{"id":1441,"date":"2022-01-20T16:18:30","date_gmt":"2022-01-20T13:18:30","guid":{"rendered":"https:\/\/medova.com.tr\/en\/?p=1441"},"modified":"2022-01-21T11:10:06","modified_gmt":"2022-01-21T08:10:06","slug":"tup-bebek-tedavisinin-yan-etkileri","status":"publish","type":"post","link":"https:\/\/medova.com.tr\/en\/tup-bebek-tedavisinin-yan-etkileri\/","title":{"rendered":"T\u00fcp Bebek Tedavisinin Yan Etkileri"},"content":{"rendered":"<h3><strong>T\u00fcp Bebek Tedavisinde Kullan\u0131lan \u0130la\u00e7lardan Dolay\u0131 G\u00f6zlemlenen Yan Etkiler<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisinde kad\u0131ndan fazla say\u0131da yumurta elde edilebilmesi ad\u0131na ila\u00e7 tedavisi uygulan\u0131r. Kad\u0131nlarda yumurtan\u0131n \u00e7ok say\u0131da elde edilebilmesi y\u00f6n\u00fcnde yard\u0131mc\u0131 olan ila\u00e7 tedavisinde birtak\u0131m yan etkileri vard\u0131r. Bu yan etkiler ise \u015funlard\u0131r;<\/p>\n<ul>\n<li>Ani ruh hali de\u011fi\u015fimi<\/li>\n<li>Alerjik reaksiyonlar<\/li>\n<li>Kar\u0131n b\u00f6lgesinde hissedilen a\u011fr\u0131<\/li>\n<li>\u0130shal<\/li>\n<li>Kusma<\/li>\n<li>Mide bulant\u0131s\u0131<\/li>\n<li>Yumurta geli\u015ftirici i\u011fnelerin yap\u0131ld\u0131\u011f\u0131 b\u00f6lgelerde hafif morarma, a\u011fr\u0131 ve tahri\u015f<\/li>\n<li>\u00d6dem<\/li>\n<li>Ba\u015f a\u011fr\u0131s\u0131<\/li>\n<li>Meme hassasiyeti<\/li>\n<li>Ate\u015f basmas\u0131<\/li>\n<li>Halsizlik<\/li>\n<\/ul>\n<h3><strong>\u00c7o\u011ful Gebeli\u011fin Ger\u00e7ekle\u015fmesi Halinde Kar\u015f\u0131la\u015f\u0131labilecek Riskler<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisindeki\u00a0embriyo transferi\u00a0i\u015fleminde \u00e7ok say\u0131da embriyonun kad\u0131na transfer edilmesi halinde \u00e7o\u011ful\u00a0gebelik\u00a0ger\u00e7ekle\u015febilir. \u00dclkemizde uygulanan t\u00fcp bebek tedavilerinde \u00e7o\u011ful gebeli\u011fin ger\u00e7ekle\u015fmemesi ad\u0131na t\u00fcp bebek tedavisinde transfer edilen embriyo say\u0131s\u0131 s\u0131n\u0131rland\u0131r\u0131lm\u0131\u015ft\u0131r. Fakat yine de \u00e7o\u011ful gebelikte kar\u015f\u0131la\u015f\u0131labilecek risklerden bahsetmek gerekirse;<\/p>\n<ul>\n<li>Erken do\u011fum<\/li>\n<li>Y\u00fcksek kan bas\u0131nc\u0131<\/li>\n<li>Maternal kanama<\/li>\n<li>Gestasyonel \u015feker hastal\u0131\u011f\u0131 \u00e7o\u011ful gebeli\u011fin risklerindendir.<\/li>\n<\/ul>\n<h3><strong>Embriyo Transferi \u0130\u015fleminin De Birtak\u0131m Yan Etkileri Vard\u0131r<\/strong><\/h3>\n<p>Kad\u0131n\u0131n rahmine embriyo transfer edilmesinin ard\u0131ndan; kad\u0131nda kanama, lekelenme, hafif a\u011fr\u0131 durumuna rastlanabilir. S\u00f6z konusu yan etkilerin giderilmesi ile ilgili bir ila\u00e7 kullan\u0131m\u0131na l\u00fczum g\u00f6r\u00fclmemektedir.<\/p>\n<h3><strong>D\u00fc\u015f\u00fck Riski<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisinde kar\u015f\u0131la\u015f\u0131lan d\u00fc\u015f\u00fck olay\u0131n\u0131n ger\u00e7ekle\u015fme oran\u0131 ile do\u011fal gebelikte kar\u015f\u0131la\u015f\u0131lan d\u00fc\u015f\u00fck olay\u0131n\u0131n ger\u00e7ekle\u015fme oran\u0131 ayn\u0131d\u0131r. D\u00fc\u015f\u00fck olay\u0131n\u0131n ger\u00e7ekle\u015fme olas\u0131l\u0131\u011f\u0131 anne aday\u0131n\u0131n ya\u015f\u0131n\u0131n ilerlemesine ba\u011fl\u0131 olarak artmaktad\u0131r. S\u00f6z konusu gebe kad\u0131n 40 ya\u015f\u0131ndan ileri ise d\u00fc\u015f\u00fck riski mevcuttur.