{"id":83236,"date":"2026-08-18T02:42:28","date_gmt":"2026-08-18T00:42:28","guid":{"rendered":"https:\/\/elithair.com\/tr\/diffuz-sac-dokulmesi\/"},"modified":"2026-08-18T02:42:28","modified_gmt":"2026-08-18T00:42:28","slug":"diffuz-sac-dokulmesi","status":"publish","type":"post","link":"https:\/\/elithair.com\/tr\/diffuz-sac-dokulmesi\/","title":{"rendered":"Diff\u00fcz Sa\u00e7 D\u00f6k\u00fclmesi: Nedenleri, T\u00fcrleri ve Seyri"},"content":{"rendered":"\n<div style=\"border-left:4px solid #0079F1;padding:0 0 0 14px;margin:0 0 26px\">\n<p style=\"margin:0 0 14px;color:#2e3033;font-size:17px;line-height:1.65\">F\u0131r\u00e7as\u0131nda her seferinde biraz daha fazla sa\u00e7 bulan ama kafas\u0131nda a\u00e7\u0131lm\u0131\u015f bir b\u00f6lge g\u00f6remeyen ki\u015fi, nedeni genellikle i\u00e7inde bulundu\u011fu g\u00fcnlerde arar. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde ise neden neredeyse her zaman iki ila \u00fc\u00e7 ay \u00f6ncesindedir; \u00e7\u00fcnk\u00fc etkilenen sa\u00e7lar\u0131n d\u00f6k\u00fclebilmesi i\u00e7in \u00f6nce dinlenme evresini tamamlamas\u0131 gerekir (Malkud, J Clin Diagn Res 2015). Yo\u011funluk bu s\u0131rada, ba\u015f\u0131n arka k\u0131sm\u0131 da d\u00e2hil olmak \u00fczere sa\u00e7l\u0131 derinin tamam\u0131nda e\u015fit bi\u00e7imde azal\u0131r ve tam da bu, diff\u00fcz d\u00f6k\u00fclmeyi sa\u00e7 d\u00f6k\u00fclmesinin di\u011fer t\u00fcrlerinden ay\u0131r\u0131r. Bu yaz\u0131 t\u00fcrleri s\u0131n\u0131fland\u0131r\u0131yor, hekimin tan\u0131y\u0131 nas\u0131l koydu\u011funu anlat\u0131yor ve s\u00fcrecin tipik olarak nas\u0131l ilerledi\u011fini g\u00f6steriyor.<\/p>\n<p style=\"margin:0 0 8px;color:#013366;font-weight:700;font-size:16px\">K\u0131saca en \u00f6nemlileri<\/p>\n<ul style=\"margin:0 0 14px;padding:0;color:#2e3033;list-style:none\">\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi kendi ba\u015f\u0131na bir hastal\u0131k de\u011fil, arkas\u0131nda bir neden bulunan bir belirtidir; sa\u00e7 folik\u00fclleri bu s\u00fcre\u00e7te korunur<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>Tetikleyici tipik olarak 8 ila 12 hafta \u00f6ncesindedir; bu y\u00fczden bug\u00fcne de\u011fil, ge\u00e7mi\u015fe bak\u0131larak aran\u0131r<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>En s\u0131k g\u00f6r\u00fclen bi\u00e7im telogen effluviumdur; akut h\u00e2li \u00e7o\u011funlukla 3 ila 6 ay i\u00e7inde ge\u00e7er<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>D\u00f6k\u00fclme alt\u0131 aydan uzun s\u00fcrerse ya da ataklar h\u00e2linde geri d\u00f6nerse dermatolojik olarak de\u011ferlendirilmelidir<\/li>\n<\/ul>\n<p style=\"margin:0;color:#2e3033\">\u015eimdi \u00f6nemli olan: bi\u00e7imi hekime belirletmek, tetikleyiciyi geriye d\u00f6n\u00fck bulmak ve sa\u00e7 d\u00f6ng\u00fcs\u00fcne ihtiya\u00e7 duydu\u011fu zaman\u0131 tan\u0131mak.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi nedir?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi, t\u0131ptaki ad\u0131yla <strong>diff\u00fcz alopesi<\/strong>, sa\u00e7l\u0131 derinin tamam\u0131nda g\u00f6r\u00fclen, s\u0131n\u0131rlar\u0131 belirgin a\u00e7\u0131kl\u0131klar ve tipik bir patern olmadan ilerleyen e\u015fit bir sa\u00e7 kayb\u0131d\u0131r (StatPearls, NCBI Bookshelf). Sa\u00e7 genelinde incelir, sa\u00e7 ayr\u0131m\u0131 geni\u015fler, at kuyru\u011fu incelir. Kendi ba\u015f\u0131na bir hastal\u0131k tablosu de\u011fil, arkas\u0131nda bir neden bulunan bir belirtidir.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>E\u015fit da\u011f\u0131l\u0131ml\u0131:<\/strong> ba\u015f\u0131n tamam\u0131 etkilenir, s\u0131n\u0131rl\u0131 tek bir b\u00f6lge de\u011fil<\/li>\n<li><strong>Gecikmeli:<\/strong> tetikleyici \u00e7o\u011funlukla 2 ila 3 ay \u00f6ncesindedir<\/li>\n<li><strong>\u00c7o\u011funlukla geri d\u00f6n\u00fc\u015fl\u00fc:<\/strong> folik\u00fcller yerinde kal\u0131r, yaln\u0131zca ara verir<\/li>\n<li><strong>\u0130ki ana bi\u00e7im:<\/strong> s\u0131k g\u00f6r\u00fclen telogen effluvium ve nadir, h\u0131zl\u0131 seyreden anagen effluvium<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">En \u00f6nemli rahatlat\u0131c\u0131 bilgi en ba\u015fta gelsin: diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi kelli\u011fe yol a\u00e7maz. Sa\u00e7 k\u00f6kleri yok olmaz, yaln\u0131zca erkenden dinlenme evresine ge\u00e7er. Bu y\u00fczden belirleyici olan ne kadar d\u00f6k\u00fcld\u00fc\u011f\u00fc de\u011fil, d\u00f6k\u00fclmenin kendili\u011finden sona erip ermedi\u011fidir.<\/p>\n\n\n\n<div style=\"border:1px solid #dbe4f0;border-radius:12px;padding:18px 20px;margin:28px 0\">\n<p style=\"margin:0 0 12px;color:#013366;font-weight:700;font-size:17px\">Rakamlarla diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi<\/p>\n<ul style=\"margin:0;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"padding:5px 0;border-bottom:1px solid #e3e8ef\"><strong style=\"color:#013366\">%85 ila %90<\/strong> oran\u0131ndaki sa\u00e7 normalde b\u00fcy\u00fcme evresindedir (anagen), StatPearls ve Malkud derlemesi<\/li>\n<li style=\"padding:5px 0;border-bottom:1px solid #e3e8ef\"><strong style=\"color:#013366\">%10 ila %15<\/strong> oran\u0131ndaki sa\u00e7 ayn\u0131 anda dinlenme evresindedir (telogen); telogen effluviumda bu oran belirgin bi\u00e7imde y\u00fckselir<\/li>\n<li style=\"padding:5px 0;border-bottom:1px solid #e3e8ef\"><strong style=\"color:#013366\">2 ila 3 ay<\/strong> tetikleyici ile g\u00f6zle g\u00f6r\u00fcl\u00fcr d\u00f6k\u00fclme aras\u0131nda ge\u00e7er, \u00e7\u00fcnk\u00fc dinlenme evresi bu kadar s\u00fcrer (Malkud 2015)<\/li>\n<li style=\"padding:5px 0;border-bottom:1px solid #e3e8ef\"><strong style=\"color:#013366\">3 ila 6 ay<\/strong> akut d\u00f6k\u00fclme evresi kural olarak bu kadar s\u00fcrer, sonras\u0131nda geriler (NHS Fife hasta bilgilendirmesi)<\/li>\n<li style=\"padding:5px 0\"><strong style=\"color:#013366\">6 aydan itibaren<\/strong> kronik seyirden s\u00f6z edilir (Whiting, J Am Acad Dermatol 1996)<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div style=\"border-left:4px solid #0079F1;padding:0 0 0 14px;margin:0 0 28px\">\n<p style=\"margin:0 0 10px;color:#013366;font-weight:700;font-size:16px\">Her raporda kar\u015f\u0131n\u0131za \u00e7\u0131kan be\u015f terim<\/p>\n<ul style=\"margin:0;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.65\">\n<li style=\"padding:2px 0\"><strong style=\"color:#013366\">Effluvium:<\/strong> sa\u00e7 d\u00f6k\u00fclmesinin artt\u0131\u011f\u0131 s\u00fcre\u00e7<\/li>\n<li style=\"padding:2px 0\"><strong style=\"color:#013366\">Alopesi:<\/strong> sonu\u00e7, yani g\u00f6zle g\u00f6r\u00fcl\u00fcr bi\u00e7imde azalm\u0131\u015f sa\u00e7 yo\u011funlu\u011fu<\/li>\n<li style=\"padding:2px 0\"><strong style=\"color:#013366\">Anagen:<\/strong> sa\u00e7 folik\u00fcl\u00fcn\u00fcn b\u00fcy\u00fcme evresi<\/li>\n<li style=\"padding:2px 0\"><strong style=\"color:#013366\">Telogen:<\/strong> sa\u00e7 folik\u00fcl\u00fcn\u00fcn dinlenme evresi<\/li>\n<li style=\"padding:2px 0\"><strong style=\"color:#013366\">Diff\u00fcz:<\/strong> sa\u00e7l\u0131 derinin tamam\u0131na e\u015fit bi\u00e7imde yay\u0131lm\u0131\u015f<\/li>\n<\/ul>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz m\u00fc, paternli mi, yoksa sa\u00e7k\u0131ran m\u0131? \u00dc\u00e7 temel paternin kar\u015f\u0131la\u015ft\u0131rmas\u0131<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sa\u00e7 d\u00f6k\u00fclmesi en g\u00fcvenilir bi\u00e7imde miktar\u0131na g\u00f6re de\u011fil, da\u011f\u0131l\u0131m\u0131na g\u00f6re ayr\u0131l\u0131r. <strong>Diff\u00fcz<\/strong> ba\u015f\u0131n tamam\u0131na e\u015fit da\u011f\u0131lm\u0131\u015f demektir. <strong>Androgenetik<\/strong> b\u00f6lgesel demektir: erkekte \u015fakak a\u00e7\u0131kl\u0131klar\u0131 ve tepe b\u00f6lgesi, kad\u0131nda giderek geni\u015fleyen orta ayr\u0131m, buna kar\u015f\u0131l\u0131k arka b\u00f6lge s\u0131k kal\u0131r. <strong>Sa\u00e7k\u0131ran<\/strong> (alopesi areata) ise yo\u011fun sa\u00e7 i\u00e7inde s\u0131n\u0131rlar\u0131 keskin, p\u00fcr\u00fczs\u00fcz odaklar demektir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pratikte ay\u0131rt edici i\u015faret ba\u015f\u0131n arka k\u0131sm\u0131d\u0131r. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde oras\u0131 da etkilenir, paternli d\u00f6k\u00fclmede ense sa\u00e7 band\u0131 s\u0131k kal\u0131r. Trikoskopide bu, al\u0131n ve ense b\u00f6lgesi aras\u0131ndaki sa\u00e7 yo\u011funlu\u011fu oran\u0131n\u0131n belirgin bi\u00e7imde kaym\u0131\u015f olmas\u0131yla kendini g\u00f6sterir; Rudnicka ve arkada\u015flar\u0131n\u0131n kad\u0131n tipi sa\u00e7 d\u00f6k\u00fclmesinin tan\u0131s\u0131 i\u00e7in tarif etti\u011fi bir \u00f6l\u00e7\u00fctt\u00fcr. Telogen effluviumda ise bu oran g\u00f6rece dengeli kal\u0131r.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/grundmuster_vergleich__tr.png\" alt=\"\u0130nfografik: diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi, erkek ve kad\u0131n tipi patern ile sa\u00e7k\u0131ran\u0131n kar\u015f\u0131la\u015ft\u0131rmas\u0131\" class=\"wp-image-83231\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/grundmuster_vergleich__tr.png 1536w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/grundmuster_vergleich__tr-300x200.png 300w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/grundmuster_vergleich__tr-1024x683.png 1024w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/grundmuster_vergleich__tr-768x512.png 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:720px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Sa\u00e7 d\u00f6k\u00fclmesinin \u00fc\u00e7 temel paterni kar\u015f\u0131la\u015ft\u0131rmal\u0131<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:18%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Temel patern<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Nerede g\u00f6r\u00fcn\u00fcr h\u00e2le gelir<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Ba\u015f\u0131n arka k\u0131sm\u0131 etkilenir mi?<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Tipik ba\u015flang\u0131\u00e7<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Neden<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Kural olarak geri d\u00f6n\u00fc\u015fl\u00fc m\u00fc?<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Temel patern\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Diff\u00fcz (diff\u00fcz alopesi)<\/td>\n        <td data-label=\"Nerede g\u00f6r\u00fcn\u00fcr h\u00e2le gelir\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sa\u00e7l\u0131 derinin tamam\u0131nda e\u015fit bi\u00e7imde, sa\u00e7 ayr\u0131m\u0131 geni\u015fler, at kuyru\u011fu incelir<\/td>\n        <td data-label=\"Ba\u015f\u0131n arka k\u0131sm\u0131 etkilenir mi?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">evet, o da etkilenir<\/td>\n        <td data-label=\"Tipik ba\u015flang\u0131\u00e7\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">tetikleyiciden 2 ila 3 ay sonra<\/td>\n        <td data-label=\"Neden\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">t\u00fcm v\u00fccudu etkiler: enfeksiyon, ameliyat, eksiklik, hormonlar, ila\u00e7lar<\/td>\n        <td data-label=\"Kural olarak geri d\u00f6n\u00fc\u015fl\u00fc m\u00fc?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">evet, neden ortadan kalkarsa<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Temel patern\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Erkekte androgenetik<\/td>\n        <td data-label=\"Nerede g\u00f6r\u00fcn\u00fcr h\u00e2le gelir\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u015fakak a\u00e7\u0131kl\u0131klar\u0131 ve tepe b\u00f6lgesi, \u00f6n sa\u00e7 \u00e7izgisi geriler<\/td>\n        <td data-label=\"Ba\u015f\u0131n arka k\u0131sm\u0131 etkilenir mi?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">hay\u0131r, ense sa\u00e7 band\u0131 s\u0131k kal\u0131r<\/td>\n        <td data-label=\"Tipik ba\u015flang\u0131\u00e7\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">y\u0131llar i\u00e7inde sinsice<\/td>\n        <td data-label=\"Neden\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">folik\u00fcllerin DHT&#8217;ye kar\u015f\u0131 genetik olarak belirlenmi\u015f duyarl\u0131l\u0131\u011f\u0131<\/td>\n        <td data-label=\"Kural olarak geri d\u00f6n\u00fc\u015fl\u00fc m\u00fc?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">hay\u0131r, ilerleyicidir<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Temel patern\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Kad\u0131nda androgenetik<\/td>\n        <td data-label=\"Nerede g\u00f6r\u00fcn\u00fcr h\u00e2le gelir\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">orta ayr\u0131m geni\u015fler, \u00f6n sa\u00e7 \u00e7izgisi \u00e7o\u011funlukla korunur<\/td>\n        <td data-label=\"Ba\u015f\u0131n arka k\u0131sm\u0131 etkilenir mi?