{"id":4742,"date":"2025-03-14T17:15:52","date_gmt":"2025-03-14T14:15:52","guid":{"rendered":"https:\/\/www.gurkanyetkin.com\/?p=4742"},"modified":"2025-05-12T16:36:29","modified_gmt":"2025-05-12T13:36:29","slug":"mastektomiya","status":"publish","type":"post","link":"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/","title":{"rendered":"Mastektomiya"},"content":{"rendered":"<p>Mastektomi \u0259sas\u0259n s\u00fcd v\u0259zi toxumas\u0131n\u0131n tamam\u0131n\u0131n c\u0259rrahi \u00fcsulla \u00e7\u0131xar\u0131lmas\u0131 dem\u0259kdir. Ba\u015fqa s\u00f6zl\u0259, s\u00fcd v\u0259zi daxilind\u0259ki x\u0259r\u00e7\u0259ngli v\u0259 ya x\u0259r\u00e7\u0259ng riski da\u015f\u0131yan toxuman\u0131 aradan qald\u0131rmaq m\u0259qs\u0259dil\u0259 edil\u0259n bir \u0259m\u0259liyyatt\u0131r. Bu g\u00fcn mastektomi yaln\u0131z x\u0259r\u00e7\u0259ngli toxuman\u0131n t\u0259mizl\u0259nm\u0259si \u00fc\u00e7\u00fcn deyil, h\u0259m d\u0259 x\u0259r\u00e7\u0259ng riskini \u0259h\u0259miyy\u0259tli d\u0259r\u0259c\u0259d\u0259 azaltmaq \u00fc\u00e7\u00fcn profilaktik m\u0259qs\u0259dl\u0259 t\u0259tbiq oluna bil\u0259r. Prosedur \u00fcmumi anesteziya alt\u0131nda h\u0259yata ke\u00e7irilir v\u0259 c\u0259rrah\u0131n m\u0259qs\u0259di s\u00fcd v\u0259zi toxumas\u0131n\u0131 tamamil\u0259 t\u0259mizl\u0259y\u0259rk\u0259n x\u0259st\u0259nin h\u0259yat komfortunu m\u00fcmk\u00fcn q\u0259d\u0259r qorumaqd\u0131r. T\u0259kmill\u0259\u015f\u0259n c\u0259rrahi texnikalar say\u0259sind\u0259 art\u0131q d\u00f6\u015f \u0259z\u0259l\u0259l\u0259rinin ham\u0131s\u0131 g\u00f6t\u00fcr\u00fclm\u00fcr, yaln\u0131z z\u0259ruri toxuma m\u00fcdaxil\u0259 edilir v\u0259 bel\u0259likl\u0259 x\u0259st\u0259l\u0259r \u0259vv\u0259lkind\u0259n daha s\u00fcr\u0259tl\u0259 sa\u011fala bil\u0259r, ist\u0259s\u0259l\u0259r eyni seansda ya da sonrak\u0131 m\u0259rh\u0259l\u0259d\u0259 rekonstruksiya (yenid\u0259n d\u00f6\u015f formala\u015fd\u0131rma) variantlar\u0131ndan yararlana bil\u0259rl\u0259r.<\/p>\n<table>\n<tbody>\n<tr>\n<td>T\u0259tbiq S\u0259b\u0259bl\u0259ri<\/td>\n<td>&#8211; S\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi diaqnozu<br \/>\n&#8211; S\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngin\u0259 y\u00fcks\u0259k genetik meyllik (BRCA1\/BRCA2 mutasiyas\u0131)<br \/>\n&#8211; Geni\u015f yay\u0131lm\u0131\u015f duktal karsinoma in situ (DCIS)<br \/>\n&#8211; Radioterapiya \u00fc\u00e7\u00fcn uy\u011fun olmayan hallar<\/td>\n<\/tr>\n<tr>\n<td>\u018fm\u0259liyyat G\u00f6st\u0259ri\u015fl\u0259ri<\/td>\n<td>&#8211; Erk\u0259n m\u0259rh\u0259l\u0259 s\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi (b\u0259zi x\u0259st\u0259l\u0259rd\u0259 \u00fcst\u00fcnl\u00fck veril\u0259 bil\u0259r)<br \/>\n&#8211; Lokal inki\u015faf etmi\u015f m\u0259rh\u0259l\u0259 s\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi<br \/>\n&#8211; Profilaktik m\u0259qs\u0259dli (y\u00fcks\u0259k riskli \u015f\u0259xsl\u0259rd\u0259)<br \/>\n&#8211; T\u0259krarlanan s\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi<\/td>\n<\/tr>\n<tr>\n<td>Prosedur N\u00f6vl\u0259ri<\/td>\n<td>&#8211; Total mastektomi (s\u00fcd v\u0259zi toxumas\u0131n\u0131n tam \u00e7\u0131xar\u0131lmas\u0131)<br \/>\n&#8211; D\u0259ri qoruyucu mastektomi<br \/>\n&#8211; S\u00fcd v\u0259zi ucu qoruyucu mastektomi<br \/>\n&#8211; Radikal mastektomi (nadir hallarda, geni\u015f yay\u0131lma zaman\u0131)<br \/>\n&#8211; Profilaktik mastektomi<\/td>\n<\/tr>\n<tr>\n<td>\u018fm\u0259liyyatdan \u00d6nc\u0259 Qiym\u0259tl\u0259ndirm\u0259<\/td>\n<td>&#8211; S\u00fcd v\u0259zi g\u00f6r\u00fcnt\u00fcl\u0259nm\u0259si (mamografiya, MR)<br \/>\n&#8211; Biopsiya n\u0259tic\u0259l\u0259rinin qiym\u0259tl\u0259ndirilm\u0259si<br \/>\n&#8211; \u00dcmumi anesteziyaya uy\u011funlu\u011fun qiym\u0259tl\u0259ndirilm\u0259si<br \/>\n&#8211; X\u0259st\u0259nin m\u0259lumatland\u0131r\u0131lmas\u0131 v\u0259 raz\u0131l\u0131q al\u0131nmas\u0131<\/td>\n<\/tr>\n<tr>\n<td>M\u00fcalic\u0259 Sonras\u0131 Proses<\/td>\n<td>&#8211; \u018fm\u0259liyyatdan sonra drenl\u0259rin izl\u0259nm\u0259si<br \/>\n&#8211; A\u011fr\u0131 v\u0259 infeksiya n\u0259zar\u0259ti<br \/>\n&#8211; Fiziki terapiya (qol h\u0259r\u0259k\u0259tl\u0259ri \u00fc\u00e7\u00fcn)<br \/>\n&#8211; Psixoloji d\u0259st\u0259k<br \/>\n&#8211; Laz\u0131m g\u0259l\u0259rs\u0259 rekonstruksiya (s\u00fcd v\u0259zi b\u0259rpas\u0131) planla\u015fd\u0131r\u0131lmas\u0131<\/td>\n<\/tr>\n<tr>\n<td>M\u00fcmk\u00fcn Komplikasiyalar<\/td>\n<td>&#8211; \u0130nfeksiya<br \/>\n&#8211; Seroma (maye y\u0131\u011f\u0131lmas\u0131)<br \/>\n&#8211; Qanaxma<br \/>\n&#8211; Qolda lenf\u00f6dem (x\u00fcsusil\u0259 aksilla diseksiyas\u0131 apar\u0131ld\u0131qda)<br \/>\n&#8211; D\u0259ri uyu\u015fmas\u0131<br \/>\n&#8211; Estetik v\u0259 psixoloji t\u0259sirl\u0259r<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">M\u0259zmun c\u0259dv\u0259li<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_N%C9%99dir_v%C9%99_Niy%C9%99_T%C9%99tbiq_Olunur\" >Mastektomi