q\u0131l d\u00f6nm\u0259si<\/a> kimi istinad edils\u0259 d\u0259, x\u0259st\u0259liyi d\u0259qiq ifad\u0259 ed\u0259n termin sa\u00e7 yuvas\u0131d\u0131r. \u00c7\u00fcnki pilonidal sinus x\u0259st\u0259liyi q\u0131l k\u00f6kl\u0259ri il\u0259 deyil, b\u0259d\u0259nin xarici s\u0259thind\u0259n d\u0259rinin alt\u0131na \u00e7\u00f6k\u0259n q\u0131l(t\u00fck) \u0259laq\u0259dard\u0131r.<\/p>\n\u00dcmumiyy\u0259tl\u0259 g\u0259nc \u0259halid\u0259 m\u00fc\u015fahid\u0259 olunan bu anal x\u0259st\u0259liyi ki\u015fil\u0259rd\u0259 daha \u00e7ox rast g\u0259lins\u0259 d\u0259, qad\u0131nlarda da ba\u015f ver\u0259 bil\u0259r.<\/p>\n
Q\u0131l batmas\u0131 b\u0259d\u0259nin sa\u00e7 s\u0131xl\u0131\u011f\u0131n\u0131n \u00e7ox oldu\u011fu b\u00f6lg\u0259l\u0259rd\u0259n, m\u0259s\u0259l\u0259n, arxa v\u0259 ya bel b\u00f6lg\u0259sind\u0259n t\u00f6k\u00fcl\u0259n koksiks b\u00f6lg\u0259sind\u0259 t\u00fckl\u0259rin y\u0131\u011f\u0131lmas\u0131 n\u0259tic\u0259sind\u0259 meydana g\u0259lir. O, intergluteal sulcus adlanan bu nahiy\u0259d\u0259ki d\u0259ri toxumas\u0131n\u0131 de\u015f\u0259r\u0259k d\u0259rinin alt\u0131na yerl\u0259\u015f\u0259r\u0259k burada sa\u00e7 kis\u0259sinin \u0259m\u0259l\u0259 g\u0259lm\u0259sin\u0259 s\u0259b\u0259b olur. B\u0259d\u0259nin immun sistemi zamanla kistik bir qurulu\u015f meydana g\u0259tir\u0259r\u0259k d\u0259rinin alt\u0131ndak\u0131 bu t\u00fck kis\u0259sin\u0259 reaksiya verir.
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Eyni zamanda, yad cisiml\u0259rin par\u00e7alanaraq m\u0259hv edilm\u0259si \u00fc\u00e7\u00fcn nahiy\u0259d\u0259 maye y\u0131\u011f\u0131lmas\u0131 ba\u015f verir. Abses v\u0259 ya iltihab olaraq bilin\u0259n bu maye zaman zaman t\u00fck\u00fcn giri\u015f d\u0259likl\u0259rind\u0259n s\u0131zaraq insan\u0131n paltar\u0131nda ax\u0131nt\u0131 buraxa bil\u0259r. B\u0259zi hallarda he\u00e7 bir ax\u0131nt\u0131 olmadan nahiy\u0259d\u0259 s\u0259rtlik v\u0259 \u015fi\u015fkinlik kimi \u0259lam\u0259tl\u0259r verir. Abses ba\u015f verm\u0259s\u0259 bel\u0259, b\u00fct\u00fcn hallarda i\u00e7l\u0259\u015f\u0259n t\u00fckler m\u00fcalic\u0259 edilm\u0259lidir. M\u00fcalic\u0259 edilm\u0259dikd\u0259, x\u0259st\u0259liyin \u00f6z-\u00f6z\u00fcn\u0259 ke\u00e7m\u0259si m\u00fcmk\u00fcn deyil. \u018fn q\u0131sa zamanda m\u00fct\u0259x\u0259ssis proktoloq h\u0259kim m\u00fcayin\u0259 olunmal\u0131 v\u0259 \u015f\u0259xs\u0259 \u0259n uy\u011fun m\u00fcalic\u0259 \u00fcsuluna ba\u015flan\u0131lmal\u0131d\u0131r.
