Kad\u0131n Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Necati \u00d6z\u00e7imen, t\u00fcp bebek tedavisinde en kaliteli yumurtalar\u0131n gen\u00e7 anne adaylar\u0131ndan elde edildi\u011fini belirterek, gen\u00e7 ya\u015fta yap\u0131lan ba\u015fvurular\u0131n \u00e7ok \u00f6nemli oldu\u011funu s\u00f6yledi.<\/p>\n
Medicana Konya Hastanesi Kad\u0131n Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Necati \u00d6z\u00e7imen, t\u00fcp bebek tedavilerinde ba\u015far\u0131l\u0131 sonu\u00e7 elde edebilmek i\u00e7in iyi kalitede embriyolar\u0131n olu\u015fmas\u0131n\u0131n gerekli oldu\u011funu s\u00f6yledi. Op. Dr. \u00d6z\u00e7imen, \u201c\u0130yi kalitede embriyo demek; yumurta ve spermin ayr\u0131 ayr\u0131 kaliteli olmas\u0131 demektir. Dolay\u0131s\u0131yla biz t\u00fcp bebek yapaca\u011f\u0131m\u0131z hastalardan iyi kalitede spermler se\u00e7ersek ba\u015far\u0131 oran\u0131m\u0131z y\u00fcksek olacakt\u0131r. Son y\u0131llarda, yakla\u015f\u0131k olarak da 2-3 y\u0131ld\u0131r hastanemizde mikro\u00e7ip y\u00f6ntemini uygulamaktay\u0131z. Mikro\u00e7ip y\u00f6ntemiyle spermleri, DNA hasar\u0131 olmayan kromozom olarak en sa\u011fl\u0131kl\u0131 olanlardan se\u00e7iyoruz. Dolay\u0131s\u0131yla bu i\u015flemleri yapt\u0131\u011f\u0131m\u0131zda yumurtay\u0131 en iyi \u015fekilde d\u00f6ll\u00fcyor ve gebelik oranlar\u0131n\u0131 artt\u0131r\u0131yor. Mikro\u00e7ip k\u0131saca, mikro ak\u0131\u015fkan bir kanal i\u00e7erisinde spermleri yar\u0131\u015ft\u0131r\u0131yoruz. Bir taraftan verdi\u011fimiz spermlerin di\u011fer tarafa ge\u00e7mesine bak\u0131yoruz. DNA hasar\u0131 olan, \u015fekil bozuklu\u011fu olan spermler ge\u00e7emiyor. Sa\u011fl\u0131kl\u0131 olanlar ge\u00e7iyor ve biz bu spermleri kullan\u0131yoruz. Bu spermler dolay\u0131s\u0131yla iyi kalitede embriyo yap\u0131yor ve iyi kalitedeki embriyolar\u0131 anne rahmine transfer ettikten sonra gebelik oranlar\u0131nda ciddi bir art\u0131\u015f izliyoruz. Dolay\u0131s\u0131yla bu y\u00f6ntemler son y\u0131llarda ba\u015far\u0131 oranlar\u0131 y\u00fczde 10-15 artm\u0131\u015ft\u0131r\u201d dedi.<\/p>\n
Kaliteli embriyonun, kaliteli yumurta anlam\u0131nda oldu\u011funu belirten Op. Dr. \u00d6z\u00e7imen, \u201cEn kaliteli yumurtalar gen\u00e7 anne adaylar\u0131ndan elde ediliyor. Dolay\u0131s\u0131yla anne ya\u015f\u0131 ne kadar gen\u00e7se yumurtalar\u0131n iyi olma olas\u0131l\u0131\u011f\u0131 o kadar y\u00fcksek ve anne rahminde tutunma o kadar y\u00fcksek oluyor. Dolay\u0131s\u0131yla gen\u00e7 ya\u015fta ba\u015fvurular bizim i\u00e7in \u00e7ok \u00f6nemli. Gebelik olu\u015fmazsa kad\u0131nlarda 1 y\u0131l bekledikten sonra, baz\u0131 ki\u015filerde 6 ay bekleniyor; hemen bir kad\u0131n do\u011fum uzman\u0131na ba\u015fvursunlar. Ba\u015fvuru s\u00fcresinde biz hastalar\u0131m\u0131z\u0131 \u00e7ift olarak de\u011ferlendiriyoruz. E\u011fer kad\u0131nda kilo varsa zay\u0131flamalar\u0131n\u0131; sigara i\u00e7iyorsa, sigaran\u0131n azalt\u0131lmas\u0131n\u0131 ya da tamamen kesilmesi ve di\u011fer ba\u015fka hastal\u0131klar varsa gerekirse a\u015f\u0131lamalar\u0131n\u0131 yap\u0131yoruz. B\u00f6ylelikle hastalar\u0131 sa\u011fl\u0131kl\u0131 bir gebelik i\u00e7in haz\u0131rl\u0131yoruz\u201d \u015feklinde konu\u015ftu.<\/p>\n
Kaliteli yumurta ve sperm kullanarak kaliteli embriyo \u00fcretmeye \u00e7al\u0131\u015ft\u0131klar\u0131n\u0131 ifade eden Op. Dr. \u00d6z\u00e7imen, \u201cFakat her zaman i\u00e7in geneti\u011fini bilemiyoruz. O y\u00fczden tekrarlayan gebelik kay\u0131plar\u0131 olanlarda, daha \u00f6nce yap\u0131lan t\u00fcp bebek tedavilerinde ba\u015far\u0131s\u0131z olanlarda, kromozonal hastal\u0131kl\u0131 bebekleri olanlarda ve tek gen hastal\u0131klarda, \u00f6zellikle yurdumuzda akraba evlilikleri \u00e7ok fazla, bu t\u00fcr hastalar\u0131m\u0131zda preimplantasyon genetik tan\u0131 yap\u0131yoruz. Embriyolarda 3. ya da 5. g\u00fcn biyopsi alarak genetik laboratuvara g\u00f6nderiyoruz. Genetik laboratuvarlar\u0131nda normal gelen embriyolardan se\u00e7tiklerimizden 1 ya da 2 tanesini anne rahmine yerle\u015ftiriyoruz. Bu transfer sonras\u0131 gebelik oranlar\u0131 di\u011fer gebelik oranlar\u0131na g\u00f6re daha y\u00fcksel orandad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
KADIN HASTALIKLARI UZMANI OP. DR. NECAT\u0130 \u00d6Z\u00c7\u0130MEN, T\u00dcP BEBEK TEDAV\u0130S\u0130NDE EN KAL\u0130TEL\u0130 YUMURTALARIN GEN\u00c7 ANNE ADAYLARIN ELDE ED\u0130LD\u0130\u011e\u0130N\u0130 S\u00d6YLEYEREK GEN\u00c7 YA\u015eTA YAPILAN BA\u015eVURULARIN \u00c7OK \u00d6NEML\u0130 OLDU\u011eUNU BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":247013,"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":[1657,2123,104,105,279,803,44,332,17415,61423,8953,3966,19592],"class_list":["post-247012","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-basvurular","tag-bebek","tag-bizim","tag-cok","tag-dr","tag-genc","tag-icin","tag-onemli","tag-op","tag-ozcimen","tag-tedavisinde","tag-tup","tag-yasta"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/op-dr-ozcimen-tup-bebek-tedavisinde-genc-yasta-basvurular-bizim-icin-cok-onemli_1d7f5a6.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-12g4","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/247012","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=247012"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/247012\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/247013"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=247012"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=247012"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=247012"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}