{"id":616,"date":"2018-08-10T18:03:38","date_gmt":"2018-08-10T18:03:38","guid":{"rendered":"https:\/\/www.venuscr.com\/?page_id=616"},"modified":"2018-10-25T14:09:44","modified_gmt":"2018-10-25T14:09:44","slug":"tum-cerrahi-olmayan-tedaviler","status":"publish","type":"page","link":"https:\/\/www.venuscr.com\/tr\/tedavi-secenekleri\/tum-cerrahi-olmayan-tedaviler\/","title":{"rendered":"T\u00fcm cerrahi olmayan tedaviler"},"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;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_column_text]<\/p>\n<h3 class=\"oxide-yellow\">Rahim i\u00e7i d\u00f6llenme (IUI), yapay d\u00f6llenmenin en yayg\u0131n t\u00fcr\u00fcd\u00fcr. 20 seneyi a\u015fk\u0131n zamand\u0131r IUI i\u015flemi kullan\u0131larak yap\u0131lan yapay d\u00f6llenme i\u00e7in \u00e7iftler kliniklere gelmektedir. E\u011fer \u00e7iftler en az bir sene boyunca denemi\u015f ve bir bebek sahibi olamam\u0131\u015flarsa ve k\u0131s\u0131rl\u0131\u011f\u0131n di\u011fer nedenleri ekarte edilmi\u015fse, bu durumda IUI en \u00e7ok \u00f6nerilen y\u00f6ntemdir. IUI i\u015fleminde meni, kendi meni plazmas\u0131ndan ayr\u0131larak direk rahim i\u00e7ine enjekte edilir.<\/h3>\n<p>[\/vc_column_text][vc_empty_space][\/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_column_text]<strong>IUI ve Yapay D\u00f6llenme Hakk\u0131nda Bilgiler<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Cinsel ili\u015fkide yaln\u0131zca ufak bir miktar sperm kad\u0131n\u0131n genital yolu ve \u00fcreme yolu boyunca ba\u015far\u0131l\u0131 bir \u015fekilde ilerleyebildi\u011finden, d\u00f6llenme \u015fans\u0131n\u0131 art\u0131rabilmek amac\u0131yla fallop t\u00fcplerine ula\u015fan sperm say\u0131s\u0131n\u0131 b\u00fcy\u00fck oranda art\u0131rmak i\u00e7in IUI ile yapay d\u00f6llenme geli\u015ftirilmi\u015ftir. IUI i\u015fleminde rahim boynu (serviks) pas ge\u00e7ilerek spermin \u00fcreme yolunun alt k\u0131s\u0131mlar\u0131nda yava\u015flamadan veya durmadan direk yumurtal\u0131klar\u0131 hedef almas\u0131 sa\u011flan\u0131r. Bu nedenle ICI (serviks i\u00e7i d\u00f6llenme) nadiren uygulan\u0131r. Folik\u00fcllerin geli\u015fimini takip etmek i\u00e7in IUI ultrasonla birlikte uyguland\u0131\u011f\u0131nda hamile kalma \u015fans\u0131n\u0131 en \u00fcst seviyeye \u00e7\u0131karmak i\u00e7in i\u015flem zamanlanabilir.<\/p>\n<p>&nbsp;<\/p>\n<p>Do\u011furganl\u0131k ila\u00e7lar\u0131 genelde IUI tedavisi s\u0131ras\u0131nda kullan\u0131larak kontroll\u00fc yumurtal\u0131k hiperstim\u00fclasyonu (COH) olarak bilinen durum olu\u015fturulur. \u00c7al\u0131\u015fmalar, bu i\u015flemin rahim i\u00e7i d\u00f6llenme ba\u015far\u0131 oran\u0131n\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde art\u0131rd\u0131\u011f\u0131n\u0131 g\u00f6stermektedir.