\u00c7ocuk sahibi olmak evlili\u011fin enerjisini y\u00fckselten g\u00fczelliklerdendir. Ancak baz\u0131 nedenlerden dolay\u0131 \u00e7ocuk sahibi olunmamas\u0131 evliliklerin b\u00fcy\u00fck sorunlar\u0131ndan biri haline gelmi\u015ftir.\u00a0<\/strong><\/em><\/p>\n

K\u0131s\u0131rl\u0131k; \u00e7ocuk sahibi olmak isteyen \u00e7iftlerin 1 y\u0131l boyunca korunmaks\u0131z\u0131n d\u00fczenli olarak ili\u015fkiye girmelerine ra\u011fmen \u00e7ocuk sahibi olamamas\u0131na denir. \u00c7iftler 1 y\u0131l boyunca d\u00fczenli cinsel ili\u015fkiye girmelerine ra\u011fmen \u00e7ocuk sahibi olamad\u0131klar\u0131nda kar\u015f\u0131lar\u0131na bir\u00e7ok farkl\u0131 neden \u00e7\u0131ksa da k\u0131s\u0131rl\u0131k; genellikle %45\u2019i erkeklere, %55\u2019i ise kad\u0131nlara ait sebeplerdir.<\/p>\n

Ku\u015fkusuz her kad\u0131n do\u011fas\u0131 gere\u011fi \u00e7ocuk sahibi olup annelik duygusunu tatmak ister. Ancak g\u00fcn\u00fcm\u00fczde her 100 \u00e7iftten 15\u2019i bu iste\u011fine kavu\u015fabilmek i\u00e7in yard\u0131m almak zorunda.<\/p>\n

K\u0131s\u0131rl\u0131\u011f\u0131n \u00e7\u00f6z\u00fcms\u00fcz oldu\u011fu vakalar enderdir.\u00a0Ancak\u00a0erken menopoz ya da erkekte hi\u00e7 sperm h\u00fccresi bulunmamas\u0131 durumunda yard\u0131mc\u0131 y\u00f6ntemlereba\u015fvurmak\u00a0anlaml\u0131 de\u011fil. Bunun d\u0131\u015f\u0131nda kalan k\u0131s\u0131rl\u0131k vakalar\u0131nda ise sadece\u00a0\u00e7ocuk\u00a0sahibi olma \u015fans\u0131n\u0131n azald\u0131\u011f\u0131 s\u00f6ylenebilir.
\nTan\u0131n\u0131n konabilmesi\u00a0i\u00e7in\u00a0tetkikler ve muayeneler ad\u0131m ad\u0131m uygulan\u0131r ve uzun zaman alabilir. Bu zaman doktorun problemi\u00a0iyi\u00a0anlamas\u0131na ve en etkili tedaviye karar vermesine yard\u0131m eder. Ara\u015ft\u0131rmalar sonucu\u00a0bir\u00a0veya birden fazla k\u0131s\u0131rl\u0131k nedeni bulunabilece\u011fi\u00a0gibi\u00a0\u00e7iftlerin yakla\u015f\u0131k %15\u2019inde k\u0131s\u0131rl\u0131\u011f\u0131n nedeni saptanamaz.<\/p>\n

Kad\u0131ndaki en\u00a0\u00f6nemli\u00a0k\u0131s\u0131rl\u0131k sebepleri yumurtlama bozukluklar\u0131, endometriozis ve t\u00fcplerin hasarl\u0131 veya t\u0131kal\u0131 olmas\u0131d\u0131r.<\/p>\n

1. Yumurtlama bozukluklar\u0131:<\/b>
\nKad\u0131nda en s\u0131k g\u00f6r\u00fclen k\u0131s\u0131rl\u0131k nedeni yumurtlama bozukluklar\u0131d\u0131r. Yumurtlama (yumurtan\u0131n yumurtal\u0131klar d\u0131\u015f\u0131na at\u0131lmas\u0131) olmaks\u0131z\u0131n d\u00f6llenme ve gebelik olu\u015famaz. Yumurtlama bozuklu\u011fu dendi\u011finde yumurtlaman\u0131n hi\u00e7 olmamas\u0131 veya d\u00fczensiz ve seyrek olmas\u0131 anlam\u0131na\u00a0gelir. Adetlerin seyrek veya hi\u00e7 g\u00f6r\u00fclmemesi \u00e7o\u011fu zaman\u00a0bir\u00a0yumurtlama bozuklu\u011funu g\u00f6sterir.Ancak\u00a0adetlerin tamamen d\u00fczenli oldu\u011fu durumlarda da yumurtlama bozukluklar\u0131na rastlanabilir.
\nYumurtlama bozukluklar\u0131 ba\u015fl\u0131ca \u00fc\u00e7 grupta toplanabilir<\/p>\n

