{"id":23,"date":"2019-06-03T09:10:44","date_gmt":"2019-06-03T06:10:44","guid":{"rendered":"http:\/\/profdrmuratarslan.com.tr\/ar\/?p=23"},"modified":"2019-07-15T23:40:46","modified_gmt":"2019-07-15T20:40:46","slug":"%d8%a3%d8%b3%d8%a8%d8%a7%d8%a8-%d8%a7%d9%84%d8%b9%d9%82%d9%85-%d8%b9%d9%86%d8%af-%d8%a7%d9%84%d9%86%d8%b3%d8%a7%d8%a1","status":"publish","type":"post","link":"https:\/\/profdrmuratarslan.com.tr\/ar\/%d8%a3%d8%b3%d8%a8%d8%a7%d8%a8-%d8%a7%d9%84%d8%b9%d9%82%d9%85-%d8%b9%d9%86%d8%af-%d8%a7%d9%84%d9%86%d8%b3%d8%a7%d8%a1.html","title":{"rendered":"\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0639\u0642\u0645 \u0639\u0646\u062f \u0627\u0644\u0646\u0633\u0627\u0621"},"content":{"rendered":"<p>\u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0623\u0643\u062b\u0631 \u0623\u0647\u0645\u064a\u0629 \u0644\u0639\u0642\u0645 \u0627\u0644\u0646\u0633\u0627\u0621 \u0647\u0648 \u0623\u0646 \u0627\u0644\u0645\u0631\u0623\u0629 \u0627\u0644\u062a\u064a \u062a\u0636\u0637\u0631 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\u064a\u062a\u0639\u064a\u0646 \u0639\u0644\u0649 15 \u0645\u0646 \u0643\u0644 100 \u0632\u0648\u062c \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u064a\u0648\u0645 \u0644\u062a\u062d\u0642\u064a\u0642 \u0647\u0630\u0647 \u0627\u0644\u0631\u063a\u0628\u0629.<\/p>\n<p>\u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u062a\u064a \u064a\u062a\u0645 \u0641\u064a\u0647\u0627 \u062d\u0644 \u0627\u0644\u0639\u0642\u0645 \u0646\u0627\u062f\u0631\u0629. \u0648\u0645\u0639 \u0630\u0644\u0643 \u060c \u0644\u064a\u0633 \u0645\u0646 \u0627\u0644\u0645\u062c\u062f\u064a \u0627\u0644\u0644\u062c\u0648\u0621 \u0625\u0644\u0649 \u0627\u0644\u0623\u0633\u0627\u0644\u064a\u0628 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0647\u0646\u0627\u0643 \u0627\u0646\u0642\u0637\u0627\u0639 \u0645\u0628\u0643\u0631 \u0644\u0644\u064a\u0627\u0633 \u0623\u0648 \u0625\u0630\u0627 \u0644\u0645 \u062a\u0643\u0646 \u0647\u0646\u0627\u0643 \u062e\u0644\u064a\u0629 \u0645\u0646\u0648\u064a\u0629 \u0641\u064a \u0627\u0644\u0631\u062c\u0644. \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649 \u060c \u064a\u0645\u0643\u0646 \u0627\u0644\u0642\u0648\u0644 \u0623\u0646 \u0641\u0631\u0635 \u0625\u0646\u062c\u0627\u0628 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u062a\u0642\u0644 \u0641\u0642\u0637 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0639\u0642\u0645.<\/p>\n<p>\u064a\u062a\u0645 \u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0648\u0627\u0644\u0627\u0645\u062a\u062d\u0627\u0646\u0627\u062a \u062e\u0637\u0648\u0629 \u0628\u062e\u0637\u0648\u0629 \u0644\u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0648\u0642\u062f \u064a\u0633\u062a\u063a\u0631\u0642 \u0648\u0642\u062a\u064b\u0627 \u0637\u0648\u064a\u0644\u0627\u064b. \u0647\u0630\u0627 \u064a\u0633\u0627\u0639\u062f \u0627\u0644\u0637\u0628\u064a\u0628 \u0639\u0644\u0649 \u0641\u0647\u0645 \u0627\u0644\u0645\u0634\u0643\u0644\u0629 \u062c\u064a\u062f\u064b\u0627 \u0648\u062a\u062d\u062f\u064a\u062f \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0623\u0643\u062b\u0631 \u0641\u0627\u0639\u0644\u064a\u0629. \u0646\u062a\u064a\u062c\u0629 \u0644\u0644\u0628\u062d\u062b \u060c \u064a\u0645\u0643\u0646 \u0627\u0644\u0639\u062b\u0648\u0631 \u0639\u0644\u0649 \u0648\u0627\u062d\u062f \u0623\u0648 \u0623\u0643\u062b\u0631 \u0645\u0646 \u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0639\u0642\u0645 \u060c \u0623\u0648 \u0641\u064a \u062d\u0648\u0627\u0644\u064a 15 \u066a \u0645\u0646 \u0627\u0644\u0623\u0632\u0648\u0627\u062c \u0644\u0627 \u064a\u0645\u0643\u0646 \u062a\u062d\u062f\u064a\u062f \u0633\u0628\u0628 \u0627\u0644\u0639\u0642\u0645.<\/p>\n<p>\u0623\u0647\u0645 \u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0639\u0642\u0645 \u0639\u0646\u062f \u0627\u0644\u0646\u0633\u0627\u0621 \u0647\u064a \u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u062a\u0628\u0648\u064a\u0636 \u060c \u0628\u0637\u0627\u0646\u0629 \u0627\u0644\u0631\u062d\u0645 \u0648\u0627\u0644\u0623\u0646\u0627\u0628\u064a\u0628 \u0627\u0644\u062a\u0627\u0644\u0641\u0629 \u0623\u0648 \u0627\u0644\u0645\u062d\u0638\u0648\u0631\u0629.<\/p>\n<h2>\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u062a\u0628\u0648\u064a\u0636:<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-965 size-full\" src=\"https:\/\/profdrmuratarslan.com.tr\/wp-content\/uploads\/2019\/06\/kadina-ait-kisirlik-nedenleri.jpg\" alt=\"Kad\u0131na Ait K\u0131s\u0131rl\u0131k Nedenleri ve Tedavisi\" width=\"510\" height=\"321\" srcset=\"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/kadina-ait-kisirlik-nedenleri.jpg 510w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/kadina-ait-kisirlik-nedenleri-300x189.jpg 300w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/kadina-ait-kisirlik-nedenleri-370x233.jpg 370w\" sizes=\"auto, (max-width: 510px) 100vw, 510px\" \/><\/p>\n<p>\u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u064b\u0627 \u0644\u0644\u0639\u0642\u0645 \u0639\u0646\u062f \u0627\u0644\u0646\u0633\u0627\u0621 \u0647\u0648 \u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u062a\u0628\u0648\u064a\u0636.<\/p>\n<div>Kad\u0131na Ait K\u0131s\u0131rl\u0131k Nedenleri ve Tedavisi<\/p>\n<p align=\"left\"><em>Yumurtlama bozukluklar\u0131n\u0131 3 grup ta inceleyebiliriz.<\/em><\/p>\n<ul>\n<li><strong>Hipogonadtropik hipogonadism<\/strong>\u00a0ad\u0131 verilen ve beyinden salg\u0131lan\u0131p yumurtal\u0131klar\u0131 idare eden hormonlar\u0131n yetersiz olmas\u0131ndan kaynaklanan bir durumdur. Tedavisinde beyinden salg\u0131lanan hormonlar\u0131n enjeksiyonlar ile yerine konmas\u0131 gerekir. Bu kad\u0131nlarda tedavi \u00f6ncesinde altta yatan beyinde yer kaplayan bir t\u00fcm\u00f6r gibi daha \u00f6nemli durumlar\u0131 ekarte etmek i\u00e7in bir beyin MR&#8221;\u0131 \u00e7ekilmesi ve prolaktin \u00f6l\u00e7\u00fcmleri yap\u0131lmas\u0131 gereklidir.<\/li>\n<li><strong>Hipergonadotropik hipogonadism\u00a0<\/strong>olarak adland\u0131r\u0131lan ve yumurtal\u0131k i\u00e7indeki yumurtalar\u0131n erken t\u00fckenmesine ba\u011fl\u0131 olan durumdur. Halk aras\u0131nda\u00a0<strong>erken menopoz<\/strong>\u00a0olarak da bilinir. \u00c7ocuk sahibi olabilmek i\u00e7in bilinen bir tedavisi yoktur. Ancak yumurta ba\u011f\u0131\u015f\u0131 ile gebe kal\u0131nabilir.