[\/vc_column_text][vc_column_text]<strong>IUI i\u00e7in Erkek Partner Gereklikleri<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Sperm preparasyonu ve rahim enjeksiyonu haricinde yapay d\u00f6llenme, bir yumurtay\u0131 kad\u0131n\u0131n \u00fcreme yolu i\u00e7inde d\u00f6lleyecek sa\u011fl\u0131kl\u0131 bir sperm gerektirir. Sperm say\u0131s\u0131n\u0131n veya \u015feklinin eksik oldu\u011fu durumlarda gebe kalma daha zorla\u015f\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<p>A\u015fa\u011f\u0131da verilen sperm parametreleri erkek do\u011furganl\u0131\u011f\u0131 i\u00e7in \u00f6nemli olup, yapay d\u00f6llenmede \u00f6ng\u00f6r\u00fclen numune kullan\u0131lmadan \u00f6nce de\u011ferlendirilmelidir:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Sperm say\u0131m\u0131 (cc ba\u015f\u0131na sperm say\u0131s\u0131)<\/li>\n<li>Meninin hareketlili\u011fi (hareket eden sperm y\u00fczdesi)<\/li>\n<li>Sperm morfolojisi (spermin \u015fekli)<\/li>\n<\/ul>\n<p>Yapay d\u00f6llenme ile bula\u015fabilecek belli bula\u015f\u0131c\u0131 hastal\u0131klar\u0131n varl\u0131\u011f\u0131n\u0131 ekarte etmek i\u00e7in kan tahlilleri \u015fart ko\u015fulur.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>IUI \u0130\u00e7in Kad\u0131n Partner Gereklikleri<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>IUI ile yapay d\u00f6llenme \u00f6ncesinde kad\u0131n partnerde yap\u0131lan testler, bariz k\u0131s\u0131rl\u0131k durumlar\u0131n\u0131 ekarte etmeli ve yumurtlaman\u0131n normal, fallop t\u00fcplerinin a\u00e7\u0131k ve rahim bo\u015flu\u011funu normal oldu\u011funu g\u00f6stermelidir.<\/p>\n<p>&nbsp;<\/p>\n<p>Kad\u0131nlarda yumurtlama bozuklu\u011fu olsa bile, e\u011fer kad\u0131n do\u011furganl\u0131k ila\u00e7lar\u0131na olumlu yan\u0131t veriyorsa IUI tedavisi, kontroll\u00fc yumurtal\u0131k hiperstim\u00fclasyonu (COH) ile birlikte ger\u00e7ekle\u015fmek \u00fczere zamanlanabilir.<\/p>\n<p>&nbsp;<\/p>\n<p>Endometriyoz olan kad\u0131nlar, pelvik yap\u0131larda bir bozulma olmad\u0131\u011f\u0131 s\u00fcrece IUI tedavisine ba\u015far\u0131l\u0131 \u015fekilde yan\u0131t verir. Hafif endometriyoz olan kad\u0131nlar genelde a\u00e7\u0131klanamayan k\u0131s\u0131rl\u0131\u011f\u0131 olan kad\u0131nlarla ayn\u0131 \u015fekilde tedavi edilir.<\/p>\n<p>&nbsp;<\/p>\n<p>E\u011fer bir kad\u0131nda ciddi \u015fekilde hasar g\u00f6rm\u00fc\u015f veya t\u0131kanm\u0131\u015f fallop t\u00fcpleri varsa, IUI yard\u0131mc\u0131 olmayacakt\u0131r ve bir k\u0131s\u0131rl\u0131k tedavisi se\u00e7ene\u011fi olarak dikkate al\u0131nmamal\u0131d\u0131r.[\/vc_column_text][vc_column_text]<\/p>\n<p>&nbsp;<\/p>\n<p><strong>IUI \u0130le Yapay D\u00f6llenmenin Avantajlar\u0131<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>S\u00fcperovulasyon (hormon tedavisiyle sa\u011flan\u0131r) ile birlikte yapay d\u00f6llenme ba\u015far\u0131 oran\u0131, kad\u0131n\u0131n ya\u015f\u0131 ve \u00fcreme sa\u011fl\u0131\u011f\u0131na ve hem de erke\u011fin sperminin durumuna ba\u011fl\u0131 olarak d\u00f6ng\u00fc ba\u015f\u0131na y\u00fczde 5 ile y\u00fczde 15 aras\u0131nda de\u011fi\u015fir.<\/p>\n<p>&nbsp;<\/p>\n<p>Tipik olarak \u00fc\u00e7 d\u00f6ng\u00fc IUI denenir ve e\u011fer ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131namazsa, merkezimiz doktorlar\u0131 size t\u00fcp bebek (IVF) gibi daha agresif k\u0131s\u0131rl\u0131k tedavileri \u00f6nerecektir.