<\/p>\n\n\n\n
Manavgat \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. Mustafa Er,2 \u2013 8 Kas\u0131m L\u00f6semili \u00c7ocuklar Haftas\u0131 nedeniyle yaz\u0131l\u0131 bir bas\u0131n a\u00e7\u0131klamas\u0131 yaparak, \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc’ne ba\u011fl\u0131 Manavgat Sa\u011fl\u0131kl\u0131 Hayat Merkezi’nde kanserle m\u00fccadele i\u00e7in vatanda\u015flara hizmet verildi\u011fini s\u00f6yledi.<\/p>\n\n\n\n
L\u00f6semili \u00c7ocuklar Haftas\u0131n\u0131n ba\u015flamas\u0131 nedeniyle a\u00e7\u0131klamada bulunan \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Mustafa Er; “\u00c7ocukluk \u00e7a\u011f\u0131 kanserleri uluslararas\u0131 \u00e7ocuk<\/a> kanserleri bran\u015flar\u0131nda 12 ana grup alt\u0131nda incelenmektedir. \u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinin %30\u2019unu l\u00f6semi hastalar\u0131, di\u011ferleri ise %70\u2019ini de lenfoma ve solid t\u00fcm\u00f6rler (organ ve \u00e7e\u015fitli dokulardan geli\u015fen kanserler) olu\u015fturmaktad\u0131r. \u00c7ocukluk ya\u015f d\u00f6neminde s\u0131kl\u0131kla g\u00f6r\u00fclen kanser t\u00fcrleri, da\u011f\u0131l\u0131mlar\u0131, tedaviye yan\u0131t oranlar\u0131 ve uzun sureli sa\u011f kal\u0131m a\u00e7\u0131s\u0131ndan eri\u015fkin ya\u015f grubunda g\u00f6r\u00fclen kanser t\u00fcrlerine g\u00f6re farkl\u0131l\u0131klar g\u00f6stermektedir\u201d dedi.<\/p>\n\n\n\n \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. Mustafa Er konuyla ilgili g\u00f6r\u00fc\u015flerini \u015f\u00f6yle dile getirdi;<\/p>\n\n\n\n \u201cL\u00f6semi(Kan Kanseri), normalde farkl\u0131 tiplerde kan h\u00fccrelerine d\u00f6n\u00fc\u015fecek olan h\u00fccrelerden k\u00f6ken alan bir kanser olup \u00e7ocukluk \u00e7a\u011f\u0131nda en s\u0131k g\u00f6r\u00fclen kanser t\u00fcr\u00fc olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. D\u00fcnya Sa\u011fl\u0131k Te\u015fkilat\u0131 (DST) Uluslararas\u0131 Kanser Ara\u015ft\u0131rmalar\u0131 Kurumu(IARC) verilerine g\u00f6re;2020 y\u0131l\u0131nda D\u00fcnyada 0-14 ya\u015f aral\u0131\u011f\u0131nda67.008 vaka tahmin edilmekte olup, bu haliyle \u00e7ocukluk \u00e7a\u011f\u0131nda g\u00f6r\u00fclen t\u00fcm kanserlerin \u00fc\u00e7te birini (%32,7)olu\u015fturmaktad\u0131r. \u00dclkemizde de d\u00fcnya ile benzer bi\u00e7imde t\u00fcm \u00e7ocukluk \u00e7a\u011f\u0131 kanserlerinin yakla\u015f\u0131k \u00fc\u00e7te birini (%33,4) l\u00f6semiler olu\u015fturmaktad\u0131r.<\/p>\n\n\n\n \u00c7ocukluk \u00e7a\u011f\u0131n\u0131n en \u00f6nemli k\u00f6t\u00fcc\u00fcl hastal\u0131\u011f\u0131 akut l\u00f6semidir. En s\u0131k rastlanan \u00e7ocukluk \u00e7a\u011f\u0131 kanseri olmas\u0131 yan\u0131nda 15 ya\u015f\u0131n alt\u0131nda \u00f6nde gelen \u00f6l\u00fcm nedenlerindendir. Akut l\u00f6semide tan\u0131 ve tedavi uygulamalar\u0131ndaki yenilikler, destek tedavilerinin geli\u015fmesi ve daha etkili ila\u00e7 birlikteliklerinin uygulamaya girmesi gibi son yirmi y\u0131ldaki geli\u015fmeler; hastaya \u00f6zg\u00fc tedavilerin se\u00e7ilebilmesini ve daha uzun s\u00fcre ya\u015fama \u015fans\u0131 verirken di\u011fer yanda daha az kemoterapi toksisitesi sa\u011flamaktad\u0131r. Baz\u0131 l\u00f6semi tiplerinde hasta \u00e7ocuklar\u0131n %80-90’\u0131 tekrarlama olmadan, 5 y\u0131l s\u00fcre ile sessiz kalabilmekte ve bu hastalar\u0131n tamamen iyile\u015fme ile sonu\u00e7land\u0131\u011f\u0131 s\u00f6ylenebilmektedir.