Kalp sa\u011fl\u0131\u011f\u0131 sorunu ya\u015fayana ki\u015filerin gebelik ya\u015famas\u0131 ile birlikte ya\u015fanan s\u00fcre\u00e7 hakk\u0131nda bilgi verirken, gebelik d\u00f6neminde kalp ve damar sisteminde fizyolojik de\u011fi\u015fiklikler olabilece\u011fini belirten Uzm. Dr. Belma Yaman, kalp hastas\u0131 olmayan ki\u015filerin sadece y\u00fczde 1\u2019inde gebelik d\u00f6neminde kalp hastal\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti.<\/p>\n
Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi Kardiyoloji Anabilim Dal\u0131 Uzman\u0131 Gebelik d\u00f6neminde anne adaylar\u0131n\u0131n kalp ve damar sisteminde fizyolojik de\u011fi\u015fikliklere ba\u011fl\u0131 olarak nefes darl\u0131\u011f\u0131 ve \u00e7arp\u0131nt\u0131 gibi semptom sorunu ya\u015fayabilece\u011fini s\u00f6yleyen Uzm. Dr. Belma Yaman, v\u00fccutta olu\u015fan bu de\u011fi\u015fikliklerin kalple ilgili baz\u0131 hastal\u0131klar\u0131 da tetikleyebildi\u011fini belirtti. Bu y\u00fczden bu ki\u015filerin kardiyoloji kontrollerini aksatmadan d\u00fczenli \u015fekilde muayene olmas\u0131 gerekti\u011fini s\u00f6yleyen Uzm. Dr. Belma Yaman s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cGebelik d\u00f6neminde kalp damar sisteminde olu\u015fan normal de\u011fi\u015fiklikler vard\u0131r. Gebelikte ki\u015filerin kan hacminde y\u00fczde 50, nabz\u0131nda ise y\u00fczde 25 artma g\u00f6r\u00fcl\u00fcr. B\u00fcy\u00fck ve k\u00fc\u00e7\u00fck tansiyonunda ise y\u00fczde 10 d\u00fc\u015fme g\u00f6r\u00fcl\u00fcr. Bu durumlar \u00f6zellikle gebeli\u011fin yirminci haftas\u0131ndan sonra g\u00f6r\u00fclmektedir. Gebe ki\u015filerde oksijen t\u00fcketimi artmaktad\u0131r. Ayni zamanda kans\u0131zl\u0131kta ya\u015fanabilmektedir. Bu de\u011fi\u015fimlere ba\u011fl\u0131 olarak da gebelik d\u00f6neminde hafif nefes darl\u0131\u011f\u0131, yorgunluk, \u015fiddetli olmayan \u00e7arp\u0131nt\u0131, yol y\u00fcr\u00fcme mesafesinde k\u0131salma, bacaklarda ciddi olmayan \u015fi\u015flikler gebelik d\u00f6neminde normal olarak g\u00f6r\u00fclen de\u011fi\u015fikler olarak kabul edilir\u201d dedi.<\/p>\n
\u201cNadiren de olsa kalp damar hastal\u0131klar\u0131 g\u00f6r\u00fclebilir\u201d<\/p>\n
Gebelik de g\u00f6r\u00fclebilen kalp ve damar hastal\u0131klar\u0131 hakk\u0131nda da bilgi veren Uzm. Dr. Belma Yaman, gebelik d\u00f6neminde kalp kapak hastal\u0131klar\u0131, do\u011fumsal kalp hastal\u0131klar\u0131, hipertansiyon, ritim bozuklu\u011fu, p\u0131ht\u0131la\u015fmaya yatk\u0131nl\u0131k, nadiren de olsa kalp damar hastal\u0131klar\u0131 ve kardiyomiyopati gibi hastal\u0131klar\u0131n g\u00f6r\u00fclebilece\u011fini belirtti. Daha \u00f6nceden kalp hastal\u0131\u011f\u0131 olmayan ki\u015filerde genellikle kalp hastal\u0131klar\u0131 geli\u015fme oran\u0131 y\u00fczde 1 olarak g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Uzm. Dr. Belma Yaman, bu ki\u015filerin gebelik d\u00f6neminden \u00f6nce hi\u00e7bir \u015fikayet ya\u015famamas\u0131na ra\u011fmen gebelik d\u00f6neminde gebeli\u011fe ba\u011fl\u0131 olarak mevcut kapak hastal\u0131\u011f\u0131 ve do\u011fumsal kalp hastal\u0131\u011f\u0131 