<\/p>\n<p>&nbsp;<\/p>\n<p>Yapay d\u00f6llenme, kad\u0131n\u0131n rahminden yumurtalar\u0131n toplanmas\u0131n\u0131 i\u00e7ermez ya da genel anestezi uygulanmas\u0131n\u0131 gerektirmez, bu \u015fekilde i\u015flemin uygulanmas\u0131 \u00e7ok daha kolay olur \u2013 IUI i\u015flemi sonucunda nerdeyse hi\u00e7 komplikasyon g\u00f6r\u00fclmez.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>IUI \u0130\u015flemi<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>IUI i\u015flemi be\u015f ad\u0131mdan olu\u015fur:<\/p>\n<p>&nbsp;<\/p>\n<p><b>Ad\u0131m 1<\/b>. \u0130ki veya \u00fc\u00e7 yumurtan\u0131n geli\u015fip olgunla\u015fmas\u0131n\u0131 ba\u015flatmak i\u00e7in do\u011furganl\u0131k ila\u00e7lar\u0131 uygulan\u0131r. Folik\u00fcllerin geli\u015fmesini takviye etmek ve dolay\u0131s\u0131yla yumurtlaman\u0131n ger\u00e7ekle\u015fmesini sa\u011flamak i\u00e7in genelde Clomid\u00ae haplar\u0131 veya gonadotropin enjeksiyonlar\u0131 uygulan\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<p><b>Ad\u0131m 2<\/b>. \u0130la\u00e7 tedavilerinin izlenmesi, folik\u00fcllerin b\u00fcy\u00fcmesini \u00f6l\u00e7mek ve hastaya g\u00f6re ila\u00e7 dozlar\u0131n\u0131 kontrol alt\u0131nda tutmak i\u00e7in yap\u0131l\u0131r. Bu ila\u00e7lar sonucunda birden fazla yumurta \u00fcretilebilece\u011fi i\u00e7in izleme ayn\u0131 zamanda \u00e7oklu do\u011fum riskini azaltmak i\u00e7in de gereklidir. Klini\u011fimizde yap\u0131lan kan tahlilleri \u00f6strojen miktarlar\u0131n\u0131 \u00f6l\u00e7mek i\u00e7in kullan\u0131l\u0131r ve ultrason ise folik\u00fcler geli\u015fimi \u00f6l\u00e7mek i\u00e7in \u00e7ekilir. Genelde bir IUI tedavisinin hedefi \u00fc\u00e7 ila be\u015f aras\u0131 olgun folik\u00fcl \u00fcretebilmektir.<\/p>\n<p>&nbsp;<\/p>\n<p><b>Ad\u0131m 3<\/b>. \u0130zleme sonunda en az iki veya \u00fc\u00e7 folik\u00fcl\u00fcn olgunla\u015ft\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc\u011f\u00fcnde hastaya, yumurtlamay\u0131 ba\u015flatmak i\u00e7in hCG hormonu (insan koryonik gonadotropini) enjekte edilir (ayr\u0131ca Ovidrel\u00ae olarak ta bilinir).<\/p>\n<p>&nbsp;<\/p>\n<p><b>Ad\u0131m 4<\/b>. Bu ad\u0131mda ger\u00e7ek yapay d\u00f6llenme (IUI) i\u015flemi ger\u00e7ekle\u015ftirilir. Yumurtlaman\u0131n sabah\u0131nda erkek partner taraf\u0131ndan bir sperm \u00f6rne\u011fi verilir, IUI i\u00e7in haz\u0131rlan\u0131r ve ayn\u0131 g\u00fcn enjekte edilir. Y\u0131kanan ve konsantre edilen sperm \u00f6rne\u011fi \u00e7ok ince bir kateter ile rahim boynu (serviks) \u00fczerinden kad\u0131n\u0131n rahmi i\u00e7ine g\u00f6nderilir. Bir Pap testi ile k\u0131yasland\u0131\u011f\u0131nda IUI i\u015flemi nerdeyse a\u011fr\u0131s\u0131zd\u0131r ve karma\u015f\u0131k de\u011fildir.<\/p>\n<p>&nbsp;<\/p>\n<p><b>Ad\u0131m 5<\/b>. IUI i\u015fleminden sonra uygun zaman aral\u0131klar\u0131nda gebelik testi ve erken bir ultrason izlemesi yap\u0131l\u0131r.