Jinekolog, Cinsel Terapist, Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Esra Demir Y\u00fczer, vajen ve rahim sarkmas\u0131n\u0131n kad\u0131nlar\u0131n ya\u015fam kalitesini olumsuz y\u00f6nde etkiledi\u011fini belirtti.<\/p>\n
Op. Dr. Esra Demir Y\u00fczer, \u201cVajina 8-10 cm uzunlu\u011funda esnek bir organd\u0131r. Vajina geni\u015flik a\u00e7\u0131s\u0131ndan ki\u015fisel farkl\u0131l\u0131k g\u00f6sterir. Ancak vajen do\u011fum yapmam\u0131\u015f bir kad\u0131nda genellikle iki parma\u011f\u0131n s\u0131k\u0131ca giri\u015fine m\u00fcsaittir. Baz\u0131 kad\u0131nlarda vajen yap\u0131sal olarak geni\u015f olurken , \u0130lerleyen ya\u015fla beraber, gebelikler ve \u00f6zellikle de normal do\u011fumlara ba\u011fl\u0131 olarak vajende sarkmalar , esneme ve geni\u015flemeler meydana gelebilir. Bunun yan\u0131nda kronik barsak hastal\u0131klar\u0131 (kronik kab\u0131zl\u0131k, \u00fclseratif kolit gibi) , ast\u0131m, KOAH gibi kronik \u00f6ks\u00fcr\u00fc\u011fe neden olan akci\u011fer hastal\u0131klar\u0131 da rahim ve vajen sarkmalar\u0131na neden olabilir\u201d dedi.<\/p>\n
Vajenin \u00f6n duvar\u0131nda mesanenin vajene do\u011fru sarkmas\u0131na sistosel ad\u0131 verildi\u011fini anlatan Op. Dr. Esra Demir Y\u00fczer, \u201cVajenin arka \u00fcst duvar sarkmalar\u0131na enterosel, arka alt duvar sarkmalar\u0131na rektosel denir. Vajen ve rahim sarkmalar\u0131n\u0131n 3 derecesi vard\u0131r. Sarkma derecesine ve tipine g\u00f6re tedavi de\u011fi\u015fir\u201d diye konu\u015ftu.<\/p>\n
Op. Dr. Esra Demir Y\u00fczer, Vajen ve rahim sarkmas\u0131, geni\u015flemesi , bolla\u015fmas\u0131 kad\u0131nlarda hangi \u015fikayetlere neden oldu\u011fu konusunda \u015funlar\u0131 s\u00f6yledi;<\/p>\n
\u201cErkek ve kad\u0131nda cinsel ili\u015fkide haz kayb\u0131 olur. Cinsel ili\u015fki esnas\u0131nda vajenden hava sesi gelir. Kad\u0131n oturup kalkarken vajenden gaz \u00e7\u0131kard\u0131\u011f\u0131n\u0131 s\u00f6yler. B\u00fcy\u00fck tuvaletini yaparken perine dedi\u011fimiz vajen ile makat aras\u0131ndaki b\u00f6lgeye bast\u0131rma ihtiyac\u0131 duyar. Stres tipi idrar ka\u00e7\u0131rma dedi\u011fimiz \u00f6ks\u00fcr\u00fcrken hap\u015f\u0131r\u0131rken idrar ka\u00e7\u0131rma \u015fikayeti olur. 3. derece dedi\u011fimiz sarkma ve geni\u015flemelerde sanki bir \u015fey \u00e7\u0131kacakm\u0131\u015f gibi , bir kitlenin \u00fczerine oturuyormu\u015f gibi hissetti\u011fini s\u00f6yler.<\/p>\n
Her ne kadar g\u00fcnl\u00fck konu\u015fma dilinde vajen ve rahim sarkmas\u0131 ayn\u0131ym\u0131\u015f gibi konu\u015fulsa da farkl\u0131 \u015feylerdir. Rahim sarkmas\u0131, rahmin bizzat kendisi vajen giri\u015fine kadar hatta vajen d\u0131\u015f\u0131na do\u011fru sarkmas\u0131d\u0131r. Rahim ve vajen sarkmas\u0131 \u00e7o\u011funlukla birlikte g\u00f6r\u00fcl\u00fcrler.<\/p>\n
Op. Dr. Esra Demir Y\u00fczer, vajen ve rahim sarkmas\u0131 ameliyatlar\u0131na karar verirken nelere dikkat edilmesi gerekti\u011fi konusunda ise; \u201cVajen sarkmas\u0131n\u0131n tipi ,derecesi tam olarak belirlenmelidir. Ameliyatta vajen b\u00fct\u00fcn olarak onar\u0131lmal\u0131. Vajen giri\u015finden 3-4 cm. sine kadar muayenehane \u015fartlar\u0131nda yap\u0131lan ameliyatlar asla yeterli ve y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc ameliyatlar de\u011fildir. Ameliyat\u0131n kal\u0131c\u0131l\u0131\u011f\u0131 i\u00e7in vajen sarkmas\u0131na neden olan kas y\u0131rt\u0131klar\u0131n\u0131n onar\u0131mlar\u0131n\u0131n yan\u0131nda mutlaka kal\u00e7a kemi\u011findeki sa\u011flam ba\u011flara as\u0131c\u0131 ameliyatlar yap\u0131lmal\u0131. Asma ameliyatlar\u0131 yap\u0131lmad\u0131\u011f\u0131nda 1-2 sene gibi \u00e7ok k\u0131sa s\u00fcrede vajen geni\u015flemesi tekrarlayacakt\u0131r. Ameliyatta kullan\u0131lan materyaller kal\u0131c\u0131 ve sa\u011flam olmas\u0131n\u0131 sa\u011flayacak nitelikte olmal\u0131. Vajen ve rahim sarkmas\u0131 ameliyatlar\u0131 mutlaka hastane \u015fartlar\u0131nda yap\u0131lmal\u0131d\u0131r.<\/p>\n
