D\u0131\u015f gebelik d\u00f6llenmi\u015f yumurtan\u0131n rahim i\u00e7i d\u0131\u015f\u0131nda bir yere yerle\u015fmesine verilen isimdir.<\/p>\n

DI\u015e GEBEL\u0130K<\/strong><\/p>\n

E\u011fer kad\u0131n\u0131n yumurtas\u0131 erke\u011fin spermi ile birle\u015fir ve rahimden ba\u015fka dokulara yerle\u015fir ve orada geli\u015firse buna d\u0131\u015f gebelik denir. T\u00fcpler, yumurtal\u0131k, rahim a\u011fz\u0131 ve kar\u0131n i\u00e7i d\u0131\u015f gebeli\u011fin olu\u015ftu\u011fu b\u00f6lgelerdir. Bunlar\u0131n i\u00e7erisinde en \u00e7ok kad\u0131n\u0131n t\u00fcplerine yerle\u015fmi\u015f d\u0131\u015f gebelik g\u00f6r\u00fcl\u00fcr. Baz\u0131 durumlarda d\u0131\u015f gebelikle birlikte normal bir gebelik de olabilir.<\/p>\n

Olduk\u00e7a tehlikeli bir sorun olan d\u0131\u015f gebelikte, bebek kaybedilir. Anne hayat\u0131 tehlikededir fakat tedavi y\u00f6ntemlerinin geli\u015fmesi ve bu problemin erken d\u00f6nemde te\u015fhis edilebilmesiyle art\u0131k bu sorun a\u015f\u0131labilmektedir. Erken tan\u0131n\u0131n konmas\u0131yla hastalar\u0131n t\u00fcpleri korunur ve hem de tedavi daha kolay yap\u0131l\u0131r. E\u011fer bir bayan\u0131n adet kanamas\u0131 gecikiyorsa doktora ba\u015fvurmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc hem normal gebelikte hem de d\u0131\u015f gebelikte adet kanamas\u0131 gecikir ve hamilelik testi pozitiftir. Bu y\u00fczden adet gecikmesinin sebebi mutlaka ara\u015ft\u0131r\u0131lmal\u0131d\u0131r.<\/p>\n

DI\u015e GEBEL\u0130\u011e\u0130N NEDENLER\u0130<\/strong><\/p>\n

Kad\u0131n\u0131n fallop t\u00fcpleri t\u0131kan\u0131r ya da hareketi k\u0131s\u0131tlan\u0131rsa bu durumda d\u0131\u015f gebelik g\u00f6r\u00fclebilir. D\u0131\u015f gebeli\u011fin en \u00e7ok g\u00f6r\u00fclen neden ge\u00e7irilmi\u015f genital enfeksiyonlard\u0131r. Bu enfeksiyonlar\u0131n sonucu t\u00fcpler hasar g\u00f6r\u00fcr. Ayr\u0131ca bu enfeksiyonlar artt\u0131k\u00e7a, enfeksiyonun a\u011f\u0131rl\u0131\u011f\u0131na g\u00f6re, t\u00fcp\u00fcn i\u00e7 ve d\u0131\u015f k\u0131sm\u0131nda yap\u0131\u015f\u0131kl\u0131klar olu\u015fur. Bu da t\u00fcp\u00fcn t\u0131kanmas\u0131na ve yap\u0131s\u0131n\u0131n bozulmas\u0131na yol a\u00e7ar. Sonu\u00e7ta spermler t\u00fcp\u00fcn kanallar\u0131ndan ge\u00e7emez ve k\u0131s\u0131rl\u0131k ortaya \u00e7\u0131kar. Sperm ge\u00e7se bile bu defa da d\u0131\u015f gebelik tehlikesi vard\u0131r.<\/p>\n

Ameliyatlar da d\u0131\u015f gebeli\u011fe yol a\u00e7abilir. Rahim ya da yumurtal\u0131k ameliyatlar\u0131, daha \u00f6nce ge\u00e7irilmi\u015f d\u0131\u015f gebelik ge\u00e7irenlerde veya bu sebeple ameliyat olanlarda, apandisit ameliyat\u0131 sonucu d\u0131\u015f gebelik olu\u015fabilir. Ayr\u0131ca t\u00fcplerde do\u011fu\u015ftan olan anormallikler de d\u0131\u015f gebeli\u011fe yol a\u00e7ar.<\/p>\n

