{"id":479,"date":"2021-01-30T21:35:34","date_gmt":"2021-01-30T21:35:34","guid":{"rendered":"http:\/\/drozkanozdamar.com\/?p=479"},"modified":"2021-06-10T20:58:13","modified_gmt":"2021-06-10T20:58:13","slug":"asilama","status":"publish","type":"post","link":"https:\/\/drozkanozdamar.com\/?p=479","title":{"rendered":"A\u015f\u0131lama"},"content":{"rendered":"\t\t
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A\u015eILAMA<\/strong><\/p>

A\u015f\u0131lama (IUI), bir t\u00fcr suni d\u00f6llenme y\u00f6ntemi olup, k\u0131s\u0131rl\u0131\u011f\u0131n tedavisi i\u00e7in kullan\u0131lan bir prosed\u00fcrd\u00fcr. Y\u0131kanm\u0131\u015f ve konsantre edilmi\u015f spermler, yumurtal\u0131klar\u0131n\u0131z\u0131n d\u00f6llenmek \u00fczere bir veya daha fazla yumurtay\u0131 b\u0131rakt\u0131\u011f\u0131 s\u0131rada do\u011frudan rahminizin i\u00e7ine enjekte edilir. A\u015f\u0131laman\u0131n beklenen sonucu, spermin Fallop t\u00fcp\u00fcne girmesi ve normal bir hamilelikle sonu\u00e7lanmak \u00fczere bekleyen bir yumurtay\u0131 d\u00f6llemesidir. K\u0131s\u0131rl\u0131\u011f\u0131n nedenlerine ba\u011fl\u0131 olarak, IUI normal d\u00f6ng\u00fcn\u00fczle veya do\u011furganl\u0131k ila\u00e7lar\u0131yla koordine edilebilir.<\/p>

Neden Yap\u0131l\u0131r?<\/em><\/p>

Bir \u00e7iftin hamile kalma yetene\u011fi bir\u00e7ok farkl\u0131 fakt\u00f6re ba\u011fl\u0131d\u0131r. Rahim i\u00e7i a\u015f\u0131lama, en \u00e7ok a\u015fa\u011f\u0131dakilere sahip \u00e7iftlerde kullan\u0131l\u0131r:<\/p>

