Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, 18 Ekim D\u00fcnya Menopoz G\u00fcn\u00fc nedeniyle sa\u011fl\u0131kl\u0131 menopoz s\u00fcreci hakk\u0131nda bilgi vererek menopozun belirtilerini s\u0131ralad\u0131.<\/p>\n
D\u00fcnya genelinde ortalama menopoz ya\u015f\u0131 51 iken, T\u00fcrkiye\u2019de ortalama menopoz ya\u015f\u0131n\u0131n yakla\u015f\u0131k 47-49 oldu\u011fu bildirildi. 40 ya\u015f\u0131ndan \u00f6nce g\u00f6r\u00fclen menopozun ise erken menopoz olarak adland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 hat\u0131rlatan uzmanlar menopoz ya\u015f\u0131n\u0131n belirlenmesinde; ba\u015fta genetik \u00f6zellikler ve \u0131rk olmak \u00fczere, beslenme, sigara kullan\u0131m\u0131 ve sosyoekonomik d\u00fczey gibi fakt\u00f6rlerin de etkili oldu\u011funa dikkat \u00e7ekiyor. Memorial Antalya Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren 18 Ekim D\u00fcnya Menopoz G\u00fcn\u00fc nedeniyle, sa\u011fl\u0131kl\u0131 menopoz s\u00fcreci hakk\u0131nda bilgi verdi.<\/p>\n
Her kad\u0131n farkl\u0131 ya\u015f\u0131yor<\/p>\n
Menopozun bir hastal\u0131k de\u011fil, kad\u0131n hayat\u0131nda \u00fcreme \u00e7a\u011f\u0131n\u0131n bitti\u011fini i\u015faret eden do\u011fal bir d\u00f6nem oldu\u011funa i\u015faret eden Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, “Kad\u0131nlarda 12 ay boyunca hi\u00e7 menstr\u00fcel kanama olmad\u0131\u011f\u0131nda menopoz tan\u0131s\u0131 kesinle\u015fir. Menopoz \u00f6ncesi d\u00f6nem olarak adland\u0131r\u0131lan d\u00f6nemde yumurtal\u0131klardan salg\u0131lanan ba\u015fta \u00f6strojen hormonu olmak \u00fczere, hormon d\u00fczeylerinde dalgalanmalar olmakta, bir s\u00fcre sonra yumurtalar t\u00fckenmekte ve yumurtal\u0131klardan hormon sal\u0131n\u0131m\u0131 durmaktad\u0131r. T\u00fcm bu de\u011fi\u015fikliklerin sonucunda da menstr\u00fcel kanamalar kesilmektedir. Y\u0131llarca devam eden bir s\u00fcre\u00e7 olan menopoz \u00f6ncesi ve sonras\u0131 d\u00f6nemde baz\u0131 kad\u0131nlar\u0131n hi\u00e7 \u015fikayeti olmaz ya da \u00e7ok hafif \u015fikayetleri olabilirken; baz\u0131 kad\u0131nlar \u00e7ok daha a\u011f\u0131r s\u0131k\u0131nt\u0131lar ya\u015fayabilmektedir” dedi.<\/p>\n
Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, menopoz d\u00f6neminde g\u00f6r\u00fclebilecek \u015fikayetleri; menstr\u00fcel kanama d\u00fczeninde de\u011fi\u015fiklik, k\u0131sa ya da uzun s\u00fcre\u00e7li kanama, kanama miktar\u0131nda art\u0131\u015f ya da azalma, s\u0131cak basmalar\u0131 ve terlemeler, uykuya dalmada zorlanma ve uyuma s\u00fcresinde k\u0131salma gibi uyku bozukluklar\u0131, \u00e7arp\u0131nt\u0131, depresyon ve duygu durum de\u011fi\u015fiklikleri, unutkanl\u0131k, \u00e7abuk sinirlenme, ba\u015f a\u011fr\u0131s\u0131, sa\u00e7larda d\u00f6k\u00fclme ve incelme, halsizlik ve kas eklem a\u011fr\u0131lar\u0131, ciltte- g\u00f6zde veya a\u011f\u0131zda kuruluk, vajinal kuruluk, cinsel ili\u015fkide a\u011fr\u0131 ve cinsel istekte azalma, ani s\u0131k\u0131\u015fma hissi, idrar ka\u00e7\u0131rma ve s\u0131k idrara \u00e7\u0131kma, idrar yolu enfeksiyonu riskinde art\u0131\u015f, i\u015ftah art\u0131\u015f\u0131, metabolizmada yava\u015flama ve buna ba\u011fl\u0131 olarak kilo art\u0131\u015f\u0131 olarak s\u0131ralad\u0131.<\/p>\n
Kemik erimesi, kalp krizi ve inme riskini de art\u0131r\u0131yor<\/p>\n
35 ya\u015ftan sonra kad\u0131n ve erkeklerde ba\u015flayan kemik kayb\u0131 menopoz sonras\u0131 ilk 4-8 y\u0131lda \u00f6strojen d\u00fczeyinin azalmas\u0131na ba\u011fl\u0131 olarak h\u0131zland\u0131\u011f\u0131na dikkat \u00e7eken Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, kay\u0131p fazla oldu\u011funda bu durumun osteoporoz olarak adland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 ve ba\u015fta kal\u00e7a, el bile\u011fi ve omurga kemiklerinde olmak \u00fczere kemik k\u0131r\u0131\u011f\u0131 riskinin artt\u0131\u011f\u0131n\u0131 kaydetti. Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, v\u00fccuttaki \u00f6strojenin azalmas\u0131n\u0131n, ilerleyen ya\u015fa ba\u011fl\u0131 olarak y\u00fcksek kolesterol, y\u00fcksek tansiyon gibi risk fakt\u00f6rlerinin g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131n\u0131n artmas\u0131 ve hayat\u0131n bu d\u00f6neminde daha hareketsiz olma gibi risk fakt\u00f6rlerinin bir araya gelmesiyle menopoz d\u00f6nemindeki kad\u0131nlarda kalp krizi ve inme riskinin artt\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Hormon tedavisi \u015fikayetleri azalt\u0131yor<\/p>\n
