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{"id":7371,"date":"2015-12-24T10:43:00","date_gmt":"2015-12-24T08:43:00","guid":{"rendered":"https:\/\/www.coolkadin.com\/?p=7371"},"modified":"2015-12-24T10:43:00","modified_gmt":"2015-12-24T08:43:00","slug":"rahmin-dogustan-olmamasi-rokitansky-kuster-hauser-mayer-sendromu-rkm","status":"publish","type":"post","link":"https:\/\/www.coolkadin.com\/rahmin-dogustan-olmamasi-rokitansky-kuster-hauser-mayer-sendromu-rkm.html","title":{"rendered":"RAHM\u0130N DO\u011eU\u015eTAN OLMAMASI – ROKITANSKY KUSTER HAUSER MAYER SENDROMU (RKM)"},"content":{"rendered":"

Baz\u0131 kad\u0131nlarda do\u011fu\u015ftan rahim bulunmaz baz\u0131lar\u0131n\u0131nda vajen b\u00f6lgesi geli\u015fmemi\u015ftir. Genelde hastalarda \u00fcrogenital sin\u00fcsten olu\u015fan k\u0131sa bir vajen mevcuttur., Ender durumlarda vajen hi\u00e7 geli\u015fmemi\u015ftir. RKM Sendromu hastalar\u0131nda b\u00fcy\u00fcme ve geli\u015fme gayet normaldir. Ayr\u0131ca genetik yap\u0131lar\u0131 46 XX \u015feklindedir. Bunun yan\u0131 s\u0131ra yumurtal\u0131k fonksiyonlar\u0131 normaldir. RKM Sendromu\u2019nun 4000 – 5000 canl\u0131 do\u011fumda bir g\u00f6r\u00fcld\u00fc\u011f\u00fc biliniyor. Hastal\u0131\u011f\u0131n nedeni hakk\u0131nda kesin bilgi mevcut de\u011fildir. Hastal\u0131\u011fa sahip ki\u015filerde \u015fikayetler genelde ergenlik \u00e7a\u011f\u0131nda adet kanamalar\u0131n\u0131n ba\u015flamamas\u0131 ile ba\u015flar.
\nBunun d\u0131\u015f\u0131nda v\u00fccut b\u00fcy\u00fcme ve geli\u015fmelerinde, g\u00f6\u011f\u00fcs geli\u015fmelerinde bir anormallik yoktur. Ergenlik \u00e7a\u011f\u0131 geli\u015fimlerinde de anormallik bulunmaz. Ancak vajen s\u0131kl\u0131kla k\u0131sa oldu\u011fu i\u00e7in ili\u015fki s\u0131ras\u0131nda zorluk \u00e7ekebilirler. Ayr\u0131ca RKM Sendromu hastalar\u0131n\u0131n yakla\u015f\u0131k 1\/3\u2019\u00fcnde \u00fcriner sistem anomalileri ve %10\u2019unda iskelet anomalileri mevcuttur. \u00dcriner sistem anomalilerini tespit etmek i\u00e7in IVP \u00e7ekilir. Genelde hastalarda bir b\u00f6bre\u011fin yoklu\u011fu veya normal d\u0131\u015f\u0131 bir b\u00f6lgede yerle\u015fmi\u015f oldu\u011fu g\u00f6zlemlenir.
\nGenetik bir sorun olmad\u0131\u011f\u0131 halde hastalara kromozom incelemesi yap\u0131lmak gerekir. Bunun nedeni hastal\u0131\u011f\u0131n belirtilerinin Androjen \u0130nsensitivite Sendromu\u2019na (Testik\u00fcler Feminizasyon) benzemesidir. Ancak hastalar\u0131nda Androjen \u0130nsensitivite Sendromu kromozomlar 46 XY’dir. Hastalar\u0131n normal cinsel hayatlar\u0131n\u0131 s\u00fcrd\u00fcrebilmeleri i\u00e7in ameliyatla normal uzunlukta bir vajina olu\u015fturulmas\u0131 gerekir. Vajen derinli\u011fini artt\u0131rmak i\u00e7in ameliyat yap\u0131lmadan Frank tekni\u011fi uygulanabilir. Ancak bu teknik her zaman ba\u015far\u0131 sa\u011flamaz ve rahats\u0131zl\u0131k verici bir uygulamad\u0131r. Ameliyat yap\u0131lan tedavilerde McIndoe ve Williams vajinoplasti kullan\u0131l\u0131r.
\n\u00c7ocuk sahibi olmak i\u00e7in tek \u00e7are ta\u015f\u0131y\u0131c\u0131 anneliktir. Bu kad\u0131nlarda bebe\u011fin geli\u015fmesi i\u00e7in gerekli olan rahim olmad\u0131\u011f\u0131 i\u00e7in al\u0131nan yumurtalar e\u015finin spermi ile d\u00f6llendikten sonra embryo ba\u015fka bir kad\u0131na aktar\u0131larak bebe\u011fin geli\u015fimi sa\u011flan\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Baz\u0131…<\/p>\n","protected":false},"author":1,"featured_media":7376,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576],"tags":[169,1373,225,4704,471,404,2707,153],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7371"}],"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=7371"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7371\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7376"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}