Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Opr. Dr. Evin Nil U\u011furlu, 35 ya\u015f\u0131n alt\u0131nda 1 y\u0131l, \u00fczerinde ise 6 ay d\u00fczenli beraberli\u011fe ra\u011fmen gebe kalamama durumunun k\u0131s\u0131rl\u0131k olarak tan\u0131mlanabilece\u011fini s\u00f6yledi.\u00a0
\n\u00d6zel Mersin Ortado\u011fu Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Opr. Dr. Evin Nil U\u011furlu, k\u0131s\u0131rl\u0131k s\u00fcrecini ve t\u00fcp bebek tedavisiyle ilgili bilgiler verdi. U\u011furlu, 35 ya\u015f\u0131n alt\u0131nda 1 y\u0131l, \u00fczerinde ise 6 ay d\u00fczenli beraberli\u011fe ra\u011fmen gebe kalamama durumunun k\u0131s\u0131rl\u0131k olarak tan\u0131mlanabilece\u011fini belirtti. U\u011furlu, k\u0131s\u0131rl\u0131\u011f\u0131n nedenlerini ise kad\u0131nlar i\u00e7in ileri ya\u015f ve d\u00fc\u015f\u00fck yumurtal\u0131k rezervi, t\u00fcplerin t\u0131kan\u0131k olmas\u0131, yumurtlama problemleri, erkekler i\u00e7in sperm say\u0131s\u0131, hareketlilik ve morfolojik bozukluklar olarak s\u0131ralad\u0131.\u00a0
\nK\u0131s\u0131rl\u0131\u011f\u0131n nedenini ortaya koymak i\u00e7in 4 temel test yap\u0131ld\u0131\u011f\u0131n\u0131 dile getiren U\u011furlu, \u201cAdetin 2. veya 3. g\u00fcn\u00fc USG incelemesi, adetin 2. veya 3. g\u00fcn\u00fc hormon tahlilleri, adet bitimden sonraki 2-3 g\u00fcn i\u00e7inde rahim filmi, 3 g\u00fcnl\u00fck cinsel perhiz sonras\u0131 baba aday\u0131na sperm analizi yap\u0131lmas\u0131. Bu testlerin sonu\u00e7lar\u0131na g\u00f6re infertilite nedenini ortaya koyabilirsek ona g\u00f6re tedavi planl\u0131yoruz. Ama yakla\u015f\u0131k y\u00fczde 15 hastada tetkikler normal \u00e7\u0131k\u0131yor ve ‘a\u00e7\u0131klanamayan infertilite’ tan\u0131s\u0131 koyuyoruz\u201d dedi.\u00a0<\/p>\n
K\u0131s\u0131rl\u0131\u011f\u0131n tedavisine ili\u015fkin bilgiler de veren U\u011furlu, \u201cTedavide infertilite nedenine, hastan\u0131n ya\u015f\u0131na ve \u00f6nceki tedavilere g\u00f6re yumurtlama tedavisi, a\u015f\u0131lama, t\u00fcp bebek ve mikroenjeksiyon tedavileri, tedavi \u00f6ncesi genetik testlerin uygulanmas\u0131 gibi se\u00e7enekler mevcuttur. Erke\u011fe ait infertilitede, problemin derecesine g\u00f6re hafif d\u00fczeylerdeki bozukluklarda a\u015f\u0131lama tedavisi, ileri seviyelerde t\u00fcp bebek, daha da ciddi seviyelerdeki problemlerde ise t\u00fcp bebek ve ICSI, yani spermin laboratuar ortam\u0131nda direk olarak yumurta h\u00fccresine enjekte edilmesi tedavileri uygulanmaktad\u0131r. E\u011fer menide sperme rastlanamazsa cerrahi giri\u015fimle \u00fcreme kanallar\u0131ndan sperm al\u0131nmas\u0131 gerekebilir. Kad\u0131nlarda ise ileri kad\u0131n ya\u015f\u0131 veya over rezervlerinin azald\u0131\u011f\u0131 