{"id":47796,"date":"2021-12-17T01:34:45","date_gmt":"2021-12-16T22:34:45","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=47796"},"modified":"2024-09-16T12:10:22","modified_gmt":"2024-09-16T09:10:22","slug":"gebelikte-ultrason-kagidinda-bpd-biparietal-cap-ne-anlama-gelir","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/gebelikte-ultrason-kagidinda-bpd-biparietal-cap-ne-anlama-gelir\/","title":{"rendered":"Gebelikte ultrason ka\u011f\u0131d\u0131nda BPD (biparietal \u00e7ap) ne anlama gelir?"},"content":{"rendered":"

BPD (biparietal \u00e7ap), anne karn\u0131ndaki bebe\u011fin ba\u015f\u0131n\u0131n enlemesine \u00e7ap\u0131 demektir ve ultrason ile tespit edilir. Bebe\u011fin kafatas\u0131nda her iki k\u0131s\u0131mda yer alan paryetal kemiklerin aras\u0131nda bulunan mesafeye BPD ad\u0131 verilmektedir. Anne karn\u0131nda bebe\u011fin kafatas\u0131 13.hafta itibariyle ultrasonla tespit edilebilmektedir. 13 haftal\u0131k bebekte mesafe 2.4 cm iken do\u011fuma yak\u0131n zamanda bu \u00f6l\u00e7\u00fc 9.5 cm’e kadar ula\u015fmaktad\u0131r.<\/p>\n

Bebe\u011fin anne karn\u0131ndaki geli\u015fimini izlemek i\u00e7in ultrason cihaz\u0131 kullan\u0131l\u0131r. Bu cihaz sayesinde hamilelik boyunca \u00e7e\u015fitli \u00f6l\u00e7\u00fcmler yap\u0131lmas\u0131 m\u00fcmk\u00fcn. Ultrason ile \u00f6l\u00e7\u00fcm\u00fc yap\u0131labilen \u00f6l\u00e7\u00fclebilen \u015feylerde biri de biparietal \u00e7apt\u0131r (BPD). Bu de\u011fer anne karn\u0131nda b\u00fcy\u00fcmekte olan bebe\u011fin kafatas\u0131n\u0131n bir parietal kemikten di\u011fer parietal kemi\u011fe olan uzunlu\u011fu yani kafatas\u0131n\u0131n \u00e7ap\u0131n\u0131n \u00f6l\u00e7\u00fcm\u00fcn\u00fc ifade eder. Bu de\u011fer fetal a\u011f\u0131rl\u0131\u011f\u0131 ve gebelik s\u00fcresinin tahmini i\u00e7in kullan\u0131lmaktad\u0131r.<\/p>\n

BPD (B\u0130PAR\u0130YETAL \u00c7AP) NE DEMEKT\u0130R?<\/strong><\/h3>\n

BPD (Bipariyetal \u00e7ap, biparietal diameter); anne karn\u0131ndaki bebe\u011fin ba\u015f\u0131n\u0131n her iki yan\u0131ndaki parietal kemiklerin aras\u0131ndaki mesafenin \u00f6l\u00e7\u00fcm\u00fcn\u00fc ifade etmektedir. Bu \u00f6l\u00e7\u00fcm gebelik ya\u015f\u0131n\u0131 hesaplamas\u0131nda ilk olarak kullan\u0131lan parametrelerden biri. <\/strong>Bebe\u011fin BPD de\u011feri gebeli\u011fin 13 haftas\u0131nda ortalama 2.4 cm iken gebeli\u011fin son zamanlar\u0131nda 9.5 cm’ye kadar ula\u015fmaktad\u0131r. Gebelik ya\u015f\u0131n\u0131n hesaplanmas\u0131nda 12 ila 28 haftalar\u0131 aras\u0131nda yap\u0131lacak BPD \u00f6l\u00e7\u00fcm de\u011ferleri en do\u011fru sonu\u00e7lar\u0131 verecektir. Fakat \u00e7oklu gebeliklerde bebekler ayn\u0131 kiloda olsalar bile kafa yap\u0131lar\u0131 birbirinden farkl\u0131 olabildi\u011fi i\u00e7in BPD \u00f6l\u00e7\u00fcm g\u00fcvenilirli\u011fi azalmaktad\u0131r.<\/p>\n

