<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal">Rahim içindeki dokunun gebelik gerçekleşmediğinde, adet kanaması şeklinde dışarıya atılması söz konusu olur. Bu doku yani endometrium normalde rahim içinde olur. Ancak bu dokunun rahim dışına yerleşmesi halinde, endometriozis hastalığı meydana gelir. Bu rahatsızlık üreme çağında olan kadınlarda görülmektedir. Hastalık yumurtalıklarda, tüplerde, bağırsak yüzeyinde, döl yatağında, karı<span lang="NL" style="mso-ansi-language:NL">n zar</span>ı üzerinde, rahim arkasında olan boşlukta, vajenle bağırsağın son bölümünde görülebilir. Fakat en sık görüldüğü alan yumurtalıklardır. Burada meydana gelen oluşumlara çikolata kisti adı verilir. Bu her 10 kadından ikisini etkileyebilir.</p> <p class="MsoNormal"><b>Çikolata kistinin belirtileri nelerdir?</b></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Adet öncesinde başlayan ve adet sırasında belirgin hale gelen ağrı</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Yorgunluk ve sırta vuran ağrı</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Adet sırasında kabızlık ya da ishal görülmesi</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">4.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Bağırsak hareketlerinde düzensizlik olması</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">5.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Belde ve kasık bölgesinde ağrı</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">6.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Cinsel ilişki sırasında ağrı</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">7.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Bacakları etkileyen ağrı</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">8.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Gebe kalamama</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">9.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Bulantı ve kusma etkisi</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">10.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">İdrar ve dışkıda kan görülmesi</span></p> <p class="MsoNormal" style="margin-left:0cm;text-indent:0cm;mso-list:l0 level1 lfo1"><span lang="DA" style="mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:DA"><span style="mso-list:Ignore">11.<span style="font:7.0pt "Times New Roman""> </span></span></span><span lang="DA" style="mso-ansi-language:DA">Sıkça idrara çıkma</span></p> <p class="MsoNormal">Bu belirtiler herkeste farklı olabilir. Bazı hastalarda etkiler hafif olurken, bazılarında ağır olabilir. Bazı hasta gruplarında ise, çikolata kistinin belirtileri görülmeyebilir.</p> <p class="MsoNormal"><b>Çikolata kisti niçin ağrıya neden olur?</b></p> <p class="MsoNormal">Kistler nedeniyle oluşan ağrılar farklı etkenler nedeniyle oluşabilir:</p> <p class="MsoNormal">Rahmin iç dokusu endometriumun rahim dışında bir alanda yerleşmesi ile meydana gelen hastalık odaklarındaki kanamalar yüzünden meydana gelen iltihabik reaksiyonlar ağrı sebebi olabilir.</p> <p class="MsoNormal">Adet kanamasında meydana gelen ve uygulanan ilaç tedavisine olumlu yanıt göstermeyen çok şiddetli adet sancıları bu alanlardaki iltihabik reaksiyonlardan kaynaklanır.</p> <p class="MsoNormal">Bu ağrılar <a href="http://jinekoloji.com/cikolata-kistinin-endometriozis-11-belirtisi/"><u>çikolata kistlerinde</u> </a>olan odakların kanaması sonucunda meydana gelen atıkların, çevrede olan organ ve dokular arasında yapışıklığa yani adezyona sebep olmasıyla oluşabilir.</p> <p class="MsoNormal">Cinsel ilişkide olan derin ağrılar ve kronik pelvik ağrılarının oluşma sebebi de, bu yapışıklıklar nedeniyledir.</p> <p class="MsoNormal"><b>Çikolata kisti gebe kalmaya engel ve kısırlığa sebep olur mu?<span style="mso-spacerun:yes"> </span></b></p> <p class="MsoNormal">Kadınların gebe kalamaması ya da infertilite ( kısırlık ) ya da adet düzensizliği yaşaması gibi sorunların altında çoğunlukla çikolata kistleri etkili olur. Hastalık odaklarının sebep olduğu kanamayla geriye kalan artıkların meydana getirdiği yapışıklı<span lang="NL" style="mso-ansi-language: NL">klar, fallop t</span>üplerinde tıkanmaya ya da bu tüplerin saçaklarının fonksiyonunun bozulmasına neden olabilir. Bu sebeple overden salınan yumurta hücresinin fallop tüplerine girmesi mümkün olmaz ya da tüplere girmiş olsa bile tıkanan tüpte ilerlemesi olanaksız hale gelir. Bu açıdan kadınlarda kısırlık gelişimi söz konusu olabilir. 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