{"id":8487,"date":"2025-09-28T15:20:01","date_gmt":"2025-09-28T15:20:01","guid":{"rendered":"https:\/\/polikistikover.net\/yeni\/?page_id=8487"},"modified":"2025-11-23T20:02:34","modified_gmt":"2025-11-23T20:02:34","slug":"yemek-yeme-bozuklugu-anorexia-nervosa-bulimia-nervosa-ve-polikistik-over-sendromu","status":"publish","type":"page","link":"https:\/\/polikistikover.net\/yeni\/yemek-yeme-bozuklugu-anorexia-nervosa-bulimia-nervosa-ve-polikistik-over-sendromu\/","title":{"rendered":"Yemek Yeme Bozuklu\u011fu (Anorexia Nervosa, Bulimia Nervosa) ve Polikistik Over Sendromu"},"content":{"rendered":"\n

\u0130lk adet kanamas\u0131n\u0131 (menarche) takip eden 2 y\u0131l sonunda 35 g\u00fcnden daha uzun aral\u0131klarla (oligomenorrhea) veya 6 aydan daha uzun aral\u0131klarla (secondary amenorrhea) adet kanamalar\u0131 olan k\u0131zlar\u0131n bir k\u0131sm\u0131nda psikolojik kaynakl\u0131 yemek yeme bozukluklar\u0131 (eating disorders) g\u00f6r\u00fclmektedir(1,2,3).<\/mark><\/strong><\/p>\n\n\n\n

Karbonhidrat i\u00e7erikli besinlerin t\u00fcketiminin kesilmesi sonucunda olu\u015fan a\u00e7l\u0131k (starvation) ile birlikte kilo kaybedilmesi (Anorexia Nervosa) 6 aydan daha uzun aral\u0131klarla (secondary amenorrhea) adet kanamalar\u0131 olan k\u0131zlarda daha s\u0131k g\u00f6r\u00fclmektedir(4,5,6,7,8). <\/p>\n\n\n\n

Anorexia Nervosa\u2019 ya ba\u011fl\u0131 olu\u015fan kilo kayb\u0131 nedeniyle beyinde hipotalamus b\u00f6lgesinde bulunan jenerat\u00f6rden (dinamo) GnRH hormonu salg\u0131lanmas\u0131 engellenmektedir (Inhibition). Bunun sonucunda hipofiz bezinden salg\u0131lanan FSH ve LH miktarlar\u0131n\u0131n azalmas\u0131 yumurtal\u0131klarda \u00f6strojen (estrogen) \u00fcretimini azaltarak 6 aydan daha uzun aral\u0131klarla (secondary amenorrhea) adet kanamalar\u0131na (hypothalamic amenorhea) neden olmaktad\u0131r(8,9).<\/p>\n\n\n\n

Polikistik over sendromu nedeniyle kan dola\u015f\u0131m\u0131nda fazla miktarlarda LH (luteinizing hormon) ve ins\u00fclin bulunan 35 g\u00fcnden daha uzun aral\u0131klarla (oligomenorrhea) adet kanamalar\u0131 olan bir k\u0131z a\u015f\u0131r\u0131 kilo kayb\u0131 ya\u015fad\u0131\u011f\u0131 taktirde Polikistik over sendromu\u2019ndan LH (luteinizing hormon) ve ins\u00fclin miktarlar\u0131n\u0131n azald\u0131\u011f\u0131 Anorexia Nervosa\u2019 ya ge\u00e7i\u015f g\u00f6sterebilir. Bu durumda adet kanamalar\u0131 da tamamen kesilebilir (secondary amenorrhea).<\/mark><\/strong><\/p>\n\n\n

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A\u015f\u0131r\u0131 yemek yeme ataklar\u0131 sonras\u0131nda kilo al\u0131m\u0131n\u0131 engellemek i\u00e7in kusma y\u00f6ntemi veya ishal yap\u0131c\u0131 ila\u00e7lar\u0131n (laxatives) kullan\u0131lmas\u0131 (Bulimia Nervosa) ya da a\u015f\u0131r\u0131 yemek yemesine ra\u011fmen doyma hissini kaybetti\u011fi ataklar\u0131n olmas\u0131 (Binge eating) \u00e7o\u011funlukla adet kanamalar\u0131 35 g\u00fcn ila 3 ayda bir (oligomenorrhea) olan k\u0131zlarda g\u00f6r\u00fclmektedir(3,10,12,13,14,15).<\/p>\n\n\n\n

A\u00e7l\u0131k (starvation) nedeniyle kilo kaybedilmesi (Anorexia Nervosa) \u015feklinde olan yemek yeme bozuklu\u011fu 6 aydan daha uzun aral\u0131klarla (secondary amenorrhea) adet kanamalar\u0131 olan k\u0131zlarda daha s\u0131k g\u00f6r\u00fcl\u00fcrken, polikistik over sendromu\u2019na ba\u011fl\u0131 erkeklik hormonlar\u0131n\u0131n artmas\u0131 (hyperandrogenism) ile birlikte adet kanamalar\u0131 35 g\u00fcn ila 3 ayda bir (oligomenorrhea) olan k\u0131zlarda yemek yeme bozuklu\u011fu daha \u00e7ok a\u015f\u0131r\u0131 yemek yeme ataklar\u0131 sonras\u0131nda kilo al\u0131m\u0131n\u0131 engellemek i\u00e7in kusma y\u00f6ntemi veya ishal yap\u0131c\u0131 ila\u00e7lar\u0131n (laxatives) kullan\u0131lmas\u0131 (Bulimia Nervosa) ya da a\u015f\u0131r\u0131 yemek yemesine ra\u011fmen doyma hissini kaybetti\u011fi ataklar (Binge eating) \u015feklinde g\u00f6r\u00fclmektedir.<\/mark><\/strong><\/p>\n\n\n\n

