Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. \u00d6zlem Bolay\u0131r, halk aras\u0131nda “prenses do\u011fum” olarak bilinen epidural do\u011fum ile do\u011fum sanc\u0131s\u0131n\u0131n kontrol edilebildi\u011fini belirtti.<\/p>\n
Medicana Sivas Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. \u00d6zlem Bolay\u0131r, epidural anestezinin bir a\u011fr\u0131 kontrol y\u00f6ntemi oldu\u011funu belirterek, \u201cNormal do\u011fum ya\u015fam\u0131n en fizyolojik s\u00fcre\u00e7lerinden birisidir. Ancak miada ula\u015fm\u0131\u015f gebelerimizde do\u011fumun olas\u0131 a\u011fr\u0131 s\u00fcreci normal do\u011fuma korkuyla yakla\u015f\u0131lmas\u0131na sebep oluyor. Her bireyin a\u011fr\u0131y\u0131 alg\u0131lay\u0131\u015f ve hissetme d\u00fczeyi farkl\u0131d\u0131r. Normal do\u011fum eyleminde a\u011fr\u0131y\u0131 tolere edemeyen gebelerimiz i\u00e7in olduk\u00e7a konforlu olan halk aras\u0131nda da prenses do\u011fum olarak bilinen epidural anestezi y\u00f6ntemi uygulanmaktad\u0131r. Epidural anestezi bir a\u011fr\u0131 kontrol y\u00f6ntemidir. Bu i\u015flem anne aday\u0131 otururken ya da yan yatar pozisyonda yap\u0131l\u0131r. \u0130\u015flem yap\u0131lacak uygun cilt b\u00f6lgesi tespit edildikten sonra antiseptik sol\u00fcsyonlarla temizlenir. \u0130\u015flem s\u0131ras\u0131nda a\u011fr\u0131 duyulmamas\u0131 i\u00e7in cilt \u00fczerine lokal anestezi yap\u0131l\u0131r. Omurga i\u00e7inde epidural bo\u015flu\u011fa k\u00fc\u00e7\u00fck bir katater yerle\u015ftirilir. Katater hastan\u0131n s\u0131rt\u0131na bir bantla sabitlenir. Bu katater arac\u0131l\u0131\u011f\u0131yla aral\u0131kl\u0131 uygulama \u015feklinde ya da s\u00fcrekli inf\u00fczyon \u015feklinde a\u011fr\u0131 kesici ila\u00e7 verilir. A\u011fr\u0131 kesici etkinin tam olu\u015fmas\u0131 20-30 dakika s\u00fcrer\u201d dedi.<\/p>\n
\u201cM\u00fckemmel bir a\u011fr\u0131 kontrol\u00fc sa\u011flar\u201d<\/p>\n
Bolay\u0131r, epidural do\u011fumun genellikle m\u00fckemmel bir a\u011fr\u0131 kontrol\u00fc sa\u011flad\u0131\u011f\u0131n\u0131 ifade ederek, \u201cAvantaj\u0131 nedir; genellikle m\u00fckemmel bir a\u011fr\u0131 kontrol\u00fc sa\u011flar ve hastan\u0131n do\u011fumuna aktif kat\u0131l\u0131m\u0131na izin verir. E\u011fer normal do\u011fuma b\u0131rak\u0131lan hastada herhangi bir t\u0131bbi nedenle sezaryen gereklili\u011fi olursa ayn\u0131 kataterden verilen ila\u00e7 doz ve konsantrasyonu ayarlanarak sezaryen i\u00e7inde kullan\u0131labilir. Epidural anestezi uygulanabilmesi i\u00e7in rahim a\u011fz\u0131 a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n 4 cm ve \u00fczerinde olmas\u0131 tercih edilir. Bu a\u015famadan \u00f6nce uygulanmas\u0131 kas\u0131lmalar\u0131 etkileyip, do\u011fumu geciktirebilir. Daha ge\u00e7 uygulanmas\u0131 ise hem annenin gereksiz a\u011fr\u0131 \u00e7ekmesine sebep olur, hem de s\u0131k gelen a\u011fr\u0131lar nedeni ile hasta epidural anestezi i\u00e7in uygun pozisyonu sa\u011flamakta g\u00fc\u00e7l\u00fck \u00e7ekebilir. Epidural anesteziye ba\u011fl\u0131 hasta \u0131k\u0131nma hissi duymayabilir. NST arac\u0131l\u0131\u011f\u0131yla yard\u0131mc\u0131 sa\u011fl\u0131k personeli kas\u0131lmalar\u0131 monit\u00f6r arac\u0131l\u0131\u011f\u0131yla takip edip gebeyi \u0131k\u0131nmas\u0131 i\u00e7in y\u00f6nlendirebilir\u201d diye konu\u015ftu.<\/p>\n
Herkese uygulanabilir mi?<\/p>\n
Bolay\u0131r, epidural do\u011fumun diren\u00e7li olarak tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc olanlarda uygulanamayaca\u011f\u0131n\u0131 s\u00f6yleyerek, \u201cKatater tak\u0131lacak alanda cilt enfeksiyonu varsa, p\u0131ht\u0131la\u015fmayla ilgili rahats\u0131zl\u0131\u011f\u0131 olanlarda, daha \u00f6nce bel b\u00f6lgesinden ameliyat olanlarda, diren\u00e7li olarak tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc olanlarda uygulanamaz. Epidural sonras\u0131 ya\u015fanabilecek olumsuzluklar ise epidural anestezi annede enfeksiyon sebebi olabilir. Verilen ila\u00e7lara ba\u011fl\u0131 alerjik durumlar ya\u015fanabilir. Hastan\u0131n belinden a\u015fa\u011f\u0131 k\u0131sm\u0131nda ge\u00e7ici olarak hareket g\u00fc\u00e7l\u00fc\u011f\u00fc olabilir. Ge\u00e7ici ba\u015f a\u011fr\u0131s\u0131 ya\u015fanabilir. Annede ani geli\u015fen tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc olabilir. Bu durum \u00e7o\u011fu zaman ge\u00e7icidir ve verilen serumlarla d\u00fczelir. Bebek kalp at\u0131mlar\u0131nda yava\u015flama olabilir\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI OP.DR.\u00d6ZLEM BOLAYIR, HALK ARASINDA PRENSES DO\u011eUM OLARAK B\u0130L\u0130NEN EP\u0130DURAL DO\u011eUM \u0130LE DO\u011eUM SANCISININ KONTROL ED\u0130LEB\u0130LD\u0130\u011e\u0130N\u0130 BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":201753,"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":[1068,43313,13654,42861,43161],"class_list":["post-201752","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dogum","tag-kaldiriyor","tag-ortadan","tag-prenses","tag-sancisini"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/prenses-dogum-dogum-sancisini-ortadan-kaldiriyor_ea18f00.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Qu4","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/201752","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=201752"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/201752\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/201753"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=201752"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=201752"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=201752"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}