{"id":6167,"date":"2020-02-18T16:23:09","date_gmt":"2020-02-18T13:23:09","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=6167"},"modified":"2020-02-18T16:27:24","modified_gmt":"2020-02-18T13:27:24","slug":"rahim-duvari-kalinlasmasindan-korkmali-miyim","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/rahim-duvari-kalinlasmasindan-korkmali-miyim\/","title":{"rendered":"Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131ndan korkmal\u0131 m\u0131y\u0131m?"},"content":{"rendered":"<p><strong>Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131 nedir, belirtileri nelerdir, kimler risk alt\u0131nda? <\/strong>Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131 rahim kanseri belirtisi midir? Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131 ya\u015fayanlar ne yapmal\u0131? <strong>Kad\u0131n Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Uzm. Dr. M\u00fcge Aksoy<\/strong> yazd\u0131&#8230;.<\/p>\n<p><strong>Endometriyum<\/strong> rahim i\u00e7 duvar\u0131n\u0131 kaplayan tabakaya verilen isimdir. Ve bu tabakan\u0131n normalden kal\u0131n olmas\u0131 ba\u015fta endometriyal hiperplazi olmak \u00fczere baz\u0131 hastal\u0131klar\u0131 habercisidir.<\/p>\n<p><strong>Rahim i\u00e7 zar\u0131<\/strong> duvar\u0131 adet d\u00f6ng\u00fcs\u00fc boyunca yumurtal\u0131klardan salg\u0131lanan hormonlar\u0131n etkisi de\u011fi\u015fkenlik g\u00f6sterir. D\u00f6ng\u00fcn\u00fcn ilk yar\u0131s\u0131nda yumurtal\u0131klardan salg\u0131lanan \u00f6strojen hormonunun etkisi ile endometriyum kal\u0131nla\u015fmaya ba\u015flar, yumurtlamay\u0131 takiben bu kez progesteron hormonu salag\u0131lan\u0131r ve olas\u0131 bir gebelikte d\u00f6llenmi\u015f yumurtan\u0131n<br \/>\n(embriyonun) rahim i\u00e7inde rahat\u00e7a tutunmas\u0131n\u0131 sa\u011flayan ortam\u0131 olu\u015fturur. Gebelik olmad\u0131\u011f\u0131nda d\u00f6ng\u00fcs\u00fcn\u00fcn 2. Yar\u0131s\u0131n\u0131n sonlar\u0131na do\u011fru \u00f6strojen ve progesteron hormonlar\u0131ndak\u015f d\u00fc\u015f\u00fcle birlikte rahim i\u00e7 tabaks\u0131 d\u00f6k\u00fclmeye ba\u015flar ve buna menstrasyon yani adet kanamas\u0131 ad\u0131 verilir. Bu hormonlr\u0131n kendi aras\u0131ndaki do\u011fal ili\u015fkidir. E\u011fer hormanlarla ilgili bir durum varsa \u00f6strojen hormonu fazla ve onu kar\u015f\u0131layacak progesteron az ise , yumurtlama oluyor ve \u00f6strojen y\u00fckselmeye devam ediyor ise rahim i\u00e7 zar\u0131 d\u00f6k\u00fclmez ve kal\u0131nla\u015fma ger\u00e7ekle\u015fir, bu hal s\u00fcreklilik g\u00f6steriyor ise h\u00fcclerin kendi aralar\u0131ndaki organizasyon bozulur ve endometiyal hiperplazi ortaya \u00e7\u0131kar.Bu bozuklk ilerleyen y\u0131llarda rahim i\u00e7 zar\u0131 kanserine yakalanma riskini art\u0131r\u0131r.<\/p>\n<p><strong>Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131n\u0131n sebepleri nelerdir, kimler risk alt\u0131nda?<\/strong><br \/>\n-Menopoza ge\u00e7i\u015f d\u00f6neminde, premenopozal d\u00f6nemde yumurtlama d\u00fczeni bozulaca\u011f\u0131 i\u00e7in kal\u0131nla\u015fma olabilir.<br \/>\n-\u00d6strojenin tek ba\u015f\u0131na kullan\u0131ld\u0131\u011f\u0131 tedavilerde, \u00f6strojen benzeri etki g\u00f6steren ila\u00e7lar\u0131n kullan\u0131m\u0131nda tedaviye progesterone eklenmez ise hiperplazi olabilir.