{"id":12279,"date":"2021-10-30T16:16:16","date_gmt":"2021-10-30T13:16:16","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=12279"},"modified":"2022-03-02T08:59:17","modified_gmt":"2022-03-02T05:59:17","slug":"gebelikte-anormal-durumlar-nelerdir","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/","title":{"rendered":"Gebelikte anormal durumlar nelerdir?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69ea6c68d2a1f\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69ea6c68d2a1f\"  aria-label=\"A\u00e7\/Kapat\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Gebelikte_anormal_durumlar_ve_hangi_durumlarda_doktora_basvurulmasi_gerekmektedir\" >Gebelikte anormal durumlar ve hangi durumlarda doktora ba\u015fvurulmas\u0131 gerekmektedir<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Erken_gebelikte_agri\" >Erken gebelikte a\u011fr\u0131<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Gebelikte_kanama\" >Gebelikte kanama<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Erken_Gebelikte_kusma\" >Erken Gebelikte kusma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Kan_Uyusmazligi_Rhrh\" >Kan Uyu\u015fmazl\u0131\u011f\u0131 (Rh\/rh)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Yuksek_Kan_Basinci_Hipertansiyon\" >Y\u00fcksek Kan Bas\u0131nc\u0131 (Hipertansiyon)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Bebek_hareketlerinde_azalma\" >Bebek hareketlerinde azalma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Erken_Membran_Rupturu_Zarin_Erken_Yirtilmasi\" >Erken Membran R\u00fcpt\u00fcr\u00fc (Zar\u0131n Erken Y\u0131rt\u0131lmas\u0131)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Erken_Dogum_dogum_agrilarinin_zamanindan_once_baslamasi\" >Erken Do\u011fum (do\u011fum a\u011fr\u0131lar\u0131n\u0131n zaman\u0131ndan \u00f6nce ba\u015flamas\u0131)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/annebebekkulubu.com\/blog\/gebelikte-anormal-durumlar-nelerdir\/#Gebelik_Suresinin_Uzamasi_Surmaturasyon\" >Gebelik S\u00fcresinin Uzamas\u0131 (S\u00fcrmat\u00fcrasyon)<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<p>Gebelik belirtileri ve s\u00fcre\u00e7 i\u00e7erisindeki \u015fikayetler hemen hemen benzerdir. Fakat baz\u0131 durumlar vard\u0131r ki bu da gebeli\u011fin anormal seyretti\u011fini g\u00f6sterir. Gebelikteki anormal durumlar ve doktora ba\u015fvurulmas\u0131 gerekenler ile ilgili merak edilenleri <strong>\u00d6\u011fr. Ebe Berfin Ayd\u0131n<\/strong>, <strong>Anne Bebek Kul\u00fcb\u00fc<\/strong> okuyucular\u0131 i\u00e7in yazd\u0131.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Gebelikte_anormal_durumlar_ve_hangi_durumlarda_doktora_basvurulmasi_gerekmektedir\"><\/span><strong>Gebelikte anormal durumlar ve hangi durumlarda doktora ba\u015fvurulmas\u0131 gerekmektedir<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Gebelikte kar\u015f\u0131la\u015f\u0131labilecek tehlikeli durumlar anne adaylar\u0131n\u0131n endi\u015felenmesine sebep olur. T\u00fcm bunlar\u0131n \u00f6n\u00fcne ge\u00e7ilmesi i\u00e7in anne aday\u0131n\u0131n tedbir almas\u0131 gerekir. Gebelik, kad\u0131nlarda son derece \u00f6nem verilmesi gereken d\u00f6nemler aras\u0131nda yer almaktad\u0131r. En do\u011frusu; gebe kal\u0131nd\u0131\u011f\u0131 andan itibaren, doktor kontrol\u00fcne girilmesi gerekmektedir. Kad\u0131nlarda herhangi bir risk s\u00f6z konusu olmad\u0131\u011f\u0131 zamanlarda, 28. gebelik haftas\u0131na kadar,\u00a0 periyodik olarak d\u00f6rt haftada bir kontrole gidilmesi gerekmektedir. Bundan sonra, 36 haftaya kadar her iki haftada bir kontrole gitmeleri, bundan sonraki haftalarda ise, her hafta kontrollerin yap\u0131lmas\u0131 gerekir.