{"id":102,"date":"2020-04-18T05:23:10","date_gmt":"2020-04-18T05:23:10","guid":{"rendered":"https:\/\/jupiterx.artbees.net\/nutrition-coach\/?p=102"},"modified":"2021-06-14T08:51:01","modified_gmt":"2021-06-14T08:51:01","slug":"covid-asisi-ve-tup-bebek","status":"publish","type":"post","link":"https:\/\/drozkanozdamar.com\/?p=102","title":{"rendered":"COVID A\u015f\u0131s\u0131 ve T\u00fcp Bebek"},"content":{"rendered":"\t\t
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COVID A\u015eISI ve T\u00dcP BEBEK TEDAV\u0130S\u0130<\/strong><\/p>

\u00a0<\/p>

COVID-19 yeni tip korona vir\u00fcs\u00fcn neden oldu\u011fu; akci\u011ferleri ve solunum sistemi ba\u015fta olmak \u00fczere pek \u00e7ok sistemi etkileyen bir hastal\u0131kt\u0131r. Ba\u015fta gelen \u015fikayetler ate\u015f, \u00f6ks\u00fcr\u00fck ve solunum s\u0131k\u0131nt\u0131s\u0131d\u0131r. Hamilelik d\u00f6neminde ge\u00e7irilen COVID-19 infeksiyonunun daha \u015fiddetli ge\u00e7irildi\u011fine dair elimizde g\u00fcncel bir veri bulunmamaktad\u0131r. Vir\u00fcs\u00fcn anne karn\u0131ndaki bebe\u011fi nas\u0131l etkiledi\u011fi net olmamakla birlikte baz\u0131 kad\u0131nlarda erken do\u011fuma sebep olabildi\u011fi bildirilmektedir. COVID-19\u2019un do\u011fumda anneden bebe\u011fe ge\u00e7ip ge\u00e7medi\u011fi de hen\u00fcz net de\u011fildir.<\/p>

\u00dcreme sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirildi\u011finde ise, koronavir\u00fcs\u00fcn \u00fcreme h\u00fccreleri olan sperm ve yumurtay\u0131 infekte etmedi\u011fine dair veriler bulnmaktad\u0131r. T\u00fcp bebek tedavisi \u00f6ncesinde veya s\u0131ras\u0131nda COVID-19 testi pozitif gelen ve \u015fikayeti olmayan kad\u0131nlardan elde edilen yumurtalar\u0131n vir\u00fcs ile infekte olmad\u0131\u011f\u0131na dair g\u00fcncel \u00e7al\u0131\u015fmalar yay\u0131nlanmaktad\u0131r. G\u00fcn\u00fcm\u00fczde pop\u00fcler olan di\u011fer bir konu ise koronavir\u00fcs a\u015f\u0131lar\u0131n\u0131n IVF tedavilerine olan etkisidir. Bu konuda mevcut sorular \u00e7ok olsa da, g\u00fcncel verilerimizin t\u00fcp bebek tedavisi olacak hasta grubunda olduk\u00e7a k\u0131s\u0131tl\u0131 oldu\u011funu belirtmek gerekmektedir.<\/p>

-T\u00fcp bebek tedavisi planlayan \u00e7iftler tedavi \u00f6ncesi \u00f6nlem ama\u00e7l\u0131 a\u015f\u0131 olmal\u0131 m\u0131?<\/em><\/p>

T\u00fcp bebek tedavisi planlayan \u00e7iftlerin t\u00fcp bebek tedavisi a\u00e7\u0131s\u0131ndan COVID-19 a\u015f\u0131s\u0131 yapt\u0131rmas\u0131 zorunlu olmamakla birlikte, a\u015f\u0131 olmayan \u00e7iftlerde hastal\u0131\u011f\u0131n daha a\u011f\u0131r ge\u00e7me ihtimalinin artabilecek olmas\u0131ndan dolay\u0131 istenmeyen sonu\u00e7lar\u0131n artabilmesi ve buna ba\u011fl\u0131 olarak da t\u00fcp bebek tedavilerinin gecikmesi veya yap\u0131lamamas\u0131 s\u00f6z konusu olabilecektir. Yine \u015fiddetli COVID-19 ge\u00e7iren erkeklerde k\u0131s\u0131rl\u0131k ihtimalinin artabilece\u011fini belirten \u00e7al\u0131\u015fmalar g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda a\u015f\u0131lama, istenmeyen sonu\u00e7lar\u0131n azalt\u0131lmas\u0131 a\u00e7\u0131s\u0131ndan da olumlu etkilere sahip olabilir. Gebelik \u00f6ncesi COVID-19 a\u015f\u0131s\u0131 olmak, enfeksiyona engel olmak ve ciddi komplikasyonlar\u0131 \u00f6nlemek a\u00e7\u0131s\u0131ndan \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>

