Kad\u0131nlarda Sessiz Bir Salg\u0131n: \u0130drar Ka\u00e7\u0131rma ve Pelvik Taban Sa\u011fl\u0131\u011f\u0131<\/p>\n\n\n\n
Do\u00e7. Dr. \u00d6zge K\u00f6m\u00fcrc\u00fc Karuserci Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131<\/p>\n\n\n\n
Kad\u0131n sa\u011fl\u0131\u011f\u0131 s\u00f6z konusu oldu\u011funda, toplum olarak en \u00e7ok konu\u015fmam\u0131z gereken konular\u0131n ba\u015f\u0131nda gelen ancak en az konu\u015fulan problem, idrar ka\u00e7\u0131rma ve pelvik taban zay\u0131fl\u0131\u011f\u0131d\u0131r. Bir\u00e7ok kad\u0131n i\u00e7in idrar ka\u00e7\u0131rma, sadece bir fiziksel problem de\u011fil; \u00f6zg\u00fcveni, mutlulu\u011fu ve ya\u015fam kalitesini etkileyen sessiz ve g\u00f6r\u00fcnmez bir m\u00fccadeledir.<\/p>\n\n\n\n
G\u00fcn\u00fcm\u00fczde ara\u015ft\u0131rmalar, kad\u0131nlar\u0131n %50\u201370\u2019inin ya\u015famlar\u0131 boyunca en az bir kez idrar ka\u00e7\u0131rma problemi ya\u015fad\u0131\u011f\u0131n\u0131, ancak yaln\u0131zca 10 kad\u0131ndan 1\u2019inin bu konuda doktora ba\u015fvurdu\u011funu g\u00f6steriyor. Yani asl\u0131nda kad\u0131nlar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc sessiz bir \u015fekilde m\u00fccadele ediyor \u2014 konu\u015fmadan, yard\u0131m istemeden, utan\u00e7 ve kabullenmi\u015flikle. \u00c7o\u011fu zaman \u00e7evreden duyulan c\u00fcmleler bu sessizli\u011fi peki\u015ftiriyor: \u201cDo\u011fumdan sonra olur zaten\u2026\u201d, \u201cAnne olunca normal\u2026\u201d, \u201cYa\u015flan\u0131nca herkes b\u00f6yle olur\u2026\u201d, \u201cTak\u0131l kafana bir \u015fey olmaz\u2026\u201d<\/p>\n\n\n\n
Ancak ger\u00e7ek \u015fu:<\/p>\n\n\n\n
Bu bir kader de\u011fil.<\/p>\n\n\n\n
Bu durum, modern t\u0131pta en ba\u015far\u0131l\u0131 tedavi edilen sa\u011fl\u0131k sorunlar\u0131ndan biridir. Ve bir kad\u0131n yaln\u0131z de\u011fildir.<\/p>\n\n\n\n
\u2e3b<\/p>\n\n\n\n
Pelvik taban nedir ve neden zay\u0131flar?<\/p>\n\n\n\n
Pelvik taban, kad\u0131n bedeninde adeta bir hamak gibi davranan, mesane, rahim ve ba\u011f\u0131rsaklar\u0131 ta\u015f\u0131yan g\u00fc\u00e7l\u00fc bir kas ve ba\u011f dokusu sistemidir. G\u00fcnl\u00fck hayat\u0131n en temel fonksiyonlar\u0131n\u0131 y\u00f6netir: \u0130drar ve d\u0131\u015fk\u0131 kontrol\u00fc, cinsel fonksiyon, organlar\u0131n yerinde durmas\u0131 ve bedenin dengesi.<\/p>\n\n\n\n
Ancak zaman i\u00e7erisinde bir\u00e7ok fakt\u00f6r pelvik taban\u0131 zay\u0131flatabilir:<\/p>\n\n\n\n
