{"id":5909,"date":"2017-08-01T18:12:29","date_gmt":"2017-08-01T22:12:29","guid":{"rendered":"http:\/\/localhost:10028\/practiceareas\/diethylstilbestrol-des\/"},"modified":"2022-06-21T16:54:49","modified_gmt":"2022-06-21T20:54:49","slug":"dietilstilbestrol-des","status":"publish","type":"practiceareas","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/uygulama-alanlari-2\/dietilstilbestrol-des\/","title":{"rendered":"DES K\u0131zlar\u0131"},"content":{"rendered":"<h2>DES K\u0131zlar\u0131 Ve A\u011f\u0131r Yaralanma<\/h2>\n<p>Doctors once considered Diethylstilbestrol to be something of a miracle drug which could all but end most pregnancy complications, but instead of a panacea, the drug created an entire generation of victims.<\/p>\n<p>The synthetic estrogen was created in 1938, and after a brief series of clinical trials, the Food and Drug Administration allowed doctors to prescribe it to pregnant women in 1947. At the time, many doctors believed that low estrogen levels caused most pregnancy complications, and even though that idea was somewhat debunked by the 1950s (and is entirely debunked today), doctors kept administering it in large quantities.<\/p>\n<p>About that same time, researchers began to question DES\u2019 safety, leading to a 1971 FDA declaration that the drug was <a href=\"https:\/\/www.cdc.gov\/des\/consumers\/about\/history.html\" target=\"_blank\" rel=\"noopener noreferrer\">hamile kad\u0131nlar i\u00e7in uygun de\u011fil<\/a>. Ancak ajans ilac\u0131 geri \u00e7a\u011f\u0131rmad\u0131\u011f\u0131 i\u00e7in re\u00e7eteler birka\u00e7 y\u0131l daha devam etti.<\/p>\n<p>&nbsp;<\/p>\n<h3>DES K\u0131zlar\u0131 (ve DES O\u011fullar\u0131)<\/h3>\n<p>In the 1940s and 1950s, many pregnant women went to general practitioners. These doctors probably had no idea that they were prescribing a powerful drug which was, at best, only marginally effective.<\/p>\n<p>The FDA took adverse action against DES based on a 1971 study which linked Diethylstilbestrol with vaginal clear cell adenocarcinoma, an unusual and aggressive form of <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJM197104222841604\" target=\"_blank\" rel=\"noopener noreferrer\">Rahim a\u011fz\u0131 kanseri<\/a> tedavisi zor ve \u00f6l\u00fcm oran\u0131 y\u00fcksek olan bir hastal\u0131kt\u0131r. DES k\u0131zlar\u0131 veya ilaca anne karn\u0131nda maruz kalan kad\u0131nlar, bu hastal\u0131\u011f\u0131 \u00fcrk\u00fct\u00fcc\u00fc derecede y\u00fcksek bir oranda geli\u015ftirdiler. Y\u0131llar boyunca, Dietilstilbestrol a\u015fa\u011f\u0131dakiler de dahil olmak \u00fczere di\u011fer ciddi sa\u011fl\u0131k sorunlar\u0131yla da ili\u015fkilendirilmi\u015ftir:<\/p>\n<ul>\n<li><strong>K\u0131s\u0131rl\u0131k ve \u00dcreme Sa\u011fl\u0131\u011f\u0131<\/strong>: Bilim adamlar\u0131 DES&#039;i, esasen rahmi zehirleyen bir grup madde olan bir teratojen olarak s\u0131n\u0131fland\u0131rd\u0131lar. Ya\u015famlar\u0131n\u0131n ilerleyen d\u00f6nemlerinde, rahimdeyken ilaca maruz kalan kad\u0131nlar genellikle d\u0131\u015f gebelik, erken do\u011fum ve kendili\u011finden d\u00fc\u015f\u00fck gibi \u00e7e\u015fitli \u00fcreme sorunlar\u0131yla u\u011fra\u015f\u0131rlar.<\/li>\n<li><strong>Meme kanseri<\/strong>: DES maruziyeti, vajinal berrak h\u00fccreli adenokarsinom kadar olmasa da meme kanseri riskini art\u0131r\u0131r.<\/li>\n<li><strong>obezite<\/strong>: DES ayr\u0131ca bilinen bir obezojendir, bu nedenle kurbanlar genellikle yeti\u015fkinlik y\u0131llar\u0131nda a\u00e7\u0131klanamayan obezite geli\u015ftirir.<\/li>\n<\/ul>\n<p>DES o\u011fullar\u0131, daha y\u00fcksek testis kanseri, k\u0131s\u0131rl\u0131k ve d\u00fc\u015f\u00fck testosteron vakalar\u0131na sahip olduklar\u0131 i\u00e7in benzer sorunlara sahiptir.