Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi R. Ada Bender, Polikistik Over Sendromunun tedavi edilmedi\u011fi takdirde bir\u00e7ok hastal\u0131\u011fa davetiye \u00e7\u0131kard\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
Medicana International \u0130stanbul Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi R. Ada Bender, sinir sistemi, hipofiz bezi, yumurtal\u0131klar, b\u00f6brek\u00fcst\u00fc bezi ve di\u011fer dokular aras\u0131ndaki etkile\u015fimlerin bozulmas\u0131na ba\u011fl\u0131 olarak geli\u015fen hormonal bir hastal\u0131k olan polikistik over sendromu(PKOS) hakk\u0131nda bilgi verdi. Dr. \u00d6\u011fretim \u00dcyesi Bender; sendromun Tip 2 diyabet, kalp damar hastal\u0131klar\u0131, do\u011furganl\u0131kta azalma ve kansere de neden olabilece\u011finden tan\u0131 ve tedavisinin \u00f6nemli hale geldi\u011fini ifade etti.<\/p>\n
Dr. \u00d6\u011fretim \u00dcyesi Bender; polikistik over sendromunun d\u00fczensiz adet kanamalar\u0131, akne, obezite, ins\u00fclin direnci, erkek tipi t\u00fcylenme art\u0131\u015f\u0131 ve erkek tipi sa\u00e7 d\u00f6k\u00fclmesi gibi bulgularla ortaya \u00e7\u0131kt\u0131\u011f\u0131na dikkat \u00e7ekti. Bender, toplumdaki her 100 kad\u0131ndan 5 ila 10\u2019unda polikistik over sendromu ve komplikasyonlar\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti.<\/p>\n
\u201cDepresyon ve duygu durum de\u011fi\u015fiklikleri s\u0131k\u00e7a g\u00f6r\u00fclmektedir\u201d<\/p>\n
Dr. R. Ada Bender, \u201cBu hastalarda Tip 2 DM, kan ya\u011flar\u0131nda y\u00fckselme, koroner kalp hastal\u0131klar\u0131, y\u00fcksek tansiyon, rahim, meme ve yumurtal\u0131k kanseri riski normal pop\u00fclasyona g\u00f6re anlaml\u0131 \u015fekilde artm\u0131\u015ft\u0131r. Bu hastalarda gebelik olu\u015fursa d\u00fc\u015f\u00fck ve d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131kl\u0131 bebek do\u011furma riski de normal kad\u0131nlara g\u00f6re daha y\u00fcksek bulunmu\u015ftur. Depresyon, duygu durum de\u011fi\u015fikleri ve dikkat eksikli\u011fi PKOS\u2019lu hastalarda s\u0131k\u00e7a kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z di\u011fer komplikasyonlard\u0131r\u201d dedi.<\/p>\n
Polikistik Over Sendromu tedavisi<\/p>\n
Hastal\u0131\u011f\u0131n tedavisinden de bahseden Bender, \u201cTedavi hastan\u0131n mevcut bulgular\u0131na y\u00f6nelik olarak d\u00fczenlenir. Her hasta i\u00e7in tedavide ortak ve \u00f6nemli nokta ise ya\u015fam \u015feklinin de\u011fi\u015ftirilmesidir. Hastalarda diyet ve egzersiz, semptomlar\u0131 gidermek ve PKOS\u2019a ba\u011fl\u0131 olu\u015facak Tip 2 diyabet, kalp damar hastal\u0131klar\u0131, do\u011furganl\u0131kta azalma ve kanser gibi tehlikeleri \u00f6nlemek i\u00e7in mutlaka gereklidir\u201d diye konu\u015ftu.<\/p>\n
“Ba\u015far\u0131s\u0131z diyetler metabolizmaya zarar verir”<\/p>\n
PKOS\u2019lu kilo art\u0131\u015f\u0131 olan hastalar\u0131n ins\u00fclin direnci nedeniyle, besinlerden fazla miktarda karbonhidrat alma ihtiyac\u0131 hissettiklerini belirten Bender, \u201cBuna da ba\u011fl\u0131 olarak bu hastalar\u0131n \u00f6yk\u00fclerinde pek \u00e7ok ba\u015far\u0131s\u0131z diyet giri\u015fimi vard\u0131r. Belli bir hedef kiloya ula\u015fmadan b\u0131rak\u0131lan diyetler ve ki\u015finin diyet yaparken yiyemedi\u011fi t\u00fcm besinleri pes edip diyeti b\u0131rakarak fazlaca t\u00fcketmesi daha fazla