celikci
New member
Fıtık, herni, yarımlık. Organın, kendisini yerinde tutan kas ya da oluşumun dışına gerçek kayması, olağan yerinden öbür bir alana yer değiştirmesidir.
Abdominal fıtıklar (herniler)
Karın duvarı fıtığı, tüm cerrahi sorunlar ortasında en sıkgörülenler içindedır. Karın ortasındaki organların, en hayli da ince bağırsakların, karın duvarındaki anatomik olarak aslına bakarsanız zayıf bir noktadan yahut zayıflamış ameliyat yerinden dışarıya yanlışsız çıkması biçimindedir.
Kasık fıtığı(ingunal herni):Karın fıtıklarının en sık görülen tipidir (%75). İnguinal herniler direkt, indirekt, nüks ve femoral herni olarak gruplanabilir. Kasık fıtıkları ekseriyetle kasık bölgesinde bir şişlik ile kendini aşikâr eder. Bu şişlik ayağa kalkınca ve öksürünce besbelli hale gelir, yatınca ve elle itince kaybolur.
Kasık fıtığı, oluşumunda rol oynayan iç organların dışa sarkması ve sıkışması kararı hayatı tehdit edecek boyutlara ulaşabilir. Bu risk sıklıkla fıtığın boğulması kararı oluşur. Sıkışmış fıtıklarda evvelce yumuşak olan kubbe biçimindeki çıkıntı, gergin, ağrılı ve yatınca küçülmeyen bir hâl alır. Sıkışan organ yeteri kadar kan ile beslenemediği için kangren oluşumuna, delinmeye ya da karın içi zarının iltihaplanması olarak bilinen peritonite sebep olabilir. Boğulmuş fıtık kesinlikle acil olarak opere edilmesi gereken bir durumdur.
Kasık fıtığının ilaçlı tedavisi bulunmamaktadır ve tek tedavi formülü cerrahidir.
Göbek fıtığı (umbilikal herni): Göbekte şişlik ve ağrı, ayakta durmakla, ıkınmakla, öksürmekle artan ve sırt üstü yatmakla kaybolan şişlik, erken devir fıtıklarda yalnızca ağrı göbek fıtığının belirtilerindendir.
Bağırsakların karın dışına çıkmasını önleyen takviye katmanının zayıflaması yahut yırtılması kararı oluşur. Bu tabakanın zayıflığı doğuşsal ya da zorlayıcı hareketlere (ıkınmak, ağır kaldırmak, öksürmek, zorlayıcı spor) bağlı olabilir.
Göbek fıtığı doğuştan (konjenital) ya da daha sonradan (edinsel) olabilir.
Doğuştan (konjenital) olan umbilikal herniler çoklukla 1 sene ortasında kapanır.
Edinsel umbilikal herniler karın içi basıncı artıran durumlardan kaynaklanır. Karın içi basıncın arttığı durumlar; obezite, kronik öksürük (KOAH, akciğer hastalığı), kronik kabızlık, ağır kaldırma, gebelik üzere durumlardır.
Doğuştan olan umbilikal hernilerde erkek, bayan oranı eşittir, edinsel umbilikal herniler bayanlarda 3 kat daha sıktır.
Göbek fıtığının tedavisi cerrahidir, açık ya da kapalı (laparoskopik) olarak ameliyat edilebilir.
EpigastrikHerni: Epigastrik bir fıtık, çoklukla göğüs kemiğinizin yahut göğüs kemiğinizinaltındaki alanda ve göbek deliğinizin üstünde bir yumru oluşmasına yol açar. Bu yumru, fıtığınarasından geçen bir yağ kütlesinden kaynaklanır. Epigastrik bir herni, epigastrik bölgede hassasiyet ve ağrıya da niye olabilir. birebir vakitte, epigastrik fıtığın rastgele bir belirti göstermemesi yaygındır.
