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Dr. Önder Koç Kanal 24 Sağlık Merkezi Kadın hastalıklarında kapalı (laparoskopik) ameliyatlar, miyom ve polipler tedavisi. https://www.onderkoc.com.tr/kapali-mi...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/1576333/944972f23ad97ac9686ecf4f2d50e473/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/5qGevgAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"8","reqid":"1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=videoid:50788329037536172","teaser":[{"list":{"type":"unordered","items":["Bu video, Ankara stüdyosunda gerçekleşen, bir jinekoloji uzmanı ile yapılan bilgilendirici bir röportajdır. Konuşmacılardan biri tüp bebek tedavisiyle de uğraşan bir uzman olarak kendini tanıtmaktadır.","Videoda kadın sağlığı ve üreme sağlığı konuları kapsamlı şekilde ele alınmaktadır. İlk olarak laparoskopik cerrahi teknikleri ve kadın hastalıklarındaki uygulamaları anlatılmakta, ardından miyomlar, polipler, çikolata kistleri (endometriozis), rahim şekil bozuklukları ve rahim içi yapışıklıklar gibi lezyonların sebepleri, belirtileri ve tedavi yöntemleri açıklanmaktadır. Son bölümde ise rahim ağzı kanseri, HPV virüsleri ve HPV aşısı hakkında bilgiler verilmektedir.","Video ayrıca Türkiye'de kadın sağlığı konusundaki bilinç seviyesi, yıllık jinekolojik muayenelerin önemi, smear testi ve rahim kanseri gibi kanserlerin erken teşhisinin yolları hakkında önemli bilgiler içermektedir. HPV aşısının yaş sınırının 26'dan 30-45 yaş aralığına genişletildiği ve İngiltere'de sağlık bakanlığı tarafından ödendiği ancak Türkiye'de henüz bu şekilde olmadığı da belirtilmektedir."]},"endTime":1921,"title":"Kadın Sağlığı ve Üreme Sağlığı Üzerine Bilgilendirici Röportaj","beginTime":0}],"fullResult":[{"index":0,"title":"Laparoskopik Cerrahi Nedir?","list":{"type":"unordered","items":["Laparoskopik cerrahi, 1980'lerde Amerika'da kadın hastalıklarında rahmin ilk alınmasıyla devreye girdi ve son on yılda Avrupa ve Amerika'da yaygın bir şekilde kullanım alanı buldu.","Laparoskopi, karın boşluğuna hava ile yaratılan bir balonda görüntüleme, tanısal ve tedavi işlemlerinin kamera görüntüsü altında 5 mm'lik küçük deliklerden yapılmasıdır.","Bu cerrahi yönteminin en önemli avantajı karında herhangi bir iz bırakmamasıdır; göbek deliğinden yapılan küçük bir insizyondan kamera kullanılır."]},"beginTime":1,"endTime":151,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=1&ask_summarization=1"},{"index":1,"title":"Laparoskopik Cerrahinin Avantajları","list":{"type":"unordered","items":["Kadın hastalıklarında erken evre kanserlere kadar yumurtalık kistleri, miyom cerrahisi, rahim alınması, vajen sarkması ve rahim sarkması cerrahileri laparoskopik yöntemle yapılabilir.","Bu cerrahi yöntemi günlük hayatına çok hızlı bir dönüş sağlar; miyom veya rahim alınması gibi cerrahilerde hasta ertesi gün işine veya sosyal hayatına dönebilir.","Kamera cerrahisi olduğu için yaklaşık 20 kat büyütmeli yüksek çözünürlüklü bir kamera ile yapıldığı için ameliyatlar çok kansız olarak devam eder ve hasta çabuk kendine gelir."]