<\/p>\n<p>&nbsp;<\/p>\n<h3>DES Torunlar\u0131<\/h3>\n<p>Researchers now know that DES is an epigenetic drug that actually has the power to alter a person\u2019s genetic code. As a result, the physical abnormalities that affect DES daughters and sons may affect their children as well. Many researchers fear that these effects may continue indefinitely as they are passed down from parents to children.<\/p>\n<p>The good news is that the side effects seem to have diminished somewhat, as DES granddaughters and grandsons are likely to have fertility issues but, so far, are not more prone to reproductive cancer. The bad news is that the psychological effects of DES exposure, such as <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20332145\" target=\"_blank\" rel=\"noopener noreferrer\">a\u011f\u0131r depresyon<\/a>, daha da k\u00f6t\u00fc olabilir.<\/p>\n<p>&nbsp;<\/p>\n<h3>Tazminat Talepleri<\/h3>\n<p>Because the DES exposure occurred so many years ago, one would think that these cases would be difficult to prove. But two plaintiff-friendly legal rules make the process much easier.<\/p>\n<p>One is the <a href=\"http:\/\/scholarship.law.missouri.edu\/cgi\/viewcontent.cgi?article=1187&amp;context=facpubs\" target=\"_blank\" rel=\"noopener noreferrer\">pazar pay\u0131 y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc<\/a> doctrine. This rule is now widely used in products liability cases but was actually conceived in a DES daughters case. In most of these cases, the victim\/plaintiff names several potential defendants but, through no fault of his or her own, the victim\/plaintiff cannot identify the actual tortfeasor (company which sold DES to the victim\/plaintiff\u2019s mother). If a substantial share of the possibly responsible companies are named in the lawsuit and the jury awards damages, each defendant is responsible for a share of damages based on its market share at the time the drug was sold.<\/p>\n<p>Another key doctrine is the <a href=\"http:\/\/digitalcommons.law.scu.edu\/cgi\/viewcontent.cgi?article=1930&amp;context=lawreview\" target=\"_blank\" rel=\"noopener noreferrer\">ke\u015fif kural\u0131<\/a>. This principle states that the three-year statute of limitations is tolled (suspended) until the victim knows about the injury and has a plausible reason to connect that injury with someone else\u2019s negligence.<\/p>\n<p>Successful plaintiffs are normally entitled to compensatory damages for medical bills, lost wages, emotional distress, loss of enjoyment in life, and other consequential damages, as well as significant punitive damages which punish the tortfeasor\u2019s wrongful conduct and help deter others from doing the same thing.<\/p>\n<p>DES daughters must often deal with lifelong and\/or serious injuries. For a free consultation with a <a href=\"\/tr\/ilac-davasi\/\">ila\u00e7 dava avukat\u0131<\/a> New York&#039;ta, Napoli Shkolnik PLLC ile ileti\u015fime ge\u00e7in. Mesai saatleri d\u0131\u015f\u0131nda randevu al\u0131nabilir.<\/p>","protected":false},"excerpt":{"rendered":"<p>DES K\u0131zlar\u0131 ve Ciddi Yaralanma Doktorlar\u0131, bir zamanlar Dietilstilbestrol&#039;\u00fc hamilelik komplikasyonlar\u0131n\u0131n \u00e7o\u011funu neredeyse tamamen sona erdirebilecek mucize bir ila\u00e7 olarak g\u00f6r\u00fcyorlard\u0131, ancak her derde deva yerine, ...<\/p>","protected":false},"featured_media":0,"menu_order":61,"template":"","practiceareas_category":[743],"class_list":["post-5909","practiceareas","type-practiceareas","status-publish","hentry","practiceareas_category-pharmaceutical-litigation"],"acf":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/practiceareas\/5909","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/practiceareas"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/practiceareas"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/practiceareas\/5909\/revisions"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=5909"}],"wp:term":[{"taxonomy":"practiceareas_category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/practiceareas_category?post=5909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}