{"id":88871,"date":"2023-05-11T02:35:04","date_gmt":"2023-05-11T02:35:04","guid":{"rendered":"https:\/\/haberulus.net\/?p=88871"},"modified":"2023-05-11T02:35:04","modified_gmt":"2023-05-11T02:35:04","slug":"kadin-ve-erkek-kisirliginda-cigir-acacak-bir-yontem","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=88871","title":{"rendered":"Kad\u0131n ve erkek k\u0131s\u0131rl\u0131\u011f\u0131nda \u00e7\u0131\u011f\u0131r a\u00e7acak bir y\u00f6ntem"},"content":{"rendered":"<p>Bilim d\u00fcnyas\u0131, k\u00fcresel sa\u011fl\u0131k sorunu haline gelen k\u0131s\u0131rl\u0131\u011fa kar\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131n\u0131 t\u00fcm h\u0131z\u0131yla s\u00fcrd\u00fcr\u00fcyor. T\u00fcp bebek tedavisinde PRP ile h\u0131z kazanan ve k\u00f6k h\u00fccre \u00e7al\u0131\u015fmalar\u0131yla desteklenen geli\u015fmelere \u2018\u2018Eksozom&#8221; y\u00f6ntemi de eklendi. Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Prof. Dr. B\u00fclent T\u0131ra\u015f, bu y\u00f6ntemin hem kad\u0131n hem de erkek k\u0131s\u0131rl\u0131\u011f\u0131na kar\u015f\u0131 etkili \u00e7\u00f6z\u00fcm yollar\u0131ndan biri oldu\u011funu belirterek, \u015fu bilgileri payla\u015ft\u0131:<\/p>\n<div><img decoding=\"async\" src=\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2023\/05\/11\/sf-2-bulent-tiras.jpg\" alt=\"\" title=\"\"><\/p>\n<p>B\u00fclent T\u0131ra\u015f<\/p>\n<\/div>\n<p><b><span>Nas\u0131l anla\u015f\u0131l\u0131r?<\/span><\/b><\/p>\n<p>E\u011fer korunmas\u0131z birlikteli\u011fe ra\u011fmen bir y\u0131l boyunca \u00e7ocuk sahibi olamad\u0131ysan\u0131z k\u0131s\u0131rl\u0131k durumu s\u00f6z konusu olabilir. Kad\u0131n k\u0131s\u0131rl\u0131\u011f\u0131nda yumurtal\u0131k rezervinin d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc g\u00f6z \u00f6n\u00fcnde bulundurulaca\u011f\u0131ndan yumurta rezervi testi yani AMH testi ve adetin ilk g\u00fcn\u00fc ultrason incelemesi yap\u0131l\u0131r.<\/p>\n<p><b><span>Yumurta rezervi neden azal\u0131r?<\/span><\/b><\/p>\n<p>Bir kad\u0131n\u0131n yumurtal\u0131klar\u0131ndaki yumurta say\u0131s\u0131 ve kalitesi, yumurta rezervi olarak adland\u0131r\u0131l\u0131r. \u0130leri ya\u015f, menopoz, erken menopoz, kistlerin \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 yumurtal\u0131k operasyonlar\u0131, endometriozis (\u00e7ikolata kisti), kemoterapi ya da radyoterapi yumurtal\u0131k rezervini ciddi \u015fekilde etkiler ve azalmas\u0131na neden olur.\u00a0Baz\u0131 genetik hastal\u0131klar da yumurtal\u0131k rezervini azalt\u0131r. D\u00fcnyadaki verilere g\u00f6re 35 ya\u015f\u0131ndan sonra yumurta rezervinde azalma ya\u015fanmaktad\u0131r. Yani kad\u0131nlardaki yumurta say\u0131s\u0131n\u0131n azalmas\u0131 hatta daha \u00f6nemlisi yumurta kalitesindeki problemler art\u0131k daha erken ya\u015flara do\u011fru gerilemi\u015ftir.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2023\/05\/11\/02-bebek12.jpg\" alt=\"\" title=\"\"><\/p>\n<p><b><span>Gen\u00e7 ya\u015fta yumurta azl\u0131\u011f\u0131n\u0131n \u00e7aresi var<\/span><\/b><\/p>\n<p>T\u00fcp bebek tedavisinde Japonlar&#8217;\u0131n uygulad\u0131\u011f\u0131 IVA y\u00f6ntemi, PRP ve k\u00f6k h\u00fccre \u00e7al\u0131\u015fmalar\u0131 gen\u00e7 ya\u015fta yumurtas\u0131 az olan kad\u0131nlar i\u00e7in \u00f6nemli geli\u015fmelerdir. K\u00f6k h\u00fccre \u00e7al\u0131\u015fmalar\u0131 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131&#8217;n\u0131n k\u00f6k h\u00fccre komisyonundan al\u0131nan izinle yap\u0131labilir. \u00c7iftlerin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 iznine mutlaka dikkat etmeleri gerekir.