<\/p>\n\n\n\n \u00c7ocukluk ya\u015f grubunda L\u00f6semi, ba\u015flang\u0131\u00e7 evresinde bulgu verebilece\u011fi gibi ender olarak ilk d\u00f6nemlerinde bariz bulgu vermeden de seyredebilir.<\/p>\n\n\n\n L\u00f6semi belirtileri \u015fu \u015fekilde s\u0131ralanabilir:<\/p>\n\n\n\n Kans\u0131zl\u0131k (anemi)<\/p>\n\n\n\n Enfeksiyonlara yatk\u0131nl\u0131k, s\u0131k hastalanma, y\u00fcksek ate\u015f<\/p>\n\n\n\n \u00c7e\u015fitli kanamalar (burun kanamas\u0131, di\u015f eti kanamalar\u0131, cilt alt\u0131 kanamas\u0131 gibi), ciltte s\u0131k s\u0131k \u00e7\u00fcr\u00fck\/morluk olu\u015fumu, kesik olu\u015ftu\u011funda kanaman\u0131n g\u00fc\u00e7l\u00fckle durdurulmas\u0131<\/p>\n\n\n\n \u0130\u015ftahs\u0131zl\u0131k, kilo kayb\u0131<\/p>\n\n\n\n Dalak ve\/veya karaci\u011ferde b\u00fcy\u00fcme<\/p>\n\n\n\n Lenf d\u00fc\u011f\u00fcmlerinde \u015fi\u015flikler (ciltte ele gelen yumrular)<\/p>\n\n\n\n Halsizlik, solukluk, \u00e7abuk yorulma, \u00e7arp\u0131nt\u0131<\/p>\n\n\n\n Kemik ve eklemlerde a\u011fr\u0131lar, \u015fi\u015flik ve hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131<\/a><\/p>\n\n\n\n \u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinin genetik nedenleri kanserli \u00e7ocuklar\u0131n yaln\u0131zca k\u00fc\u00e7\u00fck bir k\u0131sm\u0131nda ge\u00e7erlidir. <\/p>\n\n\n\n Yukar\u0131da say\u0131lan belirtilerden bir\u00e7o\u011funun l\u00f6semi d\u0131\u015f\u0131 herhangi ba\u015fka bir sebepten de kaynaklanabilece\u011fi ve asl\u0131nda bu ihtimalin daha y\u00fcksek oldu\u011fu unutulmamal\u0131d\u0131r. Ancak, an\u0131lan belirtilerin var olmas\u0131 halinde bir hekim taraf\u0131ndan kontrol edilerek olas\u0131 nedenin saptanmas\u0131 ve tedavinin d\u00fczenlenmesi \u00f6nem arz etmektedir.<\/p>\n\n\n\n Tan\u0131<\/p>\n\n\n\n L\u00f6semi hastal\u0131\u011f\u0131n\u0131n zamanla yar\u0131\u015fan bir hastal\u0131k oldu\u011fu d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde, tan\u0131n\u0131n erken konulmas\u0131ndaki \u00f6nem daha iyi anla\u015f\u0131l\u0131r. L\u00f6semi h\u00fccrelerinin \u00fcreme h\u0131zlar\u0131 di\u011fer kanser t\u00fcrlerindeki h\u00fccrelerin \u00fcreme h\u0131zlar\u0131na g\u00f6re \u00e7ok daha h\u0131zl\u0131d\u0131r. Bu saptama \u015f\u00f6yle de ifade edilebilir; l\u00f6semi h\u00fccreleri 12 saat i\u00e7inde iki kat\u0131na ula\u015farak t\u00fcm\u00f6r y\u00fck\u00fcn\u00fc saatler i\u00e7inde katlayarak art\u0131r\u0131rlar. Bu da hastan\u0131n hayat\u0131n\u0131 ciddi \u015fekilde tehdit eder.<\/p>\n\n\n\n Halihaz\u0131rda \u00e7o\u011fu \u00e7ocukta belirti vermeden \u00f6nce, l\u00f6seminin erken te\u015fhisi i\u00e7in yayg\u0131n olarak kullan\u0131m\u0131 \u00f6nerilen bir kan tetkiki veya di\u011fer tarama testleri bulunmamakta olup \u00e7ocuklarda n\u00fcfusa dayal\u0131 tarama programlar\u0131n\u0131 destekleyen y\u00fcksek kalitede kan\u0131t yoktur. \u00c7ocu\u011fun doktora gitmesini sa\u011flayacak belirtilere yol a\u00e7t\u0131\u011f\u0131ndan \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerine s\u0131kl\u0131kla tan\u0131 konabilmektedir. Ba\u015fvuru sonras\u0131 hekimler tan\u0131 koyma s\u00fcrecinde l\u00f6semiye i\u015faret edebilecek kan testlerini uygularlar. L\u00f6semileri erken saptaman\u0131n en iyi yolu, s\u00f6z konusu hastal\u0131\u011f\u0131n olas\u0131 belirtilerini g\u00f6zden ka\u00e7\u0131rmamakt\u0131r. Dolay\u0131s\u0131yla ebeveynlerin fark\u0131ndal\u0131\u011f\u0131n\u0131n artmas\u0131 hayat kurtar\u0131c\u0131 rol oynamaktad\u0131r.