameis, K., Riss,\nT., Mittlb\u00f6ck, M., Steiner, G., & Stift, A. (2012). The prevalence of\nhemorrhoids in adults. International journal of colorectal disease<\/em>, 27<\/em>(2),\n215-220. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21932016<\/a><\/p>\n\n\n\n[3]<\/a> Lohsiriwat,\nV. (2012). Hemorrhoids: from basic pathophysiology to clinical\nmanagement. World journal of gastroenterology: WJG<\/em>, 18<\/em>(17),\n2009. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3342598\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"Ki\u015finin ya\u015fam kalitesi etkili olan hastal\u0131klardan biriside hemoroittir. Hemoroid Anal b\u00f6lgede meydana gelen bir hastal\u0131kt\u0131r. Halk aras\u0131nda daha s\u0131k basur olarak an\u0131lmaktad\u0131r. Basur ( Hemoroid) Nedir? Hemoroid hastal\u0131\u011f\u0131 yap\u0131sal olarak varis hastal\u0131\u011f\u0131 ile olduk\u00e7a benzerdir. Varis hastal\u0131\u011f\u0131ndan bacaklara uygulanan bas\u0131n\u00e7 y\u00fcz\u00fcnden bacaklarda bulunan damarlar yap\u0131sal olarak geni\u015fler ve varisler olu\u015fur. Hemoroitte ise makat b\u00f6lgesine bas\u0131n\u00e7 …<\/p>\n","protected":false},"author":2,"featured_media":873,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[],"class_list":["post-868","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-hemoroid"],"_links":{"self":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/comments?post=868"}],"version-history":[{"count":1,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions"}],"predecessor-version":[{"id":872,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions\/872"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media\/873"}],"wp:attachment":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media?parent=868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/categories?post=868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/tags?post=868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure><\/li><\/ul>\n\n\n\nD\u0131\u015f Hemoroid<\/strong><\/h3>\n\n\n\nHemoroid memeleri an\u00fcs \u00e7evresinde geli\u015fir. Nadir g\u00f6r\u00fclen bir t\u00fcrd\u00fcr. \u0130\u00e7\nhemoroid daha s\u0131k g\u00f6r\u00fcl\u00fcr. Genellikle \u015fikayete neden olmazlar. Ancak an\u00fcs\nkenar\u0131nda bir \u015fi\u015flik estetik olarak rahats\u0131z edici oldu\u011fu i\u00e7in hastalar tedavi\nolmak ister. Ayr\u0131ca g\u00f6rsel olarak da rahats\u0131z edici olabilirler. <\/p>\n\n\n\n
\u0130\u00e7 Hemoroid<\/strong><\/h3>\n\n\n\nAn\u00fcs\u00fcn i\u00e7erisinde geli\u015fir. An\u00fcs i\u00e7inde bulunan damarlar\u0131n \u015fi\u015fmesi \u015feklinde\nolu\u015fur. \u0130lk a\u015famalarda memeler makat\u0131n i\u00e7erisinde iken zamanla makat\u0131n d\u0131\u015f\u0131na\n\u00e7\u0131kar. Pakelerin an\u00fcs d\u0131\u015f\u0131na \u00e7\u0131k\u0131\u015f\u0131 hastada \u015fiddetli a\u011fr\u0131ya neden olabilir.\nBunun nedeni ise hassas yap\u0131da olan hemoroid memelerinin makat kaslar\u0131\ntaraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131lmas\u0131d\u0131r. Bu t\u00fcr s\u0131k\u0131\u015fmalar\u0131n oldu\u011fu hemoroidler tromboze\nolarak grupland\u0131r\u0131l\u0131r. Ve hastan\u0131n hayat kalitesini en \u00e7ok etkileyen t\u00fcrd\u00fcr. <\/p>\n\n\n\n
\u0130\u00e7 Hemoroid<\/strong> Dereceleri<\/h3>\n\n\n\n\u0130\u00e7 hemoroitte damarlar anal kanal i\u00e7erisinden d\u0131\u015far\u0131ya sarkar.\nDerecelendirme sarkan pakelerin( memecikleri) g\u00f6sterdi\u011fi reaksiyona g\u00f6re\nyap\u0131l\u0131r. <\/p>\n\n\n\n
1.Derece: <\/strong>Bu derece hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 a\u015famas\u0131d\u0131r. Hemoroid memecikleri anal kanal i\u00e7erisinde olu\u015fmaya ba\u015flar. Durumun bu a\u015famada hasta taraf\u0131ndan fark edilmesi pek m\u00fcmk\u00fcn de\u011fildir. Ancak baz\u0131 hastalarda a\u011fr\u0131s\u0131z kanama \u015fikayeti olmaktad\u0131r. Hasta ancak kanama \u015fikayeti ile doktora ba\u015fvurursa doktor anoskop muayenesi ile 1. Derecede olan bir hemoroidi tespit edebilir. <\/p>\n\n\n\n2.Derece:<\/strong> Bu a\u015famada olu\u015fan memecikler tuvalet ihtiyac\u0131 giderilirken makattan d\u0131\u015far\u0131 \u00e7\u0131kar ve sonra kendili\u011finden makat i\u00e7erisinde d\u00f6ner. Bu a\u015famada da a\u011fr\u0131s\u0131z kanama ve ka\u015f\u0131nt\u0131 \u015fikayetleri g\u00f6r\u00fclebilir.