<b><span style="line-height: 150%;"><br /> </span></b><span style="font-family: Arial;"><span style="font-size: 14px;"> </span></span> <p style="text-align:justify;line-height:150%" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;">Dünyada çoğunlukla 15-49 yaşları arasındaki, üreme çağındaki 10 kadından 1’inde görülen endometriozis, hala sebepleri ve tedavisi tartışılmaya devam edilen ve çok az bilinen bir hastalıktır. Günümüzde dünyada yaklaşık 176 milyon, Türkiye’de ise 1,5 milyon kadında endometriozis hastalığı vardır. <b>Endometriosis Derneği Başkanı Prof. Dr. Engin Oral</b> endometriozis ile ilgili medikal bilgilerin, tanı ve tedavi yöntemlerinin, doğru bilinen yanlışların ve tüm merak edilenlerin </span><span style="line-height: 150%;">web sitelerinde yer aldığını duyurdu. </span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;">Endometriozis için risk faktörlerini Prof. Dr. Engin Oral şöyle sıralıyor: "Sık, fazla ve uzun adet görme, erken adet görmeye başlama, geç menopoza girme, beyaz ırk, infertilite (kısırlık), doğuştan rahim anomalileri, ailede endometriozis vakası (ailesinde endometriozis olan kadınlarda 3 kat daha fazla görülüyor), yağlı yiyeceklerle beslenme, fazla et ve kafein tüketimi, zayıf ve uzun boy, sarışın ve kumral olmak risk faktörleri arasında sayılmaktadır."</span></span></span></p> <p style="text-align:justify;line-height:150%" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <span style="font-family: Arial;"><span style="font-size: 14px;"> <p style="text-align:justify;line-height:150%" class="MsoNormal"><b><span style="line-height: 150%;">Endometriozis neden olur? </span></b></p> </span></span><span style="font-family: Arial;"><span style="font-size: 14px;"> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="line-height: 150%;">Prof. Dr. Engin Oral endometriozis hastalığının oluşmasına sebep olan tüm unsurların hala tam olarak bilinmediğini fakat özellikle şu faktörlere dikkat etmek gerektiğinin altını çiziyor:<b style="mso-bidi-font-weight: normal"> </b></span></p> </span></span><span style="font-family: Arial;"><span style="font-size: 14px;"> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;"> </span></b></p> </span></span> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;">Geriye doğru adet görme ve zayıf bağışıklık sistemi:</span></b><span style="line-height: 150%;"> Kadınların çoğu geriye doğru adet görme yaşasa da vücutları bu kanlı hücreleri temizleyerek organlara yerleşmesini engeller. Öte yandan, bu teoride menstruasyon sırasında endometrium hücreleri geriye doğru, tüplerden geçerek karın içine dökülür. Bağışıklık sistemi zayıf olan kadınlarda da görülen bu sorunda dökülen doku karın içindeki organlar üzerine yapışır ve büyür. Vücudun bağışıklık sistemi hücrelerinin endometriozis hücreleriyle savaşamadığı tezini temel alır.</span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;">Dolaşım sistemi veya lenfatik sistem aracılığıyla yayılma:</span></b><span style="line-height: 150%;"> Endometriozis hastalığının hücrelerinin kan dolaşımı veya lenfatik dolaşıma geçerek vücuda yayılmasını temel alan bir teoridir. Bu teori neden vücuttaki göz, akciğer, cilt ve göbek deliği gibi organlarda endometriozis görülmesini açıklar.</span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;">Genetik yatkınlık:</span></b><span style="line-height: 150%;"> Her ne kadar endometriozise yol açan sorumlu gen bulunamamışsa da, bu teoride endometriozis yeni nesil bireylere genetik olarak aktarılır. Yani, bazı aileler endometriozise genetik olarak yatkınlardır.</span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;">Çevresel faktörler: </span></b><span style="line-height: 150%;">Çevredeki bazı toksinler ve dioksin gibi vücudu, bağışıklık sistemini ve üreme sistemini etkileyerek endometriozise neden olabilir.</span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <span style="font-family: Arial;"><span style="font-size: 14px;"> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;">Endometriozis tanısı nasıl konur? </span></b></p> </span></span> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;">Prof. Dr. Engin Oral, öncelikle her hastalıkta olduğu gibi hastanın şikayetlerinin ve kişisel hikayelerin dinlenmesi ve ardından da jinekolojik muayene ve ultrasonografi yapılmasının önemine değiniyor. Prof. Oral, pelvik muayene, laparoskopi, ve MR yöntemleri ile pelvis hakkında daha çok bilgi edinmenin mümkün olduğunu söylüyor. </span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><a name="_GoBack"></a><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <span style="font-family: Arial;"><span style="font-size: 14px;"> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="line-height: 150%;">Endometriozis en çok hangi yaş grubunda görülür?</span></b></p> </span></span> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;">"Endometriozis bir üreme çağı hastalığıdır ve en çok 30’lu yaşlarda görülür" diyen Prof. Oral, ağrılı adet, ağrılı ilişki ve kronik kasık ağrısı olan kadınlarda görülme oranının %70’lerde seyrettiğini söylüyor ve ekliyor: "İnfertilite problemi yaşayan kadınlarda endometriosis ile karşılaşılma oranı %20-30 arasındadır. Adolesan dediğimiz 13-19 yaş grubunda endometriozise sık rastlanmasa da şiddetli adet ağrısı olan ve ağrı kesicilerle cevap alınmayan genç kızlarda endometriozis bulunma sıklığı ise %70’dir."</span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></span></p> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-family: Arial;"><span style="font-size: 14px;"><span style="line-height: 150%;">Dünyada 176 milyon kadını etkileyen endometriozisin kronik (uzun süreli) ve benign (iyi huylu) östrojen bağımlı bir hastalık olduğuna vurgu yapan Prof. Oral: "Tedavi sonrasındaki süreçte dahi yıllar sonra şikayetlerin tekrarlama özelliği olabildiğinden hayat boyu takibi gereken bir sağlık sorunudur. Bu da hastalarda duygusal stres yaratabiliyor. Çikolata kisti hastalığı, uzun süreli bir yaklaşımı gerektirdiğinden kadın doğum uzmanları tarafından takip ve tedavi edilmelidir."</span></span></span></p> <span style="font-family: Arial;"> <p style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none; text-autospace:none" class="MsoNormal"><span style="font-size: 14px;"><span style="line-height: 150%;"> </span></span></p> <span style="font-size: 14px;"> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF /> <w:LidThemeOther>TR</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> 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