Cinsel yolla kolayca bula\u015fan genital si\u011fillerin vakit ge\u00e7irmeden tedavi edilmesi gerekti\u011fini vurgulayan Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Esra Demir Y\u00fczer, tedavisi g\u00fc\u00e7 viral bir hastal\u0131k olan genital si\u011fillerin en \u00e7ok 18-28 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/strong><\/p>\n

Kad\u0131nlarda vajinal b\u00f6lgede meydana gelen si\u011fillerin t\u0131ptaki ad\u0131 kondilloma ak\u00fcm\u00fcnata\u2019d\u0131r. Genital si\u011fillerin nedenleri, HPV ad\u0131 verilen vir\u00fcslerdir. HPV\u2019nin 60\u2019dan fazla tipi vard\u0131r. HPV 6 ve 11 tipinin bula\u015fmas\u0131 si\u011file neden olur.<\/p>\n

Si\u011filler kanser riski ta\u015f\u0131mayan lezyonlard\u0131r. HPV 16 ve 18 y\u00fcksek kanser riski ta\u015f\u0131yan tiplerdir. Ayr\u0131ca d\u00fc\u015f\u00fck kanser riski ta\u015f\u0131yan HPV tipleri de bulunmaktad\u0131r. Si\u011filler genellikle cinsel yolla bula\u015fabilirler. \u0130yi huylu olmalar\u0131na kar\u015f\u0131n, h\u0131zl\u0131 yay\u0131lmalar\u0131 ve tedavi sonras\u0131 tekrarlamalar\u0131 nedeniyle \u00f6zellikle psikolojik y\u00f6nden kad\u0131nlar\u0131 olumsuz olarak etkiler. Son y\u0131llarda \u00fclkemizde \u00f6zellikle gen\u00e7ler aras\u0131nda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artm\u0131\u015ft\u0131r.<\/p>\n

AKT\u0130F S\u0130\u011e\u0130L VARLI\u011eINDA BULA\u015eICILIK DAHA Y\u00dcKSEK<\/strong><\/p>\n

Hem kad\u0131nlarda hem de erkeklerde g\u00f6r\u00fclebilir. Genital b\u00f6lgede ya da makat etraf\u0131nda karnabahar g\u00f6r\u00fcn\u00fcm\u00fcndedirler. Bazen tek bir adet \u00e7o\u011funlukla da birden fazla g\u00f6r\u00fcl\u00fcrler. Erken d\u00f6nemde tedavi edilmedi\u011finde h\u0131zla \u00e7o\u011fal\u0131r ve t\u00fcm genital b\u00f6lgeyi kaplayacak \u015fekilde yay\u0131labilirler. Baz\u0131lar\u0131 toplu i\u011fne ba\u015f\u0131 kadard\u0131r, baz\u0131lar\u0131n\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc ise 4 cm e kadar \u00e7\u0131kabilir. A\u011fr\u0131s\u0131z ve bazen ka\u015f\u0131nt\u0131l\u0131 olabilen kitleler olarak belirti verirler. Beyaz ya da gri renkte ve \u00fczeri p\u00fcrt\u00fckl\u00fc bir yap\u0131dad\u0131rlar. Bunlar asl\u0131nda anormal \u015fekilde olu\u015fumunu tamamlam\u0131\u015f et par\u00e7alar\u0131d\u0131rlar.<\/p>\n

HPV enfeksiyonu ta\u015f\u0131yan bir ki\u015fiyle cinsel ili\u015fkide bulunuldu\u011funda mutlaka o ki\u015finin de HPV enfeksiyonu ge\u00e7irece\u011fi anlam\u0131na gelmez. Bula\u015f\u0131c\u0131l\u0131kta ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin de \u00f6nemi vard\u0131r. Genital aktif si\u011fil varl\u0131\u011f\u0131nda bula\u015f\u0131c\u0131l\u0131k daha y\u00fcksektir.<\/p>\n

Si\u011fili olan hastalarda mutlaka HPV vir\u00fcs\u00fcn\u00fcn di\u011fer kanser yapan tiplerinin de bula\u015fma ihtimaline kar\u015f\u0131 tetkikler yap\u0131lmal\u0131d\u0131r. Serviks ad\u0131 verilen rahim a\u011fz\u0131ndan al\u0131nan smear testi ile rahim a\u011fz\u0131nda anormal h\u00fccre de\u011fi\u015fikli\u011finin ba\u015flay\u0131p ba\u015flamad\u0131\u011f\u0131 ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Yine rahim a\u011fz\u0131ndan al\u0131nan bir s\u00fcr\u00fcnt\u00fcden HPV\u2019nin bula\u015f\u0131p bula\u015fmad\u0131\u011f\u0131, bula\u015ft\u0131ysa hangi tipinin bula\u015ft\u0131\u011f\u0131 saptanabilir. Bu tetkiklerin sonu\u00e7lar\u0131na g\u00f6re hastan\u0131n takip plan\u0131 \u00e7\u0131kar\u0131l\u0131r.<\/a><\/p>\n

GEN\u0130TAL S\u0130\u011e\u0130LLER NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/strong><\/p>\n

Tedavide hem medikal hem de cerrahi y\u00f6ntemler kullanabilir. Jinekolog muayenesinden sonra si\u011filin yayg\u0131nl\u0131\u011f\u0131na g\u00f6re medikal antiviral tedavi, elektrokoterizasyon, kriyoterapi (dondurma), lazer sistemleri ile tedavi planlan\u0131r.<\/p>\n

