Op. Dr. Beyhan Bado\u011flu, \u201cObezite, adet d\u00fczensizli\u011fi, tiroid ve karaci\u011fer hastal\u0131klar\u0131, a\u015f\u0131r\u0131 kafein t\u00fcketimi k\u0131s\u0131rl\u0131\u011fa neden olabilir\u201d dedi.<\/p>\n
\u00c7aml\u0131ca Medipol \u00dcniversite Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Beyhan Bado\u011flu, halk aras\u0131nda k\u0131s\u0131rl\u0131k olarak bilinen infertilite rahats\u0131zl\u0131\u011f\u0131n\u0131n alt\u0131nda bir\u00e7ok neden olabilece\u011fine dikkati \u00e7ekerek fazla kafein t\u00fcketimine ili\u015fkin uyard\u0131. Bado\u011flu, yapt\u0131\u011f\u0131 yaz\u0131l\u0131 a\u00e7\u0131klamada, k\u0131s\u0131rl\u0131k nedenlerine bak\u0131ld\u0131\u011f\u0131nda kad\u0131n ya da erkek kaynakl\u0131 olabildi\u011fine i\u015faret etti. K\u0131s\u0131rl\u0131\u011f\u0131n kad\u0131na veya erke\u011fe ya da her ikisine birden ait olabilece\u011fi gibi y\u00fczde 15\u2019lik hasta grubunda t\u00fcm ara\u015ft\u0131rmalara ra\u011fmen bir neden saptanmad\u0131\u011f\u0131n\u0131 belirten Bado\u011flu \u201cKad\u0131nlarda ya\u015f 35\u2019in \u00fczerinde ise ve muayene ge\u00e7mi\u015finde k\u0131s\u0131rl\u0131kla ilgili bulgular varsa ara\u015ft\u0131rmaya vakit kaybetmeden ba\u015flanmal\u0131. Her 100 \u00e7iftten 15-20\u2019sinde g\u00f6r\u00fclen k\u0131s\u0131rl\u0131k ya\u015f ilerledik\u00e7e daha s\u0131k g\u00f6r\u00fcl\u00fcr. Tek bir sebebe ba\u011fl\u0131 olabildi\u011fi gibi; birka\u00e7 fakt\u00f6r\u00fcn erkek ya da kad\u0131n fakt\u00f6rlerinden birka\u00e7\u0131n\u0131n kombinasyonu ile de ger\u00e7ekle\u015febilir\u201d bilgisini verdi.<\/p>\n
\u201c35 ya\u015f\u0131ndan sonras\u0131na dikkat\u201d<\/p>\n
Bado\u011flu, kad\u0131n\u0131n ya\u015f\u0131n\u0131n ilerlemesi ile birlikte gebelik \u015fans\u0131n\u0131n ciddi bir d\u00fc\u015f\u00fc\u015f izledi\u011fini ifade ederek \u201cBu azal\u0131\u015f \u00f6zellikle 37 ya\u015f\u0131ndan itibaren h\u0131zla kendini belli eder ve 40\u2019l\u0131 ya\u015flara gelindi\u011finde ise y\u00fczde 75\u2019e varan infertilite kay\u0131plar\u0131 g\u00f6zlenir. Bu a\u00e7\u0131dan 35 ya\u015f\u0131n\u0131 ge\u00e7mi\u015f ve 6 ay\u0131n \u00fczerinde k\u0131s\u0131rl\u0131k problemi olan kad\u0131nlar\u0131n jinekolojik de\u011ferlendirmeleri geciktirilmeksizin yap\u0131lmal\u0131. Erkeklerde ya\u015f\u0131n infertiliteye etkisi kad\u0131nlarda oldu\u011fu kadar belirgin de\u011fil. K\u0131s\u0131rl\u0131k nedenleri genel olarak erkek ve kad\u0131nlar aras\u0131nda yar\u0131 yar\u0131ya payla\u015f\u0131l\u0131yor\u201d de\u011ferlendirmesinde bulundu.<\/p>\n
\u201cDiyabet ve tiroid \u00f6nemli etken\u201d<\/p>\n
Kad\u0131nlarda g\u00f6r\u00fclen infertilitede en s\u0131k rastlanan sebepler aras\u0131nda t\u00fcp t\u0131kan\u0131kl\u0131\u011f\u0131 ve yumurtal\u0131k hastal\u0131klar\u0131 oldu\u011funa de\u011finen Bado\u011flu, di\u011fer nedenleri \u015f\u00f6yle s\u0131ralad\u0131: \u201cEndometriozis, \u00e7ikolata kisti, yumurtlama bozukluklar\u0131, polikistik over sendromu, erken menopoz gibi nedenler de etkiliyor. Azalm\u0131\u015f yumurtal\u0131k rezervi, ge\u00e7irilmi\u015f enfeksiyonlar ya da kar\u0131n i\u00e7i operasyonlar, kar\u0131n i\u00e7i yap\u0131\u015f\u0131kl\u0131k da infertiliteye yol a\u00e7abiliyor. Ayr\u0131ca y\u00fcksek prolaktin seviyesi ki memelerden spontan s\u00fct geli\u015fi en s\u0131k bulgusudur. Rahim miyomlar\u0131 ise rahim duvar\u0131nda yer alan iyi huylu t\u00fcm\u00f6rlerdir. Yerle\u015fim yerine g\u00f6re infertiliteyi etkileyip etkilemedi\u011fi tahmin edilebilir. Tiroid bezindeki aksakl\u0131klar adet d\u00f6ng\u00fcs\u00fcn\u00fc etkileyerek k\u0131s\u0131rl\u0131\u011fa neden olabilir. \u00d6te yandan radyoterapi ve kemoterapi de kad\u0131n\u0131n \u00fcreme becerisini etkiler, \u00f6zellikle \u00fcreme sistemi ile ilgili ge\u00e7irilmi\u015f kanser \u00f6yk\u00fcs\u00fc, al\u0131nan tedaviler infertiliteye sebep olabilir. Ge\u00e7 ergenlik, adet olamama, karaci\u011fer rahats\u0131zl\u0131\u011f\u0131, diyabet gibi rahats\u0131zl\u0131klar da kad\u0131nda k\u0131s\u0131rl\u0131\u011fa neden olabilir.\u201d<\/p>\n
