{"id":43592,"date":"2018-03-10T00:39:34","date_gmt":"2018-03-09T21:39:34","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=43592"},"modified":"2024-12-31T18:03:36","modified_gmt":"2024-12-31T15:03:36","slug":"hamilelikte-saglik-ocaginda-yapilan-testler-hamilelikte-hangi-testler-yapilir","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/hamilelikte-saglik-ocaginda-yapilan-testler-hamilelikte-hangi-testler-yapilir\/","title":{"rendered":"Sa\u011fl\u0131kl\u0131 bir hamilelik i\u00e7in bu testleri sak\u0131n atlamay\u0131n!"},"content":{"rendered":"

Hamilelikte yap\u0131lan testler hem sizin hem de anne karn\u0131ndaki bebe\u011fin sa\u011fl\u0131\u011f\u0131n\u0131 kontrol alt\u0131nda tutmak i\u00e7in \u00e7ok \u00f6nemlidir. Hamilelikte yap\u0131lacak testler gebe kad\u0131n\u0131n ya\u015f\u0131na, genel sa\u011fl\u0131k durumuna, kronik hastal\u0131\u011f\u0131 olup olmad\u0131\u011f\u0131na g\u00f6re de\u011fi\u015fiklik g\u00f6sterebilir. Bu makalemizde hamilelik d\u00f6neminde yap\u0131lan testleri okuyabilirsiniz.<\/p>\n

HAM\u0130LEL\u0130K TESTLER\u0130 NEDEN YAPILIR<\/h3>\n

Anne karn\u0131ndaki bebe\u011fin sa\u011fl\u0131\u011f\u0131 hakk\u0131nda bilgi edinmek.
\nNormal mi sezeryan m\u0131 do\u011fum \u015fekline karar vermek
\nHamileli\u011fin kontrol\u00fcn\u00fc sa\u011flamak,
\nRiskli bir gebelik olup olmad\u0131\u011f\u0131n\u0131 belirlemek
\nErken do\u011fum, d\u00fc\u015f\u00fck riski gibi durumlar\u0131 takipte kalmak
\nAnne aday\u0131n\u0131n sa\u011fl\u0131kl\u0131 olup olmad\u0131\u011f\u0131n\u0131 tespit etmek,
\nGebe kad\u0131n\u0131n \u015fayet varsa metabolik, kronik, genetik vb. hastal\u0131klar\u0131n\u0131 ortaya \u00e7\u0131karmak,
\nBebe\u011fin anne karn\u0131nda geli\u015fimini, streste olup olmad\u0131\u011f\u0131n\u0131 ve anormallikleri g\u00f6rebilmek.<\/p>\n

\"\"<\/p>\n

\n

HAM\u0130LEL\u0130KTE YAPILAN TESTLER NASIL GER\u00c7EKLE\u015eT\u0130R\u0130L\u0130R<\/h3>\n

Hamilelik testleri anne aday\u0131ndan kan ve idrar \u00f6rne\u011fi al\u0131m\u0131 yoluyla, hamile kad\u0131n\u0131n karn\u0131ndan girilerek bebe\u011fin kordon kan\u0131n\u0131n al\u0131nmas\u0131, anne karn\u0131ndan girilerek amniyon s\u0131v\u0131s\u0131 al\u0131nmas\u0131, yine anne karn\u0131ndan girilerek plansental par\u00e7alar\u0131n al\u0131nmas\u0131 ve NST, USG cihazlar\u0131n\u0131n kullan\u0131m\u0131yla yap\u0131l\u0131r.<\/p>\n

