{"id":43679,"date":"2018-03-27T00:06:25","date_gmt":"2018-03-26T21:06:25","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=43679"},"modified":"2024-12-30T10:57:28","modified_gmt":"2024-12-30T07:57:28","slug":"asilama-nedir-nasil-olur-hamile-kalanlar-var-mi-tutma-belirtileri","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/asilama-nedir-nasil-olur-hamile-kalanlar-var-mi-tutma-belirtileri\/","title":{"rendered":"A\u015f\u0131lama y\u00f6ntemiyle hamilelik: Ba\u015far\u0131 \u015fans\u0131 ve ilk belirtiler"},"content":{"rendered":"

A\u015f\u0131lama do\u011fal yolla hamile kalamayan \u00e7iftler i\u00e7in umut \u0131\u015f\u0131\u011f\u0131 olan bir yard\u0131mc\u0131 \u00fcreme y\u00f6ntemidir. Bu s\u00fcre\u00e7te, laboratuvar ortam\u0131nda haz\u0131rlanan sperm \u00f6rne\u011fi, do\u011frudan rahime yerle\u015ftirilerek gebelik \u015fans\u0131 artt\u0131r\u0131l\u0131r. Ancak bir\u00e7ok \u00e7iftin akl\u0131nda ayn\u0131 sorular dola\u015f\u0131yor: A\u015f\u0131lama nas\u0131l yap\u0131l\u0131r? Hamilelik \u015fans\u0131 nedir? Ba\u015far\u0131l\u0131 oldu\u011funda ilk belirtiler nedir? \u0130\u015fte a\u015f\u0131lama s\u00fcreci ve t\u00fcm merak edilenler…<\/p>\n

A\u015eILAMA Y\u00d6NTEM\u0130 VE FAYDALARI<\/h3>\n

A\u015f\u0131lama bir do\u011furganl\u0131k tedavisi olup spermlerin rahim i\u00e7ine yerle\u015ftirme i\u015flemidir. A\u015f\u0131lama y\u00f6nteminin amac\u0131 ise fallop t\u00fcplerine ula\u015fan sperm say\u0131s\u0131n\u0131 artt\u0131rmak ve bunun sonucunda da d\u00f6llenme \u015fans\u0131n\u0131 artt\u0131rmakt\u0131r. Bu tedaviye ba\u015flaman\u0131n en ideal zaman\u0131 kad\u0131nlar\u0131n yumurtlamaya ba\u015flad\u0131\u011f\u0131 d\u00f6nemdir ki bu d\u00f6nemde d\u00f6llenme yani gebe kalma \u015fans\u0131 daha y\u00fcksektir. Ayn\u0131 zamanda gebe kalmak isteyen kad\u0131nlar, do\u011furganl\u0131k ila\u00e7lar\u0131n\u0131 da kullanarak d\u00f6llenmi\u015f yumurtalar\u0131n sa\u011fl\u0131kl\u0131 \u015fekilde korunmas\u0131n\u0131 sa\u011flayabilirler.<\/p>\n

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\n

Sperm direkt olarak rahme ula\u015ft\u0131r\u0131l\u0131r.
\nSpermin kalitesini artt\u0131r\u0131r.
\nSpermin yumurtlama d\u00f6neminde do\u011fru zamanda rahimde olmas\u0131n\u0131 sa\u011flar.<\/p>\n

A\u015eILAMA TEDAV\u0130 S\u00dcREC\u0130 NASIL \u0130LERLER<\/h3>\n

K\u0131s\u0131rl\u0131k; erke\u011fin sperm \u00fcretememesi, sperm say\u0131s\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131 veya spermin fallop t\u00fcplerine ula\u015famamas\u0131 veya kad\u0131n\u0131n rahminde d\u00f6llenmi\u015f olan yumurtan\u0131n tutunamamas\u0131 gibi bir\u00e7ok sebepten dolay\u0131 ya\u015fanabilir.\u00a0Bu gibi durumlarda, a\u015f\u0131lama gebe kalmak yani d\u00f6llenmeyi sa\u011flamak i\u00e7in kullan\u0131lan y\u00f6ntemdir. Bunun i\u00e7in iki yol vard\u0131r. Birincisi; rahim a\u011fz\u0131na spermlerin yerle\u015ftirilmesi ve ikinci yol ise; spermlerin rahmin i\u00e7ine yerle\u015ftirilmesidir.<\/p>\n

A\u015f\u0131lama; spermlerin kad\u0131n rahmine yerle\u015fmesi i\u00e7in en basit ve en etkili y\u00f6ntemlerdendir. Bu i\u015flemin amac\u0131, spermi yumurtal\u0131klara yakla\u015ft\u0131r\u0131p d\u00f6llenme \u015fans\u0131n\u0131 artt\u0131rmakt\u0131r.\u00a0Bu i\u015flemde, doktor erkekten sperm toplayacakt\u0131r. Laboratuvar ortam\u0131nda bu spermlerden h\u0131zl\u0131 hareket edenler se\u00e7ilip d\u00f6llenmeye yard\u0131mc\u0131 olmak i\u00e7in kad\u0131n rahmine yerle\u015ftirilir.<\/p>\n

