{"id":7109,"date":"2026-03-29T22:38:05","date_gmt":"2026-03-29T19:38:05","guid":{"rendered":"https:\/\/neoberidhaber.kahveciyazilim.com\/?p=7109"},"modified":"2026-03-29T22:38:06","modified_gmt":"2026-03-29T19:38:06","slug":"dsoden-aciklama-tartisilan-haplar-kanser-yapiyor-mu","status":"publish","type":"post","link":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/2026\/03\/29\/dsoden-aciklama-tartisilan-haplar-kanser-yapiyor-mu\/","title":{"rendered":"DS\u00d6\u2019den A\u00e7\u0131klama: Tart\u0131\u015f\u0131lan Haplar Kanser Yap\u0131yor mu?"},"content":{"rendered":"\n

D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn kanser ara\u015ft\u0131rmalar\u0131ndan sorumlu kurumu olan Uluslararas\u0131 Kanser Ara\u015ft\u0131rma Ajans\u0131\u2019n\u0131n (IARC), \u00f6strojen ve progesteron i\u00e7eren kombine do\u011fum kontrol haplar\u0131n\u0131 \u2018Grup 1 kanserojen\u2019 s\u0131n\u0131f\u0131nda de\u011ferlendirmesi, kad\u0131nlar aras\u0131nda b\u00fcy\u00fck endi\u015feye sebep oldu. \u00c7\u00fcnk\u00fc bu s\u0131n\u0131fland\u0131rma, s\u00f6z konusu hormon kombinasyonunun insanlarda baz\u0131 kanser t\u00fcrleriyle ili\u015fkili oldu\u011funa dair g\u00fc\u00e7l\u00fc bilimsel kan\u0131t bulundu\u011funu ifade ediyor.<\/p>\n\n\n\n

Asl\u0131nda IARC, do\u011fum kontrol haplar\u0131n\u0131 uzun y\u0131llard\u0131r \u2018Grup 1 kanserojen\u2019 s\u0131n\u0131f\u0131nda de\u011ferlendiriyor. \u015eimdi sosyal medyada yeniden kar\u015f\u0131m\u0131za \u00e7\u0131kan bu konu, \u2018do\u011fum kontrol haplar\u0131 kansorejen mi? sorusunu g\u00fcndeme ta\u015f\u0131yor. Gelin bu konuya detayl\u0131ca bakal\u0131m.<\/p>\n\n\n\n

\u2018D\u0130KKATL\u0130 OLUNMASI GEREKEN ANCAK KORKULMAMASI GEREKEN B\u0130R \u0130FADE\u2019<\/strong><\/p>\n\n\n\n

\u201cGrup 1 Kanserojen tam olarak ne anlama gelir? IARC\u2019\u0131n bu s\u0131n\u0131fland\u0131rmas\u0131 maddenin ne kadar g\u00fc\u00e7l\u00fc bir kanserojen oldu\u011funu mu, yoksa kansere yol a\u00e7t\u0131\u011f\u0131na dair kan\u0131tlar\u0131n ne kadar kesin oldu\u011funu mu ifade eder?<\/em>\u201d diye sordu\u011fumuz Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Burak \u00d6zk\u00f6se<\/strong>, \u201cGrup 1 Kanserojen ifadesi i\u00e7inde ge\u00e7en kelime itibar\u0131yla halk\u0131 korkutmamal\u0131. Do\u011fru ila\u00e7 okuryazarl\u0131\u011f\u0131na sahip olmak bu anlamda olduk\u00e7a \u00f6nemli\u201d dedi ve \u015fu bilgileri verdi:<\/p>\n\n\n\n

\u201c\u00c7\u00fcnk\u00fc bu terim asl\u0131nda bir maddenin ya da maruziyetin insanlarda kanser \u2018yapabildi\u011fine\u2019 dair yeterli bilimsel kan\u0131t bulundu\u011fu anlam\u0131na gelse de Grup 1, maddenin ne kadar \u2018g\u00fc\u00e7l\u00fc\u2019 kanser yapt\u0131\u011f\u0131yla ilgili de\u011fildir. Kanser yapt\u0131\u011f\u0131na dair kan\u0131t\u0131n ne kadar kesin oldu\u011fu ile ilgilidir. IARC yaln\u0131zca tehlikeyi s\u0131n\u0131fland\u0131r\u0131r. Yani \u2018Bu etken insanlarda kanser yapabilir mi?\u2019 sorusuna cevap verir. \u2018Ne kadar risklidir?\u2019 sorusuna cevap vermez. K\u0131sacas\u0131 dikkatli olunmas\u0131 gereken ancak korkulmamas\u0131 gereken bir ifadedir.\u201d<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