},"beginTime":151,"endTime":240,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=151&ask_summarization=1"},{"index":2,"title":"Miyomlar ve Özellikleri","list":{"type":"unordered","items":["Miyomlar, hanımlarda %20-30 sıklıkta görülen iyi huylu düz kas tümörleridir ve bası etkisiyle problem yaratır.","Miyomların en önemli etkisi yoğun geçen adet kanamalarıdır; ayrıca ara kanamalar, kansızlık, halsizlik ve bası semptomları (idrarla ilgili sıkıntılar, dışkılama bozuklukları) yaratabilir.","Rahmin iç duvarında yer aldığı zaman gebeliğe engel olabilir, embriyonun yapışmasına engel olabilir veya erken dönem düşüklere yol açabilir."]},"beginTime":240,"endTime":330,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=240&ask_summarization=1"},{"index":3,"title":"Miyom Cerrahisinin Endikasyonları","list":{"type":"unordered","items":["Her miyoma ameliyat demiyoruz; miyomların birçoğu ameliyatsız olarak takip edilebilir.","Ameliyat endikasyonu koyma aşamasında ultrasonlar ve MR görüntüleme teknikleri ile miyomun sınırları çizilip hastanın kliniği ile karşılaştırılır.","Ameliyat endikasyonu koyulduğunda laparoskopik cerrahi teknikleri ön plana çıkar; miyomlar rahmin içerisinden çıkartılıp küçültülerek rahmin dışına alınır."]},"beginTime":330,"endTime":391,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=330&ask_summarization=1"},{"index":4,"title":"Laparoskopik Miyom Cerrahisi","list":{"type":"unordered","items":["Laparoskopik cerrahi tekniklerinde miyom büyüklüğü belli bir hacmi açtığında, kamera ve optik ekipmanları daha üst batın boşluğuna doğru yerleştirilir.","Büyük miyomlar uzaktan daha küçük olarak görülür ve uzak bir bölgeden rahimden ayrılıp parçalayıcı küçültücü aletle rahim dışına alınabilir.","Miyom cerrahilerindeki sınır santimetre olarak 10-13 santim arasında değişebilir ve sayı olarak 4-5 miyoma kadar çıkabilir."]},"beginTime":391,"endTime":515,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=391&ask_summarization=1"},{"index":5,"title":"Miyom Cerrahisinin Endikasyonları","list":{"type":"unordered","items":["Miyom cerrahisindeki en önemli endikasyon hastalığın semptom vermesidir; aşırı kanama, bası veya şiddetli ağrı yaratabilir.","Menopoza yaklaşan hastalarda semptom vermeyen miyomların ameliyat endikasyonu yoktur.","Rahim boşluğuna bası yapan veya rahim duvarında büyük kitle oluşturan miyomlar, gebelikle birlikte büyüme ihtimali yüksek olduğunda ameliyat endikasyonu koyulur."]},"beginTime":515,"endTime":645,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=515&ask_summarization=1"},{"index":6,"title":"Rahim İçi Polipler ve Tedavisi","list":{"type":"unordered","items":["Rahim içi polipler kanser zemininde gelişebilir ve hasta için kötü sonuçlar verebilir.","Polipler genellikle kanamalarla ortaya çıkar ve ultrason yardımıyla tespit edilebilir.","Poliplerin tedavisi endoskopik yöntemlerle yapılır, özellikle histeroskopi ile rahim boşluğunu sıvıyla şişirerek polip alınır."]},"beginTime":648,"endTime":705,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=648&ask_summarization=1"},{"index":7,"title":"Poliplerin Önemi ve Sebepleri","list":{"type":"unordered","items":["Poliplerin zemininde kanser hücrelerinin gelişmesi nedeniyle mutlaka patolojiye gönderilmelidir.","Miyom ve poliplerin sebepleri genetik, immünoloji ve doğuştan gelen çekirdeklerin östrojen yoğunluğunda büyümesidir.","Miyomlar 15-49 yaş arası yüksek östrojen düzeyinde ve gebelikte hızlı büyür, bu nedenle gebelik öncesi tedavi edilmelidir."]