<img src="https://www.doktorsitesi.com/data:image/jpeg;base64,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üç 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üç boyutluxn0rbrSOdBvp+BFkxEVpb4ik3+qLj+C6e3PJS+uEGfQ1kSQfGkk6PaF8Q1aUV8fg/cMulTüç 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üç 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üç boyutluqHEkbAFXDRsp4gqwIII7Rxz6cHnxqnB2k0tk7fEsTinBPsuMmweomWytZGOWMKq555aPMTH2px8c0uIi4zsNwk88NR/qAvAg4gd5405aEFTROXSloVjp56+OGwXiJ7i+uL3lgWUN7IrxngRm9nMduFON6EXeDmM4vKNouT/AH1kfE2/4hQjtlj8kWU5/f8Af98Y7qoTbnqyenDLGyG69TNVZRL9JkVe4KzqvYInc+t0C/IGNNy2L8Xmk4j7Ff8ADnTlO2xDyN90Yk1I95peVYqoJdBol3Ubdx/J2PHey1NJrZUSGyTgKuIxamrFTU4hjFLYTahYxyxtFKiSRSDdeOVQ8brjkyNkEfN2U+nN03eL3069PeQ18PCsrSX79xDdBt/Jr24j3pHhMFkEeR99rck3ISKRyN94mAwsshZ1YqrEgqatVXdJ9I+/J4akmtM0/C1vgPl1oLTTxvMR1Vu+/BAOIadeC3M5I85ojkwRr5qMesbfdYhGsJ5INR6TNlhpVqiqTfNWyH4fLVBKxqpJbEC1Yn6v6fx4DSdV4eJu9LAPsz+4rSg7YZ9eb6IyZq+LS/pXzZPgaoNWNdBmmChmgDwuD5rehv7pqWKTSv0yS9xXq9P6WQ/ZyzxaWw7rWL1+9LX0vCb5OP6V4I+d5q82n1v5nZ2kfYovxaf3RXIS9KRsx2Qtpo4KACgAoAKACgDzakW4yWyOedjYg93eyDiGu5Tn0Oy/qrkJq9Z3O2p3jRiix7gcMeFW5pJaEMBh1yP3phjnkVSmW6Wpxzsl0bRz3FwrHDdfLjsx55qrfoNdcyFyxj0NSw/Ack9xFNyMZTrX3HzQthZgcPkcPlp6p3GymiS2nR9Ix4tujt7f1VJGmV5VCQafsPFFxPnN2ZFSZOwZy0usUT2m7y4AdlDSWwKpfcarewBfLd9QxSch8pO3YSe12fQZOOdX40sy0Kcq+VjNrOw0b8WBHiKhdDUesQM/1t4zwVjScgiVVxp1DotHbkdlVpUCzDEkY1jo6iUHiTgd9V5wUVpuXI1HNoq7aLonmkB6qzuZEYEhkhkdWHeCqkGiMG2mR1MXSjNxlK1iI+546GdRt7yaSewvIVM2VaS3lQFQAAclQMVckndNlaWJw6Tyz1O0JtHJT4Jzjlg59lSxjcyniKWb0ij+k/Ye7lbMdrcOP5kMjfMpqs4ts0qeNor+Yu/3JNo9rY3Mdyj27G7Z1WdTEWBijG8ocAkZGMjhkGuhwE4xhaT1uctxirCpVvDayL1GtQ/Gx/nr9NabqwT9JfExE9A+rkPxsf56/TSctD2kLdB9XIfjY/z1+mjloe0gug+rkPxsf56/TRy0PaQXRn6tw/Gx/nr9NHLQvZMS6Kd6cIM3MX4n/rNdNw7SlLvKGJVyuxa+FayllnF9X1KU480a9hLsNHOB/J319E3pW4ZvZuupHgRXgflDHJjqna839j2zyennwiZJN6ubOmDeoAxmgCF9LVoJLWGM/b6lpOB3lNQt5ceyMn1VoYLSUpdUWzLx75sV1uxNGmw2RgnOcd3aM+B+UZqk5WtP2nfuLts0XG+yt4EF6P7jyeW50yTg8Us11ZljxubC4k60vHlQGNnPK9tLGhdo1Fu7bouY1GtjKXKRVSnr1mVgpck3CenaTnfrISfSbbT6DzuLgKpYnAUEk88ADiQO09woüç