S\u0130GARA \u0130LE AYNI R\u0130SKE M\u0130 SAH\u0130P?<\/strong><\/p>\n\n\n\n

Sigara, asbest ve alkol de Grup 1 listesinde ge\u00e7iyor. Do\u011fum kontrol haplar\u0131n\u0131 bu maddelerle ayn\u0131 listeye koymak do\u011fru mu?<\/em><\/p>\n\n\n\n

Dr. Burak \u00d6zk\u00f6se, \u201cBu \u00e7ok \u00f6nemli ve kamuoyunda s\u0131k kar\u0131\u015ft\u0131r\u0131lan bir konu. \u00d6ncelikle \u015funu bilmeliyiz ki ayn\u0131 IARC grubunda yer almak, ayn\u0131 risk d\u00fczeyinde olmak demek de\u011fildir. IARC s\u0131n\u0131fland\u0131rmas\u0131ndan al\u0131nan bilgilere g\u00f6re kan\u0131t\u0131n kesinli\u011fini g\u00f6sterir; riskin b\u00fcy\u00fckl\u00fc\u011f\u00fcn\u00fc de\u011fil. Ne yaz\u0131k ki halk\u0131m\u0131zda yanl\u0131\u015f bilgi ve korku refleksiyle kafa kar\u0131\u015f\u0131yor. Alkol, sigara, asbest ve do\u011fum kontrol haplar\u0131 ayn\u0131 listede yer ald\u0131\u011f\u0131 i\u00e7in \u2018Demek ki do\u011fum kontrol hap\u0131 sigara kadar kanser yap\u0131yor\u2019 diye d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. Ancak son derece yanl\u0131\u015f bir alg\u0131 bu\u201d dedi.<\/p>\n\n\n\n

R\u0130SK \u00d6ZELL\u0130KLE HANG\u0130 KANSER T\u00dcRLER\u0130 \u0130\u00c7\u0130N VAR?<\/strong><\/p>\n\n\n\n

\u201cIARC raporuna g\u00f6re do\u011fum kontrol haplar\u0131 baz\u0131 kanser t\u00fcrlerinde risk art\u0131\u015f\u0131 ile ili\u015fkilendirilmi\u015ftir\u201d diyen \u00d6zk\u00f6se \u015funlar\u0131 s\u00f6yledi:<\/p>\n\n\n\n

—<\/strong> Meme kanserinde hafif art\u0131\u015f (yak\u0131n d\u00f6nemdeki kullan\u0131c\u0131lar), serviks kanserinde uzun s\u00fcreli kullan\u0131mda art\u0131\u015f, karaci\u011fer kanserinde \u00f6zg\u00fcl pop\u00fclasyonlarda potansiyel art\u0131\u015f belirtilmi\u015f.<\/p>\n\n\n\n

—<\/strong> Ancak tekrar etmekte fayda var; bu oranlar sigara gibi y\u00fcksek riskli ajanlar\u0131n oranlar\u0131yla k\u0131yaslanamaz. Sigara, birden \u00e7ok kanser t\u00fcr\u00fcnde ciddi tehlike yarat\u0131yor.<\/p>\n\n\n\n

—<\/strong> Do\u011fum kontrol haplar\u0131n\u0131n etkisine gelene dek stres, sigara kullan\u0131m\u0131, alkol, hareketsiz ya\u015fam gibi fakt\u00f6rler kanseri daha \u00e7ok tetikliyor.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Op. Dr. Burak \u00d6zk\u00f6se<\/p>Genetik olarak meme kanserine yatk\u0131nl\u0131\u011f\u0131 olan kad\u0131nlarda, do\u011fum kontrol haplar\u0131n\u0131n etkisinin karma\u015f\u0131k oldu\u011funu s\u00f6yleyebiliriz. \u00d6zellikle BRCA mutasyonu ta\u015f\u0131yan kad\u0131nlarda meme kanseri riski zaten y\u00fcksek iken s\u00f6z konusu haplar\u0131n bu riski hafif art\u0131rabilece\u011fine dair veriler de vard\u0131r. Ancak ayn\u0131 haplar, bu kad\u0131nlarda yumurtal\u0131k kanserine kar\u015f\u0131 belirgin koruyuculuk da sa\u011flayabilir. Bu nedenle \u2018Grup 1\u2019 etiketine bak\u0131larak de\u011fil, ki\u015fisel risk\u2013fayda dengesi de\u011ferlendirilerek verilmelidir.<\/cite><\/blockquote><\/figure>\n\n\n\n

