Kad\u0131nlar bir kez d\u0131\u015f gebelik<\/b> ge\u00e7irdi\u011finde, bir sonraki gebeli\u011finde d\u0131\u015f gebelik olu\u015fma olas\u0131l\u0131\u011f\u0131 7-13 kat art\u0131yor. Ayr\u0131ca hormonlu rahim i\u00e7i ara\u00e7larla olu\u015fan gebeliklerin yakla\u015f\u0131k yar\u0131s\u0131 da d\u0131\u015f gebelik oluyor.<\/p>\n
Kad\u0131n Hastal\u0131klar\u0131, <\/b>Do\u011fum<\/i><\/b> ve <\/b>T\u00fcp Bebek Uzman\u0131<\/i><\/b> Op. Dr. Aykut Co\u015fkun ,<\/b> \u201dHi\u00e7 sigara i\u00e7meyenlerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda sigara i\u00e7enlerde\u00a0 risk yakla\u015f\u0131k\u00a0 2 kat artar. \u0130\u00e7ilen sigara miktar\u0131n\u0131n artmas\u0131yla risk de artmaktad\u0131r. \u0130lk ili\u015fkinin erken ya\u015fta olmas\u0131, cinsel partnerlerin say\u0131s\u0131 ve vajinal du\u015f d\u0131\u015f gebelik say\u0131s\u0131n\u0131 artt\u0131rmaktad\u0131r \u201d dedi.<\/p>\n
Gebeliklerin erken d\u00f6neminde doktora ba\u015fvurman\u0131n d\u0131\u015f gebeli\u011fin yol a\u00e7abilece\u011fi problemlerden korunmada en iyi yol oldu\u011fu belirten Opr. Dr Aykut Co\u015fkun<\/b> , \u00f6nemli risk fakt\u00f6rlerine dikkat \u00e7ekerek d\u0131\u015f gebelik konusunda dikkatli olmak ve tedaviyi geciktirmemek gerekti\u011finin alt\u0131n\u0131 \u00e7iziyor.<\/p>\n
D\u0131\u015f gebelik nedir? D\u0131\u015f gebelik belirtileri nelerdir? <\/b>
\n<\/b>
\n<\/b>Opr. Dr. Aykut Co\u015fkun\u2019un d\u0131\u015f gebelik konusunda verdi\u011fi bilgiler \u015f\u00f6yle:<\/b><\/p>\n
\u201cGebelik rahim i\u00e7inde olu\u015fabilece\u011fi gibi rahim d\u0131\u015f\u0131nda da olu\u015fabilir. D\u0131\u015f gebeli\u011fin anlam\u0131, d\u00f6llenmi\u015f yumurtan\u0131n rahim i\u00e7i d\u0131\u015f\u0131nda olu\u015fmas\u0131d\u0131r<\/strong>. D\u0131\u015f gebeli\u011fin en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc b\u00f6lge fallop t\u00fcpleridir. 35 \u2013 44 ya\u015f aras\u0131 kad\u0131nlarda bu oran yakla\u015f\u0131k 1000 gebelik i\u00e7inden 27 civar\u0131ndad\u0131r. D\u0131\u015f gebelik, anne \u00f6l\u00fcm\u00fc a\u00e7\u0131s\u0131ndan \u00f6nemli bir risk ta\u015f\u0131r.<\/b> Bir kad\u0131n bir kez d\u0131\u015f gebelik ge\u00e7irdi\u011finde, bir sonraki gebeli\u011finde d\u0131\u015f gebelik olu\u015fma olas\u0131l\u0131\u011f\u0131 7 ile 13 kat artar. D\u0131\u015f gebelik sonras\u0131nda, bir sonra ki gebelik rahim i\u00e7inde olma olas\u0131l\u0131\u011f\u0131 y\u00fczde 50-80 aras\u0131ndayken,\u00a0 y\u00fczde 10-15\u2019lik olas\u0131l\u0131ksa da gebelik olu\u015fmamaktad\u0131r.<\/p>\n Hormonlu rahim i\u00e7i ara\u00e7larla olu\u015fan gebeliklerin yakla\u015f\u0131k yar\u0131s\u0131 d\u0131\u015f gebeliktir<\/strong>. Minipil kullan\u0131m\u0131 d\u0131\u015f gebele\u015fme riskini y\u00fczde 4-10 art\u0131r\u0131r. 1000 t\u00fcp ba\u011flanmas\u0131n\u0131n 7.3 \u00fcnde d\u0131\u015f gebelik olu\u015fma riski vard\u0131r. T\u00fcplerin ba\u011flat\u0131lmas\u0131ndan sonraki ilk 3 y\u0131lda olu\u015fan gebeliklerin y\u00fczde 20\u2019si, 4 y\u0131ldan sonra olu\u015fanlar\u0131n ise y\u00fczde 60\u2019\u0131 d\u0131\u015f gebeliktir. Bipolar koag\u00fclasyon y\u00f6ntemi en fazla riske sahip y\u00f6ntemdir.