{"id":2414,"date":"2025-06-27T05:14:58","date_gmt":"2025-06-27T05:14:58","guid":{"rendered":"https:\/\/www.drpectus.com\/pectus-excavatum-sunken-chest\/"},"modified":"2026-05-07T18:08:07","modified_gmt":"2026-05-07T18:08:07","slug":"pectus-excavatum-sunken-chest","status":"publish","type":"page","link":"https:\/\/www.drpectus.com\/tr\/pectus-excavatum-sunken-chest\/","title":{"rendered":"Pektus Ekskavatum (Kundurac\u0131 G\u00f6\u011fs\u00fc)"},"content":{"rendered":"[vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”1597″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_video link=”https:\/\/www.youtube.com\/watch?v=qStIRexcJUY” css=””][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text css=”” text_direction=”default”]\n
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Pectus Excavatum Nedir?<\/strong><\/h2>\n

Pectus Excavatum<\/strong> (\u0130\u00e7e \u00c7\u00f6k\u00fck G\u00f6\u011f\u00fcs), di\u011fer ad\u0131yla kundurac\u0131 g\u00f6\u011fs\u00fc<\/strong> veya g\u00f6\u011f\u00fcs \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fc<\/strong>, kaburga kafesinin i\u00e7e do\u011fru \u00e7\u00f6kt\u00fc\u011f\u00fc bir g\u00f6\u011f\u00fcs duvar\u0131 deformitesidir.<\/p>\n

Pectus Excavatum, her 300\u2013400 canl\u0131 do\u011fumda bir g\u00f6r\u00fclen<\/strong>, en yayg\u0131n g\u00f6\u011f\u00fcs duvar\u0131 \u015fekil bozuklu\u011fudur. San\u0131ld\u0131\u011f\u0131n\u0131n aksine nadir bir durum de\u011fildir.
Bu deformiteye sahip \u00e7ocuklarda genellikle \u015fu tipik g\u00f6r\u00fcn\u00fcmler g\u00f6zlemlenir:
dar ve ince g\u00f6\u011f\u00fcs yap\u0131s\u0131, \u00f6ne e\u011fik omuzlar, i\u00e7e d\u00f6n\u00fck kaburgalar ve duru\u015f bozuklu\u011fu.
Pectus Excavatum do\u011fumda veya ya\u015fam\u0131n ilk y\u0131llar\u0131nda ortaya \u00e7\u0131kar ve genellikle anne veya yak\u0131n \u00e7evre taraf\u0131ndan fark edilir.<\/strong><\/p>\n

Bazen kendili\u011finden hafifleyebilse de, ergenlik d\u00f6neminde deformitenin ilerleme olas\u0131l\u0131\u011f\u0131 olduk\u00e7a y\u00fcksektir.<\/strong>
Bu nedenle, hastalar\u0131n doktora en s\u0131k ba\u015fvurdu\u011fu d\u00f6nem ergenlik \u00e7a\u011f\u0131d\u0131r.<\/strong>
Erkeklerde kad\u0131nlara g\u00f6re 4 kat daha fazla<\/strong> g\u00f6r\u00fcl\u00fcr.
\u00c7\u00f6k\u00fckl\u00fc\u011f\u00fcn nedeni kaburga k\u0131k\u0131rdaklar\u0131n\u0131n a\u015f\u0131r\u0131 b\u00fcy\u00fcmesi<\/strong> olarak bilinse de, altta yatan sebep tam olarak a\u00e7\u0131klanamam\u0131\u015ft\u0131r.
D\u00fczensiz b\u00fcy\u00fcyen k\u0131k\u0131rdaklar, sternumu (iman tahtas\u0131n\u0131)<\/strong> geriye do\u011fru iter.
Ayr\u0131ca ailesel yatk\u0131nl\u0131k<\/strong> olduk\u00e7a y\u00fcksektir; hastalar\u0131n yakla\u015f\u0131k %37\u2019sinde benzer g\u00f6\u011f\u00fcs deformitesi \u00f6yk\u00fcs\u00fc<\/strong> mevcuttur.<\/p>\n

Pectus Excavatum \u00e7ocuklukta genellikle tolere edilebilir<\/strong> bir durumdur.
En s\u0131k g\u00f6r\u00fclen belirti eforla birlikte yorgunluk ve nefes darl\u0131\u011f\u0131 hissidir.<\/strong>
Bu durum, g\u00fcn boyu yorgunlukla kar\u0131\u015ft\u0131r\u0131lmamal\u0131d\u0131r; asl\u0131nda fiziksel efor s\u0131ras\u0131nda ani yorulma ve nefes kesilmesi<\/strong> \u015feklinde ortaya \u00e7\u0131kar.<\/p>\n

