{"id":91165,"date":"2016-04-25T17:07:47","date_gmt":"2016-04-25T14:07:47","guid":{"rendered":"http:\/\/epochtimestr.com\/?p=91165"},"modified":"2016-04-25T17:08:41","modified_gmt":"2016-04-25T14:08:41","slug":"teknoloji-sayesinde-yeni-muayane-yontemi","status":"publish","type":"post","link":"https:\/\/epochtimestr.com\/index.php\/teknoloji-sayesinde-yeni-muayane-yontemi","title":{"rendered":"Teknoloji Sayesinde Yeni Muayane Y\u00f6ntemi"},"content":{"rendered":"

Geli\u015fen teknoloji doktor hasta ili\u015fkilerini daha farkl\u0131 boyutlara ta\u015f\u0131yor. Art\u0131k internet \u00fczerinden doktor hastalar\u0131na el de\u011fmeden \u00f6n muayanesini ger\u00e7ekle\u015ftirebiliyor.<\/h2>\n
\"1626640\"
Foto\u011fraf:\u0130HA<\/figcaption><\/figure>\n

\u00d6zellikle t\u00fcp bebek tedavisi gibi yurt d\u0131\u015f\u0131ndan gelen hasta potansiyeline sahip \u00fclkemizde bu konu ayr\u0131 bir \u00f6nem ta\u015f\u0131yor. Bah\u00e7eci Sa\u011fl\u0131k Grubu taraf\u0131ndan ger\u00e7ekle\u015ftirilen bu uygulama sayesinde hastan\u0131n \u00f6n muayene i\u00e7in T\u00fcrkiye\u2019ye gelmesine gerek kalm\u0131yor, daha \u00f6nceki tedavilerine ait sonu\u00e7lar\u0131 de\u011ferlendiriliyor, hasta tedavi i\u00e7in uygunsa T\u00fcrkiye\u2019ye davet ediliyor. T\u00fcp bebek tedavisine ba\u015fvurmak isteyen yurt d\u0131\u015f\u0131ndaki hastalar hem zaman hem de maddi a\u00e7\u0131dan b\u00fcy\u00fck kazan\u0131m elde ediyor.
\nSa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan yap\u0131lan a\u00e7\u0131klamaya g\u00f6re T\u00fcrkiye, t\u00fcp bebek konusunda d\u00fcnyadaki ilk 5 \u00fclke aras\u0131nda yer al\u0131yor. T\u00fcrkiye, geli\u015fen t\u00fcp bebek y\u00f6ntemi ile d\u00fcnya \u00fclkelerinden gelen bir\u00e7ok hastaya ev sahipli\u011fi yap\u0131yor. Geli\u015ftirilen yeni uygulamalar bu say\u0131n\u0131n artmas\u0131na sebep oluyor. Bah\u00e7eci Sa\u011fl\u0131k Grubu Umut T\u00fcp Bebek Merkezinin uzak muayene uygulamas\u0131yla yabanc\u0131 hasta say\u0131s\u0131nda ciddi art\u0131\u015f ya\u015fan\u0131yor.
\nTedavi i\u00e7in klini\u011fe gelen hastalardan muayene \u00fccreti almad\u0131klar\u0131n\u0131 belirten Bah\u00e7eci Sa\u011fl\u0131k Grubu Y\u00f6netim Kurulu Ba\u015fkan\u0131 Mustafa Bah\u00e7eci: \u201cYurt d\u0131\u015f\u0131ndaki hastalar\u0131m\u0131z i\u00e7in \u00fccretiz uzaktan g\u00f6r\u00fcnt\u00fcl\u00fc muayene imkan\u0131 sa\u011fl\u0131yoruz. \u00d6n g\u00f6r\u00fc\u015fmeleri Skype, Facebook gibi uygulamalarla buraya gelmelerine gerek kalmadan ger\u00e7ekle\u015ftiriyoruz. Daha \u00f6nceki tedavilerine ait sonu\u00e7lar\u0131 de\u011ferlendiriliyor, hasta tedavi i\u00e7in uygunsa T\u00fcrkiye\u2019ye davet ediliyor ve burada onlar\u0131n tedavisi i\u00e7in yol haritas\u0131 \u00e7iziliyor\u201d dedi.<\/h2>\n

