{"id":44381,"date":"2018-11-02T18:43:15","date_gmt":"2018-11-02T15:43:15","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=44381"},"modified":"2024-09-16T11:05:47","modified_gmt":"2024-09-16T08:05:47","slug":"emr-nedir-erken-membran-rupturu-tekrarlar-mi-nasil-anlasilir","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/emr-nedir-erken-membran-rupturu-tekrarlar-mi-nasil-anlasilir\/","title":{"rendered":"EMR Nedir Erken Membran R\u00fcpt\u00fcr\u00fc Tekrarlar m\u0131 Nas\u0131l Anla\u015f\u0131l\u0131r?"},"content":{"rendered":"

Gebelik d\u00f6neminde bebe\u011fin d\u0131\u015f etkenlerden korunmas\u0131,daha rahat hareket etmesi,v\u00fccut \u0131s\u0131s\u0131n\u0131n sabit kalmas\u0131 ve solunum sisteminin geli\u015fimi i\u00e7in rahim i\u00e7inde\u00a0amniyon s\u0131v\u0131s\u0131 meydana gelir. Bu s\u0131v\u0131 amniyon kese i\u00e7inde bulunur. <\/p>\n

Gebelik d\u00f6neminde bebe\u011fin d\u0131\u015f etkenlerden korunmas\u0131,daha rahat hareket etmesi,v\u00fccut \u0131s\u0131s\u0131n\u0131n sabit kalmas\u0131 ve solunum sisteminin geli\u015fimi i\u00e7in rahim i\u00e7inde amniyon s\u0131v\u0131s\u0131 meydana gelir. Bu s\u0131v\u0131 amniyon kese i\u00e7inde bulunur. Bu kese do\u011fum ba\u015flamadan erkenden y\u0131rt\u0131l\u0131rsa, bu durum suyun gelmesine sebep olur. Bu duruma erken memran r\u00fcpt\u00fcr\u00fc (EMR) ad\u0131 verilir. <\/strong>Gebeli\u011fin 37.haftas\u0131ndan \u00f6nce memran kese y\u0131rt\u0131l\u0131rsa bu duruma premat\u00fcre EMR (PPROM) ad\u0131 verilir. Bu durum d\u00fcnyada gebe kad\u0131nlar\u0131n %10\u2019unda g\u00f6r\u00fclmektedir. Bu erken y\u0131rt\u0131lma meydana geldi\u011finde erken do\u011fum meydana gelmektedir.<\/p>\n

Erken Membran R\u00fcpt\u00fcr\u00fc Neden Olur ?<\/strong><\/u><\/span><\/span><\/p>\n

Erken membran r\u00fcpt\u00fcr\u00fcn\u00fcn kesin nedeni bilinmemekle birlikte y\u0131rt\u0131lmaya sebep olabilecek fakt\u00f6rler \u015funlar olabilir:<\/p>\n

    \n
  1. Annenin d\u00fczenli beslenmemesi,<\/strong><\/li>\n
  2. Annenin ekonomik durumunun k\u00f6t\u00fc olmas\u0131,<\/li>\n
  3. Annede rahim a\u011fz\u0131 yetmezli\u011fi olmas\u0131,<\/strong><\/li>\n
  4. Anne karn\u0131nda plesantada problemler olmas\u0131,<\/li>\n
  5. Anne karn\u0131na darbe al\u0131nmas\u0131,<\/strong><\/li>\n
  6. Annede rahim a\u011fz\u0131nda diki\u015f olmas\u0131 (rahim kanseri ameliyat\u0131 sebepli),<\/li>\n
  7. Annenin sigara i\u00e7mesi veya alkol kullanmas\u0131,<\/strong><\/li>\n
  8. Annede rahim problemleri olmas\u0131,<\/li>\n
  9. Bebekte geli\u015fim bozuklu\u011fu olmas\u0131 (plesantal anormallikler),<\/strong><\/li>\n
  10. Rahmin \u00e7oklu gebelik sonucu a\u015f\u0131r\u0131 gerilmesi,<\/li>\n
  11. Amniosentez yap\u0131lmas\u0131,                        <\/strong><\/li>\n
  12. Anne karn\u0131nda amniosentez zar yap\u0131s\u0131ndaki problemler olmas\u0131,<\/li>\n
  13. Annede rahim a\u011fz\u0131 ve vajinada enfeksiyon bulunmas\u0131,<\/strong><\/li>\n
  14. Bebekte yap\u0131sal problemler olmas\u0131,<\/li>\n
  15. Annede \u00f6nceki gebelikte de zar\u0131n erken y\u0131rt\u0131lmas\u0131,<\/strong><\/li>\n
  16. Annede \u00fcriner veya genital problemler olmas\u0131 erken memran r\u00fcpt\u00fcr\u00fcne sebep olabilir.<\/li>\n<\/ol>\n

    Erken Membran R\u00fcpt\u00fcr\u00fc Belirtileri Nelerdir?<\/strong><\/u><\/span><\/span><\/p>\n

    Erken membran r\u00fcpt\u00fcr\u00fc belirtileri ki\u015fiden ki\u015fiye de\u011fi\u015fse de genel belirtiler \u015funlard\u0131r:<\/strong><\/p>\n

