{"id":73,"date":"2016-06-22T19:34:14","date_gmt":"2016-06-22T17:34:14","guid":{"rendered":"http:\/\/plethorathemes.com\/healthflex\/doctor\/?p=73"},"modified":"2020-12-29T10:48:01","modified_gmt":"2020-12-29T10:48:01","slug":"how-to-make-the-transition-to-solid-foods-on-babies","status":"publish","type":"post","link":"http:\/\/www.esranurtola.com.tr\/index.php\/2016\/06\/22\/how-to-make-the-transition-to-solid-foods-on-babies\/","title":{"rendered":"Polikistik Over Sendromu"},"content":{"rendered":"<p>Polikistik over sendromu \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlarda \u00e7ok s\u0131k g\u00f6r\u00fclen metabolik bir hastal\u0131kt\u0131r. Ba\u015fl\u0131ca bulgular\u0131:<\/p>\n<ol type=\"1\">\n<li>Adet d\u00fczensizli\u011fi (35 g\u00fcnden uzun aral\u0131klarla adet g\u00f6rme) veya adet g\u00f6rmeme<\/li>\n<li>Erkek hormonu (androjen) fazlal\u0131\u011f\u0131 \u2013 Erkek hormon fazlal\u0131\u011f\u0131 kendini erkeksi b\u00f6lgelerde k\u0131llanma art\u0131\u015f\u0131, sivilcelenme veya erkek tipi kellik olarak g\u00f6sterebildi\u011fi gibi sadece kanda da tespit edilebilir.<\/li>\n<li>Ultrasonda yumurtal\u0131klarda \u00e7ok fazla yumurta tespit edilmesi<\/li>\n<\/ol>\n<p>Yukardaki 3 kriterden en az ikisinin olmas\u0131 polikistik over sendromu tan\u0131s\u0131 koydurur. Ayr\u0131ca adet d\u00fczensizli\u011fi ve k\u0131llanma art\u0131\u015f\u0131n\u0131n ba\u015fka nedenlerle olmad\u0131\u011f\u0131n\u0131n kan\u0131tlanmas\u0131 gerekmektedir. Gerekli ara\u015ft\u0131rmalar\u0131n yap\u0131labilmesi i\u00e7in kad\u0131n\u0131n adetin erken d\u00f6neminde 1., veya 2., veya 3. g\u00fcn\u00fcnde sabah erken saatte kan al\u0131nmas\u0131 gerekmektedir.<\/p>\n<p>Polikisitk over sendromlu kad\u0131nlarda yumurtlaman\u0131n az olmas\u0131 veya olmamas\u0131 nedeniyle k\u0131s\u0131rl\u0131k (infertilite) daha s\u0131k g\u00f6r\u00fcl\u00fcr. Bu nedenle 1 y\u0131l d\u00fczenli cinsel ili\u015fkiye ra\u011fmen gebe kal\u0131namazsa mutlaka kad\u0131n hastal\u0131klar\u0131 ve do\u011fum uzman\u0131na ba\u015fvurmal\u0131 ve gerekli incelemelerden sonra doktor g\u00f6zetiminde yumurtlamay\u0131 artt\u0131r\u0131c\u0131 tedaviler ba\u015flanmal\u0131d\u0131r. Yumurtlamay\u0131 artt\u0131r\u0131c\u0131 tedaviler \u00f6nce a\u011f\u0131zdan hap (klomen, letrozol), sonras\u0131nda i\u011fne (gonadotropinler), e\u011fer gebelik olu\u015fmazsa t\u00fcp bebek y\u00f6nteminin uygulanmas\u0131 \u015feklinde s\u0131ralan\u0131r. Bu k\u0131smen karma\u015f\u0131k tedavilere ba\u015flamadan \u00f6nce e\u011fer kad\u0131n\u0131n kilolu ise kilo vermesi hem yumurtlaman\u0131n kendili\u011finden olmas\u0131n\u0131 sa\u011flamas\u0131 hem de ba\u015flanacak bu tedavilere yan\u0131t\u0131 geli\u015ftirmesi a\u00e7s\u0131ndan ilk basamak olmal\u0131d\u0131r.<\/p>\n<p>Polikistik over sendromlu kad\u0131nlar\u0131n, fazla miktarda kad\u0131nl\u0131k (\u00f6strojen) hormonuna maruz kald\u0131klar\u0131 i\u00e7in, ilerleyen ya\u015flarda rahim kanseri geli\u015ftirme riskleri vard\u0131r. Dolay\u0131s\u0131yla tan\u0131 konulduktan sonra rahmi koruyucu tedavi kullanmalar\u0131 da gerekir. Polikistik over sendromlu kad\u0131nlar obezite, \u015feker hastal\u0131\u011f\u0131, kalp hastal\u0131\u011f\u0131, depresyon, yeme bozukluklar\u0131 (\u00e7ok yeme, vb), karaci\u011fer ya\u011flanmas\u0131 vb a\u00e7\u0131s\u0131ndan da risk grubundad\u0131r. Bu nedenle tan\u0131 konulduktan sonra kad\u0131n\u0131n kilo, boy, tansiyon, \u00f6l\u00e7\u00fcm\u00fc yap\u0131lmal\u0131, \u015feker y\u00fckleme testi, kan kolesterol ve ya\u011f d\u00fczeyleri de\u011ferlendirilmelidir.\u00a0Polikistik over sendromunun tedavisi hastan\u0131n \u015fikayetine g\u00f6re de\u011fi\u015fiklik g\u00f6sterir. Adet d\u00fczensizli\u011fi i\u00e7in do\u011fum kontrol ila\u00e7lar\u0131, k\u0131llanma i\u00e7in k\u0131llanmay\u0131 azalt\u0131c\u0131 tedaviler, k\u0131s\u0131rl\u0131k varsa yumurtlamay\u0131 artt\u0131r\u0131c\u0131 ila\u00e7lar, rahim duvar\u0131n\u0131 korumaya y\u00f6nelik hormon tedavileri uygulanmaktad\u0131r. E\u011fer hasta kilolu ise ba\u015fl\u0131ca tedavini ya\u015fam \u015fekli de\u011fi\u015fikli\u011fi ve kilo verme oldu\u011fu unutulmamal\u0131d\u0131r. Kilo verme polikistik over sendromundaki pek \u00e7ok bulgunun iyile\u015fmesine (adet d\u00fczensizli\u011fi, k\u0131llanma art\u0131\u015f\u0131 vb) neden olur.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Polikistik over sendromu \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlarda \u00e7ok s\u0131k g\u00f6r\u00fclen metabolik bir hastal\u0131kt\u0131r. Ba\u015fl\u0131ca bulgular\u0131: Adet d\u00fczensizli\u011fi (35 g\u00fcnden uzun aral\u0131klarla adet g\u00f6rme) veya adet g\u00f6rmeme Erkek hormonu (androjen) fazlal\u0131\u011f\u0131 \u2013 Erkek hormon fazlal\u0131\u011f\u0131 kendini erkeksi b\u00f6lgelerde k\u0131llanma art\u0131\u015f\u0131, sivilcelenme veya erkek tipi kellik olarak g\u00f6sterebildi\u011fi gibi sadece kanda da tespit edilebilir. Ultrasonda yumurtal\u0131klarda \u00e7ok fazla [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":292,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-73","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kids"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/73","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"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=73"}],"version-history":[{"count":1,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/73\/revisions"}],"predecessor-version":[{"id":321,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/73\/revisions\/321"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/media\/292"}],"wp:attachment":[{"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=73"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=73"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.esranurtola.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=73"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}