Epidural analjezi (a\u011fr\u0131s\u0131z do\u011fum) hakk\u0131nda bilgiler veren Anestezi ve Reanimasyon Uzm. Dr. Pelin Delia\u011fa, i\u015flemin uyguland\u0131\u011f\u0131 anne aday\u0131n\u0131n ila\u00e7 etkin olmaya ba\u015flad\u0131ktan sonra hasta hareket edebildi\u011fini ve yerinden kalkarak oda i\u00e7inde dola\u015fabildi\u011fini s\u00f6yledi. Lokal anestezik ila\u00e7lar\u0131n anne s\u00fct\u00fcne etki edip etmeyece\u011fi konusunda da a\u00e7\u0131klamalarda bulunan Delia\u011fa, \u201cEpidural analjezi hem anne hem de bebe\u011fe herhangi bir zarar vermedi\u011fi gibi annenin s\u00fct\u00fcne de ge\u00e7memektedir\u201d dedi.<\/p>\n
Memorial Antalya Hastanesi Anestezi ve Reanimasyon Uzm. Dr. Pelin Delia\u011fa, epidural analjezi ile a\u011fr\u0131s\u0131z do\u011fum hakk\u0131nda bilgi verdi. Epidural analjezi ile a\u011fr\u0131s\u0131z do\u011fal do\u011fumun etkin, g\u00fcvenli ve kolay uygulanabilir bir y\u00f6ntem oldu\u011funu ifade eden Delia\u011fa, bu y\u00f6ntemle do\u011fum yapmaya karar veren anne aday\u0131na \u00f6ncelikle baz\u0131 kan testleri yap\u0131lmas\u0131 gerekti\u011fine dikkat \u00e7ekti. Delia\u011fa, sonu\u00e7larda bir anormallik saptanmamas\u0131 sonucu anestezi uzman\u0131 ile kad\u0131n do\u011fum uzman\u0131 kataterin tak\u0131lma zaman\u0131na karar verdi\u011fini dile getirdi.<\/p>\n
“Hareketsiz durmas\u0131 \u00e7ok \u00f6nemlidir\u201d<\/p>\n
Uzm. Dr. Pelin Delia\u011fa \u015f\u00f6yle devam etti:<\/p>\n
\u201cEpidural analjezi anne aday\u0131n\u0131n s\u0131rt b\u00f6lgesine steril ameliyathane ko\u015fullar\u0131nda bir i\u011fne yard\u0131m\u0131yla epidural katater denilen yumu\u015fak ve olduk\u00e7a ince, sondaya benzeyen bir aparat yerle\u015ftirilir. Katater tak\u0131lmas\u0131 i\u015flemi yakla\u015f\u0131k 10 dakika s\u00fcrer. Hastan\u0131n kendisine tarif edilen pozisyonu almas\u0131 ve i\u015flem s\u0131ras\u0131nda m\u00fcmk\u00fcn oldu\u011funca hareketsiz durmas\u0131 \u00e7ok \u00f6nemlidir\u201d.<\/p>\n
\u201cAnne aday\u0131 sadece bask\u0131 duyusu hisseder\u201d<\/p>\n
\u0130\u015flem uyguland\u0131ktan sonraki s\u00fcreci ele alan Delia\u011fa, \u201c\u0130\u015flem uyguland\u0131ktan sonra anne aday\u0131 yeniden odas\u0131na g\u00f6t\u00fcr\u00fcl\u00fcr. Bu s\u0131rada tak\u0131lan kataterin a\u011fr\u0131 pompas\u0131 yard\u0131m\u0131yla lokal anestezik ila\u00e7lar verilmeye ba\u015flan\u0131r. Anestezi etkisini yakla\u015f\u0131k 30 dakika i\u00e7inde g\u00f6stermeye ba\u015flar. \u0130la\u00e7 etkin olmaya ba\u015flad\u0131ktan sonra hasta hareket edebilir ve yerinden kalkarak oda i\u00e7inde dola\u015fabilir. Bu a\u015famada anne aday\u0131 sadece bask\u0131 duyusu hisseder\u201d dedi.<\/p>\n
Epidural i\u015flem sonras\u0131nda bel a\u011fr\u0131s\u0131n\u0131n g\u00f6r\u00fclebilece\u011fini \u00f6ng\u00f6ren Delia\u011fa, yap\u0131lan enjeksiyona ba\u011fl\u0131 olarak geli\u015fen bu durumun her enjeksiyondan sonra kar\u015f\u0131la\u015f\u0131lan lokal bir a\u011fr\u0131 oldu\u011funu vurgulad\u0131. Delia\u011fa, \u201cB\u00f6lgeye yap\u0131lan s\u0131cak uygulama, kas gev\u015fetici kremler ve jeller ile kolayca a\u011fr\u0131 giderilebilir. Nadir olarak ba\u015f a\u011fr\u0131s\u0131, enjeksiyon yerinde enfeksiyon, blo\u011fun tam olmamas\u0131 gibi sorunlarla da kar\u015f\u0131la\u015f\u0131labilir. Bu durumlarda mutlaka anestezi uzman\u0131na ba\u015fvurulmal\u0131d\u0131r\u201d diye konu\u015ftu.<\/p>\n