N\u0259dir v\u0259 Niy\u0259 T\u0259tbiq Olunur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_Em%C9%99liyyatinin_F%C9%99rqli_Novl%C9%99ri_Hansilardir\" >Mastektomi \u018fm\u0259liyyat\u0131n\u0131n F\u0259rqli N\u00f6vl\u0259ri Hans\u0131lard\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Total_Sad%C9%99_Mastektomi_Nec%C9%99_Aparilir\" >Total (Sad\u0259) Mastektomi Nec\u0259 Apar\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Modifikasiya_Edilmis_Radikal_Mastektomiya_Zamani_N%C9%99_Olur\" >Modifikasiya Edilmi\u015f Radikal Mastektomiya Zaman\u0131 N\u0259 Olur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#D%C9%99ri_Qoruyucu_v%C9%99_Sud_V%C9%99zi_Ucu_Qoruyucu_Mastektomi_Nec%C9%99_F%C9%99rql%C9%99nir\" >D\u0259ri Qoruyucu v\u0259 S\u00fcd V\u0259zi Ucu Qoruyucu Mastektomi Nec\u0259 F\u0259rql\u0259nir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomiyadan_Onc%C9%99_Hansi_Hazirliqlar_Edilir\" >Mastektomiyadan \u00d6nc\u0259 Hans\u0131 Haz\u0131rl\u0131qlar Edilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_Zamani_Hansi_Toxumalar_Cixarilir\" >Mastektomi Zaman\u0131 Hans\u0131 Toxumalar \u00c7\u0131xar\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_Em%C9%99liyyatinda_Limfa_Duyunl%C9%99ri_Nec%C9%99_T%C9%99sirl%C9%99nir\" >Mastektomi \u018fm\u0259liyyat\u0131nda Limfa D\u00fcy\u00fcnl\u0259ri Nec\u0259 T\u0259sirl\u0259nir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_C%C9%99rrahi_Prosesinin_Esas_Addimlari_Hansilardir\" >Mastektomi C\u0259rrahi Prosesinin \u018fsas Add\u0131mlar\u0131 Hans\u0131lard\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_Sonrasi_Sagalma_Prosesinin_Gedisi_Nec%C9%99_Olur\" >Mastektomi Sonras\u0131 Sa\u011falma Prosesinin Gedi\u015fi Nec\u0259 Olur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomiyanin_Mumkun_Komplikasiyalari_Hansilardir\" >Mastektomiyan\u0131n M\u00fcmk\u00fcn Komplikasiyalar\u0131 Hans\u0131lard\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_il%C9%99_Lumpektomi_Mualic%C9%99si_Nec%C9%99_Muqayis%C9%99_Olunur\" >Mastektomi il\u0259 Lumpektomi M\u00fcalic\u0259si Nec\u0259 M\u00fcqayis\u0259 Olunur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.gurkanyetkin.com\/az\/mastektomiya\/#Mastektomi_Sud_V%C9%99zi_X%C9%99rc%C9%99nginin_Qarsisini_Almaqda_Nec%C9%99_Rol_Oynayir\" >Mastektomi S\u00fcd V\u0259zi X\u0259r\u00e7\u0259nginin Qar\u015f\u0131s\u0131n\u0131 Almaqda Nec\u0259 Rol Oynay\u0131r?<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_N%C9%99dir_v%C9%99_Niy%C9%99_T%C9%99tbiq_Olunur\"><\/span>Mastektomi N\u0259dir v\u0259 Niy\u0259 T\u0259tbiq Olunur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/www.pennmedicine.org\/cancer\/types-of-cancer\/breast-cancer\/breast-cancer-treatment\/mastectomy\" target=\"_blank\" rel=\"noopener\">Mastektomi<\/a> x\u0259r\u00e7\u0259ng h\u00fcceyr\u0259l\u0259rini v\u0259 ya x\u0259r\u00e7\u0259ng inki\u015faf etdirm\u0259 potensial\u0131 y\u00fcks\u0259k olan toxuman\u0131 aradan qald\u0131rmaq \u00fc\u00e7\u00fcn t\u0259tbiq olunan c\u0259rrahi yana\u015fmad\u0131r. Ad\u0259t\u0259n s\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi m\u00fcalic\u0259si \u00e7\u0259r\u00e7iv\u0259sind\u0259 istifad\u0259 olunur. B\u0259zi hallarda s\u00fcd v\u0259ziin yaln\u0131z bir hiss\u0259sinin g\u00f6t\u00fcr\u00fclm\u0259si (lumpektomiya v\u0259 ya qism\u0259n mastektomiya) kifay\u0259t ed\u0259 bil\u0259r, lakin \u015fi\u015fin \u00f6l\u00e7\u00fcs\u00fc b\u00f6y\u00fckd\u00fcrs\u0259 v\u0259 ya s\u00fcd v\u0259zi toxumas\u0131nda bir ne\u00e7\u0259 fokusda x\u0259r\u00e7\u0259ng varsa, daha d\u0259qiq v\u0259 geni\u015f t\u0259mizl\u0259nm\u0259ni t\u0259min etm\u0259k m\u0259qs\u0259dil\u0259 mastektomiya se\u00e7ilir.<\/p>\n<p>S\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi \u015fi\u015fin \u0259m\u0259l\u0259 g\u0259lm\u0259si v\u0259 qon\u015fu toxumalara v\u0259 ya b\u0259d\u0259nin dig\u0259r b\u00f6lg\u0259l\u0259rin\u0259 yay\u0131lma potensial\u0131na sahib bir x\u0259st\u0259likdir. B\u0259zi \u015f\u0259xsl\u0259rd\u0259 genetik meyllik (m\u0259s\u0259l\u0259n BRCA1 v\u0259 ya BRCA2 gen mutasiyalar\u0131) olduqda, x\u0259r\u00e7\u0259ng riski \u00f6m\u00fcr boyu \u0259h\u0259miyy\u0259tli d\u0259r\u0259c\u0259d\u0259 art\u0131r. Bel\u0259 y\u00fcks\u0259k risk qruplar\u0131nda is\u0259 &#8220;koruyucu mastektomiya&#8221; ad\u0131 veril\u0259n v\u0259 h\u0259l\u0259 x\u0259r\u00e7\u0259ng a\u015fkarlanmad\u0131\u011f\u0131 halda t\u0259tbiq olunan c\u0259rrahi se\u00e7im g\u00fcnd\u0259m\u0259 g\u0259l\u0259 bil\u0259r. Bel\u0259likl\u0259 x\u0259r\u00e7\u0259ngin \u0259m\u0259l\u0259 g\u0259lm\u0259 ehtimal\u0131 90-95% aral\u0131\u011f\u0131nda azald\u0131la bil\u0259r.<\/p>\n<p>Bir n\u00f6v m\u0259nzild\u0259 su s\u0131zmas\u0131 varsa, b\u00fct\u00fcn divar\u0131 a\u00e7\u0131b s\u0131z\u0131nt\u0131n\u0131 tap\u0131b t\u0259mir etm\u0259y\u0259 v\u0259 ya evin su sistemini tamamil\u0259 d\u0259yi\u015fm\u0259y\u0259 b\u0259nz\u0259y\u0259 bil\u0259rsiniz. Bel\u0259likl\u0259 problemi b\u00f6y\u00fck \u00f6l\u00e7\u00fcd\u0259 aradan qald\u0131raraq g\u0259l\u0259c\u0259kd\u0259 yarana bil\u0259c\u0259k riskl\u0259ri d\u0259 minimalla\u015fd\u0131rm\u0131\u015f olars\u0131n\u0131z.