{"id":49268,"date":"2022-06-25T16:00:43","date_gmt":"2022-06-25T13:00:43","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=49268"},"modified":"2024-09-16T12:43:00","modified_gmt":"2024-09-16T09:43:00","slug":"hamilelik-kolestazinin-11-farkli-belirtisi-nedenleri-ve-tedavisi","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/hamilelik-kolestazinin-11-farkli-belirtisi-nedenleri-ve-tedavisi\/","title":{"rendered":"Hamilelik kolestaz\u0131n\u0131n 11 farkl\u0131 belirtisi, nedenleri ve tedavisi"},"content":{"rendered":"

Kolestaz, hamilelik s\u0131ras\u0131nda yayg\u0131n g\u00f6r\u00fclen bir karaci\u011fer hastal\u0131\u011f\u0131d\u0131r. 1000 hamile kad\u0131ndan yakla\u015f\u0131k 1\u2019inde meydana gelir. Hamilelik kolestaz\u0131n\u0131n en yayg\u0131n belirtisi \u015fiddetli t\u00fcm v\u00fccutta \u00f6zellikle avu\u00e7 i\u00e7lerinde ve ayak tabanlar\u0131nda \u015fiddetli ka\u015f\u0131nt\u0131d\u0131r. Hamilelik kolestaz\u0131 tedavisinde ursodeoksikolik asit (UDCA) i\u00e7eren ila\u00e7lar ve kortikosteroidler kullan\u0131labilir.<\/p>\n

Kolestaz, hormonlar\u0131n zirvede oldu\u011fu gebeli\u011fin son \u00fc\u00e7 ay\u0131nda daha s\u0131k g\u00f6r\u00fcl\u00fcr, fakat genellikle do\u011fumdan sonraki birka\u00e7 g\u00fcn i\u00e7inde kendili\u011finden ge\u00e7er. Hamilelik s\u0131ras\u0131nda kolestaz riskini ve di\u011fer sorunlar\u0131 \u00f6nlemek i\u00e7in bol miktarda taze meyve ve sebze i\u00e7eren sa\u011fl\u0131kl\u0131, dengeli bir beslenme program\u0131 uygulamak \u00f6nemlidir.<\/p>\n

HAM\u0130LEL\u0130K KOLESTAZI BEL\u0130RT\u0130LER\u0130 NELERD\u0130R?<\/strong><\/h3>\n

Hamilelik kolestaz\u0131n\u0131n ana semptomu \u015fiddetli ka\u015f\u0131nt\u0131d\u0131r. Bu ka\u015f\u0131nt\u0131 el ve ayaklarda ba\u015flar ve v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131l\u0131r. Ka\u015f\u0131nt\u0131 genellikle geceleri daha da \u015fiddetlenir. Hamilelik kolestaz\u0131n\u0131n di\u011fer belirtileri \u015f\u00f6yledir:<\/p>\n

    \n
  1. T\u00fcm v\u00fccutta (\u00f6zellikle avu\u00e7 i\u00e7leri ve ayak tabanlar\u0131nda) ka\u015f\u0131nt\u0131<\/li>\n
  2. Mide bulant\u0131s\u0131<\/strong><\/li>\n
  3. Kar\u0131n a\u011fr\u0131s\u0131<\/li>\n
  4. Halsizlik<\/strong><\/li>\n
  5. \u0130\u015ftahs\u0131zl\u0131k<\/li>\n
  6. Koyu renk idrar<\/strong><\/li>\n
  7. Depresyon<\/a><\/li>\n
  8. Kar\u0131n \u015fi\u015fkinli\u011fi<\/strong><\/li>\n
  9. A\u00e7\u0131k renkli d\u0131\u015fk\u0131<\/li>\n
  10. Karn\u0131n sa\u011f \u00fcst b\u00f6lgesinde a\u011fr\u0131<\/strong><\/li>\n
  11. Sar\u0131l\u0131k (cildin ve g\u00f6zlerin sararmas\u0131)<\/li>\n<\/ol>\n

