{"id":23063,"date":"2022-01-11T16:43:37","date_gmt":"2022-01-11T13:43:37","guid":{"rendered":"https:\/\/zdmaa.com\/how-to-return-to-sex-life-after-prostate-cancer-treatment\/"},"modified":"2022-01-12T11:15:40","modified_gmt":"2022-01-12T08:15:40","slug":"how-to-return-to-sex-life-after-prostate-cancer-treatment","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/how-to-return-to-sex-life-after-prostate-cancer-treatment\/","title":{"rendered":"Prostat kanseri tedavisi sonras\u0131 cinsel hayata nas\u0131l d\u00f6n\u00fcl\u00fcr?"},"content":{"rendered":"

Prostat kanseri tedavisi sonras\u0131 cinsel hayata nas\u0131l d\u00f6n\u00fcl\u00fcr?<\/span><\/span><\/span><\/span><\/p>\n

\n

Kanserden ba\u011f\u0131ms\u0131z olarak, tedaviler s\u0131kl\u0131kla hastalar\u0131n ya\u015fam kalitesini etkileyen yan etkilere neden olur. <\/span>Ancak prostat kanseri ile ilgili potansiyel yan etkiler, kendileri i\u00e7in hangi y\u00f6ntemin do\u011fru oldu\u011funu belirlemeye \u00e7al\u0131\u015fan erkekler i\u00e7in \u00f6zellikle endi\u015fe verici olabilir. <\/span>Cerrahi, radyoterapi ve di\u011fer tedaviler hastan\u0131n cinsel ya\u015fam\u0131n\u0131 etkileyerek cinsel d\u00fcrt\u00fc azalmas\u0131, penis boyunun kayb\u0131, kuru orgazm veya d\u00fc\u015f\u00fck sperm say\u0131s\u0131 gibi zorluklara neden olabilir. <\/span>Bu sorunlar\u0131n neden olabilece\u011fi s\u0131k\u0131nt\u0131ya ra\u011fmen uzmanlar, bu yan etkilerin \u00e7o\u011funun y\u00f6netilebilir oldu\u011funu ve bir\u00e7ok erke\u011fin prostat kanseri tedavisinden sonra tam bir cinsel ya\u015fama d\u00f6nme \u015fans\u0131n\u0131n y\u00fcksek oldu\u011funu s\u00f6yl\u00fcyor.<\/span><\/span><\/p>\n

Atlanta yak\u0131nlar\u0131ndaki hastanemizde \u00fcroloji t\u0131bbi direkt\u00f6r\u00fc FACS MD Scott Shelfo, “Ne yaz\u0131k ki, iktidars\u0131zl\u0131k, ameliyat dahil olmak \u00fczere neredeyse t\u00fcm prostat kanseri tedavi se\u00e7enekleri i\u00e7in bir olas\u0131l\u0131kt\u0131r” diyor. <\/span>“\u0130\u015flev bozuklu\u011funun derecesi, hastan\u0131n genel sa\u011fl\u0131\u011f\u0131, bir arada var olan t\u0131bbi problemlerin yan\u0131 s\u0131ra hastan\u0131n cinsel i\u015flev d\u00fczeyi ve tedaviden \u00f6nceki yetene\u011fi de dahil olmak \u00fczere \u00e7e\u015fitli fakt\u00f6rlere ba\u011fl\u0131d\u0131r.”<\/span><\/span><\/p>\n

Kanser ve cinsel i\u015flev bozuklu\u011fu tedavileri<\/span><\/span><\/h2>\n

Ameliyattan sonra bir\u00e7ok erkek erektil disfonksiyon (ED) ya\u015far, ancak \u00e7o\u011fu i\u00e7in kesinti ge\u00e7icidir. <\/span>Ameliyat s\u0131ras\u0131nda hasar g\u00f6ren sinirler erektil disfonksiyona neden olabilir. <\/span>Sinir koruyucu prostatektomi, sinir hasar\u0131 olas\u0131l\u0131\u011f\u0131n\u0131 azaltabilir. <\/span>Dr. Chilvo, “Di\u011fer bir fakt\u00f6r de cerrah\u0131n sinir tutma tekni\u011fini ger\u00e7ekle\u015ftirme beceri d\u00fczeyidir ve bu, do\u011fru yap\u0131l\u0131rsa hastalar\u0131n erektil i\u015flevi s\u00fcrd\u00fcrme olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131rabilir” diyor.<\/span><\/span><\/p>\n

Prostat kanseri ayr\u0131ca \u00e7e\u015fitli radyoterapi t\u00fcrleri ile tedavi edilebilir: brakiterapi, harici \u0131\u015f\u0131n radyoterapisi veya stereotaksik v\u00fccut radyoterapisi. <\/span>Her tedavi t\u00fcr\u00fc biraz farkl\u0131 yan etkilere neden olur. <\/span><\/span>Advances in Radiation Oncology’de<\/span><\/span><\/em> yay\u0131nlanan 2016 tarihli bir makaleye g\u00f6re, bu t\u00fcr radyasyon tedavisinden herhangi birine maruz kalan prostat kanseri hastalar\u0131n\u0131n yakla\u015f\u0131k yar\u0131s\u0131nda erektil disfonksiyon geli\u015fmesi muhtemeldir <\/span>.<\/span><\/span><\/p>\n

