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Sessiz tehlike! Sigara kullananlar dikkat! Yutma zorluğu çekiyorsanız ve sesiniz iki haftadan uzun süredir kısıksa gırtlak kanseri riskiyle karşı karşıyasınız... takvim.com.tr Kaynak GAZETE Giriş Tarihi : 16 Mayıs 2017
Gırtlak kanseri baş boyun bölgesinin en sık görülen kanserdir. Bu kanserin tüm dünyada bilinen en önemli risk faktörü sigara ve alkoldür. Sigara içenlerde kanser daha çok ses tellerinde çıkarken alkol kullanımı fazla olanlarda ise ses tellerinin üzerinde çıkar. Sigara ve alkol kullanımı olmayanlarda gırtlak kanseri nerdeyse hiç görülmez. Nadiren halk arasında 'siğil' olarak bilinen HPV virüsü de gırtlak kanserine yol açabilir. Sesi kötü kullanmak gırtlak kanserine sebep olmaz.
Otrila Kulak Burun Boğaz Kliniği'nden Doç. Dr. Salih Aydın çağın en büyük tehlikesine karşı şu uyarılarda bulundu: "En önemli bulgusu ses kısıklığıdır. Bizim için 2 haftayı geçen ses kısıklığı her zaman önemlidir. Giderek artan solunum sıkıntısı, öksürükle ağızdan kan gelmesi, yutma zorluğu ve boyunda kitle çıkması gırtlak kanserinin sık başvuru bulgularıdır. Hastaların tanısını koyarken endoskopi muayene ile gırtlağın içi değerlendirilir. Bu zor bir muayene değildir. Muayene koltuğunda kolaylıkla yapılabilir. Eğer muayenede şüpheli bir lezyon görürsek bu lezyon genel anestezi ile küçük biyopsiler yaparak tanıyı kesinleştiriyoruz. Yine kanserin yayılma durumunu değerlendirmek için hastalardan bilgisayarlı tomografi, magnetik rezonans ve gerekirse PET istiyoruz."
TEDAVİSİ NASIL YAPILIYOR? Doç. Dr. Salih Aydın tedavi sürecini de şöyle anlattı: "Kesin sonuç kanser gelirse hastalığın evresine ve yerleşimine göre çeşitli tedavi yöntemleri planlanır. Başlangıç evresindeki seçilmiş kanserlerde sadece radyoterapi tedavisi verilebilir. Ancak gırtlak kanserinin birçok hastada tedavisi cerrahidir. Yapılan cerrahi tümörün büyüklüğü ile orantılıdır. Bazı cerrahi tekniklerde hastanın nefes almak için boynuna açılan delik kalıcı olurken bazı tekniklerde bu deliği bir süre sonra kapatabiliyoruz. Yine gerekli gördüğümüz hastalarda ameliyattan sonra ek olarak
radyoterapi veya kemoterapi tedavisi verebiliyoruz. Hastanın tedavisi bitince ilk bir yılda 2-3 ay aralıklarla hastayı kontrole çağırıyoruz.
Gırtlağın hepsi alındığında hastalar konuşamazlar. Bu durumda hastaların konuşmasını 3 teknikle sağlayabilir. Bunlardan en güzeli hastanın yuttuğu hava ile konuşmasıdır. Veya ses protezi yöntemi ile hastalar rahatlıkla konuşabilir."
GIRTLAK KANSERİNİN SES KISIKL IĞI DIŞINDAKİ DİĞER BELİRTİLERİ ŞÖYLE; Yutkunma zorluğu ve yutkunurken ağrı,
Gırtlak bölgesinde şişlik,
İnatçı öksürük,
Geçmeyen boğaz ağrısı,
Nefes kokusu,
Kulak ağrısı,
Nefes darlığı,
Nefes alıp verirken hırıltı çıkarma,
Nedeni belirlenemeyen kilo kaybı,
Halsizlik ve aşırı yorgunluk.
BOL BOL LİMON, DOMATES VE KAYISI TÜKETİ N Sigara içenlerin C vitamini ile B karoten zengini sebze ve meyve tüketmeleri gerekiyor. Tiryakilerin ve duman maruz kalanların öncelikli olarak portakal, kivi, limon, mandalina, domates, kuşburnu, havuç, kayısı ile yeşil yapraklı tüm sebzeler ve meyve tüketimlerini de artırmaları yaşam kaliteleri için çok önemli.
SİGARAYI BIRAKMANIN YOLLARI Yakınlarınızdan size destek olmalarını isteyin ayrıca bir beslenme ve diyet uzmanına bırakma dönemi ve sonrası nasıl beslenmeniz gerektiği konusunda danışın. Düzenli spor yapmaya
başlayın. Hem kilo kontrolüne
hem de nikotin eksikliğinden
dolayı oluşabilecek
huzursuzluk, gerginlik,
sinirlilik durumlarını önlemeye
yardımcı olur.
Sigara içmek istediğinizde isteğinizi baskılamak için yüksek kalorili besinler yerine haşlanmış veya çiğ sebze, meyve veya meyve suyu, şekersiz çiklet tercih edin. Kafeinli içecekler sigarayı
hatırlattığı için bu içeceklerden
mümkün olduğunca uzak
durun, bunların yerine meyve
suyu veya bol su tüketin.