K\u0131z \u00e7ocuklar\u0131n\u0131n ergenlik\u00a0\u00e7a\u011f\u0131nda adet g\u00f6remedi\u011fi hormonal etkenler nedeniyle ya\u015fad\u0131klar\u0131 hastal\u0131kt\u0131r.\u00a0Adet kanamas\u0131n\u0131n ilk g\u00fcn\u00fc , siklusun birinci g\u00fcn\u00fc olarak kabul edilir. \u0130ki adet kanamas\u0131 aras\u0131 ge\u00e7en s\u00fcre , %65 kad\u0131nda 18 – 40 g\u00fcn aras\u0131nda de\u011fi\u015fmek \u00fczere 28 g\u00fcn ( 25 – 31 g\u00fcn ) d\u00fcr. Adet kanamalar\u0131 belirli bir takvime bir kez oturan bir kad\u0131nda daha sonra meydana gelebilecek g\u00fcn sapmalar\u0131, normalde
\nbe\u015f g\u00fcn\u00fc ge\u00e7mez. Adet kanamas\u0131n\u0131n ortalama devam s\u00fcresi 5 g\u00fcn (3-7 g\u00fcn) d\u00fcr. Kaybedilen kan miktar\u0131 13 -300 ml aras\u0131nda de\u011fi\u015fmek \u00fczere ortalama 130 ml’dir. En fazla kan , genellikle kanaman\u0131n ikinci g\u00fcn\u00fcnde kaybedilir. Bir pet veya tampon ortalama 20 – 30 ml kan emebilir. Adet kan\u0131, kanama \u00e7ok \u015fiddetli olmad\u0131\u011f\u0131 s\u00fcrece p\u0131ht\u0131la\u015fmaz.
\nBelirtileri nelerdir ?
\nAdet Periyodlar\u0131n\u0131n Olmamas\u0131<\/p>\n

Galaktore<\/p>\n

S\u0131cak Basmas\u0131<\/p>\n

Erken Gebelik Semptomlar\u0131<\/p>\n

Androjen Fazlal\u0131\u011f\u0131 Belirtileri
\nNedenleri nelerdir ?
\nPrimer Amenore<\/p>\n

\u0130mperfore Hymen<\/p>\n

Uterus ve 2\/3 \u00dcst Vajina Agenezisi<\/p>\n

Turner sendromu<\/p>\n

Yap\u0131sal geli\u015fme gecikmesi<\/p>\n

Sekonder Amenore<\/p>\n

Fizyolojik: Gebeli\u011fe ba\u011fl\u0131, Korpus Luteum Kisti, S\u00fct verme, Menapoz<\/p>\n

Hipotalamus- Hipofiz aks\u0131n\u0131n bask\u0131lanmas\u0131na ba\u011fl\u0131 do\u011fum kontrol hap\u0131 al\u0131m\u0131 sonras\u0131 amenore, stress, kilo kayb\u0131, v\u00fccut kitle indeksinin d\u00fc\u015f\u00fck olmas\u0131<\/p>\n

Hipofiz hastal\u0131\u011f\u0131: Hipofizin Ablasyonu, Sheehan Sendromu, Prolaktinoma<\/p>\n

Kontrol Edilmemi\u015f Endokrinopatiler: Diyabet, Hipotiroidizm ve Hipertiroidizm<\/p>\n

Polikistik Over Hastal\u0131\u011f\u0131 (Stein- Leventhal Sendromu)<\/p>\n

Kemoterapi<\/p>\n

Pelvik I\u015f\u0131nlama<\/p>\n

Endometrial Ablasyon (Asherman Sendromu)<\/p>\n

\u0130la\u00e7 tedavisi: Sistemik Steroidler, Danazol, GnRh Analoglar\u0131<\/p>\n

Premat\u00fcr Ovaryen Yetmezlik
\nBak\u0131m ve \u00f6nlemler nelerdir ?
\nTedavi , amenorenin sebebinin belirlenmesine ba\u011fl\u0131d\u0131r.<\/p>\n

