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Doktor, bu durumun genellikle kilolu hastalarda fazla östrojen hormonu nedeniyle oluştuğunu ve tedavi için kilo verme ve tıbbi tedavi gerektirdiğini belirtiyor."]},"endTime":155,"title":"Histeroskopi İşlemi ve Sonuçları","beginTime":0}],"fullResult":[{"index":0,"title":"Histeroskopi Nedir ve Amacı","list":{"type":"unordered","items":["Histeroskopi, rahmin içine su vererek yapılan bir görüntüleme işlemidir.","Bu işlem, miyom, polip, rahimde perde veya kırılmış spiral gibi patolojileri tespit etmek için kullanılır.","Ayrıca, bebeğin yerleşmesi gereken bölgede sorun olup olmadığını anlamak için de histeroskopi yapılır."]},"beginTime":0,"endTime":32,"href":"/video/preview/14887266062666733040?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=0&ask_summarization=1"},{"index":1,"title":"İki Histeroskopi Olgularının Karşılaştırılması","list":{"type":"unordered","items":["Sol taraftaki olguda rahmin iç duvarı (endometrium) ince ve düzenli görünüyor, herhangi bir problem yok.","Sağ taraftaki olguda endometrium kalınlaşmış ve tepeler oluşmuş, bu durum hiperplazi olarak adlandırılır.","Hiperplazi, ultrasonografide rahimde kalınlaşma olarak görülür ve genellikle ciddi bir tedavi gerektirir."]},"beginTime":32,"endTime":95,"href":"/video/preview/14887266062666733040?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=32&ask_summarization=1"},{"index":2,"title":"Hiperplazinin Nedenleri ve Tedavisi","list":{"type":"unordered","items":["Fazla kilo, rahim iç duvarını kalınlaştırır çünkü fazla kilo fazla östrojen hormonu anlamına gelir.","Sağ taraftaki olguda endometrium tertemizken, sağ taraftaki olguda tümsekler rahmin içinde belirgin şekilde görülüyor.","Histeroskopi, rahim duvarında kalınlaşma var ancak tam tanı konulamıyorsa tanısal amaçlı yapılır ve hasta kilosunu vermeli, tıbbi tedavi 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Sunucu ve izleyiciler de uzmana rahim içi (endometrium) kanseri hakkında sorular sormaktadır.","Röportajda rahim içi kanserinin özellikleri, risk faktörleri, teşhis yöntemleri, tedavi seçenekleri ve takip süreçleri detaylı olarak ele alınmaktadır. Video, kanserin erken teşhisinin önemi, smear testinin sınırlamaları, hastalığın evreleme sistemi ve cerrahi tedavi sonrası radyoterapi ve kemoterapi gibi ek tedavi yöntemlerini kapsamaktadır.","Ayrıca videoda, östrojen-projesteron oranının bozulması, aşırı kilo, diyabet gibi risk faktörleri, doğurganlık sayısının kanser riskini azalttığı bilgisi ve menopozal dönemdeki kanamaların önemi gibi önemli konular da işlenmektedir. Uzman, kadınların periyodik kontrollerini ihmal etmemesi, düzensiz kanamalarda doktora başvurması ve menopozal dönemdeki hormon kullanımında dikkat edilmesi gereken hususlar hakkında önemli tavsiyelerde bulunmaktadır."]},"endTime":1985,"title":"Rahim İçi Kanseri Hakkında Bilgilendirici Röportaj","beginTime":0}],"fullResult":[{"index":0,"title":"Rahim İçi Kanserinin Özellikleri","list":{"type":"unordered","items":["Rahim içi (endometrium) kanseri, jinekolojik kanserlerden en sık görülenidir.","Bu kanserin en önemli özelliği erken tanısının diğer kanserlerle kıyaslanmayacak şekilde saptanabilmesidir.","Erken tanı, hastanın prognozunu ve şifa oranını korkunç derecede artırır."]},"beginTime":8,"endTime":77,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=8&ask_summarization=1"},{"index":1,"title":"Rahim İçi Kanserinin Sıklığı ve Yaş Dağılımı","list":{"type":"unordered","items":["Türkiye'de tüm kadınlarda dördüncü sırada, genital kanserler içerisinde en sık görülen kanserdir.","Tüm kanser değerlendirmesinde görülme sıklığı yüzde üç civarındadır.","En sık yüzde 55-65 yaş grubunda görülür, ayrıca 65 yaş üstünde yüzde 15-20, 35-45 yaş arasında ise yüzde 5 civarında görülür."]},"beginTime":77,"endTime":179,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=77&ask_summarization=1"},{"index":2,"title":"Rahim İçi Kanserinin Nedenleri","list":{"type":"unordered","items":["Rahim içi kanserinin en büyük sebebi çevresel faktörlerin yanında infertilite (kısırlık)taki artıştır.","Endometrium kanserinin sebebi, rahim içi yatağının yeterli karşıtlığı olmayan projesteron hormonu yanında aşırı östrojen üretimidir.","Östrojen ve projesteron oranının bozulduğu durumlar bu kansere sebep olur."]