\u0130\u00e7inde gebeli\u011fin b\u00fcy\u00fcy\u00fcp geli\u015fti\u011fi; i\u00e7 tabakas\u0131n\u0131n \u00f6nce kal\u0131nla\u015f\u0131p sonra d\u00f6k\u00fclmesi sonucunda adet kanamas\u0131 ger\u00e7ekle\u015fen kad\u0131n cinsel organ\u0131 uterusa halk aras\u0131nda rahim deniyor. Rahimin en s\u0131k g\u00f6r\u00fclen hastal\u0131\u011f\u0131 myomlard\u0131r. Rahim, tamamen kas h\u00fccrelerinden olu\u015fur. Baz\u0131 kas h\u00fccrelerinin kontrols\u00fczce \u00e7o\u011falmas\u0131 sonucunda myomlar meydana gelir. Rahim ile ilgili hastal\u0131klar\u0131n en \u00f6nemli belirtisi adet d\u00fczensizlikleridir. Kimi zaman \u015fiddetli, kimi zaman ara kanamalar olur. Rahim ortalama bir yumruk b\u00fcy\u00fckl\u00fc\u011f\u00fcnde oldu\u011fu halde gebelik ile t\u00fcm karn\u0131 dolduracak kadar b\u00fcy\u00fcr ve lohusal\u0131ktan sonra eski b\u00fcy\u00fckl\u00fc\u011f\u00fcne geri d\u00f6ner.<\/p><\/blockquote>\n

Rahim, gebeli\u011fin i\u00e7inde b\u00fcy\u00fcd\u00fc\u011f\u00fc ve adet kanamas\u0131n\u0131n olu\u015ftu\u011fu organd\u0131r.<\/p><\/div>\n

Rahim, \u00e7at\u0131 kemiklerinin aras\u0131nda yerle\u015fmi\u015ftir. Gebelik veya myom gibi bir nedenle b\u00fcy\u00fcmedi\u011fi s\u00fcrece kar\u0131na bast\u0131rmakla hissedilmez. A\u015fa\u011f\u0131 yukar\u0131 bir armut b\u00fcy\u00fckl\u00fc\u011f\u00fcnde ve armut \u015feklindedir. Yukar\u0131daki resimde rahimi, i\u00e7i g\u00f6r\u00fcnmesi i\u00e7in ortadan \u00f6n ve arka iki paraya ay\u0131racak \u015fekilde kesilmi\u015f g\u00f6r\u00fcyorsunuz. B\u00fct\u00fcn hainde bir rahim, sap\u0131 a\u015fa\u011f\u0131 bakan bir armut gibidir.<\/p>\n

