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Bartolin kisti ve apsesinin belirtileri, tedavi yöntemleri ve cerrahi müdahaleler hakkında bilgiler verilmektedir. Ayrıca, apse ve kistin kendiliğinden boşalması durumunda yaşanan rahatlama ve tekrarlanma riski de açıklanmaktadır."]},"endTime":231,"title":"Bartholin Bezi, Kisti ve Apsesi Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Bartholin Bezi ve Fonksiyonu","list":{"type":"unordered","items":["Bartholin bezi, kadınlarda genital bölgede, arka tarafta, vajinal girişin her iki tarafında bulunan minik bezlerdir.","Bartholin bezleri normalde ele gelmez, hissedilmez minik yapılardır ve ince bir kanalla vajinal girişe doğru açılırlar.","Bartholin bezlerinin en önemli fonksiyonu bu bölgenin nemlenmesini ve ıslaklığını sağlamasıdır."]},"beginTime":13,"endTime":37,"href":"/video/preview/17504045124165249367?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=13&ask_summarization=1"},{"index":1,"title":"Bartholin Kisti ve Apsesi","list":{"type":"unordered","items":["Bartholin bezlerinin kanalı tıkanırsa ya da enfeksiyon gelişirse şişip Bartolin kisti ya da iltihaplanıp Bartolin apsesini oluşturabilir.","Bartolin bezinin şişmesi ya da aksi haline gelmesi bu bölgede kızarıklık, şişlik, hassasiyet, ilişkide ağrıya neden olabilir ve akıntı yapabilir.","Hastalarda ağrı bazen çok şiddetli olabilir, hatta üzerine oturamazlar ve ağrı kesiciler veya antibiyotikler kısmen rahatlama sağlar."]},"beginTime":37,"endTime":78,"href":"/video/preview/17504045124165249367?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=37&ask_summarization=1"},{"index":2,"title":"Bartolin Kisti ve Apsesinin Belirtileri","list":{"type":"unordered","items":["Bartolin kisti veya apsesi oluştuğunda en önemli bulgusu genital bölgede görülen şişliktir ve doktor fizik muayene ile bunu anlayabilir.","Şişliğin dışında ağrı, hassasiyet ve o bölgede kızarıklık görülebilir.","Apseler çok büyükse kişide üşüme, titreme, ateş yükselmesi gibi bulgulara da neden olabilir."]},"beginTime":78,"endTime":104,"href":"/video/preview/17504045124165249367?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=78&ask_summarization=1"},{"index":3,"title":"Bartolin Kisti ve Apsesinin Tedavisi","list":{"type":"unordered","items":["Bartolin kistinin veya apsesinin tedavisinde mutlaka doktorun kisti veya apseyi boşaltması gerekmektedir.","Kist ve apsenin boşaltılmasından sonra yeniden birikme olmaması için minik bir kanal oluşturulması gerekiyor.","Bazı durumlarda kist içeriğinin boşaltıldıktan sonra içeriye gümüş nitrat uygulaması yapılarak kist cidarı yakılmakta ve yeniden sıvı birikmesi engellenmektedir."]},"beginTime":104,"endTime":141,"href":"/video/preview/17504045124165249367?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=104&ask_summarization=1"},{"index":4,"title":"Bartolin Kisti ve Apsesinin Özellikleri","list":{"type":"unordered","items":["Bazı durumlarda özellikle tekrarlayan bartholin apsesi ya da kistinin olduğu durumlarda komple bartolin bezinin çıkarılması cerrahi olarak gerekli olmaktadır.","Bartolin kistinde genellikle patlama olmaz, kist belli bir büyüklüğe kadar gelir ve o büyüklüğe geldiğinde hasta doktora başvurur.","Bartholin bezinin apsesinde belli bir şişliğe oluştuğunda apse kendiliğinden drene olabilir, boşalabilir ve bu kişide ağrıda, hassasiyette azalma olur."]},"beginTime":141,"endTime":199,"href":"/video/preview/17504045124165249367?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=141&ask_summarization=1"}],"linkTemplate":"/video/preview/17504045124165249367?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Bartholin Kisti Neden Olur? 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Sosyokültürel ve ekonomik düzey açısından düşük seviyedeki insanlar, sigara içenler, doğum kontrol...