{"id":2187,"date":"2020-03-19T21:36:27","date_gmt":"2020-03-19T18:36:27","guid":{"rendered":"https:\/\/annelertoplandik.com\/blog\/?p=2187"},"modified":"2020-03-19T21:36:28","modified_gmt":"2020-03-19T18:36:28","slug":"asilama-nedir-nasil-yapilir","status":"publish","type":"post","link":"https:\/\/annelertoplandik.com\/blog\/asilama-nedir-nasil-yapilir\/","title":{"rendered":"A\u015f\u0131lama Nedir? Nas\u0131l Yap\u0131l\u0131r?"},"content":{"rendered":"\n

Rahim\ni\u00e7i a\u015f\u0131lama (IUI), spermin bir kad\u0131n\u0131n vajinas\u0131na, serviksine veya rahmine\ncinsel ili\u015fki d\u0131\u015f\u0131nda yerle\u015ftirilmesini i\u00e7eren en yayg\u0131n suni tohumlama\n\u015feklidir.  Bir\u00e7ok kad\u0131n i\u00e7in, suni tohumlama tedavisi tek ba\u015f\u0131na yeterli\nde\u011fildir. Suni a\u015f\u0131lama genellikle do\u011furganl\u0131\u011f\u0131 daha da art\u0131rmak i\u00e7in\nklomifen veya gonadotropinler gibi do\u011furganl\u0131k ila\u00e7lar\u0131yla birlikte yap\u0131l\u0131r.<\/p>\n\n\n\n

Her\niki prosed\u00fcr\u00fc de uygulamak i\u00e7in, bir kad\u0131n\u0131n a\u00e7\u0131k fallop t\u00fcpleri olmas\u0131 gerekir. T\u00fcpleri\nt\u0131kal\u0131 kad\u0131nlar i\u00e7in a\u015f\u0131lama yap\u0131lmaz.<\/p>\n\n\n\n

A\u015f\u0131lama\nnedir?<\/strong><\/h2>\n\n\n\n

A\u015f\u0131lama\nspermi do\u011frudan rahime yerle\u015ftiren bir y\u00f6ntemdir. \u0130lk olarak, sperm erkek\npartnerinden veya don\u00f6rden elde edilir. Daha sonra sperm say\u0131l\u0131r, y\u0131kan\u0131r,\nkonsantre edilir ve k\u00fc\u00e7\u00fck bir \u015f\u0131r\u0131ngaya yerle\u015ftirilir.<\/p>\n\n\n\n

Enjekt\u00f6re\nk\u00fc\u00e7\u00fck bir t\u00fcp (kateter) tak\u0131l\u0131r. Daha sonra kateter rahim a\u011fz\u0131ndan ve\nuterusun alt k\u0131sm\u0131na yerle\u015ftirilir. Sperm do\u011frudan anne rahmine aktar\u0131l\u0131r.<\/p>\n\n\n\n

A\u015f\u0131lama avantaj\u0131, spermin y\u0131kand\u0131klar\u0131nda daha aktif hale gelmesidir, daha fazla sperm yumurtaya rutin ili\u015fkilere g\u00f6re ula\u015f\u0131r.\u00a0Rahim<\/a> i\u00e7i a\u015f\u0131lama, serviksi atlad\u0131\u011f\u0131ndan, antisperm antikorlar\u0131n veya kal\u0131n servikal mukusun etkilerinin \u00fcstesinden gelmeye yard\u0131mc\u0131 olabilir.<\/p>\n\n\n\n

De\u011ferlendirme\nve Testler<\/strong><\/h2>\n\n\n\n

A\u015f\u0131lama\ntedavisine ba\u015flamadan \u00f6nce, kad\u0131nlar en az bir a\u00e7\u0131k fallop t\u00fcp\u00fcne sahip\nolduklar\u0131n\u0131 belgelemek i\u00e7in histerosalpingogram ad\u0131 verilen bir\nX-\u0131\u015f\u0131n\u0131 testinden ge\u00e7melidir.<\/p>\n\n\n\n

