{"id":102072,"date":"2023-06-21T02:49:04","date_gmt":"2023-06-21T02:49:04","guid":{"rendered":"https:\/\/haberulus.net\/?p=102072"},"modified":"2023-06-21T02:49:04","modified_gmt":"2023-06-21T02:49:04","slug":"rahim-agzi-kanserine-karsi-onlem-alin","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=102072","title":{"rendered":"Rahim a\u011fz\u0131 kanserine kar\u015f\u0131 \u00f6nlem al\u0131n"},"content":{"rendered":"

Ara\u015ft\u0131rmalar her 100 kad\u0131ndan en az 2’sinin hayat\u0131n\u0131n bir d\u00f6neminde\u00a0rahim a\u011fz\u0131 kanserine\u00a0yakaland\u0131\u011f\u0131n\u0131 ortaya koyuyor. Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Prof. Dr. Cem \u0130yibozkurt, son zamanlarda 30-50 ya\u015f aras\u0131nda yayg\u0131n g\u00f6r\u00fclmeye ba\u015flayan hastal\u0131ktan korunma ve tedavi yollar\u0131n\u0131 \u015f\u00f6yle anlatt\u0131:<\/p>\n

\"\"<\/p>\n

Cem \u0130yibozkurt<\/p>\n<\/div>\n

En \u00f6nemli nedeni olan HPV vir\u00fcs\u00fcn\u00fc tan\u0131y\u0131n<\/span><\/b><\/p>\n

HPV insan papilloma vir\u00fcs\u00fcd\u00fcr ve DNA i\u00e7erir. Bug\u00fcn i\u00e7in bilinen 200’den fazla tipi vard\u0131r. Bunlar\u0131n 15 tanesi rahim a\u011fz\u0131 kanseri i\u00e7in y\u00fcksek riskli kabul edilir. HPV tip 16 rahim a\u011fz\u0131 kanserlerinin y\u00fczde 50’sine; HPV tip 18 ise y\u00fczde 20’sine sebep olmaktad\u0131r. HPV tip 6 ve 11 ise halk aras\u0131nda genital si\u011fil olarak bilinen lezyonlara yol a\u00e7maktad\u0131r. En ufak \u015fikayette kad\u0131n do\u011fum uzman\u0131n\u0131za ba\u015fvurman\u0131z \u00e7ok \u00f6nemlidir.<\/p>\n

\"\"<\/p>\n

Bu i\u015faretleri dikkate al\u0131n<\/span><\/b><\/p>\n

Rahim a\u011fz\u0131 kanseri hi\u00e7bir belirti vermeyebilece\u011fi gibi, ara kanamalar, ili\u015fki sonras\u0131 kanama, kan ile beraber ak\u0131nt\u0131 gibi belirtiler verebilir. \u0130leri evrelerde \u015fiddetli kas\u0131k a\u011fr\u0131lar\u0131, \u00e7ok miktarda d\u00fczensiz kanama ve k\u00f6t\u00fc kokulu ak\u0131nt\u0131 gibi \u015fikayetlere de sebep olabilir. Bu belirtiler g\u00f6r\u00fcld\u00fc\u011f\u00fcnde doktora ba\u015fvurulmas\u0131 gerekir.<\/p>\n