<\/li>\n<li><strong>Beyin yumurtal\u0131k aras\u0131ndaki dengenin bozulmas\u0131na ba\u011fl\u0131 yumurtlama bozukluklar\u0131<\/strong>. Kad\u0131nlarda en s\u0131k rastlanan \u00f6erne\u011fi\u00a0<strong>Polikistik over sendromu<\/strong>dur. Nedeni tam olarak bilinmez. Yumurtal\u0131klarda geli\u015fmeye ba\u015flam\u0131\u015f ama geli\u015fme potansiyelini tamamlayamam\u0131\u015f preantral folik\u00fcl dedi\u011fimiz yap\u0131lar\u0131n \u00e7evresel dizilimi ve a\u015f\u0131r\u0131 erkeklik hormonu salg\u0131layan<strong>\u00a0stroma\u00a0<\/strong>ad\u0131 verilen tabakan\u0131n kal\u0131nla\u015fmas\u0131 ile karakterizedir.<\/li>\n<\/ul>\n<\/div>\n<p align=\"left\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-966 alignleft\" src=\"http:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/kadinlarda-infertilite-195x300.jpg\" alt=\"\" width=\"195\" height=\"300\" srcset=\"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/kadinlarda-infertilite-195x300.jpg 195w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/kadinlarda-infertilite.jpg 204w\" sizes=\"auto, (max-width: 195px) 100vw, 195px\" \/><strong>Polikistik over sendromu<\/strong>nun, k\u0131z \u00e7ocu\u011funun anne karn\u0131nda oldu\u011fu d\u00f6nemden itibaren beyindeki hormonlar\u0131n birtak\u0131m fakt\u00f6rler nedeni ile yanl\u0131\u015f programlanmas\u0131 sonucunda ortaya \u00e7\u0131kabilece\u011fi s\u00f6ylenirken, yanl\u0131\u015f beslenme, a\u015f\u0131r\u0131 kilo alma gibi problemlerinde hastal\u0131\u011f\u0131 tetikleyebilece\u011fi ifade edilmi\u015ftir. Ancak hastal\u0131k tipik olarak gen\u00e7 k\u0131zlarda ve genellikle ergenlik d\u00f6neminde ortaya \u00e7\u0131kar.<\/p>\n<p align=\"left\"><em><strong>Polikistik over sendromlu k\u0131zlar<\/strong><\/em>\u00a0genellikle \u015fi\u015fmand\u0131r, t\u00fcylenme ve sa\u00e7larda d\u00f6k\u00fclme ve sivilcele\u015fme s\u00f6z konusudur. Tedavisi sadece belirtilere y\u00f6neliktir.<\/p>\n<p align=\"left\">Hastal\u0131\u011f\u0131n semptomlar\u0131 tedavi edilmelebilir. Hastan\u0131n tedavisindeki en \u00f6nemli ve birinci basamak kilonun kontrol alt\u0131na al\u0131nmas\u0131 ve kilo verdirilmesidir. Tek ba\u015f\u0131na kilo vermenin bile yumurtlamay\u0131 geri getirebildi\u011fi unutulmamal\u0131d\u0131r.<\/p>\n<p>Bir hormon bozuklu\u011funun neden oldu\u011fu kilo al\u0131m\u0131 s\u00f6z konusu ise diyetlerin buna y\u00f6nelik olarak programlamas\u0131 gerekir.<\/p>\n<p align=\"left\">\u00d6zellikle\u00a0<strong>kad\u0131nlarda\u00a0<em>polikistik over sendromu<\/em><\/strong>\u00a0a\u015f\u0131r\u0131 kilo al\u0131m\u0131 ile ilgili oldu\u011fu i\u00e7in, spesifik olarak ara\u015ft\u0131r\u0131lmas\u0131 ve buna y\u00f6nelik olarak bir tak\u0131m tedavilerin uygulanmas\u0131 \u00f6nemlidir.<\/p>\n<p align=\"left\">Kad\u0131nlardaki kilo al\u0131m\u0131 ve ya\u011flanmay\u0131 biz ikiye ay\u0131rabiliriz. Bunlardan ilki elma tipi olarak tabir edilen kilo al\u0131m\u0131n\u0131n kar\u0131n \u00e7evresi ve \u00fcst g\u00f6vdede olmas\u0131, bacaklar\u0131n ve kal\u00e7alar\u0131n ise ince olmas\u0131 durumudur.