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Medical Park Samsun Hastanesi Kad\u0131n Do\u011fum ve Hastal\u0131klar\u0131 Klini\u011fi\u2019nden Opr. Dr. Ahmet Canbaz “endometriozis” hakk\u0131nda bilgi verdi.<\/p>\nMedical Park Samsun Hastanesi Kad\u0131n Do\u011fum ve Hastal\u0131klar\u0131 Klini\u011fi\u2019nden Opr. Dr. Ahmet Canbaz “endometriozis” hakk\u0131nda bilgi verdi.<\/p>\n
Dr. Canbaz yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, \u201cRahim bo\u015flu\u011funu d\u00f6\u015feyen doku tabakas\u0131na endometrium dokusu (d\u00f6l yata\u011f\u0131) ad\u0131 verilmektedir. Endometrium dokusu, rahim i\u00e7 duvarlar\u0131n\u0131 ince bir tabaka halinde kaplar. Bu doku hamileli\u011fe haz\u0131rl\u0131k i\u00e7in her ay belirli de\u011fi\u015fiklikler ge\u00e7irmektedir. Adet d\u00f6neminde endometrium dokusu par\u00e7alanarak d\u00f6k\u00fclmekte, adet kan\u0131 ile rahim a\u011fz\u0131 ve vajen yoluyla d\u0131\u015far\u0131 at\u0131lmaktad\u0131r. Normalde bu h\u00fccre tabakas\u0131 v\u00fccutta sadece rahim i\u00e7erisinde yer almaktad\u0131r. Bu h\u00fccrelerin v\u00fccutta rahim d\u0131\u015f\u0131nda ba\u015fka bir alanda yer almas\u0131 \u2018endometriozis\u2019 hastal\u0131\u011f\u0131 olarak tan\u0131mlanmaktad\u0131r\u201d dedi.<\/p>\n
Opr. Dr. Ahmet Canbaz \u201cEndometriozisin en s\u0131k g\u00f6r\u00fclen belirtisi adetten \u00f6nce ve adet esnas\u0131nda g\u00f6r\u00fclen a\u011fr\u0131lar, cinsel temas s\u0131ras\u0131nda ve sonras\u0131nda g\u00f6r\u00fclen a\u011fr\u0131lar, k\u0131s\u0131rl\u0131k, d\u00fczensiz veya fazla kanamalard\u0131r. Di\u011fer belirtiler ise yorgunluk, adet s\u0131ras\u0131nda a\u011fr\u0131l\u0131 barsak hareketleri, s\u0131rt\u0131n alt taraf\u0131na vuran a\u011fr\u0131, adet s\u0131ras\u0131nda ishal veya kab\u0131zl\u0131k ve di\u011fer barsak rahats\u0131zl\u0131klar\u0131 olabilir. Baz\u0131 endometriozisli kad\u0131nlarda hi\u00e7bir belirti olmayabilir. Endometriozisli hastalar\u0131n y\u00fczde 30-40\u2019\u0131nda k\u0131s\u0131rl\u0131k g\u00f6r\u00fclmektedir ve bu durum hastal\u0131\u011f\u0131n ilerlemesiyle s\u0131k rastlanan bir durumdur. A\u011fr\u0131n\u0131n \u015fiddeti, hastal\u0131\u011f\u0131n ve endometriozis odaklar\u0131n\u0131n yayg\u0131nl\u0131k derecesi ile do\u011fru orant\u0131l\u0131 de\u011fildir. \u00c7ok k\u00fc\u00e7\u00fck endometriozis odaklar\u0131 prostoglandin ad\u0131n\u0131 verdi\u011fimiz v\u00fccutta a\u011fr\u0131 hissine neden olan maddenin v\u00fccut i\u00e7erisinde \u00fcretiminde daha etkindir. Bu durum k\u00fc\u00e7\u00fck endometriozis odaklar\u0131nda dahi belirgin belirtilerin olmas\u0131n\u0131 a\u00e7\u0131klamaktad\u0131r. Prostoglandinlerin a\u011fr\u0131 hissedilmesi d\u0131\u015f\u0131nda da i\u015flevleri vard\u0131r ve endometriozisde di\u011fer baz\u0131 belirtilere de yol a\u00e7t\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir\u201d diye konu\u015ftu.<\/p>\n
