{"id":44681,"date":"2019-04-03T01:23:49","date_gmt":"2019-04-02T22:23:49","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=44681"},"modified":"2024-09-16T11:10:39","modified_gmt":"2024-09-16T08:10:39","slug":"bebeklerde-ense-kalinligi-sinir-degerleri-ense-kalinligi-hakkindaki-tum-sorular","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/bebeklerde-ense-kalinligi-sinir-degerleri-ense-kalinligi-hakkindaki-tum-sorular\/","title":{"rendered":"Bebeklerde Ense Kal\u0131nl\u0131\u011f\u0131 S\u0131n\u0131r De\u011ferleri Ense Kal\u0131nl\u0131\u011f\u0131 Hakk\u0131ndaki T\u00fcm Sorular"},"content":{"rendered":"

Bebeklerde ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc gebeli\u011fin 11 – 14. haftalar\u0131nda yap\u0131lmaktad\u0131r. \u00d6ncelikle bebe\u011fin ba\u015f-popo mesafesi \u00f6l\u00e7\u00fcl\u00fcr. Sonras\u0131nda ba\u015f- pop mesafesi 45 – 84 mm aras\u0131nda olan bebe\u011fin ense arkas\u0131ndan al\u0131nan s\u0131v\u0131 birikimi \u00f6l\u00e7\u00fcm\u00fc sayesinde bebe\u011fin<\/p>\n

Bebeklerde ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc gebeli\u011fin 11 – 14. haftalar\u0131nda yap\u0131lmaktad\u0131r. \u00d6ncelikle bebe\u011fin ba\u015f-popo mesafesi \u00f6l\u00e7\u00fcl\u00fcr. Sonras\u0131nda ba\u015f- pop mesafesi 45 – 84 mm aras\u0131nda olan bebe\u011fin ense arkas\u0131ndan al\u0131nan s\u0131v\u0131 birikimi \u00f6l\u00e7\u00fcm\u00fc sayesinde bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fclm\u00fc\u015f olur. Bebeklerde ense kal\u0131nl\u0131\u011f\u0131 problemi daha \u00e7ok down sendromlu bebekler (%75\u2019inde) g\u00f6r\u00fclen bir sorundur.<\/strong><\/p>\n

Gebelik d\u00f6nemi i\u00e7erisinde bebe\u011fin ve annenin sa\u011fl\u0131k durumu i\u00e7in yap\u0131lmas\u0131 gerekli olan bir\u00e7ok \u00f6l\u00e7\u00fcm ve test vard\u0131r. Bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131n\u0131n \u00f6l\u00e7\u00fclmesi bebekte down sendromu te\u015fhisi i\u00e7in b\u00fcy\u00fck bir ipucu olmaktad\u0131r. Bu sebeple gebelik d\u00f6neminde anne aday\u0131 t\u00fcm testlerini yapt\u0131rmaya \u00f6zen g\u00f6stermelidir.<\/p>\n

Down sendromu; kromozom fazlal\u0131\u011f\u0131 sebepli olu\u015fan yayg\u0131n bir hastal\u0131kt\u0131r. Bu hastal\u0131k bebek do\u011fmadan anne karn\u0131ndaki d\u00f6nemde yap\u0131lacak baz\u0131 test ve \u00f6l\u00e7\u00fcmler sayesinde anla\u015f\u0131labilmektedir. Bu testlerden en \u00f6nemlisi ise bebek ense kal\u0131nl\u0131k \u00f6l\u00e7\u00fcm\u00fcd\u00fcr.<\/strong><\/p>\n

Bebeklerde Ense Kal\u0131nl\u0131\u011f\u0131 Nedir?<\/strong><\/u><\/span><\/span><\/p>\n

Bebeklerdeki ense kal\u0131nl\u0131\u011f\u0131 bebe\u011fin boyun arka k\u0131sm\u0131ndaki derideki s\u0131v\u0131n\u0131n miktar\u0131 ile \u00f6l\u00e7\u00fclmektedir. Bu \u00f6l\u00e7\u00fcm gebeli\u011fin 11 ile 14. haftalar\u0131nda yap\u0131lmaktad\u0131r. Sa\u011fl\u0131kl\u0131 bir bebekte olmas\u0131 gereken ense kal\u0131nl\u0131\u011f\u0131 1.8 mm -3 mm\u2019dir.<\/strong> Her bebe\u011fin ensesinde bulunan s\u0131v\u0131, down sendromu durumunda normalden y\u00fcksektir.<\/p>\n

