{"id":408,"date":"2022-04-22T13:43:26","date_gmt":"2022-04-22T10:43:26","guid":{"rendered":"http:\/\/localhost\/?page_id=408"},"modified":"2022-04-22T13:43:26","modified_gmt":"2022-04-22T10:43:26","slug":"jinekolojik-muayene","status":"publish","type":"page","link":"https:\/\/tulinkahveci.com\/index.php\/jinekolojik-muayene\/","title":{"rendered":"Jinekolojik Muayene"},"content":{"rendered":"\t\t
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Jinekolojik Muayene<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Son y\u0131llarda insan \u00f6mr\u00fcn\u00fcn uzamas\u0131 ve bunun sonucunda artan sa\u011fl\u0131k problemleri ve koruyucu t\u0131bb\u0131n \u00f6nem kazanmas\u0131, kad\u0131nlar\u0131n rutin jinekolojik muayenelerini yapt\u0131rmalar\u0131n\u0131 zorunlu k\u0131lmaktad\u0131r.<\/span><\/span><\/span><\/p>

Pek \u00e7ok kad\u0131n i\u00e7in jinekolojik muayene ve “o masaya \u00e7\u0131kmak” adeta korku verici bir kabus tur. Daha \u00f6nce ya\u015fanm\u0131\u015f k\u00f6t\u00fc tecr\u00fcbeler ile \u00e7evreden duyulan abart\u0131l\u0131 ve yanl\u0131\u015f bilgiler sonucunda olu\u015fmu\u015f haks\u0131z \u00f6n yarg\u0131lar nedeniyle kad\u0131nlar jinekolojik muayeneden ka\u00e7\u0131nmaktad\u0131rlar.<\/span><\/span><\/span><\/p>

Unutulmamal\u0131d\u0131r ki; zaman\u0131nda ve rutin olarak yap\u0131lan muayeneler, bir\u00e7ok hastal\u0131\u011f\u0131n erken d\u00f6nemlerde te\u015fhisini sa\u011flayarak sonradan ortaya \u00e7\u0131kabilecek olumsuz durumlar\u0131 al\u0131nacak \u00e7ok basit \u00f6nlemlerle engelleyebilir.<\/span><\/span><\/span><\/p>

Muayene ile rahim, rahim a\u011fz\u0131, yumurtal\u0131k ve vajina kanserleri \u00e7ok erken safhada yakalanabilir. Ayr\u0131ca rahim a\u011fz\u0131 (serviks) b\u00f6lgesindeki gizli enfeksiyonlar \u2013 hen\u00fcz bir yaraya sebebiyet vermeden- te\u015fhis ve tedavi edilebilir.<\/span><\/span><\/span><\/p>

Cinsel hayat\u0131 ba\u015flayan her kad\u0131n\u0131n d\u00fczenli olarak, hi\u00e7bir \u015fikayeti olmasa bile y\u0131lda en az bir kez bir jinekologa gidip muayene olmas\u0131 ve smear testi yapt\u0131rmas\u0131 tavsiye edilmektedir.<\/span><\/span><\/span><\/p>

Her zaman i\u00e7in hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131 engellemek hastal\u0131\u011f\u0131 tedavi etmekten \u00e7ok daha kolayd\u0131r. Ger\u00e7ekten de uygulanan koruyucu sa\u011fl\u0131k hizmetleri ile hastal\u0131k veya kanser olu\u015fumunu \u00f6nlemek maddi ve manevi a\u00e7\u0131dan \u00e7ok daha kolay ve ucuzdur.<\/span><\/span><\/span><\/p>

Muayene \u00f6ncesi her hastam\u0131zda \u201canamnez (\u00f6yk\u00fc) alma\u201d dedi\u011fimiz ki\u015finin kendi durumu ile ilgili sorular sorularak bilgiler al\u0131n\u0131r.<\/span><\/span><\/span><\/p>