\u00a0Bununla beraber di\u011fer b\u00fct\u00fcn y\u00f6ntemlerde de d\u0131\u015f gebelik g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 vard\u0131r. Ge\u00e7irilmi\u015f tubal cerrahi d\u0131\u015f gebelik olas\u0131l\u0131\u011f\u0131n\u0131 en az 5 kat art\u0131r\u0131r. T\u00fcpleri i\u00e7ermeyen pelvik ve ya bat\u0131n cerrahisi ( sezeryan, yumurtal\u0131kla ilgili ameliyatlar, apendektomi ve k\u00fcrtaj) genellikle riski art\u0131rmaz\u201d diyerek d\u0131\u015f gebeli\u011fin olu\u015fmas\u0131nda etkili olan fakt\u00f6rleri a\u00e7\u0131klad\u0131.<\/p>\n D\u0131\u015f gebelikle birlikte g\u00f6r\u00fclen risk fakt\u00f6rleri;<\/b> k\u0131s\u0131rl\u0131k ameliyatlar\u0131, t\u00fcplerin k\u0131smi \u00e7\u0131kar\u0131lmas\u0131, t\u00fcplerin do\u011fu\u015ftan gelen bozukluklar\u0131 olarak s\u0131ralanabilir. PID (Pelvik enflamatuar; genellikle cinsel yolla ge\u00e7en bakterilerin vajinadan d\u00f6l yata\u011f\u0131na ve \u00fcst genital sistemine yay\u0131lmas\u0131 ile olu\u015fan hastal\u0131kt\u0131r) ge\u00e7irmemi\u015f bir kad\u0131nda, d\u0131\u015f gebelik olu\u015fma olas\u0131l\u0131\u011f\u0131 y\u00fczde 0.9 iken, bir PID ata\u011f\u0131 sonras\u0131 olu\u015fan gebeli\u011fin d\u0131\u015f gebelik olma olas\u0131l\u0131\u011f\u0131 y\u00fczde 6\u2019d\u0131r\u201d dedi<\/b><\/p>\n Do\u011fum kontrol haplar\u0131 d\u0131\u015f gebelik riskini artt\u0131r\u0131yor D\u0131\u015f gebeliklerde kar\u0131n a\u011fr\u0131s\u0131n\u0131n en s\u0131k g\u00f6r\u00fclen belirtilerden biri oldu\u011funa vurgu yapan, Dr. Co\u015fkun<\/strong>, \u201cD\u0131\u015f gebelikte \u00f6yk\u00fc, risk fakt\u00f6rleri ve fizik muayene ektopik gebelik<\/strong> \u015f\u00fcphesinde ilk ad\u0131md\u0131r\u201d dedi. Dr. Co\u015fkun, d\u0131\u015f gebelikle kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda uygulanan y\u00f6ntemleri \u015f\u00f6yle s\u0131ralad\u0131;<\/p>\n \u201cD\u0131\u015f gebeli\u011fi olan ki\u015finin<\/strong> hi\u00e7 bir bulgusu\u00a0 olmayabilece\u011fi gibi, akut kar\u0131n ve hemodinamisi bozulmu\u015f halde de olabilir. D\u0131\u015f gebeliklerde kar\u0131n a\u011fr\u0131s\u0131 en s\u0131k g\u00f6r\u00fclen belirtidir.<\/strong> R\u00fcpt\u00fcr olu\u015fmu\u015f ise hedef\u00a0 hemodinaminin stabille\u015ftirilmesi olamal\u0131d\u0131r.<\/p>\n \u00d6yk\u00fc ve fizik muayene genellikle tan\u0131y\u0131 tam koydurmad\u0131\u011f\u0131ndan ba\u015fka testlere de ba\u015fvurulur. Bunlar seri kanda gebelik testi, transvajinal ultrasound ve muhtemelen serum progesteron \u00f6l\u00e7\u00fcm\u00fc,\u00a0 k\u00fcrtaj ve laparoskopidir. Halk aras\u0131nda ne\u015ftersiz-kans\u0131z veya diki\u015fsiz operasyon denilen laparoskopik cerrahi de, kar\u0131n kesilmeden g\u00f6bek i\u00e7inden ve kas\u0131\u011fa yak\u0131n 2 veya 3 noktadan karn\u0131n delinerek ince optik cihaz ve kameralarla karn\u0131n i\u00e7ine girilerek yap\u0131lan operasyon \u015feklidir. \u00a0D\u0131\u015f gebelik medikal ve ya cerrahi olarak tedavi edilebilir. Her iki y\u00f6ntem de etkilidir. Cerrahi yakla\u015f\u0131m genel olarak (t\u00fcplerin ve yumurtal\u0131\u011f\u0131n \u00e7\u0131kar\u0131lmas\u0131) en s\u0131k uygulanan y\u00f6ntemdir.