{"id":242965,"date":"2019-12-16T11:47:30","date_gmt":"2019-12-16T08:47:30","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/doc-dr-torer-premature-bebek-yenidogan-uzmani-yonetiminde-buyumeli\/"},"modified":"2019-12-16T11:47:30","modified_gmt":"2019-12-16T08:47:30","slug":"doc-dr-torer-premature-bebek-yenidogan-uzmani-yonetiminde-buyumeli","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/doc-dr-torer-premature-bebek-yenidogan-uzmani-yonetiminde-buyumeli\/","title":{"rendered":"Do\u00e7. Dr. T\u00f6rer: &#8220;Premat\u00fcre bebek yenido\u011fan uzman\u0131 y\u00f6netiminde b\u00fcy\u00fcmeli&#8221;"},"content":{"rendered":"<p>Ba\u015fkent \u00dcniversitesi Adana Dr. Turgut Noyan Uygulama ve Ara\u015ft\u0131rma Merkezi Yenido\u011fan Bilim Dal\u0131\u2019ndan Do\u00e7. Dr. Birgin T\u00f6rer, premat\u00fcre bebe\u011fin yenido\u011fan uzman\u0131n\u0131n y\u00f6netiminde, multidisipliner yakla\u015f\u0131mla verilen sa\u011fl\u0131k hizmetiyle b\u00fcy\u00fcmeleri gerekti\u011fini belirtti.<\/p>\n<p>Do\u00e7. Dr. Birgin T\u00f6rer, Gebeli\u011fin 37. haftas\u0131ndan \u00f6nce do\u011fan yenido\u011fan bebeklere premat\u00fcre bebek denildi\u011fini belirterek, \u201cG\u00fcn\u00fcm\u00fczde her 10 bebekten biri erken yani premat\u00fcre do\u011fmakta, \u00fclkemizde de y\u0131lda 150.000 bin premat\u00fcre bebek d\u00fcnyaya gelmektedir. Annenin ya\u015f\u0131n\u0131n 18 ya\u015f alt\u0131 ve 40 ya\u015f \u00fcst\u00fcnde olmas\u0131, annenin ge\u00e7irdi\u011fi enfeksiyonlar, annenin rahmindeki anatomik sorunlar, annenin diyabet, hipertansiyon, p\u0131ht\u0131la\u015fma bozukluklar\u0131 gibi hastal\u0131klar\u0131 olmas\u0131 premat\u00fcre do\u011fum riskini art\u0131r\u0131r. Ancak, erken do\u011fum bilinen hi\u00e7bir risk fakt\u00f6r\u00fc olmasa da her kad\u0131nda g\u00f6r\u00fclebilmektedir&#8221; dedi.<\/p>\n<p>Premat\u00fcre bebeklerin anne karn\u0131ndaki b\u00fcy\u00fcme ve geli\u015fmelerini hen\u00fcz tamamlamadan d\u00fcnyaya geldikleri i\u00e7in, solunum sistemi, kalp-damar sistemi, sindirim sistemi, sinir sistemi ba\u015fta olmak \u00fczere t\u00fcm sistemlerle ilgili bir\u00e7ok sorunla kar\u015f\u0131 kar\u015f\u0131ya kald\u0131klar\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Do\u00e7. Dr. T\u00f6rer, \u201cBu bebeklerin ba\u011f\u0131\u015f\u0131kl\u0131k sistemleri tam geli\u015fmedi\u011finden, mikroplara kar\u015f\u0131 diren\u00e7leri d\u00fc\u015f\u00fckt\u00fcr, enfeksiyonlara yatk\u0131nd\u0131rlar. Premat\u00fcre bebekler, ald\u0131klar\u0131 ilk soluk ile birlikte anne karn\u0131ndaki ya\u015famlar\u0131ndan \u00e7ok farkl\u0131 bir sisteme uyum g\u00f6stermek zorundad\u0131rlar ve ne kadar erken do\u011farlarsa o kadar a\u011f\u0131r sorunlarla kar\u015f\u0131 kar\u015f\u0131ya kal\u0131rlar. \u00d6zellikle 32 haftadan \u00f6nce ve 1500 gram\u0131n alt\u0131nda do\u011fan bebeklerin ya\u015fama tutunabilmeleri i\u00e7in donan\u0131ml\u0131 yenido\u011fan yo\u011fun bak\u0131m \u00fcnitesinin oldu\u011fu merkezlerde d\u00fcnyaya gelmeleri \u00f6nemlidir. Uzun s\u00fcre yo\u011fun bak\u0131mda ve kuv\u00f6z i\u00e7inde izlenmeleri, solunum cihaz\u0131na ba\u011flanmalar\u0131 gereken bu bebeklerin deneyimli yenido\u011fan uzmanlar\u0131n\u0131n, \u00e7ocuk doktorlar\u0131n\u0131n ve yo\u011fun bak\u0131m hem\u015firelerinin oldu\u011fu \u00fcnitelerde do\u011fmas\u0131 izlenmesi hem sa\u011fkal\u0131mlar\u0131n\u0131 hem de ileride ya\u015fam kalitesi y\u00fcksek, sa\u011fl\u0131kl\u0131 bireyler olma \u015fanslar\u0131n\u0131 art\u0131r\u0131r\u201d diye konu\u015ftu.