\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A\u015f\u0131r\u0131 veya siklik menstruasyon d\u0131\u015f\u0131nda g\u00f6r\u00fclen kanamalard\u0131r. Kanamalar\u0131n 2 G\u00fcnden az veya 7 g\u00fcnden uzun s\u00fcrmesi, kanaman\u0131n 80 cc’den fazla olmas\u0131, siklusun(\u0130ki adet aras\u0131) 24 g\u00fcnden az veya 35 g\u00fcnden fazla olmas\u0131, iki adet aras\u0131 kanama, ili\u015fki sonras\u0131 kanama olmas\u0131d\u0131r.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Amenore: Ortalama \u00fc\u00e7 siklus s\u00fcresince adet g\u00f6rmemektir.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Oligomenore: Kanama aral\u0131klar\u0131n\u0131n 35 g\u00fcnden daha uzun olmas\u0131d\u0131r.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Polimenore: 24 g\u00fcnden daha az aral\u0131klarla adet g\u00f6rmektir.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Menoraji (veya hipermenore): A\u015f\u0131r\u0131 ve uzam\u0131\u015f adet kanamalar\u0131n\u0131 ifade eder. (80 cc den fazla ve\/veya 7 g\u00fcnden uzun)<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Metroraji: Az veya normal miktarda d\u00fczensiz kanamalar\u0131 tarif etmek i\u00e7in kullan\u0131l\u0131r. Kanamalar hem y\u00fcksek miktarda hem de d\u00fczensiz ise \u201cmenometroraji\u201d denilir.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0130ki adet aras\u0131 kanama: siklik menstr\u00fcel kanamalar aras\u0131nda g\u00f6r\u00fclen kanamalard\u0131r.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Adet \u00f6ncesi spotting: Menstr\u00fcasyon \u00f6ncesi meydana gelen lekelenme tarz\u0131ndaki kanamalard\u0131r.<\/p>\n
\u00a0<\/p>\n
YA\u015e GRUPLARINA G\u00d6RE Anormal GEN\u0130TAL KANAMA NEDENLER\u0130:<\/p>\n
1- YEN\u0130DO\u011eAN; \u00d6strojen \u00e7ekilme kanamas\u0131<\/p>\n
2- ERKEN \u00c7OCUKLUK<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Yabanc\u0131 cisim<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Travma<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Enfeksiyon<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vajinal t\u00fcm\u00f6rler<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00dcretral prolapsus (Alt idrar yolu sarkmas\u0131)<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Puberte prokoks(Erken puberte)<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Yumurtal\u0131k t\u00fcm\u00f6rleri<\/p>\n
3- GE\u00c7 \u00c7OCUKLUK<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Anovulasyon(yumurtlaman\u0131n olmamas\u0131)<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kanama p\u0131ht\u0131la\u015fma bozukluklar\u0131<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stress<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Enfeksiyon<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gebelik<\/p>\n
4- DO\u011eURGANLIK D\u00d6NEM\u0130<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Anovulasyon (yumurtlaman\u0131n olmamas\u0131)<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gebelik<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kanser<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Polip, myom, adenomyozis<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Enfeksiyon<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Endokrin bozuklukluklar<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kan hastal\u0131klar\u0131 (Von Villebrand hastal\u0131\u011f\u0131, Akut l\u00f6semi, Trombositopeni, \u0130lerlemi\u015f karaci\u011fer hastal\u0131\u011f\u0131)<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0130la\u00e7lara ba\u011fl\u0131 (Do\u011fum Kontrol \u0130lac\u0131, Rahim \u0130\u00e7i Ara\u00e7, Depo MPA, Hormon\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Yerine Koyma Tedavisi, Antikoag\u00fclan, Kortikosteroid, Kemoterapi, Dilantin, Antipsikotik \u0130la\u00e7lar, Antibiotikler )<\/p>\n
5- MENOPOZ \u00d6NCES\u0130 D\u00d6NEM<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Anovulasyon<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Polip, myom, adenomyozis<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kanser<\/p>\n
6- MENOPOZ<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Atrofi<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kanser<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hormon yerine koyma tedavisi sebepli olabilir.<\/p>\n
ANORMAL UTER\u0130N KANAMA AYRIMI<\/p>\n
1-\u00a0\u00a0\u00a0\u00a0\u00a0 Organik patolojiler veya sistemik hastal\u0131klara ba\u011fl\u0131<\/p>\n
2-\u00a0\u00a0\u00a0\u00a0\u00a0 Disfonksiyonel uterin kanamalar (anovulatuar)Organik bir sebebe ba\u011fl\u0131 olmayan kanamalard\u0131r.\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n
OVULATUAR KANAMALAR:<\/p>\n
Yumurtlaman\u0131n oldu\u011fu kanamalard\u0131r. \u0130ki \u015fekilde olabilir; Menoraji, intermenstr\u00fcel kanama<\/p>\n
TANI<\/p>\n
Tam kan incelemesi yap\u0131l\u0131r. Hormon testleri, Endometrial biopsi, Sonohisterografi, Histeroskopi yap\u0131l\u0131r. Vajinal yolla yap\u0131lan ultrason organik patolojilerin ay\u0131rt edilmesini sa\u011flar.<\/p>\n