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\n

A\u015eILAMA Y\u00d6NTEM\u0130 K\u0130MLER \u0130\u00c7\u0130N UYGUN OLAB\u0130L\u0130R<\/h3>\n

A\u015f\u0131lama i\u00e7in en yayg\u0131n sebepler sperm say\u0131s\u0131ndaki azl\u0131k veya sperm hareketlili\u011finin az olmas\u0131d\u0131r.<\/p>\n

Ancak, a\u015f\u0131lama \u015fu gibi durumlar sonras\u0131nda da uygulan\u0131r:<\/p>\n

Bilinmeyen k\u0131s\u0131rl\u0131k
\nRahim i\u00e7inde s\u0131v\u0131 problemleri, rahmin spermi kabul etmemesi
\nRahim dokusunun \u00f6nceden d\u00f6llenme i\u00e7in uygulanan i\u015flemlerden dolay\u0131 yaralanmas\u0131ndan dolay\u0131 spermin giri\u015fine izin vermemesi
\nBo\u015falmada sorun ya\u015fama<\/p>\n

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\n

A\u015eILAMA TEDAV\u0130S\u0130 \u015eU HASTALAR \u0130\u00c7\u0130N \u00d6NER\u0130LMEZ<\/h3>\n

Follop t\u00fcplerinde ciddi rahats\u0131zl\u0131\u011f\u0131 olan kad\u0131nlarda
\nPelvik enfeksiyonu olan kad\u0131nlar
\n\u00c7ikolata kisti olanlar<\/p>\n

A\u015eILAMA TEDAV\u0130S\u0130 NASIL UYGULANIR<\/h3>\n

A\u015f\u0131lama i\u015flemi anestezi gerektirmeyen ve ac\u0131s\u0131z bir i\u015flemdir. Yakla\u015f\u0131k olarak 10 ila 15 dakika s\u00fcrer. Bu i\u015flem tamamland\u0131ktan hemen sonra eve gidilebilir.\u00a0Bu i\u015flemden sonra normal cinsel ya\u015fama devam edilebilir. Beklenmedik vajinal kanamalar ya\u015fand\u0131\u011f\u0131 durumda doktora dan\u0131\u015f\u0131lmal\u0131d\u0131r.<\/p>\n

Bu tedavi s\u00fcresince, rahim a\u00e7\u0131l\u0131p sperm h\u00fccreleri yumurtlama d\u00f6neminde rahmin i\u00e7ine yerle\u015ftirilir. Bu \u015fekilde spermin yolculu\u011fu k\u0131sal\u0131r ve yumurtal\u0131klara ula\u015fma \u015fans\u0131 artar.<\/p>\n

Bu i\u015flemin uygulanmas\u0131 i\u00e7in gereken 3 ad\u0131m \u015fudur:<\/p>\n

Sperm \u00f6rnekleri toplan\u0131r,
\nSpermler i\u015flenir,
\nKateter yard\u0131m\u0131yla bu spermler rahme yerle\u015ftirilir.<\/p>\n

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\n

A\u015eILAMA TEDAV\u0130S\u0130 \u00d6NCES\u0130NDE HANG\u0130 TESTLER YAPILIR<\/h3>\n

Kan testi: FSH, estradiol seviyesi, vb.
\nSpermogram (sperm yap\u0131s\u0131n\u0131, yo\u011funlu\u011funu ve hareketlerini \u00f6l\u00e7er) sperm fonksiyon testi
\nKan testleri (tiroit hormonu, prolaktin, kan grubu ve Rh fakt\u00f6r\u00fc, bula\u015f\u0131c\u0131 hastal\u0131k ( chlamydia,frengi, HIV vb. \u00f6l\u00e7\u00fcl\u00fcr)
\nHisterosalpengostomi (rahmin boyunu, kapasitesini ve muhtemel de\u011fi\u015fiklikleri, \u00f6zellikleri, fallop t\u00fcplerinin a\u00e7\u0131kl\u0131\u011f\u0131n\u0131 \u00f6l\u00e7me) veya
\nHisteroskopi (optik sondalar kullanarak rahim i\u00e7ini inceleme)<\/p>\n