T\u00fcp Bebek Konusunda T\u00fcrkiye Yo\u011fun \u0130lgi G\u00f6r\u00fcyor<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 verilerine g\u00f6re, 2 milyon \u00e7ift, bebek sahibi olam\u0131yor ya da olmakta zorlan\u0131yor. Kad\u0131n ya da erkekten kaynaklanan sa\u011fl\u0131k sorunlar\u0131 nedeniyle \u00e7ocuksuzluk sorunu ya\u015fayan \u00e7iftlerden baz\u0131lar\u0131 \u00e7areyi t\u00fcp bebek merkezlerinde ar\u0131yor. Sorunu gizlemeyip tedavi i\u00e7in \u00e7\u00f6z\u00fcm arayan \u00e7iftler, y\u0131lda yakla\u015f\u0131k 42 bin t\u00fcp bebek tedavisi yapt\u0131r\u0131yor. Bu say\u0131, T\u00fcrkiye\u2019yi d\u00fcnya s\u0131ralamas\u0131nda ilk 5\u2019e y\u00fckseltiyor. \u00c7e\u015fitli nedenle \u00e7ocuk sahibi olamayan \u00e7iftler i\u00e7in umut kayna\u011f\u0131 olan t\u00fcp bebek tedavisinde kad\u0131n\u0131n ya\u015f\u0131, yumurta rezervi ve kalitesi ile erke\u011fin sperm kalitesi ba\u015far\u0131y\u0131 etkileyen fakt\u00f6rlerin ba\u015f\u0131nda geliyor.<\/p>\n

Sonuca olumsuz etkisi olabilecek fakt\u00f6rlerin tedavi \u00f6ncesi iyi de\u011ferlendirilmi\u015f ve giderilmi\u015f olmas\u0131, embriyo transferinin en uygun teknikle yap\u0131lmas\u0131 da sonuca etki ediyor. Transfer edilecek embriyonun geli\u015fimi ve kalitesi y\u00fcksek, embriyo transferi yap\u0131lan rahmin durumu tutunmaya elveri\u015fli ise, t\u00fcp bebek tedavisinde ba\u015far\u0131 art\u0131yor. Son y\u0131llarda t\u00fcp bebek tedavisinde geli\u015ftirilen yeni y\u00f6ntem; sperm ve yumurta se\u00e7iminde ba\u015far\u0131y\u0131 art\u0131rmaya, embriyo geli\u015fimi i\u00e7in v\u00fccudu en iyi \u015fekilde taklit edebilecek uygun ko\u015fullar\u0131 olu\u015fturmaya, embriyo se\u00e7iminde dinamik ve genetik parametreleri etkin kullanmaya ve transferin yap\u0131laca\u011f\u0131 rahmin tutunmaya elveri\u015fli oldu\u011fu d\u00f6nemi tespit etmeye y\u00f6nelik alanlarda ger\u00e7ekle\u015fti. Bunun yan\u0131nda transfer sonras\u0131 artan iyi kalite embriyolar ile \u2018endometrial reseptivite\u2019 denilen rahmin tutunma potansiyelinin uygun olmamas\u0131 nedeniyle transfer edilmeyen embriyolar\u0131n dondurulma tekni\u011finde uygulanmaya ba\u015flanan yeni teknikler, \u2018k\u00fcm\u00fclatif gebelik\u2019 denilen toplam t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131n artmas\u0131na katk\u0131da bulunuyor.
\nKi\u015fiye \u00f6zel do\u011fru tekni\u011fin se\u00e7ilmesi \u00f6nemli.<\/p>\n

Tedavide as\u0131l ba\u015far\u0131 do\u011fru ki\u015fi de do\u011fru tekni\u011fin se\u00e7imi ile ger\u00e7ekle\u015fmekte. Tetkiklerin tamam\u0131 t\u00fcm infertil \u00e7iftler i\u00e7in gerekli olmad\u0131\u011f\u0131 gibi, her yeni geli\u015fme her hastada arzu edilen sonucu vermeyebilir ve maliyeti art\u0131rabilir. Bu noktada ki\u015fiye \u00f6zel bireyselle\u015ftirilmi\u015f t\u00fcp bebek tedavisi uygulayarak tedavi \u00f6ncesi detayl\u0131 de\u011ferlendirme yapmak ve \u00e7iftin durumuna uygun do\u011fru y\u00f6ntemin se\u00e7imi ba\u015far\u0131da b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.
\nSperme ba\u011fl\u0131 problemler i\u00e7in IMSI
\nTedavide yeni y\u00f6ntem hakk\u0131nda bilgi veren Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Prof. Dr. Mustafa Bah\u00e7eci, bunlardan k\u0131sa ad\u0131 IMSI olan (Intracytoplasmic Magnified Sperm Injection-Y\u00fcksek Mikroskobik B\u00fcy\u00fctmeyle Se\u00e7ilmi\u015f Sperm Mikroenjeksiyonu) y\u00f6nteminin, spermde klasik incelemede g\u00f6zden ka\u00e7abilecek anomalileri tespit etti\u011fini kaydetti.<\/p>\n

