{"id":8129,"date":"2026-06-17T14:40:28","date_gmt":"2026-06-17T11:40:28","guid":{"rendered":"https:\/\/dmdwarrior.com\/?p=8129"},"modified":"2026-06-17T14:40:30","modified_gmt":"2026-06-17T11:40:30","slug":"circumcision-in-duchenne-muscular-dystrophy","status":"publish","type":"post","link":"https:\/\/dmdwarrior.com\/tr\/circumcision-in-duchenne-muscular-dystrophy\/","title":{"rendered":"DMD S\u00fcnnet Rehberi: G\u00fcvenlik \u00d6nlemleri, Anestezi ve Ameliyat Sonras\u0131 Bak\u0131m"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>\u00c7ocuklar\u0131na Duchenne kas distrofisi (DMD) te\u015fhisi konulduktan sonra ebeveynler s\u0131kl\u0131kla \u00f6nemli bir soru soruyor: DMD'li \u00e7ocuklar s\u00fcnnet olabilir mi? K\u0131sa cevap evet; Duchenne kas distrofisinde s\u00fcnnet genellikle m\u00fcmk\u00fcnd\u00fcr ve uygun t\u0131bbi \u00f6nlemler al\u0131nd\u0131\u011f\u0131nda g\u00fcvenli bir \u015fekilde ger\u00e7ekle\u015ftirilebilir.<\/strong> Ancak, sa\u011fl\u0131kl\u0131 \u00e7ocuklardan farkl\u0131 olarak, DMD&#039;li erkek \u00e7ocuklarda anestezi, solunum fonksiyonu, kalp sa\u011fl\u0131\u011f\u0131 ve steroid tedavisiyle ilgili potansiyel komplikasyonlar nedeniyle herhangi bir cerrahi i\u015flem \u00f6ncesinde \u00f6zel dikkat g\u00f6sterilmesi gerekir. Bu riskleri anlamak ve deneyimli bir n\u00f6rom\u00fcsk\u00fcler bak\u0131m ekibiyle \u00e7al\u0131\u015fmak, g\u00fcvenli\u011fi ve sonu\u00e7lar\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde iyile\u015ftirebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir\u00e7ok ailede s\u00fcnnet, dini, k\u00fclt\u00fcrel, sosyal veya t\u0131bbi nedenlerle yap\u0131l\u0131r. <strong>S\u00fcnnet i\u015flemi genellikle k\u00fc\u00e7\u00fck bir i\u015flem olsa da, Duchenne kas distrofisi olan \u00e7ocuklarda anestezi y\u00f6netimi \u00e7o\u011fu zaman en \u00f6nemli husustur.<\/strong> Uluslararas\u0131 DMD bak\u0131m k\u0131lavuzlar\u0131, Duchenne kas distrofisi olan hastalar\u0131n ameliyat \u00f6ncesi ve sonras\u0131 d\u00f6nemde benzersiz risklere sahip oldu\u011funu ve ameliyat planland\u0131\u011f\u0131nda \u00f6zel protokollere g\u00f6re y\u00f6netilmesi gerekti\u011fini vurgulamaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu kapsaml\u0131 k\u0131lavuz, Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklar\u0131n s\u00fcnnet olup olamayaca\u011f\u0131n\u0131, hangi anestezi y\u00f6ntemlerinin en g\u00fcvenli olabilece\u011fini, ameliyat \u00f6ncesi haz\u0131rl\u0131klar\u0131n nas\u0131l yap\u0131lmas\u0131 gerekti\u011fini, hastanelerin almas\u0131 gereken \u00f6nlemleri ve ailelerin iyile\u015fme s\u00fcrecinde nelere dikkat etmesi gerekti\u011fini a\u00e7\u0131klamaktad\u0131r.<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>\u0130\u00e7indekiler<\/h2><nav><ul><li><a href=\"#understanding-duchenne-muscular-dystrophy-and-surgery-risks\">Duchenne Kas Distrofisi ve Ameliyat Risklerini Anlamak<\/a><\/li><li><a href=\"#can-children-with-dmd-be-circumcised\">DMD'li \u00c7ocuklar S\u00fcnnet Olabilir mi?<\/a><ul><\/ul><\/li><li><a href=\"#why-circumcision-requires-special-planning-in-dmd\">Duchenne Musk\u00fcler Distrofisi (DMD) Hastalar\u0131nda S\u00fcnnetin \u00d6zel Planlama Gerektirmesinin Nedenleri<\/a><ul><\/ul><\/li><li><a href=\"#preoperative-assessment-before-circumcision\">S\u00fcnnet \u00d6ncesi Ameliyat \u00d6ncesi De\u011ferlendirme<\/a><ul><\/ul><\/li><li><a href=\"#which-anesthesia-is-safest-for-children-with-dmd\">Duchenne Musk\u00fcler Distrofisi Olan \u00c7ocuklar \u0130\u00e7in Hangi Anestezi En G\u00fcvenlidir?<\/a><ul><\/ul><\/li><li><a href=\"#is-local-anesthesia-an-option\">Lokal anestezi bir se\u00e7enek mi?<\/a><\/li><li><a href=\"#should-circumcision-be-performed-in-a-hospital\">S\u00fcnnet hastanede mi yap\u0131lmal\u0131?<\/a><ul><\/ul><\/li><li><a href=\"#questions-parents-should-ask-before-circumcision\">S\u00fcnnet \u00d6ncesinde Ebeveynlerin Sormas\u0131 Gereken Sorular<\/a><ul><\/ul><\/li><li><a href=\"#special-considerations-for-children-taking-corticosteroids\">Kortikosteroid Kullanan \u00c7ocuklar \u0130\u00e7in \u00d6zel Hususlar<\/a><ul><\/ul><\/li><li><a href=\"#laboratory-tests-before-circumcision\">S\u00fcnnet \u00d6ncesi Laboratuvar Testleri<\/a><ul><\/ul><\/li><li><a href=\"#what-happens-on-the-day-of-surgery\">Ameliyat G\u00fcn\u00fc Neler Oluyor?<\/a><\/li><li><a href=\"#postoperative-recovery-after-circumcision\">Ameliyat Sonras\u0131 \u0130yile\u015fme<\/a><ul><\/ul><\/li><li><a href=\"#pain-management-after-circumcision\">S\u00fcnnet Sonras\u0131 A\u011fr\u0131 Y\u00f6netimi<\/a><ul><\/ul><\/li><li><a href=\"#signs-families-should-watch-for-after-surgery\">Ameliyat Sonras\u0131 Ailelerin Dikkat Etmesi Gereken Belirtiler<\/a><ul><\/ul><\/li><li><a href=\"#circumcision-in-non-ambulatory-dmd-patients\">Y\u00fcr\u00fcyemeyen DMD Hastalar\u0131nda S\u00fcnnet<\/a><\/li><li><a href=\"#international-dmd-care-recommendations\">Uluslararas\u0131 DMD Bak\u0131m \u00d6nerileri<\/a><\/li><li><a href=\"#practical-tips-for-families\">Aileler \u0130\u00e7in Pratik \u0130pu\u00e7lar\u0131<\/a><ul><\/ul><\/li><li><a href=\"#fa-qs-circumcision-in-duchenne-muscular-dystrophy\">S\u0131k\u00e7a Sorulan Sorular: Duchenne Kas Distrofisinde S\u00fcnnet<\/a><ul><li><a href=\"#faq-question-1781689505110\">Duchenne kas distrofisi olan \u00e7ocuklar s\u00fcnnet edilebilir mi?<\/a><\/li><li><a href=\"#faq-question-1781689749313\">Duchenne kas distrofisi olan erkek \u00e7ocuklarda s\u00fcnnet g\u00fcvenli midir?<\/a><\/li><li><a href=\"#faq-question-1781689757105\">Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda anestezi neden endi\u015fe kayna\u011f\u0131d\u0131r?<\/a><\/li><li><a href=\"#faq-question-1781689764552\">Duchenne kas distrofisinde hangi anestezik ila\u00e7lardan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r?<\/a><\/li><li><a href=\"#faq-question-1781689771182\">Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda s\u00fcnnet hastanede yap\u0131lmal\u0131 m\u0131?<\/a><\/li><li><a href=\"#faq-question-1781689777212\">\u00c7ocu\u011fumun s\u00fcnnet \u00f6ncesinde kalp ve akci\u011fer testlerinden ge\u00e7mesi gerekiyor mu?