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">hay\u0131r, ense sa\u00e7 band\u0131 \u00e7o\u011funlukla korunur<\/td>\n        <td data-label=\"Tipik ba\u015flang\u0131\u00e7\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sinsice, s\u0131kl\u0131kla menopozdan itibaren<\/td>\n        <td data-label=\"Neden\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">genetik ve hormonal<\/td>\n        <td data-label=\"Kural olarak geri d\u00f6n\u00fc\u015fl\u00fc m\u00fc?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">hay\u0131r, ilerleyicidir<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Temel patern\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Sa\u00e7k\u0131ran (alopesi areata)<\/td>\n        <td data-label=\"Nerede g\u00f6r\u00fcn\u00fcr h\u00e2le gelir\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">yo\u011fun sa\u00e7 i\u00e7inde s\u0131n\u0131rlar\u0131 keskin, p\u00fcr\u00fczs\u00fcz, \u00e7o\u011fu zaman maden\u00ee para b\u00fcy\u00fckl\u00fc\u011f\u00fcnde odaklar<\/td>\n        <td data-label=\"Ba\u015f\u0131n arka k\u0131sm\u0131 etkilenir mi?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">m\u00fcmk\u00fcn, ama yayg\u0131n de\u011fil, odak \u015feklinde<\/td>\n        <td data-label=\"Tipik ba\u015flang\u0131\u00e7\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">g\u00fcnler ile haftalar i\u00e7inde<\/td>\n        <td data-label=\"Neden\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">sa\u00e7 folik\u00fcl\u00fcne kar\u015f\u0131 geli\u015fen otoimm\u00fcn s\u00fcre\u00e7<\/td>\n        <td data-label=\"Kural olarak geri d\u00f6n\u00fc\u015fl\u00fc m\u00fc?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">s\u0131kl\u0131kla evet, ancak seyri \u00f6ng\u00f6rmek zordur<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130kisinin ayn\u0131 anda g\u00f6r\u00fclmesi s\u0131k rastlanan bir durumdur. Diff\u00fcz bir effluvium \u00e7o\u011fu zaman mevcut ama o g\u00fcne kadar fark edilmemi\u015f bir androgenetik alopesinin \u00fczerine biner ve onu ilk kez g\u00f6r\u00fcn\u00fcr k\u0131lar. Diff\u00fcz k\u0131s\u0131m ge\u00e7ti\u011finde geriye patern kal\u0131r. D\u00f6k\u00fclmenin durdu\u011fu ama sa\u00e7\u0131n seyrek kald\u0131\u011f\u0131 y\u00f6n\u00fcndeki yayg\u0131n deneyimin a\u00e7\u0131klamas\u0131 budur. Peki <a href=\"\/tr\/sackiran\/\">sa\u00e7k\u0131ran<\/a> bundan nas\u0131l ayr\u0131l\u0131r? Bunu ayr\u0131 bir yaz\u0131da ayr\u0131nt\u0131l\u0131 olarak anlatt\u0131k.<\/p>\n\n\n\n<div style=\"border:1px solid #dbe4f0;border-radius:12px;padding:18px 20px;margin:28px 0\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:700;font-size:17px\">\u0130lk s\u0131n\u0131fland\u0131rma i\u00e7in \u00fc\u00e7 soru<\/p>\n<p style=\"margin:0 0 14px;color:#2e3033;font-size:15px;line-height:1.6\">Bu bir tan\u0131 de\u011fil, muayenedeki konu\u015fma i\u00e7in bir y\u00f6n g\u00f6stericidir.<\/p>\n<div style=\"border-top:1px solid #e3e8ef;padding:12px 0\">\n<p style=\"margin:0 0 4px;color:#013366;font-weight:600;font-size:15px\">1. Ba\u015f\u0131n arka k\u0131sm\u0131 da seyrekle\u015fti mi?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Evet: diff\u00fcz bir s\u00fcrece i\u015faret eder. Hay\u0131r, ense sa\u00e7 band\u0131 eskisi gibi s\u0131k: paterne i\u015faret eder.<\/p>\n<\/div>\n<div style=\"border-top:1px solid #e3e8ef;padding:12px 0\">\n<p style=\"margin:0 0 4px;color:#013366;font-weight:600;font-size:15px\">2. 8 ila 12 hafta \u00f6nce bir olay ya\u015fand\u0131 m\u0131?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Enfeksiyon, ameliyat, do\u011fum, diyet, yeni bir ila\u00e7, a\u011f\u0131r bir y\u00fck. Evet: telogen effluviuma i\u015faret eder. Hay\u0131r: eksiklik, tiroid ya da kronik bir seyir daha olas\u0131d\u0131r.<\/p>\n<\/div>\n<div style=\"border-top:1px solid #e3e8ef;padding:12px 0 0\">\n<p style=\"margin:0 0 4px;color:#013366;font-weight:600;font-size:15px\">3. S\u0131n\u0131rlar\u0131 keskin a\u00e7\u0131k b\u00f6lgeler var m\u0131?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Evet: o zaman tablo diff\u00fcz de\u011fildir, dermatolojik olarak de\u011ferlendirilmelidir. Hay\u0131r: tablo diff\u00fcz olarak kal\u0131r.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi neden tetikleyiciden ancak 2 ila 3 ay sonra g\u00f6r\u00fcn\u00fcr h\u00e2le gelir?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz bir sa\u00e7 d\u00f6k\u00fclmesi tetikleyicisinden hemen sonra de\u011fil, iki ila \u00fc\u00e7 ay sonra kendini g\u00f6sterir. Akut bir olay, \u00e7ok say\u0131da sa\u00e7\u0131 ayn\u0131 anda ve vaktinden \u00f6nce b\u00fcy\u00fcme evresinden dinlenme evresine iter. Ancak bu sa\u00e7lar ancak dinlenme evresinin sonunda d\u00f6k\u00fclebilir ve Malkud&#8217;un derlemesine g\u00f6re (J Clin Diagn Res 2015) bu evre yakla\u015f\u0131k iki ila \u00fc\u00e7 ay s\u00fcrer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu kayma \u00f6l\u00e7\u00fclebilir. Normalde sa\u00e7lar\u0131n %85 ila %90&#8217;\u0131 anagen evrede, yaln\u0131zca %10 ila %15&#8217;i telogen evrededir (StatPearls, NCBI Bookshelf). G\u00fc\u00e7l\u00fc bir tetikleyiciden sonra, vaktinden \u00f6nce dinlenme evresine ge\u00e7en sa\u00e7lar\u0131n oran\u0131 StatPearls&#8217;e g\u00f6re u\u00e7 durumlarda %70 civar\u0131na kadar \u00e7\u0131kabilir. <a href=\"\/tr\/sacin-buyume-dongusu-nasil-ilerler\/\">Sa\u00e7 d\u00f6ng\u00fcs\u00fc<\/a> yaz\u0131s\u0131 bu mekanizmay\u0131 ayr\u0131nt\u0131l\u0131 bi\u00e7imde a\u00e7\u0131kl\u0131yor.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/haarzyklus_verschiebung__tr.png\" alt=\"Diyagram: %85 ila %90 b\u00fcy\u00fcme evresiyle normal sa\u00e7 d\u00f6ng\u00fcs\u00fcn\u00fcn, telogen effluviumdaki artm\u0131\u015f dinlenme evresiyle kar\u015f\u0131la\u015ft\u0131rmas\u0131\" class=\"wp-image-83232\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/haarzyklus_verschiebung__tr.png 1536w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/haarzyklus_verschiebung__tr-300x200.png 300w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/haarzyklus_verschiebung__tr-1024x683.png 1024w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/haarzyklus_verschiebung__tr-768x512.png 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Bunun sizin i\u00e7in iki anlam\u0131 var. Birincisi, tetikleyici geriye d\u00f6n\u00fck aran\u0131r: bug\u00fcn fazladan sa\u00e7 d\u00f6ken ki\u015fi 8 ila 12 hafta \u00f6ncesindeki zaman aral\u0131\u011f\u0131na bakar. \u0130kincisi, toparlanma da gecikmelidir. Neden bug\u00fcn ortadan kalkt\u0131ysa d\u00f6k\u00fclme bug\u00fcn de\u011fil, izleyen haftalar i\u00e7inde durur. Bir tedavinin i\u015fe yaray\u0131p yaramad\u0131\u011f\u0131n\u0131n de\u011ferlendirilmesi \u00e7o\u011fu zaman tam da burada aksar.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Telogen effluvium: diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin en s\u0131k g\u00f6r\u00fclen bi\u00e7imi<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin a\u00e7\u0131k ara en s\u0131k g\u00f6r\u00fclen bi\u00e7imi <strong>telogen effluviumdur<\/strong> ve bu durumda ortalaman\u0131n \u00e7ok \u00fczerinde say\u0131da sa\u00e7 ayn\u0131 anda dinlenme evresine ge\u00e7er, iki ila \u00fc\u00e7 ay sonra birlikte d\u00f6k\u00fcl\u00fcr. D\u00f6k\u00fclme ba\u015f\u0131n tamam\u0131n\u0131 ilgilendirir, folik\u00fcller yerinde kal\u0131r ve tetikleyici ortadan kalkt\u0131\u011f\u0131nda akut bi\u00e7im kural olarak 3 ila 6 ay i\u00e7inde sona erer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Akut telogen effluvium<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Akut telogen effluviumun net bir ba\u015flang\u0131c\u0131, ad\u0131 konabilen bir tetikleyicisi ve belirgin bir d\u00f6k\u00fclme evresi vard\u0131r. Tan\u0131m gere\u011fi alt\u0131 aydan k\u0131sa s\u00fcrer. NHS Fife&#8217;\u0131n hasta bilgilendirmesi, tedavi olmadan kendili\u011finden gerileyen vakalar\u0131n oran\u0131n\u0131 yakla\u015f\u0131k %95 olarak veriyor. Tedavi edilen sa\u00e7 de\u011fil, nedendir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Kronik telogen effluvium<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz bir sa\u00e7 d\u00f6k\u00fclmesi alt\u0131 aydan uzun s\u00fcr\u00fcyor ya da ataklar h\u00e2linde geri d\u00f6n\u00fcyorsa buna <strong>kronik telogen effluvium denir<\/strong>. Whiting bunu 1996&#8217;da Journal of the American Academy of Dermatology&#8217;de orta ya\u015fl\u0131 kad\u0131nlarda tan\u0131mlad\u0131: \u00e7o\u011fu zaman elle tutulur tek bir tetikleyici olmadan ve be\u015f ila yedi y\u0131la yay\u0131labilen dalgal\u0131 bir seyirle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tipik olan bir \u00e7eli\u015fkidir: ki\u015fi \u00e7ok yo\u011fun bir kay\u0131p ya\u015far, ama kelle\u015fmez. Yo\u011funluk azal\u0131r, da\u011f\u0131l\u0131m diff\u00fcz kal\u0131r ve s\u0131kl\u0131kla sa\u00e7lar\u0131n eskisi kadar uzayamad\u0131\u011f\u0131 da dikkat \u00e7eker. Bunun arkas\u0131nda ger\u00e7ekten kendi ba\u015f\u0131na bir hastal\u0131k tablosu olup olmad\u0131\u011f\u0131 ise uzmanlar aras\u0131nda tart\u0131\u015fmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Am J Clin Dermatol 2023&#8217;te yay\u0131mlanan sistematik bir derleme (PMID 37052778) 1.628 vaka i\u00e7eren 18 \u00e7al\u0131\u015fmay\u0131 de\u011ferlendirdi ve bu \u00e7al\u0131\u015fmalar\u0131n hi\u00e7birinin t\u00fcm ikincil nedenleri d\u0131\u015flamad\u0131\u011f\u0131 sonucuna vard\u0131. Kronik olarak s\u0131n\u0131fland\u0131r\u0131lan pek \u00e7ok vakan\u0131n b\u00fcy\u00fck olas\u0131l\u0131kla kad\u0131nlarda erken bir androgenetik alopesi ya da fark edilmemi\u015f ikinci bir effluvium oldu\u011fu belirtiliyor. Alt\u0131 ay e\u015fi\u011fi uyar\u0131 i\u015fareti olarak ge\u00e7erlili\u011fini koruyor, ancak arkas\u0131ndaki tan\u0131n\u0131n d\u00fczg\u00fcn bi\u00e7imde g\u00f6zden ge\u00e7irilmesi gerekiyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trikoskopide ikisi birbirinden ayr\u0131labilir: telogen effluviumda sa\u00e7 kal\u0131nl\u0131\u011f\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde e\u015fittir, kad\u0131n tipi sa\u00e7 d\u00f6k\u00fclmesinde ise \u00f6zellikle tepe b\u00f6lgesinde belirgin kal\u0131nl\u0131k farklar\u0131 ve minyat\u00fcrle\u015fmi\u015f sa\u00e7lar g\u00f6r\u00fcl\u00fcr (dermoskopik bulgular\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131 \u00e7al\u0131\u015fma, PMC9122275).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Anagen effluvium: nadir ve h\u0131zl\u0131 bi\u00e7im<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130kinci bi\u00e7im olan <strong>anagen effluviumda<\/strong> sa\u00e7lar tam b\u00fcy\u00fcme evresinin ortas\u0131nda zarar g\u00f6r\u00fcr. Bu y\u00fczden d\u00f6k\u00fclme daha birka\u00e7 g\u00fcn ya da hafta i\u00e7inde ba\u015flar ve \u00e7ok daha yo\u011fun olur: sa\u00e7lar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc anagen evrede oldu\u011fundan, sa\u00e7l\u0131 derideki sa\u00e7\u0131n b\u00fcy\u00fck k\u0131sm\u0131 etkilenebilir. En s\u0131k nedeni kemoterapidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">StatPearls&#8217;e g\u00f6re kemoterapi ba\u015flad\u0131ktan sonra d\u00f6k\u00fclme tipik olarak 7 ila 10 g\u00fcn i\u00e7inde ba\u015flar, 4 ila 8 hafta sonra belirgin bi\u00e7imde g\u00f6r\u00fcn\u00fcr h\u00e2le gelir ve iki ila \u00fc\u00e7 ay i\u00e7inde sa\u00e7l\u0131 derideki sa\u00e7\u0131n neredeyse tamam\u0131n\u0131 etkileyebilir. Daha seyrek olarak ba\u015f b\u00f6lgesine uygulanan \u0131\u015f\u0131n tedavisi, talyum ya da arsenik gibi maddelerle a\u011f\u0131r zehirlenmeler ve tek tek baz\u0131 g\u00fc\u00e7l\u00fc etkili ila\u00e7lar neden olur.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/telogen_vs_anagen__tr.png\" alt=\"\u0130nfografik: telogen effluviumda so\u011fanc\u0131\u011f\u0131yla d\u00f6k\u00fclen sa\u00e7 ile anagen effluviumda k\u0131r\u0131lan sa\u00e7 g\u00f6vdesinin kar\u015f\u0131la\u015ft\u0131rmas\u0131\" class=\"wp-image-83233\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/telogen_vs_anagen__tr.png 1536w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/telogen_vs_anagen__tr-300x200.png 300w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/telogen_vs_anagen__tr-1024x683.png 1024w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/telogen_vs_anagen__tr-768x512.png 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Ay\u0131rt edici i\u015faret, d\u00f6k\u00fclen sa\u00e7\u0131n kendisindedir. Anagen effluviumda sa\u00e7, zarar g\u00f6rm\u00fc\u015f g\u00f6vdesinden k\u0131r\u0131l\u0131r; telogen effluviumda ise k\u00fc\u00e7\u00fck, so\u011fanc\u0131k bi\u00e7imindeki k\u00f6k\u00fcyle birlikte b\u00fct\u00fcn olarak d\u00f6k\u00fcl\u00fcr. Hekimin yaln\u0131zca say\u0131s\u0131n\u0131 sormak yerine d\u00f6k\u00fclen sa\u00e7lara bakmas\u0131n\u0131n nedeni tam da budur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gidi\u015fat, g\u00f6r\u00fcnt\u00fcn\u00fcn d\u00fc\u015f\u00fcnd\u00fcrd\u00fc\u011f\u00fcnden daha iyidir: bulge b\u00f6lgesi denen alandaki k\u00f6k h\u00fccreler \u00e7o\u011funlukla korunur, bu y\u00fczden kay\u0131p b\u00fcy\u00fck \u00f6l\u00e7\u00fcde geri d\u00f6n\u00fc\u015fl\u00fcd\u00fcr (StatPearls, NBK482293). Tetikleyici tedavi tamamland\u0131ktan sonra yeniden uzama tipik olarak \u00fc\u00e7 ila alt\u0131 ay gecikmeyle ba\u015flar; yap\u0131 ve renk ge\u00e7ici olarak de\u011fi\u015febilir. Devam eden bir tedaviyle ilgili t\u00fcm sorular, tedaviyi y\u00fcr\u00fcten onkolo\u011fa aittir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz alopesi: ba\u015fka hangi bi\u00e7imler var?