<\/p>\n\n\n\n3.Derece: <\/strong>Bu a\u015famada d\u0131\u015fk\u0131lama esnas\u0131nda makattan \u00e7\u0131kan memecikler kendili\u011finden makat i\u00e7erisine d\u00f6nemezler. Makat i\u00e7erisine d\u00f6nebilmeleri i\u00e7in m\u00fcdahale gerekir. Bu nedenle hastan\u0131n memecikleri eli ile i\u00e7eri do\u011fru itmesi gerekir. Bu a\u015famada memecikleri sarkmas\u0131na ba\u011fl\u0131 olarak a\u011fr\u0131 \u015fikayeti g\u00f6r\u00fclebilir. <\/p>\n\n\n\n 4.Derece<\/strong>: Hastal\u0131\u011f\u0131n son ve en ileri evresidir. Bu evrede makat d\u0131\u015f\u0131na \u00e7\u0131kan hemoroidler s\u00fcrekli olarak makat d\u0131\u015f\u0131nda kal\u0131r. Ve makat kaslar\u0131 taraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131l\u0131r. Bu durum hastan\u0131n ya\u015fam kalitesini etkileyecek d\u00fczeyde a\u011fr\u0131 ya\u015fanmas\u0131na neden olabilir.<\/p>\n\n\n\n<\/figure><\/li><\/ul>\n\n\n\nHemoroid Neden Olur?<\/strong><\/h2>\n\n\n\nHemoroid d\u00fcnyada milyonlarca insan\u0131 etkileyen bir hastal\u0131kt\u0131r. ABD’de\nhemoroidg\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n, n\u00fcfusun% 4,4’\u00fcne tekab\u00fcl eden y\u0131lda 10 milyon gibi\nbi rakam oldu\u011fu tespit edilmi\u015ftir. [1]<\/a>\nBu nedenle hemoroide neden olan durumlar\u0131n bilinmesi hastal\u0131ktan korunma\na\u00e7\u0131s\u0131ndan \u00f6nemlidir. <\/p>\n\n\n\nHemoroide zemin haz\u0131rlayan durumlar makat b\u00f6lgesine bask\u0131 uygulayan\ndurumlard\u0131r. Bunlar\u0131n ba\u015f\u0131nda kab\u0131zl\u0131k gelmektedir. Ek olarak hamilelik, a\u015f\u0131r\u0131\nkilolu olmak, s\u00fcrekli a\u011f\u0131r kald\u0131rmak, ya\u015fl\u0131l\u0131k gibi sebeplerde yer almaktad\u0131r.<\/p>\n\n\n\n
Kab\u0131zl\u0131k<\/strong><\/h3>\n\n\n\nHemoroid dahil pek \u00e7ok makat hastal\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n ba\u015fl\u0131ca nedeni\nkab\u0131zl\u0131kt\u0131r. Kab\u0131zl\u0131k zorlu d\u0131\u015fk\u0131lama anlam\u0131na gelmektedir. Yani a\u015f\u0131r\u0131 \u0131k\u0131nma.\nA\u015f\u0131r\u0131 \u0131k\u0131nma makat b\u00f6lgesine uygulanan bask\u0131 ve bas\u0131nc\u0131n artmas\u0131na neden olarak\nanal b\u00f6lge damarlar\u0131n\u0131n geni\u015flemesine neden olabilir. \u00d6zellikle kronik kab\u0131zl\u0131k\nsorunun ya\u015fayan hastalarla hemoroid sorunu ka\u00e7\u0131n\u0131lmaz olabilir. <\/p>\n\n\n\n
Gebelik<\/strong><\/h3>\n\n\n\nGebelikte anne v\u00fccudunda bulunan kan miktar\u0131nda art\u0131\u015f g\u00f6r\u00fcl\u00fcr. Yani\ndamarlarda dola\u015fan kan miktar\u0131n\u0131n daha fazla oldu\u011fu s\u00f6ylenebilir. Bu durumda\ndamarlara uygulanan bask\u0131n\u0131n artmas\u0131na neden olur. Ek olarak bebe\u011fin b\u00fcy\u00fcmeye\nba\u015flamas\u0131 ile i\u00e7 karna uygulanan bask\u0131 da artar. Bu durumlarda gebe kad\u0131nlarda\nhemoroid g\u00f6r\u00fclme riskini artt\u0131r\u0131r. <\/p>\n\n\n\n
A\u011f\u0131rl\u0131k Kald\u0131rmak<\/strong><\/h3>\n\n\n\nA\u011f\u0131rl\u0131k kald\u0131rmakta kan bas\u0131n\u0131n\u0131n artmas\u0131na ve dolayl\u0131 olarak makat\nb\u00f6lgesine uygulanan bask\u0131n\u0131n artmas\u0131na neden olmaktad\u0131r. B\u00f6lgede bask\u0131n\u0131n\nartmas\u0131 da basur sorununa uygun zemin haz\u0131rlanmas\u0131na neden olmaktad\u0131r.<\/p>\n\n\n\n
A\u015f\u0131r\u0131 Kilolu Olmak<\/strong><\/h3>\n\n\n\nA\u015f\u0131r\u0131 kilolu olmak t\u0131pk\u0131 a\u011f\u0131rl\u0131k kad\u0131rmak gibi anal b\u00f6lgeye uygulanan\nbas\u0131nc\u0131n artmas\u0131na ve hemoroid olu\u015fmas\u0131na neden olur. Yap\u0131lan ara\u015ft\u0131rmalar\na\u015f\u0131r\u0131 kilolu yani v\u00fccut kitle indeksi y\u00fcksek olan bireylerde normal bireylere\ng\u00f6re hemoroid g\u00f6r\u00fclme riskinin 3 kat daha fazla oldu\u011funu tespit etmi\u015ftir. [2]<\/a><\/p>\n\n\n\n\u0130leri Ya\u015f<\/strong><\/h3>\n\n\n\nYa\u015f ilerlemesi ile birlikte ba\u011f\u0131rsak hareketlerinde yava\u015flama g\u00f6r\u00fcl\u00fcr. Buna\nba\u011fl\u0131 olarak s\u0131kl\u0131kla kab\u0131zl\u0131k sorunu ya\u015fan\u0131r. Kab\u0131zl\u0131k sorunun s\u0131k ya\u015fanmas\u0131\nise