T\u0131bbi \u00d6yk\u00fc Alma (Anamnez) s\u0131ras\u0131nda;
Ya\u015f
Meslek
Medeni durum
Kan grubu
Adet kanamalar\u0131n\u0131z\u0131n ka\u00e7 g\u00fcnde bir oldu\u011fu, ka\u00e7 g\u00fcn s\u00fcrd\u00fc\u011f\u00fc ve kanama miktar\u0131n\u0131n nas\u0131l oldu\u011fu
Son adet tarihi (SAT): Son adet kanaman\u0131z\u0131n ba\u015flad\u0131\u011f\u0131 ilk g\u00fcn
Ara kanamalar\u0131n\u0131n olup olmad\u0131\u011f\u0131
Adetler s\u0131ras\u0131nda a\u011fr\u0131 olup olmad\u0131\u011f\u0131
Vajinadan gelen ak\u0131nt\u0131n\u0131n olup olmad\u0131\u011f\u0131, e\u011fer varsa s\u00fcresi, miktar\u0131, rengi, kokusu gibi \u00f6zellikler, ka\u015f\u0131nt\u0131n\u0131n varl\u0131\u011f\u0131
Genital b\u00f6lgede herhangi bir ele gelen kitle olup olmad\u0131\u011f\u0131
\u0130drar yaparken yanma, s\u0131k idrara \u00e7\u0131kma gibi yak\u0131nmalar\u0131n\u0131z\u0131n olup olmad\u0131\u011f\u0131
Cinsel ili\u015fki s\u0131ras\u0131nda ya da sonras\u0131nda a\u011fr\u0131 veya kanama olup olmad\u0131\u011f\u0131
V\u00fccudunuzda a\u015f\u0131r\u0131 bir t\u00fcylenmenin veya sivilcelenmenin olup olmad\u0131\u011f\u0131
En son jinekolojik incelemenin nerede ve ne zaman yap\u0131ld\u0131\u011f\u0131, bu incelemede herhangi bir tetkikin yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131, e\u011fer yap\u0131ld\u0131ysa sonu\u00e7lar\u0131, muayene sonras\u0131 konulan tan\u0131 ve verilen tedavilerin ne oldu\u011fu
Hangi kontrasepsiyon (korunma) y\u00f6ntemini kulland\u0131\u011f\u0131n\u0131z
\u00d6nceden tan\u0131s\u0131 konmu\u015f kronik bir rahats\u0131zl\u0131\u011f\u0131n\u0131z\u0131n olup olmad\u0131\u011f\u0131
Daha \u00f6nce ge\u00e7irdi\u011finiz operasyonlar (Apandisit, d\u0131\u015f gebelik, safra kesesi veya mide ameliyatlar\u0131 gibi..)<\/span><\/span><\/span><\/p>

D\u00fczenli olarak kullan\u0131lan ila\u00e7lar\u0131n olup olmad\u0131\u011f\u0131<\/span><\/span><\/span><\/p>

Muayene olmak i\u00e7in ba\u015fvurman\u0131z\u0131 gerektiren \u015fikayetinizin ne oldu\u011fu, ne zaman ve ne \u015fekilde ba\u015flad\u0131\u011f\u0131 ve bu yak\u0131nma ile ilgili gerekli olabilecek di\u011fer sorular<\/span><\/span><\/span><\/p>


Gebelik durumu ile ilgili bilgiler (Daha \u00f6nce hamile kal\u0131p kalmad\u0131\u011f\u0131n\u0131z, e\u011fer hamile kald\u0131ysan\u0131z bunlar\u0131n sonu\u00e7lar\u0131 (d\u00fc\u015f\u00fck, k\u00fcrtaj, do\u011fum vb), \u00f6nceki hamileliklerinizde ya\u015fad\u0131\u011f\u0131n\u0131z sorunlar (kanama, bulant\u0131lar, preeklampsi vb), \u00f6nceki do\u011fumlar\u0131n\u0131z\u0131n \u015fekli (sezaryen, normal do\u011fum) ve tarihi, e\u011fer sezaryen oldu ise bunun nedeni, e\u011fer normal do\u011fum yapt\u0131ysan\u0131z do\u011fumunuzun nas\u0131l ge\u00e7ti\u011fi gibi sorular sorulur.<\/span><\/span><\/span><\/p>