Endometrial biopsi; 35 ya\u015f \u00fcst\u00fcndeki ve 18-35 ya\u015f risk fakt\u00f6rleri olan t\u00fcm kad\u0131nlara yap\u0131l\u0131r.<\/p>\n
TEDAV\u0130<\/p>\n
T\u0131bbi tedavi birincil olarak tercih edilir. Akut kanamalarda en iyi medikal tedavi y\u00fcksek doz hormon tedavileridir. Daha az ciddiyette olan akut veya kronik kanamalarda; hormon tedavisi, hormonlu spiral, suni menopoz yapan ila\u00e7lar ve cerrahi gerekebilir.<\/p>\n
Hastan\u0131n yap\u0131sal lezyonlar\u0131 varsa veya ciddi anemisi mevcutsa veya medikal tedaviye yan\u0131t yoksa CERRAH\u0130 tedavi gerekli olabilir<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0 K\u00fcretaj<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0 Histerektomi<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0 Myomektomi<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0 Endometrial ablazyon(Rahim i\u00e7i zar\u0131n\u0131n yak\u0131l\u0131p \u00e7\u0131kar\u0131lmas\u0131)<\/p>\n
ANOVULATUAR KANAMALAR:<\/p>\n
Yumurtlaman\u0131n olmad\u0131\u011f\u0131 kanamalard\u0131r. 3 tip kanama olabilir: \u00f6strojen \u00e7ekilme kanamas\u0131, \u00f6strojen k\u0131r\u0131lma kanamas\u0131, progesteron k\u0131r\u0131lma kanamas\u0131.<\/p>\n
ANOVULATUAR KANAMA NEDENLER\u0130<\/p>\n
1- YA\u015eLA \u0130LG\u0130L\u0130:<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Beyin taban\u0131 yumurtal\u0131k aks\u0131n\u0131n olgunla\u015fmam\u0131\u015f olmas\u0131<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ovaryan fonksiyonun azalmas\u0131 (premenopoz)<\/p>\n
2- \u0130LA\u00c7LAR:<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Do\u011fum kontrol ila\u00e7lar\u0131<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Progestinler<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Antipsikotikler<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kortikosteroidler<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kemoter\u00f6petik ila\u00e7lar<\/p>\n
3- D\u0130\u011eER:<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ani kilo verme<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stress<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A\u015f\u0131r\u0131 egzersiz<\/p>\n
4- S\u0130STEM\u0130K HASTALIKLAR VE T\u00dcM\u00d6RLER<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hipo ve hipertiroidi<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kronik kc ve b\u00f6brek hastal\u0131klar\u0131<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Cushing hastal\u0131\u011f\u0131<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PCOS<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Prolaktinomalar<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Empty sella sendromu<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sheehan sendromu<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Adrenal ve ovaryan t\u00fcm\u00f6rler<\/p>\n
\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hipotalamusu tutan t\u00fcm\u00f6rler<\/p>\n
TEDAV\u0130S\u0130<\/p>\n
Sistemik nedene y\u00f6nelik tedavi ve hormon tedavileri uygulanabilir. Cerrahi tedavide rahim i\u00e7i tabakan\u0131n \u00e7\u0131kar\u0131lmas\u0131 veya rahimin t\u00fcmden al\u0131nmas\u0131 gerekebilir.<\/p>\n
HAZIRLAYAN: Op. Dr. RE\u015e\u0130DE \u00d6NALAN \u00a0<\/p>\n
KAYNAKLAR Berek & Novak’ s Gynecology Fourteenth Edition. Lippincott Williams & Wilkins. Editor\u00a0 Jonathan S Berek. Philadelphia 2007. Current Diagnose & Treatment.Obstetrics & Gynecology. Tenth edition. McGraw Hill. Editor alan H. DeCherney. New York 2007. The Johns Hopkins Manual of Gynecology and Obstetrics. Lippincott Williams & Wilkins.\u00a0 Third Edition. Editor. Kimberly B. Fortner. Philadelphia 2007.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A\u015f\u0131r\u0131 veya siklik menstruasyon d\u0131\u015f\u0131nda g\u00f6r\u00fclen kanamalard\u0131r. Kanamalar\u0131n 2 G\u00fcnden az veya 7 g\u00fcnden uzun s\u00fcrmesi, kanaman\u0131n 80 cc’den fazla olmas\u0131, siklusun(\u0130ki adet aras\u0131) 24 g\u00fcnden az veya 35 g\u00fcnden fazla olmas\u0131, iki adet aras\u0131 kanama, ili\u015fki sonras\u0131 kanama olmas\u0131d\u0131r. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Amenore: Ortalama \u00fc\u00e7 siklus s\u00fcresince adet g\u00f6rmemektir. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Oligomenore: Kanama aral\u0131klar\u0131n\u0131n 35 g\u00fcnden daha uzun olmas\u0131d\u0131r. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Polimenore:[Devam\u0131n\u0131 Oku…]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23196,23203,23204,23199,23201],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13243"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13243"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13243\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13243"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13243"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}