  • A\u00e7\u0131klanamayan k\u0131s\u0131rl\u0131k. IUI genellikle yumurtlamay\u0131 tetikleyen ila\u00e7larla birlikte a\u00e7\u0131klanamayan k\u0131s\u0131rl\u0131k i\u00e7in ilk tedavi olarak uygulan\u0131r.<\/li>
  • Endometriozise ba\u011fl\u0131 k\u0131s\u0131rl\u0131k. Endometriozise ba\u011fl\u0131 infertilite i\u00e7in, IUI yapmakla birlikte kaliteli bir yumurta elde etmek i\u00e7in ila\u00e7 kullanmak genellikle ilk tedavi yakla\u015f\u0131m\u0131d\u0131r.<\/li>
  • Hafif erkek fakt\u00f6r k\u0131s\u0131rl\u0131\u011f\u0131 (subfertilite). K\u0131s\u0131rl\u0131\u011f\u0131n t\u0131bbi de\u011ferlendirmesinin ilk ad\u0131mlar\u0131ndan biri olan partnerinizin semen analizi, ortalaman\u0131n alt\u0131nda sperm konsantrasyonu, spermin zay\u0131f hareketi (hareketlili\u011fi) veya sperm boyutunda ve \u015feklinde anormallikler (morfoloji) g\u00f6sterebilir. IUI bu sorunlar\u0131n baz\u0131lar\u0131n\u0131n \u00fcstesinden gelebilir \u00e7\u00fcnk\u00fc prosed\u00fcr i\u00e7in sperm haz\u0131rlamak, y\u00fcksek hareketli, normal spermi d\u00fc\u015f\u00fck kaliteli olanlardan ay\u0131rmaya yard\u0131mc\u0131 olur.<\/li>
  • Servikal fakt\u00f6r k\u0131s\u0131rl\u0131\u011f\u0131. Rahiminizin alt ucundaki rahim a\u011fz\u0131n\u0131z vajinan\u0131z ve rahim aras\u0131ndaki a\u00e7\u0131kl\u0131\u011f\u0131 sa\u011flar. Yumurtlama s\u0131ras\u0131nda serviks taraf\u0131ndan \u00fcretilen mukus, spermin vajinan\u0131zdan fallop t\u00fcplerine ge\u00e7mesi i\u00e7in ideal bir ortam sa\u011flar. Fakat servikal mukusunuz \u00e7ok kal\u0131nsa, spermin yolculu\u011funu engelleyebilir. Serviksin kendisi de spermin yumurtaya ula\u015fmas\u0131n\u0131 engelleyebilir. Biyopsi veya di\u011fer prosed\u00fcrlerin neden oldu\u011fu yara izi, rahim a\u011fz\u0131n\u0131n kal\u0131nla\u015fmas\u0131na neden olabilir. IUI rahim a\u011fz\u0131n\u0131z\u0131 atlayarak spermi do\u011frudan rahminize yerle\u015ftirir ve bekleyen yumurtay\u0131 kar\u015f\u0131lamak i\u00e7in mevcut sperm say\u0131s\u0131n\u0131 artt\u0131r\u0131r.<\/li>
  • Ovulatuar fakt\u00f6r infertilitesi. IUI, yumurtlaman\u0131n olmamas\u0131 veya yumurta say\u0131s\u0131n\u0131n azalmas\u0131 da dahil olmak \u00fczere yumurtlama ile ilgili sorunlar\u0131n neden oldu\u011fu k\u0131s\u0131rl\u0131\u011fa sahip kad\u0131nlar i\u00e7in de yap\u0131labilir.<\/li>
  • Semen alerjisi. Nadiren, bir kad\u0131n\u0131n e\u015finin menisindeki proteinlere alerjisi olabilir. Vajinaya bo\u015falma, meninin ciltle temas etti\u011fi yerde k\u0131zar\u0131kl\u0131k, yanma ve \u015fi\u015fmeye neden olur. Prezervatif sizi semptomlardan koruyabilir, ancak ayn\u0131 zamanda hamileli\u011fi de \u00f6nler. Duyarl\u0131l\u0131\u011f\u0131n\u0131z \u015fiddetliyse, sperm yerle\u015ftirilmeden \u00f6nce menideki proteinlerin \u00e7o\u011fu \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in IUI etkili olabilir.<\/li><\/ul>

    \u00a0<\/p>

    Riskler <\/strong><\/p>

    A\u015f\u0131lama nispeten basit ve g\u00fcvenli bir i\u015flemdir ve ciddi komplikasyon riski d\u00fc\u015f\u00fckt\u00fcr. Riskler \u015funlard\u0131r:<\/p>

    Enfeksiyon<\/em>. Prosed\u00fcr\u00fcn bir sonucu olarak k\u00fc\u00e7\u00fck bir enfeksiyon geli\u015fme riski vard\u0131r. Spotting.<\/em> Bazen kateterin rahim i\u00e7ine yerle\u015ftirilmesi i\u015flemi az miktarda vajinal kanamaya neden olur. Bunun genellikle hamilelik \u015fans\u0131 \u00fczerinde bir etkisi yoktur.<\/p>

    \u00c7oklu hamilelik.<\/em> IUI’nin kendisi, \u00e7o\u011ful gebelik (ikiz, \u00fc\u00e7\u00fcz) riski ile ili\u015fkili de\u011fildir. Ancak yumurtlamay\u0131 tetikleyen ila\u00e7larla koordine edildi\u011finde \u00e7o\u011ful gebelik riski \u00f6nemli \u00f6l\u00e7\u00fcde artar. \u00c7o\u011ful gebelik, erken do\u011fum ve d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131 dahil olmak \u00fczere, tekil gebeliklerden daha y\u00fcksek risklere sahiptir.<\/p>

    \u00a0<\/p>

    Haz\u0131rl\u0131k a\u015famalar\u0131<\/strong><\/p>

    Transvajinal ultrason<\/em>. Tedavinin ba\u015flang\u0131c\u0131nda yap\u0131lacak dikkatli bir ultrason hem tedaviye uygunlu\u011funuzu hem de i\u015flme basamaklar\u0131 aras\u0131ndaki koordinasyonun do\u011fru \u015fekilde sa\u011flanmas\u0131na yard\u0131mc\u0131 olacakt\u0131r.<\/p>

