Kal\u0131n ba\u011f\u0131rsa\u011f\u0131n vajina i\u00e7ine do\u011fru s\u0131k\u0131\u015fmas\u0131d\u0131r. Rektosel (makat sarkmas\u0131) rektumun yani kal\u0131n barsa\u011f\u0131n son k\u0131sm\u0131n\u0131n vajina i\u00e7erisine do\u011fru f\u0131t\u0131kla\u015fmas\u0131d\u0131r. Daha ileri derece rektosellerde f\u0131t\u0131kla\u015fan k\u0131sm\u0131n vajina i\u00e7erisinden d\u0131\u015far\u0131ya do\u011fru \u00e7\u0131kt\u0131\u011f\u0131 izlenir. F\u0131t\u0131kla\u015fma \u00f6zellikle \u0131k\u0131nma ile artar. Vajina ve rektum aras\u0131nda bulunan destek dokulardaki (rektovajinal septum) zay\u0131flamaya ba\u011fl\u0131 olu\u015fur. \u0130leri ya\u015f, do\u011fum, obezite, kab\u0131zl\u0131k, histerektomi ameliyat\u0131 (rahmin al\u0131nmas\u0131) ge\u00e7irmi\u015f olmak rektosel i\u00e7in risk fakt\u00f6rleridir. Nadir olmayarak rektosele idrar torbas\u0131n\u0131 sarkmas\u0131 (sistosel) veya rahim sarkmas\u0131 (uterin desensus) da e\u015flik etti\u011fi g\u00f6r\u00fcl\u00fcr. Rektosel ve rektal prolapsus kar\u0131\u015ft\u0131r\u0131lmamal\u0131d\u0131r, rektal prolapsus rektumun makattan d\u0131\u015far\u0131ya \u00e7\u0131kmas\u0131d\u0131r.
\nHafif derecede bir rektosel hastada hi\u00e7bir \u015fikayet yaratmayabilir. Vajinadan sarkan ve ele gelen bir \u015fi\u015flik olmas\u0131, veya vajina i\u00e7erisinde bir kitle hissi veya vajina d\u0131\u015far\u0131ya \u00e7\u0131kacakm\u0131l gibi hisler olabilir. D\u0131\u015fk\u0131lamada zorlanma, gaz veya d\u0131\u015fk\u0131 tutamama, ani d\u0131\u015fk\u0131lama hissi , d\u0131\u015fk\u0131lama s\u0131ras\u0131nda rahats\u0131zl\u0131k, tam bo\u015faltamama hissi, d\u0131\u015fk\u0131lama s\u0131ras\u0131nda ele kitle gelmesi, d\u0131\u015fk\u0131lamay\u0131 tam yapabilmek i\u00e7in vajinadan veya makattan parmakla destek olma gereksinimi s\u0131k rastlanan \u015fikayetlerdir. Cinsel ili\u015fki s\u0131ras\u0131nda a\u011fr\u0131 olabilir.
\nTan\u0131s\u0131 muayene ile kolayl\u0131kla konabilir. Baz\u0131 durumlarda defakografi veya MR gibi radyolojik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerine ba\u015fvurulabilir.
\nTedavi: Hafif derecede ve hastada bir \u015fikayet yaratmayan rektosel varl\u0131\u011f\u0131nda tedaviye gerek yoktur. Hastaya kab\u0131zl\u0131\u011f\u0131 \u00f6nlemek i\u00e7in bol lifli g\u0131dalar ve bol s\u0131v\u0131 almas\u0131 \u00f6nerilir. Pelvik taban egzersizleri yapmas\u0131 \u00f6nerilir. \u0130leri derecede ve hastada \u015fikayetler yaratan rektosellerde tedavi i\u00e7in ameliyat gereklidir. Ameliyat s\u0131kl\u0131kla vajinadan, daha az olarak makattan ve nadiren de kar\u0131ndan uygulanabilmektedir. En s\u0131k uygulanan ameliyatlar kolporafi posterior ve arka kompartmana me\u015f uygulamas\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kal\u0131n…<\/p>\n","protected":false},"author":1,"featured_media":8034,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576],"tags":[310,404,5712],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/8033"}],"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=8033"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/8033\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/8034"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=8033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=8033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=8033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}