<\/span><\/p>\n<p><strong>Peki nedir bu anormal durumlar:<\/strong><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Erken_gebelikte_agri\"><\/span><strong>Erken gebelikte a\u011fr\u0131<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Erken hamilelikle ba\u011flant\u0131l\u0131 a\u011fr\u0131ya neden olabilecek durumlar:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">D\u00fc\u015f\u00fck<\/span><\/li>\n<li><span style=\"font-weight: 400;\">D\u0131\u015f gebelik<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Yumurtal\u0131k kistinin patlamas\u0131 olabilir.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Hasta gebe oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyor ve \u015fiddetli a\u011fr\u0131s\u0131 varsa doktoruna haber vermelidir. Bu durumda, \u00f6ncelikle gebelik do\u011frulanmal\u0131d\u0131r. Bunun i\u00e7in B-HCG ve transvajinal ultrasonografi yap\u0131l\u0131r. USG de rahim i\u00e7inde gebelik kesesi sa\u011flam olarak g\u00f6r\u00fcl\u00fcr ise normal bir gebelik oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">E\u011fer B-HCG pozitif ise ve rahim i\u00e7inde gebelik kesesi yoksa d\u0131\u015f gebelik oldu\u011fu, e\u011fer rahim i\u00e7inde d\u00fczensiz bir kese g\u00f6r\u00fcl\u00fcrse d\u00fc\u015f\u00fck yapmakta oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr. E\u011fer B-HCG negatif ise ve gebelik kesesi izlenmemi\u015f ise gebelik d\u0131\u015f\u0131 nedenler akla gelir.<\/span><\/p>\n<figure id=\"attachment_12282\" aria-describedby=\"caption-attachment-12282\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12282\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-80.png?resize=696%2C494&#038;ssl=1\" alt=\"Gebelikte anormal durumlar nelerdir?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-80.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-80.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-80.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-80.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12282\" class=\"wp-caption-text\">Gebelikte anormal durumlar nelerdir?<\/figcaption><\/figure>\n<h3><span class=\"ez-toc-section\" id=\"Gebelikte_kanama\"><\/span><strong>Gebelikte kanama<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Normalde gebelik s\u00fcresince hi\u00e7 kanama olmaz. Kanama olmas\u0131 anormal bir durumdur ve tehlikelidir. Gebeli\u011fin erken haftalar\u0131nda olu\u015fan kanamalar\u0131n bir k\u0131sm\u0131, sadece rahmin kas\u0131lmas\u0131 ve implantasyon kanamas\u0131 (embriyonun rahme yerle\u015fmesinden dolay\u0131) nedeniyle meydana gelen kanamalard\u0131r. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bu kanamalar, genellikle kendili\u011finden durur ve gebeli\u011fe zarar vermez. Gebeli\u011fin ilk yar\u0131s\u0131nda g\u00f6r\u00fclen ciddi kanamalar\u0131n \u00e7o\u011funun nedenleri d\u00fc\u015f\u00fck, d\u0131\u015f gebelik ya da serviks (Rahim a\u011fz\u0131) yada vajinadaki yaralard\u0131r. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gebeli\u011fin son aylar\u0131nda g\u00f6r\u00fclen kanamalar, plasentayla ilgili bozuklardan kaynaklan\u0131r, baz\u0131lar\u0131n\u0131n da sebebi bilinmez. Genellikle plasenta previa, plasenta dekolman\u0131 ya da erken do\u011fum gibi ciddi komplikasyonlardan kaynaklan\u0131yor olabilir. Gebelikte son aylarda meydana gelen bu kanamalar ciddiye al\u0131nmal\u0131 ve hemen doktora ba\u015fvurulmal\u0131d\u0131r.