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diff\u00fcz alopesi<\/strong> terimi, sa\u00e7l\u0131 deriye e\u015fit bi\u00e7imde yay\u0131lan her t\u00fcr sa\u00e7 kayb\u0131n\u0131 kapsayan \u00fcst kavramd\u0131r. Telogen ve anagen effluviumun yan\u0131 s\u0131ra g\u00fcnl\u00fck hayatta birbiriyle kar\u0131\u015ft\u0131r\u0131lan \u00fc\u00e7 bi\u00e7im de buna girer: alopesi areatan\u0131n diff\u00fcz varyant\u0131, kad\u0131nlarda diff\u00fcz androgenetik alopesi ve \u00e7ok daha nadir olarak erken evredeki sikatrisyel alopesiler.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Terimler birbirinden net bi\u00e7imde ayr\u0131l\u0131r: <strong>Effluvium<\/strong> d\u00f6k\u00fclmenin artt\u0131\u011f\u0131 s\u00fcreci anlat\u0131r, <strong>alopesi<\/strong> ise sonucu, yani g\u00f6zle g\u00f6r\u00fcl\u00fcr bi\u00e7imde azalm\u0131\u015f sa\u00e7 yo\u011funlu\u011funu. Bir effluvium alopesiye d\u00f6n\u00fc\u015febilir, ama d\u00f6n\u00fc\u015fmek zorunda de\u011fildir.<\/p>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:720px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin bi\u00e7imleri kar\u015f\u0131la\u015ft\u0131rmal\u0131<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:18%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Bi\u00e7im<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ne oluyor<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">D\u00f6k\u00fclmeye kadar ge\u00e7en s\u00fcre<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Tipik s\u00fcre<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Tipik tetikleyiciler<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Kendili\u011finden geriler mi?<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Bi\u00e7im\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Akut telogen effluvium<\/td>\n        <td data-label=\"Sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ne oluyor\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e7ok say\u0131da anagen sa\u00e7 ayn\u0131 anda ve vaktinden \u00f6nce dinlenme evresine ge\u00e7er<\/td>\n        <td data-label=\"D\u00f6k\u00fclmeye kadar ge\u00e7en s\u00fcre\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"Tipik s\u00fcre\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">tan\u0131m gere\u011fi 6 aydan k\u0131sa<\/td>\n        <td data-label=\"Tipik tetikleyiciler\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">ate\u015fli enfeksiyon, ameliyat, do\u011fum, \u015fok diyet, demir eksikli\u011fi, ila\u00e7lar<\/td>\n        <td data-label=\"Kendili\u011finden geriler mi?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">evet, tetikleyici ortadan kalkt\u0131ktan sonra kural olarak<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Bi\u00e7im\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Kronik telogen effluvium<\/td>\n        <td data-label=\"Sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ne oluyor\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">telogen oran\u0131 s\u00fcrekli y\u00fcksek, \u00e7o\u011fu zaman ataklar h\u00e2linde, b\u00fcy\u00fcme evresi k\u0131salm\u0131\u015f<\/td>\n        <td data-label=\"D\u00f6k\u00fclmeye kadar ge\u00e7en s\u00fcre\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e7o\u011fu zaman tek bir tetikleyici saptanamaz<\/td>\n        <td data-label=\"Tipik s\u00fcre\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">6 aydan uzun, y\u0131llara yay\u0131lan dalgal\u0131 seyir<\/td>\n        <td data-label=\"Tipik tetikleyiciler\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e7o\u011funlukla belirsiz, \u00f6zellikle orta ya\u015fl\u0131 kad\u0131nlarda tan\u0131mlanm\u0131\u015f<\/td>\n        <td data-label=\"Kendili\u011finden geriler mi?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">de\u011fi\u015fken; kendi ba\u015f\u0131na bir hastal\u0131k olup olmad\u0131\u011f\u0131 bilimsel olarak tart\u0131\u015fmal\u0131<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Bi\u00e7im\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Anagen effluvium<\/td>\n        <td data-label=\"Sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ne oluyor\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sa\u00e7 matriksi tam b\u00fcy\u00fcme evresinin ortas\u0131nda zarar g\u00f6r\u00fcr, sa\u00e7 k\u0131r\u0131l\u0131r<\/td>\n        <td data-label=\"D\u00f6k\u00fclmeye kadar ge\u00e7en s\u00fcre\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">g\u00fcnler ila haftalar, kemoterapide 7 ila 10 g\u00fcn<\/td>\n        <td data-label=\"Tipik s\u00fcre\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">tetikleyici tedavi s\u00fcrd\u00fc\u011f\u00fc s\u00fcrece<\/td>\n        <td data-label=\"Tipik tetikleyiciler\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">kemoterapi, ba\u015f b\u00f6lgesine \u0131\u015f\u0131n tedavisi, a\u011f\u0131r zehirlenmeler<\/td>\n        <td data-label=\"Kendili\u011finden geriler mi?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e7o\u011funlukla evet, yeniden uzama tipik olarak tedavi bitiminden 3 ila 6 ay sonra<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Bi\u00e7im\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Diff\u00fcz alopesi areata<\/td>\n        <td data-label=\"Sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ne oluyor\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">b\u00fcy\u00fcme evresi otoimm\u00fcn nedenle kesilir, tipik yuvarlak odaklar olmadan<\/td>\n        <td data-label=\"D\u00f6k\u00fclmeye kadar ge\u00e7en s\u00fcre\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">haftalar<\/td>\n        <td data-label=\"Tipik s\u00fcre\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e7ok de\u011fi\u015fken<\/td>\n        <td data-label=\"Tipik tetikleyiciler\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">otoimm\u00fcn s\u00fcre\u00e7, \u00f6zellikle yeti\u015fkin kad\u0131nlarda g\u00f6r\u00fcl\u00fcr<\/td>\n        <td data-label=\"Kendili\u011finden geriler mi?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">de\u011fi\u015fken, dermatolojik tedavi gerektirir<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Bi\u00e7im\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Kad\u0131nlarda diff\u00fcz androgenetik alopesi<\/td>\n        <td data-label=\"Sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ne oluyor\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">folik\u00fcller ad\u0131m ad\u0131m minyat\u00fcrle\u015fir, sa\u00e7lar incelir ve k\u0131sal\u0131r<\/td>\n        <td data-label=\"D\u00f6k\u00fclmeye kadar ge\u00e7en s\u00fcre\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">yok, sinsi ba\u015flang\u0131\u00e7<\/td>\n        <td data-label=\"Tipik s\u00fcre\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">y\u0131llar i\u00e7inde ilerleyici<\/td>\n        <td data-label=\"Tipik tetikleyiciler\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">genetik ve hormonal yatk\u0131nl\u0131k<\/td>\n        <td data-label=\"Kendili\u011finden geriler mi?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">hay\u0131r, tedavi edilmezse ilerler<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Bunlar aras\u0131nda <strong>diff\u00fcz alopesi areata<\/strong>, di\u011fer ad\u0131yla alopesi areata incognita, en sinsi kar\u0131\u015f\u0131kl\u0131k kayna\u011f\u0131d\u0131r. Bir effluvium gibi g\u00f6r\u00fcn\u00fcr, oysa otoimm\u00fcn bir bi\u00e7imdir. Trikoskopide \u00e7ok say\u0131da birbirine benzer sar\u0131 nokta ve yeniden uzayan k\u0131sa sa\u00e7lar dikkat \u00e7eker; kesin tan\u0131 yaln\u0131zca doku incelemesiyle konur (alopesi areata incognita \u00fczerine derleme, PMC11908991). Bi\u00e7imi kendi ba\u015f\u0131n\u0131za belirlememeniz i\u00e7in bir neden daha.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Buna iki \u00f6zel durum daha eklenir. <strong>Sikatrisyel alopesiler<\/strong> nadirdir, ama ger\u00e7ekten zaman bask\u0131s\u0131 olan tek durumdur; \u00e7\u00fcnk\u00fc tahrip olan folik\u00fcl geri gelmez. Bir de <strong>ya\u015fa ba\u011fl\u0131 seyrelme<\/strong> var ki bu asl\u0131nda effluvium bile de\u011fildir: y\u0131llar i\u00e7inde baz\u0131 folik\u00fcller d\u00f6ng\u00fcden kal\u0131c\u0131 olarak \u00e7\u0131kar ve kalan sa\u00e7lar incelir. Bu, haftalar i\u00e7inde de\u011fil y\u0131llar i\u00e7inde ilerler ve akut bir d\u00f6k\u00fclmeden farkl\u0131 hissettirir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi: nedenler geriye d\u00f6n\u00fck<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin nedenleri be\u015f grupta toplanabilir: akut bedensel y\u00fckler, eksiklik durumlar\u0131, hormonal de\u011fi\u015fimler, ila\u00e7lar ve s\u00fcregelen ruhsal stres (StatPearls ve \u0130spanyol uzmanl\u0131k derne\u011fi AEDV&#8217;nin neden \u00f6zeti). Belirleyici olan zamanlamad\u0131r: tetikleyici neredeyse her zaman g\u00f6zle g\u00f6r\u00fcl\u00fcr d\u00f6k\u00fclmeden 8 ila 12 hafta \u00f6ncesindedir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin tetikleyicisi olarak akut y\u00fckler<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Akut bedensel y\u00fckler, diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin tarihi en net belirlenebilen tetikleyicileridir. Ate\u015fli bir enfeksiyon, narkozlu bir ameliyat, ciddi kan kayb\u0131 ya da a\u011f\u0131r bir hastal\u0131k bunun i\u00e7in yeterlidir. COVID-19 enfeksiyonundan sonra g\u00f6r\u00fclen akut telogen effluvium iyi belgelenmi\u015ftir (\u00e7ok merkezli \u00e7al\u0131\u015fma, PMC7753386). D\u00f6k\u00fclme tek ve tarihi net bir olayla ili\u015fkilendirilebiliyorsa, bu durumda ani sa\u00e7 d\u00f6k\u00fclmesi yaz\u0131s\u0131 yol g\u00f6sterir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Eksiklik ve beslenme: demir, \u015fok diyetler, kilo kayb\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Eksiklik durumlar\u0131, diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin tedavi edilebilir en s\u0131k nedenidir. \u0130lk s\u0131rada <a href=\"\/tr\/demir-eksikligi-sac-dokulmesi\/\">demir eksikli\u011fi gelir<\/a>, \u00f6zellikle de kad\u0131nlarda; burada hemoglobinden \u00e7ok, depo de\u011feri olan ferritin bilgi verir. Buna \u015fok diyetler, h\u0131zl\u0131 kilo kayb\u0131 ve belirgin protein eksikli\u011fi eklenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GLP-1 grubu zay\u0131flama ila\u00e7lar\u0131nda durum hen\u00fcz netle\u015fmi\u015f de\u011fil. H\u0131zl\u0131 kilo kayb\u0131 ve yetersiz besin al\u0131m\u0131 tetikleyici olarak kabul ediliyor; etken maddelerin kendisinin de ayr\u0131ca katk\u0131da bulunup bulunmad\u0131\u011f\u0131 ise \u015fu anda ara\u015ft\u0131r\u0131l\u0131yor. Journal of the American Academy of Dermatology&#8217;de yay\u0131mlanan bir kohort \u00e7al\u0131\u015fmas\u0131 (2025) ve Gupta ve arkada\u015flar\u0131n\u0131n sistematik derlemesi (2026) zay\u0131f ve ba\u011f\u0131ms\u0131z bir sinyal buluyor, ancak fakt\u00f6rleri hen\u00fcz net bi\u00e7imde birbirinden ay\u0131rm\u0131yor.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Hormonlar ve tiroid<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hormonal de\u011fi\u015fimler diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde sa\u00e7 d\u00f6ng\u00fcs\u00fcn\u00fcn tamam\u0131 \u00fczerinden etki eder. Hem az hem de fazla \u00e7al\u0131\u015fan <a href=\"\/tr\/tiroid-sac-dokulmesi\/\">tiroid bezi<\/a> diff\u00fcz bir effluviumu tetikleyebilir, \u00e7\u00fcnk\u00fc tiroid hormonlar\u0131 d\u00f6ng\u00fcy\u00fc birlikte y\u00f6netir. Do\u011fum, do\u011fum kontrol hap\u0131 ve menopozla ilgili kad\u0131nlara \u00f6zg\u00fc tetikleyiciler bir sonraki b\u00f6l\u00fcmde.