<\/a><\/li><li><a href=\"#faq-question-1781689799750\">Deflazacort veya Prednizon kullanan bir \u00e7ocuk g\u00fcvenli bir \u015fekilde s\u00fcnnet edilebilir mi?<\/a><\/li><li><a href=\"#faq-question-1781689806192\">Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda s\u00fcnnet sonras\u0131 iyile\u015fme ne kadar s\u00fcrer?<\/a><\/li><li><a href=\"#faq-question-1781689820051\">S\u00fcnnet sonras\u0131 ebeveynler hangi belirtilere dikkat etmelidir?<\/a><\/li><li><a href=\"#faq-question-1781689837980\">Duchenne kas distrofisinde s\u00fcnnet \u00f6ncesinde al\u0131nmas\u0131 gereken en \u00f6nemli \u00f6nlem nedir?<\/a><\/li><\/ul><\/li><li><a href=\"#conclusion\">Sonu\u00e7<\/a><\/li><li><a href=\"#academic-sources-and-references\">Akademik Kaynaklar ve Referanslar<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"understanding-duchenne-muscular-dystrophy-and-surgery-risks\" class=\"wp-block-heading\">Duchenne Kas Distrofisi ve Ameliyat Risklerini Anlamak<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi, DMD genindeki mutasyonlardan kaynaklanan ve i\u015flevsel distrofin proteininin az veya hi\u00e7 olmamas\u0131na yol a\u00e7an ilerleyici bir genetik n\u00f6rom\u00fcsk\u00fcler hastal\u0131kt\u0131r. Zamanla kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc iskelet kaslar\u0131n\u0131, solunum kaslar\u0131n\u0131 ve kalbi etkiler.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DMD birden fazla organ sistemini etkiledi\u011fi i\u00e7in, nispeten k\u00fc\u00e7\u00fck cerrahi i\u015flemler bile dikkatli planlama gerektirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ameliyat riskini art\u0131ran \u00e7e\u015fitli fakt\u00f6rler vard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Solunum kas\u0131 zay\u0131fl\u0131\u011f\u0131<\/li>\n\n\n\n<li>\u00d6ks\u00fcr\u00fck etkinli\u011finde azalma<\/li>\n\n\n\n<li><a href=\"https:\/\/dmdwarrior.com\/tr\/heart-health-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" data-type=\"post\" data-id=\"6816\" rel=\"noreferrer noopener\">Kardiyomiyopati<\/a><\/li>\n\n\n\n<li>Kalp iletim anormallikleri<\/li>\n\n\n\n<li>Kronik kortikosteroid kullan\u0131m\u0131<\/li>\n\n\n\n<li>Baz\u0131 anestezik maddelere kar\u015f\u0131 artan hassasiyet<\/li>\n\n\n\n<li>Anestezi s\u0131ras\u0131nda olas\u0131 metabolik komplikasyonlar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00d6nemli olan, Duchenne kas distrofisinde s\u00fcnnetle ilgili endi\u015felerin \u00e7o\u011funun cerrahi i\u015flemin kendisinden ziyade anesteziyle ilgili olmas\u0131d\u0131r.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"can-children-with-dmd-be-circumcised\" class=\"wp-block-heading\">DMD'li \u00c7ocuklar S\u00fcnnet Olabilir mi?<\/h2>\n\n\n\n<h3 id=\"the-short-answer\" class=\"wp-block-heading\">K\u0131sa Cevap<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Evet. Duchenne kas distrofisi olan \u00e7ocuklar\u0131n \u00e7o\u011fu, uygun bir t\u0131bbi ortamda, deneyimli anestezi ve cerrahi ekipleri taraf\u0131ndan yap\u0131ld\u0131\u011f\u0131nda g\u00fcvenli bir \u015fekilde s\u00fcnnet edilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Karar, a\u015fa\u011f\u0131daki fakt\u00f6rlere ba\u011fl\u0131 olarak bireyselle\u015ftirilmelidir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ya\u015f<\/li>\n\n\n\n<li>Ayakta tedavi durumu<\/li>\n\n\n\n<li>Kalp fonksiyonu<\/li>\n\n\n\n<li>Solunum fonksiyonu<\/li>\n\n\n\n<li>Mevcut ila\u00e7lar<\/li>\n\n\n\n<li>\u00d6nceki anestezi \u00f6yk\u00fcs\u00fc<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Kalp ve solunum fonksiyonlar\u0131 hen\u00fcz iyi olan k\u00fc\u00e7\u00fck \u00e7ocuklarda riskler, genellikle hastal\u0131\u011f\u0131 ilerlemi\u015f ve y\u00fcr\u00fcyemeyen daha b\u00fcy\u00fck hastalara g\u00f6re daha d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak her vaka ayr\u0131 ayr\u0131 de\u011ferlendirilmelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"why-circumcision-requires-special-planning-in-dmd\" class=\"wp-block-heading\">Duchenne Musk\u00fcler Distrofisi (DMD) Hastalar\u0131nda S\u00fcnnetin \u00d6zel Planlama Gerektirmesinin Nedenleri<\/h2>\n\n\n\n<h3 id=\"surgery-is-not-the-main-risk\" class=\"wp-block-heading\">Ameliyat Ana Risk De\u011fil<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ebeveynler genellikle s\u00fcnnet i\u015fleminin kendisine odaklan\u0131rken, uzmanlar genellikle anestezi y\u00f6netimine daha \u00e7ok odaklan\u0131rlar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uluslararas\u0131 DMD bak\u0131m \u00f6nerilerine g\u00f6re, Duchenne kas distrofisi olan \u00e7ocuklarda baz\u0131 anestezik maddelere maruz kald\u0131klar\u0131nda ciddi komplikasyonlar geli\u015febilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Olas\u0131 komplikasyonlar \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rabdomiyoliz<\/li>\n\n\n\n<li>Hiperkalemi<\/li>\n\n\n\n<li>Kalp aritmileri<\/li>\n\n\n\n<li>Solunum yetmezli\u011fi<\/li>\n\n\n\n<li>Anesteziden uzun s\u00fcren iyile\u015fme s\u00fcreci<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle, anestezi uzmanlar\u0131na \u00e7ocu\u011fun DMD tan\u0131s\u0131 ameliyattan \u00e7ok \u00f6nce bildirilmelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"preoperative-assessment-before-circumcision\" class=\"wp-block-heading\">S\u00fcnnet \u00d6ncesi Ameliyat \u00d6ncesi De\u011ferlendirme<\/h2>\n\n\n\n<h3 id=\"neuromuscular-evaluation\" class=\"wp-block-heading\">N\u00f6rom\u00fcsk\u00fcler De\u011ferlendirme<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00f6rom\u00fcsk\u00fcler uzman\u0131 \u015fu hususlar\u0131 de\u011ferlendirmelidir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hastal\u0131\u011f\u0131n ilerleme durumu<\/li>\n\n\n\n<li>Mevcut kas g\u00fcc\u00fc<\/li>\n\n\n\n<li>\u0130\u015flevsel durum<\/li>\n\n\n\n<li>Son klinik de\u011fi\u015fiklikler<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu, ek testlere ihtiya\u00e7 olup olmad\u0131\u011f\u0131n\u0131 belirlemeye yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<h3 id=\"cardiac-assessment\" class=\"wp-block-heading\">Kardiyak De\u011ferlendirme<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">DMD&#039;de kardiyomiyopati s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc i\u00e7in, yak\u0131n zamanda