5 YILDAN UZUN S\u00dcREL\u0130 KES\u0130NT\u0130S\u0130Z KULLANIM \u00c7OK R\u0130SKL\u0130<\/strong><\/p>\n\n\n\n

Kanser riskindeki art\u0131\u015f\u0131n belirginle\u015fmesi i\u00e7in hap\u0131n ka\u00e7 y\u0131l boyunca kesintisiz kullan\u0131lmas\u0131 gerekti\u011fini sordu\u011fumuz Dr. Burak \u00d6zk\u00f6se \u015fu cevab\u0131 verdi:<\/p>\n\n\n\n

\u201cRahim a\u011fz\u0131 kanserinde risk art\u0131\u015f\u0131 genellikle 5 y\u0131ldan uzun s\u00fcreli kesintisiz kullan\u0131mda belirginle\u015fir; 10 y\u0131l\u0131n \u00fczerindeki kullan\u0131mda yakla\u015f\u0131k iki kat\u0131na \u00e7\u0131kabilir. Ancak hap b\u0131rak\u0131ld\u0131ktan sonra bu art\u0131\u015f zamanla geriler ve yakla\u015f\u0131k 10 y\u0131l i\u00e7inde normale yakla\u015f\u0131r.\u201d<\/p>\n\n\n\n

\u2018R\u0130SK KANITLARI ESK\u0130 T\u0130P HAPLAR \u0130\u00c7\u0130N\u2019<\/strong><\/p>\n\n\n\n

Dr. \u00d6zk\u00f6se, IARC\u2019\u0131n kanser riskine dair kan\u0131tlar\u0131n\u0131n esas olarak eski tip, y\u00fcksek dozlu kombine haplarla ilgili oldu\u011funu s\u00f6yledi, \u201cG\u00fcn\u00fcm\u00fczde hastalar\u0131m\u0131za re\u00e7ete etti\u011fimiz haplar art\u0131k \u00e7ok daha d\u00fc\u015f\u00fck hormon dozlar\u0131yla modernize edilmi\u015ftir. Yeni tip do\u011fum kontrol haplar\u0131 yani d\u00fc\u015f\u00fck doz (mikrodoz) haplar\u0131n risk profili tam olarak eski haplarla ayn\u0131 olmayabilir<\/strong>, ancak bunu net g\u00f6sterecek geni\u015f, uzun d\u00f6nemli veriler halen s\u0131n\u0131rl\u0131d\u0131r. Bu y\u00fczden \u2018dozla risk aras\u0131ndaki ili\u015fki\u2019 \u00fczerine yap\u0131lan yorumlar yetersiz kal\u0131yor. Ara\u015ft\u0131rmalar\u0131n sonu\u00e7lar\u0131 herkes i\u00e7in ayn\u0131 olmad\u0131\u011f\u0131 gibi sa\u011flad\u0131\u011f\u0131 faydalar\u0131 da g\u00f6z ard\u0131 etmemek gerek\u201d dedi.<\/p>\n\n\n\n

Op. Dr. Burak \u00d6zk\u00f6se<\/p>B\u00fcy\u00fck harflerle belirtmek isterim ki \u201cDo\u011fum kontrol haplar\u0131n\u0131n kanserojen etkisi tek ba\u015f\u0131na de\u011ferlendirilmemelidir.\u201d HPV enfeksiyonu, sigara kullan\u0131m\u0131 ve tarama eksikli\u011fi gibi fakt\u00f6rler bir araya geldi\u011finde risk elbette artar. \u0130lk cinsel temas \u00f6ncesi etkisi maksimum d\u00fczeyde olan HPV a\u015f\u0131s\u0131 ve d\u00fczenli jinekolojik taramalar bu riski b\u00fcy\u00fck \u00f6l\u00e7\u00fcde kontrol alt\u0131na al\u0131r.<\/cite><\/blockquote><\/figure>\n\n\n\n

D\u00dcNYA SA\u011eLIK \u00d6RG\u00dcT\u00dc NEDEN HALA BU HAPLARI \u00d6NER\u0130YOR?<\/strong><\/p>\n\n\n\n

\u201cD\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc<\/a> kurulma misyonu gere\u011fi halk sa\u011fl\u0131\u011f\u0131 \u00fczerinde mutlak risk, toplumsal fayda, alternatif t\u0131p, sa\u011fl\u0131k sistemi ger\u00e7ekli\u011fi \u00fczerine ara\u015ft\u0131r\u0131r ve \u00f6nerilerde bulunur\u201d diyen \u00d6zk\u00f6se \u015funlar\u0131 bilgileri verdi.<\/p>\n\n\n\n

