Endometrioma her kad\u0131nda olu\u015fmas\u0131 muhtemeler kistler biridir.\u00a0Rahmin i\u00e7 katman\u0131n\u0131 olu\u015fturan ve adet kanamas\u0131n\u0131n ger\u00e7ekle\u015fmesini sa\u011flayan endometrium, adet sonras\u0131 d\u00f6nemde 3\u20135 mm kal\u0131nl\u0131\u011fa sahiptir. Endometrium mensturasyon periyodu (adet d\u00f6ng\u00fcs\u00fc) s\u00fcrecinde, salg\u0131lanan hormonlar vas\u0131tas\u0131yla kal\u0131nla\u015f\u0131r ve adet d\u00f6nemi \u00f6ncesi 9\u201315 mm kal\u0131nl\u0131\u011fa sahip olur. Yumurtal\u0131ktan sal\u0131nan yumurta sperm taraf\u0131ndan a\u015f\u0131lan\u0131rsa 5\u20136 g\u00fcnl\u00fck s\u00fcre zarf\u0131nda embriyo rahme ula\u015f\u0131r ve b\u00fcy\u00fcy\u00fcp geli\u015fmesi i\u00e7in haz\u0131rlanm\u0131\u015f olan rahme tutunarak geli\u015fimine devam eder.<\/p>\n

Yumurtan\u0131n sperm taraf\u0131ndan a\u015f\u0131lanmas\u0131 ger\u00e7ekle\u015fmemi\u015f ise kal\u0131nla\u015fm\u0131\u015f olan rahim i\u00e7i katman bir miktar kanla birlikte vajinadan v\u00fccudu terk eder.<\/p>\n

Sebebi tam olarak bilinmemekle beraber endometrium h\u00fccrelerinin rahim d\u0131\u015f\u0131nda herhangi bir b\u00f6lgeye yerle\u015febilmesi (kar\u0131n i\u00e7 zar\u0131 \u00fczerinde, rahim \u00fczerinde, yumurtal\u0131klar \u00fczerinde) m\u00fcmk\u00fcn olmaktad\u0131r. Endometrium h\u00fccreleri rahim i\u00e7inde g\u00f6sterdikleri davran\u0131\u015f\u0131 yerle\u015ftikleri bu b\u00f6lgelerde de her ay tekrar ederler. Yani rahmin i\u00e7inde yapt\u0131klar\u0131 gibi her ay kal\u0131nla\u015f\u0131r ve kanama ile d\u00f6k\u00fcl\u00fcrler. Bu d\u00f6k\u00fcnt\u00fcler bulunduklar\u0131 b\u00f6lgenin etraf\u0131ndaki dokular\u0131n aras\u0131nda adezyonlara (yap\u0131\u015f\u0131kl\u0131k) neden olurlar ki buna da endometriozis (\u00e7ikolata kisti) ad\u0131 verilir.<\/p>\n

Endometriozis neye benzer?
\nEndometrium h\u00fccrelerinin overe (yumurtal\u0131k) yerle\u015fmesi ve olu\u015fan kanamalar\u0131n yumurtal\u0131kta birikerek olu\u015fturduklar\u0131 kistlere \u00e7ikolata kisti (endometriozis) ad\u0131 verilir. Kistin i\u00e7inde biriken s\u0131v\u0131n\u0131n renginin genellikle koyu kahverengi olmas\u0131 ve g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fcn de \u00e7ikolataya benzetilmesi nedeniyle bu ismi alm\u0131\u015ft\u0131r.<\/p>\n

\u00c7o\u011funlukla sol veya sa\u011f yumurtal\u0131\u011f\u0131n birinde, nadiren her ikisinde birden g\u00f6r\u00fclen bu kistler, yap\u0131lar\u0131 itibariyle habis ya da kansere sebep olabilen kistler de\u011fildir. S\u0131kl\u0131kla 4\u20135 cm boyutunda g\u00f6r\u00fclen bu kistler, 10-15 cm\u2019ye kadar ula\u015fabilmektedirler.<\/p>\n

