Menopoz - www.jinekolojivegebelik.com

Dr.Dinçer YILDIRIM 14.04.2006 MENOPOZDA SON DURUM

Menopozda tedavi standart değildir. Tamamen semptomların şiddetine ve hastaya göre bireyselleştirilerek uygulanır.

Konular ,[object Object],[object Object],[object Object],[object Object]

Tanım ,[object Object],[object Object]

Menopozda Semptomlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Menopozda Tedavi Vazomotor ve Ürogenital Semptomların Tedavisi Osteoporoz Önlenmesi veya Tedavisi

Hafif Orta-Şiddetli Öneriler HRT veya Alternatif İlaçlar Vazomotor Semptomlar

Vazomotor ve Ürogenital Semptomlar Östrojenler Progestagenler veya Alternatif İlaçlar

Osteoporoz Hormon Tedavisi Bifosfonatlar SERM’s Kalsitonin Vit-D ve anologları Kalsiyum Strontium ranelate Paratiroid hormon Florid tuzları

HRT Endikasyonları ,[object Object],[object Object],[object Object]

[object Object],* NAMS October 2004 Position Statement

HRT ve Osteoporoz ,[object Object],[object Object]

HRT’nin Kesin Kontrendikasyonları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HRT’nin Rölatif Kontrendikasyonları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Östrojenler ,[object Object],[object Object],[object Object],[object Object]

Östrojenler ,[object Object],[object Object],[object Object]

Progestagenler ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Drospirenon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Dienogest ,[object Object],[object Object],[object Object],[object Object],[object Object]

Progestagenler ,[object Object],[object Object],[object Object]

Transdermal HRT’nin Tercih Edilebileceği Durumlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HRT’de Kullanılan Protokoller ,[object Object],[object Object],[object Object],[object Object]

Siklik (Kesintili-Ardışık) Tedavi Protokolü ,[object Object],[object Object],[object Object],[object Object],[object Object]

Kontinü (Kesintisiz) Tedavi Protokolü ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],* NAMS October 2004 Position Statement

Histerektomize Hastalarda Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object]

Histerektomize Olduğu Halde Progestin Eklenmesi Gerekli Durumlar ,[object Object],[object Object],[object Object],[object Object]

Adrojenler ,[object Object],[object Object]

HRT ile Oluşabilecek Yan Etkiler ,[object Object],[object Object]

Östrojene Bağlı Yan Etkiler ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Progesterona Bağlı Yan Etkiler ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sıcak Basmaları İçin Alternatif İlaçlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tibolone ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tibolone ,[object Object],[object Object],[object Object],[object Object]

Fitoöstrojenler ,[object Object],[object Object],[object Object]

BMD ,[object Object],[object Object]

Postmenopozal Kadınlarda Osteoporoz Risk Faktörleri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

T-SKORU Kalsiyum ve D-Vitamini Antirezorptif ajanlar -/+ HRT OSTEOPOROZ T< -2.5 Kalsiyum ve D-Vitamini -/+ HRT -/+ Antirezorptif ajanlar OSTEOPENİ -1< T > -2.5 Risk faktörleri kaldırılır Kalsiyum alımı ve egzersiz önerilir NORMAL T > -1

Osteoporozda Kullanılan İlaçlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bifosfonatlar ,[object Object],[object Object],[object Object]

SERM Selektif Östrojen Reseptör Modülatörleri ,[object Object],[object Object]

Raloxifen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Raloxifen ,[object Object],Meme Kanseri

Raloxifen ,[object Object],[object Object],VTE

Kalsitonin ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],*

[object Object],[object Object],*

Vitamin D ,[object Object],[object Object]

Kalsiyum ,[object Object],[object Object],[object Object],[object Object],[object Object]

Strontium ranelate ,[object Object],[object Object],[object Object]

Paratiroid Hormon ,[object Object],[object Object],[object Object]

Floridler ,[object Object],[object Object]

Fiziksel Aktivite ,[object Object],[object Object]

Osteoporo z Proflaksisi T-score > –2.5 Osteoporo z tedavisi T-score < -2.5 Kırıkların eşlik ettiği osteoporoz 50 55 60 65 70 75 80 85 Raloxifene Yaş HRT PT H V a z omotor semptomlar Bifosfonatlar

Meme Kanseri ,[object Object],[object Object]

Meme Kanseri ,[object Object],[object Object],NAMS October 2004 Position Statement

Meme Kanseri ,[object Object],[object Object],EMAS 2004/2005 Position Statement

Koroner Kalp Hastalığı ,[object Object]

[object Object],NAMS October 2004 Position Statement *

Venöz Tromboembolizm ,[object Object],[object Object],[object Object]

[object Object],* EMAS 2004/2005 Position Statement

Serebrovasküler Olay ,[object Object],[object Object],EMAS 2004/2005 Position Statement

Memede Fibrokistik Hastalık ,[object Object],[object Object]

Over Kanseri ,[object Object],[object Object]

Myoma Uteri ,[object Object],[object Object],[object Object]

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