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• W2321498048 abstract "Suleyman Demirel Universitesi TIP FAKULTESI DERGISI: 2007 Eylul; 14(3) Birinci basamakta pilonidal hastaliga yaklasim Kurtulus Ongel, Ebru Katirci, Cennet Ak, Ismail Sarikan Suleyman Demirel Universitesi Tip Fakultesi Aile Hekimligi Anabilim Dali Ozet Toplumumuzda yaygin olarak gorulen pilonidal hastalik, halk arasinda kil donmesi. Olarak isimlendirilmektedir. Bir kil kokunun iltihaplanmasi ve diger kil koklerini de icine alarak abse olusturmasi ile karakterizedir. ABD. de her yil yaklasik 75000 hasta ve binlerce operasyon nedenidir. Hastanede elektif tedaviyle, tedavi suresi ortalama 1.5 gundur. Meslekle iliskili oldugu bilinmektedir (Devamli bilgisayar basinda oturanlarda ya da uzun sure araba kullananlarda daha sik). Bireylerin saglik sorunlari konusunda oncelikle bagli bulunduklari birinci basamak hekimlerine basvurduklarini dusunursek, pilonidal sinus hastaliginin da tani, tedavi ve izlemi asamasinda bu gruba buyuk gorevler dusmektedir. Birinci basamakta kuyruk sokumunda siskinlik, kizariklik ve agri nedeniyle doktora basvuran hastalar siklikla 15-24 yas arasi erkeklerdir. Saglik ocagi hekimleri; bu hastalari koyu tenli, kil orani fazla ve kilolu kisiler olarak tarif etmektedirler. Gunumuzde birinci basamak saglik kuruluslari, pilonidal sinuslu hastalarla en sik karsilasilan fakat bu hastalarin tedavilerinin en az yapildigi kurumlardir. Buralarda calisan hekimler hastalarini genellikle sevk etme egilimindedirler. Bu kisilerin izlemlerinin birinci basamakta yapilamayacagi inanci yaygindir. Aksine, buralarda hizmet verenlere pilonidal sinusun onlenmesi, tanisi, danismanligi, yonetim ve izlemi acisindan buyuk gorevler dusmektedir. Takip muayeneleri, yine birinci basamakta aksatilmamasi gereken muayenelerdir. Hastanin operasyon sonrasi duzenli pansumanlarini yapmak, hastaligin gidisini gozlemek, tedaviye cevabi saptamak ve yuksek risk gosteren kisileri tespit etmek onemlidir. Anahtar kelimeler: Pilonidal hastalik, birinci basamak saglik hizmeti Abstract Approach to pilonidal disease in primary care Pilonidal disease is common in our society, and it is named as .kil donmesi. in ordinary spoken language. It is characterized by inflammation of one bristle root and formation of abscess by relation with the other bristle roots. USA, it is the cause of almost 75000 patients and a great number of operation. Average treatment period with elective metods is 1.5 day. It is known that this disease is related with occupation (for example it is seen more often in people who is working with computer by sitting or who is driving for a long time). If we think that individuals are going to their primary care doctors initially for their health problems; these doctors have important role in pilonidal disease diagnosis, treatment and results. In primary care, patients who have complaints like swelling, blushing and pain in their sacroiliac region; are mostly men age between 15-24. Doctors working in primary care are describing these patients as dark skin, hairy and obese people. Primary care health organizations are the places where pilonidal sinus patients are mostly encountered; but these patients treatments are rarely made in these areas. There is a belief that these patients can not be treated in primary Contrary; health personel working in these places have an important role on the pilonidal sinus preventation, diagnosis, information and observation. Follow up examinations are again mustn.t be delayed in primary care. It.s important to dress the patients wound after operation, to watch the illness attentively, to determine the response for treatment and detect the individuals who havehigh risk for this disease. Key words: Pilonidal disease, primary health care" @default.
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• W2321498048 date "2009-05-06" @default.
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• W2321498048 title "Birinci basamakta pilonidal hastalığa yaklaşım" @default.
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• W2321498048 doi "https://doi.org/10.17343/sdutfd.93537" @default.
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