{"id":132,"date":"2024-10-16T06:53:13","date_gmt":"2024-10-16T06:53:13","guid":{"rendered":"https:\/\/umuterenerdogdu.com\/?p=132"},"modified":"2024-10-25T14:29:05","modified_gmt":"2024-10-25T14:29:05","slug":"bagirsak-kanseri","status":"publish","type":"post","link":"https:\/\/umuterenerdogdu.com\/?p=132","title":{"rendered":"\ufeff \ufeff\ufeffBa\u011f\u0131rsak Kanseri\ufeff\ufeff \ufeff\ufeff"},"content":{"rendered":"<h4>Kolorektal Kanserler<\/h4>\n<p>Kolon ve rektum, sindirim sisteminin kal\u0131n ba\u011f\u0131rsak denen k\u0131sm\u0131n\u0131 olu\u015fturur. Son 20 cm\u2019lik k\u0131sm\u0131 rektum, buradan ince ba\u011f\u0131rsaklara kadar olan k\u0131sm\u0131 ise kolon olarak adland\u0131r\u0131l\u0131r. Toplam yakla\u015f\u0131k 1,5 m uzunlu\u011fundad\u0131r. Kolonun rektumla birle\u015fti\u011fi yer sigmoid kolondur. Kolonun ince ba\u011f\u0131rsakla birle\u015fti\u011fi yere \u00e7ekum ad\u0131 verilir. K\u0131smen sindirilmi\u015f g\u0131dalar ince ba\u011f\u0131rsaktan kolona gelir. Kolon su ve mineralleri besinden ay\u0131r\u0131r, geri kalan\u0131 an\u00fcsten at\u0131lmak \u00fczere depolar.<\/p>\n<p>&nbsp;<\/p>\n<p>Kolon ve rektum kanserleri bu organlar\u0131n i\u00e7 y\u00fczeyini \u00f6rten tabakay\u0131 olu\u015fturan h\u00fccrelerden geli\u015fir. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n istatistiklerine g\u00f6re en s\u0131k g\u00f6r\u00fclen ilk 5 kanser aras\u0131ndad\u0131r. Her ya\u015fta g\u00f6r\u00fclebilmelerine ra\u011fmen en s\u0131k 50 ya\u015f\u0131ndan sonra g\u00f6zlenmektedir. Ortalama g\u00f6r\u00fclme ya\u015f\u0131 63\u2019d\u00fcr. Kad\u0131n-erkek aras\u0131nda g\u00f6r\u00fcme s\u0131kl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan pek bir fark yoktur. Kolorektal kanser kolon ve rektumun d\u0131\u015f\u0131na \u00e7\u0131kt\u0131\u011f\u0131nda, kanser h\u00fccreleri genelde yak\u0131ndaki lenf bezlerinde bulunabilir. Kanser h\u00fccreleri bu lenf bezlerine ula\u015fabilirse di\u011fer bezlere, karaci\u011fer ve uzak organlara ula\u015fabilir.<\/p>\n<p>&nbsp;<\/p>\n<h4>Kolorektal Kanserlerde Risk Fakt\u00f6rleri<\/h4>\n<p><strong>\u2022 Ya\u015f: Kolorektal kanser, genelde ya\u015fl\u0131larda g\u00f6r\u00fcl\u00fcr. Hastalar\u0131n %90\u2019\u0131 50 ya\u015f\u0131ndan sonra tan\u0131 al\u0131r. Ortalama ya\u015f 60\u2019l\u0131 ya\u015flard\u0131r.<\/strong><\/p>\n<p><strong>\u2022 Polipler: Polip iyi huylu bir t\u00fcm\u00f6rd\u00fcr. Kolon veya rektumun i\u00e7 duvar\u0131ndan kaynaklan\u0131rlar. 50 ya\u015f\u0131n \u00fczerindeki insanlarda yayg\u0131nd\u0131r. Baz\u0131 polipler (adenomlar) kanserle\u015febilir. Bu durumda, kanserle\u015fme riski nedeniyle polip \u00e7\u0131kart\u0131lmal\u0131 ve d\u00fczenli aral\u0131klara kontrol edilmelidir. Poliplerin erken tan\u0131s\u0131 ve al\u0131nmas\u0131, kolorektal kanser riskini azalt\u0131r.