{"id":2770,"date":"2014-04-10T20:11:47","date_gmt":"2014-04-10T17:11:47","guid":{"rendered":"http:\/\/www.gncz.net\/kisirlik-hakkinda-bilmek-istediginiz-her-sey-2.html"},"modified":"2014-04-10T20:11:47","modified_gmt":"2014-04-10T17:11:47","slug":"kisirlik-hakkinda-bilmek-istediginiz-her-sey-2","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/kisirlik-hakkinda-bilmek-istediginiz-her-sey-2.html","title":{"rendered":"K\u0131s\u0131rl\u0131k Hakk\u0131nda Bilmek \u0130stedi\u011finiz Her \u015fey-2"},"content":{"rendered":"\n<p>Evlendiniz ve art\u0131k bir \u00e7ocu\u011funuz olsun istiyorsunuz. Oysa t\u00fcm denemelerinize ra\u011fmen bir sonu\u00e7 alam\u0131yorsunuz. Bu durumda k\u0131s\u0131r m\u0131s\u0131n\u0131z? K\u0131s\u0131rl\u0131k hakk\u0131nda ne biliyorsunuz?<\/p>\n<p>Yumurtlad\u0131\u011f\u0131m\u0131 nas\u0131l anlayaca\u011f\u0131m?<\/p>\n<p>\nD\u00fczenli adet d\u00f6nemleri ve kanamalar\u0131 olan kad\u0131nlar\u0131n bir \u00e7o\u011fu yumurtlar. Yumurtlama d\u00f6neminde artan \u00f6strojen hormonuna ba\u011fl\u0131 hafif bir a\u011fr\u0131 hissedilebilir.<\/p>\n<p>Yumurtlaman\u0131n tespit edilebilmesi i\u00e7in hangi testler yap\u0131labilir?<\/p>\n<p>\nYumurtlaman\u0131n tespit edilebilmesi i\u00e7in bazal v\u00fccut \u0131s\u0131 \u00e7izelgesinin tutulmas\u0131, ultrasonografik incelemeler, endometrial biopsi (rahmin i\u00e7 tabakas\u0131ndan par\u00e7a al\u0131nmas\u0131) ve kanda Progesteron Hormon d\u00fczeyi belirlenebilmesi kullan\u0131lan y\u00f6ntemlerdir.<\/p>\n<p>Bazal v\u00fccut s\u0131s\u0131 \u00e7izelgesi nas\u0131l tutulur, g\u00fcvenilir midir?<\/p>\n<p>\nBazal v\u00fccut \u0131s\u0131s\u0131 sabah uykudan uyan\u0131ld\u0131\u011f\u0131nda \u00f6l\u00e7\u00fclen v\u00fccut \u0131s\u0131s\u0131d\u0131r. Adet kanaman\u0131z\u0131n ba\u015flad\u0131\u011f\u0131 G\u00fcnden itibaren sabahlar\u0131 v\u00fccut \u0131s\u0131n\u0131z\u0131 \u00f6l\u00e7erek bu \u00e7izelgeyi haz\u0131rlayabilirsiniz. Is\u0131 dil alt\u0131ndan termometre arac\u0131l\u0131\u011f\u0131 ile \u00f6l\u00e7\u00fclerek not edilmelidir. yemek yemek, i\u00e7mek, a\u011fz\u0131 \u00e7alkalamak \u0131s\u0131y\u0131 de\u011fi\u015ftirir. Size hekiminizin verece\u011fi tablolara, gelecek ayki adet kanaman\u0131z\u0131n ba\u015flang\u0131c\u0131na dek her sabah v\u00fccut \u0131s\u0131n\u0131z\u0131 kaydetmeniz gerekir. Bu tabloyu haz\u0131rlad\u0131\u011f\u0131n\u0131zda adet d\u00f6neminizin ikinci yar\u0131s\u0131nda v\u00fccut \u0131s\u0131n\u0131z\u0131n 1-1.5 derece daha y\u00fcksek oldu\u011funu g\u00f6r\u00fcrs\u00fcn\u00fcz. V\u00fccut \u0131s\u0131s\u0131 yumurtlama ger\u00e7ekle\u015ftikten sonra progesteron hormonunun etkisi ile y\u00fckselir, ve gebelik ger\u00e7ekle\u015firse y\u00fcksek olarak devam eder. Yumurtlaman\u0131n olmad\u0131\u011f\u0131 vakalarda v\u00fccut \u0131s\u0131s\u0131ndada pek de\u011fi\u015fiklik olmaz. Bu y\u00f6ntem yumurtlaman\u0131n olup olmad\u0131\u011f\u0131n\u0131n tespit edilmesi i\u00e7in kullan\u0131lan \u00e7ok kaba bir y\u00f6ntemdir. Baz\u0131 vakalarda yumurtlama oldu\u011fu halde v\u00fccut \u0131s\u0131s\u0131nda art\u0131\u015f olmayabilir. Bu tablolara g\u00f6re cinsel ili\u015fkinin zaman\u0131n\u0131 belirlemek bazen yan\u0131lt\u0131c\u0131 olabilir. G\u00fcn\u00fcm\u00fczde yumurtalaman\u0131n tespit edilmesinde daha hassas testler kullan\u0131lmaktad\u0131r.