hemoroid hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131 i\u00e7in en temel sebeptir. Ayr\u0131ca ya\u015f\u0131n\nilerlemesi ile dokularda ve kaslarda zay\u0131flama g\u00f6r\u00fcl\u00fcr. Bu durumda riski\nartt\u0131r\u0131r. Yap\u0131lan ara\u015ft\u0131rmalar hastal\u0131\u011f\u0131n en \u00e7ok 45 60 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc\nve 20 ya\u015f\u0131ndan \u00f6nce hemoroid sorunu g\u00f6r\u00fclmedi\u011fini tespit etmi\u015ftir. [3]<\/a><\/p>\n\n\n\nHemoroidden Korunma Yollar\u0131<\/strong><\/h2>\n\n\n\nHemoroid hastal\u0131\u011f\u0131ndan korunmak i\u00e7in ilk olarak beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n\ng\u00f6zden ge\u00e7irilmesi gerekmektedir. Bu sayede kab\u0131zl\u0131k sorunu \u00f6nlenebilir.\nB\u00f6ylece basur hastal\u0131\u011f\u0131ndan da korunmu\u015f olunur.<\/p>\n\n\n\n
Kabz\u0131l\u0131ktan korunmak i\u00e7in beyaz unlu yap\u0131lm\u0131\u015f \u00fcr\u00fcnler yerine kepek veya tam\nbu\u011fday unundan yap\u0131lm\u0131\u015f \u00fcr\u00fcnlerin tercih edilmesi gerekir. Ayr\u0131ca meyve ve\nsebzeler gibi lif oran\u0131 y\u00fcksek olan g\u0131dalar\u0131n t\u00fcketimi de artt\u0131r\u0131lmal\u0131d\u0131r. Bu\nsayede d\u0131\u015fk\u0131lama daha kolay bir \u015fekilde yap\u0131labilir. Ayr\u0131ca tuvalet ihtiyac\u0131n\u0131n\nertelenmesi de d\u0131\u015fk\u0131n\u0131n bekleyerek sertle\u015fmesine ve buna ba\u011fl\u0131 olarak zorlu\nd\u0131\u015fk\u0131lamaya neden olmaktad\u0131r. Bu nedenle d\u0131\u015fk\u0131lama ihtiyac\u0131n\u0131n ertelenmemesi\ngerekmektedir.<\/p>\n\n\n\n
Ayr\u0131ca a\u015f\u0131r\u0131 baharatl\u0131 ve ac\u0131 g\u0131dalarda hemoroid olu\u015fumunu tetikledi\u011fi i\u00e7in\nbu t\u00fcr g\u0131dalardan da ka\u00e7\u0131nmak gerekmektedir.<\/p>\n\n\n\n
Beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n yan\u0131 s\u0131ra g\u00fcndelik hayattaki hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 da \u00f6nlem almak a\u00e7\u0131s\u0131ndan faydal\u0131 olacakt\u0131r. Hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 ba\u011f\u0131rsak hareketlerini olumlu etkileyip kilonun kontrol alt\u0131nda\ntutulmas\u0131n\u0131 sa\u011flar. Bu sayede kab\u0131zl\u0131k ve fazla kilodan dolay\u0131 ortaya \u00e7\u0131kan\nrisk en aza indirilmi\u015f olur. <\/p>\n\n\n\n
Hemoroid Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h2>\n\n\n\nHemoroidlerin tedavisi i\u00e7in 3 teknik kullan\u0131lmaktad\u0131r. Hangi teknik veya tekniklerin kullan\u0131laca\u011f\u0131 hemoroidn t\u00fcr ve derecesine g\u00f6re belirlenmektedir. G\u00fcncel olarak kullan\u0131lan teknikler; lazer, RBL( lastikle bo\u011fma) ve THD ( atardamar\u0131n kapat\u0131lmas\u0131) uygulamalar\u0131d\u0131r. <\/p>\n\n\n\n
Lazer Hemoroid Tedavisi<\/strong><\/h3>\n\n\n\nLazer cihaz\u0131 sayesinde herhangi bir kesi yap\u0131lmadan 1 ve 2. dereceli\nhemoroidler \u0131\u015f\u0131n ile tedavi edilebilmektedir. Lazer cihaz\u0131 ile olu\u015fmu\u015f\nmemecikler tahrip edilerek yok edilir. Tedavi 10 dakika kadar k\u0131sa bir s\u00fcrede\ntamamlanabilir. Hasta ayn\u0131 g\u00fcn i\u00e7erisinde i\u015fine\/hayat\u0131na d\u00f6nebilir. <\/p>\n\n\n\n
RBL ( Rubber Band Ligations-Lastikle Bo\u011fma)<\/strong><\/h3>\n\n\n\nLazer tedavisinin yetersiz oldu\u011fu durumlarda RBL yani lastikle bo\u011fma\ntekni\u011fi uygulan\u0131r. Lastikle bo\u011fma tekni\u011finde bir cihaz yard\u0131m\u0131 ile memeci\u011fin\nba\u015f k\u0131sm\u0131na bir lastik yerle\u015ftirilir. Bu sayede memeci\u011fin beslenmesi\nengellenir. Beslenemeyen memecik ise zamanla k\u00fc\u00e7\u00fclerek yok olur.<\/p>\n\n\n\n
THD ( Atar damar\u0131n ba\u011flanmas\u0131)<\/strong><\/h3>\n\n\n\nHastal\u0131\u011f\u0131n her evresinde uygulan\u0131r. Lazer ve RBL y\u00f6ntemi son evrede olan\nbasurlar i\u00e7in yetersiz kalmaktad\u0131r. Bu t\u00fcr vak\u0131alarda THD tekni\u011fi uygulan\u0131r.\nTHD ameliyat\u0131 lokal anestezi ile uygulan\u0131r. Bu teknikte cihaz yard\u0131m\u0131 ile\nan\u00fcsten girilerek memeci\u011fi besleyen atardamar ba\u011flan\u0131r. Bu sayede t\u0131pk\u0131\nlastikle bo\u011fma tekni\u011finde oldu\u011fu gibi memecik zaman i\u00e7erisinde k\u00fc\u00e7\u00fclerek\nkaybolur.