},"beginTime":705,"endTime":851,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=705&ask_summarization=1"},{"index":8,"title":"Cerrahi Sonrası Gebelik","list":{"type":"unordered","items":["Rahim cerrahisi sonrası en az bir yıllık gebelikten korunma önerilir.","Cerrahi sırasında rahim duvarı kesilip açıldığı için kat kat dikişlerle onarım yapılır ve yakma teknikleri kullanılmaz.","Cerrahi sonrası gebe kalan kadınlar doğumunu mutlaka sezeryanla yapmalıdır."]},"beginTime":851,"endTime":947,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=851&ask_summarization=1"},{"index":9,"title":"Çikolata Kistleri ve Endometriozis","list":{"type":"unordered","items":["Çikolata kistlerinin en önemli güncel teorisi, adet döneminde rahim bez dokusunun tüpler kanalıyla kasık boşluğuna kanaması ve yumurtalıklara yapışmasıdır.","Endometriozis hastalığının belirtileri geç başlayan adet sancıları, yoğun ağrılı adetler, ilişkide ağrı ve kronik kasık ağrılarıdır.","Çikolata kistleri ultrasonda görülebilir, ancak endometriozis odakları MR ile yakalanabilir."]},"beginTime":947,"endTime":1073,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=947&ask_summarization=1"},{"index":10,"title":"Çikolata Kistlerinin Tedavisi","list":{"type":"unordered","items":["Çikolata kistlerinin tedavisi hastanın yaşı, yumurta rezervi ve kistin büyüklüğüne göre değerlendirilir.","İleri yaşta yumurtalık fonksiyonlarını kaybeden hastalarda ameliyat edilmeden tüp bebeğe yönlendirilebilir.","Genç yaşta yumurta rezervi iyi olan hastalarda kistler temizlenebilir."]},"beginTime":1073,"endTime":1141,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=1073&ask_summarization=1"},{"index":11,"title":"Çikolata Kisti Cerrahisi","list":{"type":"unordered","items":["Çikolata kisti cerrahisi sonrası hasta aynı gün taburcu olabilir veya anestezi etkisinden dolayı bir gece kalabilir.","Cerrahi 20 kat büyütmeli yüksek çözünürlüklü kamera ve 5 milimetrelik ekipmanlarla yapılır.","Cerrahi sırasında yumurtalık dokusu milimetrik olarak korunur ve gerekirse dikişlerle eski haline getirilir."]},"beginTime":1141,"endTime":1243,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=1141&ask_summarization=1"},{"index":12,"title":"Endometrioma Tedavisi ve Çocuk Sağlığı","list":{"type":"unordered","items":["Miyom, polip ve çikolata kistleri olan kadınların çocuk sahibi olamayacağı algısı yanlıştır; doğru cerrahi ile tedavi edildiğinde çocuk sahibi olabilirler.","Eskiden her endometrioma görüldüğünde hemen ameliyat edilirken, şu an endometrioma büyüklüğü yumurtalığa zarar vermeye başladığında veya yumurta üretimini baskıladığında cerrahi düşünülür.","İleri yaş ve yumurta rezervi azalmış kadınlarda hemen cerrahi düşünülmez, ciddi bir ön değerlendirme ve planlama gereklidir."]},"beginTime":1265,"endTime":1358,"href":"/video/preview/50788329037536172?