HAM\u0130LEL\u0130K \u00d6NCES\u0130 TESTLER NELERD\u0130R<\/h3>\n

Hemogram (Kan say\u0131m\u0131)
\nRutin biyokimya testleri (Demir, kolesterol, kalsiyum, klor, fosfor, potasyum, sodyum, \u00fcre, \u00fcrik asit gibi pek \u00e7ok testi i\u00e7erir)
\nTORCH taramas\u0131, IGM – IGG tespiti (Bebe\u011fin ana rahmindeyken mikroplu bir hastal\u0131\u011fa yakalan\u0131p yakalanmad\u0131\u011f\u0131n\u0131 ortaya \u00e7\u0131karmak i\u00e7in yap\u0131lan enfeksiyon testleri)
\nHepatit testi
\nHIV testi
\nTiroit testleri
\nAkraba evlili\u011fi ve genetik anomalili durumunda testler
\nVarsa kronik, genetik ve cinsel hastal\u0131klar\u0131 ile ilgili testler<\/p>\n

\"\"<\/p>\n

\n

1. Ay<\/strong><\/p>\n

Yap\u0131lmad\u0131ysa \u00f6nce hamilelik \u00f6ncesi testler yap\u0131l\u0131r<\/p>\n

Yap\u0131lan a\u015f\u0131lar\u0131n kontrolleri<\/p>\n

Ultrason ile gebeli\u011fi takip<\/p>\n

11. ve 14. Haftalar Aras\u0131nda Yap\u0131lan Testler<\/strong><\/p>\n

Ense kal\u0131nl\u0131\u011f\u0131 testi (NT):<\/strong> Gebeli\u011fin 11. haftas\u0131nda Ense Kal\u0131nl\u0131\u011f\u0131 Testi yap\u0131lmaktad\u0131r. Bu test sonucunda bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131 belirlemek i\u00e7in kan tahlili (ikili test) ile sonu\u00e7lar tespit edilir. Bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131 testi 11. hafta ve 14. haftalar aras\u0131nda yap\u0131labilir.<\/p>\n

\"\"<\/p>\n

\n

3. Ay<\/strong><\/p>\n

\u0130kili test (Down sendromu olup olmad\u0131\u011f\u0131n\u0131 tespit etmek i\u00e7in yap\u0131lan testlerden ilkinde, bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc; ikincisinde anneden kan al\u0131narak gebelik hormonu ile gebeli\u011fe \u00f6zg\u00fc plazma proteini \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131r.)
\n\u00dc\u00e7l\u00fc test (Down sendromu tespiti i\u00e7in anneden al\u0131nan kanda \u00fc\u00e7 ayr\u0131 hormon \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131r.)
\nKan say\u0131m\u0131 testi
\nUltrason takibi
\nGere\u011finde CVS (Genetik hastal\u0131k tespiti i\u00e7in)
\nGerekirse amniyosentez (Down sendromu testlerinde risk saptand\u0131\u011f\u0131 takdirde kesin tan\u0131n\u0131n konulmas\u0131 i\u00e7in bebekten s\u0131v\u0131 al\u0131nmas\u0131),
\nGecikmi\u015f vakalarda d\u00f6rtl\u00fc test (Down sendromu tespiti i\u00e7in anneden kan \u00f6rne\u011fi al\u0131narak d\u00f6rt de\u011fi\u015fik maddedin d\u00fczeyi saptan\u0131r.)
\nKordosentez (genetik kan ve metabolizma hastal\u0131klar\u0131n\u0131n tespiti i\u00e7in ultrason kontrol\u00fc alt\u0131nda kar\u0131n duvar\u0131ndan girilerek g\u00f6bek kordonundan bebe\u011fe ait kan\u0131n al\u0131nmas\u0131.)<\/p>\n

\"\"<\/p>\n

\n

15. Ve 19. Hafta Testleri<\/strong><\/p>\n

Amniyosentez ve kordosentez: Bu 2 y\u00f6ntem, bebe\u011fin ultrasonografi ile inceleme alt\u0131na al\u0131narak, i\u00e7inde bulundu\u011fu sudan bir miktar s\u0131v\u0131 ya da g\u00f6bek kordonundan kan al\u0131narak yap\u0131lmaktad\u0131r. Amniyosentez, 15-19 haftalar aras\u0131nda uygulan\u0131r.<\/p>\n