Klasik t\u00fcp bebek tedavisinde spermlerin mikroskopta yakla\u015f\u0131k 400 kat b\u00fcy\u00fct\u00fclerek se\u00e7ildi\u011fini belirten Bah\u00e7eci, bu y\u00f6ntemde spermlerin \u00f6zel mikroskoplarda 8000 kat b\u00fcy\u00fct\u00fclebildi\u011fini vurgulayarak \u015funlar\u0131 s\u00f6yledi:<\/p>\n

“Bu yolla, \u00f6zellikle sperm ba\u015f\u0131nda daha k\u00fc\u00e7\u00fck b\u00fcy\u00fctmelerde g\u00f6zden ka\u00e7abilecek yap\u0131sal anomali tespit edilebiliyor ve yap\u0131sal, genetik olarak daha sa\u011fl\u0131kl\u0131 spermlerin se\u00e7ilmesi sa\u011flan\u0131yor. IMSI y\u00f6ntemi, ciddi sperm problemi olan ve beraberinde s\u0131n\u0131rl\u0131 say\u0131da yumurtas\u0131 elde edilebilen hastalarda, daha \u00f6nce tekrarlayan t\u00fcp bebek ba\u015far\u0131s\u0131zl\u0131\u011f\u0131 ya\u015fam\u0131\u015f \u00e7iftlerde \u00f6zellikle sperme ba\u011fl\u0131 bir problem tespit edildi\u011finde tedavideki \u015fans\u0131 ve ba\u015far\u0131y\u0131 artt\u0131rabilmek i\u00e7in kullan\u0131labilecek \u00f6nemli bir ara\u00e7.\u2019\u2019<\/p>\n