},"beginTime":179,"endTime":344,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=179&ask_summarization=1"},{"index":3,"title":"Rahim İçi Kanserinin Risk Faktörleri","list":{"type":"unordered","items":["Anovülasyon (yumurtlamanın olmadığı durumlar) östrojen-projesteron oranını bozar.","Obezite seviyesindeki kilo alımı ve diyabet östrojen-projesteron oranının bozulmasına sebep olur.","Erken ilk adet yaşı (9 yaş öncesinde) ve geç menopoz (53-54 yaş sonrasına kalan menopoz) risk faktörleridir."]},"beginTime":344,"endTime":496,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=344&ask_summarization=1"},{"index":4,"title":"Rahim İçi Kalınlaşması ve Korunma Yolları","list":{"type":"unordered","items":["Rahim içi yatağı normalde 9-10 mm kalınlığında olmalıdır, ancak östrojen-projesteron reseptörlerinin birbirlerini karşılayacak seviyede olmaması düzensiz kalınlaşmaya yol açabilir.","40'lı yaşlardan sonra her 10-15 günde bir kanamalar veya 2-3 ay kanamasız döngüsüz süreler geçiriliyorsa kontrol gerekir.","Doğurganlık sayısı, emzirme süresi ve kilo kontrolü rahim içi yatağı kanser riskini azaltır."]},"beginTime":496,"endTime":720,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=496&ask_summarization=1"},{"index":5,"title":"Rahim İçi Kanserinin Tespiti","list":{"type":"unordered","items":["Post menopozal dönemdeki kanamalar çok önemlidir ve rengi, miktarı bağımsız olarak tespit edilmelidir.","Post menopozal dönemdeki kanamaların adı konmalıdır, aksi ispat edilinceye kadar endometrium kanseri gibi yanaşılır.","Rahim içi kanserinin tespiti, rahim içi yatağın doku tanısıyla (biyopsi) ve patolojik incelemesiyle olur."]},"beginTime":720,"endTime":792,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=720&ask_summarization=1"},{"index":6,"title":"Düzensiz Kanamalar ve Endometrium Kanseri","list":{"type":"unordered","items":["Otuz üç yaşındaki bir kadın, on yıldır düzensiz kanamalar yaşadığı için endometrium kanseri korkusu yaşamaktadır.","Düzensiz kanamalar hormonal bozukluk, miyom veya polip gibi organik sebeplerle de oluşabilir, ancak jinekolog muayenesi tavsiye edilmektedir.","Dahiliyeci yerine jinekolog muayenesi önerilmektedir."]},"beginTime":795,"endTime":879,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=795&ask_summarization=1"},{"index":7,"title":"Post Menopozal Dönemdeki Kanamalar","list":{"type":"unordered","items":["Post menopozal dönemdeki kanamalar en önemli kriterdir ve yüzde yirmi sebebi endometrium kanseridir.","Endometrium kanseri tedavisi görmüş hastaların post menopozal dönemdeki kanama şikayeti yüzde yetmişbeş-doksan'ında vardır.","Tesadüfen kemik araştırması, CT veya MR incelemelerinde post menopozal dönemde olmaması gereken kalınlıkta rahim içi yatağı görülebilir."]},"beginTime":879,"endTime":979,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=879&ask_summarization=1"},{"index":8,"title":"Doğurganlık Yaşındaki Endometrium Kanseri","list":{"type":"unordered","items":["Doğurganlık yaşındaki kadınlarda görülen endometrium kanseri, düşük riskli grupta olmak şartıyla tedavi edilebilir.","Progesteron eksikliği nedeniyle ortaya çıkan hastalık, progetin tedavisi yapılarak kontrol edilebilir.","Endometrium kanserinin tedavisi cerrahidir ve doğum sonrasına ertelenir, ancak bu geciktirmenin nüks oranlarını artırdığı belirtilmektedir."]},"beginTime":979,"endTime":1074,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=979&ask_summarization=1"},{"index":9,"title":"Smear Testi ve Endometrium Kanseri","list":{"type":"unordered","items":["Smear testinin normal olması rahim içi kanserini ekarte etmez, nadiren yüzde sekiz-on oranında şüpheli remik yatağı hücreleri görülebilir.","Rahim ağzı kanserinde çok büyük öneme sahipken, endometrium kanserinde aynı hassasiyet ve sensiviteyi göstermemektedir.","Endometrium kanserini erken teşhis etmek için belirli bir test yoktur, tümör markerların önemi yoktur."]