<\/p>\n Bunlar\u0131n yan\u0131 s\u0131ra rahim i\u00e7inde ve de d\u0131\u015f\u0131nda gebeli\u011fin olu\u015fmas\u0131 kar\u0131nda, yumurtal\u0131klarda, rahim kas\u0131 i\u00e7inde ve rahim a\u011fz\u0131nda gebelik olu\u015fmas\u0131 gibi rahats\u0131zl\u0131klarda da farkl\u0131 \u00f6zellikler g\u00f6sterir. Kendilerine \u00f6zg\u00fc tedavi y\u00f6ntemleri vard\u0131r. D\u0131\u015f gebelik \u015f\u00fcphesi ve kan\u0131tlanm\u0131\u015f d\u0131\u015f gebelikte, gerekli baz\u0131 \u015fartlar sa\u011flan\u0131rsa, hastaya g\u00f6zlem yoluyla tedavi d\u00fc\u015f\u00fcn\u00fclebilir. Kan uyu\u015fmazl\u0131\u011f\u0131 olanlarda ise genellikle kan uyu\u015fmazl\u0131\u011f\u0131 i\u011fnesi yap\u0131lmas\u0131 \u00f6nerilmesine ra\u011fmen, uygulamada gebelik haftas\u0131 \u00f6nemlidir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":" Kad\u0131nlar bir kez d\u0131\u015f gebelik ge\u00e7irdi\u011finde, bir sonraki gebeli\u011finde d\u0131\u015f gebelik olu\u015fma olas\u0131l\u0131\u011f\u0131 7-13 kat art\u0131yor. Ayr\u0131ca hormonlu rahim i\u00e7i ara\u00e7larla olu\u015fan gebeliklerin yakla\u015f\u0131k yar\u0131s\u0131 da d\u0131\u015f gebelik oluyor. Kad\u0131n Hastal\u0131klar\u0131, Do\u011fum ve T\u00fcp Bebek Uzman\u0131 Op. Dr. Aykut Co\u015fkun , \u201dHi\u00e7 sigara i\u00e7meyenlerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda sigara i\u00e7enlerde\u00a0 risk yakla\u015f\u0131k\u00a0 2 kat artar. \u0130\u00e7ilen sigara miktar\u0131n\u0131n […]<\/p>\n","protected":false},"author":80,"featured_media":5436,"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":[42,3839,3841,3843,3842,3840,3844],"class_list":["post-5435","post","type-post","status-publish","format-standard","has-post-thumbnail","category-hamilelik","tag-dis-gebelik","tag-dis-gebelik-belirtileri","tag-dis-gebelik-nasil-sonlandirilir","tag-dis-gebelik-ne-zaman-anlasilir","tag-dis-gebelik-neden-olur","tag-dis-gebelik-tedavisi","tag-dis-gebelikte-adet-olunur-mu"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2019\/10\/dis-gebelik-belirtileri.jpg?fit=626%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/5435","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=5435"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/5435\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/5436"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=5435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=5435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=5435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n<\/strong>
\nKullan\u0131lan do\u011fum kontrol y\u00f6ntemi<\/strong> d\u0131\u015f gebeli\u011fin olu\u015fma risklerini artt\u0131rd\u0131\u011f\u0131n\u0131 belirten Dr. Co\u015fkun, \u201dD\u0131\u015f gebelik g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ve riski do\u011fum kontrol y\u00f6ntemlerinin son y\u0131llarda artmas\u0131yla azalmaya ba\u015flam\u0131\u015ft\u0131r. Korunma y\u00f6ntemleriyle g\u00f6r\u00fclen d\u0131\u015f gebelik oran\u0131, hi\u00e7bir y\u00f6ntem kullanmamas\u0131na oranla daha azd\u0131r\u201d<\/strong> diye kaydeden doktor Dr. Co\u015fkun s\u00f6zlerine \u015f\u00f6yle devam ediyor, \u201cE\u011fer rahim i\u00e7i ara\u00e7 varken gebe kal\u0131n\u0131rsa do\u011fum kontrol y\u00f6ntemlerinden herhangi birini kullanmayan bir kad\u0131na g\u00f6re d\u0131\u015f gebelik olma olas\u0131l\u0131\u011f\u0131 6-10 kez artm\u0131\u015f demektir. D\u0131\u015f gebeli\u011fi olan ki\u015finin hi\u00e7bir bulgusu\u00a0olmayabilece\u011fi gibi akut kar\u0131n ve hemodinamisi bozulmu\u015f halde de olabilir.
\n
\n\u015eiddetli kar\u0131n a\u011fr\u0131s\u0131 d\u0131\u015f gebelik belirtisi
\n<\/b><\/p>\n