<\/p>\n<p>Ultrasonografi incelemesi nedir?<\/p>\n<p>\nUltrasonografik incelemelerde ses dalgalar\u0131 kullan\u0131larak i\u00e7 organlar hakk\u0131nda bilgi sahibi olunur. Hasta radyasyona maruz kalmad\u0131\u011f\u0131 i\u00e7in g\u00fcvenilir bir incelemedir. Abdominal (kar\u0131ndan) veya vajinal ultrasonografi yap\u0131labilir. Kar\u0131ndan yap\u0131lacak incelemelerde hastan\u0131n mesanesinin dolu olmas\u0131 gerekir. Dolu mesane barsaklar\u0131 iterek \u00fcreme organlar\u0131n\u0131n g\u00f6r\u00fclmesini kolayla\u015ft\u0131r\u0131r. Vajinal ultrasonografik incelemeler i\u00e7in mesanenin dolu olmas\u0131 gerekmez. Vajinal ultrasonografi ile \u00fcreme organlar\u0131 daha iyi incelenebilir.<\/p>\n<p>Yumurtlama ultrasonografi ile nas\u0131l belirlenir?<\/p>\n<p>\nAdet d\u00f6neminizin 3. veya 4. G\u00fcn\u00fc ilk inceleme yap\u0131l\u0131r, yumurtal\u0131klarda kist varsa bu inceleme s\u0131ras\u0131nda belirlenir. Hasta herhangi bir ila\u00e7 kullanm\u0131yorsa adet d\u00f6neminin 8. ve 10. G\u00fcnleri aras\u0131nda inceleme tekrarlan\u0131r. Bu g\u00fcnden sonra yumurtlama ger\u00e7ekle\u015fene kadar inceleme her G\u00fcn tekrarlan\u0131r. B\u00fcy\u00fcyen folik\u00fcl\u00fcn \u00e7ap\u0131 18-26 mm aras\u0131nda iken yumurtlama ger\u00e7ekle\u015fir. Rahim i\u00e7inde endometrium ad\u0131 verilen tabakada \u00f6strojen Hormonun etkisi ile kal\u0131nla\u015f\u0131r ve d\u00f6llenen yumurtan\u0131n tutunabilmesi i\u00e7in haz\u0131rlan\u0131r.<\/p>\n<p>Ultrasonografi di\u011fer k\u0131s\u0131rl\u0131k nedenlerininde ortaya \u00e7\u0131kar\u0131lmas\u0131n da yard\u0131mc\u0131 olur mu?<\/p>\n<p>\n\u00c7ocuk sahibi olamayan kad\u0131nlarda k\u0131s\u0131rl\u0131k nedenin ara\u015ft\u0131r\u0131lmas\u0131nda ultrasonografik inceleme \u00e7ok \u00f6nemlidir. Rahim ve yumurtal\u0131klar de\u011ferlendirilerek k\u0131s\u0131rl\u0131\u011f\u0131n nedenleri hakk\u0131nda fikir sahibi olunabilir. Hormon eksikli\u011fi olan veya erken menapoza girmi\u015f kad\u0131nlarda yumurtal\u0131klar k\u00fc\u00e7\u00fck, rahim ufak ve rahmin i\u00e7 tabakas\u0131 incedir. Polikistik over sendromu vakalar\u0131nda ise yumurtal\u0131k normalden b\u00fcy\u00fckt\u00fcr ve bir \u00e7ok kist i\u00e7erir. Bu vakalarda rahim b\u00fcy\u00fcm\u00fc\u015f ve endometrium kal\u0131nla\u015fm\u0131\u015ft\u0131r.<\/p>\n<p>HSG Servikal mukus nedir, postcoital test nas\u0131l yap\u0131l\u0131r?<\/p>\n<p>\nRahim a\u011fz\u0131ndaki bezlerin salg\u0131lad\u0131\u011f\u0131 s\u0131v\u0131ya servikal mukus denir. Bu S\u0131v\u0131n\u0131n yo\u011funlu\u011fu adet d\u00f6nemi boyunca de\u011fi\u015fir. Adet d\u00f6neminin b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcnde bu S\u0131v\u0131 \u00e7ok yo\u011fundur, bakterilerin rahme girmelerin engelleyen bir t\u0131ka\u00e7 olu\u015fturur. Yumurtlamadan 5 g\u00fcn \u00f6nce mukus miktar\u0131 artar ve yo\u011funlu\u011fu azal\u0131r, s\u0131v\u0131la\u015f\u0131r. Yumurtlamadan 24 Saat sonra mukusun k\u0131vam\u0131 yine koyula\u015f\u0131r.