Kad\u0131n Hastal\u0131klar\u0131, Do\u011fum ve T\u00fcp Bebek Uzman\u0131 Do\u00e7. Dr. Deniz Ula\u015f, t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 art\u0131rman\u0131n yollar\u0131 konusunda \u00f6nemli bilgiler verdi.<\/p>\n
\u00c7ocuk sahibi olmak isteyen \u00e7iftlerin yakla\u015f\u0131k y\u00fczde 85\u2019inin ilk 1 y\u0131l i\u00e7inde gebe kald\u0131\u011f\u0131n\u0131 dile getiren Do\u00e7. Dr. Deniz Ula\u015f, \u201cE\u011fer 1 y\u0131l\u0131n sonunda hamile kalamad\u0131ysan\u0131z k\u0131s\u0131rl\u0131\u011f\u0131n nedeninin ara\u015ft\u0131r\u0131lmas\u0131 ve uygun tedavinin ba\u015flanmas\u0131 gerekir. A\u015f\u0131lama vs. gibi di\u011fer infertilite tedavilerine ra\u011fmen gebelik elde edilemediyse art\u0131k t\u00fcp bebek tedavisi g\u00fcndeme gelecektir\u201d diye konu\u015ftu.<\/p>\n
Do\u00e7. Dr. Deniz Ula\u015f, \u201cT\u00fcp bebek tedavisi nas\u0131l bir s\u00fcre\u00e7tir? Ba\u015far\u0131 oran\u0131 nedir? Ba\u015far\u0131y\u0131 etkileyen fakt\u00f6rler nelerdir? T\u00fcp bebek ba\u015far\u0131 oran\u0131 nas\u0131l art\u0131r\u0131l\u0131r?\u201d gibi sorular\u0131n cevaplar\u0131n\u0131 verdi.<\/p>\n
K\u0131sa anlat\u0131mla t\u00fcp bebek tedavisi, kad\u0131ndan al\u0131nan yumurtalar\u0131n, erkekten al\u0131nan spermlerle laboratuvar ortam\u0131nda d\u00f6llendirildi\u011fi medikal bir i\u015flem oldu\u011funu dile getiren Do\u00e7. Dr. Deniz Ula\u015f, \u201cD\u00f6llenmenin ard\u0131ndan en iyi kalitedeki embriyolar kad\u0131n\u0131n rahmine yerle\u015ftirilir ve yakla\u015f\u0131k 12 g\u00fcn sonra kanda gebelik testi yap\u0131l\u0131r.<\/p>\n
Toplamda 1 ay s\u00fcren bu s\u00fcre\u00e7 \u00e7ift i\u00e7in hi\u00e7 de kolay de\u011fildir. Belirsizli\u011fin ve hormonlardaki de\u011fi\u015fikli\u011fin de etkisiyle hakl\u0131 olarak heyecan, endi\u015fe, karamsarl\u0131k gibi kar\u0131\u015f\u0131k duygular ya\u015fayabilirsiniz ve bu \u00e7ok normal. Ayr\u0131ca, s\u00fcrecin psikolojik boyutu d\u0131\u015f\u0131nda mali boyutu da sizin stres katsay\u0131n\u0131z\u0131 art\u0131rabilir.<\/p>\n
T\u00fcp bebek tedavisinin ba\u015far\u0131 oran\u0131 %33-%55 aras\u0131nda de\u011fi\u015fir. Ortalama ba\u015far\u0131 oran\u0131na %40 diyebiliriz. Ba\u015far\u0131 oran\u0131n\u0131 etkileyen bir\u00e7ok fakt\u00f6r vard\u0131r, bu fakt\u00f6rlerden baz\u0131lar\u0131 sizin elinizde de\u011filken, baz\u0131 fakt\u00f6rler sizin elinizde bunu unutmay\u0131n. Hayat\u0131n\u0131zda yapaca\u011f\u0131n\u0131z ufak de\u011fi\u015fikliklerle gebelik \u015fans\u0131n\u0131z\u0131 art\u0131rabilirsiniz\u201d diye konu\u015ftu.<\/p>\n
Do\u00e7. Dr. Deniz Ula\u015f, ba\u015far\u0131y\u0131 etkileyen bu fakt\u00f6rlere ve sizin t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 art\u0131rmak i\u00e7in neler yapabilece\u011fi, konusunda T\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 etkileyen fakt\u00f6rleri; \u201cT\u0131bbi Fakt\u00f6rler\u201d ve \u201c\u00c7evresel Fakt\u00f6rleri\u201d \u015f\u00f6yle s\u0131ralad\u0131;<\/p>\n