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=1265&ask_summarization=1"},{"index":13,"title":"Rahim Şekil Bozuklukları ve Tedavisi","list":{"type":"unordered","items":["Rahim şekil bozukluklarında ve yapışıklıklarında histeroskopik görüntüleme (teleskopik görüntüleme) kullanılır, yaklaşık 2,80 mm kalınlığında kameralarla rahimdeki perdeler ve miyomlar çıkartılabilir.","Rahim perdeleri erken dönem düşüklere, miyomlar başarısız embriyo transferlerine, polipler ise implantasyon bozukluklarına yol açabilir.","Histeroskopi, rahmin iç boşluğunda yapılan görüntüleme ve tedavi tekniklerini kapsar, laparoskopi ise karın boşluğunda yapılan görüntüleme ve tedavi tekniklerini 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Ardından miyom cerrahisi, yumurtalık kistleri, tüplerin bağlanması, dış gebelik ve erken evre kanser tedavilerinde kullanılan kapalı cerrahi yöntemler açıklanmaktadır. Video, izleyicilerden gelen soruların yanıtlanmasıyla devam etmekte, polikistik over hastalığı ve idrar kaçırma gibi konular ele alınmaktadır.","Videoda ayrıca kistler ve miyomlar arasındaki farklar, kistlerin oluşum sebepleri, laparoskopi ile tanı ve tedavi süreçleri, polikistik over hastalığının semptomları ve tedavi yöntemleri, idrar kaçırmanın türleri (stres inkontinans ve yetişememe tarzı) gibi detaylı bilgiler sunulmaktadır. Kapalı cerrahinin hasta için sağladığı hızlı iyileşme, kısa hastanede kalış süresi ve günlük hayata hızlı dönüş gibi avantajları da vurgulanmaktadır."]},"endTime":1204,"title":"Kadın Hastalıklarında Kapalı Cerrahi ve Sağlık Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Kapalı Cerrahi Nedir?","list":{"type":"unordered","items":["Kapalı cerrahi (laparoskopi), açık cerrahi yerine küçük deliklerden girilerek gerçekleştirilen, dikiş ve cilt kesi olmadan yapılan koruyucu bir cerrahi yöntemidir.","Ameliyat, göbek deliğinden girilen yüksek çözünürlüklü kamera ile karın içerisinde karbondioksit gazı ile hava kabarcığı içerisinde gerçekleştirilir.","Göbekten kamera, karın iki yan bölgesinden ise 3-4 adet 5-6 mm'lik cihazlar kullanılarak ameliyat yapılır ve ciltte kesi olmadığı için dikiş gerektirmeden 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yüksek çözünürlüklü kamera ile karnın içindeki görüntü ekrana aktarılır ve doktor ekrana bakarak ameliyatı gerçekleştirir.","İçeride dikiş atılabilir, kanama kontrolü yapılabilir ve damarlar bağlanabilir.","Kapalı cerrahi adı, ameliyat sırasında kanın gözün kapanmasını ve görüş alanını bozmasını önlemek için kullanılır."]},"beginTime":226,"endTime":305,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=226&ask_summarization=1"},{"index":3,"title":"Kistler ve Miyomlar","list":{"type":"unordered","items":["Miyom, rahmin düz kas hücresinden kaynaklanan iyi huylu tümördür, kist ise yumurtalıklarda gerçekleşen bir patoloji problemidir.","Yumurtalıkta çeşit çeşit kistler vardır: basit kistler, çikolata kistleri, tümör başlangıcı olan kistler ve embriyolojik oluşumlarla gelen kistler.","Basit kistler yumurtaların çatlamaması sonrası folikül yumurta içerisindeki sıvının birikmesiyle oluşur ve 3-4 santim boyutunda 3 aya kadar takip edilebilir."]},"beginTime":305,"endTime":389,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=305&ask_summarization=1"},{"index":4,"title":"Kistlerin Belirtileri ve Tedavisi","list":{"type":"unordered","items":["Kistler kasık ağrısı yapabilir ve bu şikayette ultrason muayenesi yapılmalıdır.","Çikolata kisti (endometrioma), endometriozis hastalığının semptomudur ve adetlerde ağrılı adet görme ve ilişkide ağrı öncesinde olmayan şeylerin başlaması belirtisidir.","Tanı için ultrasonografik ön tanı konulabilir, kesin tanı laparoskopik olarak konur."]