<\/p>\n<p>Mastektomiya b\u0259z\u0259n x\u0259st\u0259nin \u015f\u0259xsi se\u00e7imin\u0259 uy\u011fun olaraq da h\u0259yata ke\u00e7iril\u0259 bil\u0259r. X\u00fcsusil\u0259 m\u00fcalic\u0259d\u0259n sonra t\u0259krarlanma (x\u0259r\u00e7\u0259ngin yenid\u0259n inki\u015faf\u0131) bar\u0259d\u0259 ciddi narahatl\u0131q duyan v\u0259 ya radioterapiya \u00fc\u00e7\u00fcn uy\u011fun olmayan \u015f\u0259xsl\u0259r mastektomiyaya m\u00fcraci\u0259t ed\u0259 bil\u0259rl\u0259r. M\u0259s\u0259l\u0259n, hamil\u0259lik d\u00f6vr\u00fcnd\u0259 radioterapiya almaq z\u0259r\u0259rli ola bil\u0259r; yaxud x\u0259st\u0259 \u0259vv\u0259ll\u0259r eyni b\u00f6lg\u0259y\u0259 \u015f\u00fca alm\u0131\u015fsa, yenid\u0259n radioterapiya t\u0259tbiq etm\u0259k m\u00fcmk\u00fcn olmaya bil\u0259r. Bel\u0259 hallarda daha az m\u00fcdaxil\u0259 etm\u0259kd\u0259ns\u0259 mastektomiya \u00fcst\u00fcnl\u00fck veril\u0259 bil\u0259r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_Em%C9%99liyyatinin_F%C9%99rqli_Novl%C9%99ri_Hansilardir\"><\/span>Mastektomi \u018fm\u0259liyyat\u0131n\u0131n F\u0259rqli N\u00f6vl\u0259ri Hans\u0131lard\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastektomi h\u0259r bir x\u0259st\u0259nin v\u0259ziyy\u0259tin\u0259, \u015fi\u015fin x\u00fcsusiyy\u0259tl\u0259rin\u0259 v\u0259 x\u0259st\u0259nin \u015f\u0259xsi se\u00e7imin\u0259 \u0259sas\u0259n m\u00fcxt\u0259lif \u015f\u0259kild\u0259 t\u0259tbiq oluna bil\u0259r. Bu m\u00fcxt\u0259lif texnikalar\u0131 bir evi t\u0259mir ed\u0259rk\u0259n hans\u0131 divarlar\u0131n s\u00f6k\u00fcl\u0259c\u0259yini q\u0259rar verm\u0259y\u0259 b\u0259nz\u0259tm\u0259k olar. A\u015fa\u011f\u0131da geni\u015f istifad\u0259 olunan mastektomi n\u00f6vl\u0259ri g\u00f6st\u0259rilir:<\/p>\n<ul>\n<li>Total (Sad\u0259) Mastektomiya:<\/li>\n<\/ul>\n<p>Burada s\u00fcd v\u0259zi toxumas\u0131, s\u00fcd v\u0259zi ucu (nipple) v\u0259 areola (s\u00fcd v\u0259zi ucunun \u0259traf\u0131ndak\u0131 t\u00fcnd \u00e7\u0259r\u00e7iv\u0259) ad\u0259t\u0259n \u00fcz\u0259rind\u0259ki d\u0259rinin bir hiss\u0259si il\u0259 birlikd\u0259 \u00e7\u0131xar\u0131l\u0131r. D\u00f6\u015f \u0259z\u0259l\u0259l\u0259ri\u2014pektoral \u0259z\u0259l\u0259l\u0259r\u2014qorunur v\u0259 aksilla limfa d\u00fcy\u00fcnl\u0259rin\u0259 rutind\u0259 m\u00fcdaxil\u0259 olunmur (lakin laz\u0131m g\u0259ldikd\u0259, sentinel limfa d\u00fcy\u00fcn\u00fc biopsiyas\u0131 v\u0259 ya \u0259lav\u0259 prosedur h\u0259yata ke\u00e7iril\u0259 bil\u0259r).<\/p>\n<ul>\n<li>Modifikasiya edilmi\u015f Radikal Mastektomiya:<\/li>\n<\/ul>\n<p>Bu, total mastektomiyan\u0131n daha geni\u015f versiyas\u0131 olub, s\u00fcd v\u0259zi toxumas\u0131 il\u0259 yana\u015f\u0131 aksilla (qoltuqalt\u0131) limfa d\u00fcy\u00fcnl\u0259rinin d\u0259 \u00e7\u0131xar\u0131lmas\u0131n\u0131 ehtiva edir. X\u0259r\u00e7\u0259ngin limfa d\u00fcy\u00fcnl\u0259rin\u0259 yay\u0131lma ehtimal\u0131 y\u00fcks\u0259k olan v\u0259 ya limfa d\u00fcy\u00fcnl\u0259rind\u0259 \u015fi\u015f a\u015fkarlanm\u0131\u015f x\u0259st\u0259l\u0259rd\u0259 se\u00e7ilir.<\/p>\n<ul>\n<li>Radikal Mastektomiya:<\/li>\n<\/ul>\n<p>Ke\u00e7mi\u015fd\u0259 g\u00f6\u011f\u00fcs \u0259z\u0259l\u0259l\u0259rinin (pektoral major v\u0259 minor) ham\u0131s\u0131n\u0131n da al\u0131nd\u0131\u011f\u0131 \u00e7ox geni\u015f \u0259m\u0259liyyat idi. Bu g\u00fcnl\u0259rd\u0259, \u00e7ox ir\u0259lil\u0259mi\u015f hallardan ba\u015fqa, nadir hallarda t\u0259tbiq olunur, \u00e7\u00fcnki daha az invaziv metodlarla ox\u015far onkoloji n\u0259tic\u0259l\u0259r \u0259ld\u0259 etm\u0259k m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<ul>\n<li>D\u0259ri Qoruyucu (Skin-Sparing) Mastektomiya:<\/li>\n<\/ul>\n<p>Burada s\u00fcd v\u0259zi toxumas\u0131 tamamil\u0259 \u00e7\u0131xar\u0131lark\u0259n, s\u00fcd v\u0259zi ucu v\u0259 areola daxil olmaqla dem\u0259k olar ki, b\u00fct\u00fcn d\u0259ri qorunur. Ad\u0259t\u0259n areola v\u0259 s\u00fcd v\u0259zi ucu \u0259traf\u0131nda ki\u00e7ik bir k\u0259sik a\u00e7\u0131l\u0131r v\u0259 toxuma buradan t\u0259mizl\u0259nir. \u018fm\u0259liyyatdan sonra implant v\u0259 ya otoloq toxuma il\u0259 yeni d\u00f6\u015f h\u0259cmi yaratmaq m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<ul>\n<li>S\u00fcd V\u0259zi Ucu Qoruyucu (Nipple-Sparing) Mastektomiya:<\/li>\n<\/ul>\n<p>Bu \u00fcsulda d\u0259rid\u0259n \u0259lav\u0259 s\u00fcd v\u0259zi ucu v\u0259 areola da qorunur. \u015ei\u015f s\u00fcd v\u0259zi ucuna yax\u0131n olmad\u0131\u011f\u0131 v\u0259 bu b\u00f6lg\u0259d\u0259 x\u0259r\u00e7\u0259ng h\u00fcceyr\u0259si olmad\u0131\u011f\u0131 t\u0259sdiql\u0259ndikd\u0259 t\u0259tbiq olunur. Kozmetik v\u0259 psixoloji bax\u0131mdan s\u00fcd v\u0259zi ucunu qorumaq ist\u0259y\u0259n x\u0259st\u0259l\u0259r \u00fc\u00e7\u00fcn uy\u011fundur.