{"id":136621,"date":"2013-05-16T11:50:38","date_gmt":"2013-05-16T08:50:38","guid":{"rendered":"http:\/\/www.nationalturk.com\/?p=136621"},"modified":"2013-05-16T11:50:38","modified_gmt":"2013-05-16T08:50:38","slug":"angelina-jolienin-tercihine-bilimsel-yorum-136621","status":"publish","type":"post","link":"https:\/\/www.nationalturk.com\/tr\/angelina-jolienin-tercihine-bilimsel-yorum-136621\/","title":{"rendered":"Angelina Jolie&#8217;nin tercihine bilimsel yorum"},"content":{"rendered":"<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-136622\" alt=\"Angelina Jolie\" src=\"http:\/\/www.nationalturk.com\/tr\/wp-content\/uploads\/2013\/05\/angelina___jolie_hatay-280x188.jpg\" width=\"280\" height=\"188\" title=\"\" srcset=\"https:\/\/www.nationalturk.com\/tr\/wp-content\/uploads\/2013\/05\/angelina___jolie_hatay-280x188.jpg 280w, https:\/\/www.nationalturk.com\/tr\/wp-content\/uploads\/2013\/05\/angelina___jolie_hatay.jpg 480w\" sizes=\"auto, (max-width: 280px) 100vw, 280px\" \/>Kanserder korunmak i\u00e7in g\u00f6\u011f\u00fcslerini ald\u0131ran Angelina Jolie&#8217;nin tercihi kanserden y\u00fczde 94 koruyor.\u00a0Cerrahi bir uygulama olan ve memenin i\u00e7inin tamamen bo\u015falt\u0131lmas\u0131 ilkesine dayanan &#8220;oruyucu mastektomi ameliyat\u0131 ile meme kanserinden y\u00fczde 85-94 oran\u0131nda koruma sa\u011flanabiliyor.<\/h1>\n<p>Uzmanlar, \u00f6zellikle aile \u00f6yk\u00fcs\u00fcnde meme ve yumurtal\u0131k kanseri tehlikesi olan kad\u0131nlar\u0131n y\u00fcksek risk ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirterek, koruyucu mastektomi karar\u0131 verebilmek i\u00e7in hastalar\u0131n mutlaka genel cerrahi, plastik cerrahi, t\u0131bbi onkoloji ve t\u0131bbi genetik uzmanlar\u0131 taraf\u0131ndan birlikte de\u011ferlendirilmesi gerekti\u011fini vurgulad\u0131.<\/p>\n<p>Gazi \u00dcniversitesi T\u0131p Fak\u00fcltesi Plastik Rekonstr\u00fcktif ve Estetik Cerrahi Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. S\u00fchan Ayhan, AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, meme kanserinden korunmak i\u00e7in her iki g\u00f6\u011fs\u00fcn\u00fc ald\u0131ran ABD&#8217;li oyuncu Angelina Jolie ile g\u00fcndeme gelen y\u00f6ntem konusunda de\u011ferlendirmede bulundu.<\/p>\n<p>Meme kanserinin kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kanser t\u00fcrlerinden biri oldu\u011funu ve bilimsel verilere g\u00f6re 85 ya\u015f\u0131na ula\u015fan her 8 kad\u0131ndan birinde meme kanseri geli\u015fti\u011fini ifade eden Ayhan, aile \u00f6yk\u00fcs\u00fcnde meme kanseri bulunmas\u0131n\u0131n sa\u011fl\u0131kl\u0131 ki\u015filere oranla hastal\u0131\u011fa yakalanma riskini art\u0131rd\u0131\u011f\u0131na dikkati \u00e7ekti. Ayhan, &#8220;\u00d6zellikle anne, anneanne ve k\u0131z karde\u015flerde erken ya\u015fta meme veya yumurtal\u0131k kanseri olmas\u0131, BRCA 1 ve BRCA 2 gen mutasyonu varl\u0131\u011f\u0131 ve memedeki s\u00fct kanallar\u0131 i\u00e7inde bulunan atipik de\u011fi\u015fiklikler say\u0131labilir. BRCA 1 ve 2 genlerinin saptanmas\u0131 durumunda, meme kanseri geli\u015fme riski y\u00fczde 60 ile 90 aras\u0131nda art\u0131yor&#8221; dedi.<\/p>\n<p>Ki\u015finin meme kanseri riski ta\u015f\u0131y\u0131p ta\u015f\u0131mad\u0131\u011f\u0131n\u0131n anla\u015f\u0131labilmesi i\u00e7in genetik taraman\u0131n yap\u0131labildi\u011fine, ancak bunun olduk\u00e7a maliyetli bir uygulama oldu\u011funa i\u015faret eden Ayhan, \u015f\u00f6yle konu\u015ftu:<\/p>\n<p>&#8220;Hekimin \u015f\u00fcphelenmesi durumunda, kan \u00f6rne\u011fi al\u0131narak genetik laboratuvarlar\u0131nda yap\u0131lan testlerin maliyeti 10 bin TL&#8217;yi buluyor. ABD&#8217;de bu testlerin bedeli, sigorta \u015firketleri taraf\u0131ndan \u00f6deniyor. \u00dclkemizde ise bu testlerin \u00f6denmesi s\u00f6z konusu de\u011fil. Dolay\u0131s\u0131yla her kad\u0131n\u0131n bu testleri yapt\u0131rmas\u0131 m\u00fcmk\u00fcn olmuyor.