T\u00fcplerin t\u0131kal\u0131 olmas\u0131 gebeli\u011fi engelleyen nedenlerden biridir. Yeteri say\u0131da \u00e7ocu\u011fu olanlar gebelikten korunma y\u00f6ntemi olarak t\u00fcplerini ba\u011flatt\u0131r\u0131yorlar. B\u00f6ylece spermler t\u00fcplerden ge\u00e7ip de yumurtal\u0131klara ve de yumurtalara ula\u015fam\u0131yorlar. Yani, t\u00fcpleri kapal\u0131 olan kad\u0131nlar\u0131n gebe kalmalar\u0131 fiziki olarak m\u00fcmk\u00fcn de\u011fil.<\/p>\n

O halde \u00e7ocuk isteyip de gebe kalamayanlar\u0131n bir k\u0131sm\u0131nda da t\u00fcpler kapal\u0131 olabilir ve gebelik olu\u015famamas\u0131n\u0131n nedeni bu olabilir.<\/p>\n

T\u00fcplerin a\u00e7\u0131k olup olmad\u0131\u011f\u0131n\u0131 kontrol etmenin birtak\u0131m yollar\u0131 var:<\/p>\n

1. Ultrason e\u015fli\u011finde rahimin i\u00e7ine verilen serumun kar\u0131n bo\u015flu\u011funa ge\u00e7ip ge\u00e7medi\u011fini kontrol etmek (Saline Infusion Sonography = SIS)
\n2. Rahimin i\u00e7ine verilen ilac\u0131n r\u00f6ntgen arac\u0131l\u0131\u011f\u0131 ile izlenmesi ve gerekli aral\u0131klarla filme al\u0131narak t\u00fcplerin a\u00e7\u0131kl\u0131\u011f\u0131n\u0131 ara\u015ft\u0131rmak (Histero-Salpingo-Grafi = HSG).
\n3. Laparoskopi ad\u0131 verilen bir ameliyatla incelemek<\/p>\n

Yukar\u0131da kolaydan zora do\u011fru s\u0131ralanm\u0131\u015f olan bu y\u00f6ntemlerden en g\u00fcvenilir olan\u0131 en sonuncusudur. Ama en \u00e7ok kullan\u0131lan\u0131 rahim filmi diye de adland\u0131r\u0131lan HSG’dir.<\/p>\n

T\u00fcplerin incelenmesi temel bir tetkik olmas\u0131na ra\u011fmen bazen infertilite y\u00f6netiminde atlan\u0131r. Nedeni g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n \u00e7ok olmamas\u0131 olabilir. Ka\u00e7 tane rahim filmi \u00e7ekilince ka\u00e7\u0131nda t\u00fcpler kapal\u0131 \u00e7\u0131kar? Baz\u0131 kaynaklara g\u00f6re bu rakam % 12-33 gibi… Fakat do\u011frusunu isterseniz biz\u00e7ekti\u011fimiz her on HSG’nin 1 ila 3’\u00fcnde t\u00fcpleri kapal\u0131 bulmuyoruz. \u0130kinci nedeni halk aras\u0131nda dilden dile dola\u015fan rahim filmi \u00f6yk\u00fcleridir. Hi\u00e7 a\u011fr\u0131s\u0131z bir i\u015flem oldu\u011funu iddia edecek de\u011filim ama, herkesin a\u011fr\u0131 e\u015fi\u011fi ayn\u0131 de\u011fil… K\u0131sacas\u0131 a\u011fr\u0131l\u0131 ve korkulan bir i\u015flem oldu\u011fu i\u00e7in “olmasa olur mu” talebi \u00e7ok geliyor. Biz de bazen bu basama\u011f\u0131 atlayabiliyoruz. Bir ka\u00e7 kez bo\u015funa a\u015f\u0131lama yapmay\u0131, sonras\u0131nda t\u00fcp-bebe\u011fe ge\u00e7eceksek g\u00f6ze alabiliyoruz.<\/p>\n