Dr. Chilvo, “Ameliyatla radyasyonu kar\u015f\u0131la\u015ft\u0131rd\u0131\u011f\u0131n\u0131zda, her ikisi de ereksiyonlar\u0131 etkileyebilir” diyor. <\/span>“Ameliyat genellikle daha acildir ve ED’nin zamanla d\u00fczelme potansiyeli vard\u0131r. Radyasyonla, ereksiyonlar ba\u015flang\u0131\u00e7ta genellikle daha az etkilenir, ancak zamanla (aylar veya bazen y\u0131llar) cinsel i\u015flev bozuklu\u011fu geli\u015febilir. Her iki tedavi de cinsel i\u015flevi etkileyebilir ve sonu\u00e7 olarak bo\u015falma eksikli\u011fi veya ereksiyon sa\u011flama yetene\u011fi.<\/span><\/span><\/p>\n

Hormon tedavisinin amac\u0131 v\u00fccuttaki erkek hormonlar\u0131n\u0131n seviyesini d\u00fc\u015f\u00fcrmek veya prostat kanseri h\u00fccrelerini beslemelerini engellemektir. <\/span>Hormon tedavisi, hastalar\u0131n hepsinde olmasa da baz\u0131lar\u0131nda cinsel istek kayb\u0131na (libido) neden olabilir. <\/span>Baz\u0131 erkekler cinsel isteklerini s\u00fcrd\u00fcrd\u00fcklerini ancak ereksiyon sa\u011flayamad\u0131klar\u0131n\u0131 veya orgazma ula\u015famad\u0131klar\u0131n\u0131 fark ederler. <\/span>Hormon tedavisi ayr\u0131ca bo\u015falma s\u0131ras\u0131nda sal\u0131nan meni miktar\u0131n\u0131 da azaltabilir.<\/span><\/span><\/p>\n

Kemoterapi ila\u00e7lar\u0131 kanser h\u00fccrelerini \u00f6ld\u00fcrmek veya b\u00fcy\u00fcmelerini s\u0131n\u0131rlamak i\u00e7in kullan\u0131l\u0131r. <\/span>Baz\u0131 hastalar kemoterapiden sonra cinsel d\u00fcrt\u00fclerini kaybedebilir ve ereksiyon olmakta zorluk \u00e7ekebilir. <\/span>T\u00fcm prostat kanseri tedavileri ile hastan\u0131n ya\u015f\u0131 ve genel sa\u011fl\u0131\u011f\u0131 tedavi sonras\u0131 aktif cinsel ya\u015fama d\u00f6nme kabiliyetini etkileyecektir. <\/span>Ne kadar gen\u00e7seniz, cinsel i\u015flevi geri kazanma olas\u0131l\u0131\u011f\u0131n\u0131z o kadar y\u00fcksek olur.<\/span><\/span><\/p>\n

Dr. Chilvo, “G\u00f6rd\u00fc\u011f\u00fcm\u00fcz erkeklerin \u00e7o\u011fu 40’l\u0131, 50’li ve 60’l\u0131 ya\u015flar\u0131nda ve hala sa\u011fl\u0131kl\u0131 bir cinsel ya\u015famlar\u0131 var” diyor. <\/span>“Yani sadece kanserinizi tedavi etmenin do\u011fru yolundan bahsetmiyoruz, ayn\u0131 zamanda ya\u015fam kalitenizi koruyabilmeniz i\u00e7in tedavinin yan etkilerini s\u0131n\u0131rlamaya \u00e7al\u0131\u015f\u0131yoruz.”<\/span><\/span><\/p>\n

\u00c7\u00f6z\u00fcm i\u00e7in doktorunuza dan\u0131\u015f\u0131n<\/span><\/span><\/h2>\n

Hastalar, mahremiyet konular\u0131n\u0131 doktorlar\u0131yla tart\u0131\u015fmaktan \u00e7ekinmemelidir. <\/span>Size yard\u0131mc\u0131 olmas\u0131 i\u00e7in ila\u00e7 yazabilir. <\/span>Sildenafil (Viagra <\/span><\/span>\u00ae<\/span><\/span><\/sup> ), Co (Cialis <\/span><\/span>\u00ae<\/span><\/span><\/sup> ) veya Vardenafil (Levitra <\/span><\/span>\u00ae<\/span><\/span><\/sup> ) <\/span>gibi baz\u0131 ila\u00e7lar <\/span>genellikle \u00f6nce denenir. <\/span>Ancak bu ila\u00e7lar, sorumlu sinirler sa\u011fl\u0131ks\u0131zsa erkeklerin ereksiyon olmas\u0131na yard\u0131mc\u0131 olmayabilir. <\/span>Asl\u0131nda, <\/span><\/span>Uluslararas\u0131 Cinsel Sa\u011fl\u0131k Dergisi’nde<\/span><\/span><\/em> yay\u0131nlanan 2017 tarihli bir ara\u015ft\u0131rmaya g\u00f6re, ila\u00e7lar ameliyattan sonraki ilk birka\u00e7 ayda erkeklerin yaln\u0131zca k\u00fc\u00e7\u00fck bir y\u00fczdesinde i\u015fe yar\u0131yor <\/span>.<\/span><\/span><\/p>\n