<\/p>\n<h3><strong>Ektopik Yani D\u0131\u015f Gebelik<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisinde transfer edilen embriyo \u015fayet yanl\u0131\u015f bir b\u00f6lgeye yerle\u015fir ise d\u0131\u015f gebelik ger\u00e7ekle\u015febilir. Bu durumda embriyo transferinden iki hafta sonra yap\u0131lan ultrason kontrol\u00fcnde tespit edilir. D\u0131\u015f gebeli\u011fin s\u0131kl\u0131kla kar\u015f\u0131la\u015f\u0131lan bulgusu kas\u0131k a\u011fr\u0131s\u0131 ve kanamad\u0131r. T\u00fcp bebek tedavisinde d\u0131\u015f gebeli\u011fin ger\u00e7ekle\u015fme oran\u0131 ise %1 ila %2 civar\u0131ndad\u0131r.<\/p>\n<h3><strong>Heterotopik Gebelik<\/strong><\/h3>\n<p>Heteretopik gebelik, rahim i\u00e7inde ve rahim d\u0131\u015f\u0131nda gebeli\u011fin ger\u00e7ekle\u015fmesi durumudur. Bu durum\u00a0t\u00fcp bebek tedavisi\u00a0uygulanan kad\u0131n\u0131n rahmine \u00e7ok say\u0131da embriyo transfer edildi\u011fi takdirde ger\u00e7ekle\u015fir. Erken te\u015fhis \u00e7ok m\u00fcmk\u00fcn de\u011fildir. Bu gebeli\u011fin bulgular\u0131; kar\u0131n a\u011fr\u0131s\u0131, kar\u0131n i\u00e7inde kanamad\u0131r. Heteretopik gebelikte tedavi cerrahi operasyon ile m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<h3><strong>Yumurta Toplama \u0130\u015fleminin Yan Etkileri<\/strong><\/h3>\n<p>Kad\u0131ndan d\u00f6llenme i\u015fleminin ger\u00e7ekle\u015ftirilmesi ad\u0131na t\u00fcp bebek tedavisinde yumurta toplama i\u015flemi yap\u0131l\u0131r. Bu i\u015flemde kad\u0131na anestezi uygulan\u0131r. \u0130\u015flemin birtak\u0131m riskleri s\u00f6z konusudur. Bunlar;<\/p>\n<p>\u0130\u015flem uygulan\u0131rken ve i\u015flemin ard\u0131ndan orta \u015fiddette rahats\u0131zl\u0131k meydana gelmesi<\/p>\n<p>Yumurtal\u0131klarda veya pelvik damarlarda hafif kanamalar\u0131n g\u00f6zlemlenmesi<\/p>\n<p>S\u0131kl\u0131kla kar\u015f\u0131la\u015f\u0131lmayan ancak ihtimaller aras\u0131nda olan hafif veya \u015fiddetli pelvik enfeksiyondur.<\/p>\n<h3><strong>Do\u011fumsal Bozukluk Riski<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisinde ya da do\u011fal yolla ger\u00e7ekle\u015fen her iki gebelikte de do\u011fumsal bozukluk riski ile kar\u015f\u0131la\u015fma olas\u0131l\u0131\u011f\u0131 farks\u0131zd\u0131r.\u00a0 S\u00f6z konusu do\u011fumsal bozukluk riski ile kar\u015f\u0131la\u015fma olas\u0131l\u0131\u011f\u0131 yakla\u015f\u0131k %3 ila %5 civar\u0131ndad\u0131r.<\/p>\n<h3><strong>Ovaryan Hiperstimulasyon Sendromu (OHSS)<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisindeki en s\u0131k rastlanan durumdur. Bu durum; kad\u0131na yumurtlama ad\u0131na verilen haplar ve i\u011fnelere kar\u015f\u0131 kad\u0131nda fazla miktarda yumurta ve kist olu\u015fmas\u0131d\u0131r. OHSS olay\u0131 risk fakt\u00f6rleri ise \u015funlard\u0131r;<\/p>\n<ul>\n<li>Kad\u0131n\u0131n gen\u00e7 ya\u015fta olmas\u0131,<\/li>\n<li>Kad\u0131n\u0131n zay\u0131f olmas\u0131,<\/li>\n<li>Kad\u0131n\u0131n y\u00fcksek doz gonadotropin kullanmas\u0131,<\/li>\n<li>Kad\u0131nda\u00a0polikistik over sendromu\u00a0bulunmas\u0131d\u0131r.