{"id":6512,"date":"2021-10-29T06:19:44","date_gmt":"2021-10-29T03:19:44","guid":{"rendered":"https:\/\/prostatefocaltherapies.com\/prostat-kanseri-fokal-tedavisi-geri-donusumsuz-elektroporasyon-teknigi-ile\/"},"modified":"2025-10-17T10:40:01","modified_gmt":"2025-10-17T07:40:01","slug":"prostat-kanseri-fokal-tedavisi-geri-donusumsuz-elektroporasyon-teknigi-ile","status":"publish","type":"page","link":"https:\/\/prostatefocaltherapies.com\/tr\/prostat-kanseri-fokal-tedavisi-geri-donusumsuz-elektroporasyon-teknigi-ile\/","title":{"rendered":"Prostat Kanseri Fokal Tedavisi (Geri D\u00f6n\u00fc\u015f\u00fcms\u00fcz Elektroporasyon Tekni\u011fi ile)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6512\" class=\"elementor elementor-6512 elementor-928\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d5f3e96 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d5f3e96\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-64e9082\" data-id=\"64e9082\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0abeaf7 elementor-widget elementor-widget-heading\" data-id=\"0abeaf7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Prostat Kanseri Odak Tedavisi (NanoKnife Tekni\u011fi ile)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6610876 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6610876\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3a50b49\" data-id=\"3a50b49\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a79191 elementor-widget elementor-widget-video\" data-id=\"4a79191\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/pLpBK37ByZY&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ec37f1f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec37f1f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e3bc2ea\" data-id=\"e3bc2ea\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8bc1449 elementor-widget elementor-widget-text-editor\" data-id=\"8bc1449\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>\u2018Fokal tedaviler i\u00e7in uygun hasta se\u00e7imi ve i\u015flem sonras\u0131 takip i\u00e7in en geli\u015fmi\u015f g\u00f6r\u00fcnt\u00fcleme tekniklerini (3T mpMRI, MR-f\u00fczyon biyopsisi, PSMA-PET\/CT ve PSMA-PET\/MRI verileri) kullan\u0131yoruz.\u2019<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5441ece3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5441ece3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6a01d3b3\" data-id=\"6a01d3b3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2727e22f elementor-widget elementor-widget-text-editor\" data-id=\"2727e22f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-61.png\" alt=\"\" \/><\/p><figure><\/figure><p><strong>PROSTAT KANSER\u0130 ODAK TEDAV\u0130S\u0130 \u2013 NANOKNIFE TEKN\u0130\u011e\u0130<\/strong><\/p><h2>Hastalar\u0131m\u0131zdan Birinin Nanoknife \u0130\u015flemi \u00d6ncesi ve Sonras\u0131 MR Verileri:<\/h2><h3><strong><em>\u00d6nce:<br \/><\/em><\/strong><\/h3><figure><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/11\/Resim5-300x276.png\" alt=\"\" width=\"300\" height=\"276\" \/><figcaption>Oklar prostat kanserini g\u00f6steriyor<\/figcaption><\/figure><h3><strong><em>Sonra: <\/em><\/strong><\/h3><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/11\/Resim6-300x239.png\" alt=\"\" width=\"300\" height=\"239\" \/><\/figure><p>T\u00fcm\u00f6r\u00fcn odak alan\u0131 ve \u00e7evresi tamamen tahrip olmu\u015ftur (Oklar). Prostat bezinin kanser i\u00e7ermeyen di\u011fer k\u0131s\u0131mlar\u0131 korunur.