{"id":162609,"date":"2015-11-26T16:25:00","date_gmt":"2015-11-26T14:25:00","guid":{"rendered":"http:\/\/www.erzurumflas.com\/tup-bebekte-basariyi-etkileyen-faktorler\/"},"modified":"2015-11-26T16:25:02","modified_gmt":"2015-11-26T14:25:02","slug":"tup-bebekte-basariyi-etkileyen-faktorler","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=162609","title":{"rendered":"T\u00fcp Bebekte Ba\u015far\u0131y\u0131 Etkileyen Fakt\u00f6rler"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/tup-bebekte-basariyi-etkileyen-faktorler_284b743.jpg\" width=\"600\">T\u00fcp bebek tedavisinde ba\u015far\u0131y\u0131 etkileyen fakt\u00f6rlerin ba\u015f\u0131nda kad\u0131n ya\u015f\u0131 ve yumurtal\u0131k rezervi geliyor. Ancak tedavide ba\u015far\u0131y\u0131 etkileyen fakt\u00f6rler bununla s\u0131n\u0131rl\u0131 kalm\u0131yor. Rahim do\u011fu\u015ftan anormallikleri, k\u0131s\u0131rl\u0131k ve gebelik kayb\u0131 sebebine yol a\u00e7an rahmin i\u00e7 tabakas\u0131nda ki rahats\u0131zl\u0131klar ve rahim i\u00e7i yap\u0131\u015f\u0131kl\u0131klar\u0131 t\u00fcp bebek tedavisinde olumsuz sonu\u00e7 al\u0131nmas\u0131na b\u00fcy\u00fck etki ediyor.<\/p>\n<p>Bah\u00e7eci Sa\u011fl\u0131k Grubu doktorlar\u0131ndan Op. Dr. M\u00fcstecep Kavrut, t\u00fcp bebek y\u00f6nteminde tedavi kadar tedavi \u00f6ncesindeki s\u00fcre\u00e7in de b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirterek, \u201cT\u00fcp bebek tedavisinde ba\u015far\u0131y\u0131 etkileyen rahme ve t\u00fcplere ait patolojilerin bir\u00e7o\u011funa tan\u0131 koymak ve d\u00fczeltmek olabiliyor.  Detayl\u0131 bir anamnez  (hasta hik\u00e2yesi), jinekolojik muayene ve ultrasonografi ile rahim filmi bunlar\u0131n tan\u0131s\u0131n\u0131 koymada \u00e7o\u011fu zaman yeterli oluyor\u201d dedi.<\/p>\n<p>T\u00fcp bebek tedavisinde ba\u015far\u0131y\u0131 etkileyen fakt\u00f6rlere de\u011finen Op.Dr. Kavrut,  rahim sorunlar\u0131n\u0131 dikkat \u00e7ekti. Op. Dr. Kavrut, \u201cKad\u0131n rahmi embriyonik d\u00f6nemde iki ayr\u0131 kanal\u0131n (paramezonefrik kanallar) birle\u015fmesi ile olu\u015fur. Birle\u015fme a\u015fa\u011f\u0131dan yukar\u0131 do\u011fru olur. Birle\u015fme tamamland\u0131ktan sonra ortadaki b\u00f6l\u00fcm rezorbe olarak, yani eriyerek kaybolur. Birle\u015fme s\u0131ras\u0131nda bir problem olur, birle\u015fme ger\u00e7ekle\u015femezse \u00e7ift rahim denilen uterus didelfis veya bicornuat uterus denilen \u00e7ift boynuzlu rahim g\u00f6r\u00fcl\u00fcr. Ayr\u0131\u015fmada bir duraklama olur ve perde erimezse septum denilen rahim perdesi g\u00f6zlenir. Bunun yan\u0131nda kanallardan biri geli\u015fmezse tek boynuzlu rahim yani Unicornuat uterus olu\u015fur Do\u011fumsal rahim anormalliklerinden septum denilen perdelerin cerrahi olarak d\u00fczeltilmesinin t\u00fcp bebek tedavisinde ba\u015far\u0131y\u0131 art\u0131rd\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir\u201d diyerek rahmin do\u011fu\u015ftan anormallikleri tedavisini \u00f6zetledi.<\/p>\n<p>Rahim i\u00e7indeki kar\u015f\u0131l\u0131kl\u0131 y\u00fczeyler aras\u0131ndaki yap\u0131\u015f\u0131kl\u0131klar, t\u00fcp bebekte ba\u015far\u0131 \u015fans\u0131n\u0131 d\u00fc\u015f\u00fcren dikkat edilmesi gereken di\u011fer fakt\u00f6rlerden biri. Nadiren t\u00fcm rahim i\u00e7inin kapand\u0131\u011f\u0131 rahim i\u00e7 katmanlar\u0131n\u0131n tamamen birbirine yap\u0131\u015ft\u0131\u011f\u0131 durumlarda adet kanamalar\u0131 kesilebiliyor.  Rahim i\u00e7i yap\u0131\u015f\u0131kl\u0131klar genellikle bir ameliyat, k\u00fcrtaj veya enfeksiyona ba\u011fl\u0131 olarak olu\u015fuyorlar.  