Gebelikte 11. hafta \u00f6ncesinde bebe\u011fin hen\u00fcz daha \u00e7ok k\u00fc\u00e7\u00fck olmas\u0131 sebebiyle ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fclememektedir.  13.hafta sonras\u0131nda ise bebe\u011fin ense s\u0131v\u0131s\u0131nda meydana gelen de\u011fi\u015fimle yanl\u0131\u015f sonu\u00e7lar vermektedir.Bu sebeple 11. hafta ila 13.hafta aras\u0131nda \u00f6l\u00e7\u00fcm\u00fc en do\u011fru sonucu vermektedir.<\/p>\n

Ense kal\u0131nl\u0131\u011f\u0131 testinde sonucun 3 mm\u2019den az olmas\u0131 normal kabul edilmektedir ve down sendrom riski bu de\u011ferden d\u00fc\u015f\u00fck \u00e7\u0131kan bebeklerde az olmaktad\u0131r. <\/strong>Ancak 3 mm\u2019den y\u00fcksek \u00e7\u0131kan her bebekte down sendromu g\u00f6r\u00fcl\u00fcyor demek yanl\u0131\u015ft\u0131r. Ense kal\u0131nl\u0131\u011f\u0131 down sendromu d\u0131\u015f\u0131nda da g\u00f6r\u00fclebilir.  Ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc 2.5 mm ve 3.5 mm aras\u0131nda olan her 10 bebe\u011fin 9\u2019u tamamen sa\u011fl\u0131kl\u0131 olmaktad\u0131r.<\/p>\n

Bebeklerde ense kal\u0131nl\u0131\u011f\u0131 artt\u0131k\u00e7a down sendromu gibi kromozal hastal\u0131k riski artmaktad\u0131r. Ense kal\u0131nl\u0131k \u00f6l\u00e7\u00fcm\u00fc 6 mm olan bir bebekte down sendromu riski \u00e7ok y\u00fcksektir.<\/strong><\/p>\n

Down sendromlu bebeklerin %77\u2019inde ense kal\u0131nl\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. En do\u011fru te\u015fhis i\u00e7in ense kal\u0131nl\u0131\u011f\u0131 testi kan testi ile birlikte yap\u0131l\u0131r. Bunun i\u00e7in kan testinde bebe\u011fin hormonsuz beta-hCG ve PAPP-A protein de\u011ferleri de \u00f6l\u00e7\u00fclmektedir. Down sendromlu bebeklerde hCG de\u011feri y\u00fcksek ve PAPP-A  de\u011fer ise d\u00fc\u015f\u00fck \u00e7\u0131kma e\u011filimindedir.<\/p>\n

Ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc ve kan testi d\u0131\u015f\u0131nda bebekte kesin olarak down sendromu kontrol\u00fc amniyosentez gibi bir tan\u0131 testi ile m\u00fcmk\u00fcn olmaktad\u0131r. Fakat bu testler yapt\u0131r\u0131l\u0131rken az da olsa bebe\u011fin d\u00fc\u015fme riski vard\u0131r. Bu sebeple kan testi ile yap\u0131lan daha kapsaml\u0131 testler yap\u0131lmas\u0131 daha uygundur. Bu testlerin fiyat\u0131 y\u00fcksektir.<\/strong><\/p>\n

Bebeklerde Ense Kal\u0131nl\u0131\u011f\u0131 Ka\u00e7 Olmal\u0131d\u0131r?<\/strong><\/u><\/span><\/span><\/p>\n

Bebeklerde ba\u015f popo mesafesi b\u00fcy\u00fcd\u00fck\u00e7e ense kal\u0131nl\u0131\u011f\u0131n\u0131n da artmas\u0131 gerekir. Bebek anne karn\u0131nda 11 haftal\u0131k iken yap\u0131lan \u00f6l\u00e7\u00fcmde ense kal\u0131nl\u0131\u011f\u0131 1.2 mm olmal\u0131, 13 hafta 6. g\u00fcnde ise 1.9 mm civar\u0131nda olmas\u0131 normal kabul edilir.<\/p>\n

Bebe\u011fin Ense Kal\u0131nl\u0131\u011f\u0131 D\u00fczelir mi?<\/strong><\/u><\/span><\/span><\/p>\n

Gebelikte 11 ve 14. haftalar aras\u0131 bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131n\u0131n \u00f6l\u00e7\u00fclmesi down sendrom te\u015fhisi i\u00e7in \u00e7ok \u00f6nemlidir. Gebeli\u011fin 20.haftadan sonra bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131nda d\u00fczelme ya\u015fanabilmektedir.<\/p>\n

Bebeklerde Ense Kal\u0131nl\u0131\u011f\u0131 Y\u00fcksekli\u011fi Nedir?<\/strong><\/u><\/span><\/span><\/p>\n