yap\u0131lm\u0131\u015f bir kardiyak de\u011ferlendirme s\u0131kl\u0131kla \u00f6nerilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Testler \u015funlar\u0131 i\u00e7erebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ekokardiyogram<\/li>\n\n\n\n<li>Elektrokardiogram (EKG)<\/li>\n\n\n\n<li>Kardiyoloji kons\u00fcltasyonu<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcnen \u00e7ocuklarda bile erken d\u00f6nemde kalp rahats\u0131zl\u0131\u011f\u0131 g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<h3 id=\"respiratory-assessment\" class=\"wp-block-heading\">Solunum De\u011ferlendirmesi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ya\u015f ilerledik\u00e7e solunum sistemi de\u011ferlendirmesinin \u00f6nemi artmaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ocu\u011fun durumuna ba\u011fl\u0131 olarak, doktorlar \u015funlar\u0131 isteyebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/dmdwarrior.com\/tr\/spirometry-test-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" data-type=\"post\" data-id=\"8045\" rel=\"noreferrer noopener\">Spirometri<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dmdwarrior.com\/tr\/peak-flow-meter-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" data-type=\"post\" data-id=\"7832\" rel=\"noreferrer noopener\">Tepe \u00f6ks\u00fcr\u00fck ak\u0131\u015f h\u0131z\u0131 testi<\/a><\/li>\n\n\n\n<li>Oksijen doygunlu\u011fu \u00f6l\u00e7\u00fcmleri<\/li>\n\n\n\n<li>Uyku \u00e7al\u0131\u015fmalar\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Solunum g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7eken \u00e7ocuklarda ameliyat sonras\u0131 ek izleme gerekebilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"which-anesthesia-is-safest-for-children-with-dmd\" class=\"wp-block-heading\">Duchenne Musk\u00fcler Distrofisi Olan \u00c7ocuklar \u0130\u00e7in Hangi Anestezi En G\u00fcvenlidir?<\/h2>\n\n\n\n<h3 id=\"anesthesia-must-be-planned-carefully\" class=\"wp-block-heading\">Anestezi dikkatlice planlanmal\u0131d\u0131r<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisinde s\u00fcnnet s\u0131ras\u0131nda en \u00f6nemli husus anestezi se\u00e7imidir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uluslararas\u0131 anestezi \u00f6nerileri genellikle \u015funlardan ka\u00e7\u0131n\u0131lmas\u0131n\u0131 tavsiye eder:<\/p>\n\n\n\n<h4 id=\"succinylcholine\" class=\"wp-block-heading\">S\u00fcksinilkolin<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcksinilkolin, DMD&#039;de kontrendikedir \u00e7\u00fcnk\u00fc \u015fu durumlara neden olabilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u015eiddetli hiperkalemi<\/li>\n\n\n\n<li>Kalp durmas\u0131<\/li>\n\n\n\n<li>Hayat\u0131 tehdit eden komplikasyonlar<\/li>\n<\/ul>\n\n\n\n<h4 id=\"volatile-inhalational-anesthetics\" class=\"wp-block-heading\">U\u00e7ucu \u0130nhalasyon Anestezikleri<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eu gibi arac\u0131lar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sevofluran<\/li>\n\n\n\n<li>\u0130zofluran<\/li>\n\n\n\n<li>Desfluran<\/li>\n\n\n\n<li>Halotan<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi olan hastalarda anesteziye ba\u011fl\u0131 rabdomiyoliz riskini art\u0131rabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir\u00e7ok DMD uzman\u0131, m\u00fcmk\u00fcn oldu\u011funca bu ila\u00e7lardan ka\u00e7\u0131n\u0131lmas\u0131n\u0131 \u00f6nermektedir.<\/p>\n\n\n\n<h3 id=\"total-intravenous-anesthesia-tiva\" class=\"wp-block-heading\">Toplam \u0130ntraven\u00f6z Anestezi (TIVA)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Bir\u00e7ok n\u00f6rom\u00fcsk\u00fcler anestezi uzman\u0131, Total \u0130ntraven\u00f6z Anesteziyi (TIVA) tercih etmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TIVA \u015funlar\u0131 kullanabilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Propofol<\/li>\n\n\n\n<li>Remifentanil<\/li>\n\n\n\n<li>Di\u011fer intraven\u00f6z ila\u00e7lar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Anestezi plan\u0131 her zaman yetkin bir anestezi uzman\u0131 taraf\u0131ndan belirlenmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Devam\u0131n\u0131 oku: <a href=\"https:\/\/dmdwarrior.com\/tr\/dmd-surgery-anesthesia\/\" target=\"_blank\" rel=\"noreferrer noopener\">DMD&#039;de Anestezi Alt\u0131nda Cerrahi<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"863\" height=\"1822\" src=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy.png\" alt=\"Duchenne Musk\u00fcler Distrofisi (DMD) hastalar\u0131nda s\u00fcnnet i\u00e7in g\u00fcvenli anestezi ila\u00e7lar\u0131\" class=\"wp-image-8135\" title=\"\" srcset=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy.png 863w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-142x300.png 142w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-485x1024.png 485w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-768x1621.png 768w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-728x1536.png 728w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-6x12.png 6w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-199x420.png 199w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-150x317.png 150w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-300x633.png 300w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/safe-anesthesia-for-duchenne-muscular-dystrophy-696x1469.png 696w\" sizes=\"auto, (max-width: 863px) 100vw, 863px\" \/><figcaption class=\"wp-element-caption\">Duchenne kas distrofisi olan \u00e7ocuk ve yeti\u015fkinlerde ameliyat veya t\u0131bbi i\u015flemler \u00f6ncesinde g\u00fcvenli anestezi se\u00e7eneklerini anlamak \u00e7ok \u00f6nemlidir.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"is-local-anesthesia-an-option\" class=\"wp-block-heading\">Lokal anestezi bir se\u00e7enek mi?