HAM\u0130LEL\u0130KTE RAH\u0130M A\u011eZI UZUNLU\u011eU<\/strong><\/p>\n

Rahim A\u011fz\u0131 Uzunlu\u011fu \u00d6l\u00e7\u00fcm\u00fc:<\/strong><\/p>\n

Rahim a\u011fz\u0131 uzunlu\u011funu 2 boyutlu ultrasonografi ile \u00f6l\u00e7erek 34. gebelik haftas\u0131ndan \u00f6nce olabilecek artm\u0131\u015f erken do\u011fum riskini yakalamak hedeflenmi\u015ftir.
\nRahim a\u011fz\u0131 k\u0131sald\u0131k\u00e7a erken do\u011fum riski artar.
\n\u0130deal olarak \u00f6l\u00e7\u00fcm\u00fc yap\u0131lan rahim a\u011fz\u0131 uzunlu\u011funun 25mm ve alt\u0131nda olmas\u0131 k\u0131sa serviks olarak adland\u0131r\u0131l\u0131p artm\u0131\u015f erken do\u011fum riskini g\u00f6stermektedir.<\/p>\n

Erken do\u011fum a\u00e7\u0131s\u0131ndan artm\u0131\u015f riski olan hastalarda (\u00e7o\u011ful gebeli\u011fi olan hastalar, daha \u00f6nce erken do\u011fum yapm\u0131\u015f olan hastalar, do\u011fumsal rahim yap\u0131 anormalli\u011fi olan gebeler, rahim a\u011fz\u0131na konizasyon, leep gibi operasyonlar ge\u00e7irmi\u015f hastalar vb.) 11-14. haftalarda ilk trimester\u0131n detayl\u0131 anatomik incelemesi yap\u0131l\u0131rken bu ultrasonografinin yap\u0131lmas\u0131 gerekirse 18-23. hafta detayl\u0131 usg incelemesinde tekrar\u0131 daha faydal\u0131d\u0131r.
\nBu ultrasonografi ideal olarak transvajinal yolla yap\u0131lmaktad\u0131r. Transvajinal ultrasonun yap\u0131lamad\u0131\u011f\u0131 durumlarda transperineal ultrasonda yap\u0131labilir.
\nRahim a\u011fz\u0131 uzunlu\u011funun 27mm \u2018nin \u00fczerinde olmas\u0131 ise rahatlat\u0131c\u0131d\u0131r. Ancak unutulmamal\u0131d\u0131r ki rahim a\u011fz\u0131 yani serviks dinamiktir ve kas\u0131lma durumunda veya zamanla k\u0131salabilir. O y\u00fczden gebenin hikayesine ve durumuna g\u00f6re seri takipler yapmak gerekebilir. 3 boyutlu usg ile de rahim a\u011fz\u0131 vol\u00fcm\u00fc \u00f6l\u00e7\u00fclerek ve multiplanar mod ile daha ideal bir rahim a\u011fz\u0131 uzunlu\u011fu sajital planda elde edilerek erken do\u011fum riski belirlenebilir.<\/p>\n

Mesela 23. gebelik haftas\u0131nda rahim a\u011fz\u0131 uzunlu\u011fu 15 mmden daha k\u0131sa olan gebelerin %50 den daha fazla bir oranda 32. gebelik haftas\u0131ndan \u00f6nce do\u011fum yapt\u0131\u011f\u0131 bilinmektedir.<\/p>\n

Son y\u0131llarda k\u0131sa rahim a\u011fz\u0131 saptand\u0131\u011f\u0131nda basit\u00e7e progesteron deste\u011fi vererek bir\u00e7ok erken do\u011fum \u00f6nlenebilmektedir. 2013 te yay\u0131nlanan metaanalizde rahim a\u011fz\u0131na konulan ba\u011f (serklaj) operasyonu sonu\u00e7lar\u0131 ile progesteron deste\u011fi aras\u0131nda erken do\u011fumu \u00f6nlemede \u00f6nemli bir fark bulunamam\u0131\u015ft\u0131r. Yinede gebenin durumu ve \u00f6zellikleri doktorun bu tercihi yapmas\u0131nda \u00f6nemlidir.<\/p>\n

\u00c7orumda \u00e7al\u0131\u015fan kad\u0131n hastal\u0131klar\u0131 ve do\u011fum uzman\u0131 jinekolog operat\u00f6r doktor Sinan \u00d6zer olarak bu konuda bana ileti\u015fim bilgilerim yoluyla rahatl\u0131kla ula\u015fabilirsiniz<\/p>\n","protected":false},"excerpt":{"rendered":"

HAM\u0130LEL\u0130KTE…<\/p>\n","protected":false},"author":4,"featured_media":7999,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[5661,5656,5659,5657,5658,5660,5662,5663],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7995"}],"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=7995"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7995\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7999"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7995"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7995"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7995"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}