Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Hakan Seven, \u201cHPV testinin pozitif \u00e7\u0131kmas\u0131 d\u00fcnyan\u0131n sonu de\u011fil\u201d dedi.<\/p>\n
Kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kanserler i\u00e7erisinde 2.s\u0131rada bulunan rahim a\u011fz\u0131 kanserlerinin taramas\u0131nda kullan\u0131lan birinci basamak y\u00f6ntemler HPV testi ve Smear testi oldu\u011funu anlatan \u00d6zel Asya Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Hakan Seven, \u201cFakat HPV testiniz pozitif \u00e7\u0131kt\u0131\u011f\u0131 zaman akl\u0131n\u0131zda en k\u00f6t\u00fc senaryolar\u0131 getirmenize ve geceyi uykusuz ge\u00e7irmenize de gerek yoktur. \u00c7\u00fcnk\u00fc cinsel aktif olan kad\u0131nlar\u0131n hayatlar\u0131 boyunca bu vir\u00fcsle kar\u015f\u0131la\u015fma ihtimalleri %60 ila %80 aras\u0131d\u0131r. Bu nedenle pek \u00e7ok kad\u0131nda ya\u015fam\u0131n\u0131n bir d\u00f6neminde bu test pozitif \u00e7\u0131kacakt\u0131r. Fakat HPV testi pozitif \u00e7\u0131kan kad\u0131nlar\u0131n ayn\u0131 d\u00f6nemde yap\u0131lan smear testlerinde smear sonucu negatif yani normal \u00e7\u0131kanlarda HPV enfeksiyonunun iki y\u0131l i\u00e7erisinde y\u00fczde 90 ila y\u00fczde 95 oran\u0131nda v\u00fccudun savunma sistemi taraf\u0131ndan ortadan kald\u0131r\u0131laca\u011f\u0131d\u0131r. Bizim i\u00e7in sorun olu\u015fturan v\u00fccudun bu hastal\u0131\u011f\u0131 yenemedi\u011fi y\u00fczde 4 ila y\u00fczde 5 oran\u0131ndaki hastalard\u0131r.\u201d diye konu\u015ftu.<\/p>\n
HPV vir\u00fcs\u00fcn\u00fcn g\u00fcn\u00fcm\u00fczde bilinen 100 civar\u0131nda alt tipi mevcut olup bunlardan yakla\u015f\u0131k 40 tanesi y\u00fcksek riskli kabul edildi\u011fini dile getiren Op. Dr. Hakan Seven a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc; \u201c\u00dclkemizde en s\u0131k g\u00f6r\u00fclen y\u00fcksek riskli vir\u00fcs tipleri s\u0131ras\u0131yla T\u0130P16, 18, 31, 33 ,35, 39, 45, 51, 52, 54, 56, 58\u2019dir. HPV testiniz pozitif \u00e7\u0131kt\u0131\u011f\u0131nda beraberinde mutlaka bir smear testi yapt\u0131rman\u0131z ya da beraberinde kolposkopi y\u00f6ntemi ile rahim a\u011fz\u0131n\u0131n incelenmesi en do\u011fru yakla\u015f\u0131md\u0131r. E\u011fer smear sonucunuz negatifse 6 ayda bir smear testi tekrar\u0131 ve en az\u0131ndan bir kez kolposkopik inceleme yeterlidir. E\u011fer smear testinizde anormal bir bulgu varsa (ASCUS, CIN1 CIN2 veya CIN3 gibi) mutlaka kolposkopik inceleme ve beraberinde biyopsi yap\u0131lmas\u0131 mevcut hastal\u0131\u011f\u0131n hangi a\u015famada oldu\u011funu g\u00f6sterecektir. Hastal\u0131\u011f\u0131n\u0131z\u0131n kolposkopi sonras\u0131 tan\u0131s\u0131 ASCUS olmas\u0131 halinde iki y\u0131l i\u00e7erisinde bu bulgunun normalle\u015fme olas\u0131l\u0131\u011f\u0131 %90-95 civar\u0131d\u0131r. Kolposkopi sonucunun CIN1 olarak teyit edilmesi durumunda iki y\u0131ll\u0131k takipte normalle\u015fme olas\u0131l\u0131\u011f\u0131 %60-70 civar\u0131nda olup bu bulgunun da ileri bir tedavi ihtiyac\u0131 olmay\u0131p takibi yeterlidir. E\u011fer sonucunuz CIN2 veya CIN3 \u00e7\u0131km\u0131\u015fsa hekiminiz taraf\u0131ndan size en uygun tedavi \u015fekli \u00f6nerilecektir. Genellikle bu tedavi Konizasyon denilen ve rahim a\u011fz\u0131n\u0131n bir b\u00f6l\u00fcm\u00fcn\u00fcn al\u0131nmas\u0131 ile ger\u00e7ekle\u015ftirilen k\u00fc\u00e7\u00fck bir operasyondur. Yap\u0131lan bir ara\u015ft\u0131rmada tamam\u0131 CIN3 tan\u0131s\u0131 alm\u0131\u015f olan hastalara uygun bir \u015fekilde yap\u0131lan Konizasyon i\u015flemi neticesinde 18 y\u0131l boyunda hastalar takip edilmi\u015f ve %99.7\u2019sinde tekrarlama olas\u0131l\u0131\u011f\u0131 g\u00f6r\u00fclmemi\u015ftir. T\u00fcm bu anlatt\u0131klar\u0131ndan sonra HPV testinizin pozitif \u00e7\u0131kmas\u0131 geceyi uykusuz ge\u00e7irmenize neden olmas\u0131n ancak sabah doktorunuza muayene olmay\u0131 da ihmal etmeyin.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI OP. DR. HAKAN SEVEN, \u201cHPV TEST\u0130N\u0130N POZ\u0130T\u0130F \u00c7IKMASI D\u00dcNYANIN SONU DE\u011e\u0130L\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":158359,"comment_status":"closed","ping_status":"open","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":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[25429,2039,1197,36905,16467,3535,29752],"class_list":["post-158358","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cikmasi","tag-degil","tag-dunyanin","tag-hpv","tag-pozitif","tag-sonu","tag-testinin"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/hpv-testinin-pozitif-cikmasi-dunyanin-sonu-degil_15ad542.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Fca","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/158358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=158358"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/158358\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/158359"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=158358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=158358"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=158358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}