gibi durumlarda da ilerleme olabilece\u011fi bilgisini verdi. Uzm. Dr. Belma Yaman s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cHamile ki\u015filer nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, \u00e7arp\u0131nt\u0131 ve tansiyon y\u00fcksekli\u011fi gibi \u015fikayetlerle hastaneye ba\u015fvurabilir. Ayr\u0131ca p\u0131ht\u0131la\u015fmaya yatk\u0131nl\u0131k olu\u015ftu\u011fu i\u00e7in bacak damarlar\u0131nda veya kalp damarlar\u0131nda da t\u0131kan\u0131klarda ya\u015fanabilir. Bu nedenle bu \u015fikayetleri olan gebelerin mutlaka kardiyoloji kontrol\u00fc i\u00e7in hastaneye ba\u015fvurmalar\u0131 \u00f6nerilmektedir\u201d ifadelerini kulland\u0131.<\/p>\n
Kalp ve damar hastal\u0131klar\u0131 anne ve bebe\u011fin hayat\u0131n\u0131 riske atabilir<\/p>\n
Baz\u0131 kalp damar hastal\u0131klar\u0131n\u0131n gebelik d\u00f6nemin de anne ve bebe\u011fin hayat\u0131n\u0131 riske atabilece\u011fini s\u00f6yleyen Uzm. Dr. Belma Yaman, \u201cGebelikte anne ve bebe\u011fin hayat\u0131n\u0131 riske atacak kalp hastal\u0131klar\u0131 var ise \u00f6ncesinde mutlaka bilgilendirme yap\u0131lmal\u0131d\u0131r. Hamilelik de kalp sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan sak\u0131ncal\u0131 olabilecek durumlar vard\u0131r. Bunlar siyanotik do\u011fumsal kalp hastal\u0131klar\u0131, g\u00fcnl\u00fck istirahat s\u0131ras\u0131nda bile nefes darl\u0131\u011f\u0131na yol a\u00e7an kalp kapaklar\u0131nda yetmezlik ve darl\u0131k ve ciddi kalp yetmezli\u011fi gebelik i\u00e7in sak\u0131ncal\u0131 durumlard\u0131r. Bunlar\u0131n yan\u0131nda kalp akci\u011ferde ciddi y\u00fck olu\u015fturmayan, do\u011fu\u015ftan kalpte delik olan durumlar, kalp ameliyat\u0131 ile kalp kapak de\u011fi\u015fimim veya tamiri yap\u0131lm\u0131\u015f ki\u015filer, y\u00fcksek ameliyat\u0131 ile kalp kapak de\u011fi\u015fimi veya tamiri yap\u0131lm\u0131\u015f ki\u015filer, y\u00fcksek kan bas\u0131nc\u0131na sahip ki\u015filer, ila\u00e7 tedavisi alt\u0131nda ritim bozuklu\u011fu olan ki\u015filer gebelik \u00f6ncesi ve s\u0131ras\u0131nda detayl\u0131 kontrol ve takiplerle belli bir risk g\u00f6z \u00f6n\u00fcne al\u0131narak gebe kalabilirler. Ayr\u0131ca tedavi edilebilir ritim problemi olan hastalar\u0131n gebelik \u00f6ncesi ablasyon i\u015flemi yap\u0131ld\u0131ktan sonra normal bir \u015fekilde gebe kalma engelleri yoktur\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n
Kalp damar hastas\u0131 ki\u015filerin gebelikte dikkat etmesi gerekenler<\/p>\n
Gebelikte kalp damar hastal\u0131\u011f\u0131 i\u00e7in dikkat edilmesi gerekenler hakk\u0131nda da bilgi veren Uzm. Dr. Belma Yaman, gebelik d\u00f6neminde ki\u015filerin a\u015f\u0131r\u0131 tuz t\u00fcketiminden ka\u00e7\u0131nmas\u0131 gerekti\u011fini belirtti. Gebelik \u00f6ncesi kalp hastal\u0131\u011f\u0131 olan ki\u015filerin gebelik s\u0131ras\u0131nda bir kardiyolog taraf\u0131ndan yak\u0131dan takip edilmesi gerekti\u011fini s\u00f6yleyen Uzm. Dr. Belma Yaman, fazla kilo al\u0131m\u0131n\u0131n kalbin y\u00fck\u00fcn\u00fc art\u0131rabilece\u011fi i\u00e7in kilo al\u0131m\u0131na dikkat edilmesi gerekti\u011fini