5. Ve 6. Ay<\/strong><\/p>\n

\u0130kinci d\u00fczey USG (Detayl\u0131 ultrasonografi), Doppler USG (Kan damarlar\u0131nda kan ak\u0131mlar\u0131n\u0131n \u00f6l\u00e7\u00fclmesiyle bebekte geli\u015fim gerili\u011fi olup olmad\u0131\u011f\u0131 ile ilgili fikir edinmeyi sa\u011flayan ultrasonografi)
\nOGTT (Oral glukoz tolerans testi – Gebelikte \u015feker hastal\u0131\u011f\u0131 olup olmad\u0131\u011f\u0131n\u0131 tespit i\u00e7in yap\u0131lan \u015feker y\u00fckleme testi. Herhangi bir belirti vermeyen gebelik \u015fekeri 24-28\u2019inci gebelik haftalar\u0131 aras\u0131nda yap\u0131lan iki farkl\u0131 testle ara\u015ft\u0131r\u0131l\u0131r.\u00a0Hamilelikte \u015feker hastal\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan daha y\u00fcksek risk alt\u0131nda olanlara 100 gram glikoz y\u00fcklemesi ile OGTT ad\u0131 verilen tan\u0131 koydurucu test, riski d\u00fc\u015f\u00fck olan anne adaylar\u0131na ise 50 gram glikoz ile PPG ad\u0131 verilen tarama testi uygulan\u0131r. OGTT’de birer saat aral\u0131klarla toplam d\u00f6rt kez kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131rken PPG’de yaln\u0131zca birinci saat tokluk kan \u015fekeri \u00f6l\u00e7\u00fcl\u00fcr.)
\nGerekti\u011finde indirek coombs testi (Kan uyu\u015fmazl\u0131\u011f\u0131 te\u015fhisi i\u00e7in yap\u0131l\u0131r.)
\nUSG (ultrason) ile takip
\nNST takibi (Cihaz yard\u0131m\u0131 ile bebe\u011fin hareketleri sonucu kalp at\u0131\u015f\u0131ndaki artma ve azalmalar\u0131n saptanmas\u0131, bunun bir ka\u011f\u0131da yazd\u0131r\u0131lmas\u0131 testi)<\/p>\n

\"\"<\/p>\n

\n

HAM\u0130LEL\u0130KTE BU TESTLER\u0130 MUTLAKA YAPTIRIN<\/h3>\n

Kan Say\u0131m\u0131:<\/strong> Hamilelik d\u00f6neminde demir eksikli\u011fini \u00f6nlemek\u00a0\u00a0ve gerekti\u011finde demir takviyesi amac\u0131yla yap\u0131lan testtir.
\nTSH:<\/strong> Hamilelikten \u00f6nce olmayan gebelikte ortaya \u00e7\u0131kabilecek tiroid hastal\u0131\u011f\u0131n\u0131n tespiti i\u00e7in yap\u0131lan testtir.
\nKan Grubu:<\/strong> Anne ve babadan kaynaklanabilecek kan uyu\u015fmazl\u0131klar\u0131 i\u00e7in gerekli \u00f6nlemlerin al\u0131nmas\u0131na ad\u0131na yap\u0131lan testtir.
\nTorch Tayini:<\/strong> Toksoplazma ve Rubella (K\u0131zam\u0131k\u00e7\u0131k) gibi hamileli\u011fin sonland\u0131r\u0131lmas\u0131na neden olabilecek \u00f6nemli ve aktif enfeksiyonlar\u0131n erken d\u00f6nemde tespit edilerek tedavi s\u00fcrecinin ba\u015flat\u0131lmas\u0131 i\u00e7in yap\u0131l\u0131r.
\nSeroloji:<\/strong> HIV ve \u00f6zellikle \u00fclkemizde \u00e7ok s\u0131k g\u00f6r\u00fclen Hepatit B testleri gebelik sonras\u0131nda da bebe\u011fin sa\u011fl\u0131\u011f\u0131 i\u00e7in \u00e7ok \u00f6nemlidir.
\nTam \u0130drar Tahlili:<\/strong> Hamilelik s\u00fcrecinde g\u00f6r\u00fclecek gizli idrar yolu enfeksiyonlar\u0131 erken d\u00f6nem d\u00fc\u015f\u00fcklerin en s\u0131k g\u00f6r\u00fclen nedenidir. Bu y\u00fczden tam idrar tahlilinin mutlaka yapt\u0131r\u0131lmas\u0131 gerekir.
\n8. Hafta:<\/strong> Ultrasonda kalp at\u0131\u015f\u0131n\u0131n tekrar tespiti i\u00e7in yap\u0131l\u0131r. \u00c7\u00fcnk\u00fc birden fazla nedenden dolay\u0131 embriyo kalp at\u0131\u015f\u0131 durabilir.<\/p>\n