},"beginTime":1074,"endTime":1236,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=1074&ask_summarization=1"},{"index":10,"title":"Endometrium Kanserinin Tedavisi","list":{"type":"unordered","items":["Endometrium kanserinin tedavisi cerrahidir ve rahim alınması üzerine kuruludur.","Cerrahi evreleme çok önemlidir; histerektomi, iki taraflı salpingofrektomi ve pelvik bölgedeki lenf nodlarının çıkartılması bu evrelemeyi sağlar.","Son yirmibeş-otuz-kırk yılda endometrium kanserindeki evreleme sistemi gelişmiş, her grubun kendi içerisinde alt grupları oluşmuştur."]},"beginTime":1236,"endTime":1396,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=1236&ask_summarization=1"},{"index":11,"title":"Evreleme ve Tedavi Grupları","list":{"type":"unordered","items":["Birinci evrenin A safhasında kanser sadece rahim içi yatağı ile sınırlı ve hücresel bozulma oranı en basit seviyededir.","Rahim içi yatağı ile sınırlı olmayan, serviks veya rahim duvarında belirli bir seviyeye ulaşmış tümörlerde ek tedavi gerekebilir.","Orta risk grupta lenfatik boşluğa inmiş, vasküler boşluğa inmiş ve ileri yaşta olan hastalara radyoterapi uygulanır.","Yüksek riskli grupta (grade üç) cerrahi sonrasında kemoterapi ve radyoterapi uygulanır, hastanın bireyselleştirilmesi önemlidir."]},"beginTime":1396,"endTime":1596,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=1396&ask_summarization=1"},{"index":12,"title":"Rahim Kanseri Tedavisi ve Takip","list":{"type":"unordered","items":["Rahim kanseri tedavisinde radyoterapi batı yoluyla dışarıdan ışınlama şeklinde veya vajinal yolla içeriden verilebilir.","Hastalarda genellikle altı kür kemoterapi verilir, bazı durumlarda \"sandviç\" adı verilen üç kür kemoterapi sonrasında radyoterapi ve tekrar kemoterapi uygulanabilir.","Zor ve takibi gereken hastalarda tümör konseyinin oluşturulması, jinekolog, medikal onkolog ve ilgili dallardan uzmanların katılımıyla bireyselleştirilmiş tedavi planlaması için önemlidir."]},"beginTime":1610,"endTime":1712,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=1610&ask_summarization=1"},{"index":13,"title":"Sarkom Tedavisi","list":{"type":"unordered","items":["Sarkom, ikinci tip hücresel kanser grubuna girer ve genellikle sekomlar ve ram yatağının clearsel kanseri olarak görülür.","Sarkom'un kemoterapi ve radyasyon terapisine cevap verme oranı düşük olduğundan, ameliyatın düzgün yapılmış olması ve evrelemenin doğru belirlenmesi önemlidir.","Ek tedavi planlaması, cerrahi evreleme ve hastanın evresine göre yapılır."]},"beginTime":1712,"endTime":1859,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=1712&ask_summarization=1"},{"index":14,"title":"Rahim Kanseri ve Yumurtalık Kanseri İlişkisi","list":{"type":"unordered","items":["Rahim içi kanserinde andeksiyal kitle (tüp ve yumurtalıkların olduğu bölge) kanserinin varlığı önemlidir.","Rahim içi yatağı kanserinin yumurtalıkla bağlantısı varsa, evre tamamen değişir ve üçüncü evre (IIIa) olarak değerlendirilir.","Rahim içi yatağının yumurtalığa ulaşması nedenli kanser söz konusu ise, muhakkak kemoterapi ve ek tedavi alınmalıdır."]},"beginTime":1859,"endTime":1944,"href":"/video/preview/16947947967618003479?parent-reqid=1769777871083454-3250787054970432305-balancer-l7leveler-kubr-yp-vla-46-BAL&text=Rahim+Copier+Tech&t=1859&ask_summarization=1"},{"index":15,"title":"Son Tavsiyeler","list":{"type":"unordered","items":["Kadınların periyodik kontrollerini ihmal etmemeleri ve düzensiz kanamalarda doktora başvurmaları önemlidir.","Menopozal dönemdeki hormon kullanımında, özellikle projeksiyon olmadan kullanılan östrojenin risklerin arttığı bilinmelidir.","Post menopozal dönemdeki kanamaların renginden ve miktardan bağımsız olarak doktora gitmek 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Önce jinekolojik masaya yatma, vajenin temizlenmesi, rahim ağzının tutulması ve spiralin uygulama aparatıyla rahim içine yerleştirilmesi anlatılmaktadır. Ayrıca spiralin nasıl koruduğu, döllenmiş yumurtanın rahme yerleşmesini nasıl engellediği ve düşükle karıştırılmaması gerektiği açıklanmaktadır. 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