Ki\u015filerden ayr\u0131nt\u0131l\u0131 bir \u00f6yk\u00fc alma i\u015fleminden sonra jinekolojik muayeneye ge\u00e7ilir. Yap\u0131lan jinekolojik muayeneler bakire olan ve olmayan hastalarda de\u011fi\u015fiklik g\u00f6stermektedir.<\/span><\/span><\/span><\/p>

Bakire Hastalardaki Kontroller<\/b><\/span><\/span><\/span><\/strong><\/p>


E\u011fer ki\u015fi bakire ise y\u0131ll\u0131k olarak idrara s\u0131k\u0131\u015f\u0131k haldeyken kar\u0131ndan yap\u0131lan ultrason incelemeleri (transabdominal ultrasonografi) bize rahim, yumurtal\u0131klar ve rahim kom\u015fulu\u011fundaki organlar (adnexler) ile ilgili bilgiler verecektir.<\/span><\/span><\/span><\/p>

Kar\u0131ndan yap\u0131lan (transabdominal) ultrasonografiler \u00f6zellikle rahimde bulunan myomlar\u0131, yumurtal\u0131klardaki kistleri (over kistleri) a\u00e7\u0131\u011fa \u00e7\u0131karmada son derece \u00f6nemlidir. Ayr\u0131ca \u00f6zellikle \u015fiddetli adet sanc\u0131lar\u0131 (dismenore) \u015fikayeti olan gen\u00e7 k\u0131zlardaki gizli \u00e7ikolata kistleri (endometriomalar) ortaya \u00e7\u0131kar\u0131labilir.

<\/span><\/span><\/span>Bakire Olmayan Kad\u0131nlardaki Kontroller<\/b><\/span><\/span><\/span><\/strong>
Cinsel hayat\u0131 ba\u015flayan kad\u0131nlarda y\u0131ll\u0131k jinekolojik muayeneler, smear testleri ile vajinal ultrason muayeneleri son derece \u00f6nem ta\u015f\u0131maktad\u0131r.<\/span><\/span><\/span><\/p>

Jinekolojik muayeneler hastalar\u0131m\u0131z a\u00e7\u0131s\u0131ndan her ne kadar \u00e7ok sevimli gelmese de \u201cjinekolojik muayene masa\u201ds\u0131nda yap\u0131lmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc bu masalar bir kad\u0131n\u0131n jinekolojik olarak en rahat ve en iyi de\u011ferlendirilebilir pozisyonunu bizlere sa\u011flar. Ayr\u0131ca bu muayeneler \u00f6zenle yap\u0131ld\u0131\u011f\u0131nda son derece kolay, a\u011fr\u0131s\u0131zd\u0131r ve yaln\u0131zca birka\u00e7 dakika al\u0131r.<\/span><\/span><\/span><\/p>

Jinekolojik muayenelerde \u00f6ncelikle d\u0131\u015f genital alan g\u00f6zle de\u011ferlendirilir. Genital si\u011fil (kond\u00fclom), kitle, k\u0131zar\u0131kl\u0131k, kist gibi herhangi bir lezyonun olup olmad\u0131\u011f\u0131na bak\u0131l\u0131r. Daha sonra ki\u015fi \u0131k\u0131nd\u0131r\u0131larak rahim veya idrar kesesinde herhangi bir sarkma (prolapsus) varl\u0131\u011f\u0131 ara\u015ft\u0131r\u0131l\u0131r.<\/span><\/span><\/span><\/p>

Daha sonra vajina i\u00e7inin izlenmesine olanak veren “spekulum muayenesine” ge\u00e7ilir. Vajinal muayenelerin vazge\u00e7ilmez aleti “spekulum” dur. Kullan\u0131lan spekulumlar hastan\u0131n do\u011furganl\u0131k durumuna ve vajinan\u0131z\u0131n geni\u015fli\u011fine uygun b\u00fcy\u00fckl\u00fckte se\u00e7ilir.<\/span><\/span><\/span><\/p>

