Memorial Bodrum Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Nevin Numano\u011flu; HPV\u2019nin (Human Papilloma Vir\u00fcs\u00fc) bula\u015f yollar\u0131, risk fakt\u00f6rleri, tarama y\u00f6ntemleri ve korunma yollar\u0131na ili\u015fkin a\u00e7\u0131klamalarda bulundu. Numano\u011flu, “HPV\u2019nin deri ve mukozalara yerle\u015fen bir DNA vir\u00fcs\u00fc oldu\u011fu bilinirken, bug\u00fcne kadar yakla\u015f\u0131k 400 tipin tan\u0131mland\u0131\u011f\u0131n\u0131 ifade ederek “Bunlar\u0131n 42\u2019sinin anogenital b\u00f6lgede g\u00f6r\u00fcld\u00fc\u011f\u00fc, y\u00fcksek riskli tiplerin ise rahim a\u011fz\u0131 kanseriyle ili\u015fkili oldu\u011fu belirtiliyor” dedi.
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HPV\u2019nin y\u00fcksek riskli tiplerinde vir\u00fcs\u00fcn v\u00fccuttan temizlenmesinin genellikle 8-14 ay, d\u00fc\u015f\u00fck riskli tiplerde ise 5-6 ay s\u00fcrd\u00fc\u011f\u00fcn\u00fc belirten Op. Dr. Nevin Numano\u011flu; HPV pozitifli\u011fi tespit edilen ki\u015filerde testin bir y\u0131ldan \u00f6nce tekrarlanmas\u0131n\u0131n \u00e7o\u011fu zaman anlaml\u0131 olmad\u0131\u011f\u0131n\u0131 ifade etti. HPV\u2019nin cilt ve mukozaya yerle\u015fen, baz\u0131 tipleriyle kansere yol a\u00e7abilen bir vir\u00fcs oldu\u011funu kaydeden Numano\u011flu, en \u00f6nemli bula\u015fma yolunun cinsel temas oldu\u011funu aktard\u0131. Kondom kullan\u0131m\u0131n\u0131n riski azaltt\u0131\u011f\u0131n\u0131 ancak tamamen ortadan kald\u0131rmad\u0131\u011f\u0131n\u0131 belirtti.
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Vir\u00fcs\u00fcn rahim a\u011fz\u0131 ba\u015fta olmak \u00fczere genital b\u00f6lge, an\u00fcs, rektum ve a\u011f\u0131z-bo\u011faz b\u00f6lgesini etkileyebildi\u011fini ifade eden Numano\u011flu; enfeksiyonlar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcn\u00fcn ba\u011f\u0131\u015f\u0131kl\u0131k sistemi taraf\u0131ndan temizlendi\u011fini, ancak baz\u0131 tiplerin kal\u0131c\u0131 h\u00fccre de\u011fi\u015fimlerine yol a\u00e7abildi\u011fini kaydetti.<\/p>\n
Risk fakt\u00f6rleri neler
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HPV bula\u015f\u0131nda en \u00f6nemli fakt\u00f6r\u00fcn cinsel aktivite oldu\u011funu vurgulayan Numano\u011flu, riskin ki\u015finin ve partnerinin cinsel ge\u00e7mi\u015fiyle do\u011frudan ili\u015fkili oldu\u011funu dile getirdi.
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Erken ya\u015fta cinsel hayata ba\u015flanmas\u0131, birden fazla partner, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin zay\u0131f olmas\u0131, sigara kullan\u0131m\u0131 ve d\u00fczenli tarama yapt\u0131r\u0131lmamas\u0131n\u0131n \u00f6nemli risk fakt\u00f6rleri aras\u0131nda yer ald\u0131\u011f\u0131n\u0131 belirten Numano\u011flu, 20-25 ya\u015f aral\u0131\u011f\u0131nda HPV\u2019nin daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ifade etti.<\/p>\n
Belirti vermeden ilerliyor
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HPV\u2019nin \u00e7o\u011fu zaman belirti vermedi\u011fini ve rutin taramalarda tesad\u00fcfen tespit edildi\u011fini aktaran Numano\u011flu, bu noktada vir\u00fcs tipinin kritik \u00f6neme sahip oldu\u011funu kaydetti. Baz\u0131 tiplerin genital si\u011fillere neden oldu\u011funu, y\u00fcksek riskli tiplerin ise h\u00fccre de\u011fi\u015fimlerine ve zamanla kansere yol a\u00e7abildi\u011fini belirten Numano\u011flu y\u00fcksek riskli HPV tespit edildi\u011finde smear sonucu normal olsa bile ileri tetkik gerekti\u011fini ifade etti.<\/p>\n
Erken te\u015fhis hayat kurtar\u0131yor
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HPV enfeksiyonunun hemen kansere yol a\u00e7mad\u0131\u011f\u0131n\u0131, bu s\u00fcrecin genellikle 5 ila 15 y\u0131l aras\u0131nda geli\u015fti\u011fini dile getiren Numano\u011flu, bu s\u00fcrenin erken te\u015fhis i\u00e7in \u00f6nemli bir f\u0131rsat sundu\u011funu belirtti. D\u00fczenli jinekolojik kontroller sayesinde kanser \u00f6ncesi lezyonlar\u0131n erken d\u00f6nemde tespit edilerek tedavi edilebildi\u011fini ifade eden Numano\u011flu, erken tan\u0131n\u0131n hastal\u0131\u011f\u0131n seyrini de\u011fi\u015ftiren en kritik fakt\u00f6r oldu\u011funu vurgulad\u0131.<\/p>\n
