T\u0131bbi olarak; \u201cDismonere\u201d denen adet a\u011fr\u0131s\u0131 kad\u0131nlar\u0131n adet d\u00f6nemlerinde yakla\u015f\u0131k %50\u2019sinde g\u00f6r\u00fcl\u00fcr. Bazen bu adet a\u011fr\u0131lar\u0131 g\u00fcnl\u00fck hayat\u0131 etkileyecek derecede a\u011f\u0131r olabilir.<\/p>\n\n\n\n
Alt b\u00f6lgede kas\u0131klara, bacaklara ve bele yay\u0131lan a\u011fr\u0131l\u0131 adet g\u00f6rme kramplar \u015feklinde gelir. Bu a\u011fr\u0131 ve kramplara ayr\u0131ca; ba\u015f a\u011fr\u0131s\u0131, ba\u015f d\u00f6nmesi, bulant\u0131, kusma, halsizlik, ishal, sinirlilik ve bay\u0131lmalar da e\u015flik edebilir.<\/p>\n\n\n\n
Kad\u0131nlar\u0131n g\u00fcnl\u00fck hayat\u0131 ve i\u015f hayat\u0131n\u0131 olumsuz etkileyen a\u011fr\u0131lar iki tiptir:<\/strong><\/p>\n\n\n\n 1-Primer Dismenere; ergenlikte adetlerin olu\u015fmas\u0131 ile birlikte altta ba\u015fka bir organik neden olmaks\u0131z\u0131n , a\u011fr\u0131 olu\u015fturan Prostoglandinlerin \u00fcretimi ile ortaya \u00e7\u0131kan do\u011fal bir s\u00fcre\u00e7tir. Ergenlikle beraber 20-25 ya\u015flara kadar azalarak s\u00fcrer.<\/p>\n\n\n\n 2-Sekonder Dismonere; normal adet kramplar\u0131 d\u0131\u015f\u0131nda altta yatan ba\u015fka bir patolojik nedeni ile olan a\u011fr\u0131lard\u0131r. 20-30 ya\u015ftan sonra ortaya \u00e7\u0131karlar, giderek a\u011fr\u0131lar\u0131n \u015fiddeti artar. Sekonder dismonere nedenleri aras\u0131nda; miyom, endometriosiz, \u00e7e\u015fitli over kistleri, polip, genital pelvik enfeksiyonlar, adenomiyozis, servikal darl\u0131k, pelvik yap\u0131\u015f\u0131kl\u0131klar, bas\u0131 yapan t\u00fcm\u00f6rler ve spiral (Ria) gibi nedenler say\u0131labilir.<\/p>\n\n\n\n \u0130la\u00e7lar:Nonsteroid antiinflamatuar ila\u00e7lar ile (Naproksen, ibubrufen v.s).. \u0130la\u00e7larla a\u011fr\u0131 yapan Prostoglandin \u00fcretimi k\u0131s\u0131tlan\u0131r. Do\u011fum kontrol hap\u0131 ise hormonal dalgalanmalar ile olu\u015fan kas\u0131lmalar engellenebilir. Rahim kasl\u0131 bir organ oldu\u011fu i\u00e7in kas gev\u015fetici ila\u00e7lar da i\u015fe yarayabilir. Genellikle ilk 2 g\u00fcn s\u00fcren adet a\u011fr\u0131lar\u0131 bu ila\u00e7lar\u0131n kullan\u0131m\u0131yla ge\u00e7er.<\/p>\n\n\n\n Cerrahi y\u00f6ntemler: Sekonder dismenorede en yayg\u0131n neden miyomlard\u0131r. Miyomlara 40 ya\u015f \u00fczerinde 1\/3 kad\u0131nda rastlan\u0131r. \u015eiddetli a\u011fr\u0131 veya kanama yapan veya 5 cm \u00fczerinde olan miyomlara, genel anestezi alt\u0131nda Miyemektomi yap\u0131larak yani; Miyom al\u0131narak a\u011fr\u0131 giderilebilir. Endometrioma denen rahim i\u00e7 zar\u0131n\u0131n yumurtal\u0131klara yerle\u015fmesiyle olu\u015fan kistler de \u015fiddetli adet a\u011fr\u0131lar\u0131 ve cinsel ili\u015fkide a\u011fr\u0131lar yapabilir. Bu kistler de a\u00e7\u0131k ameliyatla veya laparoskopiyle \u00e7\u0131kar\u0131larak a\u011fr\u0131lar yok edilebilir. Yine de ge\u00e7meyen a\u011fr\u0131lar i\u00e7in Presakral Nevrektomi denilen rahim arka b\u00f6lgesinden ge\u00e7en sinirler kesilerek veya uterosakral ligamentin kesilmesiyle bu b\u00f6lgeden gelen a\u011fr\u0131lar\u0131n beyne iletimi engellenebilir. \u015eiddetli olgularda rahimin al\u0131nmas\u0131 son a\u015famadaki tedavi \u015feklidir.<\/p>\n\n\n\n Di\u011fer Tedaviler: A\u011fr\u0131y\u0131 hafifleten ama tam gidermeyen tedavilerdir.<\/strong><\/p>\n\n\n\n 1-S\u0131cak uygulama: S\u0131cak banyolar ,kar\u0131n \u00fczerine \u0131s\u0131t\u0131lm\u0131\u015f havlu uygulama,s\u0131cak su torbas\u0131 koyma ve pedler a\u011fr\u0131y\u0131 azalt\u0131r.<\/p>\n\n\n\n 2-Uyku, meditasyon,yoga,plates,a\u011fr\u0131 kontrol\u00fcn\u00fc ve kaslar\u0131n gev\u015femesini sa\u011flamak a\u00e7\u0131s\u0131ndan faydal\u0131 olabilir.