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Arxa v\u0259 koksiks b\u00f6lg\u0259sind\u0259 t\u00fckl\u0259rin s\u0131xl\u0131\u011f\u0131 v\u0259 ya arxa nahiy\u0259d\u0259n h\u0259ddind\u0259n art\u0131q miqdarda sa\u00e7 t\u00f6k\u00fclm\u0259si<\/p>\n
\u0130ntergluteal sulkus b\u00f6lg\u0259sind\u0259(iki omba aras\u0131ndak\u0131 bo\u015f sah\u0259), d\u0259rinin s\u0259thinin asanl\u0131qla q\u0131c\u0131qlanmas\u0131<\/p>\n
Q\u0131l batmas\u0131n\u0131n(Pilonidal sinus) nahiy\u0259sind\u0259ki d\u0259rinin s\u0259thinin n\u0259mliyi,<\/p>\n
Koksiks b\u00f6lg\u0259sind\u0259 \u00e7atlar v\u0259 ya \u00e7ap\u0131qlar\u0131n olmas\u0131,<\/p>\n
yerli travma<\/p>\n
Koksiks v\u0259 arxa nahiy\u0259sinin gigiyenas\u0131na diqq\u0259t yetirm\u0259m\u0259k,<\/p>\n
Genetik meyl,<\/p>\n
Piyl\u0259nm\u0259 kimi \u00e7\u0259ki probleml\u0259ri,<\/p>\n
oturaq h\u0259yat s\u00fcrm\u0259k<\/p>\n
uzun m\u00fcdd\u0259t oturmaq v\u0259 ya<\/p>\n
H\u0259ddind\u0259n art\u0131q t\u0259rl\u0259m\u0259 problemi.
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T\u00fck s\u0131xl\u0131\u011f\u0131ndan as\u0131l\u0131 olaraq ki\u015fil\u0259rd\u0259 qad\u0131nlara nisb\u0259t\u0259n daha \u00e7ox rast g\u0259linir. Qad\u0131nlarda t\u00fck\u00fcn s\u0259rt qurulu\u015fu v\u0259 s\u0131x t\u00fck\u00fcn olmas\u0131 q\u0131l batmas\u0131(pilonidal sinus) \u00fc\u00e7\u00fcn risk faktorlar\u0131ndand\u0131r. \u018fsg\u0259rlik zaman\u0131 v\u0259 ya xidm\u0259td\u0259n sonra ki\u015fil\u0259rd\u0259 daha \u00e7ox rast g\u0259linir. Uzun m\u00fcdd\u0259t m\u00fcalic\u0259 olunmaq m\u0259cburiyy\u0259tind\u0259 qalan v\u0259 ya t\u0259till\u0259r s\u0259b\u0259biyl\u0259 davaml\u0131 olaraq uzanm\u0131\u015f v\u0259ziyy\u0259td\u0259 dinc\u0259l\u0259n x\u0259st\u0259l\u0259rd\u0259 d\u0259 t\u00fckl\u0259r bat\u0131r. T\u00fckl\u0259rin t\u0259k istiqam\u0259tli h\u0259r\u0259k\u0259ti il\u0259 intergluteal sulkus b\u00f6lg\u0259sin\u0259 yerl\u0259\u015f\u0259n sa\u00e7 ucunun uzun m\u00fcdd\u0259t oturduqdan v\u0259 ya yatd\u0131qdan sonra t\u0259zyiq s\u0259b\u0259biyl\u0259 ir\u0259lil\u0259m\u0259sin\u0259 s\u0259b\u0259b olur.<\/p>\n
Piyl\u0259nm\u0259 kimi \u00e7\u0259ki probleml\u0259ri ya\u015famaq da q\u0131l batmas\u0131(pilonidal sinus) tetikler. Art\u0131q \u00e7\u0259ki n\u0259tic\u0259sind\u0259 g\u00f6r\u00fcl\u0259n h\u0259ddind\u0259n art\u0131q t\u0259rl\u0259m\u0259, t\u00fcklerin ir\u0259lil\u0259m\u0259sini asanla\u015fd\u0131raraq nahiy\u0259d\u0259 q\u0131c\u0131qlanmaya s\u0259b\u0259b olaraq d\u0259rinin alt\u0131na daha asan yerl\u0259\u015fm\u0259y\u0259 s\u0259b\u0259b olur.<\/p>\n
“Bundan \u0259lav\u0259, pilonidal sinus x\u0259st\u0259liyi s\u0259rt t\u00fck qurulu\u015fu v\u0259 y\u00fcks\u0259k t\u00fck s\u0131xl\u0131\u011f\u0131 olan insanlarda g\u00f6r\u00fcl\u0259 bil\u0259r.”