<\/strong><\/p>\n<p><strong>\u2022 Ailede kolorektal kanser \u00f6yk\u00fcs\u00fc: Bir ki\u015finin yak\u0131n akrabalar\u0131nda (anne, baba, k\u0131z veya erkek karde\u015f, \u00e7ocuklar) kolorektal kanser \u00f6yk\u00fcs\u00fc varsa bu hastal\u0131\u011fa \u00f6zellikle daha gen\u00e7 ya\u015fta yakalanma riski artar. <\/strong><\/p>\n<p><strong>\u2022 Herediter nonpolipozis kolon kanser (HNPCC) kal\u0131t\u0131msal (genetik) kolorektal kanserin en yayg\u0131n tipidir. T\u00fcm kolorektal kanser vakalar\u0131n\u0131n %2\u2019sini olu\u015fturur. HNPCC genindeki de\u011fi\u015fiklikler nedeniyle olur. De\u011fi\u015fmi\u015f HNPCC genli hastalar\u0131n %75\u2019inde kolorektal kanser geli\u015fir, kanserin ortalama tan\u0131 ya\u015f\u0131 44\u2019 d\u00fcr. <\/strong><\/p>\n<p><strong>\u2022 Familyal adenomat\u00f6z polipozis (FAP) kolon ve rektumda kal\u0131t\u0131msal poliplerle karakterize nadir bir durumudur. APC ad\u0131nda \u00f6zel bir gendeki de\u011fi\u015fiklikler sonucu olur. Tedavisi kal\u0131n ba\u011f\u0131rsa\u011f\u0131n tamam\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131d\u0131r. FAP tedavi edilmez ise 40 ya\u015f civar\u0131nda %100 kolorektal kanser geli\u015fir. FAP t\u00fcm kolorektal kanser vakalar\u0131n\u0131n %1\u2019den az\u0131n\u0131 olu\u015fturur. Yumurtal\u0131k, rahim ve meme kanseri \u00f6yk\u00fcs\u00fc olan kad\u0131nlarda kolorektal kanser riski artm\u0131\u015ft\u0131r. <\/strong><\/p>\n<p><strong>\u2022 \u00dclseratif kolit veya Crohn hastal\u0131\u011f\u0131: Ba\u011f\u0131rsakta ad\u0131 ge\u00e7en iltihabi hastal\u0131\u011f\u0131 olanlarda kolorektal kanser riski artm\u0131\u015ft\u0131r. Bu ki\u015filerde normal topluma g\u00f6re 10 kat artm\u0131\u015f risk mevcuttur. <\/strong><\/p>\n<p><strong>\u2022 Diyet: Hayvansal ya\u011fdan zengin, kalsiyum, folat ve liften fakir diyetle beslenenlerde kolorektal kanser riski artm\u0131\u015ft\u0131r. Meyve ve sebzeden fakir beslenmek de riski art\u0131r\u0131r.<\/strong><\/p>\n<p><strong>\u2022 Sigara: Sigara i\u00e7en hastalarda polip ve kolorektal kanser riski artm\u0131\u015ft\u0131r.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h4>Kolorektal Kanserlerde Belirtiler<\/h4>\n<p>Kal\u0131n ba\u011f\u0131rsak kanserlerindeki bulgu ve belirtiler, t\u00fcm\u00f6r\u00fcn evresine g\u00f6re de\u011fi\u015fir. T\u00fcm\u00f6r ba\u011f\u0131rsak i\u00e7ene do\u011fru b\u00fcy\u00fcrken bulgu vermezken, tam t\u0131kand\u0131\u011f\u0131nda olu\u015fan, hastan\u0131n gaz\u0131n\u0131 ve d\u0131\u015fk\u0131s\u0131n\u0131 \u00e7\u0131karamad\u0131\u011f\u0131 duruma kadar de\u011fi\u015fen belirtiler verebilir. Burada klinik a\u00e7\u0131dan \u00f6nemli bir durum sa\u011f taraftaki ba\u011f\u0131rsak \u00e7ap\u0131n\u0131n soldan daha geni\u015f olmas\u0131 ve ge\u00e7i\u015fle ilgili belirtilerin daha ge\u00e7 olmas\u0131d\u0131r. Kal\u0131n ba\u011f\u0131rsa\u011f\u0131n sa\u011f taraf\u0131ndaki t\u00fcm\u00f6rlerde g\u00f6zlenen belirtiler