<\/p>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<p>&nbsp;<\/p>\n<p><strong>IUI i\u00e7in Spermin Haz\u0131rlanmas\u0131\/Cinsiyet Se\u00e7imi<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Ba\u015far\u0131l\u0131 bir IUI i\u015flemi i\u00e7in meninin dikkatli analizi kritik \u00f6nem ta\u015f\u0131r. Don\u00f6rden bir sperm \u00f6rne\u011fi al\u0131n\u0131r ve say\u0131, hareketlilik ve \u015fekil a\u00e7\u0131s\u0131ndan analiz edilir. Cinsiyet se\u00e7imi gere\u011fince spermi \u00e7o\u011faltmak i\u00e7in ek ad\u0131mlar yap\u0131labilir. Sonras\u0131nda en y\u00fcksek olas\u0131l\u0131ktaki ba\u015far\u0131l\u0131 d\u00f6llenme garanti edilecek \u015fekilde sperm haz\u0131rlan\u0131r ve \u00f6zel bir y\u0131kama i\u015flemi yap\u0131larak IUI veya IVF (t\u00fcp bebek) ile istenilen cinsiyetteki bir \u00e7ocu\u011fa gebe kal\u0131nmas\u0131 olas\u0131l\u0131klar\u0131 art\u0131r\u0131l\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Don\u00f6rle D\u00f6llenme<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Bir don\u00f6r sperminden gebe kalmak bir di\u011fer se\u00e7enek olabilir. Merkezimiz sadece en tedbirli (m\u00fc\u015fterileri hakk\u0131nda ketum olan) son derece sayg\u0131n, bilinen sperm bankalar\u0131yla \u00e7al\u0131\u015f\u0131r, veya siz kendi don\u00f6r\u00fcn\u00fcz\u00fc kullanabilirsiniz. IUI veya IVF tedavisiyle birle\u015ftirilen don\u00f6rle d\u00f6llenme, bir gebelik olu\u015fturmak i\u00e7in emin ve g\u00fcvenilir bir yol sunar. Personelimizle g\u00f6r\u00fc\u015febilece\u011finiz taramadan ge\u00e7mi\u015f don\u00f6r spermi kaynaklar\u0131na sahibiz.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Yapay D\u00f6llenmenin Maliyeti<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Rahim i\u00e7i d\u00f6llenme (IUI) kullan\u0131larak yap\u0131lan bir yapay d\u00f6llenme i\u015fleminin bedeli, di\u011fer k\u0131s\u0131rl\u0131k tedavi fiyatlar\u0131ndan kayda de\u011fer \u015fekilde d\u00fc\u015f\u00fck olacakt\u0131r. Maliyet d\u00fc\u015f\u00fckt\u00fcr \u00e7\u00fcnk\u00fc t\u00fcp bebek gibi \u00e7o\u011fu k\u0131s\u0131rl\u0131k tedavisine g\u00f6re bu i\u015fleme \u00e7ok daha az m\u00fcdahale edilir. Yapay d\u00f6llenmeyi d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z l\u00fctfen bizimle ileti\u015fime ge\u00e7in. Sizlere hem yapay d\u00f6llenme i\u00e7in mevcut finansman se\u00e7eneklerini g\u00f6r\u00fc\u015fmekten hem de akl\u0131n\u0131zda olabilecek di\u011fer sorular\u0131 cevaplamaktan mutlu olaca\u011f\u0131z.[\/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;80px&#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;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_column_text] Rahim i\u00e7i&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":279,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages\/616"}],"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=616"}],"version-history":[{"count":0,"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages\/616\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/pages\/279"}],"wp:attachment":[{"href":"https:\/\/www.venuscr.com\/tr\/wp-json\/wp\/v2\/media?parent=616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}