Rahmin i\u00e7ini kaplayan ve her ay adetle d\u0131\u015far\u0131 at\u0131lan salg\u0131 bezlerinin, olmas\u0131 gereken yerler d\u0131\u015f\u0131nda bulunmas\u0131 durumu olan endometriozis, \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde 10\u2019unda g\u00f6r\u00fcl\u00fcyor. Kad\u0131nlar\u0131n ya\u015fam kalitesini etkileyen bu sorun, en \u00e7ok regl a\u011fr\u0131s\u0131yla kar\u0131\u015ft\u0131r\u0131l\u0131yor. Medicana Sa\u011fl\u0131k Grubu Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, endometriozis hakk\u0131nda bilgi verdi.
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T\u00fcrkiye\u2019de yakla\u015f\u0131k 1.5 milyon kad\u0131n\u0131n kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fu tahmin edilen endometriozis, kad\u0131nlar\u0131n ya\u015fam kalitesini olumsuz etkileyebilece\u011fi gibi k\u0131s\u0131rl\u0131\u011fa da yol a\u00e7abiliyor. En s\u0131k 25-35 ya\u015f aral\u0131\u011f\u0131nda g\u00f6r\u00fclen hastal\u0131k, nadiren menopozdan sonra da ortaya \u00e7\u0131kabiliyor. “Endometriozis te\u015fhisi genellikle gecikti\u011fi i\u00e7in bir\u00e7ok kad\u0131n, hastal\u0131\u011f\u0131n belirtilerini gen\u00e7 ya\u015flardan itibaren ya\u015fasa da tan\u0131y\u0131 ancak 30\u2019lu ya\u015flar\u0131nda alabilmektedir” diyen Medicana International \u0130zmir Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, aile \u00f6yk\u00fcs\u00fcnde endometriozis olan, \u00e7ocuk sahibi olmayan, erken adet g\u00f6rm\u00fc\u015f ya da ge\u00e7 menopoza giren kad\u0131nlar\u0131n riskli grupta olabilece\u011fini belirtti.<\/p>\n
Genellikle a\u011fr\u0131l\u0131 bir hastal\u0131k
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Endometriozisin \u00f6strojen ba\u011f\u0131ml\u0131, yayg\u0131n ve k\u00f6t\u00fc huylu olmayan bir s\u00fcre\u00e7 oldu\u011funu vurgulayan Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, “Bu dokunun olu\u015fturdu\u011fu inflamasyon, a\u011fr\u0131l\u0131 adet g\u00f6rme, ili\u015fki s\u0131ras\u0131nda a\u011fr\u0131, bas\u0131n\u00e7 hissi, kronik pelvik a\u011fr\u0131 ve hatta k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilir. Olu\u015fan a\u011fr\u0131lar adet d\u00f6neminden ba\u011f\u0131ms\u0131z olarak da ortaya \u00e7\u0131kabilirken, baz\u0131 hastalarda idrar yaparken ve d\u0131\u015fk\u0131lama esnas\u0131nda da rahats\u0131zl\u0131k hissi olu\u015fabilir, kab\u0131zl\u0131k ve ishal gibi semptomlar da g\u00f6r\u00fclebilir” dedi.<\/p>\n
Tan\u0131 koymak 7-8 y\u0131l s\u00fcrebiliyor
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Hastal\u0131\u011f\u0131n yayg\u0131nl\u0131\u011f\u0131 ile semptomlar\u0131n \u015fiddeti aras\u0131nda her zaman do\u011frudan bir ili\u015fki olmayabilece\u011fini vurgulayan Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, “G\u00f6rece k\u00fc\u00e7\u00fck lezyonlar \u015fiddetli semptomlara yol a\u00e7abilirken, daha b\u00fcy\u00fck lezyonlar asemptomatik olabilir. Bulgular en hafiften sosyal hayat\u0131 olumsuz etkileyebilecek dereceye kadar a\u011f\u0131r olabilir. Tek bir semptom \u015feklinde veya kombinasyon halinde ortaya \u00e7\u0131kabilir” \u015feklinde konu\u015ftu.<\/p>\n
En fazla 25-35 ya\u015f aras\u0131nda g\u00f6r\u00fcl\u00fcyor
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Endometriozisin en yayg\u0131n g\u00f6r\u00fclme ya\u015f\u0131n\u0131n 25-35 ya\u015f aras\u0131 oldu\u011funu ifade eden Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, “Bulgular \u00e7ok spesifik olmad\u0131\u011f\u0131 i\u00e7in tan\u0131n\u0131n 7-8 y\u0131l gecikebildi\u011fi durumlar olabilmektedir. Kesin tan\u0131y\u0131 koyan net bir laboratuvar testi bulunmamakla birlikte CA-125 y\u00fcksekli\u011fi ve ultrasonda endometrioma olarak adland\u0131r\u0131lan \u00e7ikolata kistlerinin varl\u0131\u011f\u0131 tan\u0131 a\u00e7\u0131s\u0131ndan klinisyene yard\u0131mc\u0131 olabilir. Ultrason bulgular\u0131n\u0131n belirsiz oldu\u011fu veya ba\u011f\u0131rsak, idrar kesesi ya da idrar yollar\u0131nda hastal\u0131ktan \u015f\u00fcphelenilen hastalar i\u00e7in MR da te\u015fhiste yard\u0131m olabilir” dedi.<\/p>\n
