Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Do\u00e7. Dr. P\u0131nar \u00c7a\u011flar Ayta\u00e7, tedavi veya cerrahi ile nedenler ortadan kald\u0131r\u0131ld\u0131ktan sonra yine gebelik olu\u015fmuyorsa hastay\u0131 yard\u0131mla \u00fcreme y\u00f6ntemlerine y\u00f6nlendirdiklerini s\u00f6yledi.<\/p>\n
Do\u00e7. Dr. P\u0131nar \u00c7a\u011flar Ayta\u00e7, k\u0131s\u0131rl\u0131\u011f\u0131 \u00e7iftlerin d\u00fczenli ili\u015fkiye ra\u011fmen 1 y\u0131l boyunca gebelik olu\u015fmamas\u0131 olarak tan\u0131mlayarak, \u201cToplumda y\u00fczde 15-20 oran\u0131nda g\u00f6r\u00fclebilmektedir. K\u0131s\u0131rl\u0131k her iki \u00e7iftten de kaynaklanabilir. Kad\u0131ndan kaynaklanan nedenler yumurtlamama sorunu, yumurta rezervinin azalmas\u0131, rahim \u015feklinde anomaliler, t\u00fcplerde t\u0131kan\u0131kl\u0131k veyahut rahimde yap\u0131\u015f\u0131kl\u0131k, erkekte sperm say\u0131s\u0131n\u0131n az veya hi\u00e7 olmamas\u0131, sperm hareketlili\u011finin ve ba\u015f, boyun ve kuyruk olmak \u00fczere \u015fekil bozukluklar\u0131 say\u0131labilir\u201d dedi.<\/p>\n
Kimlere t\u00fcp bebek tedavisi gerekir?<\/p>\n
Do\u00e7. Dr. Ayta\u00e7, ba\u015fvuran hasta ve e\u015flerine \u00f6nce ayr\u0131nt\u0131l\u0131 bilgilerini ve muayenelerini yapt\u0131ktan sonra k\u0131s\u0131rl\u0131k nedenlerini ara\u015ft\u0131rd\u0131klar\u0131n\u0131 belirterek, \u201cSaptad\u0131\u011f\u0131m\u0131z nedenler tedavi veya cerrahi ile ortadan kald\u0131r\u0131ld\u0131ktan sonra yine gebelik olu\u015fmuyorsa art\u0131k hastam\u0131z yard\u0131mla \u00fcreme y\u00f6ntemlerine y\u00f6nlendiririz. Erke\u011fin sperm say\u0131s\u0131 \u00e7ok d\u00fc\u015f\u00fck veya analizlerde sperm izlenmiyorsa, kad\u0131n\u0131n her iki t\u00fcp\u00fc t\u0131kal\u0131 veya cerrahi ile \u00e7\u0131kar\u0131lm\u0131\u015fsa, kad\u0131nda yumurtlama sorunu ila\u00e7larla \u00e7\u00f6z\u00fcld\u00fc\u011f\u00fc halde yine de en az 2 y\u0131l boyunca gebe kalmam\u0131\u015f ise, korunmas\u0131z evlilik s\u00fcresi 1 y\u0131l\u0131 ge\u00e7mi\u015f iken kad\u0131n ya\u015f\u0131 38\u2018in \u00fcst\u00fcne \u00e7\u0131km\u0131\u015f veya yumurtal\u0131k rezervi azalm\u0131\u015fsa ya da b\u00fct\u00fcn yap\u0131lan testler normal ama \u00e7iftin en az 2 y\u0131l boyunca gebe kalamam\u0131\u015f ve 2-3 ay a\u015f\u0131lama da uygulanm\u0131\u015f veya 3- 4 y\u0131ldan uzun k\u0131s\u0131rl\u0131k s\u00fcresi varsa bu hastalar\u0131m\u0131za t\u00fcp bebek tedavisini \u00f6neriyoruz\u201d diye konu\u015ftu.<\/p>\n
Tedavi \u00f6ncesi hastalara \u00f6nerilerde bulunan Ayta\u00e7, \u201cHastalar\u0131m\u0131za d\u00fczenli 1 y\u0131l ili\u015fkiden sonra, kad\u0131n ya\u015f\u0131 35\u2018in \u00fcst\u00fcnde ise 6 ay sonra mutlaka bir infertilite ile ilgilenen kad\u0131n do\u011fum uzman\u0131na ba\u015fvurmalar\u0131n\u0131 \u00f6zellikle belirtmek isteriz. Maalesef anne ya\u015f\u0131 ilerledik\u00e7e \u00fcretilen yumurta say\u0131s\u0131 ile birlikte kalitesi de d\u00fc\u015fmektedir. Bu nedenle ileri anne ya\u015f\u0131nda vakit kaybetmemelerini \u00f6neriyoruz. E\u011fer sigara i\u00e7iyorlarsa sigaray\u0131 b\u0131rakmalar\u0131n\u0131, kilolu iseler ideal kiloya ula\u015fmalar\u0131n\u0131, \u015feker hastal\u0131\u011f\u0131, hiper veya hipotiroid gibi sistemik hastal\u0131klar\u0131 olanlar\u0131n mutlaka hastal\u0131klar\u0131n\u0131n kontrol alt\u0131nda olmas\u0131 gerekmektedir. Asl\u0131nda genel sa\u011fl\u0131k \u00f6nerilerine uymalar\u0131 d\u0131\u015f\u0131nda \u00e7ok \u00f6zel bir diyeti veya form\u00fcl\u00fc yok\u201d dedi.<\/p>\n