\ud83d\udc47 En s\u0131k nedenler: \u2022 Normal do\u011fum, \u00f6zellikle zor do\u011fumlar, iri bebekler, vakum-forseps \u2022 \u00c7oklu do\u011fumlar \u2022 Menopoz ve hormonlar\u0131n azalmas\u0131 \u2022 Kronik kab\u0131zl\u0131k ve \u0131k\u0131nma \u2022 Fazla kilo ve a\u011f\u0131r y\u00fck kald\u0131rma \u2022 Kronik \u00f6ks\u00fcr\u00fck, sigara \u2022 Atletik sporlar, kar\u0131n i\u00e7i bas\u0131nc\u0131 artt\u0131ran durumlar \u2022 Genetik ba\u011f dokusu zay\u0131fl\u0131\u011f\u0131 \u2022 Pelvik b\u00f6lge ameliyatlar\u0131<\/p>\n\n\n\n
Pelvik taban zay\u0131flad\u0131\u011f\u0131nda sadece idrar ka\u00e7\u0131rma ortaya \u00e7\u0131kmaz. E\u015flik eden bir\u00e7ok belirti kad\u0131n\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 ve ruhunu etkiler:<\/p>\n\n\n\n
\ud83d\udccd Sonu\u00e7lar\u0131: \u2022 \u0130drar ka\u00e7\u0131rma \u2022 Vajinal gev\u015feme \u2022 Orgazm azalmas\u0131, cinsel haz kayb\u0131 \u2022 Pelvik organ sarkmas\u0131 (rahmin veya mesanenin a\u015fa\u011f\u0131 inmesi) \u2022 Sosyal izolasyon, \u00f6zg\u00fcven kayb\u0131, depresyon<\/p>\n\n\n\n
Bir\u00e7ok kad\u0131n i\u00e7in en ac\u0131 verici an, sadece bedensel kontrol\u00fc kaybetmek de\u011fil; g\u00fclerken bacaklar\u0131n\u0131 s\u0131kmak zorunda kalmak, ko\u015fmaktan korkmak, ibadette secdeye giderken endi\u015fe duymakt\u0131r.<\/p>\n\n\n\n
\u0130drar ka\u00e7\u0131rma ya\u015fayan bir\u00e7ok kad\u0131n spor salonunu b\u0131rak\u0131r, toplu ta\u015f\u0131maya binmek istemez, konser ve sosyal etkinliklerden uzakla\u015f\u0131r, kahkaha atmay\u0131 bile kontrol etmek zorunda kal\u0131r. Baz\u0131lar\u0131 ise cinsel ili\u015fkiden uzakla\u015f\u0131r, partnerine durumu a\u00e7\u0131klayamaman\u0131n a\u011f\u0131rl\u0131\u011f\u0131n\u0131 ta\u015f\u0131r.<\/p>\n\n\n\n
\u2e3b<\/p>\n\n\n\n
\u0130yi haber: \u00c7\u00f6z\u00fcm var ve ba\u015far\u0131 oran\u0131 \u00e7ok y\u00fcksek<\/p>\n\n\n\n
Bug\u00fcn d\u00fcnya \u00e7ap\u0131nda yap\u0131lan \u00e7al\u0131\u015fmalar, do\u011fru tedavi planland\u0131\u011f\u0131nda yakla\u015f\u0131k %80\u201390 oran\u0131nda ba\u015far\u0131 elde edildi\u011fini g\u00f6steriyor. Tedavi se\u00e7enekleri art\u0131k \u00e7ok geni\u015f ve ki\u015fiye \u00f6zel.<\/p>\n\n\n\n
\ud83c\udf3f Gerekli durumlarda cerrahi \u2022 TOT \/ TVT ameliyatlar\u0131 \u2022 Pelvik organ prolapsusu cerrahileri Cerrahi ba\u015far\u0131 oranlar\u0131 d\u00fcnyada olduk\u00e7a y\u00fcksektir.<\/p>\n\n\n\n
Tedavi plan\u0131 ki\u015fiye \u00f6zel olmal\u0131d\u0131r. Her kad\u0131n\u0131n \u015fikayeti, ya\u015f\u0131, do\u011fum say\u0131s\u0131, hormon durumu ve beklentisi farkl\u0131d\u0131r.<\/p>\n\n\n\n