<\/p>\n<ul>\n<li>Bilaterar (C\u00fct T\u0259r\u0259fli) Mastektomiya:<\/li>\n<\/ul>\n<p>H\u0259r iki s\u00fcd v\u0259ziin eyni \u0259m\u0259liyyat seans\u0131nda \u00e7\u0131xar\u0131lmas\u0131d\u0131r. Genetik v\u0259 ail\u0259 anamnezind\u0259 y\u00fcks\u0259k risk v\u0259ziyy\u0259tl\u0259rind\u0259 v\u0259 ya t\u0259k t\u0259r\u0259fli x\u0259r\u00e7\u0259ng olarsa, dig\u0259rind\u0259 risk y\u00fcks\u0259k olduqda t\u0259tbiq edilir.<\/p>\n<ul>\n<li>Profilaktik (Qoruyucu) Mastektomiya:<\/li>\n<\/ul>\n<p>H\u0259l\u0259 x\u0259r\u00e7\u0259ng a\u015fkarlanmasa da, y\u00fcks\u0259k riskli \u015f\u0259xsl\u0259rd\u0259 (m\u0259s\u0259l\u0259n BRCA mutasiyalar\u0131) x\u0259r\u00e7\u0259ng ehtimal\u0131n\u0131 90-95% azaldmaq \u00fc\u00e7\u00fcn edil\u0259n profilaktik \u0259m\u0259liyyatd\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Total_Sad%C9%99_Mastektomi_Nec%C9%99_Aparilir\"><\/span>Total (Sad\u0259) Mastektomi Nec\u0259 Apar\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Total (sad\u0259) mastektomi, s\u00fcd v\u0259zi daxilind\u0259ki b\u00fct\u00fcn toxuman\u0131n, s\u00fcd v\u0259zi ucu v\u0259 areolan\u0131n \u00e7\u0131xar\u0131lmas\u0131 dem\u0259kdir. Ad\u0259t\u0259n d\u00f6\u015f \u0259z\u0259l\u0259l\u0259ri\u2014pektoral \u0259z\u0259l\u0259l\u0259r\u2014qorunur v\u0259 aksilla limfa d\u00fcy\u00fcnl\u0259ri rutind\u0259 g\u00f6t\u00fcr\u00fclm\u00fcr. Prosedur \u00fcmumi anesteziya alt\u0131nda edilir.<\/p>\n<ul>\n<li>\u0130nsiziya (K\u0259sik A\u00e7\u0131lmas\u0131):<\/li>\n<\/ul>\n<p>Ad\u0259t\u0259n c\u0259rrah s\u00fcd v\u0259zi ucunu da \u0259hat\u0259 ed\u0259n oval v\u0259 ya \u00fcf\u00fcqi k\u0259sik edir. M\u0259qs\u0259d x\u0259r\u00e7\u0259ngli v\u0259 ya potensial riskli toxuman\u0131 tamamil\u0259 \u00e7\u0131xarark\u0259n m\u00fcmk\u00fcn q\u0259d\u0259r az iz buraxmaqd\u0131r.<\/p>\n<ul>\n<li>Toxuma Diseksiyas\u0131:<\/li>\n<\/ul>\n<p>K\u0259sikd\u0259n giril\u0259r\u0259k s\u00fcd v\u0259zi toxumas\u0131 d\u0259ri alt\u0131ndan v\u0259 pektoral \u0259z\u0259l\u0259l\u0259rin \u00fcz\u0259rind\u0259ki nazik membran (pektoral fasya) diqq\u0259tl\u0259 ayr\u0131l\u0131r. Elektrokoter v\u0259 ya k\u0259sici diseksiyadan istifad\u0259 qanaxman\u0131n idar\u0259 olunmas\u0131na k\u00f6m\u0259k edir.<\/p>\n<ul>\n<li>Toxuman\u0131n \u00c7\u0131xar\u0131lmas\u0131:<\/li>\n<\/ul>\n<p>B\u00fct\u00fcn qlandulyar (s\u00fcd istehsal ed\u0259n v\u0259 s\u00fcd kanallar\u0131n\u0131 \u0259hat\u0259 ed\u0259n) s\u00fcd v\u0259zi toxumas\u0131, s\u00fcd v\u0259zi ucu-areola kompleksi il\u0259 birlikd\u0259 \u201cbir b\u00fct\u00f6v \u015f\u0259klind\u0259\u201d \u00e7\u0131xar\u0131l\u0131r. C\u0259rrah m\u00fcmk\u00fcn x\u0259r\u00e7\u0259ngli h\u00fcceyr\u0259l\u0259rin qa\u00e7\u0131r\u0131lmamas\u0131 \u00fc\u00e7\u00fcn vahid \u00e7\u0131xar\u0131\u015fa \u00f6n\u0259m verir.<\/p>\n<ul>\n<li>Hemostaz v\u0259 Drenl\u0259rin Qura\u015fd\u0131r\u0131lmas\u0131:<\/li>\n<\/ul>\n<p>Qanaxma idar\u0259 olunduqdan sonra \u0259m\u0259liyyat sah\u0259sind\u0259 maye y\u0131\u011f\u0131lmas\u0131n\u0131n qar\u015f\u0131s\u0131n\u0131 almaq \u00fc\u00e7\u00fcn drenl\u0259r yerl\u0259\u015fdirilir. Bu drenl\u0259r s\u0259roma v\u0259 hematom riskini azald\u0131r.<\/p>\n<ul>\n<li>Ba\u011flanma (Diki\u015f v\u0259 ya Stapler):<\/li>\n<\/ul>\n<p>C\u0259rrah d\u0259rialt\u0131 k\u0259sik x\u0259tl\u0259rini diki\u015f v\u0259 ya stapler il\u0259 ba\u011flay\u0131r, sonra steril pansuman qoyulur. X\u0259st\u0259 anesteziyan\u0131n t\u0259siri ke\u00e7\u0259n\u0259 q\u0259d\u0259r oyanma ota\u011f\u0131nda m\u00fc\u015fahid\u0259 olunur.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Modifikasiya_Edilmis_Radikal_Mastektomiya_Zamani_N%C9%99_Olur\"><\/span>Modifikasiya Edilmi\u015f Radikal Mastektomiya Zaman\u0131 N\u0259 Olur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Modifikasiya edilmi\u015f radikal mastektomiya total mastektominin daha geni\u015f versiyas\u0131 olub, s\u00fcd v\u0259zi toxumas\u0131 il\u0259 yana\u015f\u0131 aksilla limfa d\u00fcy\u00fcnl\u0259rinin d\u0259 \u00e7\u0131xar\u0131lmas\u0131n\u0131 ehtiva edir. Bu \u00fcsul limfa d\u00fcy\u00fcnl\u0259rind\u0259 yay\u0131lma ehtimal\u0131 y\u00fcks\u0259k olduqda v\u0259 ya \u015fi\u015f a\u015fkarlanm\u0131\u015f x\u0259st\u0259l\u0259rd\u0259 se\u00e7ilir.<\/p>\n<ul>\n<li>\u018fm\u0259liyyat K\u0259siyi v\u0259 S\u00fcd V\u0259zi Toxumas\u0131n\u0131n \u00c7\u0131xar\u0131lmas\u0131:<\/li>\n<\/ul>\n<p>Proses total mastektomiya b\u0259nz\u0259r \u015f\u0259kild\u0259 ba\u015flay\u0131r. S\u00fcd v\u0259zi \u00fcz\u0259rind\u0259 insiziya a\u00e7\u0131l\u0131r v\u0259 s\u00fcd v\u0259zi toxumas\u0131, s\u00fcd v\u0259zi ucu-areola kompleksi il\u0259 birlikd\u0259 \u00e7\u0131xar\u0131l\u0131r.