<\/p>\n\n\n\n Erken te\u015fhis edildi\u011finde, l\u00f6seminin de etkili tedaviye yan\u0131t verme olas\u0131l\u0131\u011f\u0131 daha y\u00fcksektir ve daha y\u00fcksek hayatta kalma olas\u0131l\u0131\u011f\u0131, daha az ac\u0131 \u00e7ekme ve genellikle daha az pahal\u0131 ve daha az yo\u011fun tedavi ile sonu\u00e7lan\u0131r. L\u00f6seminin erken tespit edilmesi ve bak\u0131mdaki gecikmelerin \u00f6nlenmesi yoluyla kanserli \u00e7ocuklar\u0131n hayatlar\u0131nda \u00f6nemli iyile\u015fmeler sa\u011flanabilir. Kanserli \u00e7ocuklar\u0131 tedavi etmek i\u00e7in do\u011fru tan\u0131 \u00f6nemlidir \u00e7\u00fcnk\u00fc her kanser, cerrahi, radyoterapi ve kemoterapiyi i\u00e7erebilecek spesifik bir tedavi rejimi gerektirir. <\/p>\n\n\n\n Tan\u0131, esasen hastan\u0131n \u015fik\u00e2yet ve muayene bulgular\u0131 de\u011ferlendirilirken l\u00f6semi ihtimalinin g\u00f6z \u00f6n\u00fcnde bulundurulmas\u0131na dayan\u0131r. \u00c7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerinin en s\u0131k ba\u015fvuru bulgular\u0131n\u0131n, hastay\u0131 ilk g\u00f6ren hekim taraf\u0131ndan bilinir olmas\u0131 hastan\u0131n vakit kaybetmeden tan\u0131 ve tedaviye ula\u015fmas\u0131n\u0131 sa\u011flamada en \u00f6nemli fakt\u00f6rd\u00fcr.<\/p>\n\n\n\n Erken tan\u0131 3 bile\u015fenden olu\u015fur:<\/p>\n\n\n\n Ailelerin ve birinci basamak sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131n\u0131n hastal\u0131\u011f\u0131n belirtilerine ili\u015fkin fark\u0131ndal\u0131\u011f\u0131<\/p>\n\n\n\n Do\u011fru ve zaman\u0131nda klinik de\u011ferlendirme, tan\u0131 ve evreleme (kanserin ne \u00f6l\u00e7\u00fcde yay\u0131ld\u0131\u011f\u0131n\u0131n belirlenmesi)<\/p>\n\n\n\n H\u0131zl\u0131 tedaviye eri\u015fim i\u00e7in bilgilendirme ve y\u00f6nlendirme.<\/p>\n\n\n\n L\u00f6semi \u015f\u00fcphesi sonras\u0131nda yap\u0131lacak kan testleri ile tan\u0131 netle\u015ftirilebilir. Ard\u0131ndan kemik ili\u011fi aspirasyonu\/biyopsisi, \u00f6zel kan testleri ve genetik testler yap\u0131labilir.<\/p>\n\n\n\n Tedavi<\/p>\n\n\n\n G\u00fcn\u00fcm\u00fczde \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerinde, \u00e7oklu tedavi y\u00f6ntemleri ile iyile\u015fme oran\u0131 %80civar\u0131na ula\u015fsa da bu rakam l\u00f6seminin de\u011fi\u015fik biyolojik alt tipleri olmas\u0131 nedeniyle %10 ile %90 aras\u0131nda \u00e7ok b\u00fcy\u00fck fark g\u00f6steren sonu\u00e7lar\u0131 maskelemektedir. Hastal\u0131k, \u00fclkemizde de ba\u015far\u0131 ile tedavi edilmekte olup tedavi ba\u015far\u0131s\u0131 di\u011fer d\u00fcnya \u00fclkelerinden farkl\u0131l\u0131k g\u00f6stermemektedir. L\u00f6semi genellikle kemoterapi ile tedavi edilmektedir. Gerekli oldu\u011fu durumlarda kemik ili\u011fi nakli, radyoterapi gibi tedaviler de kullan\u0131lmaktad\u0131r. Hedefe y\u00f6nelik tedaviler, molek\u00fcler d\u00fczeyde y\u00fcr\u00fct\u00fclen laboratuvar \u00e7al\u0131\u015fmalar\u0131 ve g\u00f6r\u00fcnt\u00fcleme teknolojisindeki geli\u015fmeler tedavi ba\u015far\u0131s\u0131n\u0131 etkileyen di\u011fer fakt\u00f6rler aras\u0131nda yer almaktad\u0131r. \u00c7ocuklarda