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Öncelikle endometriozis'in ne olduğu, nasıl geliştiği ve belirtileri açıklanmakta, ardından endometriozis ile over kanseri arasındaki birliktelik oranları (%1-2) ve bu birlikteliğin nasıl tespit edileceği (ultrason, tümör markerları, H4 antijeni) anlatılmaktadır. Ayrıca endometriozis ile meme kanseri, non-Hodgkin lenfoma, ülseratif kolit ve irritable bağırsak hastalıkları arasındaki olası ilişkiler de ele alınmaktadır."]},"endTime":434,"title":"Endometriozis ve Kanser İlişkisi","beginTime":0}],"fullResult":[{"index":0,"title":"Endometriozis Nedir?","list":{"type":"unordered","items":["Endometriozis, rahim içi yüzünü döşeyen endometrium dokusunun bilinmeyen bir sebeple başka yerlerde (tubalarda, overlerde, yumurtalıklarda, bağırsak duvarında, vajende) oluşması durumudur.","Endometriozis iyi huylu olmasına rağmen, bulunduğu her yerde (rektumda kabızlık, üreterlerde böbreklere zarar gibi) çeşitli yan etkilere sebep olabilir.","Her ay adet gördükçe endometriozis gelişir, kanama oluşur ve hastaya dayanılmaz ağrılar verir; bu durumda ağrı kesici ilaçlar, hormonal kontrasepsiyon veya cerrahi tedavi uygulanabilir."]},"beginTime":0,"endTime":128,"href":"/video/preview/12709496668826746497?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=0&ask_summarization=1"},{"index":1,"title":"Endometriozis ve Kanser İlişkisi","list":{"type":"unordered","items":["Endometriozis ile over kanseri arasında birliktelik vardır, ancak bu durum sadece yüzde bir oranında rastlanmaktadır.","Yumurtalıkta yerleşen endometriozis endometrioma adı verilen kistlere neden olabilir ve bu kistler ameliyat edildiğinde kristal berrak ücreti veya endomet tipte kanserle birlikte görülebilir.","Endometriozis genellikle endometri zeminde gelişir ve hastanın herediter kanser yönünde araştırılması gerekebilir."]},"beginTime":128,"endTime":222,"href":"/video/preview/12709496668826746497?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=128&ask_summarization=1"},{"index":2,"title":"Endometriozis ve Kanser Tanısı","list":{"type":"unordered","items":["Endometriozis ile karşılaşıldığında iyi bir ultrason ve tümör markerları (CA 125, CA 199) gerekli olup, bazen tümör markaları yüksek çıkabilir.","Doppler ultrasonda manita kriterleri ve indeksler incelenerek borderline durumlar belirlenebilir.","H4 antijeni yüksekse Roma faktörü hesaplanarak kanser olasılığı belirlenebilir ve bu durumda ameliyat yapılmalıdır."]},"beginTime":222,"endTime":380,"href":"/video/preview/12709496668826746497?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=222&ask_summarization=1"},{"index":3,"title":"Diğer Kanser İlişkileri","list":{"type":"unordered","items":["Endometriozis ile meme kanseri arasında tam belirlenmiş bir ilişki yoktur.","Non-kanser lenfomada endometriozis daha yatkın görünmektedir.","Ülseratif kolit ve irritable bağırsak hastalıkları da endometriozis ile birlikte 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Dr. Karavan, hastalığın semptomlarını (şiddetli adet sırasında ağrı, ilişki sırasında ağrı, pelvik bölgede ağrı), tedavi seçeneklerini, laparoskopi ameliyatının önemini ve hormonal terapi gerekliliğini anlatmaktadır. Ayrıca endometriozis'in kronik bir hastalık olduğu ve erken tanıda medikal terapi ile tedavi şansının yüksek olduğu vurgulanmaktadır.","Dr. Karavan, 90'lı yıllardan beri derin infitatif endometriozis konusunda çalışmış ve bu konuda geniş bir hasta profiline sahip olduğunu belirtmektedir. Bazı ülkelerde tanının kurulması dört-beş yıl sürebileceği bilgisi de paylaşılmaktadır."]