{"id":1259,"date":"2021-11-13T18:11:50","date_gmt":"2021-11-13T18:11:50","guid":{"rendered":"http:\/\/drozkanozdamar.com\/?p=1259"},"modified":"2021-11-13T18:14:47","modified_gmt":"2021-11-13T18:14:47","slug":"gebe-kalamiyorsaniz-yumurta-sayiniz-azalmis-olabilir","status":"publish","type":"post","link":"https:\/\/drozkanozdamar.com\/?p=1259","title":{"rendered":"Gebe Kalam\u0131yorsan\u0131z Yumurta Say\u0131n\u0131z Azalm\u0131\u015f Olabilir"},"content":{"rendered":"\n<p><strong>GEBE KALAMIYORSANIZ YUMURTA SAYINIZ AZALMI\u015e OLAB\u0130L\u0130R<\/strong><\/p>\n\n\n\n<p>G\u00fcn\u00fcm\u00fczde k\u0131s\u0131rl\u0131k (infertilite) sorunu ya\u015fayan \u00e7iftlerin \u00f6nemli bir k\u0131sm\u0131nda, yumurtal\u0131k (over) rezervinde azalma sorununu g\u00f6r\u00fcyoruz. \u00d6ncelikle yumurtal\u0131k rezervi nedir?<\/p>\n\n\n\n<p>Yumurtal\u0131k rezervi, kad\u0131n\u0131n her iki yumurtal\u0131\u011f\u0131nda bulunan ve gebe kalmay\u0131 sa\u011flayan yumurtalar\u0131n say\u0131s\u0131n\u0131 ifade eder. Kad\u0131nlar\u0131n d\u00fcnyaya geldiklerinde yumurtal\u0131klar\u0131 i\u00e7inde bulunan yumurta say\u0131s\u0131 bellidir ve hen\u00fcz siz annenizin rahmindeyken yumurtal\u0131klar\u0131n\u0131zda kendi yumurtalar\u0131n\u0131z olu\u015fmu\u015ftur. Ba\u015fka bir deyi\u015fle, sahip olaca\u011f\u0131n\u0131z t\u00fcm yumurtalarla beraber d\u00fcnyaya gelirsiniz. Do\u011fumdan itibaren, yumurta say\u0131n\u0131z zamanla azal\u0131r ve bu do\u011fal bir s\u00fcre\u00e7tir. Yumurtal\u0131k rezervinizi bir sepet yumurta olarak d\u00fc\u015f\u00fcnebilirsiniz. Tipik olarak bir sepet dolusu yumurta ile do\u011fars\u0131n\u0131z ve bu yumurtalar hayat\u0131n\u0131z boyunca yava\u015f yava\u015f azal\u0131r ve en sonunda t\u00fckenince menopoz ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<p>Kad\u0131n v\u00fccudundaki yumurta say\u0131s\u0131, kad\u0131n\u0131n ya\u015f\u0131 ilerledik\u00e7e azalmaktad\u0131r; ancak yumurtal\u0131k rezervindeki d\u00fc\u015fme, her ya\u015ftan kad\u0131n\u0131 etkileyebilen bir sorundur.<\/p>\n\n\n\n<p>Yumurta say\u0131s\u0131 d\u00fc\u015ft\u00fck\u00e7e hem do\u011fal yollarla gebe kalabilme \u015fans\u0131, hem de t\u00fcp bebek tedavilerindeki ba\u015far\u0131 \u015fans\u0131 azalmaktad\u0131r. Ayr\u0131ca yumurtal\u0131k rezervinin azalmas\u0131, ilerleyici bir durumdur ve zamanla daha da \u015fiddetlenmektedir. Bir y\u0131ld\u0131r korunmas\u0131z ili\u015fkisi olmas\u0131na ra\u011fmen \u00e7ocuk sahibi olamayan veya yumurta say\u0131s\u0131n\u0131n azalmas\u0131 a\u00e7\u0131s\u0131ndan risk ta\u015f\u0131yan kad\u0131nlar\u0131n, mutlaka bir \u00fcreme sa\u011fl\u0131\u011f\u0131 uzman\u0131na m\u00fcracaat ederek yumurtal\u0131k rezervlerini de\u011ferlendirmeleri gerekmektedir. Yumurtal\u0131k rezervi azalm\u0131\u015f olan hastalar\u0131n, doktorlar\u0131 ile olas\u0131 tedavi se\u00e7eneklerini belirleyerek vakit kaybetmeden tedavilere ba\u015flamas\u0131 \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p><strong>D\u00fc\u015f\u00fck Yumurta Rezervine Ne Sebep Olur?