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 durumlarda s\u00fcnnet \u015fu y\u00f6ntemlerle yap\u0131labilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lokal anestezi<\/li>\n\n\n\n<li>B\u00f6lgesel anestezi<\/li>\n\n\n\n<li>Sedasyon ve lokal anestezi tekniklerinin birle\u015fimi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Potansiyel avantajlar \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anesteziye maruz kalman\u0131n azalmas\u0131<\/li>\n\n\n\n<li>Daha h\u0131zl\u0131 iyile\u015fme<\/li>\n\n\n\n<li>Daha az solunum yolu hasar\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak uygunluk \u015funlara ba\u011fl\u0131d\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c7ocu\u011fun ya\u015f\u0131<\/li>\n\n\n\n<li>\u0130\u015fbirli\u011fi d\u00fczeyi<\/li>\n\n\n\n<li>Cerrahi teknik<\/li>\n\n\n\n<li>Hekim tercihi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Her \u00e7ocuk sadece lokal anestezi i\u00e7in ideal bir aday de\u011fildir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"should-circumcision-be-performed-in-a-hospital\" class=\"wp-block-heading\">S\u00fcnnet hastanede mi yap\u0131lmal\u0131?<\/h2>\n\n\n\n<h3 id=\"hospital-setting-is-strongly-preferred\" class=\"wp-block-heading\">Hastane ortam\u0131 \u015fiddetle tercih edilir<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi olan erkek \u00e7ocuklarda s\u00fcnnet ideal olarak \u015fu b\u00f6lgelerde yap\u0131lmal\u0131d\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bir hastane<\/li>\n\n\n\n<li>Bir \u00e7ocuk cerrahi merkezi<\/li>\n\n\n\n<li>N\u00f6rom\u00fcsk\u00fcler bozukluklar konusunda deneyimli bir tesis.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Aileler \u015fu \u00f6zelliklerden yoksun ortamlardan ka\u00e7\u0131nmal\u0131d\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pediatrik anesteziyoloji deste\u011fi<\/li>\n\n\n\n<li>Acil durum izleme yetenekleri<\/li>\n\n\n\n<li>Kalp ve solunum uzmanl\u0131\u011f\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcnnet genellikle k\u00fc\u00e7\u00fck bir ameliyat olarak kabul edilse de, Duchenne Musk\u00fcler Distrofisi (DMD) ameliyat \u00f6ncesi ve sonras\u0131 planlamay\u0131 \u00e7ok daha \u00f6nemli hale getiriyor.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"questions-parents-should-ask-before-circumcision\" class=\"wp-block-heading\">S\u00fcnnet \u00d6ncesinde Ebeveynlerin Sormas\u0131 Gereken Sorular<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flemi planlamadan \u00f6nce, ebeveynler t\u0131bbi ekiple a\u015fa\u011f\u0131daki sorular\u0131 g\u00f6r\u00fc\u015fmelidir:<\/p>\n\n\n\n<h3 id=\"anesthesia-questions\" class=\"wp-block-heading\">Anesteziyle \u0130lgili Sorular<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anestezi uzman\u0131n\u0131n DMD hastalar\u0131n\u0131 tedavi etme konusunda deneyimi var m\u0131?<\/li>\n\n\n\n<li>S\u00fcksinilkolin kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lacak m\u0131?<\/li>\n\n\n\n<li>U\u00e7ucu anestezik maddelerden ka\u00e7\u0131n\u0131lacak m\u0131?<\/li>\n\n\n\n<li>Hangi acil durum protokolleri mevcuttur?<\/li>\n<\/ul>\n\n\n\n<h3 id=\"cardiac-questions\" class=\"wp-block-heading\">Kalp ile ilgili sorular<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yak\u0131n tarihli bir ekokardiyogram gerekli mi?<\/li>\n\n\n\n<li>Kardiyoloji uzman\u0131ndan onay al\u0131nmas\u0131 \u00f6neriliyor mu?<\/li>\n<\/ul>\n\n\n\n<h3 id=\"respiratory-questions\" class=\"wp-block-heading\">Solunum Yoluyla \u0130lgili Sorular<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c7ocu\u011fumun akci\u011fer testine ihtiyac\u0131 var m\u0131?<\/li>\n\n\n\n<li>Gece boyunca izleme yap\u0131lmas\u0131 gerekecek mi?<\/li>\n<\/ul>\n\n\n\n<h3 id=\"steroid-questions\" class=\"wp-block-heading\">Steroidlerle \u0130lgili Sorular<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c7ocu\u011fumun strese ba\u011fl\u0131 steroid tedavisine ihtiyac\u0131 var m\u0131?<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"special-considerations-for-children-taking-corticosteroids\" class=\"wp-block-heading\">Kortikosteroid Kullanan \u00c7ocuklar \u0130\u00e7in \u00d6zel Hususlar<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">DMD&#039;li bir\u00e7ok erkek \u00e7ocu\u011fa \u015funlar uygulan\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Deflazakort<\/li>\n\n\n\n<li>Prednizon<\/li>\n\n\n\n<li>Prednizolon<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Uzun s\u00fcreli steroid kullan\u0131m\u0131 normal b\u00f6brek \u00fcst\u00fc bezi fonksiyonunu bask\u0131layabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Devam\u0131n\u0131 oku: <a href=\"https:\/\/dmdwarrior.com\/tr\/pros-and-cons-of-steroids-for-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Duchenne Kas Distrofisi \u0130\u00e7in Steroidlerin (Kortizon) Art\u0131lar\u0131 ve Eksileri<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ameliyat s\u0131ras\u0131nda baz\u0131 hastalar\u0131n \u015funlara ihtiyac\u0131 olabilir:<\/p>\n\n\n\n<h3 id=\"stress-dose-steroids\" class=\"wp-block-heading\">Stres Dozu Steroidleri<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Stres dozu steroidler \u015funlar\u0131n \u00f6nlenmesine yard\u0131mc\u0131 olabilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adrenal kriz<\/li>\n\n\n\n<li>Hipotansiyon<\/li>\n\n\n\n<li>T\u00fckenmi\u015flik<\/li>\n\n\n\n<li>Elektrolit bozukluklar\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ek steroid tedavisine ihtiya\u00e7 olup olmad\u0131\u011f\u0131na \u00e7ocu\u011fun doktoru karar vermelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"laboratory-tests-before-circumcision\" class=\"wp-block-heading\">S\u00fcnnet \u00d6ncesi Laboratuvar Testleri<\/h2>\n\n\n\n<h3 id=\"are-ck-ast-and-alt-important\" class=\"wp-block-heading\">CK, AST ve ALT \u00f6nemli mi?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Laboratuvar testlerinde \u015fu de\u011ferlerin y\u00fcksek \u00e7\u0131kmas\u0131 bir\u00e7ok ebeveyni endi\u015felendirir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kreatin kinaz (CK)<\/li>\n\n\n\n<li>Aspartat aminotransferaz (AST)<\/li>\n\n\n\n<li>Alanin aminotransferaz (ALT)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu de\u011ferler Duchenne kas distrofisinde genellikle y\u00fcksektir \u00e7\u00fcnk\u00fc kas hasar\u0131 bu enzimleri kan dola\u015f\u0131m\u0131na salar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Y\u00fcksek CK, AST ve ALT de\u011ferleri tek ba\u015f\u0131na s\u00fcnneti mutlaka engellemez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak hekimler, ameliyat \u00f6ncesinde temel de\u011ferleri belirlemek i\u00e7in yine de laboratuvar testleri isteyebilirler.