},"endTime":657,"title":"Dr. Yücel Karavan ile Endometriozis Hakkında Röportaj","beginTime":0}],"fullResult":[{"index":0,"title":"Dr. Yücel Karavan'ın Akademik Kariyeri","list":{"type":"unordered","items":["Dr. Yücel Karavan, Hacettepe Tıp Fakültesi'nden mezun olduktan sonra Brüksel'de Luuven Üniversitesi'nde ihtisas yaptı ve akademik kariyeri yapmaya başladı.","İngiltere'de Legs Üniversitesi'nde çalıştıktan sonra Belçika'da Kirlowl Üniversitesi'ne döndü ve Edit: Cab Medical Enstitüsü Hastanesi'nde opital fanselerde çalıştı.","2000 senesinde hem Belçika'da hem Türkiye'de çalışmak üzere ayın belirli zamanları Belçika'da, belli zamanlar Türkiye'de çalışmaya başladı ve şimdi ayın belirli günleri Belçika'da, geri kalan zamanları Türkiye'de çalışmaya devam ediyor."]},"beginTime":2,"endTime":51,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=2&ask_summarization=1"},{"index":1,"title":"Endometriozis ile İlgili Deneyim","list":{"type":"unordered","items":["Dr. Karavan, Luuven Üniversitesi'nde ihtisas yaptığı ve akademik kariyeri yaptığı yerde endometriozis konusunda ilk piyonerlerden biri olan Prof. Brosens ve Prof. Jactone gibi dünya çapında doktorlardan eğitim aldı.","Bu doktorlar endometriozis'in temel alanını tanıtmaya başladılar ve endometriozis'te ilim oradan başladı."]},"beginTime":51,"endTime":93,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=51&ask_summarization=1"},{"index":2,"title":"Endometriozis Tedavi Seçenekleri","list":{"type":"unordered","items":["Endometriozis'in lokalizasyonu, yumurtalıklarda kistlerin çatları, büyüklüğü ve semptomları tedavi seçeneklerini belirler.","Cerrahi ikinci plana atılır, birinci aşamada medikal tedavi uygulanır; medikal tedaviden başarı elde edilemezse cerrahi uygulanır.","Medikal terapiden cevap alınamıyorsa veya kist çapı büyümeye devam ediyorsa cerrahi gereklidir."]},"beginTime":93,"endTime":137,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=93&ask_summarization=1"},{"index":3,"title":"Laparoskopi ve Endometriozis Cerrahisi","list":{"type":"unordered","items":["Endometriozis cerrahisinde cerrahi yapmak gerekiyorsa mutlaka laparoskopi yapılmalıdır.","Laparoskopi minimal invazi bir cerrahi olup, hastaların iyileşmesi açısından daha kolaydır ve hasta sabah gelip akşam çıkabilir.","Laparatomi yapıldığında kan içerisinde adezyonlar artar ve bu adezyonlar infertilite sorunu ortaya çıkarabilir."]},"beginTime":137,"endTime":204,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=137&ask_summarization=1"},{"index":4,"title":"Laparoskopi Avantajları","list":{"type":"unordered","items":["Cerrahın derinliği yeterli ise laparoskopide her türlü operasyon yapılabilir; derin infranın ülkesinde, bağırsak rezeksiyonlarında ve messener rezeksiyonlarında da laparoskopi uygulanabilir.","Laparatomi yavaş yavaş devrini tamamen kapattı ve laparoskopi son otuz yıldan beri birinci tercih sebebi olarak karşımıza çıkıyor.","Dr. Karavan, hastaların hemen hemen yüzde doksandokuz'una laparoskopi yapıyor ve laparoskopi ameliyatı tercih ediyor."]