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{"id":7848,"date":"2015-12-26T10:27:00","date_gmt":"2015-12-26T08:27:00","guid":{"rendered":"https:\/\/www.coolkadin.com\/?p=7848"},"modified":"2016-12-09T09:39:48","modified_gmt":"2016-12-09T06:39:48","slug":"agrisiz-normal-dogum-epidural-analjezi-prenses-dogum","status":"publish","type":"post","link":"https:\/\/www.coolkadin.com\/agrisiz-normal-dogum-epidural-analjezi-prenses-dogum.html","title":{"rendered":"A\u011eRISIZ NORMAL DO\u011eUM (EP\u0130DURAL ANALJEZ\u0130) (PRENSES DO\u011eUM)"},"content":{"rendered":"

Epidural analjezi ile do\u011fuma (a\u011fr\u0131s\u0131z do\u011fum) halk aras\u0131nda \u201cprenses do\u011fum\u201d ad\u0131 da verilmektedir.<\/p>\n

Epidural analjezi anne aday\u0131n\u0131n normal do\u011fum \u00f6ncesinde bel k\u0131sm\u0131ndan omurga aral\u0131\u011f\u0131ndan bir kateter yard\u0131m\u0131yla anestezik madde verilerek belden a\u015fa\u011f\u0131s\u0131nda a\u011fr\u0131n\u0131n hissedilmesini engelleyen bir i\u015flemdir. Do\u011fum sanc\u0131lar\u0131 kar\u0131nda ve kas\u0131klarda kas\u0131lma ve bas\u0131n\u00e7 olarak hissedilir, a\u011fr\u0131 ve ac\u0131 hissedilmez.<\/p>\n

Sezaryen \u00f6ncesi ise buna benzer \u015fekilde \u201cspinal anestezi\u201d yap\u0131l\u0131r \u00e7o\u011funlukla. Sezaryende de epidural analjezi yada kombine epidural-spinal y\u00f6ntem uygulanabilir. Anne sezaryen s\u0131ras\u0131nda v\u00fccudunun alt k\u0131sm\u0131 ile ilgili hi\u00e7 a\u011fr\u0131 duymaz. Anne bebe\u011fini operasyon s\u0131ras\u0131nda do\u011far do\u011fmaz g\u00f6rebilir.<\/p>\n

Normal do\u011fumda rahim a\u011fz\u0131 a\u00e7\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k 4 cm oldu\u011funda ve anne sanc\u0131lar\u0131 d\u00fczenli olu\u015fmaya ba\u015flad\u0131\u011f\u0131nda i\u015flem uygulanmal\u0131d\u0131r, daha \u00f6nce yap\u0131lmas\u0131 kas\u0131lmalar\u0131 azaltarak do\u011fumu yava\u015flatabilir. Bazen uygun zamanda yap\u0131lmas\u0131na ra\u011fmen yine de do\u011fumun ikinci evresinde uzamaya sebep olabilir.<\/p>\n

Uygulama s\u0131ras\u0131nda anne belini d\u0131\u015far\u0131ya \u00e7\u0131karacak \u015fekilde oturur. \u0130\u015flemin yap\u0131laca\u011f\u0131 b\u00f6lge antiseptik sol\u00fcsyonla temizlenir ve lokal anestezi ile uyu\u015fturulur. Daha sonra \u00f6zel \u00e7ok ince i\u011fne ile bel b\u00f6lgesinden omurilikteki epidural aral\u0131\u011fa ila\u00e7 verilir. Genellikle daha sonra tekrar ila\u00e7 verebilmek i\u00e7in bu aral\u0131kta bir kateter b\u0131rak\u0131l\u0131r. Bu kateter normal do\u011fumdan hemen sonra sezaryenden 1 g\u00fcn sonra \u00e7ekilir. Normal do\u011fumda uygulanan epidural anestezide sezaryendeki epidural anesteziye g\u00f6re daha az ila\u00e7 verilir bu sayede anne bacaklar\u0131n\u0131 da hareket ettirebilir. Sezaryende ise bacaklar\u0131n\u0131 hareket ettiremez.<\/p>\n

\u0130\u015flem sonras\u0131 nadiren ge\u00e7ici ba\u015fa\u011fr\u0131s\u0131 olabilir. \u0130drar yapmada ge\u00e7ici bir zorluk olabilir.<\/p>\n

A\u011fr\u0131s\u0131z Do\u011fum Amac\u0131yla Anneye Verilen \u0130la\u00e7lar\u0131n Bebe\u011fe Zarar\u0131 Dokunur mu?<\/strong>
\nBu ila\u00e7lar \u00f6zel bir b\u00f6lgeye uygun dozda verildi\u011finde bebe\u011fe zarar\u0131 olmaz. Tersine anne ba\u011f\u0131r\u0131p \u00e7a\u011f\u0131rmaktan vazge\u00e7ti\u011fi ve d\u00fczg\u00fcn nefes al\u0131p vermeye ba\u015flad\u0131\u011f\u0131 i\u00e7in bebe\u011fe giden oksijen miktar\u0131 da artar. Bebek do\u011fdu\u011funda daha canl\u0131 ve hareketli olur.<\/p>\n

