Trombositten zengin plazma tedavisi (PRP), rahim duvar\u0131 ince, yumurta rezervi azalm\u0131\u015f ya da t\u00fcp bebek uygulamas\u0131nda tekrarlayan ba\u015far\u0131s\u0131zl\u0131klarda yeni bir heyecan olu\u015fturdu.<\/p>\n
Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. Dilek Aslan, trombositten zengin plazma tedavisinin (PRP), rahim duvar\u0131 ince, yumurta rezervi azalm\u0131\u015f ya da t\u00fcp bebek uygulamas\u0131nda tekrarlayan ba\u015far\u0131s\u0131zl\u0131klarda hastalara sunulan \u00f6nemli bir se\u00e7enek haline geldi\u011fini s\u00f6yledi. Hormonal de\u011ferleri \u00e7ok d\u00fc\u015f\u00fck olan hastalarda PRP uygulamas\u0131ndan sonra d\u00fczelme saptand\u0131\u011f\u0131n\u0131 belirten Op. Dr. Aslan, \u201cBu y\u00f6ntemle daha kaliteli yumurta, daha kaliteli embriyo elde edildi\u011fine, t\u00fcp bebek uygulamas\u0131n\u0131n ba\u015far\u0131s\u0131n\u0131 art\u0131rd\u0131\u011f\u0131na dair olumlu bulgular var. Bu umudu biz de hastalar\u0131m\u0131za sunuyoruz\u201d dedi.<\/p>\n
Do\u011furganl\u0131k ya\u015f\u0131 30\u2019lu ya\u015flardan sonra d\u00fc\u015f\u00fc\u015fe ge\u00e7iyor<\/p>\n
Ki\u015finin kendi kan\u0131ndan haz\u0131rlanan ve iyile\u015fmeyi uyarmak ve d\u00fczenlemek i\u00e7in kullan\u0131lan PRP (Platelet Rich Plasma-Trombositten Zengin Plazma) tedavi y\u00f6ntemi dermatoloji, plastik cerrahi ve ortopediden sonra jinekoloji ve takiben \u00fcreme t\u0131bb\u0131 alan\u0131nda da kullan\u0131lmaya ba\u015fland\u0131. PRP\u2019nin \u00e7e\u015fitli nedenlerle evlat sahibi olmak isteyen kad\u0131nlar i\u00e7in de\u011ferli bir se\u00e7enek, yeni bir umut oldu\u011funu belirten \u0130zmir Kent Hastanesi T\u00fcp Bebek Merkezi Sorumlusu Jinekolog Aslan, y\u00f6ntemle ilgili \u00f6nemli bilgiler verdi. Kad\u0131n do\u011furganl\u0131k \u00e7a\u011f\u0131n\u0131n 30\u2019lu ya\u015flardan sonra d\u00fc\u015f\u00fc\u015fe ge\u00e7ti\u011fini, kad\u0131nlar\u0131nsa giderek daha ileri ya\u015flarda evlenip \u00e7ocuk sahibi olmaya karar verdi\u011fini belirten Op. Dr. Alsan, “Yumurta ve embriyo kalitesi ve dolay\u0131s\u0131yla gebelik oran\u0131 ya\u015fla birlikte azalmakta, \u2018Yumurtal\u0131k ya\u015flanmas\u0131\u2019 kavram\u0131 e\u011fitim veya kariyer gibi nedenlerle anne olmay\u0131 geciktiren kad\u0131nlar i\u00e7in dezavantaj haline gelmektedir” \u015feklinde konu\u015ftu.<\/p>\n
“Ba\u015far\u0131s\u0131n\u0131 art\u0131rd\u0131\u011f\u0131na dair olumlu bulgular var”<\/p>\n
Alsan, “Kad\u0131n\u0131n biyolojik ya\u015flanmas\u0131nda eskiden bildiklerimiz farkl\u0131yd\u0131; kad\u0131n bir yumurta havuzuyla do\u011fuyor, bitince de menopoza giriyor san\u0131yorduk. PRP uygulamas\u0131 ba\u015flad\u0131\u011f\u0131ndan beri \u00f6zellikle hormonal de\u011ferlerde, menopoz geri d\u00f6n\u00fc\u015flerinde olumlu sonu\u00e7lar elde edilmeye ba\u015fland\u0131. Hormonal de\u011ferleri \u00e7ok d\u00fc\u015f\u00fck k\u00f6t\u00fc olan hastalar\u0131n bu PRP uygulamas\u0131 sonras\u0131 hormonlar d\u00fczeyinde en az\u0131ndan d\u00fczelme saptand\u0131. Trombositlerin as\u0131l g\u00f6revi, bir yaralanma halinde meydana gelen kanamay\u0131 durduran p\u0131ht\u0131y\u0131 olu\u015fturmakt\u0131r. Bunun yan\u0131 s\u0131ra doku onar\u0131m\u0131 ve iyile\u015fmesine katk\u0131da bulunan b\u00fcy\u00fcme fakt\u00f6rlerini i\u00e7erirler. Bu b\u00fcy\u00fcme fakt\u00f6rleri dokularda iyile\u015fmeye yard\u0131mc\u0131 olur. \u0130\u015fte bu PRP y\u00f6ntemiyle daha kaliteli