Cerrahi tedavi en son tercih edilen y\u00f6ntem
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Tedaviye ba\u015flamadan \u00f6nce hastan\u0131n kapsaml\u0131 bir ge\u00e7mi\u015finin al\u0131nmas\u0131 ve muayenesinin yap\u0131lmas\u0131 gerekti\u011fini belirten Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, “Medikal tedavinin ilk basama\u011f\u0131nda non-steroid anti-inflamatuar olarak adland\u0131r\u0131lan ve genellikle a\u011fr\u0131 kesici olarak bilinen ila\u00e7lar yer almaktad\u0131r. \u0130kinci basamak tedavi olarak do\u011fum kontrol haplar\u0131 olarak da bilinen \u00f6strojen ve progesteron i\u00e7eren ila\u00e7lar kullan\u0131labilmektedir. Menopozda semptomlar azald\u0131\u011f\u0131 i\u00e7in baz\u0131 \u00f6zel durumlarda hastalar ge\u00e7ici olarak menopoza sokulabilmektedir. Medikal tedaviye yan\u0131t vermeyen hastalarda ya da altta yatan k\u00f6t\u00fc huylu bir hastal\u0131\u011f\u0131n ekarte edilememesi durumunda cerrahi tedavi \u00f6n plana \u00e7\u0131kabilmektedir. Ba\u011f\u0131rsak ve idrar yollar\u0131 tutulumunda da genellikle cerrahi tedavi \u00f6nerilmektedir” diye konu\u015ftu.<\/p>\n
\u00c7ocuk sahibi olmak isteyenlere
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\u00c7ocuk sahibi olmak isteyen endometriozis hastalar\u0131 i\u00e7in ayr\u0131 bir tedavi yakla\u015f\u0131m\u0131 gerekti\u011fini belirten Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc: “Endometriozisi d\u00fc\u015f\u00fcnd\u00fcren semptomlar\u0131 olan ve daha \u00f6nce cerrahi ge\u00e7irmemi\u015f hastalarda infertilite de\u011ferlendirmesi yap\u0131ld\u0131ktan sonra laparoskopik cerrahi \u00f6nerilmektedir. Bu sayede daha iyi gebelik oranlar\u0131 elde edilebilir ve a\u011fr\u0131n\u0131n giderilmesi sa\u011flan\u0131r. Daha \u00f6nce cerrahi ge\u00e7irmi\u015f hastalarda ise tekrar cerrahi i\u015flem yerine yard\u0131mc\u0131 \u00fcreme teknikleri uygulanmaktad\u0131r. Hi\u00e7 \u015fikayeti olmayan ancak k\u0131s\u0131rl\u0131k nedeniyle ba\u015fvuran hastalarda cerrahiyi \u00f6nerilmemektedir. Endometriozis tan\u0131s\u0131 alan kad\u0131nlar, erken tan\u0131 ve uygun tedavi ile hastal\u0131\u011f\u0131 y\u00f6netebilmektedir. \u00d6zellikle adet sanc\u0131s\u0131 ve kronik pelvik a\u011fr\u0131s\u0131 ya\u015fayan kad\u0131nlar\u0131n bir uzmana ba\u015fvurmas\u0131 gerekmektedir.”
<\/p>\n","protected":false},"excerpt":{"rendered":"
Rahmin i\u00e7ini kaplayan ve her ay adetle d\u0131\u015far\u0131 at\u0131lan salg\u0131 bezlerinin, olmas\u0131 gereken yerler d\u0131\u015f\u0131nda bulunmas\u0131 durumu olan endometriozis, \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde 10\u2019unda g\u00f6r\u00fcl\u00fcyor. Kad\u0131nlar\u0131n ya\u015fam kalitesini etkileyen bu sorun, en \u00e7ok regl a\u011fr\u0131s\u0131yla kar\u0131\u015ft\u0131r\u0131l\u0131yor. Medicana Sa\u011fl\u0131k Grubu Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. A\u015fk\u0131n Do\u011fan, endometriozis hakk\u0131nda bilgi verdi. T\u00fcrkiye\u2019de yakla\u015f\u0131k…<\/p>\n","protected":false},"author":1,"featured_media":26157,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-26156","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/26156","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26156"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/26156\/revisions"}],"predecessor-version":[{"id":26158,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/26156\/revisions\/26158"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/26157"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}