Rahim sarkmas\u0131 ile birlikte rahim boynu uzamas\u0131n\u0131n olup olmad\u0131\u011f\u0131na kesin tan\u0131 konmal\u0131. Bazen rahim boynu uzamas\u0131 rahim sarkmas\u0131 gibi g\u00f6r\u00fcnebilir. Kal\u0131c\u0131 tedavi i\u00e7in mutlaka kal\u00e7a kemi\u011findeki sa\u011flam ba\u011flara as\u0131c\u0131 ameliyatlar yap\u0131lmal\u0131d\u0131r. Kad\u0131n\u0131n ameliyat sonras\u0131 estetik olarak da kendini be\u011fenmesi ve buna ba\u011fl\u0131 olarak psikolojik olarak iyi hissetmesi i\u00e7in do\u011fum diki\u015fi izleri de m\u00fcmk\u00fcn oldu\u011funca d\u00fczeltilmelidir. D\u0131\u015f genital esteti\u011fi bozan k\u00fc\u00e7\u00fck dudaklarda sarkma asimetri varsa labioplasti dedi\u011fimiz ameliyat da vajen ameliyat\u0131 ile e\u015f zamanl\u0131 olarak yap\u0131labilir.<\/p>\n
\u0130leri derece sarkmalarda rahim a\u011fz\u0131 ve vajen sarkan k\u0131sm\u0131 vajen d\u0131\u015f\u0131na do\u011fru \u00e7\u0131kar . Bu b\u00f6lgedeki doku d\u0131\u015f travmalara korunakl\u0131 olmad\u0131\u011f\u0131ndan i\u00e7 \u00e7ama\u015f\u0131r\u0131na de\u011fen vajen ve rahim a\u011fz\u0131nda \u00fclser dedi\u011fimiz yaralar olu\u015fur. \u00dclserlerin tedavisi yap\u0131lmadan ameliyat yap\u0131lamaz. Vajen ve rahim sarkmalar\u0131n\u0131n tedavisi ileri ya\u015flara b\u0131rak\u0131l\u0131rsa ileri ya\u015fla ortaya \u00e7\u0131kan y\u00fcksek tansiyon, diabet gibi sistemik hastal\u0131klar nedeniyle anestezi ve dahiliye doktorlar\u0131n\u0131n onay vermemesi nedeniyle ameliyat edilemeyebilir. Bu durumda peser dedi\u011fimiz plastik halkalar kullan\u0131larak rahim vajen i\u00e7ine do\u011fru ittirilmeye \u00e7al\u0131\u015f\u0131l\u0131r ki peser kullan\u0131m\u0131 ,g\u00fcnl\u00fck temizli\u011fi kad\u0131n i\u00e7in olduk\u00e7a zor olabilir. Evlilikte cinsellik \u00e7iftlerin mutlulu\u011fu i\u00e7in \u00f6nemlidir. E\u011fer vajen ve rahim sarkmalar\u0131 d\u00fczeltilip vajen kal\u0131c\u0131 olarak daralt\u0131lamazsa evliliklerde de sorunlar ya\u015fanacakt\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
J\u0130NEKOLOG, C\u0130NSEL TERAP\u0130ST, KADIN HASTALIKLARI VE DO\u011eUM UZMANI OP. DR. ESRA DEM\u0130R Y\u00dcZER, VAJEN VE RAH\u0130M SARKMASININ KADINLARIN YA\u015eAM KAL\u0130TES\u0130N\u0130 OLUMSUZ Y\u00d6NDE ETK\u0130LED\u0130\u011e\u0130N\u0130 BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":226070,"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":[4122,2098,16768,190,294],"class_list":["post-226069","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-etkiliyor","tag-kadinlarin","tag-kalitesini","tag-sorunlar","tag-yasam"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/bu-sorunlar-kadinlarin-yasam-kalitesini-etkiliyor_894fa4e.jpg?fit=500%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-WOh","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/226069","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=226069"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/226069\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/226070"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=226069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=226069"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=226069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}