Dr. Chilvo, “Erektil disfonksiyon i\u00e7in oral ila\u00e7lara ek olarak, prostat kanseri tedavisinden sonra erektil disfonksiyonu olan erkekler i\u00e7in ba\u015fka se\u00e7enekler de mevcuttur” diyor. <\/span>Bu tedaviler, az miktarda ilac\u0131n do\u011frudan penisin taban\u0131na enjekte edilmesini i\u00e7eren penil enjeksiyonlar\u0131 i\u00e7erir. <\/span>Bu, bir\u00e7ok erke\u011fin ereksiyon elde etmesine yard\u0131mc\u0131 oldu. <\/span>Di\u011fer bir se\u00e7enek ise intra\u00fcretral fitil, vakumlu harici ereksiyon cihaz\u0131 veya penil protez implante etmek i\u00e7in ameliyatt\u0131r.<\/span><\/span><\/p>\n

Prostat kanseri tedavisi g\u00f6ren erkeklerin t\u00fcm\u00fc erektil i\u015flevi yeniden kazanamasa da, ereksiyonlar\u0131n tatmin edici bir cinsel ya\u015fam\u0131n yaln\u0131zca bir y\u00f6n\u00fc oldu\u011funu hat\u0131rlamak \u00f6nemlidir. <\/span>Yak\u0131nl\u0131k, kanser tedavisinden sonra seks zorla\u015ft\u0131k\u00e7a daha da \u00f6nemli hale gelebilecek bir di\u011fer \u00f6nemli bile\u015fendir.<\/span><\/span><\/p>\n

Kanserden sonra sa\u011fl\u0131kl\u0131 bir cinsel ya\u015fama devam etmenin d\u00f6rt ad\u0131m\u0131n\u0131 \u00f6\u011frenin.<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Prostat kanseri tedavisi sonras\u0131 cinsel hayata nas\u0131l d\u00f6n\u00fcl\u00fcr? Kanserden ba\u011f\u0131ms\u0131z olarak, tedaviler s\u0131kl\u0131kla hastalar\u0131n ya\u015fam kalitesini etkileyen yan etkilere neden olur. Ancak prostat kanseri ile ilgili potansiyel yan etkiler, kendileri i\u00e7in hangi y\u00f6ntemin do\u011fru oldu\u011funu belirlemeye \u00e7al\u0131\u015fan erkekler i\u00e7in \u00f6zellikle endi\u015fe verici olabilir. Cerrahi, radyoterapi ve di\u011fer tedaviler hastan\u0131n cinsel ya\u015fam\u0131n\u0131 etkileyerek cinsel d\u00fcrt\u00fc azalmas\u0131, …<\/p>\n","protected":false},"author":1,"featured_media":21662,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-23063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nProstat kanseri tedavisi sonras\u0131 cinsel hayata nas\u0131l d\u00f6n\u00fcl\u00fcr? - zdmaa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdmaa.com\/tr\/how-to-return-to-sex-life-after-prostate-cancer-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prostat kanseri tedavisi sonras\u0131 cinsel hayata nas\u0131l d\u00f6n\u00fcl\u00fcr? - zdmaa\" \/>\n<meta property=\"og:description\" content=\"Prostat kanseri tedavisi sonras\u0131 cinsel hayata nas\u0131l d\u00f6n\u00fcl\u00fcr? Kanserden ba\u011f\u0131ms\u0131z olarak, tedaviler s\u0131kl\u0131kla hastalar\u0131n ya\u015fam kalitesini etkileyen yan etkilere neden olur. Ancak prostat kanseri ile ilgili potansiyel yan etkiler, kendileri i\u00e7in hangi y\u00f6ntemin do\u011fru oldu\u011funu belirlemeye \u00e7al\u0131\u015fan erkekler i\u00e7in \u00f6zellikle endi\u015fe verici olabilir. 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Kanserden ba\u011f\u0131ms\u0131z olarak, tedaviler s\u0131kl\u0131kla hastalar\u0131n ya\u015fam kalitesini etkileyen yan etkilere neden olur. Ancak prostat kanseri ile ilgili potansiyel yan etkiler, kendileri i\u00e7in hangi y\u00f6ntemin do\u011fru oldu\u011funu belirlemeye \u00e7al\u0131\u015fan erkekler i\u00e7in \u00f6zellikle endi\u015fe verici olabilir. 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