boyutluiCsm4MhvRtp+41+XjMc8l2zSKz75WKRFlt41JA3URZCSq8BM0pyau1p3ikiapFuUastbxS7sunvvuTYmqF7C26b6CC6IGSSFUAszE4CqBksT2AAZJPAAE9lPlBuahDUkVZQhnnoQ7TYDKrXOGAuCpiVhuslugxFkHiGk3mmIOD74AR5tQ4mOR2Ra4fVztzeh6hitUWmtDbSUjwkvTSXJo0kEF2SeVKnqNqQUUOmzUJZcniVeRDnicq5GDy47uD6+3nUyg2Y9WunzSVxR4FW0ZzdzegYYai1xstiNaDGHuNQcjKmSK2GcFXWCAb/PhjrJZFPiDU05Wsukkr25KlF9F2/wD3P6L4jnJqg6wwxLvvGF6zjhIQwBUSMQSZGXzliA3sec3Vggl2RpXfwKUat5ZY7DkTUBbRBdUvB9XbKPBydI1OTOOGFvNNUjPec5A8DWjGm3hXPqk14L7GNKX+cX6V82Tqs+TvY2UZpoBQB5XQ81/wWP8AZNS09ZRh23K1bSMpdlhm2dtv4Jb/ANFh/wAJOHqr6SoyzUYS618j58qRy1pR7TrjSh73H+LT+6K5NvnSNZaIWUChQAUAFABQAUAaGkW7E6jn7orQe+t91LIfbIxrkFzqrfadzP1a7ixbmKrj10KMZEW2tut0Ad9Vaqys0cMrnN+yWpBL6Zz8AXDqfA5BGaoZedmNWfOjlL5s9Y6weZx8R6auKzMrI4X1HSz09id48vGrMYKxE5NDlLIFGBTWkhFdsxbw5yzeqnJJia3IhtBrHn7g+SqU5pOxeUbdBtpxJPHvFIlrcKj0sTuzYEbp7q1adlp1mTUj0mJ03eYyKSqmthKTUtxvudNVhlDg92ajcbK9yRVbO1vH+xA9rr+4j5AlR3VRbl0m1TyS2K31bac8Qc5xywc1SqSsy5CKjIuPo7cmytie2IfOavwimkzzTiKzYqal+9xVtHthbWYQ3MywrJIsSM4bdaV2CRxhlUr1kjHdRCQWPAAnhVhq5ToU1O7S1XvPbTto4ZXeJGPWRqjvG6SRuqyFwjFZEU4YowBxzB9a2sRuDUg2h2iitYutmLLH1kMWVjklO/cTRwRZSJJH3TJIgZ9üç 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üç 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
Abdominal fıtıklar (herniler)
Karın duvarı fıtığı, tüm cerrahi sorunlar ortasında en sıkgörülenler içindedır. Karın ortasındaki organların, en hayli da ince bağırsakların, karın duvarındaki anatomik olarak aslına bakarsanız zayıf bir noktadan yahut zayıflamış ameliyat yerinden dışarıya yanlışsız çıkması biçimindedir.
Kasık fıtığı(ingunal herni):Karın fıtıklarının en sık görülen tipidir (%75). İnguinal herniler direkt, indirekt, nüks ve femoral herni olarak gruplanabilir. Kasık fıtıkları ekseriyetle kasık bölgesinde bir şişlik ile kendini aşikâr eder. Bu şişlik ayağa kalkınca ve öksürünce besbelli hale gelir, yatınca ve elle itince kaybolur.
