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{"id":80829,"date":"2016-09-27T17:15:10","date_gmt":"2016-09-27T14:15:10","guid":{"rendered":"https:\/\/www.coolkadin.com\/?p=80829"},"modified":"2016-09-27T17:15:10","modified_gmt":"2016-09-27T14:15:10","slug":"erken-dogum-ve-nedenleri","status":"publish","type":"post","link":"https:\/\/www.coolkadin.com\/erken-dogum-ve-nedenleri.html","title":{"rendered":"Erken Do\u011fum ve Nedenleri"},"content":{"rendered":"

Kesin tedavinin do\u011fumun ger\u00e7ekle\u015fmesi ve plasentan\u0131n anneden ayr\u0131lmas\u0131 oldu\u011funu s\u00f6ylemek ilgin\u00e7 gelebilir. Ama gebeli\u011fin erken haftalar\u0131nda bu karar\u0131 verip do\u011fumu ger\u00e7ekle\u015ftirmek, b\u00f6ylece anneyi tedavi etmek \u00e7ok kolay olmamaktad\u0131r.<\/p>\n

Sezaryan m\u0131 normal do\u011fum mu karar\u0131 nas\u0131l al\u0131n\u0131r?<\/strong>
\nErken gebelik haftalar\u0131nda uygun tansiyon d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar\u0131n ba\u015flanmas\u0131, gebeli\u011fin yak\u0131n takip edilmesi, gerekirse hastanede yat\u0131rarak anne ve bebek i\u00e7in uygun ko\u015fullar\u0131n sa\u011flanmas\u0131 gerekir. Do\u011fumun \u015feklinin normal do\u011fum mu, sezeryan m\u0131 olmas\u0131 gerekti\u011fine takip doktoru karar verecektir. Bu karar\u0131 etkileyen en \u00f6nemli iki unsur gebelik haftas\u0131 ve preeklampsinin \u015fiddetidir. Do\u011fum ger\u00e7ekle\u015ftikten sonraki ilk 24-48 saat annenin gene yak\u0131n takip edilmesi gerekir. Genellikle gebelikte ortaya \u00e7\u0131kan y\u00fcksek tansiyon do\u011fumdan sonra d\u00fczelir. Alt\u0131 hafta s\u00fcren lohusal\u0131k s\u00fcrecinden sonra hala devam eden y\u00fcksek tansiyon durumlar\u0131 anneye gebeli\u011finden kalan k\u00f6t\u00fc bir mirast\u0131r ve % 1-5 hastada g\u00f6r\u00fclebilmektedir. B\u00f6yle durumlarda annenin kullan\u0131labilece\u011fi ila\u00e7 se\u00e7enekleri gebelik bitti\u011fi i\u00e7in daha fazlad\u0131r.<\/p>\n

Gebelikte y\u00fcksek tansiyonu \u00f6nlemek m\u00fcmk\u00fcn m\u00fc?<\/strong>
\nPreeklampsi ve eklampsi gebelik d\u00f6neminde ortaya \u00e7\u0131kan, gebeli\u011fin normald\u0131\u015f\u0131 seyretti\u011fi bir durumdur. Nedeni bilinmeyen bir uyaran tansiyon y\u00fckselmesine neden olur, idrarla protein kayb\u0131 ba\u015flar ve normalde damarlar i\u00e7inde tutulmas\u0131 gereken s\u0131v\u0131n\u0131n b\u00fcy\u00fck k\u0131sm\u0131 v\u00fccut bo\u015fluklar\u0131na ka\u00e7arak a\u015f\u0131r\u0131 kilo al\u0131m\u0131na ve \u00f6dem olu\u015fmas\u0131na yol a\u00e7ar. Preeklampsiden korunma \u00f6nerisi yapmak da m\u00fcmk\u00fcn de\u011fildir. \u0130yi bir gebelik takibi gerekir. T\u00fcm gebeliklerin %6’s\u0131nda g\u00f6r\u00fclebilir.<\/p>\n

Risk fakt\u00f6r\u00fc y\u00fcksek olan anne adaylar\u0131…<\/strong>
\n\u0130lk gebelik, 18 ya\u015f alt\u0131 ve 30 ya\u015f \u00fcst\u00fc olan anne adaylar\u0131nda, daha \u00f6nce d\u00f6rt ya da daha fazla say\u0131da do\u011fum yapm\u0131\u015f olanlarda, \u00e7o\u011ful gebeli\u011fi olanlarda, amniyos s\u0131v\u0131s\u0131n\u0131n artmas\u0131 ve bebe\u011fin t\u00fcm v\u00fccut bo\u015fluklar\u0131nda kalp yetmezli\u011fine ba\u011fl\u0131 olarak s\u0131v\u0131 birikmesi ve bebe\u011fin \u015fi\u015fmesi gibi fetusa ait problemi olanlarda, k\u00f6t\u00fc kontrol edilmi\u015f \u015feker hastal\u0131\u011f\u0131 olanlarda, kronik hipertansiyonu olanlarda ve ailesinde hipertansiyon olanlarda preeklampsi daha s\u0131k g\u00f6r\u00fcl\u00fcr. Daha \u00f6nceki gebeliklerde hipertansiyon ve preeklampsi ge\u00e7irmi\u015f olan anne adaylar\u0131n\u0131n sonraki gebeliklerinde ve gebelikleri boyunca \u00e7al\u0131\u015fmak zorunda olan, dinlenme f\u0131rsat\u0131 bulamayan anne adaylar\u0131nda da preeklampsi geli\u015fme riski y\u00fcksektir.<\/p>\n

Dikkat edilecek noktalar:<\/strong>
\nAnne aday\u0131 dengeli normal tuz i\u00e7eren karbonhidrat, protein, ya\u011f ve vitaminler i\u00e7eren bir diyetle beslenmelidir. Gebelik s\u00fcrecinde h\u0131zl\u0131 kilo al\u0131m\u0131 veya h\u0131zl\u0131 kilo almayan kad\u0131nda da preeklampsi g\u00f6r\u00fclebilir. Anne aday\u0131n\u0131n kendini iyi takip etmesi, ba\u015f a\u011fr\u0131s\u0131, g\u00f6zlerde \u0131\u015f\u0131k \u00e7akmas\u0131-u\u00e7u\u015fma gibi durumlar ya\u015famas\u0131, bebe\u011finin hareketlerinde azalma hissetmesi durumlar\u0131nda mutlaka doktoruna haber vermesi gerekir. Anne aday\u0131n\u0131n gebeli\u011finin ba\u015f\u0131ndan itibaren tansiyon, kan ve idrar tahlilleri ile izlenmelidir. 16. haftadan sonra kans\u0131zl\u0131\u011f\u0131n \u00f6nlenmesi i\u00e7in demir deste\u011fi yap\u0131lmal\u0131d\u0131r. Kalsiyum, magnezyum, \u00e7inko, bal\u0131k ya\u011f\u0131 gibi takviyelerin yap\u0131lmas\u0131 \u00f6nerilebilir. Anne ve bebek \u00f6l\u00fcmlerinin en \u00f6nemli nedenlerinin ba\u015f\u0131nda gelen gebelikte y\u00fcksek tansiyon i\u00e7in doktorla d\u00fczenli takip gerekir.<\/p>\n

 <\/p>\n

\"hamile\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Kesin…<\/p>\n","protected":false},"author":4,"featured_media":80830,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[483,34379,34380,34383,34382,34381],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/80829"}],"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=80829"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/80829\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/80830"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=80829"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=80829"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=80829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}