\u00d6rne\u011fin, ayn\u0131 ya\u015f grubundaki benzer boy ve kilodaki \u00e7ocuklar be\u015f kat merdiveni rahat\u00e7a \u00e7\u0131kabilirken, Pectus Excavatum\u2019lu bir \u00e7ocuk \u00fc\u00e7\u00fcnc\u00fc katta nefesi kesilerek durabilir.<\/strong>
Egzersiz sonras\u0131, kaburga veya sol g\u00f6\u011f\u00fcs b\u00f6lgesinde a\u011fr\u0131<\/strong> g\u00f6r\u00fclebilir.
Ayr\u0131ca \u00e7arp\u0131nt\u0131, ritim bozuklu\u011fu (aritmi)<\/strong> ve k\u0131sa bir egzersiz sonras\u0131 \u00fcf\u00fcr\u00fcm sesi<\/strong> de duyulabilir.
Kalbin pozisyonundaki kayma nedeniyle elektrokardiyografide de\u011fi\u015fiklikler<\/strong> g\u00f6r\u00fclebilir.
G\u00f6\u011f\u00fcs duvar\u0131 d\u00fczeltildi\u011finde, kalp ve akci\u011fer fonksiyonlar\u0131nda belirgin iyile\u015fme<\/strong> elde edilir.<\/p>\n

G\u00f6\u011f\u00fcs duvar\u0131n\u0131n geriye do\u011fru yer de\u011fi\u015ftirmesi, \u00f6zellikle kalbin sa\u011f kar\u0131nc\u0131k \u00f6n duvar\u0131nda bir \u00e7\u00f6kme<\/strong> olu\u015fturur.
Bu \u00e7\u00f6kme d\u00fczeltildi\u011finde, kalbin bu b\u00f6l\u00fcm\u00fc de normal konumuna d\u00f6ner.<\/strong>
Basit\u00e7e ifade etmek gerekirse, g\u00f6\u011f\u00fcs \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fc kalp ve akci\u011fer hacimlerinden \u201ckendi hacmi kadar\u201d \u00e7alar.
Bu nedenle hastalar\u0131ma her zaman \u015funu s\u00f6ylerim:
\u201cBu deformite gen\u00e7ken de\u011fil, ya\u015fl\u0131l\u0131kta problem yarat\u0131r.\u201d<\/strong>
\u00c7\u00fcnk\u00fc ya\u015f ilerledik\u00e7e, g\u00f6\u011f\u00fcs \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fcn\u00fcn \u00e7ald\u0131\u011f\u0131 bu hacimler kalp ve akci\u011ferin daha \u00e7ok ihtiya\u00e7 duydu\u011fu<\/strong> kapasitelerdir.
Ayr\u0131ca deformiteye ba\u011fl\u0131 duru\u015f bozukluklar\u0131, ilerleyen ya\u015flarda a\u011fr\u0131 ve hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131<\/strong> gibi ek sorunlara yol a\u00e7abilir.<\/p>\n

Solunum ve kalp fonksiyonlar\u0131na ba\u011fl\u0131 sorunlarda, ameliyat \u00f6ncesi \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fcn derecesi ne kadar fazlaysa<\/strong>, ameliyat sonras\u0131 iyile\u015fme de o kadar belirgin olur.<\/strong>
Bir\u00e7ok ara\u015ft\u0131rmac\u0131, Pectus Excavatum\u2019daki semptomlar\u0131n g\u00f6\u011f\u00fcs bo\u015flu\u011fu hacmindeki azalma<\/strong> ile ili\u015fkili oldu\u011funu \u00f6ne s\u00fcrm\u00fc\u015ft\u00fcr.
Ancak bu ili\u015fkiyi kesin olarak kan\u0131tlamak zordur; \u00e7\u00fcnk\u00fc normal bireylerde bile kardiyopulmoner kapasite olduk\u00e7a geni\u015f bir aral\u0131kta de\u011fi\u015febilir.<\/strong>
Bu tamamen ki\u015finin fiziksel aktivite d\u00fczeyine ve v\u00fccut yap\u0131s\u0131na<\/strong> ba\u011fl\u0131d\u0131r.<\/p>\n