<\/strong><\/p>\n\n\n\n<p>Do\u011furganl\u0131k a\u00e7\u0131s\u0131ndan de\u011ferlendirdi\u011fimizde maalesef \u2018zaman\u2019 kad\u0131nlara \u00e7ok daha ac\u0131mas\u0131z davranmaktad\u0131r ve ya\u015fland\u0131k\u00e7a do\u011fal do\u011furganl\u0131k potansiyelleri azalmaya ba\u015flar. 30 ya\u015f gibi erken bir ya\u015fta bile do\u011furganl\u0131k potansiyeli azalm\u0131\u015f olabilece\u011fi gibi, ilerleyen ya\u015flarda bu sorun gittik\u00e7e belirginle\u015fir. Az say\u0131da kad\u0131n 40\u2019l\u0131 ya\u015flar\u0131n ortas\u0131na kadar normal do\u011furganl\u0131\u011f\u0131n\u0131 korur. Gebelik i\u00e7in gerekli olan sa\u011fl\u0131kl\u0131 yumurtay\u0131 elde edebilmek ya\u015f ilerledik\u00e7e zorla\u015fabilmektedir. T\u00fcp bebek tedavisinde ba\u015far\u0131 \u015fans\u0131n\u0131 etkileyen en \u00f6nemli fakt\u00f6r\u00fcn kaliteli yumurta oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcrse, kad\u0131n hastalarda \u2018ya\u015f\u2019 t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 belirleyen en \u00f6nemli fakt\u00f6rd\u00fcr denebilir. \u00c7ikolata kisti gibi baz\u0131 hastal\u0131klar, yumurtal\u0131k cerrahileri, kanser tedavileri s\u0131ras\u0131nda uygulanan radyoterapi veya kemoterapi veya baz\u0131 genetik hastal\u0131klar da yumurtal\u0131k rezervini erken ya\u015flarda d\u00fc\u015f\u00fcrebilir.<\/p>\n\n\n\n<p><strong>D\u00fc\u015f\u00fck Yumurta Rezervinin Belirtileri Nelerdir?<\/strong><\/p>\n\n\n\n<p>\u00c7o\u011fu kad\u0131nda d\u00fc\u015f\u00fck yumurtal\u0131k rezervi herhangi bir belirtiye ya da \u015fikayete neden olmaz ve olduk\u00e7a sinsi seyreden bir durumdur. Daha nadiren de adet d\u00fczeninde bozulmalar g\u00f6r\u00fclebilir, adet kanamalar\u0131n\u0131n aralar\u0131 k\u0131salabilir. Menopoz yakla\u015ft\u0131\u011f\u0131nda, kad\u0131nlar s\u0131cak basmas\u0131, uyku g\u00fc\u00e7l\u00fc\u011f\u00fc, adet d\u00f6nemlerinin atlanmas\u0131 ve vajinal kuruluk gibi belirtiler fark edebilirler.<\/p>\n\n\n\n<p>D\u00fc\u015f\u00fck yumurtal\u0131k rezervi, en \u00e7ok \u00e7ocuk sahibi olamama \u015fikayetine neden olmaktad\u0131r. \u00c7ocuk sahibi olamama \u015fikayeti ile doktora ba\u015fvuran hastalar\u0131n %10-30&#8217;unda azalm\u0131\u015f yumurta say\u0131s\u0131 bulunmaktad\u0131r. Ya\u015f\u0131n\u0131z gen\u00e7 bile olsa, evlendikten sonraki bir y\u0131l i\u00e7inde gebe kalam\u0131yorsan\u0131z, vakit kaybetmeden