},"beginTime":204,"endTime":301,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=204&ask_summarization=1"},{"index":5,"title":"Derin İnfitatif Endometriozis","list":{"type":"unordered","items":["Endometriozis yumurtalıklarda (andometrio mabla veya çikolata kistler) en sık görülen tip olup, derin infitatif endometriozis ise periton altındaki beş-altı milimetreden daha fazla inflasyon olduğu zaman ortaya çıkan tablodur.","Derin infitatif endometriozis'te en fazla infiltre olan organlar sigmoid rektum, üreterler, mesane ve ince bağırsak ile kalın bağırsaktır.","Derin infitatif endometriozis'te medikal terapi çok efektif olmaz çünkü organ bozuklukları ortaya çıkabilir ve bunları medikal terapi ile ortadan kaldırmak mümkün olmaz."]},"beginTime":301,"endTime":401,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=301&ask_summarization=1"},{"index":6,"title":"Derin İnfitatif Endometriozis Tedavisi","list":{"type":"unordered","items":["Derin infitatif endometriozis tedavisinde esas başarının temel özelliği lezyonların hepsini total olarak çıkartmaktır.","Derin infitatif endometriozis bazen yüzde elli ihtimalle var over animetriozları ile beraber oluşur.","Operasyon yapıldığında ağrının yüzde yüz ortadan kalkması mümkün değil, ancak yüzde seksen-seksenbeş'i ortadan kalkabilir."]},"beginTime":401,"endTime":443,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=401&ask_summarization=1"},{"index":7,"title":"Mapping ve Tedavi","list":{"type":"unordered","items":["Mapping (endometriozis haritası) jinekolojik muayene, ultrason, gerekirse pelvik MRI ile yapılır.","Bağırsakta infizasyon şüphesi varsa kolonoskopi ve çift kontrast kolon filmi, mesene tutulum varsa sistoskopi yapılabilir.","Mapping yapmazsanız eksik cerrahi yapmış olursunuz ve hastanın ağrı semptomları devam edebilir."]},"beginTime":443,"endTime":532,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=443&ask_summarization=1"},{"index":8,"title":"Rekre Oranı ve Tedavi","list":{"type":"unordered","items":["Genel olarak bilinen beş yıldaki rekre oranı yüzde elli civarındadır.","Cerrahi tedaviden sonra hormonal terapi yapılırsa beş yıllık rekre oranları yüzde elli'den yüzde on-onbeş'e kadar düşebilir.","Hastanın yaşı kırk yaşın üzerinde ise ve derin iftadan dolayı bağırsak enjeksiyon yaptıysanız, bu hastalarda reklans oranı çok fazla olmaz ve hormonal terapi yapmaya gerek yoktur."]},"beginTime":532,"endTime":599,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=532&ask_summarization=1"},{"index":9,"title":"Endometriozis Hastalığının Önemi ve Tanı Süreci","list":{"type":"unordered","items":["Endometriozis hastalığını anlatmak, farkındalığı artırmak için gereklidir.","Birçok endometriozis hastası tanıyı çok geç koyduruyor.","İleri ülkelerde ve Avrupa'da, Amerika'da endometriozis hastalığı olan kişilerde tanının kurulması bazen dört-beş sene zaman alabiliyor."]},"beginTime":606,"endTime":623,"href":"/video/preview/9881769964628579445?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=606&ask_summarization=1"},{"index":10,"title":"Endometriozis Semptomları ve Erken Tanı","list":{"type":"unordered","items":["Şiddetli adet sırasında şiddetli ağrı, dismero (ilişkide ağrı) veya pelvik bölgede ağrı olduğu zaman endometriozis düşünülmeli.","Ne kadar erken tanı koyulursa o kadar başarılı olunur.","Erken tanı koyulduğunda medikal terapi ile tedavi etme şansı daha 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Ardından hastalığın tedavi yöntemleri detaylı olarak anlatılıyor: ilaç tedavisi (doğum kontrol hapları, progesteron, GNR analogları), cerrahi tedavi (laparoskopi veya laboratopi) ve yardımcı üreme yöntemleri (tüp bebek). Tedavi seçimi hastanın şikayetine göre değişiyor: ağrı şikayeti olanlar için ilaç tedavisi, kısırlık şikayeti olanlar için cerrahi ve yardımcı üreme yöntemleri öneriliyor."]