{"id":6332,"date":"2024-11-07T01:07:51","date_gmt":"2024-11-06T22:07:51","guid":{"rendered":"https:\/\/avrupacerrahi.net\/az\/?p=6332"},"modified":"2026-05-26T23:37:17","modified_gmt":"2026-05-26T20:37:17","slug":"babasilin-ilk-muayin%c9%99si-nec%c9%99-aparilir","status":"publish","type":"post","link":"https:\/\/avrupacerrahi.net\/az\/babasilin-ilk-muayin%c9%99si-nec%c9%99-aparilir\/","title":{"rendered":"Babasilin \u0130lk M\u00fcayin\u0259si Nec\u0259 Apar\u0131l\u0131r? Add\u0131m-Add\u0131m"},"content":{"rendered":"
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Babasilin \u0130lk M\u00fcayin\u0259si Nec\u0259 Apar\u0131l\u0131r? Add\u0131m-Add\u0131m<\/h1>\n

M\u00fc\u0259llif:<\/strong> Op. Dr. Yasir G\u00f6z\u00fc, Proktologiya (Kolon-Rektum C\u0259rrahiyy\u0259si)  |  Tibbi c\u0259h\u0259td\u0259n n\u0259z\u0259rd\u0259n ke\u00e7irilmi\u015fdir:<\/strong> 15 Yanvar 2026  |  N\u00f6vb\u0259ti yoxlama:<\/strong> 15 \u0130yul 2026<\/p>\n

\nNarahat olma\u011fa ehtiyac yoxdur<\/strong>
\nBabasil m\u00fcayin\u0259sind\u0259n qorxan \u00e7ox x\u0259st\u0259m olub. H\u0259l\u0259 ilk d\u0259f\u0259 kabinetim\u0259 daxil olan zaman \u00fczl\u0259rind\u0259ki g\u0259rginliyi g\u00f6r\u00fcr\u0259m. Hastalar\u0131ma s\u0131kl\u0131qla s\u00f6yl\u0259diyim kimi: m\u00fcayin\u0259 q\u0131sa, m\u0259hr\u0259m v\u0259 dem\u0259k olar ki, a\u011fr\u0131s\u0131zd\u0131r. M\u00fcasir al\u0259tl\u0259r v\u0259 t\u0259cr\u00fcb\u0259li \u0259ll\u0259rl\u0259 b\u00fct\u00fcn proses 10-15 d\u0259qiq\u0259d\u0259 tamamlan\u0131r.\n<\/div>\n
\nQ\u0131sa cavab<\/strong>
\nBabasilin ilk m\u00fcayin\u0259si d\u00f6rd m\u0259rh\u0259l\u0259d\u0259n ibar\u0259tdir: anamnez (\u015fikay\u0259tl\u0259rinizin dinl\u0259nilm\u0259si), vizual xarici bax\u0131\u015f, barmaqla rektal m\u00fcayin\u0259 v\u0259 anoskopiya. Proses 10-15 d\u0259qiq\u0259 davam edir, m\u0259hr\u0259miyy\u0259t tam qorunur. Ad\u0259t\u0259n a\u011fr\u0131 olmur, yaln\u0131z q\u0131sa m\u00fcdd\u0259tli y\u00fcng\u00fcl diskomfort hiss edil\u0259 bil\u0259r. He\u00e7 bir haz\u0131rl\u0131q t\u0259l\u0259b olunmur \u2014 g\u0259lm\u0259d\u0259n qabaq qida v\u0259 ya laksativ q\u0259bul etm\u0259y\u0259 ehtiyac yoxdur.\n<\/div>\n

M\u00fcnd\u0259ricat<\/h2>\n
    \n
  1. Anamnez: \u015eikay\u0259tl\u0259rin dinl\u0259nilm\u0259si<\/a><\/li>\n
  2. Vizual xarici bax\u0131\u015f<\/a><\/li>\n
  3. Barmaqla rektal m\u00fcayin\u0259<\/a><\/li>\n
  4. Anoskopiya n\u0259dir?<\/a><\/li>\n
  5. T\u0259hl\u00fck\u0259lidirmi?<\/a><\/li>\n
  6. Differensial diaqnoz c\u0259dv\u0259li<\/a><\/li>\n
  7. M\u00fcasir m\u00fcalic\u0259 \u00fcsullar\u0131<\/a><\/li>\n
  8. M\u00fcalic\u0259 sonras\u0131 sa\u011falma prosesi<\/a><\/li>\n
  9. M\u00fctl\u0259q edilm\u0259m\u0259si laz\u0131m olanlar<\/a><\/li>\n
  10. H\u0259kim\u0259 n\u0259 vaxt m\u00fcraci\u0259t etm\u0259k laz\u0131md\u0131r?<\/a><\/li>\n
  11. Tez-tez veril\u0259n suallar<\/a><\/li>\n<\/ol>\n