Endometriozisin nedeninin kesin bilmedi\u011fini s\u00f6yleyen Dr. Canbaz \u015f\u00f6yle devam etti: \u201cBirka\u00e7 neden \u00f6ne s\u00fcr\u00fclmekle birlikte bunlar\u0131n hi\u00e7biri t\u00fcm endometriozis olgular\u0131n\u0131 a\u00e7\u0131klayamamaktad\u0131r. Bir kurama g\u00f6re adet kan\u0131n\u0131n rahimin t\u00fcplerinden ge\u00e7erek geriye do\u011fru kar\u0131n i\u00e7ine akmas\u0131d\u0131r. Bu \u015fekilde kar\u0131n duvar\u0131 i\u00e7erisine ta\u015f\u0131nan endometrium h\u00fccrelerinin burada yerle\u015fip b\u00fcy\u00fcyebildi\u011fi \u00f6ne s\u00fcr\u00fclmektedir. B\u00fct\u00fcn kad\u0131nlarda az da olsa bu \u015fekilde bir geriye ak\u0131\u015f\u0131n s\u00f6z konusu oldu\u011fu ancak ba\u011f\u0131\u015f\u0131kl\u0131k sisteminde veya hormonal sisteminde problemi olan kad\u0131nlarda endometriozis geli\u015fti\u011fi \u00f6ne s\u00fcr\u00fclmektedir. Bir ba\u015fka kurama g\u00f6re endometrial doku rahim i\u00e7erisinden kan damarlar\u0131yla veya lenf yoluyla v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131lmaktad\u0131r. Genetik kurama g\u00f6re ise endometriozis belirli ailelerin genlerinde ta\u015f\u0131nmakta veya baz\u0131 ailelerde endometriozise yatk\u0131nl\u0131k bulunmaktad\u0131r. Bir di\u011fer kurama g\u00f6re kad\u0131n hen\u00fcz embriyo (cenin) d\u00f6nemindeyken meydana gelen doku art\u0131klar\u0131 yeti\u015fkin d\u00f6nemde endometriozise d\u00f6n\u00fc\u015febilmektedir veya baz\u0131 \u00f6zel durumlarda embriyo d\u00f6neminde \u00fcreme sistemi dokusu olu\u015fturabilme yetene\u011finde olup yeti\u015fkin d\u00f6nemde farkl\u0131 yap\u0131lar \u015feklinde bulunan dokular bu yeteneklerini tekrar kazanmaktad\u0131r. Cerrahi esnas\u0131nda bu dokular\u0131n nakli \u00f6zellikle kar\u0131n ameliyatlar\u0131ndaki yara izlerinde g\u00f6r\u00fclen endometriozisi a\u00e7\u0131klamak i\u00e7in \u00f6ne s\u00fcr\u00fclen bir kuramd\u0131r. Endometriozis ara\u015ft\u0131rmac\u0131lar\u0131 ba\u015fka teoriler \u00fczerinde de \u00e7al\u0131\u015fmaktad\u0131r.\u201d<\/p>\n
Muayene ile endometriozisin tan\u0131mlanmas\u0131n\u0131n olduk\u00e7a zor oldu\u011funu vurgulayan Opr. Dr. Ahmet Canbaz \u201cYap\u0131lan ultrason incelemeleri ile de endometriosis tan\u0131s\u0131 konulamaz. Bu \u015fekilde yaln\u0131zca endometriosusa ba\u011fl\u0131 olarak geli\u015fmi\u015f over kisti olan endometrioma (\u00e7ikolata kistleri) g\u00f6r\u00fclebilir. \u00c7ikolata kistleri genelde etrafa yap\u0131\u015f\u0131kl\u0131klar g\u00f6sterir. \u00c7ikolata kistlerinin g\u00f6r\u00fclmesi endometriozisin \u015fiddetli oldu\u011funu g\u00f6sterir. Ultrasonografide yumurtal\u0131k i\u00e7erisinde yer alan yo\u011fun gran\u00fcll\u00fc kistik kitlelerin g\u00f6r\u00fclmesi ile tan\u0131s\u0131 y\u00fcksek oranda kesinlikle konulabilir. Yumurtal\u0131klardan geli\u015fen kanserler de benzer g\u00f6r\u00fcnt\u00fcler yaratabilece\u011fi d\u00fc\u015f\u00fcn\u00fclerek endometriomalar\u0131n kesin tan\u0131s\u0131 ancak laparoskopi ile direkt olarak g\u00f6r\u00fclerek konulmaktad\u0131r\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
