“Human papilloma” vir\u00fcs\u00fc ya da k\u0131sa ad\u0131yla HPV\u2019nin bir enfeksiyon sebebi oldu\u011funu belirten Dr. Ebru Onuker, kad\u0131nlarda ve erkeklerde meydana gelebilen bu vir\u00fcs\u00fcn kansere kar\u015f\u0131 b\u00fcy\u00fck bir risk te\u015fkil etti\u011fini s\u00f6yledi.<\/p>\n
Medicana Bursa Hastanesi Dr. Ebru Onuker, \u201cEnfeksiyonun ilk belirtisi 20\u2019li ya\u015flarda, ikinci belirtisi 40 ile 55 ya\u015f aral\u0131\u011f\u0131nda g\u00f6r\u00fclmektedir. Bula\u015fma cinsel yolla olmaktad\u0131r. \u00c7ok nadir horizantal veya vertikal bula\u015fma bildirilmi\u015ftir. D\u00fcnya genelinde 200\u2019\u00fcn \u00fczerinde HPV tipi mevcuttur. HPV 6\/11 en s\u0131k rastlanan fakat servikal kanser riski en d\u00fc\u015f\u00fck olan serotipleridir. Y\u00fcksek riskli olanlar\u0131n 16\/18\/45\/31\/33\/52\/58 serotipleri ba\u015fl\u0131calar\u0131d\u0131r. \u00d6zellikle HPV 16 kanser riskini 500 misli artt\u0131rmaktad\u0131r. T\u00fcm servikal kanserlerin y\u00fczde 97sinde HPV pozitiftir\u201d diye konu\u015ftu.<\/p>\n
HPV vir\u00fcs\u00fc sebebi ile tedavi alan hastalar\u0131n uzun y\u0131llar di\u011fer organlar\u0131nda geli\u015febilecek lezyonlar a\u00e7\u0131s\u0131ndan takip edilmeleri gerekti\u011fini ifade eden Dr. Ebru Onuker, \u201cServikal smear ile yakalanan kanserler HPV pozitifli\u011fi tayini sayesinde olu\u015fmadan \u00f6nlenmeye ba\u015flanm\u0131\u015ft\u0131r. \u00c7\u00fcnk\u00fc tedavi ve a\u015f\u0131 ile vir\u00fcs etkisi azalt\u0131l\u0131r. HPV vir\u00fcs\u00fcn\u00fcn sebep oldu\u011fu en \u00f6nemli enfekte lezyonlar anogenital kond\u00fclomlar yani si\u011fillerdir. Klinik olarak g\u00f6r\u00fclebilen boyutta olup tedavi edilseler bile subklinik d\u00f6nemde bile bula\u015ft\u0131r\u0131c\u0131l\u0131klar\u0131 devam etmektedir. Anogenital si\u011fillerin y\u00fczde 90\u2019\u0131ndan HPV sorumludur. Kad\u0131nlarda ve erkeklerde meydana gelebilen HPV vir\u00fcs\u00fc kansere kar\u015f\u0131 b\u00fcy\u00fck bir risk olu\u015fturmaktad\u0131r\u201d dedi.<\/p>\n
T\u00fcrkiye\u2019de 30 ile 65 ya\u015f aras\u0131 kad\u0131nlarda genital si\u011filler ile ilgili yap\u0131lan \u00e7al\u0131\u015fmada art\u0131\u015f oldu\u011funa i\u015faret eden Onuker, \u201cA\u015f\u0131 ile bir enfeksiyon, \u00fcstelik de kansere gidi\u015f durdurulabiliniyorsa \u00e7ok \u00f6nem arz eder. HPV a\u015f\u0131s\u0131n\u0131 ulusal a\u015f\u0131lama program\u0131na alan \u00fclkeler Avustralya, Bel\u00e7ika, Kanada, ABD, Danimarka, Almanya, \u0130sve\u00e7\u2019tir. Bizim \u00fclkemizde halen \u00f6zel a\u015f\u0131 olarak uygulanmaktad\u0131r. Ulusal a\u015f\u0131lama program\u0131na a\u015f\u0131y\u0131 alan \u00fclkelerden Avustralya\u2019n\u0131n 12 y\u0131ll\u0131k verilerine dayanarak yap\u0131lan \u00e7al\u0131\u015fmalar sonucunda HPV6\/11716\/18 enfeksiyonlar\u0131nda y\u00fczde 90 azalma, kad\u0131n, erkek genital si\u011fillerde y\u00fczde 90 azalma, y\u00fcksek dereceli servical sitolojik gradeli anomalilerde y\u00fczde 85 azalma g\u00f6stermi\u015ftir\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u015eu anda T\u00fcrkiye\u2019de kuadrivalan HPV a\u015f\u0131s\u0131 bulundu\u011funu belirten Onuker, \u201cTercihen cinsel ili\u015fki ba\u015flamadan 9-14 ya\u015f aral\u0131\u011f\u0131ndaki k\u0131z ve erkek \u00e7ocuklar\u0131na en az 2, 14 ya\u015f \u00fcst\u00fcne ise 3 doz uygulanmaktad\u0131r. A\u015f\u0131da kad\u0131nlarda ya\u015f k\u0131s\u0131tlamas\u0131 yoktur. Tel\u00e2fi a\u015f\u0131lamas\u0131nda 13-26 ya\u015f k\u0131z ve kad\u0131nlar, 13-21 ya\u015f erkekler hedef al\u0131n\u0131r. Uygulama yeri kas i\u00e7idir. Emzirme d\u00f6neminde g\u00fcvenle a\u015f\u0131lama yap\u0131labilir. Rapel yani tekrar dozuna gerek duyulmaz\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
“HUMAN PAP\u0130LLOMA” V\u0130R\u00dcS\u00dc YA DA KISA ADIYLA HPV\u2019N\u0130N B\u0130R ENFEKS\u0130YON SEBEB\u0130 OLDU\u011eUNU BEL\u0130RTEN DR. EBRU ONUKER, KADINLARDA VE ERKEKLERDE MEYDANA GELEB\u0130LEN BU V\u0130R\u00dcS\u00dcN KANSERE KAR\u015eI B\u00dcY\u00dcK B\u0130R R\u0130SK TE\u015eK\u0130L ETT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[11567,36905,192,350,17373,36078],"class_list":["post-171517","post","type-post","status-publish","format-standard","hentry","category-genel","tag-asi","tag-hpv","tag-ile","tag-kanser","tag-olusan","tag-onleniyor"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-ICp","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/171517","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=171517"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/171517\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=171517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=171517"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=171517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}