{"id":1295,"date":"2021-11-13T19:06:01","date_gmt":"2021-11-13T19:06:01","guid":{"rendered":"http:\/\/drozkanozdamar.com\/?p=1295"},"modified":"2021-11-13T19:06:10","modified_gmt":"2021-11-13T19:06:10","slug":"cikolata-kisti","status":"publish","type":"post","link":"https:\/\/drozkanozdamar.com\/?p=1295","title":{"rendered":"\u00c7ikolata Kisti"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p><strong>\u00c7ikolata Kisti Nedir<\/strong><\/p>\n\n\n\n<p>\u00c7ikolata kistleri veya endometriomalar, rahim i\u00e7i zar\u0131 (endometrium) dokusunun, rahimden farkl\u0131 bir dokuya ve \u00f6zellikle de yumurtal\u0131klar \u00fczerine yerle\u015fip orada b\u00fcy\u00fcd\u00fc\u011f\u00fcnde olu\u015fan bir kist t\u00fcr\u00fcd\u00fcr. Endometrioma, rahmi kaplayan endometriyal dokunun rahmin d\u0131\u015f\u0131nda b\u00fcy\u00fcd\u00fc\u011f\u00fc endometriozis olarak bilinen bir durumun par\u00e7as\u0131d\u0131r. Eski adet kan\u0131 ve dokusundan olu\u015fan koyu kahverengi bir s\u0131v\u0131yla dolduklar\u0131 i\u00e7in bazen &#8220;\u00e7ikolata kistleri&#8221; olarak adland\u0131r\u0131l\u0131rlar. Bu kistler, \u00e7ok nadir durumlar d\u0131\u015f\u0131nda, iyi huyludurlar ve bir veya her iki yumurtal\u0131kta da olu\u015fabilirler.<\/p>\n\n\n\n<p>Endometriozis hastal\u0131\u011f\u0131 s\u0131kl\u0131kla gen\u00e7 ya\u015ftaki kad\u0131nlar\u0131 ve \u00f6zellikle de 24-38 ya\u015f grubu kad\u0131nlar etkilemektedir. Toplumda da kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde 10\u2019unu etkileyen, yani asl\u0131nda olduk\u00e7a yayg\u0131n bir sa\u011fl\u0131k sorunudur.<\/p>\n\n\n\n<p>Endometriozisi olan hastalar\u0131n %17-50 oran\u0131nda \u00e7ikolata kisti bulunmaktad\u0131r. \u00c7ikolata kistleri, &nbsp;\u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlar\u0131n %15\u2019inde; infertilite sorunu olan kad\u0131nlar\u0131n %30\u2019unda ve pelvik a\u011fr\u0131s\u0131 olan kad\u0131nlar\u0131n da %50\u2019sinde bulunmaktad\u0131r.<\/p>\n\n\n\n<p>\u00c7ikolata kistleri, her zaman bir yak\u0131nmaya neden olmayabilirler. Yak\u0131nmalar ortaya \u00e7\u0131kt\u0131\u011f\u0131nda, bunlar endometriozis semptomlar\u0131 ile ayn\u0131d\u0131r. Bu yak\u0131nmalar s\u0131kl\u0131kla \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A\u011fr\u0131l\u0131 adet d\u00f6nemleri<\/li><li>Adetlerle ilgili olmayan pelvik a\u011fr\u0131<\/li><li>D\u00fczensiz adet d\u00f6nemleri<\/li><li>Yo\u011fun adet kanamalar\u0131<\/li><li>Cinsel ili\u015fki s\u0131ras\u0131nda a\u011fr\u0131<\/li><\/ul>\n\n\n\n<p>\u00c7ikolata kisti olan kad\u0131nlar kendili\u011finden gebe kalabilirler. Ancak \u00e7ikolata kisti olan kad\u0131nlar\u0131n bir k\u0131sm\u0131 gebe kalmada g\u00fc\u00e7l\u00fck ya\u015fayabilir. Endometriozis hastal\u0131\u011f\u0131 veya bunun bir par\u00e7as\u0131 olan \u00e7ikolata kistinin neden oldu\u011fu k\u0131s\u0131rl\u0131\u011f\u0131n (infertilite) mekanizmas\u0131 karma\u015f\u0131kt\u0131r. Her ay v\u00fccutta olu\u015fan yumurtalar\u0131 rahim i\u00e7ine ta\u015f\u0131yan ince kanallar olan Fallop t\u00fcpleri, endometriozisi olan kad\u0131nlarda fonksiyonlar\u0131n\u0131 yitirirler. Bu durum genellikle endometriozise ba\u011fl\u0131 kar\u0131n i\u00e7i zar\u0131nda ortaya \u00e7\u0131kan iltihaba ve yap\u0131\u015f\u0131kl\u0131klara ba\u011fl\u0131d\u0131r. Bunun d\u0131\u015f\u0131nda kar\u0131n i\u00e7i zar\u0131nda ortaya \u00e7\u0131kan iltihap da gebe kalmay\u0131 zorla\u015ft\u0131rmaktad\u0131r. Endometriozis hastal\u0131\u011f\u0131 yumurtal\u0131klarda yerle\u015fen hali olan \u00e7ikolata kistleri ise yumurtal\u0131klarda bulunan yumurta say\u0131s\u0131n\u0131 (yumurta rezervi) azaltmaktad\u0131r. Ayn\u0131 zamanda \u00e7ikolata kistinin tetikledi\u011fi iltihap, mevcut yumurtalar\u0131n kalitesini de olumsuz etkilemektedir.