<\/span><\/p>\n<ul>\n<li><strong>Erken gebelikte kanama<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Gebelikte doktora haber verilmesi gereken en \u00f6nemli bulgu budur.\u00a0 Vajinal kanama , gebeliklerin yakla\u015f\u0131k\u00a0 % 20-30 da g\u00f6r\u00fcl\u00fcr ve bunlar\u0131n % 10&#8217;u kendili\u011finden d\u00fc\u015f\u00fckle sonu\u00e7lan\u0131r. Gebelik esnas\u0131nda vajinal kanamaya en s\u0131k yol a\u00e7an bozukluklar;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<strong>D\u0131\u015f gebelik<\/strong>: <\/span><span style=\"font-weight: 400;\">Bazen \u00e7ok fazla kanamaya yol a\u00e7abilir ve \u015foka sebep olabilir. \u00d6zellikle hareketle artan \u015fiddetli\u00a0 a\u011fr\u0131 ile birliktedir. Daha \u00f6nceden\u00a0 ge\u00e7irilmi\u015f d\u0131\u015f gebelik\u00a0 ve \u00f6zellikle t\u00fcplerde olmak \u00fczere bu b\u00f6lgede ge\u00e7irilmi\u015f ameliyatlar, cinsel yolla bula\u015fan hastal\u0131klar ve pelvik enfeksiyonlar, d\u0131\u015f gebelik olma olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131r\u0131r.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<strong>D\u00fc\u015f\u00fck tehdidi,<\/strong> tam veya tam olmayan d\u00fc\u015f\u00fck, bozulmu\u015f-at\u0131lmam\u0131\u015f gebelik; Adet kramplar\u0131n\u0131 and\u0131ran a\u011fr\u0131, vajinadan d\u0131\u015far\u0131 dokular\u0131n at\u0131lmas\u0131 ve bol miktarda vajinal kan d\u00fc\u015f\u00fc\u011f\u00fc akla getirir<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<strong>\u00dcz\u00fcm gebeli\u011fi<\/strong> (trofoblastik hastal\u0131k)<\/span><span style=\"font-weight: 400;\">; En \u00f6nemli belirtisi kanamad\u0131r. Hastan\u0131n adet gecikmesi vard\u0131r ve gebelik testi pozitiftir ancak rahim i\u00e7inde normal bir gebelik yoktur. \u00dcz\u00fcm salk\u0131m\u0131na benzer par\u00e7alar d\u00fc\u015f\u00fcrebilir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gebe oldu\u011funu d\u00fc\u015f\u00fcnen bir kad\u0131nda kanama oldu\u011funda mutlaka doktora haber verilmelidir. \u00d6ncelikle kanama nedeni belirlendikten sonra tedavi nedene g\u00f6re uygulan\u0131r. E\u011fer d\u00fc\u015f\u00fck yap\u0131yorsa veya \u00fcz\u00fcm gebeli\u011fi varsa rahim i\u00e7i bo\u015falt\u0131lmal\u0131d\u0131r (k\u00fcretaj). <\/span><\/p>\n<p><span style=\"font-weight: 400;\">E\u011fer bu yap\u0131lmazsa kanama ve a\u011fr\u0131 devam eder. E\u011fer d\u0131\u015f gebeli\u011fi varsa ve patlam\u0131\u015fsa, acil ameliyat yap\u0131lmas\u0131 gerekir. Bu nedenle gebe bir kad\u0131n\u0131n\u00a0 kanamas\u0131 oluyor ve bayg\u0131nl\u0131k, kendinden ge\u00e7me ve \u015fiddetli a\u011fr\u0131\u00a0 gibi belirtileri var ise hemen hastaneye gitmesi gerekir.<\/span><\/p>\n<ul>\n<li><strong>Gebeli\u011fin ileri evresinde vajinal kanama<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0130leri gebelik evresinde kanamalar\u0131n en endi\u015fe verici nedenleri\u00a0 plasentan\u0131n \u00f6nde yerle\u015fmesi (Plasenta previa) ve plasentan\u0131n yerinden ayr\u0131lmas\u0131 (abruptio plasenta)&#8217;d\u0131r. Bu d\u00f6nemde meydana gelen kanamalar son derece ciddidir ve hem annenin hem de \u00e7ocu\u011fun hayat\u0131n\u0131 tehlikeye atabilir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kanamayla birlikte a\u011fr\u0131, rahim kas\u0131lmas\u0131, fetus kalp at\u0131mlar\u0131nda bozulma ve \u015fok tablosu da g\u00f6r\u00fclebilir. Bu durumda acilen hastaneye gidilmelidir. Vajinal muayene yap\u0131lmadan \u00f6nce <strong>USG<\/strong> ile neden belirlendikten sonra damardan s\u0131v\u0131 tedavisi ba\u015flanarak, do\u011fum da dahil olmak \u00fczere gerekli tedavi yap\u0131lmal\u0131d\u0131r.