<\/p><h2><strong>Nano b\u0131\u00e7ak<\/strong><\/h2><p>Prostat kanseri i\u00e7in yeni bir tedavi y\u00f6ntemi t\u00fcr\u00fc olan IRE (Geri D\u00f6n\u00fc\u015f\u00fcms\u00fcz Elektroporasyon), <strong>prostat kanseri tedavisi i\u00e7in minimum yan etkiyle<\/strong> yeni se\u00e7enekler sunuyor.<\/p><p>NanoKnife, Geri D\u00f6n\u00fc\u015f\u00fcms\u00fcz Elektroporasyon teknolojisine dayanan ilk cerrahi ablasyon sistemidir. G\u00fcn\u00fcm\u00fczde IRE cihazlar\u0131, Dophi (Surgnova) gibi di\u011fer marka isimleri alt\u0131nda da klinik uygulamaya girmi\u015ftir.<\/p><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-64.png\" alt=\"\" \/><\/figure><p>NanoKnife tedavisinde g\u00fc\u00e7l\u00fc elektrik alanlar\u0131, dokuyu radyasyona maruz b\u0131rakmadan veya \u0131s\u0131tmadan h\u00fccrelerin \u00f6lmesine neden olur. Bu, Tersinmez Elektroporasyon (IRE) olarak adland\u0131r\u0131lan, t\u00fcm\u00f6r ve parankim h\u00fccrelerini yok eder. Ancak prostat i\u00e7inde ve \u00e7evresinde sinirler, ba\u011f\u0131rsak duvar\u0131, sfinkter, toplardamarlar ve atardamarlar gibi \u00f6nemli anatomik yap\u0131lar korunur. B\u00f6ylece ereksiyon ve mesane kontrol\u00fc korunmu\u015f olur.<\/p><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-65.png\" alt=\"\" \/><\/figure><h2><b>O nas\u0131l \u00e7al\u0131\u015f\u0131r?<\/b><\/h2><p>NanoKnife Sistemi Tersinmez Elektroporasyon veya IRE kullan\u0131r. Bu, h\u00fccrelerin hedeflenen bir b\u00f6lgesine elektrik darbelerinin uyguland\u0131\u011f\u0131 bir teknolojidir. Darbeler, h\u00fccrelerin zarlar\u0131nda k\u00fc\u00e7\u00fck delikler olu\u015fturur.<\/p><p>Yeterli puls verildikten sonra h\u00fccreler, apoptozu veya do\u011fal h\u00fccre \u00f6l\u00fcm\u00fcn\u00fc taklit eden bir s\u00fcreci ba\u015flat\u0131r. V\u00fccut, apoptotik benzeri h\u00fccre \u00f6l\u00fcm\u00fcne h\u00fccresel kal\u0131nt\u0131lar\u0131n uzakla\u015ft\u0131r\u0131lmas\u0131n\u0131 ba\u015flatarak yan\u0131t verir.<\/p><figure><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-66.png\" alt=\"\" data-id=\"934\" data-full-url=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-66.png\" data-link=\"https:\/\/prostatefocaltherapies.com\/?attachment_id=934\" \/><\/figure><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-67.png\" alt=\"\" data-id=\"935\" data-full-url=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-67.png\" data-link=\"https:\/\/prostatefocaltherapies.com\/?attachment_id=935\" \/><\/figure><\/figure><p>Tedavi etmek istedi\u011finiz alan\u0131 lokalize etmek ba\u015fl\u0131 ba\u015f\u0131na bir bilimdir ve normalde uzun y\u0131llara dayanan deneyime sahip tan\u0131 ve\/veya giri\u015fimsel radyologlar taraf\u0131ndan yap\u0131l\u0131r. Uzman hekimler aras\u0131nda anla\u015fma sa\u011fland\u0131ktan sonra kanserli b\u00f6lgeye elektrotlar yerle\u015ftirilir.