    \"\"<\/p>\n

    HAM\u0130LEL\u0130K KOLESTAZI NEDEN OLUR?<\/strong><\/h3>\n

    Safra, karaci\u011fer<\/a> taraf\u0131ndan \u00fcretilen bir maddedir. Sindirim s\u0131ras\u0131nda yiyeceklerin \u00f6zellikle ya\u011flar\u0131n par\u00e7alanmas\u0131na yard\u0131mc\u0131 olur. Hamilelikte \u00f6strojen hormonlar\u0131ndaki art\u0131\u015f, karaci\u011fer fonksiyonunu olumsuz etkileyerek safra ak\u0131\u015f\u0131n\u0131 yava\u015flat\u0131r veya durdurur. Bu yava\u015flama, safran\u0131n karaci\u011ferde birikmesine ve kan dola\u015f\u0131m\u0131na girmesine neden olabilir. Bunun sonucunda hamilelik kolestaz\u0131 sorunu ortaya \u00e7\u0131kar.<\/p>\n

    Hamilelikte kolestaz\u0131n muhtemel nedenleri \u015funlard\u0131r:<\/strong><\/h3>\n

    Hormonal de\u011fi\u015fiklikler:<\/strong> Hamilelik s\u0131ras\u0131nda (\u00f6zellikle \u00fc\u00e7\u00fcnc\u00fc trimesterde) \u00f6strojen art\u0131\u015f\u0131, safradaki kolesterol seviyelerini art\u0131rabilir ve safra kesesi kas\u0131lmalar\u0131n\u0131 azaltabilir.<\/p>\n

    Gestasyonel diyabet: <\/strong>Gestasyonel diyabet yani hamilelik diyabeti de kolestaz riskini art\u0131r\u0131r.<\/p>\n

    Genetik yatk\u0131nl\u0131k: <\/strong>Anne, anneanne gibi \u00fcst ku\u015faklar\u0131n\u0131z hamilelik d\u00f6neminde kolestaz sorunu ya\u015fad\u0131ysa sizde de bu durum g\u00f6r\u00fclebilir<\/p>\n

    Safra ta\u015flar\u0131:<\/strong> Safra kesesinde ta\u015f olmas\u0131 da kolestaz riskini art\u0131r\u0131r. (hamile kad\u0131nlar ayr\u0131ca artan \u00f6strojen seviyeleri nedeniyle safra ta\u015f\u0131 riski alt\u0131ndad\u0131r).<\/p>\n

    Daha \u00f6nceki hamilelikte kolestaz ge\u00e7irdiyseniz, daha sonraki hamileliklerde de kolestaz ge\u00e7irme riskiniz daha y\u00fcksektir.<\/p>\n

    \"\"<\/p>\n

    GEBEL\u0130K KOLESTAZI NASIL TE\u015eH\u0130S ED\u0130L\u0130R?<\/strong><\/h3>\n

    Gebelik kolestaz\u0131 te\u015fhisinde doktor a\u015fa\u011f\u0131daki testleri yapt\u0131rman\u0131z\u0131 isteyebilir:<\/p>\n

      \n
    1. Hepatit testleri<\/li>\n
    2. Karaci\u011fer fonksiyon testi<\/strong><\/li>\n
    3. Safra kesesi<\/a> ultrasonu<\/li>\n
    4. Kanda safra asidi testi<\/strong><\/li>\n<\/ol>\n

      \"\"<\/p>\n

      GEBEL\u0130K KOLESTAZI NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/strong><\/h3>\n