&#8221;<\/p>\n<p>Meme kanseri geli\u015fme riski y\u00fcksek olan kad\u0131nlarda, kanserle y\u00fczle\u015fmeden, \u00e7e\u015fitli y\u00f6ntemlerle korunman\u0131n m\u00fcmk\u00fcn oldu\u011funu anlatan Ayhan, anti-\u00f6strojen ila\u00e7 tedavisinin meme kanseri riskini azaltt\u0131\u011f\u0131n\u0131 ve hastal\u0131ks\u0131z ge\u00e7irilen s\u00fcreyi anlaml\u0131 \u015fekilde uzatt\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n<p>Ayhan, bunun d\u0131\u015f\u0131nda koruyucu ama\u00e7la yumurtal\u0131klar\u0131n al\u0131nmas\u0131n\u0131n da BRCA gen mutasyonu tespit edilen kad\u0131nlarda meme kanseri olu\u015fma riskini y\u00fczde 53-68 oran\u0131nda azaltt\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n<p>Koruyuculu\u011fu en y\u00fcksek olan y\u00f6ntemin ise &#8220;Koruyucu mastektomi&#8221; diye isimlendirilen cerrahi bir uygulama oldu\u011funu anlatan Ayhan, mastektomi ameliyat\u0131 ile kad\u0131ndaki memenin i\u00e7inin tamamen bo\u015falt\u0131ld\u0131\u011f\u0131n\u0131 belirtti. Ayhan, bu \u015fekilde meme dokular\u0131 al\u0131nd\u0131\u011f\u0131 i\u00e7in kansere yol a\u00e7abilecek riskin ortadan kald\u0131r\u0131ld\u0131\u011f\u0131n\u0131 vurgulad\u0131. Yap\u0131lan operasyonlar\u0131n ba\u015far\u0131 oran\u0131n\u0131n y\u00fcksek oldu\u011funa dikkati \u00e7eken Ayhan, &#8220;Ara\u015ft\u0131rmalar, 10 y\u0131ll\u0131k takiplerde mastektomi ameliyat\u0131n\u0131n kad\u0131nlar\u0131 meme kanserinden koruma oran\u0131n\u0131n y\u00fczde 85-94 oldu\u011funu g\u00f6steriyor&#8221; diye konu\u015ftu.<\/p>\n<p>Ayhan, koruyucu mastektomi karar\u0131 verebilmek i\u00e7in hastalar\u0131n mutlaka genel cerrahi, plastik cerrahi, t\u0131bbi onkoloji ve t\u0131bbi genetik uzmanlar\u0131 taraf\u0131ndan birlikte de\u011ferlendirilmesi gerekti\u011fini s\u00f6yledi.<\/p>\n<p>Memenin bo\u015falt\u0131lmas\u0131 sonras\u0131nda, meme kayb\u0131n\u0131n ya\u015fanmamas\u0131 i\u00e7in plastik cerrahlar taraf\u0131ndan an\u0131nda onar\u0131lmas\u0131 gerekti\u011finin de alt\u0131n\u0131 \u00e7izen Ayhan, bunun i\u00e7in silikon protezler kullan\u0131labilece\u011fi gibi, kar\u0131n veya s\u0131rt b\u00f6lgesinden doku naklinin de yap\u0131labildi\u011fini kaydetti.<\/p>\n<span style=\"font-weight: bold; color: #f00;\">Error, group does not exist! Check your syntax! (ID: 52)<\/span>\n","protected":false},"excerpt":{"rendered":"<p>Kanserder korunmak i\u00e7in g\u00f6\u011f\u00fcslerini ald\u0131ran Angelina Jolie&#8217;nin tercihi kanserden y\u00fczde 94 koruyor. Cerrahi bir uygulama olan ve memenin i\u00e7inin tamamen bo\u015falt\u0131lmas\u0131 ilkesine dayanan &#8220;oruyucu mastektomi ameliyat\u0131 ile meme kanserinden y\u00fczde 85-94 oran\u0131nda koruma sa\u011flanabiliyor.<\/p>\n","protected":false},"author":4,"featured_media":179131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6768,6665,6155,6232,5005,6669],"tags":[5453,129915,129914,129916,129913,129917,14507],"class_list":["post-136621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-amerika","category-dunya","category-gundem","category-magazin","category-manset","category-saglik","tag-angelina-jolie","tag-angelina-jolie-annesi","tag-angelina-jolie-kanser-riski","tag-angelina-jolie-meme-kanseri","tag-angelina-jolie-memesi","tag-angelina-jolie-yumurtalik-kanseri","tag-brad-pitt"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/136621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/comments?post=136621"}],"version-history":[{"count":0,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/136621\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media\/179131"}],"wp:attachment":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media?parent=136621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/categories?post=136621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/tags?post=136621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}