},"endTime":190,"title":"Endometriozis Tedavisi Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Endometriozis Tedavisi ve Amacı","list":{"type":"unordered","items":["Endometriozis'in iki ana semptomu ağrı ve kısırlıktır.","Tedavinin amacı adet görmeyi engellemektir, çünkü adet görmeyi engelleyen iki fizyolojik durum vardır: gebe kalmak ve menopoza girmek.","Tedavide yapay bir menopoz ve yapay bir gebelik ortamı oluşturarak tedavi etmeye çalışılır."]},"beginTime":9,"endTime":41,"href":"/video/preview/9140059696601638623?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=9&ask_summarization=1"},{"index":1,"title":"Tedavi Yöntemleri","list":{"type":"unordered","items":["Endometriozis tedavisinde üç yöntem vardır: ilaç tedavisi, cerrahi tedavi ve yardımcı üreme yöntemleri.","İlaç tedavisi, adeti ortadan kaldırmak ve östrojen hormon düzeyini azaltarak endometriozisi baskılamak için kullanılır.","Cerrahi tedavi, oluşan yapışıklıkları düzeltmek ve çikolata kistleri almak için yapılır.","Yardımcı üreme yöntemleri, özellikle kısırlık olgularında tüp bebek olmak üzere kullanılır."]},"beginTime":41,"endTime":68,"href":"/video/preview/9140059696601638623?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=41&ask_summarization=1"},{"index":2,"title":"Tedavi Yöntemlerinin Uygulanması","list":{"type":"unordered","items":["Ağrılı şikayetlerde ilk tedavi mutlak surette medikal tedavidir ve hastaların %90-95'i medikal tedaviye yanıt verir.","Medikal tedaviye yanıt vermeyen olgular cerrahi tedavi ile şifa bulur.","Kısırlık şikayeti olan hastalarda ilaç tedavisinin faydası yoktur, cerrahi yöntemler ve tüp bebek gibi yardımcı üreme yöntemleri kullanılır."]},"beginTime":68,"endTime":105,"href":"/video/preview/9140059696601638623?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=68&ask_summarization=1"},{"index":3,"title":"İlaç Tedavisi","list":{"type":"unordered","items":["İlaç tedavisi en çok hastalığın ağrıyla giden formunda etkilidir ve hastalığın lüksünü önlemeye çalışır.","En çok doğum kontrol hapları ve progesteron türevi ilaçlar kullanılır, ayrıca ağrı kesiciler, hormon salgılayan rahim için sistem, GNR analogları veya aroma inhibitörleri de kullanılabilir.","İlaçlar kesildikten sonra yaklaşık 2-5 yıl içinde %50 civarında şikayetlerin tekrar olması 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Mart ayı Endometriozis Farkındalık ayı olduğu için bu ay bu konuyu gündeme getirerek arkadaşlarımızı bilgilendirmek istedik.","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/2429564/d33ba83e23bc84dd92317233eb27cad3/564x318_1"},"target":"_self","position":"14","reqid":"1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DOPamJQ89YXI","linkTemplate":"/video/preview/10904911472636000023?