K\u0131s\u0131rl\u0131k, gebelik kayb\u0131 veya t\u00fcp bebek tedavisinde ba\u015far\u0131s\u0131zl\u0131\u011fa yol a\u00e7abiliyorlar. Tekrarlayan t\u00fcp bebek ba\u015far\u0131s\u0131zl\u0131\u011f\u0131 olan olgularda ultrason ve rahim filmi ile veya histeroskopik olarak rahim i\u00e7inin kontrol edilmesi gerekli olabilir.<\/p>\n<p>Serviks yani rahim a\u011fz\u0131 patolojileri k\u0131s\u0131rl\u0131\u011fa ve tekrarlayan gebelik kayb\u0131na yol a\u00e7abiliyor. Serviksin normalden k\u0131sa olmas\u0131 veya ba\u011f doku zay\u0131fl\u0131\u011f\u0131na ba\u011fl\u0131 gev\u015fek olmas\u0131 halinde rahim a\u011fz\u0131 yetmezli\u011fi olu\u015fur ve bu durum tekrarlayan gebelik kay\u0131plar\u0131na yol a\u00e7arak k\u0131s\u0131rl\u0131\u011fa sebep olabiliyor. Tan\u0131da ve takipte bu t\u00fcr olgularda gebelik s\u0131ras\u0131nda s\u0131k s\u0131k ultrason ile rahim boyu ve a\u00e7\u0131kl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc yapmak, rahim a\u011fz\u0131 enfeksiyonu y\u00f6n\u00fcnden yak\u0131n takip etmenin gereklili\u011fini belirten Op. Dr. Kavrut, \u201cRahim a\u011fz\u0131nda polip, miyom veya yap\u0131\u015f\u0131kl\u0131k olmas\u0131 durumunda sperm ge\u00e7i\u015fine engel olarak k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilir. T\u00fcp bebek tedavisi s\u0131ras\u0131nda embriyo transferinde zorluk sebebi olabilir. Tespiti halinde cerrahi olarak tedavi edilmeleri \u00f6nerilir. Ge\u00e7mi\u015fte daha \u00e7ok \u00fczerinde durulan bir konu ise ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ve buna ba\u011fl\u0131 rahim a\u011fz\u0131n\u0131n sperm ge\u00e7i\u015fine engel olmas\u0131d\u0131r. Bu durumlarda a\u015f\u0131lama veya t\u00fcp bebek tedavisi ile rahim a\u011fz\u0131 ve kanal\u0131 bypass edilmektedir. D\u00fc\u015f\u00fck doz steroid kullan\u0131m\u0131n\u0131 ile ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bask\u0131lanmas\u0131n\u0131n t\u00fcp bebek tedavi ba\u015far\u0131s\u0131n\u0131 art\u0131raca\u011f\u0131 ifade edilmektedir\u201d diyerek, hastalar\u0131 tedavi \u00f6ncesinde dikkat edilmesi konusunda uyard\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>BAH\u00c7EC\u0130 SA\u011eLIK GRUBU DOKTORLARINDAN OP. DR. M\u00dcSTECEP KAVRUT, T\u00dcP BEBEK Y\u00d6NTEM\u0130NDE TEDAV\u0130 KADAR TEDAV\u0130 \u00d6NCES\u0130NDEK\u0130 S\u00dcRE\u00c7\u0130N DE B\u00dcY\u00dcK \u00d6NEM TA\u015eIDI\u011eINI BEL\u0130RTEREK, \u201cT\u00dcP BEBEK TEDAV\u0130S\u0130NDE BA\u015eARIYI ETK\u0130LEYEN RAHME VE T\u00dcPLERE A\u0130T PATOLOJ\u0130LER\u0130N B\u0130R\u00c7O\u011eUNA TANI KOYMAK VE D\u00dcZELTMEK OLAB\u0130L\u0130YOR.  DETAYLI B\u0130R ANAMNEZ  (HASTA H\u0130K\u00c2YES\u0130), J\u0130NEKOLOJ\u0130K MUAYENE VE ULTRASONOGRAF\u0130 \u0130LE RAH\u0130M F\u0130LM\u0130 BUNLARIN TANISINI KOYMADA \u00c7O\u011eU ZAMAN YETERL\u0130 OLUYOR\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[17139,19393,22186,29915,12518],"class_list":["post-162609","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-basariyi","tag-bebekte","tag-etkileyen","tag-faktorler","tag-tup"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/162609","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=162609"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/162609\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=162609"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=162609"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=162609"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}