Bunlar\u0131n d\u0131\u015f\u0131nda rahim i\u00e7i ara\u00e7 kullan\u0131m\u0131 bir risk fakt\u00f6r\u00fcd\u00fcr. Bunlar gebe kalma ihtimalini olduk\u00e7a azalt\u0131l\u0131r. Fakat bu ki\u015filer gebe kal\u0131rsa, bunun d\u0131\u015f gebelik olma riski fazlad\u0131r. Sigara kullan\u0131m\u0131, baz\u0131 do\u011fum kontrol haplar\u0131 da d\u0131\u015f gebeli\u011fe neden olabilen fakt\u00f6rler aras\u0131nda yer almaktad\u0131r.<\/p>\n

BEL\u0130RT\u0130LER\u0130<\/strong><\/p>\n

D\u0131\u015f gebeli\u011fin en belirgin belirtisi adet gecikmesidir. Mide bulant\u0131s\u0131, kusma gibi normal gebelikte g\u00f6r\u00fclen belirtilerin hepsi d\u0131\u015f gebelikte de g\u00f6r\u00fcl\u00fcr. Bu durum hastalar\u0131 yan\u0131lt\u0131r. Yap\u0131lan tahlil ve tetkikler sonucu hamilelik testi pozitif \u00e7\u0131kar. Adet gecikmesi sonucu az miktarda kanamalar ortaya \u00e7\u0131kar.<\/p>\n

Bu belirtilerden sonra e\u011fer hala doktora ba\u015fvurulmad\u0131ysa, kar\u0131n a\u011fr\u0131s\u0131 ve anormal kanamalar g\u00f6r\u00fcl\u00fcr. Hasta bay\u0131lmak \u00fczere oldu\u011funu hisseder. Ki\u015fide i\u00e7 kanama belirmi\u015f ve akut bat\u0131n olu\u015fmu\u015ftur. G\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinde rahimde gebelik torbas\u0131 tespit edilemez. Hastan\u0131n hayati tehlikesi vard\u0131r. Fallop t\u00fcpleri y\u0131rt\u0131lm\u0131\u015ft\u0131r.<\/p>\n

DI\u015e GEBEL\u0130K NASIL TE\u015eH\u0130S ED\u0130L\u0130R?<\/strong><\/p>\n

D\u0131\u015f gebeli\u011fin te\u015fhis edilmesinde kullan\u0131lan y\u00f6ntemlerden birisi ultrason g\u00f6r\u00fcnt\u00fclemedir. Vajinan\u0131n g\u00f6r\u00fcnt\u00fclenmesiyle gebelik kesesinin olu\u015fmad\u0131\u011f\u0131 anla\u015f\u0131l\u0131r. Ayr\u0131ca t\u00fcplerin etraf\u0131nda bir kitle tespit edilir. Kar\u0131n b\u00f6lgesinde kanama olabilir.<\/p>\n

Tan\u0131da kullan\u0131lan di\u011fer bir y\u00f6ntem ise beta hCG d\u00fczeyinin \u00f6l\u00e7\u00fclmesidir. Bu \u00f6l\u00e7\u00fcm hastadan kan al\u0131narak yap\u0131l\u0131r. Bu maddenin d\u00fczeyi belli bir de\u011ferin \u00fcst\u00fcndeyse d\u0131\u015f gebelik tan\u0131s\u0131 i\u00e7in olduk\u00e7a \u00f6nemlidir. Daha do\u011frusu bu maddenin art\u0131\u015f\u0131 d\u0131\u015f gebelikte yava\u015ft\u0131r. Normal gebeliklerde bu madde iki kat artm\u0131\u015ft\u0131r. Hem ultrason g\u00f6r\u00fcnt\u00fcleme hem de kanda hCG \u00f6l\u00e7\u00fcm\u00fc b\u00fcy\u00fck olas\u0131l\u0131kla d\u0131\u015f gebelik te\u015fhisi koydurur. Ayr\u0131ca bu y\u00f6ntemlerle erken te\u015fhis yap\u0131l\u0131r ve hayati tehlikenin \u00f6n\u00fcne ge\u00e7ilir.<\/p>\n

Bunlar\u0131n d\u0131\u015f\u0131nda kanda progesteron hormonunun d\u00fczeyi \u00f6l\u00e7\u00fcl\u00fcr. Belli bir de\u011ferin alt\u0131nda ise gebeli\u011fin normal olmad\u0131\u011f\u0131 \u00f6ng\u00f6r\u00fcl\u00fcr. Bu durumda d\u0131\u015f gebelikten ba\u015fka anormallikler de d\u00fc\u015f\u00fcn\u00fcl\u00fcr. Te\u015fhis koymakta zorlan\u0131l\u0131yor ise laparoskopi y\u00f6ntemi uygulan\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

D\u0131\u015f…<\/p>\n","protected":false},"author":4,"featured_media":7287,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[4616,4610,4613,4614,4611,4615,4612],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7285"}],"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=7285"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7285\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7287"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7285"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7285"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}