Eski\u015fehir \u00d6zel \u00dcmit Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dilek Ulusoy, gebelik \u00f6ncesi dan\u0131\u015fmanl\u0131\u011f\u0131 hakk\u0131nda bilgi verdi.<\/p>\n
\u201cGebelik \u00d6ncesi Dan\u0131\u015fmanl\u0131k\u201d kavram\u0131n\u0131; sa\u011fl\u0131kl\u0131 bir gebelik s\u00fcreci, sa\u011fl\u0131kl\u0131 bir anne, sa\u011fl\u0131kl\u0131 bir bebek elde etmek i\u00e7in gebe kalmadan \u00f6nce anne aday\u0131n\u0131 do\u011fru y\u00f6nlendirmek i\u00e7in verilen hizmet olarak tan\u0131mlayan Dr. Ulusoy, bu s\u00fcrecin en az gebe kalmadan 3 ay \u00f6ncesinde ba\u015flamas\u0131 gerekti\u011fini kaydetti. Op. Dr. Ulusoy, \u201cGebelik \u00f6ncesinde annede anemi, vitamin eksikli\u011fi, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olmayan a\u015f\u0131lar\u0131, kad\u0131n genital yolda yap\u0131sal bir patoloji gibi sorunlar\u0131n varl\u0131\u011f\u0131n\u0131n \u00f6nceden tespit ve tedavisi i\u00e7in 3 ay \u00f6nceden anne aday\u0131n\u0131 g\u00f6rmekte fayda var\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u0130LK MUAYENEDE NELER YAPILIYOR<\/p>\n
Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Ulusoy, gebelik \u00f6ncesi dan\u0131\u015fmanl\u0131kta yap\u0131lan muayeneleri ise a\u015fama a\u015fama \u015fu \u015fekilde anlatt\u0131:<\/p>\n
\u201c\u00d6ncelikle anne aday\u0131na bir vajinal muayene yap\u0131larak, rahim a\u011fz\u0131nda erezyon, anormal vaginal kanama, ak\u0131nt\u0131 varl\u0131\u011f\u0131 ara\u015ft\u0131r\u0131larak gerekli tedavi uygulan\u0131r. \u00d6zellikle smear denilen rahim a\u011fz\u0131 kanser tarama testi mutlaka yap\u0131lmas\u0131 laz\u0131m, \u00e7\u00fcnk\u00fc rahim a\u011fz\u0131 kanseri bin gebeden be\u015finde g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Bu nedenli gebelik olu\u015fmadan taramas\u0131n\u0131n yap\u0131lmas\u0131 ve varl\u0131\u011f\u0131 durumunda gebelik olu\u015fmadan tedavisinin yap\u0131lmas\u0131 \u00f6nemlidir. Ultrason yap\u0131larak rahimle alakal\u0131 gebeli\u011fe engel olabilecek ya da gebelik olu\u015ftu\u011fu takdirde bebe\u011fi ve anneyi s\u0131k\u0131nt\u0131ya sokabilecek bir problem olup olmad\u0131\u011f\u0131 ara\u015ft\u0131r\u0131l\u0131r. Yumurtal\u0131klar\u0131n de\u011ferlendirilerek gebeli\u011fe engel olabilecek herhangi bir kist\/kitle varl\u0131\u011f\u0131 ara\u015ft\u0131r\u0131l\u0131r.<\/p>\n
HORMON DE\u011eERLER\u0130 \u00d6NEML\u0130<\/p>\n
Hamilelik \u00f6ncesinde folik asit deste\u011fi \u00e7ok \u00f6nemli, buna da 3 ay \u00f6ncesinden ba\u015flamakta fayda var. Folik asit v\u00fccutta depolanmayan bir vitamin, \u00f6ncelikle annenin eksikli\u011fini tamamlamak gebe kal\u0131nd\u0131\u011f\u0131 takdirde bebe\u011fin ihtiyac\u0131n\u0131 anneden kar\u015f\u0131layabilmesi i\u00e7in \u00f6nemlidir. Troid bezindeki hormonal dengesizlikler gebelikte \u00e7ok \u00f6nemlidir, \u00e7\u00fcnk\u00fc bebek ilk \u00fc\u00e7 ayda kendi hormonunu \u00fcretemiyor ve anneden al\u0131yor. E\u011fer annede hipotroidi mevcutsa bebe\u011fe ge\u00e7en hormon yetersizli\u011finde bebe\u011fin mental\/motor geli\u015fiminde gerilikler g\u00f6r\u00fclebiliyor, onun i\u00e7in gebe kalmadan \u00f6nce hormon de\u011ferlerinin istenilen seviyeye \u00e7ekilmesi \u00e7ok \u00f6nemlidir.\u201d<\/p>\n