Pectus Excavatum\u2019a sahip bir birey, isterse bir\u00e7ok spor dal\u0131nda ba\u015far\u0131l\u0131 olabilir,<\/strong>
v\u00fccut geli\u015ftirme ile g\u00fc\u00e7l\u00fc bir fizik elde edebilir veya y\u00fcz\u00fcc\u00fc olabilir.
D\u00fcnyada bunun bir\u00e7ok \u00f6rne\u011fi mevcuttur.
Ancak yine de bu deformitenin tedavi edilmesi, sporu daha rahat yapabilmek, daha estetik bir v\u00fccut yap\u0131s\u0131na sahip olmak ve performans\u0131 art\u0131rmak a\u00e7\u0131s\u0131ndan faydal\u0131d\u0131r.<\/strong><\/p>\n<\/div>\n[\/vc_column_text][vc_video link=”https:\/\/www.youtube.com\/watch?v=KPLiGXFH3yI” css=””][vc_column_text css=”” text_direction=”default”]\n

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Pectus Excavatum\u2019un Etkileri<\/strong><\/p>\n

Pectus Excavatum yaln\u0131zca kalp ve akci\u011ferleri<\/strong> etkilemez.
G\u00f6\u011f\u00fcs kafesinin i\u00e7e do\u011fru \u00e7\u00f6kmesi, yemek borusu (\u00f6zofagus)<\/strong> ve mide \u00fczerinde bask\u0131<\/strong> olu\u015fturabilir.
Bu durum hastalarda erken doyma ve erken ac\u0131kma hissine<\/strong> yol a\u00e7ar ve \u00f6zellikle \u00e7ocuklarda yetersiz beslenmeye<\/strong> neden olabilir.
Bu y\u00fczden kundurac\u0131 g\u00f6\u011fs\u00fc\u00a0(Funnel Chest)<\/strong> deformitesine sahip \u00e7ocuklar\u0131n bir\u00e7o\u011funun zay\u0131f veya d\u00fc\u015f\u00fck kilolu<\/strong> oldu\u011fu g\u00f6zlemlenir.<\/p>\n

Diyafram<\/strong>, yani solunuma yard\u0131mc\u0131 kas da bu bas\u0131n\u00e7tan etkilenir.
Pectus Excavatum\u2019lu bireylerde diyafram tam kapasiteyle \u00e7al\u0131\u015famaz<\/strong>,
bunun sonucu olarak \u00f6zellikle s\u0131rt\u00fcst\u00fc pozisyonda (yatar durumda)<\/strong> hastan\u0131n nefes alma kapasitesi azal\u0131r.<\/strong>
G\u00fcnl\u00fck ya\u015famda bu durum, d\u00fc\u015f\u00fck uyku kalitesi<\/strong> olarak kendini g\u00f6sterebilir.
Yap\u0131lan bilimsel \u00e7al\u0131\u015fmalar, Pectus Excavatum\u2019lu bireylerin uyku kalitesinin d\u00fc\u015f\u00fck oldu\u011funu<\/strong> g\u00f6stermi\u015ftir.
Uzun s\u00fcre d\u00fc\u015f\u00fck kaliteli uyku uyuyan bireylerde ise, ilerleyen ya\u015flarda kalp krizi riskinin artt\u0131\u011f\u0131<\/strong> bilinmektedir.<\/p>\n

Psikolojik ve Sosyal Etkiler<\/strong><\/h3>\n

E\u011fer hasta bu deformiteden g\u00f6rsel olarak rahats\u0131zl\u0131k duyuyorsa<\/strong>,
bu durum herhangi bir fizyolojik sorun olmasa bile<\/strong> tedavi gereklili\u011fi olu\u015fturur.
T\u0131bbi literat\u00fcrde bu durum kabul edilmi\u015f bir endikasyon<\/strong> olarak yer al\u0131r.<\/p>\n

Pek \u00e7ok hasta, \u201cDenize hi\u00e7bir zaman ti\u015f\u00f6rts\u00fcz giremedim.\u201d gibi ifadelerle bu rahats\u0131zl\u0131\u011f\u0131n\u0131 dile getirmektedir.
Psikiyatristler 1960\u2019lardan bu yana bu konu \u00fczerine \u00e7ok say\u0131da \u00e7al\u0131\u015fma y\u00fcr\u00fctm\u00fc\u015f ve bu durumu \u201cmental deformite\u201d<\/strong> olarak tan\u0131mlam\u0131\u015ft\u0131r.
Yap\u0131lan bir ara\u015ft\u0131rmada, Pectus Excavatum hastalar\u0131nda \u015fu psikolojik belirtiler saptanm\u0131\u015ft\u0131r:<\/p>\n