<\/p>\n\n\n\n<h3 id=\"additional-laboratory-studies\" class=\"wp-block-heading\">Ek Laboratuvar \u00c7al\u0131\u015fmalar\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Duruma ba\u011fl\u0131 olarak, doktorlar \u015funlar\u0131 isteyebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tam kan say\u0131m\u0131<\/li>\n\n\n\n<li>Elektrolitler<\/li>\n\n\n\n<li>Karaci\u011fer fonksiyon testleri<\/li>\n\n\n\n<li>B\u00f6brek fonksiyon testleri<\/li>\n\n\n\n<li>P\u0131ht\u0131la\u015fma \u00e7al\u0131\u015fmalar\u0131<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"what-happens-on-the-day-of-surgery\" class=\"wp-block-heading\">Ameliyat G\u00fcn\u00fc Neler Oluyor?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Aileler \u015funlara dikkat etmelidir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00fcm ila\u00e7lar kay\u0131t alt\u0131na al\u0131nd\u0131.<\/li>\n\n\n\n<li>DMD tan\u0131s\u0131 a\u00e7\u0131k ve net bir \u015fekilde payla\u015f\u0131ld\u0131.<\/li>\n\n\n\n<li>Son kardiyoloji raporlar\u0131 mevcut.<\/li>\n\n\n\n<li>Akci\u011fer hastal\u0131klar\u0131 ile ilgili g\u00fcncel raporlar mevcut.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Anestezi ekibi \u015funlar\u0131 g\u00f6zden ge\u00e7irmelidir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00d6nceki ameliyatlar<\/li>\n\n\n\n<li>Daha \u00f6nce anesteziye maruz kalm\u0131\u015f olmak<\/li>\n\n\n\n<li>Alerjiler<\/li>\n\n\n\n<li>Mevcut ila\u00e7lar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do\u011fru ileti\u015fim, Duchenne kas distrofisinde s\u00fcnnetle ili\u015fkili riskleri azaltmaya yard\u0131mc\u0131 olur.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"postoperative-recovery-after-circumcision\" class=\"wp-block-heading\">Ameliyat Sonras\u0131 \u0130yile\u015fme<\/h2>\n\n\n\n<h3 id=\"immediate-recovery\" class=\"wp-block-heading\">H\u0131zl\u0131 \u0130yile\u015fme<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ocuklar\u0131n \u00e7o\u011fu b\u00fcy\u00fck komplikasyonlar olmadan iyile\u015fir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sa\u011fl\u0131k personeli \u015funlar\u0131 izlemelidir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kalp at\u0131\u015f h\u0131z\u0131<\/li>\n\n\n\n<li>Oksijen doygunlu\u011fu<\/li>\n\n\n\n<li>Nefes alma d\u00fczeni<\/li>\n\n\n\n<li>A\u011fr\u0131 kontrol\u00fc<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">DMD hastalar\u0131nda g\u00f6zlem s\u00fcreleri sa\u011fl\u0131kl\u0131 \u00e7ocuklara g\u00f6re daha uzun olabilir.<\/p>\n\n\n\n<h3 id=\"respiratory-monitoring\" class=\"wp-block-heading\">Solunum \u0130zleme<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle daha b\u00fcy\u00fck \u00e7ocuklarda solunum komplikasyonlar\u0131 endi\u015fe kayna\u011f\u0131 olmaya devam etmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aileler \u015funlara dikkat etmelidir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nefes almada zorluk<\/li>\n\n\n\n<li>S\u00fcrekli \u00f6ks\u00fcr\u00fck<\/li>\n\n\n\n<li>Ola\u011fand\u0131\u015f\u0131 yorgunluk<\/li>\n\n\n\n<li>A\u015f\u0131r\u0131 uyku hali<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Endi\u015fe verici herhangi bir belirti derhal bildirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha fazla bilgi edin: <a href=\"https:\/\/dmdwarrior.com\/tr\/respiratory-health-care-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">DMD&#039;de Solunum Sa\u011fl\u0131\u011f\u0131 Bak\u0131m\u0131<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"pain-management-after-circumcision\" class=\"wp-block-heading\">S\u00fcnnet Sonras\u0131 A\u011fr\u0131 Y\u00f6netimi<\/h2>\n\n\n\n<h3 id=\"safe-pain-control\" class=\"wp-block-heading\">G\u00fcvenli A\u011fr\u0131 Kontrol\u00fc<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 y\u00f6netimi planlar\u0131 \u00e7e\u015fitlilik g\u00f6sterir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yayg\u0131n se\u00e7enekler \u015funlar\u0131 i\u00e7erebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tylenol (asetaminofen) \u2013 4 ya\u015f ve \u00fczeri \u00e7ocuklar i\u00e7in.<\/li>\n\n\n\n<li>Doktor onayl\u0131 ila\u00e7lar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Aileler asla t\u0131bbi rehberlik olmadan ila\u00e7 kullanmaya ba\u015flamamal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bak\u0131m ekibi a\u015fa\u011f\u0131daki hususlara dayanarak bireyselle\u015ftirilmi\u015f \u00f6neriler sunmal\u0131d\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ya\u015f<\/li>\n\n\n\n<li>A\u011f\u0131rl\u0131k<\/li>\n\n\n\n<li>T\u0131bbi \u00f6yk\u00fc<\/li>\n\n\n\n<li>Mevcut ila\u00e7lar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Daha fazla bilgi edin: <a href=\"https:\/\/dmdwarrior.com\/tr\/pain-management-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" data-type=\"post\" data-id=\"6996\" rel=\"noreferrer noopener\">DMD&#039;de A\u011fr\u0131 Y\u00f6netimi<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"signs-families-should-watch-for-after-surgery\" class=\"wp-block-heading\">Ameliyat Sonras\u0131 Ailelerin Dikkat Etmesi Gereken Belirtiler<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015fa\u011f\u0131daki durumlar\u0131 g\u00f6zlemleyen ebeveynler doktorlar\u0131yla ileti\u015fime ge\u00e7melidir:<\/p>\n\n\n\n<h3 id=\"surgical-concerns\" class=\"wp-block-heading\">Cerrahi Kayg\u0131lar<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A\u015f\u0131r\u0131 kanama<\/li>\n\n\n\n<li>\u015ei\u015fli\u011fin artmas\u0131<\/li>\n\n\n\n<li>K\u0131zar\u0131kl\u0131\u011f\u0131n k\u00f6t\u00fcle\u015fmesi<\/li>\n\n\n\n<li>Ate\u015f<\/li>\n\n\n\n<li>K\u00f6t\u00fc kokulu drenaj<\/li>\n<\/ul>\n\n\n\n<h3 id=\"respiratory-concerns\" class=\"wp-block-heading\">Solunum Yoluyla \u0130lgili Sorunlar<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nefes darl\u0131\u011f\u0131<\/li>\n\n\n\n<li>\u00c7ocu\u011fu uyand\u0131rmakta zorluk<\/li>\n\n\n\n<li>Dudak \u00e7evresinde mavi renk de\u011fi\u015fikli\u011fi<\/li>\n\n\n\n<li>Kal\u0131c\u0131 oksijen doygunlu\u011fu azalmas\u0131<\/li>\n<\/ul>\n\n\n\n<h3 id=\"cardiac-concerns\" class=\"wp-block-heading\">Kalp ile ilgili