Yumurtal\u0131klardaki yumurta \u00fcretimini uyaran hormonlar\u0131n do\u011fu\u015ftan eksikli\u011fine ba\u011fl\u0131 olarak beyin sap\u0131ndan salg\u0131lanamamas\u0131:<\/b>\u00a0Bu durumda kad\u0131nda ergenlikten itibaren hi\u00e7 adet kanamas\u0131 g\u00f6r\u00fclmez<\/p>\n

Beyin sap\u0131ndan(hipofiz) s\u00fct hormonu prolaktinin normalden fazla salg\u0131lanmas\u0131:<\/b>Bu durum genellikle bu b\u00f6lgedeki\u00a0iyi\u00a0huylu\u00a0bir\u00a0t\u00fcm\u00f6r\u00fcn varl\u0131\u011f\u0131na ba\u011fl\u0131 olmakla beraber bazen hi\u00e7bir neden bulunamaz.\u00a0\u0130yi\u00a0huylu t\u00fcm\u00f6rlerin cerrahi yollarla \u00e7\u0131kar\u0131labilir. Neden bulunamad\u0131\u011f\u0131 durumlarda \u00e7e\u015fitli ila\u00e7 tedavileriyle prolaktin seviyeleri d\u00fc\u015f\u00fcr\u00fclerek yumurtlama normal hale getirilebilir.<\/p>\n

Polikistik over sendromu:\u00a0<\/b>Bu hastal\u0131\u011f\u0131n tipik formunda genel olarak adetler d\u00fczensiz ve seyrektir (y\u0131lda 3 \u2013 4 adet). Baz\u0131 hastalarda adetler hi\u00e7 g\u00f6r\u00fclmezken di\u011ferlerinde tamamen normal olabilir. Hastalar genellikle \u015fi\u015fmanlamaya yatk\u0131nd\u0131rlar. Ciltte ve sa\u00e7larda ya\u011flanma, sivilce\u00a0gibiproblemler s\u0131k\u00e7a g\u00f6r\u00fcl\u00fcr. Yumurtal\u0131klarda normalden fazla say\u0131da\u00a0yumurtabulunmakta ve bunlar erkeklik hormonu salg\u0131layarak normal yumurta geli\u015fimini engellemektedir.<\/p>\n

2. T\u00fcplerin hasarl\u0131 ve t\u0131kal\u0131 olmas\u0131:<\/b>
\nT\u00fcplerin k\u0131smen veya tamamen t\u0131kal\u0131 olmas\u0131 sperm ile yumurtan\u0131n bulu\u015fmas\u0131n\u0131 engelleyerek d\u00f6llenme ve gebeli\u011fi olanaks\u0131z k\u0131lar. T\u00fcplerdeki bu hasar ge\u00e7irilmi\u015f enfeksiyon, endometriozis veya ge\u00e7irilmi\u015f\u00a0bir\u00a0ameliyat sonras\u0131 kalan kar\u0131n i\u00e7i yap\u0131\u015f\u0131kl\u0131klar\u0131\u00a0gibi\u00a0bir\u00e7ok nedene ba\u011fl\u0131 olabilir. T\u00fcpler bir\u00a0d\u0131\u015f\u00a0gebelik sonucu da hasara u\u011frayabilir. Geli\u015fmi\u015f \u00fclkelerde cinsel yollardan bula\u015fan enfeksiyonlar t\u00fcplerdeki hasar\u0131n en\u00a0\u00f6nemli\u00a0nedenidir. \u00dclkemizde\u00a0\u00e7ocukluk\u00a0\u00e7a\u011f\u0131nda al\u0131nan verem mikrobu da t\u00fcplerde geri d\u00f6n\u00fclemez hasar olu\u015fturur.<\/p>\n

