Geli\u015fen teknoloji ve yeni teknikler sayesinde art\u0131k t\u00fcplerin a\u00e7\u0131k oldu\u011funu g\u00f6stermenin veya k\u00fc\u00e7\u00fck yap\u0131\u015f\u0131kl\u0131klar\u0131 a\u00e7man\u0131n yeni yollar\u0131 bulunmaktad\u0131r. Bunlardan birincisi a\u011fr\u0131s\u0131z rahim filmi tekni\u011fi di\u011feri selektif salpingografidir.<\/b>
Standart rahim filminde kapal\u0131 oldu\u011fu g\u00f6r\u00fclen t\u00fcplerin bir b\u00f6l\u00fcm\u00fcn\u00fcn ger\u00e7ekte kapal\u0131 olmad\u0131\u011f\u0131 veya kolayl\u0131kla a\u00e7\u0131labilecek bir engel nedeniyle t\u0131kal\u0131ym\u0131\u015f gibi g\u00f6r\u00fcnd\u00fc\u011f\u00fc bilinen bir ger\u00e7ektir. T\u0131p dilinde buna yanl\u0131\u015f pozitif sonu\u00e7 ad\u0131 verilir. Bir\u00e7ok kad\u0131n,eski tekniklerle yap\u0131lm\u0131\u015f rahim filminin neticesine bakarak t\u00fcplerinin kapal\u0131 oldu\u011funu d\u00fc\u015f\u00fcnmekte ve bo\u015fu bo\u015funa bunun endi\u015fesini ya\u015famaktad\u0131r.\u00a0
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Geli\u015fen teknoloji ve yeni teknikler sayesinde art\u0131k t\u00fcplerin a\u00e7\u0131k oldu\u011funu g\u00f6stermenin veya k\u00fc\u00e7\u00fck yap\u0131\u015f\u0131kl\u0131klar\u0131 a\u00e7man\u0131n yeni yollar\u0131 bulunmaktad\u0131r. Bunlardan birincisi a\u011fr\u0131s\u0131z rahim filmi tekni\u011fi di\u011feri selektif salpingografidir. \u00a0
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A\u011fr\u0131s\u0131z rahim filmi tekni\u011finde, rahimde spazm meydana gelmesi olas\u0131l\u0131\u011f\u0131 d\u00fc\u015f\u00fck oldu\u011fundan t\u00fcplerin spazm nedeniyle kapal\u0131 \u00e7\u0131kmas\u0131 olas\u0131l\u0131\u011f\u0131 d\u00fc\u015f\u00fckt\u00fcr. \u00a0Ayr\u0131ca gerekti\u011fi durumlarda t\u00fcpleri a\u00e7mak ve a\u00e7\u0131k oldu\u011funu g\u00f6stermek i\u00e7in i\u015fleme selektifsalpingografiile devam edilir.\u00a0
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Amerikan \u00dcreme T\u0131bb\u0131 Toplulu\u011fu (ASRM) de rahim filmi HSG’det\u00fcp\u00fcn ba\u015flang\u0131\u00e7 k\u0131sm\u0131ndan itibaren kapal\u0131 \u00e7\u0131kmas\u0131 durumundaselektifsalpingografi ile i\u015fleme devam edilmesi gerekti\u011fini \u00f6nermektedir.
Rahim filminde t\u00fcp kapal\u0131 \u00e7\u0131km\u0131\u015fsa \u015fu durumlar s\u00f6z konusu olabilir:
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1- T\u00fcp geri d\u00f6n\u00fc\u015f\u00fcms\u00fcz olarak kapal\u0131d\u0131r.
2- Ancak cerrahi veya t\u0131bbi tedavi ile a\u00e7\u0131labilecek t\u00fcrde esasl\u0131 bir t\u0131kan\u0131kl\u0131k s\u00f6z konusudur.
3- K\u00fc\u00e7\u00fck yap\u0131\u015f\u0131kl\u0131klar nedeniyle t\u00fcp kapal\u0131d\u0131r.
4- S\u00fcm\u00fcks\u00fc t\u0131ka\u00e7 veya p\u0131ht\u0131 t\u0131kac\u0131 nedeniyle t\u00fcp kapal\u0131 \u00e7\u0131km\u0131\u015ft\u0131r.
5- Rahim kaslar\u0131n\u0131n kas\u0131lmas\u0131 (Spazm) nedeniyle t\u00fcp kapal\u0131 \u00e7\u0131km\u0131\u015ft\u0131r.
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Tecr\u00fcbeli bir radyolog ilk iki maddede say\u0131lan t\u0131kan\u0131kl\u0131klar\u0131 rahim filmiyle te\u015fhis edebilir.\u00a0
K\u00fc\u00e7\u00fck yap\u0131\u015f\u0131kl\u0131klar, t\u0131ka\u00e7lar veya spazm nedeniyle rahim filminde kapal\u0131 \u00e7\u0131kan t\u00fcpleri \u201cselektif salpingografi\u201d ad\u0131 verilen bir radyolojik teknikle a\u00e7mak veya ger\u00e7ekte a\u00e7\u0131k oldu\u011funu g\u00f6stermek m\u00fcmk\u00fcnd\u00fcr.
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Selektif salpingografi tekni\u011finde,anjiografide kullan\u0131lan kateterlere benzer \u00f6zel, yumu\u015fak bir kan\u00fcl rahim a\u011fz\u0131 kanal\u0131ndan ge\u00e7irilerek t\u00fcp\u00fcn a\u011fz\u0131na dayan\u0131r ve do\u011frudan do\u011fruya t\u00fcp\u00fcn i\u00e7ine ila\u00e7 g\u00f6nderilir. Bu i\u015flemtamamen a\u011fr\u0131s\u0131zd\u0131r ve genellikle sadece 1-2 dakika kadar s\u00fcrer. Selektif salpingografinin standart rahim filminden farkl\u0131 bir yan etkisi veya komplikasyonu yoktur.\u00a0
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Selektif salpingografi sayesinde, standart rahim filminde, ba\u015flang\u0131\u00e7 k\u0131sm\u0131ndan itibaren t\u0131kal\u0131 oldu\u011fu g\u00f6r\u00fclen t\u00fcplerin yuzde 70 gibi \u00e7ok b\u00fcy\u00fck bir k\u0131sm\u0131 a\u00e7\u0131labilmekte veya zaten a\u00e7\u0131k oldu\u011fu g\u00f6sterilebilmektedir. HSG ve selektif salpingografi i\u015flemi sonras\u0131nda, e\u011fer t\u00fcpler a\u00e7\u0131ksa,takip eden aylarda gebelik oranlar\u0131 artmaktad\u0131r.\u00a0
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Alt\u0131n\u0131 \u00e7izerek belirtmek gerekir ki, ne HSG ne de selektif salpingografi, temelli t\u0131kal\u0131, cerrahi olarak ba\u011flanm\u0131\u015f veya i\u00e7erisinde s\u0131v\u0131 birikimi olan (Hidrosalpinks) bir t\u00fcp\u00fcn a\u00e7\u0131lmas\u0131 i\u00e7in kullan\u0131lamaz ve bu ama\u00e7la yap\u0131lan cerrahi operasyonlar\u0131n yerini tutamaz.
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Uzm. Dr. Cevat Bayrak
Radyoloji
\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
Geli\u015fen…<\/p>\n","protected":false},"author":1,"featured_media":1487,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1106,1107,1108,1109,1110,404,1111,1112,1113],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/1486"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=1486"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/1486\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=1486"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=1486"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=1486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}