IUI i\u00e7in sperm<\/a> \u00f6rne\u011fi sa\u011flayan erkek partnerler bula\u015f\u0131c\u0131 hastal\u0131klar a\u00e7\u0131s\u0131ndan test edilmelidir.\u00a0Bir kad\u0131n sperm bankas\u0131ndan don\u00f6r sperm kullan\u0131yorsa, don\u00f6r sperm tohumlamalar\u0131na ba\u015flamadan \u00f6nce bula\u015f\u0131c\u0131 hastal\u0131klar i\u00e7in test edilmelidir.\u00a0Gereken spesifik testler HIV, HTLV I, RPR (sifiliz testi), hepatit B y\u00fczey antijeni ve hepatit C antikorudur. Bir a\u015f\u0131laman\u0131n yap\u0131labilmesi i\u00e7in testlerin tamamlanmas\u0131 gerekir.\u00a0Bu kural\u0131n hi\u00e7bir istisnas\u0131 yoktur.<\/p>\n\n\n\n

Nas\u0131l\nyap\u0131l\u0131r?<\/strong><\/h2>\n\n\n\n
\"a\u015f\u0131lama\"<\/figure>\n\n\n\n

Rahim\ni\u00e7i tohumlamadan \u00f6nce yumurtlamay\u0131 uyar\u0131c\u0131 ila\u00e7lar kullan\u0131labilir, bu\ndurumda yumurtalar\u0131n ne zaman olgunla\u015ft\u0131\u011f\u0131n\u0131 belirlemek i\u00e7in dikkatli bir\nizleme gerekecektir. Daha sonra IUI prosed\u00fcr\u00fc, yumurtlama s\u0131ras\u0131nda,\ngenellikle yumurtlaman\u0131n yak\u0131nda ger\u00e7ekle\u015fece\u011fini g\u00f6steren LH hormonundaki dalgalanmadan\nyakla\u015f\u0131k 24-36 saat sonra yap\u0131lacakt\u0131r.<\/p>\n\n\n\n

Bir\nsperm \u00f6rne\u011fi semen s\u0131v\u0131s\u0131ndan ay\u0131rmak i\u00e7in laboratuvar taraf\u0131ndan\ny\u0131kanacakt\u0131r. Daha sonra spermi do\u011frudan uterusa sokmak i\u00e7in bir kateter\nkullan\u0131lacakt\u0131r. Bu s\u00fcre\u00e7, rahme yerle\u015ftirilen sperm h\u00fccrelerinin say\u0131s\u0131n\u0131\nen \u00fcst d\u00fczeye \u00e7\u0131kar\u0131r, b\u00f6ylece gebe kalma olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131r\u0131r.<\/p>\n\n\n\n

Rahim\ni\u00e7i a\u015f\u0131lamas\u0131 ne kadar s\u00fcrer?<\/strong><\/h2>\n\n\n\n

Bir\nmeni \u00f6rne\u011fi sa\u011flad\u0131ktan sonra, spermin i\u015flenmesi yakla\u015f\u0131k bir saat\ns\u00fcrer. Nadir durumlarda, spermin i\u015flenmesi, erke\u011fin spermine ba\u011fl\u0131 olarak\ndaha uzun s\u00fcrer. Donmu\u015f veya don\u00f6r spermlerin i\u015flenmesi yakla\u015f\u0131k 45 dakika\ns\u00fcrer.<\/p>\n\n\n\n

A\u015f\u0131\nyapma sadece birka\u00e7 dakika s\u00fcrer. \u0130\u015flemden sonra yakla\u015f\u0131k 10 dakika\nhareketsiz yatman\u0131z\u0131 rica edilir. Genel olarak, i\u015flem genellikle bir bu\u00e7uk\nsaat s\u00fcrer. <\/p>\n\n\n\n

