{"id":21,"date":"2021-03-27T07:41:57","date_gmt":"2021-03-27T07:41:57","guid":{"rendered":"http:\/\/bademcikkucultulmesi.com\/?p=21"},"modified":"2021-03-27T07:45:53","modified_gmt":"2021-03-27T07:45:53","slug":"koblasyon-plazma-yontemi-ne-demektir","status":"publish","type":"post","link":"https:\/\/bademcikkucultulmesi.com\/index.php\/2021\/03\/27\/koblasyon-plazma-yontemi-ne-demektir\/","title":{"rendered":"Koblasyon (Plazma y\u00f6ntemi) ne demektir?"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Koblasyon, bademciklerin k\u00fc\u00e7\u00fclt\u00fclmesi veya al\u0131nmas\u0131 ve geniz etinin tamamen al\u0131nmas\u0131 i\u00e7in son on y\u0131lda geli\u015ftirilmi\u015f bir tekniktir.\u00a0Koter(yakma), b\u0131\u00e7akla kesme veya di\u011fer geleneksel y\u00f6ntemlere alternatif olarak geli\u015ftirilmi\u015ftir.<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-22\" src=\"http:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a1-1-300x170.jpg\" alt=\"\" width=\"300\" height=\"170\" srcset=\"https:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a1-1-300x170.jpg 300w, https:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a1-1.jpg 304w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/strong><\/p>\n<p><strong>Resim:Sol bademcik k\u00fc\u00e7\u00fclt\u00fclmesi<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-23\" src=\"http:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a2-1-300x170.jpg\" alt=\"\" width=\"300\" height=\"170\" srcset=\"https:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a2-1-300x170.jpg 300w, https:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a2-1.jpg 304w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>Resim:Sol bademcik k\u00fc\u00e7\u00fclt\u00fclm\u00fc\u015f<\/strong><\/p>\n<p><strong>Koblasyon nas\u0131l \u00e7al\u0131\u015f\u0131r?<\/strong><\/p>\n<p>Koblasyon, dokular\u0131 normal olarak kullan\u0131lan koter &#8216;den \u00a0daha d\u00fc\u015f\u00fck bir s\u0131cakl\u0131kta koag\u00fcle eden bir radyofrekans \u00e7ubu\u011fu (prob)\u00a0 ile uygulan\u0131r. Prob ucunda bulunan radyofrekans enerjisi ayn\u0131 ortamda bulunan serumla birle\u015ferek bir enerji ortaya \u00e7\u0131kar\u0131r ve biz bu enerjinin buharla\u015ft\u0131r\u0131c\u0131\u00a0 g\u00fcc\u00fcnden yararlan\u0131r\u0131z. Bu prob\u00a0 iki \u015fekilde kullan\u0131labilir:<\/p>\n<ul>\n<li>Ekstrakaps\u00fcler: Burada bademcik d\u0131\u015f kaps\u00fclle (bademcik etraf\u0131n\u0131 saran doku ) birlikte \u00e7\u0131kar\u0131l\u0131r, b\u00f6ylece tek seferde bademcik tamamen \u00e7\u0131kar\u0131l\u0131r.<\/li>\n<li>\u0130ntrakaps\u00fcler: Burada bademcik d\u0131\u015f y\u00fczeyinden kaps\u00fcle kadar (ancak kaps\u00fcl dahil de\u011fil) buharla\u015f\u0131r.\u00a0Sonu\u00e7 olarak, postoperatif a\u011fr\u0131 intrakaps\u00fcler koblasyon ile genellikle daha azd\u0131r\u00a0 ve bu \u00a0teknikle \u00a0geride bir miktar bademcik dokusu b\u0131rak\u0131l\u0131r. Bu kalan bademcik dokusuda iyile\u015fme d\u00f6neminde biraz daha b\u00fcy\u00fcyerek v\u00fccut savunma sistemindeki g\u00f6revine devam eder.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-24 size-full\" src=\"http:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a3.jpg\" alt=\"\" width=\"431\" height=\"169\" srcset=\"https:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a3.jpg 431w, https:\/\/bademcikkucultulmesi.com\/wp-content\/uploads\/2021\/03\/a3-300x118.jpg 300w\" sizes=\"auto, (max-width: 431px) 100vw, 431px\" \/><\/p>\n<p>.<\/p>\n<h2>Koblasyon neden tercih edilir?:<\/h2>\n<p>Koblasyonun \u00f6ncelikli yarar\u0131; ameliyat sonras\u0131 a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131, beslenmeye daha h\u0131zl\u0131 ge\u00e7i\u015f, daha h\u0131zl\u0131 iyile\u015fme ve i\u015fe veya okula daha erken d\u00f6n\u00fclmesidir.