{"id":569,"date":"2021-01-31T18:33:51","date_gmt":"2021-01-31T18:33:51","guid":{"rendered":"http:\/\/drozkanozdamar.com\/?p=569"},"modified":"2021-06-10T20:57:42","modified_gmt":"2021-06-10T20:57:42","slug":"antimu%cc%88llerian-hormon","status":"publish","type":"post","link":"https:\/\/drozkanozdamar.com\/?p=569","title":{"rendered":"AntiMu\u0308llerian Hormon"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"569\" class=\"elementor elementor-569\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-24edc8d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"24edc8d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-faddd68\" data-id=\"faddd68\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d190c56 elementor-widget elementor-widget-text-editor\" data-id=\"d190c56\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t\t<p><strong>ANT\u0130 M\u00dcLLER\u0130AN HORMON (AMH)<\/strong><\/p><p>Anti-M\u00fcllerian hormon veya AMH, yumurtal\u0131k folik\u00fcllerinizdeki gran\u00fcloza h\u00fccreleri taraf\u0131ndan \u00fcretilen bir hormondur. G\u00fcncel \u00e7al\u0131\u015fmalar\u0131n sonu\u00e7lar\u0131na g\u00f6re, kandaki AMH d\u00fczeyleriniz, yumurtal\u0131k rezervinizi yans\u0131t\u0131r. Yumurtal\u0131k rezervinizi bir sepet yumurta olarak d\u00fc\u015f\u00fcn\u00fcn. Tipik olarak bir sepet dolusu yumurta ile do\u011fars\u0131n\u0131z ve bu yumurtalar hayat\u0131n\u0131z boyunca t\u00fckenir. Bir AMH testi size yumurta say\u0131n\u0131z\u0131 s\u00f6yleyebilir. D\u00fc\u015f\u00fck bir AMH seviyesi, azalm\u0131\u015f bir yumurtal\u0131k rezervine (DOR) veya d\u00fc\u015f\u00fck yumurta say\u0131s\u0131na i\u015faret eder, bu nedenle bu d\u00fczeyler do\u011furganl\u0131kla ba\u011flant\u0131l\u0131d\u0131r. Di\u011fer bir deyi\u015fle, DOR&#8217;unuz varsa, yumurta sepetiniz bo\u015falmaya ba\u015fl\u0131yor. Ancak \u00f6nemli olan \u015fudur: D\u00fc\u015f\u00fck AMH, DOR&#8217;u d\u00fc\u015f\u00fcnd\u00fcr\u00fcr ancak kesin de\u011fildir.<\/p><p>Ayr\u0131ca AMH testinin, bir \u2018do\u011furganl\u0131k testi olarak de\u011ferlendirilmesi yanl\u0131\u015ft\u0131r. K\u0131s\u0131r olmayan ki\u015filer i\u00e7in AMH testinin, \u00fcreme durumlar\u0131n\u0131n ve gelecekteki do\u011furganl\u0131k potansiyellerinin de\u011ferlendirilmesi i\u00e7in istenmemesi gerekti\u011fi belirtilmektedir. Daha da \u00f6nemlisi, 35 ya\u015f\u0131n alt\u0131ndaki kad\u0131nlarda, infertilite tan\u0131s\u0131 yok ise, AMH testi yapt\u0131rman\u0131n gereksiz anksiyeteye ve buna ba\u011fl\u0131 olarak gereksiz tedavi giri\u015fimlerine (yumurta dondurma gibi) neden olabilece\u011fi belirtilmektedir. Bu nedenle AMH seviyelerinin ger\u00e7ek anlam\u0131 hakk\u0131nda kapsaml\u0131 dan\u0131\u015fmanl\u0131k al\u0131nmas\u0131 gereklidir.<\/p><p>\u00a0<\/p><p><strong>AMH size ne s\u00f6yleyebilir? <\/strong><\/p><p>Kan AMH seviyelerinin do\u011fal do\u011furganl\u0131k ile ilgili \u00f6ng\u00f6r\u00fc g\u00fcc\u00fc son derece s\u0131n\u0131rl\u0131d\u0131r ve bu ama\u00e7la yapt\u0131r\u0131lmamal\u0131d\u0131r. K\u0131s\u0131r olmayan hasta grubunda, AMH seviyeleri do\u011furganl\u0131\u011f\u0131n ne kadar devam edece\u011fini veya \u0131s\u0131rl\u0131k durumunu tahmin etmez. Bununla birlikte, in vitro fertilizasyon (IVF) tedavisi ba\u015flanacak kad\u0131nlarda AMH seviyesi, elde edilecek yumurta say\u0131s\u0131n\u0131 ve yumurta \u00fcretimini uyarmak i\u00e7in gereken ila\u00e7 dozunu tahmin etmede son derece g\u00fcvenilirdir. AMH seviyeleri, IVF protokolleri olu\u015ftururken kullan\u0131ld\u0131\u011f\u0131nda yumurtal\u0131k stim\u00fclasyonlar\u0131n\u0131n nas\u0131l ilerleyece\u011fini de en iyi \u015fekilde tahmin edebilir. Kan AMH seviyeleri, yumurtal\u0131klar\u0131n olmas\u0131 gerekenden daha h\u0131zl\u0131 ya\u015flan\u0131p ya\u015flanmad\u0131\u011f\u0131n\u0131 ve beklenenden daha az yumurta kal\u0131p kalmad\u0131\u011f\u0131n\u0131 anlamada yard\u0131mc\u0131 olabilir.