BPD de\u011ferinin do\u011fru ve g\u00fcvenli \u00e7\u0131kabilmesi i\u00e7in do\u011fru kesitte yap\u0131lmas\u0131 \u00f6nem te\u015fkil eder. \u015eunu bilmek gerekir ki; makat geli\u015f gibi durumlar ba\u015fta olmak \u00fczere bebe\u011fin kafas\u0131nda yandan bas\u0131kl\u0131k olabilir. Bu durum bebe\u011fin sa\u011fl\u0131\u011f\u0131n\u0131nda herhangi olumsuzluk olu\u015fturmaz fakat BPD \u00f6l\u00e7\u00fcm\u00fcn\u00fc sebebiyle bebe\u011fin geli\u015fimi ve gebelik ya\u015f\u0131 ile ilgili uyumu hakk\u0131nda yanl\u0131\u015f bilgiler edinilebilir. Dolay\u0131s\u0131yla bu tarz durumlarda BPD testi tek ba\u015f\u0131na yeterli olmayacak bunun yan\u0131nda ba\u015fka kafa \u00f6l\u00e7\u00fcmleri de yap\u0131lmas\u0131 gerekecektir.<\/p>\n

\"\"<\/p>\n

BPD NORMAL ARALI\u011eIN DI\u015eINDA OLDU\u011eUNDA NE YAPILMALIDIR?<\/strong><\/h3>\n

BPD \u00f6l\u00e7\u00fcmlerinin normal aral\u0131\u011f\u0131n d\u0131\u015f\u0131nda sonu\u00e7lar vermesi durumunda doktor ek testlerin yap\u0131lmas\u0131n\u0131 gerekli g\u00f6rebilir. Bebe\u011fin BDP \u00f6l\u00e7\u00fcmleri normalden k\u00fc\u00e7\u00fck \u00e7\u0131kmas\u0131 halinde doktor bu durumu rahim i\u00e7i geli\u015fim gerili\u011fine veya bebe\u011fin ba\u015f\u0131n\u0131n normalden daha d\u00fcz oldu\u011funa yorabilir. Tam tersine BPD \u00f6l\u00e7\u00fcm de\u011feri beklenenden b\u00fcy\u00fck \u00e7\u0131kt\u0131\u011f\u0131nda bebekte gestasyonel diyabet gibi sa\u011fl\u0131k problemi oldu\u011fu d\u00fc\u015f\u00fcn\u00fclebilir. Ayr\u0131ca, BPD ortalamas\u0131n\u0131n iki standart sapma alt\u0131na d\u00fc\u015fmesi halinde doktor bebe\u011fin ba\u015f\u0131n\u0131n a\u015f\u0131r\u0131 d\u00fcz oldu\u011funa ve mikrosefali oldu\u011fundan \u015f\u00fcphelenebilir.<\/p>\n

ULTRASONDA BDP ve D\u0130\u011eER ULTRASON TER\u0130MLER\u0130 NE ANLAMA GEL\u0130R?<\/strong><\/h3>\n

Hamile anne adaylar\u0131 ultrasona gittiklerinde bebe\u011fin ultrason g\u00f6r\u00fcnt\u00fcs\u00fcnde bebeklerinin ka\u00e7 haftal\u0131k olduklar\u0131n\u0131 ve tahmini kilosu ve ba\u015fka di\u011fer bilgileri g\u00f6rebilmektedir. Ultrason \u00e7ekimi sonras\u0131nda verilen ka\u011f\u0131tta ba\u015fka bir\u00e7ok mevcut bilgi vard\u0131r fakat \u00e7o\u011fu yabanc\u0131 terim oldu\u011fu i\u00e7in anne adaylar\u0131 bilgileri anlamakta zorluk \u00e7ekmektedir.<\/p>\n

Rutin ultrason g\u00f6r\u00fcnt\u00fclenmelerinde doktor bebe\u011fin genel durumu, kalp at\u0131\u015flar\u0131, duru\u015f pozisyonu, amniyon s\u0131v\u0131s\u0131n\u0131n miktar\u0131 ve plasentan\u0131n durumunu de\u011ferlendirmektedir. Bu bilgilere ek olarak ultrason ile bebe\u011fin kafa \u00f6l\u00e7\u00fcmleri de yap\u0131labilir. Bu \u00f6l\u00e7\u00fcmler sayesinde bebe\u011fin geli\u015fiminin normal s\u0131n\u0131rlar i\u00e7inde olup olmad\u0131\u011f\u0131 ve genel anlam\u0131yla v\u00fccutta herhangi bir organ anomalisi mevcut olup olmad\u0131\u011f\u0131 anla\u015f\u0131lmaktad\u0131r.<\/strong><\/p>\n