<br \/>\n-Menopoz sonras\u0131 d\u00f6nemde \u00f6strojen y\u00fcksek iken progesteron olmayaca\u011f\u0131 i\u00e7in kal\u0131nla\u015fma olabilir.<br \/>\n-Kilolu kad\u0131nlarda \u00f6strojenin ya\u011f dokusundan sal\u0131n\u0131m\u0131 artt\u0131\u011f\u0131 i\u00e7in risk y\u00fcksektir.<br \/>\n&#8211;<strong>Polikistik over sendromlu hastalarda<\/strong> yumurtlamalar seyrek olaca\u011f\u0131 i\u00e7in risk atar.<\/p>\n<p>Bu hastalar ara kanamalar, s\u0131k ve uzun kanamalar (21 g\u00fcnden k\u0131sa ve 1 haftan\u0131n \u00fcst\u00fcnde) menopoza girdikten sonra kanamalarla bize ba\u015fvuruyorlar. 4 tipi var endometriyal hiperplazinin basit atipiz, basit atipili, komplex atipisiz ve komplex atipili olmak \u00fczere.<br \/>\nTe\u015fhiste \u00f6ncelikle hastan\u0131n hikayesi, \u015fikayetleri ve mevcut hormanal durumu \u00e7ok \u00f6nemlidir. Transvajinal USG\u2019de rahim i\u00e7ini olmas\u0131 gerekenden kal\u0131n g\u00f6rd\u00fc\u011f\u00fcm\u00fczde <strong>tan\u0131y\u0131 tam olarak koymak i\u00e7in endometriyal biyopsiye ihtiya\u00e7 duymaktay\u0131z<\/strong>.<\/p>\n<p>En basit tipi olan basit atipisiz hiperplazide <strong>10 y\u0131l i\u00e7erisinde kanser geli\u015fme riski %1 civari iken, komplex atipilide bu oran %29 civar\u0131ndad\u0131r<\/strong>. Tedavi hiperplazinin tipine ve hastan\u0131n ya\u015f\u0131na g\u00f6re belirlenir. A\u011f\u0131zdan al\u0131nan projesteron hormonu \u015feklinde olabilece\u011fi gibi mirena denilen rahim i\u00e7ine d\u00fczenli progesteron salg\u0131layan cihazlarlada yap\u0131labilir. Komplex atipili tiplerle ise tedavi cerrahi olarak rahimin gerekirse <strong>yumurtal\u0131klar\u0131n al\u0131nmas\u0131d\u0131r<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131 nedir, belirtileri nelerdir, kimler risk alt\u0131nda? Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131 rahim kanseri belirtisi midir? Rahim duvar\u0131 kal\u0131nla\u015fmas\u0131 ya\u015fayanlar ne yapmal\u0131? Kad\u0131n Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Uzm. Dr. M\u00fcge Aksoy yazd\u0131&#8230;. Endometriyum rahim i\u00e7 duvar\u0131n\u0131 kaplayan tabakaya verilen isimdir. Ve bu tabakan\u0131n normalden kal\u0131n olmas\u0131 ba\u015fta endometriyal hiperplazi olmak \u00fczere baz\u0131 hastal\u0131klar\u0131 habercisidir. Rahim [&hellip;]<\/p>\n","protected":false},"author":79,"featured_media":1081,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[5463,5464,5467,5468,5465,5466],"class_list":{"0":"post-6167","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-rahim-duvari-kalinlasmasi","9":"tag-rahim-duvari-kalinlasmasi-kanser","10":"tag-rahim-duvari-kalinlasmasi-yasayanlar","11":"tag-rahim-duvari-kalinlasmasi-yorumlar","12":"tag-rahim-kalinlasmasi","13":"tag-rahim-kanseri-belirtileri"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/03\/sasirmis-kadin.jpg?fit=626%2C626&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/6167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/79"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=6167"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/6167\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/1081"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=6167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=6167"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=6167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}