kilo art\u0131\u015f\u0131na neden olur. Ba\u015far\u0131s\u0131z diyetlerin t\u00fcm bu sonu\u00e7lar\u0131 nedeniyle metabolizmaya zarar vermek ka\u00e7\u0131n\u0131lmazd\u0131r. Bu nedenle PKOS\u2019da diyet hastan\u0131n de\u011fil bir diyetisyenin belirledi\u011fi \u015fekilde yap\u0131lmal\u0131d\u0131r. Haz\u0131rlanan bu diyete eksiksiz bir \u015fekilde uyum \u015fartt\u0131r. Kilo kayb\u0131n\u0131n PKOS\u2019lu hastalarda yumurtal\u0131k fonksiyonlar\u0131n\u0131n d\u00fczelmesini, ins\u00fclin seviyesinin d\u00fc\u015fmesini ve v\u00fccutta artan androjen (erkeklik hormonu) y\u00fck\u00fcn\u00fcn azalmas\u0131n\u0131 sa\u011flad\u0131\u011f\u0131 yap\u0131lan \u201cBilimsel \u00c7al\u0131\u015fmalarla\u201d g\u00f6sterilmi\u015ftir. Diyete ek olarak g\u00fcnl\u00fck ya da g\u00fcna\u015f\u0131r\u0131 yap\u0131lan egzersizler de ins\u00fclin direncini azaltmaktad\u0131r. Egzersizde de diyet de oldu\u011fu gibi devaml\u0131l\u0131k \u00f6nemlidir\u201d s\u00f6zlerini ifade etti.<\/p>\n
\u201cGebelik iste\u011fi tedavi protokol\u00fc i\u00e7in \u00f6nemli bir bilgidir\u201d<\/p>\n
Diyet ve egzersize ek tedaviler i\u00e7in hastan\u0131n gebelik iste\u011fi olup olmamas\u0131n\u0131n \u00f6nemine de de\u011finen Bender, \u201cGebelik istemi olmayan hastan\u0131n adet d\u00fczenini sa\u011flayacak, kilo vermesini kolayla\u015ft\u0131racak, akne ve erkek tipi t\u00fcylenme ile sa\u00e7 d\u00f6k\u00fclmesini \u00f6nleyecek tedaviler Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum hekimleri ile birlikte ilgili bran\u015flardaki hekimlerce d\u00fczenlenmelidir. Gebelik istemi olmas\u0131 halinde diyet ve egzersize ek olarak PKOS\u2019da bozulan yumurta geli\u015fimi ve yumurtlama fonksiyonu biz Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum hekimlerince d\u00fczenlenmektedir. \u00d6zellikle kilolu hastalarda gebelik istemi halinde birtak\u0131m de\u011fi\u015fikler mevcut olup yumurta b\u00fcy\u00fctmek i\u00e7in art\u0131k daha g\u00fcvenli tedavilere ge\u00e7i\u015f yap\u0131lmaktad\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI DR. \u00d6\u011eRET\u0130M \u00dcYES\u0130 R. ADA BENDER, POL\u0130K\u0130ST\u0130K OVER SENDROMUNUN TEDAV\u0130 ED\u0130LMED\u0130\u011e\u0130 TAKD\u0130RDE B\u0130R\u00c7OK HASTALI\u011eA DAVET\u0130YE \u00c7IKARDI\u011eINI BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":99429,"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":[2376,2127,73,192,3846,2541,3783,25760,25759,10094],"class_list":["post-99428","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-10u","tag-2127","tag-her","tag-ile","tag-kadindan","tag-karsi","tag-karsiya","tag-over","tag-polikistik","tag-sendromu"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/her-100-kadindan-10u-polikistik-over-sendromu-ile-karsi-karsiya_17b5793.jpg?fit=1000%2C645","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-pRG","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/99428","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=99428"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/99428\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/99429"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=99428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=99428"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=99428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}