<\/p>\n<ul>\n<li>Aksilla Limfa D\u00fcy\u00fcn\u00fc Diseksiyas\u0131:<\/li>\n<\/ul>\n<p>S\u00fcd v\u0259zi toxumas\u0131 \u00e7\u0131xar\u0131ld\u0131qdan sonra c\u0259rrah eyni insiziyadan v\u0259 ya \u0259lav\u0259 k\u0259sikd\u0259n istifad\u0259 ed\u0259r\u0259k aksilla b\u00f6lg\u0259sin\u0259 \u00e7at\u0131r. Burada I v\u0259 II s\u0259viyy\u0259 limfa d\u00fcy\u00fcnl\u0259ri g\u00f6t\u00fcr\u00fcl\u00fcr (ad\u0259t\u0259n 10-15 d\u00fcy\u00fcn) v\u0259 patoloji laboratoriyas\u0131na g\u00f6nd\u0259rilir.<\/p>\n<ul>\n<li>Pektoral \u018fz\u0259l\u0259l\u0259rin V\u0259ziyy\u0259ti:<\/li>\n<\/ul>\n<p>Burada g\u00f6\u011f\u00fcs (pektoral major) \u0259z\u0259l\u0259l\u0259ri ad\u0259t\u0259n qorunur; pektoral minor b\u0259z\u0259n qism\u0259n diseksiyaya aid hiss\u0259l\u0259ri n\u0259z\u0259rd\u0259 tutmaq \u00fc\u00e7\u00fcn k\u0259sil\u0259 bil\u0259r, lakin tamamil\u0259 al\u0131nm\u0131r.<\/p>\n<ul>\n<li>Drenl\u0259r v\u0259 Ba\u011flanma:<\/li>\n<\/ul>\n<p>S\u00fcd v\u0259zi v\u0259 aksilla b\u00f6lm\u0259l\u0259rin\u0259 ayr ayr\u0131 drenl\u0259r yerl\u0259\u015fdirilir, sonra k\u0259sik x\u0259tl\u0259ri ba\u011flan\u0131r v\u0259 pansuman qoyulur. Drenl\u0259r bir ne\u00e7\u0259 h\u0259ft\u0259 qala bil\u0259r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"D%C9%99ri_Qoruyucu_v%C9%99_Sud_V%C9%99zi_Ucu_Qoruyucu_Mastektomi_Nec%C9%99_F%C9%99rql%C9%99nir\"><\/span>D\u0259ri Qoruyucu v\u0259 S\u00fcd V\u0259zi Ucu Qoruyucu Mastektomi Nec\u0259 F\u0259rql\u0259nir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u0259ri qoruyucu (skin-sparing) v\u0259 s\u00fcd v\u0259zi ucu qoruyucu (nipple-sparing) mastektomiya estetik v\u0259 psixoloji bax\u0131mdan daha q\u0259na\u0259tb\u0259x\u015f n\u0259tic\u0259l\u0259r t\u0259qdim ed\u0259n \u00fcsullard\u0131r. \u018fm\u0259liyyatdan sonra rekonstruksiya \u00fc\u00e7\u00fcn implant v\u0259 ya otoloq toxuma il\u0259 y\u00fcks\u0259k kosmetik n\u0259tic\u0259l\u0259r \u0259ld\u0259 etm\u0259k m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<ul>\n<li>D\u0259ri Qoruyucu Mastektomiya:<\/li>\n<\/ul>\n<p>S\u00fcd v\u0259zi toxumas\u0131 \u00e7\u0131xar\u0131lark\u0259n dem\u0259k olar ki, b\u00fct\u00fcn d\u0259ri qorunur. Ki\u00e7ik bir insiziya il\u0259 toxuma \u00e7\u0131xar\u0131l\u0131r v\u0259 sonradan implant v\u0259 ya otoloq toxuma il\u0259 b\u0259rpa olunur.<\/p>\n<ul>\n<li>S\u00fcd V\u0259zi Ucu Qoruyucu Mastektomiya:<\/li>\n<\/ul>\n<p>Bu \u00fcsulda cildin yan\u0131nda s\u00fcd v\u0259zi ucu v\u0259 areola da qorunur. Uygun hallarda t\u0259tbiq olunarsa, onkoloji t\u0259hl\u00fck\u0259sizlik t\u0259min edilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomiyadan_Onc%C9%99_Hansi_Hazirliqlar_Edilir\"><\/span>Mastektomiyadan \u00d6nc\u0259 Hans\u0131 Haz\u0131rl\u0131qlar Edilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastektomiya \u00fc\u00e7\u00fcn q\u0259rar verildikd\u0259, \u0259m\u0259liyyat\u0131n problemsiz ke\u00e7m\u0259si \u00fc\u00e7\u00fcn a\u015fa\u011f\u0131dak\u0131 haz\u0131rl\u0131qlar apar\u0131l\u0131r:<\/p>\n<p><strong>Tibbi Qiym\u0259tl\u0259ndirm\u0259:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">X\u0259st\u0259nin \u00fcmumi sa\u011flaml\u0131q v\u0259ziyy\u0259ti n\u0259z\u0259rd\u0259n ke\u00e7irilir. Y\u00fcks\u0259k t\u0259zyiq, \u015f\u0259k\u0259rli diabet, \u00fcr\u0259k x\u0259st\u0259likl\u0259ri v\u0259 s. varsa n\u0259zar\u0259t alt\u0131na al\u0131n\u0131r.<\/li>\n<li aria-level=\"1\">Qan analizl\u0259ri, EKQ v\u0259 a\u011fciy\u0259r rentgeni \u0259m\u0259liyyat \u00fc\u00e7\u00fcn uy\u011funlu\u011fu m\u00fc\u0259yy\u0259n etm\u0259k m\u0259qs\u0259dil\u0259 apar\u0131l\u0131r.<\/li>\n<\/ul>\n<p><strong>G\u00f6r\u00fcnt\u00fcl\u0259m\u0259 v\u0259 \u0130\u015far\u0259l\u0259m\u0259:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">Mastektomiya namiz\u0259d x\u0259st\u0259l\u0259rd\u0259 \u015fi\u015fin d\u0259qiq yeri v\u0259 \u00f6l\u00e7\u00fcs\u00fc radioloji \u00fcsullarla a\u015fkar edilir.<\/li>\n<li aria-level=\"1\">\u018fg\u0259r \u015fi\u015f \u00e7ox ki\u00e7ikdirs\u0259 v\u0259 ya yerinin m\u00fc\u0259yy\u0259n edilm\u0259si \u00e7\u0259tindirs\u0259, b\u0259l\u0259d\u00e7i iyn\u0259 (wire) yerl\u0259\u015fdiril\u0259r\u0259k c\u0259rraha istiqam\u0259t verilir.<\/li>\n<\/ul>\n<p><strong>D\u0259rman D\u00fcz\u0259nl\u0259m\u0259l\u0259ri:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">Qan durulducu d\u0259rman istifad\u0259 ed\u0259nl\u0259rin \u0259m\u0259liyyatdan bir ne\u00e7\u0259 g\u00fcn \u0259vv\u0259l bu d\u0259rmanlar\u0131 dayand\u0131rmas\u0131 laz\u0131m ola bil\u0259r.<\/li>\n<li aria-level=\"1\">Qida \u0259lav\u0259l\u0259ri v\u0259 bitki m\u0259n\u015f\u0259li m\u0259hsullar qanaxman\u0131 art\u0131ra bil\u0259c\u0259yi \u00fc\u00e7\u00fcn c\u0259rrah v\u0259 anestezi komandas\u0131 il\u0259 payla\u015f\u0131lmal\u0131d\u0131r.<\/li>\n<\/ul>\n<p><strong>Siqaret B\u0131rakma v\u0259 Spirt M\u0259hdudiyy\u0259ti:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">Siqaret toxuma oksigenizasiyas\u0131n\u0131 v\u0259 yara sa\u011falmas\u0131n\u0131 poza bil\u0259r; \u0259m\u0259liyyatdan \u0259vv\u0259l t\u0259rgitm\u0259k m\u0259sl\u0259h\u0259tdir.