endi\u015feler<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>G\u00f6\u011f\u00fcs rahats\u0131zl\u0131\u011f\u0131<\/li>\n\n\n\n<li>\u00c7arp\u0131nt\u0131<\/li>\n\n\n\n<li>Ba\u015f d\u00f6nmesi<\/li>\n\n\n\n<li>A\u00e7\u0131klanamayan zay\u0131fl\u0131k<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu belirtilerden herhangi biri ortaya \u00e7\u0131karsa, derhal t\u0131bbi de\u011ferlendirme yap\u0131lmas\u0131 \u00f6nemlidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"circumcision-in-non-ambulatory-dmd-patients\" class=\"wp-block-heading\">Y\u00fcr\u00fcyemeyen DMD Hastalar\u0131nda S\u00fcnnet<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi ilerledik\u00e7e, ameliyat \u00f6ncesi ve sonras\u0131 riskler genellikle artar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Y\u00fcr\u00fcyemeyen hastalarda \u015funlar g\u00f6r\u00fclebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Akci\u011fer kapasitesinde azalma<\/li>\n\n\n\n<li>Daha belirgin kardiyomiyopati<\/li>\n\n\n\n<li>Anestezi karma\u015f\u0131kl\u0131\u011f\u0131n\u0131n artmas\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durumlarda, \u00e7ok disiplinli planlama daha da \u00f6nem kazanmaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ekipte \u015funlar yer alabilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00f6rolog<\/li>\n\n\n\n<li>Kardiyolog<\/li>\n\n\n\n<li>Pulmonolog<\/li>\n\n\n\n<li>Anesteziyolog<\/li>\n\n\n\n<li>\u00c7ocuk cerrah\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Daha fazla bilgi edin: <a href=\"https:\/\/dmdwarrior.com\/tr\/multidisciplinary-neuromuscular-team-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">DMD&#039;de \u00c7ok Disiplinli N\u00f6rom\u00fcsk\u00fcler Ekip<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"international-dmd-care-recommendations\" class=\"wp-block-heading\">Uluslararas\u0131 DMD Bak\u0131m \u00d6nerileri<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Uluslararas\u0131 Duchenne kas distrofisi bak\u0131m k\u0131lavuzlar\u0131 \u015funlar\u0131 vurgulamaktad\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kapsaml\u0131 ameliyat \u00f6ncesi de\u011ferlendirme<\/li>\n\n\n\n<li>\u00d6zel anestezi protokolleri<\/li>\n\n\n\n<li>Kalp izleme<\/li>\n\n\n\n<li>Solunum izleme<\/li>\n\n\n\n<li>Steroid y\u00f6netimi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu \u00f6neriler, DMD hastalar\u0131 i\u00e7in cerrahi g\u00fcvenli\u011fi \u00f6nemli \u00f6l\u00e7\u00fcde iyile\u015ftirmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aileler, s\u00fcnnet i\u015flemine dahil olan t\u00fcm hekimlerin g\u00fcncel DMD anestezi k\u0131lavuzlar\u0131na a\u015fina oldu\u011fundan emin olmal\u0131d\u0131r.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"practical-tips-for-families\" class=\"wp-block-heading\">Aileler \u0130\u00e7in Pratik \u0130pu\u00e7lar\u0131<\/h2>\n\n\n\n<h3 id=\"before-surgery\" class=\"wp-block-heading\">Ameliyat \u00d6ncesi<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DMD te\u015fhisi hakk\u0131nda t\u00fcm sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131 bilgilendirin.<\/li>\n\n\n\n<li>Son yap\u0131lan kardiyak de\u011ferlendirmeleri edinin.<\/li>\n\n\n\n<li>Son d\u00f6nemde yap\u0131lan solunum sistemi de\u011ferlendirmelerini edinin.<\/li>\n\n\n\n<li>Steroid tedavisinin y\u00f6netimi hakk\u0131nda g\u00f6r\u00fc\u015f\u00fcn.<\/li>\n\n\n\n<li>Anestezi planlar\u0131n\u0131 onaylay\u0131n.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"during-surgery\" class=\"wp-block-heading\">Ameliyat S\u0131ras\u0131nda<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Deneyimli \u00e7ocuk anestezi deste\u011finin sa\u011flanmas\u0131 gerekmektedir.<\/li>\n\n\n\n<li>DMD&#039;ye \u00f6zg\u00fc \u00f6nlemleri do\u011frulay\u0131n.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"after-surgery\" class=\"wp-block-heading\">Ameliyattan Sonra<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Solunumu yak\u0131ndan takip edin.<\/li>\n\n\n\n<li>Yara bak\u0131m talimatlar\u0131na uyun.<\/li>\n\n\n\n<li>Kontrol randevular\u0131na kat\u0131l\u0131n.<\/li>\n\n\n\n<li>Endi\u015fe verici belirtileri derhal bildirin.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"1821\" src=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1.png\" alt=\"Duchenne kas distrofisi (DMD) hastalar\u0131nda s\u00fcnnet ile ilgili anestezi \u00f6nlemlerini ve cerrahi planlamay\u0131 g\u00f6steren bilgi grafi\u011fi.\" class=\"wp-image-8143\" title=\"\" srcset=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1.png 864w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-142x300.png 142w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-486x1024.png 486w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-768x1619.png 768w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-729x1536.png 729w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-6x12.png 6w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-199x420.png 199w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-150x316.png 150w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-300x632.png 300w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/06\/dmd-circumcision-safety-guide-1-696x1467.png 696w\" sizes=\"auto, (max-width: 864px) 100vw, 864px\" \/><figcaption class=\"wp-element-caption\">Duchenne kas distrofisinde s\u00fcnnet i\u015flemine ili\u015fkin g\u00f6rsel bir rehber; anestezi \u00f6nlemleri, kardiyak ve solunum de\u011ferlendirmeleri ve iyile\u015fme \u00f6nerilerini kapsamaktad\u0131r.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"fa-qs-circumcision-in-duchenne-muscular-dystrophy\" class=\"wp-block-heading\">S\u0131k\u00e7a Sorulan Sorular: Duchenne Kas Distrofisinde S\u00fcnnet<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1781689505110\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne kas distrofisi olan \u00e7ocuklar s\u00fcnnet edilebilir mi?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Evet. Duchenne kas distrofisi (DMD) olan \u00e7o\u011fu \u00e7ocuk, uygun t\u0131bbi \u00f6nlemler al\u0131nd\u0131\u011f\u0131nda g\u00fcvenli bir \u015fekilde s\u00fcnnet edilebilir. S\u00fcnnet i\u015fleminin kendisi genellikle birincil endi\u015fe kayna\u011f\u0131 de\u011fildir. Bunun yerine, en b\u00fcy\u00fck riskler anestezi, solunum fonksiyonu, kalp sa\u011fl\u0131\u011f\u0131 ve steroid y\u00f6netimi ile ilgilidir. Aileler, i\u015flemin DMD&#039;ye \u00f6zg\u00fc anestezi k\u0131lavuzlar\u0131na a\u015fina bir hastane veya cerrahi merkezde yap\u0131lmas\u0131n\u0131 sa\u011flamal\u0131d\u0131r.