{"id":160918,"date":"2025-04-11T21:06:26","date_gmt":"2025-04-11T18:06:26","guid":{"rendered":"https:\/\/www.tgrthaber.com\/mavikadin\/?p=160918"},"modified":"2025-04-12T14:52:46","modified_gmt":"2025-04-12T11:52:46","slug":"peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir\/","title":{"rendered":"PEG \u00e7\u0131karsa ne olur, neden \u00e7\u0131kar? PEG yerinden \u00e7\u0131k\u0131nca ne yap\u0131l\u0131r?"},"content":{"rendered":"<p>Perk\u00fctan endoskopik gastrostomi (PEG), mideye t\u00fcp tak\u0131lmas\u0131 yoluyla \u00a0uzun s\u00fcreli bir enteral beslenme y\u00f6ntemidir. T\u00fcp yerle\u015ftirildikten 12-24 saat sonra beslenme ba\u015flayabilir. \u0130htiyac\u0131n\u0131z olan t\u00fcm besinler, mamalar, s\u0131v\u0131lar ve ila\u00e7lar PEG t\u00fcp\u00fc yoluyla temin edilebilir.<\/p>\n<h3>PEG NE DEMEK? TIBB\u0130 ANLAMI NED\u0130R?<\/h3>\n<p>PEG mideye tak\u0131lan yumu\u015fak ve plastik beslenme t\u00fcp\u00fc anlam\u0131na geliyor. PEG, endoskopi y\u00f6ntemiyle mideye yerle\u015ftirilir. \u0130\u015flem yakla\u015f\u0131k 20 dakika s\u00fcrer.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-160926\" src=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-2.jpg\" alt=\"PEG \u00e7\u0131karsa ne olur, neden \u00e7\u0131kar, PEG yerinden \u00e7\u0131k\u0131nca ne yap\u0131l\u0131r\" width=\"1208\" height=\"680\" title=\"\" srcset=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-2.jpg 1920w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-2-300x169.jpg 300w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-2-1024x576.jpg 1024w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-2-768x432.jpg 768w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-2-1536x864.jpg 1536w\" sizes=\"(max-width: 1208px) 100vw, 1208px\" \/><\/p>\n<hr \/>\n<h3>PEG K\u0130ME TAKILIR?<\/h3>\n<p>The Linacre Quarterly&#8217;de 2012 \u015eubat ay\u0131nda yer alan \u201cPEG T\u00fcp\u00fc Ne Zaman \u00d6nerilir\u201d adl\u0131 makalede hastan\u0131n yeterince yemedi\u011fi veya i\u00e7medi\u011fi durumlarda ve \u015fu ko\u015fullarda PEG tak\u0131labilece\u011fi ge\u00e7iyor:<\/p>\n<ul>\n<li>Fel\u00e7 (\u0130nme)<\/li>\n<li>Koma ve minimal bilin\u00e7lilik durumu<\/li>\n<li>Parkinson hastal\u0131\u011f\u0131<\/li>\n<li>Mekanik ventilasyon<\/li>\n<li>ALS hastal\u0131\u011f\u0131<\/li>\n<li>\u0130leri derece demans<\/li>\n<li>Malignite (k\u00f6t\u00fc huylu t\u00fcm\u00f6r) \u00f6zellikle ba\u015f ve boyun b\u00f6lgesindeyse<\/li>\n<li>\u0130lerleyici n\u00f6rodejeneratif bozukluklar (Alzheimer, MS hastal\u0131\u011f\u0131 vb)<\/li>\n<li>Kritik hastal\u0131klardan iyile\u015fme<\/li>\n<\/ul>\n<h3>PEG \u0130LE BESLENME NASIL OLUR?<\/h3>\n<p>PEG mideye t\u00fcp yerle\u015ftirilmesi yoluyla hastaya s\u0131v\u0131lar, besin takviyeleri ve ila\u00e7 verilmesi demektir.<\/p>\n<p>PEG ile beslenme b\u00f6yle sa\u011flan\u0131r.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-160927\" src=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-3.jpg\" alt=\"PEG \u00e7\u0131karsa ne olur, neden \u00e7\u0131kar, PEG yerinden \u00e7\u0131k\u0131nca ne yap\u0131l\u0131r\" width=\"1208\" height=\"680\" title=\"\" srcset=\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-3.jpg 1920w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-3-300x169.jpg 300w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-3-1024x576.jpg 1024w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-3-768x432.jpg 768w, https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/uploads\/peg-cikarsa-ne-olur-neden-cikar-peg-yerinden-cikinca-ne-yapilir-3-1536x864.jpg 1536w\" sizes=\"(max-width: 1208px) 100vw, 1208px\" \/><\/p>\n<hr \/>\n<h3>PEG \u00c7IKARSA NE OLUR?<\/h3>\n<p>PEG \u00e7\u0131karsa mide i\u00e7eri\u011fi kar\u0131n i\u00e7ine ka\u00e7abilir bu nedenle duruma m\u00fcdahale edilmelidir.