<\/li>\n<li aria-level=\"1\">Spirtli i\u00e7kil\u0259rin q\u0259bulu minimuma endirilm\u0259lidir.<\/li>\n<\/ul>\n<p><strong>Psixoloji Haz\u0131rl\u0131q v\u0259 D\u0259st\u0259k:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">Emosional t\u0259sirl\u0259r\u0259 haz\u0131rla\u015fmaq \u00fc\u00e7\u00fcn ail\u0259, dostlar v\u0259 ya pe\u015f\u0259kar d\u0259st\u0259k t\u00f6vsiy\u0259 olunur.<\/li>\n<\/ul>\n<p><strong>Praktik T\u0259\u015fkilatlar:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">\u018fm\u0259liyyatdan sonra evd\u0259 k\u00f6m\u0259k ed\u0259c\u0259k birinin olmas\u0131 faydal\u0131d\u0131r.<\/li>\n<li aria-level=\"1\">Drenl\u0259ri izl\u0259m\u0259k, qollar\u0131 d\u0259st\u0259kl\u0259m\u0259k v\u0259 rahat paltarlar haz\u0131rlamaq sa\u011falman\u0131 asanla\u015fd\u0131r\u0131r.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_Zamani_Hansi_Toxumalar_Cixarilir\"><\/span>Mastektomi Zaman\u0131 Hans\u0131 Toxumalar \u00c7\u0131xar\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastektomi zaman\u0131 c\u0259rrah\u0131n \u0259sas m\u0259qs\u0259di x\u0259r\u00e7\u0259ngli v\u0259 ya x\u0259r\u00e7\u0259ng riski da\u015f\u0131yan s\u00fcd v\u0259zi toxumas\u0131n\u0131 tam \u015f\u0259kild\u0259 t\u0259mizl\u0259m\u0259kdir. Ad\u0259t\u0259n a\u015fa\u011f\u0131dak\u0131 toxumalar \u00e7\u0131xar\u0131l\u0131r:<\/p>\n<ul>\n<li>S\u00fcd V\u0259zi Toxumas\u0131 (Qlandulyar Toxuma):<\/li>\n<\/ul>\n<p>S\u00fcd v\u0259zi lob\u00fcll\u0259rd\u0259n v\u0259 s\u00fcd kanallar\u0131ndan (duktus) ibar\u0259t qlandulyar orqand\u0131r. Bu strukturlar \u0259trafdak\u0131 ya\u011f v\u0259 birl\u0259\u015fdirici toxuma il\u0259 birlikd\u0259 tam \u00e7\u0131xar\u0131l\u0131r.<\/p>\n<ul>\n<li>S\u00fcd V\u0259zi Ucu (Nipple) v\u0259 Areola:<\/li>\n<\/ul>\n<p>Total mastektomiyada bu strukturlar da g\u00f6t\u00fcr\u00fcl\u00fcr. S\u00fcd v\u0259zi ucu qoruyucu mastektomiyada onkoloji bax\u0131mdan t\u0259hl\u00fck\u0259sizdirs\u0259 qorunur.<\/p>\n<ul>\n<li>D\u0259ri:<\/li>\n<\/ul>\n<p>\u00c7ox total mastektomiyada s\u00fcd v\u0259zi d\u0259risinin b\u00f6y\u00fck hiss\u0259si \u00e7\u0131xar\u0131l\u0131r; d\u0259rinin qorunmas\u0131 yaln\u0131z z\u0259ruri sah\u0259l\u0259rl\u0259 m\u0259hdudla\u015f\u0131r.<\/p>\n<ul>\n<li>Aksilla Limfa D\u00fcy\u00fcnl\u0259ri:<\/li>\n<\/ul>\n<p>Sentinel d\u00fcy\u00fcn biopsiyas\u0131 v\u0259 ya aksilla diseksiyas\u0131 \u015f\u00fcbh\u0259 olduqda edil\u0259n \u0259lav\u0259 prosedurlard\u0131r, ad\u0259t\u0259n eyni seansda yerin\u0259 yetirilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_Em%C9%99liyyatinda_Limfa_Duyunl%C9%99ri_Nec%C9%99_T%C9%99sirl%C9%99nir\"><\/span>Mastektomi \u018fm\u0259liyyat\u0131nda Limfa D\u00fcy\u00fcnl\u0259ri Nec\u0259 T\u0259sirl\u0259nir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Limfa d\u00fcy\u00fcnl\u0259ri x\u0259r\u00e7\u0259ngin yay\u0131lmas\u0131nda vacib \u201cfiltr\u201d rolunu oynay\u0131r. S\u00fcd v\u0259zi toxumas\u0131ndan g\u0259l\u0259n limfa ilk n\u00f6vb\u0259d\u0259 bu d\u00fcy\u00fcnl\u0259rd\u0259 toplan\u0131r. Mastektomi zaman\u0131 d\u00fcy\u00fcnl\u0259rin v\u0259ziyy\u0259ti diqq\u0259tl\u0259 qiym\u0259tl\u0259ndirilir.<\/p>\n<ul>\n<li>Sentinel Limfa D\u00fcy\u00fcn\u00fc Biopsiyas\u0131:<\/li>\n<\/ul>\n<p>Radyoaktiv madd\u0259 v\u0259 ya boya il\u0259 i\u015far\u0259l\u0259nmi\u015f ilk limfa d\u00fcy\u00fcn\u00fc \u00e7\u0131xar\u0131l\u0131b analiz edilir. \u018fg\u0259r burada x\u0259r\u00e7\u0259ng yoxdursa, geni\u015f diseksiyaya ehtiyac qalmaya bil\u0259r.<\/p>\n<ul>\n<li>Aksilla Limfa D\u00fcy\u00fcn\u00fc Diseksiyas\u0131:<\/li>\n<\/ul>\n<p>Sentinel d\u00fcy\u00fcn m\u00fcsb\u0259t v\u0259 ya \u015fi\u015f b\u00f6y\u00fckd\u00fcrs\u0259, I v\u0259 II s\u0259viyy\u0259 limfa d\u00fcy\u00fcnl\u0259ri g\u00f6t\u00fcr\u00fcl\u00fcr. Bu, yay\u0131lma riski v\u0259 sonrak\u0131 m\u00fcalic\u0259 plan\u0131 \u00fc\u00e7\u00fcn vacibdir.<\/p>\n<p>Aksilla diseksiyas\u0131 n\u0259tic\u0259sind\u0259 qolda lenf\u00f6dem:u inki\u015faf ed\u0259 bil\u0259r. Bu v\u0259ziyy\u0259t \u00f6m\u00fcrl\u00fck n\u0259zar\u0259t t\u0259l\u0259b edir; x\u00fcsusi m\u0259\u015fql\u0259r v\u0259 s\u0131x\u0131c\u0131 geyiml\u0259r faydal\u0131d\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_C%C9%99rrahi_Prosesinin_Esas_Addimlari_Hansilardir\"><\/span>Mastektomi C\u0259rrahi Prosesinin \u018fsas Add\u0131mlar\u0131 Hans\u0131lard\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastektomi \u0259m\u0259liyyat\u0131 detall\u0131 planla\u015fd\u0131rma v\u0259 diqq\u0259tli c\u0259rrahi yana\u015fma t\u0259l\u0259b edir. Proses add\u0131m-add\u0131m a\u015fa\u011f\u0131dak\u0131 kimidir:<\/p>\n<ul>\n<li>\u00dcmumi Anesteziya Alt\u0131nda Haz\u0131rl\u0131q:<\/li>\n<\/ul>\n<p>X\u0259st\u0259 \u0259m\u0259liyyat masas\u0131na yerl\u0259\u015fdirilir, anestezioloq \u00fcmumi anesteziya t\u0259tbiq edir v\u0259 h\u0259yati parametrl\u0259ri izl\u0259yir.