bir \u00fcreme sa\u011fl\u0131\u011f\u0131 uzman\u0131na ba\u015fvurup yumurtal\u0131k rezervinizi de\u011ferlendirmelisiniz. D\u00fc\u015f\u00fck yumurtal\u0131k rezervi te\u015fhisi konan kad\u0131nlarda zaman kaybetmeden bir t\u00fcp bebek tedavisine ba\u015flanmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc yumurta say\u0131s\u0131ndaki azalma s\u00fcreklilik g\u00f6steren bir durumdur ve zaman ge\u00e7tik\u00e7e daha da \u015fiddetlenecektir.<\/p>\n\n\n\n<p>Ayr\u0131ca zaman\u0131nda ve uygun tedavi yap\u0131lmad\u0131\u011f\u0131 taktirde, yumurta say\u0131s\u0131 d\u00fc\u015f\u00fck olan kad\u0131nlarda t\u00fcp bebek ba\u015far\u0131 oranlar\u0131 da d\u00fc\u015fmekte ve tedavide yumurta geli\u015fimi sa\u011flanamayabilmektedir.<\/p>\n\n\n\n<p><strong>D\u00fc\u015f\u00fck Yumurtal\u0131k Rezervi Nas\u0131l Te\u015fhis Edilir?<\/strong><\/p>\n\n\n\n<p>Yumurtal\u0131klarda bulunan yumurtalar\u0131n say\u0131s\u0131n\u0131 tahmin etmek i\u00e7in baz\u0131 testler mevcuttur. Ancak bunlardan en do\u011fru sonucu verenler ve en \u00e7ok kullan\u0131lanlar \u015funlard\u0131r: 1. Kanda bak\u0131lan AMH d\u00fczeyleri, 2. Ultrason ile de\u011ferlendirilen yumurta say\u0131m\u0131.<\/p>\n\n\n\n<p>AMH (Anti-M\u00fcllerian Hormon), do\u011furganl\u0131k potansiyeli tahmin etmede olduk\u00e7a ba\u015far\u0131l\u0131 bir kan testidir. Bu hormon genellikle v\u00fccuttaki yumurta say\u0131s\u0131n\u0131 yans\u0131t\u0131r. Kad\u0131nlar i\u00e7in en \u00f6nemli at\u0131lar\u0131ndan bir tanesi, adet d\u00f6neminin herhangi bir g\u00fcn\u00fcnde \u00f6l\u00e7\u00fclebilmesidir. Yine \u00f6l\u00e7\u00fcm yapt\u0131rmak i\u00e7in a\u00e7 veya tok olmaya da gerek yoktur.<\/p>\n\n\n\n<p>Yumurta say\u0131s\u0131n\u0131 de\u011ferlendirmedeki di\u011fer \u00f6nemli test ise yumurta say\u0131m\u0131d\u0131r ve hem kar\u0131ndan hem de hazneden (vajinal) ultason ile yap\u0131labilmektedir. Fakat vajinal ultrason ile yap\u0131lan \u00f6l\u00e7\u00fcmler, daha do\u011fru sonu\u00e7lar vermektedir.<\/p>\n\n\n\n<p><strong>D\u00fc\u015f\u00fck Yumurta Say\u0131s\u0131n\u0131n Tedavisi Var m\u0131?<\/strong><\/p>\n\n\n\n<p>Uzun zamandan beri t\u0131p d\u00fcnyas\u0131 yumurtal\u0131k rezerv azalmas\u0131 veya yumurtal\u0131k ya\u015flanmas\u0131na y\u00f6nelik tedaviler \u00fczerinde \u00e7al\u0131\u015fmaktad\u0131r. Fakat g\u00fcn\u00fcm\u00fczde, yumurtal\u0131k rezerv azalmas\u0131n\u0131 yava\u015flatan veya engelleyen hi\u00e7bir tedavi bulunmamaktad\u0131r. Yumurta say\u0131s\u0131n\u0131n azald\u0131\u011f\u0131 belirlendikten sonra, uygulanan tedaviler gebe kalma s\u00fcresini h\u0131zland\u0131rmak veya bir hastan\u0131n sonraki y\u0131llarda kullan\u0131m\u0131 i\u00e7in yumurtalar\u0131 veya embriyolar\u0131 dondurmak amac\u0131n\u0131 g\u00fcdebilir.