    Semen \u00f6rne\u011finin haz\u0131rlanmas\u0131<\/em>. E\u015finiz i\u015flem g\u00fcn\u00fc bir meni \u00f6rne\u011fi sa\u011flar. Menide bulunan sperm d\u0131\u015f\u0131 elementler, kad\u0131n\u0131n v\u00fccudunda d\u00f6llenmeyi engelleyen reaksiyonlara neden olabilece\u011finden, numune y\u00fcksek derecede aktif, normal spermi d\u00fc\u015f\u00fck kaliteli sperm ve di\u011fer elementlerden ay\u0131racak \u015fekilde y\u0131kanacakt\u0131r. K\u00fc\u00e7\u00fck miktarl\u0131 ve y\u00fcksek konsantrasyonlu bir sa\u011fl\u0131kl\u0131 sperm numunesi kullan\u0131larak gebelik elde etme olas\u0131l\u0131\u011f\u0131 artar.<\/p>

    Yumurtlama i\u00e7in izleme.<\/em> IUI’nin zamanlamas\u0131 \u00e7ok \u00f6nemli oldu\u011fundan, yakla\u015fan yumurtlama belirtilerinin izlenmesi kritiktir. Bunu yapmak i\u00e7in, v\u00fccudunuzun luteinize edici hormon (LH) dalgalanmas\u0131 veya salg\u0131lanmas\u0131 durumunu alg\u0131layan evde bir idrar yumurtlama tahmin kiti kullanabilirsiniz. Veya doktorunuzun yumurtal\u0131klar\u0131n\u0131z\u0131 g\u00f6r\u00fcnt\u00fclemesini ve yumurta b\u00fcy\u00fcmesini izleyebilmesini sa\u011flayan bir g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi (transvajinal ultrason) yap\u0131labilir. Ayr\u0131ca do\u011fru zamanda bir veya daha fazla yumurtay\u0131 yumurtlaman\u0131z i\u00e7in insan koryonik gonadotropin (hCG) enjeksiyonu verilebilir.<\/p>

    Optimal zamanlaman\u0131n belirlenmesi.<\/em> \u00c7o\u011fu IUI, yumurtlamay\u0131 tespit ettikten bir veya iki g\u00fcn sonra yap\u0131l\u0131r. Doktorunuz veya di\u011fer bak\u0131m sa\u011flay\u0131c\u0131n\u0131z, prosed\u00fcr\u00fcn\u00fcz\u00fcn zamanlamas\u0131 ve ne bekleyece\u011fi konusunda ayr\u0131nt\u0131l\u0131 bir plana sahip olacakt\u0131r.<\/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":"

    A\u015eILAMA A\u015f\u0131lama (IUI), bir t\u00fcr suni d\u00f6llenme y\u00f6ntemi olup, k\u0131s\u0131rl\u0131\u011f\u0131n tedavisi i\u00e7in kullan\u0131lan bir prosed\u00fcrd\u00fcr. Y\u0131kanm\u0131\u015f ve konsantre edilmi\u015f spermler, yumurtal\u0131klar\u0131n\u0131z\u0131n d\u00f6llenmek \u00fczere bir veya daha fazla yumurtay\u0131 b\u0131rakt\u0131\u011f\u0131 s\u0131rada do\u011frudan rahminizin i\u00e7ine enjekte edilir. A\u015f\u0131laman\u0131n beklenen sonucu, spermin Fallop t\u00fcp\u00fcne girmesi ve normal bir hamilelikle sonu\u00e7lanmak \u00fczere bekleyen bir yumurtay\u0131 d\u00f6llemesidir. K\u0131s\u0131rl\u0131\u011f\u0131n nedenlerine ba\u011fl\u0131 […]<\/p>\n","protected":false},"author":2,"featured_media":977,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[],"class_list":["post-479","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gebelik"],"_links":{"self":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/479","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=479"}],"version-history":[{"count":7,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/479\/revisions"}],"predecessor-version":[{"id":1029,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/479\/revisions\/1029"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/media\/977"}],"wp:attachment":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}