    Anamnez: \u015eikay\u0259tl\u0259rin dinl\u0259nilm\u0259si<\/h2>\n

    M\u00fcayin\u0259nin ilk m\u0259rh\u0259l\u0259si s\u00f6hb\u0259tdir. Sizi al\u0259tl\u0259 deyil, dinl\u0259y\u0259r\u0259k qar\u015f\u0131lay\u0131ram. Bu hiss\u0259 ad\u0259t\u0259n 5-7 d\u0259qiq\u0259 davam edir.<\/p>\n

    Klini\u011fimd\u0259 g\u00f6rd\u00fc\u011f\u00fcm vakalarda \u0259n vacib m\u0259lumatlar bunlard\u0131r: qanaxma var-yoxsa, hans\u0131 r\u0259ngd\u0259 (parlaq q\u0131rm\u0131z\u0131, ya t\u00fcnd), a\u011fr\u0131 keyfiyy\u0259ti (yand\u0131r\u0131c\u0131, d\u00f6y\u00fcn\u0259n, ya bat\u0131c\u0131), \u015fikay\u0259tl\u0259rin n\u0259 q\u0259d\u0259r m\u00fcdd\u0259tdir davam etdiyi v\u0259 ba\u011f\u0131rsaq v\u0259rdi\u015fl\u0259riniz.<\/p>\n

    Hastalar\u0131ma s\u0131kl\u0131qla s\u00f6yl\u0259diyim kimi: utancma\u011fa ehtiyac yoxdur. H\u0259r g\u00fcn onlarla ox\u015far \u015fikay\u0259tl\u0259 x\u0259st\u0259 bax\u0131ram. Detall\u0131 anamnez d\u00fczg\u00fcn diaqnozun 70%-ni t\u0259\u015fkil edir.<\/p>\n

    Bu m\u0259rh\u0259l\u0259d\u0259 h\u0259m\u00e7inin \u0259vv\u0259lki x\u0259st\u0259likl\u0259rinizi, q\u0259bul etdiyiniz d\u0259rmanlar\u0131 (x\u00fcsus\u0259n qan durulduran), allergiyalar\u0131 v\u0259 ail\u0259 tarix\u00e7\u0259sini soru\u015furam. Hamil\u0259 xan\u0131mlarda yana\u015fma f\u0259rqlidir.<\/p>\n

    Vizual xarici bax\u0131\u015f<\/h2>\n

    S\u00f6hb\u0259td\u0259n sonra n\u00f6vb\u0259 fiziki bax\u0131\u015fa g\u0259lir. Sizi sol b\u00f6yr\u00fc \u00fcst\u0259 uzand\u0131r\u0131r\u0131q, dizl\u0259r qar\u0131na \u00e7\u0259kilir. Bu v\u0259ziyy\u0259t \u0259n rahat v\u0259 \u0259n az utand\u0131r\u0131c\u0131 olan\u0131d\u0131r.<\/p>\n

    Vizual bax\u0131\u015fda anus \u0259traf\u0131na xarici g\u00f6z il\u0259 bax\u0131ram. Xarici babasil paketl\u0259ri, makat m\u0259m\u0259si (anal skin tag), \u00e7atlaq (anal fissur), ifrazat, qa\u015f\u0131nma izl\u0259ri v\u0259 ya ba\u015fqa z\u0259d\u0259l\u0259ri qiym\u0259tl\u0259ndirir\u0259m.<\/p>\n

    Y\u0131llarca s\u00fcr\u0259n t\u0259cr\u00fcb\u0259m\u0259 dayanaraq dey\u0259 bil\u0259r\u0259m ki: t\u0259xmin\u0259n 30-40% x\u0259st\u0259d\u0259 diaqnoz yaln\u0131z bu m\u0259rh\u0259l\u0259d\u0259 qoyulur. Xarici babasil v\u0259 ya tromboze paket d\u0259rhal g\u00f6zl\u0259 g\u00f6r\u00fcl\u00fcr.<\/p>\n