Embriyonun geli\u015fimi \u2018film \u015feridi gibi\u2019 takip ediliyor<\/p>\n

Bah\u00e7eci, bu y\u00f6ntemin ba\u015fl\u0131ca avantajlar\u0131ndan birinin; transfer edilecek embriyo se\u00e7iminde daha isabetli karar verebilmek oldu\u011funun alt\u0131n\u0131 \u00e7izdi. Prof. Dr. Mustafa Bah\u00e7eci, transfer \u00f6ncesinde embriyolar\u0131n, geli\u015fimlerinin takibi a\u00e7\u0131s\u0131ndan her g\u00fcn en az bir kez ink\u00fcbat\u00f6rlerin d\u0131\u015f\u0131na al\u0131nmalar\u0131 gerekti\u011fini, ancak bu durumun embriyolar \u00fczerinde stres olu\u015fturarak embriyo kalitesini etkileyebildi\u011fini vurgulad\u0131.
\nKlasik y\u00f6ntemde ayr\u0131ca embriyolar\u0131n geli\u015fim evrelerinin bir b\u00fct\u00fcn olarak takip edilemedi\u011fini, sadece anl\u0131k g\u00f6r\u00fcnt\u00fc al\u0131narak de\u011ferlendirilebildi\u011fini vurgulayan Prof. Dr. Bah\u00e7eci, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc: “Embriyoskopi denilen \u00f6zel ink\u00fcbat\u00f6rlere yerle\u015ftirilen kamera sistemleri yard\u0131m\u0131yla, embriyolar s\u00fcrekli kamera ile izlenebilmektedir. Her 20 dakikada bir embriyolar\u0131n farkl\u0131 d\u00fczlemlerde foto\u011fraflar\u0131n\u0131 \u00e7ekiyor. Bunlar daha sonra h\u0131zland\u0131r\u0131lm\u0131\u015f video g\u00f6r\u00fcnt\u00fcs\u00fc olarak izlenebiliyor. Bu yolla embriyolar\u0131n ink\u00fcbat\u00f6rden d\u0131\u015far\u0131 \u00e7\u0131kar\u0131lmas\u0131na gerek kalmadan t\u00fcm geli\u015fim a\u015famalar\u0131, geli\u015fim h\u0131z\u0131 adeta bir film \u015feridi gibi izlenmekte, geli\u015fim potansiyeli en y\u00fcksek embriyolar transfer i\u00e7in se\u00e7ilebilmektedir.\u2019\u2019
\naCGH ile genetik bozukluk olan embriyoyu tespit m\u00fcmk\u00fcn
\n\u0130nsan embriyolar\u0131 \u00fczerinde yap\u0131lan ara\u015ft\u0131rmalarda, rahme tutunma a\u015famas\u0131nda olsalar bile pek \u00e7ok embriyonun yap\u0131sal veya say\u0131sal kromozom bozukluklar\u0131 nedeniyle tutunma potansiyellerinin olmad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Preimplantasyon genetik Tan\u0131 (PGT) ad\u0131 verilen y\u00f6ntemle embriyo geli\u015fiminin herhangi bir a\u015famas\u0131nda al\u0131nan biyopsi \u00f6rne\u011finde kromozom say\u0131 ve yap\u0131s\u0131na bak\u0131labiliyor.
\nBug\u00fcne kadar PGT amac\u0131yla daha \u00e7ok FISH y\u00f6nteminin kullan\u0131ld\u0131\u011f\u0131n\u0131 ve en fazla 12 kromozoma bak\u0131labildi\u011fini vurgulayan Prof. Dr. Bah\u00e7eci, yeni y\u00f6ntem aCGH\u2019nin ise t\u00fcm kromozomlara bakma imkan\u0131 tan\u0131d\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izerek “G\u00fcn\u00fcm\u00fczde aCGH y\u00f6ntemiyle, embriyo geli\u015fiminin 5. g\u00fcn\u00fcnde yap\u0131lan blastokist biyopsisiyle al\u0131nan h\u00fccrelerde t\u00fcm kromozomlara bak\u0131labilmektedir. B\u00f6ylece preimplantasyon genetik tan\u0131 (PGT) i\u015fleminin tan\u0131sal g\u00fcc\u00fc artm\u0131\u015ft\u0131r. Bu \u015fekilde incelenebilen embriyolar\u0131n genetik bozukluk ta\u015f\u0131mad\u0131klar\u0131 tespit edildi\u011finde ve do\u011fru zaman ve \u015fekilde rahme nakilleri yap\u0131ld\u0131\u011f\u0131nda art\u0131k daha y\u00fcksek gebelik oranlar\u0131 elde etmek m\u00fcmk\u00fcn olabilmektedir\u2019\u2019 dedi.
\nERA Testi ile rahmin, embriyonun tutunmas\u0131na en uygun d\u00f6nemi belirleniyor
\nT\u00fcp bebek tedavisinde y\u00fcksek ba\u015far\u0131, iyi kalitede embriyonun, tutunma i\u00e7in uygun zamanda rahme transfer edilmesiyle ger\u00e7ekle\u015fiyor. Yak\u0131n bir zaman \u00f6ncesine kadar, klasik bir t\u00fcp bebek tedavisinde rahim dokusunun d\u00f6llenme sonras\u0131 5. ve 6. g\u00fcnlerde embriyonun tutunmas\u0131na uygun hale geldi\u011fi d\u00fc\u015f\u00fcn\u00fcl\u00fcyor ve neredeyse t\u00fcm embriyo transfer bu d\u00fc\u015f\u00fcnceye g\u00f6re planlan\u0131yordu. Son y\u0131llarda yap\u0131lan molek\u00fcler genetik \u00e7al\u0131\u015fma, rahim i\u00e7 dokusunun ki\u015fiden ki\u015fiye de\u011fi\u015febilen bir \u015fekilde embriyo i\u00e7in farkl\u0131 zamanlarda haz\u0131r hale gelebildi\u011fini, bu haz\u0131rl\u0131k s\u00fcrecinin do\u011fru planlanamad\u0131\u011f\u0131 durumlarda ise gebeli\u011fin ger\u00e7ekle\u015femedi\u011fini ortaya koymu\u015ftur. ERA testi sayesinde ki\u015fisel embriyo transfer g\u00fcn\u00fcn\u00fc belirleyerek ve do\u011fru zamanda do\u011fru embriyonun transferi yap\u0131larak gebelik oranlar\u0131nda art\u0131\u015f sa\u011flanabilmektedir. \u00d6zellikle tekrarlayan embriyo tutunma ba\u015far\u0131s\u0131zl\u0131\u011f\u0131 olanlarda, birden \u00e7ok defa iyi kalitede embriyo verilmesine ra\u011fmen gebelik elde edilemeyen \u00e7iftlerde bu y\u00f6ntemin kullan\u0131lmas\u0131 yararl\u0131 oluyor.
\nVitrifikasyonla embriyo ba\u015far\u0131n\u0131n en y\u00fcksek olaca\u011f\u0131 zamanda nakledilebiliyor
\nVitrifikasyon, gamet h\u00fccreleri (yani sperm ve yumurta) ile t\u00fcm geli\u015fim a\u015famalar\u0131ndaki embriyolar\u0131n y\u00fcksek ba\u015far\u0131 ile dondurulup \u00e7\u00f6z\u00fclmesine olanak veren yeni bir dondurma tekni\u011fi olarak g\u00f6r\u00fcl\u00fcyor. Bu teknikle dondurma sonras\u0131nda, \u00f6zellikle yumurta ve embriyolar \u00e7\u00f6z\u00fcld\u00fc\u011f\u00fcnde y\u00fcksek canl\u0131l\u0131k oranlar\u0131 yakalanmakta, hatta ayn\u0131 embriyo birden \u00e7ok dondurulup \u00e7\u00f6z\u00fcld\u00fc\u011f\u00fcnde bile canl\u0131l\u0131\u011f\u0131n\u0131 koruyabilmekte ve gebelik elde edilebilmektedir. Vitrifikasyon tekni\u011findeki ba\u015far\u0131 nedeniyle se\u00e7kin merkezlerde tedavilerin yar\u0131s\u0131ndan fazlas\u0131n\u0131n donmu\u015f embriyo transferiyle uyguland\u0131\u011f\u0131 bir d\u00f6neme girildi. Bu teknikle dondurulmu\u015f embriyolar, tedavinin mecbur b\u0131rakt\u0131\u011f\u0131 bir zaman de\u011fil, ba\u015far\u0131n\u0131n en y\u00fcksek d\u00fczeyde olaca\u011f\u0131 zamanda rahme nakledilebiliyor. Kanser gibi hastal\u0131klar veya kariyer nedeniyle bebe\u011fi ertelemek isteyenler i\u00e7in avantaj sa\u011fl\u0131yor.
\nVitrifikasyon y\u00f6nteminin, iyi kalitede embriyolar\u0131n dondurularak saklanmas\u0131 sayesinde k\u00fcm\u00fclatif gebelik oranlar\u0131n\u0131n artmas\u0131na katk\u0131da bulundu\u011funu anlatan Prof. Dr. Mustafa Bah\u00e7eci, “Bunun yan\u0131nda \u00fcreme sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131na ihtiya\u00e7 duyan kad\u0131nlarda ba\u015far\u0131l\u0131 bir \u00e7\u00f6z\u00fcm f\u0131rsat\u0131 sunuyor. Kanser veya ba\u015fka nedenle \u00fcreme potansiyelini kaybetme riski ta\u015f\u0131yan kad\u0131nlar ile kariyer veya ba\u015fka nedenle \u00e7ocuk sahibi olmay\u0131 erteleyen kad\u0131nlar i\u00e7in yumurtalar veya embriyolar vitrifikasyon y\u00f6ntemiyle dondurularak \u00fcreme sa\u011fl\u0131klar\u0131 g\u00fcvence alt\u0131na al\u0131nabiliyor\u2019\u2019 dedi.<\/p>\n