\u2e3b<\/p>\n\n\n\n
Evde Yap\u0131labilecek 5 Basit Egzersiz<\/p>\n\n\n\n
Pelvik taban\u0131 g\u00fc\u00e7lendirmenin en etkili yolu d\u00fczenli egzersizdir. 1. Mesane bo\u015fken rahat bir pozisyonda oturun veya uzan\u0131n 2. Vajinal b\u00f6lgeyi yukar\u0131 do\u011fru \u00e7ekiyormu\u015f gibi kas\u0131n 3. 5 saniye s\u0131k\u0131n \u2013 5 saniye gev\u015fetin 4. 10 tekrar, g\u00fcnde 3 set uygulay\u0131n 5. Kar\u0131n, kal\u00e7a ve bacak kaslar\u0131 \u00e7al\u0131\u015fmamal\u0131 \u2014 sadece vajinal b\u00f6lge<\/p>\n\n\n\n
D\u00fczenli yap\u0131lan egzersizle: \u2022 4\u20136 haftada fark edilir iyile\u015fme \u2022 3 ayda g\u00fc\u00e7l\u00fc klinik sonu\u00e7lar \u2022 6 ayda kal\u0131c\u0131 kas kontrol\u00fc sa\u011flan\u0131r.<\/p>\n\n\n\n
\u2e3b<\/p>\n\n\n\n
Neden konu\u015fmal\u0131y\u0131z?<\/p>\n\n\n\n
Bu problem: \u2022 Kad\u0131n\u0131n ya\u015fam enerjisini azalt\u0131r \u2022 Sosyal ya\u015fam\u0131 k\u0131s\u0131tlar \u2022 Spor ve hareket \u00f6zg\u00fcrl\u00fc\u011f\u00fcn\u00fc \u00e7alar \u2022 Namazda secdeyi bile zorla\u015ft\u0131rabilir \u2022 Evlilik ve cinsel uyumu etkileyebilir \u2022 Ruh sa\u011fl\u0131\u011f\u0131n\u0131 ve \u00f6zg\u00fcveni t\u00fcketir<\/p>\n\n\n\n
Ancak konu\u015fulmaya ba\u015fland\u0131\u011f\u0131 anda \u00e7\u00f6z\u00fclmeye ba\u015flar. Sessizlik en b\u00fcy\u00fck d\u00fc\u015fmand\u0131r.<\/p>\n\n\n\n
Kad\u0131n iyi oldu\u011funda, toplum iyile\u015fir. Kad\u0131n g\u00fc\u00e7lendi\u011finde, gelecek g\u00fc\u00e7lenir. Kad\u0131n sessiz kal\u0131rsa, toplum eksilir.<\/p>\n\n\n\n
\u2e3b<\/p>\n\n\n\n
Sessizli\u011fi birlikte bitirelim<\/p>\n\n\n\n
Her kad\u0131n do\u011fdu\u011fu g\u00fcnden hayat\u0131n\u0131n son an\u0131na kadar: \u2022 Kahkaha atmay\u0131, \u2022 \u00d6zg\u00fcrce ko\u015fmay\u0131, \u2022 Rahat\u00e7a ibadet etmeyi, \u2022 Kendini g\u00fc\u00e7l\u00fc hissetmeyi hak eder.<\/p>\n\n\n\n
Kimse yaln\u0131z de\u011fil. \u00c7\u00f6z\u00fcm var ve bilimin g\u00fcc\u00fc art\u0131k \u00e7ok b\u00fcy\u00fck. \ud83c\udf40 Peki sizin pelvik taban kaslar\u0131n\u0131z ne durumda? A\u015fa\u011f\u0131daki QR kodu okutarak 1 dakikal\u0131k testle \u00f6\u011frenin.<\/p>\n\n\n\n
\u2e3b<\/p>\n\n\n\n
Bilimsel Kaynaklar<\/p>\n\n\n\n
ICS \u2013 International Continence Society IUGA \u2013 International Urogynecological Association Subak LL et al., Obstetrics & Gynecology<\/p>\n\n\n\n
Detayl\u0131 Bilgi ve Anket i\u00e7in \u0130leti\u015fime ge\u00e7ebilirsiniz.<\/p>\n\n\n\n<\/figure>\n\n\n\n
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