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Endometriozis Sorunları belirtileri ve Tedavileri.Prof.Dr.Turgut 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Konuşmacı, hastaların sorularına da yanıt vermektedir.","Video, endometriozis hastalarının yaşadığı kronik pelvik ağrı, yaygın vücut ağrısı, postür bozukluğu ve kısırlık gibi sorunların sebeplerini açıklayarak başlıyor ve ardından bu sorunları gidermek için çeşitli egzersizleri detaylı olarak anlatıyor. Ritmik nefes egzersizi, karın masajı, tetik nokta masajı, germe ve gevşeme egzersizleri, izometrik bel ve bacak egzersizleri, sırt ve göğüs egzersizleri, pelvik taban egzersizleri (özellikle Kegel egzersizleri) gibi basit egzersizler gösteriliyor.","Videoda ayrıca hastalığın ilerleyen evrelerinde karşılaşılabilecek sorunlar, ameliyat sonrası egzersizlerin önemi ve beslenme düzeninin tedavi sürecindeki rolü hakkında bilgiler de verilmektedir. Her egzersiz için uygulama şekli, sıklığı ve beklenen etkiler açıklanarak, endometriozis hastalarının medikal tedavisine ek olarak bu egzersizleri nasıl uygulayabilecekleri gösterilmektedir."]},"endTime":1088,"title":"Endometriozis ve Çikolata Kisti Hastaları İçin Egzersiz Rehberi","beginTime":0}],"fullResult":[{"index":0,"title":"Endometriozis ve Vücut Ağrısı","list":{"type":"unordered","items":["Endometriozis hastalarında en büyük problemlerden biri yaygın vücut ağrılarıdır.","Hastaların kronik pelvik ağrı dışında pek çok yaygın vücut ağrısı da görülür ve çoğu fizik tedavi kliniklerine başvurarak fibromiyalji tanısı alır.","Endometriozis çikolata kisti hastalığında kistin çevresinde dokular arası yapışıklıklar oluşur, bu yapışıklıklar doku bütünlüğünü bozar ve kaslar arasında harmonik hareketleri 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Egzersizi","list":{"type":"unordered","items":["Endometriozis hastalarında en basit egzersiz nefes egzersizidir.","Doğru nefes almak için sağ eli karnın üzerine, sol eli göğsün üzerine koyup, dörde kadar sayarak nefes alıp üç saniye tutup, sekize kadar sayarak nefes vermek gerekir.","Bu egzersiz diyafram kaslarının esnekliğini artırır, vücudumuza gelen oksijen miktarını artırır ve inflamasyon markerlarını uzaklaştırır."]},"beginTime":159,"endTime":282,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=159&ask_summarization=1"},{"index":3,"title":"Karın Masajı","list":{"type":"unordered","items":["Endometriozis hastalarında dışkılama problemleri, özellikle kabızlık ve ishal görülür.","Karın masajı için düz bir zemine uzanıp, dışarıdan içeriye doğru yuvarlak dairesel hareketler yapılır ve tetik noktalara daha fazla basılır.","Bu masaj sabah 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yapılmalıdır."]},"beginTime":366,"endTime":485,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=366&ask_summarization=1"},{"index":5,"title":"Bel ve Bacak Egzersizleri","list":{"type":"unordered","items":["İzometrik bel ve bacak egzersizleri kalça bölgesindeki kas dokularının tutulma noktasını etkiler.","Kalça bölgesindeki inflamatuar süreç bel fıtığını taklit eden ağrılara neden olabilir.","Verilen egzersizler endometriozis medikal tedavisinin yanında verildiğinde kısa sürede anlamlı sonuçlar verir."]},"beginTime":485,"endTime":571,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=485&ask_summarization=1"},{"index":6,"title":"Endometriozis ve Egzersizler","list":{"type":"unordered","items":["Endometriozis açıklanamamış bir hastalık olup, pek çok romatolojik hastalıkla birliktelik göstermektedir.","Sırt ve göğüs egzersizleri nefes alışverişini düzenler, sabah tutukluğunu ortadan kaldırır ve pelvik ağrının daha kısa süreli sürmesine katkı sağlar.","Pelvik taban egzersizleri, endometriozis oluşum yeri olan pelvik tabandaki kasları kuvvetlendirir ve bu kasların çoğu tutunma noktası pelvik tabanlıdır."]