T\u0131bbi fakt\u00f6rler: Kad\u0131n ya\u015f\u0131, T\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 etkileyen belki de en \u00f6nemli fakt\u00f6r kad\u0131n ya\u015f\u0131d\u0131r. \u00c7\u00fcnk\u00fc ya\u015fla beraber \u00f6zellikle 38 ya\u015f\u0131ndan sonra yumurta say\u0131s\u0131 ve kalitesi azal\u0131r. Bu nedenle ya\u015f\u0131 ileri olan kad\u0131nlarda t\u00fcp bebek tedavisini geciktirmemek gerekir.<\/p>\n
Sperm kalitesi: Sperm say\u0131 ve morfoloji bozukluklar\u0131 da ba\u015far\u0131 \u015fans\u0131n\u0131 azalt\u0131r. Bunun i\u00e7in t\u00fcp bebek tedavisi \u00f6ncesi baz\u0131 ila\u00e7 ve vitamin takviyeleri ile sperm kalitesini art\u0131rmak gebelik \u015fans\u0131n\u0131 art\u0131racakt\u0131r. Bunun d\u0131\u015f\u0131nda t\u00fcp bebekte mikroenjeksiyon s\u0131ras\u0131nda iyi kalitedeki spermleri se\u00e7mek i\u00e7in sperm se\u00e7me y\u00f6ntemlerinden birini kullanmak t\u00fcp bebek ba\u015far\u0131 \u015fans\u0131n\u0131 art\u0131racakt\u0131r.<\/p>\n
Kad\u0131nda endometriyozis (\u00e7ikolata kisti), miyom, hidrosalpenks, rahim duvar\u0131nda yap\u0131\u015f\u0131kl\u0131k veya polip olup olmamas\u0131: Rahim i\u00e7inde yap\u0131\u015f\u0131kl\u0131k, polip, miyom olmas\u0131 embriyonun rahime tutunma \u015fans\u0131n\u0131 azalt\u0131r. Bu nedenle t\u00fcp bebek tedavisi \u00f6ncesi bu problemlerin olup olmad\u0131\u011f\u0131 mutlaka ortaya konmal\u0131d\u0131r. Bunun i\u00e7in de ultrason, sulu ultrason veya histeroskopi (kamera ile rahimin incelenmesi) gibi y\u00f6ntemlerle bu problemler ara\u015ft\u0131r\u0131l\u0131r. Bu sorunlar tedavi edildikten sonra t\u00fcp bebek tedavisine ba\u015flamak ba\u015far\u0131 \u015fans\u0131n\u0131 art\u0131racakt\u0131r.<\/p>\n
Hidrosalpenks yani t\u00fcplerde t\u0131kan\u0131kl\u0131\u011fa ba\u011fl\u0131 s\u0131v\u0131 birikmesi durumu da embriyonun tutunma \u015fans\u0131n\u0131 azalt\u0131r. \u00c7\u00fcnk\u00fc t\u00fcplerde biriken bu s\u0131v\u0131 rahime do\u011fru geri akarak i\u00e7erdi\u011fi toksik maddeler nedeniyle embriyonun tutunma \u015fans\u0131n\u0131 azalt\u0131r. Hidrosalpneks tan\u0131s\u0131 ultrason veya ila\u00e7l\u0131 rahim filmi (HSG) ile konur. E\u011fer b\u00f6yle bir problem varsa t\u00fcp bebek tedavisi \u00f6ncesi o t\u00fcp\u00fcn al\u0131nmas\u0131 gerekir.<\/p>\n
Kad\u0131nda hormonal bozukluk (tiroid hormonu veya s\u00fct hormonu prolaktin bozukluklar\u0131) veya ins\u00fclin direnci olup olmamas\u0131 hormonal bozukluk ve ins\u00fclin direnci hem gebe kalmay\u0131 hem de gebe kal\u0131nsa bile d\u00fc\u015f\u00fck riskini art\u0131r\u0131r. O y\u00fczden IVF \u00f6ncesi kanda bu bozukluklar\u0131n olup olmad\u0131\u011f\u0131na bak\u0131lmal\u0131, problem varsa d\u00fczeltildikten sonra t\u00fcp bebek tedavisine ba\u015flamak do\u011frudur.<\/p>\n