Rahimin B\u00f6l\u00fcmleri<\/h3>\n

Rahim G\u00f6vdesi.<\/strong> Rahimin \u00fcst k\u0131sm\u0131 g\u00f6vde<\/em> (corpus<\/em>) ad\u0131n\u0131 al\u0131r. Rahimin en b\u00fcy\u00fck k\u0131sm\u0131 g\u00f6vdesidir. Yeti\u015fkin bir kad\u0131nda rahim g\u00f6vdesi, rahim a\u011fz\u0131 kanal\u0131n\u0131n iki kat\u0131ndan daha uzundur. Hen\u00fcz hormonlar\u0131n etkin bir \u015fekilde \u00e7al\u0131\u015fmad\u0131\u011f\u0131 \u00e7ocukluk \u00e7a\u011f\u0131nda ise rahim a\u011fz\u0131 rahimden daha uzun g\u00f6r\u00fcl\u00fcr. Bu, k\u00fc\u00e7\u00fck ya\u015fta bir \u00e7ocu\u011fun ergenli\u011finin ba\u015flay\u0131p ba\u015flamad\u0131\u011f\u0131n\u0131 anlamak i\u00e7in iyi bir ultrason bulgusudur. Gebelik, rahim g\u00f6vdesi i\u00e7indeki bo\u015flu\u011fa yerle\u015fir ve bu bo\u015flu\u011fu geni\u015fleterek b\u00fcy\u00fcr. Bu arada rahimin tamamen kaslardan olu\u015fan duvar\u0131 da giderek g\u00fc\u00e7lenir ve kal\u0131nla\u015f\u0131r. Do\u011fum zaman\u0131 geldi\u011finde bu kaslar\u0131n kas\u0131lmas\u0131 ile bebek vajina i\u00e7ine itilecek ve do\u011fum ger\u00e7ekle\u015fecektir. Geli\u015fen yumurtadan salg\u0131lanan \u00f6strojen hormonu, rahim i\u00e7 tabakas\u0131na etki ederek onu kal\u0131nla\u015ft\u0131r\u0131r ve gebelik olu\u015ftu\u011funda i\u00e7inde yerle\u015fmesi i\u00e7in bir ortam haz\u0131rlar. Gebelik olu\u015fmad\u0131\u011f\u0131nda d\u00f6k\u00fclen ve adet olarak bildi\u011fimiz kanamay\u0131 olu\u015fturan rahim i\u00e7 tabakas\u0131 da rahim g\u00f6vdesinin i\u00e7ini kaplar. Rahim g\u00f6vdesinin i\u00e7indeki bo\u015fluk, tepesi a\u015fa\u011f\u0131da duran bir e\u015fkenar \u00fc\u00e7gene benzer. E\u015fkenar \u00fc\u00e7genin tepe a\u00e7\u0131s\u0131, rahim i\u00e7 bo\u015flu\u011funun rahim a\u011fz\u0131 kanal\u0131 ile birle\u015fti\u011fi deliktir. Bu deli\u011fe i\u00e7 delik<\/em>\u00a0(internal os<\/em>) ad\u0131 verilir. \u00dc\u00e7genin e\u015fkenar k\u00f6\u015feleri ise rahim i\u00e7 bo\u015flu\u011funu yumurtal\u0131k kanallar\u0131na ba\u011flar. Bu iki k\u00f6\u015feye rahimin boynuzlar\u0131<\/em> (corn – rahim k\u00f6\u015feleri<\/em>) ad\u0131 verilir. \u0130ki tane boynuzu birle\u015ftiren bir \u00e7izgi \u00e7ekildi\u011finde \u00fcstte kalan k\u0131s\u0131m rahimin kubbesi<\/em> (fundus<\/em>) ad\u0131n\u0131 al\u0131r.<\/p>\n

Rahim A\u011fz\u0131 (Serviks – Kollum).\u00a0<\/strong>Rahimi vajinaya ba\u011flayan kanal\u0131 olu\u015fturan dokuya serviks<\/em> denir. Orijinal ad\u0131\u00a0rahim boynu<\/em> olan bu organa T\u00fcrk\u00e7ede rahim a\u011fz\u0131<\/em> deniyor. Rahim a\u011fz\u0131n\u0131n bir k\u0131sm\u0131 vajina i\u00e7ine do\u011fru sarkm\u0131\u015ft\u0131r. Bu k\u0131sma rahim a\u011fz\u0131n\u0131n vajinal b\u00f6l\u00fcm\u00fc (Portio vaginalis<\/em>) denir. Bir k\u0131sm\u0131 ise vajina i\u00e7inden g\u00f6r\u00fclmez. Bu k\u0131sma da rahim a\u011fz\u0131n\u0131n vajina \u00fcst\u00fc b\u00f6l\u00fcm\u00fc (Portio supravaginalis<\/em>) denir. Rahim a\u011fz\u0131 kanal\u0131n\u0131 rahim bo\u015flu\u011fundan ay\u0131ran k\u0131s\u0131m i\u00e7 delik (internal os) ad\u0131n\u0131 al\u0131r. \u0130\u00e7 delik, rahim a\u011fz\u0131 kanal\u0131ndan daha dar bir deliktir. Bu deli\u011fi saran etli tabaka, yani rahim ile rahim a\u011fz\u0131n\u0131 ay\u0131ran doku ise rahim bile\u015fkesi<\/em> (istmus uteri<\/em>) ad\u0131n\u0131 al\u0131r. Rahim, rahim bile\u015fkesinde sanki bir mente\u015fe varm\u0131\u015f gibi buradan genellikle \u00f6ne, nadiren arkaya k\u0131vr\u0131k durur. Rahim a\u011fz\u0131 kanal\u0131n\u0131n vajina bo\u015flu\u011funa a\u00e7\u0131ld\u0131\u011f\u0131 k\u0131sm\u0131nda bir darl\u0131k daha vard\u0131r. Bu darl\u0131\u011fa da d\u0131\u015f delik<\/em> (eksternal os<\/em>) ad\u0131 verilir.<\/p>\n

