Ergenli\u011fin, \u00e7ocukluktan eri\u015fkinli\u011fe ge\u00e7i\u015f d\u00f6nemi oldu\u011funu s\u00f6yleyen \u00c7ocuk Endokrinolojisi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi G\u00fcls\u00fcm Figen Oltulu, hem T\u00fcrkiye\u2019de hem de d\u00fcnyada \u2019erken ergenli\u011fe\u2019 daha s\u0131k rastlanmaya ba\u015flad\u0131\u011f\u0131n\u0131 belirterek, \u201cK\u0131zlarda 8, erkeklerde ise 9 ya\u015f\u0131ndan \u00f6nce ergenli\u011fe ait belirtiler g\u00f6r\u00fcl\u00fcyorsa, vakit kaybetmeden bir uzmana dan\u0131\u015f\u0131lmal\u0131\u201d dedi.<\/p>\n
VM Medical Park Samsun Hastanesi \u00c7ocuk Endokrinolojisi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi G\u00fcls\u00fcm Figen Oltulu, d\u00fcnyada ve T\u00fcrkiye\u2019de son y\u0131llarda erken ergenlik olgular\u0131 art\u0131\u015fa ge\u00e7ti\u011fini s\u00f6yledi. Ergenlikte \u00e7ocukta fizyolojik, psikolojik ve sosyal a\u00e7\u0131dan bir\u00e7ok de\u011fi\u015fim g\u00f6zlendi\u011finin alt\u0131n\u0131 \u00e7izen Figen Oltulu, “Uzmanlar taraf\u0131ndan bu art\u0131\u015ftan g\u0131dalar\u0131n i\u00e7inde bulunan hormon ve katk\u0131 maddeleri, iklim de\u011fi\u015fiklikleri, kullan\u0131lan plastik malzemeler ve oyuncaklar\u0131n i\u00e7indeki hormon benzeri etki olu\u015fturan kimyasallar sorumlu tutuluyor. Fast food tarz\u0131 ve yapay end\u00fcstri \u00fcr\u00fcnleri ile beslenme al\u0131\u015fkanl\u0131klar\u0131 obeziteye neden olarak v\u00fccut ya\u011f oran\u0131n\u0131 art\u0131r\u0131p erken ergenli\u011fe neden olabilir\u201d diye konu\u015ftu.<\/p>\n
\u201cK\u0131zlarda daha s\u0131k g\u00f6r\u00fcl\u00fcyor\u201d<\/p>\n
K\u0131zlarda 8, erkeklerde ise 9 ya\u015f\u0131ndan \u00f6nce ergenli\u011fe ait belirtiler g\u00f6r\u00fcl\u00fcyorsa \u00e7ocu\u011fun erken ergenli\u011fe girmi\u015f olabilece\u011fini ifade eden Dr. \u00d6\u011fr. \u00dcyesi G\u00fcls\u00fcm Figen Oltulu, \u201cErken ergenlik k\u0131z \u00e7ocuklar\u0131nda daha s\u0131kt\u0131r ve genellikle nedeni bilinmez. Ancak bazen altta yatan \u00e7ok \u00f6nemli bir t\u0131bbi problem olabilir. Meme geli\u015fimi ba\u015flayan bir k\u0131z \u00e7ocu\u011funun yakla\u015f\u0131k 2 y\u0131l sonra adet kanamalar\u0131 ba\u015flar. Erkek \u00e7ocuklarda ise erken ergenli\u011fin nedeni beyin apseleri ve enfeksiyonlar\u0131, beyin t\u00fcm\u00f6rleri, yumurtal\u0131k-testis t\u00fcm\u00f6rleri, b\u00f6brek \u00fcst\u00fc bezlerinin t\u00fcm\u00f6rleri ve hastal\u0131klar\u0131 olabilir” \u015feklinde konu\u015ftu.<\/p>\n
\u201cErken te\u015fhis \u00f6nemli\u201d<\/p>\n
Erken ergenli\u011fe giren \u00e7ocuklar\u0131n ya\u015f\u0131tlar\u0131ndan \u00f6nce b\u00fcy\u00fcmeye ba\u015flad\u0131\u011f\u0131n\u0131 ve cinsiyet hormonlar\u0131n\u0131n etkisi ile kemiklerindeki b\u00fcy\u00fcme noktalar\u0131n\u0131n erken kapand\u0131\u011f\u0131n\u0131, bu nedenle yeti\u015fkinlikte boylar\u0131n\u0131n k\u0131sa kalaca\u011f\u0131n\u0131 vurgulayan Oltulu, \u201cErken ergenli\u011fe giren \u00e7ocuklar\u0131n ayr\u0131ca ya\u015f\u0131tlar\u0131na g\u00f6re daha geli\u015fkin g\u00f6r\u00fcnmelerinin de psiko-sosyal sorunlara yol a\u00e7abiliyor. K\u0131zlar\u0131n normalden erken d\u00f6nemde ya\u015famak zorunda kald\u0131klar\u0131 adet kanamas\u0131yla ba\u015f etmelerinin de zor olabiliyor. E\u011fer altta yatan t\u0131bbi bir problem bulunuyorsa (beyin t\u00fcm\u00f6rleri gibi) ve tan\u0131 konulmakta ge\u00e7 kal\u0131n\u0131rsa, hayati tehlikenin de s\u00f6z konusu olabilir\u201d ifadelerini kulland\u0131.<\/p>\n