<\/p>\n<ul>\n<li>C\u0259rrahi \u0130\u015far\u0259l\u0259m\u0259:<\/li>\n<\/ul>\n<p>\u015ei\u015fin s\u0259rh\u0259dl\u0259ri d\u0259ri \u00fcz\u0259rind\u0259n i\u015far\u0259l\u0259nir ki, \u0259m\u0259liyyat zaman\u0131 qa\u00e7\u0131r\u0131lma olmas\u0131n.<\/p>\n<ul>\n<li>K\u0259siyin A\u00e7\u0131lmas\u0131 v\u0259 Diseksiyas\u0131:<\/li>\n<\/ul>\n<p>Se\u00e7ilmi\u015f mastektomi n\u00f6v\u00fcn\u0259 uy\u011fun insiziya edilir, toxuma diqq\u0259tl\u0259 diseksiyadan ke\u00e7irilir v\u0259 \u00e7\u0131xar\u0131l\u0131r.<\/p>\n<ul>\n<li>Limfa D\u00fcy\u00fcn\u00fc Qiym\u0259tl\u0259ndirilm\u0259si:<\/li>\n<\/ul>\n<p>Sentinel d\u00fcy\u00fcn biopsiyas\u0131 v\u0259 ya aksilla diseksiyas\u0131 apar\u0131l\u0131r, rabit\u0259li d\u00fcy\u00fcnl\u0259r patoloji analiz\u0259 g\u00f6nd\u0259rilir.<\/p>\n<ul>\n<li>Qanaxma N\u0259zar\u0259ti v\u0259 Drenl\u0259rin Qura\u015fd\u0131r\u0131lmas\u0131:<\/li>\n<\/ul>\n<p>Qanaxma koter v\u0259 ba\u011flama \u00fcsullar\u0131 il\u0259 idar\u0259 olunur, drenl\u0259r yerl\u0259\u015fdirilir.<\/p>\n<ul>\n<li>Ba\u011flanma v\u0259 Pansuman:<\/li>\n<\/ul>\n<p>Toxumalar tiki\u015f v\u0259 ya staplerl\u0259 ba\u011flan\u0131r, steril pansuman qoyulur, x\u0259st\u0259 oyanma ota\u011f\u0131na k\u00f6\u00e7\u00fcr\u00fcl\u00fcr.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_Sonrasi_Sagalma_Prosesinin_Gedisi_Nec%C9%99_Olur\"><\/span>Mastektomi Sonras\u0131 Sa\u011falma Prosesinin Gedi\u015fi Nec\u0259 Olur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastektomi sonras\u0131 sa\u011falma 3-6 h\u0259ft\u0259 \u0259rzind\u0259 ilkin yara sa\u011falmas\u0131n\u0131 t\u0259min edir, sonras\u0131nda uzunm\u00fcdd\u0259tli reabilitasiya m\u0259rh\u0259l\u0259si ba\u015flay\u0131r.<\/p>\n<ul>\n<li aria-level=\"1\">Ad\u0259t\u0259n 1-3 g\u00fcn x\u0259st\u0259xanada qal\u0131n\u0131r; drenl\u0259r maye azalana q\u0259d\u0259r qal\u0131r.<\/li>\n<li aria-level=\"1\">A\u011fr\u0131n\u0131n idar\u0259si \u00fc\u00e7\u00fcn a\u011fr\u0131k\u0259sicil\u0259r v\u0259 rahatlay\u0131c\u0131lar verilir; qol m\u0259\u015fql\u0259ri erk\u0259n d\u00f6vrd\u0259 ba\u015flay\u0131r.<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\">Diki\u015fl\u0259r 7-14 g\u00fcn i\u00e7ind\u0259 g\u00f6t\u00fcr\u00fcl\u00fcr v\u0259 ya h\u0259ll olunan saplardan istifad\u0259 olunur.<\/li>\n<li aria-level=\"1\">Pansumanlar m\u00fct\u0259madi yoxlan\u0131l\u0131r; q\u0131zar\u0131ql\u0131q v\u0259 a\u011fr\u0131 artarsa h\u0259kim\u0259 m\u00fcraci\u0259t edilm\u0259lidir.<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\">Fizioterapiya v\u0259 limf\u00f6dem masaj\u0131 il\u0259 qol funksiyalar\u0131 b\u0259rpa edilir.<\/li>\n<li aria-level=\"1\">G\u00fcnd\u0259lik i\u015fl\u0259r\u0259 4-6 h\u0259ft\u0259 sonra qay\u0131tmaq olar; a\u011f\u0131r idman daha gec ba\u015flanmal\u0131d\u0131r.<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\">Emosional d\u0259st\u0259k qrup terapiyas\u0131 v\u0259 f\u0259rdi m\u0259sl\u0259h\u0259t yollar\u0131 il\u0259 t\u0259min edilir.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomiyanin_Mumkun_Komplikasiyalari_Hansilardir\"><\/span>Mastektomiyan\u0131n M\u00fcmk\u00fcn Komplikasiyalar\u0131 Hans\u0131lard\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Qanaxma v\u0259 Hematom: D\u0259ri alt\u0131nda qan y\u0131\u011f\u0131lmas\u0131 \u0259lav\u0259 m\u00fcdaxil\u0259 t\u0259l\u0259b ed\u0259 bil\u0259r.<\/li>\n<li>Seroma (Maye Y\u0131\u011f\u0131lmas\u0131): Drenl\u0259r\u0259 baxmayaraq \u0259m\u0259liyyatdan sonra y\u0131\u011f\u0131lma ola bil\u0259r.<\/li>\n<li>\u0130nfeksiya: K\u0131zar\u0131ql\u0131q, istilik art\u0131\u015f\u0131 v\u0259 ax\u0131nt\u0131da antibakterial m\u00fcalic\u0259 t\u0259tbiq edilir.<\/li>\n<li>Yara Sa\u011falma Probleml\u0259ri: Siqaret \u00e7\u0259k\u0259n v\u0259 ya diabet x\u0259st\u0259l\u0259rind\u0259 gecikm\u0259 v\u0259 nekroz riski art\u0131r.<\/li>\n<li>Limf\u00f6dem:u<\/li>\n<\/ul>\n<p>Aksilla diseksiyas\u0131 apar\u0131lanlarda limf\u00f6dem:u inki\u015faf ed\u0259 bil\u0259r; \u00f6m\u00fcrl\u00fck n\u0259zar\u0259t v\u0259 x\u00fcsusi t\u0259dbirl\u0259r t\u0259l\u0259b olunur.<\/p>\n<ul>\n<li>Sinir Z\u0259d\u0259l\u0259nm\u0259si: Ki\u00e7ik sinirl\u0259r z\u0259d\u0259l\u0259n\u0259r\u0259k uyu\u015fma v\u0259 qar\u0131ncalanma yarada bil\u0259r.<\/li>\n<li>Estetik v\u0259 Psixoloji T\u0259sirl\u0259r: S\u00fcd v\u0259zi itkisi dep ressiyon v\u0259 narahatl\u0131\u011fa s\u0259b\u0259b ola bil\u0259r; rekonstruksiya v\u0259 konsultasiya faydal\u0131d\u0131r.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_il%C9%99_Lumpektomi_Mualic%C9%99si_Nec%C9%99_Muqayis%C9%99_Olunur\"><\/span>Mastektomi il\u0259 Lumpektomi M\u00fcalic\u0259si Nec\u0259 M\u00fcqayis\u0259 Olunur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lumpektomiya (qism\u0259n mastektomiya) \u015fi\u015fli b\u00f6lg\u0259nin ki\u00e7ik hiss\u0259sinin \u00e7\u0131xar\u0131lmas\u0131d\u0131r v\u0259 ad\u0259t\u0259n radioterapiya il\u0259 tamamlan\u0131r. Mastektomiya is\u0259 b\u00fct\u00fcn s\u00fcd v\u0259zi toxumas\u0131n\u0131 \u00e7\u0131xar\u0131r.