\u00a0\u00d6nemli avantajlar\u0131ndan birisi de geride b\u0131rak\u0131lan bademcik dokusunun iyile\u015fme d\u00f6neminde biraz daha b\u00fcy\u00fcyerek ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bir par\u00e7as\u0131 olmay\u0131 s\u00fcrd\u00fcrmesidir. Son zamanlarda yap\u0131lan baz\u0131 \u00e7al\u0131\u015fmalar, di\u011fer geleneksel tekniklere k\u0131yasla daha az postoperatif kanama oldu\u011funu da g\u00f6stermektedir.\u00a0Bu nedenle son 7-8 y\u0131ld\u0131r bademcik ve geniz eti ameliyatlar\u0131nda bu y\u00f6ntemi kullanmaktay\u0131m ve \u00fclkemizde de bu y\u00f6ntemi ilk uygulayan KBB hekimlerinden birisiyim.<\/p>\n<p><strong>Riskler \/ komplikasyonlar:<\/strong><\/p>\n<p>Koblasyon tonsillektomi ameliyat\u0131ndan sonra(geniz eti ameliyat\u0131ndan sonra \u00e7ok daha az komplikasyon g\u00f6r\u00fcl\u00fcr) meydana gelebilecek \u00e7ok d\u00fc\u015f\u00fckte olsa baz\u0131 olas\u0131 riskler, yan etkiler ve \/ veya komplikasyonlar vard\u0131r.\u00a0Bunlar, di\u011fer geleneksel tonsillektomi tekniklerine g\u00f6re \u00e7ok daha az g\u00f6r\u00fclmektedir:<\/p>\n<ul>\n<li><strong>A\u011fr\u0131 \/ rahats\u0131zl\u0131k:<\/strong>\u00a0Bademcik ameliyat\u0131 \/ geniz ameliyat\u0131n\u0131 \u00a0takiben ilk 5-7 g\u00fcnde \u00a0iyile\u015fme d\u00f6neminde az ya da \u00e7ok g\u00f6r\u00fclebilir.\u00a0Koblasyon intrakaps\u00fcler tekni\u011fi kullan\u0131l\u0131rsa a\u011fr\u0131 genellikle \u00e7ok daha az g\u00f6r\u00fcl\u00fcr.<\/li>\n<li><strong>Enfeksiyon:<\/strong>\u00a0\u00c7ok az s\u0131kl\u0131kla g\u00f6r\u00fclmesine kar\u015f\u0131n ameliyat sonras\u0131 rutin verilen \u00a0antibiyotiklerle hemen hemen\u00a0 hi\u00e7 enfeksiyon\u00a0 g\u00f6rmemekteyiz.\u00a0 .\u00a0Ameliyat sonras\u0131 a\u011fr\u0131 yeme-i\u00e7me fonksiyonlar\u0131n\u0131 engellememelidir. \u00c7\u00fcnk\u00fc yeme ve i\u00e7me fonksiyonu ameliyat sahas\u0131n\u0131 temizlemeye yard\u0131mc\u0131 olarak enfeksiyon riskini azalt\u0131r.<\/li>\n<li><strong>Kanama:<\/strong> Daha \u00e7ok tonsillektomi sonras\u0131 g\u00f6r\u00fcl\u00fcr ve koblasyon y\u00f6nteminde oran \u00e7ok daha azd\u0131r. Geniz eti ameliyat\u0131ndan sonra neredeyse hi\u00e7 g\u00f6rmemekteyiz.<\/li>\n<li><strong>\u015ei\u015flik:<\/strong>\u00a0Yumu\u015fak damak \/ uvula(k\u00fc\u00e7\u00fck dil) \u00a0ameliyattan sonra olduk\u00e7a \u015fi\u015febilir.\u00a0Bunun \u00e7\u00f6z\u00fclmesi yakla\u015f\u0131k 1 hafta-10 g\u00fcn \u00a0s\u00fcrer.<\/li>\n<li><strong>Yara iyile\u015fmesi:<\/strong>\u00a0Ba\u015flang\u0131\u00e7ta bo\u011fazda \u00e7\u0131kar\u0131lan yada k\u00fc\u00e7\u00fclt\u00fclen bademciklerin bulundu\u011fu yerde sar\u0131 \/ beyaz d\u00f6k\u00fcnt\u00fcler olu\u015facakt\u0131r, ancak yakla\u015f\u0131k 10-14 g\u00fcn sonra bunun yerini \u00a0yava\u015f yava\u015f normal\u00a0 iyile\u015fme dokusu alacakt\u0131r.<\/li>\n<li><strong>Kulak a\u011fr\u0131s\u0131:<\/strong>\u00a0Bunun nedeni bo\u011fazdaki sinirlerin kulak etraf\u0131 b\u00f6lgesine de dal g\u00f6ndererek kula\u011fa vuran a\u011fr\u0131ya neden olabilmesidir.\u00a0Bazen kulak a\u011fr\u0131s\u0131 bo\u011faz a\u011fr\u0131s\u0131ndan daha k\u00f6t\u00fc olabilir.<\/li>\n<li><strong>Tat alma bozuklu\u011fu:<\/strong>\u00a0\u0130yile\u015fme d\u00f6neminde tat alma duyusunda azalma ya da \u00a0de\u011fi\u015fiklik g\u00f6r\u00fclebilir. B\u00fcy\u00fck bir k\u0131sm\u0131 2-3 ay i\u00e7erisinde herhangi bir tedaviye gerek olmadan kendili\u011finden tamamen d\u00fczelir.