T\u00fcp bebek tedavisinde son y\u0131llarda fazlas\u0131yla art\u0131\u015f olmu\u015ftur. T\u00fcp bebek yap\u0131lmas\u0131 planlanan \u00e7iftlerde tedavi s\u00fcreci kad\u0131n\u0131n adetinin 2. Veya 3. G\u00fcn\u00fc ba\u015flar. Ba\u015flang\u0131\u00e7 g\u00fcn\u00fc ultrason yap\u0131l\u0131r. Ultrasonda yumurtal\u0131klarda ve rahimde ba\u015flamaya engel olacak herhangi bir s\u0131k\u0131nt\u0131 tesbit edilmezse, kad\u0131n\u0131n kan\u0131nda FSH ve \u00f6strojen seviyelerine bak\u0131l\u0131r. Tedaviye ba\u015flamak i\u00e7in uygun oldu\u011funa karar verilirse kad\u0131n\u0131n ya\u015f\u0131, k\u0131s\u0131rl\u0131k nedeni, kan sonu\u00e7lar\u0131 ve yumurtal\u0131k kapasitesine g\u00f6re uygun tedavi y\u00f6ntemi se\u00e7ilerek t\u00fcp bebek tedavisi i\u00e7in yumurta olu\u015fumunu sa\u011flamak i\u00e7in hormon tedavisi ba\u015flan\u0131r. Kontroll\u00fc over sitimulasyonu denilen bu d\u00f6nemde tedaviye yan\u0131t\u0131 ve yumurta geli\u015fimini de\u011ferlendirmek i\u00e7in belli aral\u0131klarla ultrason ve kanda hormon kontrol\u00fc yap\u0131l\u0131r.<\/p>\n

Yumurta geli\u015fimi<\/p>\n

Yumurta geli\u015fimi ve ila\u00e7lara yumurtal\u0131\u011f\u0131n yan\u0131t\u0131na g\u00f6re ila\u00e7larda gerekirse doz ayarlamas\u0131 yap\u0131l\u0131r. Folik\u00fcllerin belli b\u00fcy\u00fckl\u00fc\u011fe ula\u015fmas\u0131 ve kan \u00f6strojen seviyesinin belli de\u011ferlere ula\u015fmas\u0131 yumurtan\u0131n olgunla\u015fma konusunda bilgi verir ve ayn\u0131 zamanda \u00e7atlatma i\u011fnesinin ve ard\u0131ndan yumurta toplama zaman\u0131n\u0131n belirlenmesini sa\u011flar. Bu s\u00fcre\u00e7 yakla\u015f\u0131k 12-16 g\u00fcn s\u00fcrecektir fakat s\u00fcre ki\u015fiye g\u00f6re de\u011fi\u015fiklik g\u00f6sterebilir. \u00c7atlatma i\u011fnesinden 32-36 saat sonra di\u011fer bir a\u015fama olanyumurta toplama a\u015famas\u0131na (OPU- oocyte pick-up) ge\u00e7ilir.<\/p>\n

Yumurta toplama<\/p>\n

T\u00fcp bebek tedavisinde yumurta toplama i\u015flemi hastan\u0131n a\u011fr\u0131 hissetmemesi a\u00e7\u0131s\u0131ndan sedasyon anestezisi (uyku hali) alt\u0131nda, transvajinal ultrasonografi e\u015fli\u011finde yap\u0131l\u0131r. Bu i\u015flem s\u0131ras\u0131nda folik\u00fcllerin i\u00e7indeki s\u0131v\u0131 toplanarak, s\u0131v\u0131 i\u00e7inde yumurta olup olmad\u0131\u011f\u0131na bak\u0131larak varolan yumurtalar al\u0131n\u0131r. \u0130lk seferinde folik\u00fcl s\u0131v\u0131s\u0131nda yumurta buluamazsa \u00f6zel s\u0131v\u0131 ile folik\u00fcl i\u00e7i y\u0131kanarak, folik\u00fcl i\u00e7inde kalm\u0131\u015f olabilecek yumurtalara ula\u015f\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Yumurta toplama i\u015flemi yakla\u015f\u0131k 20-30 dakika s\u00fcrer. 10 mm\u2019 nin \u00fczerindeki t\u00fcm folik\u00fcllerde bulunan folik\u00fcl s\u0131v\u0131lar\u0131 i\u015flem s\u0131ras\u0131nda toplan\u0131r ve ard\u0131ndan i\u015fleme son verilir. \u0130\u015flem sonras\u0131 hasta 1-2 saat takip edildikten sonra eve g\u00f6nderilebilir. Bundan sonraki k\u0131s\u0131m ise toplanan yumurtalar i\u00e7erisinde olgun olanlar\u0131n se\u00e7ilmesi ve d\u00f6llenmesi ard\u0131ndan rahim i\u00e7ine transfer edilmesidir.<\/p>\n