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Q\u0131l d\u00f6nm\u0259si s\u0259b\u0259bi t\u0259mizlik s\u0259b\u0259biyl\u0259 t\u0259ra\u015f v\u0259 ya a\u011fda istifad\u0259 edilm\u0259sidir. Bu prosedurlardan sonra d\u0259rinin alt\u0131nda k\u00f6kl\u0259ri olan v\u0259 bu b\u00f6lg\u0259d\u0259 d\u0259ri s\u0259thin\u0259 \u00e7ata bilm\u0259y\u0259n t\u00fck strukturlar\u0131 d\u0259rinin alt\u0131nda b\u00f6y\u00fcm\u0259y\u0259 ba\u015flay\u0131r. B\u00f6y\u00fcm\u00fc\u015f kimi t\u0259svir edil\u0259n bu t\u00fckl\u0259r d\u0259rinin alt\u0131nda ili\u015fib qald\u0131qlar\u0131 \u00fc\u00e7\u00fcn t\u0259rs istiqam\u0259td\u0259dir v\u0259 g\u0259l\u0259c\u0259kd\u0259 narahatl\u0131q yarad\u0131r<\/p>\n
Q\u0131l batmas\u0131, y\u0259ni Pilonidal Sinus poz\u011funlu\u011fu, b\u0259d\u0259nin m\u00fcxt\u0259lif yerl\u0259rind\u0259n t\u00f6k\u00fcl\u0259n v\u0259 koksiksd\u0259 toplanan v\u0259 d\u0259riy\u0259 daxil olan sa\u00e7 qurulu\u015flar\u0131ndan qaynaqlan\u0131r. D\u0259ri toxumas\u0131na xaricd\u0259n n\u00fcfuz ed\u0259n v\u0259 d\u0259rinin alt\u0131na yerl\u0259\u015f\u0259n t\u00fckl\u0259rin kistik qurulu\u015funun \u0259m\u0259l\u0259 g\u0259lm\u0259si n\u0259tic\u0259sind\u0259 g\u00f6r\u00fcn\u00fcr.
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Anal nahiy\u0259sinin v\u0259 koksiksin t\u0259mizl\u0259nm\u0259sini pozmaq,<\/p>\n
Bu nahiy\u0259l\u0259r qeyri-gigiyenikdir, buna fikir vermirl\u0259r,<\/p>\n
h\u0259ddind\u0259n art\u0131q t\u0259rl\u0259m\u0259<\/p>\n
art\u0131q \u00e7\u0259ki probleml\u0259ri, piyl\u0259nm\u0259,<\/p>\n
M\u00fcnt\u0259z\u0259m v\u0259 tez-tez du\u015f q\u0259bul etm\u0259m\u0259k<\/p>\n
Dig\u0259r s\u0259b\u0259bl\u0259rd\u0259n koksiks nahiy\u0259sind\u0259 yara,<\/p>\n
“ail\u0259 meyli.”<\/p>\n
Bu risk faktorlar\u0131na diqq\u0259t yetirilm\u0259si x\u0259st\u0259likl\u0259rin qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131 bax\u0131m\u0131ndan da vacibdir.
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Ba\u015fqa bir \u00fcsul olaraq, \u0259m\u0259liyyat\u0131n klassik c\u0259rrahi \u00fcsulu il\u0259 qar\u015f\u0131la\u015f\u0131r\u0131q. B\u00f6lg\u0259d\u0259ki sa\u011flam toxumalara \u00e7ox z\u0259r\u0259r ver\u0259n bir \u00fcsuldur. Bu \u00fcsulda batm\u0131\u015f t\u00fckl\u0259ri olan toxuma par\u00e7as\u0131n\u0131 \u00e7\u0131xarmaq \u00fc\u00e7\u00fcn geni\u015f nahiy\u0259y\u0259 k\u0259sik t\u0259tbiq edilir v\u0259 k\u0259silmi\u015f d\u0259rialt\u0131 toxumalar (ad\u0259t\u0259n sa\u011flam toxumalar da daxil olmaqla) \u00e7\u0131xar\u0131l\u0131r. Daha sonra k\u0259sil\u0259r\u0259k \u00e7\u0131xar\u0131lan d\u0259ri par\u00e7as\u0131 yenid\u0259n eyni yer\u0259 qoyulur v\u0259 bu d\u0259f\u0259 tiki\u015fl\u0259r vurulur. Bu \u00fcsul b\u00f6lg\u0259d\u0259 \u00e7oxlu da\u011f\u0131nt\u0131lara s\u0259b\u0259b olur. Bu v\u0259ziyy\u0259td\u0259 x\u0259st\u0259 c\u0259rrahi yaralar v\u0259 uzun bir sa\u011falma d\u00f6vr\u00fc s\u0259b\u0259biyl\u0259 \u015fidd\u0259tli a\u011fr\u0131 il\u0259 qar\u015f\u0131la\u015f\u0131r. T\u0259bii ki, bu a\u011fr\u0131l\u0131 prosedur zaman\u0131 insan\u0131n \u015f\u00fcuru ayd\u0131n olmur, \u00fcmumi anesteziya t\u0259tbiq olunur. Buna g\u00f6r\u0259 d\u0259, prosedurdan sonra x\u0259st\u0259xanaya yerl\u0259\u015fdirm\u0259 m\u0259cburidir.<\/p>\n
