{"id":146,"date":"2020-09-20T14:43:12","date_gmt":"2020-09-20T14:43:12","guid":{"rendered":"http:\/\/www.esranurtola.com.tr\/?page_id=146"},"modified":"2020-12-26T08:35:52","modified_gmt":"2020-12-26T08:35:52","slug":"endometriozis","status":"publish","type":"page","link":"http:\/\/www.esranurtola.com.tr\/index.php\/endometriozis\/","title":{"rendered":"Endometriozis"},"content":{"rendered":"\n<figure class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"221\" height=\"210\" src=\"https:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-2.jpg\" alt=\"\" data-id=\"233\" data-full-url=\"https:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-2.jpg\" data-link=\"https:\/\/www.esranurtola.com.tr\/index.php\/ilgi-alanlarim\/endometriozis\/endometriozis-2\/\" class=\"wp-image-233\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"427\" src=\"https:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-1-1024x427.jpg\" alt=\"\" data-id=\"234\" data-full-url=\"https:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-1.jpg\" data-link=\"https:\/\/www.esranurtola.com.tr\/index.php\/ilgi-alanlarim\/endometriozis\/endometriozis-1\/\" class=\"wp-image-234\" srcset=\"http:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-1-1024x427.jpg 1024w, http:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-1-300x125.jpg 300w, http:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-1-768x320.jpg 768w, http:\/\/www.esranurtola.com.tr\/wp-content\/uploads\/2020\/12\/ENDOMETRIOZIS-1.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/li><\/ul><\/figure>\n\n\n\n<p><strong>ENDOMETR\u0130OZ\u0130S<\/strong><\/p>\n\n\n\n<p>Endometriozis \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlarda g\u00f6r\u00fclen kronik ilerleyici bir hastal\u0131kt\u0131r. Rahmin i\u00e7 k\u0131sm\u0131n\u0131 d\u00f6\u015feyen endometrium ismi verilen katman\u0131n rahim i\u00e7 duvar\u0131 d\u0131\u015f\u0131ndaki herhangi bir b\u00f6lgeye yerle\u015fmesi durumudur. Nedeni tam olarak bilinmemektedir. Toplumda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 1\/10 iken k\u0131s\u0131rl\u0131k sorunu olan kad\u0131nlarda bu oran %25-50 d\u00fczeyine \u00e7\u0131kmaktad\u0131r. En s\u0131k yerle\u015fti\u011fi b\u00f6lgeler yumurtal\u0131k, t\u00fcpler, kar\u0131n i\u00e7i zar\u0131, mesane veya ba\u011f\u0131rsaklard\u0131r. Yumurtal\u0131k dokusunda oldu\u011fu zaman i\u00e7i kahverengi bir s\u0131v\u0131yla dolu kistik yap\u0131lar meydana getirir ve bu yap\u0131lara \u2018\u00e7ikolata kisti (endometrioma)\u2019 ismi verilir.<\/p>\n\n\n\n<p>Endometrioziste rahim i\u00e7 duvar\u0131 d\u0131\u015f\u0131nda olan endometrium dokusu yumurtal\u0131ktan sal\u0131nan hormonlar\u0131n etkisiyle her ay b\u00fcy\u00fcme g\u00f6sterir. Gebelik olu\u015fmazsa normalde adet kanamas\u0131 \u015feklinde d\u00f6k\u00fclen endometriumun tersine farkl\u0131 odaklarda olan bu endometrium tabakas\u0131 d\u0131\u015far\u0131 d\u00f6k\u00fclemeyece\u011finden kar\u0131n i\u00e7inde yap\u0131\u015f\u0131kl\u0131klara yol a\u00e7ar. Bu yap\u0131\u015f\u0131kl\u0131klar nedeniyle a\u011fr\u0131, t\u00fcp t\u0131kan\u0131kl\u0131\u011f\u0131 vb durumlar g\u00f6r\u00fclebilir. Endometriozis olan hastalar\u0131n baz\u0131lar\u0131nda hi\u00e7bir belirti g\u00f6r\u00fclmezken, en s\u0131k g\u00f6r\u00fclen bulgular \u015funlard\u0131r:<\/p>\n\n\n\n<p>\u2022\u015eiddetli adet sanc\u0131s\u0131 veya adet d\u00f6neminden ba\u011f\u0131ms\u0131z alt kar\u0131n b\u00f6lgesinde s\u00fcrekli a\u011fr\u0131<\/p>\n\n\n\n<p>\u2022Cinsel ili\u015fki s\u0131ras\u0131nda a\u011fr\u0131<\/p>\n\n\n\n<p>\u2022K\u0131s\u0131rl\u0131k &#8211; Endometriozisi olan kad\u0131nlar\u0131n %35 ile 50\u2019si gebe kalamamaktad\u0131r.