\"\"<\/p>\n

\n

12. Hafta:<\/strong> Bu haftada yap\u0131lan muayenede ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc ve en y\u00fcksek duyarl\u0131l\u0131\u011fa sahip down sendromu taramas\u0131 olan ikili test yap\u0131l\u0131r.
\n16. Hafta:<\/strong> Bebe\u011finizin cinsiyetini \u00f6\u011frenebilece\u011finiz d\u00f6nemdir. Tercih ederseniz \u00fc\u00e7l\u00fc ya da d\u00f6rtl\u00fc test uygulamalar\u0131n\u0131 da bu d\u00f6nemde yapt\u0131rabilirsiniz.
\n22. Hafta:<\/strong> Detayl\u0131 ultrasonografi bu haftada yap\u0131l\u0131r. \u00d6zellikle bu haftan\u0131n tercih edilmesinin nedeni kardiyak anomalilerinin bu haftadan itibaren \u00e7ok daha net te\u015fhis edilebilmesidir.
\n24-28. Haftalar:<\/strong> Gebelik diyabet taramas\u0131na y\u00f6nelik 75 gr oral glikoz tolerans testi yap\u0131l\u0131r.
\n28. Hafta:<\/strong> Bu hafta itibari ile ultrason kontrolleri daha s\u0131k yap\u0131lmaya ba\u015flan\u0131r. Tercihen 30, 32, 34, 36. haftalar olarak devam edilir. \u00c7\u00fcnk\u00fc geli\u015fme gerili\u011fi bu haftalarda ba\u015flar ve belirgin hale gelir. Geli\u015fme gerili\u011finin erken tespit edilmesi, bebe\u011fin anne karn\u0131nda kayb\u0131na kadar; bir\u00e7ok sorundan da korumu\u015f olur.
\n36. Hafta:<\/strong> Bu haftada bebe\u011finizin tahmini kilosunu ve duru\u015f \u015feklini \u00f6\u011frenebilirsiniz.<\/p>\n","protected":false},"excerpt":{"rendered":"

Hamilelikte yap\u0131lan testler hem sizin hem de anne karn\u0131ndaki bebe\u011fin sa\u011fl\u0131\u011f\u0131n\u0131 kontrol alt\u0131nda tutmak i\u00e7in \u00e7ok \u00f6nemlidir. Hamilelikte yap\u0131lacak testler gebe kad\u0131n\u0131n ya\u015f\u0131na, genel sa\u011fl\u0131k durumuna, kronik hastal\u0131\u011f\u0131 olup olmad\u0131\u011f\u0131na g\u00f6re de\u011fi\u015fiklik g\u00f6sterebilir. Bu makalemizde hamilelik d\u00f6neminde yap\u0131lan testleri okuyabilirsiniz.<\/p>\n","protected":false},"author":30,"featured_media":115171,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1254],"tags":[266,6517],"class_list":["post-43592","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gebelik","tag-hamilelik","tag-hamilelikte-yapilan-testler"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43592"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=43592"}],"version-history":[{"count":3,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43592\/revisions"}],"predecessor-version":[{"id":115176,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43592\/revisions\/115176"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/115171"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=43592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=43592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=43592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}