<\/p>\n<p align=\"left\">\u0130kinci t\u00fcr kilo al\u0131m\u0131 tipi ise armut tipi olarak tabir edilen kal\u00e7alarda ve bacaklarda olan \u015fi\u015fmanl\u0131kt\u0131r, g\u00f6vde incedir. Kozmetik olarak bak\u0131ld\u0131\u011f\u0131 zaman elma tipi obezitenin gizlenmesi daha basit olmas\u0131na ra\u011fmen, beraberinde getirdi\u011fi sa\u011fl\u0131k sorunlar\u0131 a\u00e7\u0131s\u0131ndan daha k\u00f6t\u00fcd\u00fcr. \u00e7\u00fcnk\u00fc erkek tipi olan bu ya\u011flanma y\u00fcksek kolesterol oranlar\u0131 ile seyreder.<\/p>\n<p align=\"left\"><em>Polikistik over sendromlu kad\u0131nlarda kilo al\u0131m\u0131\u00a0<\/em>elma tipindedir.<\/p>\n<p><strong>Polikistik over sendromu<\/strong>nun di\u011fer bir bulgusu ise yumurtlaman\u0131n seyrek veya hi\u00e7 olmamas\u0131na ba\u011fl\u0131 adet d\u00fczensizli\u011fi ve gebe kalman\u0131n engellenmesidir.<\/p>\n<p align=\"left\">Hen\u00fcz evlenmemi\u015f veya \u00e7ocuk sahibi olmak istemeyen kad\u0131nlarda bu adetler do\u011fum kontrol haplar\u0131 ile d\u00fczenlenebilir. Ancak\u00a0<strong>\u00e7ocuk sahibi olmak isteyen kad\u0131nlar<\/strong>da, yumurtlamay\u0131 uyar\u0131c\u0131 ila\u00e7lar\u0131n kullan\u0131lmas\u0131 gerekir.<\/p>\n<p>Polikistik over sendromu:\u00a0Bu hastal\u0131\u011f\u0131n tipik formunda genel olarak adetler d\u00fczensiz ve seyrektir (y\u0131lda 3 \u2013 4 adet). Baz\u0131 hastalarda adetler hi\u00e7 g\u00f6r\u00fclmezken di\u011ferlerinde tamamen normal olabilir. Hastalar genellikle \u015fi\u015fmanlamaya yatk\u0131nd\u0131rlar. Ciltte ve sa\u00e7larda ya\u011flanma, sivilce gibiproblemler s\u0131k\u00e7a g\u00f6r\u00fcl\u00fcr. Yumurtal\u0131klarda normalden fazla say\u0131da yumurtabulunmakta ve bunlar erkeklik hormonu salg\u0131layarak normal yumurta geli\u015fimini engellemektedir.<\/p>\n<h3><strong>T\u00fcplerin hasarl\u0131 ve t\u0131kal\u0131 olmas\u0131:<\/strong><\/h3>\n<h1><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-969 size-full\" src=\"https:\/\/profdrmuratarslan.com.tr\/wp-content\/uploads\/2019\/06\/Infertilita-femminile-turkey.jpg\" alt=\"Kad\u0131na Ait K\u0131s\u0131rl\u0131k Nedenleri ve Tedavisi\" width=\"470\" height=\"310\" srcset=\"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/Infertilita-femminile-turkey.jpg 470w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/Infertilita-femminile-turkey-300x198.jpg 300w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/Infertilita-femminile-turkey-370x244.jpg 370w\" sizes=\"auto, (max-width: 470px) 100vw, 470px\" \/><\/strong><\/h1>\n<p align=\"left\"><strong>T\u00fcpler\u00a0<\/strong>genellikle enfeksiyonlara ba\u011fl\u0131 olarak t\u0131kan\u0131r. Bu enfeksiyonlar\u0131n neredeyse tamam\u0131 ise cinsel yolla bula\u015fan mikroplar ile olur. Bu mikroplardan en \u00f6nemlileri gonore (<em><strong>bel so\u011fuklu\u011fu<\/strong><\/em>) ve\u00a0<strong>klamidya<\/strong>d\u0131r.<\/p>\n<p align=\"left\">T\u00fcrkiye de di\u011fer bir \u00f6nemli etken ise t\u00fcberk\u00fclozdur (verem hastal\u0131\u011f\u0131). T\u00fcberk\u00fcloz mikrobu solunum yolu ile al\u0131nd\u0131ktan sonra akci\u011ferlere yerle\u015fir ve buradan kan yolu ile t\u00fcplere gelerek t\u00fcpleri tahrip eder. Bunlar\u0131n d\u0131\u015f\u0131nda ge\u00e7irilmi\u015f cerrahi m\u00fcdahaleler (<strong><em>myom veya kist al\u0131nmas\u0131 veya endometriosis cerrahisi<\/em><\/strong>) sonucunda da t\u00fcpler t\u0131kanabilir veya\u00a0<em>t\u00fcp-yumurtal\u0131k ili\u015fkisi<\/em>\u00a0bozulabilir.