H\u0259m m\u00fcalic\u0259 prosesi, h\u0259m d\u0259 m\u00fcalic\u0259d\u0259n sonrak\u0131 a\u00e7\u0131q yaralar s\u0259b\u0259bind\u0259n (infeksiya riski y\u00fcks\u0259k oldu\u011fu \u00fc\u00e7\u00fcn) insan\u0131n sa\u011falma m\u00fcdd\u0259ti \u00e7ox uzun \u00e7\u0259kir.<\/p>\n
Klassik c\u0259rrahi \u00fcsulda g\u00f6r\u00fcl\u0259n a\u011f\u0131rla\u015fmalara g\u00f6r\u0259 bu g\u00fcn \u0259m\u0259liyyats\u0131z m\u00fcalic\u0259 \u00fcsullar\u0131na daha \u00e7ox \u00fcst\u00fcnl\u00fck verilir. M\u0259rk\u0259zimizd\u0259 d\u0259 t\u0259tbiq etdiyimiz q\u0131l batmas\u0131 \u0259m\u0259liyyats\u0131z m\u00fcalic\u0259l\u0259rind\u0259 b\u00f6y\u00fck k\u0259sikl\u0259r v\u0259 tiki\u015fl\u0259r yoxdur. Batan t\u00fckl\u0259r nahiy\u0259sind\u0259ki giri\u015f v\u0259 \u00e7\u0131x\u0131\u015f sinus d\u0259likl\u0259rind\u0259n abses v\u0259 t\u00fck follikulunun \u00e7\u0131xar\u0131lmas\u0131na \u0259saslan\u0131r. Qeyri-c\u0259rrahi batm\u0131\u015f sa\u00e7lar\u0131n m\u00fcalic\u0259sind\u0259 \u0259sas prinsip sa\u011flam toxumaya m\u00fcdaxil\u0259 etm\u0259d\u0259n t\u00fck k\u0259sicisini \u00e7\u0131xarmaqd\u0131r. Bu say\u0259d\u0259 insanlar \u00fc\u00e7\u00fcn normal \u0259m\u0259liyyatdan \u00e7ox daha s\u0259rf\u0259lidir. Ki\u00e7ik bir \u0259m\u0259liyyat hesab ed\u0259 bil\u0259c\u0259yimiz bu \u00fcsulda lokal anesteziya il\u0259 apar\u0131l\u0131r. Bu \u015f\u0259kild\u0259 narkozun a\u011f\u0131rla\u015fmalar\u0131 m\u00fc\u015fahid\u0259 olunmur. \u00c7\u0259tin bir c\u0259rrahi \u0259m\u0259liyyat yerin\u0259 q\u0131sa m\u00fcdd\u0259td\u0259 h\u0259yata ke\u00e7iril\u0259n bu \u00fcsulla \u0259m\u0259liyyatdan sonra insan\u0131n oturma v\u0259 ya uzanma problemi ya\u015fanm\u0131r
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” Q\u0131l batmas\u0131 (Pilonidal Sinus) \u0259m\u0259liyyat\u0131ndan sonra x\u0259st\u0259l\u0259rin g\u00fcnd\u0259lik h\u0259r\u0259k\u0259tl\u0259ri m\u0259hdudla\u015fd\u0131r\u0131la bil\u0259r.”<\/p>\n
\u018fm\u0259liyyat n\u0259tic\u0259sind\u0259 a\u011fr\u0131 v\u0259 ax\u0131nt\u0131 ola bil\u0259r.<\/p>\n
Q\u0131l batmas\u0131 (Pilonidal Sinus) \u0259m\u0259liyyatdan sonra t\u0259krarlana bil\u0259r.<\/p>\n
X\u0259st\u0259nin tiki\u015f sah\u0259sini m\u00fct\u0259madi olaraq sar\u011f\u0131 etm\u0259si laz\u0131m ola bil\u0259r<\/p>\n
X\u0259st\u0259l\u0259r tualet ehtiyaclar\u0131 zaman\u0131 oturmu\u015f v\u0259ziyy\u0259td\u0259 durmama\u011fa diqq\u0259t etm\u0259lidirl\u0259r.<\/p>\n
“X\u0259st\u0259 n\u0259cis verm\u0259kd\u0259 \u00e7\u0259tinlik \u00e7\u0259k\u0259 bil\u0259r, h\u0259ddind\u0259n art\u0131q g\u0259rginlik n\u0259tic\u0259sind\u0259 a\u011fr\u0131 hiss ed\u0259 bil\u0259r.”<\/p>\n
“C\u0259rrahiyy\u0259 sah\u0259sinin t\u0259mizl\u0259nm\u0259sin\u0259 diqq\u0259t yetirilm\u0259zs\u0259, infeksiya v\u0259 ya iltihab inki\u015faf ed\u0259 bil\u0259r.”