<\/p><h2>Nanoknife&#8217;\u0131n Avantajlar\u0131<\/h2><p>NanoKnife, son derece g\u00fc\u00e7l\u00fc elektrik alanlar\u0131n\u0131n ultra k\u0131sa (100 \u00b5sn) darbelerine dayanmaktad\u0131r. T\u00fcm standart prosed\u00fcrlerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, bu yeni teknolojinin benzersiz \u00f6zellikleri vard\u0131r:<\/p><ul><li><strong>Doku se\u00e7icili\u011fi:<\/strong> Di\u011fer t\u00fcm yap\u0131lar (sinirler, arterler, ba\u011f dokusu yap\u0131lar\u0131 vb.) zarar g\u00f6rmeden kal\u0131rken, yaln\u0131zca h\u00fccre zar\u0131na sahip olan h\u00fccreler (\u00f6rne\u011fin kanser h\u00fccreleri) g\u00fcvenilir bir \u015fekilde yok edilir.<br \/><br \/><\/li><li><strong>Ultra keskin kenarlar:<\/strong> NanoKnife ile &#8220;tamamen kald\u0131r\u0131lm\u0131\u015f&#8221; ve &#8220;hasars\u0131z&#8221; aras\u0131ndaki \u00e7izgi mikrometre cinsinden \u00f6l\u00e7\u00fcl\u00fcr. Bu, radyasyon, \u0131s\u0131 bazl\u0131 tedaviler ve hatta merkezi tedavi alan\u0131n\u0131n her zaman istenmeyen doku hasar\u0131 alan\u0131yla (genellikle santimetre \u00e7ap\u0131nda) \u00e7evrelendi\u011fi cerrahi gibi di\u011fer tedavilerle olumlu bir tezat olu\u015fturuyor.<br \/><br \/><\/li><li><strong>Uyar\u0131lm\u0131\u015f h\u00fccre \u00f6l\u00fcm\u00fc:<\/strong> NanoKnife h\u00fccre \u00f6l\u00fcm\u00fcne veya apoptoza neden olur, ancak radyasyon hasar\u0131 veya yanmas\u0131 ve dolay\u0131s\u0131yla yara izi b\u0131rakmaz. Radyasyon (protonterapi, brakiterapi vb.) veya \u0131s\u0131 tedavileri (HIFU vb.) gibi g\u00fcncel standart prosed\u00fcrler ile yanm\u0131\u015f doku v\u00fccut i\u00e7in bir toksin oldu\u011fu i\u00e7in geni\u015f bir \u201ctoksik\u201d alan olu\u015fur. Sonu\u00e7, iltihaplanma ve a\u011fr\u0131d\u0131r, ard\u0131ndan yara izi olu\u015fur ve bunlar\u0131n t\u00fcm\u00fc, tekrarlama durumunda gerekli olabilecek sonraki tedavileri engeller veya engeller.<br \/><br \/><\/li><li><strong>Tekrarlanan tedavide s\u0131n\u0131r yok:<\/strong> IRE tedavisi kal\u0131c\u0131 doku hasar\u0131na neden olmad\u0131\u011f\u0131ndan, NanoKnife tedavisinden sonra di\u011fer t\u00fcm teknikleri (radyasyon, \u0131s\u0131, cerrahi) kullanarak tedavi s\u0131n\u0131rlama olmaks\u0131z\u0131n hala m\u00fcmk\u00fcnd\u00fcr. NanoKnife tedavisi de gerekti\u011fi kadar tekrarlanabilir.<br \/><br \/><\/li><li><strong>A\u011fr\u0131s\u0131z ve minimal invaziv:<\/strong> Yukar\u0131da bahsedilen nedenlerle ve kullan\u0131lan tek invaziv alet ince i\u011fneler oldu\u011fu i\u00e7in hastalar genellikle tedaviyi hi\u00e7 hissetmezler bile.<br \/><br \/><\/li><li><strong>H\u0131zl\u0131 ve tek seansta:<\/strong> Genel anestezi alt\u0131nda tek seansta geni\u015f alanlar bile tedavi edilebilir.