{"id":109,"date":"2025-12-21T23:51:24","date_gmt":"2025-12-21T23:51:24","guid":{"rendered":"https:\/\/mehmetsalihboga.com\/?page_id=109"},"modified":"2025-12-28T20:23:54","modified_gmt":"2025-12-28T20:23:54","slug":"cinsel-yolla-bulasan-hastaliklar","status":"publish","type":"page","link":"https:\/\/mehmetsalihboga.com\/index.php\/cinsel-yolla-bulasan-hastaliklar\/","title":{"rendered":"Cinsel Yolla Bulas\u0327an Hastal\u0131klar"},"content":{"rendered":"\n
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Bu tip hastal\u0131klar<\/strong><\/p>\n\n\n\n

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Cinsel yolla bula\u015fan bir\u00e7ok bakteri, parazit, vir\u00fcs ve mantar vard\u0131r. Bu hastal\u0131klar\u0131n d\u00fcnya \u00e7ap\u0131nda g\u00f6r\u00fclme oran\u0131 ise h\u0131zla artmaktad\u0131r. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO), her g\u00fcn d\u00fcnya \u00e7ap\u0131nda 1 milyondan fazla yeni vakan\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 bildiriyor. G\u00fcn\u00fcm\u00fczde, tan\u0131mlanan 25’in \u00fczerinde mikroorganizman\u0131n cinsel yolla bula\u015farak hastal\u0131klara yol a\u00e7t\u0131\u011f\u0131n\u0131 ke\u015ffedilmi\u015ftir.

Hastal\u0131k, \u00fcretran\u0131n (idrar\u0131 keseden d\u0131\u015far\u0131ya ta\u015f\u0131yan boru \u015feklindeki organ) iltihaplanmas\u0131 nedeniyle ortaya \u00e7\u0131kar. Bu duruma \u00fcretrit denir.<\/p>\n\n\n\n

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Hastal\u0131k etkenleri<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

Neisseria Gonorrhoeae (Bel So\u011fuklu\u011fu\/Gonore), Chlamydia Trachomatis (Klamidya), Ureaplasma Urealyticum, Trichomonas Vaginalis, Herpes Simplex Virus ve Mycoplasma Genitalium gibi etkenler vard\u0131r.<\/p>\n<\/div>\n\n\n\n

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Belirtileri<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

\u0130drar yaparken yanma, s\u0131k s\u0131k idrar yapma, idrar kanal\u0131nda ka\u015f\u0131nt\u0131<\/p>\n<\/div>\n\n\n\n

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Tan\u0131<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

Ak\u0131nt\u0131 \u00f6rne\u011fi incelemesi s\u0131ras\u0131nda x1000 b\u00fcy\u00fctmede en az 5 l\u00f6kosit\/hpf’lik iltihap h\u00fccresi g\u00f6r\u00fcl\u00fcrse \u00fcretrit tan\u0131s\u0131 verilir. Ayr\u0131ca tan\u0131 i\u00e7in ilk ad\u0131m gram boyama yap\u0131lmas\u0131d\u0131r. Gram boyamada gram negatif diplokoklar\u0131n bulunmas\u0131 gonore (bel so\u011fuklu\u011fu) g\u00f6stergesidir. E\u011fer g\u00f6r\u00fclmezse, non-gonkoksik \u00fcretrit olarak tan\u0131mlan\u0131r. Trikomonas, bir parazittir ve mikroskop alt\u0131nda g\u00f6zlemlenebilir. Etken ajan, antikor testleri ve PCR gibi y\u00f6ntemlerle ak\u0131nt\u0131 k\u00fclt\u00fcr\u00fcnden ayr\u0131labilir.<\/p>\n<\/div>\n\n\n\n

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Tedavi<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

Etken tespit edildi\u011finde, duyarl\u0131 antibiyotik tedavisi ba\u015flan\u0131r. Gonore tedavisinde sefalosporin, azitromisin ve kinolon grubu antibiyotikler kullan\u0131l\u0131r; non-gonokoksik \u00fcretritlerde doksisiklin, azitromisin ve eritromisin grubu antibiyotikler kullan\u0131l\u0131r; ve trikomonas enfeksiyonlar\u0131 i\u00e7in metronidazol kullan\u0131l\u0131r. Ek olarak, e\u015f tedavisi kesinlikle gereklidir. Bununla birlikte, tedavinin ana odak noktas\u0131 “korunma yani g\u00fcvenli cinsel birliktelik” olmal\u0131d\u0131r.<\/p>\n<\/div>\n\n\n\n

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Komplikasyonlar (\u0130stenmeyen Yan Etkiler)<\/strong><\/strong><\/strong><\/strong><\/h2>\n\n\n\n

Hastal\u0131k tedavi edilmezse idrar yolu darl\u0131klar\u0131, k\u0131s\u0131rl\u0131k, prostatit, testis iltihab\u0131 (epididimoor\u015fit), menenjit ve endokardit gibi istenmeyen durumlara neden olabilir.<\/p>\n\n\n\n

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Genital Herpes<\/strong><\/h2>\n\n\n\n