Kad\u0131nda ba\u011f\u0131\u015f\u0131kl\u0131k ve p\u0131ht\u0131la\u015fma sistemine ait do\u011fu\u015ftan veya sonradan geli\u015fen sorunlar\u0131n olup olmamas\u0131: Aile ve hasta \u00f6yk\u00fcs\u00fcnden p\u0131ht\u0131la\u015fma probleminden \u015f\u00fcphelendi\u011fi durumlarda ayr\u0131nt\u0131l\u0131 kan tetkikleri ile ara\u015ft\u0131rma yap\u0131lmas\u0131 ve uygun tedavilerin (kan suland\u0131r\u0131c\u0131 ila\u00e7lar vs.) ba\u015flanmas\u0131 t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 art\u0131racakt\u0131r.T\u0131bbi fakt\u00f6rler d\u0131\u015f\u0131nda hayat tarz\u0131 ile ilgili \u00e7evresel fakt\u00f6rler de t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 etkiler. Bu fakt\u00f6rlerde yap\u0131lacak ufak de\u011fi\u015fiklikler t\u00fcp bebek ba\u015far\u0131 oran\u0131 art\u0131racakt\u0131r.<\/p>\n
\u00c7evresel Fakt\u00f6rler; \u0130deal kiloda olun, V\u00fccut kitle indeksinin >35 veya <19 olmas\u0131 t\u00fcp bebek ba\u015far\u0131 \u015fans\u0131n\u0131 ve d\u00fc\u015f\u00fck riskini art\u0131r\u0131r. Yani \u00e7ok kilolu olmak da \u00e7ok zay\u0131f olmak da ba\u015far\u0131y\u0131 olumsuz etkiler. Bu nedenle ideal kilonuza gelmeden tedaviye ba\u015flamaman\u0131z\u0131 tavsiye ederim.<\/p>\n
Stresinizi azalt\u0131n: Stresin azalt\u0131lmas\u0131 \u00e7iftler i\u00e7in belki de ba\u015far\u0131lmas\u0131 en zor durumdur. Ama bilimsel \u00e7al\u0131\u015fmalar stres azalt\u0131ld\u0131\u011f\u0131nda gebelik oranlar\u0131n\u0131n ciddi anlamda artt\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. Bununla ba\u015f etmek i\u00e7in gerekirse profesyonel destek almaktan \u00e7ekinmeyin.<\/p>\n
Sigara ve alkol\u00fc b\u0131rak\u0131n: Sigaran\u0131n hem yumurta hem de sperm kalitesi \u00fczerine olan olumsuz etkileri art\u0131k herkes taraf\u0131ndan biliniyor. O y\u00fczden tedavi \u00f6ncesi m\u00fcmk\u00fcnse sigara ve alkol\u00fcn kesilmesi t\u00fcp bebek ba\u015far\u0131 \u015fans\u0131n\u0131 art\u0131racakt\u0131r.<\/p>\n
Yumurta ve sperm kalitesini art\u0131ran vitamin takviyesi al\u0131n ve sa\u011fl\u0131kl\u0131 beslenin; DHEA ve koenzimQ10 takviyesinin yumurta say\u0131 ve kalitesini art\u0131rd\u0131\u011f\u0131 bilimsel \u00e7al\u0131\u015fmalarda g\u00f6sterilmi\u015ftir. \u00d6zellikle 35 ya\u015f\u0131ndan b\u00fcy\u00fck kad\u0131nlarda bu vitaminlerin takviyesi gebelik \u015fans\u0131n\u0131 art\u0131rabilir.Hem kad\u0131n hem de erkek i\u00e7in vitamin takviyesinden belki daha da \u00f6nemlisi dengeli ve sa\u011fl\u0131kl\u0131 beslenmedir. Akdeniz tipi beslenmenin yumurta ve sperm kalitesi \u00fczerine olan olumlu etkileri baz\u0131 bilimsel \u00e7al\u0131\u015fmalarda g\u00f6sterilmi\u015ftir.<\/p>\n
Akdeniz tipi beslenmede t\u00fcketilmesi gereken g\u0131dalar \u015funlard\u0131r: Haftada 2-3 defa bal\u0131k, \u00e7i\u011f f\u0131nd\u0131k, f\u0131st\u0131k, badem ve ceviz gibi ya\u011fl\u0131 tohumlar, haftada 2-3 defa yumurta, az pi\u015fmi\u015f, kavrulmam\u0131\u015f sebze, meyve, tuzu ve ya\u011f\u0131 az peynir, g\u00fcnde 2 porsiyon s\u00fct, yo\u011furt, ayran, tam bu\u011fday, \u00e7avdar veya kepekli ekmek ve zeytinya\u011f\u0131.<\/p>\n
Akdeniz tipi beslenmede t\u00fcketilmemesi gereken besinler ise; \u0130\u015flenmi\u015f etler (salam, sosis),y\u00fcksek \u015fekerli meyveler ve tatl\u0131lar, tuzlu kuru yemi\u015fler, gazl\u0131 ve \u015fekerli i\u00e7ecekler, \u015fekerli ve ya\u011fl\u0131 hamur i\u015fleri, beyaz ekmek, k\u0131rm\u0131z\u0131 et (az miktarda al\u0131nabilir)<\/p>\n