A\u015fa\u011f\u0131daki resimde endometriozis \u00f6rne\u011fi g\u00f6r\u00fclmektedir<\/p>\n

endometriosiz<\/p>\n

Endometriozis belirtiler nedir?
\nEndometriozis (\u00e7ikolata kisti) ya da endometrioma hastalar\u0131, \u015fiddetli a\u011fr\u0131 ile seyreden adet kanamalar\u0131ndan, cinsel m\u00fcnasebet sonras\u0131nda a\u011fr\u0131dan ve kronik pelvik ya da bel a\u011fr\u0131lar\u0131ndan \u015fikayet ederler. Endometriozise sebep olan mekanizma hakk\u0131nda kesin bir bilgi bulunmad\u0131\u011f\u0131ndan nedeninin kesin olarak ne oldu\u011fu da s\u00f6ylenememektedir. Bu a\u00e7\u0131dan \u201cteoriler hastal\u0131\u011f\u0131\u201d olarak de\u011ferlendirilen endometriomalar\u0131n olu\u015fumu hakk\u0131nda en \u00e7ok kabul g\u00f6ren teori, adet kanamas\u0131 s\u0131ras\u0131nda bir miktar kan\u0131n geriye do\u011fru akmas\u0131 ve bu s\u0131rada adet kan\u0131n\u0131n i\u00e7inde bulunan endometrium h\u00fccrelerinin yumurtal\u0131\u011fa tutunmas\u0131 sonucunda olu\u015ftu\u011fudur.<\/p>\n

Genel olarak endometriozis belirtilerini sayacak olursak:<\/p>\n

Adetlerin sanc\u0131l\u0131 ge\u00e7mesi
\n\u0130shal ve kab\u0131zl\u0131k durumu
\n\u0130drarda kan g\u00f6r\u00fclmesi
\nCinsel ili\u015fki s\u0131ras\u0131nda a\u011fr\u0131
\nBacaklarda a\u011fr\u0131 olmas\u0131
\nKar\u0131n a\u011fr\u0131s\u0131
\nBel a\u011fr\u0131s\u0131
\nS\u0131rt a\u011fr\u0131s\u0131
\nKas\u0131klarda kronik a\u011fr\u0131
\nAdet kanamas\u0131yla birlikte g\u00f6r\u00fclen burun kanamas\u0131
\nV\u00fccudun \u00e7e\u015fitli yerinde morluklar g\u00f6r\u00fclmesi
\nD\u0131\u015fk\u0131da kan g\u00f6r\u00fclmesi
\nK\u0131s\u0131rl\u0131k
\n\u0130drar yaparken yanma durumu endometriozis belirtileridir.
\nEndometriozis (\u00e7ikolata kisti) nas\u0131l olu\u015fur?
\nEndometriozis (\u00e7ikolata kisti) hastal\u0131\u011f\u0131n\u0131n olu\u015fumuna neden olarak genetik fakt\u00f6rlerin \u00fczerinde daha fazla durulmaktad\u0131r. \u00c7ikolata kisti, \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlarda g\u00f6r\u00fclen bir hastal\u0131kt\u0131r ve \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlar aras\u0131ndaki g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 % 10\u2019dur. Gebe kalamama sorunu ya\u015fayan her 10 kad\u0131ndan 2-4\u2019\u00fcnde (% 20-40) k\u0131s\u0131rl\u0131k sebebi endometriozis yani \u00e7ikolata kistidir.<\/p>\n

\u015eiddetli a\u011fr\u0131 ile seyreden adet kanamalar\u0131, cinsel m\u00fcnasebet sonras\u0131nda a\u011fr\u0131 ve kronik pelvik ya da bel a\u011fr\u0131lar\u0131n\u0131n ile belirti verdi\u011fi gibi hi\u00e7bir belirti g\u00f6stermeden tesad\u00fcf eseri de saptanabilmektedir.<\/p>\n

Kan testleri ve ultrasonografik de\u011ferlendirme ile saptanabilen endometrioman\u0131n tan\u0131s\u0131 kesin olarak, operasyonla \u00e7\u0131kar\u0131lan kitlenin patalojik incelemesi sonucunda konulabilir. \u00d6zellikle jinekolojik (vajinal ultrason ya da transvajinal ultrason) ultrasondaki tipik g\u00f6r\u00fcnt\u00fcs\u00fc ile kolayca tan\u0131nabilen endometriozis kistlerine konulan tan\u0131lar\u0131n ba\u015far\u0131 oran\u0131 % 90\u2019\u0131n \u00fczerindedir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Endometrioma…<\/p>\n","protected":false},"author":1,"featured_media":7849,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576],"tags":[5372,4658,310,5327,2715],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7847"}],"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=7847"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7847\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7849"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7847"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7847"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7847"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}