A\u015f\u0131 yapt\u0131r\u0131n<\/span><\/b><\/p>\n

HPV a\u015f\u0131s\u0131, HPV vir\u00fcs\u00fcne ve bu vir\u00fcs\u00fcn hastal\u0131k yapan etkilerine kar\u015f\u0131 geli\u015ftirilmi\u015f bir a\u015f\u0131d\u0131r. Ki\u015fide bu enfeksiyona kar\u015f\u0131 antikor olu\u015fumunu sa\u011flar. B\u00f6ylece ki\u015fi ger\u00e7ek HPV ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda vir\u00fcse kar\u015f\u0131 antikor geli\u015fti\u011finden HPV enfeksiyonundan korunmu\u015f olur. HPV a\u015f\u0131s\u0131, rahim a\u011fz\u0131 kanserlerinin yakla\u015f\u0131k y\u00fczde 90 kadar\u0131na koruma sa\u011flar. Hi\u00e7 cinsel temas\u0131 olmam\u0131\u015f ki\u015fileri a\u015f\u0131lamak, a\u015f\u0131laman\u0131n ideal zaman\u0131d\u0131r. \u00c7ocuklarda a\u015f\u0131ya kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n en iyi \u015fekilde geli\u015fece\u011fi 9-15 ya\u015f aras\u0131 ideal a\u015f\u0131 zaman\u0131d\u0131r. Bir\u00e7ok d\u00fcnya \u00fclkesinde rutin a\u015f\u0131lar i\u00e7erisine girmi\u015f olan HPV a\u015f\u0131s\u0131n\u0131n 9-15 ya\u015f k\u0131z \u00e7ocuklar\u0131na 6 ay ara ile iki kez yap\u0131lmas\u0131 \u00f6nerilir. N\u00fcfusu nispeten az olan baz\u0131 \u00fclkeler ayn\u0131 ya\u015ftaki erkek \u00e7ocuklar\u0131n\u0131 da rutin a\u015f\u0131 kapsam\u0131na alm\u0131\u015flard\u0131r. Erkekler de a\u015f\u0131 olabilir. Cinsel temas\u0131 hi\u00e7 olmam\u0131\u015f t\u00fcm ki\u015filer a\u015f\u0131lanabilir ve a\u015f\u0131n\u0131n t\u00fcm faydalar\u0131ndan yararlanabilir.<\/p>\n

Tarama yapt\u0131rmay\u0131 ihmal etmeyin<\/span><\/b><\/p>\n

Rahim a\u011fz\u0131 kanseri \u00f6nc\u00fclleri i\u00e7in mutlaka rutin kontroller ve taramalar gereklidir. Bu tarama iki \u015fekilde yap\u0131l\u0131r. Bunlar, PAP smear testi ve y\u00fcksek riskli HPV taramas\u0131d\u0131r. Bu ikisinin beraber yap\u0131lmas\u0131na kotest diyoruz. G\u00fcn\u00fcm\u00fczde sadece Smear taramalar\u0131 3 y\u0131lda bir yap\u0131labilir. Sadece HPV veya kotest taramalar\u0131 yap\u0131l\u0131p her iki test de normal gelmi\u015fse 5 y\u0131lda bir yap\u0131lmas\u0131 da uygundur.<\/p>\n

Smear testine 21 ya\u015f\u0131nda veya cinsel hayat ba\u015flad\u0131ktan sonra ba\u015flanmaktad\u0131r. HPV testlerine ise en erken 25 ya\u015f\u0131ndan sonra ba\u015flanmas\u0131 \u00f6nerilir. Genel yakla\u015f\u0131m 30 ya\u015f ve sonras\u0131nda HPV taramas\u0131na ba\u015flanmas\u0131d\u0131r. D\u00fczenli olarak PAP-Smear ve y\u00fcksek riskli HPV tarama testleri gibi rahim a\u011fz\u0131 kanseri taramas\u0131 yapt\u0131rmak \u015fartt\u0131r. E\u011fer taramalarda anormal bulgular veya y\u00fcksek riskli HPV ta\u015f\u0131nd\u0131\u011f\u0131 saptan\u0131rsa rahim a\u011fz\u0131 detayl\u0131ca incelenebilir. Bu i\u015flem genellikle anesteziye gerek kalmadan 10-15 dakikal\u0131k k\u0131sa bir s\u00fcrede yap\u0131l\u0131r. Kanser \u00f6ncesi lezyonlar\u0131n varl\u0131\u011f\u0131n\u0131 saptamada ve gerekirse biyopsi almada yararl\u0131 olur.<\/p>\n