Rahimin Tabakalar\u0131<\/h3>\n

Rahim, i\u00e7inde bo\u015fluk bar\u0131nd\u0131ran bir organ olarak kesildi\u011finde i\u00e7ten d\u0131\u015fa so\u011fan gibi birbiri \u00fcst\u00fcn\u00fc \u00f6rten \u00fc\u00e7 tabakadan olu\u015fur.<\/p>\n

Rahim D\u0131\u015f Zar\u0131 (Mezometrium – Uterus Serozas\u0131):\u00a0<\/strong>T\u00fcm kar\u0131n i\u00e7i organlar\u0131 saran zar rahimin d\u0131\u015f y\u00fczeyini de sarar. Bu, \u00e7ok ince tek tabakal\u0131 h\u00fccrelerden olu\u015fan bir zard\u0131r. Kar\u0131n i\u00e7i organlar\u0131n birbirine yap\u0131\u015fmadan ve s\u00fcrt\u00fcnmeden birbiri \u00fczerinden kaymas\u0131n\u0131 sa\u011flar. Kimi zaman kar\u0131n bo\u015flu\u011funu zedeleyen operasyonlar, enfeksiyonlar veya i\u00e7 kanama yaratan endometrioz gibi hastal\u0131klarla bu tabakada \u00e7evre ile yap\u0131\u015f\u0131kl\u0131klar olu\u015fur. Bu t\u00fcr yap\u0131\u015f\u0131kl\u0131klar s\u00fcre\u011fen kar\u0131n a\u011fr\u0131lar\u0131na neden olur.<\/p>\n

Rahimin Kas Tabakas\u0131 (Myometrium):\u00a0<\/strong>Rahimin en b\u00fcy\u00fck k\u0131sm\u0131 kaslardan olu\u015fur. Bu kaslar, d\u00fcz kaslar denilen kaslard\u0131r. D\u00fcz kaslar\u0131n en \u00f6nemli \u00f6zelli\u011fi kas\u0131lma ve gev\u015femeleri ki\u015finin kendi kontrol\u00fcnde de\u011fildir. \u00d6rne\u011fin d\u00fcz kaslardan olu\u015fan bir di\u011fer organ midedir. Midenin kas\u0131lmalar\u0131n\u0131 da biz kontrol edemeyiz. Kas\u0131lmas\u0131n\u0131 kontrol edemedi\u011fimiz, kendili\u011finden kas\u0131lan kaslardan olu\u015fan bir di\u011fer organ\u0131m\u0131z ise kalptir. Kalp kaslar\u0131 d\u00fcz de\u011fil \u00e7izgili oldu\u011fu halde kendi kendine kas\u0131l\u0131p gev\u015fer. Bizim iste\u011fimizle kas\u0131lan \u00e7izgili kaslar ise kol bacak biri hareket etmemizi sa\u011flayan kaslard\u0131r. Rahim kaslar\u0131, kendi \u00fczerine sar\u0131lm\u0131\u015f bir y\u00fcn yuma\u011f\u0131 gibidir. Bu haliyle tabaka tabaka bir \u00f6r\u00fcnt\u00fc meydana getirir. En d\u0131\u015fta ve en i\u00e7te bulunan kas lifleri yukar\u0131dan a\u015fa\u011f\u0131 y\u00f6nde ilerlerken aradakiler \u00e7aprazlar olu\u015fturur. Myom, rahimin kas tabakas\u0131n\u0131n bir hastal\u0131\u011f\u0131d\u0131r. Birka\u00e7 kas h\u00fccresinin kontrols\u00fczce \u00e7o\u011falmas\u0131 sonucunda olu\u015fan bir nod\u00fcl olarak de\u011ferlendirilebilir.<\/p>\n