T\u00fcp bebek tedavisi planlayan \u00e7iftler ile ilgili, otoritelerin yay\u0131nlam\u0131\u015f oldu\u011fu net bir \u00f6neri bulunmamaktad\u0131r. Fakat gebelikten \u00f6nce yap\u0131lan a\u015f\u0131lar\u0131n hamile ve emziren kad\u0131nlar \u00fczerindeki olas\u0131 olumlu etkileri g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, belli kurallara uymak ve zamanlamay\u0131 do\u011fru se\u00e7mek ko\u015fulu ile a\u015f\u0131 olmay\u0131 \u00f6nermek mant\u0131kl\u0131 g\u00f6r\u00fcnmektedir.<\/p>

\u00a0<\/p>

–A\u015f\u0131 olan \u00e7iftler t\u00fcp bebek tedavisi i\u00e7in ne kadar s\u00fcre beklemeli?<\/em><\/p>

T\u00fcp bebek tedavisi planlayan \u00e7iftlerde a\u015f\u0131 uygulamas\u0131 ile ilgili, otoritelerin yay\u0131nlam\u0131\u015f oldu\u011fu net bir \u00f6neri bulunmamaktad\u0131r. Ancak, \u0130ngiltere\u2019deki Kraliyet Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Derne\u011fi (Royal College of Obstetricians and Gynaecologists, RCOG), a\u015f\u0131n\u0131n gebe kad\u0131nlar \u00fczerindeki etkilerinin hen\u00fcz net olmad\u0131\u011f\u0131n\u0131 bildirmektedir. \u0130ngiltere\u2019de A\u015f\u0131lama ve Ba\u011f\u0131\u015f\u0131klama Ortak Komitesi (Joint Committee on Vaccination and Immunisation, JCVI), gebelik isteyen kad\u0131nlar\u0131n a\u015f\u0131lama sonras\u0131nda, gebelikten korunmalar\u0131na gerek olmad\u0131\u011f\u0131n\u0131 belirtmektedir. Di\u011fer taraftan da ayn\u0131 kurulu\u015f, a\u015f\u0131n\u0131n etkileri hakk\u0131nda daha fazla bilgi elde edilene kadar hamile ve emziren kad\u0131nlar\u0131n COVID-19 a\u015f\u0131s\u0131 olmamalar\u0131n\u0131 \u00f6nermektedir.<\/p>

Bu veriler \u0131\u015f\u0131\u011f\u0131nda, a\u015f\u0131 olmay\u0131 d\u00fc\u015f\u00fcnen ve t\u00fcp bebek tedavisi planlayan \u00e7iftlerin de planlanan tedavi \u00f6ncesinde a\u015f\u0131n\u0131n t\u00fcm dozlar\u0131n\u0131 tamamlamalar\u0131 \u00f6nerilebilir. A\u015f\u0131 olan \u00e7iftlerin ise, a\u015f\u0131 sebebi ile tedavilerini ertelemelerine gerek bulunmamaktad\u0131r.<\/p>

-A\u015f\u0131n\u0131n tedavi s\u00fcrecinde do\u011furaca\u011f\u0131 yan etkiler olur mu?<\/em><\/p>