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689749313\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne kas distrofisi olan erkek \u00e7ocuklarda s\u00fcnnet g\u00fcvenli midir?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>S\u00fcnnet, deneyimli \u00e7ocuk cerrahlar\u0131, anestezistler ve n\u00f6rom\u00fcsk\u00fcler uzmanlar\u0131n g\u00f6zetiminde yap\u0131ld\u0131\u011f\u0131nda, Duchenne kas distrofisi olan erkek \u00e7ocuklarda genellikle g\u00fcvenli kabul edilir. Komplikasyon riskini azaltmak ve m\u00fcmk\u00fcn olan en g\u00fcvenli sonucu sa\u011flamak i\u00e7in ameliyat \u00f6ncesi kardiyak ve solunum de\u011ferlendirmeleri s\u0131kl\u0131kla \u00f6nerilir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689757105\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda anestezi neden endi\u015fe kayna\u011f\u0131d\u0131r?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda baz\u0131 anestezi ila\u00e7lar\u0131na kar\u015f\u0131 ciddi reaksiyon riski artm\u0131\u015ft\u0131r. Baz\u0131 anestezik maddeler rabdomiyolize, kan potasyum seviyelerinde tehlikeli y\u00fckselmelere (hiperkalemi), solunum komplikasyonlar\u0131na veya kalp problemlerine neden olabilir. Bu riskler nedeniyle, anestezi uzmanlar\u0131 s\u00fcnnet \u00f6ncesinde, s\u0131ras\u0131nda ve sonras\u0131nda DMD&#039;ye \u00f6zg\u00fc anestezi protokollerini uygulamal\u0131d\u0131r.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689764552\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne kas distrofisinde hangi anestezik ila\u00e7lardan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Uluslararas\u0131 DMD bak\u0131m k\u0131lavuzlar\u0131, ya\u015fam\u0131 tehdit eden hiperkalemi ve kalp durmas\u0131na neden olabilece\u011fi i\u00e7in s\u00fcksinilkolinden ka\u00e7\u0131n\u0131lmas\u0131n\u0131 genel olarak \u00f6nermektedir. Bir\u00e7ok uzman ayr\u0131ca, anesteziye ba\u011fl\u0131 rabdomiyoliz riski nedeniyle sevofluran, desfluran ve izofluran gibi u\u00e7ucu inhalasyon anesteziklerinden m\u00fcmk\u00fcn oldu\u011funca ka\u00e7\u0131n\u0131lmas\u0131n\u0131 \u00f6nermektedir. En g\u00fcvenli anestezi plan\u0131 her zaman n\u00f6rom\u00fcsk\u00fcler bozukluklar konusunda deneyimli, nitelikli bir anestezist taraf\u0131ndan belirlenmelidir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689771182\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda s\u00fcnnet hastanede yap\u0131lmal\u0131 m\u0131?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Evet. Duchenne kas distrofisi olan \u00e7ocuklarda s\u00fcnnet, ideal olarak n\u00f6rom\u00fcsk\u00fcler rahats\u0131zl\u0131klar\u0131n y\u00f6netimi konusunda deneyimli bir hastane veya \u00e7ocuk cerrahisi merkezinde yap\u0131lmal\u0131d\u0131r. Hastane ortam\u0131nda yap\u0131lan i\u015flemler, geli\u015fmi\u015f izleme ekipman\u0131na, \u00e7ocuk anestezi uzmanlar\u0131na, acil bak\u0131m kaynaklar\u0131na ve gerekirse ameliyat sonras\u0131 g\u00f6zleme eri\u015fim sa\u011flar.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689777212\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u00c7ocu\u011fumun s\u00fcnnet \u00f6ncesinde kalp ve akci\u011fer testlerinden ge\u00e7mesi gerekiyor mu?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u00c7o\u011fu durumda evet. Duchenne kas distrofisi hem kalbi hem de solunum kaslar\u0131n\u0131 etkileyebildi\u011finden, doktorlar ameliyattan \u00f6nce ekokardiyogram, elektrokardiyogram (EKG), akci\u011fer fonksiyon testleri veya oksijen doygunlu\u011fu takibi gibi testler \u00f6nerebilir. Bu de\u011ferlendirmeler, anestezi ve iyile\u015fme s\u00fcrecinde ek \u00f6nlemlerin gerekli olup olmad\u0131\u011f\u0131n\u0131 belirlemeye yard\u0131mc\u0131 olur.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689799750\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Deflazacort veya Prednizon kullanan bir \u00e7ocuk g\u00fcvenli bir \u015fekilde s\u00fcnnet edilebilir mi?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p><strong>Steroid tedavisini asla aniden b\u0131rakmay\u0131n. \u00d6ncelikle doktorunuza dan\u0131\u015f\u0131n.<\/strong> Deflazacort, Prednizon veya Prednisolon kullanan DMD&#039;li bir\u00e7ok erkek \u00e7ocuk g\u00fcvenli bir \u015fekilde s\u00fcnnet olmaktad\u0131r. Bununla birlikte, uzun s\u00fcreli kortikosteroid tedavisi v\u00fccudun do\u011fal stres tepkisini bask\u0131layabilir. Baz\u0131 \u00e7ocuklarda, adrenal yetmezlik gibi komplikasyonlar\u0131 \u00f6nlemek i\u00e7in ameliyat s\u0131ras\u0131nda ek &quot;stres dozu steroidler&quot; gerekebilir. <strong>Ebeveynler, i\u015flem \u00f6ncesinde \u00e7ocuklar\u0131n\u0131n sa\u011fl\u0131k ekibiyle steroid tedavisinin y\u00f6netimi konusunu g\u00f6r\u00fc\u015fmelidir.<\/strong><\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689806192\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne Musk\u00fcler Distrofisi (DMD) olan \u00e7ocuklarda s\u00fcnnet sonras\u0131 iyile\u015fme ne kadar s\u00fcrer?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u0130yile\u015fme s\u00fcresi genellikle DMD'li olmayan \u00e7ocuklardakine benzerdir. \u00c7o\u011fu erkek \u00e7ocuk bir ila iki hafta i\u00e7inde iyile\u015fir. Bununla birlikte, Duchenne kas distrofisi olan \u00e7ocuklar, anesteziye ba\u011fl\u0131 solunum veya kalp sorunlar\u0131 nedeniyle ameliyattan hemen sonra ek izlemeye ihtiya\u00e7 duyabilirler. Aileler, t\u0131bbi ekipleri taraf\u0131ndan verilen t\u00fcm ameliyat sonras\u0131 talimatlar\u0131 dikkatlice takip etmelidir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689820051\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">S\u00fcnnet sonras\u0131 ebeveynler hangi belirtilere dikkat etmelidir?