Spekulum ile vajina duvarlar\u0131 birbirinden ayr\u0131labilir. Bunun i\u00e7in \u0131l\u0131k ve kayganla\u015ft\u0131r\u0131lm\u0131\u015f spekulum vajina i\u00e7ersine do\u011fru ilerletilerek vajina duvarlar\u0131 ile vajinal ak\u0131nt\u0131 ve \u00f6zellikleri izlenir.<\/span><\/span><\/span><\/p>



<\/p>

Spekulum muayenesi sonras\u0131nda vajina tepesindeki “rahim a\u011fz\u0131na” ula\u015f\u0131r ve rahim a\u011fz\u0131 yani “serviks” de\u011ferlendirilir. Servikal erozyon (yara), servikal ak\u0131nt\u0131 bu muayene ile tespit edilebilir. Bu a\u015famada rutin olarak y\u0131lda bir kez yap\u0131lmas\u0131 \u00f6nerilen rahim a\u011fz\u0131 b\u00f6lgesinden “Smear Testi” denilen bir test i\u00e7in s\u00fcr\u00fcnt\u00fc al\u0131nabilir. T\u00fcm bu i\u015flemlerin her a\u015famas\u0131 son derede kolay ve a\u011fr\u0131s\u0131zd\u0131r. Bu testteki ama\u00e7 rahim a\u011fz\u0131 kanseri olu\u015fmadan \u00f6nceki evrelerinde anormal bir durum varl\u0131\u011f\u0131n\u0131 ara\u015ft\u0131rmakt\u0131r. \u00c7\u00fcnk\u00fc rahim a\u011fz\u0131 kanserleri birden ortaya \u00e7\u0131kmaz ve y\u0131llar i\u00e7inde yava\u015f yava\u015f ilerleyerek kansere d\u00f6n\u00fc\u015f\u00fcr.<\/span><\/span><\/span><\/p>

Spekulum muayenesi s\u0131ras\u0131nda hastan\u0131n kendini kasmamas\u0131 ve rahat b\u0131rakmas\u0131 i\u015flemi son derecede kolayla\u015ft\u0131r\u0131r. \u00c7\u00fcnk\u00fc kendini s\u0131kan bir kad\u0131n, asl\u0131nda spekulmu s\u0131k\u0131p kendi kendinin daha fazla ac\u0131 hissetmesine neden olacakt\u0131r.<\/span><\/span><\/span><\/p>



<\/p>

Spekulum \u00e7\u0131kar\u0131ld\u0131ktan sonra hastalara \u201cbimanuel muayene (tu\u015fe)\u201d dedi\u011fimiz jinekolojik muayeneleri yap\u0131l\u0131r. Bu muayene iki elle yap\u0131l\u0131r; birinci el hastan\u0131n kas\u0131k b\u00f6lgesinde yukar\u0131dan rahimi fikslerken, ikinci el vajina i\u00e7inde rahim, yumurtal\u0131klar ve t\u00fcpleri muayene eder..<\/span><\/span><\/span><\/p>

Daha sonra <\/span><\/span><\/span>transvajinal (vajina i\u00e7i) ultrasonografi <\/b><\/span><\/span><\/span><\/strong>muayenelerine ge\u00e7ilir.
Jinekolojik ultrasonografi ile \u00f6zellikle de rahimin yap\u0131s\u0131, pozisyonu, b\u00fcy\u00fckl\u00fc\u011f\u00fc, rahimden kaynaklanm\u0131\u015f t\u00fcm\u00f6rler ve myomlar, rahim i\u00e7 zar\u0131 (endometrium) ve her iki yumurtal\u0131\u011f\u0131n yap\u0131s\u0131, yumurtal\u0131k kist ve t\u00fcm\u00f6rleri ayr\u0131nt\u0131l\u0131 bir \u015fekilde de\u011ferlendirilir.

