{"id":329,"date":"2018-03-04T14:02:56","date_gmt":"2018-03-04T14:02:56","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=329"},"modified":"2018-03-04T14:02:56","modified_gmt":"2018-03-04T14:02:56","slug":"kadinlarda-hangi-tip-kisirliklar-tedavi-edilemez","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/kadinlarda-hangi-tip-kisirliklar-tedavi-edilemez\/","title":{"rendered":"Kad\u0131nlarda hangi tip k\u0131s\u0131rl\u0131klar tedavi edilemez?"},"content":{"rendered":"<p><b>Kad\u0131nlarda do\u011fu\u015ftan yumurtal\u0131klar\u0131 yok veya menopozda ise; <\/b>yumurtal\u0131klar geli\u015fmemi\u015f ise veya yumurtal\u0131k rezervi t\u00fckenmi\u015f ve menopoza aday ise bu durumlarda malesef yumurtlama olmad\u0131\u011f\u0131 i\u00e7in gebelik s\u00f6z konusu olamaz. Bu durumlarda muhakkak don\u00f6r dedi\u011fimiz ba\u015fka bir kad\u0131n\u0131n yumurtas\u0131 al\u0131nmas\u0131 laz\u0131m. Bu uygulama \u00fclkemizde yasak.<\/p>\n<p><b>Rahimin olmamas\u0131 veya \u00e7ok k\u00fc\u00e7\u00fck olmas\u0131 durumunda ise; <\/b>embriyonun yerle\u015fece\u011fi rahim olmad\u0131\u011f\u0131 i\u00e7in gebelik ger\u00e7ekle\u015fmez. B\u00f6yle durumlarda ta\u015f\u0131y\u0131c\u0131 anne yani ikinci bir anne olmas\u0131 gerekir. Bu uygulamada \u00fclkemizde yasak oldu\u011fu i\u00e7in ger\u00e7ekle\u015ftiremiyoruz.<\/p>\n<p><b>Di\u011fer bir durum t\u00fcberk\u00fcloz gibi ya da ge\u00e7irilmi\u015f \u00e7ok say\u0131da k\u00fcrtaja ba\u011fl\u0131 rahimde yap\u0131\u015f\u0131kl\u0131k var ise; <\/b>bu gibi durumlarda gebelik oran\u0131 \u00e7ok d\u00fc\u015f\u00fckt\u00fcr ya da yoktur. Onun d\u0131\u015f\u0131nda b\u00fct\u00fcn di\u011fer bozukluklar yumurtal\u0131klar var ise \u00e7al\u0131yorsa rahim i\u00e7inde ciddi bir sorun yok ise muhakkak k\u0131s\u0131rl\u0131\u011f\u0131n tedavisi m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<p><b>Kad\u0131n\u0131n ya\u015f\u0131 ile k\u0131s\u0131rl\u0131k aras\u0131nda nas\u0131l bir ili\u015fki vard\u0131r? <\/b><\/p>\n<p>Erke\u011fin tam tersine kad\u0131n\u0131n ya\u015f\u0131 \u00e7ok \u00f6nemli bir risk fakt\u00f6r\u00fcd\u00fcr. E\u011fer kad\u0131n\u0131n ya\u015f\u0131 35\u2019in \u00fcst\u00fcndeyse gerek normal y\u00f6ntemlerle, gerekse t\u00fcp bebek y\u00f6ntemleriyle gebelik \u015fans\u0131 azalmaktad\u0131r. \u00a0\u0130nfertilite oranlar\u0131 ya\u015fla artar, ya\u015fan\u0131lan b\u00f6lge ve \u0131rkda oranlar\u0131 etkilemektedir. Bu y\u00fczden kad\u0131n\u0131n burada durumunu belirleyen en \u00f6nemli fakt\u00f6r yumurtal\u0131k rezervidir. Rahimden \u00e7ok yumurtal\u0131klar\u0131n durumu s\u00f6z konusudur. Bu y\u00fczden doktoru taraf\u0131ndan mutlaka kad\u0131n\u0131n yumurtal\u0131k rezervi belirlenmelidir. E\u011fer yumurtal\u0131k rezervi d\u00fc\u015f\u00fckse kad\u0131n uyar\u0131lmal\u0131 ve daha erken zamanda gebe kalmas\u0131 \u00f6nerilmelidir. E\u011fer rezervi iyiyse kad\u0131n\u0131n gebe kalma \u015fans\u0131 her zaman vard\u0131r. Ama gene de rezervi iyi olan kad\u0131nlarda bile 38-40 ya\u015flar\u0131ndan sonra kendi yumurtalar\u0131 ile gebe kalma \u015fans\u0131 \u00e7ok d\u00fc\u015f\u00fckt\u00fcr. O y\u00fczden kad\u0131nlarda k\u0131s\u0131rl\u0131\u011f\u0131 belirleyen temel fakt\u00f6r ya\u015ft\u0131r diyebiliriz. \u00d6rne\u011fin 20-25 ya\u015f civar\u0131nda bir kad\u0131nda k\u0131s\u0131rl\u0131k %10-15 civar\u0131nda iken, 35-36 ya\u015f\u0131ndaki bir kad\u0131nda bu oran %35 ya da 40\u2019lara \u00e7\u0131kmaktad\u0131r.