Tan\u0131n\u0131n nas\u0131l konulaca\u011f\u0131 ve tedavi konusunda da bilgiler aktaran Oltulu \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201cErken ergenlik tan\u0131s\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in fiziki incelemeden sonra kemik ya\u015f\u0131n\u0131 de\u011ferlendirebilmek ad\u0131na el- bilek grafisi; i\u00e7 genital organlar\u0131 de\u011ferlendirmek i\u00e7inse k\u0131zlarda pelvik ultrasonografi, ergenlikle ilgili hormon tetkikleri ve hormonal uyar\u0131 testleri yapmak gerekir. Ayr\u0131ca tan\u0131 kesinle\u015fince hipofiz MR da \u00e7ektirerek beyinde bir sorun olmad\u0131\u011f\u0131ndan emin olmak gereklidir. Erken ergenli\u011fi hormonlar\u0131 bask\u0131layan ila\u00e7lar ile durdurabilir. K\u0131zlarda 11, erkeklerde 12 ya\u015f\u0131na kadar tedaviye devam edilir. Genellikle 28 g\u00fcnde bir a\u015f\u0131 \u015feklinde yap\u0131lan bir ila\u00e7 kullan\u0131l\u0131r. Tedavi sonland\u0131r\u0131ld\u0131ktan sonra normal ergenlik s\u00fcreci yeniden ba\u015flamaktad\u0131r. Tedavinin ilaca kar\u015f\u0131 alerji geli\u015fme riski d\u0131\u015f\u0131nda belirgin yan etkisi saptanmam\u0131\u015ft\u0131r.”<\/p>\n","protected":false},"excerpt":{"rendered":"
ERGENL\u0130\u011e\u0130N \u00c7OCUKLUKTAN ER\u0130\u015eK\u0130NL\u0130\u011eE GE\u00c7\u0130\u015e D\u00d6NEM\u0130 OLDU\u011eUNU S\u00d6YLEYEN \u00c7OCUK ENDOKR\u0130NOLOJ\u0130S\u0130 UZMANI DR. \u00d6\u011eR. \u00dcYES\u0130 G\u00dcLS\u00dcM F\u0130GEN OLTULU, HEM \u00dcLKEM\u0130ZDE HEM DE D\u00dcNYADA ERKEN ERGENL\u0130\u011eE DAHA SIK RASTLANMAYA BA\u015eLADI\u011eINI BEL\u0130RTEREK \u201cKIZLARDA 8, ERKEKLERDE \u0130SE 9 YA\u015eINDAN \u00d6NCE ERGENL\u0130\u011eE A\u0130T BEL\u0130RT\u0130LER G\u00d6R\u00dcL\u00dcYORSA, VAK\u0130T KAYBETMEDEN B\u0130R UZMANA DANI\u015eILMALI\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":256145,"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":[11945,7305,27728,4955],"class_list":["post-256144","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-alarmi","tag-cocuklarda","tag-ergenlik","tag-erken"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/cocuklarda-erken-ergenlik-alarmi_0680a69.jpg?fit=667%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-14Dm","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/256144","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=256144"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/256144\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/256145"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=256144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=256144"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=256144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}