},"beginTime":582,"endTime":662,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=582&ask_summarization=1"},{"index":7,"title":"Pelvik Taban Egzersizleri","list":{"type":"unordered","items":["Kegel egzersizleri, anüs kaslarını sıkı tutup bir süre bekleyerek tekrar serbest bırakma hareketidir ve günlük yaşamda yapılabilir.","Bu egzersiz hem endometriozis hem de idrar kaçırmama problemlerinde etkili olur ve mümkünse on kez hızda on kez yavaş olarak yapılmalıdır.","Sırt üstü pozisyonda yatarak ve bacak hareketleri koordineli yaparak daha fazla efor harcanabilir, ancak günlük hayatta basit bir şekilde anüs kasıp beklemek de büyük fayda sağlar."]},"beginTime":662,"endTime":743,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=662&ask_summarization=1"},{"index":8,"title":"Endometriozis Tedavisi","list":{"type":"unordered","items":["Endometriozis tedavisinde sadece ilaç almak yeterli değildir, beslenme düzenlemesi ve egzersiz hareketleri de yapılmalıdır.","Hastalığı tanıyan fizik tedavi uzmanlarıyla birlikte çalışmak, hayat standartlarını arttırarak daha kısa sürede anlamlı cevaplar elde etmek için önemlidir.","Çikolata kisti olan herkes egzersiz yapabilir, özellikle erken evrede olan hastalar için egzersizler daha efektif olur."]},"beginTime":743,"endTime":838,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=743&ask_summarization=1"},{"index":9,"title":"Endometriozis İlerlediğinde Yaşanan Sorunlar","list":{"type":"unordered","items":["Endometriozis ilerlediğinde dışkılama problemleri, idrarla ilgili sorunlar ve yaygın akas ağrıları gibi çeşitli sorunlar yaşanabilir.","En çok karşılaşılan sorunlar infertilite, kronik pelvik ağrı ve adet düzensizlikleridir.","Ameliyat sonrası egzersizlere devam etmek gerekir, ameliyat sonrası inflamasyon süreci devam eder ve dokularda yapışıklıklar oluşabilir."]},"beginTime":838,"endTime":924,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=838&ask_summarization=1"},{"index":10,"title":"Çikolata Kisti ve Yaşam Tarzı","list":{"type":"unordered","items":["Çikolata kistinin oluşumunun tam olarak ne olduğu açıklanabilmiş değil, ancak genetik faktörlerin yanı sıra yaşam tarzı ve çevre faktörleri etkilidir.","Egzersizler endometriozis eşitlenmesine sebep olmaz, ancak ağrıları azaltır ve kas tutukluğu problemlerini giderir.","Bitkisel tedavi önerilmez, ancak medikal tedavinin etkinliğini artırmak için beslenme takviyeleri yapılabilir."]},"beginTime":924,"endTime":1034,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=924&ask_summarization=1"},{"index":11,"title":"Endometriozis Tedavisinde Çoklu Yaklaşım","list":{"type":"unordered","items":["Egzersizler dışında ilaç tedavisinin yanında beslenmenin düzeltilmesi gerekir.","Beslenme programları ilgili hekiminize başvurarak yapılmalıdır.","Çoklu bir şekilde hastaları ele alarak (ilaç tedavisi, beslenme, ağrı tedavileri ve egzersizler) hem yaşam standartları kısa sürede düzeltirken hem de anlamlı sonuçlar elde edilebilir."]},"beginTime":1034,"endTime":1074,"href":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=1034&ask_summarization=1"}],"linkTemplate":"/video/preview/14449764900893664306?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Endometriozis ve Egzersiz - Dr. Pınar Yalçın 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Her tip için cerrahi tedavi endikasyonları, cerrahi yöntemler (laparoskopi ve laparotomisi), kistlerin büyüklüğüne göre tedavi stratejileri ve cerrahi sonrası yumurta rezervi riskleri açıklanmaktadır. Özellikle çikolata kistlerinde dört santimetreden küçük kistlerin tıbbi tedavi ile yönetilebileceği, derin infitre endometriozis'in ise cerrahi haritalama ve deneyimli cerrahlar tarafından tedavi edilmesi gerektiği vurgulanmaktadır."]