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Effluviumu tetikleyebilen ila\u00e7lar<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130la\u00e7lar diff\u00fcz bir sa\u00e7 d\u00f6k\u00fclmesini \u00e7o\u011funlukla tedavi ba\u015flad\u0131ktan haftalar ya da aylar sonra tetikler. Mayo Clinic&#8217;e g\u00f6re ba\u015fta retinoidler, beta blokerler, ACE inhibit\u00f6rleri, antikonv\u00fclzanlar, antidepresanlar, antikoag\u00fclanlar ve hormonal do\u011fum kontrol y\u00f6ntemleri telogen effluviuma yol a\u00e7abilir. Re\u00e7eteli bir ilac\u0131 asla kendi ba\u015f\u0131n\u0131za b\u0131rakmay\u0131n, \u00f6nce re\u00e7eteyi yazan hekimle konu\u015fun. Hangi etken madde gruplar\u0131n\u0131n s\u00f6z konusu oldu\u011funu \u015fu yaz\u0131da bulabilirsiniz: <a href=\"\/tr\/ilaclara-bagli-sac-dokulmesi\/\">ila\u00e7lara ba\u011fl\u0131 sa\u00e7 d\u00f6k\u00fclmesi<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ruhsal stres ve diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00fcregelen ruhsal stres diff\u00fcz bir sa\u00e7 d\u00f6k\u00fclmesini tetikleyebilir; etkisini sa\u00e7 d\u00f6ng\u00fcs\u00fcn\u00fcn y\u00f6netimi \u00fczerinden ve yine gecikmeli olarak g\u00f6sterir. \u00d6nemli olan tersinin do\u011fru olmamas\u0131d\u0131r: zorlu bir d\u00f6nem d\u00f6k\u00fclmeyi a\u00e7\u0131klayabilir, ama bedensel bir nedeni d\u0131\u015flamaz. Stres a\u00e7\u0131k\u00e7a ortadayken bile temel tetkikler yap\u0131lmal\u0131d\u0131r. Genel bir bak\u0131\u015f i\u00e7in \u015fu ana yaz\u0131ya bakabilirsiniz: <a href=\"\/tr\/sac-dokulmesi-nedenleri\/\">sa\u00e7 d\u00f6k\u00fclmesinin nedenleri<\/a>.<\/p>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:660px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">8 ila 12 hafta \u00f6nce ne oldu? Tetikleyiciler ve gecikme s\u00fcreleri<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:22%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">8 ila 12 hafta \u00f6nceki tetikleyici<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Tipik gecikme<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">D\u00f6k\u00fclmenin tipik s\u00fcresi<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Ate\u015fli enfeksiyon, COVID-19 d\u00e2hil<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">3 ila 6 ay<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">anamnez, hastal\u0131k seyriyle zaman kar\u015f\u0131la\u015ft\u0131rmas\u0131<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Ameliyat ya da narkoz<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">3 ila 6 ay<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">anamnez, ameliyat tarihi<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Ciddi kan kayb\u0131<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">3 ila 6 ay<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">tam kan say\u0131m\u0131 ve ferritin<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Do\u011fum<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 4 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 6 ay<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">anamnez, do\u011fum tarihi<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u015eok diyet ya da h\u0131zl\u0131 kilo kayb\u0131<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">besin al\u0131m\u0131 yetersiz kald\u0131\u011f\u0131 s\u00fcrece<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">beslenme anamnezi, kilo seyri, ferritin<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">GLP-1 grubu bir zay\u0131flama ilac\u0131na ba\u015flanmas\u0131<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">belirgin kilo kayb\u0131ndan 2 ila 3 ay sonra<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">de\u011fi\u015fken<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">kilo seyri, devam eden tedavi i\u00e7in hekime dan\u0131\u015fma<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Do\u011fum kontrol hap\u0131n\u0131n b\u0131rak\u0131lmas\u0131 ya da de\u011fi\u015ftirilmesi<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">birka\u00e7 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e7o\u011funlukla ge\u00e7ici<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">jinekolojik de\u011ferlendirme<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Yeni bir ilaca ba\u015flanmas\u0131<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">tedavi ba\u015flang\u0131c\u0131ndan haftalar ila aylar sonra<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">ila\u00e7 kullan\u0131ld\u0131\u011f\u0131 s\u00fcrece<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">re\u00e7eteyi yazan hekimle ila\u00e7lar\u0131n g\u00f6zden ge\u00e7irilmesi<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">S\u00fcregelen yo\u011fun bir y\u00fck d\u00f6nemi<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">y\u00fck s\u00fcrd\u00fc\u011f\u00fc s\u00fcrece<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">anamnez, buna ra\u011fmen temel tetkikler<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Demir eksikli\u011fi<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sinsi<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">depolar dolana kadar<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">ferritin, tam kan say\u0131m\u0131<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Tiroid i\u015flev bozuklu\u011fu<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sinsi<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">i\u015flev dengeye gelene kadar<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">TSH, anormallik varsa fT3 ve fT4<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"8 ila 12 hafta \u00f6nceki tetikleyici\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Belirgin protein eksikli\u011fi<\/td>\n        <td data-label=\"Tipik gecikme\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">2 ila 3 ay<\/td>\n        <td data-label=\"D\u00f6k\u00fclmenin tipik s\u00fcresi\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">beslenme yeniden dengelenene kadar<\/td>\n        <td data-label=\"\u015e\u00fcphe neyle ayd\u0131nlat\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">beslenme anamnezi, laboratuvar kontrol\u00fc<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Kad\u0131nlarda diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi: en s\u0131k tetikleyiciler<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi kad\u0131nlarda erkeklere g\u00f6re belirgin bi\u00e7imde daha s\u0131kt\u0131r ve tetikleyiciler \u00e7o\u011funlukla hormonaldir ya da demirle ilgilidir: do\u011fum sonras\u0131 d\u00f6nem, do\u011fum kontrol hap\u0131n\u0131n b\u0131rak\u0131lmas\u0131 veya de\u011fi\u015ftirilmesi, menopoz ve ayr\u0131ca \u00e2det kanamalar\u0131, gebelik, emzirme ya da et t\u00fcketiminin az oldu\u011fu bir beslenme nedeniyle d\u00fc\u015f\u00fck demir depolar\u0131. Bu, a\u00e7\u0131k bir b\u00f6lge olarak de\u011fil, genel olarak incelen sa\u00e7, geni\u015fleyen ayr\u0131m ve incelen at kuyru\u011fu olarak g\u00f6r\u00fcn\u00fcr.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Do\u011fumdan sonra: postpartum effluvium<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Do\u011fum sonras\u0131 sa\u00e7 d\u00f6k\u00fclmesi ortalama olarak do\u011fumdan yakla\u015f\u0131k 2,9 ay sonra ba\u015flar, d\u00f6rd\u00fcnc\u00fc ay civar\u0131nda en \u00fcst noktas\u0131na ula\u015f\u0131r ve ortalama sekiz ay sonra geriler; aral\u0131k 6 ila 12 ayd\u0131r (\u00e7al\u0131\u015fma verilerinin derlemesi; Cleveland Clinic ve Johns Hopkins Medicine ayn\u0131 \u00e7er\u00e7eveyi veriyor). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Arkas\u0131ndaki mekanizma rahatlat\u0131c\u0131: gebelikte y\u00fcksek \u00f6strojen d\u00fczeyi \u00e7ok say\u0131da sa\u00e7\u0131 b\u00fcy\u00fcme evresinde tutar, do\u011fumdan sonra bu sa\u00e7lar birlikte dinlenme evresine ge\u00e7er. Yani fazla sa\u00e7 d\u00f6k\u00fclmez, biriken k\u0131s\u0131m bir anda d\u00f6k\u00fcl\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Journal of Clinical and Aesthetic Dermatology&#8217;de yay\u0131mlanan bir bulgu ise bu rahatlamay\u0131 biraz g\u00f6receli k\u0131l\u0131yor: incelenen grupta do\u011fum sonras\u0131 sa\u00e7 d\u00f6k\u00fclmesi yaln\u0131zca %9,5 oran\u0131nda tek ba\u015f\u0131na g\u00f6r\u00fclm\u00fc\u015f, %90,5 oran\u0131nda ise ba\u015fka bir sa\u00e7 d\u00f6k\u00fclmesi bi\u00e7imiyle, \u00e7o\u011funlukla kad\u0131n tipi sa\u00e7 d\u00f6k\u00fclmesiyle birlikte ortaya \u00e7\u0131km\u0131\u015f. Yani do\u011fumdan sonraki d\u00f6k\u00fclme \u00e7o\u011fu zaman zaten var olan bir de\u011fi\u015fimi g\u00f6r\u00fcn\u00fcr k\u0131l\u0131yor.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Do\u011fum kontrol hap\u0131, menopoz ve hormon replasman tedavisi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Benzer bir tablo, <strong>do\u011fum kontrol hap\u0131n\u0131n b\u0131rak\u0131lmas\u0131ndan<\/strong> sonra da birka\u00e7 ay gecikmeyle ortaya \u00e7\u0131kar ve \u00e7o\u011funlukla ge\u00e7icidir. Daha \u00f6nce fark edilmemi\u015f bir yatk\u0131nl\u0131k varsa bunun alt\u0131ndan paternli bir sa\u00e7 d\u00f6k\u00fclmesi \u00e7\u0131kabilir. <strong>Menopozda<\/strong> \u00f6strojen d\u00fc\u015ferken androjen etkisi g\u00f6rece g\u00fc\u00e7lenir; bu y\u00fczden diff\u00fcz effluvium ile ba\u015flang\u0131\u00e7 evresindeki kad\u0131n tipi sa\u00e7 d\u00f6k\u00fclmesi s\u0131kl\u0131kla \u00fcst \u00fcste biner. Ayr\u0131nt\u0131lar \u015fu yaz\u0131da: menopozda sa\u00e7 d\u00f6k\u00fclmesi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Konu <strong>hormon replasman tedavisi<\/strong> oldu\u011funda veriler zay\u0131f: menopozda sa\u00e7 d\u00f6k\u00fclmesi \u00fczerindeki etkisini inceleyen b\u00fcy\u00fck randomize \u00e7al\u0131\u015fmalar bulunmuyor (menopoz ve sa\u00e7 kayb\u0131 \u00fczerine derleme, 2025). Zaten sa\u00e7 i\u00e7in re\u00e7ete edilmiyor; preparat, progestin bile\u015feni ve ki\u015fisel durum belirleyici oluyor, \u00fcstelik bir de\u011fi\u015fiklik ge\u00e7ici olarak kendisi bir effluviumu tetikleyebiliyor. Bu de\u011ferlendirme jinekoloji muayenesine aittir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c2det d\u00fczensizli\u011fi, artm\u0131\u015f t\u00fcylenme ya da akne varsa buna ek olarak hormonal bir de\u011ferlendirme de gerekir. Ve ak\u0131lda kalmas\u0131 gereken bir c\u00fcmle: diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi olan kad\u0131nlar kural olarak kelle\u015fmez. Sa\u00e7 incelir ve neden ortadan kalkt\u0131\u011f\u0131nda \u00e7o\u011funlukla toparlan\u0131r. Di\u011fer bi\u00e7imleri ve seyirleri \u015fu yaz\u0131 anlat\u0131yor: <a href=\"\/tr\/kadinlarda-sac-dokulmesi-gozlenmesinin-10-nedeni\/\">kad\u0131nlarda sa\u00e7 d\u00f6k\u00fclmesi<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi nas\u0131l te\u015fhis edilir: \u00e7ekme testi, trikoskopi ve laboratuvar de\u011ferleri<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin tan\u0131s\u0131 d\u00f6rt yap\u0131 ta\u015f\u0131na dayan\u0131r: son \u00fc\u00e7 ila alt\u0131 aya odaklanan anamnez g\u00f6r\u00fc\u015fmesi, \u00e7ekme testi, trikoskopi ve hedefe y\u00f6nelik laboratuvar tetkikleri. Sa\u00e7l\u0131 deri biyopsisi yaln\u0131zca belirsiz vakalarda, \u00f6zellikle de sikatrisyel alopesi \u015f\u00fcphesinde gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00c7ekme testi.<\/strong> Hekim sa\u00e7l\u0131 deriye yak\u0131n bir yerden 40 ila 60 sa\u00e7 teli tutar ve bunlar\u0131 e\u015fit, nazik bir \u00e7eki\u015fle s\u0131y\u0131r\u0131r. Tutulan sa\u00e7lar\u0131n yakla\u015f\u0131k onda birinden fazlas\u0131 eline geliyorsa test pozitif kabul edilir (Malkud derlemesi ve ISHRS hasta bilgilendirmesi). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ekme testi yaln\u0131zca sa\u00e7lar en az 24 saat y\u0131kanmam\u0131\u015fsa anlaml\u0131d\u0131r ve ba\u015f\u0131n birden fazla b\u00f6lgesinde uygulan\u0131r. Onu de\u011ferli k\u0131lan da tam olarak budur: ba\u015f\u0131n arka k\u0131sm\u0131nda da pozitif \u00e7\u0131k\u0131yorsa bu, diff\u00fcz bir s\u00fcrece i\u015faret eder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu testi kendi ba\u015f\u0131n\u0131za tekrarlamay\u0131n. Deneyimler g\u00f6steriyor ki uzman olmayan ki\u015filer fazla sert \u00e7ekiyor ve bu s\u0131rada b\u00fcy\u00fcme evresindeki sa\u011fl\u0131kl\u0131 sa\u00e7lar\u0131 da kopar\u0131yor; bu da sonucu bozuyor. Miktar\u0131 evde de\u011ferlendirmek istiyorsan\u0131z <a href=\"\/tr\/gunde-kac-tel-sac-dokulur\/\">a\u015f\u0131r\u0131 sa\u00e7 d\u00f6k\u00fclmesi<\/a> yaz\u0131s\u0131 yol g\u00f6sterir.