d\u0131\u015fk\u0131 ile birlikte fark edilmeyen kan kayb\u0131 ve bu kanamaya ba\u011fl\u0131 kans\u0131zl\u0131k, halsizlik, nefes darl\u0131\u011f\u0131, \u00e7abuk yorulma, d\u0131\u015fk\u0131lama al\u0131\u015fkanlar\u0131nda de\u011fi\u015fikliktir. Zaman zaman kab\u0131zl\u0131k ve ishal ataklar\u0131, kar\u0131n a\u011fr\u0131s\u0131, kar\u0131nda \u015fi\u015fkinlik, normalde oldu\u011fundan daha ince d\u0131\u015fk\u0131lama, kilo kayb\u0131 di\u011fer bulgulard\u0131r. Kal\u0131n ba\u011f\u0131rsak t\u00fcm\u00f6rlerinin en s\u0131k yerle\u015fim yeri sol tarafd\u0131r, buras\u0131 da kal\u0131n ba\u011f\u0131rsa\u011f\u0131n dar yerlerindendir. Bu y\u00fczden sol taraf t\u00fcm\u00f6rlerinde ba\u011f\u0131rsak t\u0131kan\u0131klar\u0131 kar\u015f\u0131m\u0131za daha \u00e7ok \u00e7\u0131kmaktad\u0131r. Rektum taraf\u0131nda yani makata yak\u0131n k\u0131s\u0131mdaki t\u00fcm\u00f6rlerde en s\u0131k bulgu, d\u0131\u015fk\u0131ya kan bula\u015fmas\u0131d\u0131r. Burada dikkat edilecek durumlardan birisi hemoroid denen hastal\u0131kta da d\u0131\u015fk\u0131da kan g\u00f6zlenir ve ki\u015fi bu durumu kar\u0131\u015ft\u0131rarak te\u015fhis ve tedaviyi geciktirebilir. D\u0131\u015fk\u0131lama al\u0131\u015fkanl\u0131klar\u0131nda de\u011fi\u015fiklik, d\u0131\u015fk\u0131 \u00e7ap\u0131n\u0131n incelmesi, kab\u0131zl\u0131k, d\u0131\u015fk\u0131lama sonras\u0131 tam bo\u015falamama, kar\u0131nda \u015fi\u015fkinlik g\u00f6zlenen di\u011fer bulgulard\u0131r. Bu bulgulardan \u015f\u00fcphelendi\u011finizde doktora ba\u015fvurmal\u0131s\u0131n\u0131z.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Ge\u00e7 d\u00f6nemde kal\u0131n ba\u011f\u0131rsak kanserlerinin istenmeyen durumlar\u0131ndan biri barsa\u011f\u0131n tam t\u0131kanmas\u0131d\u0131r. Bundan ba\u015fka olu\u015fabilecek durumlar aras\u0131nda b\u00fcy\u00fck damar\u0131n duvar\u0131n\u0131n y\u0131k\u0131lmas\u0131 sonucu ciddi kanamalar, t\u00fcm\u00f6r\u00fcn ba\u011f\u0131rsak duvar\u0131n\u0131 delmesi, buna ba\u011fl\u0131 kal\u0131n ba\u011f\u0131rsaktaki mikroplar\u0131n kar\u0131n zar\u0131na yay\u0131lmas\u0131, kar\u0131n bo\u015flu\u011funda s\u0131v\u0131 toplanmas\u0131 \u015feklindedir. \u00c7o\u011funlukla bu belirtiler kansere ba\u011fl\u0131 de\u011fildir. Di\u011fer ba\u015fka sa\u011fl\u0131k problemleri bu belirtilere yol a\u00e7abilir. Ancak bunlardan herhangi birine sahip ki\u015filerin, erken tan\u0131 ve tedavi i\u00e7in doktora ba\u015fvurmas\u0131 \u00f6nerilir. Genelde kanserin erken d\u00f6nemlerinde a\u011fr\u0131 olmaz. A\u011fr\u0131 olmas\u0131n\u0131 beklemeden doktora ba\u015fvurmak kanserin erken tan\u0131s\u0131nda \u00f6nemlidir.