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<\/div>\nKad\u0131n hastal\u0131klar\u0131 ve do\u011fum uzmanlar\u0131, 100 \u00e7iftten 15\u2019inde \u00e7ocuk sahibi olamama problemi ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131n\u0131 belirterek, \u00e7ocuk sahibi olmak isteyen \u00e7iftlere y\u00f6nelik \u00e7e\u015fitli tedaviler oldu\u011funu s\u00f6yledi.<\/p>\n
T\u00fcrk Alman Jinekoloji E\u011fitim, Ara\u015ft\u0131rma ve Hizmet Vakf\u0131 (TAJEV) Y\u00f6netim Kurulu \u00dcyesi de olan Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Prof. Dr. Yaprak \u00dcst\u00fcn, AA muhabirinin fonksiyonel t\u0131p, halk aras\u0131nda \u201ck\u0131s\u0131rl\u0131k\u201d olarak bilinen \u201cinfertilite\u201d ve sa\u011fl\u0131kl\u0131 gebelik s\u00fcrecine ili\u015fkin sorular\u0131n\u0131 yan\u0131tlad\u0131.<\/p>\n
Fonksiyonel t\u0131pta genellikle kronik hastal\u0131klarla ilgilenildi\u011fini, bunlar\u0131n alt\u0131nda yatan nedenleri tespit ederek, uygun tedaviler uygulad\u0131klar\u0131n\u0131 dile getiren \u00dcst\u00fcn, ki\u015finin hangi hastal\u0131klar\u0131 ge\u00e7irdi\u011fi, nas\u0131l bir uyku d\u00fczeni ve yeme al\u0131\u015fkanl\u0131\u011f\u0131 oldu\u011fu, diyetinde neleri kullan\u0131p kullanmad\u0131\u011f\u0131, ne s\u0131kl\u0131kta su t\u00fcketti\u011fi gibi her konuyu hastadan detayl\u0131 \u015fekilde \u00f6\u011frendiklerini ifade etti.<\/p>\n
\u00dcst\u00fcn, k\u0131s\u0131rl\u0131k durumuna da de\u011finerek, hormonal d\u00fczensizlikler, ileri ya\u015f, rahim ve t\u00fcplerdeki hastal\u0131klar\u0131n yan\u0131nda do\u011fumsal rahats\u0131zl\u0131klar, baz\u0131 kronik hastal\u0131klar, obezite, a\u015f\u0131r\u0131 stres, sigara ve alkol kullan\u0131m\u0131 ile birlikte v\u00fccuttaki toksik y\u00fcklerin de gebe kalmay\u0131 engelledi\u011fini anlatt\u0131.<\/p>\n
Kad\u0131n do\u011fum hekimlerinin, gebe kalmak isteyen kad\u0131nlara tan\u0131y\u0131 detayl\u0131 de\u011ferlendirmeler sonras\u0131 koymaya \u00e7al\u0131\u015ft\u0131klar\u0131n\u0131 belirten \u00dcst\u00fcn, k\u0131s\u0131rl\u0131\u011fa katk\u0131da bulunan birden fazla fakt\u00f6r olabilece\u011fini, bu nedenle \u00e7iftin de\u011ferlendirmesinin ayn\u0131 anda yap\u0131ld\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n
\u00dcst\u00fcn, \u201c\u0130nfertilite yani \u00e7ocuk sahibi olamama 100 \u00e7iftten 15\u2019inde kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z bir durumdur ve sebeplerine bakt\u0131\u011f\u0131m\u0131zda erkek fakt\u00f6r ve kad\u0131n fakt\u00f6r birbirine e\u015fittir. Bir de \u2018a\u00e7\u0131klanamayan\u2019 dedi\u011fimiz bir grup vard\u0131r ki ne erkekte ne kad\u0131nda yapt\u0131\u011f\u0131m\u0131z tetkikler, de\u011ferlendirmeler sonras\u0131nda altta yatan bir sebep bulam\u0131yoruz.\u201d bilgisini verdi.<\/p>\n