durumlarda t\u00fcp bebek tedavisi tercih edilmektedir. Yumurtlama probleminde de ilk olarak yumurtlama tedavisi tercih ediyoruz. Hap veya i\u011fne tedavileri ile yumurtal\u0131klar\u0131 uyar\u0131p, sonra \u00e7atlatma i\u011fnesi ile ovulasyonu (yumurtlama ) tetikliyor ve ya zamanl\u0131 ili\u015fki \u00f6neriyor ya da a\u015f\u0131lamay\u0131 da tedaviye ekliyoruz. T\u00fcplerde t\u0131kan\u0131kl\u0131k varsa ya mikrocerrahi teknikleri ile t\u00fcpleri a\u00e7\u0131yor ya da t\u00fcp bebek tedavisi uyguluyoruz. A\u00e7\u0131klanamayan infertilitede ise \u00f6nce yumurtlama tedavisi+a\u015f\u0131lama, bununla sonu\u00e7 al\u0131namazsa t\u00fcp bebek tedavilerine ge\u00e7iyoruz\u201d ifadelerini kulland\u0131.
\n\u00a0
\n\u0130nfertilite tedavisinde yumurtlama ve a\u015f\u0131lamada sonu\u00e7 al\u0131namay\u0131nca t\u00fcp bebe\u011fe ba\u015fvurduklar\u0131n\u0131 belirten U\u011furlu, \u015f\u00f6yle devam etti; “T\u00fcp bebek tedavisi, \u00e7e\u015fitli sebeplerle gebe kalamayan \u00e7iftlere veya baz\u0131 genetik hastal\u0131klar\u0131n ta\u015f\u0131y\u0131c\u0131s\u0131 \u00e7iftlerin sa\u011fl\u0131kl\u0131 bebek sahibi olabilmeleri i\u00e7in uygulanan bir dizi prosed\u00fcrden olu\u015fur. Tedavi \u00f6ncesi de\u011ferlendirmeler yap\u0131ld\u0131ktan sonra kad\u0131na mevcut yumurtalar\u0131 artt\u0131rmaya y\u00f6nelik ila\u00e7 tedavisi verilir ve belli bir b\u00fcy\u00fckl\u00fc\u011fe ula\u015f\u0131nca bu yumurtalar vajinal yolla toplan\u0131r. E\u015ften al\u0131nan spermlerle laboratuar ortam\u0131nda d\u00f6llenip kad\u0131n\u0131n rahmine yerle\u015ftirilir. T\u00fcp bebekte ba\u015far\u0131 bir\u00e7ok fakt\u00f6re ba\u011fl\u0131d\u0131r. Ama en \u00f6nemlisi kad\u0131n\u0131n ya\u015f\u0131d\u0131r. O y\u00fczden 1 y\u0131l d\u00fczenli beraberli\u011fe ra\u011fmen gebe kalam\u0131yorsan\u0131z vakit ge\u00e7irmeden hekiminize ba\u015fvurun. Ya\u015f\u0131n\u0131z 35\u2019i ge\u00e7tiyse 6 ay bekleyin. Ama adetleriniz d\u00fczensiz ise 2-3 ayda bir adet oluyorsan\u0131z hi\u00e7 beklemeyin.\u201d\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Opr. Dr. Evin Nil U\u011furlu, 35 ya\u015f\u0131n alt\u0131nda 1 y\u0131l, \u00fczerinde ise 6 ay d\u00fczenli beraberli\u011fe ra\u011fmen gebe kalamama durumunun k\u0131s\u0131rl\u0131k olarak tan\u0131mlanabilece\u011fini s\u00f6yledi.\u00a0 \u00d6zel … Devam\u0131n\u0131 Oku…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/2798"}],"collection":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2798"}],"version-history":[{"count":0,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/2798\/revisions"}],"wp:attachment":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}