yumurta, daha kaliteli embriyo elde edildi\u011fine, t\u00fcp bebek uygulamas\u0131n\u0131n ba\u015far\u0131s\u0131n\u0131 art\u0131rd\u0131\u011f\u0131na dair olumlu bulgular var. O y\u00fczden biz de bu tedaviyi uygulamaya karar verdik. \u00c7\u00fcnk\u00fc pek \u00e7ok kad\u0131n\u0131n \u00f6yle \u00e7ok vakti de yok bekleyecek. Birka\u00e7 sene bekleyelim, bu tedavinin i\u015fe yarad\u0131\u011f\u0131n\u0131 kesin kan\u0131tlayal\u0131m dedi\u011fimizde baz\u0131 hastalar\u0131n bu tedaviden yararlanma olas\u0131l\u0131\u011f\u0131n\u0131 ortadan kald\u0131r\u0131yorsunuz” diye aktard\u0131.<\/p>\n
Risklere kar\u015f\u0131 dikkatli olmak laz\u0131m<\/p>\n
PRP uygulamas\u0131ndaki riskler konusunda da bilgi veren infertilite uzman\u0131 Dr. Aslan s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
“Sonu\u00e7ta bu bir giri\u015fimsel i\u015flem. T\u0131pta olan her i\u015flem gibi yine her zaman baz\u0131 komplikasyon risklerine kar\u015f\u0131 dikkatli olmak laz\u0131m. T\u00fcp bebekteki b\u00fct\u00fcn ihtimaller, yumurta toplama s\u0131ras\u0131ndaki b\u00fct\u00fcn riskler yine bunda da ge\u00e7erli. \u0130\u015fe yaramama ihtimali var, ayn\u0131 \u015fekilde yumurtal\u0131klar\u0131n cevap vermeme olas\u0131l\u0131\u011f\u0131 var. Cerrahi bir i\u015flem say\u0131l\u0131yor, bu nedenle cerrahi i\u015flemin riskleri bunda da s\u00f6z konusu. Yumurtal\u0131klar bat\u0131n\u0131n i\u00e7inde yer ald\u0131\u011f\u0131 i\u00e7in bu i\u015flem bat\u0131n\u0131n i\u00e7ine bir i\u011fne yard\u0131m\u0131 ile yap\u0131l\u0131yor. PRP sol\u00fcsyonu yumurtal\u0131klar\u0131n belli yerlerine enjekte ediliyor. Bug\u00fcne kadar bildirilmi\u015f bir komplikasyon yok. Dikkatle, \u00f6zenle yap\u0131ld\u0131\u011f\u0131nda hastaya zarar vermeyece\u011fi ilkesine dayanarak biz de bu tedavinin faydal\u0131 olabilece\u011fini d\u00fc\u015f\u00fcn\u00fcyoruz. Cilt gen\u00e7le\u015ftirmeden idrar ka\u00e7\u0131rma sorununa kadar uygulama alan\u0131 bulan PRP, art\u0131k t\u00fcp bebek alan\u0131nda da en \u00e7ok rahim duvar\u0131 ince olan, yumurta rezervi zay\u0131f hastalarla tekrarlayan t\u00fcp bebek ba\u015far\u0131s\u0131zl\u0131klar\u0131nda hastalara sundu\u011fumuz de\u011ferli bir se\u00e7enek.”<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI DR. D\u0130LEK ASLAN, TROMBOS\u0130TTEN ZENG\u0130N PLAZMA TEDAV\u0130S\u0130N\u0130N (PRP), RAH\u0130M DUVARI \u0130NCE, YUMURTA REZERV\u0130 AZALMI\u015e YA DA T\u00dcP BEBEK UYGULAMASINDA TEKRARLAYAN BA\u015eARISIZLIKLARDA HASTALARA SUNULAN \u00d6NEML\u0130 B\u0130R SE\u00c7ENEK HAL\u0130NE GELD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":218193,"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":[55205,2668,40354,87],"class_list":["post-218192","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-tibbinda","tag-umut","tag-ureme","tag-yeni"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/ureme-tibbinda-yeni-umut_b4eba35.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-ULe","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/218192","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=218192"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/218192\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/218193"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=218192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=218192"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=218192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}