<\/span><\/p>\n<figure id=\"attachment_12283\" aria-describedby=\"caption-attachment-12283\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12283\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-79.png?resize=696%2C494&#038;ssl=1\" alt=\"Gebelikte anormal durumlar nelerdir?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-79.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-79.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-79.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-79.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12283\" class=\"wp-caption-text\">Gebelikte anormal durumlar nelerdir?<\/figcaption><\/figure>\n<h3><span class=\"ez-toc-section\" id=\"Erken_Gebelikte_kusma\"><\/span><strong>Erken Gebelikte kusma<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Gebelikte bulant\u0131 ve kusmaya s\u0131k rastlan\u0131r, nedeninin h\u0131zla y\u00fckselen \u00f6strojen hormonu oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Sabah kusmalar\u0131 tipik olmakla birlikte, g\u00fcn\u00fcn her saatinde g\u00f6r\u00fclebilir. Bu bulgular\u0131n en s\u0131k ve en \u015fiddetli g\u00f6r\u00fcld\u00fc\u011f\u00fc d\u00f6nem gebeli\u011fin 8-12 haftalar\u0131 aras\u0131ndad\u0131r.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gebelik kusmalar\u0131n\u0131 yat\u0131\u015ft\u0131rmak i\u00e7in s\u0131k s\u0131k ve az az yemek gerekir (g\u00fcnde 5-6 k\u00fc\u00e7\u00fck \u00f6\u011f\u00fcn). Hafif yiyecekler (krakerler, meyve sular\u0131, muz, pirin\u00e7 pilav\u0131, beyaz peynir vs.) az miktarlarda al\u0131nmal\u0131d\u0131r. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">E\u011fer susuzluk belirtileri varsa damardan s\u0131v\u0131 tedavisi yap\u0131labilir, ayr\u0131ca bulant\u0131 kesici ila\u00e7lar a\u011f\u0131zdan veya damar yoluyla verilebilir. Bu ila\u00e7lar\u0131n fetusa olumsuz etkileri g\u00f6r\u00fclmemi\u015ftir ve g\u00fcvenle kullan\u0131labilir. Hamileler bu s\u00fcrecin gebeli\u011fe ba\u011fl\u0131ysa ge\u00e7ici oldu\u011funu bilmeli ve bulant\u0131-kusman\u0131n \u015fiddetine g\u00f6re doktoruna ba\u015fvurmal\u0131d\u0131r.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Kan_Uyusmazligi_Rhrh\"><\/span><strong>Kan Uyu\u015fmazl\u0131\u011f\u0131 (Rh\/rh)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">RH denilen madde kandaki alyuvarlarda bulunur. Alyuvarlar\u0131n i\u00e7inde bu maddenin bulundu\u011fu ki\u015filer Rh (+) diye tan\u0131mlan\u0131r. Baz\u0131 insanlarda ise RH fakt\u00f6r\u00fc alyuvarlar\u0131n i\u00e7inde bulunmaz ve Rh (-) diye tan\u0131mlan\u0131r. Bu iki durumda normaldir.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Erkek (RH +) kad\u0131n (RH + )<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Erkek (RH- ) Kad\u0131n(RH- )<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Erkek ( RH-) kad\u0131n (RH+) ise kan uyu\u015fmazl\u0131\u011f\u0131 olmaz.