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/1016432/ee9ebeffe8c5c314186f03c817ef77d5/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/_GXigAEAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"16","reqid":"1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=videoid:17992161305207672522","teaser":[{"list":{"type":"unordered","items":["Bu video, bir sağlık uzmanının HPV (Human Papilloma Virüsü) tipleri hakkında bilgi verdiği eğitici bir içeriktir.","Video, HPV'nin 200'den fazla alt tipi olduğunu ve bunların genital bölgede ve vücutta siğile neden olduğunu açıklamaktadır. HPV'nin yaklaşık 50 tipi genital bölgeyi enfekte eder ve bunlar yüksek riskli ve düşük riskli olmak üzere iki gruba ayrılır. Düşük riskli tipler genellikle siğile neden olurken, yüksek riskli tipler rahim ağzı kanseri, anal kanseri ve bazen baş boyun kanserine yol açabilir. Video, bu tiplerin tespit edilmesi ve düzenli takip edilmesinin önemini vurgulayarak, bağışıklık sisteminin iyi olması durumunda bu tiplerin kendiliğinden düzelebileceğini belirtmektedir."]},"endTime":138,"title":"HPV Tipleri Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"HPV Virüsünün Genel Özellikleri","list":{"type":"unordered","items":["HPV (Human Papilloma Virüsü) ikiyüzden fazla alt tipine sahiptir.","Bu virüs hem genital bölgede hem de vücutta siğile neden olan önemli bir virüstür.","HPV virüsünün yaklaşık elli tipi genital bölgeyi enfekte eder ve bunlar yüksek riskli ve düşük riskli olmak üzere iki gruba ayrılır."]},"beginTime":7,"endTime":40,"href":"/video/preview/17992161305207672522?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=7&ask_summarization=1"},{"index":1,"title":"Düşük Riskli HPV Tipleri","list":{"type":"unordered","items":["Düşük riskli HPV tiplerinden en sık görülenler tip altı ve onbir'dir.","Tip altı ve onbir genital siğillerin yüzde doksanından sorumludur.","Bu tipler genelde düşük riskli olup genital bölgede, anal bölgede bazen de ağız içerisinde siğile neden olur ve kansere dönüşme ihtimali oldukça düşüktür."]},"beginTime":40,"endTime":63,"href":"/video/preview/17992161305207672522?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=40&ask_summarization=1"},{"index":2,"title":"Yüksek Riskli HPV Tipleri","list":{"type":"unordered","items":["Yüksek riskli HPV tipleri rahim ağzı kanseri başta olmak üzere genital bölge kanserlerine, anal kansere, bazen baş boyun kanserlerine neden olabilir.","Bu tiplerin tespit edilmesi ve düzenli muayene ile smear testleri yapılması gerekir.","Hücresel anormallik ve kansere dönüşme yaklaşık beş ila onbeş sene arasında gerçekleşir."]},"beginTime":63,"endTime":104,"href":"/video/preview/17992161305207672522?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=63&ask_summarization=1"},{"index":3,"title":"HPV'nin Gelişimi ve Tedavisi","list":{"type":"unordered","items":["Düzenli takipler yapıldığında, bağışıklığı iyi olan hastalarda yüzde doksanı birkaç sene içerisinde kendiliğinden düzelir.","Bağışıklık iyi değilse virüs hücre içerisine girerek hücresel anormalliğe neden olur.","Erken dönemde fark edilmezse hücresel anormallik uzun dönemde rahim ağzında veya genital bölgede kanser gelişimine neden olabilir."]},"beginTime":104,"endTime":124,"href":"/video/preview/17992161305207672522?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=104&ask_summarization=1"}],"linkTemplate":"/video/preview/17992161305207672522?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"HPV Tipleri nelerdir? hangi HPV tipleri risklidir? - doç. dr. nermin köşüş","related_orig_text":"Ankara Jinekolog Doç. 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Ayrıca spiralin takılabilmesi için uygun olmayan durumlar, rahim içi yapışıklıkların nedenleri ve spiralin bu duruma etkisi de anlatılmaktadır. Spiralin gebelikten korunma açısından %99'un üzerinde koruyuculuğa sahip olduğu, uzun etkili olduğu ve doğum sonrası veya emziren annelerde güvenle kullanılabildiği vurgulanmaktadır."]},"endTime":457,"title":"Rahim İçi Spiral Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Rahim İçi Spiral Nedir?","list":{"type":"unordered","items":["Rahim içi spiral (halk arasında spiral olarak bilinen), para büyüklüğünde, rahim içerisine yerleştirilen T şeklinde plastik çubuktan oluşan bir doğum kontrol cihazıdır.","Spiralin koruyuculuğu gebelikten koruyuculuğu son derece yüksektir ve yüzde doksandokuz'un üzerindedir.","Günümüzde sıklıkla kullanılan iki çeşit spiral vardır: bakırlı spiraller ve hormonlu spiraller."]},"beginTime":13,"endTime":45,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=13&ask_summarization=1"},{"index":1,"title":"Bakırlı Spirallerin Çalışma Prensibi","list":{"type":"unordered","items":["Bakırlı spirallerin gövdesinde ve kollarında bakır bulunmaktadır.","Bakırın etkisi spermler üzerinde öldürücü etkiye sahiptir ve gelişmiş yumurtayı sperminin buluşup döllenmesini engellemektedir.","Döllenme nadiren olsa bile döllenmiş olan yumurtanın rahmet tutulmasına da bakır iyonları nedeniyle engel olmaktadır."]