      Hamilelik<\/a> kolestaz\u0131nda ana tedavi ka\u015f\u0131nt\u0131y\u0131 gidermek ve bebekte olu\u015fabilecek komplikasyonlar\u0131 \u00f6nlemek olmal\u0131d\u0131r. Doktor; hamile kad\u0131n\u0131n karaci\u011ferlerinin iyi \u00e7al\u0131\u015fmas\u0131na yard\u0131mc\u0131 olmak, safra ak\u0131\u015f\u0131n\u0131 iyile\u015ftirmek ve kandaki safra asidi oran\u0131n\u0131 azaltmak i\u00e7in ursodeoksikolik asit (UDCA) i\u00e7eren ila\u00e7lar re\u00e7ete edecektir. Bu ila\u00e7 hem ka\u015f\u0131nt\u0131y\u0131 giderir hem de bebe\u011fin de zarar g\u00f6rme riskini azalt\u0131r. Kortikosteroidler de tedavide kullan\u0131labilir.<\/p>\n

      Kalamin losyon ve antihistaminik ila\u00e7lar da tedavide yer alabilir.<\/p>\n

      Annede kolestaz durumunda do\u011fan bebek genellikle (gebeli\u011fin 37. haftas\u0131) annenin karn\u0131ndan erken al\u0131narak, erken do\u011fum ger\u00e7ekle\u015ftirilebilir.<\/p>\n

      Ayr\u0131ca \u015funu da bildirelim ki hamilelik kolestaz\u0131, bebek do\u011far do\u011fmaz ge\u00e7meye ba\u015flar. Do\u011fumdan sonra safra seviyeleri normale d\u00f6ner.<\/p>\n

      \"\"<\/p>\n

      HAM\u0130LEL\u0130K KOLESTAZI KOMPL\u0130KASYONLARI NELERD\u0130R?<\/strong><\/h3>\n

      Hamilelik kolestaz\u0131 tedavi edilmezse, tehlikeli olabilir ve \u015fu sorunlara sebep olabilir:<\/p>\n

      Erken do\u011fum: <\/strong>Bebe\u011fin organlar\u0131 tam olarak geli\u015fmeden d\u00fcnyaya gelmesi<\/p>\n

      \u00d6l\u00fc do\u011fum:<\/strong> Do\u011fumdan \u00f6nce bebe\u011fin \u00f6lmesi<\/p>\n

      Fetal s\u0131k\u0131nt\u0131: <\/strong>Anne karn\u0131ndaki bebekte anormal kalp h\u0131z\u0131 veya azalm\u0131\u015f hareket.<\/p>\n

      Solunum sorunlar\u0131. <\/strong>Bebe\u011finiz yenido\u011fdu\u011funda solunum problemleri ya\u015fayabilir.<\/p>\n

      Doktorunuz bu komplikasyon risklerini \u00f6nlemek i\u00e7in bebe\u011finizi erken do\u011furabilir.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Kolestaz, hamilelik s\u0131ras\u0131nda yayg\u0131n g\u00f6r\u00fclen bir karaci\u011fer hastal\u0131\u011f\u0131d\u0131r. 1000 hamile kad\u0131ndan yakla\u015f\u0131k 1\u2019inde meydana gelir. Hamilelik kolestaz\u0131n\u0131n en yayg\u0131n belirtisi \u015fiddetli t\u00fcm v\u00fccutta \u00f6zellikle avu\u00e7 i\u00e7lerinde ve ayak tabanlar\u0131nda \u015fiddetli ka\u015f\u0131nt\u0131d\u0131r. Hamilelik kolestaz\u0131 tedavisinde ursodeoksikolik asit (UDCA) i\u00e7eren ila\u00e7lar ve kortikosteroidler kullan\u0131labilir. Kolestaz, hormonlar\u0131n zirvede oldu\u011fu gebeli\u011fin son \u00fc\u00e7 ay\u0131nda daha s\u0131k g\u00f6r\u00fcl\u00fcr, fakat genellikle […]<\/p>\n","protected":false},"author":30,"featured_media":49267,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[39194,34197,39193,22327,39195],"class_list":["post-49268","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-gebelik-kasintisi","tag-gebelik-komplikasyonlari","tag-hamilelik-kolestazi","tag-karaciger-sagligi","tag-safra-asidi"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/49268"}],"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=49268"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/49268\/revisions"}],"predecessor-version":[{"id":49269,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/49268\/revisions\/49269"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/49267"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=49268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=49268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=49268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}