<\/li>\n<\/ul>\n<h3><strong>Yumurta Toplama \u0130\u015fleminden 4-5 G\u00fcn Sonra Ba\u015fla Belirtiler \u0130se;<\/strong><\/h3>\n<ul>\n<li>Mide bulant\u0131s\u0131<\/li>\n<li>Kusma<\/li>\n<li>\u0130shal<\/li>\n<li>Nefes almada zorluk<\/li>\n<li>Kar\u0131n b\u00f6lgesinde \u015fi\u015flik<\/li>\n<li>Kar\u0131n b\u00f6lgesinde hassasiyet ve a\u011fr\u0131<\/li>\n<li>K\u0131sa s\u00fcrede kilo alma<\/li>\n<li>\u0130drar miktar\u0131nda azalma<\/li>\n<li>\u0130drar yapamama durumlar\u0131d\u0131r.<\/li>\n<\/ul>\n<p>Yumurtal\u0131klar\u0131n a\u015f\u0131r\u0131 uyar\u0131lmas\u0131 durumunda kad\u0131na verilen ila\u00e7lar\u0131n dozlar\u0131 azalt\u0131lmal\u0131 ya da ila\u00e7 kullan\u0131m\u0131 b\u0131rak\u0131lmal\u0131d\u0131r. \u015eayet hafif OHSS ise kad\u0131n 10-14 g\u00fcn i\u00e7inde iyile\u015fir. A\u011f\u0131r ve orta OHSS durumunda ise hastanede yat\u0131\u015f gerekmektedir.<\/p>\n<h3><strong>Over Torsiyonu<\/strong><\/h3>\n<p>Yumurtal\u0131klar\u0131n kendi etraf\u0131nda d\u00f6nmesidir. Etkenleri; overde olu\u015fumlara rastlanmas\u0131, yumurtal\u0131kla rahim aras\u0131ndaki ba\u011f\u0131n uzun olmas\u0131, gebelik s\u00fcrecinde v\u00fccutta yer alan ba\u011flar\u0131n gev\u015fek ve elastik olmas\u0131, yumurtal\u0131klar\u0131n a\u015f\u0131r\u0131 b\u00fcy\u00fcmesi, t\u00fcplerin uzun ve b\u00fcy\u00fck olmas\u0131d\u0131r. Bu durumun habercisi olan bulgular ise;<\/p>\n<ul>\n<li>Kas\u0131k ve karn\u0131n alt b\u00f6lgesinde hassasiyet ve a\u011fr\u0131<\/li>\n<li>Mide bulant\u0131s\u0131, kusma,<\/li>\n<li>Ate\u015ftir.<\/li>\n<\/ul>\n<p>Over torsiyonu ultrason ile te\u015fhis edilir ve cerrahi m\u00fcdahalelerle tedavisi ger\u00e7ekle\u015ftirilir. Over torsiyonuna ba\u011fl\u0131 olarak;<\/p>\n<ul>\n<li>Enfeksiyon<\/li>\n<li>\u0130\u00e7 genital organlarda yap\u0131\u015f\u0131kl\u0131k<\/li>\n<li>Kronik kas\u0131k a\u011fr\u0131s\u0131<\/li>\n<li>Peritonit<\/li>\n<li>Sepsis<\/li>\n<li>K\u0131s\u0131rl\u0131k ger\u00e7ekle\u015febilir.<\/li>\n<\/ul>\n<h3><strong>Kar\u0131n Organlar\u0131nda Yaralanma, Kanama ve Enfeksiyon<\/strong><\/h3>\n<p>T\u00fcp bebek tedavisinde kad\u0131ndan yumurta toplan\u0131rken; kad\u0131n\u0131n idrar torbas\u0131nda, ba\u011f\u0131rsak ve rahme yak\u0131n damarlarda \u00e7ok d\u00fc\u015f\u00fck bir ihtimalde olsa nadiren yaralanma, vajinal kanama ve rahim yumurtal\u0131klara bula\u015fan enfeksiyon durumu ile kar\u015f\u0131la\u015f\u0131labilir. Vajinal kanama kolay bir m\u00fcdahale ile giderilirken enfeksiyon tedavisinde de antibiyotiklere ba\u015fvurulur.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00fcp Bebek Tedavisinde Kullan\u0131lan \u0130la\u00e7lardan Dolay\u0131 G\u00f6zlemlenen Yan Etkiler T\u00fcp bebek tedavisinde kad\u0131ndan fazla say\u0131da yumurta elde edilebilmesi ad\u0131na ila\u00e7 tedavisi uygulan\u0131r. Kad\u0131nlarda yumurtan\u0131n \u00e7ok say\u0131da elde edilebilmesi y\u00f6n\u00fcnde yard\u0131mc\u0131 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/posts\/1441"}],"collection":[{"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/comments?post=1441"}],"version-history":[{"count":0,"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/posts\/1441\/revisions"}],"wp:attachment":[{"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/categories?post=1441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medova.com.tr\/en\/wp-json\/wp\/v2\/tags?post=1441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}