\"\"<\/p>\n

Cinsellikte tek e\u015flili\u011fe \u00f6nem verin<\/span><\/b><\/p>\n

HPV’nin bula\u015fma riski partner say\u0131s\u0131 ve partnerin partnerlerinin say\u0131s\u0131 artt\u0131k\u00e7a fazlala\u015f\u0131r. Dolay\u0131sylae tek e\u015flilerde rahim a\u011fz\u0131 kanseri ve \u00f6nc\u00fclleri geli\u015fme riski daha azd\u0131r. Rahim a\u011fz\u0131 kanseri i\u00e7in \u00e7ok say\u0131da partneri olanlar riskli gruptad\u0131r. Ayr\u0131ca ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lay\u0131c\u0131 tedaviler ve organ nakli ge\u00e7irip ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 engelleyici ila\u00e7lar alanlar riskli grupta kabul edilebilir.<\/p>\n

\"\"<\/p>\n

D\u00fczenli kontrole gidin<\/span><\/b><\/p>\n

Rahim a\u011fz\u0131 kanserleri bir anda geli\u015fmez. Hemen her zaman \u00f6ncesinde kanser \u00f6nc\u00fclleri geli\u015fir, zamanla bunlar kansere d\u00f6n\u00fc\u015f\u00fcr. D\u00fczenli kontroller bu \u00f6nc\u00fcllerin saptanmas\u0131n\u0131 ve tedavisinin yap\u0131lmas\u0131n\u0131 sa\u011flayaca\u011f\u0131ndan kanser geli\u015fiminin \u00f6n\u00fcne ge\u00e7er.<\/p>\n

Bu ger\u00e7e\u011fi bilin<\/span><\/b><\/p>\n

Cinsel yolla bula\u015fan hastal\u0131klardan korunmay\u0131 sa\u011flayan prezervatifler, HPV enfeksiyonunun bula\u015fmas\u0131na engel olmaz.<\/p>\n

NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/span><\/b><\/p>\n

Rahim a\u011fz\u0131 kanseri erken evrelerde tamamen tedavi edilebilir. Tedavisinde cerrahi ve radyoterapi \u00f6n plandad\u0131r. Hastal\u0131\u011f\u0131n erken evrelerinde rahim korunarak sadece rahim a\u011fz\u0131n\u0131n al\u0131nmas\u0131 veya rahim a\u011fz\u0131n\u0131n bir b\u00f6l\u00fcm\u00fcn\u00fcn al\u0131nmas\u0131 ve buna lenflere bak\u0131lmas\u0131 \u015feklindeki ameliyatlarla koruyucu cerrahiler yap\u0131larak ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nabilir. Rahim a\u011fz\u0131 kanserlerinin ileri evrelerinde ise kemoradyoterapi ile t\u00fcm\u00f6r\u00fcn yine tamamen tedavi edilmesi sa\u011flanabilir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kad\u0131n kanserleri aras\u0131nda d\u00fcnya \u00e7ap\u0131nda en yayg\u0131n d\u00f6rd\u00fcnc\u00fc kanser t\u00fcr\u00fc olan rahim a\u011fz\u0131 kanseri hem \u00e7ok sinsi hem de tehlikeli. Ancak hastal\u0131\u011f\u0131n \u00f6nlenebilen ve erken te\u015fhisle tedavi edilebilen tek kanser t\u00fcr\u00fc oldu\u011funa dikkat \u00e7eken Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Prof. Dr. Cem \u0130yibozkurt, hayati \u00f6nerilerde bulundu.<\/p>\n","protected":false},"author":1,"featured_media":102073,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[180,4593,169,12667,7564],"class_list":["post-102072","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-asi","tag-hpv","tag-kan","tag-rahim-agzi-kanseri","tag-tarama"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/102072","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=102072"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/102072\/revisions"}],"predecessor-version":[{"id":102074,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/102072\/revisions\/102074"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/102073"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=102072"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=102072"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=102072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}