<\/p>\n<p>PEG t\u00fcp\u00fcn\u00fcn yerinden \u00e7\u0131kmas\u0131 \u00f6ks\u00fcrme veya \u00e7e\u015fitli aktiviteler sonucunda kazara meydana gelebiliyor.<\/p>\n<p>PEG&#8217;in bir komplikasyonun da PEG t\u00fcp\u00fcn\u00fcn kazayla \u00e7\u0131kmas\u0131d\u0131r, bu durumda PEG t\u00fcp\u00fc derhal de\u011fi\u015ftirilmeli, yeni bir t\u00fcp hemen bulunam\u0131yorsa mideye ge\u00e7ici olarak bir Foley kateteri yerle\u015ftirilmesi gereklidir.<\/p>\n<p>Ara\u015ft\u0131rmalarda PEG t\u00fcp\u00fcn\u00fcn yerinden \u00e7\u0131kma oran\u0131 %12,8 (72\/563) oldu\u011fu g\u00f6r\u00fcld\u00fc.<\/p>\n<h3>PEG ZARARLI MI, R\u0130SKL\u0130 M\u0130?<\/h3>\n<p>PEG, g\u00fcvenli, etkili ve uygun maliyetli bir tedavi \u015fekli olarak kabul edilse de bazen PEG&#8217;e ba\u011fl\u0131 komplikasyonlar geli\u015febiliyor. PEG komplikasyonlar\u0131 \u015f\u00f6yle s\u0131ralanabilir:<\/p>\n<p>ClevelandClinic&#8217;de PEG komplikasyonlar\u0131 \u015f\u00f6yle ge\u00e7iyor:<\/p>\n<ul>\n<li>PEG t\u00fcp\u00fcn\u00fcn \u00e7\u0131kmas\u0131<\/li>\n<li>Mide i\u00e7eri\u011finin PEG&#8217;den d\u0131\u015far\u0131 ka\u00e7mas\u0131<\/li>\n<li>PEG \u00e7evresinde a\u011fr\u0131<\/li>\n<li>Ba\u011f\u0131rsak veya ba\u011f\u0131rsak duvar\u0131nda delinme, kanama<\/li>\n<li>Kesi yak\u0131n\u0131nda enfeksiyon.<\/li>\n<li>PEG \u00e7evresinde mide i\u00e7eri\u011finin s\u0131z\u0131nt\u0131s\u0131.<\/li>\n<\/ul>\n<p>Deutsche Medizinische Wochenschrift&#8217;de 1995 Aral\u0131k ay\u0131nda yer alan\u00a0 1299 hasta \u00fczerinde yap\u0131lan \u00e7al\u0131\u015fmada PEG&#8217;e va\u011fl\u0131 \u00f6l\u00fcm oran\u0131 %0,5 idi. Dokuz hastada (%0,9) ciddi komplikasyon (peritonit, perforasyon veya hatal\u0131 ponksiyon) meydana geldi. En s\u0131k g\u00f6r\u00fclen nispeten k\u00fc\u00e7\u00fck komplikasyonlar peristomal yara enfeksiyonu (%8,7) ve k\u0131sa s\u00fcreli kar\u0131n a\u011fr\u0131s\u0131 (%4,8) idi. Beslenmeye \u00f6zg\u00fc tipik yan etkiler kab\u0131zl\u0131k, ishal, meteorizm, kusma ve di\u011fer hastal\u0131k belirtileri (%39,3) gibi gastrointestinal semptomlar g\u00f6zlemlendi.<\/p>\n<h3>PEG TAKILAN HASTA NEDEN KUSAR?<\/h3>\n<p>PEG tak\u0131lan baz\u0131 hastalarda kusma g\u00f6r\u00fclebiliyor. Bu durum gastopezi yani mide tembelli\u011fi denilen mide kaslar\u0131n\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmamas\u0131ndan kaynaklan\u0131r, ge\u00e7ici bir \u015feydir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PEG, a\u011f\u0131z yoluyla beslenemeyen hastalara endoskopi y\u00f6ntemiyle kar\u0131n duvar\u0131ndan mideye bir beslenme t\u00fcp\u00fcn\u00fcn yerle\u015ftirilmesi demektir. PEG sayesinde yiyecek ve i\u00e7ecekler yemek borusundan ge\u00e7meden do\u011frudan mideye gider. Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc ya\u015fayan, fel\u00e7 ge\u00e7iren, demans hastalar\u0131, beyin hasar\u0131 olan ki\u015filere PEG t\u00fcp\u00fc tak\u0131labilir. PEG\u2019in yerinden \u00e7\u0131kmas\u0131 \u00e7e\u015fitli komplikasyonlara yol a\u00e7abilir.<\/p>\n","protected":false},"author":30,"featured_media":160925,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1991],"tags":[17688],"class_list":["post-160918","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-peg-cikmasi"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/160918"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=160918"}],"version-history":[{"count":7,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/160918\/revisions"}],"predecessor-version":[{"id":161235,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/160918\/revisions\/161235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/160925"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=160918"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=160918"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=160918"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}