T\u00fcp bebek tedavi y\u00f6ntemi hakk\u0131nda bilgiler veren Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi D\u00fczg\u00fcn Korkmaz, ileri anne ya\u015f\u0131n\u0131n t\u00fcp bebek y\u00f6ntemini gerektirebilece\u011fini s\u00f6yledi.<\/p>\n
T\u00fcp bebek tedavisi, normal olarak gebelik \u015fans\u0131 olmayan ya da \u00e7ok az olan \u00e7iftlerde gebelik \u015fans\u0131n\u0131 artt\u0131ran \u00f6nde gelen tedavi y\u00f6ntemlerinden bir tanesi. Medicana Bah\u00e7elievler Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi D\u00fczg\u00fcn Korkmaz, t\u00fcp bebek hakk\u0131nda \u00f6nemli bilgiler verdi.<\/p>\n
\u2019\u2019\u0130leri anne ya\u015f\u0131 t\u00fcp bebek y\u00f6ntemi gerektirebilir\u2019\u2019<\/p>\n
T\u00fcp bebek tedavisinde ileri anne ya\u015f\u0131na de\u011finen Dr. D\u00fczg\u00fcn Korkmaz, \u2019\u2019\u0130leri anne ya\u015f\u0131, azalan yumurta rezervi ve yumurtalar\u0131n kalitesi, sperm hareketlili\u011finde ve kalitesinde azalma, azospermi, varikosel gibi erkek fakt\u00f6rl\u00fc nedenler, rahim i\u00e7i ve fallop t\u00fcpleri ile ilgili sorunlar, kistler ve sebepsiz \u0130nfertilite t\u00fcp bebek i\u015flemini gerektiren fakt\u00f6rler aras\u0131nda yer al\u0131r. Yeni adet d\u00f6neminin 3\u2019\u00fcnc\u00fc g\u00fcn\u00fcnde, yumurtal\u0131klar\u0131n uyar\u0131lmas\u0131 amac\u0131yla i\u011fne \u015feklinde hormon i\u00e7eren ila\u00e7lara ba\u015flan\u0131r. Bu ila\u00e7lar\u0131n kullan\u0131lmas\u0131ndaki ama\u00e7, birden fazla yumurta h\u00fccresinin geli\u015fmesine yard\u0131mc\u0131 olacak gebelik ihtimalini artt\u0131rmaktad\u0131r. Yumurtal\u0131klar\u0131n uyar\u0131lma s\u00fcreci yakla\u015f\u0131k olarak 12 g\u00fcnd\u00fcr fakat bu s\u00fcre\u00e7 yumurtal\u0131klar\u0131n ilaca olan cevab\u0131yla belirledi\u011finden, ki\u015fiden ki\u015fiye de\u011fi\u015fiklik g\u00f6sterebilir. Bu s\u00fcre\u00e7 esnas\u0131nda g\u00fcn a\u015f\u0131r\u0131 hormon ve ultrason ile de yumurta geli\u015fimi yak\u0131ndan takip edilmektedir. Di\u011fer bir tedavi y\u00f6ntemi ise k\u0131sa protokol denilen, adetin 2\u2019nci ya da 3\u2019\u00fcnc\u00fc g\u00fcn\u00fc ba\u015flan\u0131l\u0131p ortalama 15 g\u00fcn s\u00fcren bir tedavi protokol\u00fcd\u00fcr. Bu tedavi protokol\u00fcnde yumurtalar\u0131n uyar\u0131lmas\u0131 i\u00e7in i\u011fnelere ba\u015flan\u0131r\u2019\u2019 dedi.<\/p>\n
\u2019\u2019Yumurta toplama i\u015flemi 34-36 saat aras\u0131ndad\u0131r\u2019\u2019<\/p>\n
Yumurtalar belirli bir olgunlu\u011fa ve boyuta ula\u015ft\u0131klar\u0131 zaman yumurta h\u00fccrelerinin \u00e7atlamas\u0131 amac\u0131yla farkl\u0131 bir hormonal i\u011fne kullan\u0131m\u0131na ba\u015fland\u0131\u011f\u0131n\u0131 aktaran Dr. Korkmaz, \u2019\u2019Bu i\u011fnenin yap\u0131m\u0131ndan yakla\u015f\u0131k olarak 34-36 saat sonra ise yumurta toplama i\u015flemi ger\u00e7ekle\u015ftirilir. Bu i\u015flemin hassasiyeti a\u00e7\u0131s\u0131ndan i\u011fnenin yap\u0131l\u0131\u015f\u0131 \u00e7ok b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Yumurta toplama i\u015flemi; hasta sabah a\u00e7 karn\u0131na kabul edildikten sonra uyutulup, yakla\u015f\u0131k olarak 20 ila 30 dakika aras\u0131nda s\u00fcren yumurta toplama i\u015flemi ger\u00e7ekle\u015ftirilir. Elde edilmi\u015f olan yumurta h\u00fccreleri, laboratuvar \u015fartlar\u0131nda ve sperm h\u00fccre kalitesine g\u00f6re, klasik t\u00fcp bebek ( IVF ) ya da mikroenjeksiyon y\u00f6ntemi kullan\u0131larak d\u00f6llenir. Art\u0131k hemen hemen tamam\u0131 mikroenjeksiyon y\u00f6ntemi i\u00e7in kullan\u0131l\u0131yor. Bu d\u00f6llenme sayesinde anne karn\u0131nda geli\u015fen bebe\u011fin temel ta\u015f\u0131 olan embriyo olu\u015fmaktad\u0131r. Mikroskop alt\u0131nda tespit edilen d\u00f6llenme, yakla\u015f\u0131k olarak 12 ila 15 saat aras\u0131nda bir s\u00fcre\u00e7te olu\u015fmaktad\u0131r. Bu olu\u015fumun sonucu hastaya bildirilir ve embriyo transferinin yap\u0131lmas\u0131 i\u00e7in bir g\u00fcn kararla\u015ft\u0131r\u0131l\u0131r. D\u00f6llenmi\u015f embriyolar\u0131n toplanmas\u0131ndan 2 ila 5 g\u00fcn sonra transfer edilir. 35 ya\u015f alt\u0131nda ilk denemesi olan \u00e7iftlere 1 embriyo, 2 den fazla deneme sonras\u0131 ba\u015far\u0131s\u0131zl\u0131k varsa 2 embriyo, 35 ya\u015f \u00fczerindekine 2 embriyo transfer hakk\u0131 vard\u0131r. \u0130\u015flemin basit ve a\u011fr\u0131s\u0131z olmas\u0131 sebebiyle hasta yar\u0131m saatlik bir dinlenme s\u00fcrecinden sonra taburcu edilir. Transfer i\u015fleminden 12 g\u00fcn sonra gebelik testi yap\u0131l\u0131r. Gebeli\u011fin olu\u015fup olu\u015fmad\u0131\u011f\u0131 \u00f6\u011frenilir\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u00dcP BEBEK TEDAV\u0130 Y\u00d6NTEM\u0130 HAKKINDA B\u0130LG\u0130LER VEREN KADIN HASTALIKLARI VE DO\u011eUM UZMANI DR. \u00d6\u011eR. \u00dcYES\u0130 D\u00dcZG\u00dcN KORKMAZ, \u0130LER\u0130 ANNE YA\u015eININ T\u00dcP BEBEK Y\u00d6NTEM\u0130N\u0130 GEREKT\u0130REB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":240813,"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":[5582,2123,60145,11707,3966,23245,5839],"class_list":["post-240796","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-anne","tag-bebek","tag-gerektirebilir","tag-ileri","tag-tup","tag-yasi","tag-yontemi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/ileri-anne-yasi-tup-bebek-yontemi-gerektirebilir_2f75bf1.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-10DO","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/240796","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=240796"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/240796\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/240813"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=240796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=240796"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=240796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}