A\u015f\u0131r\u0131 yemek yeme iste\u011fi ataklar\u0131 (Food cravings) \u00e7ok be\u011fenilen bir \u00e7e\u015fit yiyecek veya i\u00e7ecek i\u00e7in olmakta olup genellikle bunlar da y\u00fcksek enerji (kalori) i\u00e7eren ya\u011fl\u0131, \u015fekerli ve fast-food besinler olmaktad\u0131r. <\/mark><\/strong><\/p>\n\n\n\n

Kaynaklar<\/strong><\/p>\n\n\n\n

1-Epidemiology of eating disorders: incidence, prevalence and mortality rates. Smink FR, van Hoeken D, Hoek HW. Curr Psychiatry Rep. 2012  Aug;14(4):406-14.<\/p>\n\n\n\n

2-Studies of the epidemiology of bulimia nervosa. Fairburn CG, Beglin SJ. Am J Psychiatry. 1990 Apr;147(4):401-8.<\/p>\n\n\n\n

3-Binge eating behaviours and food cravings in women with Polycystic Ovary Syndrome. Jeanes YM, Reeves S, Gibson EL, Piggott C, May VA, Hart KH. Appetite. 2017  Feb 1;109:24-32.<\/p>\n\n\n\n

4-Prospective follow-up of menstrual disorders in adolescence and prognostic factors. Wiksten-Almstr\u00f6mer M, Hirschberg AL, Hagenfeldt K. Acta Obstet Gynecol Scand. 2008 ;87(11):1162-8.<\/p>\n\n\n\n

5-Menstrual disorders and associated factors among adolescent girls visiting a youth clinic. Wiksten-Almstr\u00f6mer M, Hirschberg AL, Hagenfeldt K. Acta Obstet Gynecol Scand. 2007;86(1):65-72.<\/p>\n\n\n\n

6-Anorexia nervosa and a bearded female saint. Lacey JH. Br Med J (Clin Res Ed). 1982 Dec 18-25;285(6357):1816-7.<\/p>\n\n\n\n

7-Future recovery of the normal menstrual cycle in adolescent patients with secondary amenorrhea. Morimatsu Y, Matsubara S, Watanabe T, Hashimoto Y, Matsui T, Asada K, Suzuki M. J Obstet Gynaecol Res. 2009Jun;35(3):545-50.<\/p>\n\n\n\n

8-How possible is the prevention of polycystic ovary syndrome development in adolescent patients with early onset of hyperandrogenism. Apter D. J Endocrinol Invest. 1998 Oct;21(9):613-7.<\/p>\n\n\n\n

9-Aetiology, previous menstrual function and patterns of neuro-endocrine disturbance as prognostic indicators in hypothalamic amenorrhoea. Perkins RB, Hall JE, Martin KA. Hum Reprod. 2001 Oct;16(10):2198-205.<\/p>\n\n\n\n

10-Bulimia nervosa: an ominous variant of anorexia nervosa. Russell G. Psychol Med. 1979 Aug;9(3):429-48.<\/p>\n\n\n\n

11-Increased odds of disordered eating in polycystic ovary syndrome: a systematic review and meta-analysis.Lee I, Cooney LG, Saini S, Sammel MD, Allison KC, Dokras A. Eat Weight Disord. 2019 Oct;24(5):787-797.<\/p>\n\n\n\n

12-Increased odds of disordered eating in polycystic ovary syndrome: a systematic review and meta-analysis. Lee I, Cooney LG, Saini S, Sammel MD, Allison KC, Dokras A. Eat Weight Disord. 2019 Oct;24(5):787-797.<\/p>\n\n\n\n

13-Polycystic ovary syndrome and bulimia. McCluskey S, Evans C, Lacey JH, Pearce JM, Jacobs H. Fertil Steril. 1991 Feb;55(2):287-91.<\/p>\n\n\n\n

14-Binge-eating and polycystic ovaries. McCluskey SE, Lacey JH, Pearce JM. Lancet. 1992 Sep 19;340(8821):723.<\/p>\n\n\n\n

15-Development and validation of the food-craving inventory. White MA, Whisenhunt BL, Williamson DA, Greenway FL, Netemeyer RG. Obes Res. 2002 Feb;10(2):107-14.<\/p>\n\n\n\n

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

\u0130lk adet kanamas\u0131n\u0131 (menarche) takip eden 2 y\u0131l sonunda 35 g\u00fcnden daha uzun aral\u0131klarla (oligomenorrhea) veya 6 aydan daha uzun aral\u0131klarla (secondary amenorrhea) adet kanamalar\u0131 olan k\u0131zlar\u0131n bir k\u0131sm\u0131nda psikolojik kaynakl\u0131 yemek yeme bozukluklar\u0131 (eating disorders) g\u00f6r\u00fclmektedir(1,2,3). Karbonhidrat i\u00e7erikli besinlerin t\u00fcketiminin kesilmesi sonucunda olu\u015fan a\u00e7l\u0131k (starvation) ile birlikte kilo kaybedilmesi (Anorexia Nervosa) 6 aydan daha uzun aral\u0131klarla (secondary […]<\/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-8487","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/comments?post=8487"}],"version-history":[{"count":14,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8487\/revisions"}],"predecessor-version":[{"id":12933,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8487\/revisions\/12933"}],"wp:attachment":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/media?parent=8487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}