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ancak annenin kan\u0131 RH (-), baban\u0131n kan\u0131 RH (+) ve bebe\u011fin kan\u0131 RH (+) oldu\u011fu durumlarda kan uyu\u015fmazl\u0131\u011f\u0131 g\u00f6zlenir. Fet\u00fcs\u00fcn kan\u0131n\u0131n annenin kan\u0131 ile temas etmesi sonucu, annenin kan\u0131ndaki antikorlar fet\u00fcs\u00fcn alyuvarlar\u0131n\u0131 par\u00e7alar.\u00a0 <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bebekte alyuvarlar\u0131n par\u00e7alanmas\u0131 nedeniyle do\u011fumdan sonraki ilk 24 saat i\u00e7inde (Patolojik) sar\u0131l\u0131k ortaya \u00e7\u0131kar. Uyu\u015fmazl\u0131k sonucu gerekli tedbirler al\u0131nmazsa fet\u00fcs\u00a0 do\u011fumdan \u00f6nce yada do\u011fumdan sonra ilk yedi g\u00fcn i\u00e7inde \u00f6lebilir yada sakat kalabilir. B\u00f6yle durumlarda bebe\u011fin kan\u0131 hemen de\u011fi\u015ftirilmelidir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Rh (-)<\/strong> kad\u0131n ve <strong>Rh (+)<\/strong> erkek olan e\u015fler i\u00e7in rutin olarak gebeli\u011fin ilk aylar\u0131ndan itibaren gebenin kan\u0131 incelenmeli, kan\u0131nda antikor olup olmad\u0131\u011f\u0131 saptanmal\u0131d\u0131r. Annenin kan\u0131nda antikorlar\u0131n olu\u015fmas\u0131 i\u00e7in \u00e7ocu\u011fun kan\u0131n\u0131n annenin kan\u0131na kar\u0131\u015fm\u0131\u015f olmas\u0131 gerekir. Bu bak\u0131mdan \u00e7ok defa ilk gebeliklerde bir kan uyu\u015fmazl\u0131\u011f\u0131 tehlikesinin mevcut olmad\u0131\u011f\u0131 bilinir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">G\u00fcn\u00fcm\u00fczde <strong>Rh uyu\u015fmazl\u0131\u011f\u0131 olan e\u015flerde,<\/strong> kad\u0131n\u0131 gebeli\u011finden \u00f6nce anti D gamaglobin a\u015f\u0131s\u0131 yap\u0131larak uyu\u015fmazl\u0131k ortaya \u00e7\u0131kmas\u0131 \u00f6nlenmektedir. Gebelik s\u0131ras\u0131nda Rh uyu\u015fmazl\u0131\u011f\u0131 tesbit edilirse anneye do\u011fumdan hemen sonra yap\u0131lan i\u011fne ile (Anti D immune globulin) gelecek gebeliklerde problemle kar\u015f\u0131la\u015f\u0131lmaz. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bu nedenle gebeler mutlaka kan gruplar\u0131n\u0131 bilmeli ve gebelikte olu\u015fan kanamalarda veya yap\u0131lan amniosentez gibi giri\u015fimsel uygulamalardan sonra i\u011fne (Anti D immune globilin) olmal\u0131lar.<\/span><\/p>\n<figure id=\"attachment_12285\" aria-describedby=\"caption-attachment-12285\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12285\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-83.png?resize=696%2C494&#038;ssl=1\" alt=\"Gebelikte kanama neden olur?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-83.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-83.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-83.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-83.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12285\" class=\"wp-caption-text\">Gebelikte kanama neden olur?<\/figcaption><\/figure>\n<h3><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"Yuksek_Kan_Basinci_Hipertansiyon\"><\/span><strong>Y\u00fcksek Kan Bas\u0131nc\u0131 (Hipertansiyon)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Hamile kalmadan \u00f6nce y\u00fcksek kan bas\u0131nc\u0131 olan kad\u0131nlar, hamilelikleri s\u00fcresince kan bas\u0131n\u00e7lar\u0131n\u0131 d\u00fczenli olarak kontrol ettirmelidir. Bir\u00e7ok kad\u0131n hamilelikte kullan\u0131labilen tansiyon ila\u00e7lar\u0131ndan d\u00fc\u015f\u00fck dozda kullanarak ve yediklerine ve spor yapmaya \u00f6zen g\u00f6stererek hamilelikleri boyunca orta derecedeki y\u00fcksek kan bas\u0131n\u00e7lar\u0131n\u0131 kontrol alt\u0131nda tutabilirler. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Y\u00fcksek kan bas\u0131n\u00e7lar\u0131 kontrol alt\u0131nda olan kad\u0131nlar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu sa\u011fl\u0131kl\u0131 hamilelikler ge\u00e7irmektedir. Y\u00fcksek kan bas\u0131nc\u0131n\u0131z varsa doktorunuz b\u00f6breklerinizin d\u00fczg\u00fcn \u00e7al\u0131\u015ft\u0131\u011f\u0131ndan ve fetusun normal \u015fekilde geli\u015fti\u011finden emin olmak i\u00e7in kan\u0131n\u0131z\u0131 ve idrar\u0131n\u0131z\u0131 daha s\u0131k \u015fekilde kontrol edecektir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hamile kad\u0131nlarda bazen eskiden olmayan bir y\u00fcksek tansiyon ortaya \u00e7\u0131kar ve buna \u00f6dem ve idrarda protein artmas\u0131 e\u015flik eder. Buna preklampsi denir ayr\u0131ca bu bulgulara bazen n\u00f6betler eklenir ve buna da eklampsi denir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Belirtileri<\/strong> aras\u0131nda ani kilo al\u0131m\u0131, a\u015f\u0131r\u0131 ba\u015f a\u011fr\u0131s\u0131, kar\u0131n a\u011fr\u0131s\u0131, su toplanmas\u0131ndan kaynaklanan bacaklar\u0131n \u015fi\u015fmesi ve g\u00f6r\u00fc\u015fte bulan\u0131kl\u0131k say\u0131labilir. Doktorunuz hamileli\u011finiz s\u00fcresince d\u00fczenli olarak protein i\u00e7in idrar\u0131n\u0131z\u0131 ve kan bas\u0131nc\u0131n\u0131z\u0131 test edecektir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gebeli\u011fe ba\u011fl\u0131 y\u00fcksek tansiyon durumlar\u0131nda hastalar\u0131n tedavisi do\u011fumdur.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Bebek_hareketlerinde_azalma\"><\/span><strong>Bebek hareketlerinde azalma<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Normalde bebe\u011fin hareketleri bazen artar, bazen azal\u0131r. Bu hareketleri d\u00f6rd\u00fcnc\u00fc veya be\u015finci aydan itibaren hissedebilirsiniz. Al\u0131\u015f\u0131lageldi\u011finiz hareketlerde uzun s\u00fcre azalma varsa doktorunuzu aray\u0131n. Anne karn\u0131nda bebek 12 saat i\u00e7inde 10-20 kez hareket etmelidir.\u00a0<\/span><\/p>\n<figure id=\"attachment_12286\" aria-describedby=\"caption-attachment-12286\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12286\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-82.png?resize=696%2C494&#038;ssl=1\" alt=\"Gebelikte kan uyu\u015fmazl\u0131\u011f\u0131\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-82.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-82.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-82.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-82.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12286\" class=\"wp-caption-text\">Gebelikte kan uyu\u015fmazl\u0131\u011f\u0131<\/figcaption><\/figure>\n<h3><span class=\"ez-toc-section\" id=\"Erken_Membran_Rupturu_Zarin_Erken_Yirtilmasi\"><\/span><strong>Erken Membran R\u00fcpt\u00fcr\u00fc (Zar\u0131n Erken Y\u0131rt\u0131lmas\u0131)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Erken membran r\u00fcpt\u00fcr\u00fc, do\u011fum ba\u015flamadan \u00f6nce fetusu saran amniyotik keseyi olu\u015fturan zarlar\u0131n a\u00e7\u0131lmas\u0131d\u0131r. Belirtileri hafif bir s\u0131z\u0131nt\u0131 ya da vajinadan ani su gelmesidir. Bu durumda hemen doktorunuzla g\u00f6r\u00fc\u015fmeniz gerekir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bu durum hamileli\u011fin 