    Barmaqla rektal m\u00fcayin\u0259<\/h2>\n

    Bu m\u0259rh\u0259l\u0259d\u0259 \u0259lc\u0259kl\u0259 v\u0259 bol miqdarda kay\u011fan jel il\u0259 anal kanala barmaq daxil edilir. 30-60 saniy\u0259 davam edir. \u015eunu \u00f6n\u0259ml\u0259 bildirm\u0259k ist\u0259yir\u0259m: a\u011fr\u0131 dem\u0259k olar ki, olmur, yaln\u0131z bas\u0131n\u00e7 hissi var.<\/p>\n

    Hastalar\u0131mda fark ettim ki, \u0259vv\u0259lc\u0259d\u0259n qorxanlar m\u00fcayin\u0259d\u0259n sonra \u00abbu q\u0259d\u0259r asan oldu\u011funu bilm\u0259zdim\u00bb deyirl\u0259r. Jel kanal\u0131 yum\u015fald\u0131r, \u0259z\u0259l\u0259 refleksini azald\u0131r.<\/p>\n

    Bu m\u0259rh\u0259l\u0259d\u0259 daxili babasil paketl\u0259rinin b\u00f6y\u00fckl\u00fcy\u00fc, sfinkter tonusu, makatda k\u00fctl\u0259, abse v\u0259 ya ba\u015fqa anormall\u0131q qiym\u0259tl\u0259ndirilir. Anal fissur varsa, m\u00fcayin\u0259 daha yum\u015faq apar\u0131l\u0131r v\u0259 ya yaln\u0131z anoskopiya il\u0259 davam edilir.<\/p>\n

    Anoskopiya n\u0259dir?<\/h2>\n

    Anoskop ki\u00e7ik, i\u015f\u0131ql\u0131, plastik bir borucuqdur (3-4 sm uzunlu\u011funda). Daxili babasil paketl\u0259rini birba\u015fa g\u00f6rm\u0259k \u00fc\u00e7\u00fcn istifad\u0259 olunur. Bu, q\u0131z\u0131l standart \u00fcsuldur.<\/p>\n

    Prosedur 1-2 d\u0259qiq\u0259 davam edir. Anoskop yum\u015faq \u015f\u0259kild\u0259 daxil edilir, yava\u015f-yava\u015f geri \u00e7\u0259kil\u0259rk\u0259n daxili m\u00fc\u015fahid\u0259 apar\u0131l\u0131r. Babasil d\u0259r\u0259c\u0259si (Qrade 1-4) burada t\u0259yin olunur.<\/p>\n

    \u015eunu \u00f6n\u0259ml\u0259 bildirm\u0259k ist\u0259yir\u0259m: anoskopiya kolonoskopiya DEY\u0130L. Sad\u0259c\u0259 son 4-5 sm-lik hiss\u0259y\u0259 bax\u0131l\u0131r, sedasiya t\u0259l\u0259b etmir, ac qar\u0131na g\u0259lm\u0259k laz\u0131m deyil. Qan azl\u0131\u011f\u0131 v\u0259 ya 45 ya\u015fdan yuxar\u0131 x\u0259st\u0259l\u0259rd\u0259 \u0259lav\u0259 kolonoskopiya t\u00f6vsiy\u0259 oluna bil\u0259r \u2014 bu zaman daxili v\u0259 xarici hemoroidin f\u0259rql\u0259ri<\/a> d\u0259 ayd\u0131nla\u015fd\u0131r\u0131l\u0131r.<\/p>\n

    T\u0259hl\u00fck\u0259lidirmi?<\/h2>\n

    M\u00fcayin\u0259nin \u00f6z\u00fc t\u0259hl\u00fck\u0259li deyil. Lakin \u015fikay\u0259tl\u0259rinizin arxas\u0131ndak\u0131 s\u0259b\u0259bi d\u00fczg\u00fcn qiym\u0259tl\u0259ndirm\u0259k vacibdir.<\/p>\n

    \nYax\u015f\u0131 xasiyy\u0259tli \u0259lam\u0259tl\u0259r<\/strong><\/p>\n