<\/li><\/ul><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-68.png\" alt=\"\" \/><\/figure><p>Bir teknik olarak IRE, 2006&#8217;dan beri ABD&#8217;de FDA ve Avrupa&#8217;da CE taraf\u0131ndan onaylanm\u0131\u015ft\u0131r. Yumu\u015fak dokuda tan\u0131mlanm\u0131\u015f bir alandaki t\u00fcm h\u00fccrelerin g\u00fcvenilir \u015fekilde \u00f6ld\u00fcr\u00fcld\u00fc\u011f\u00fcn\u00fc t\u00fcm \u00e7al\u0131\u015fmalarda kan\u0131tlamak m\u00fcmk\u00fcn oldu\u011fu i\u00e7in sertifikasyon ald\u0131. Bununla birlikte, herhangi bir IRE tedavisinin ba\u015far\u0131s\u0131 i\u00e7in iki fakt\u00f6r kritiktir:<\/p><p>Birincisi, tedaviden \u00f6nce t\u00fcm\u00f6r\u00fcn yerinin kesinlikle do\u011fru ve kesin olarak bilinmesidir.<\/p><p>\u0130kincisi, elektrik alan\u0131n\u0131n do\u011fru konuma yerle\u015ftirilmesidir.<\/p><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-69.png\" alt=\"\" \/><\/figure><h2>\u0130\u015flem S\u0131ras\u0131nda Neler Beklenmeli?<\/h2><p>1-\u0130\u015flem perk\u00fctan olarak yap\u0131l\u0131r (elektrotlar deriden ge\u00e7irilir ve v\u00fccudun cerrahi olarak a\u00e7\u0131lmas\u0131 gerekmez). \u0130\u015flem ba\u015flamadan \u00f6nce sakinle\u015feceksiniz ve i\u015flem tamamlanana kadar sakinle\u015feceksiniz.<\/p><p>2- \u0130\u015flem s\u0131ras\u0131nda doktorunuz elektrotlar\u0131 hedeflenen dokuyu tutturacak \u015fekilde yerle\u015ftirecektir. Kullan\u0131lan elektrot say\u0131s\u0131 2 ile 6 aras\u0131nda de\u011fi\u015febilir ve tedavi \u00f6ncesi doktorunuz taraf\u0131ndan belirlenir.<\/p><p>3- Elektrotlar yerle\u015ftirildikten sonra doktorunuz bir dizi elektrik darbesi ba\u015flatacakt\u0131r. Kullan\u0131lan voltaj ve i\u015flemin s\u00fcresi tedavi \u00f6ncesi doktorunuz taraf\u0131ndan belirlenir.<\/p><p>4- Hekiminiz hedeflenen b\u00f6lgeye yeterli say\u0131da puls verdikten sonra i\u015flem tamamlan\u0131r ve elektrotlar \u00e7\u0131kar\u0131l\u0131r.<\/p><figure><img decoding=\"async\" src=\"https:\/\/prostatefocaltherapies.com\/wp-content\/uploads\/2021\/10\/resim-70.png\" alt=\"\" \/><\/figure><h3>Prostat Kanseri i\u00e7in IRE Tedavisinin Yan Etkileri<\/h3><p><strong><em><u style=\"font-size: 20px; color: red;\">&#8220;KOMPLIKASYON ORANLARI, B\u00dcY\u00dcK \u00d6L\u00c7\u00dcDE HASTANIN LEZYONUNUN YERI VE BOYUTUNUN YANI SIRA OPERAT\u00d6R\u00dcN DENEYIMINE DE BA\u011eLIDIR.&#8221;<br \/><\/u><\/em><\/strong><br \/><strong>Erken Yan Etkiler (Tedaviden Hemen Sonra ve \u0130lk Haftalar):<\/strong><\/p><ul><li><strong>Yorgunluk ve uyu\u015fukluk:<\/strong> Hastalar tedaviden hemen sonra anesteziden yorgun hissedebilir ve v\u00fccut iyile\u015ftik\u00e7e 1-2 hafta boyunca yorgunluk hissetmeye devam edebilirler. Bu normal.<br \/><br \/><\/li><\/ul><ul><li><strong>\u0130drar Belirtileri:<\/strong><ul><li>Aciliyet, s\u0131kl\u0131k, gece idrara \u00e7\u0131kmak i\u00e7in kalkma<\/li><li>\u0130drar yaparken rahats\u0131zl\u0131k veya yanma<\/li><li>Prostat \u015fi\u015fmesi ve iltihab\u0131 nedeniyle daha yava\u015f idrar ak\u0131\u015f\u0131<br \/><br \/><\/li><\/ul><\/li><li>Bu idrar semptomlar\u0131 tipik olarak 6 ila 8 hafta i\u00e7inde d\u00fczelir, ancak baz\u0131 hastalarda 3 aya kadar s\u00fcrebilir.<br \/><br \/><\/li><li>\u00c7o\u011fu hasta 2-3 hafta sonra masa ba\u015f\u0131 \u00e7al\u0131\u015fmaya d\u00f6nebilir ve ilk 4 hafta yorucu aktivitelerden veya kar\u0131n bas\u0131nc\u0131ndan ka\u00e7\u0131nmal\u0131, sonraki 2-3 hafta i\u00e7inde kademeli olarak devam etmelidir.