Herpes simpleks vir\u00fcs\u00fc (HSV), genital herpes veya u\u00e7uk olarak bilinen bir enfeksiyona neden olur. Her iki HSV tipi de s\u0131kl\u0131kla genital u\u00e7uk nedeni olabilir (HSV-2: %85-90, HSV-1: %10-15).<\/p>\n<\/div>\n\n\n\n

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Belirtileri<\/strong><\/strong><\/h2>\n\n\n\n

Vir\u00fcs ge\u00e7tikten sonra belirtilerin ortaya \u00e7\u0131kmas\u0131 1 ila 26 g\u00fcn (ortalama 4 g\u00fcn) s\u00fcrer. Olgular\u0131n %75’inde vir\u00fcs hi\u00e7bir belirti g\u00f6stermez. Vir\u00fcs\u00fcn ilk enfeksiyonunda g\u00f6sterdi\u011fi belirtiler, daha sonra tekrarlayan ataklarda g\u00f6sterdi\u011fi belirtilerden farkl\u0131d\u0131r.<\/p>\n<\/div>\n\n\n\n

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\u0130lk atak<\/strong><\/strong><\/h2>\n\n\n\n

Genital b\u00f6lge ve \u00e7evresinde veya an\u00fcs etraf\u0131nda a\u011fr\u0131l\u0131 su dolu kabarc\u0131klar (vezik\u00fcl). Lenfadenopati olarak da bilinen kas\u0131k b\u00f6lgesinde a\u011fr\u0131l\u0131 \u015fi\u015flik.<\/p>\n<\/div>\n\n\n\n

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\u015eikayetler<\/strong><\/strong><\/h2>\n\n\n\n

Ate\u015f, ba\u015f a\u011fr\u0131s\u0131, eklem a\u011fr\u0131lar\u0131, lenfadenopati olarak da bilinen kas\u0131k b\u00f6lgesinde a\u011fr\u0131l\u0131k \u015fi\u015flik.<\/p>\n<\/div>\n\n\n\n

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Tekrarlayan atak<\/strong><\/strong><\/h2>\n\n\n\n

Genital veya anal b\u00f6lgede \u00fclser olu\u015fumu<\/p>\n<\/div>\n\n\n\n

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Nas\u0131l bula\u015f\u0131r<\/strong><\/strong><\/h2>\n\n\n\n

Genital herpes, ba\u015fka bir ki\u015fiyle vajinal, oral (a\u011f\u0131z yoluyla) veya anal (makat yoluyla) seks s\u0131ras\u0131nda bula\u015fabilir. Erkekten kad\u0131na bula\u015fma \u015fans\u0131, kad\u0131ndan erke\u011fe bula\u015fma \u015fans\u0131ndan daha d\u00fc\u015f\u00fckt\u00fcr. D\u00fcnya \u00e7ap\u0131nda 15 ila 50 ya\u015f aras\u0131 her 5 kad\u0131ndan 1’inde bu enfeksiyon g\u00f6r\u00fcl\u00fcrken, erkeklerde 9 ki\u015fiden 1’inde g\u00f6r\u00fclmektedir. Korunmak i\u00e7in kondom kullanmak riski azaltsa da kesin bir koruyuculuk sa\u011flamaz.

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Tan\u0131<\/strong><\/strong><\/h2>\n\n\n\n

Fiziksel muayane ve laboratuar testleri (viral k\u00fclt\u00fcr, PCR testi, kanda antikor bak\u0131lmas\u0131) kullan\u0131larak belirlenir.
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Tedavi<\/strong><\/strong><\/h2>\n\n\n\n

Asiklovir ve valasiklovir gibi antiviral ila\u00e7lar kullan\u0131l\u0131r. Bu ila\u00e7lar, lezyonlar\u0131n daha seri bir \u015fekilde ortadan kalkmas\u0131n\u0131 sa\u011flar ve bu da ataklar\u0131n say\u0131 ve \u015fiddetini azalt\u0131r.<\/p>\n<\/div>\n\n\n\n

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Genital Si\u011fil<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

HPV, insan papilloma vir\u00fcs\u00fcd\u00fcr.

Y\u00fczlerce alt tipi vard\u0131r ve her biri genital sisteme zarar verir.

HPV Tip 6 ve 11 genellikle g\u00f6r\u00fcn\u00fcr genital si\u011filler olu\u015fturur.

HPV ile ili\u015fkili kanserlerden (serviks, penis ve anal kanserler) en \u00e7ok Tip 16 ve 18 gibi sessiz izleyenler sorumludur. Bula\u015fman\u0131n en yayg\u0131n yolu cinsel temast\u0131r (vajinal, oral veya anal), ancak elle temas, ortak jilet veya i\u00e7 \u00e7ama\u015f\u0131r\u0131 kullan\u0131m\u0131, anneden bebe\u011fe vb.

