Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. G\u00fcven\u00e7 Karl\u0131kaya, Bir erke\u011fin do\u011furganl\u0131k kapasitesine; verdi\u011fi spermin say\u0131s\u0131na, hareketlili\u011fine ve yap\u0131s\u0131na bak\u0131larak karar verildi\u011fini belirterek, “T\u00fcm bu de\u011ferlerin yerinde oldu\u011fu ancak kad\u0131n\u0131n gebe kalmad\u0131\u011f\u0131 vakalar da var” dedi.<\/p>\n
Bah\u00e7eci Fulya T\u00fcp Bebek Merkezi\u2019nden Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. G\u00fcven\u00e7 Karl\u0131kaya, baba olmak isteyen bir erkek i\u00e7in uygulanabilecek t\u0131bbi tedaviler \u00fczerine a\u00e7\u0131klama yapt\u0131. Bir erke\u011fin do\u011furganl\u0131k kapasitesine; verdi\u011fi spermin say\u0131s\u0131na, hareketlili\u011fine ve yap\u0131s\u0131na bak\u0131larak karar verildi\u011fini belirten Op. Dr. G\u00fcven\u00e7 Karl\u0131kaya, “T\u00fcm bu de\u011ferlerin yerinde oldu\u011fu ancak kad\u0131n\u0131n gebe kalmad\u0131\u011f\u0131 vakalar da var” dedi.<\/p>\n
Op. Dr. Karl\u0131kaya, erkekte ortaya \u00e7\u0131kan bir sorun durumunda \u00f6nce bir \u00fcrolo\u011fa gidilmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izerek, “Altta yatan enfeksiyon, hormonal problem ya da varikosel d\u00fczeltilebilir fakt\u00f6rler olabilir., Spermdeki sorunlar\u0131n d\u00fczeltilemedi\u011fi y\u00fczde 90\u2019\u0131n \u00fczerindeki vakalarda ise t\u00fcp bebek tedavisi \u00f6nerilir” \u015feklinde konu\u015ftu.<\/p>\n
Dr. G\u00fcven\u00e7 Karl\u0131kaya, erkek k\u0131s\u0131rl\u0131\u011f\u0131nda kullan\u0131lan y\u00f6ntemleri \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
“Sperm mikroskop alt\u0131nda IMSI y\u00f6ntemi ile 8 bin kata kadar b\u00fcy\u00fct\u00fclebiliyor”<\/p>\n
“IMSI (Intracytoplasmic Morphologically Selected Sperm Injection) metodu a\u011f\u0131rl\u0131kl\u0131 olarak kullan\u0131l\u0131r. Bu y\u00f6ntem; t\u00fcp bebek tedavilerinde, spermin b\u00fcy\u00fct\u00fclerek detayl\u0131 bir \u015fekilde incelenmesini sa\u011flayan, ba\u015far\u0131 art\u0131r\u0131c\u0131 bir tekniktir. Rutin bir mikroenjeksiyon uygulamas\u0131nda sperm mikroskop alt\u0131nda 200 kat b\u00fcy\u00fct\u00fcl\u00fcrken IMSI y\u00f6ntemi ile 8 bin kata kadar b\u00fcy\u00fct\u00fclebilmektedir. B\u00f6ylece spermin ta\u015f\u0131d\u0131\u011f\u0131 pek \u00e7ok yap\u0131sal problem tespit edilebilmekte ve sa\u011fl\u0131kl\u0131 embriyo olu\u015fma oran\u0131 artmaktad\u0131r. \u00d6zetle, daha b\u00fcy\u00fck b\u00fcy\u00fctmede, daha ayr\u0131nt\u0131l\u0131 sperm se\u00e7imi yap\u0131lmas\u0131 ile ba\u015far\u0131 \u015fans\u0131 y\u00fckselmektedir. Ayr\u0131ca, birtak\u0131m kimyasal ve elektro manyetik tekniklerle de daha iyi spermler se\u00e7ilebilir. Bunlar\u0131n ne kadar faydal\u0131 oldu\u011fu tam olarak kan\u0131tlanm\u0131\u015f de\u011fildir. Baz\u0131 hastalarda hi\u00e7 sperm bulunmayabilir. Ya spermin \u00e7\u0131k\u0131\u015f kanallar\u0131nda bir t\u0131kan\u0131kl\u0131k ya da yap\u0131m\u0131nda sorun vard\u0131r. \u00c7o\u011fu vakada testislerde sperm g\u00f6r\u00fcl\u00fcr. Dolay\u0131s\u0131yla bunlar ameliyatla bulunabilir. Buna da mikro TESE operasyonu denir. Mikroskop alt\u0131nda testislere bak\u0131l\u0131p, sperm yap\u0131lan noktalardan k\u00fc\u00e7\u00fck dokular \u00e7\u0131kar\u0131l\u0131r.<\/p>\n
“Babadan o\u011fula ge\u00e7ebilir”<\/p>\n
Sperm \u00e7\u0131k\u0131\u015f kanallar\u0131n\u0131n kapal\u0131 olmas\u0131 do\u011fu\u015ftan ya da sonradan ameliyat veya enfeksiyon nedeniyle geli\u015febilir. T\u0131kan\u0131kl\u0131k giderildikten sonra sperm bulma \u015fans\u0131 y\u00fczde 100\u2019e yak\u0131nd\u0131r. Spermin yap\u0131lamad\u0131\u011f\u0131 durumlar\u0131n alt\u0131nda genelde kromozomal ya da genetik nedenler yatar. Bu erke\u011fin normalde \u00e7ocu\u011fu olmayaca\u011f\u0131 i\u00e7in bu sorunu \u00e7ocu\u011funa da ta\u015f\u0131yamaz. Ama t\u00fcp bebek tedavisiyle baba olabilece\u011finden, bu genetik sorun \u00e7ocu\u011fa ge\u00e7ebilir. Hi\u00e7 sperm olmayan durumlarda, erkeklerden genetik test istenip, birtak\u0131m ciddi sorunlar\u0131n tespit edilmesi \u00f6nem ta\u015f\u0131r. Sperm yapan genlerin ara\u015ft\u0131r\u0131lmas\u0131 gerekir. B\u00f6ylece risk ortaya \u00e7\u0131kar\u0131larak, \u00e7ocuk i\u00e7in erken d\u00f6nemde \u00f6nlem al\u0131nabilir”.<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI OP. DR. G\u00dcVEN\u00c7 KARLIKAYA, B\u0130R ERKE\u011e\u0130N DO\u011eURGANLIK KAPAS\u0130TES\u0130NE; VERD\u0130\u011e\u0130 SPERM\u0130N SAYISINA, HAREKETL\u0130L\u0130\u011e\u0130NE VE YAPISINA BAKILARAK KARAR VER\u0130LD\u0130\u011e\u0130N\u0130 BEL\u0130RTEREK, “T\u00dcM BU DE\u011eERLER\u0130N YER\u0130NDE OLDU\u011eU ANCAK KADININ GEBE KALMADI\u011eI VAKALAR DA VAR” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[42628,26169,33931,37894],"class_list":["post-175091","post","type-post","status-publish","format-standard","hentry","category-genel","tag-artirabilen","tag-babalik","tag-sansini","tag-tedaviler"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Jy3","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/175091","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=175091"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/175091\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=175091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=175091"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=175091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}