Menopoz d\u00f6nemindeki destek tedavisinin ki\u015finin \u00f6zellikleri, medikal ge\u00e7mi\u015fi, \u015fikayetlerinin \u015fiddeti ve ya\u015fam kalitesinin ne kadar etkilendi\u011fi, iste\u011fi ve beklentileri g\u00f6z \u00f6n\u00fcnde bulundurularak d\u00fczenlenmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izen Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren v\u00fccutta art\u0131k az \u00fcretilen ya da \u00fcretilmeyen hormonlar\u0131n (\u00f6strojen ve gerekli durumlarda progesteron) d\u0131\u015far\u0131dan verilmesi anlam\u0131na gelen hormon tedavisi menopoz d\u00f6nemindeki \u015fikayetleri rahatlatabildi\u011fi bilgisini payla\u015ft\u0131. Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, “Bu tedaviler a\u011f\u0131zdan al\u0131nan tabletler ya da cilde yap\u0131\u015ft\u0131r\u0131lan yamalar, s\u00fcr\u00fclen kremler \u015feklinde sistemik olarak verilebilece\u011fi gibi; baz\u0131 durumlarda sadece lokal olarak uygulanan vajinal tabletler ya da kremler kullan\u0131labilmektedir. V\u00fccuda sistemik olarak verilen hormon tedavisi ate\u015f basmalar\u0131n\u0131, kemik kayb\u0131n\u0131 ve k\u0131r\u0131k riskini, ayr\u0131ca kolon kanseri riskini azaltmaktad\u0131r. Hem lokal hem de sistemik tedavi vajinal kurulu\u011fu ve buna ba\u011fl\u0131 \u015fikayetleri gidermektedir” dedi.<\/p>\n
Sadece \u00f6strojen tedavisi baz\u0131 kanser risklerini art\u0131rabilir<\/p>\n
Sadece \u00f6strojen i\u00e7eren tedavilerin rahim duvar\u0131n\u0131n kal\u0131nla\u015fmas\u0131na ve rahim kanserine neden olabildi\u011fini s\u00f6yleyen Op. Dr. G\u00fclbin Destici \u0130\u015fg\u00f6ren, hormon i\u00e7eren tedaviler ile kalp krizi riskinde, derin ven trombozu ve inme riskinde meme kanseri ve mesane kanseri riskinde hafif art\u0131\u015f olabilece\u011fini kaydetti. \u0130\u015fg\u00f6ren \u015f\u00f6yle devam etti:<\/p>\n
“Bu nedenle ki\u015fisel \u00f6zellikler mutlaka de\u011ferlendirilmeli gerekli muayeneler ve tetkikler yap\u0131lmal\u0131 ve uygun ki\u015filerde doktor kontrol\u00fcnde tedavi ba\u015flanmal\u0131d\u0131r. Menopoz s\u00fcrecinde dengeli ve sa\u011fl\u0131kl\u0131 bir diyet, yeterli kalsiyum ve d vitamini almak, sigara alkol ve di\u011fer toksik maddelerden uzak durmak, ya\u011fdan fakir antioksidandan zengin g\u0131dalara beslenmek \u00f6nerilmektedir. Ayr\u0131ca d\u00fczenli egzersiz kemik kayb\u0131n\u0131 yava\u015flatt\u0131\u011f\u0131 gibi, a\u015f\u0131r\u0131 kilo al\u0131m\u0131n\u0131 ve buna ba\u011fl\u0131 olarak geli\u015febilecek kalp \u015feker hastal\u0131\u011f\u0131 gibi hastal\u0131klar\u0131n riskini azaltmaktad\u0131r. D\u00fczenli egzersiz yapan ki\u015filerde depresyon ve bili\u015fsel fonksiyonlarda azalma riski de \u00e7ok daha d\u00fc\u015f\u00fckt\u00fcr. \u0130drar ka\u00e7\u0131rma \u015fikayetleri olan ki\u015filer pelvik taban kaslar\u0131n\u0131 g\u00fc\u00e7lendiren kegel egzersizlerinden fayda g\u00f6rebilmektedir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
MENOPOZ B\u0130R HASTALIK DE\u011e\u0130L, KADIN HAYATINDA \u00dcREME \u00c7A\u011eININ B\u0130TT\u0130\u011e\u0130N\u0130 \u0130\u015eARET EDEN DO\u011eAL B\u0130R D\u00d6NEM OLDU\u011eUNA \u0130\u015eARET EDEN OP. DR. G\u00dcLB\u0130N DEST\u0130C\u0130 \u0130\u015eG\u00d6REN ” KADINLARDA 12 AY BOYUNCA H\u0130\u00c7 MENSTR\u00dcEL KANAMA OLMADI\u011eINDA MENOPOZ TANISI KES\u0130NLE\u015e\u0130R.” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":215906,"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":[7182,2393,1738,54588],"class_list":["post-215905","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-belirti","tag-eden","tag-isaret","tag-menopozu"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/menopozu-isaret-eden-15-belirti_ee6f2c3.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Ual","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/215905","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=215905"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/215905\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/215906"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=215905"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=215905"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=215905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}