},"beginTime":389,"endTime":439,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=389&ask_summarization=1"},{"index":5,"title":"Kapalı Cerrahinin Uygulanması","list":{"type":"unordered","items":["Kapalı cerrahinin uygulanması için teçhizat, hastane ve uygulayıcının tecrübesi gereklidir.","Ameliyat sırasında mikrocerrahi prensipleri uygulanır, görüntü ve hareketler çok daha mikro düzeyde gerçekleşir.","Hasta ameliyattan çıktıktan sonra 5 saat sonra yemeğini yiyebilir, aynı akşam ayağa kalkıp dolaşabilir ve ertesi sabah taburcu olabilir."]},"beginTime":439,"endTime":612,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=439&ask_summarization=1"},{"index":6,"title":"Miyom Cerrahisi","list":{"type":"unordered","items":["Miyom cerrahisi için ön değerlendirme çok önemlidir ve miyomun keskin kapsüller yapısı ve manyetik rezonans değerlendirilmesi iyi bir değerlendirme sonrası yapılabilir.","Miyom cerrahisi üç aşamadan oluşur: miyomun rahim içerisinde açılıp dışarı çıkarılması, açılan boşluğun laparoskopik olarak dikişlerle onarılması ve miyomun morselatör adı verilen parçalayıcı cihazla soyularak dışarı alınması.","Büyük miyomlar (8-10 santim) laparoskopik kapalı cerrahi ile minik deliklerden çıkarılabilir."]},"beginTime":613,"endTime":693,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=613&ask_summarization=1"},{"index":7,"title":"Laparoskopik Rahim Ameliyatı","list":{"type":"unordered","items":["Rahimin alınması gereken durumlarda da laparoskopik olarak girilir, rahmin tüm damarları sütle veya enerji aletleriyle bağlanır.","Rahim ameliyatında ligament adı verilen bağlar kesilip kontrol altına alındıktan sonra rahim vajenden çıkarılır ve dikişler konulur.","Laparoskopik rahim ameliyatında hastada hiçbir dikiş olmaz ve bir gece sonra taburcu edilir."]},"beginTime":693,"endTime":746,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=693&ask_summarization=1"},{"index":8,"title":"Polikistik Ovaryum Sendromu","list":{"type":"unordered","items":["Polikistik over görüntü olarak toplumda yüzde otuz civarında görülür ve semptom yapmayan bulgu vermeyebilir.","En sık görülen bulgu adet düzensizliğidir (bir ayda, bir buçuk ayda, iki ayda veya iki buçuk ayda adet görülür).","Polikistik over genetik yapıda vardır ve genellikle kız kardeşi veya annesinde de görülebilir, ancak çoğu hastada görüntü olarak kalır ve şikayet vermeyebilir."]},"beginTime":746,"endTime":785,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=746&ask_summarization=1"},{"index":9,"title":"Polikistik Ovaryum Sendromu Tedavisi","list":{"type":"unordered","items":["Polikistik overde yumurtlama zorluğu olabilir ve medikal tedavilerle bu direnç giderilebilir.","Kıllanma artışı (hiştizm) olabilir ve bu durumda baskılayıcı hormonal tedaviler verilebilir.","Medikal tedavinin yetersiz kaldığı durumlarda laparoskopik olarak yumurtalıkları delerek yapılan tedavi yöntemleri de uygulanabilir."]},"beginTime":785,"endTime":871,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=785&ask_summarization=1"},{"index":10,"title":"Doğumdan Sonra İdrar Kaçırma","list":{"type":"unordered","items":["Doğumdan sonra idrar kaçırma özellikle travmatik (zor vajinal doğumlardan) sonra karşımıza çıkan bir şikayettir.","Vajen elastik bir doku fakat belli bir dereceye kadar gerilmeye müsait, daha sonra kaslarda ve sinir dokusunda hasarlar meydana gelir.","Bu hasarlar idrar kaçırma, gaz kaçırma ve dışkı kaçırma 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uygulanır."]