Dondurma i\u015flemi a\u011fr\u0131s\u0131zd\u0131r ve bir\u00e7ok zaman anestezi olmadan uygulan\u0131r. Genel olarak gebelik s\u0131ras\u0131nda si\u011fillerin olu\u015fumu ile uygulan\u0131rlar. Kimyasal y\u0131k\u0131m y\u00f6nteminde; biklorasetik asit, triklorasetik asit, podofilin ve podofilotoksin gibi asitler kullan\u0131l\u0131r. Si\u011fillerin tahrip edilmesinde olduk\u00e7a etkili olan bu asitlerin yard\u0131m\u0131 ile sorunlu b\u00f6lgeler tahrip edilir. Ancak bu tedavi sa\u011fl\u0131kl\u0131 ciltte de tahri\u015fe neden olabilir. Hastalar\u0131n kendi kendine uygulama g\u00fc\u00e7l\u00fc\u011f\u00fc ve tedavinin uzun s\u00fcreli olmas\u0131 nedeniyle zor bir y\u00f6ntemdir.<\/p>\n

Elektrokoterizasyon (yakma) si\u011fil tedavisinde s\u0131kl\u0131kla kullan\u0131l\u0131r. Si\u011fillerin h\u0131zl\u0131 s\u0131kl\u0131kla tek seansta ve kanamas\u0131z bir \u015fekilde ciltten uzakla\u015ft\u0131r\u0131lmas\u0131 m\u00fcmk\u00fcn olur. A\u011fr\u0131l\u0131 bir i\u015flem oldu\u011fundan lokal veya genel anestezi alt\u0131nda yap\u0131l\u0131r.<\/p>\n

Kriyoterapi (dondurma), si\u011filleri birden fazla seansta uygulanarak yap\u0131lan anestezi gerektirmeyen bir i\u015flemdir. Lazer koterizasyon ile si\u011filler tek seansta \u00e7\u0131kar\u0131labilir. Nadiren si\u011filin yayg\u0131nl\u0131\u011f\u0131na g\u00f6re anestezi uygulanabilir.<\/p>\n

A\u015eISI OLAN B\u0130R V\u0130R\u00dcS <\/strong><\/p>\n

HPV a\u015f\u0131s\u0131 olan bir vir\u00fcst\u00fcr. \u0130ki tip a\u015f\u0131 vard\u0131r. Bir a\u015f\u0131da sadece HPV 16-18 e kar\u015f\u0131 koruyuculuk vard\u0131r. Di\u011fer a\u015f\u0131da HPV 6, 11, 16, 18 e kar\u015f\u0131 koruyuculuk vard\u0131r. HPV a\u015f\u0131s\u0131 v\u00fccutta var olan vir\u00fcs\u00fc veya si\u011fili yok etmez. A\u015f\u0131 ileri d\u00f6nemlerde v\u00fccuda girebilecek bu d\u00f6rt tipe kar\u015f\u0131 koruyuculuk sa\u011flanmas\u0131 amac\u0131yla yap\u0131lmaktad\u0131r.<\/p>\n

HPV a\u015f\u0131s\u0131n\u0131n m\u00fcmk\u00fcnse cinsel aktivite ba\u015flamadan 11-12 ya\u015f\u0131ndaki k\u0131z ve erkek \u00e7ocuklara yap\u0131lmas\u0131 \u00f6nerilmektedir. Ancak cinsel aktivite olsa da HPV testi yapt\u0131r\u0131lmas\u0131na gerek olmadan a\u015f\u0131 yap\u0131labilir. A\u015f\u0131n\u0131n halen 9-43 ya\u015f aras\u0131 kad\u0131nlarda etkinli\u011finin oldu\u011fu saptanm\u0131\u015ft\u0131r. \u0130kili a\u015f\u0131 0-1-6, d\u00f6rtl\u00fc a\u015f\u0131 0-2-6 olmak \u00fczere \u00fc\u00e7 doz yap\u0131lmaktad\u0131r. \u015eu andaki bilgiler a\u015f\u0131n\u0131n rapele ihtiyac\u0131 olmad\u0131\u011f\u0131 y\u00f6n\u00fcndedir. Bu a\u015f\u0131lar canl\u0131 veya \u00f6l\u00fc vir\u00fcs bulundurmad\u0131\u011f\u0131ndan yap\u0131ld\u0131\u011f\u0131nda HPV enfeksiyonu, HPV\u2019ye ba\u011fl\u0131 kansere neden olmazlar.<\/p>\n

Genital si\u011fili olan hastalarda si\u011fili yok edici tedavinin yan\u0131nda ba\u011f\u0131\u015f\u0131kl\u0131k sistemini g\u00fc\u00e7lendirecek ila\u00e7 ve vitamin deste\u011fi de verilmesi si\u011filin tekrarlama \u015fans\u0131n\u0131 da d\u00fc\u015f\u00fcrecektir.<\/p>\n

Sonu\u00e7 olarak genital si\u011filler g\u00f6r\u00fcld\u00fc\u011f\u00fcnde h\u0131zl\u0131 yay\u0131lma potansiyeli d\u00fc\u015f\u00fcn\u00fclerek tedavisinin hemen planlanmas\u0131 gereklidir. Bu arada partner de mutlaka ayr\u0131nt\u0131l\u0131 bir muayeneden ge\u00e7melidir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Cinsel…<\/p>\n","protected":false},"author":15,"featured_media":111019,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[130,1576,138],"tags":[],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/111017"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=111017"}],"version-history":[{"count":1,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/111017\/revisions"}],"predecessor-version":[{"id":111020,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/111017\/revisions\/111020"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/111019"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=111017"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=111017"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=111017"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}