belirtti. Ciddi anemisi olan ki\u015filere demir takviyesi yap\u0131lmas\u0131 gerekti\u011fini ve gebelik s\u0131ras\u0131nda nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, \u00e7arp\u0131nt\u0131, bay\u0131lma gibi yeni ba\u015flayan \u015fikayetler oldu\u011fu zaman ise kardiyoloji kontrol\u00fcn\u00fcn yap\u0131lmas\u0131 gerekti\u011fini belirtti. Ayr\u0131ca gebelerde EKG ve ekokardiyografi radyasyon i\u00e7ermeyen ve g\u00fcvenle yap\u0131labilen tetkikler oldu\u011funu, bu nedenle hamile ki\u015filerin radyasyon i\u00e7ermeyen kardiyolojik tetkikini g\u00fcvenle yap\u0131labilece\u011fini belirtti.<\/p>\n
Kalp sa\u011fl\u0131\u011f\u0131 sorunu ya\u015fayan ki\u015filere sezaryan do\u011fum \u00f6nerilmekte<\/p>\n
Kalp hastal\u0131\u011f\u0131 olan ki\u015filerde do\u011fum \u015feklinin de \u00f6nemli oldu\u011funu s\u00f6yleyen Uzm. Dr. Belma Yaman, normal do\u011fumda kanama, enfeksiyon ve toplar damarda p\u0131ht\u0131 gibi sa\u011fl\u0131k sorunu risklerinin az olmas\u0131 nedeni ile bir\u00e7ok stabil kalp hastalar\u0131na normal do\u011fum yap\u0131lmas\u0131n\u0131n \u00f6nerildi\u011fini belirtti. Uzm. Dr. Belma Yaman , \u201cKan suland\u0131r\u0131c\u0131 ila\u00e7 kullananlar, aort diseksiyon ge\u00e7irmi\u015f ki\u015filer, ileri aort geni\u015flemesi olan hastalar, ciddi aort darl\u0131\u011f\u0131 olan ki\u015filer ve ciddi pulmoner hipertansiyon gibi baz\u0131 do\u011fumsal kalp hastal\u0131klar\u0131 ya\u015fayan ki\u015filere mutlaka sezaryan ile do\u011fum \u00f6nerilmektedir\u201d diyerek s\u00f6zlerini sonland\u0131rd\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
KALP SA\u011eLI\u011eI SORUNU YA\u015eAYANA K\u0130\u015e\u0130LER\u0130N GEBEL\u0130K YA\u015eAMASI \u0130LE B\u0130RL\u0130KTE YA\u015eANAN S\u00dcRE\u00c7 HAKKINDA B\u0130LG\u0130 VER\u0130RKEN, GEBEL\u0130K D\u00d6NEM\u0130NDE KALP VE DAMAR S\u0130STEM\u0130NDE F\u0130ZYOLOJ\u0130K DE\u011e\u0130\u015e\u0130KL\u0130KLER OLAB\u0130LECE\u011e\u0130N\u0130 BEL\u0130RTEN UZM. DR. BELMA YAMAN, KALP HASTASI OLMAYAN K\u0130\u015e\u0130LER\u0130N SADECE %1\u2019\u0130NDE GEBEL\u0130K D\u00d6NEM\u0130NDE KALP HASTALI\u011eI G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":166449,"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":[1440,2717,5557,2120,580,26168],"class_list":["post-166448","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dikkat","tag-doneminde","tag-gebelik","tag-kalp","tag-sagligi","tag-sorunlarina"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/06\/gebelik-doneminde-kalp-sagligi-sorunlarina-dikkat_f8317fb.jpg?fit=813%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-HiE","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/166448","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=166448"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/166448\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/166449"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=166448"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=166448"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=166448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}