},"beginTime":45,"endTime":76,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=45&ask_summarization=1"},{"index":2,"title":"Hormonlu Spirallerin Çalışma Prensibi","list":{"type":"unordered","items":["Hormonlu spiraller, içerisinde doğum kontrol haplarına benzer şekilde progesteron içeren spirallerdir.","Hormonlu spiraller hormon etkisiyle yumurtlama üzerinde baskılayıcı etki oluşturmakta, rahim duvarını inceltmekte ve rahim ağzı bezlerinden salgılanan salgıyı koyulaştırarak spermlerin buradan geçmesine engel olmaktadır.","İçerisinde herhangi bir bakır ya da hormon içermeyen sadece plastikten oluşan spiraller mevcuttur ancak günümüzde çok fazla kullanılmamaktadır."]},"beginTime":76,"endTime":130,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=76&ask_summarization=1"},{"index":3,"title":"Spiral Kullanımının Avantajları","list":{"type":"unordered","items":["Spirallerin koruyuculuğu son derece yüksektir ve koruma süresi beş sene ile on sene arasında değişmektedir.","Spiral tak unut şeklinde kullanılan bir özelliğe sahiptir, bu nedenle kişinin bunu hatırlaması veya unuttuğu durumda sorun çıkması söz konusu olmamaktadır.","Spiraller doğum sonrası ya da emziren annelerde de güvenle kullanılabilmektedir."]},"beginTime":130,"endTime":184,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=130&ask_summarization=1"},{"index":4,"title":"Hormonlu Spirallerin Ek Avantajları","list":{"type":"unordered","items":["Hormonlu spiral, adet sancısı olan kadınlarda kanama miktarını azaltmakta ve adet sancısına iyi gelmektedir.","Endometriozis, adenomyozis gibi hastalığı olan kadınlarda hastalığın aktivitesini baskılayabilmektedir.","Rahim duvarında kalınlaşma olan kadınlarda, endometrial hiperplazi (kanser öncesi lezyonu) olan kadınlarda rahim duvarının incelmesini ve anormal hücre gelişmesini engelleyebilmektedir."]},"beginTime":184,"endTime":232,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=184&ask_summarization=1"},{"index":5,"title":"Spiral Kullanımının Dezavantajları","list":{"type":"unordered","items":["Hormonlu spiralde takıldıktan sonra yaklaşık altı ay ile bir sene içerisinde kanama miktarı azalmakta, hastaların büyük bir kısmı leke şeklinde adet görmekte ya da görmemektedir.","Bakırlı spirallerin dezavantajı kanama miktarında artmaya ve ara kanamaya neden olmaktadır, ancak bu geçici bir süredir.","Spiral takıldıktan sonra vücudun buna alışması için yaklaşık üç eksi altı aylık bir dönemin geçmesi gerekmektedir."]},"beginTime":232,"endTime":291,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=232&ask_summarization=1"},{"index":6,"title":"Spiral Kullanımına Uygunluk","list":{"type":"unordered","items":["Hamilelik şüphesi olanlara, kanama problemi olup da nedeni belli olmayanlara, rahim içerisinde polip veya miyom varsa, aktif enfeksiyonu olan kadınlara spiral uygun değildir.","Rahimde anormallik olanlarda, aşırı derecede rahmi küçük olanlarda veya rahmi büyük olanlarda spiralin boyutları metal para büyüklüğündedir ve rahim içerisine tam oturmayacağı için yerinden kayabilir.","Bu durumlarda spiral takılması uygun değildir, başka yöntemlerle gebelikten korunmaları daha uygundur."]},"beginTime":291,"endTime":360,"href":"/video/preview/17098710890238197625?parent-reqid=1765281357076005-11759629012466543000-balancer-l7leveler-kubr-yp-sas-223-BAL&text=Ankara+Jinekolog+Do%C3%A7.+Dr.+Nermin+K%C3%B6%C5%9F%C3%BC%C5%9F&t=291&ask_summarization=1"},{"index":7,"title":"Rahim İçi Yapışıklık ve Spiral","list":{"type":"unordered","items":["Kadınlarda rahim içi yapışıklığın en önemli nedeni geçirilmiş olan enfeksiyonlar ve rahim duvarı (endometrium) tabakasında oluşan hasarlardır.","Endometrium tabakasının hasarlanması genellikle düşük yapan kadınlarda veya kürtaj olan kadınlarda daha sık görülmektedir.","Rahim duvarında yapışıklık oluşur, bu nedenle spirale bağlı rahim içerisinde yapışıklık gelişmesini beklemeyiz, tam tersine istenmeyen gebelikleri engellemesi ve kürtajları engellemesi sayesinde rahim içerisinde yapışıklık oluşmasına da dolaylı olarak engel 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