Do\u00e7. Dr. Ayta\u00e7, t\u00fcp bebek tedavisinde SGK deste\u011fi alabilmek i\u00e7in kriterleri de \u015fu \u015fekilde s\u0131ralad\u0131:<\/p>\n
\u201cKad\u0131n ya\u015f\u0131 23 ya\u015f ve 40 ya\u015f aral\u0131\u011f\u0131nda olmal\u0131d\u0131r.<\/p>\n
SGK\u2019l\u0131 (Ba\u011fkur, Emekli Sand\u0131\u011f\u0131 veya SSK) iseniz, hala bu kurumda olup, en az 5 y\u0131l \u00f6ncesinden bu kuruma giri\u015finizin olmas\u0131, 900 (toplamda, aral\u0131kl\u0131 olabilir) i\u015f g\u00fcn\u00fc de prim \u00f6demi\u015f olman\u0131z gerekmektedir.<\/p>\n
Erke\u011fin hareketli sperm say\u0131s\u0131 5 milyon\/ml alt\u0131nda olmal\u0131d\u0131r.<\/p>\n
Kad\u0131n\u0131n yumurtal\u0131k rezervi d\u00fc\u015f\u00fck olmal\u0131d\u0131r.<\/p>\n
Cerrahi y\u00f6ntemle kad\u0131n\u0131n her iki t\u00fcp\u00fcn\u00fcn t\u0131kal\u0131 veya al\u0131nm\u0131\u015f olmas\u0131 gereklidir.<\/p>\n
Hi\u00e7 bir neden bulunamayan hastalarda en az 2 kez gonadotropinlerle (i\u011fnelerle) yumurta b\u00fcy\u00fct\u00fcp a\u015f\u0131lama yapt\u0131rm\u0131\u015f olmas\u0131 ve en az 3 y\u0131ll\u0131k evlilik s\u00fcresi (resmi) bulunmas\u0131 gerekmektedir.<\/p>\n
\u00c7iftlerin resmi nikahlar\u0131 olmal\u0131d\u0131r.<\/p>\n
Hastalar\u0131m\u0131z 3 y\u0131l bekleme s\u00fcresini \u00e7o\u011funlukla yanl\u0131\u015f anlay\u0131p gereksiz 3 y\u0131l bekleyenler olmaktad\u0131r, bu sadece a\u00e7\u0131klanamayan k\u0131s\u0131rl\u0131k i\u00e7in ge\u00e7erli bir s\u00fcre olup di\u011fer nedeni g\u00f6sterilmi\u015f k\u0131s\u0131rl\u0131k nedenleri i\u00e7in 3 y\u0131l s\u0131n\u0131r SGK taraf\u0131ndan istenmemektedir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI VE DO\u011eUM UZMANI DO\u00c7. DR. PINAR \u00c7A\u011eLAR AYTA\u00c7, 1 YIL D\u00dcZENL\u0130 \u0130L\u0130\u015eK\u0130DEN SONRA KADIN YA\u015eI 35 \u2018\u0130N \u00dcST\u00dcNDE \u0130SE 6 AY SONRA MUTLAKA B\u0130R \u0130NFERT\u0130L\u0130TE \u0130LE \u0130LG\u0130LENEN KADIN DO\u011eUM UZMANINA BA\u015eVURMASI GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":225804,"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":[2123,12508,56989,6552,3966],"class_list":["post-225803","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bebek","tag-gerekir","tag-kimlere","tag-tedavisi","tag-tup"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/kimlere-tup-bebek-tedavisi-gerekir_222cdb5.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-WJZ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/225803","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=225803"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/225803\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/225804"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=225803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=225803"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=225803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}