3. Endometriozis<\/b>
\nEndometriozis, rahim\u00a0i\u00e7ini\u00a0d\u00f6\u015feyen dokunun (endometrium) rahim d\u0131\u015f\u0131nda geli\u015fmesine denir. Endometriozis en s\u0131k olarak rahimi yerinde tutan ba\u011flara yerle\u015fir. Di\u011fer s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc b\u00f6lgeler ise rahim y\u00fczeyi, t\u00fcpler ve yumurtal\u0131klard\u0131r. Endometriozis t\u0131pk\u0131 rahim i\u00e7ini d\u00f6\u015feyen doku gibi hormonlara duyarl\u0131 olup adet s\u0131ras\u0131nda kanar. Kar\u0131n i\u00e7inde olu\u015fan bu mikro kanamalar zamanla iltihap benzeri yang\u0131sal durum olu\u015fturur ve yap\u0131\u015f\u0131kl\u0131klara sebep olur. Endometriozis yumurtal\u0131klarda yerle\u015fti\u011fi zaman kist olu\u015fumuna neden olur. Bu kistlere endometrioma ad\u0131 verilir.
\nEndometriozisin en \u00f6nemli belirtileri adet \u00f6ncesi ve adet s\u0131ras\u0131nda a\u011fr\u0131, ili\u015fki esnas\u0131nda veya sonras\u0131nda a\u011fr\u0131, d\u00fczensiz \u015fiddetli adetler ve k\u0131s\u0131rl\u0131kt\u0131r. Daha az g\u00f6r\u00fclen di\u011fer belirtiler yorgunluk, adet esnas\u0131nda ba\u011f\u0131rsak hareketlerinin \u015fiddetlenmesi. \u0130shal, kab\u0131zl\u0131k gibi di\u011fer sindirim sistemine ait belirtilerdir. Bunlar\u0131n yan\u0131 s\u0131ra endometriozis baz\u0131 kad\u0131nlarda hi\u00e7bir belirti vermeyebilir.
\nEndometriozisi olan kad\u0131nlar\u0131n yakla\u015f\u0131k\u00a0y\u00fczde\u00a050\u2019sinin \u00e7ocuk sahibi olabilmeleri i\u00e7in tedavi gerekir. Yine k\u0131s\u0131rl\u0131k nedeni ile ba\u015fvuran kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde 25\u2019inde endometriozis saptan\u0131r.
\n<\/b><\/p>\n

4. Rahim a\u011fz\u0131na ait problemler:<\/b>
\nRahim a\u011fz\u0131ndaki yap\u0131sal, enfeksiyona ait veya bu b\u00f6lgedeki salg\u0131ya (mukus) ait bozukluklar k\u0131s\u0131rl\u0131k sebebi olabilir. Rahim a\u011fz\u0131ndan salg\u0131lanan mukus spermlerin genital yoldan ta\u015f\u0131nmas\u0131n\u0131 kolayla\u015ft\u0131r\u0131r. \u00d6strojen ve progesteron hormonlar\u0131 etkisi alt\u0131nda mukusun siklus s\u0131ras\u0131nda miktar\u0131 ve niteli\u011fi de\u011fi\u015fir. Polip gibi\u00a0iyi\u00a0huylu t\u00fcm\u00f6rler veya bu b\u00f6lgeye uygulanm\u0131\u015f olan cerrahi giri\u015fimler k\u0131s\u0131rl\u0131\u011fa neden olabilir.<\/p>\n

 <\/p>\n

5. Alerjik nedenler:<\/b>
\nAlerjik nedenler k\u0131s\u0131rl\u0131k nedeni olabilmekle birlikte te\u015fhisleri ve tedavileri zordur. Alerjik neden spermlerde veya mukusta bulunabilir. Antisperm antikorlar\u0131 ad\u0131 verilen bu alerjik durumlar\u0131n tedavi etkinli\u011fi belli de\u011fil ve tedavi edilen veya edilmeyenlerdeki gebelik oranlar\u0131\u00a0\u00e7ok\u00a0farkl\u0131 de\u011fildir. Bu nedenle rutin olarak gereklili\u011fi tart\u0131\u015fmal\u0131d\u0131r.<\/p>\n

 <\/p>\n

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\u00c7ocuk…<\/p>\n","protected":false},"author":1,"featured_media":3905,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[130,138],"tags":[550,540,423,1144,1256,1257,1258,1259],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/1890"}],"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=1890"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/1890\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/3905"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=1890"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=1890"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=1890"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}