Bebeklerde ense kal\u0131nl\u0131\u011f\u0131n\u0131n 3 mm\u2019den y\u00fcksek olmas\u0131 anormal kabul edilmektedir. Bu de\u011ferden y\u00fcksek \u00e7\u0131kan ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm testleri bebekte anormallik riskinin y\u00fcksek oldu\u011funu g\u00f6stermektedir.<\/p>\n

\u00d6rnek olarak ense kal\u0131nl\u0131k \u00f6l\u00e7\u00fcm\u00fc 3 mm\u2019den y\u00fcksek \u00e7\u0131kan bebekte tirizomi 13, 18 veya 21 g\u00f6r\u00fclme riski yakla\u015f\u0131k olarak %6\u2019d\u0131r. Fakat ense kal\u0131nl\u0131\u011f\u0131n\u0131n 6 mm\u2019den y\u00fcksek olmas\u0131 durumunda bu hastal\u0131klar\u0131n g\u00f6r\u00fclme riski %48\u2019e kadar y\u00fckselmektedir.<\/strong><\/p>\n

Bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fcnde kromozal anomali riski de \u00f6l\u00e7\u00fclebilmektedir. Ense kal\u0131nl\u0131\u011f\u0131 y\u00fcksek \u00e7\u0131kan bebeklerin 3\u2019te 1\u2019inde kromozal anomali g\u00f6r\u00fclme riski olmaktad\u0131r. Bu durumdaki hastal\u0131klar\u0131n %75\u2019i %75’i tirizomi 21 ve tirizomi 18 olmaktad\u0131r. Bu hastal\u0131klar ciddi olmas\u0131 sebebiyle gerekli testlerin yap\u0131lmas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>\n

Bebeklerde Ense Kal\u0131nl\u0131\u011f\u0131 Y\u00fcksekli\u011fi Neden Olur?<\/strong><\/u><\/span><\/span><\/p>\n

Bebekte ense kal\u0131nl\u0131\u011f\u0131 y\u00fcksekli\u011fi sebepleri \u015funlard\u0131r:<\/p>\n

    \n
  1. Down sendromu<\/strong><\/li>\n
  2. Turner sendromu<\/li>\n
  3. Kromozomal anomaliler<\/strong><\/li>\n
  4. Noonan sendromu gibi \u00f6zel sendromlar<\/li>\n
  5. Kalp anomalileri<\/strong><\/li>\n<\/ol>\n

    Ense kal\u0131nl\u0131\u011f\u0131 durumu genellikle down sendromunu ifade etse de bu durum ayn\u0131 zamanda anne karn\u0131nda s\u0131v\u0131 birikimi oldu\u011funu g\u00f6stermektedir. Bu da turner sendromu hastal\u0131\u011f\u0131na i\u015faret etmektedir. Ayr\u0131ca ense kal\u0131nl\u0131\u011f\u0131n\u0131n 2,5 mm\u2019den y\u00fcksek olmas\u0131 bebekte iskelet problemleri, akci\u011fer hastal\u0131klar\u0131 ve genetik enfeksiyonlara da i\u015faret edebilir. B\u00fct\u00fcn bu sebeplerden tolay\u0131 gebeli\u011fin 11 ila 14. haftalar\u0131nda ikili testlerin yap\u0131lmas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r.Test sonu\u00e7lar\u0131na g\u00f6re daha detayl\u0131 inceleme ve testlerin yap\u0131lmas\u0131 da asla ihmal edilmemelidir.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Bebeklerde ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc gebeli\u011fin 11 – 14. haftalar\u0131nda yap\u0131lmaktad\u0131r. \u00d6ncelikle bebe\u011fin ba\u015f-popo mesafesi \u00f6l\u00e7\u00fcl\u00fcr. Sonras\u0131nda ba\u015f- pop mesafesi 45 – 84 mm aras\u0131nda olan bebe\u011fin ense arkas\u0131ndan al\u0131nan s\u0131v\u0131 birikimi \u00f6l\u00e7\u00fcm\u00fc sayesinde bebe\u011fin Bebeklerde ense kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc gebeli\u011fin 11 – 14. haftalar\u0131nda yap\u0131lmaktad\u0131r. \u00d6ncelikle bebe\u011fin ba\u015f-popo mesafesi \u00f6l\u00e7\u00fcl\u00fcr. Sonras\u0131nda ba\u015f- pop mesafesi 45 – […]<\/p>\n","protected":false},"author":30,"featured_media":44680,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[5881,33979,33978,33980,33977],"class_list":["post-44681","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-bebek-sagligi","tag-down-sendromu","tag-ense-kalinligi","tag-gebelik-testleri","tag-ikili-test"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44681"}],"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=44681"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44681\/revisions"}],"predecessor-version":[{"id":44682,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44681\/revisions\/44682"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/44680"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=44681"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=44681"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=44681"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}