<br \/><br \/><\/li><li><strong>\u0130drarda Kan:<\/strong> V\u00fccut \u00f6l\u00fc prostat dokusunu d\u0131\u015far\u0131 att\u0131\u011f\u0131ndan, cilt yaras\u0131nda kabuk olu\u015fumuna benzer \u015fekilde ara s\u0131ra kan, kan p\u0131ht\u0131lar\u0131 veya idrarda doku kal\u0131nt\u0131lar\u0131 yayg\u0131nd\u0131r.<br \/><br \/><\/li><li><strong>Enfeksiyon:<\/strong><ul><li>Antibiyotik gerektiren idrar yolu enfeksiyonlar\u0131 ortaya \u00e7\u0131kabilir.<\/li><li>Nadiren testiste enfeksiyonlar (epididimo-or\u015fit) geli\u015febilir.<\/li><li>\u00c7ok nadiren enfeksiyonlar intraven\u00f6z antibiyotik i\u00e7in hastaneye yat\u0131\u015f gerektirebilir.<br \/><br \/><\/li><\/ul><\/li><\/ul><p><strong>Ameliyat veya Anesteziye Ba\u011fl\u0131 Nadir Komplikasyonlar:<\/strong><\/p><ul><li>G\u00f6\u011f\u00fcs enfeksiyonlar\u0131<\/li><li>Bacaklarda (derin ven trombozu) veya akci\u011ferlerde (pulmoner emboli) kan p\u0131ht\u0131lar\u0131<\/li><li>Ameliyat s\u0131ras\u0131nda kompresyon \u00e7oraplar\u0131 ve kan suland\u0131r\u0131c\u0131 enjeksiyonlar gibi \u00f6nleyici tedbirler standartt\u0131r.<br \/><br \/><\/li><\/ul><h3><strong>Uzun Vadeli Yan Etkiler:<\/strong><\/h3><ul><li><strong>\u0130drar ka\u00e7\u0131rma:<\/strong><ul><li>G\u00fcnde en az bir ped takma ihtiyac\u0131 riski \u00e7ok nadirdir (yakla\u015f\u0131k %0,2-0,5).<\/li><li>T\u00fcm\u00f6r \u00fcriner sfinkter kas\u0131na yak\u0131nsa risk daha y\u00fcksek olabilir; Doktorunuz bunun ge\u00e7erli olup olmad\u0131\u011f\u0131n\u0131 bildirecektir.<\/li><li>\u00a0<\/li><\/ul><\/li><li><strong>Erektil Disfonksiyon (ED):<\/strong><ul><li>Risk, ne kadar prostat dokusunun tedavi edildi\u011fine ve ba\u015flang\u0131\u00e7taki erektil fonksiyona ba\u011fl\u0131 olarak 5% ila 15% aras\u0131nda de\u011fi\u015fir.<\/li><li>Ba\u015flang\u0131\u00e7 fonksiyonu iyi olan hastalarda %5-10 risk vard\u0131r; Daha k\u00f6t\u00fc fonksiyona sahip olanlar %10-15 risk ta\u015f\u0131r.<\/li><li>Prostat\u0131n her iki taraf\u0131n\u0131 da tedavi etmek riski kabaca iki kat\u0131na \u00e7\u0131kar\u0131r.<br \/><br \/><\/li><\/ul><\/li><li><strong>Kuru Orgazm (Seminal S\u0131v\u0131 Yok):<\/strong><ul><li>Ortalama risk yakla\u015f\u0131k %15-20&#8217;dir.<\/li><li>Her iki taraf da tedavi edilirse veya tedavi seminal s\u0131v\u0131 t\u00fcplerinin birle\u015fti\u011fi orta prostata yak\u0131nsa y\u00fcksek risk.<\/li><li>S\u0131v\u0131 mevcut olsa bile, hacim genellikle azal\u0131r.<\/li><li>S\u0131v\u0131 varsa, canl\u0131 sperm i\u00e7erebilir &#8211; hamilelik istenmiyorsa do\u011fum kontrol\u00fc kullan\u0131lmal\u0131d\u0131r.<\/li><li>Kuru orgazm i\u00e7in \u015fu anda etkili bir tedavi yok.<br \/><br \/><\/li><\/ul><\/li><li><strong>Ba\u011f\u0131rsak veya Rektal Problemler:<\/strong><ul><li>Uzun s\u00fcreli ba\u011f\u0131rsak sorunlar\u0131 \u00e7ok nadirdir.<\/li><li>Baz\u0131 hastalar tedaviden k\u0131sa bir s\u00fcre sonra kab\u0131zl\u0131k veya ba\u011f\u0131rsak rahats\u0131zl\u0131\u011f\u0131 ya\u015fayabilir ve genellikle h\u0131zla d\u00fczelir.