{"id":113983,"date":"2015-11-02T10:00:25","date_gmt":"2015-11-02T08:00:25","guid":{"rendered":"http:\/\/www.erzurumflas.com\/gebelikte-dusuk-tehlikesine-dikkat\/"},"modified":"2015-11-02T10:00:26","modified_gmt":"2015-11-02T08:00:26","slug":"gebelikte-dusuk-tehlikesine-dikkat","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=113983","title":{"rendered":"Gebelikte D\u00fc\u015f\u00fck Tehlikesine Dikkat"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/gebelikte-dusuk-tehlikesine-dikkat_4fdc76f.jpg\" width=\"600\">Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Jin.Op.Dr.Rami Asker, gebelikte d\u00fc\u015f\u00fck tehlikesine kar\u015f\u0131 uyard\u0131.  Dr. Asker, \u201cGebeli\u011fin 20. haftas\u0131ndan \u00f6nce veya 500 gr.dan az olarak sonlanmas\u0131na abortus denilir. Abortuslar\u0131n 12.gebelik haftas\u0131ndan \u00f6nce olmas\u0131 erken,sonra olmas\u0131 ge\u00e7 abortus olarak adland\u0131r\u0131l\u0131r.t\u00fcm gebeliklerin %10-12\u2019si d\u00fc\u015f\u00fckle sonlan\u0131r\u201d dedi.<\/p>\n<p>Jin.Op.Dr.Rami Asker, d\u00fc\u015f\u00fck \u00e7e\u015fitleri konusunda \u015funlar\u0131 kaydetti:<\/p>\n<p>\u201cabortus imminens (d\u00fc\u015f\u00fck tehdidi): vajinal kanama ve kas\u0131klarda kramplar vard\u0131r ama rahimin a\u011fz\u0131 a\u00e7\u0131lmam\u0131\u015ft\u0131r, belirli bir tedavisi yok,hastalara yatak istirahati \u00f6nerilir ve sonra kramplar ortadan kalk\u0131p kanama durursa gebelik devam edebilir veya kanama ve kramplar artar ve d\u00fc\u015f\u00fckle sonu\u00e7lan\u0131r. Abortus incipiens(\u00f6nlenemez d\u00fc\u015f\u00fck):bundada kanama ve kas\u0131k a\u011fr\u0131lar\u0131 var fakat burada rahim a\u011fz\u0131 a\u00e7\u0131lm\u0131\u015ft\u0131r ve tek tedavisi beklemeden k\u00fcrtaj yap\u0131lmas\u0131. Bortus incompletus(tamamlanmayan d\u00fc\u015f\u00fck):gebelik materyalinin bir k\u0131sm\u0131 d\u0131\u015far\u0131 at\u0131lm\u0131\u015f di\u011fer k\u0131sm\u0131 rahmin i\u00e7erisinde durmaktad\u0131r.tedavisinde acilen k\u00fcrtaj yap\u0131lmal\u0131. Abortus completus(tamamlanan d\u00fc\u015f\u00fck):t\u00fcm gebelik materyali d\u0131\u015far\u0131 at\u0131lm\u0131\u015ft\u0131r. Habit\u00fcel abortus(tekrarlayan d\u00fc\u015f\u00fck):hastan\u0131n pe\u015fpe\u015fe 3 gebeli\u011finin d\u00fc\u015f\u00fckle sonu\u00e7lanm\u0131\u015f olmas\u0131,bu hastalarda d\u00fc\u015f\u00fck sebebinin ara\u015ft\u0131r\u0131lmas\u0131 \u015fart. Missed abortus(\u00f6l\u00fc d\u00fc\u015f\u00fck):\u00f6l\u00fc fetusun baz\u0131 kaynaklara g\u00f6re 5 di\u011ferlerine g\u00f6re 8 haftadan fazla rahmin i\u00e7erisinde kal\u0131p at\u0131lmamas\u0131na verilen ad.bu durum D\u0130C dedi\u011fimiz anne kan p\u0131ht\u0131la\u015fma mekanizmas\u0131n\u0131n bozulmas\u0131na yol a\u00e7an bir hastal\u0131\u011f\u0131n meydana gelmesine neden olabilir ayr\u0131ca enfeksiyona da yol a\u00e7abilir.bu t\u00fcr d\u00fc\u015f\u00fcklerde fibrinojen ve kan p\u0131ht\u0131la\u015fma \u00f6l\u00e7\u00fcmleri yap\u0131ld\u0131ktan sonra k\u00fcrtaj yap\u0131lmal\u0131&#8221;.<\/p>\n<p>D\u00dc\u015e\u00dcK NEDENLER\u0130:<\/p>\n<p>&#8220;Kromozomal bozukluklar: en s\u0131k rastlanan nedendir, d\u00fc\u015f\u00fcklerin %50-70\u2019i kromozom anomali kaynakl\u0131d\u0131r.bu kromozomal bozukluklardan en s\u0131k rastlanan\u0131 trizomilerdir \u00f6zellikle trizomi 21 (down sendromu,mongolizm) ve trizomi 16 ayr\u0131ca monozomi de abortusa yol a\u00e7ar mesela turner sendromu.<\/p>\n<p>Anembriyonik gebelik veya blighted ovum (bo\u015f gebelik).<\/p>\n<p>Uterus\u2019a (rahim) ait anormallikler: uterus septus yani rahimde bir b\u00f6lme veya zar\u0131n olmas\u0131-rahim a\u011fz\u0131 yetersizli\u011fi-uterus didelfis veya \u00e7ift rahim-uterus t\u00fcm\u00f6rleri-ge\u00e7irilmi\u015f rahim ameliyatlar\u0131-rahim a\u011fz\u0131 yetersizli\u011fi.<\/p>\n<p>Hormonal nedene ba\u011fl\u0131 d\u00fc\u015f\u00fckler:en s\u0131k tiroid hastal\u0131klar ve \u00f6zellikle hipotiroidi d\u00fc\u015f\u00fcklere neden olabiliyor ikinci s\u0131kl\u0131kta ise \u015feker hastal\u0131\u011f\u0131(diabet).<\/p>\n<p>mekanik veya psikolojik travmalar da d\u00fc\u015f\u00fc\u011fe neden olabiliyor.<\/p>\n<p>Enfeksiyonlar: \u00f6zellikle mycoplazma,toxoplazma,rubella,cmv enfeksiyonlar\u0131 d\u00fc\u015f\u00fc\u011fe neden olabilir.hepatit B ise d\u00fc\u015f\u00fc\u011fe yol a\u00e7maz.<\/p>\n<p>\u0130mm\u00fcnolojik nedenler(ba\u011f\u0131\u015f\u0131kl\u0131k sistemine ait nedenler):burada \u00f6zellikle sistemik lupus eritimatozus ve antifosfolipid sendromu adl\u0131 hastal\u0131klarda anne v\u00fccudunda olu\u015fan bir tak\u0131m antikorlar \u00fczerinde durulmaktad\u0131r(lupus antikoagulan antikor,antikardiyolipin antikor)&#8221;.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>KADIN HASTALIKLARI VE DO\u011eUM UZMANI J\u0130N. OP. DR. RAM\u0130 ASKER, GEBEL\u0130KTE D\u00dc\u015e\u00dcK TEHL\u0130KES\u0130NE KAR\u015eI UYARDI.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[4992,19757,19756,19758],"class_list":["post-113983","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-dikkat","tag-dusuk","tag-gebelikte","tag-tehlikesine"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/113983","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=113983"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/113983\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=113983"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=113983"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=113983"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}