<\/p>\n
ERZURUM (AA) – \u0130LHAM\u0130 ERKILI\u00c7 – Atat\u00fcrk \u00dcniversitesi T\u0131p Fak\u00fcltesi Genel Cerrahi Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. M\u00fcfide Nuran Ak\u00e7ay, son zamanlarda tiroit\u200b\u200b\u200b\u200b\u200b\u200b\u200b papiller kanseri g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 belirterek, tiroit bezi normal olanlar\u0131n, \u00f6zellikle \u00e7ocuk ve gen\u00e7lerin, nod\u00fcl olu\u015fmamas\u0131 i\u00e7in mutlaka iyotlu tuz kullanmas\u0131n\u0131 \u00f6nerdi.<\/p>\n
Meme ve endokrin cerrah\u0131 Prof. Dr. Ak\u00e7ay, AA muhabirine, soluk borusunun \u00f6n\u00fcnde bulunan 20 gram a\u011f\u0131rl\u0131\u011f\u0131ndaki \u00f6nemli hormonlar salg\u0131layan tiroit bezinin b\u00fcy\u00fcmesine guatr denildi\u011fini, tiroit bezinin \u00f6zellikle iyot eksikli\u011fi nedeniyle b\u00fcy\u00fcd\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
Ak\u00e7ay, iyot eksikli\u011finin daha \u00e7ok y\u00fcksek alanlardaki Himalayalar, Avrupa Alpleri ile T\u00fcrkiye’de oldu\u011funu ifade ederek, “Bir b\u00f6lgenin suyunda, topra\u011f\u0131nda iyot yoksa, azsa, o zaman yeterli tiroit hormonu salg\u0131layamaz ve bunu telafi etmek i\u00e7in tiroit bezi b\u00fcy\u00fcr. Bez, t\u00fcm olarak b\u00fcy\u00fcd\u00fc\u011f\u00fc gibi i\u00e7inde nod\u00fcl dedi\u011fimiz k\u00fc\u00e7\u00fck sert yap\u0131lar halinde de b\u00fcy\u00fcr.” dedi.<\/p>\n
\u00d6zellikle iyot azl\u0131\u011f\u0131 olan Kuzeydo\u011fu Anadolu’da \u00e7ok fazla nod\u00fcl g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktaran Ak\u00e7ay, guatr hastal\u0131\u011f\u0131nda ba\u015fl\u0131ca sebebin iyot eksikli\u011fi, daha sonra genetik fakt\u00f6rler oldu\u011funu dile getirdi.<\/p>\n
Ak\u00e7ay, bu hastal\u0131kta en \u00f6nemli sebeplerden birinin de radyasyona maruziyet oldu\u011funa dikkati \u00e7ekerek, “G\u00fcn\u00fcm\u00fczde \u00e7ok fazla radyasyona maruz kal\u0131yoruz, \u00c7ernobil patlamas\u0131, n\u00fckleer patlamalar s\u00f6z konusu, s\u00fcrekli ekran \u00f6n\u00fcndeyiz, bilgisayarlar ve telefonlar elimizde. Bir de g\u00f6r\u00fcnt\u00fcleme olarak \u00e7ok fazla film \u00e7ekildi\u011fi i\u00e7in radyasyon \u00f6nemli sebeplerden.” diye konu\u015ftu.”<\/p>\n
– “Son 1 y\u0131l i\u00e7indeki guatr ameliyatlar\u0131n\u0131n y\u00fczde 70’i tiroit kanseri”<\/p>\n
B\u00f6lgede \u00f6zellikle 60 ya\u015f \u00fczeri kad\u0131nlar\u0131n y\u00fczde 65’inin tiroidinde nod\u00fcl oldu\u011funu belirten Ak\u00e7ay, \u015f\u00f6yle devam etti:<\/p>\n
“Tiroit hastal\u0131\u011f\u0131 t\u00fcm d\u00fcnyada kad\u0131nlarda fazla. Tiroit nod\u00fclleri son zamanlarda kanser \u015feklinde g\u00f6r\u00fcl\u00fcyor. Eskiden daha az g\u00f6r\u00fcrd\u00fck ama son zamanlarda \u00f6zellikle radyasyona ba\u011fl\u0131 papiller kanserini \u00e7ok g\u00f6r\u00fcyoruz. Son 1 y\u0131l i\u00e7indeki yapt\u0131\u011f\u0131m\u0131z guatr ameliyatlar\u0131n\u0131n y\u00fczde 70’inde kanser var yani 10 hastan\u0131n 7’si papiller tiroit kanseri. Bu, \u00e7ok y\u00fcksek oran.”<\/p>\n