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/trichoskopie.png\" alt=\"Dermatolog, hastan\u0131n sa\u00e7 ayr\u0131m\u0131ndaki sa\u00e7l\u0131 deriye dermatoskop yerle\u015ftiriyor\" class=\"wp-image-83234\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/trichoskopie.png 1536w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/trichoskopie-300x200.png 300w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/trichoskopie-1024x683.png 1024w, https:\/\/elithair.com\/tr\/wp-content\/uploads\/sites\/10\/2026\/08\/trichoskopie-768x512.png 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>Trikoskopi.<\/strong> Sa\u00e7l\u0131 derinin y\u00fczeyel \u0131\u015f\u0131k mikroskopisine bu ad\u0131 2006&#8217;da Rudnicka ve Olszewska vermi\u015ftir; y\u00f6ntem birka\u00e7 dakika s\u00fcrer ve giri\u015fim gerektirmez. \u00c7\u0131plak g\u00f6zle ayn\u0131 g\u00f6r\u00fcnen \u015feyleri birbirinden ay\u0131r\u0131r: e\u015fit sa\u00e7 kal\u0131nl\u0131\u011f\u0131 effluviuma, belirgin kal\u0131nl\u0131k farklar\u0131 ve minyat\u00fcrle\u015fme androgenetik alopesiye, sar\u0131 noktalar ve \u00fcnlem i\u015fareti sa\u00e7lar\u0131 alopesi areataya, folik\u00fcl a\u011f\u0131zlar\u0131n\u0131n kaybolmas\u0131 ise sikatrisyel alopesiye i\u015faret eder (DermNet).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Trikogram ve TrichoScan<\/strong> b\u00fcy\u00fcme ve dinlenme evresindeki sa\u00e7lar\u0131n oran\u0131n\u0131 say\u0131sal olarak verir. Telogen oran\u0131n\u0131n %25&#8217;in \u00fczerinde olmas\u0131 telogen effluvium i\u00e7in bir i\u015faret say\u0131l\u0131r (Malkud derlemesi). Her iki y\u00f6ntem de bug\u00fcn trikoskopiden daha seyrek kullan\u0131l\u0131yor, ama raporlarda kar\u015f\u0131n\u0131za \u00e7\u0131kabiliyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Laboratuvar.<\/strong> Hekiminizin diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde bakabilece\u011fi de\u011ferler aras\u0131nda demir deposu olarak ferritin, tam kan say\u0131m\u0131, TSH ve anormallik varsa fT3 ile fT4, D vitamini, \u00e7inko ve B12 vitamini, \u00e2det d\u00fczensizli\u011finde ise ek olarak hormonal de\u011ferlendirme yer al\u0131r. Hangi de\u011ferlerin t\u0131bben gerekli oldu\u011funa bulguya g\u00f6re hekim karar verir. Arkas\u0131nda ne oldu\u011funu \u015fu yaz\u0131 anlat\u0131yor: sa\u00e7 d\u00f6k\u00fclmesinde kan testi.<\/p>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:700px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde tan\u0131 yol haritas\u0131<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:20%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Tetkik<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Ne g\u00f6sterir<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Nas\u0131l yap\u0131l\u0131r<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Kim yapar<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Ne zaman anlaml\u0131d\u0131r<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Anamnez, 3 ila 6 ayl\u0131k geriye bak\u0131\u015f<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">olaylar\u0131 8 ila 12 hafta \u00f6ncesindeki zaman aral\u0131\u011f\u0131yla e\u015fle\u015ftirir<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">g\u00f6r\u00fc\u015fme, ila\u00e7 listesi, zaman \u00e7izelgesi<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">aile hekimi ya da dermatolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">her zaman, ilk ad\u0131m olarak<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00c7ekme testi (pull test)<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">artm\u0131\u015f d\u00f6k\u00fclme oran\u0131; ba\u015f\u0131n arka k\u0131sm\u0131nda da pozitifse diff\u00fcz bir s\u00fcrece i\u015faret eder<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sa\u00e7l\u0131 deriye yak\u0131n 40 ila 60 sa\u00e7 teli nazik\u00e7e s\u0131yr\u0131l\u0131r<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">dermatolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">nedeni belirsiz her sa\u00e7 d\u00f6k\u00fclmesinde, \u00f6ncesinde sa\u00e7lar 24 saat y\u0131kanmamal\u0131<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Trikoskopi<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">effluvium, patern, alopesi areata ve sikatrisyel bi\u00e7imleri birbirinden ay\u0131r\u0131r<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sa\u00e7l\u0131 deri \u00fczerinde y\u00fczeyel \u0131\u015f\u0131k mikroskobu, a\u011fr\u0131s\u0131z, birka\u00e7 dakika<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">dermatolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">bi\u00e7im belirsiz olur olmaz, anahtar tetkik<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Trikogram ya da TrichoScan<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">telogen sa\u00e7lar\u0131n oran\u0131; %25&#8217;in \u00fczeri telogen effluviumu destekler<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">sa\u00e7 k\u00f6kleri al\u0131n\u0131r ya da dijital olarak de\u011ferlendirilir<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">dermatolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">telogen oran\u0131n\u0131n say\u0131sal olarak belirlenmesi gerekti\u011finde<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Temel laboratuvar<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">demir deposu, kan say\u0131m\u0131, tiroid i\u015flevi, D vitamini, \u00e7inko, B12 vitamini<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">tek seferlik kan al\u0131m\u0131<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">aile hekimi, dermatolog ya da jinekolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">uzun s\u00fcren her diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Geni\u015fletilmi\u015f hormon tetkikleri<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">\u00e2det d\u00fczensizli\u011fi, akne ve artm\u0131\u015f t\u00fcylenmede hormonal nedenleri<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">kan al\u0131m\u0131, k\u0131smen \u00e2det d\u00f6ng\u00fcs\u00fcne ba\u011fl\u0131<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">jinekolog ya da endokrinolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">buna e\u015flik eden belirtiler varsa<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Tetkik\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Sa\u00e7l\u0131 deri biyopsisi<\/td>\n        <td data-label=\"Ne g\u00f6sterir\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">doku d\u00fczeyinde g\u00f6r\u00fcnt\u00fc; %25&#8217;in \u00fczerinde telogen folik\u00fcl effluviumu destekler<\/td>\n        <td data-label=\"Nas\u0131l yap\u0131l\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">lokal anestezi alt\u0131nda k\u00fc\u00e7\u00fck doku \u00f6rne\u011fi<\/td>\n        <td data-label=\"Kim yapar\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">dermatolog<\/td>\n        <td data-label=\"Ne zaman anlaml\u0131d\u0131r\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">yaln\u0131zca belirsiz vakalarda, \u00f6zellikle de sikatrisyel alopesi \u015f\u00fcphesinde<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<div style=\"border:1px solid #dbe4f0;border-radius:12px;padding:18px 20px;margin:28px 0\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:700;font-size:17px\">Hekim randevusu haz\u0131rl\u0131k formu: son alt\u0131 ay\u0131n d\u00f6k\u00fcm\u00fc<\/p>\n<p style=\"margin:0 0 14px;color:#2e3033;font-size:15px;line-height:1.6\">Foto\u011fraf\u0131n\u0131 \u00e7ekmek ya da \u00e7\u0131kt\u0131s\u0131n\u0131 almak i\u00e7in. Bu maddeler haz\u0131rsa randevu \u00e7ok daha verimli ge\u00e7er.<\/p>\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:15px\">Konu\u015fabilece\u011finiz de\u011ferler<\/p>\n<ul style=\"margin:0 0 14px;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>demir deposu olarak ferritin ve tam kan say\u0131m\u0131<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>TSH, anormallik varsa fT3 ve fT4<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>D vitamini, \u00e7inko ve B12 vitamini<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>\u00e2det d\u00fczensizli\u011finde ek olarak hormonal de\u011ferlendirme<\/li>\n<\/ul>\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:15px\">Yan\u0131n\u0131zda getirmeniz gerekenler<\/p>\n<ul style=\"margin:0 0 12px;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>kulland\u0131\u011f\u0131n\u0131z t\u00fcm ila\u00e7lar\u0131n ve takviyelerin eksiksiz listesi<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>d\u00f6k\u00fclmenin ba\u015flad\u0131\u011f\u0131 ay<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>son alt\u0131 ay\u0131n olaylar\u0131: enfeksiyon, ameliyat, do\u011fum, diyet, yo\u011fun y\u00fck d\u00f6nemi<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>s\u00fcre\u00e7 i\u00e7inde \u00e7ekilmi\u015f ayr\u0131m foto\u011fraflar\u0131, m\u00fcmk\u00fcnse hep ayn\u0131 \u0131\u015f\u0131kta<\/li>\n<\/ul>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\"><strong style=\"color:#013366\">Neredeyse kimsenin s\u00f6ylemedi\u011fi nokta:<\/strong> Randevudan en az 24 saat \u00f6nce sa\u00e7lar\u0131n\u0131z\u0131 y\u0131kamay\u0131n. \u00c7ekme testi ancak o zaman anlaml\u0131 olur.<\/p>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kan de\u011ferleri normal olmas\u0131na ra\u011fmen diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi<\/strong> beklenenden daha s\u0131k g\u00f6r\u00fcl\u00fcr. Arkas\u0131nda \u00e7o\u011funlukla tetikleyicisi art\u0131k saptanamayan gecikmeli bir effluvium, alt s\u0131n\u0131rda bir ferritin de\u011feri, kronik bir seyir ya da ba\u015flang\u0131\u00e7 evresinde bir patern vard\u0131r. O zaman s\u0131radaki ad\u0131m bir kan say\u0131m\u0131 daha de\u011fil, trikoskopidir. \u0130lk ba\u015fvuru adresi dermatologdur; kimin neyden sorumlu oldu\u011funu \u015fu yaz\u0131 a\u00e7\u0131kl\u0131yor: <a href=\"\/tr\/sac-dokulmesinde-hangi-doktora-gidilir\/\">sa\u00e7 d\u00f6k\u00fclmesinde hangi doktor<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi ne kadar s\u00fcrer ve sa\u00e7lar ne zaman yeniden uzar?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Akut telogen effluviumda artm\u0131\u015f d\u00f6k\u00fclme, tetikleyici ortadan kalkt\u0131\u011f\u0131nda kural olarak 3 ila 6 ay i\u00e7inde sona erer. Sa\u00e7\u0131n g\u00f6zle g\u00f6r\u00fcl\u00fcr bi\u00e7imde s\u0131kla\u015fmas\u0131 ise ancak bundan sonra olur: folik\u00fcllerin yeniden b\u00fcy\u00fcme evresine girmesi gerekir ve sa\u00e7lar <a href=\"\/tr\/sac-nasil-hizli-uzar\/\">ayda yakla\u015f\u0131k 1 santimetre uzar<\/a>. Bu nedenle toparlanma ger\u00e7ek\u00e7i olarak 6 ila 12 ay sonra g\u00f6r\u00fcn\u00fcr h\u00e2le gelir.<\/p>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:620px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinden sonra yeniden uzama zaman \u00e7izelgesi<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:22%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">D\u00f6nem<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Folik\u00fclde ne oluyor<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Ne g\u00f6r\u00fcyorsunuz<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"D\u00f6nem\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">1 ila 2. ay<\/td>\n        <td data-label=\"Folik\u00fclde ne oluyor\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">neden ortadan kalkm\u0131\u015ft\u0131r, art\u0131k yeni sa\u00e7lar vaktinden \u00f6nce dinlenme evresine itilmez<\/td>\n        <td data-label=\"Ne g\u00f6r\u00fcyorsunuz\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">d\u00f6k\u00fclme yava\u015f yava\u015f azal\u0131r, f\u0131r\u00e7adaki ve giderdeki miktar geriler<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"D\u00f6nem\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">3 ila 4. ay<\/td>\n        <td data-label=\"Folik\u00fclde ne oluyor\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">folik\u00fcller yeniden b\u00fcy\u00fcme evresine girer<\/td>\n        <td data-label=\"Ne g\u00f6r\u00fcyorsunuz\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">yo\u011funluk hen\u00fcz g\u00f6zle g\u00f6r\u00fcl\u00fcr bi\u00e7imde de\u011fi\u015fmez, d\u00f6k\u00fclme sakinle\u015fmi\u015ftir<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"D\u00f6nem\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">5 ila 6. ay<\/td>\n        <td data-label=\"Folik\u00fclde ne oluyor\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">yeni sa\u00e7lar ayda yakla\u015f\u0131k 1 santimetre uzar<\/td>\n        <td data-label=\"Ne g\u00f6r\u00fcyorsunuz\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">ayr\u0131mda ve \u00f6n sa\u00e7 \u00e7izgisinde k\u0131sa, dik duran sa\u00e7lar; bunlar yeni \u00e7\u0131kan sa\u00e7lard\u0131r, yeni bir d\u00f6k\u00fclme de\u011fil<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"D\u00f6nem\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">7 ila 9. ay<\/td>\n        <td data-label=\"Folik\u00fclde ne oluyor\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">b\u00fcy\u00fcme evresindeki sa\u00e7lar\u0131n oran\u0131 normale d\u00f6nmeyi s\u00fcrd\u00fcr\u00fcr<\/td>\n        <td data-label=\"Ne g\u00f6r\u00fcyorsunuz\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">yo\u011funluk g\u00f6zle g\u00f6r\u00fcl\u00fcr bi\u00e7imde artar, ayr\u0131m yeniden daral\u0131r<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"D\u00f6nem\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">10 ila 12. ay<\/td>\n        <td data-label=\"Folik\u00fclde ne oluyor\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">yeni uzayan sa\u00e7lar di\u011ferlerinin boyuna ula\u015f\u0131r<\/td>\n        <td data-label=\"Ne g\u00f6r\u00fcyorsunuz\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">sa\u00e7 g\u00f6r\u00fcn\u00fcm\u00fc e\u015fitlenir, effluvium tamamland\u0131ysa \u00e7o\u011funlukla ba\u015flang\u0131\u00e7taki d\u00fczeye d\u00f6ner<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Ayr\u0131mda ve \u00f6n sa\u00e7 \u00e7izgisinde beliren k\u0131sa, dik duran sa\u00e7lar \u00e7o\u011fu ki\u015fiyi tedirgin eder ve ikinci bir endi\u015fe dalgas\u0131 ba\u015flat\u0131r. Oysa bunlar yeni \u00e7\u0131kan sa\u00e7lard\u0131r, yeni bir d\u00f6k\u00fclme de\u011fil. Onlar\u0131 k\u0131r\u0131lm\u0131\u015f sa\u00e7 sanan ki\u015fi, \u00e7o\u011fu zaman tam da eski y\u00f6ntem i\u015fe yaramaya ba\u015flad\u0131\u011f\u0131 anda strateji de\u011fi\u015ftirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sa\u00e7\u0131m eskisi kadar s\u0131k olacak m\u0131?