<\/p>\n<p><strong>K\u0131s\u0131rl\u0131k<\/strong>, 35 ya\u015f \u00fczerinde olan ailelerde olmus i\u015fe, bir y\u0131l beklenilmeden ve hi\u00e7 zaman kaybetmeden, k\u0131s\u0131rl\u0131\u011f\u0131n nedeni ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Bu grupta bekleme s\u00fcresi 3-5 ay olabilir. \u00c7\u00fcnk\u00fc bu d\u00f6nemde \u00f6zellikle de yumurtalar\u0131n kalitesinde bir d\u00fc\u015fme olaca\u011f\u0131ndan vakit kaybedilmeden tetkikler yap\u0131lmal\u0131 ve tedaviye ge\u00e7ilmelidir.<\/p>\n<p><b>Nedeni a\u00e7\u0131klanamayan interfilite nedir?<\/b><b><br \/>\n<\/b> K\u0131s\u0131rl\u0131k sebebi ile ba\u015fvuran \u00e7iftlerin yakla\u015f\u0131k % 10 \u2013 15\u2019inde t\u00fcm testler normal bulunmaktad\u0131r. \u00c7iftlerin bir \u00e7o\u011fu k\u0131s\u0131rl\u0131k nedenini ortaya \u00e7\u0131karabilmek amac\u0131 ile yo\u011fun testlere maruz kalm\u0131\u015flard\u0131r. Ancak bilinen t\u00fcm ara\u015ft\u0131rmalara ra\u011fmen k\u0131s\u0131rl\u0131\u011f\u0131 olu\u015fturan neden bu testler sonucu ortaya \u00e7\u0131kar\u0131lamam\u0131\u015ft\u0131r. Buna \u00a0a\u00e7\u0131klanamayan k\u0131s\u0131rl\u0131k diyoruz.<\/p>\n<p><b>Nedeni A\u00e7\u0131klanamayan \u0130nfertilite Nas\u0131l Tedavi Edilir?<\/b><\/p>\n<p>Her ne kadar, sebep bilinmese de, a\u00e7\u0131klanamayan infertilitede \u00a0uygulanacak tedavi y\u00f6ntemleri belli kurallara ba\u011flanm\u0131\u015f durumdad\u0131r. Merkezden merkeze tedavi protokolleri de\u011fi\u015fmekle beraber ortalama 3-4 kez a\u015f\u0131lama tedavisine ra\u011fmen gebelik olu\u015fmam\u0131\u015fsa t\u00fcp-bebek veya mikroenjeksiyon tedavilerine ge\u00e7ilir.En zor hasta gurubu sebebi bilinmeyen k\u0131s\u0131rl\u0131k (<b>unexplained Infertilite ) gurubunu olu\u015fturan hastalard\u0131r.<\/b><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kad\u0131nlarda do\u011fu\u015ftan yumurtal\u0131klar\u0131 yok veya menopozda ise; yumurtal\u0131klar geli\u015fmemi\u015f ise veya yumurtal\u0131k rezervi t\u00fckenmi\u015f ve menopoza aday ise bu durumlarda malesef yumurtlama olmad\u0131\u011f\u0131 i\u00e7in gebelik s\u00f6z konusu olamaz. Bu durumlarda muhakkak don\u00f6r dedi\u011fimiz ba\u015fka bir kad\u0131n\u0131n yumurtas\u0131 al\u0131nmas\u0131 laz\u0131m. Bu uygulama \u00fclkemizde yasak. Rahimin olmamas\u0131 veya \u00e7ok k\u00fc\u00e7\u00fck olmas\u0131 durumunda ise; embriyonun yerle\u015fece\u011fi rahim olmad\u0131\u011f\u0131 [&hellip;]<\/p>\n","protected":false},"author":80,"featured_media":226,"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":[93,90,86,94,91,92],"class_list":{"0":"post-329","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-hamilelik","8":"tag-infertilite","9":"tag-kadin","10":"tag-kisirlik","11":"tag-kisirlik-belirtileri","12":"tag-kisirlik-tedavisi","13":"tag-tedavi-edilemeyen-kisirlik"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/03\/bebek-ayagi.jpg?fit=640%2C428&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/329","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\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=329"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/329\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/226"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}