\u015eEKER \u00d6L\u00c7\u00dcM\u00dc<\/p>\n
Kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fcn\u00fcn de \u00e7ok \u00f6nemli oldu\u011funu vurgulayan Kad\u0131n Hastal\u0131klar\u0131 ve Kad\u0131n Do\u011fum Uzman\u0131 Dilek Ulusoy, \u201cBir gebe aday\u0131n\u0131n, daha \u00f6nceki gebeli\u011finde \u015feker hastal\u0131\u011f\u0131, ailede \u015feker hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc gibi sorgulanmal\u0131 gerekli g\u00f6r\u00fcl\u00fcrse gebelik \u00f6ncesi \u015feker testi yap\u0131lmal\u0131d\u0131r. Annenin kilosu \u00e7ok \u00f6nemli, BMI >25 olan kad\u0131nlarda gebelikte \u015feker hastal\u0131\u011f\u0131, hipertansiyon geli\u015fme ihtimali art\u0131yor\u201d dedi.<\/p>\n
HEPAT\u0130T B<\/p>\n
Dr. Ulusoy, \u201cAnne aday\u0131nda Hepatit B antikor d\u00fczeylerine bak\u0131yoruz yeterli de\u011fil ise gebe kalmadan \u00f6nce ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 sa\u011flamak i\u00e7in a\u015f\u0131lanmas\u0131n\u0131 \u00f6neriyoruz. Hebatit B a\u015f\u0131s\u0131 gebelikte de yap\u0131labilen bir a\u015f\u0131 ama gebe kalmadan \u00f6nce a\u015f\u0131lar\u0131n\u0131 tamamlarsa gebelikte b\u00f6yle bir korku olmaz. Anne gebelik esnas\u0131nda Hebatit B ile enfekte olursa do\u011fum esnas\u0131nda bu bebe\u011fe ge\u00e7i\u015f g\u00f6sterirse bebekte ciddi karaci\u011fer rahats\u0131zl\u0131klar\u0131na sebep olabilir. Babada hepatit B ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131 var ise bir risk fakt\u00f6r\u00fc olarak g\u00f6r\u00fcl\u00fcr ve anne gebelik esnas\u0131nda a\u015f\u0131lanabilir\u201d ifadelerini kulland\u0131.<\/p>\n
KIZAMIK\u00c7IK (Rubella)<\/p>\n
Kad\u0131n hastal\u0131klar\u0131 ve Kad\u0131n Do\u011fum Uzman\u0131 Dilek Ulusoy, \u201cK\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak bunlar canl\u0131 a\u015f\u0131lar ve gebelik esnas\u0131nda mutlaka yap\u0131lmamas\u0131 ve ge\u00e7irilmemesi gereken hastal\u0131klard\u0131r. Canl\u0131 a\u015f\u0131 oldu\u011fu i\u00e7in gebe kalmadan 3 ay \u00f6ncesinde a\u015f\u0131lar\u0131n\u0131 tamamlamak laz\u0131m \u00e7\u00fcnk\u00fc bunlar gebelikte ge\u00e7irildi\u011fi takdirde bebe\u011fe \u00e7ok ciddi zarar verebilen rahats\u0131zl\u0131klard\u0131r. Anne aday\u0131n\u0131n e\u011fer ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 yok ise a\u015f\u0131lar\u0131n\u0131 tamaml\u0131yoruz\u201d diye konu\u015ftu.<\/p>\n
KAN UYU\u015eMAZLI\u011eI<\/p>\n
Gebelikte kan grubu ve kan uyu\u015fmazl\u0131\u011f\u0131n\u0131n da \u00f6nemli oldu\u011funu vurgulayan Ulusoy; \u201cAnne kan grubunun Rh negatif, baba kan grubunun:Rh pozitif oldu\u011fu durumlarda e\u011fer bebekte kan grubu pozitif olursa gebelik esnas\u0131nda herhangi bir kanama olur ve bebekten anneye bu kan h\u00fccreleri ge\u00e7erse, annenin v\u00fccudu bebe\u011fi yabanc\u0131 olarak alg\u0131lay\u0131p sava\u015f a\u00e7ar. B\u00f6yle durumlarla kar\u015f\u0131la\u015fmamak i\u00e7in gebe kalmadan \u00f6nce anne ve baba aday\u0131n\u0131n kan gruplar\u0131na bak\u0131l\u0131yor, uyu\u015fmazl\u0131\u011f\u0131 olanlarda gebelik esnas\u0131ndaki en ufak bir kanamada uyu\u015fmazl\u0131k i\u011fnesi yap\u0131l\u0131yor ki bebe\u011fe zarar vermesin\u201d dedi.<\/p>\n