<\/strong> Tamamlanm\u0131\u015f bir telogen effluviumdan sonra yo\u011funluk kural olarak yeniden ba\u015flang\u0131\u00e7 d\u00fczeyine ula\u015f\u0131r, \u00e7\u00fcnk\u00fc folik\u00fcl kayb\u0131 olmaz. D\u00fcr\u00fcst olmak gerekirse \u00fc\u00e7 istisna var: e\u015f zamanl\u0131 bir androgenetik alopesi, ya\u015fa ba\u011fl\u0131 seyrelme ve h\u00e2l\u00e2 etkin olan bir neden. Yo\u011funluk geri gelmiyorsa bu, s\u00f6nm\u00fc\u015f bir effluviuma de\u011fil, bu \u00fc\u00e7\u00fcnden birine i\u015faret eder.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde bekleme s\u00fcresini nas\u0131l ge\u00e7irirsiniz?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde en zor k\u0131s\u0131m bekleme s\u00fcresidir; \u00e7\u00fcnk\u00fc nedenin tedavisi g\u00f6r\u00fcn\u00fcr h\u00e2le gelene kadar aylar ge\u00e7er. Bu d\u00f6nemde \u00fc\u00e7 \u015fey i\u015fe yarar: g\u00f6rsel s\u0131kla\u015ft\u0131rma, sa\u00e7a nazik davranmak ve takvime dair do\u011fru bir beklenti. Bu, d\u00f6k\u00fclen sa\u00e7lar\u0131n say\u0131s\u0131n\u0131 de\u011fi\u015ftirmez, ama g\u00fcnl\u00fck hayat\u0131 de\u011fi\u015ftirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>G\u00f6rsel olarak s\u0131kla\u015ft\u0131r\u0131n.<\/strong> Sa\u00e7 rengine uygun sa\u00e7 dolgu tozu ve dip kapat\u0131c\u0131 pudra ayr\u0131m\u0131 daha dar g\u00f6sterir, daha k\u0131sa bir kesim incelmi\u015f sa\u00e7\u0131 daha dolgun g\u00f6sterir, yana al\u0131nm\u0131\u015f bir ayr\u0131m da en geni\u015f b\u00f6lgeyi kapat\u0131r. Bunlar kozmetik ara\u00e7lard\u0131r: folik\u00fclde olan d\u00f6k\u00fclmeyi de\u011fi\u015ftirmez, yaln\u0131zca yeni sa\u00e7lar \u00e7\u0131kana kadar ge\u00e7en aylar\u0131 daha kolay atlatman\u0131z\u0131 sa\u011flar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nazik davran\u0131n.<\/strong> Y\u0131kamak ve taramak eskisi gibi s\u00fcrebilir, bunlar effluviumu art\u0131rmaz. Yine de gereksiz \u00e7ekme y\u00fck\u00fcnden ka\u00e7\u0131nmak mant\u0131kl\u0131d\u0131r: s\u00fcrekli s\u0131k\u0131 toplanan sa\u00e7lar, sert lastikler ve s\u0131k \u0131s\u0131 i\u015flemleri sa\u00e7 yap\u0131s\u0131n\u0131 fazladan yorar, \u00fcstelik d\u00f6k\u00fclme a\u00e7\u0131s\u0131ndan hi\u00e7bir kazan\u00e7 sa\u011flamaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Beklentiyi do\u011fru kurun.<\/strong> En \u00e7ok rahatlatan budur. NHS Fife&#8217;\u0131n hasta bilgilendirmesine g\u00f6re akut telogen effluviumda vakalar\u0131n yakla\u015f\u0131k %95&#8217;i kendili\u011finden geriler, \u00e7\u00fcnk\u00fc folik\u00fcller korunur ve yaln\u0131zca ara verir. F\u0131r\u00e7adaki sa\u00e7lar\u0131 her g\u00fcn de\u011ferlendirmek yerine 3 ila 6 ayl\u0131k bir d\u00f6k\u00fclme evresi ve ard\u0131ndan ayda bir santimetrelik bir uzama ile hesap yap\u0131n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ayda bir, hep ayn\u0131 \u0131\u015f\u0131kta \u00e7ekilen ayr\u0131m foto\u011fraflar\u0131 geli\u015fmeyi g\u00fcnl\u00fck histen \u00e7ok daha g\u00fcvenilir g\u00f6sterir. Sa\u00e7 d\u00f6k\u00fclmesi g\u00fcnl\u00fck hayat\u0131n\u0131z\u0131 ciddi bi\u00e7imde zorluyorsa, bunu hekim g\u00f6r\u00fc\u015fmesinde dile getirmek i\u00e7in iyi bir nedendir. Ya\u015fanan s\u0131k\u0131nt\u0131 bulgunun bir par\u00e7as\u0131d\u0131r, yan bir ayr\u0131nt\u0131 de\u011fil.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinin kendili\u011finden durmad\u0131\u011f\u0131n\u0131 nereden anlars\u0131n\u0131z?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bir diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi, alt\u0131 aydan uzun s\u00fcr\u00fcyorsa, ataklar h\u00e2linde tekrarl\u0131yorsa ya da neden giderilmi\u015f olmas\u0131na ra\u011fmen devam ediyorsa art\u0131k kendini s\u0131n\u0131rlayan bir s\u00fcre\u00e7 say\u0131lmaz. Arkas\u0131nda \u00e7o\u011funlukla \u00fc\u00e7 durum vard\u0131r: kronik bir seyir, \u00fczerine binmi\u015f bir androgenetik alopesi ya da h\u00e2l\u00e2 s\u00fcren, \u015fimdiye kadar fark edilmemi\u015f bir neden.<\/p>\n\n\n\n<div style=\"margin:28px 0\">\n<div style=\"border:1px solid #dbe4f0;border-left:4px solid #0079F1;border-radius:10px;padding:16px 18px;margin-bottom:12px\">\n<p style=\"margin:0 0 8px;color:#013366;font-weight:700;font-size:16px\">Kendili\u011finden bitece\u011fine i\u015faret eder<\/p>\n<ul style=\"margin:0;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#0079F1\">\u2022<\/span>8 ila 12 hafta \u00f6nce net bir tetikleyici<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#0079F1\">\u2022<\/span>d\u00f6k\u00fclme evresi \u015fimdiye kadar alt\u0131 aydan k\u0131sa s\u00fcrd\u00fc<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#0079F1\">\u2022<\/span>miktar haftadan haftaya azal\u0131yor<\/li>\n<\/ul>\n<\/div>\n<div style=\"border:1px solid #dbe4f0;border-left:4px solid #5799F1;border-radius:10px;padding:16px 18px;margin-bottom:12px\">\n<p style=\"margin:0 0 8px;color:#013366;font-weight:700;font-size:16px\">G\u00f6zlemleyin ve kay\u0131t alt\u0131na al\u0131n<\/p>\n<ul style=\"margin:0;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#5799F1\">\u2022<\/span>d\u00f6k\u00fclme d\u00f6rt ila alt\u0131 ayd\u0131r s\u00fcr\u00fcyor<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#5799F1\">\u2022<\/span>neden k\u0131sa s\u00fcre \u00f6nce giderildi, toparlanman\u0131n zamana ihtiyac\u0131 var<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#5799F1\">\u2022<\/span>ayda bir, hep ayn\u0131 \u0131\u015f\u0131kta \u00e7ekilen ayr\u0131m foto\u011fraflar\u0131<\/li>\n<\/ul>\n<\/div>\n<div style=\"border:1px solid #dbe4f0;border-left:4px solid #013366;border-radius:10px;padding:16px 18px\">\n<p style=\"margin:0 0 8px;color:#013366;font-weight:700;font-size:16px\">Dermatolojik olarak de\u011ferlendirilmeli<\/p>\n<ul style=\"margin:0;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#013366\">\u2022<\/span>alt\u0131 aydan uzun s\u00fcr\u00fcyor ya da y\u0131llara yay\u0131lan tekrarlayan ataklar var<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#013366\">\u2022<\/span>d\u00f6k\u00fclme bitiyor ama yo\u011funluk \u00f6zellikle orta ayr\u0131mda geri gelmiyor<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#013366\">\u2022<\/span>tetikleyici giderildi, d\u00f6k\u00fclme yine de s\u00fcr\u00fcyor<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#013366\">\u2022<\/span>folik\u00fcl a\u011f\u0131zlar\u0131 g\u00f6r\u00fcnmeyen p\u00fcr\u00fczs\u00fcz, parlak alanlar, k\u0131zar\u0131kl\u0131k, pullanma, yanma ya da a\u011fr\u0131<\/li>\n<li style=\"padding:2px 0 2px 14px;position:relative\"><span style=\"position:absolute;left:0;top:2px;color:#013366\">\u2022<\/span>buna s\u0131n\u0131rlar\u0131 keskin a\u00e7\u0131k odaklar ekleniyor<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Bu maddelerden ikisi ayr\u0131ca a\u00e7\u0131klama hak ediyor. D\u00f6k\u00fclme bittikten sonra yo\u011funluk geri gelmiyorsa, en s\u0131k a\u00e7\u0131klama \u00fczerine binmi\u015f bir androgenetik alopesidir. Folik\u00fcl a\u011f\u0131zlar\u0131n\u0131n se\u00e7ilemedi\u011fi p\u00fcr\u00fczs\u00fcz, parlak alanlar ise vakit kaybetmeden bir dermatolo\u011fa g\u00f6sterilmelidir, \u00e7\u00fcnk\u00fc sikatrisle\u015fmi\u015f folik\u00fcller geri gelmez. S\u0131n\u0131rlar\u0131 keskin odaklar ortaya \u00e7\u0131k\u0131yorsa akla <a href=\"\/tr\/sackiran\/\">sa\u00e7k\u0131ran<\/a> gelir ve onun tedavisi farkl\u0131d\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde ne yapmal\u0131?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi sa\u00e7tan de\u011fil, nedeninden tedavi edilir. S\u0131ralama belirleyicidir: \u00f6nce bi\u00e7im belirlenir, sonra neden bulunur, sonra hedefe y\u00f6nelik tedavi edilir, sonra sa\u00e7 d\u00f6ng\u00fcs\u00fcn\u00fcn s\u00fcresi beklenir. Bu s\u0131ray\u0131 tersine \u00e7evirip tahmine dayal\u0131 \u00fcr\u00fcn alan ki\u015fi aylar\u0131n\u0131 kaybeder.<\/p>\n\n\n\n<div style=\"border:1px solid #dbe4f0;border-radius:12px;padding:18px 20px;margin:28px 0\">\n<p style=\"margin:0 0 14px;color:#013366;font-weight:700;font-size:17px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi: do\u011fru s\u0131rayla be\u015f ad\u0131m<\/p>\n<div style=\"display:flex;gap:12px;padding:0 0 12px;border-bottom:1px solid #e3e8ef\">\n<span style=\"flex:0 0 auto;min-width:74px;color:#0079F1;font-weight:700;font-size:13px;letter-spacing:.04em;text-transform:uppercase;padding-top:2px\">1. Ad\u0131m<\/span>\n<span style=\"color:#2e3033;font-size:15px;line-height:1.6\"><strong style=\"color:#013366\">Bi\u00e7imi belirletin.<\/strong> Herhangi bir tedaviye ba\u015flamadan \u00f6nce dermatologda trikoskopi ve ba\u015f\u0131n birden fazla b\u00f6lgesinde \u00e7ekme testi.<\/span>\n<\/div>\n<div style=\"display:flex;gap:12px;padding:12px 0;border-bottom:1px solid #e3e8ef\">\n<span style=\"flex:0 0 auto;min-width:74px;color:#0079F1;font-weight:700;font-size:13px;letter-spacing:.04em;text-transform:uppercase;padding-top:2px\">2. Ad\u0131m<\/span>\n<span style=\"color:#2e3033;font-size:15px;line-height:1.6\"><strong style=\"color:#013366\">Temel de\u011ferleri g\u00fcndeme getirin.<\/strong> Laboratuvar paketlerini kendiniz \u0131smarlamak yerine randevuda ferritin ve TSH&#8217;yi konu\u015fun.<\/span>\n<\/div>\n<div style=\"display:flex;gap:12px;padding:12px 0;border-bottom:1px solid #e3e8ef\">\n<span style=\"flex:0 0 auto;min-width:74px;color:#0079F1;font-weight:700;font-size:13px;letter-spacing:.04em;text-transform:uppercase;padding-top:2px\">3. Ad\u0131m<\/span>\n<span style=\"color:#2e3033;font-size:15px;line-height:1.6\"><strong style=\"color:#013366\">Tetikleyiciyi yeniden kurgulay\u0131n.<\/strong> 8 ila 12 hafta \u00f6ncesindeki zaman aral\u0131\u011f\u0131n\u0131 g\u00f6zden ge\u00e7irin: enfeksiyon, ameliyat, do\u011fum, diyet, yeni ila\u00e7, yo\u011fun y\u00fck d\u00f6nemi.<\/span>\n<\/div>\n<div style=\"display:flex;gap:12px;padding:12px 0;border-bottom:1px solid #e3e8ef\">\n<span style=\"flex:0 0 auto;min-width:74px;color:#0079F1;font-weight:700;font-size:13px;letter-spacing:.04em;text-transform:uppercase;padding-top:2px\">4. Ad\u0131m<\/span>\n<span style=\"color:#2e3033;font-size:15px;line-height:1.6\"><strong style=\"color:#013366\">Nedeni hedefe y\u00f6nelik tedavi ettirin.<\/strong> Demir depolar\u0131n\u0131 hekim kontrol\u00fcnde doldurun, tiroidi dengeletin, \u015f\u00fcpheli bir ilac\u0131 hekime kontrol ettirin, tek y\u00f6nl\u00fc beslenmeyi d\u00fczeltin.<\/span>\n<\/div>\n<div style=\"display:flex;gap:12px;padding:12px 0 0\">\n<span style=\"flex:0 0 auto;min-width:74px;color:#0079F1;font-weight:700;font-size:13px;letter-spacing:.04em;text-transform:uppercase;padding-top:2px\">5. Ad\u0131m<\/span>\n<span style=\"color:#2e3033;font-size:15px;line-height:1.6\"><strong style=\"color:#013366\">Telogen evresini bekleyin ve kay\u0131t alt\u0131na al\u0131n.<\/strong> Ayda bir, ayn\u0131 \u0131\u015f\u0131kta ayr\u0131m foto\u011fraflar\u0131; de\u011ferlendirme en erken 3 ila 6 ay sonra.