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4>Kanserlerde Tan\u0131<\/h4>\n<p>Ama\u00e7 erken evrede belirti yokken t\u00fcm\u00f6r\u00fc ortaya koymak olmal\u0131d\u0131r. Belirtiler geli\u015fmeden \u00f6nce bir ki\u015finin kanser i\u00e7in taranmas\u0131 poliplerin ve kanserin erken tan\u0131nmas\u0131nda yard\u0131mc\u0131 olur. Poliplerin erkenden tan\u0131n\u0131p \u00e7\u0131kart\u0131lmas\u0131, kolorektal <strong>kanseri \u00f6nleyebilir. Erken tan\u0131 konuldu\u011funda, kolorektal kanserin tedavisi daha etkin olabilir. Bu nedenle, 50 ya\u015f \u00fcst\u00fcndeki ki\u015filer izlenmeli ve kolorektal kanser i\u00e7in artm\u0131\u015f riski olan ki\u015filer daha erken tarama program\u0131na al\u0131nmal\u0131d\u0131r.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Erken tan\u0131da kullan\u0131lan tarama testlerinde d\u0131\u015fk\u0131da gizli kan testi ile kanserler ve polipler kanad\u0131\u011f\u0131ndan bu test ile d\u0131\u015fk\u0131da az miktarda kan\u0131 saptamak m\u00fcmk\u00fcnd\u00fcr. Ancak hemoroid gibi kanser d\u0131\u015f\u0131 kanama nedenleri de bu testte pozitifli\u011fe yol a\u00e7abilir. Sigmoidoskopi ve kolonoskopi ilet\u00fcm kolonun i\u00e7 duvar\u0131 g\u00f6r\u00fcnt\u00fclenir, varsa polipler \u00e7\u0131kart\u0131labilir. Rektumun parmakla muayenesi ile doktor vazelinle kayganla\u015ft\u0131rarak eldivenli parma\u011f\u0131 yard\u0131m\u0131yla rektumu muayene eder.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4>Kolorektal Kanserlerde Taramalar<\/h4>\n<p>Risk gruplar\u0131na girmeyen hastalara, 50 ya\u015f\u0131ndan ba\u015flayarak gaytada gizli kan taramas\u0131, 50 ya\u015f\u0131n \u00fczerinde ise en az\u0131ndan 5 y\u0131lda bir sigmoidoskopi, 10 y\u0131lda bir kolonoskopi yap\u0131lmas\u0131 \u00f6nerilmektedir.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Risk grubunda olan hastalardan; daha \u00f6nce polip \u00e7\u0131kar\u0131lm\u0131\u015f olan hastalar bu i\u015flemden sonra 1-3 y\u0131l i\u00e7inde tekrar kolonoskopi yapt\u0131rmal\u0131d\u0131r. Anne baba gibi yak\u0131n akrabalar\u0131nda kal\u0131n ba\u011f\u0131rsak kanseri tan\u0131s\u0131 konmu\u015f olanlar 40 ya\u015f\u0131ndan \u00f6nce veya akrabas\u0131na tan\u0131 konuldu\u011fu ya\u015ftan en ge\u00e7 8-10 y\u0131l \u00f6nce taramay\u0131 ba\u015flatmal\u0131d\u0131r. Kal\u0131tsal non-polipozis kolorektal kanser i\u00e7in genetik test yapt\u0131r\u0131lmal\u0131d\u0131r. Ailesel adenomatoz polipozis (FAP) olarak adland\u0131r\u0131lan hastal\u0131k olan ki\u015filer genetik dan\u0131\u015fmanl\u0131k almal\u0131 ve 10-15 ya\u015f\u0131ndan itibaren kolonoskopi ile takip edilmelidir.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Meme, kad\u0131n genital organ kanseri olan ki\u015filer 40 ya\u015f\u0131ndan sonra, \u00fclseratif koliti olan ki\u015filer ise tan\u0131 ald\u0131ktan sonra periyodik olarak kolonoskopi yapt\u0131rmal\u0131d\u0131r. Kolorektal kanser belirti ve bulgular\u0131 olan ki\u015filerde, bunlar\u0131n kanser ya da ba\u015fka bir nedene ba\u011fl\u0131 oldu\u011funun saptanmas\u0131 gereklidir. Doktor, ki\u015finin aile \u00f6yk\u00fcs\u00fcn\u00fc, medikal \u00f6zge\u00e7mi\u015fini sorgular. Tarama b\u00f6l\u00fcm\u00fcndeki testlerden bir ya da daha fazlas\u0131 uygulan\u0131r. Kal\u0131n ba\u011f\u0131rsak kanserlerinin te\u015fhisi rektoskopi, sigmoidoskopi veya kolonoskopi ile t\u00fcm\u00f6r\u00fcn g\u00f6r\u00fclmesi ve al\u0131nacak biopside kanserli dokunun g\u00f6sterilmesi ile olur. Tetkiklerde anormal bir bulgu saptan\u0131rsa (polip gibi) kanser h\u00fccrelerini saptamak i\u00e7in biyopsi \u015fartt\u0131r. S\u0131kl\u0131kla anormal alan kolonoskopi veya sigmoidoskopi ile \u00e7\u0131kart\u0131l\u0131r. Patolog taraf\u0131ndan \u00e7\u0131kart\u0131lan doku mikroskop alt\u0131nda kanser h\u00fccrelerinin varl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan incelenir.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4>Kolorektal Kanserlerde Tedavi<\/h4>\n<p><strong>Cerrahi: Cerrahi tedavi, kanserin tedavisinde ana basama\u011f\u0131 olu\u015fturur. Ama bunun i\u00e7in kanser uzak organlara (karaci\u011fer, akci\u011fer, beyin, kemik vb.) yay\u0131lmam\u0131\u015f olmal\u0131d\u0131r. Cerrahi y\u00f6ntemde t\u00fcm\u00f6rl\u00fc k\u0131s\u0131m etraftaki sa\u011flam dokuyla beraber \u00e7\u0131kart\u0131l\u0131r. Bunun yan\u0131nda ba\u011f\u0131rsa\u011f\u0131 v\u00fccuda ba\u011flayan mezenter denilen doku ve lenf bezleri de \u00e7\u0131kart\u0131l\u0131r. Rektum kanserlerinde t\u00fcm\u00f6r kal\u0131n ba\u011f\u0131rsa\u011f\u0131n sol taraf\u0131n\u0131n bir k\u0131sm\u0131 ile birlikte al\u0131n\u0131r ve iki u\u00e7 birbirine birle\u015ftirilir. Birle\u015ftirmenin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 durumlarda cerrah, sa\u011flam ba\u011f\u0131rsa\u011f\u0131n ucunu kar\u0131n duvar\u0131na a\u011f\u0131zla\u015ft\u0131r\u0131r, di\u011fer ucu kapat\u0131r. Buna kolostomi denir. \u00c7o\u011fu hastada bu durum ge\u00e7icidir, cerrahi sonras\u0131 kolon veya rektum iyile\u015fmesi tamamlan\u0131nca kapat\u0131l\u0131r. Rektum alt b\u00f6lgelerinde makata \u00e7ok yak\u0131n k\u0131s\u0131mlarda t\u00fcm\u00f6r\u00fc olan hastalarda kolostomi kal\u0131c\u0131 olabilir. Son y\u0131llarda \u00f6zellikle karaci\u011fere ve akci\u011fere yay\u0131lan ba\u011f\u0131rsak t\u00fcm\u00f6rlerinde o b\u00f6lgedeki t\u00fcm\u00f6r\u00fc tamamen \u00e7\u0131kart\u0131ld\u0131\u011f\u0131 durumlarda da art\u0131k cerrahi tedavi uygulanmakta ve sonu\u00e7lar y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc olmaktad\u0131r. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Kemoterapi: Kanser h\u00fccrelerini \u00f6ld\u00fcrmek i\u00e7in antikanser ila\u00e7lar\u0131 kullanmakt\u0131r. Sistemik tedavi olarak adland\u0131r\u0131l\u0131r, \u00e7\u00fcnk\u00fc ila\u00e7lar kan dola\u015f\u0131m\u0131na ge\u00e7erek v\u00fccuttaki kanser h\u00fccrelerini \u00f6ld\u00fcr\u00fcr. Kolon kanserinin baz\u0131 evrelerinde ve v\u00fccudun ba\u015fka yerine s\u0131\u00e7ram\u0131\u015f oldu\u011fu durumlarda s\u0131kl\u0131kla