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{"id":6975,"date":"2015-12-22T12:40:43","date_gmt":"2015-12-22T10:40:43","guid":{"rendered":"https:\/\/www.coolkadin.com\/?p=6975"},"modified":"2015-12-22T12:41:11","modified_gmt":"2015-12-22T10:41:11","slug":"amniyosentez-gebelikte-anne-karnindan-su-alinmasi","status":"publish","type":"post","link":"https:\/\/www.coolkadin.com\/amniyosentez-gebelikte-anne-karnindan-su-alinmasi.html","title":{"rendered":"AMN\u0130YOSENTEZ (GEBEL\u0130KTE ANNE KARNINDAN SU ALINMASI)"},"content":{"rendered":"

Amniyosentez anne karn\u0131ndan ince ve uzun bir i\u011fne yard\u0131m\u0131yla amniyon s\u0131v\u0131s\u0131n\u0131n (bebe\u011fin i\u00e7inde y\u00fczd\u00fc\u011f\u00fc s\u0131v\u0131) al\u0131nmas\u0131 i\u015flemine denir.<\/p>\n

Amniyosentez nedir:<\/strong>
\nAmniyosentez anne karn\u0131ndaki bebe\u011fe ait baz\u0131 hastal\u0131klar\u0131n tan\u0131s\u0131nda uzun s\u00fcredir kullan\u0131lan bir y\u00f6ntemdir. En s\u0131k yap\u0131lma sebebi, bebe\u011fe ait genetik hastal\u0131klar\u0131n tespitidir. Bu y\u00f6ntemde ultrason e\u015fli\u011finde \u00f6zel bir i\u011fne yard\u0131m\u0131yla anne karn\u0131nda, bebe\u011fin i\u00e7inde bulundu\u011fu amniyon s\u0131v\u0131s\u0131ndan 16-20. gebelik haftalar\u0131 aras\u0131nda bir miktar al\u0131nmaktad\u0131r. \u0130\u015flem \u00f6zel durumlarda daha erken yada daha ge\u00e7 yap\u0131labilir ancak bu durumda a\u015fa\u011f\u0131daki bilgiler de\u011fi\u015fiklik g\u00f6sterir.
\n Riskleri nelerdir:<\/strong>
\nUltrasonla i\u011fne, bebek ve \u00f6rnek al\u0131nacak s\u0131v\u0131 de\u011ferlendiririlerek yap\u0131ld\u0131\u011f\u0131ndan daha \u00f6nceleri ultrason olmadan yap\u0131lan i\u015flemlere g\u00f6re g\u00fcn\u00fcm\u00fczde riskleri azalm\u0131\u015ft\u0131r.
\n\u00b7 \u0130\u015flem yap\u0131lan her 1000 kad\u0131ndan 4-6 s\u0131nda gebelik kayb\u0131 ortaya \u00e7\u0131kabilir.
\n\u00b7 \u0130\u011fnenin bebekle temas\u0131na ba\u011fl\u0131 sorunlar\u0131n s\u0131kl\u0131\u011f\u0131, i\u015flemin ultrason e\u015fli\u011finde yap\u0131lmas\u0131 nedeniyle son derece nadirdir.
\n\u00b7 Hastalar\u0131n % 2-3 \u00fcnde kar\u0131nda kramp tarz\u0131 a\u011fr\u0131lar, az miktarda vaginal s\u0131v\u0131 s\u0131z\u0131nt\u0131s\u0131 veya kanama olabilmektedir ancak \u00e7o\u011funlukla bu ge\u00e7icidir.<\/p>\n

Nas\u0131l karar verilir:<\/strong> Takip edilen gebenin bebe\u011finde, bu y\u00f6ntemle tespit edilebilir bir genetik hastal\u0131k riski varsa ve tan\u0131 i\u00e7in ba\u015fka g\u00fcvenilir y\u00f6ntem bulunmuyorsa, bu i\u015flem aileye hekim taraf\u0131ndan \u00f6nerilir. \u0130\u015flem her iki e\u015fin onay\u0131 ile yap\u0131l\u0131r.<\/p>\n

\u00d6nemli not:<\/strong> Bu y\u00f6ntem bebe\u011fe ait t\u00fcm hastal\u0131klar\u0131 g\u00f6stermemektedir. Bu i\u015flem sadece sizi takip eden hekimlerin ara\u015ft\u0131rmay\u0131 gerekli g\u00f6rd\u00fc\u011f\u00fc bir grup hastal\u0131\u011f\u0131 test edecektir. Bu nedenle i\u015flem sonucunda elde edilen sonu\u00e7lar\u0131 doktorunuza g\u00f6t\u00fcr\u00fcp gebelik takiplerinizi s\u00fcrd\u00fcrmeniz gereklidir.<\/p>\n

Amniosentezin yap\u0131lma indikasyonlar\u0131<\/strong>
\n\u00b7 Ileri anne yasinda olasi y\u00fcksek orandaki fetal kromozom anomalisi tespiti
\n\u00b7 Down syndromu gibi kromozomal bozukluklari
\n\u00b7 Rubella veya herpes gibi intrauaterin infenksiyonlarin tespiti
\n\u00b7 Iskelet hastaliklarinin tespiti ve onayi i\u00e7in
\n\u00b7 Noral t\u00fcp defektlerinde( NTD) Alfa fetoprotein<\/p>\n

ya da asetil kolin esteraz enzim seviyesi i\u00e7in<\/strong>
\n\u00b7 Hemofili gibi sekse bagli ge\u00e7en hastaliklarin tespiti i\u00e7in
\n\u00b7 Eritroblastosis featalis gibi kan hastaliklarinda
\n\u00b7 Cystunria gibi enzim eksikliklerinde,
\n\u00b7 Fetal akciger olgunlasma tayini,
\n\u00b7 Fetal bozukluklarin medikal tedavisi
\n\u00b7 Kan uyusmazligindaki tablonun siddetinin tayininde kullanilmaktadir.<\/p>\n

Amniosentezin Riskleri<\/strong>
\n% 0.5 oraninda bebegin kayip edilme riski vard\u0131r.E\u011fer tarama testlerinde ve ya\u015fa bagl\u0131 fakt\u00f6rlere ba\u011fl\u0131i anomalili bebek do\u011furma riskleriniz bundan y\u00fcksekse mant\u0131kl\u0131 olarak amniosentezi kabul etmeniz do\u011fru bir karard\u0131r
\n\u00b7 Fetusun amniosentez ignesinden zarar g\u00f6rmesi
\n\u00b7 fetusun,placentan\u0131n infenksiyon kapmas\u0131
\n\u00b7 D\u00fc\u015f\u00fck olmas\u0131
\n\u00b7 Erken do\u011fum ihtimali
\n\u00b7 Amniosentez s\u0131ras\u0131nda s\u0131v\u0131 ka\u00e7a\u011f\u0131 1-2 g\u00fcn s\u00fcrebilir.
\n\u00b7 Kan uyu\u015fmazl\u0131\u011f\u0131nda izoimmunizasyon artabilir.Bu y\u00fczden amniosentez s\u0131ras\u0131nda kan uyu\u015fmazl\u0131\u011f\u0131 i\u011fnesi yap\u0131lmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Amniyosentez…<\/p>\n","protected":false},"author":4,"featured_media":6976,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[4223,4216,4217,4221,4219,4220,4218,4222],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6975"}],"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=6975"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6975\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6976"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}