<\/p>\n\n\n\n
\n\n\n\n[1]<\/a> Sun, Z.,\n& Migaly, J. (2016). Review of hemorrhoid disease: presentation and\nmanagement. Clinics in colon and rectal surgery<\/em>, 29<\/em>(01),\n022-029. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4755769\/<\/a><\/p>\n\n\n\n[2]<\/a> Riss, S., Weiser, F. A., Schwameis, K., Riss,\nT., Mittlb\u00f6ck, M., Steiner, G., & Stift, A. (2012). The prevalence of\nhemorrhoids in adults. International journal of colorectal disease<\/em>, 27<\/em>(2),\n215-220. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21932016<\/a><\/p>\n\n\n\n[3]<\/a> Lohsiriwat,\nV. (2012). Hemorrhoids: from basic pathophysiology to clinical\nmanagement. World journal of gastroenterology: WJG<\/em>, 18<\/em>(17),\n2009. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3342598\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"Ki\u015finin ya\u015fam kalitesi etkili olan hastal\u0131klardan biriside hemoroittir. Hemoroid Anal b\u00f6lgede meydana gelen bir hastal\u0131kt\u0131r. Halk aras\u0131nda daha s\u0131k basur olarak an\u0131lmaktad\u0131r. Basur ( Hemoroid) Nedir? Hemoroid hastal\u0131\u011f\u0131 yap\u0131sal olarak varis hastal\u0131\u011f\u0131 ile olduk\u00e7a benzerdir. Varis hastal\u0131\u011f\u0131ndan bacaklara uygulanan bas\u0131n\u00e7 y\u00fcz\u00fcnden bacaklarda bulunan damarlar yap\u0131sal olarak geni\u015fler ve varisler olu\u015fur. Hemoroitte ise makat b\u00f6lgesine bas\u0131n\u00e7 …<\/p>\n","protected":false},"author":2,"featured_media":873,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[],"class_list":["post-868","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-hemoroid"],"_links":{"self":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/comments?post=868"}],"version-history":[{"count":1,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions"}],"predecessor-version":[{"id":872,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions\/872"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media\/873"}],"wp:attachment":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media?parent=868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/categories?post=868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/tags?post=868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
An\u00fcs\u00fcn i\u00e7erisinde geli\u015fir. An\u00fcs i\u00e7inde bulunan damarlar\u0131n \u015fi\u015fmesi \u015feklinde\nolu\u015fur. \u0130lk a\u015famalarda memeler makat\u0131n i\u00e7erisinde iken zamanla makat\u0131n d\u0131\u015f\u0131na\n\u00e7\u0131kar. Pakelerin an\u00fcs d\u0131\u015f\u0131na \u00e7\u0131k\u0131\u015f\u0131 hastada \u015fiddetli a\u011fr\u0131ya neden olabilir.\nBunun nedeni ise hassas yap\u0131da olan hemoroid memelerinin makat kaslar\u0131\ntaraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131lmas\u0131d\u0131r. Bu t\u00fcr s\u0131k\u0131\u015fmalar\u0131n oldu\u011fu hemoroidler tromboze\nolarak grupland\u0131r\u0131l\u0131r. Ve hastan\u0131n hayat kalitesini en \u00e7ok etkileyen t\u00fcrd\u00fcr. <\/p>\n\n\n\n
\u0130\u00e7 Hemoroid<\/strong> Dereceleri<\/h3>\n\n\n\n\u0130\u00e7 hemoroitte damarlar anal kanal i\u00e7erisinden d\u0131\u015far\u0131ya sarkar.\nDerecelendirme sarkan pakelerin( memecikleri) g\u00f6sterdi\u011fi reaksiyona g\u00f6re\nyap\u0131l\u0131r. <\/p>\n\n\n\n
1.Derece: <\/strong>Bu derece hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 a\u015famas\u0131d\u0131r. Hemoroid memecikleri anal kanal i\u00e7erisinde olu\u015fmaya ba\u015flar. Durumun bu a\u015famada hasta taraf\u0131ndan fark edilmesi pek m\u00fcmk\u00fcn de\u011fildir. Ancak baz\u0131 hastalarda a\u011fr\u0131s\u0131z kanama \u015fikayeti olmaktad\u0131r. Hasta ancak kanama \u015fikayeti ile doktora ba\u015fvurursa doktor anoskop muayenesi ile 1. Derecede olan bir hemoroidi tespit edebilir. <\/p>\n\n\n\n2.Derece:<\/strong> Bu a\u015famada olu\u015fan memecikler tuvalet ihtiyac\u0131 giderilirken makattan d\u0131\u015far\u0131 \u00e7\u0131kar ve sonra kendili\u011finden makat i\u00e7erisinde d\u00f6ner. Bu a\u015famada da a\u011fr\u0131s\u0131z kanama ve ka\u015f\u0131nt\u0131 \u015fikayetleri g\u00f6r\u00fclebilir.<\/p>\n\n\n\n3.Derece: <\/strong>Bu a\u015famada d\u0131\u015fk\u0131lama esnas\u0131nda makattan \u00e7\u0131kan memecikler kendili\u011finden makat i\u00e7erisine d\u00f6nemezler. Makat i\u00e7erisine d\u00f6nebilmeleri i\u00e7in m\u00fcdahale gerekir. Bu nedenle hastan\u0131n memecikleri eli ile i\u00e7eri do\u011fru itmesi gerekir. Bu a\u015famada memecikleri sarkmas\u0131na ba\u011fl\u0131 olarak a\u011fr\u0131 \u015fikayeti g\u00f6r\u00fclebilir. <\/p>\n\n\n\n 4.Derece<\/strong>: Hastal\u0131\u011f\u0131n son ve en ileri evresidir. Bu evrede makat d\u0131\u015f\u0131na \u00e7\u0131kan hemoroidler s\u00fcrekli olarak makat d\u0131\u015f\u0131nda kal\u0131r. Ve makat kaslar\u0131 taraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131l\u0131r. Bu durum hastan\u0131n ya\u015fam kalitesini etkileyecek d\u00fczeyde a\u011fr\u0131 ya\u015fanmas\u0131na neden olabilir.<\/p>\n\n\n\n<\/figure><\/li><\/ul>\n\n\n\nHemoroid Neden Olur?<\/strong><\/h2>\n\n\n\nHemoroid d\u00fcnyada milyonlarca insan\u0131 etkileyen bir hastal\u0131kt\u0131r. ABD’de\nhemoroidg\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n, n\u00fcfusun% 4,4’\u00fcne tekab\u00fcl eden y\u0131lda 10 milyon gibi\nbi rakam oldu\u011fu tespit edilmi\u015ftir. [1]<\/a>\nBu nedenle hemoroide neden olan durumlar\u0131n bilinmesi hastal\u0131ktan korunma\na\u00e7\u0131s\u0131ndan \u00f6nemlidir. <\/p>\n\n\n\nHemoroide zemin haz\u0131rlayan durumlar makat b\u00f6lgesine bask\u0131 uygulayan\ndurumlard\u0131r. Bunlar\u0131n ba\u015f\u0131nda kab\u0131zl\u0131k gelmektedir. Ek olarak hamilelik, a\u015f\u0131r\u0131\nkilolu olmak, s\u00fcrekli a\u011f\u0131r kald\u0131rmak, ya\u015fl\u0131l\u0131k gibi sebeplerde yer almaktad\u0131r.<\/p>\n\n\n\n