Do\u011fum kontrol haplar\u0131n\u0131n fayda\/zarar ili\u015fkisini g\u00f6z \u00f6n\u00fcne alarak kombine haplar\u0131n;<\/p>\n\n\n\n

– Over yani yumurtal\u0131k kanseri riskini azaltt\u0131\u011f\u0131n\u0131
– Endometrium kanseri riskini azaltt\u0131\u011f\u0131n\u0131
– Bu koruyuculu\u011fun da y\u0131llarca s\u00fcrebilece\u011fini s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

Yani net etki tek y\u00f6nl\u00fc de\u011fildir. K\u00fcresel \u00f6l\u00e7ekte ise haplar;<\/p>\n\n\n\n

– Anne \u00f6l\u00fcmlerini azalt\u0131r
– Kad\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 iyile\u015ftirir
– Sosyoekonomik kazan\u0131m sa\u011flar.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

TEMEL \u0130LA\u00c7 L\u0130STES\u0130NDE YER ALIYOR<\/strong><\/p>\n\n\n\n

Dr\u00e7 \u00d6zk\u00f6se, \u201cK\u0131sacas\u0131 bu etkiler, k\u00fc\u00e7\u00fck kanser risk art\u0131\u015flar\u0131ndan \u00e7ok daha b\u00fcy\u00fck faydalar sa\u011flar. Ama D\u00fcnya\u00a0Sa\u011fl\u0131k\u00a0\u00d6rg\u00fct\u00fc\u2019n\u00fcn \u2018T\u0131bbi Uygunluk Kriterleri\u2019 yakla\u015f\u0131m\u0131 her kad\u0131na \u2018her durumda uygun\u2019 da demez. Riskli gruplarda hap kullan\u0131mlar\u0131 ki\u015fiselle\u015ftirilir\u201d dedi ve ekledi:<\/p>\n\n\n\n

\u201cIARC bir ilac\u0131n etkilerinde \u2018Kanser yapar m\u0131?\u2019 diye sorar, WHO ise \u2018Toplumda kullan\u0131m\u0131 fayda sa\u011fl\u0131yor mu?\u2019 sorusunu sorar<\/strong>. K\u0131sacas\u0131 do\u011fum kontrol haplar\u0131 faydalar\u0131 ve riskleri g\u00f6z \u00f6n\u00fcnde al\u0131nd\u0131\u011f\u0131nda hem \u2018Grup 1 kanserojen\u2019 hem de \u2018temel ila\u00e7\u2019 listesinde yer al\u0131r.\u201d<\/p>\n\n\n\n

\n\n\n\n

Kaynak: H\u00fcrriyet<\/a><\/p>\n\n\n\n

29.03.2026 22.37<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO), d\u00fcnya genelinde milyonlarca kad\u0131n\u0131n kulland\u0131\u011f\u0131 \u00f6strojen ve progesteron i\u00e7eren kombine do\u011fum kontrol haplar\u0131n\u0131 ‘Grup 1 kanserojen’ s\u0131n\u0131f\u0131nda de\u011ferlendiriyor. Uzun y\u0131llard\u0131r kad\u0131nlar taraf\u0131ndan kullan\u0131lan bu haplar ger\u00e7ekten kansere sebep oluyor olabilir mi? Sigara, asbest ve alkol de Grup 1 listesinde ge\u00e7iyor. Bu, do\u011fum kontrol haplar\u0131n\u0131n sigara, asbest ve alkol kadar y\u00fcksek kanser riski oldu\u011fu anlam\u0131na m\u0131 geliyor?","protected":false},"author":2,"featured_media":7110,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"csco_display_header_overlay":false,"csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_location_hash":"","csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[13],"tags":[],"class_list":["post-7109","post","type-post","status-publish","format-standard","has-post-thumbnail","category-saglik","cs-entry","cs-video-wrap"],"_links":{"self":[{"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/posts\/7109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/comments?post=7109"}],"version-history":[{"count":1,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/posts\/7109\/revisions"}],"predecessor-version":[{"id":7114,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/posts\/7109\/revisions\/7114"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/media\/7110"}],"wp:attachment":[{"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/media?parent=7109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/categories?post=7109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neoberidhaber.kahveciyazilim.com\/index.php\/wp-json\/wp\/v2\/tags?post=7109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}