\u201cAdet d\u00f6nemindeki sanc\u0131 ilk belirti\u201d<\/p>\n
Bado\u011flu, a\u015f\u0131r\u0131 kafein t\u00fcketiminin, obezitenin, sigara ve alkol kullan\u0131m\u0131n\u0131n da k\u0131s\u0131rl\u0131\u011fa neden olabilece\u011fini belirterek, infertilite tan\u0131s\u0131 konabilmesi i\u00e7in g\u00f6r\u00fclmesi gereken ipu\u00e7lar\u0131 \u015f\u00f6yle a\u00e7\u0131klad\u0131: \u201cAdet d\u00fczensizli\u011fi, adet d\u00f6nemlerinde \u015fiddetli a\u011fr\u0131 ve sanc\u0131lar, gebelik ve emzirme s\u00fcre\u00e7leri haricinde memeden s\u00fct gelmesi en \u00f6nemli ipu\u00e7lar\u0131ndand\u0131r. A\u015f\u0131r\u0131 kilo ve hormon bozuklu\u011funa da ba\u011fl\u0131 olabilecek a\u015f\u0131r\u0131 t\u00fcylenme, akne problemi de belirtilerdendir. Erkeklerde ise \u00fcremeyle ilgili sorunlar infertiliteyi g\u00f6sterebilir.\u201d<\/p>\n
\u201cTedavi y\u00f6ntemini tetkikler belirler\u201d<\/p>\n
\u0130nfertiliteye kar\u015f\u0131 uygulanan tedaviler hakk\u0131nda bilgi veren Bado\u011flu, s\u00f6zlerini \u015f\u00f6yle noktalad\u0131: \u201cEn \u00e7ok bilineni t\u00fcp bebek tedavisidir ancak hangi y\u00f6ntemin \u00f6nerilece\u011fi, karar\u0131 hastan\u0131n ya\u015f\u0131na, ne kadar s\u00fcredir gebelik istemi mevcut oldu\u011funa, daha \u00f6nceden ya\u015fanm\u0131\u015f bir gebeli\u011fin olup olmad\u0131\u011f\u0131na ve e\u015flere yap\u0131lan tetkiklerin sonu\u00e7lar\u0131na ba\u011fl\u0131 olarak verilir. E\u011fer infertilite problemi d\u00fczenli yumurtlaman\u0131n olmamas\u0131ndan kaynaklan\u0131yor ise tablet ya da enjeksiyon \u015feklinde verilebilecek ila\u00e7lar sayesinde tedavi edilebilir. A\u015f\u0131lama ise bir di\u011fer tedavi y\u00f6ntemidir. Bu tedavi do\u011furganl\u0131\u011f\u0131n en y\u00fcksek oldu\u011fu yumurtlama d\u00f6neminde e\u015finizin spermlerinin basit bir y\u00f6ntemle rahim i\u00e7ine yerle\u015ftirilmesi ile uygulan\u0131r. Bu y\u00f6ntem t\u00fcplerin sa\u011fl\u0131kl\u0131 oldu\u011fu ve nedeni a\u00e7\u0131klanamayan durumlarda \u00f6nerilir. Sperm say\u0131s\u0131n\u0131n ya da hareketlili\u011finin \u00e7ok d\u00fc\u015f\u00fck d\u00fczeylere inmeden azald\u0131\u011f\u0131 ya da spermin mekanik ge\u00e7i\u015finin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 baz\u0131 durumlarda etkin olarak kullan\u0131l\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
OP. DR. BEYHAN BADO\u011eLU, \u201cOBEZ\u0130TE, ADET D\u00dcZENS\u0130ZL\u0130\u011e\u0130, T\u0130RO\u0130D VE KARAC\u0130\u011eER HASTALIKLARI, A\u015eIRI KAFE\u0130N T\u00dcKET\u0130M\u0130 KISIRLI\u011eA NEDEN OLAB\u0130L\u0130R\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[1402,52025,56794,42757],"class_list":["post-224857","post","type-post","status-publish","format-standard","hentry","category-genel","tag-asiri","tag-kafein","tag-kisirligi","tag-tetikleyebilir"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-WuJ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/224857","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=224857"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/224857\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=224857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=224857"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=224857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}