<\/p>\n<ul>\n<li>C\u0259rrahi T\u0259dbirin H\u0259cmi: Lumpektomiya daha az invaziv, mastektomiya is\u0259 daha geni\u015fdir.<\/li>\n<li>Estetik N\u0259tic\u0259: Lumpektomiya forman\u0131 qoruyur; mastektomiya rekonstruksiya t\u0259l\u0259b edir.<\/li>\n<li>\u018flav\u0259 M\u00fcalic\u0259l\u0259r: Lumpektomiya + radioterapiya; mastektomiya sonras\u0131 radioterapiya h\u0259r zaman laz\u0131m deyil.<\/li>\n<li>T\u0259krarlanma Riski v\u0259 Sa\u011fqal\u0131m: Erk\u0259n m\u0259rh\u0259l\u0259d\u0259 h\u0259r iki yana\u015fma ox\u015far sa\u011fqal\u0131m verir.<\/li>\n<li>X\u0259st\u0259nin Se\u00e7imi v\u0259 Uy\u011funlu\u011fu: \u015ei\u015fin \u00f6l\u00e7\u00fcs\u00fc, multifokalite, risk amill\u0259ri v\u0259 x\u0259st\u0259nin ist\u0259yi n\u0259z\u0259r\u0259 al\u0131n\u0131r.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Mastektomi_Sud_V%C9%99zi_X%C9%99rc%C9%99nginin_Qarsisini_Almaqda_Nec%C9%99_Rol_Oynayir\"><\/span>Mastektomi S\u00fcd V\u0259zi X\u0259r\u00e7\u0259nginin Qar\u015f\u0131s\u0131n\u0131 Almaqda Nec\u0259 Rol Oynay\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>B\u0259zi hallarda mastektomiya profilaktik m\u0259qs\u0259dl\u0259, h\u0259l\u0259 x\u0259r\u00e7\u0259ng yoxk\u0259n y\u00fcks\u0259k riskli \u015f\u0259xsl\u0259rd\u0259 t\u0259tbiq olunur.<\/p>\n<ul>\n<li>Y\u00fcks\u0259k Riskli Qruplar:<\/li>\n<\/ul>\n<ul>\n<li>BRCA1 v\u0259 BRCA2 mutasiyalar\u0131na malik olanlar, risk \u0259h\u0259miyy\u0259tli d\u0259r\u0259c\u0259d\u0259 art\u0131r.<\/li>\n<li>Ail\u0259 tarix\u00e7\u0259sind\u0259 \u00e7oxlu s\u00fcd v\u0259zi x\u0259r\u00e7\u0259ngi hallar\u0131 olan \u015f\u0259xsl\u0259r.<\/li>\n<\/ul>\n<ul>\n<li>Bilateral Qoruyucu Mastektomiya:<\/li>\n<\/ul>\n<ul>\n<li>H\u0259r iki v\u0259zi \u00e7\u0131xar\u0131lmas\u0131 riski 90-95% azald\u0131r.<\/li>\n<li>Psixoloji c\u0259h\u0259td\u0259n \u00e7\u0259tin, lakin g\u0259l\u0259c\u0259k qorxuya qar\u015f\u0131 effektiv se\u00e7imdir.<\/li>\n<\/ul>\n<ul>\n<li>Rekonstruksiya \u0130mkanlar\u0131:<\/li>\n<\/ul>\n<ul>\n<li>Eyni seansda v\u0259 ya sonradan implant\/otoloq toxuma il\u0259 rekonstruksiya m\u00fcmk\u00fcnd\u00fcr.<\/li>\n<li>D\u0259ri v\u0259 ucu qoruyucu \u00fcsullar kosmetik bax\u0131mdan \u00fcst\u00fcnd\u00fcr.<\/li>\n<\/ul>\n<ul>\n<li>Alternativ Yana\u015fmalar:<\/li>\n<\/ul>\n<ul>\n<li>S\u0131x tarama (MR, mamografi, ultrason) v\u0259 profilaktik d\u0259rman (tamoksifen, raloksifen) se\u00e7iml\u0259ri var.<\/li>\n<li>\u015e\u00fcbh\u0259siz ki, c\u0259rrahi \u00e7\u0131xar\u0131\u015f \u0259n y\u00fcks\u0259k risk azald\u0131r.<\/li>\n<\/ul>\n<p>Profilaktik mastektomiya \u201chans\u0131 evi s\u00f6k\u00fcb yenid\u0259n tik\u0259c\u0259yimizi\u201d q\u0259rar verm\u0259y\u0259 b\u0259nz\u0259yir. Genetik m\u0259sl\u0259h\u0259t, psixoloji d\u0259st\u0259k v\u0259 ekspert r\u0259yl\u0259ri il\u0259 d\u0259rin qiym\u0259tl\u0259ndirm\u0259 vacibdir. 100% z\u0259man\u0259t verm\u0259s\u0259 d\u0259 x\u0259r\u00e7\u0259ngin inki\u015faf ehtimal\u0131n\u0131 n\u0259z\u0259r\u0259\u00e7arpacaq d\u0259r\u0259c\u0259d\u0259 azald\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mastektomi \u0259sas\u0259n s\u00fcd v\u0259zi toxumas\u0131n\u0131n tamam\u0131n\u0131n c\u0259rrahi \u00fcsulla \u00e7\u0131xar\u0131lmas\u0131 dem\u0259kdir. Ba\u015fqa s\u00f6zl\u0259, s\u00fcd v\u0259zi daxilind\u0259ki x\u0259r\u00e7\u0259ngli v\u0259 ya x\u0259r\u00e7\u0259ng riski da\u015f\u0131yan toxuman\u0131 aradan qald\u0131rmaq m\u0259qs\u0259dil\u0259 edil\u0259n bir \u0259m\u0259liyyatt\u0131r. Bu g\u00fcn mastektomi yaln\u0131z x\u0259r\u00e7\u0259ngli toxuman\u0131n t\u0259mizl\u0259nm\u0259si \u00fc\u00e7\u00fcn deyil, h\u0259m d\u0259 x\u0259r\u00e7\u0259ng riskini \u0259h\u0259miyy\u0259tli d\u0259r\u0259c\u0259d\u0259 azaltmaq \u00fc\u00e7\u00fcn profilaktik m\u0259qs\u0259dl\u0259 t\u0259tbiq oluna bil\u0259r. Prosedur \u00fcmumi anesteziya alt\u0131nda h\u0259yata [&#8230;]\n","protected":false},"author":1,"featured_media":4620,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[98],"tags":[],"class_list":["post-4742","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dos-xstliklri"],"_links":{"self":[{"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/posts\/4742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/comments?post=4742"}],"version-history":[{"count":3,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/posts\/4742\/revisions"}],"predecessor-version":[{"id":4884,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/posts\/4742\/revisions\/4884"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/media\/4620"}],"wp:attachment":[{"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/media?parent=4742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/categories?post=4742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gurkanyetkin.com\/az\/wp-json\/wp\/v2\/tags?post=4742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}