<\/li>\n<li><strong>Dudaklarda \/ di\u015flerde \/ di\u015f etlerinde yaralanma:<\/strong>\u00a0Dudaklar, \u00f6zellikle a\u011f\u0131z kenarlar\u0131nda bir miktar kuruma, kabuklanma \u015fi\u015flik g\u00f6r\u00fclebilir.Di\u015flerde, di\u015f etlerinde a\u011fr\u0131 olabilir.<\/li>\n<li><strong>Tekrarlayan semptomlar:<\/strong>\u00a0Bademciklerin k\u00fc\u00e7\u00fclt\u00fclmesi veya ba\u015far\u0131l\u0131 ve tam bir \u015fekilde \u00e7\u0131kar\u0131lmas\u0131yla bile, gelecekte so\u011fuk alg\u0131nl\u0131\u011f\u0131 veya &#8216;grip&#8217; gibi \u00fcst solunum yolu enfeksiyonlar\u0131 g\u00f6r\u00fclebilir.<\/li>\n<li><strong>Bademcik yeniden b\u00fcy\u00fcmesi<\/strong>: Bademciklerin k\u00fc\u00e7\u00fclt\u00fclmesi sonras\u0131 bademciklerin bir k\u0131sm\u0131n\u0131n\u00a0yeniden\u00a0b\u00fcy\u00fcmesi m\u00fcmk\u00fcnd\u00fcr.\u00a0Ancak \u00a0yapt\u0131\u011f\u0131m ameliyatlarda bu oran %1-2 civar\u0131ndad\u0131r<\/li>\n<li><strong>Damakta yetersizlik:<\/strong>\u00a0Do\u011fu\u015ftan damak yap\u0131s\u0131nda problem olan \u00e7ocuklarda g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 olan bu komplikasyon i\u00e7in i\u015flem \u00f6ncesi KBB hekiminin mutlaka ayr\u0131nt\u0131l\u0131 bir \u015fekilde de\u011ferlendirmesi gerekir.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Ameliyat sonras\u0131 \u00f6neriler:<\/h2>\n<p>Plazma y\u00f6ntemi ile yap\u0131lan bu ameliyatlardan sonra genellikle iyile\u015fme 1 hafta \u00a0\u00a0i\u00e7erisinde b\u00fcy\u00fck bir oranda tamamlan\u0131r ve \u00e7ocuk tekrar normal hayat\u0131na geri d\u00f6ner. Bu s\u00fcre\u00e7 i\u00e7erisinde toplu yerlerden (okul, spor salonu vb), kirli\/tozlu ortamlardan ka\u00e7\u0131n\u0131lmas\u0131nda , a\u011f\u0131r egzersiz-spor yap\u0131lmas\u0131ndan ka\u00e7\u0131n\u0131lmas\u0131nda yarar vard\u0131r. \u0130lk 2-3 g\u00fcn sonunda \u0131l\u0131k du\u015f, banyo yap\u0131labilir. Ameliyattan sonra ilk g\u00fcnlerde yumu\u015fak s\u0131cak olmayan sulu g\u0131dalar ve bol s\u0131v\u0131 almak \u00f6nemlidir. \u00a0Hatta ilk 1-2 g\u00fcn bol dondurma ve so\u011fuk i\u00e7ecekler, a\u011fr\u0131 ve kanama olas\u0131l\u0131\u011f\u0131n\u0131 \u00e7ok azalt\u0131r.<\/p>\n<p>Ameliyat sonras\u0131 enfeksiyon olas\u0131l\u0131\u011f\u0131n\u0131\u00a0 azaltmak i\u00e7in 1 hafta s\u00fcreyle antibiyotik kullanmak fayda sa\u011flar. A\u011fr\u0131 kesici, ihtiyaca g\u00f6re doktor \u00f6nerilerine g\u00f6re ve m\u00fcmk\u00fcnse kanama olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131rmayacak \u015fekilde kullan\u0131l\u0131r.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Koblasyon, bademciklerin k\u00fc\u00e7\u00fclt\u00fclmesi veya al\u0131nmas\u0131 ve geniz etinin tamamen al\u0131nmas\u0131 i\u00e7in son on y\u0131lda geli\u015ftirilmi\u015f bir tekniktir.\u00a0Koter(yakma), b\u0131\u00e7akla kesme veya di\u011fer geleneksel y\u00f6ntemlere&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":23,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-21","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/posts\/21","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/comments?post=21"}],"version-history":[{"count":2,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/posts\/21\/revisions"}],"predecessor-version":[{"id":26,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/posts\/21\/revisions\/26"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/media\/23"}],"wp:attachment":[{"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/media?parent=21"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/categories?post=21"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bademcikkucultulmesi.com\/index.php\/wp-json\/wp\/v2\/tags?post=21"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}