\u00a0<strong><em>\u00a0<\/em><\/strong><\/p>\n<p align=\"left\"><strong><em>\u00c7ocuk sahibi olan kad\u0131nlar<\/em><\/strong>\u0131n\u00a0<strong><em>aile planlamas\u0131 y\u00f6ntemi<\/em><\/strong>\u00a0olarak t\u00fcp ba\u011flanmas\u0131n\u0131 se\u00e7ti\u011fi durumlarda da\u00a0<em>t\u00fcpler t\u0131kal\u0131d\u0131r<\/em>.\u00a0<em>T\u00fcplerin t\u0131kal\u0131 oldu\u011fu\u00a0<\/em>genelikle\u00a0<strong><em>HSG\u00a0<\/em><\/strong>ad\u0131 verilen bir<em><strong>\u00a0rahim-t\u00fcp filmi<\/strong><\/em>\u00a0ile anla\u015f\u0131l\u0131r.<\/p>\n<p align=\"left\"><em>T\u00fcplerin t\u0131kal\u0131 oldu\u011fu\u00a0<\/em>anla\u015f\u0131ld\u0131ktan sonra t\u0131kan\u0131kl\u0131k rahime biti\u015fik b\u00f6lgede ise do\u011frudan<strong><em>\u00a0t\u00fcp bebek<\/em><\/strong>\u00a0yap\u0131lmas\u0131 en uygunudur.<em><strong>Mikro cerrahi<\/strong><\/em>\u00a0ile t\u00fcpler a\u00e7\u0131labilse bile bu i\u015flem daha zahmetli olup ba\u015far\u0131 \u015fans\u0131 da azd\u0131r.<\/p>\n<p align=\"left\">T\u00fcpler e\u011fer yumurtal\u0131\u011fa yak\u0131n olan u\u00e7lar\u0131ndan t\u0131kal\u0131 ise (hidrosalpinks) laparoskopi yap\u0131lmas\u0131 gerekir.\u00a0<strong>Laparoskopi<\/strong>de t\u00fcpler a\u00e7\u0131lmal\u0131 a\u00e7\u0131lam\u0131yorsa da al\u0131nmal\u0131d\u0131r. Hidrosalpinks \u015feklinde t\u0131kal\u0131 t\u00fcplerin mevcudiyeti\u00a0<strong><em>t<\/em><\/strong><strong><em>\u00fc<\/em><\/strong><strong><em>p bebek ba\u015far\u0131s\u0131<\/em><\/strong>n\u0131 azaltmaktad\u0131r.<\/p>\n<h3>Endometriozis<\/h3>\n<p><strong>K\u0131s\u0131rl\u0131\u011fa Yol A\u00e7an Ciddi Bir Problem: Endometriozis Hastal\u0131\u011f\u0131<\/strong>;<\/p>\n<figure id=\"attachment_975\" aria-describedby=\"caption-attachment-975\" style=\"width: 740px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-975 size-felizia-thumb-big\" src=\"https:\/\/profdrmuratarslan.com.tr\/wp-content\/uploads\/2019\/06\/endometriozis-740x416.jpg\" alt=\"K\u0131s\u0131rl\u0131\u011fa Yol A\u00e7an Ciddi Bir Problem: Endometriozis Hastal\u0131\u011f\u0131\" width=\"740\" height=\"416\" srcset=\"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis-740x416.jpg 740w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis-300x169.jpg 300w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis-768x432.jpg 768w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis.jpg 1024w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis-370x208.jpg 370w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis-770x433.jpg 770w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/endometriozis-270x152.jpg 270w\" sizes=\"auto, (max-width: 740px) 100vw, 740px\" \/><figcaption id=\"caption-attachment-975\" class=\"wp-caption-text\">K\u0131s\u0131rl\u0131\u011fa Yol A\u00e7an Ciddi Bir Problem: Endometriozis Hastal\u0131\u011f\u0131<\/figcaption><\/figure>\n<p>Rahim i\u00e7ini d\u00f6\u015feyen\u00a0<strong><em>endometrial h\u00fccreler<\/em><\/strong>in rahim d\u0131\u015f\u0131nda