},"beginTime":994,"endTime":1121,"href":"/video/preview/13140753983749371784?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=994&ask_summarization=1"},{"index":12,"title":"İdrar Kaçırma Hakkında Bilgiler","list":{"type":"unordered","items":["İdrar kaçırma şikayetleri cerrahiden sonra belli bir oranda devam edebilir ve ilaç kullanmaya devam etmek gerekir.","İlaç bırakıldığında idrar kaçırma tekrar olabilir, bu nedenle hasta uyumu çok önemlidir.","İdrar kaçırma yaşlı hastalarda \"kader\" olarak görülse de tedavi edilebilir bir 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gecikmesi nedenleri nelerdir en çok merak edilenler. https://www.onderkoc.com/ https://www.onderkoc.com.tr/ PROF. DR. 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Programın önceki bölümünde erkeklerin problemleri ele alınırken, bu bölümde kadın hastalıkları konusuna geçilmektedir.","Röportajda çikolata kisti hastalığı detaylı olarak anlatılmaktadır. Hastalığın endometriozis hastalığının yumurtalıktaki formu olduğu, nedenleri, belirtileri (şiddetli adet ağrıları ve cinsel ilişki sırasında ağrı) ve tedavi yöntemleri (laparoskopik cerrahi, tüp bebek) açıklanmaktadır. Ayrıca hastalığın ortalama tanı süresi 8-10 yıl olduğu ve kist oluştuğunda ilaçla tedavi edilemeyeceği belirtilmektedir.","Videoda hastalığın yumurta rezervini düşürdüğü, gebelik planlarını erken almanın önemi ve çocuk sahibi olma stratejileri (doğal ilişki, tüp bebeği) hakkında bilgiler verilmektedir. Doktor, konuyu görsel materyallerle destekleyerek anlatmakta ve hastalığın tekrarlanma riski ile gebelik şansını düşürdüğü ancak çocuk sahibi olma imkanı olduğu vurgulanmaktadır."]},"endTime":899,"title":"Çikolata Kisti Hakkında Bilgilendirici Röportaj","beginTime":0}],"fullResult":[{"index":0,"title":"Çikolata Kisti Nedir?","list":{"type":"unordered","items":["Çikolata kisti, adı gibi sevimli görünse de tehlikeli bir hastalıktır.","Çikolata kisti, endometriozis hastalığının yumurtalıktaki formudur ve tam olarak nedeni bilinmemektedir.","Çikolata kisti, adet kanamasının geriye doğru kanaması, bağışıklık sistemi faktörleri ve karın içi sıvıdaki özellikli maddeler gibi birçok teoriyle açıklanmaktadır."]},"beginTime":27,"endTime":126,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=27&ask_summarization=1"},{"index":1,"title":"Çikolata Kistinin Belirtileri","list":{"type":"unordered","items":["Çikolata kisti, şiddetli regl ağrıları ve cinsel hayat başladıktan sonra ilişkide ağrı belirtileriyle görülür.","Ultrasonla görülen çikolata kisti, endometriozis hastalığını düşündürür.","Çikolata kisti bazen ağrısız olarak da görülebilir ve şans eseri ultrasonla tespit edilebilir."]},"beginTime":126,"endTime":204,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=126&ask_summarization=1"},{"index":2,"title":"Çikolata Kistinin Etkileri","list":{"type":"unordered","items":["Çikolata kisti, yumurtalıkta yumurta rezervini düşürerek doğurganlığı azaltır.","Hastalık, yumurtalıkları etkileyerek organ kaybına ve ağrıya yol açabilir.","Çikolata kisti, endometriozis hastalığının bir formudur ve karın içi zarlarda tutulu olan, organ duvarlarına yerleşen derin formları da 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Kistinin Üreme Sağlığına Etkisi","list":{"type":"unordered","items":["Çikolata kisti, yumurta gelişimini ve olgun yumurta gelişimini etkiler.","Çikolata kisti olan hastalarda gebelik planı daha erken alınmalıdır.","Çikolata kisti olan yumurtalıkta yumurta daha az gelir ve tüp bebek başarılarında yumurtalıktan gelen yumurta daha az olur."]