T\u00fcrkiye\u2019de k\u0131s\u0131rl\u0131\u011f\u0131 \u00f6nlemek i\u00e7in her t\u00fcrl\u00fc ila\u00e7 tedavisinin bulundu\u011funa i\u015faret eden \u00dcst\u00fcn, \u201c\u00d6rne\u011fin, yumurtlama problemi olan bir han\u0131mda yumurtalar\u0131n\u0131 daha iyi \u00e7al\u0131\u015ft\u0131rabilmek ad\u0131na elimizde pek \u00e7ok alternatif hap, i\u011fne var. Bunun d\u0131\u015f\u0131nda, zamanlamay\u0131 sa\u011flayabilmek i\u00e7in a\u015f\u0131lama dedi\u011fimiz tedavi y\u00f6ntemleri var. Bunlar\u0131 da \u00fclkemizde \u00e7ok s\u0131kl\u0131kta, hemen hemen her hastanede uyguluyoruz.\u201d dedi.<\/p>\n
\u2013 \u201cGebeli\u011fe toksinlerden temizlenmi\u015f s\u0131f\u0131r bir y\u00fckle ba\u015flanmal\u0131\u201d<\/p>\n
Prof. Dr. Yaprak \u00dcst\u00fcn, \u00e7ocuk sahibi olma s\u00fcrecinde ya\u015fam kalitesinin \u00f6nemli oldu\u011funu vurgulayarak, stres fakt\u00f6rlerinin azaltmas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izdi.<\/p>\n
D\u00fczenli egzersiz ve sa\u011fl\u0131kl\u0131 beslenmenin hem gebelik s\u00fcrecinde hem de k\u0131s\u0131rl\u0131k tedavisi s\u0131ras\u0131nda destekleyici unsurlar oldu\u011funu belirten \u00dcst\u00fcn, v\u00fccudun gebeli\u011fe nas\u0131l haz\u0131rlanaca\u011f\u0131na dair \u015fu \u00f6nerileri s\u0131ralad\u0131:<\/p>\n
\u201cToksik y\u00fcklerden uzakla\u015f\u0131lmas\u0131n\u0131 istiyoruz \u00e7\u00fcnk\u00fc hepimiz bir inflamasyon ve toksik y\u00fck ta\u015f\u0131yoruz. Bu, yedi\u011fimiz g\u0131dalardan, i\u00e7ti\u011fimiz sudan, havadan kaynaklan\u0131yor. \u00c7ocuk sahibi olmay\u0131 d\u00fc\u015f\u00fcnen bir \u00e7iftin, mutlaka hayat\u0131ndan toksinleri uzakla\u015ft\u0131rmas\u0131 laz\u0131m. \u00d6rne\u011fin, \u2018zenobiyotikler\u2019 dedi\u011fimiz plastik \u015fi\u015felerde bulunan Bisfenol A gibi bunlar\u0131 hayat\u0131m\u0131zdan uzakla\u015ft\u0131rmal\u0131y\u0131z. Kozmetiklerden, sa\u00e7 boyalar\u0131ndan uzak durmak laz\u0131m. Gebeli\u011fe toksinlerden temizlenmi\u015f s\u0131f\u0131r bir y\u00fckle ba\u015flamak laz\u0131m. Diyet \u00e7ok \u00f6nemli, \u00f6zellikle karbonhidratl\u0131 g\u0131dalardan uzak durup, sebze ve meyveyi g\u00fcnl\u00fck ya\u015fam\u0131n i\u00e7erisine d\u00fczenli \u015fekilde sokmak \u00f6nemli.\u201d<\/p>\n
\u2013 Anne ve baba adaylar\u0131n\u0131n gebeli\u011fe haz\u0131rlanmas\u0131<\/p>\n
Sa\u011fl\u0131k Bilimleri \u00dcniversitesi Hamidiye T\u0131p Fak\u00fcltesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Murat Ekin de D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fcn\u00fcn k\u00fcresel olarak her 6 yeti\u015fkinden 1\u2019inin k\u0131s\u0131rl\u0131k sorunuyla kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fu verisini payla\u015farak, halk aras\u0131nda k\u0131s\u0131rl\u0131k olarak bilinen infertilitenin psikolojik, sosyolojik, ekonomik ve t\u0131bbi etkilerinin bulundu\u011funu s\u00f6yledi.<\/p>\n