yerle\u015ferek bu b\u00f6lgelerde tahribat medana getirmesidir. Nedeni tam olarak belli de\u011fildir. En fazla ra\u011fbet g\u00f6ren teori retrograd menstruasyon teorisidir. Kad\u0131nlarda adet kanamas\u0131 rahim i\u00e7 tabakas\u0131n\u0131 d\u00f6\u015feyen h\u00fccrelerin d\u00f6k\u00fclmesi ile olur. Bu h\u00fccrelerin bir k\u0131sm\u0131 da geriye do\u011fru giderek t\u00fcplerden kar\u0131n bo\u015flu\u011funa d\u00f6k\u00fcl\u00fcr. Genelde bu h\u00fccreler v\u00fccudun defans mekanizmalar\u0131 taraf\u0131ndan yok edilir. Ancak baz\u0131 kad\u0131nlarda bu mekanizmalar iyi \u00e7al\u0131\u015fmaz ve endometrial h\u00fccreler kar\u0131n zar\u0131 \u00fczerine yerle\u015ferek \u00fcremeye ba\u015flarlar.<\/p>\n<p align=\"left\"><strong><em>Endometriozis hastal\u0131\u011f\u0131 <\/em><\/strong>en \u00e7ok kar\u0131n zar\u0131n\u0131 ve yumurtal\u0131klar\u0131 tutar. Bunun d\u0131\u015f\u0131nda rahim ve kal\u0131n barsa\u011f\u0131n son b\u00f6l\u00fcm\u00fc olan rektum aras\u0131na yerle\u015ferek rektovajinal\u00a0<strong><em>septum endometriosisi<\/em><\/strong>ni olu\u015fturur. Hastal\u0131k genelde ilerleyici bir karakter g\u00f6sterir ve yayg\u0131nl\u0131\u011f\u0131 ancak laparoskopi ile anla\u015f\u0131l\u0131r. Bulgular\u0131 a\u011fr\u0131, kitle ve k\u0131s\u0131rl\u0131kt\u0131r.<\/p>\n<p>Yumurtal\u0131k i\u00e7indeki\u00a0<strong><em>endometriozis kistleri<\/em><\/strong>ne endometrioma (<em>\u00e7ukolata kisti)<\/em>\u00a0ad\u0131 verilir.\u00a0<strong>Endometriomalar\u00a0<\/strong><em><strong>k\u0131s\u0131rl\u0131k\u00a0<\/strong>ile beraber oldu\u011funda\u00a0<strong>laparsokopik<\/strong>\u00a0olarak al\u0131nmalar\u0131 gerekir.<\/em><\/p>\n<p align=\"left\"><em><strong>Laparoskopik endometrioma<\/strong><\/em>\u00a0al\u0131nmas\u0131n\u0131 takiben,\u00a0<strong><em>endometriozis<\/em><\/strong>in yayg\u0131nl\u0131\u011f\u0131 de\u011ferlendirildikten sonra ilk 6 ay i\u00e7inde\u00a0<strong><em>kad\u0131nlar\u0131n gebe kalmas\u0131<\/em><\/strong>\u00a0beklenebilir. Gebe kalamayanlarda ise kad\u0131n\u0131n ya\u015f\u0131na bak\u0131larak bir 6 ayl\u0131k bekleme daha \u00f6nerilebilir.<\/p>\n<p align=\"left\">Ya\u015f\u0131n 35&#8243;in \u00fczerinde oldu\u011fu durumlarda ise \u00e7ok zaman kaybetmeden yard\u0131mc\u0131 \u00fcreme tekniklerine ge\u00e7ilmelidir. Baz\u0131 durumlarda ise ileri derecede anatomi bozulmu\u015f olabilir ve buna ba\u011fl\u0131 kendili\u011finden\u00a0<strong><em>gebelik \u015fans\u0131<\/em><\/strong>\u00a0verilemez.\u00a0<em><strong>Endometriosis<\/strong><\/em>in ileri derecede yayg\u0131n oldu\u011fu ve\u00a0<em><strong>t\u00fcp ve yumurtal\u0131k ili\u015fkisi<\/strong><\/em>ni bozdu\u011fu durumlarda zaman ge\u00e7irmeden\u00a0<strong><em>t\u00fcp bebek<\/em><\/strong>\u00a0yapmak en uygunudur.<\/p>\n<p><em><strong>Peritoneal endometriozis<\/strong><\/em>\u00a0diye tabir edilen ve kar\u0131n zar\u0131 \u00fczerindeki endometriosis odaklar\u0131n\u0131n ise tedavisinde laparoskopi ile koterizasyon veya lazer vaporizasyonu i\u015flemleri uygulanabilir. Her iki tekni\u011fin sonu\u00e7lar a\u00e7\u0131s\u0131ndan fark\u0131 yoktur.