Do\u00e7. Dr. M. Muzaffer \u0130lhan, toplumun b\u00fcy\u00fck bir kesimini rahats\u0131z eden t\u00fcylenme sorununa ili\u015fkin \u201c\u00d6zellikle kad\u0131nlardaki t\u00fcylenmenin en \u00f6nemli sebebi polikistik over sendromudur. T\u00fcylenme ile ba\u015fvuran her hastada altta yatabilecek bu hastal\u0131klar mutlaka ara\u015ft\u0131r\u0131lmal\u0131d\u0131r\u201d dedi.<\/p>\n
\u00c7aml\u0131ca Medipol \u00dcniversitesi Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fcnden Do\u00e7. Dr. Mahmut Muzaffer \u0130lhan, hirsutism yani halk aras\u0131nda bilinen ad\u0131yla t\u00fcylenme problemine ili\u015fkin \u00f6nemli a\u00e7\u0131klamalarda bulundu. Do\u00e7. Dr. \u0130lhan, t\u00fcylenme sorununun alt\u0131nda bir\u00e7ok nedenin olabilece\u011fini belirterek \u015fu ifadeleri kulland\u0131: \u201cT\u00fcylenme kal\u0131n, sert ve koyu renkli k\u0131llar\u0131n dudak \u00fcst\u00fc, \u00e7ene, g\u00f6\u011f\u00fcs, g\u00f6bek \u00e7evresi, s\u0131rt ve bel gibi b\u00f6lgelerde fazla \u015fekilde b\u00fcy\u00fcmesidir. T\u00fcylenmenin ortaya \u00e7\u0131kmas\u0131nda ciltteki k\u0131l folik\u00fclleriyle erkeklik hormonlar\u0131n\u0131n aras\u0131ndaki etkile\u015fim \u00f6nemli rol oynar. Bu durum erkeklik hormonlar\u0131n\u0131n d\u00fczeyindeki bir art\u0131\u015f\u0131n sonucu olabilece\u011fi gibi k\u0131l folik\u00fcllerinin duyarl\u0131l\u0131k art\u0131\u015f\u0131ndan da kaynaklanabilir. Erkeklik hormonlar\u0131n\u0131n art\u0131\u015f\u0131 yumurtal\u0131k veya b\u00f6brek \u00fcst\u00fc bezi kaynakl\u0131 olabilir. T\u00fcylenmenin \u015fiddeti ve tedavi gerekip gerekmedi\u011fi hekimler taraf\u0131ndan yap\u0131lan \u00f6zel skorlama y\u00f6ntemleriyle tespit edilir.\u201d<\/p>\n
\u201cT\u00fcm\u00f6r de neden olabilir\u201d<\/p>\n
\u00d6zellikle kad\u0131nlardaki t\u00fcylenmenin en \u00f6nemli sebebinin polikistik over sendromu (PKOS) oldu\u011funa dikkati \u00e7eken Do\u00e7. Dr. \u0130lhan, \u015fu bilgileri payla\u015ft\u0131: \u201cBu sendromda t\u00fcylenmeye adet d\u00fczensizli\u011fi ve yumurtal\u0131klarda kist geli\u015fimi e\u015flik edebilir. Bunun d\u0131\u015f\u0131nda konjenital adrenal hiperplazi, cushing sendromu, yumurtal\u0131k veya b\u00f6brek\u00fcst\u00fc bezi kaynakl\u0131 \u00e7e\u015fitli t\u00fcm\u00f6rler gibi hastal\u0131klar t\u00fcylenme geli\u015fimine sebep olabilir. T\u00fcylenme ile ba\u015fvuran her hastada altta yatabilecek bu hastal\u0131klar mutlaka ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Bazen ise altta hi\u00e7bir hormonal hastal\u0131k bulunamaz ve bu duruma idyopatik hirsutizm denir. Ancak idyopatik hirsutizm tan\u0131s\u0131 konmadan \u00f6nce olas\u0131 di\u011fer hastal\u0131klar i\u00e7in gerekli muayene ve tetkikler yap\u0131lmal\u0131d\u0131r. T\u00fcylenmede yap\u0131lmas\u0131 gereken incelemeler hastan\u0131n t\u00fcylenme derecesine, e\u015flik eden di\u011fer belirtilerine ve muayene bulgular\u0131na g\u00f6re \u015fekillenir. Genel olarak adetin 2-5. g\u00fcn\u00fc aras\u0131nda yap\u0131lan hormon incelemeleri \u00e7o\u011fu hastada yeterlidir. Hekim gerek duyarsa yumurtal\u0131k ultrasonu ve \u015f\u00fcphe edilen hastal\u0131\u011fa g\u00f6re ileri incelemeleri isteyebilir.\u201d<\/p>\n
\u201cDo\u011fum kontrol hap\u0131yla tedavi edilebilir\u201d<\/p>\n
Do\u00e7. Dr. \u0130lhan, t\u00fcylenme rahats\u0131zl\u0131\u011f\u0131n\u0131n tedavisine y\u00f6nelik ise \u015fu de\u011ferlendirmede bulundu: \u201cT\u00fcylenme tedavisi altta yatan hastal\u0131\u011fa ve t\u00fcylenmenin \u015fiddetine g\u00f6re belirlenir. Altta \u00f6nemli bir hastal\u0131k olmayan baz\u0131 obez vakalarda sadece kilo vererek bile t\u00fcylenme tedavisinde \u00f6nemli oranda d\u00fczelme g\u00f6r\u00fcl\u00fcr. Altta yatan hastal\u0131k bulunmayan vakalarda a\u011fda ve lazer tedavisi uygulanabilir. Gerekli vakalarda do\u011fum kontrol haplar\u0131 veya erkeklik hormonlar\u0131n\u0131 bloke eden ila\u00e7lar kullan\u0131labilir. K\u0131l folik\u00fcl\u00fcn yar\u0131 \u00f6mr\u00fc uzun oldu\u011fu i\u00e7in ila\u00e7 tedavisiyle d\u00fczelmenin zaman al\u0131p 6 ay\u0131 bulabilece\u011fi bilinmelidir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
O\u00c7. DR. M. MUZAFFER \u0130LHAN, \u201c\u00d6ZELL\u0130KLE KADINLARDAK\u0130 T\u00dcYLENMEN\u0130N EN \u00d6NEML\u0130 SEBEB\u0130 POL\u0130K\u0130ST\u0130K OVER SENDROMUDUR. T\u00dcYLENME \u0130LE BA\u015eVURAN HER HASTADA ALTTA YATAB\u0130LECEK BU HASTALIKLAR MUTLAKA ARA\u015eTIRILMALIDIR\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":257803,"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":[63675,3114,2142,1423,5897,36891],"class_list":["post-257802","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-tuylenme","tag-altinda","tag-fazla","tag-kilo","tag-olabilir","tag-sorununun"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/tuylenme-sorununun-altinda-fazla-kilo-olabilir_0bc60ac.jpg?fit=1000%2C667","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-1546","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/257802","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=257802"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/257802\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/257803"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=257802"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=257802"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=257802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}