Uzmanlar, rahim a\u011fz\u0131 (serviks) kanserinin \u00f6nlenebilmesi i\u00e7in kad\u0131nlar\u0131n y\u0131lda bir kez kendilerine 5 dakika ay\u0131rarak taramalar\u0131n\u0131 yapt\u0131rmas\u0131 gerekti\u011fine dikkat \u00e7ekiyor Op. Dr. \u0130lkay Nafiye Topalo\u011flu, \u201cRutin muayene ve HPV a\u015f\u0131s\u0131yla, serviks kanserinin \u00f6n\u00fcne ge\u00e7ilebilmektedir. Serviks kanserine kar\u015f\u0131 y\u00fczde 90\u2019n\u0131n \u00fczerinde koruyuculuk sa\u011flayan a\u015f\u0131n\u0131n 11-26 ya\u015f aral\u0131\u011f\u0131nda yap\u0131lmas\u0131 tavsiye edilmekteydi. Bug\u00fcn ise yap\u0131lan ara\u015ft\u0131rmalarda a\u015f\u0131y\u0131, 11-12 ya\u015f\u0131ndan itibaren t\u00fcm ya\u015f gruplar\u0131ndaki kad\u0131n ve erkekler yapt\u0131rabilece\u011fi g\u00f6r\u00fclmektedir\u201d ifadelerini kulland\u0131.
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Medicana International \u0130zmir Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. \u0130lkay Nafiye Topalo\u011flu, Rahim A\u011fz\u0131 (Serviks) Kanseri Fark\u0131ndal\u0131k Ay\u0131 nedeniyle rutin muayenenin \u00f6nemini hat\u0131rlatt\u0131. “D\u00fcnya genelinde servikal kanser, kad\u0131nlar aras\u0131nda g\u00f6r\u00fclen t\u00fcm kanserlerin yakla\u015f\u0131k y\u00fczde 7.5\u2019ini olu\u015fturur” diyen Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “T\u00fcrkiye\u2019de ise kad\u0131n kanserleri aras\u0131nda y\u00fczde 2-3 oran\u0131nda bir s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcr. Rahim a\u011fz\u0131 kanseri genellikle 30-45 ya\u015f aras\u0131ndaki kad\u0131nlar aras\u0131nda en s\u0131k g\u00f6r\u00fcl\u00fcr” diye konu\u015ftu.
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Op. Dr. \u0130lkay Nafiye Topalo\u011flu, \u015fu \u015fekilde devam etti:
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“Rahim a\u011fz\u0131 kanseri, eskiden kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen ve en \u00e7ok \u00f6l\u00fcme neden olan bir kad\u0131n hastal\u0131\u011f\u0131yd\u0131. \u015eimdi ise yap\u0131lan taramalarla birlikte bunun \u00e7ok b\u00fcy\u00fck oranda \u00f6n\u00fcne ge\u00e7ildi. Yap\u0131lan taramalar asl\u0131nda \u00e7ok basit bir tarama. Bu taramalar kad\u0131n do\u011fum muayenesinde de, aile hekimliklerinde de, kanser tarama merkezlerinde de yapt\u0131rabilir. Bir alet yard\u0131m\u0131yla rahim a\u011fz\u0131na bak\u0131 yap\u0131p, smear \u00e7ubu\u011fuyla s\u00fcr\u00fcnt\u00fc al\u0131n\u0131r. Bu hi\u00e7 can ac\u0131tmayan, sonras\u0131nda g\u00fcndelik hayata d\u00f6n\u00fclebilen, ortalama 1-2 dakikal\u0131k bir i\u015flem. Al\u0131nan \u00f6rnekte rahim a\u011fz\u0131 kanseri \u00f6nc\u00fcs\u00fc h\u00fccreler var m\u0131, HPV pozitifli\u011fi var m\u0131, buna bak\u0131lmaktad\u0131r.\u201d<\/p>\n
Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi vir\u00fcs\u00fc v\u00fccuttan atabiliyor
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Rahim a\u011fz\u0131 kanserine s\u0131kl\u0131kla HPV vir\u00fcs\u00fcn\u00fcn neden oldu\u011funu ifade eden Op. Dr. \u0130lkay Nafiye Topalo\u011flu, \u201cKanser vakalar\u0131n\u0131n y\u00fczde 97\u2019sinin HPV kaynakl\u0131 oldu\u011fu belirlendi. HPV vir\u00fcs\u00fcn\u00fc kansere neden olmadan, erken a\u015famalardayken tespit edip tedavi etmek gerekiyor. Mutlaka y\u0131lda bir kez kad\u0131n do\u011fum muayenesi yapt\u0131r\u0131lmas\u0131 \u00f6nemli. Bu sayede erken tan\u0131 m\u00fcmk\u00fcn olabiliyor. Sonu\u00e7lar ise ortalama bir hafta i\u00e7erisinde \u00e7\u0131k\u0131yor\u201d \u015feklinde konu\u015ftu.
