Endometriozis
Özet
Endometriozis, uterusun dış dokularında endometrial bez ve stromanın varlığı ile karakteize bir hastalıktır. Tanısı genellikle cerrahiyle konur ve hastalık, pelvik ağrı, dismenore, infertilite gibi semptomlara yol açar. Endometriozisin etyopatogenezi çok sayıda faktöre bağlıdır; retrograd menstruasyon, genetik yatkınlık, immünolojik anormallikler ve hormonal etkiler bu süreçte rol oynar. Tanı için laparoskopi altın standarttır. Tedavi yöntemleri arasında cerrahi müdahale, hormonal tedavi ve ağrı yönetimi mevcuttur. Semptomlar, hastadan hastaya farklılık gösterir. Bazı vakalar ise asemptomatik olabilir. Endometriozisin tanısında fizik muayenede genellikle normal olabilir, ancak bazı bölgelerdeki pelvik ağrı, nodüller ve organların hareketi kısıtlılığı gözlemlenebilir. Tanı için serum belirteçleri, özellikle CA-125 kullanılır, ancak bunların kullanımı kısıtlıdır. Görüntüleme yöntemleri arasında ultrasonografi ve manyetik rezonans görüntüleme (MRI) öne çıkar, ancak cerrahi müdahale altın standarttır. Endometriozisin evrelemesi, rASRM ve ENZIAN sistemleriyle yapılır. Tedavi seçeneklerini izlem, tıbbi ve cerrahi tedavi olarak sınıflandırılır. Medikal tedavi, hormon baskılanmasını sağlar, cerrahi tedavi ise odaklanmaların eksizyonunu hedefler.
Endometriosis is a disease characterized by the presence of endometrial gland and stroma in the outer tissues of the uterus. Its diagnosis is usually made by surgery and the disease leads to symptoms such as pelvic pain, dysmenorrhea, infertility. The etiopathogenesis of endometriosis depends on a large number of factors; retrograde menstruation, genetic predisposition, immunological abnormalities and hormonal influences play a role in this process. Laparoscopy is the gold standard for diagnosis. Among the treatment methods, surgical intervention, hormonal therapy and pain management are available. Dec. The symptoms differ from patient to patient. Some cases may be asymptomatic. In the diagnosis of endometriosis, it may usually be normal on physical examination, but pelvic pain, nodules and restricted movement of organs in some areas may be observed. Serum markers, especially CA-125, are used for diagnosis, but their use is limited. Ultrasonography and magnetic resonance imaging (MRI) stand out among the imaging methods, but surgical intervention is the gold standard Dec. The staging of endometriosis is performed by rASRM and ENZYME systems. Monitoring treatment options is classified as medical and surgical treatment. Medical treatment provides hormone suppression, while surgical treatment aims at excision of foci.
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