Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. \u00d6zlem Kayac\u0131k G\u00fcnday, t\u00fcp bebek tedavisinde hastan\u0131n rahats\u0131zl\u0131\u011f\u0131na g\u00f6re tedaviler geli\u015ftirildi\u011fini s\u00f6yledi.<\/p>\n
Medicana Konya Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. \u00d6zlem Kayac\u0131k G\u00fcnday, t\u00fcp bebek tedavisinin ba\u015far\u0131l\u0131 olmas\u0131ndaki en \u00f6nemli iki \u015feyin sa\u011fl\u0131kl\u0131 embriyolar elde edilip, bu embriyolar\u0131n rahme tutunmas\u0131n\u0131 oldu\u011funu belirterek, “Bu iki a\u015famada ba\u015far\u0131y\u0131 etkileyen iki durum s\u00f6z konusu. Sa\u011fl\u0131kl\u0131 embriyolar\u0131 elde ediyoruz baz\u0131 hastalarda fakat implant\u0131 olmuyor yani gebelik devam ediyor veya implant\u0131 olduktan sonra d\u00fc\u015f\u00fckle sonu\u00e7lanabiliyor. O y\u00fczden sa\u011fl\u0131kl\u0131 embriyonun elde edilmesinde bir kaliteli yumurta ve kaliteli spermin elde edilmesi gerekiyor. Sperm i\u00e7in de micro tese dedi\u011fimiz testisten biyopsiyle \u00e7ok az miktarda olsa bile sperm elde edilip bu spermlerin en kalitelisi se\u00e7ilip intrasitoplazmik ICSI veya IMSI dedi\u011fimiz y\u00f6ntemle enjeksiyon yap\u0131larak sa\u011fl\u0131kl\u0131 embriyo elde etmek m\u00fcmk\u00fcn\u201d dedi.<\/p>\n
Anne ya\u015f\u0131n\u0131n ilerledi\u011finde yumurta kalitesinin d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc de belirten Op. Dr. G\u00fcnday, “Dolay\u0131s\u0131yla yumurta kalitesini artt\u0131racak y\u00f6ntemler \u015fu anda hen\u00fcz yok. Bununla ilgili \u00e7al\u0131\u015fmalar var. \u00d6n\u00fcm\u00fczdeki zamanlarda yumurtalar\u0131n d\u0131\u015far\u0131da mat\u00fcre edilmesi konusunda da \u00e7ok \u00e7al\u0131\u015fmalar var. Tabi buradaki tedavilerin g\u00fczelli\u011fi \u015fu; hastaya hi\u00e7bir \u015fekilde ila\u00e7 enjeksiyonu yap\u0131lm\u0131yor. Bunlar g\u00fcndemde olan tedaviler. Tabii ki rutin de\u011fil. \u00d6zellikle \u00e7ok ba\u015far\u0131s\u0131z tedaviler g\u00f6rm\u00fc\u015f hastalarda rutinde kan\u0131tlanmam\u0131\u015f fakat hastaya uygun g\u00f6r\u00fclm\u00fc\u015f bir tak\u0131m tedavilerde m\u00fcmk\u00fcn. Yine son d\u00f6nemde endometrial reseptivite ile ilgili oradaki endometrium dokusunun \u00e7\u0131kar\u0131ld\u0131ktan sonra bak\u0131l\u0131p embriyo ile uygunlu\u011funun test edilip ona g\u00f6re en uygun transferin yap\u0131ld\u0131\u011f\u0131 y\u00f6ntemlerde geli\u015ftirildi. Belki her hastaya de\u011fil ama uygun hastalarda \u00f6zellikle \u00e7ok ba\u015far\u0131s\u0131zl\u0131k ya\u015fam\u0131\u015f hastalarda bu tip tedaviler m\u00fcmk\u00fcn. \u00c7\u00fcnk\u00fc hala implantasyonla ilgili \u00e7ok ara\u015ft\u0131rma var. Neden baz\u0131 \u00e7ok sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcnen embriyolar implante olam\u0131yor. Rahime yap\u0131\u015f\u0131p gebelik neden devam ettiremiyor. Tabii bizim de en \u00e7ok \u00e7\u00f6z\u00fcms\u00fcz kald\u0131\u011f\u0131m\u0131z hastalar bunlar. \u00c7\u00fcnk\u00fc her \u015fey \u00e7ok g\u00fczel gidiyor, embriyolar \u00e7ok sa\u011fl\u0131kl\u0131 ama implante olmuyor. Bununla ilgili pek \u00e7ok molek\u00fcl devrede, hala ara\u015ft\u0131rma safhas\u0131nda ve her ge\u00e7en g\u00fcn yeni molek\u00fcller ke\u015ffediliyor. Dolay\u0131s\u0131yla bu tarz hastalarda da bir tak\u0131m y\u00f6ntemler uyguluyoruz” dedi.<\/p>\n
Op. Dr. \u00d6zlem Kayac\u0131k G\u00fcnday, “Endometrial Scratching dedi\u011fimiz endometrium \u00e7izilmesi, implantasyonu artt\u0131rmak i\u00e7in yap\u0131l\u0131yor. Keza ileri ya\u015f kad\u0131nlarda \u00f6zellikle assisted hatching dedi\u011fimiz yumurta kabu\u011funun zar\u0131n\u0131n kal\u0131n oldu\u011fu kad\u0131nlarda lazerle oraya bir veya iki delik a\u00e7\u0131l\u0131yor. Bu \u015fekilde embriyonun uterusa yap\u0131\u015fma ihtimalini artt\u0131rarak ba\u015far\u0131 \u015fans\u0131n\u0131 artt\u0131racak bir tak\u0131m y\u00f6ntemler mevcut. Bir de uzak do\u011fu \u00fclkelerinde \u00f6zellikle \u00c7in\u2019de akupunktur gibi stresli hastalar\u0131n fayda g\u00f6rd\u00fc\u011f\u00fc \u00e7al\u0131\u015fmalar mevcut. Dolay\u0131s\u0131yla t\u00fcp bebek tedavisinde hastaya g\u00f6re ve bireyselle\u015ftirilmi\u015f tedavinin \u00f6n planda oldu\u011funu, \u00f6zellikle kad\u0131n ya\u015f\u0131n\u0131n hala en \u00f6nemli fakt\u00f6r oldu\u011funu buradan vurgulam\u0131\u015f olal\u0131m\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI OP. DR. \u00d6ZLEM KAYACIK G\u00dcNDAY, T\u00dcP BEBEK TEDAV\u0130S\u0130NDE HASTANIN RAHATSIZLI\u011eINA G\u00d6RE TEDAV\u0130LER GEL\u0130\u015eT\u0130R\u0130LD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":161297,"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":[2123,37893,279,4020,12135,4589,15213,17415,32512,37894,8953,3966],"class_list":["post-161296","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bebek","tag-bireysellestirilmis","tag-dr","tag-gore","tag-gunday","tag-hastaya","tag-on","tag-op","tag-planda","tag-tedaviler","tag-tedavisinde","tag-tup"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/op-dr-gunday-tup-bebek-tedavisinde-hastaya-gore-bireysellestirilmis-tedaviler-on-planda_0b002bc.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-FXy","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/161296","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=161296"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/161296\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/161297"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=161296"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=161296"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=161296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}