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Ebeveynler, a\u015f\u0131r\u0131 kanama, artan k\u0131zar\u0131kl\u0131k, belirgin \u015fi\u015flik, ate\u015f, k\u00f6t\u00fc kokulu ak\u0131nt\u0131, nefes darl\u0131\u011f\u0131, ola\u011fan d\u0131\u015f\u0131 uyku hali, g\u00f6\u011f\u00fcs rahats\u0131zl\u0131\u011f\u0131 veya s\u00fcrekli oksijen yetersizli\u011fi fark ederlerse sa\u011fl\u0131k uzmanlar\u0131yla ileti\u015fime ge\u00e7melidirler. Ciddi komplikasyonlar nadir olmakla birlikte, DMD&#039;li \u00e7ocuklar i\u00e7in erken te\u015fhis ve t\u0131bbi de\u011ferlendirme \u00f6nemlidir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1781689837980\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne kas distrofisinde s\u00fcnnet \u00f6ncesinde al\u0131nmas\u0131 gereken en \u00f6nemli \u00f6nlem nedir?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>En \u00f6nemli \u00f6nlem, i\u015flem planlanmadan \u00f6nce cerrahi ve anestezi ekiplerine \u00e7ocu\u011fun Duchenne kas distrofisi oldu\u011funu bildirmektir. Uygun anestezi planlamas\u0131, yak\u0131n tarihli kardiyak ve solunum de\u011ferlendirmeleri, steroid y\u00f6netimi ve ameliyat \u00f6ncesi ve sonras\u0131 izleme, Duchenne kas distrofisinde g\u00fcvenli s\u00fcnnetin temel bile\u015fenleridir. Sa\u011fl\u0131k ekibi, yerle\u015fik DMD&#039;ye \u00f6zg\u00fc cerrahi k\u0131lavuzlar\u0131 izledi\u011finde \u00e7o\u011fu komplikasyon en aza indirilebilir.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"conclusion\" class=\"wp-block-heading\">Sonu\u00e7<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Peki, Duchenne Musk\u00fcler Distrofisi olan \u00e7ocuklar s\u00fcnnet edilebilir mi? \u00c7o\u011fu durumda evet. Aileler, cerrahlar, anestezistler, kardiyologlar, pulmonologlar ve n\u00f6rom\u00fcsk\u00fcler uzmanlar birlikte \u00e7al\u0131\u015ft\u0131\u011f\u0131nda, Duchenne Musk\u00fcler Distrofisi&#039;nde s\u00fcnnet g\u00fcvenli bir \u015fekilde ger\u00e7ekle\u015ftirilebilir.<\/strong> As\u0131l endi\u015fe s\u00fcnnet i\u015fleminin kendisi de\u011fil, Duchenne kas distrofisiyle ili\u015fkili benzersiz anestezi ve ameliyat \u00f6ncesi ve sonras\u0131 hususlard\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun kardiyak tarama, solunum de\u011ferlendirmesi, anestezi planlamas\u0131, steroid y\u00f6netimi ve ameliyat sonras\u0131 izleme ile DMD&#039;li erkek \u00e7ocuklar\u0131n \u00e7o\u011fu ciddi komplikasyonlar olmadan ba\u015far\u0131l\u0131 bir \u015fekilde s\u00fcnnet olabilir. Aileler, g\u00fcvenli\u011fi ve iyile\u015fmeyi en \u00fcst d\u00fczeye \u00e7\u0131karmak i\u00e7in her zaman n\u00f6rom\u00fcsk\u00fcler bozukluklar konusunda bilgili sa\u011fl\u0131k uzmanlar\u0131ndan yard\u0131m almal\u0131 ve g\u00fcncel DMD&#039;ye \u00f6zg\u00fc cerrahi k\u0131lavuzlar\u0131n\u0131 takip etmelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"academic-sources-and-references\" class=\"wp-block-heading\">Akademik Kaynaklar ve Referanslar<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Birnkrant DJ, Bushby K, Bann CM ve di\u011ferleri. Duchenne Kas Distrofisinin Tan\u0131s\u0131 ve Y\u00f6netimi, B\u00f6l\u00fcm 1-3. <a href=\"https:\/\/www.thelancet.com\/journals\/laneur\/article\/PIIS1474-4422(18)30024-3\/abstract\" target=\"_blank\" rel=\"noreferrer noopener\">Lancet N\u00f6roloji<\/a>. 2018.<\/li>\n\n\n\n<li>Muenster T, Mueller C, Forst J ve di\u011ferleri. Duchenne kas distrofisi olan hastalarda anestezi y\u00f6netimi. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22801582\/\" target=\"_blank\" rel=\"noreferrer noopener\">Avrupa Anesteziyoloji Dergisi<\/a>.<\/li>\n\n\n\n<li>Parent Project Muscular Dystrophy (PPMD). <a href=\"https:\/\/www.parentprojectmd.org\/care\/care-guidelines\/by-area\/emergency-care\/surgery-and-anesthesia\/\" target=\"_blank\" rel=\"noreferrer noopener\">Duchenne Kas Distrofisi \u0130\u00e7in Cerrahi ve Anestezi \u00d6nlemleri<\/a>.<\/li>\n\n\n\n<li>Amerikan T\u0131bbi Genetik ve Genomik Koleji. <a href=\"https:\/\/www.enmc.org\/wp-content\/uploads\/2023\/08\/259-Full-report.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">N\u00f6rom\u00fcsk\u00fcler Hastal\u0131klar \u0130\u00e7in Anestezi \u00d6nerileri<\/a>.<\/li>\n\n\n\n<li>Amerikan Pediatri Akademisi. <a href=\"https:\/\/publications.aap.org\/hospitalpediatrics\/article\/14\/6\/e281\/197262\/Perioperative-Health-Interventions-in-Children\" target=\"_blank\" rel=\"noreferrer noopener\">N\u00f6rom\u00fcsk\u00fcler Bozuklu\u011fu Olan \u00c7ocuklar\u0131n Ameliyat \u00d6ncesi ve Sonras\u0131 Bak\u0131m\u0131<\/a>.<\/li>\n\n\n\n<li>Kas Distrofisi Derne\u011fi. <a href=\"https:\/\/www.mda.org\/disease\/duchenne-muscular-dystrophy\/medical-management\" target=\"_blank\" rel=\"noreferrer noopener\">Duchenne Kas Distrofisi \u0130\u00e7in Cerrahi ve Anestezi K\u0131lavuzlar\u0131<\/a>.<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Parents often ask an important question after their child is diagnosed with Duchenne muscular dystrophy (DMD): Can children with DMD be circumcised? The short answer is yes\u2014circumcision in Duchenne Muscular Dystrophy is generally possible and can be performed safely when appropriate medical precautions are taken. However, unlike healthy children, boys with DMD require special consideration [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8137,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[563],"tags":[825,379,822,824,823],"class_list":["post-8129","post","type-post","status-publish","format-standard","has-post-thumbnail","category-care-guidelines","tag-circumcision-recovery-in-dmd","tag-dmd-care","tag-dmd-circumcision","tag-dmd-circumcision-anesthesia","tag-dmd-circumcision-safety"],"_links":{"self":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts\/8129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/comments?post=8129"}],"version-history":[{"count":11,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts\/8129\/revisions"}],"predecessor-version":[{"id":8144,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts\/8129\/revisions\/8144"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/media\/8137"}],"wp:attachment":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/media?parent=8129"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/categories?post=8129"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/tags?post=8129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}