Bir\u00e7o\u011fu herhangi bir belirti g\u00f6stermez, bu da asemptomatik olarak bilinir. (%70) Bula\u015ft\u0131ktan sonras\u0131 lezyonlar\u0131n ortaya \u00e7\u0131kmas\u0131 veya ink\u00fcbasyon s\u00fcresi \u00fc\u00e7 ila sekiz ay aras\u0131nda de\u011fi\u015fmektedir.<\/p>\n\n\n\n

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Tan\u0131<\/strong><\/strong><\/h2>\n\n\n\n

Papillomat\u00f6z (karnabahar g\u00f6r\u00fcn\u00fcml\u00fc) kahverengi veya k\u0131rm\u0131z\u0131ms\u0131 lezyonlarla birlikte tan\u0131n\u0131r. Lezyon g\u00f6r\u00fcnmeyen hastalarda, genital b\u00f6lgeye %3 ila %5 asetik asid uyguland\u0131\u011f\u0131nda kond\u00fclomlar beyaz alanlar olarak g\u00f6r\u00fcl\u00fcr. Bu uygulama s\u0131kl\u0131kla tavsiye edilmez. HPV-DNA ile subtiplendirme yap\u0131labilir.<\/p>\n<\/div>\n\n\n\n

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Biyopsi yap\u0131l\u0131r m\u0131?<\/strong><\/strong><\/h2>\n\n\n\n

Rutin biyopsi yap\u0131lmas\u0131 \u00f6nerilmez. Fakat atipik g\u00f6r\u00fcn\u00fc\u015fl\u00fc, pigmente, sert veya \u00fclsere si\u011fillere, \u0130mm\u00fcn yetmezli\u011fi olanlara ve tedavi sonras\u0131 iyile\u015fme g\u00f6stermeyen lezyonlara biyopsi \u00f6nerilir.

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HPV a\u015f\u0131s\u0131<\/strong><\/strong><\/h2>\n\n\n\n

9 ila 26 ya\u015f aras\u0131 kad\u0131nlara uygulan\u0131r ve erkeklere de uygulanabilir. Dokuz farkl\u0131 HPV vir\u00fcs\u00fc i\u00e7erir. 6 ay boyunca \u00fc\u00e7 doz uygulan\u0131r.

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Tedavi<\/strong><\/strong><\/h2>\n\n\n\n

HPV enfeksiyonunu v\u00fccuttan atan veya temizleyen bir tedavi yoktur, ancak vir\u00fcslerin y\u00fczde 90’\u0131 iki y\u0131l i\u00e7inde kendili\u011finden v\u00fccuttan at\u0131l\u0131r. Vir\u00fcs tamamen yok edilemese de genital si\u011filler \u00e7e\u015fitli yollarla ortadan kald\u0131r\u0131labilir.

Elektrokoterizasyon: o b\u00f6lgeyi yakmak i\u00e7in bir elektrik ak\u0131m\u0131 kullan\u0131r.

Kriyoterapi: Si\u011fil s\u0131v\u0131 nitrojenle dondurulur.

Si\u011fil dokusunu kimyasal olarak yakan kremler

Kad\u0131nlar serviks kanseri a\u00e7\u0131s\u0131ndan taramaya al\u0131nmal\u0131d\u0131r.<\/p>\n\n\n\n

Anal kond\u00fclomu olan riskli hastalar\u0131n (HIV, transplant vb.) d\u00fczenli olarak anal sitoloji ile taranmas\u0131 gerekir. Penis idrar deli\u011finde yaralanma olanlar, \u00fcretra veya kese tutulumu i\u00e7in sistoskopik bir inceleme yapt\u0131rmal\u0131d\u0131r.<\/p>\n<\/div>\n\n\n\n

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Cinsel yolla bula\u015fan di\u011fer hastal\u0131klar<\/strong><\/strong><\/h2>\n\n\n\n

AIDS (HIV)

Hepatik hastal\u0131klar (HBV ve HCV)

Frengi (Sifiliz)

Donovanozis (Gran\u00fcloma inguinale) olarak bilinir.

Skabies (Uyuz)

Kas\u0131k bitleri (pediculosis pubis)<\/p>\n\n\n\n


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<\/p>\n","protected":false},"excerpt":{"rendered":"

Bu tip hastal\u0131klar Cinsel yolla bula\u015fan bir\u00e7ok bakteri, parazit, vir\u00fcs ve mantar vard\u0131r. Bu hastal\u0131klar\u0131n d\u00fcnya \u00e7ap\u0131nda g\u00f6r\u00fclme oran\u0131 ise h\u0131zla artmaktad\u0131r. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO), her g\u00fcn d\u00fcnya \u00e7ap\u0131nda 1 milyondan fazla yeni vakan\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 bildiriyor. G\u00fcn\u00fcm\u00fczde, tan\u0131mlanan 25’in \u00fczerinde mikroorganizman\u0131n cinsel yolla bula\u015farak hastal\u0131klara yol a\u00e7t\u0131\u011f\u0131n\u0131 ke\u015ffedilmi\u015ftir. Hastal\u0131k, \u00fcretran\u0131n (idrar\u0131 keseden d\u0131\u015far\u0131ya […]<\/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-109","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages\/109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/comments?post=109"}],"version-history":[{"count":3,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages\/109\/revisions"}],"predecessor-version":[{"id":187,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages\/109\/revisions\/187"}],"wp:attachment":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/media?parent=109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}