},"endTime":623,"title":"Endometriozis'in Cerrahi Tedavisi","beginTime":0}],"fullResult":[{"index":0,"title":"Endometriozis'in Tanımı ve Tipleri","list":{"type":"unordered","items":["Endometriozis sık görülen bir hastalık olup, kısırlık ve ağrı gibi iki ana semptomu vardır.","Endometriozis üç ana tipte olabilir: peritonel endometriozis (peritonu tutan), andometrioma kistleri (yumurtalıkları tutan) ve derin infitreden endometriozis (pelvisteki diğer organları tutan).","Her endometriozis tipine göre tedavi yaklaşımları farklıdır."]},"beginTime":8,"endTime":62,"href":"/video/preview/4477559225362340809?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=8&ask_summarization=1"},{"index":1,"title":"Çikolata Kistlerinin Tedavisi","list":{"type":"unordered","items":["Dört santimetreden küçük çikolata kistleri için cerrahi müdahale gerekmez, doğum kontrol hapı veya progesteron ile büyümesi engellenir.","Kist dört santimetrenin üzerinde, kanser riski taşıyorsa veya ağrı veriyorsa cerrahi olarak çıkartılmalıdır.","Kistlerin çıkartılması laparoskopi veya laparatomi yöntemleriyle yapılır, günümüzde genellikle laparoskopi tercih edilir."]},"beginTime":62,"endTime":165,"href":"/video/preview/4477559225362340809?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=62&ask_summarization=1"},{"index":2,"title":"Laparoskopi Teknikleri ve Yumurta Rezervi","list":{"type":"unordered","items":["Laparoskopide en sık kullanılan yöntem eksizyon (çıkartma) olup, en iyi sonuçlar bu şekilde elde edilir.","Ablasyon tekniği (yakma) yumurtalara daha az zarar verir ancak kistlerin tekrarlama şansı daha fazladır.","İki taraflı kistlerde yumurta rezervinin azalma riski daha fazladır, bu nedenle ameliyat öncesi yumurta rezervi testleri yapılmalıdır."]},"beginTime":165,"endTime":262,"href":"/video/preview/4477559225362340809?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=165&ask_summarization=1"},{"index":3,"title":"Çikolata Kistlerinde Ameliyat Endikasyonları","list":{"type":"unordered","items":["İnfertilite sorunu ve ağrı semptomu olmayan hastalarda cerrahi gerekmez, adet azaltıcı ilaçlar verilir.","Çikolata kisti tekrar eden (recurent) hastalarda cerrahi yapılabilir, ancak yumurta rezervi azalması riski göz önünde bulundurulmalıdır.","Hastalara yumurta rezervinin azalacağını önceden bildirmek ve gerekirse başka üreme teknikleri düşünmek önemlidir."]},"beginTime":262,"endTime":341,"href":"/video/preview/4477559225362340809?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=262&ask_summarization=1"},{"index":4,"title":"Derin Infitreden Endometriozis","list":{"type":"unordered","items":["Derin infitreden endometriozis, yumurtalık dışında bağırsakları, rahmi, üreterleri veya mesaneyi tutan en şiddetli endometriozis formudur.","Tanıyı koymak için adet sırasında vajinal-rektal tuş kombinasyonu yapılır ve 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Hastalığın tanımı, belirtileri, teşhis yöntemleri ve tedavi seçenekleri hakkında bilgiler verilmektedir. Ayrıca nöroloji derneği ile kadın sağlığı konularında işbirliği fikri tartışılmakta ve disiplinler arası işbirliğinin önemi vurgulanmaktadır.","Videoda ayrıca 12-13 yaş arası kız çocuklarının adet görmeye başlaması ve bu süreçte yaşanan ağrılar hakkında bilgiler paylaşılmaktadır. Türk Endometrioz Derneği'nin toplumda bilinçlendirme çalışmaları ve Türkiye'nin bu konudaki durumu da konuşulmaktadır."]