D\u00f6llenme i\u015flemi<\/p>\n

MII oosit denilen olgun ve d\u00f6llenebilecek yumurtalar se\u00e7ildikten sonra yumurta toplama g\u00fcn\u00fc hastan\u0131n e\u015finden al\u0131nan spermlerle labaratuar ko\u015fullar\u0131nda d\u00f6llenme i\u015flemi ger\u00e7ekle\u015ftirilir. D\u00f6llenme i\u015fi sperm ve yumurtan\u0131n bir araya b\u0131rak\u0131larak d\u00f6llenmenin olmas\u0131n\u0131n beklenildi\u011fi klasik y\u00f6ntemle yap\u0131labilece\u011fi gibi, \u00f6zellikle baz\u0131 durumlarda d\u00f6llenme \u015fans\u0131n\u0131 artt\u0131rabilmek i\u00e7in mikroenjeksiyon (ICSI- intracytoplasmic sperm injection) y\u00f6ntemi ile yumurtan\u0131n i\u00e7ine direk spermin verilmesi ile de yap\u0131labilir. D\u00f6llenmi\u015f yumurta transfer edilebilecek hale gelene kadar \u00f6zel k\u00fclt\u00fcr ortam\u0131nda takip edilir. Geli\u015fimi olan ve kaliteli embriyo se\u00e7ilerek rahim i\u00e7ine transfer edilir.<\/p>\n

Embriyo transferi<\/p>\n

Embriyo transferi anestezi gerektirmeyen a\u011fr\u0131s\u0131z bir i\u015flemdir. Genellikle abdominal ultrason e\u015fli\u011finde ince bir kateter ile yap\u0131l\u0131r. \u0130\u015flem \u00f6ncesi rahim a\u011fz\u0131 \u00f6zel s\u0131v\u0131lar ile temizlenir. Transferden 1-2 saat sonra hasta evine gidebilir. E\u011fer hastan\u0131n kalan d\u00f6llenmi\u015f iyi kalite embriyosu varsa, dondurularak saklanabilir.<\/p>\n

Bekleme s\u00fcreci<\/p>\n

Embiryo transferinden iki hafta sonra gebelik esti yap\u0131l\u0131r.Bu iki haftal\u0131k s\u00fcre\u00e7 \u00e7ok s\u0131k\u0131nt\u0131l\u0131 ve zorlu ge\u00e7ebilir.Kendinizi bu zor d\u00f6neme \u00f6nceden haz\u0131rlaman\u0131zda her zaman fayda var.\u00c7\u00fcnk\u00fc b\u00f6ylesine uzun ve yorucu bir tedavinin ard\u0131ndan her zaman ba\u015far\u0131l\u0131 sonu\u00e7 \u00e7\u0131kmayaca\u011f\u0131n\u0131 \u00f6nceden bilmelisiniz.Yap\u0131lan bir \u00e7ok ara\u015ft\u0131rma en iyi ba\u015far\u0131 oran\u0131 2.ve 3 denemelerde ger\u00e7ekle\u015fti\u011fini g\u00f6stermektedir.Bu bekleme s\u00fcrecinde kendinizi me\u015fgul edecek herhangi bir hobi bulmal\u0131 ve rahat davranmal\u0131s\u0131n\u0131z.Zira yo\u011fun stres alt\u0131nda gebelik olas\u0131l\u0131\u011f\u0131n\u0131z b\u00fcy\u00fck oranda riske girer.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00fcp…<\/p>\n","protected":false},"author":1,"featured_media":6884,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[1373,404,153,4040,3930],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6882"}],"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=6882"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6882\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6884"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6882"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6882"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6882"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}