A\u015f\u0131lamada\nba\u015far\u0131 oran\u0131 nedir?<\/strong><\/h2>\n\n\n\n

\u0130\u015fte\nyapmak istedi\u011finiz rahim i\u00e7i a\u015f\u0131lama d\u00f6ng\u00fclerinin say\u0131s\u0131na ba\u011fl\u0131 olarak\nhamilelik \u015fans\u0131n\u0131z\u0131n bir tahmini:<\/p>\n\n\n\n

  • Kad\u0131nlar genellikle sadece bir IUI y\u00f6ntemi ile\ny\u00fczde 10 ila 20 hamile kalma \u015fans\u0131na sahiptir.<\/li>
  • Ne kadar \u00e7ok IUI (a\u015f\u0131lama) tedavisine\ngirerseniz, hamilelik \u015fans\u0131n\u0131z o kadar y\u00fcksek olur. 3 ila 6 d\u00f6ng\u00fc IUI ile\nhamilelik oranlar\u0131 y\u00fczde 80 kadar y\u00fcksek olabilir.<\/li>
  • IUI ile gebelik oran\u0131, kendi ba\u015f\u0131na hamile\nkalan, do\u011furgan \u00e7iftlerin gebelik oranlar\u0131na benzer veya sadece biraz daha\nd\u00fc\u015f\u00fckt\u00fcr.<\/li><\/ul>\n\n\n\n

    Tohumlama\nba\u015far\u0131 oranlar\u0131 a\u015fa\u011f\u0131dakileri i\u00e7eren fakt\u00f6rlere ba\u011fl\u0131 olarak de\u011fi\u015fir:<\/p>\n\n\n\n

    • Kad\u0131n\u0131n ya\u015f\u0131<\/li>
    • Fallop t\u00fcp\u00fc durumu (en az bir a\u00e7\u0131k t\u00fcp)<\/li>
    • Sperm \u00f6rne\u011fi. \u00c7ok d\u00fc\u015f\u00fck sperm say\u0131s\u0131 olan\nerkeklerde (5 milyondan az toplam hareketli sperm) IUI genellikle ba\u015far\u0131l\u0131\nde\u011fildir.<\/li><\/ul>\n\n\n\n

      Do\u011furganl\u0131k\ntedavilerinde k\u00fcm\u00fclatif bir ba\u015far\u0131 oran\u0131 oldu\u011funu s\u00f6ylenir. Bir \u00e7ift bir do\u011fal\nolarak denedi\u011finde, hamile kalma olas\u0131l\u0131klar\u0131 daha y\u00fcksektir. Ancak do\u011fal\nolarak denemek gibi, baz\u0131 tedavilerin art\u0131k i\u015fe yaramad\u0131\u011f\u0131 bir nokta vard\u0131r. Birka\u00e7\nd\u00f6ng\u00fcden sonra hamilelik IUI ile de ger\u00e7ekle\u015fmezse, \u00e7iftler t\u00fcp bebek gibi\nba\u015fka bir yakla\u015f\u0131m hakk\u0131nda doktorlar\u0131na dan\u0131\u015fmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Rahim i\u00e7i a\u015f\u0131lama (IUI), spermin bir kad\u0131n\u0131n vajinas\u0131na, serviksine veya rahmine cinsel ili\u015fki d\u0131\u015f\u0131nda yerle\u015ftirilmesini i\u00e7eren en yayg\u0131n suni tohumlama \u015feklidir.  Bir\u00e7ok kad\u0131n i\u00e7in, suni tohumlama tedavisi tek ba\u015f\u0131na yeterli de\u011fildir. Suni a\u015f\u0131lama genellikle do\u011furganl\u0131\u011f\u0131 daha da art\u0131rmak i\u00e7in klomifen veya gonadotropinler gibi do\u011furganl\u0131k ila\u00e7lar\u0131yla birlikte yap\u0131l\u0131r. Her iki prosed\u00fcr\u00fc de uygulamak i\u00e7in, bir kad\u0131n\u0131n a\u00e7\u0131k […]<\/p>\n","protected":false},"author":7,"featured_media":2188,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[23],"tags":[],"yoast_head":"\nA\u015f\u0131lama Nedir? 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