\"\"<\/p>\n

BPD;<\/strong> bebe\u011finin ba\u015f\u0131n\u0131n kulaklar \u00fczerinden \u00f6l\u00e7\u00fclen \u00e7ap\u0131<\/p>\n

Occipitofrontal \u00e7ap (OFD):<\/strong> BPD \u00f6l\u00e7\u00fclen kesitte bebe\u011fin kafas\u0131n\u0131n \u00f6n arka uzunlu\u011fudur. BPD ile gebelik ya\u015f\u0131 aras\u0131nda uyumsuzluk olan hallerde OFD \u00f6l\u00e7\u00fclmesi daha do\u011fru sonu\u00e7 verir.<\/p>\n

Sefalik indeks (CI):<\/strong> BPD\u2019nin OFD\u2019ye olan oran\u0131d\u0131r. Normal de\u011fer aral\u0131\u011f\u0131 0.75-0.85\u2019dir. Kafan\u0131n her iki yandan bas\u0131k olmas\u0131 durumunda CI en do\u011fru bilgiyi verir.<\/p>\n

LMP;<\/strong> annenin son adet tarihi<\/p>\n

AC;<\/strong> bebe\u011fin kar\u0131n \u00e7evresi<\/p>\n

HC;<\/strong> bebe\u011fin kafa \u00e7evresi<\/p>\n

HL;<\/strong> kolun uzun kemi\u011fi<\/p>\n

FL;<\/strong> uyruk kemi\u011fi uzunlu\u011fu (bu \u00f6l\u00e7\u00fcmde \u00e7\u0131kan say\u0131y\u0131 7 ile \u00e7arp\u0131nca bebe\u011fimizin boy uzunlu\u011funu buluruz)<\/p>\n

\"\"<\/p>\n

CRL;<\/strong> bebe\u011fin ba\u015f popo mesafesi<\/p>\n

AD;<\/strong> kar\u0131n \u00e7ap\u0131<\/p>\n

EDD;<\/strong> beklenen do\u011fum tarihi<\/p>\n

NT;<\/strong> bebe\u011fin ense kal\u0131nl\u0131\u011f\u0131<\/p>\n

EFW;<\/strong> tahmini bebek a\u011f\u0131rl\u0131\u011f\u0131<\/p>\n

AFI;<\/strong> amniyotik  s\u0131v\u0131 indeksi<\/p>\n

LA;<\/strong> kalpte sol kulak\u00e7\u0131k<\/p>\n

RA;<\/strong> kalpte sa\u011f kulak\u00e7\u0131k,<\/p>\n

RV;<\/strong> kalpte sol kar\u0131nc\u0131k<\/p>\n

LV;<\/strong> kalpte sa\u011f kar\u0131nc\u0131k<\/p>\n

W;<\/strong> bebe\u011fin ka\u00e7 haftal\u0131k oldu\u011fu<\/p>\n

AO;<\/strong> bebe\u011fin kalbinde \u00e7\u0131kan ana atar damar<\/p>\n","protected":false},"excerpt":{"rendered":"

BPD (biparietal \u00e7ap), anne karn\u0131ndaki bebe\u011fin ba\u015f\u0131n\u0131n enlemesine \u00e7ap\u0131 demektir ve ultrason ile tespit edilir. Bebe\u011fin kafatas\u0131nda her iki k\u0131s\u0131mda yer alan paryetal kemiklerin aras\u0131nda bulunan mesafeye BPD ad\u0131 verilmektedir. Anne karn\u0131nda bebe\u011fin kafatas\u0131 13.hafta itibariyle ultrasonla tespit edilebilmektedir. 13 haftal\u0131k bebekte mesafe 2.4 cm iken do\u011fuma yak\u0131n zamanda bu \u00f6l\u00e7\u00fc 9.5 cm’e kadar ula\u015fmaktad\u0131r. […]<\/p>\n","protected":false},"author":30,"featured_media":47795,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[21561,38093,34955,38094,36462],"class_list":["post-47796","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-bebek-gelisimi","tag-bpd","tag-gebelik-ultrasonu","tag-hamilelik-olcumleri","tag-ultrason-terimleri"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/47796"}],"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=47796"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/47796\/revisions"}],"predecessor-version":[{"id":47797,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/47796\/revisions\/47797"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/47795"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=47796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=47796"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=47796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}