\u201cAnnenin s\u00fct\u00fcne ge\u00e7memektedir\u201d<\/p>\n
Lokal anestezik ila\u00e7lar\u0131n anne s\u00fct\u00fcne etki edip etmeyece\u011fi hakk\u0131nda bilgilendirmelerde de bulunan Delia\u011fa, \u201cBu ila\u00e7lar hem anne hem de bebe\u011fe herhangi bir zarar vermedi\u011fi gibi annenin s\u00fct\u00fcne de ge\u00e7memektedir. Do\u011fum sonras\u0131 anne tamamen uyan\u0131k olur ve \u015fuur durumunda da bir de\u011fi\u015fiklik olmaz. Epidural analjezi sayesinde anne ile bebek ruhen ve bedenen stressiz bir ortamda birbirleriyle kar\u015f\u0131la\u015f\u0131r\u201d diye konu\u015ftu.<\/p>\n
Hangi durumdaki ki\u015filerin epidural analjezi ile do\u011fum yapamayaca\u011f\u0131n\u0131 a\u00e7\u0131klayan Uzm. Dr. Pelin Delia\u011fa \u015fu ifadeleri kulland\u0131:<\/p>\n
\u201cDo\u011fumun \u00e7ok ileri evresinde, art\u0131k uygulansa da fayda g\u00f6remeyecek durumda olmak, kanama p\u0131ht\u0131la\u015fma bozuklu\u011fu olmas\u0131, beyin t\u00fcm\u00f6r\u00fc varl\u0131\u011f\u0131, n\u00f6rolojik hastal\u0131klar, kan suland\u0131r\u0131c\u0131 ila\u00e7 kullan\u0131lmas\u0131, anne aday\u0131n\u0131n aktif kanamal\u0131 bir hastal\u0131\u011f\u0131n\u0131n olmas\u0131, d\u00fc\u015f\u00fck tansiyonla seyreden hastal\u0131k durumu\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"
EP\u0130DURAL ANALJEZ\u0130 (A\u011eRISIZ DO\u011eUM) HAKKINDA B\u0130LG\u0130LER VEREN ANESTEZ\u0130 VE REAN\u0130MASYON UZM. DR. PEL\u0130N DEL\u0130A\u011eA, \u0130\u015eLEM\u0130N UYGULANDI\u011eI ANNE ADAYININ \u0130LA\u00c7 ETK\u0130N OLMAYA BA\u015eLADIKTAN SONRA HASTA HAREKET EDEB\u0130LD\u0130\u011e\u0130N\u0130 VE YER\u0130NDEN KALKARAK ODA \u0130\u00c7\u0130NDE DOLA\u015eAB\u0130LD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":150188,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_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}},"categories":[1],"tags":[33800,33801,17924,33799,279,33803,33802,11327],"class_list":["post-150187","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-epidural","tag-analjezi","tag-annenin","tag-deliaga","tag-dr","tag-gecmemektedir","tag-sutune","tag-uzm"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/uzm-dr-deliaga-epidural-analjezi-annenin-sutune-gecmemektedir_e891d78.jpg?fit=1000%2C667","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-D4n","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/150187","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=150187"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/150187\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/150188"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=150187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=150187"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=150187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}