\u0130HA<\/em><\/p>\n

<\/div>\n","protected":false},"excerpt":{"rendered":"

Geli\u015fen teknoloji doktor hasta ili\u015fkilerini daha farkl\u0131 boyutlara ta\u015f\u0131yor. Art\u0131k internet \u00fczerinden doktor hastalar\u0131na el de\u011fmeden \u00f6n muayanesini ger\u00e7ekle\u015ftirebiliyor. \u00d6zellikle t\u00fcp bebek tedavisi gibi yurt d\u0131\u015f\u0131ndan gelen hasta potansiyeline sahip \u00fclkemizde bu konu ayr\u0131 bir \u00f6nem ta\u015f\u0131yor. Bah\u00e7eci Sa\u011fl\u0131k Grubu taraf\u0131ndan ger\u00e7ekle\u015ftirilen bu uygulama sayesinde hastan\u0131n \u00f6n muayene i\u00e7in T\u00fcrkiye\u2019ye gelmesine gerek kalm\u0131yor, daha \u00f6nceki […]<\/p>\n","protected":false},"author":12464,"featured_media":91166,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":"","_yoast_wpseo_focuskw_text_input":""},"categories":[37],"tags":[],"yoast_head":"\nTeknoloji Sayesinde Yeni Muayane Y\u00f6ntemi - The Epoch Times TR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/epochtimestr.com\/index.php\/teknoloji-sayesinde-yeni-muayane-yontemi\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Teknoloji Sayesinde Yeni Muayane Y\u00f6ntemi - The Epoch Times TR\" \/>\n<meta property=\"og:description\" content=\"Geli\u015fen teknoloji doktor hasta ili\u015fkilerini daha farkl\u0131 boyutlara ta\u015f\u0131yor. 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