<\/li><li>\u00c7ok nadir (1000&#8217;de 1 &#8211; %0,1) rekto-\u00fcretral fist\u00fcl (rektum ile idrar yolunu birbirine ba\u011flayan bir delik) riski.<\/li><li>Fist\u00fcl olu\u015fursa, iyile\u015fme i\u00e7in uzun s\u00fcreli kateter drenaj\u0131 gerekir; \u0130yile\u015fme ger\u00e7ekle\u015fmezse ameliyat gerekebilir.<br \/><br \/><\/li><\/ul><\/li><li><strong>\u00dcretra Daralmas\u0131 (Darl\u0131k):<\/strong><ul><li>Hastalar\u0131n yakla\u015f\u0131k %0,1-1&#8217;inde g\u00f6r\u00fcl\u00fcr.<\/li><li>Genel anestezi alt\u0131nda sistoskopik bir prosed\u00fcrle nekrotik dokunun veya skar dokusunun cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131n\u0131 gerektirebilir.<br \/><br \/><\/li><\/ul><\/li><\/ul><h2><strong>\u0130\u015flem Sonras\u0131<\/strong><\/h2><p>\u0130\u011fneler geri \u00e7ekildikten sonra i\u011fne giri\u015f yerleri an\u0131nda kapan\u0131r. Hastan\u0131n a\u011fr\u0131s\u0131 yoktur. Baz\u0131 insanlar kateteri tats\u0131z buluyor. Kateter bir ila yedi g\u00fcn sonra \u00e7\u0131kar\u0131labilir. \u0130\u015flemden birka\u00e7 hafta sonras\u0131na kadar idrarda veya seminal s\u0131v\u0131da az miktarda kan olmas\u0131 m\u00fcmk\u00fcnd\u00fcr, \u00e7\u00fcnk\u00fc v\u00fccudun NanoKnife prosed\u00fcr\u00fcn\u00fcn ablasyonu taraf\u0131ndan tahrip edilen dokuyu bo\u015faltmas\u0131 i\u00e7in alt\u0131 aya kadar ihtiyac\u0131 olabilir.<\/p><h2><strong>Tedavi sonras\u0131 takip nas\u0131ld\u0131r?<\/strong><\/h2><p>PSA seviyeleri her 3 ayda bir kontrol edilmelidir.<\/p><p>Prostat kanserinizin tedavi edilip edilmedi\u011fini kontrol etmek i\u00e7in tedaviden sonra belirli periyotlarda prostat MR \u00e7ektirirsiniz.<\/p><p>Herhangi bir klinik gereklilik durumunda, do\u011frulamak i\u00e7in prostat biyopsisi kullan\u0131labilir.<\/p><p>Kanser h\u00fccreleri varsa, ikinci bir NanoKnife tedavisi veya di\u011fer fokal terapi prosed\u00fcrleri kullan\u0131labilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Prostat Kanseri Odak Tedavisi (NanoKnife Tekni\u011fi ile) https:\/\/youtu.be\/pLpBK37ByZY \u2018Fokal tedaviler i\u00e7in uygun hasta se\u00e7imi ve i\u015flem sonras\u0131 takip i\u00e7in en geli\u015fmi\u015f g\u00f6r\u00fcnt\u00fcleme tekniklerini (3T mpMRI, MR-f\u00fczyon biyopsisi, PSMA-PET\/CT ve PSMA-PET\/MRI verileri) kullan\u0131yoruz.\u2019 PROSTAT KANSER\u0130 ODAK TEDAV\u0130S\u0130 \u2013 NANOKNIFE TEKN\u0130\u011e\u0130 Hastalar\u0131m\u0131zdan Birinin Nanoknife \u0130\u015flemi \u00d6ncesi ve Sonras\u0131 MR Verileri: \u00d6nce: Oklar prostat kanserini g\u00f6steriyor Sonra: T\u00fcm\u00f6r\u00fcn [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6512","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages\/6512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/comments?post=6512"}],"version-history":[{"count":8,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages\/6512\/revisions"}],"predecessor-version":[{"id":7659,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages\/6512\/revisions\/7659"}],"wp:attachment":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/media?parent=6512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}