<\/span>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Kan\u0131tlanm\u0131\u015f bi\u00e7imde hi\u00e7bir \u015feyi de\u011fi\u015ftirmeyenler: hi\u00e7bir \u015fampuan bir effluviumu bitirmez, \u00e7\u00fcnk\u00fc d\u00f6k\u00fclme sa\u00e7l\u0131 derinin y\u00fczeyinde de\u011fil folik\u00fclde ba\u015flar. Sa\u00e7\u0131 kestirmek d\u00f6k\u00fclen sa\u00e7 say\u0131s\u0131n\u0131 de\u011fi\u015ftirmez. Daha seyrek y\u0131kamak d\u00f6k\u00fclmeyi \u00f6nlemez, yaln\u0131zca bir sonraki y\u0131kamaya kadar biriktirir. Normal y\u0131kamak ve taramak diff\u00fcz bir sa\u00e7 d\u00f6k\u00fclmesini art\u0131rmaz. G\u00fcnl\u00fck miktar\u0131 \u015fu s\u0131ralar tehdit edici ya\u015f\u0131yorsan\u0131z, bunu <a href=\"\/tr\/gunde-kac-tel-sac-dokulur\/\">a\u015f\u0131r\u0131 sa\u00e7 d\u00f6k\u00fclmesi<\/a> yaz\u0131s\u0131 yerli yerine oturtuyor.<\/p>\n\n\n\n<div style=\"border:1px solid #dbe4f0;border-left:4px solid #013366;border-radius:10px;padding:18px 20px;margin:28px 0;background:#f6f9fc\">\n<p style=\"margin:0 0 10px;color:#013366;font-weight:700;font-size:17px\">\u00d6nemli uyar\u0131: takviyeler d\u00f6k\u00fclmeyi art\u0131rabilir<\/p>\n<p style=\"margin:0 0 10px;color:#2e3033;font-size:15px;line-height:1.65\">Takviyeler yaln\u0131zca kan\u0131tlanm\u0131\u015f bir eksiklik varsa i\u015fe yarar. Eksiklik yoksa faydas\u0131 g\u00f6sterilmi\u015f de\u011fildir ve a\u015f\u0131r\u0131 dozda baz\u0131 besin \u00f6geleri kendileri diff\u00fcz bir sa\u00e7 d\u00f6k\u00fclmesini tetikleyebilir. Bu y\u00fczden y\u00fcksek dozlu \u00fcr\u00fcnleri tahmine dayanarak de\u011fil, ancak bir laboratuvar sonucundan sonra ve hekiminizle g\u00f6r\u00fc\u015ferek kullan\u0131n.<\/p>\n<ul style=\"margin:0 0 10px;padding:0;list-style:none;color:#2e3033;font-size:15px;line-height:1.6\">\n<li style=\"padding:3px 0 3px 14px;position:relative\"><span style=\"position:absolute;left:0;top:3px;color:#013366\">\u2022<\/span><strong style=\"color:#013366\">A vitamini:<\/strong> kronik hipervitaminoz, diff\u00fcz effluviumun takviyeye ba\u011fl\u0131 en s\u0131k nedenlerinden biri say\u0131l\u0131yor (sa\u00e7 d\u00f6k\u00fclmesinde vitaminler ve mineraller \u00fczerine derleme, Guo ve Katta)<\/li>\n<li style=\"padding:3px 0 3px 14px;position:relative\"><span style=\"position:absolute;left:0;top:3px;color:#013366\">\u2022<\/span><strong style=\"color:#013366\">Selenyum:<\/strong> s\u00fcrekli y\u00fcksek al\u0131m sa\u00e7\u0131n k\u0131r\u0131lganla\u015fmas\u0131na ve diff\u00fcz d\u00f6k\u00fclmeye yol a\u00e7abilir, e\u015fik de\u011ferine ili\u015fkin bilgiler kaynaktan kayna\u011fa belirgin bi\u00e7imde de\u011fi\u015fiyor<\/li>\n<li style=\"padding:3px 0 3px 14px;position:relative\"><span style=\"position:absolute;left:0;top:3px;color:#013366\">\u2022<\/span><strong style=\"color:#013366\">Bak\u0131r dengelenmeden \u00e7inko:<\/strong> y\u00fcksek dozda bak\u0131r eksikli\u011fini kolayla\u015ft\u0131rabilir, bu da sa\u00e7 d\u00f6k\u00fclmesiyle birlikte g\u00f6r\u00fclebilir; bu \u015fimdilik vaka bildirimlerine dayan\u0131yor<\/li>\n<\/ul>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\">Bu yaln\u0131zca ger\u00e7ek a\u015f\u0131r\u0131 dozlar i\u00e7in ge\u00e7erlidir, hekim e\u015fli\u011finde y\u00fcr\u00fct\u00fclen normal bir destek tedavisi i\u00e7in de\u011fil. Konuyla ilgili daha fazlas\u0131 \u015fu yaz\u0131larda: <a href=\"\/tr\/sac-dokulmesine-karsi-vitaminler\/\">sa\u00e7 d\u00f6k\u00fclmesine kar\u015f\u0131 vitaminler<\/a> ve <a href=\"\/tr\/priorin-sac-dokulmesi\/\">sa\u00e7 d\u00f6k\u00fclmesine kar\u015f\u0131 kaps\u00fcller<\/a>.<\/p>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Minoksidil<\/strong> androgenetik alopesi i\u00e7in onaylanm\u0131\u015f bir ila\u00e7t\u0131r, akut telogen effluviumun standart tedavisi olarak de\u011fil. Kronik seyirde ya da \u00fczerine binmi\u015f paternli sa\u00e7 d\u00f6k\u00fclmesinde dermatolog bunu de\u011ferlendirebilir. Buna ili\u015fkin kan\u0131tlar zay\u0131f: en s\u0131k at\u0131f yap\u0131lan Perera ve Sinclair \u00e7al\u0131\u015fmas\u0131 36 kad\u0131n\u0131 kaps\u0131yordu, kontrol grubu olmadan y\u00fcr\u00fct\u00fcld\u00fc ve oral minoksidili endikasyon d\u0131\u015f\u0131 kulland\u0131; 36 kat\u0131l\u0131mc\u0131n\u0131n 13&#8217;\u00fcnde y\u00fczde t\u00fcylenme g\u00f6r\u00fcld\u00fc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu y\u00fczden ilaca ba\u015flamak hekimin i\u015fidir, kendi ba\u015f\u0131n\u0131za karar verece\u011finiz bir konu de\u011fil. Ba\u015flang\u0131\u00e7ta kural olarak ge\u00e7ici bir d\u00f6k\u00fclme art\u0131\u015f\u0131 g\u00f6r\u00fcl\u00fcr. Zaten diff\u00fcz d\u00f6k\u00fclme ya\u015fayan ki\u015fi bunu ciddi bir k\u00f6t\u00fcle\u015fme gibi ya\u015far ve \u00e7o\u011fu zaman tam o anda b\u0131rak\u0131r. Etki bi\u00e7imini \u015fu yaz\u0131 anlat\u0131yor: <a href=\"\/tr\/minoksidil-sac-dokulmesi\/\">sa\u00e7 d\u00f6k\u00fclmesine kar\u015f\u0131 minoksidil<\/a>; tedavilerin eksiksiz kar\u015f\u0131la\u015ft\u0131rmas\u0131 ise \u015fu rehberde: <a href=\"\/tr\/sac-dokulmesinde-ne-yapmali\/\">sa\u00e7 d\u00f6k\u00fclmesine ne iyi gelir<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde sa\u00e7 ekimi neden \u00e7\u00f6z\u00fcm de\u011fildir?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi sa\u00e7 ekimi i\u00e7in bir endikasyon de\u011fildir. Nedeni t\u0131bbidir: diff\u00fcz bir s\u00fcre\u00e7te ba\u015f\u0131n arka k\u0131sm\u0131ndaki don\u00f6r alan da etkilenir. O zaman sa\u00e7lar, ileride nas\u0131l davranaca\u011f\u0131n\u0131 kimsenin \u00f6ng\u00f6remeyece\u011fi dengesiz bir b\u00f6lgeden al\u0131nm\u0131\u015f olur. Neden etkin oldu\u011fu s\u00fcrece kay\u0131p zaten ilerlemeye devam eder, nakledilen b\u00f6lgede de.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sa\u00e7 ekimi literat\u00fcr\u00fc ayn\u0131 mant\u0131\u011f\u0131 diff\u00fcz paternsiz alopesi (DUPA) kavram\u0131yla anlat\u0131r; kavram 1975&#8217;te Norwood taraf\u0131ndan ortaya konmu\u015f, sonra Bernstein ve Rassman taraf\u0131ndan ele al\u0131nm\u0131\u015ft\u0131r: don\u00f6r b\u00f6lge de etkilenmi\u015fse nakil i\u00e7in zemin yoktur ve i\u015flem kontrendike say\u0131l\u0131r. Bir nakil, stabil bir patern ve stabil bir don\u00f6r b\u00f6lge gerektirir. Aktif diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde bu ko\u015ful sa\u011flanmaz ve ciddi klinikler bu t\u00fcr talepleri geri \u00e7evirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Diff\u00fcz ve genetik sa\u00e7 d\u00f6k\u00fclmesi \u00fcst \u00fcste binebildi\u011fi i\u00e7in as\u0131l soru nakil yap\u0131ls\u0131n m\u0131 yap\u0131lmas\u0131n m\u0131 de\u011fil, hangi bi\u00e7imin s\u00f6z konusu oldu\u011fudur. Bu s\u0131n\u0131fland\u0131rmay\u0131 dermatolog yapar; ilk de\u011ferlendirme i\u00e7in <a href=\"\/tr\/sac-analizi\/\">Elithair&#8217;in \u00fccretsiz sa\u00e7 analizi<\/a> de tam olarak buna bakar: diff\u00fcz seyrelme mi, yoksa stabil bir patern mi. Bu, g\u00f6rsel bir patern de\u011ferlendirmesidir; ne trikoskopinin ne de hekimin isteyece\u011fi bir kan testinin yerini tutar.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\" style=\"justify-content:center;margin-bottom:48px\"><div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" style=\"background-color:#0079F1;color:#ffffff;border-radius:8px;padding:15px 36px;font-weight:700;font-size:17px;display:flex;justify-content:center;align-items:center\" href=\"\/tr\/sac-analizi\/\">\u00dccretsiz sa\u00e7 analizini ba\u015flat\u0131n<\/a><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Sonu\u00e7ta ense sa\u00e7 band\u0131 s\u0131k, patern stabil \u00e7\u0131k\u0131yorsa yol sa\u00e7 d\u00f6k\u00fclmesi t\u00fcrleri yaz\u0131s\u0131na ve genetik bi\u00e7ime do\u011fru devam eder. Tablo diff\u00fczse yol bu yaz\u0131n\u0131n ba\u015f\u0131na d\u00f6ner: nedeni ara, nedeni tedavi ettir, zaman tan\u0131.<\/p>\n\n\n\n<div style=\"border:1px solid #dbe4f0;border-radius:12px;padding:18px 20px;margin:28px 0;background:#f6f9fc\">\n<p style=\"margin:0 0 8px;color:#013366;font-weight:700;font-size:17px\">Klinik pratikten bir de\u011ferlendirme<\/p>\n<p style=\"margin:0 0 10px;color:#2e3033;font-size:15px;line-height:1.65\">Diff\u00fcz bir seyrelmeyle dan\u0131\u015fmaya gelen biri oldu\u011funda ilk soru asla ka\u00e7 greft gerekti\u011fi de\u011fildir. \u0130lk soru, ba\u015f\u0131n arka k\u0131sm\u0131n\u0131n da etkilenip etkilenmedi\u011fidir. Etkilenmi\u015fse stabil don\u00f6r b\u00f6lge yoktur ve nakil yanl\u0131\u015f yol olur. O zaman vaka ameliyat plan\u0131na de\u011fil, dermatolojik neden ara\u015ft\u0131rmas\u0131na aittir.<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\">Bu eleme, sa\u00e7 analizinden sonra ba\u015fvurular\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn olumsuz yan\u0131t almas\u0131n\u0131n nedenidir. \u0130yi bir sonu\u00e7 stabil bir ba\u015flang\u0131\u00e7 durumuna ba\u011fl\u0131d\u0131r ve bu, ameliyatla yarat\u0131lamaz.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi hakk\u0131nda s\u0131k sorulan sorular<\/h2>\n\n\n\n<div style=\"margin:28px 0 0\">\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde g\u00fcnde ka\u00e7 sa\u00e7 normaldir?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">G\u00fcnde yakla\u015f\u0131k 100 sa\u00e7 telinin d\u00f6k\u00fclmesi normal kabul edilir; bu de\u011fer, di\u011ferlerinin yan\u0131 s\u0131ra Malkud&#8217;un derlemesinde (2015) de ge\u00e7er. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde miktar bunun \u00fczerindedir, ancak pratikte say\u0131lmaz: son y\u0131kamadan bu yana ge\u00e7en s\u00fcreye ve sa\u00e7 modeline g\u00f6re fazla dalgalan\u0131r. Haftalar i\u00e7indeki seyir ve dermatologdaki \u00e7ekme testi \u00e7ok daha fazla bilgi verir.<\/p>\n<\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde sa\u00e7lar\u0131m\u0131 normal \u015fekilde y\u0131kay\u0131p tarayabilir miyim?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Evet. Y\u0131kamak ve taramak sa\u00e7 d\u00f6k\u00fclmesine yol a\u00e7maz ve bir effluviumu art\u0131rmaz. Daha seyrek y\u0131kayan ki\u015fi telogen sa\u00e7lar\u0131 yaln\u0131zca bir sonraki y\u0131kamaya kadar biriktirir, bu y\u00fczden miktar o zaman \u00f6zellikle \u00fcrk\u00fct\u00fcc\u00fc g\u00f6r\u00fcn\u00fcr. Ancak hekim randevusundan \u00f6nce \u015fu ge\u00e7erli: 24 saat y\u0131kamay\u0131n, yoksa \u00e7ekme testi anlaml\u0131 olmaz.<\/p>\n<\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi y\u00fcz\u00fcnden kelle\u015fir miyim?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Kural olarak hay\u0131r. Effluviumda folik\u00fcller korunur, yaln\u0131zca ara verir; bu y\u00fczden a\u00e7\u0131k alanlar olu\u015fmaz. G\u00f6r\u00fcn\u00fcr bir seyrelme \u00e7o\u011funlukla, ek olarak genetik bir sa\u00e7 d\u00f6k\u00fclmesi varsa kal\u0131r; effluvium onu yaln\u0131zca g\u00f6r\u00fcn\u00fcr k\u0131lm\u0131\u015ft\u0131r.<\/p>\n<\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi bula\u015f\u0131c\u0131 m\u0131d\u0131r?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Hay\u0131r. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi ki\u015finin kendi sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ortaya \u00e7\u0131kar, \u00e7\u00fcnk\u00fc folik\u00fcller vaktinden \u00f6nce dinlenme evresine ge\u00e7er ve hi\u00e7bir yolla bula\u015fmaz. Tetikleyici bir enfeksiyon olsa bile bula\u015f\u0131c\u0131 olan sa\u00e7 d\u00f6k\u00fclmesi de\u011fil, olsa olsa enfeksiyonun kendisidir. D\u00f6k\u00fclme, bedenin buna verdi\u011fi gecikmeli yan\u0131tt\u0131r.<\/p>\n<\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Sa\u00e7lar yeniden uzad\u0131ktan sonra diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi geri gelebilir mi?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Evet. Her yeni tetikleyici yeni bir telogen effluviumu ba\u015flatabilir, yine iki ila \u00fc\u00e7 ay gecikmeyle. D\u00f6k\u00fclme ataklar h\u00e2linde geri d\u00f6n\u00fcyorsa ya da alt\u0131 aydan uzun s\u00fcr\u00fcyorsa kronik say\u0131l\u0131r (Whiting, 1996) ve dermatolojik olarak g\u00f6zden ge\u00e7irilmelidir; \u00e7\u00fcnk\u00fc arkas\u0131nda s\u0131kl\u0131kla ikinci bir neden ya da ba\u015flang\u0131\u00e7 evresinde bir patern vard\u0131r.<\/p>\n<\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi erkeklerde de g\u00f6r\u00fcl\u00fcr m\u00fc?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Evet, erkeklerde yaln\u0131zca kad\u0131nlara g\u00f6re daha seyrek g\u00f6r\u00fcl\u00fcr. Tetikleyiciler ayn\u0131d\u0131r: enfeksiyon, ameliyat, kan kayb\u0131, eksiklik, ila\u00e7lar, yo\u011fun y\u00fck d\u00f6nemleri. Erkeklerde diff\u00fcz bir effluvium daha s\u0131k olarak ba\u015flang\u0131\u00e7 evresindeki genetik sa\u00e7 d\u00f6k\u00fclmesiyle kar\u0131\u015ft\u0131r\u0131l\u0131r. Fark\u0131 ba\u015f\u0131n arka k\u0131sm\u0131 ortaya koyar: ense sa\u00e7 band\u0131 s\u0131k kal\u0131yorsa bu, paterne i\u015faret eder.