\u00d6zellikle 2. D\u00fcnya Sava\u015f\u0131 y\u0131llar\u0131nda y\u00fczdeki akneye, sa\u00e7 derisindeki mantara ve bademcik iltihab\u0131na kadar \u00e7ok fazla radyoterapiler yap\u0131ld\u0131\u011f\u0131n\u0131 anlatan Ak\u00e7ay, radyoterapi yap\u0131lan bu ki\u015filerde 10 y\u0131l aradan sonra \u00e7\u0131kan nod\u00fcllerin kanser olarak g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc kaydetti.<\/p>\n
Bug\u00fcn radyoterapinin az yap\u0131ld\u0131\u011f\u0131n\u0131, n\u00fckleer iyonize radyasyona \u00e7ok maruz kal\u0131nd\u0131\u011f\u0131n\u0131 s\u00f6yleyen Prof. Dr. Ak\u00e7ay, “\u00c7evresel radyasyona \u00e7ok maruz kal\u0131yoruz ve bu sebeple de papiller kanser \u00e7ok artt\u0131.” diye konu\u015ftu.<\/p>\n
Ak\u00e7ay, \u00e7ocuk ve gen\u00e7lerde \u00e7\u0131kacak nod\u00fcllerin \u00f6nemine dikkati \u00e7ekerek, “Tiroit nod\u00fcl\u00fc global olarak kad\u0131nlarda \u00e7ok fazla ama erkeklerdeki nod\u00fcllerin kanser olas\u0131l\u0131\u011f\u0131 daha y\u00fcksek. Eri\u015fkin ya\u015ftaki kad\u0131na k\u0131yasla gen\u00e7lerdeki nod\u00fcllerin kanser olma riski de y\u00fcksek. Nod\u00fcl her ya\u015fta g\u00f6r\u00fcl\u00fcyor ama erkeklerdeki, ergenlik ve \u00e7ocukluk \u00e7a\u011f\u0131ndaki nod\u00fcller daha tehlikeli. Anne \u00e7ocu\u011fun boynunda \u015fi\u015fli\u011fi g\u00f6r\u00fcp \u00f6nemsiz sanmas\u0131n, bu nod\u00fcller h\u0131zla b\u00fcy\u00fcyor. Yine 60 ya\u015f\u0131n \u00fczerinde nod\u00fcl \u00e7\u0131kmas\u0131 \u00f6nemli.” ifadelerini kulland\u0131.<\/p>\n
– “Erken d\u00f6nemde iyi tedavi ve ameliyatla ki\u015fi normal ya\u015fam\u0131na devam eder”<\/p>\n
Prof. Dr. Ak\u00e7ay, bu hastal\u0131kta erken tan\u0131 ve tedavinin \u00f6nemine i\u015faret ederek, “Papiller kanser, iyi huylu kanser, erken d\u00f6nemde iyi tedavi ve ameliyatla ki\u015fi normal ya\u015fam\u0131na devam eder. Ameliyat olmazsa kanser kemi\u011fe, akci\u011fere, beyne, v\u00fccudun her yerine yay\u0131labilir. Burada en \u00f6nemli tavsiyemiz, tiroit bezi yap\u0131sal ve fonksiyonel olarak normal olanlar, \u00e7ocuklar ve gen\u00e7ler mutlaka iyotlu tuz kullanmal\u0131; olay iyot eksikli\u011finden kaynaklan\u0131yor.” de\u011ferlendirmesinde bulundu.<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ve T\u00fcrkiye Endokrinoloji ve Metabolizma Derne\u011finin 1990’l\u0131 y\u0131llarda T\u00fcrkiye’deki guatr\u0131n fazla olmas\u0131n\u0131n iyot eksikli\u011finden kaynakland\u0131\u011f\u0131n\u0131 fark etmesi \u00fczerine tuzlar\u0131n iyotland\u0131\u011f\u0131n\u0131 belirten Ak\u00e7ay, tiroit bezinde nod\u00fcl ya da fonksiyonel problem olanlar\u0131n ise iyotlu tuz kullanmamas\u0131n\u0131 istedi.<\/p>\n
Ak\u00e7ay, yap\u0131sal ya da fonksiyonel bozukluk olduktan sonra al\u0131nan iyotun, ki\u015fiye zarar verip hem nod\u00fclleri b\u00fcy\u00fctt\u00fc\u011f\u00fcn\u00fc hem de tiroit bezinin fazla \u00e7al\u0131\u015f\u0131p fazlaca hormon salg\u0131lad\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n