Kab\u0131zl\u0131k<\/strong><\/h3>\n\n\n\nHemoroid dahil pek \u00e7ok makat hastal\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n ba\u015fl\u0131ca nedeni\nkab\u0131zl\u0131kt\u0131r. Kab\u0131zl\u0131k zorlu d\u0131\u015fk\u0131lama anlam\u0131na gelmektedir. Yani a\u015f\u0131r\u0131 \u0131k\u0131nma.\nA\u015f\u0131r\u0131 \u0131k\u0131nma makat b\u00f6lgesine uygulanan bask\u0131 ve bas\u0131nc\u0131n artmas\u0131na neden olarak\nanal b\u00f6lge damarlar\u0131n\u0131n geni\u015flemesine neden olabilir. \u00d6zellikle kronik kab\u0131zl\u0131k\nsorunun ya\u015fayan hastalarla hemoroid sorunu ka\u00e7\u0131n\u0131lmaz olabilir. <\/p>\n\n\n\n
Gebelik<\/strong><\/h3>\n\n\n\nGebelikte anne v\u00fccudunda bulunan kan miktar\u0131nda art\u0131\u015f g\u00f6r\u00fcl\u00fcr. Yani\ndamarlarda dola\u015fan kan miktar\u0131n\u0131n daha fazla oldu\u011fu s\u00f6ylenebilir. Bu durumda\ndamarlara uygulanan bask\u0131n\u0131n artmas\u0131na neden olur. Ek olarak bebe\u011fin b\u00fcy\u00fcmeye\nba\u015flamas\u0131 ile i\u00e7 karna uygulanan bask\u0131 da artar. Bu durumlarda gebe kad\u0131nlarda\nhemoroid g\u00f6r\u00fclme riskini artt\u0131r\u0131r. <\/p>\n\n\n\n
A\u011f\u0131rl\u0131k Kald\u0131rmak<\/strong><\/h3>\n\n\n\nA\u011f\u0131rl\u0131k kald\u0131rmakta kan bas\u0131n\u0131n\u0131n artmas\u0131na ve dolayl\u0131 olarak makat\nb\u00f6lgesine uygulanan bask\u0131n\u0131n artmas\u0131na neden olmaktad\u0131r. B\u00f6lgede bask\u0131n\u0131n\nartmas\u0131 da basur sorununa uygun zemin haz\u0131rlanmas\u0131na neden olmaktad\u0131r.<\/p>\n\n\n\n
A\u015f\u0131r\u0131 Kilolu Olmak<\/strong><\/h3>\n\n\n\nA\u015f\u0131r\u0131 kilolu olmak t\u0131pk\u0131 a\u011f\u0131rl\u0131k kad\u0131rmak gibi anal b\u00f6lgeye uygulanan\nbas\u0131nc\u0131n artmas\u0131na ve hemoroid olu\u015fmas\u0131na neden olur. Yap\u0131lan ara\u015ft\u0131rmalar\na\u015f\u0131r\u0131 kilolu yani v\u00fccut kitle indeksi y\u00fcksek olan bireylerde normal bireylere\ng\u00f6re hemoroid g\u00f6r\u00fclme riskinin 3 kat daha fazla oldu\u011funu tespit etmi\u015ftir. [2]<\/a><\/p>\n\n\n\n\u0130leri Ya\u015f<\/strong><\/h3>\n\n\n\nYa\u015f ilerlemesi ile birlikte ba\u011f\u0131rsak hareketlerinde yava\u015flama g\u00f6r\u00fcl\u00fcr. Buna\nba\u011fl\u0131 olarak s\u0131kl\u0131kla kab\u0131zl\u0131k sorunu ya\u015fan\u0131r. Kab\u0131zl\u0131k sorunun s\u0131k ya\u015fanmas\u0131\nise hemoroid hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131 i\u00e7in en temel sebeptir. Ayr\u0131ca ya\u015f\u0131n\nilerlemesi ile dokularda ve kaslarda zay\u0131flama g\u00f6r\u00fcl\u00fcr. Bu durumda riski\nartt\u0131r\u0131r. Yap\u0131lan ara\u015ft\u0131rmalar hastal\u0131\u011f\u0131n en \u00e7ok 45 60 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc\nve 20 ya\u015f\u0131ndan \u00f6nce hemoroid sorunu g\u00f6r\u00fclmedi\u011fini tespit etmi\u015ftir. [3]<\/a><\/p>\n\n\n\nHemoroidden Korunma Yollar\u0131<\/strong><\/h2>\n\n\n\nHemoroid hastal\u0131\u011f\u0131ndan korunmak i\u00e7in ilk olarak beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n\ng\u00f6zden ge\u00e7irilmesi gerekmektedir. Bu sayede kab\u0131zl\u0131k sorunu \u00f6nlenebilir.\nB\u00f6ylece basur hastal\u0131\u011f\u0131ndan da korunmu\u015f olunur.<\/p>\n\n\n\n
Kabz\u0131l\u0131ktan korunmak i\u00e7in beyaz unlu yap\u0131lm\u0131\u015f \u00fcr\u00fcnler yerine kepek veya tam\nbu\u011fday unundan yap\u0131lm\u0131\u015f \u00fcr\u00fcnlerin tercih edilmesi gerekir. Ayr\u0131ca meyve ve\nsebzeler gibi lif oran\u0131 y\u00fcksek olan g\u0131dalar\u0131n t\u00fcketimi de artt\u0131r\u0131lmal\u0131d\u0131r. Bu\nsayede d\u0131\u015fk\u0131lama daha kolay bir \u015fekilde yap\u0131labilir. Ayr\u0131ca tuvalet ihtiyac\u0131n\u0131n\nertelenmesi de d\u0131\u015fk\u0131n\u0131n bekleyerek sertle\u015fmesine ve buna ba\u011fl\u0131 olarak zorlu\nd\u0131\u015fk\u0131lamaya neden olmaktad\u0131r. Bu nedenle d\u0131\u015fk\u0131lama ihtiyac\u0131n\u0131n ertelenmemesi\ngerekmektedir.<\/p>\n\n\n\n
Ayr\u0131ca a\u015f\u0131r\u0131 baharatl\u0131 ve ac\u0131 g\u0131dalarda hemoroid olu\u015fumunu tetikledi\u011fi i\u00e7in\nbu t\u00fcr g\u0131dalardan da ka\u00e7\u0131nmak gerekmektedir.<\/p>\n\n\n\n
Beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n yan\u0131 s\u0131ra g\u00fcndelik hayattaki hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 da \u00f6nlem almak a\u00e7\u0131s\u0131ndan faydal\u0131 olacakt\u0131r. Hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 ba\u011f\u0131rsak hareketlerini olumlu etkileyip kilonun kontrol alt\u0131nda\ntutulmas\u0131n\u0131 sa\u011flar. Bu sayede kab\u0131zl\u0131k ve fazla kilodan dolay\u0131 ortaya \u00e7\u0131kan\nrisk en aza indirilmi\u015f olur. <\/p>\n\n\n\n
Hemoroid Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h2>\n\n\n\nHemoroidlerin tedavisi i\u00e7in 3 teknik kullan\u0131lmaktad\u0131r. Hangi teknik veya tekniklerin kullan\u0131laca\u011f\u0131 hemoroidn t\u00fcr ve derecesine g\u00f6re belirlenmektedir. G\u00fcncel olarak kullan\u0131lan teknikler; lazer, RBL( lastikle bo\u011fma) ve THD ( atardamar\u0131n kapat\u0131lmas\u0131) uygulamalar\u0131d\u0131r. <\/p>\n\n\n\n
Lazer Hemoroid Tedavisi<\/strong><\/h3>\n\n\n\nLazer cihaz\u0131 sayesinde herhangi bir kesi yap\u0131lmadan 1 ve 2. dereceli\nhemoroidler \u0131\u015f\u0131n ile tedavi edilebilmektedir. Lazer cihaz\u0131 ile olu\u015fmu\u015f\nmemecikler tahrip edilerek yok edilir. Tedavi 10 dakika kadar k\u0131sa bir s\u00fcrede\ntamamlanabilir. Hasta ayn\u0131 g\u00fcn i\u00e7erisinde i\u015fine\/hayat\u0131na d\u00f6nebilir. <\/p>\n\n\n\n
RBL ( Rubber Band Ligations-Lastikle Bo\u011fma)<\/strong><\/h3>\n\n\n\nLazer tedavisinin yetersiz oldu\u011fu durumlarda RBL yani lastikle bo\u011fma\ntekni\u011fi uygulan\u0131r. Lastikle bo\u011fma tekni\u011finde bir cihaz yard\u0131m\u0131 ile memeci\u011fin\nba\u015f k\u0131sm\u0131na bir lastik yerle\u015ftirilir. Bu sayede memeci\u011fin beslenmesi\nengellenir. Beslenemeyen memecik ise zamanla k\u00fc\u00e7\u00fclerek yok olur.<\/p>\n\n\n\n
THD ( Atar damar\u0131n ba\u011flanmas\u0131)<\/strong><\/h3>\n\n\n\nHastal\u0131\u011f\u0131n her evresinde uygulan\u0131r. Lazer ve RBL y\u00f6ntemi son evrede olan\nbasurlar i\u00e7in yetersiz kalmaktad\u0131r. Bu t\u00fcr vak\u0131alarda THD tekni\u011fi uygulan\u0131r.\nTHD ameliyat\u0131 lokal anestezi ile uygulan\u0131r. Bu teknikte cihaz yard\u0131m\u0131 ile\nan\u00fcsten girilerek memeci\u011fi besleyen atardamar ba\u011flan\u0131r. Bu sayede t\u0131pk\u0131\nlastikle bo\u011fma tekni\u011finde oldu\u011fu gibi memecik zaman i\u00e7erisinde k\u00fc\u00e7\u00fclerek\nkaybolur.
<\/p>\n\n\n\n
\n\n\n\n[1]<\/a> Sun, Z.,\n& Migaly, J. (2016). Review of hemorrhoid disease: presentation and\nmanagement. Clinics in colon and rectal surgery<\/em>, 29<\/em>(01),\n022-029. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4755769\/<\/a><\/p>\n\n\n\n[2]<\/a> Riss, S., Weiser, F. A., Schwameis, K., Riss,\nT., Mittlb\u00f6ck, M., Steiner, G., & Stift, A. (2012). The prevalence of\nhemorrhoids in adults. International journal of colorectal disease<\/em>, 27<\/em>(2),\n215-220. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21932016<\/a><\/p>\n\n\n\n[3]<\/a> Lohsiriwat,\nV. (2012). Hemorrhoids: from basic pathophysiology to clinical\nmanagement. World journal of gastroenterology: WJG<\/em>, 18<\/em>(17),\n2009. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3342598\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"Ki\u015finin ya\u015fam kalitesi etkili olan hastal\u0131klardan biriside hemoroittir. Hemoroid Anal b\u00f6lgede meydana gelen bir hastal\u0131kt\u0131r. Halk aras\u0131nda daha s\u0131k basur olarak an\u0131lmaktad\u0131r. Basur ( Hemoroid) Nedir? Hemoroid hastal\u0131\u011f\u0131 yap\u0131sal olarak varis hastal\u0131\u011f\u0131 ile olduk\u00e7a benzerdir. Varis hastal\u0131\u011f\u0131ndan bacaklara uygulanan bas\u0131n\u00e7 y\u00fcz\u00fcnden bacaklarda bulunan damarlar yap\u0131sal olarak geni\u015fler ve varisler olu\u015fur. Hemoroitte ise makat b\u00f6lgesine bas\u0131n\u00e7 …<\/p>\n","protected":false},"author":2,"featured_media":873,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[],"class_list":["post-868","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-hemoroid"],"_links":{"self":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/comments?post=868"}],"version-history":[{"count":1,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions"}],"predecessor-version":[{"id":872,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions\/872"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media\/873"}],"wp:attachment":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media?parent=868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/categories?post=868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/tags?post=868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