EP\u0130LEPS\u0130 VE Y\u00dcKSEK TANS\u0130YON HASTALARI<\/p>\n
Epilepsi ve y\u00fcksek tansiyon hastalar\u0131n\u0131n do\u011fum \u00f6ncesinde neler yapmalar\u0131 gerekir sorusuna da yan\u0131tlayan Dr. Ulusoy, \u201cEpilepsi hastalar\u0131 hamile kalabiliyor ama kulland\u0131klar\u0131 ila\u00e7lar\u0131n \u00e7e\u015fitleri var bunlardan baz\u0131lar\u0131 gebelikte kullan\u0131ld\u0131\u011f\u0131 takdirde bebekte bir tak\u0131m hastal\u0131klara sebep olabiliyor. Doktoruna dan\u0131\u015farak ila\u00e7lar\u0131n de\u011fi\u015ftirilmesi \u00f6nerilebilir, gebelikte daha kullanabilir ila\u00e7lara ge\u00e7ilmesi sa\u011flanabilir. Tansiyon da \u00e7ok \u00f6nemli e\u011fer gebelik \u00f6ncesinde kronik tansiyon rahats\u0131zl\u0131\u011f\u0131 var ise tansiyonun d\u00fczenlenmesi gerekir. Bu nedenle gebelik \u00f6ncesi kardiyoloji doktoru taraf\u0131ndan bir muayene \u00f6neriyoruz\u201d \u015feklinde konu\u015ftu.<\/p>\n
GEBEL\u0130K \u00d6NCES\u0130 DANI\u015eMANLI\u011eIN \u00d6NEM\u0130<\/p>\n
Ulusoy konu\u015fmas\u0131n\u0131 \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc; “Do\u011furganl\u0131k \u00e7a\u011f\u0131ndaki t\u00fcm kad\u0131nlarda sa\u011fl\u0131\u011f\u0131 geli\u015ftirici rutin aktiviteler kad\u0131nlar\u0131n gebelik planlar\u0131n\u0131n saptanmas\u0131yla ba\u015flanmal\u0131d\u0131r. Gebelik \u00f6ncesi bak\u0131m vermenin mant\u0131\u011f\u0131 birincil koruma uygulayabilmektir; yani ana \u00e7ocuk sa\u011fl\u0131\u011f\u0131n\u0131 etkileyebilecek olumsuzluklar\u0131 ortadan kald\u0131rmak veya m\u00fcmk\u00fcn olan en az d\u00fczeye indirmek yoluyla gebeli\u011fe ili\u015fkin sorunlar\u0131 \u00f6nlemek\/ azaltmak ve dolay\u0131s\u0131yla annenin\/bebe\u011fin daha sa\u011fl\u0131kl\u0131 olmas\u0131n\u0131n ba\u015farmakt\u0131r. “<\/p>\n","protected":false},"excerpt":{"rendered":"
ESK\u0130\u015eEH\u0130R \u00d6ZEL \u00dcM\u0130T HASTANES\u0130 KADIN HASTALIKLARI VE DO\u011eUM UZMANI D\u0130LEK ULUSOY<\/p>\n","protected":false},"author":1,"featured_media":129360,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[4119,5582,7319,6732,30143,15813],"class_list":["post-129359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-adaylari","tag-anne","tag-gebe","tag-isteyen","tag-kalmak","tag-yapmali"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/gebe-kalmak-isteyen-anne-adaylari-ne-yapmali_306d976.jpg?fit=705%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-xEr","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/129359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=129359"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/129359\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/129360"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=129359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=129359"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=129359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}