<\/p>\n\n\n\n<p>Endometriozisli kad\u0131nlarda k\u0131s\u0131rl\u0131\u011f\u0131 daha s\u0131k g\u00f6r\u00fclme nedenleri t\u00fcp t\u0131kan\u0131kl\u0131\u011f\u0131, t\u00fcp-yumurta aras\u0131ndaki anatomik ili\u015fkinin bozulmas\u0131, yumurtal\u0131klarda olu\u015fan kistler (endometrioma) nedeniyle yumurta olu\u015fum s\u00fcrecinin olumsuz etkilenmesi ve yumurta say\u0131s\u0131n\u0131n ve kalitesinin azalmas\u0131d\u0131r.<\/p>\n\n\n\n<p>Endometriozis hastal\u0131\u011f\u0131n\u0131n kesin tan\u0131s\u0131 laparoskopi ile endometriozis odaklar\u0131n\u0131n g\u00f6r\u00fclmesi ve bu odaklardan al\u0131nan par\u00e7an\u0131n patolojik incelemesiyle konulmas\u0131 olsa da \u00f6zellikle endometriomalar\u0131n ultrasonda tipik g\u00f6r\u00fcn\u00fcmleri olmas\u0131 nedeniyle cerrahi gerektirmeyen vakalarda ultrason ile de tan\u0131 konulabilir.&nbsp;<\/p>\n\n\n\n<p>B\u00fcy\u00fck \u00e7ikolata kisti ve klinik \u015fikayeti olan kad\u0131nlarda laparoskopik olarak endometrioman\u0131n \u00e7\u0131kar\u0131lmas\u0131 \u00f6nerilir. K\u00fc\u00e7\u00fck veya klinik \u015fikayete yol a\u00e7mayan \u00e7ikolata kistlerinde ise izlem \u00f6nerilir. A\u011fr\u0131 \u015fikayeti \u00f6n planda olan endometriozis vakalar\u0131nda \u00f6ncelikle medikal tedavi (a\u011fr\u0131 kesici, do\u011fum kontrol haplar\u0131, progesteron, gonadotropin salg\u0131lat\u0131c\u0131 hormon analoglar\u0131 vb) \u00f6nerilir.<\/p>\n\n\n\n<p>K\u0131s\u0131rl\u0131k nedeniyle ba\u015fvuran endometriozis vakalar\u0131nda yap\u0131lacak tedavi hastan\u0131n ya\u015f\u0131, k\u0131s\u0131rl\u0131k s\u00fcresi, t\u00fcplerin a\u00e7\u0131kl\u0131k durumu, yumurtal\u0131k rezervine g\u00f6re de\u011fi\u015fir. Yumurta say\u0131s\u0131 az, her iki yumurtal\u0131\u011f\u0131nda da \u00e7ikolata kisti olan, t\u00fcpleri t\u0131kan\u0131kl\u0131k olan, \u00f6nceden endometriozis nedeniyle ameliyat ge\u00e7irmi\u015f olgularda t\u00fcp bebek tedavisi d\u00fc\u015f\u00fcn\u00fclmelidir.Endometriozis kronik ve ilerleyici bir hastal\u0131k olmas\u0131 nedeniyle neden oldu\u011fu yap\u0131\u015f\u0131kl\u0131klar ve yumurta say\u0131s\u0131n\u0131n azalmas\u0131 y\u0131llar i\u00e7inde artacakt\u0131r. Dolay\u0131s\u0131yla endometriozisi olan kad\u0131nlara gebeli\u011fi ertelememeleri veya e\u011fer gebelik olu\u015fmazsa bir an \u00f6nce gebe kalmak i\u00e7in tedaviye ba\u015fvurmalar\u0131 \u00f6nerilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ENDOMETR\u0130OZ\u0130S Endometriozis \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlarda g\u00f6r\u00fclen kronik ilerleyici bir hastal\u0131kt\u0131r. Rahmin i\u00e7 k\u0131sm\u0131n\u0131 d\u00f6\u015feyen endometrium ismi verilen katman\u0131n rahim i\u00e7 duvar\u0131 d\u0131\u015f\u0131ndaki herhangi bir b\u00f6lgeye yerle\u015fmesi durumudur. Nedeni tam olarak bilinmemektedir. Toplumda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 1\/10 iken k\u0131s\u0131rl\u0131k sorunu olan kad\u0131nlarda bu oran %25-50 d\u00fczeyine \u00e7\u0131kmaktad\u0131r. En s\u0131k yerle\u015fti\u011fi b\u00f6lgeler yumurtal\u0131k, t\u00fcpler, kar\u0131n i\u00e7i zar\u0131, mesane [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-146","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/pages\/146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=146"}],"version-history":[{"count":2,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/pages\/146\/revisions"}],"predecessor-version":[{"id":235,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/pages\/146\/revisions\/235"}],"wp:attachment":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}