<\/p>\n<p>Do\u00e7. Dr. T\u00f6rer, ya\u015fama y\u00fcksek risk d\u00fczeyi ile ba\u015flayan premat\u00fcre bebeklerin yo\u011fun bak\u0131mdan taburcu olduktan sonraki geli\u015fimsel ve t\u0131bbi izlemlerinin de \u00f6zellikli oldu\u011funu s\u00f6yleyerek \u015funlar\u0131 kaydetti:<\/p>\n<p>\u201cBu bebekler kalabal\u0131k ve sigaral\u0131 ortamlardan uzak tutulmal\u0131 t\u00fcm a\u015f\u0131lar\u0131 kronolojik ya\u015fa g\u00f6re ve doz azalt\u0131lmas\u0131 yap\u0131lmadan uygulanmal\u0131d\u0131r, baz\u0131 bebeklerde \u00f6zel a\u015f\u0131lar gerekir. Sa\u011fl\u0131kl\u0131 b\u00fcy\u00fcmeleri ve geli\u015fmeleri i\u00e7in yeterli ve dengeli beslenme \u00e7ok \u00f6nemlidir. Premat\u00fcre bebekler i\u00e7in de en uygun besin anne s\u00fct\u00fcd\u00fcr ancak baz\u0131 bebeklerde anne s\u00fct\u00fcn\u00fcn protein, kalori, kalsiyum ve fosfor i\u00e7eri\u011finin zenginle\u015ftirilmesi gerekir. B\u00fcy\u00fcmenin izleminin yan\u0131 s\u0131ra bu bebekler g\u00f6rme, i\u015fitme ve n\u00f6rolojik geli\u015fim a\u00e7\u0131s\u0131ndan izlenmelidir. Zaman\u0131nda yap\u0131lacak giri\u015fimlerle bu bebeklerde g\u00f6r\u00fclme riski y\u00fcksek olan serebral palsi, k\u00f6rl\u00fck, sa\u011f\u0131rl\u0131k, \u00f6\u011frenme g\u00fc\u00e7l\u00fc\u011f\u00fc ve davran\u0131\u015f bozuklu\u011fu gibi sorunlar\u0131n bir k\u0131sm\u0131 \u00f6nlenebilir. Bu nedenle aile ile yak\u0131n ili\u015fki ve i\u015fbirli\u011fi i\u00e7inde, yenido\u011fan uzman\u0131n\u0131n y\u00f6netiminde, multidisipliner yakla\u015f\u0131mla verilen sa\u011fl\u0131k hizmeti premat\u00fcre bebeklerin sa\u011fl\u0131kl\u0131 b\u00fcy\u00fcmeleri i\u00e7in vazge\u00e7ilmezdir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>BA\u015eKENT \u00dcN\u0130VERS\u0130TES\u0130 ADANA DR. TURGUT NOYAN UYGULAMA VE ARA\u015eTIRMA MERKEZ\u0130 YEN\u0130DO\u011eAN B\u0130L\u0130M DALI\u2019NDAN DO\u00c7. DR. B\u0130RG\u0130N T\u00d6RER, PREMAT\u00dcRE BEBE\u011e\u0130N YEN\u0130DO\u011eAN UZMANININ Y\u00d6NET\u0130M\u0130NDE, MULT\u0130D\u0130S\u0130PL\u0130NER YAKLA\u015eIMLA VER\u0130LEN SA\u011eLIK H\u0130ZMET\u0130YLE B\u00dcY\u00dcMELER\u0130 GEREKT\u0130\u011e\u0130N\u0130 BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":242966,"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":[2123,42009,278,279,23278,60594,6871,29560,1288],"class_list":["post-242965","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bebek","tag-buyumeli","tag-doc","tag-dr","tag-premature","tag-torer","tag-uzmani","tag-yenidogan","tag-yonetiminde"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/doc-dr-torer-premature-bebek-yenidogan-uzmani-yonetiminde-buyumeli_c28c52d.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-11cN","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/242965","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=242965"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/242965\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/242966"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=242965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=242965"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=242965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}