Rahim \u0130\u00e7 Tabakas\u0131 (Endometrium – Uterus mukozas\u0131):\u00a0<\/strong>Her ay yumurta geli\u015firken salg\u0131lanan \u00f6strojen hormonunun etkisi ile, i\u00e7ine bir gebeli\u011fin yerle\u015fip beslenebilmesi i\u00e7in kal\u0131nla\u015f\u0131p, gebelik olu\u015fmad\u0131\u011f\u0131nda kanayarak d\u00f6k\u00fclen tabakad\u0131r. Rahim i\u00e7 tabakas\u0131 da, \u00e7o\u011falma i\u00e7in kaynak olu\u015fturan ve hi\u00e7 d\u00f6k\u00fclmeyen bir alt temel katman<\/em> (zona basalis<\/em>) ve bir de bu katman\u0131n \u00e7o\u011falmas\u0131 ile olu\u015fup adet ile d\u00f6k\u00fclen \u00fcst i\u015flevsel katman<\/em>dan (zona fonksiyonalis<\/em>) olu\u015fur. E\u011fer alt temel katman olmasayd\u0131, adet kanamas\u0131ndan sonra tekrar rahim i\u00e7 tabakas\u0131 kal\u0131nla\u015famaz ve rahim bo\u015flu\u011funun \u00f6n ve arka y\u00fczeyi birbirine yap\u0131\u015f\u0131rd\u0131. Rahim i\u00e7 tabakas\u0131n\u0131n s\u0131k g\u00f6r\u00fclen hastal\u0131klar\u0131ndan biri poliplerdir. \u0130\u00e7 tabaka h\u00fccrelerinin kontrols\u00fczce \u00e7o\u011falmas\u0131 ile olu\u015fup rahim i\u00e7 bo\u015flu\u011funa do\u011fr\u0131 sarkan bir et benine benzer.<\/p>\n

Rahimi Yerinde Tutan Ba\u011flar<\/h3>\n

Pek \u00e7ok organ gibi rahimi de yerinde sabit tutan ba\u011flar ba\u011flar gev\u015fer ya da zedelenirse rahim sarkar ve duru\u015f \u015fekli de\u011fi\u015fir. \u00c7ok do\u011fum yapan ya\u015fl\u0131 kad\u0131nlarda idrar tutamama sorunlar\u0131n\u0131n en \u00f6nemli nedeni do\u011fum s\u0131ras\u0131nda zedelenen ve ilerleyen ya\u015flarda gev\u015feyen ba\u011flardan dolay\u0131 rahimin a\u015fa\u011f\u0131 sarkmas\u0131d\u0131r.<\/p>\n

Geni\u015f Ba\u011f (Broad Ligament – Ligamentum Latum):\u00a0<\/strong>Rahimin \u00fczerini \u00f6rten rahim d\u0131\u015f zar\u0131, \u00f6n ve arkay\u00fczeyi kaplad\u0131ktan sonra yanlarda birle\u015fip geni\u015f ba\u011f\u0131 olu\u015fturur. Geni\u015f ba\u011f, rahimin sa\u011fa veya sola devrilmesini \u00f6nlerken i\u00e7inden di\u011fer ba\u011flar ge\u00e7er.<\/p>\n

Yuvarlak Ba\u011f (Round Ligament – Ligamentum Rotundum):\u00a0<\/strong>Rahimin d\u0131\u015f \u00fcst k\u00f6\u015felerinden ba\u015flay\u0131p geni\u015f ba\u011f i\u00e7inde a\u015fa\u011f\u0131 ilerleyerek kas\u0131k kanal\u0131ndan ge\u00e7ip b\u00fcy\u00fck dudaklar\u0131n i\u00e7 y\u00fczeyine da\u011f\u0131larak yap\u0131\u015fan iki tane ba\u011fd\u0131r. Bu ba\u011f, rahim k\u00f6\u015felerini \u00f6ne ve a\u015fa\u011f\u0131 \u00e7ekerek rahimin \u00f6ne k\u0131vr\u0131k (antefleks) durmas\u0131n\u0131 sa\u011flar. Do\u011fum a\u011fr\u0131lar\u0131 ba\u015flad\u0131\u011f\u0131nda bu ba\u011flar rahimi yerinde tutarak bebe\u011fin a\u015fa\u011f\u0131 itilmesine yard\u0131mc\u0131 olur.<\/p>\n