34. haftas\u0131ndan \u00f6nce ger\u00e7ekle\u015firse, doktorunuz erken do\u011fum ile do\u011fuma kadar bebe\u011finize b\u00fcy\u00fcme ve geli\u015fme \u015fans\u0131 verme durumlar\u0131n\u0131n riskini de\u011ferlendirir. Hamileli\u011fin uzat\u0131lmas\u0131, rahmin ve bebe\u011fin enfeksiyon kapmas\u0131 gibi komplikasyonlara neden olabilir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zar\u0131n erken y\u0131rt\u0131lmas\u0131, g\u00f6bek ba\u011f\u0131n\u0131n servikse do\u011fru ilerlemesine neden olabilir, fetus a\u015fa\u011f\u0131 d\u00fc\u015ft\u00fc\u011f\u00fcnde g\u00f6bek ba\u011f\u0131na bask\u0131 yapar ve oksijen kayna\u011f\u0131 azal\u0131r. Akci\u011ferlerin olgunla\u015fabilmesi i\u00e7in fetusu rahimde olabildi\u011fince uzun tutmaya \u00e7al\u0131\u015fmak \u00fczere yatak istirahati \u00f6nerilebilir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Enfeksiyonu \u00f6nlemek i\u00e7in antibiyotik ve erken kas\u0131lmalar\u0131 \u00f6nlemek i\u00e7in ila\u00e7 alman\u0131z gerekebilir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Do\u011fum tarihinize birka\u00e7 hafta kald\u0131ysa ve fetusun \u00e7ok az ya da hi\u00e7 komplikasyonu olmayaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyorsa doktorunuz do\u011fumu ba\u015flatabilir. E\u011fer enfeksiyon bulgular\u0131 varsa do\u011fuma daha erken haftalarda da izin verilir.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Erken_Dogum_dogum_agrilarinin_zamanindan_once_baslamasi\"><\/span><strong>Erken Do\u011fum (do\u011fum a\u011fr\u0131lar\u0131n\u0131n zaman\u0131ndan \u00f6nce ba\u015flamas\u0131)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Gebeli\u011fin 28-36. haftalar\u0131 aras\u0131nda do\u011fum eylemenin ba\u015flamas\u0131d\u0131r. A\u011f\u0131rl\u0131\u011f\u0131 genellikle 2500 gram\u0131n alt\u0131nda olanlar premat\u00fcre bebek diye adland\u0131r\u0131l\u0131r. Bu durumda bebek zaman\u0131ndan \u00f6nce d\u0131\u015f ortamda ya\u015famas\u0131n\u0131 sa\u011flayacak akci\u011fer geli\u015fimi olmadan do\u011fabilir. Bu nedenle do\u011fumdan sonra yo\u011fun bak\u0131m \u015fartlar\u0131 gerekebilir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Erken do\u011fum eylemi tan\u0131s\u0131 konursa gebe hastaneye yat\u0131r\u0131l\u0131r ve damardan s\u0131v\u0131 tedavisi, rahim kas\u0131lmas\u0131n\u0131 engelleyen ila\u00e7lar ve akci\u011fer geli\u015fimini h\u0131zland\u0131ran ila\u00e7lar verilir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Nedenleri;<\/strong> uterusun (rahimin) \u015fekil bozuklu\u011fu, \u00e7o\u011ful gebelikler, annenin beslenme bozuklu\u011fu, anemi, do\u011fum \u00f6ncesi kanamalar, a\u015f\u0131r\u0131 yorgunluk, sigara i\u00e7me, annenin karn\u0131na d\u0131\u015ftan travma olmas\u0131d\u0131r. Erken do\u011fan bebekler enfeksiyonlara kar\u015f\u0131 korunmak i\u00e7in birka\u00e7 g\u00fcn kuv\u00f6ze al\u0131n\u0131r.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Gebelik_Suresinin_Uzamasi_Surmaturasyon\"><\/span><strong>Gebelik S\u00fcresinin Uzamas\u0131 (S\u00fcrmat\u00fcrasyon)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Gebeli\u011fin normal s\u00fcresi 40 haftad\u0131r. Bu s\u00fcreyi bir hafta veya daha fazla ge\u00e7irerek do\u011fan bebeklere postmat\u00fcre bebek denir. Nedenleri aras\u0131nda, annenin \u015feker hastas\u0131 olmas\u0131, fazla do\u011fum yapmas\u0131, plasentan\u0131n yetersiz \u00e7al\u0131\u015fmas\u0131 bebe\u011fin anne karn\u0131nda duru\u015f \u015fekli say\u0131labilir. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beklenen do\u011fum tarihi 7 g\u00fcn ya da daha fazla a\u015fan durumlarda plasenta yetmezli\u011fine ba\u011fl\u0131 uterus i\u00e7i bebek \u00f6l\u00fcmleri yada do\u011fumdan sonraki ilk 7 g\u00fcnde bebek \u00f6l\u00fcmleri fazlad\u0131r. Beklenen do\u011fum tarihi 7 g\u00fcn a\u015fan gebenin do\u011fum sanc\u0131lar\u0131 suni olarak ba\u015flat\u0131lmal\u0131 ya da bebek sezaryenle al\u0131nmal\u0131d\u0131r.<\/span><\/p>\n<p><strong>KAYNAK\u00c7A<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">BALKAYA, N. A., VURAL, G., &amp; ERO\u011eLU, K. (2014). Gebelikte belirlenen risk fakt\u00f6rlerinin anne ve bebek sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan ortaya \u00e7\u0131kard\u0131\u011f\u0131 sorunlar. D\u00fczce \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Enstit\u00fcs\u00fc Dergisi, 1(1), 6-16.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">DURSUN, M., &amp; DAL, N. A. (2017). Gebelikte Hipertansiyon. Bilim ve Gen\u00e7lik Dergisi, 5(2), 28-43.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Timur, S., &amp; K\u0131z\u0131l\u0131rmak, A. (2011). Erken Gebelikte Bulant\u0131-Kusma S\u0131kl\u0131\u011f\u0131 ve \u0130li\u015fkili Fakt\u00f6rlerin Belirlenmesi. TAF Preventive Medicine Bulletin, 10(3).<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/annebebekkulubu.com\/blog\/bebek\/yeni-anneler-icin-bebek-bakim-rehberi\/\"><strong>Anneler<\/strong><\/a>\u00a0burada bulu\u015fuyor! Siz de akl\u0131n\u0131za tak\u0131lanlar\u0131, merak ettiklerinizi veya \u00f6\u011frenmek istediklerinizi bize\u00a0<a href=\"https:\/\/forum.annebebekkulubu.com\/\"><strong>Forum Anne Bebek Kul\u00fcb\u00fc<\/strong>\u00a0<\/a>\u00fczerinden yazabilirsiniz. Kad\u0131nlar olarak birlikte g\u00fc\u00e7l\u00fcy\u00fcz!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gebelik belirtileri ve s\u00fcre\u00e7 i\u00e7erisindeki \u015fikayetler hemen hemen benzerdir. Fakat baz\u0131 durumlar vard\u0131r ki bu da gebeli\u011fin anormal seyretti\u011fini g\u00f6sterir. Gebelikteki anormal durumlar ve doktora ba\u015fvurulmas\u0131 gerekenler ile ilgili merak edilenleri \u00d6\u011fr. Ebe Berfin Ayd\u0131n, Anne Bebek Kul\u00fcb\u00fc okuyucular\u0131 i\u00e7in yazd\u0131. Gebelikte anormal durumlar ve hangi durumlarda doktora ba\u015fvurulmas\u0131 gerekmektedir Gebelikte kar\u015f\u0131la\u015f\u0131labilecek tehlikeli durumlar anne [&hellip;]<\/p>\n","protected":false},"author":183,"featured_media":12281,"comment_status":"open","ping_status":"closed","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":""},"categories":[2],"tags":[],"class_list":{"0":"post-12279","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-hamilelik"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-81.png?fit=874%2C620&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/12279","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/183"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=12279"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/12279\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/12281"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=12279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=12279"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=12279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}