Kasık fıtığı, oluşumunda rol oynayan iç organların dışa sarkması ve sıkışması kararı hayatı tehdit edecek boyutlara ulaşabilir. Bu risk sıklıkla fıtığın boğulması kararı oluşur. Sıkışmış fıtıklarda evvelce yumuşak olan kubbe biçimindeki çıkıntı, gergin, ağrılı ve yatınca küçülmeyen bir hâl alır. Sıkışan organ yeteri kadar kan ile beslenemediği için kangren oluşumuna, delinmeye ya da karın içi zarının iltihaplanması olarak bilinen peritonite sebep olabilir. Boğulmuş fıtık kesinlikle acil olarak opere edilmesi gereken bir durumdur.
Kasık fıtığının ilaçlı tedavisi bulunmamaktadır ve tek tedavi formülü cerrahidir.
Göbek fıtığı (umbilikal herni): Göbekte şişlik ve ağrı, ayakta durmakla, ıkınmakla, öksürmekle artan ve sırt üstü yatmakla kaybolan şişlik, erken devir fıtıklarda yalnızca ağrı göbek fıtığının belirtilerindendir.
Bağırsakların karın dışına çıkmasını önleyen takviye katmanının zayıflaması yahut yırtılması kararı oluşur. Bu tabakanın zayıflığı doğuşsal ya da zorlayıcı hareketlere (ıkınmak, ağır kaldırmak, öksürmek, zorlayıcı spor) bağlı olabilir.
Göbek fıtığı doğuştan (konjenital) ya da daha sonradan (edinsel) olabilir.
Doğuştan (konjenital) olan umbilikal herniler çoklukla 1 sene ortasında kapanır.
Edinsel umbilikal herniler karın içi basıncı artıran durumlardan kaynaklanır. Karın içi basıncın arttığı durumlar; obezite, kronik öksürük (KOAH, akciğer hastalığı), kronik kabızlık, ağır kaldırma, gebelik üzere durumlardır.
Doğuştan olan umbilikal hernilerde erkek, bayan oranı eşittir, edinsel umbilikal herniler bayanlarda 3 kat daha sıktır.
Göbek fıtığının tedavisi cerrahidir, açık ya da kapalı (laparoskopik) olarak ameliyat edilebilir.
EpigastrikHerni: Epigastrik bir fıtık, çoklukla göğüs kemiğinizin yahut göğüs kemiğinizinaltındaki alanda ve göbek deliğinizin üstünde bir yumru oluşmasına yol açar. Bu yumru, fıtığınarasından geçen bir yağ kütlesinden kaynaklanır. Epigastrik bir herni, epigastrik bölgede hassasiyet ve ağrıya da niye olabilir. birebir vakitte, epigastrik fıtığın rastgele bir belirti göstermemesi yaygındır.