<\/p><p>\u00a0<\/p><p>G\u00fcncel baz\u0131 \u00e7al\u0131\u015fmalar, yumurtal\u0131k ya\u015flanmas\u0131n\u0131n\u0131 belirlemek i\u00e7in, kronolojik ya\u015f, antral folik\u00fcl say\u0131s\u0131 (AFC) ve AMH d\u00fczeylerinin birlikte de\u011ferlendirildi\u011fi baz\u0131 risk analiz sistemlerinin kullan\u0131labilece\u011fini belirtmektedir. AFC, transvaginal ultrason ile yumurtalar\u0131 temsil eden yumurtal\u0131ktaki k\u00fc\u00e7\u00fck kistlerin say\u0131s\u0131n\u0131 hesaplanmas\u0131 ile belirlenmektedir.<\/p><p>G\u00fcn\u00fcm\u00fczde, yumurtal\u0131klarda kalan yumurta say\u0131s\u0131n\u0131, yani yumurtal\u0131k rezervini, belirlemede en m\u00fckemmel testlerin AFC ve AMH oldu\u011fu kabul edilmektedir. AMH, yumurta kalitesini de daha az do\u011frulukta da olsa tahmin edebilmektedir. Yumurta kalitesini \u00f6ng\u00f6rmede en \u00f6nemli fakt\u00f6r kad\u0131n ya\u015f\u0131d\u0131r. Kad\u0131n ya\u015f\u0131 ilerledik\u00e7e yumurtalar\u0131n hem miktar hem de kalitesi d\u00fc\u015ferken, ya\u015f hamilelik \u015fans\u0131 i\u00e7in en iyi g\u00f6stergedir. Ayr\u0131ca DOR i\u00e7in d\u00fc\u015f\u00fck riskli yani gen\u00e7 ve k\u0131s\u0131rl\u0131k sorunu olmayan, bir pop\u00fclasyonda, yumurtal\u0131k rezervinin azalmas\u0131 i\u00e7in bir tarama testinin kullan\u0131lmas\u0131n\u0131n daha fazla say\u0131da yanl\u0131\u015f pozitif sonu\u00e7 verecektir. Bu, asl\u0131nda normal yumurtal\u0131k rezervine sahip olabilecek pek \u00e7ok insan\u0131 DOR olarak etiketlemek anlam\u0131na gelir. Ba\u015fka bir deyi\u015fle, 20&#8217;li ya\u015flar\u0131ndaki 100 ki\u015finin AMH seviyesi test edilirse ve bunlar\u0131n 15&#8217;i sonu\u00e7 olarak DOR tan\u0131s\u0131 al\u0131rsa, bu 15 ki\u015fi aras\u0131nda a\u015f\u0131r\u0131 strese neden olabilir \u2013 oysa bu 15 ki\u015fiden sadece birka\u00e7\u0131nda ger\u00e7ekten hamile kalma sorunu ortaya \u00e7\u0131kacakt\u0131r. Bu nedenle do\u011furganl\u0131\u011f\u0131n tahmin edilmesinde AMH kullan\u0131lmas\u0131n\u0131 \u00f6nerilmemektedir.<\/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":"<p>ANT\u0130 M\u00dcLLER\u0130AN HORMON (AMH) Anti-M\u00fcllerian hormon veya AMH, yumurtal\u0131k folik\u00fcllerinizdeki gran\u00fcloza h\u00fccreleri taraf\u0131ndan \u00fcretilen bir hormondur. G\u00fcncel \u00e7al\u0131\u015fmalar\u0131n sonu\u00e7lar\u0131na g\u00f6re, kandaki AMH d\u00fczeyleriniz, yumurtal\u0131k rezervinizi yans\u0131t\u0131r. Yumurtal\u0131k rezervinizi bir sepet yumurta olarak d\u00fc\u015f\u00fcn\u00fcn. Tipik olarak bir sepet dolusu yumurta ile do\u011fars\u0131n\u0131z ve bu yumurtalar hayat\u0131n\u0131z boyunca t\u00fckenir. Bir AMH testi size yumurta say\u0131n\u0131z\u0131 s\u00f6yleyebilir. D\u00fc\u015f\u00fck [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":992,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[],"class_list":["post-569","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\/569","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=569"}],"version-history":[{"count":11,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/569\/revisions"}],"predecessor-version":[{"id":1028,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/posts\/569\/revisions\/1028"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=\/wp\/v2\/media\/992"}],"wp:attachment":[{"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=569"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drozkanozdamar.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}