},"beginTime":375,"endTime":472,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=375&ask_summarization=1"},{"index":5,"title":"Çikolata Kisti Tanısı ve Teşhis Süreci","list":{"type":"unordered","items":["Çikolata kisti hastalığı, hastaların doktora başvuracağı bir durumdur ve ortalama tanı teşhis süresi sekiz ila on yıldır.","Tanı laparoskopik olarak girip parçayı tahlili göndererek yapılır, ancak her hastaya laparoskopi yapılmaz.","Kronik ağrılar, ilişki sırasında ağrı ve rahim hareketlerinde ağrı net bir şekilde tanımlanıyorsa hasta laparoskopik girişimi hak edebilir."]},"beginTime":477,"endTime":562,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=477&ask_summarization=1"},{"index":6,"title":"Çikolata Kistinin Oluşma Mekanizması","list":{"type":"unordered","items":["Çikolata kisti, rahim içi astar dokunun (kanama yapan dokunun) içeriye karın boşluğuna dökülüp yumurtalık duvarına tutulması ve çökerek kistik bir yapı oluşturup içine kanamasından oluşur.","Kist içindeki kan, beklemiş halde kahverengi (çikolata rengi) olur ve vücut bunu atamaz.","Kist her adet döneminde büyür ve ağrır, bu nedenle ilaçla tedavisi olmaz, sadece kanama miktarını azaltır ve büyümesini yavaşlatır."]},"beginTime":562,"endTime":652,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=562&ask_summarization=1"},{"index":7,"title":"Çikolata Kistinin Gebelik Sürecindeki Etkileri","list":{"type":"unordered","items":["Çikolata kistleri östrojen bağımlı yapılar olduğundan gebelik sırasında komplike olabilir.","Gebelik sırasında sızmaya başladığında, hastalar apandisit veya kör bağırsak iltihabı zanneder ve acil cerrahiye gider.","Çikolata kisti patladığında yoğun içerikli sıvı karın boşluğuna dökülmeye başlar ve akut batın (şiddetli karın ağrısı) tablosu oluşur."]},"beginTime":652,"endTime":697,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=652&ask_summarization=1"},{"index":8,"title":"Çikolata Kistinin Tedavisi","list":{"type":"unordered","items":["Tedavide yapılan işlemler hastalığı baskılamak üzerine olup, östrojen düzeyi 45-49 yaşlarına kadar devam ettiği sürece hastalık tekrarlama süreçlerine girebilir.","İlk tedavi amacı, kadının bir an evvel çocuk sahibi olmasıdır; uygunsa cerrahi temizleyip doğal yolla ilişki önerilir, tüpler sıkıntılıysa tüp bebeğe verilir.","İkinci ameliyat sebebi kronik kasık ağrısıdır; ağrı nedeniyle cerrahiye alınır ve sinirleri ağrıyı kesme cerrahileri uygulanır."]},"beginTime":697,"endTime":772,"href":"/video/preview/4669758145469122834?parent-reqid=1765347016082811-13820571935648154980-balancer-l7leveler-kubr-yp-vla-259-BAL&text=Do%C3%A7.Dr.%C3%96nder+Ko%C3%A7&t=697&ask_summarization=1"},{"index":9,"title":"Çikolata Kistinin Tekrarlanma Oranı ve Takip","list":{"type":"unordered","items":["Çikolata kisti östrojen bağımlı bir kitle yapı olduğundan nükseder ve tekrar olur.","İlaçlar yeni odakların oluşmasını baskılar, ancak kist oluşmuşsa ilaçla yok 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