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Op. Dr. \u0130lkay Nafiye Topalo\u011flu, HPV vir\u00fcs\u00fcn\u00fcn smear testinde tespit edilmesi halinde nas\u0131l bir yol izlendi\u011fini de \u015f\u00f6yle anlatt\u0131:
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\u201cHPV vir\u00fcs\u00fc bir DNA vir\u00fcs\u00fcd\u00fcr ve h\u00fccre i\u00e7erisine yerle\u015ftikten sonra y\u0131llar i\u00e7erisinde kalabilen bir vir\u00fcst\u00fcr. Baz\u0131 yay\u0131nlara g\u00f6re ba\u011f\u0131\u015f\u0131kl\u0131k sistemi g\u00fc\u00e7l\u00fc olan bir v\u00fccut, 2-3 y\u0131l gibi bir s\u00fcrede vir\u00fcs\u00fc atabilir. Buradaki ama\u00e7, vir\u00fcs\u00fc tespit etmek ve kansere d\u00f6n\u00fc\u015fmeden \u00f6nlem almak. Bir HPV vir\u00fcs\u00fc ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda \u00f6nce kolposkopi y\u00f6ntemiyle, mikroskop yard\u0131m\u0131yla vir\u00fcs\u00fcn kanser \u00f6ncesi h\u00fccrelere neden olmaya ba\u015flay\u0131p ba\u015flamad\u0131\u011f\u0131na bak\u0131l\u0131r. Bu i\u015flem bazen anestezi alt\u0131nda, bazen de anestezisiz yap\u0131labilmektedir. Gerekli alanlardan biyopsi \u00f6rne\u011fi de al\u0131n\u0131r. Biyopsi sonucuna g\u00f6re de s\u00fcre\u00e7 \u015fekillenmektedir.\u201d<\/p>\n
Test pozitif \u00e7\u0131ksa bile endi\u015feye kap\u0131lmamal\u0131
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Kolposkopi sonucunda cerrahi m\u00fcdahalenin gerekip gerekmedi\u011finin de belirlendi\u011fini belirten Op. Dr. \u0130lkay Nafiye Topalo\u011flu, smear testinde HPV pozitif \u00e7\u0131kt\u0131\u011f\u0131nda hemen endi\u015feye kap\u0131lmamak gerekti\u011fini de vurgulad\u0131. \u201cHPV kanser \u00f6ncesi h\u00fccreye neden olduysa bir basamak \u00fcstteki tedavi modellerine ge\u00e7ilmektedir\u201d diyen Op. Dr. \u0130lkay Nafiye Topalo\u011flu, \u201cHPV pozitif; ama rahim a\u011fz\u0131nda herhangi bir kanser ba\u015flang\u0131c\u0131 g\u00f6r\u00fcnm\u00fcyorsa hasta takip etmeye ba\u015flan\u0131r. HPV a\u015f\u0131s\u0131 mutlaka yapt\u0131r\u0131lmal\u0131d\u0131r. \u0130mm\u00fcn sistemini g\u00fc\u00e7lendirecek birtak\u0131m medikal tedaviler bulunur. Onlarla birlikte imm\u00fcn sistemi g\u00fc\u00e7lendirerek v\u00fccudun bu vir\u00fcs\u00fc yenmesi hedeflenir. Rahim a\u011fz\u0131 kanseri d\u0131\u015f\u0131nda a\u015f\u0131 ile koruyuculuk sa\u011flanabilen ba\u015fka bir kanser t\u00fcr\u00fc bulunmamaktad\u0131r. Bu a\u015f\u0131 11-12 ya\u015f\u0131ndan itibaren k\u0131z ve erkek \u00e7ocuklara \u00f6nerilmektedir. 14 ya\u015fa kadar 2 doz, 14 ya\u015f\u0131ndan sonra da 3 doz olmak \u00fczere yap\u0131l\u0131r. A\u015f\u0131n\u0131n yap\u0131lmas\u0131 gereken ya\u015f aral\u0131\u011f\u0131 yak\u0131n zamana kadar 11-26 ya\u015f olarak bilinmekteydi. Ancak yap\u0131lan son bilimsel a\u00e7\u0131klamalar ve jinekoloji onkoloji toplant\u0131lar\u0131nda ya\u015f s\u0131n\u0131r\u0131 ortadan kald\u0131r\u0131l\u0131p her ya\u015fta yap\u0131labilece\u011fi s\u00f6ylenmektedir. \u00c7\u00fcnk\u00fc a\u015f\u0131, koruyuculu\u011fu y\u00fczde 90\u2019lar\u0131n \u00fczerinde olan savunma mekanizmas\u0131 olu\u015fturmaktad\u0131r\u201d ifadelerine yer verdi.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Uzmanlar, rahim a\u011fz\u0131 (serviks) kanserinin \u00f6nlenebilmesi i\u00e7in kad\u0131nlar\u0131n y\u0131lda bir kez kendilerine 5 dakika ay\u0131rarak taramalar\u0131n\u0131 yapt\u0131rmas\u0131 gerekti\u011fine dikkat \u00e7ekiyor Op. Dr. \u0130lkay Nafiye Topalo\u011flu, \u201cRutin muayene ve HPV a\u015f\u0131s\u0131yla, serviks kanserinin \u00f6n\u00fcne ge\u00e7ilebilmektedir. Serviks kanserine kar\u015f\u0131 y\u00fczde 90\u2019n\u0131n \u00fczerinde koruyuculuk sa\u011flayan a\u015f\u0131n\u0131n 11-26 ya\u015f aral\u0131\u011f\u0131nda yap\u0131lmas\u0131 tavsiye edilmekteydi. Bug\u00fcn ise yap\u0131lan ara\u015ft\u0131rmalarda a\u015f\u0131y\u0131, 11-12…<\/p>\n","protected":false},"author":1,"featured_media":5094,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-5093","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\/5093","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=5093"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/5093\/revisions"}],"predecessor-version":[{"id":5095,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/5093\/revisions\/5095"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/5094"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}