Her a\u015f\u0131n\u0131n olas\u0131 beklenen ve beklenmeyen baz\u0131 yan etkileri mevcuttur. G\u00f6rece yeni bir a\u015f\u0131 oldu\u011fundan dolay\u0131, COVID-19 a\u015f\u0131s\u0131na benzer mekanizmalar ile etki g\u00f6steren di\u011fer a\u015f\u0131larla yap\u0131lan \u00e7al\u0131\u015fmalar, g\u00fcvenlik ve gebelikteki etkileri konusunda fikir sa\u011flayabilir. Mevcut veriler \u0131\u015f\u0131\u011f\u0131nda COVID-19 a\u015f\u0131lar\u0131n\u0131n, t\u00fcp bebek tedavisi s\u00fcrecinde belirgin bir etkiye neden olmas\u0131 beklenmemektedir. Ayr\u0131ca g\u00fcncel olarak COVID-19 a\u015f\u0131lar\u0131n\u0131n k\u0131s\u0131rl\u0131\u011fa yol a\u00e7t\u0131\u011f\u0131na dair herhangi bir veri mevcut de\u011fildir.<\/p>

-\u00c7ocuk sahibi olmak isteyen \u00e7iftlerin embriyolar\u0131 a\u015f\u0131 \u00f6ncesi dondurularak saklanmal\u0131 m\u0131?<\/em><\/p>

T\u00fcp bebek tedavisi planlayan veya halihaz\u0131rda bir t\u00fcp bebek tedavisi alan \u00e7iftlerde, yaln\u0131zca a\u015f\u0131lanma nedeniyle embriyolar\u0131n dondurulmas\u0131n\u0131 ve a\u015f\u0131 sonras\u0131nda \u00e7\u00f6z\u00fclerek transfer edilmesini destekler veri mevcut de\u011fildir.<\/p>

\u00a0<\/p>

-Tedavi \u00f6ncesi a\u015f\u0131 olan anne adaylar\u0131n\u0131n gebelik s\u00fcreci\u00a0nas\u0131l ge\u00e7er?<\/em><\/p>

\u015eu anda mevcut a\u015f\u0131 tiplerinin (gerek inaktif vir\u00fcs a\u015f\u0131s\u0131 gerekse mRNA a\u015f\u0131s\u0131) gebelik \u00f6ncesi uyguland\u0131klar\u0131nda, gebelik \u00fczerine negatif bir etkiye sahip olduklar\u0131na dair veri bulunmamaktad\u0131r. \u0130naktif (\u00f6l\u00fc) vir\u00fcs a\u015f\u0131lar\u0131n\u0131n, gebelikte s\u00fcrecinde uygulanmas\u0131n\u0131n, anne veya fet\u00fcs \u00fczerinde olumsuz bir etkiye sebep olmad\u0131\u011f\u0131 da bilinmektedir.<\/p>

Ancak di\u011fer a\u015f\u0131lar\u0131n (mRNA) gebelik d\u00f6nemi i\u00e7indeki uygulamalar\u0131na dair veriler yetersiz oldu\u011fundan, hamile kalmay\u0131 planlayan ve riskli grupta olduklar\u0131 i\u00e7in a\u015f\u0131 olacak kad\u0131nlarda, hamile kalmadan \u00f6nce a\u015f\u0131n\u0131n t\u00fcm dozlar\u0131n\u0131n tamamlanmas\u0131 ve ilk dozdan sonraki \u00fc\u00e7 ay ve ikinci dozdan sonraki iki ay s\u00fcresince gebelik i\u00e7in beklenmesi \u00f6nerilmektedir.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

COVID-19 yeni tip korona vir\u00fcs\u00fcn neden oldu\u011fu; akci\u011ferleri ve solunum sistemi ba\u015fta olmak \u00fczere pek \u00e7ok sistemi etkileyen bir hastal\u0131kt\u0131r. Ba\u015fta gelen \u015fikayetler ate\u015f, \u00f6ks\u00fcr\u00fck ve solunum s\u0131k\u0131nt\u0131s\u0131d\u0131r.<\/p>\n","protected":false},"author":2,"featured_media":818,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[31],"class_list":["post-102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tup-bebek","tag-bebek"],"_links":{"self":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=102"}],"version-history":[{"count":14,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/102\/revisions"}],"predecessor-version":[{"id":1158,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/102\/revisions\/1158"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/media\/818"}],"wp:attachment":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=102"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=102"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}