{"id":564,"date":"2018-08-10T17:25:01","date_gmt":"2018-08-10T17:25:01","guid":{"rendered":"https:\/\/www.venuscr.com\/?page_id=564"},"modified":"2018-10-26T08:35:38","modified_gmt":"2018-10-26T08:35:38","slug":"intrasitoplazmik-sperm-enjeksiyonu-icsi","status":"publish","type":"page","link":"https:\/\/www.venuscr.com\/tr\/tedavi-secenekleri\/ivf-tup-bebek\/intrasitoplazmik-sperm-enjeksiyonu-icsi\/","title":{"rendered":"\u0130ntrasitoplazmik Sperm Enjeksiyonu (ICSI)"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; css=&#8221;.vc_custom_1534178686943{padding-top: 50px !important;padding-bottom: 50px !important;}&#8221; z_index=&#8221;&#8221;][vc_column][vc_column_text]<\/p>\n<h3 class=\"oxide-red\">ICSI Nedir?<\/h3>\n<h5>ICSI, modern do\u011furganl\u0131k tedavisinde t\u00fcp bebekten sonra ikinci en \u00f6nemli geli\u015fmeyi temsil etmektedir \u00e7\u00fcnk\u00fc bu teknoloji \u00fcreme uzmanlar\u0131n\u0131n direk erkek fakt\u00f6rl\u00fc k\u0131s\u0131rl\u0131k problemini ele almalar\u0131n\u0131 sa\u011flam\u0131\u015ft\u0131r. ICSI i\u015fleminde her bir sperm h\u00fccresi tek tek, t\u00fcpte d\u00f6llenme s\u0131ras\u0131nda elde edilen yumurtalar\u0131n her biri i\u00e7ine direk yerle\u015ftirilir. Ortaya \u00e7\u0131kan embriyo rahime transfer edilerek gebelik ba\u015flat\u0131l\u0131r. ICSI i\u015fleminin kesinlikle \u00e7\u0131\u011f\u0131r a\u00e7an bir teknoloji oldu\u011fu kan\u0131tlanm\u0131\u015ft\u0131r ve bir t\u00fcrl\u00fc gebe kalamayan \u00e7iftler i\u00e7in yeni bir umut vadetmektedir.<\/h5>\n<p>&nbsp;<\/p>\n<p><strong>ICSI \u0130\u015flemi Neden Uygulanmal\u0131?<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\u0130ntrasitoplazmik sperm enjeksiyonu, erkek k\u0131s\u0131rl\u0131\u011f\u0131n\u0131n pek \u00e7ok \u00e7e\u015fidinde kullan\u0131labilir, \u00f6rne\u011fin:<\/p>\n<ul>\n<li>D\u00fc\u015f\u00fck sperm say\u0131m\u0131<\/li>\n<li>Menide sperm olmamas\u0131<\/li>\n<li>Spermlerin hareketli olmamas\u0131<\/li>\n<li>Anormal sperm morfolojisi (spermin \u015fekli)<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]<strong>ICSI ayn\u0131 zamanda erkek k\u0131s\u0131rl\u0131\u011f\u0131n\u0131n nadir g\u00f6r\u00fclen durumlar\u0131nda da yard\u0131mc\u0131 olabilir, \u00f6rne\u011fin:<\/strong><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Spermin yumurtaya ba\u011flan\u0131p i\u00e7ine girmesiyle ilgili sorunlar<\/li>\n<li>Anti-sperm antikorlar\u0131 (sperme tutunup spermi yok eden imm\u00fcn veya koruyucu proteinler)<\/li>\n<li>Standart IVF k\u00fclt\u00fcr\u00fc ve d\u00f6lleme y\u00f6ntemleriyle \u00f6nceki veya tekrarl\u0131 d\u00f6llenme ba\u015far\u0131s\u0131zl\u0131\u011f\u0131<\/li>\n<li>Kanser tedavisinden \u00f6nce toplanm\u0131\u015f ve say\u0131 ve kalite a\u00e7\u0131s\u0131ndan s\u0131n\u0131rl\u0131 olmas\u0131 muhtemel donmu\u015f sperm<\/li>\n<li>T\u0131kan\u0131kl\u0131k nedeniyle sperm olmamas\u0131. Bu durumda sperm toplama i\u015flemi, ya mikro-cerrahi epididimal sperm aspirasyonu (MESA) denilen bir i\u015flemle epididimisten (erbezi \u00fcst\u00fc) ya da testik\u00fcler sperm aspirasyonu (TESA) denilen bir i\u015flemle testislerden yap\u0131l\u0131r.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Yukar\u0131daki durumlar\u0131n tamam\u0131nda ne IUI ne de rutin IVF etkilidir. Rutin IVF\u00a0i\u015fleminde \u00e7ok miktarda sperm toplanan yumurtalarla kar\u0131\u015ft\u0131r\u0131l\u0131r ve bunlar bir embriyo olu\u015fturmak i\u00e7in k\u00fclt\u00fcrde ink\u00fcbe edilir. Bu nedenle bu i\u015flemin ba\u015far\u0131s\u0131, ba\u015far\u0131l\u0131 bir d\u00f6llenme i\u00e7in yeterli say\u0131da sa\u011fl\u0131kl\u0131 ve canl\u0131 sperm olmas\u0131na ba\u011fl\u0131d\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<p>ICSI i\u015fleminde yumurta i\u00e7ine direk tek bir sperm enjekte edildi\u011fi i\u00e7in, standart y\u00f6ntemlerin bir se\u00e7enek olmad\u0131\u011f\u0131 ya da ba\u015far\u0131s\u0131z oldu\u011fu durumlarda son derece hedefe y\u00f6nelik bir yakla\u015f\u0131md\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<p>ICSI, k\u00f6t\u00fc yumurta kalitesinden kaynaklanan yani kad\u0131n fakt\u00f6rl\u00fc k\u0131s\u0131rl\u0131klar\u0131 tedavi etmekte kullan\u0131ld\u0131\u011f\u0131nda etkili bir y\u00f6ntem olmaz.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>ICSI Riskli midir?<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\u0130ntrasitoplazmik sperm enjeksiyonu, t\u00fcm d\u00fcnyada \u00e7ok d\u00fc\u015f\u00fck riske sahip bir i\u015flem olarak kabul edilir.<\/p>\n<p>&nbsp;<\/p>\n<p>T\u0131bb\u0131n her alan\u0131nda oldu\u011fu gibi ICSI i\u015flemi de kendi avantaj ve risklerine sahiptir. Sperm elde edildikten sonra erkek partner i\u00e7in herhangi bir risk s\u00f6z konusu de\u011fildir, sadece sperm toplama teknikleri kullan\u0131lm\u0131\u015fsa \u00e7ok \u00f6nemsiz riskler olabilir. ICSI i\u015flemiyle do\u011fan bebeklerde belli genetik anormallikler a\u00e7\u0131s\u0131ndan \u00e7ok az bir risk mevcut olabilir, bunun nedeni ise kullan\u0131lan spermin kendisinin belli anormalliklere sahip olmas\u0131 ihtimalidir. Ancak bu anormallikler genellikle \u00f6nemsizdir ve riskler ise, gebelikten \u00f6nce dikkatli embriyo se\u00e7imi ve implantasyon \u00f6ncesi genetik tan\u0131 (PGD) ile azalt\u0131labilir.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; css=&#8221;.vc_custom_1534178686943{padding-top: 50px&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":542,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages\/564"}],"collection":[{"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/comments?post=564"}],"version-history":[{"count":0,"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages\/564\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages\/542"}],"wp:attachment":[{"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/media?parent=564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}