l\u00f6semi tedavisi, \u00dclkemizde Genel Sa\u011fl\u0131k Sigortas\u0131 kapsam\u0131nda olup \u00fccretsiz yap\u0131lmaktad\u0131r. <\/p>\n\n\n\n Sa\u011fkal\u0131m<\/p>\n\n\n\n \u00c7ocuklarda, \u00f6zellikle akut l\u00f6semilerde hastal\u0131\u011f\u0131n tamamen tedavi edilme oran\u0131 \u00e7ok y\u00fcksektir. Di\u011fer l\u00f6semilerde de sa\u011f kal\u0131m oranlar\u0131 y\u00fcksektir. \u00dclkemizin verilerinin de yer ald\u0131\u011f\u0131 K\u00fcresel Kanser Sa\u011f kal\u0131m E\u011filimleri S\u00fcrveyans\u0131 (CONCORD-3) \u00e7al\u0131\u015fmas\u0131na g\u00f6re; akut lenfoblastik l\u00f6seminin 5-y\u0131ll\u0131k sa\u011f kal\u0131m oran\u0131%80.9olarak bulunmu\u015ftur. <\/p>\n\n\n\n \u00d6nleme<\/p>\n\n\n\n \u00c7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerinin, ya\u015fam tarz\u0131 ve \u00e7evre ile ilgili olas\u0131 sebepleri \u00e7ok azd\u0131r. Bu nedenle \u00e7o\u011fu durumda anne-baba ve \u00e7ocuklar\u0131n bu kanserleri \u00f6nlemek i\u00e7in bireysel bazda bir \u015fey yapmas\u0131 gerekmemektedir.<\/p>\n\n\n\n Bununla birlikte, \u00e7evresel risk fakt\u00f6r\u00fc olarak radyasyona ve baz\u0131 kimyasallara maruz kalman\u0131n l\u00f6semi riskini art\u0131rabildi\u011fi bilinmektedir. Baz\u0131 \u00e7al\u0131\u015fmalarda \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semisi ile hamilelik s\u0131ras\u0131nda veya erken \u00e7ocukluk d\u00f6neminde hane halk\u0131 pestisit maruziyeti aras\u0131 ili\u015fki \u00e7al\u0131\u015f\u0131lm\u0131\u015fsa da olas\u0131 bir ba\u011flant\u0131dan s\u00f6z edebilmek i\u00e7in daha ileri ara\u015ft\u0131rmalara ihtiya\u00e7 oldu\u011fu belirtilmi\u015ftir.<\/p>\n\n\n\n Son d\u00f6nemde yap\u0131lan enfeksiyon ve kimyasal maddelere dikkat \u00e7eken \u00e7al\u0131\u015fmalar \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semisi i\u00e7in olas\u0131 etmenleri i\u015faret etmektedirler.<\/p>\n\n\n\n \u00c7ocukluk \u00e7a\u011f\u0131 kanseri \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 ve toplumsal bir sorundur. Bu nedenle vatanda\u015flar\u0131m\u0131z\u0131n, \u00e7ocukluk \u00e7a\u011f\u0131 kanserleri hakk\u0131nda bilgilendirilmeleri yararl\u0131d\u0131r\u201d<\/p>\n\n\n\n (B\u00fc\u015fra Deveci)<\/p>\n","protected":false},"excerpt":{"rendered":" Manavgat \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. Mustafa Er,2 \u2013 8 Kas\u0131m L\u00f6semili \u00c7ocuklar Haftas\u0131 nedeniyle yaz\u0131l\u0131 bir bas\u0131n a\u00e7\u0131klamas\u0131 yaparak, \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc’ne ba\u011fl\u0131 Manavgat Sa\u011fl\u0131kl\u0131 [more…]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17374,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-17372","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem"],"_links":{"self":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/17372","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=17372"}],"version-history":[{"count":0,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/17372\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/media\/17374"}],"wp:attachment":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=17372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=17372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=17372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}