2.Derece:<\/strong> Bu a\u015famada olu\u015fan memecikler tuvalet ihtiyac\u0131 giderilirken makattan d\u0131\u015far\u0131 \u00e7\u0131kar ve sonra kendili\u011finden makat i\u00e7erisinde d\u00f6ner. Bu a\u015famada da a\u011fr\u0131s\u0131z kanama ve ka\u015f\u0131nt\u0131 \u015fikayetleri g\u00f6r\u00fclebilir.<\/p>\n\n\n\n 3.Derece: <\/strong>Bu a\u015famada d\u0131\u015fk\u0131lama esnas\u0131nda makattan \u00e7\u0131kan memecikler kendili\u011finden makat i\u00e7erisine d\u00f6nemezler. Makat i\u00e7erisine d\u00f6nebilmeleri i\u00e7in m\u00fcdahale gerekir. Bu nedenle hastan\u0131n memecikleri eli ile i\u00e7eri do\u011fru itmesi gerekir. Bu a\u015famada memecikleri sarkmas\u0131na ba\u011fl\u0131 olarak a\u011fr\u0131 \u015fikayeti g\u00f6r\u00fclebilir. <\/p>\n\n\n\n 4.Derece<\/strong>: Hastal\u0131\u011f\u0131n son ve en ileri evresidir. Bu evrede makat d\u0131\u015f\u0131na \u00e7\u0131kan hemoroidler s\u00fcrekli olarak makat d\u0131\u015f\u0131nda kal\u0131r. Ve makat kaslar\u0131 taraf\u0131ndan s\u0131k\u0131\u015ft\u0131r\u0131l\u0131r. Bu durum hastan\u0131n ya\u015fam kalitesini etkileyecek d\u00fczeyde a\u011fr\u0131 ya\u015fanmas\u0131na neden olabilir.<\/p>\n\n\n\n Hemoroid d\u00fcnyada milyonlarca insan\u0131 etkileyen bir hastal\u0131kt\u0131r. ABD’de\nhemoroidg\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n, n\u00fcfusun% 4,4’\u00fcne tekab\u00fcl eden y\u0131lda 10 milyon gibi\nbi rakam oldu\u011fu tespit edilmi\u015ftir. [1]<\/a>\nBu nedenle hemoroide neden olan durumlar\u0131n bilinmesi hastal\u0131ktan korunma\na\u00e7\u0131s\u0131ndan \u00f6nemlidir. <\/p>\n\n\n\n Hemoroide zemin haz\u0131rlayan durumlar makat b\u00f6lgesine bask\u0131 uygulayan\ndurumlard\u0131r. Bunlar\u0131n ba\u015f\u0131nda kab\u0131zl\u0131k gelmektedir. Ek olarak hamilelik, a\u015f\u0131r\u0131\nkilolu olmak, s\u00fcrekli a\u011f\u0131r kald\u0131rmak, ya\u015fl\u0131l\u0131k gibi sebeplerde yer almaktad\u0131r.<\/p>\n\n\n\n Hemoroid dahil pek \u00e7ok makat hastal\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n ba\u015fl\u0131ca nedeni\nkab\u0131zl\u0131kt\u0131r. Kab\u0131zl\u0131k zorlu d\u0131\u015fk\u0131lama anlam\u0131na gelmektedir. Yani a\u015f\u0131r\u0131 \u0131k\u0131nma.\nA\u015f\u0131r\u0131 \u0131k\u0131nma makat b\u00f6lgesine uygulanan bask\u0131 ve bas\u0131nc\u0131n artmas\u0131na neden olarak\nanal b\u00f6lge damarlar\u0131n\u0131n geni\u015flemesine neden olabilir. \u00d6zellikle kronik kab\u0131zl\u0131k\nsorunun ya\u015fayan hastalarla hemoroid sorunu ka\u00e7\u0131n\u0131lmaz olabilir. <\/p>\n\n\n\n Gebelikte anne v\u00fccudunda bulunan kan miktar\u0131nda art\u0131\u015f g\u00f6r\u00fcl\u00fcr. Yani\ndamarlarda dola\u015fan kan miktar\u0131n\u0131n daha fazla oldu\u011fu s\u00f6ylenebilir. Bu durumda\ndamarlara uygulanan bask\u0131n\u0131n artmas\u0131na neden olur. Ek olarak bebe\u011fin b\u00fcy\u00fcmeye\nba\u015flamas\u0131 ile i\u00e7 karna uygulanan bask\u0131 da artar. Bu durumlarda gebe kad\u0131nlarda\nhemoroid g\u00f6r\u00fclme riskini artt\u0131r\u0131r. <\/p>\n\n\n\n A\u011f\u0131rl\u0131k kald\u0131rmakta kan bas\u0131n\u0131n\u0131n artmas\u0131na ve dolayl\u0131 olarak makat\nb\u00f6lgesine uygulanan bask\u0131n\u0131n artmas\u0131na neden olmaktad\u0131r. B\u00f6lgede bask\u0131n\u0131n\nartmas\u0131 da basur sorununa uygun zemin haz\u0131rlanmas\u0131na neden olmaktad\u0131r.<\/p>\n\n\n\n A\u015f\u0131r\u0131 kilolu olmak t\u0131pk\u0131 a\u011f\u0131rl\u0131k kad\u0131rmak gibi anal b\u00f6lgeye uygulanan\nbas\u0131nc\u0131n artmas\u0131na ve hemoroid olu\u015fmas\u0131na neden olur. Yap\u0131lan ara\u015ft\u0131rmalar\na\u015f\u0131r\u0131 kilolu yani v\u00fccut kitle indeksi y\u00fcksek olan bireylerde normal bireylere\ng\u00f6re hemoroid g\u00f6r\u00fclme riskinin 3 kat daha fazla oldu\u011funu tespit etmi\u015ftir. [2]<\/a><\/p>\n\n\n\n Ya\u015f ilerlemesi ile birlikte ba\u011f\u0131rsak hareketlerinde yava\u015flama g\u00f6r\u00fcl\u00fcr. Buna\nba\u011fl\u0131 olarak s\u0131kl\u0131kla kab\u0131zl\u0131k sorunu ya\u015fan\u0131r. Kab\u0131zl\u0131k sorunun s\u0131k ya\u015fanmas\u0131\nise hemoroid hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131 i\u00e7in en temel sebeptir. Ayr\u0131ca ya\u015f\u0131n\nilerlemesi ile dokularda ve kaslarda zay\u0131flama g\u00f6r\u00fcl\u00fcr. Bu durumda riski\nartt\u0131r\u0131r. Yap\u0131lan ara\u015ft\u0131rmalar hastal\u0131\u011f\u0131n en \u00e7ok 45 60 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc\nve 20 ya\u015f\u0131ndan \u00f6nce hemoroid sorunu g\u00f6r\u00fclmedi\u011fini tespit etmi\u015ftir. [3]<\/a><\/p>\n\n\n\n Hemoroid hastal\u0131\u011f\u0131ndan korunmak i\u00e7in ilk olarak beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n\ng\u00f6zden ge\u00e7irilmesi gerekmektedir. Bu sayede kab\u0131zl\u0131k sorunu \u00f6nlenebilir.\nB\u00f6ylece basur hastal\u0131\u011f\u0131ndan da korunmu\u015f olunur.<\/p>\n\n\n\n Kabz\u0131l\u0131ktan korunmak i\u00e7in beyaz unlu yap\u0131lm\u0131\u015f \u00fcr\u00fcnler yerine kepek veya tam\nbu\u011fday unundan yap\u0131lm\u0131\u015f \u00fcr\u00fcnlerin tercih edilmesi gerekir. Ayr\u0131ca meyve ve\nsebzeler gibi lif oran\u0131 y\u00fcksek olan g\u0131dalar\u0131n t\u00fcketimi de artt\u0131r\u0131lmal\u0131d\u0131r. Bu\nsayede d\u0131\u015fk\u0131lama daha kolay bir \u015fekilde yap\u0131labilir. Ayr\u0131ca tuvalet ihtiyac\u0131n\u0131n\nertelenmesi de d\u0131\u015fk\u0131n\u0131n bekleyerek sertle\u015fmesine ve buna ba\u011fl\u0131 olarak zorlu\nd\u0131\u015fk\u0131lamaya neden olmaktad\u0131r. Bu nedenle d\u0131\u015fk\u0131lama ihtiyac\u0131n\u0131n ertelenmemesi\ngerekmektedir.<\/p>\n\n\n\n Ayr\u0131ca a\u015f\u0131r\u0131 baharatl\u0131 ve ac\u0131 g\u0131dalarda hemoroid olu\u015fumunu tetikledi\u011fi i\u00e7in\nbu t\u00fcr g\u0131dalardan da ka\u00e7\u0131nmak gerekmektedir.