Hymenektomi, imperfore hymene ba\u011fl\u0131 amenorelerde g\u00fcnl\u00fck cerrahi giri\u015fim olarak yap\u0131labilir.T\u00fcm\u00fcn\u00fcn tedavisi , \u00f6zellikle ge\u00e7ici amenorelerin tedavisi zorunlu de\u011fildir.<\/p>\n

Aktivitede k\u0131s\u0131tlama yap\u0131lmaz.<\/p>\n

A\u015f\u0131r\u0131 kilo \/ Zay\u0131fl\u0131k \u00f6nlenmelidir.Uygun V\u00fccut Kitle \u0130ndeksi sa\u011flanmal\u0131d\u0131r.<\/p>\n

Hastan\u0131n gebe olup olmad\u0131\u011f\u0131 konusunda, altta yatan sebep hakk\u0131nda bilgilendirilmesi gerekir.<\/p>\n

\u00d6zel e\u011fitim i\u00e7in baz\u0131 kaynaklar ; prenatal bak\u0131m, menapoz destek gruplar\u0131 kullan\u0131labilir.<\/p>\n

Amenorenin ge\u00e7ici veya kal\u0131c\u0131 oldu\u011fu, fertilite \u00fczerine etkisi, tedavi edilmez ise sekelleri ( osteoporoz, vaginal kuruluk) hakk\u0131nda bilgi verilir.<\/p>\n

Fertilite adetlerden \u00f6nce ba\u015flayabilecek ise kontraseptif y\u00f6ntemler anlat\u0131lmal\u0131d\u0131r.<\/p>\n

Amenore fertilitenin azalmas\u0131 veya yok olmas\u0131 ile ili\u015fkili ise hastaya ayr\u0131 bir destek gerekebilir.
\nTedavi yollar\u0131 nelerdir ?
\nProgesteron Replasman\u0131
\nMedroksiprogesteron 5 mg g\u00fcnde 2 kez , 5 g\u00fcn s\u00fcre ile verilirse Hipotalamus – Hipofiz – Over aks\u0131 intakt ise ve endojen \u00f6strojen var ise \u00e7ekilme kanamas\u0131 olacakt\u0131r.<\/p>\n

\u00d6strojen Replasman\u0131
\nGenital trakt\u00fcs normal ise g\u00fcnde 0,625 mg Konjuge \u00d6strojen 25 g\u00fcn: son 10 g\u00fcn\u00fcne Progesteron ilave edilirse adet kanamas\u0131 olacakt\u0131r.<\/p>\n

Hormonal tedavi altta yatan problemi d\u00fczeltmeyecektir. Di\u011fer problemler i\u00e7in: Hiperprolaktinemi i\u00e7in Bromokriptin gibi , ba\u015fka ila\u00e7lar da gerekebilir.<\/p>\n

6 ayl\u0131k Amenoreyi takiben, primer sebebin ne oldu\u011funa bakmaks\u0131z\u0131n Osteoporoz riskini ve Hipo\u00f6strojenemiye ba\u011fl\u0131 Hiperkolesterolemiyi azaltmak amac\u0131 ile Hormon Replasman\u0131 yap\u0131lmal\u0131d\u0131r.<\/p>\n

Gebelik isteyen Amenoreli hastalarda Hormon Replasman\u0131 verilmez. Fertilite Tedavisi yap\u0131l\u0131r.
\nTedavi s\u0131ras\u0131nda dikkat edilmesi gereken hususlar
\nDiyabet<\/p>\n

Konv\u00fclzif Hastal\u0131k<\/p>\n

Migren<\/p>\n

35 ya\u015f \u00fcst\u00fc<\/p>\n

Sigara \u0130\u00e7enler<\/p>\n

Hastan\u0131n takibi nedene ve tedaviye g\u00f6re de\u011fi\u015fir.<\/p>\n

Hormon Replasman\u0131 kullan\u0131lacaksa 6 ay sonra kesilerek adetlerin spontan olarak ba\u015flay\u0131p ba\u015flamayaca\u011f\u0131 de\u011ferlendirilmelidir.<\/p>\n","protected":false},"excerpt":{"rendered":"

K\u0131z…<\/p>\n","protected":false},"author":1,"featured_media":15645,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1578],"tags":[8565,8564,153],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/15643"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=15643"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/15643\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/15645"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=15643"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=15643"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=15643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}