<\/p>\n<p>Postcoital test nas\u0131l yap\u0131l\u0131r?<\/p>\n<p>\nPostcoital test cinsel ili\u015fkiden 6-12 saat sonra rahim a\u011fz\u0131ndaki mukustan \u00f6rnek al\u0131narak yap\u0131l\u0131r. Bu \u00f6rnek mikroskop ile incelenir, ve bu \u00f6rnekteki sperm say\u0131s\u0131 ve spermlerin canl\u0131l\u0131\u011f\u0131 belirlenir.<\/p>\n<p>K\u0131s\u0131rl\u0131k cinsel hayat\u0131 olumsuz etkiler mi?<\/p>\n<p>\nK\u0131s\u0131rl\u0131k ara\u015ft\u0131rmalar\u0131nda ve tedavisinde , zamanl\u0131 cinsel ili\u015fki \u00f6nerilir. Bu \u00e7iftlerin kendilerini bask\u0131 alt\u0131nda hissetmesi ve ili\u015fkide zorlanmas\u0131 \u00e7ok do\u011fald\u0131r.<\/p>\n<p>HSG (rahim filmi) incelemesi nedir, nas\u0131l yap\u0131l\u0131r?<\/p>\n<p>\nHisterosalpingografi olarak adland\u0131r\u0131lan radyolojik incelemede, rahim a\u011fz\u0131ndan i\u00e7eriye verilen boyan\u0131n t\u00fcplerden ge\u00e7i\u015fi izlenir. Bu s\u0131rada \u00e7ekilen r\u00f6ntgen filmleri incelenerek t\u00fcplerin durumu hakk\u0131nda bilgi sahibi olunur. T\u00fcplerde t\u0131kan\u0131kl\u0131k varsa boya t\u00fcplerden ge\u00e7mez. Bu inceleme s\u0131ras\u0131nda hastaya verilen radyasyon \u00e7ok azd\u0131r, ve zaras\u0131zd\u0131r. Hastalar\u0131n bir k\u0131sm\u0131 hafif bir a\u011fr\u0131 hisseder, i\u015flem s\u0131ras\u0131nda Anestezi verilmesine gerek yoktur. HSG incelemesi ile rahim i\u00e7ide de\u011ferlendirilir. K\u0131s\u0131rl\u0131k nedeninin ara\u015ft\u0131r\u0131lmas\u0131nda HSG ve laparoskopi birbirini tamamlar.<\/p>\n<p>Maya T\u00fcp Bebek ve Kad\u0131n Sa\u011fl\u0131\u011f\u0131 Merkezi<br \/>\nKaptanpa\u015fa sokak, Numara: 17 Gaziosmanpa\u015fa<br \/>\n\u00c7ankaya, Ankara<br \/>\nTel: 0312 448 22 21 &#8211; 0312 437 28 28<br \/>\nWeb: www.mayatip.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Evlendiniz ve art\u0131k bir \u00e7ocu\u011funuz olsun istiyorsunuz. Oysa t\u00fcm denemelerinize ra\u011fmen bir sonu\u00e7 alam\u0131yorsunuz. Bu durumda k\u0131s\u0131r m\u0131s\u0131n\u0131z? K\u0131s\u0131rl\u0131k hakk\u0131nda ne biliyorsunuz? Yumurtlad\u0131\u011f\u0131m\u0131 nas\u0131l anlayaca\u011f\u0131m? D\u00fczenli adet d\u00f6nemleri ve kanamalar\u0131 olan kad\u0131nlar\u0131n bir \u00e7o\u011fu yumurtlar. Yumurtlama d\u00f6neminde artan \u00f6strojen hormonuna ba\u011fl\u0131 hafif bir a\u011fr\u0131 hissedilebilir. Yumurtlaman\u0131n tespit edilebilmesi i\u00e7in hangi testler yap\u0131labilir? Yumurtlaman\u0131n tespit edilebilmesi i\u00e7in bazal v\u00fccut \u0131s\u0131 \u00e7izelgesinin<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/kisirlik-hakkinda-bilmek-istediginiz-her-sey-2.html\">[Devam\u0131n\u0131 Oku&#8230;]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[229],"tags":[1783],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/2770"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=2770"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/2770\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=2770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=2770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=2770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}