A\u015eILAMA TEDAV\u0130S\u0130 BA\u015eARI ORANI<\/h3>\n

A\u015f\u0131lma y\u00f6ntemindeki ba\u015far\u0131 oran\u0131 kad\u0131n\u0131n ya\u015f\u0131, k\u0131s\u0131rl\u0131k m\u00fcddeti, fallop t\u00fcplerinin durumu ve erke\u011fin sperm say\u0131s\u0131 gibi sebeplerden \u00f6t\u00fcr\u00fc de\u011fi\u015fkenlik g\u00f6sterir.\u00a0Buna ek olarak, ba\u015far\u0131l\u0131 bir a\u015f\u0131lama b\u00fcy\u00fck oranda rahmin buna tepki verip vermemesine, a\u015f\u0131laman\u0131n zaman\u0131na ve spermlerin durumuna ba\u011fl\u0131d\u0131r.\u00a0A\u015f\u0131lama y\u00f6nteminin ba\u015far\u0131s\u0131 oran\u0131 %15 ila %20dir.\u00a0Ancak, erkekte sperm say\u0131s\u0131 normalse ve kad\u0131n partner de sa\u011fl\u0131kl\u0131ysa y\u0131lda birka\u00e7 denemeyle bu oran %50\u2019lere kadar \u00e7\u0131k\u0131yor. Ortalama olarak 3-4 kez a\u015f\u0131lama y\u00f6nteminden sonra hala ba\u015far\u0131l\u0131 olunamad\u0131\u011f\u0131 durumlarda IVF (t\u00fcp bebek) y\u00f6ntemi \u00f6nerilir. A\u015f\u0131lama ile hamile kalan pek \u00e7ok kad\u0131n vard\u0131r. A\u015f\u0131lama tutma belirtileri; G\u00f6\u011f\u00fcslerde \u015fi\u015fme ve hassasiyet, kas\u0131kta a\u011fr\u0131, adet a\u011fr\u0131lar\u0131, a\u015f\u0131r\u0131 duygusalla\u015fma ve en \u00f6nemlisi gebelik sonucunun pozitif \u00e7\u0131kmas\u0131d\u0131r.<\/p>\n

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\n

A\u015eILAMA TEDAV\u0130S\u0130N\u0130N R\u0130SK FAKT\u00d6RLER\u0130<\/h3>\n

A\u015f\u0131lama, ciddi sorunlar olu\u015fmas\u0131 i\u00e7in biraz risk te\u015fkil etse de genel anlamda basit ve g\u00fcvenli bir y\u00f6ntemdir. Nadir de olsa, kad\u0131nlar\u0131n rahim ve t\u00fcplerinde enfeksiyona sebep olabilir. Bu da spermdeki veya a\u015f\u0131lama yap\u0131lan kateterdeki bakteri olmas\u0131 nedeniyle olabilir.\u00a0\u00a0Di\u011fer risk fakt\u00f6rleri \u015funlard\u0131r:<\/p>\n

Enfeksiyon \u2013Bu i\u015flemden sonra enfeksiyon geli\u015fme riski \u00e7ok az da olsa vard\u0131r.
\nLekelenme \u2013Baz\u0131 durumlarda, kateterin rahme girmesi hafif kanamalara yol a\u00e7abilir. Bunun gebe kalma durumuna bir etkisi yoktur.
\n\u00c7oklu Gebelikler: A\u015f\u0131lama yap\u0131ld\u0131\u011f\u0131nda, toplu gebelikler (ikiz, \u00fc\u00e7\u00fcz vb.) meydana gelebilir. Tek \u00e7ocuk beklerken, ikizlere \u00fc\u00e7\u00fczlere gebe kalman\u0131z s\u00fcrpriz olmaz.<\/p>\n","protected":false},"excerpt":{"rendered":"

A\u015f\u0131lama do\u011fal yolla hamile kalamayan \u00e7iftler i\u00e7in umut \u0131\u015f\u0131\u011f\u0131 olan bir yard\u0131mc\u0131 \u00fcreme y\u00f6ntemidir. Bu s\u00fcre\u00e7te, laboratuvar ortam\u0131nda haz\u0131rlanan sperm \u00f6rne\u011fi, do\u011frudan rahime yerle\u015ftirilerek gebelik \u015fans\u0131 artt\u0131r\u0131l\u0131r. Ancak bir\u00e7ok \u00e7iftin akl\u0131nda ayn\u0131 sorular dola\u015f\u0131yor: A\u015f\u0131lama nas\u0131l yap\u0131l\u0131r? Hamilelik \u015fans\u0131 nedir? Ba\u015far\u0131l\u0131 oldu\u011funda ilk belirtiler nedir? \u0130\u015fte a\u015f\u0131lama s\u00fcreci ve t\u00fcm merak edilenler…<\/p>\n","protected":false},"author":30,"featured_media":114420,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1254],"tags":[6427,266],"class_list":["post-43679","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gebelik","tag-asilama-tedavisi","tag-hamilelik"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43679"}],"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=43679"}],"version-history":[{"count":3,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43679\/revisions"}],"predecessor-version":[{"id":114431,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43679\/revisions\/114431"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/114420"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=43679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=43679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=43679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}