Temel Ba\u011f (Cardinal Ligament):\u00a0<\/strong>Rahim bile\u015fkesi hizas\u0131n\u0131n hemen alt\u0131nda rahim d\u0131\u015f y\u00fczeyinden ba\u015flay\u0131p yanlara do\u011fru uzanan kal\u0131n ve sa\u011flam ba\u011flard\u0131r. Rahimin a\u015fa\u011f\u0131 sarkmas\u0131n\u0131 \u00f6nleyen en \u00f6nemli ba\u011f budur. Yaln\u0131zca rahimi de\u011fil vajinan\u0131n \u00fcst k\u0131s\u0131mlar\u0131n\u0131 da yerinde tutar. Temel ba\u011f i\u00e7inden rahimi besleyen damarlar rahime girer.<\/p>\n

Rahimle Bel Omuru Aras\u0131 Ba\u011flar\u0131 (Sakrouterin Ligament):\u00a0<\/strong>Rahimin rahim bile\u015fkesi hizas\u0131ndan a\u015fa\u011f\u0131 k\u0131sm\u0131nda arka y\u00fcz\u00fcnden ba\u015flay\u0131p bel omurlar\u0131n\u0131n \u00f6n y\u00fcz\u00fcne uzanan bir \u00e7ift ba\u011fd\u0131r.<\/p>\n

Rahim Mesane Aras\u0131 Ba\u011flar\u0131 (Vezikouterin Ba\u011flar):\u00a0<\/strong>Rahim alt k\u0131s\u0131mlar\u0131ndan ba\u015flay\u0131p mesanede sonlanan ve mesane ile rahimi birbirine ba\u011flayan ba\u011flard\u0131r.<\/p>\n

Rahimin Duru\u015fu<\/h3>\n

Rahim bile\u015fkesi rahim ile rahim a\u011fz\u0131n\u0131 birbirine ba\u011flayan bir mente\u015fe gibidir. Bu mente\u015fe, rahimin \u00fcst k\u0131sm\u0131n\u0131n \u00f6ne veya arkaya do\u011fru k\u0131vr\u0131k durmas\u0131na izin verir. Rahimi, alt taraf\u0131nda ve arka y\u00fcz\u00fcnde bulunan sakrouterin ba\u011f arkaya, \u00fcst k\u00f6\u015fedelerden ba\u015flayan yuvarlak ba\u011flar \u00f6n ve alta \u00e7ekti\u011finden rahim genellikle \u00f6ne yat\u0131k durur. Buna antevert duru\u015f denir. Kad\u0131nlar\u0131n yar\u0131dan \u00e7o\u011funda rahim \u00f6ne yat\u0131kt\u0131r. Daha az\u0131nda ise arkaya yat\u0131k bir duru\u015f izlenir. Halk aras\u0131nda rahmin geri do\u011fru d\u00f6n\u00fck olmas\u0131 gereken bu durum bir hastal\u0131k de\u011fil, normalin farkl\u0131 bir halidir.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0130\u00e7inde gebeli\u011fin b\u00fcy\u00fcy\u00fcp geli\u015fti\u011fi; i\u00e7 tabakas\u0131n\u0131n \u00f6nce kal\u0131nla\u015f\u0131p sonra d\u00f6k\u00fclmesi sonucunda adet kanamas\u0131 ger\u00e7ekle\u015fen kad\u0131n cinsel organ\u0131 uterusa halk aras\u0131nda rahim deniyor. Rahimin en s\u0131k g\u00f6r\u00fclen hastal\u0131\u011f\u0131 myomlard\u0131r. Rahim, tamamen kas h\u00fccrelerinden olu\u015fur. Baz\u0131 kas h\u00fccrelerinin kontrols\u00fczce \u00e7o\u011falmas\u0131 sonucunda myomlar meydana gelir. Rahim ile ilgili hastal\u0131klar\u0131n en \u00f6nemli belirtisi adet d\u00fczensizlikleridir. Kimi zaman \u015fiddetli, kimi […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[28],"tags":[810,813,812,601,815,108,811,814,109],"yoast_head":"\n