<\/p>\n\n\n\n 3-Egzersizler:Y\u00fcr\u00fcy\u00fc\u015f,bisiklet,y\u00fczme gibi hafif spor faaliyeleri ,a\u011fr\u0131y\u0131 azaltan endorf\u0131n salg\u0131lamas\u0131n\u0131 \u00fcreterek adet a\u011fr\u0131s\u0131n\u0131 azalt\u0131rlar. Sporcularda adet a\u011fr\u0131lar\u0131na daha az rastlan\u0131r.<\/p>\n\n\n\n 4-Masaj:Kar\u0131n kaslar\u0131n\u0131n kanlanmas\u0131n\u0131 art\u0131r\u0131p gev\u015feterek a\u011fr\u0131y\u0131 giderir.<\/p>\n\n\n\n 5-Akapunktur:Belirli sinir b\u00f6lgelerinde blokajlar yaparak; a\u011fr\u0131 olu\u015fturan yolaklar\u0131 keser ve kimyasal n\u00f6romediat\u00f6rleri azalt\u0131r.<\/p>\n\n\n\n 6-B vitamini:Magnezyum takviyeleri ve bal\u0131k ya\u011f\u0131 da a\u011fr\u0131 gidericek n\u00f6ro kimyasallar\u0131 artt\u0131r\u0131r.<\/p>\n\n\n\n 7-Bitki \u00c7aylar\u0131: Papatya ,\u00e7ivanper\u00e7emi,sar\u0131 kantaron, nane ,ada\u00e7ay\u0131 ,aslanper\u00e7emi,safran.maydonoz suyu hem \u00f6dem at\u0131c\u0131; hem de kas kramplar\u0131n\u0131 \u00f6nleyici faydalar\u0131 vard\u0131r.<\/p>\n\n\n\n 8-Sigara:Sigara i\u00e7en kad\u0131nlarda adet a\u011fr\u0131lar\u0131na daha fazla rastlan\u0131r.Sigaray\u0131 b\u0131rakanlar da adet a\u011fr\u0131lar\u0131nda azalma g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n\n\n\n 9-Ruhsal Hastal\u0131klar: Cinsel sorunlar ,e\u011fitim yetersizli\u011fi , k\u00f6t\u00fc sosyo-ekonomik yap\u0131daki kad\u0131nlarda a\u011fr\u0131l\u0131 adete daha s\u0131k rastlan\u0131r. Annesinde adet a\u011fr\u0131s\u0131 olan k\u0131zlarda genetik fakt\u00f6rler d\u0131\u015f\u0131nda; ko\u015fulland\u0131rma y\u00f6n\u00fc ile adet a\u011fr\u0131lar\u0131n\u0131n daha yayg\u0131n oldu\u011funu g\u00f6steren \u00e7al\u0131\u015fmalar vard\u0131r. Bu da adet a\u011fr\u0131lar\u0131n\u0131n psikolojik k\u00f6keni hakk\u0131nda bilgi verir.<\/p>\n","protected":false},"excerpt":{"rendered":" T\u0131bbi olarak; \u201cDismonere\u201d denen adet a\u011fr\u0131s\u0131 kad\u0131nlar\u0131n adet d\u00f6nemlerinde yakla\u015f\u0131k %50\u2019sinde g\u00f6r\u00fcl\u00fcr. Bazen bu adet a\u011fr\u0131lar\u0131 g\u00fcnl\u00fck hayat\u0131 etkileyecek derecede a\u011f\u0131r olabilir. Alt b\u00f6lgede kas\u0131klara, bacaklara ve bele yay\u0131lan a\u011fr\u0131l\u0131 adet g\u00f6rme kramplar \u015feklinde gelir. Bu a\u011fr\u0131 ve kramplara ayr\u0131ca; ba\u015f a\u011fr\u0131s\u0131, ba\u015f d\u00f6nmesi, bulant\u0131, kusma, halsizlik, ishal, sinirlilik ve bay\u0131lmalar da e\u015flik edebilir. Kad\u0131nlar\u0131n<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5382","post","type-post","status-publish","format-standard","hentry","category-kategorisiz"],"_links":{"self":[{"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/5382","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5382"}],"version-history":[{"count":1,"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/5382\/revisions"}],"predecessor-version":[{"id":5384,"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/5382\/revisions\/5384"}],"wp:attachment":[{"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nadidekorkut.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}A\u011fr\u0131l\u0131 Adet Sanc\u0131s\u0131 \u0130\u00e7in Ne Yapmal\u0131?<\/h2>\n\n\n\n
Tan\u0131; Dismonere\u2019nin ger\u00e7ek nedenini ortaya koymak i\u00e7in jinekolojik muayene, USG ve baz\u0131 testler yapmak gerekir. Hastan\u0131n hikayesi ve a\u011fr\u0131n\u0131n \u00f6zellikleri incelenmelidir. Ayr\u0131ca rahim a\u011fz\u0131ndan s\u00fcr\u00fcnt\u00fc (Smear) al\u0131nmal\u0131d\u0131r. E\u011fer bu y\u00f6ntemlerle neden ortaya koyulamam\u0131\u015fsa \u201cLaparoskopi\u201d denen; genel anestezi alt\u0131nda kameral\u0131 sistemle kar\u0131n i\u00e7i incelenmelidir.<\/p>\n\n\n\nA\u011fr\u0131l\u0131 Adet Sanc\u0131s\u0131 Nas\u0131l Ge\u00e7er?<\/h2>\n\n\n\n
Tedavi: Dismenore tedavisi; ila\u00e7 ve a\u011fr\u0131lar\u0131 azaltan tekniklerle yap\u0131labilir. Fakat \u015fiddetli olgularda cerrahi y\u00f6ntemler de gerekebilir.<\/p>\n\n\n\n