{"id":8177,"date":"2025-09-28T04:08:07","date_gmt":"2025-09-28T04:08:07","guid":{"rendered":"https:\/\/polikistikover.net\/yeni\/?page_id=8177"},"modified":"2025-11-21T20:22:31","modified_gmt":"2025-11-21T20:22:31","slug":"16-yasindan-kucuk-kizlarda-polikistik-over-sendromu","status":"publish","type":"page","link":"https:\/\/polikistikover.net\/yeni\/16-yasindan-kucuk-kizlarda-polikistik-over-sendromu\/","title":{"rendered":"16 Ya\u015f\u0131ndan K\u00fc\u00e7\u00fck K\u0131zlarda Polikistik Over Sendromu"},"content":{"rendered":"\n

Ergenlik d\u00f6neminin do\u011fal, fizyolojik belirtileri polikistik over sendromu ile benzerlik g\u00f6stermektedir. Bu benzerlik nedeniyle bu her iki durum birbirine kar\u0131\u015ft\u0131r\u0131lmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n

Ergenlik d\u00f6neminde polikistik over sendromu te\u015fhisi konulan yakla\u015f\u0131k her 5 k\u0131zdan 4 \u00fcnde asl\u0131nda polikistik over sendromu olmad\u0131\u011f\u0131 zaman i\u00e7inde anla\u015f\u0131lmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n

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1- <\/mark>Ergenlik (Adolesan) d\u00f6neminde hen\u00fcz beyin, yumurtal\u0131k ve rahim aras\u0131ndaki ili\u015fki tam olarak geli\u015fmedi\u011fi i\u00e7in polikistik over sendromu\u2019nda oldu\u011fu gibi yumurta geli\u015fimi ve yumurtlama olmamaktad\u0131r.<\/p>\n\n\n\n

2- <\/mark>Ergenlik d\u00f6neminde bulunan k\u0131zlarda do\u011fal (fizyolojik) olarak g\u00f6r\u00fclen ins\u00fclin direnci polikistik over sendromu\u2019nda g\u00f6r\u00fclen hastal\u0131kla ili\u015fkili ins\u00fclin direncinden farkl\u0131d\u0131r(1).<\/p>\n\n\n\n

3- <\/mark>Ergenlik d\u00f6neminde ultrasonda yumurtal\u0131klar kistik (multikistik) g\u00f6r\u00fcn\u00fcmdedir. Ultrasonda multikistik over (yumurtal\u0131k) g\u00f6r\u00fcn\u00fcm\u00fc polikistik over (yumurtal\u0131k) g\u00f6r\u00fcn\u00fcm\u00fcne \u00e7ok benzemektedir(2). Bu benzerli\u011fin kar\u0131\u015ft\u0131r\u0131lmamas\u0131 gerekmektedir.<\/p>\n\n\n\n

4- <\/mark>Ergenlik d\u00f6neminde bulunan k\u0131zlar\u0131n bir k\u0131sm\u0131nda her ay bir kere d\u00fczenli adet g\u00f6r\u00fclmesine ra\u011fmen bu adet kanamalar\u0131nda polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi \u00e7o\u011funlukla yumurtlama olmamaktad\u0131r(3).<\/p>\n\n\n\n

Yukar\u0131da anlat\u0131lan benzerliklerden dolay\u0131 ergenlik d\u00f6neminin do\u011fal (fizyolojik) \u00f6zellikleri bazen polikistik over sendromu ile kar\u0131\u015ft\u0131r\u0131lmaktad\u0131r. Bu kar\u0131\u015f\u0131kl\u0131k \u00e7ok erken ya\u015flarda bulunan k\u0131zlarda do\u011fum kontrol hap\u0131 gibi ila\u00e7lar\u0131n gereksiz yere polikistik over sendromu\u2019nu tedavi amac\u0131yla kullan\u0131lmas\u0131na neden olmaktad\u0131r.<\/p>\n\n\n\n

Burada iki yanl\u0131\u015f bir arada bulunmaktad\u0131r; hem te\u015fhis yanl\u0131\u015f hem de kullan\u0131lan ila\u00e7 yanl\u0131\u015f!<\/mark><\/strong><\/p>\n\n\n\n

Halbuki 16 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck k\u0131zlarda polikistik over sendromu\u2019nda yakla\u015f\u0131m a\u015fa\u011f\u0131da anlat\u0131ld\u0131\u011f\u0131 \u015fekilde olmal\u0131d\u0131r;  <\/mark><\/strong><\/p>\n\n\n\n

Bir gen\u00e7 k\u0131zda ergenlik d\u00f6neminde s\u0131ras\u0131yla g\u00f6\u011f\u00fcs geli\u015fimi, genital b\u00f6lge k\u0131llanmas\u0131 ve ilk adet kanamas\u0131 olmaktad\u0131r.<\/p>\n\n\n\n

