{"id":227541,"date":"2019-11-12T17:03:11","date_gmt":"2019-11-12T14:03:11","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/opr-dr-genc-ciftlerde-kisirligin-biyolojik-psikososyal-ekonomik-etik-ve-kulturel-olarak-onemli-sorunlar-olusturuyor\/"},"modified":"2019-11-12T17:03:11","modified_gmt":"2019-11-12T14:03:11","slug":"opr-dr-genc-ciftlerde-kisirligin-biyolojik-psikososyal-ekonomik-etik-ve-kulturel-olarak-onemli-sorunlar-olusturuyor","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/opr-dr-genc-ciftlerde-kisirligin-biyolojik-psikososyal-ekonomik-etik-ve-kulturel-olarak-onemli-sorunlar-olusturuyor\/","title":{"rendered":"Opr. Dr. Gen\u00e7: &#8220;\u00c7iftlerde k\u0131s\u0131rl\u0131\u011f\u0131n biyolojik, psikososyal, ekonomik, etik ve k\u00fclt\u00fcrel olarak \u00f6nemli sorunlar olu\u015fturuyor&#8221;"},"content":{"rendered":"<p>Do\u011fum ve T\u00fcp Bebek Uzman\u0131 Opr. Dr. Safiye Gen\u00e7, k\u0131s\u0131rl\u0131kla ilgili yapt\u0131\u011f\u0131 a\u00e7\u0131klamada k\u0131s\u0131rl\u0131kta yap\u0131lan erken te\u015fhisin tedavi oran\u0131n\u0131 y\u00fckseltti\u011fini s\u00f6yledi.<\/p>\n<p>B\u00fcy\u00fck Anadolu Hastaneleri Kad\u0131n Hastal\u0131klar\u0131 Do\u011fum ve T\u00fcp Bebek Uzman\u0131 Opr. Dr. Safiye Gen\u00e7, k\u0131s\u0131rl\u0131kla ilgili \u00f6nemli a\u00e7\u0131klamalarda bulundu. K\u0131s\u0131rl\u0131kla ilgili yap\u0131lan tan\u0131larda temel olarak \u00fc\u00e7 testin oldu\u011funu ifade eden Opr. Dr. Gen\u00e7, &#8220;Bu testlerden ilki kad\u0131nda yumurtlama olup olmad\u0131\u011f\u0131na bak\u0131lmas\u0131d\u0131r. \u0130kincisi kad\u0131n\u0131n t\u00fcplerinin de\u011ferlendirilmesi, t\u00fcplerin a\u00e7\u0131k olup olmad\u0131\u011f\u0131 ile ilgili g\u00f6zlemin yap\u0131lmas\u0131. Bu i\u015flem de rahim filmi ile ger\u00e7ekle\u015ftirilmektedir. \u00dc\u00e7\u00fcnc\u00fc  ve son test ise erkek sperminin normal olup olmad\u0131\u011f\u0131n\u0131 anlamak ad\u0131na spermiyorgram olarak isimlendirilen tetkikin  uygulanmas\u0131d\u0131r&#8221; dedi.<\/p>\n<p>Opr. Dr. Gen\u00e7, \u00f6zellikle tespit edilemeyen k\u0131s\u0131rl\u0131k tedavisine ba\u015flamadan \u00f6nce \u00e7iftlerin bir y\u0131lda hekim kontrol\u00fcnde olmadan kendi ba\u015flar\u0131na \u00e7ocuk sahibi olma ihtimallerinin bulunmas\u0131 nedeniyle bir sure beklediklerini belirtti.<\/p>\n<p>Op. Dr. Gen\u00e7, &#8220;Bir kad\u0131n\u0131n y\u00fczde k\u0131rk kendi ba\u015f\u0131na gebe kalma olas\u0131l\u0131\u011f\u0131 bulunuyorsa tedaviye ba\u015flamadan en az alt\u0131 ay veya bir y\u0131l kadar bekleyebilmektedir. Ancak bu s\u00fcre zarf\u0131nda kad\u0131n\u0131n ya\u015f\u0131 ve yumurtal\u0131k rezervi olduk\u00e7a \u00f6nemlidir. Birtak\u0131m durumlarda ise hekimin vermi\u015f oldu\u011fu karar ile yap\u0131lan tetkikler sonucunda \u00e7ift bekletilmeden a\u015f\u0131lama y\u00f6ntemi ile tedavi a\u015famas\u0131na ba\u015flanabilir. Birden fazla ger\u00e7ekle\u015ftirilen a\u015f\u0131lama y\u00f6nteminden ile ba\u015far\u0131 sa\u011flanamazsa t\u00fcp bebek yap\u0131labilir.  Ancak ifade edilmelidir ki t\u00fcp bebekten \u00f6nce elimizdeki t\u00fcm tedavi imkanlar\u0131 kullan\u0131lmal\u0131, e\u011fer ba\u015far\u0131l\u0131 sonu\u00e7 al\u0131namazsa t\u00fcp bebek tedavisi uygulanmal\u0131d\u0131r&#8221; diye konu\u015ftu.