A\u011fr\u0131s\u0131z Do\u011fum Yapt\u0131r\u0131lan Annelerin \u2018Sakat Kalabilece\u011fi\u2019 \u0130ddias\u0131 Do\u011fru mudur?<\/strong>
\nA\u011fr\u0131s\u0131z do\u011fumda kullan\u0131lan kateterler omurili\u011fi \u00f6rten zarlar\u0131n d\u0131\u015f\u0131na yerle\u015ftirilir. Yani annenin belinden \u2018su\u2019 al\u0131nmaz. Tekni\u011fine uygun olarak yap\u0131ld\u0131\u011f\u0131nda a\u011fr\u0131s\u0131z do\u011fumun anneye hi\u00e7bir zarar\u0131 yoktur. Aksine anne a\u011fr\u0131 hissetmedi\u011fi i\u00e7in do\u011fum s\u0131ras\u0131nda h\u0131rpalanmaz , yorgun d\u00fc\u015fmez . Bebek do\u011farken uterus kas\u0131lmalar\u0131yla birlikte nefesini tutup \u0131k\u0131narak bizzat kendiside do\u011fuma yard\u0131mc\u0131 olur. Do\u011fumdan sonra da en k\u0131sa zamanda bebe\u011fine bakacak hale gelir.<\/p>\n

 
\n
\nDo\u011fum fiyatlar\u0131 hastaneden hastaneye de\u011fi\u015fmektedir. SGK\u00a0Do\u011fum \u00fccretlerinin sadece 400.00TL kadar\u0131n\u0131 kar\u015f\u0131larken hastane, hastan\u0131n durumuna ve \u015fartlara ba\u011fl\u0131 olarak bu fiyat\u0131 katlamaktad\u0131r.<\/p>\n

Genel bir ara\u015ft\u0131rma yapt\u0131\u011f\u0131m\u0131zda ise baz\u0131 hastanelerin net olmamakla birlikte ortalama do\u011fum fiyatlar\u0131 \u015f\u00f6yle;<\/strong><\/p>\n

Central Hospital Kozyata\u011f\u0131<\/strong>
\nNormal Do\u011fum : 2800 TL
\nEpidural Normal Do\u011fum : 3400 TL
\nSezaryen Do\u011fum : 3900 TL
\nEpidural Sezaryen : 4300 TL
\nProfes\u00f6r Hari\u00e7 Doktor \u00dccreti : 113 TL<\/p>\n

Medipol Ko\u015fuyolu<\/strong>
\nNormal Do\u011fum : 2910 TL
\nEpidural Normal Do\u011fum : 3757 TL
\nSezaryen Do\u011fum : 4656 TL
\nEpidural Sezaryen : 5344 TL<\/p>\n

Ac\u0131badem Kad\u0131k\u00f6y Hastanesi<\/strong>
\nNormal Do\u011fum : 9800 TL
\nEpidural Normal Do\u011fum : 11300 TL
\nSezaryen Do\u011fum : 12700 TL
\nEpidural Sezaryen : 13500 TL
\nUzman Doktor \u00dccreti : 229 TL<\/p>\n

Ata\u015fehir \u015eifa <\/strong>
\nNormal Do\u011fum : 6300TL
\nEpidural Normal Do\u011fum : 6740 TL
\nSezaryen Do\u011fum : 7000 TL
\nEpidural Sezaryen :7000 TL
\nUzman Doktor \u00dccreti : 132 TL<\/p>\n

Ata\u015fehir Memorial <\/strong>
\nNormal Do\u011fum : 5800 TL
\nEpidural Normal Do\u011fum : 7100 TL
\nSezaryen Do\u011fum : 6800TL
\nEpidural Sezaryen : 8100 TL<\/p>\n

\u00c7akmak Erdem Hastanesi<\/strong>
\nNormal Do\u011fum : 100 TL
\nSezaryen Do\u011fum : 2000TL
\n <\/p>\n


\nBiruni \u00dcniversitesi Hastanesi<\/strong>
\nSezaryen Do\u011fum : 4500TL<\/p>\n


\nCentral Hastanesi<\/strong>
\nSezaryen Do\u011fum : 4000TL<\/p>\n

Anadolu sa\u011fl\u0131k merkezi ve Ata\u015fehir Memorial<\/strong>
\nAnadolu Sa\u011fl\u0131k Merkezi : 7700
\nAta\u015fehir Memorial : 7200<\/p>\n

Ac\u0131badem Maslak<\/strong>
\nSezaryen Do\u011fum Fiyat\u0131 : 20.000<\/p>\n","protected":false},"excerpt":{"rendered":"

Epidural…<\/p>\n","protected":false},"author":4,"featured_media":7850,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[5364,5365,5371,5366,5367,5370,5369,5368],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7848"}],"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=7848"}],"version-history":[{"count":1,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7848\/revisions"}],"predecessor-version":[{"id":89082,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7848\/revisions\/89082"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7850"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}