<img src="https://www.doktorsitesi.com/data:image/jpeg;base64,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üç 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üç boyutluxn0rbrSOdBvp+BFkxEVpb4ik3+qLj+C6e3PJS+uEGfQ1kSQfGkk6PaF8Q1aUV8fg/cMulTüç boyutlunMsPUW4t7qRvJ18qdktrgq0jwBuoG7DPul4IyPMcyKGIMa1G3GZrZ6lelyk0uVgrSt/PFWSl+pXSa6Vr1kviNy3wjBGO5BLK3tcxL/Zx6ajfJorLlPiek2ml+DyyFcY3UxFvcOJdkw7ehWjXwOaZmQrp33PLRIYkMyRRpHuSBWKLguxRXJZvhMfOGSxbPeaWblGy6yGkoybt0afAbtspPOsIuHvuow5BGcrBDcXJHhxhXBHbU2Hjlzye0Vd9xHjJ2cF17fEkqvVXr+PxNFdXUb79NuLYN+i4WNUbzh6RSt2vLosl4sbN2g32FDaVBm3U55pI3pLM5r6iwKyYWlF75I/8UfOOP8A9VVl/UfQrQfsEP4qP+4tcRP05d5uR2Q4UweFABQAUAFABQAmvh5j/gt8xqGr6DHR3RTeycmEz4ZrnKTVzs6tml3Izqd5z8M0yrJaj6UdCm+lTWAqxj7qaPPozWZJqWxpwWhdOwF5vRD8H9VauGay2MjF08ruSOI86uZkZ2+xqz1HLXUW1mN909RMtQQy3xzzqCRcgmRjU4ARWbVZpUma7MyHeI7BUuFkyPE7E70+4GOfbWrFtmNUVxbPKDTtiLKxAxqF6k0dBPc1HLUsJXEFwahldE8FYiG0N6ADx4LVKWpdplA9Ie0gQB88plPy1FLQvWJtsntMHXGeB4+2li+sglExtfcZhakuEYsl/uQ3Pl8oHLyZ8/nx4+XNb3Cr5n1HP8btya7zr1K6aOxxj3N6cAUAFABQBzV7pqLN7B/Rv8166jhPqpd5jYüç 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üç 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üç boyutluiCsm4MhvRtp+41+XjMc8l2zSKz75WKRFlt41JA3URZCSq8BM0pyau1p3ikiapFuUastbxS7sunvvuTYmqF7C26b6CC6IGSSFUAszE4CqBksT2AAZJPAAE9lPlBuahDUkVZQhnnoQ7TYDKrXOGAuCpiVhuslugxFkHiGk3mmIOD74AR5tQ4mOR2Ra4fVztzeh6hitUWmtDbSUjwkvTSXJo0kEF2SeVKnqNqQUUOmzUJZcniVeRDnicq5GDy47uD6+3nUyg2Y9WunzSVxR4FW0ZzdzegYYai1xstiNaDGHuNQcjKmSK2GcFXWCAb/PhjrJZFPiDU05Wsukkr25KlF9F2/wD3P6L4jnJqg6wwxLvvGF6zjhIQwBUSMQSZGXzliA3sec3Vggl2RpXfwKUat5ZY7DkTUBbRBdUvB9XbKPBydI1OTOOGFvNNUjPec5A8DWjGm3hXPqk14L7GNKX+cX6V82Tqs+TvY2UZpoBQB5XQ81/wWP8AZNS09ZRh23K1bSMpdlhm2dtv4Jb/ANFh/wAJOHqr6SoyzUYS618j58qRy1pR7TrjSh73H+LT+6K5NvnSNZaIWUChQAUAFABQAUAaGkW7E6jn7orQe+t91LIfbIxrkFzqrfadzP1a7ixbmKrj10KMZEW2tut0Ad9Vaqys0cMrnN+yWpBL6Zz8AXDqfA5BGaoZedmNWfOjlL5s9Y6weZx8R6auKzMrI4X1HSz09id48vGrMYKxE5NDlLIFGBTWkhFdsxbw5yzeqnJJia3IhtBrHn7g+SqU5pOxeUbdBtpxJPHvFIlrcKj0sTuzYEbp7q1adlp1mTUj0mJ03eYyKSqmthKTUtxvudNVhlDg92ajcbK9yRVbO1vH+xA9rr+4j5AlR3VRbl0m1TyS2K31bac8Qc5xywc1SqSsy5CKjIuPo7cmytie2IfOavwimkzzTiKzYqal+9xVtHthbWYQ3MywrJIsSM4bdaV2CRxhlUr1kjHdRCQWPAAnhVhq5ToU1O7S1XvPbTto4ZXeJGPWRqjvG6SRuqyFwjFZEU4YowBxzB9a2sRuDUg2h2iitYutmLLH1kMWVjklO/cTRwRZSJJH3TJIgZ9üç 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üç 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