Normal yollarla bebek sahibi olamayan \u00e7iftlerin en \u00e7ok tercih ettikleri y\u00f6ntemlerin ba\u015f\u0131nda t\u00fcp bebek tedavisi gelmektedir. Bebek sahibi olmak i\u00e7in bu y\u00f6ntemi denemek isteyen \u00e7iftlerin en \u00e7ok merak ettikleri konular\u0131n ba\u015f\u0131nda ise bu tedavi y\u00f6nteminin ba\u015far\u0131 oran\u0131 yer almaktad\u0131r. Peki, t\u00fcp bebekte ba\u015far\u0131 oran\u0131 nedir? Sizler i\u00e7in bu soruyu Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Esra \u00c7abuk C\u00f6mert\u2019e sorduk.<\/p>\n

“Asl\u0131nda t\u00fcp bebekte ba\u015far\u0131 oran\u0131 gebelik oran\u0131 ve canl\u0131 do\u011fum oran\u0131 olmak \u00fczere iki ana grupta incelenmelidir. \u00c7\u00fcnk\u00fc t\u00fcp bebek ile elde edilen her gebeli\u011fin do\u011fumla sonu\u00e7lanamamas\u0131 gibi bir risk her zaman vard\u0131r. \u00d6zellikle de t\u00fcp bebekte d\u0131\u015f gebelik ve t\u00fcp bebekte d\u00fc\u015f\u00fck oranlar\u0131 y\u00fcksek oldu\u011fu i\u00e7in bu iki oran\u0131n birbirine yak\u0131n olmas\u0131 beklenemez. Bu nedenle t\u00fcp bebek merkezi se\u00e7imi i\u00e7in karar verme a\u015famas\u0131nda bu iki oran\u0131n da ayr\u0131 ayr\u0131 \u00f6\u011frenilmesinde fayda vard\u0131r.”<\/p>\n

T\u00dcP BEBEK TEDAV\u0130S\u0130NDE YA\u015e FAKT\u00d6R\u00dc \u00d6NEML\u0130!<\/strong><\/p>\n

“T\u00fcp bebek tedavisinde ba\u015far\u0131 sans\u0131n\u0131 etkileyen \u00f6nemli fakt\u00f6rlerde bulunmaktad\u0131r. Bunlardan biride ya\u015f fakt\u00f6r\u00fcd\u00fcr. Ba\u015far\u0131 oran\u0131 tedavinin uyguland\u0131\u011f\u0131 \u00e7iftin ya\u015f\u0131na g\u00f6re de\u011fi\u015fkenlik g\u00f6stermektedir. 35 ya\u015f\u0131n alt\u0131nda olan kad\u0131nlarda t\u00fcp bebek ba\u015far\u0131 oran\u0131 y\u00fczde 47 olarak a\u00e7\u0131klan\u0131rken 35 ya\u015f ve \u00fcst\u00fcnde olan kad\u0131nlarda ise bu oran y\u00fczde 39 seviyesine kadar gerilemektedir. Kad\u0131n\u0131n ya\u015f\u0131 artt\u0131k\u00e7a ne yaz\u0131k ki tedavinin ba\u015far\u0131 \u015fans\u0131 da o oranda azalmaktad\u0131r. Yine erke\u011fin ya\u015f\u0131 da sperm kalitesini etkiledi\u011fi i\u00e7in \u00f6nemlidir.”<\/p>\n

T\u00dcP BEBE\u011e\u0130N BA\u015eARISINI ARTIRAN B\u0130R\u00c7OK FAKT\u00d6R VAR<\/strong><\/p>\n

“Kad\u0131n\u0131n daha \u00f6nce ba\u015far\u0131l\u0131 bir gebelik ya\u015fayarak do\u011fum yapmas\u0131, tedavi uygulanacak olan kad\u0131n\u0131n yumurtal\u0131k rezervinin y\u00fcksek olmas\u0131, sigara ve alkol al\u0131\u015fkanl\u0131klar\u0131n\u0131n bulunmamas\u0131 ya da tedaviye ba\u015flanmadan \u00f6nce b\u0131rak\u0131lm\u0131\u015f olmas\u0131, kilo fazlas\u0131n\u0131n bulunmamas\u0131 ve \u00e7iftin yo\u011fun stresten uzak durmas\u0131 gibi fakt\u00f6rler t\u00fcp bebek tedavisinde ba\u015far\u0131 oran\u0131n\u0131 art\u0131ran en \u00f6nemli fakt\u00f6rler aras\u0131ndad\u0131r.”<\/p>\n