<\/p>\n\n\n\n<p>T\u00fcp bebek tedavilerinde de yumurta say\u0131s\u0131 azalm\u0131\u015f kad\u0131nlara \u00f6zel olarak uygulanan baz\u0131 tedavi y\u00f6ntemleri (DuoStim veya ard\u0131\u015f\u0131k yumurtal\u0131k uyar\u0131m\u0131) veya tedavilere ilave edilen ila\u00e7lar bulunmaktad\u0131r. Bu y\u00f6ntem ve ila\u00e7lar, uygulanan t\u00fcp bebek tedavisindeki ba\u015far\u0131 oranlar\u0131n\u0131 bir miktar y\u00fckseltebilir. Yumurta say\u0131s\u0131 d\u00fc\u015f\u00fck olan kad\u0131nlara yap\u0131lan t\u00fcp bebek tedavilerinde, daha \u00e7ok say\u0131da yumurta toplayabilmek i\u00e7in daha y\u00fcksek dozlarda ila\u00e7 kullan\u0131m\u0131 da m\u00fcmk\u00fcnd\u00fcr.<\/p>\n\n\n\n<p>Sonu\u00e7 olarak, t\u00fcp bebek tedavilerinde elde edilen yumurta say\u0131s\u0131 artt\u0131k\u00e7a ba\u015far\u0131 \u015fans\u0131 da artmaktad\u0131r. Ancak, gebeli\u011fin de tek bir sa\u011fl\u0131kl\u0131 yumurtan\u0131n d\u00f6llenmesi ile ger\u00e7ekle\u015fti\u011fi unutulmamal\u0131d\u0131r. \u0130\u00e7inde bulundu\u011fumuz COVID-19 pandemisi nedeniyle t\u00fcp bebek tedavileri ba\u015fland\u0131\u00e7lar\u0131n\u0131n geciktirildi\u011fi g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, yumurta rezervi de\u011ferlendirmesinin geciktirilmemesi ve azalm\u0131\u015f yumurta say\u0131s\u0131 tespit edildi\u011finde de tedavilerin geciktirilmeden ba\u015flat\u0131lmas\u0131 \u00e7ok \u00f6nemlidir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>GEBE KALAMIYORSANIZ YUMURTA SAYINIZ AZALMI\u015e OLAB\u0130L\u0130R G\u00fcn\u00fcm\u00fczde k\u0131s\u0131rl\u0131k (infertilite) sorunu ya\u015fayan \u00e7iftlerin \u00f6nemli bir k\u0131sm\u0131nda, yumurtal\u0131k (over) rezervinde azalma sorununu g\u00f6r\u00fcyoruz. \u00d6ncelikle yumurtal\u0131k rezervi nedir? Yumurtal\u0131k rezervi, kad\u0131n\u0131n her iki yumurtal\u0131\u011f\u0131nda bulunan ve gebe kalmay\u0131 sa\u011flayan yumurtalar\u0131n say\u0131s\u0131n\u0131 ifade eder. Kad\u0131nlar\u0131n d\u00fcnyaya geldiklerinde yumurtal\u0131klar\u0131 i\u00e7inde bulunan yumurta say\u0131s\u0131 bellidir ve hen\u00fcz siz annenizin rahmindeyken yumurtal\u0131klar\u0131n\u0131zda [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1009,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/1259","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1259"}],"version-history":[{"count":2,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/1259\/revisions"}],"predecessor-version":[{"id":1262,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/1259\/revisions\/1262"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/media\/1009"}],"wp:attachment":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}