<\/p>\n\n\n\n Beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n yan\u0131 s\u0131ra g\u00fcndelik hayattaki hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 da \u00f6nlem almak a\u00e7\u0131s\u0131ndan faydal\u0131 olacakt\u0131r. Hareket miktar\u0131n\u0131n\nartt\u0131r\u0131lmas\u0131 ba\u011f\u0131rsak hareketlerini olumlu etkileyip kilonun kontrol alt\u0131nda\ntutulmas\u0131n\u0131 sa\u011flar. Bu sayede kab\u0131zl\u0131k ve fazla kilodan dolay\u0131 ortaya \u00e7\u0131kan\nrisk en aza indirilmi\u015f olur. <\/p>\n\n\n\n Hemoroidlerin tedavisi i\u00e7in 3 teknik kullan\u0131lmaktad\u0131r. Hangi teknik veya tekniklerin kullan\u0131laca\u011f\u0131 hemoroidn t\u00fcr ve derecesine g\u00f6re belirlenmektedir. G\u00fcncel olarak kullan\u0131lan teknikler; lazer, RBL( lastikle bo\u011fma) ve THD ( atardamar\u0131n kapat\u0131lmas\u0131) uygulamalar\u0131d\u0131r. <\/p>\n\n\n\n Lazer cihaz\u0131 sayesinde herhangi bir kesi yap\u0131lmadan 1 ve 2. dereceli\nhemoroidler \u0131\u015f\u0131n ile tedavi edilebilmektedir. Lazer cihaz\u0131 ile olu\u015fmu\u015f\nmemecikler tahrip edilerek yok edilir. Tedavi 10 dakika kadar k\u0131sa bir s\u00fcrede\ntamamlanabilir. Hasta ayn\u0131 g\u00fcn i\u00e7erisinde i\u015fine\/hayat\u0131na d\u00f6nebilir. <\/p>\n\n\n\n Lazer tedavisinin yetersiz oldu\u011fu durumlarda RBL yani lastikle bo\u011fma\ntekni\u011fi uygulan\u0131r. Lastikle bo\u011fma tekni\u011finde bir cihaz yard\u0131m\u0131 ile memeci\u011fin\nba\u015f k\u0131sm\u0131na bir lastik yerle\u015ftirilir. Bu sayede memeci\u011fin beslenmesi\nengellenir. Beslenemeyen memecik ise zamanla k\u00fc\u00e7\u00fclerek yok olur.<\/p>\n\n\n\n Hastal\u0131\u011f\u0131n her evresinde uygulan\u0131r. Lazer ve RBL y\u00f6ntemi son evrede olan\nbasurlar i\u00e7in yetersiz kalmaktad\u0131r. Bu t\u00fcr vak\u0131alarda THD tekni\u011fi uygulan\u0131r.\nTHD ameliyat\u0131 lokal anestezi ile uygulan\u0131r. Bu teknikte cihaz yard\u0131m\u0131 ile\nan\u00fcsten girilerek memeci\u011fi besleyen atardamar ba\u011flan\u0131r. Bu sayede t\u0131pk\u0131\nlastikle bo\u011fma tekni\u011finde oldu\u011fu gibi memecik zaman i\u00e7erisinde k\u00fc\u00e7\u00fclerek\nkaybolur. [1]<\/a> Sun, Z.,\n& Migaly, J. (2016). Review of hemorrhoid disease: presentation and\nmanagement. Clinics in colon and rectal surgery<\/em>, 29<\/em>(01),\n022-029. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4755769\/<\/a><\/p>\n\n\n\n [2]<\/a> Riss, S., Weiser, F. A., Schwameis, K., Riss,\nT., Mittlb\u00f6ck, M., Steiner, G., & Stift, A. (2012). The prevalence of\nhemorrhoids in adults. International journal of colorectal disease<\/em>, 27<\/em>(2),\n215-220. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21932016<\/a><\/p>\n\n\n\n [3]<\/a> Lohsiriwat,\nV. (2012). Hemorrhoids: from basic pathophysiology to clinical\nmanagement. World journal of gastroenterology: WJG<\/em>, 18<\/em>(17),\n2009. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3342598\/<\/a><\/p>","protected":false},"excerpt":{"rendered":" Ki\u015finin ya\u015fam kalitesi etkili olan hastal\u0131klardan biriside hemoroittir. Hemoroid Anal b\u00f6lgede meydana gelen bir hastal\u0131kt\u0131r. Halk aras\u0131nda daha s\u0131k basur olarak an\u0131lmaktad\u0131r. Basur ( Hemoroid) Nedir? Hemoroid hastal\u0131\u011f\u0131 yap\u0131sal olarak varis hastal\u0131\u011f\u0131 ile olduk\u00e7a benzerdir. Varis hastal\u0131\u011f\u0131ndan bacaklara uygulanan bas\u0131n\u00e7 y\u00fcz\u00fcnden bacaklarda bulunan damarlar yap\u0131sal olarak geni\u015fler ve varisler olu\u015fur. Hemoroitte ise makat b\u00f6lgesine bas\u0131n\u00e7 …<\/p>\n","protected":false},"author":2,"featured_media":873,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[],"class_list":["post-868","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-hemoroid"],"_links":{"self":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/comments?post=868"}],"version-history":[{"count":1,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions"}],"predecessor-version":[{"id":872,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/posts\/868\/revisions\/872"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media\/873"}],"wp:attachment":[{"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/media?parent=868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/categories?post=868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ideaclinic.net\/tr\/wp-json\/wp\/v2\/tags?post=868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/figure><\/li><\/ul>\n\n\n\nHemoroid Neden Olur?<\/strong><\/h2>\n\n\n\n
Kab\u0131zl\u0131k<\/strong><\/h3>\n\n\n\n
Gebelik<\/strong><\/h3>\n\n\n\n
A\u011f\u0131rl\u0131k Kald\u0131rmak<\/strong><\/h3>\n\n\n\n
A\u015f\u0131r\u0131 Kilolu Olmak<\/strong><\/h3>\n\n\n\n
\u0130leri Ya\u015f<\/strong><\/h3>\n\n\n\n
Hemoroidden Korunma Yollar\u0131<\/strong><\/h2>\n\n\n\n
Hemoroid Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h2>\n\n\n\n
Lazer Hemoroid Tedavisi<\/strong><\/h3>\n\n\n\n
RBL ( Rubber Band Ligations-Lastikle Bo\u011fma)<\/strong><\/h3>\n\n\n\n
THD ( Atar damar\u0131n ba\u011flanmas\u0131)<\/strong><\/h3>\n\n\n\n
<\/p>\n\n\n\n
\n\n\n\n