},"endTime":716,"title":"Endometriozis ve Kadın Sağlığı Üzerine Bilgilendirici Röportaj","beginTime":0}],"fullResult":[{"index":0,"title":"Endometriozis ve Adet Sancısı","list":{"type":"unordered","items":["Endometriozis, adet sancısının altında yatan ciddi bir durumdur ve toplumda \"evlen de geçer\" denilen şeyin altında azımsanmayacak oranda görülebilir.","Endometriozis sadece adetlerle değil, cinsel ilişkide, tuvalet veya idrar yaparken de ağrı yaratabilir.","Endometriozis, on kişide bir tanesinde görülen, sadece ağrı yapmakla kalmayıp çocuk sahibi olmada problemlere yol açan ve yaşam kalitesini bozan bir hastalıktır."]},"beginTime":63,"endTime":225,"href":"/video/preview/392535343253189358?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=63&ask_summarization=1"},{"index":1,"title":"Endometriozis Derneği ve Bilinçlendirme","list":{"type":"unordered","items":["Endometriozis Derneği, okullarda bilinçlendirme çalışmaları yaparak genç kızların 12-13 yaşından itibaren adet olmaya başladıklarında ağrı varsa kadın doğum uzmanına götürülmesi gerektiğini vurgulamaktadır.","Dernek 2009 yılında tıp camiası için kurulmuş, son 2-3 yıldır toplumun bilinçlendirilmesi için yoğun çaba göstermektedir.","Endometriozis tanısı kolay değildir; belirli bir kan testi veya görüntüleme tekniği yoktur, ultrason ve laparoskopi gibi yöntemler kullanılır."]},"beginTime":225,"endTime":342,"href":"/video/preview/392535343253189358?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=225&ask_summarization=1"},{"index":2,"title":"Endometriozis'in Özellikleri ve Tedavisi","list":{"type":"unordered","items":["Endometriozis bazen kendiliğinden geçebilir, menopoz sonrasında artabilir ve seyri belirsizdir.","Endometriozis, rahim iç zarının hücrelerinin başka yerde bulunmasıdır ve göz, burun, akciğer, beyin gibi her yerde görülebilir.","Erken teşhis önemlidir çünkü bazı ilaçlarla ilerlemesini engelleyebilir ve ameliyat sonrası tekrarlar söz konusu olabilir."]},"beginTime":342,"endTime":490,"href":"/video/preview/392535343253189358?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=342&ask_summarization=1"},{"index":3,"title":"Tedavi Yöntemleri ve Türkiye'deki Durum","list":{"type":"unordered","items":["Endometriozis tedavisinde çocuk sahibi olma problemi yaşayanlarda tüp bebeğe kadar giden yöntemler ve ameliyat tercih edilebilir.","Ameliyatta yumurtalık rezervini azaltabilecek çikolata kistleri, yumurtalığa iyice gömülmüş durumdadır.","Türkiye'de endometriozis konusunda bilimsel bir platform oluşturulmuş olup, Avrupa'daki uzmanlara seminerler verilerek eğitmeye yönelik projeler yürütülmektedir."]},"beginTime":490,"endTime":633,"href":"/video/preview/392535343253189358?parent-reqid=1791796621922805-2092244035805724101-balancer-l7leveler-kubr-yp-nrg-67-BAL&q_source=channel&text=endometriozis+ve+adenomyozis+derne%C4%9Fi&t=490&ask_summarization=1"},{"index":4,"title":"Disiplinler Arası İşbirliği Önerisi","list":{"type":"unordered","items":["Konuşmacı, nöroloji derneği ve ney derneği arasında birlikte çalışılabilir bir fırsat olduğunu belirtiyor.","Program araştırmacı olmayan bir beyin omurilik cerrahının bu konuda 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