Vaginal yolla yap\u0131lan ultrasondur. Halk aras\u0131nda <\/span><\/span><\/span>“alttan ultrason”<\/b><\/span><\/span><\/span><\/strong> olarak bilinmektedir. Bu y\u00f6ntemle i\u00e7 organlar \u00e7ok daha net bir \u015fekilde izlenir.Son y\u0131llarda ultrasonografi teknolojilerinin geli\u015fmesi ile vajina i\u00e7ine giren prob k\u0131s\u0131mlar\u0131 olduk\u00e7a k\u00fc\u00e7\u00fclm\u00fc\u015f, g\u00f6r\u00fc\u015f a\u00e7\u0131s\u0131 ve g\u00f6r\u00fcnt\u00fc kalitesi artm\u0131\u015ft\u0131r. Bu nedenle trans vajinal ultrasonografi incelemeleri son derece rahat, a\u011fr\u0131s\u0131z ve kolay bir i\u015flem haline gelmi\u015ftir.<\/span><\/span><\/span><\/p>

Ayr\u0131ca, trans vajinal ultrasonografi i\u00e7in kar\u0131ndan yap\u0131lan ultrasonografiler gibi ki\u015finin idrara s\u0131k\u0131\u015f\u0131k olmas\u0131 da gerekmemektedir. Hatta ki\u015finin \u00f6ncesinde mesanesini bo\u015faltmas\u0131 (yani idrar\u0131n\u0131 yapmas\u0131) g\u00f6r\u00fcnt\u00fc i\u00e7in daha da fayda sa\u011flamaktad\u0131r.<\/span><\/span><\/span><\/p>


<\/span><\/span><\/span>Jinekolojik muayenenizin ve smear testinizin hatal\u0131 sonu\u00e7lara yol a\u00e7mamas\u0131 i\u00e7in;<\/b><\/span><\/span><\/span><\/strong><\/p>


Muayenenin 2 g\u00fcn \u00f6ncesinden itibaren vajina i\u00e7ine kayganla\u015ft\u0131r\u0131c\u0131, jel veya fitil uygulamay\u0131n\u0131z, vajina i\u00e7ini y\u0131kamay\u0131n\u0131z. Adet kanamas\u0131 bittikten sonra smear testi i\u00e7in ba\u015fvurunuz, bu d\u00f6nemde smear testi de yapt\u0131rmay\u0131n\u0131z.
Muayene olurken kendinizi \u00f6ncelikle rahatlat\u0131n, sakinle\u015ftirin ve gev\u015feyin.<\/span><\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Jinekolojik Muayene Son y\u0131llarda insan \u00f6mr\u00fcn\u00fcn uzamas\u0131 ve bunun sonucunda artan sa\u011fl\u0131k problemleri ve koruyucu t\u0131bb\u0131n \u00f6nem kazanmas\u0131, kad\u0131nlar\u0131n rutin jinekolojik muayenelerini yapt\u0131rmalar\u0131n\u0131 zorunlu k\u0131lmaktad\u0131r. Pek \u00e7ok kad\u0131n i\u00e7in jinekolojik muayene ve “o masaya \u00e7\u0131kmak” adeta korku verici bir kabus tur. Daha \u00f6nce ya\u015fanm\u0131\u015f k\u00f6t\u00fc tecr\u00fcbeler ile \u00e7evreden duyulan abart\u0131l\u0131 ve yanl\u0131\u015f bilgiler sonucunda olu\u015fmu\u015f […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-408","page","type-page","status-publish","hentry"],"yoast_head":"\nJinekolojik Muayene - T\u00dcL\u0130N KAHVEC\u0130<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tulinkahveci.com\/index.php\/jinekolojik-muayene\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Jinekolojik Muayene - T\u00dcL\u0130N KAHVEC\u0130\" \/>\n<meta property=\"og:description\" content=\"Jinekolojik Muayene Son y\u0131llarda insan \u00f6mr\u00fcn\u00fcn uzamas\u0131 ve bunun sonucunda artan sa\u011fl\u0131k problemleri ve koruyucu t\u0131bb\u0131n \u00f6nem kazanmas\u0131, kad\u0131nlar\u0131n rutin jinekolojik muayenelerini yapt\u0131rmalar\u0131n\u0131 zorunlu k\u0131lmaktad\u0131r. Pek \u00e7ok kad\u0131n i\u00e7in jinekolojik muayene ve “o masaya \u00e7\u0131kmak” adeta korku verici bir kabus tur. 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