Yirmi ya\u015f di\u015fleri, di\u015f diziliminde en son s\u00fcren ve \u00fc\u00e7\u00fcnc\u00fc az\u0131 di\u015fleri olarak bilinen di\u015flerdir. \u00c7o\u011funlukla ergenli\u011fin son d\u00f6nemlerinde veya yirmili ya\u015flar\u0131n ba\u015f\u0131nda a\u011f\u0131zda yer almaya \u00e7al\u0131\u015f\u0131rlar. Ancak modern insan\u0131n \u00e7ene yap\u0131s\u0131n\u0131n evrimsel s\u00fcre\u00e7te daralmas\u0131 nedeniyle bu di\u015fler \u00e7o\u011fu zaman s\u00fcrecek yeterli alan bulamazlar. Yer darl\u0131\u011f\u0131 sonucunda yirmi ya\u015f di\u015fleri ya tamamen kemik i\u00e7inde g\u00f6m\u00fcl\u00fc kal\u0131r ya da k\u0131smen s\u00fcrerek yar\u0131 g\u00f6m\u00fcl\u00fc pozisyonda varl\u0131\u011f\u0131n\u0131 s\u00fcrd\u00fcr\u00fcr.<\/p>\n
Tamamen g\u00f6m\u00fcl\u00fc olan di\u015fler \u00e7o\u011fu zaman belirgin bir a\u011fr\u0131ya neden olmadan rutin radyolojik kontrollerde tesad\u00fcfen fark edilir. Ancak \u00e7ene kemi\u011fi i\u00e7inde uygunsuz a\u00e7\u0131yla duran bir g\u00f6m\u00fcl\u00fc di\u015f, kom\u015fu di\u015fin k\u00f6k\u00fcne bask\u0131 yaparak k\u00f6k erimesine veya b\u00f6lgede kistik olu\u015fumlara yol a\u00e7abilir. Bu gibi durumlarda hasta herhangi bir \u015fikayet hissetmese dahi \u00e7evre dokular\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 korumak ad\u0131na cerrahi \u00e7ekim se\u00e7ene\u011fi hekim taraf\u0131ndan g\u00fcndeme getirilebilir.<\/p>\n
Yar\u0131 g\u00f6m\u00fcl\u00fc di\u015fler ise klinik olarak \u00e7ok daha s\u0131k problem olu\u015fturur. Di\u015fin bir k\u0131sm\u0131 a\u011f\u0131z ortam\u0131na a\u00e7\u0131lm\u0131\u015fken bir k\u0131sm\u0131 di\u015f eti kapa\u011f\u0131n\u0131n alt\u0131nda kal\u0131r. Bu anatomik yap\u0131, g\u0131da art\u0131klar\u0131n\u0131n ve bakterilerin kapak\u00e7\u0131\u011f\u0131n alt\u0131na kolayca s\u0131k\u0131\u015fmas\u0131na neden olur. B\u00f6lge f\u0131r\u00e7ayla tam olarak temizlenemedi\u011finden perikoronitis ad\u0131 verilen a\u011fr\u0131l\u0131, \u015fi\u015flik ve a\u011f\u0131z a\u00e7mada k\u0131s\u0131tl\u0131l\u0131k ile seyreden akut enfeksiyon ataklar\u0131 geli\u015febilir.<\/p>\n
Yar\u0131 g\u00f6m\u00fcl\u00fc di\u015flerin bir di\u011fer olumsuz etkisi de \u00f6nlerindeki ikinci b\u00fcy\u00fck az\u0131 di\u015finin arka y\u00fczeyinde temizlenemeyen bir alan yaratmalar\u0131d\u0131r. Bu durum, kom\u015fu sa\u011flam di\u015fin k\u00f6k seviyesinde derin \u00e7\u00fcr\u00fcklerin geli\u015fmesine ve hatta o di\u015fin de kaybedilmesine sebebiyet verebilir. Tekrarlayan enfeksiyonlar, \u00e7ene ekleminde a\u011fr\u0131 ve a\u011f\u0131z kokusu bu tablonun s\u0131k rastlanan belirtileri aras\u0131nda yer al\u0131r.<\/p>\n
Her yirmi ya\u015f di\u015finin mutlaka \u00e7ekilmesi gerekti\u011fi y\u00f6n\u00fcndeki yayg\u0131n kan\u0131 do\u011fru de\u011fildir. \u015eayet yirmi ya\u015f di\u015fi \u00e7enede tam olarak kendine yer bulmu\u015fsa, kar\u015f\u0131t di\u015fiyle sa\u011fl\u0131kl\u0131 bir kapan\u0131\u015f olu\u015fturuyorsa ve hasta taraf\u0131ndan rahat\u00e7a temizlenebiliyorsa a\u011f\u0131zda kalmas\u0131nda herhangi bir sak\u0131nca g\u00f6r\u00fclmez. Karar, hastan\u0131n panoramik r\u00f6ntgeni ve hekimin ayr\u0131nt\u0131l\u0131 klinik de\u011ferlendirmesi sonras\u0131nda ki\u015fiye \u00f6zel olarak verilir.<\/p>\n
Cerrahi \u00e7ekim karar\u0131 al\u0131nd\u0131\u011f\u0131nda i\u015flem lokal anestezi alt\u0131nda, konforlu bir ortamda ger\u00e7ekle\u015ftirilir. \u00c7ekim sonras\u0131nda hekimin belirtece\u011fi bak\u0131m kurallar\u0131na, so\u011fuk kompres uygulamas\u0131na ve ila\u00e7 kullan\u0131m\u0131na dikkat edilmesi iyile\u015fme d\u00f6neminin sorunsuz ge\u00e7mesini sa\u011flar. \u015eikayet olu\u015fmas\u0131n\u0131 beklemeden d\u00fczenli hekim kontrollerine devam etmek, g\u00f6m\u00fcl\u00fc di\u015f kaynakl\u0131 olas\u0131 zararlar\u0131 erkenden \u00f6nlemenin en g\u00fcvenli yoludur.<\/p>\n","protected":false},"excerpt":{"rendered":"
Yirmi ya\u015f di\u015flerinin a\u011f\u0131z i\u00e7indeki konumu, olu\u015fturabilece\u011fi problemler ve cerrahi \u00e7ekim karar\u0131 s\u00fcre\u00e7leri.<\/p>\n","protected":false},"author":0,"featured_media":21,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-20","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dis-hekimi"],"_links":{"self":[{"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/posts\/20","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/comments?post=20"}],"version-history":[{"count":0,"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/posts\/20\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/media\/21"}],"wp:attachment":[{"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/media?parent=20"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/categories?post=20"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hemenmedya.com.tr\/demo-wp\/dis-hekimi\/wp-json\/wp\/v2\/tags?post=20"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}