KAL\u0130TEL\u0130 YUMURTA SAYISI DA \u00d6NEML\u0130<\/strong><\/p>\n

“Asl\u0131nda t\u00fcp bebekte \u00f6nemli olan kriter toplam yumurtal\u0131k rezervi say\u0131s\u0131 de\u011fil kaliteli yumurta say\u0131s\u0131d\u0131r. Yani tek bir yumurtan\u0131n dahi elde edilebilmesi durumunda t\u00fcp bebek tedavisi uygulanabilirken \u00e7ok say\u0131da yumurta elde edilmesinin istenmesindeki ama\u00e7 bunlar aras\u0131ndaki en kaliteli olan\u0131n se\u00e7ilebilme imkan\u0131na sahip olmakt\u0131r. Elde edilen yumurta kalitesi ne kadar y\u00fcksek olursa bu yumurtan\u0131n d\u00f6llenmesi ile elde edilen embriyo kalitesi de o kadar y\u00fcksek olacakt\u0131r.”<\/p>\n

T\u00dcP BEBEKTE TEDAV\u0130 BASAMAKLARI<\/strong><\/p>\n

“Ovaryan stim\u00fclasyon, yumurtal\u0131klar\u0131n hormonal olarak kontroll\u00fc \u015fekilde uyar\u0131lmas\u0131 i\u015fleminde s\u0131ras\u0131yla; adetin 3. g\u00fcn\u00fc USG ile yumurta say\u0131s\u0131\/kanda E2 hormonu tayini, sonu\u00e7lara g\u00f6re ila\u00e7 dozu ayarlanmas\u0131, aral\u0131kl\u0131 USG kontrol\u00fc ile yumurta takibi, yumurta ve kandaki E2 seviyesi istenilen seviyede ise BHCG enjeksiyonu (pregynl, ovitrelle) yap\u0131lmas\u0131 34-36 saat sonra yumurta toplama i\u015flemi yap\u0131l\u0131r. Yumurta toplama i\u015flemi olan (OPU) i\u015fleminde ise s\u0131ras\u0131yla; ameliyathanede OPU s\u0131ras\u0131nda USG e\u015fli\u011finde folik\u00fcl i\u00e7i s\u0131v\u0131 aspirasyonu, s\u0131v\u0131 i\u00e7indeki yumurtan\u0131n embriologlarca tespiti ve k\u00fclt\u00fcr s\u0131v\u0131s\u0131na konmas\u0131 i\u015flemleri yap\u0131l\u0131r. Olgun yumurta h\u00fccreleri 4-6 saat sonra haz\u0131r hale gelir.”<\/p>\n

M\u0130KROENJEKS\u0130YON A\u015eAMASI VE EMBR\u0130YO TRANSFER\u0130<\/strong><\/p>\n

Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. Esra \u00c7abuk C\u00f6mert “Bu i\u015flemlerde ise s\u0131ras\u0131yla erkekten sperm \u00f6rne\u011fi al\u0131n\u0131r (ejakulat, tesa\/tese), yumurta k\u00fclt\u00fcr\u00fc ve sperm haz\u0131rlanarak mikroenjeksiyona ge\u00e7ilir. Embriyo transferinde ise yumurta toplama i\u015fleminden sonraki 2. 3. 4 ve 5. g\u00fcn\u00fcnde yap\u0131labilir. Bu karar\u0131 vermeden \u00f6nce embriyo say\u0131s\u0131 ve kalitesi, rahim i\u00e7i kal\u0131nl\u0131\u011f\u0131, kad\u0131n\u0131n ya\u015f\u0131 ve \u00f6nceki ba\u015far\u0131s\u0131z IVF denemeleri de\u011ferlendirilir ve ki\u015fiye \u00f6zel transfer plan\u0131 yap\u0131l\u0131r. Embriyo transfer i\u015flemi a\u011fr\u0131s\u0131z ve hassas bir i\u015flemdir. Transfer i\u015fleminin ultrason e\u015fli\u011finde yap\u0131lmas\u0131, embriyolar\u0131n rahim i\u00e7inde do\u011fru yere yerle\u015ftirilmesi ve transferin kolay bir \u015fekilde yap\u0131lmas\u0131n\u0131 sa\u011flar. Embriyo transferi sonras\u0131nda yakla\u015f\u0131k olarak 30 dakika – 1 saat dinlendikten sonra hasta evine d\u00f6nebilir. Embriyo transferinden 12 g\u00fcn sonra kanda gebelik testi (BHCG) yap\u0131l\u0131r.”<\/p>\n

<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Normal…<\/p>\n","protected":false},"author":4,"featured_media":103920,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[39866,39865,3930,39867],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/103916"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=103916"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/103916\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/103920"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=103916"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=103916"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=103916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}