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Narkoz t\u0259tbiqi yoxdur. Regional anesteziya lokal anesteziya il\u0259 apar\u0131l\u0131r.<\/p>\n
\u0130nsan\u0131n he\u00e7 bir ilkin haz\u0131rl\u0131q g\u00f6rm\u0259sin\u0259 ehtiyac yoxdur.<\/p>\n
\u018flav\u0259 m\u00fcayin\u0259 v\u0259 ya analiz t\u0259l\u0259b olunmur. Prosedur zaman\u0131 x\u0259st\u0259 \u015f\u00fcurlu v\u0259ziyy\u0259td\u0259dir.<\/p>\n
Prosedur zaman\u0131 v\u0259 sonras\u0131nda hiss olunan a\u011fr\u0131n\u0131n miqdar\u0131 \u00e7ox azd\u0131r
\nK\u0259sikl\u0259r v\u0259 ya tiki\u015fl\u0259r kimi c\u0259rrahi t\u0259tbiql\u0259r i\u015ftirak etm\u0259diyi \u00fc\u00e7\u00fcn anal b\u00f6lg\u0259d\u0259 toxuma z\u0259d\u0259l\u0259nm\u0259si ya\u015fanm\u0131r.<\/p>\n
M\u00fcalic\u0259d\u0259n d\u0259rhal sonra insan g\u00fcnd\u0259lik h\u0259yat\u0131na qay\u0131da bil\u0259r.<\/p>\n
Sistemli v\u0259 xroniki x\u0259st\u0259likl\u0259ri olan insanlar da \u0259m\u0259liyyat olmadan rahatl\u0131qla lazerl\u0259 m\u00fcalic\u0259 ed\u0259 bil\u0259rl\u0259r. Qan t\u0259zyiqi, \u015f\u0259k\u0259rli diabet v\u0259 \u00fcr\u0259k x\u0259st\u0259liyi olan x\u0259st\u0259l\u0259r adi d\u0259rmanlar\u0131ndan istifad\u0259 etm\u0259y\u0259 davam ed\u0259 bil\u0259rl\u0259r<\/p>\n
X\u0259st\u0259l\u0259r eyni g\u00fcnd\u0259 m\u00fcayin\u0259 v\u0259 m\u00fcalic\u0259 oluna bil\u0259r. Qeyri-c\u0259rrahi q\u0131l batmas\u0131 (Pilonidal Sinus) m\u00fcalic\u0259sind\u0259n sonra insan sosial v\u0259 i\u015f h\u0259yat\u0131na qay\u0131da bil\u0259r.[\/vc_column_text][vc_empty_space height=”23px”][vc_separator][vc_empty_space height=”23px”]
Biz yerli v\u0259 xarici m\u0259nb\u0259l\u0259rd\u0259n proktologiya (anal X\u0259st\u0259likl\u0259ri) il\u0259 ba\u011fl\u0131 b\u00fct\u00fcn m\u00fcasir m\u0259lumat v\u0259 inki\u015faflar\u0131 izl\u0259yir, yenilikl\u0259r\u0259 a\u00e7\u0131q \u015f\u0259kild\u0259 x\u00fcsusi m\u00fcalic\u0259 texnikam\u0131z\u0131 t\u0259tbiq edirik.
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