    Vajinada ani s\u0131v\u0131 ak\u0131\u015f\u0131: Gebeli\u011fin herhangi bir zaman\u0131nda hen\u00fcz do\u011fum ba\u015flamam\u0131\u015fken kas\u0131lmalar ya\u015fanmas\u0131 sonucu vajinal ak\u0131nt\u0131ya benzer s\u0131v\u0131 gelmesi erken membran r\u00fcpt\u00fcr\u00fcn\u00fcn bir belirtisi olabilir. Bu s\u0131v\u0131 \u00e7ok az veyahut \u00e7ok yo\u011fun olabilir. S\u0131v\u0131n\u0131n rengi sar\u0131 olsa da i\u00e7inde beyaz vernix caseosa (anne karn\u0131nda bebe\u011fin v\u00fccudunu kaplayan krem k\u0131vam\u0131ndaki koruyucu madde) par\u00e7alar\u0131 i\u00e7erebilir. S\u0131v\u0131 sonras\u0131 kas\u0131lmalar ya\u015fanmas\u0131 do\u011fumun ba\u015flad\u0131\u011f\u0131n\u0131n belirtisidir. O y\u00fczden b\u00f6yle bir durumda hemen doktora gidilmelidir.<\/p>\n

    Erken Membran R\u00fcpt\u00fcr\u00fc Nas\u0131l Te\u015fhis Edilir?<\/strong><\/u><\/span><\/span><\/p>\n

    Anne aday\u0131 ani s\u0131v\u0131 bo\u015falmas\u0131 sonucunda doktora ba\u015fvurmas\u0131 ile doktorun yapaca\u011f\u0131 vajinal spekulum muayenesi ile kolayca te\u015fhis konulabilmektedir. Bu muayenede gelen bu s\u0131v\u0131 \u00f6rne\u011fi al\u0131n\u0131p incelenir. Bu inceleme sonucu e\u011fer pH ka\u011f\u0131d\u0131 s\u0131v\u0131n\u0131n alkali oldu\u011funu g\u00f6sterirse Erken Membran R\u00fcpt\u00fcr\u00fc  (EMR) te\u015fhisi konur.<\/p>\n

    Yap\u0131labilecek di\u011fer testler \u015funlard\u0131r:<\/strong><\/p>\n

      \n
    1. Vajinal s\u0131v\u0131da fetal fibronektin veya AFP de\u011ferine bak\u0131lmas\u0131,<\/li>\n
    2. Ultrason ile bebe\u011fi saran s\u0131v\u0131n\u0131n incelenmesi,<\/strong><\/li>\n
    3. Rahim a\u011fz\u0131ndan su gelip gelmedi\u011fine bak\u0131lmas\u0131,<\/li>\n
    4. Ferning ve nitrazin tesi yap\u0131lmas\u0131(Gelen s\u0131v\u0131n\u0131n bebe\u011fe ait olup olmad\u0131\u011f\u0131n\u0131 g\u00f6sterir)<\/strong><\/li>\n<\/ol>\n

      Erken Membran R\u00fcpt\u00fcr\u00fc Nas\u0131l Tedavi Edilir?<\/strong><\/u><\/span><\/span><\/p>\n

      Gebeli\u011fin son d\u00f6nemlerinde yani do\u011fuma yak\u0131n olan zamanda meydana gelen erken memran r\u00fcpt\u00fcr\u00fc 24 saat i\u00e7inde do\u011fumun ba\u015flayaca\u011f\u0131n\u0131n bir g\u00f6stergesidir.<\/strong> Ancak bu d\u00f6nemden \u00f6nce yani gebeli\u011fin 34.hafta \u00f6ncesinde meydana gelen y\u0131rt\u0131lma durumunda bebe\u011fin akci\u011fer geli\u015fiminin h\u0131zlanmas\u0131 i\u00e7in tedavi uygulanmal\u0131d\u0131r. Bu durumda bebe\u011fin geli\u015fiminin tamamlanmas\u0131 beklenmesi gereklidir. Fakat e\u011fer bebek 34 haftadan b\u00fcy\u00fckse akci\u011ferleri yeterli oranda geli\u015fmi\u015f oldu\u011fundan do\u011fum yap\u0131labilir. Herhangi bir sak\u0131nca yoktur. Bu durumda suyun gelmesinden 24 saat sonra annede normal do\u011fum sanc\u0131s\u0131 hala ba\u015flamam\u0131\u015fsa doktor antibiyotik tedavisine ba\u015flar ve do\u011fum suni sanc\u0131 verilererek ba\u015flat\u0131l\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Gebelik d\u00f6neminde bebe\u011fin d\u0131\u015f etkenlerden korunmas\u0131,daha rahat hareket etmesi,v\u00fccut \u0131s\u0131s\u0131n\u0131n sabit kalmas\u0131 ve solunum sisteminin geli\u015fimi i\u00e7in rahim i\u00e7inde\u00a0amniyon s\u0131v\u0131s\u0131 meydana gelir. Bu s\u0131v\u0131 amniyon kese i\u00e7inde bulunur. Gebelik d\u00f6neminde bebe\u011fin d\u0131\u015f etkenlerden korunmas\u0131,daha rahat hareket etmesi,v\u00fccut \u0131s\u0131s\u0131n\u0131n sabit kalmas\u0131 ve solunum sisteminin geli\u015fimi i\u00e7in rahim i\u00e7inde amniyon s\u0131v\u0131s\u0131 meydana gelir. Bu s\u0131v\u0131 amniyon kese i\u00e7inde […]<\/p>\n","protected":false},"author":30,"featured_media":44380,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[34904,34218,34905,34907,34906],"class_list":["post-44381","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-emr","tag-erken-dogum","tag-erken-membran-rupturu","tag-gebelikte-enfeksiyon","tag-suyun-gelmesi"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44381"}],"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=44381"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44381\/revisions"}],"predecessor-version":[{"id":44382,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44381\/revisions\/44382"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/44380"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=44381"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=44381"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=44381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}