Sigara ve ba\u011f\u0131\u015f\u0131kl\u0131k etkisi
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Sigaran\u0131n HPV enfeksiyonu a\u00e7\u0131s\u0131ndan kritik risk fakt\u00f6rlerinden biri oldu\u011funu kaydeden Numano\u011flu, sigaran\u0131n rahim a\u011fz\u0131ndaki koruyucu h\u00fccreleri tahrip ederek vir\u00fcs\u00fcn yerle\u015fmesini kolayla\u015ft\u0131rd\u0131\u011f\u0131n\u0131 belirtti. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini zay\u0131flatan durumlar\u0131n da HPV\u2019ye yatk\u0131nl\u0131\u011f\u0131 art\u0131rd\u0131\u011f\u0131n\u0131 ifade eden Numano\u011flu kanser hastal\u0131klar\u0131, otoimm\u00fcn hastal\u0131klar ve organ nakli sonras\u0131 kullan\u0131lan ila\u00e7lar\u0131n bu kapsama girdi\u011fini dile getirdi.<\/p>\n
Korunman\u0131n yolu tarama ve a\u015f\u0131
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HPV\u2019ye kar\u015f\u0131 korunmada en etkili y\u00f6ntemlerin d\u00fczenli tarama ve a\u015f\u0131 oldu\u011funu belirten Numano\u011flu, y\u0131lda bir smear testi ve be\u015f y\u0131lda bir HPV DNA testi yap\u0131lmas\u0131 gerekti\u011fini aktard\u0131. HPV pozitifli\u011fi durumunda vir\u00fcs tipinin belirlenerek ki\u015fiye \u00f6zel takip plan\u0131 olu\u015fturuldu\u011funu ifade eden Numano\u011flu, HPV a\u015f\u0131s\u0131n\u0131n hem enfeksiyondan korunmada hem de mevcut enfeksiyonun seyrinde olumlu etkisi oldu\u011funu kaydetti.<\/p>\n
HPV\u2019nin \u00fc\u00e7 a\u015famas\u0131
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HPV enfeksiyonunun latent, subklinik ve klinik olmak \u00fczere \u00fc\u00e7 a\u015famada ilerledi\u011fini belirten Numano\u011flu latent d\u00f6nemde belirti olmad\u0131\u011f\u0131n\u0131, subklinik d\u00f6nemde h\u00fccre de\u011fi\u015fimlerinin mikroskobik d\u00fczeyde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc, klinik d\u00f6nemde ise si\u011fil veya kanser gibi bulgular\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade etti. HPV\u2019nin yayg\u0131n ancak do\u011fru yakla\u015f\u0131mla kontrol alt\u0131na al\u0131nabilen bir enfeksiyon oldu\u011funu vurgulayan Numano\u011flu d\u00fczenli tarama, a\u015f\u0131 ve sa\u011fl\u0131kl\u0131 ya\u015fam al\u0131\u015fkanl\u0131klar\u0131yla HPV\u2019ye ba\u011fl\u0131 ciddi hastal\u0131klar\u0131n \u00f6nlenebilece\u011fini s\u00f6zlerine ekledi.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Memorial Bodrum Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Nevin Numano\u011flu; HPV\u2019nin (Human Papilloma Vir\u00fcs\u00fc) bula\u015f yollar\u0131, risk fakt\u00f6rleri, tarama y\u00f6ntemleri ve korunma yollar\u0131na ili\u015fkin a\u00e7\u0131klamalarda bulundu. Numano\u011flu, “HPV\u2019nin deri ve mukozalara yerle\u015fen bir DNA vir\u00fcs\u00fc oldu\u011fu bilinirken, bug\u00fcne kadar yakla\u015f\u0131k 400 tipin tan\u0131mland\u0131\u011f\u0131n\u0131 ifade ederek “Bunlar\u0131n 42\u2019sinin anogenital b\u00f6lgede g\u00f6r\u00fcld\u00fc\u011f\u00fc, y\u00fcksek riskli tiplerin…<\/p>\n","protected":false},"author":1,"featured_media":98081,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-98080","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\/98080","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=98080"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/98080\/revisions"}],"predecessor-version":[{"id":98082,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/98080\/revisions\/98082"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/98081"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=98080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=98080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=98080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}