\u00a0<em>\u00a0<\/em><\/p>\n<p align=\"left\"><strong><em>Rektovajinal septum endometriozisi<\/em><\/strong>nde genellikle bu b\u00f6lgeye yerle\u015fmi\u015f bir nod\u00fcl bulunur. A\u011fr\u0131l\u0131 adet g\u00f6rme, a\u011fr\u0131l\u0131 ili\u015fki ve a\u011fr\u0131l\u0131 d\u0131\u015far\u0131 \u00e7\u0131kma en s\u0131k rastlan\u0131lan belirtilerdir.\u00a0<strong><em>Laparoskopi<\/em><\/strong>\u00a0ile nod\u00fcl\u00fcn al\u0131nmas\u0131 gerekir.\u00a0<strong>\u00a0<\/strong><\/p>\n<p align=\"left\"><strong>Endometriosiz<\/strong>\u00a0tekrarlayabilen bir hastal\u0131kt\u0131r. Olgular\u0131n %20\u2019sinde cerrahi i\u015flemi takiben 5 y\u0131l i\u00e7erisinde \u00a0hastal\u0131k tekrar rahats\u0131zl\u0131k verecek safhaya ilerleyebilir.<\/p>\n<h3>Rahim a\u011fz\u0131na ait problemler:<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-977 size-felizia-thumb-big\" src=\"https:\/\/profdrmuratarslan.com.tr\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-740x416.jpg\" alt=\"\u0130nfertilite K\u0131s\u0131rl\u0131k Kad\u0131nda Rahim a\u011fz\u0131na ait problemler\" width=\"740\" height=\"416\" srcset=\"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-740x416.jpg 740w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-300x169.jpg 300w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-768x432.jpg 768w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-1024x576.jpg 1024w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-370x208.jpg 370w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-1170x658.jpg 1170w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-770x433.jpg 770w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800-270x152.jpg 270w, https:\/\/profdrmuratarslan.com.tr\/ar\/wp-content\/uploads\/2019\/06\/rahim-agzi-infertilite-kisirlik-1400x800.jpg 1200w\" sizes=\"auto, (max-width: 740px) 100vw, 740px\" \/><\/p>\n<p>Rahim a\u011fz\u0131ndaki yap\u0131sal, enfeksiyona ait veya bu b\u00f6lgedeki salg\u0131ya (mukus) ait bozukluklar k\u0131s\u0131rl\u0131k sebebi olabilir. Rahim a\u011fz\u0131ndan salg\u0131lanan mukus spermlerin genital yoldan ta\u015f\u0131nmas\u0131n\u0131 kolayla\u015ft\u0131r\u0131r. \u00d6strojen ve progesteron hormonlar\u0131 etkisi alt\u0131nda mukusun siklus s\u0131ras\u0131nda miktar\u0131 ve niteli\u011fi de\u011fi\u015fir. Polip gibi iyi huylu t\u00fcm\u00f6rler veya bu b\u00f6lgeye uygulanm\u0131\u015f olan cerrahi giri\u015fimler k\u0131s\u0131rl\u0131\u011fa neden olabilir.<\/p>\n<h3>Alerjik nedenler:<\/h3>\n<p>Alerjik nedenler k\u0131s\u0131rl\u0131k nedeni olabilmekle birlikte te\u015fhisleri ve tedavileri zordur. Alerjik neden spermlerde veya mukusta bulunabilir. Antisperm antikorlar\u0131 ad\u0131 verilen bu alerjik durumlar\u0131n tedavi etkinli\u011fi belli de\u011fil ve tedavi edilen veya edilmeyenlerdeki gebelik oranlar\u0131 \u00e7ok farkl\u0131 de\u011fildir. Bu nedenle rutin olarak gereklili\u011fi tart\u0131\u015fmal\u0131d\u0131r.