Vitamin D d\u00fczeyinizi kontrol ettirin: D vitamini d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc kad\u0131nlar\u0131n % 40\u2019\u0131nda g\u00f6r\u00fcl\u00fcr. D vitamini eksikli\u011finin gebelik \u015fans\u0131n\u0131 azaltt\u0131\u011f\u0131 bilimsel \u00e7al\u0131\u015fmalarla g\u00f6sterilmi\u015ftir. Bu nedenle t\u00fcp bebek tedavisi \u00f6ncesi D vitamin d\u00fczeyinizi kontrol ettirin ve eksiklik varsa takviye D vitamini al\u0131n.<\/p>\n
Do\u011fru klinik ve laboratuvarda tedavi olun: Kad\u0131n ve erke\u011fe ait fakt\u00f6rler d\u0131\u015f\u0131nda t\u00fcp bebek tedavi ba\u015far\u0131s\u0131n\u0131 etkileyen en \u00f6nemli fakt\u00f6rlerden biri de do\u011fru klinisyen ve laboratuvarla \u00e7al\u0131\u015fman\u0131zd\u0131r. \u00d6zellikle tecr\u00fcbeli, ileti\u015fime a\u00e7\u0131k, kendinizi rahat ifade edebildi\u011finiz ve en \u00f6nemlisi iyi embriyolog ve laboratuvarla \u00e7al\u0131\u015fan bir kad\u0131n do\u011fum uzman\u0131 ile tedavi s\u00fcrecini y\u00fcr\u00fctmeniz gebelik \u015fans\u0131n\u0131z\u0131 art\u0131racakt\u0131r.<\/p>\n
Sab\u0131rl\u0131 ve kararl\u0131 olun, hemen pes etmeyin: \u0130lk denemede olumsuz sonu\u00e7 alman\u0131z sizi hayal k\u0131r\u0131kl\u0131\u011f\u0131na u\u011fratmas\u0131n. Kendinizi veya ba\u015fkalar\u0131n\u0131 su\u00e7lamay\u0131n. Olumlu d\u00fc\u015f\u00fcnmeye \u00e7al\u0131\u015f\u0131n, tedaviyi b\u0131rakmay\u0131n. Ne yaz\u0131k ki bu s\u00fcre\u00e7 bazen uzun ve zor olabiliyor. Ge\u00e7mi\u015fe tak\u0131lmadan \u00f6n\u00fcn\u00fcze bakmaya devam edin.<\/p>\n
Unutmay\u0131n! Pes etmek insano\u011flunun en b\u00fcy\u00fck zaaf\u0131d\u0131r. Ba\u015far\u0131ya giden en garanti yol, bir kez daha denemekten ge\u00e7er. E\u011fer pes etmeyi d\u00fc\u015f\u00fcnmeye ba\u015flad\u0131ysan\u0131z bu yola neden \u00e7\u0131kt\u0131\u011f\u0131n\u0131z\u0131 akl\u0131n\u0131za getirin. \u00c7\u00fcnk\u00fc pes etmemek i\u00e7in g\u00fc\u00e7l\u00fc nedenleriniz var.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI, DO\u011eUM VE T\u00dcP BEBEK UZMANI DO\u00c7. DR. DEN\u0130Z ULA\u015e, T\u00dcP BEBEK BA\u015eARISINI ARTIRMANIN YOLLARI KONUSUNDA \u00d6NEML\u0130 B\u0130LG\u0130LER VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":213221,"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":[53910,29137,2123,3966,5024],"class_list":["post-213220","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-artirmanin","tag-basarisini","tag-bebek","tag-tup","tag-yollari"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/tup-bebek-basarisini-artirmanin-yollari_0cee7e1.jpg?fit=930%2C580","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Tt2","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/213220","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=213220"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/213220\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/213221"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=213220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=213220"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=213220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}