Adet olamama durumunun do\u011fal oldu\u011fu durumlar gebelik, emzirme ve menopozdur. Bu durumlar d\u0131\u015f\u0131nda adet olamama hastal\u0131k belirtisidir.<\/p>\n
Gen\u00e7 k\u0131zlar ilk adetlerini g\u00f6\u011f\u00fcs geli\u015fimi ve t\u00fcylenme varsa en ge\u00e7 15 ya\u015f\u0131ndan t\u00fcylenme ve g\u00f6\u011f\u00fcs geli\u015fimi yok ise en ge\u00e7 14 ya\u015f\u0131ndan itibaren g\u00f6rmelidir. Ayn\u0131 zamanda \u00f6nceleri d\u00fczenli her Ay adet g\u00f6ren bir kad\u0131n\u0131n 6 ay adet olmamas\u0131 veya 3 adet d\u00f6nemi adet olamamas\u0131 da bir hastal\u0131k bulgusu olabilir.<\/p>\n
Hi\u00e7 adet olamama durumunda sebepler beyin sap\u0131ndan ba\u015flay\u0131p yumurtal\u0131klar, rahim ve vajendeki hastal\u0131klar kaynakl\u0131 olabilir.<\/p>\n
Bunlardan en s\u0131k neden yumurtal\u0131klar\u0131n do\u011fumsal olarak hi\u00e7 geli\u015fmeyip yumurta \u00fcretememesidir. Tan\u0131s\u0131 kad\u0131n do\u011fum muayenesi, ultrason ve Hormon tetkikleri ile konulur.<\/p>\n
\u0130kinci en s\u0131k neden vajenin olu\u015fmamas\u0131d\u0131r.\u00a0<\/p>\n
Daha nadir nedenler beyin sap\u0131 hastal\u0131klar\u0131 kaynakl\u0131 olabilir. A\u015f\u0131r\u0131 zay\u0131f olmak, ruhsal gerginlik, reyin t\u00fcm\u00f6rleri ve tedavisi i\u00e7in radyasyon almak, ba\u015f \u00e7arpmalar\u0131-ba\u015f \u00fcst\u00fc d\u00fc\u015fmeler (kafa travmalar\u0131) bilinen s\u0131k sebeplerdendir.<\/p>\n
Daha \u00f6nceleri adet olup daha sonra olamama durumunda; yumurtal\u0131k kaynakl\u0131 kistler, tiroit hastal\u0131klar\u0131, s\u00fct Hormonu hastal\u0131klar\u0131, k\u00fcrtajlara ba\u011fl\u0131 rahim i\u00e7i yap\u0131\u015f\u0131kl\u0131\u011f\u0131, erken menopoz durumu olabilir.\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<\/p>\n
TEDAV\u0130<\/p>\n
Tedavi plan\u0131 hastal\u0131\u011f\u0131n sebebine y\u00f6neliktir.<\/p>\n
Kad\u0131nlar\u0131n 2 adet aras\u0131 ba\u015flang\u0131c\u0131ndan itibaren 21 G\u00fcnden k\u0131sa, 35 g\u00fcnden uzun de\u011filse ve adet s\u00fcresi 2\u20137 G\u00fcn ise normal say\u0131lmal\u0131d\u0131r. Ayl\u0131k 1 hafta- 10 g\u00fcnl\u00fck oynamalar normal say\u0131l\u0131r. Adetler aras\u0131 s\u00fcre 35 G\u00fcn\u00fc ge\u00e7erse bunun en \u00f6nemli nedeni yumurtal\u0131klar\u0131n yeterince d\u00fczenli \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131 g\u00f6sterir ve beraberinde kilo almaya yatk\u0131nl\u0131k, t\u00fcylenme, sivilcelenme, sa\u00e7 d\u00f6k\u00fclmesi, ciltte ya\u011flanma var ve evli olup gebe kalam\u0131yorsa kad\u0131n do\u011fum muayenesi gereklidir.<\/p>\n
Bu hastal\u0131k toplumda %10\u201315 oran\u0131nda g\u00f6zlenir (=Polikistik Over Sendromu) yumurta olu\u015fumu \u00e7ok uzun aral\u0131klarda geli\u015fir ve buna ba\u011fl\u0131 erkeklik hormon seviyeleri \u00e7ok az oranda (%1) artarak yukarda bahsedilen durumlara neden olabilir.<\/p>\n
Hastal\u0131\u011f\u0131n uzun d\u00f6nemli sonu\u00e7lar\u0131 artm\u0131\u015f \u015feker hastal\u0131\u011f\u0131 riski, rahim zar\u0131nda kal\u0131nla\u015fma ve d\u00fczensiz kanama ve buna ba\u011fl\u0131 Rahim Kanserinde azda olsa art\u0131\u015ft\u0131r.<\/p>\n
Kad\u0131n\u0131n ya\u015f\u0131 ve yak\u0131nmalar\u0131na g\u00f6re tedavi plan\u0131 yap\u0131l\u0131r. Adet d\u00fczenleyiciler ve do\u011fum kontrol haplar\u0131 yan\u0131nda \u00e7ocuk iste\u011fi var ise yumurta geli\u015fimini uyaran haplar-i\u011fneler uygulanabilir.<\/p>\n
HAZIRLAYAN: Op. Dr. RE\u015e\u0130DE \u00d6NALAN<\/p>\n
KAYNAKLARBerek & 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":"
Adet olamama durumunun do\u011fal oldu\u011fu durumlar gebelik, emzirme ve menopozdur. Bu durumlar d\u0131\u015f\u0131nda adet olamama hastal\u0131k belirtisidir. Gen\u00e7 k\u0131zlar ilk adetlerini g\u00f6\u011f\u00fcs geli\u015fimi ve t\u00fcylenme varsa en ge\u00e7 15 ya\u015f\u0131ndan t\u00fcylenme ve g\u00f6\u011f\u00fcs geli\u015fimi yok ise en ge\u00e7 14 ya\u015f\u0131ndan itibaren g\u00f6rmelidir. Ayn\u0131 zamanda \u00f6nceleri d\u00fczenli her Ay adet g\u00f6ren bir kad\u0131n\u0131n 6 ay adet olmamas\u0131 veya 3 adet d\u00f6nemi[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":[23349,23352],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13295"}],"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=13295"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13295\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}