<\/p>\n<p><b><span>Menopozda gebelik m\u00fcmk\u00fcn<\/span><\/b><\/p>\n<p>Kad\u0131nlarda\u00a0 yumurta elde etmek i\u00e7in PRP, k\u00f6k h\u00fccre\u00a0 ve Eksozom olmak \u00fczere \u00fc\u00e7 y\u00f6ntem y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar veriyor. Hastalar\u0131m\u0131zda ge\u00e7mi\u015fte\u00a0 43 ya\u015f\u0131ndan sonra nadiren gebelik g\u00f6r\u00fcrken bug\u00fcn PRP ve k\u00f6k h\u00fccre y\u00f6ntemleri sayesinde de 46-47 ya\u015f\u0131nda do\u011fum yapm\u0131\u015f gebelerimiz var. Yeni nesil h\u00fccresel tedavilerden biri olan Eksozom&#8217;u ise 4 ayd\u0131r uyguluyoruz. T\u00fcm h\u00fccreler taraf\u0131ndan sal\u0131nan eksozomlar\u0131n v\u00fccuttaki gen\u00e7le\u015fmeye yard\u0131mc\u0131 olmada \u00e7ok g\u00fc\u00e7l\u00fc oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Yumurtal\u0131klar\u0131 gen\u00e7le\u015ftirip, kuvvetlendirmede de etkisi b\u00fcy\u00fckt\u00fcr. \u00c7ok yak\u0131n zamanda belki rahim ya da di\u011fer organlar i\u00e7in de etkili olacakt\u0131r.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2023\/05\/11\/02-kisir-1.jpg\" alt=\"\" title=\"\"><\/p>\n<p><b><span>Spermi olmayan erkekler de baba olabiliyor<\/span><\/b><\/p>\n<p>Amac\u0131m\u0131z; kad\u0131n yumurtalar\u0131n\u0131n say\u0131s\u0131n\u0131 \u00e7o\u011faltmak ve gen\u00e7le\u015ftirmek. Sperm i\u00e7in de ge\u00e7erli bu\u2026 Yumurtadaki i\u015flemi testislere de uygulamak istedik. Bununla ilgili yapt\u0131\u011f\u0131m\u0131z \u00e7al\u0131\u015fmalarda; daha \u00f6nce mikro TESE yap\u0131lm\u0131\u015f, sperm bulunamam\u0131\u015f erkek hastalarda yakla\u015f\u0131k y\u00fczde 45 oran\u0131nda sperm bulundu. Testislere uygulanan PRP ve Eksozom y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar veriyor. Eksozomlarla tedavi; erkek k\u0131s\u0131rl\u0131\u011f\u0131nda da \u00e7ok b\u00fcy\u00fck bir geli\u015fme.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ocuk sahibi olamayan kad\u0131n ve erkekler i\u00e7in t\u00fcp bebek tedavisinde umut veren y\u00f6ntemlere yenileri ekleniyor. Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Prof. Dr. B\u00fclent T\u0131ra\u015f, \u2018\u2018PRP ve k\u00f6k h\u00fccre tedavisinin ard\u0131ndan eksozom adl\u0131 y\u00f6ntemle de yumurta ve sperm g\u00fc\u00e7lendirilip, gen\u00e7le\u015ftirilebiliyor\u2019\u2019 dedi.<\/p>\n","protected":false},"author":1,"featured_media":88872,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[209,5548,3947,332,11789],"class_list":["post-88871","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-kadin","tag-kok-hucre","tag-rezervi","tag-yumurta","tag-yumurtalik"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/88871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=88871"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/88871\/revisions"}],"predecessor-version":[{"id":88873,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/88871\/revisions\/88873"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/88872"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=88871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=88871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=88871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}