T\u00fcpler kapal\u0131 ise iki yol var. Ya ameliyatla t\u00fcpleri a\u00e7maya \u00e7al\u0131\u015fmak, ya da t\u00fcp-bebek y\u00f6ntemi denemek… Ameliyat\u0131n avantaj\u0131 t\u00fcpler a\u00e7\u0131l\u0131r ve iyile\u015firken kapanmazlarsa (%50 olas\u0131l\u0131k) \u00e7iftlerin do\u011fal yollardan gebelik olu\u015fmas\u0131 \u015fanslar\u0131n\u0131n olmas\u0131, hatta birden fazla kez gebeliklerin de olabilmesi… Dezavantaj\u0131, % 50 durumda ameliyatta t\u00fcplerin a\u00e7\u0131lamamas\u0131 veya iyile\u015firken tekrar kapanmas\u0131. \u0130kinci yolun, yani t\u00fcp-bebe\u011fin avantaj\u0131 ameliyat gerektirmemesi, dezavantaj\u0131 pahal\u0131 bir y\u00f6ntem olmas\u0131 ve gebelik olmazsa her denemenin yine t\u0131bbi y\u00f6ntemlerle yani yine t\u00fcp-bebek gerektiriyor olmas\u0131… Yine de anne aday\u0131n\u0131n ya\u015f\u0131 ileri ise, \u00f6nce ameliyat olup, iyile\u015fme s\u00fcreci tamamlan\u0131p, sonra da do\u011fal yollardan gebelik bekleyinceye kadar \u015fans iyice azal\u0131r, hatta kaybolursa kayg\u0131s\u0131 varsa t\u00fcp-bebek tercih edilebilir…<\/p>\n

A\u015fa\u011f\u0131da iki adet rahim filmi resmi var… Her iki filmde de alt u\u00e7tan verilen ila\u00e7l\u0131 s\u0131v\u0131 rahim i\u00e7 bo\u015fluklar\u0131n\u0131 doldurup, kal\u0131b\u0131n\u0131 \u00e7\u0131kar\u0131r gibi ortada g\u00f6r\u00fclen beyaz \u00fc\u00e7genler \u015feklinde g\u00f6r\u00fcn\u00fcr hale getiriyor… \u00dc\u00e7genin alt ucundaki \u00e7izgiler ilac\u0131 i\u00e7eri veren aletlerin g\u00f6r\u00fcn\u00fcmleri. \u00dcst k\u00f6\u015felerden \u00e7\u0131kan \u00e7izgiler ise t\u00fcpler. Soldaki filmde her iki u\u00e7ta sigara duman\u0131n\u0131n da\u011f\u0131lmas\u0131 gibi g\u00f6r\u00fcn\u00fcm t\u00fcplerin a\u00e7\u0131k oldu\u011funu ve ila\u00e7l\u0131 s\u0131v\u0131n\u0131n kar\u0131n bo\u015flu\u011funa serbest\u00e7e akabildi\u011fini g\u00f6steriyor, yani normal, t\u00fcpler a\u00e7\u0131k… Sa\u011fdakinde ise her iki t\u00fcp\u00fcn de bir yere kadar g\u00f6r\u00fclebildi\u011fi ancak i\u00e7inden ge\u00e7mesi gereken ila\u00e7\u0131 s\u0131v\u0131y\u0131 ge\u00e7iremeyip di\u011fer u\u00e7lar\u0131ndan kar\u0131n bo\u015flu\u011funa aktaramad\u0131klar\u0131 g\u00f6r\u00fcl\u00fcyor. Yani bu hastada her iki t\u00fcp kapal\u0131… Beyaz ok sol t\u00fcp\u00fcn (hastaya kar\u015f\u0131dan bakt\u0131\u011f\u0131m\u0131z\u0131 varsay\u0131n) rahime ba\u011fland\u0131\u011f\u0131 ucu, siyah ok t\u0131kan\u0131kl\u0131\u011f\u0131n yerini i\u015faret etmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00fcplerin…<\/p>\n","protected":false},"author":1,"featured_media":6992,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[587,169,471,1259,1461,4258],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6986"}],"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=6986"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6986\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6992"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}