<\/p>\n<p>&#8220;Kad\u0131n\u0131n ya\u015f\u0131 \u00f6nemli&#8221;<\/p>\n<p>T\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 etkileyen fakt\u00f6rlerin ba\u015f\u0131nda kad\u0131n\u0131n ya\u015f\u0131n\u0131n geldi\u011fini dile getiren Opr. Dr. Gen\u00e7, &#8220;\u00d6zellikle 35 ya\u015f\u0131ndan sonra kad\u0131n\u0131n do\u011furganl\u0131\u011f\u0131 giderek azalmakta, 37 ya\u015f\u0131ndan sonra a\u015fa\u011f\u0131 do\u011fru inmekte, 40 ya\u015f\u0131ndan sonra ise belirgin olarak azalmaktad\u0131r. Bunun sebebininde ya\u015flanm\u0131\u015f yumurta oldu\u011funu biliyoruz. Kad\u0131n ya\u015f\u0131 t\u00fcp bebek ba\u015far\u0131s\u0131nda da en \u00f6nemli fakt\u00f6rd\u00fcr. \u0130kinci \u00f6nemli fakt\u00f6r ise kilo olarak d\u00fc\u015f\u00fcn\u00fclebilir. Kad\u0131n\u0131n kilolu olmas\u0131 gebeli\u011fi engelleyebildi\u011fi ve d\u00fc\u015f\u00fck riskini artt\u0131rd\u0131\u011f\u0131 i\u00e7in tedavilerde iyi bir diyetle kilo vermek her zaman ba\u015far\u0131y\u0131 artt\u0131r\u0131r. \u00dc\u00e7\u00fcnc\u00fc \u00f6nemli fakt\u00f6r ise sigarad\u0131r. Bug\u00fcn sigara i\u00e7en kad\u0131nlarda t\u00fcp bebek gebeliklerinde d\u00fc\u015f\u00fck riskinin y\u00fcksek oldu\u011funu biliyoruz. Bu nedenle tedavi \u00f6ncesinden ve tedavi s\u00fcresince sigara kesinlikle i\u00e7ilmemelidir ve sigara i\u00e7ilen ortamlardan uzak durulmal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n<p>&#8220;K\u0131s\u0131rl\u0131kta erken te\u015fhis, ba\u015far\u0131l\u0131 tedavi oran\u0131n\u0131 y\u00fckseltir&#8221;<\/p>\n<p>Eski y\u0131llarda k\u0131s\u0131rl\u0131k tedavilerinin \u00e7ok uzun zaman ald\u0131\u011f\u0131n\u0131 ve hastalar i\u00e7in hem psikolojik hem de fiziksel y\u00f6nden olduk\u00e7a zorlay\u0131c\u0131 oldu\u011funun alt\u0131n\u0131 \u00e7izen Dr. Safiye Gen\u00e7, &#8220;Art\u0131k g\u00fcn\u00fcm\u00fczde teknolojinin geli\u015fmesiyle bu s\u00fcreler olduk\u00e7a k\u0131salm\u0131\u015ft\u0131r. Kullan\u0131lan ila\u00e7lar\u0131n dozlar\u0131n\u0131n daha hafif olmas\u0131, laboratuvar imkanlar\u0131n\u0131n \u00e7ok daha iyi hale getirilmesi ile hasta memnuniyeti a\u00e7\u0131s\u0131ndan \u00e7ok daha ba\u015far\u0131l\u0131 sonu\u00e7lar elde edilebilmektedir. \u00d6zellikle erken te\u015fhis ile tan\u0131 koyulan \u00e7iftlerde ba\u015far\u0131 oran\u0131 olduk\u00e7a y\u00fcksektir\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DO\u011eUM VE T\u00dcP BEBEK UZMANI OPR. DR. SAF\u0130YE GEN\u00c7, KISIRLIKLA \u0130LG\u0130L\u0130 YAPTI\u011eI A\u00c7IKLAMADA KISIRLIKTA YAPILAN ERKEN TE\u015eH\u0130S\u0130N TEDAV\u0130 ORANINI Y\u00dcKSELTT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":227542,"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":[21248,29020,279,4746,19873,803,57318,9714,5030,16014,332,31948,32115,190],"class_list":["post-227541","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-biyolojik","tag-ciftlerde","tag-dr","tag-ekonomik","tag-etik","tag-genc","tag-kisirligin","tag-kulturel","tag-olarak","tag-olusturuyor","tag-onemli","tag-opr","tag-psikososyal","tag-sorunlar"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/opr-dr-genc-ciftlerde-kisirligin-biyolojik-psikososyal-ekonomik-etik-ve-kulturel-olarak-onemli-sorunlar-olusturuyor_453e28e.jpg?fit=594%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Xc1","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/227541","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=227541"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/227541\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/227542"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=227541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=227541"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=227541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}