Kad\u0131n Do\u011fum ve Hastal\u0131klar\u0131 Uzman\u0131 Opr. Dr. Ahmet Canbaz \u201cUygulanan tedavilerin amac\u0131 a\u011fr\u0131y\u0131 gidermek ve k\u0131s\u0131rl\u0131\u011f\u0131 ortadan kald\u0131r\u0131p gebe kalmay\u0131 sa\u011flamakt\u0131r. Bu ama\u00e7la de\u011fi\u015fik t\u0131bbi ve cerrahi tedaviler uygulanabilir. T\u0131bbi tedaviler a\u011fr\u0131 kesmenin d\u0131\u015f\u0131nda, endometriozisin \u00f6strojene (kad\u0131nl\u0131k hormonuna) ba\u011f\u0131ml\u0131 bir hastal\u0131k olmas\u0131 prensibine dayan\u0131r. Hamilelik ve menopoz endometriozis olu\u015fumunu engelleyen iki do\u011fal durumdur. Hormonal tedavilerde ama\u00e7 asl\u0131nda bu iki do\u011fal durumu taklit etmektir. Her iki durumda da rahim i\u00e7 zar\u0131 \u00fczerindeki \u00f6strojen hormonu etkisi ortadan kalkaca\u011f\u0131ndan yanl\u0131\u015f yerde yerle\u015fmi\u015f olan dokunun da bask\u0131lanmas\u0131 beklenir. \u00d6ncelikle t\u0131bbi tedavilerle sorunlar giderilmeye \u00e7al\u0131\u015f\u0131lmal\u0131 ancak e\u011fer b\u00fcy\u00fck \u00e7ikolata kistleri ya da t\u0131bbi tedaviyle giderilemeyen a\u011fr\u0131 gibi sorunlar varsa cerrahi tedavi d\u00fc\u015f\u00fcn\u00fclmelidir\u201d \u015feklinde konu\u015ftu.<\/p>\n
Opr.Dr. Ahmet Canbaz a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle tamamlad\u0131: \u201cCerrahi tedaviyi takiben en ge\u00e7 bir 6-8 ay i\u00e7ersinde kendili\u011finden gebelik olu\u015fmaz ise yumurtlaman\u0131n uyar\u0131lmas\u0131 ve rahim i\u00e7ine sperm a\u015f\u0131lanmas\u0131yla bu \u015fans artt\u0131r\u0131labilir. Ancak ileri d\u00fczey endometrioziste ve kad\u0131n\u0131n ya\u015f\u0131n\u0131n 35 ve yukar\u0131s\u0131nda oldu\u011fu ya da infertilite sebebi olabilecek ek fakt\u00f6rlerin varl\u0131\u011f\u0131nda t\u00fcp bebek tedavisine ba\u015fvurmakta gecikilmemelidir. T\u00fcp bebek tedavisiyle endometriozis hastal\u0131\u011f\u0131 olan kad\u0131nlarda ya\u015flar\u0131yla orant\u0131l\u0131 olarak tek bir denemede y\u00fczde 60\u2019a varan oranlarda gebelik sa\u011flanabilmektedir. \u0130lk denemede gebe kalamayan kad\u0131nlarda elbette t\u00fcp bebek tedavisini tekrarlamak gerekmektedir. Tekrarlayan denemeler ile sonu\u00e7ta gebelik \u015fans\u0131 b\u00fcy\u00fck oranda yakalanabilmektedir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MED\u0130CAL PARK SAMSUN HASTANES\u0130 KADIN DO\u011eUM VE HASTALIKLARI KL\u0130N\u0130\u011e\u0130NDEN OPR. DR. AHMET CANBAZ “ENDOMETR\u0130OZ\u0130S” HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[16867,21629,12555,21630,17326,12665],"class_list":["post-120620","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-ama","tag-endometriozisin","tag-mumkun","tag-tanisi","tag-tedavisi","tag-zor"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/120620","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=120620"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/120620\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=120620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=120620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=120620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}