<\/p>\n<\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:0\">\n<p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px\">Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde hangi hekime gitmeli?<\/p>\n<p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">\u0130lk ba\u015fvuru adresi dermatologdur, \u00e7\u00fcnk\u00fc trikoskopi ve \u00e7ekme testi yaln\u0131zca orada standart bi\u00e7imde yap\u0131l\u0131r. Tiroid ya da hormon bozuklu\u011fu \u015f\u00fcphesinde endokrinolog veya jinekolog devreye girer. Trikolog korunmu\u015f bir meslek unvan\u0131 de\u011fildir, bu y\u00fczden uzmanl\u0131k unvan\u0131n\u0131 sorun.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Kaynaklar<\/h2>\n\n\n\n<div style=\"font-size:14px;line-height:1.7;color:#2e3033\">\n<ul style=\"margin:0 0 0 18px;padding:0\">\n<li>Malkud S.: \u201cTelogen Effluvium: A Review\u201d, J Clin Diagn Res 2015;9(9):WE01-3, PMID 26500992. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4606321\/\" target=\"_blank\" rel=\"noopener\">pmc.ncbi.nlm.nih.gov<\/a><\/li>\n<li>StatPearls, NCBI Bookshelf: \u201cTelogen Effluvium\u201d (NBK430848) ve \u201cAnagen Effluvium\u201d (NBK482293). <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430848\/\" target=\"_blank\" rel=\"noopener\">ncbi.nlm.nih.gov<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482293\/\" target=\"_blank\" rel=\"noopener\">NBK482293<\/a><\/li>\n<li>Whiting DA.: \u201cChronic telogen effluvium: Increased scalp hair shedding in middle-aged women\u201d, J Am Acad Dermatol 1996;35(6):899-906. <a href=\"https:\/\/www.jaad.org\/article\/S0190-9622(96)90113-9\/abstract\" target=\"_blank\" rel=\"noopener\">jaad.org<\/a><\/li>\n<li>\u201cChronic Telogen Effluvium: Is it a Distinct Condition? A Systematic Review\u201d, Am J Clin Dermatol 2023, PMID 37052778. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37052778\/\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov<\/a><\/li>\n<li>ISHRS, hasta bilgilendirmesi \u201cTelogen Effluvium: A Guide to Temporary Hair Loss\u201d. <a href=\"https:\/\/ishrs.org\/telogen-effluvium\/\" target=\"_blank\" rel=\"noopener\">ishrs.org<\/a><\/li>\n<li>NHS Fife, hasta bilgilendirmesi \u201cTelogen Effluvium (a type of hair loss)\u201d. <a href=\"https:\/\/www.nhsfife.org\/media\/q0vmqtme\/telogen-effluvium-hair-loss-information.pdf\" target=\"_blank\" rel=\"noopener\">nhsfife.org<\/a><\/li>\n<li>DermNet: \u201cTrichoscopy of generalised noncicatricial hair loss\u201d. <a href=\"https:\/\/dermnetnz.org\/topics\/trichoscopy-of-generalised-noncicatricial-hair-loss\" target=\"_blank\" rel=\"noopener\">dermnetnz.org<\/a><\/li>\n<li>\u201cComparison of Dermoscopic Findings in Female Androgenetic Alopecia and Telogen Effluvium\u201d, PMC9122275. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9122275\/\" target=\"_blank\" rel=\"noopener\">pmc.ncbi.nlm.nih.gov<\/a><\/li>\n<li>\u201cAlopecia Areata Incognita: Current Evidence\u201d, PMC11908991. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11908991\/\" target=\"_blank\" rel=\"noopener\">pmc.ncbi.nlm.nih.gov<\/a><\/li>\n<li>\u201cPostpartum Telogen Effluvium Unmasking Additional Latent Hair Loss Disorders\u201d, J Clin Aesthet Dermatol. <a href=\"https:\/\/jcadonline.com\/1941-2789-17-5-15\/\" target=\"_blank\" rel=\"noopener\">jcadonline.com<\/a>; do\u011fum sonras\u0131 sa\u00e7 d\u00f6k\u00fclmesi hakk\u0131nda Cleveland Clinic: <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/23297-postpartum-hair-loss\" target=\"_blank\" rel=\"noopener\">my.clevelandclinic.org<\/a><\/li>\n<li>Perera E, Sinclair R.: \u201cTreatment of chronic telogen effluvium with oral minoxidil: A retrospective study\u201d, PMC5676194. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5676194\/\" target=\"_blank\" rel=\"noopener\">pmc.ncbi.nlm.nih.gov<\/a><\/li>\n<li>Guo EL, Katta R.: Sa\u00e7 d\u00f6k\u00fclmesinde vitaminler ve mineraller \u00fczerine derleme (A vitamini, selenyum). <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s13555-018-0278-6\" target=\"_blank\" rel=\"noopener\">link.springer.com<\/a><\/li>\n<li>Mayo Clinic News Network: \u201cStress may play a role in hair loss, but other triggers could be the cause\u201d (ila\u00e7 listesi). <a href=\"https:\/\/newsnetwork.mayoclinic.org\/discussion\/stress-may-play-a-role-in-hair-loss-but-other-triggers-could-be-the-cause\/\" target=\"_blank\" rel=\"noopener\">newsnetwork.mayoclinic.org<\/a>; AEDV \/ Fundaci\u00f3n Piel Sana, \u201cEfluvio tel\u00f3geno\u201d: <a href=\"https:\/\/aedv.fundacionpielsana.es\/wikiderma\/efluvio-telogeno\/\" target=\"_blank\" rel=\"noopener\">aedv.fundacionpielsana.es<\/a><\/li>\n<li>\u201cSARS-CoV-2-induced telogen effluvium: a multicentric study\u201d, PMC7753386. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7753386\/\" target=\"_blank\" rel=\"noopener\">pmc.ncbi.nlm.nih.gov<\/a><\/li>\n<li>Gupta AK ve ark.: \u201cGLP-1 therapies and hair loss: A systematic review of current evidence\u201d, 2026. <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/00368504261444578\" target=\"_blank\" rel=\"noopener\">journals.sagepub.com<\/a>; JAAD 2025 kohort \u00e7al\u0131\u015fmas\u0131: <a href=\"https:\/\/www.jaad.org\/article\/S0190-9622(25)00126-4\/abstract\" target=\"_blank\" rel=\"noopener\">jaad.org<\/a><\/li>\n<li>Bernstein Medical (Norwood 1975 ile Bernstein\/Rassman 1997&#8217;ye dayanan DUPA kavram\u0131na ili\u015fkin uzman klinik kayna\u011f\u0131, ba\u011f\u0131ms\u0131z bir epidemiyolojik kaynak de\u011fil). <a href=\"https:\/\/www.bernsteinmedical.com\/answers\/loss-of-hair-in-the-donor-area\/\" target=\"_blank\" rel=\"noopener\">bernsteinmedical.com<\/a><\/li>\n<\/ul>\n<p style=\"margin:14px 0 0;color:#6b7280;font-size:13px;font-style:italic\">A\u011fustos 2026 itibar\u0131yla t\u0131bbi olarak kontrol edilmi\u015ftir. Bu yaz\u0131 bilgilendirme ama\u00e7l\u0131d\u0131r ve t\u0131bbi tan\u0131 ya da tedavinin yerini tutmaz. Alt\u0131 aydan uzun s\u00fcren sa\u00e7 d\u00f6k\u00fclmesinde, a\u00e7\u0131k odaklarda ve k\u0131zarm\u0131\u015f, pullanan ya da a\u011fr\u0131yan sa\u00e7l\u0131 deride l\u00fctfen vakit kaybetmeden bir dermatoloji klini\u011fine ba\u015fvurun. Re\u00e7ete edilen ila\u00e7lar\u0131 asla kendi ba\u015f\u0131n\u0131za b\u0131rakmay\u0131n.<\/p>\n<\/div>\n\n\n\n<script type=\"application\/ld+json\">\n{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde g\u00fcnde ka\u00e7 sa\u00e7 normaldir?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"G\u00fcnde yakla\u015f\u0131k 100 sa\u00e7 telinin d\u00f6k\u00fclmesi normal kabul edilir; bu de\u011fer, di\u011ferlerinin yan\u0131 s\u0131ra Malkud'un derlemesinde (2015) de ge\u00e7er. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde miktar bunun \u00fczerindedir, ancak pratikte say\u0131lmaz: son y\u0131kamadan bu yana ge\u00e7en s\u00fcreye ve sa\u00e7 modeline g\u00f6re fazla dalgalan\u0131r. Haftalar i\u00e7indeki seyir ve dermatologdaki \u00e7ekme testi \u00e7ok daha fazla bilgi verir.\"}}, {\"@type\": \"Question\", \"name\": \"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde sa\u00e7lar\u0131m\u0131 normal \u015fekilde y\u0131kay\u0131p tarayabilir miyim?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Evet. Y\u0131kamak ve taramak sa\u00e7 d\u00f6k\u00fclmesine yol a\u00e7maz ve bir effluviumu art\u0131rmaz. Daha seyrek y\u0131kayan ki\u015fi telogen sa\u00e7lar\u0131 yaln\u0131zca bir sonraki y\u0131kamaya kadar biriktirir, bu y\u00fczden miktar o zaman \u00f6zellikle \u00fcrk\u00fct\u00fcc\u00fc g\u00f6r\u00fcn\u00fcr. Ancak hekim randevusundan \u00f6nce \u015fu ge\u00e7erli: 24 saat y\u0131kamay\u0131n, yoksa \u00e7ekme testi anlaml\u0131 olmaz.\"}}, {\"@type\": \"Question\", \"name\": \"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi y\u00fcz\u00fcnden kelle\u015fir miyim?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Kural olarak hay\u0131r. Effluviumda folik\u00fcller korunur, yaln\u0131zca ara verir; bu y\u00fczden a\u00e7\u0131k alanlar olu\u015fmaz. G\u00f6r\u00fcn\u00fcr bir seyrelme \u00e7o\u011funlukla, ek olarak genetik bir sa\u00e7 d\u00f6k\u00fclmesi varsa kal\u0131r; effluvium onu yaln\u0131zca g\u00f6r\u00fcn\u00fcr k\u0131lm\u0131\u015ft\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi bula\u015f\u0131c\u0131 m\u0131d\u0131r?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Hay\u0131r. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi ki\u015finin kendi sa\u00e7 d\u00f6ng\u00fcs\u00fcnde ortaya \u00e7\u0131kar, \u00e7\u00fcnk\u00fc folik\u00fcller vaktinden \u00f6nce dinlenme evresine ge\u00e7er ve hi\u00e7bir yolla bula\u015fmaz. Tetikleyici bir enfeksiyon olsa bile bula\u015f\u0131c\u0131 olan sa\u00e7 d\u00f6k\u00fclmesi de\u011fil, olsa olsa enfeksiyonun kendisidir. D\u00f6k\u00fclme, bedenin buna verdi\u011fi gecikmeli yan\u0131tt\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"Sa\u00e7lar yeniden uzad\u0131ktan sonra diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi geri gelebilir mi?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Evet. Her yeni tetikleyici yeni bir telogen effluviumu ba\u015flatabilir, yine iki ila \u00fc\u00e7 ay gecikmeyle. D\u00f6k\u00fclme ataklar h\u00e2linde geri d\u00f6n\u00fcyorsa ya da alt\u0131 aydan uzun s\u00fcr\u00fcyorsa kronik say\u0131l\u0131r (Whiting, 1996) ve dermatolojik olarak g\u00f6zden ge\u00e7irilmelidir; \u00e7\u00fcnk\u00fc arkas\u0131nda s\u0131kl\u0131kla ikinci bir neden ya da ba\u015flang\u0131\u00e7 evresinde bir patern vard\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi erkeklerde de g\u00f6r\u00fcl\u00fcr m\u00fc?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Evet, erkeklerde yaln\u0131zca kad\u0131nlara g\u00f6re daha seyrek g\u00f6r\u00fcl\u00fcr. Tetikleyiciler ayn\u0131d\u0131r: enfeksiyon, ameliyat, kan kayb\u0131, eksiklik, ila\u00e7lar, yo\u011fun y\u00fck d\u00f6nemleri. Erkeklerde diff\u00fcz bir effluvium daha s\u0131k olarak ba\u015flang\u0131\u00e7 evresindeki genetik sa\u00e7 d\u00f6k\u00fclmesiyle kar\u0131\u015ft\u0131r\u0131l\u0131r. Fark\u0131 ba\u015f\u0131n arka k\u0131sm\u0131 ortaya koyar: ense sa\u00e7 band\u0131 s\u0131k kal\u0131yorsa bu, paterne i\u015faret eder.\"}}, {\"@type\": \"Question\", \"name\": \"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde hangi hekime gitmeli?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"\u0130lk ba\u015fvuru adresi dermatologdur, \u00e7\u00fcnk\u00fc trikoskopi ve \u00e7ekme testi yaln\u0131zca orada standart bi\u00e7imde yap\u0131l\u0131r. Tiroid ya da hormon bozuklu\u011fu \u015f\u00fcphesinde endokrinolog veya jinekolog devreye girer. Trikolog korunmu\u015f bir meslek unvan\u0131 de\u011fildir, bu y\u00fczden uzmanl\u0131k unvan\u0131n\u0131 sorun.\"}}]}\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>F\u0131r\u00e7as\u0131nda her seferinde biraz daha fazla sa\u00e7 bulan ama kafas\u0131nda a\u00e7\u0131lm\u0131\u015f bir b\u00f6lge g\u00f6remeyen ki\u015fi, nedeni genellikle i\u00e7inde bulundu\u011fu g\u00fcnlerde arar. Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesinde ise neden neredeyse her zaman iki ila \u00fc\u00e7 ay \u00f6ncesindedir; \u00e7\u00fcnk\u00fc etkilenen sa\u00e7lar\u0131n d\u00f6k\u00fclebilmesi i\u00e7in \u00f6nce dinlenme evresini tamamlamas\u0131 gerekir (Malkud, J Clin Diagn Res 2015). Yo\u011funluk bu s\u0131rada, ba\u015f\u0131n arka [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":83235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_meta-robots-noindex":"2","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_meta-robots-adv":"","_yoast_wpseo_canonical":"https:\/\/elithair.com\/tr\/diffuz-sac-dokulmesi\/","_yoast_wpseo_opengraph-title":"","_yoast_wpseo_opengraph-description":"","_yoast_wpseo_opengraph-image":"","_yoast_wpseo_twitter-title":"","_yoast_wpseo_twitter-description":"","_yoast_wpseo_twitter-image":"","_hm_hreflang_map":{"uk":90164,"it":107618,"pt":89691,"es":91834,"ar":46504,"fr":101202,"de":106174,"tr":83236,"en":96919,"x_default":97133},"_hm_language_code":"tr","footnotes":""},"categories":[3],"tags":[],"class_list":["post-83236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sac-ekimi-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Diff\u00fcz Sa\u00e7 D\u00f6k\u00fclmesi (Diff\u00fcz Alopesi): Nedenleri, Telogen Effluvium, Tan\u0131s\u0131 ve Kad\u0131nlarda ve Erkeklerde Ne Yapmal\u0131<\/title>\n<meta name=\"description\" content=\"Diff\u00fcz sa\u00e7 d\u00f6k\u00fclmesi ba\u015f\u0131n tamam\u0131n\u0131 etkiler ve genellikle tetikleyiciden 2 ila 3 ay sonra ba\u015flar. 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