kullan\u0131lan bir tedavidir. Antikanser ila\u00e7lar a\u011f\u0131z ya da damar yoluyla verilebilir. Hastalar hastanede ayaktan hasta olarak nadiren de yatarak bu tedavileri alabilirler. Hastalar kemoterapiyi tek ba\u015f\u0131na ya da, cerrahi, radyoterapi ile kombine olarak alabilirler. Cerrahi \u00f6ncesi verilen kemoterapiye neoadjuvant kemoterapi denir, cerrahi \u00f6ncesi b\u00fcy\u00fck t\u00fcm\u00f6rlerin k\u00fc\u00e7\u00fclmesi ama\u00e7lan\u0131r. Cerrahi sonras\u0131 verilen kemoterapiye adjuvant kemoterapi denir ve cerrahi sonras\u0131 kalan kanser h\u00fccrelerini yok etmek, kanserin kolon rektum ya da v\u00fccudun ba\u015fka bir b\u00f6lgede tekrarlamas\u0131n\u0131 \u00f6nlemek ama\u00e7lan\u0131r. Kemoterapi ilerlemi\u015f hastal\u0131\u011f\u0131 olan ki\u015filere de uygulanabilir. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Radyasyon Tedavisi: Radyoterapi olarak da adland\u0131r\u0131l\u0131r. \u0130yonize radyasyonla t\u00fcm\u00f6r h\u00fccrelerinin tahribat\u0131na yol a\u00e7an lokal bir tedavidir. Tedavi edilen alandaki kanser h\u00fccrelerini y\u00fcksek enerjili \u0131\u015f\u0131nlarla \u00f6ld\u00fcrmek ama\u00e7lan\u0131r. Radyoterapi, ameliyat \u00f6ncesinde t\u00fcm\u00f6r\u00fcn k\u00fc\u00e7\u00fclt\u00fclmesi amac\u0131yla veya ameliyat sonras\u0131 n\u00fcksleri \u00f6nlemek i\u00e7in kemoterapi ile beraber verilebilir. Radyoterapi genellikle rektum kanserlerinde ve bunlar\u0131n baz\u0131 evrelerinde kullan\u0131lmaktad\u0131r.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kolorektal Kanserler Kolon ve rektum, sindirim sisteminin kal\u0131n ba\u011f\u0131rsak denen k\u0131sm\u0131n\u0131 olu\u015fturur. Son 20 cm\u2019lik k\u0131sm\u0131 rektum, buradan ince ba\u011f\u0131rsaklara kadar olan k\u0131sm\u0131 ise kolon olarak adland\u0131r\u0131l\u0131r. Toplam yakla\u015f\u0131k 1,5 m uzunlu\u011fundad\u0131r. Kolonun rektumla birle\u015fti\u011fi yer sigmoid kolondur. Kolonun ince ba\u011f\u0131rsakla birle\u015fti\u011fi yere \u00e7ekum ad\u0131 verilir. K\u0131smen sindirilmi\u015f g\u0131dalar ince ba\u011f\u0131rsaktan kolona gelir. Kolon su &hellip;<\/p>\n","protected":false},"author":1,"featured_media":133,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,18,17],"tags":[23],"class_list":["post-132","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-cerrahi","category-kanser-cerrahisi","category-manset","tag-bagirsak-kanseri"],"_links":{"self":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts\/132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=132"}],"version-history":[{"count":2,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts\/132\/revisions"}],"predecessor-version":[{"id":174,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts\/132\/revisions\/174"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/media\/133"}],"wp:attachment":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}