1-<\/mark><\/strong>G\u00f6\u011f\u00fcs geli\u015fimi ba\u015flam\u0131\u015f, genital b\u00f6lge k\u0131llanmas\u0131 var, ama ilk adet kanamas\u0131 hen\u00fcz olmam\u0131\u015f bir k\u0131zda t\u00fcylenme art\u0131\u015f\u0131, <\/a>erkek tipi sa\u00e7 d\u00f6k\u00fclmesi, <\/a>kilo fazlal\u0131\u011f\u0131 ve \u015fi\u015fmanl\u0131k yok ise ilk adet kanamas\u0131 i\u00e7in 16 ya\u015f\u0131na kadar beklenilmelidir.<\/p>\n\n\n\n

2-<\/mark>G\u00f6\u011f\u00fcs geli\u015fimi ba\u015flam\u0131\u015f, genital b\u00f6lge k\u0131llanmas\u0131 var, ama ilk adet kanamas\u0131 hen\u00fcz olmam\u0131\u015f bir k\u0131zda <\/a>erkek tipi t\u00fcylenme art\u0131\u015f\u0131, sa\u00e7 d\u00f6k\u00fclmesi, \u015fi\u015fmanl\u0131k-kilo fazlal\u0131\u011f\u0131 var ise polikistik over sendromu a\u00e7\u0131s\u0131ndan adet d\u00fczensizli\u011finin 16 ya\u015f\u0131ndan \u00f6nce ara\u015ft\u0131r\u0131lmas\u0131 gerekir. Polikistik over sendromu\u2019na ba\u011fl\u0131 olarak adet kanamas\u0131n\u0131n gecikmesi veya adet olamama \u015fikayeti olan 16 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck k\u0131zlarda Anti-Mullerian Hormon (AMH) miktar\u0131 fazla bulunmaktad\u0131r (4).<\/p>\n\n\n\n

3-<\/mark>E\u011fer k\u0131z 14 ya\u015f\u0131na gelmi\u015f ve ilk adet kanamas\u0131 olmam\u0131\u015f ise ve ayn\u0131 zamanda g\u00f6\u011f\u00fcs geli\u015fimi ve genital b\u00f6lge k\u0131llanmas\u0131 da yok ise bu durumda 16 ya\u015f\u0131n\u0131 beklemeden gecikmi\u015f ergenlik bak\u0131m\u0131ndan sorunun kayna\u011f\u0131n\u0131n \u00f6zellikle genetik (do\u011fu\u015ftan) nedenlerin ara\u015ft\u0131r\u0131lmas\u0131 gerekir.<\/p>\n\n\n\n

16 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck k\u0131zlar\u0131n hi\u00e7birinde polikistik over sendromu tedavisi olarak do\u011fum kontrol hap\u0131 kullan\u0131lmas\u0131 do\u011fru de\u011fildir!<\/mark><\/strong><\/p>\n\n\n\n

Ergenlik d\u00f6neminin do\u011fal, fizyolojik belirtileri ile polikistik over sendromu ayr\u0131m\u0131n\u0131n nas\u0131l yap\u0131laca\u011f\u0131n\u0131 sizlerle payla\u015faca\u011f\u0131m;<\/mark><\/strong><\/p>\n\n\n\n

1-<\/mark><\/strong>Ergenlik d\u00f6neminde hen\u00fcz beyin ve yumurtal\u0131k aras\u0131ndaki ileti\u015fim sistemi tam olarak olgunla\u015fmad\u0131\u011f\u0131 i\u00e7in yumurtlama olmamaktad\u0131r. Bu nedenle ilk adet kanamas\u0131 gecikebilece\u011fi gibi, d\u00fczenli yumurtlaman\u0131n ba\u015flad\u0131\u011f\u0131 16 ya\u015f\u0131na kadar adet d\u00fczensizli\u011fi devam edebilmektedir. Ergenlik d\u00f6neminde \u00e7o\u011funlukla polikistik over sendromuna benzeyen, 1.5-2 ay aral\u0131klarla g\u00f6r\u00fclen adet kanamalar\u0131, hatta bazen de 6 aydan daha uzun aral\u0131klarla adet kanamalar\u0131 g\u00f6r\u00fclebilmektedir. \u0130lk adet kanamas\u0131n\u0131 takip eden 5 y\u0131l\u0131n sonuna kadar her 5 k\u0131zdan, 4 \u00fcnde yumurtlaman\u0131n oldu\u011fu, d\u00fczenli adet kanamalar\u0131 ba\u015flamaktad\u0131r. \u0130lk adet kanamas\u0131n\u0131 takip eden 2 y\u0131l sonunda hala adet kanamalar\u0131 1.5-2 ay aral\u0131klarla olan k\u0131zlar\u0131n da ancak yar\u0131s\u0131nda polikistik over sendromu vard\u0131r.<\/p>\n\n\n

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