\u0130nfertilitede bilinen kromozomal hastal\u0131klar\u0131n, hem kad\u0131n hem erkek i\u00e7in en b\u00fcy\u00fck genetik fakt\u00f6rler oldu\u011funu dile getiren Prof. Dr. Murat Ekin, \u201cBunun d\u0131\u015f\u0131nda kad\u0131nlar i\u00e7in ailede erken menopoz veya erken yumurtal\u0131k yetmezli\u011fi \u00f6yk\u00fcs\u00fc genetik olarak yatk\u0131nl\u0131k olu\u015fturur.\u201d dedi.<\/p>\n
Prof. Dr. Murat Ekin, \u00e7evresel fakt\u00f6rlere dikkati \u00e7ekerek, \u201cKad\u0131nlar i\u00e7in bilinen yumurtal\u0131k, rahim ve t\u00fcplerdeki hastal\u0131k, ge\u00e7irilmi\u015f yumurtal\u0131k ve t\u00fcp cerrahisi, kemoterap\u00f6tik ila\u00e7 kullan\u0131m\u0131 veya kas\u0131k b\u00f6lgesine \u0131\u015f\u0131n tedavisi alm\u0131\u015f olma, sigara kullan\u0131m\u0131, erkekler i\u00e7in ise yeti\u015fkin kabakulak, kemoterapi veya radyoterapi \u00f6yk\u00fcs\u00fc, cinsel i\u015flev bozukluklar\u0131 risk fakt\u00f6rleridir.\u201d diye konu\u015ftu.<\/p>\n
Sigara, alkol, k\u00f6t\u00fc ve d\u00fczensiz beslenme, yo\u011fun stres ve uykusuzlu\u011fun hem yumurta hem sperm kalitesini bozaca\u011f\u0131n\u0131 vurgulayan Prof. Dr. Ekin, \u201cGebelik \u00f6ncesinde olumsuz \u00e7evresel fakt\u00f6rlerden uzakla\u015f\u0131lmas\u0131 hem psikolojik hem de fizyolojik olarak anne ve baba adaylar\u0131n\u0131 gebeli\u011fe haz\u0131rlayacakt\u0131r. Ayr\u0131ca gebelik \u00f6ncesi en az \u00fc\u00e7 ay kullan\u0131lacak folik asit deste\u011fi anne karn\u0131ndaki bebe\u011fi n\u00f6ral t\u00fcp defektinden koruyacakt\u0131r.\u201d bilgisini verdi.<\/p>\n
Ekin, infertilite nedeninin uygun olmas\u0131 durumunda cerrahi veya medikal olarak d\u00fczeltilebilece\u011fini, \u00e7ocuk sahibi olmak isteyen \u00e7iftlerin fakt\u00f6rler ortadan kald\u0131r\u0131lam\u0131yorsa a\u015f\u0131lama veya t\u00fcp bebek tedavisine y\u00f6nlendirilebilece\u011fini kaydetti.<\/p>\n
Kad\u0131n veya erke\u011fe ba\u011fl\u0131 k\u0131s\u0131rl\u0131kta, ba\u015far\u0131s\u0131z t\u00fcp bebek denemelerinde ve tekrarlayan gebelik kayb\u0131 gibi durumlarda ki\u015fiye \u00f6zel fonksiyonel t\u0131p uygulamalar\u0131n\u0131n, sorunun k\u00f6kenine inmeyi hedefledi\u011fini dile getiren Prof. Dr. Ekin, \u015fu de\u011ferlendirmelerde bulundu:<\/p>\n
\u201cV\u00fccudumuzda bulunan kronik iltihabi hastal\u0131klar, stres, alerjik durumlar, vitamin ve minerallerin eksiklikleri, d\u0131\u015far\u0131dan al\u0131nan toksik maddeler ve v\u00fccudun kendisine kar\u015f\u0131 \u00fcretti\u011fi savunma mekanizmas\u0131 bozukluklar\u0131 derinde yatan etmenler aras\u0131nda rol almaktad\u0131r. Bu etmenlerin tan\u0131s\u0131n\u0131n konulmas\u0131na ve yine bu etmenlere kar\u015f\u0131 koruyucu, tedavi edici \u00f6nlemlerin al\u0131nmas\u0131na y\u00f6nelik hastal\u0131\u011f\u0131 tetikleyen etkenleri ortadan kald\u0131rmak ayr\u0131ca dengeli beslenmeyi sa\u011flamak, ya\u015fam bi\u00e7imi, egzersiz, vitamin, mineral deste\u011fini i\u00e7eren fonksiyonel t\u0131p uygulamalar\u0131, gebeli\u011fe ula\u015fma ve devam ettirme konusunda mutlak bilimsel kan\u0131t olmamakla birlikte katk\u0131 sa\u011flayabilmektedir.\u201d<\/p>\n<\/p><\/div>\n