<\/p>\n\n\n\n<p><strong>\u00c7ikolata Kistlerinde Tan\u0131<\/strong><\/p>\n\n\n\n<p>\u00c7ikolata kisti tan\u0131s\u0131, temel olarak jinekolojik muayene ve ultrasonografik inceleme ile konmaktad\u0131r. Yumurtal\u0131klar\u0131n di\u011fer kistlerinden ay\u0131rt edilmesi gerekmektedir ve bu ay\u0131r\u0131c\u0131 tan\u0131da transvajinal ultrasonografinin \u00e7ok \u00f6nemli rol\u00fc vard\u0131r.<\/p>\n\n\n\n<p>Ultrasonun yan\u0131 s\u0131ra kanda baz\u0131 t\u00fcm\u00f6r belirte\u00e7lerinin \u00f6l\u00e7\u00fcm\u00fc de tan\u0131da yard\u0131mc\u0131 olmaktad\u0131r. En yayg\u0131n olarak kullan\u0131lan belirte\u00e7ler CA125 ve HE 4\u2019t\u00fcr.<\/p>\n\n\n\n<p><strong>\u00c7ikolata Kistlerinde Tedavi<\/strong><\/p>\n\n\n\n<p>\u00c7ikolata kistlerinin tedavisi, yak\u0131n ge\u00e7mi\u015fe kadar cerrahi ile ger\u00e7ekle\u015ftirilmekteydi. Ancak ameliyat\u0131n yumurta rezervine olumsuz etkileri g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, g\u00fcn\u00fcm\u00fczde art\u0131k gebelik plan\u0131 olan kad\u0131nlar i\u00e7in cerrahi birinci se\u00e7enek olarak kabul edilmemektedir. \u015eiddetli a\u011fr\u0131 ya da kanser \u015f\u00fcphesi gibi baz\u0131 durumlar\u0131n d\u0131\u015f\u0131nda hastalar i\u00e7in ameliyat \u00f6nerilmemektedir. \u00c7ikolata kisti tespit edilen kad\u0131nlarda a\u011fr\u0131 \u015fikayeti \u00f6n planda ve bu a\u011fr\u0131 g\u00fcnl\u00fck ya\u015fant\u0131y\u0131 ve hayat kalitesini olumsuz etkiliyorsa laparoskopik (kapal\u0131) ameliyat \u00f6nerilebilir. Ameliyat\u0131n gerekli oldu\u011fu durumlarda, cerrahi \u00f6ncesi yumurta toplan\u0131p, dondurularak saklanmaktad\u0131r. Yumurta toplama i\u015flemi, cerrahi sonras\u0131, olas\u0131 yumurtal\u0131k hasar\u0131 riskine kar\u015f\u0131 hastan\u0131n yumurta rezervini korumak i\u00e7in uygun bir se\u00e7enektir. \u00d6zellikle iki yumurtal\u0131\u011f\u0131nda da \u00e7ikolata kisti bulunan kad\u0131nlar\u0131n \u00e7ocuk sahibi olma isteklerini ertelememeleri \u00f6nerilir.<\/p>\n\n\n\n<p>\u00c7ikolata kisti tan\u0131s\u0131 alan ki\u015finin, 6 ay i\u00e7inde gebelik ger\u00e7ekle\u015fmezse bir t\u00fcp bebek uzman\u0131na ba\u015fvurmas\u0131 gerekir. Hastan\u0131n yumurtal\u0131klar\u0131n\u0131n rezervi, t\u00fcplerinin a\u00e7\u0131k olup olmad\u0131\u011f\u0131 ve hastan\u0131n e\u015finin de sperm durumu de\u011ferlendirilir. Testlerin sonucuna g\u00f6re hastaya uygulanacak tedavi ve takip \u015fekli belirlenir. \u00c7ikolata kisti olan 35 ya\u015f \u00fcst\u00fc infertil kad\u0131nlarda ise zaman, kritik bir \u00f6neme sahiptir. Bu hastalarda yumurtal\u0131k rezervi azalma riski daha da artt\u0131\u011f\u0131 i\u00e7in zaman kaybetmeden t\u00fcp bebek tedavisine ba\u015flamak \u00f6nemlidir. Bu hastal\u0131k nedeniyle \u00e7ocuk sahibi olamayan kad\u0131nlarda t\u00fcp bebek ba\u015far\u0131 \u015fans\u0131, hastan\u0131n ya\u015f\u0131, e\u015finin sperm durumu ve yumurtal\u0131k rezervine ba\u011fl\u0131 olarak de\u011fi\u015fmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ikolata Kisti Nedir \u00c7ikolata kistleri veya endometriomalar, rahim i\u00e7i zar\u0131 (endometrium) dokusunun, rahimden farkl\u0131 bir dokuya ve \u00f6zellikle de yumurtal\u0131klar \u00fczerine yerle\u015fip orada b\u00fcy\u00fcd\u00fc\u011f\u00fcnde olu\u015fan bir kist t\u00fcr\u00fcd\u00fcr. Endometrioma, rahmi kaplayan endometriyal dokunun rahmin d\u0131\u015f\u0131nda b\u00fcy\u00fcd\u00fc\u011f\u00fc endometriozis olarak bilinen bir durumun par\u00e7as\u0131d\u0131r. Eski adet kan\u0131 ve dokusundan olu\u015fan koyu kahverengi bir s\u0131v\u0131yla dolduklar\u0131 i\u00e7in bazen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1296,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/1295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1295"}],"version-history":[{"count":1,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/1295\/revisions"}],"predecessor-version":[{"id":1297,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/1295\/revisions\/1297"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/media\/1296"}],"wp:attachment":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}