<\/p>\n<h3 align=\"left\"><em><strong>Di\u011fer k\u0131s\u0131rl\u0131k nedenleri ve tedavisi<\/strong><\/em><\/h3>\n<p align=\"left\">Yukar\u0131da say\u0131lan durumlar\u0131n d\u0131\u015f\u0131nda k\u0131s\u0131rl\u0131k ile ili\u015fkilendirilen ancak kesin olarak k\u0131s\u0131rl\u0131k nedeni say\u0131lamayan durumlar da mevcuttur. Bunlardan en \u00f6nemlileri rahmin do\u011fu\u015ftan olan anormallikleri ve myomlard\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0623\u0643\u062b\u0631 \u0623\u0647\u0645\u064a\u0629 \u0644\u0639\u0642\u0645 \u0627\u0644\u0646\u0633\u0627\u0621 \u0647\u0648 \u0623\u0646 \u0627\u0644\u0645\u0631\u0623\u0629 \u0627\u0644\u062a\u064a \u062a\u0636\u0637\u0631 \u0644\u0625\u0646\u062a\u0627\u062c \u0628\u064a\u0636\u0629 \u0643\u0644 \u0634\u0647\u0631 \u0644\u0627 \u062a\u0646\u062a\u062c \u0623\u0648 \u0644\u0627 \u062a\u0646\u062a\u062c \u0628\u0634\u0643\u0644 \u0635\u062d\u064a\u062d \u0623\u0648 \u0644\u0627 \u062a\u0646\u062a\u062c \u062f\u0627\u0626\u0645\u0627. \u0648\u0647\u0630\u0627 \u0645\u0627 \u064a\u0633\u0645\u0649 \u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u062a\u0628\u0648\u064a\u0636. \u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0639\u0642\u0645 \u0639\u0646\u062f \u0627\u0644\u0646\u0633\u0627\u0621 \u0644\u0627 \u0634\u0643 \u0623\u0646 \u0643\u0644 \u0627\u0645\u0631\u0623\u0629 \u062a\u0631\u064a\u062f \u0623\u0646 \u062a\u0646\u062c\u0628 \u0637\u0641\u0644\u0627\u064b \u0628\u0637\u0628\u064a\u0639\u062a\u0647\u0627 \u0648\u062a\u0630\u0648\u0642 \u062d\u0627\u0633\u0629 \u0627\u0644\u0623\u0645\u0648\u0645\u0629. \u0648\u0645\u0639 \u0630\u0644\u0643 \u060c \u064a\u062a\u0639\u064a\u0646 \u0639\u0644\u0649 15 \u0645\u0646 \u0643\u0644 100 \u0632\u0648\u062c \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629&hellip;<\/p>\n","protected":false},"author":1,"featured_media":980,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[131,134,139,135,140,17,127,124,123,129,133,128,137,136,138,126,130,132,125],"class_list":["post-23","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-10","tag-cocuk-sahibi-olmak-isteyen-kadinlar","tag-endometriomalar-kisirlik","tag-endometriosis-cerrahisi","tag-endometriozis","tag-endometriozis-cerrahisi","tag-fertilization","tag-hipogonadtropik-hipogonadism","tag-kadina-ait-kisirlik-nedenleri","tag-kadina-ait-kisirlik-nedenleri-ve-tedavisi","tag-kadinlarda-kisirlik-tedavisi","tag-kadinlarda-polikistik-over-sendromu","tag-kadinlarda-tedavi","tag-kadinlarin-gebe-kalamamasi","tag-laparoskopik-endometrioma","tag-laparoskopik-endometrioma-nedir","tag-ovulasyon-bozukluklari","tag-polikistik-over-sendromlu-kizlar","tag-tup-tikanikliklari","tag-yumurtlama-bozukluklari-tedavisi"],"_links":{"self":[{"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/posts\/23","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":10,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/posts\/23\/revisions"}],"predecessor-version":[{"id":1726,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/posts\/23\/revisions\/1726"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/media\/980"}],"wp:attachment":[{"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/media?parent=23"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/categories?post=23"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/profdrmuratarslan.com.tr\/ar\/wp-json\/wp\/v2\/tags?post=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}