{"id":1749,"date":"2024-11-15T13:48:31","date_gmt":"2024-11-15T10:48:31","guid":{"rendered":"http:\/\/drzeynepgedikozkose.com\/?page_id=1749"},"modified":"2024-11-21T14:26:41","modified_gmt":"2024-11-21T11:26:41","slug":"serklaj","status":"publish","type":"page","link":"https:\/\/drzeynepgedikozkose.com\/?page_id=1749","title":{"rendered":"Serklaj"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<strong>Servikal serklaj<\/strong>, y\u00fcksek erken do\u011fum riski bulunan ki\u015filerde gebeli\u011fin uzamas\u0131n\u0131 sa\u011flamak i\u00e7in uygulanan y\u00f6ntemdir. Zay\u0131flam\u0131\u015f serviksi bulunan ki\u015filerde 37 haftadan \u00f6nce ger\u00e7ekle\u015febilecek erken do\u011fumu \u00f6nlemek i\u00e7in kullan\u0131l\u0131r. Bebe\u011fin anne karn\u0131nda daha uzun kalarak geli\u015fimini tamamlamas\u0131 ama\u00e7lan\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"servikal-serklaj-nedir\"><span style=\"font-size: 12pt;\">Servikal Serklaj Nedir?<\/span><\/h2>\n<p>Servikal diki\u015f olarak da bilinen servikal serklaj, erken do\u011fum ihtimali y\u00fcksek kad\u0131nlarda hamileli\u011fin uzat\u0131lmas\u0131 amac\u0131yla uygulanan i\u015flemdir. Hamileli\u011fin do\u011fal seyri boyunca serviks, \u00fc\u00e7\u00fcnc\u00fc trimester\u2019\u0131n sonuna yani do\u011fumdan hemen \u00f6nceye kadar uzun, kal\u0131n ve s\u0131k\u0131d\u0131r. Do\u011fum yakla\u015ft\u0131\u011f\u0131nda fet\u00fcs\u00fcn ge\u00e7i\u015fi i\u00e7in yumu\u015famaya ve geni\u015flemeye ba\u015flar. Bu s\u00fcrecin erken ba\u015flamas\u0131 durumunda serviks b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc koruyarak erken do\u011fuma ya da d\u00fc\u015f\u00fc\u011fe neden olabilir. Bu durumu \u00f6nlemek i\u00e7in ge\u00e7mi\u015fte k\u0131s\u0131tl\u0131 aktivite ve istirahat \u00f6nerilse de bu y\u00f6ntemlerin etkinli\u011fi ile ilgili bilimsel bir veri yoktur. Servikal serklaj ise gebeli\u011fin s\u00fcresinin uzat\u0131lmas\u0131 ve obstetrik sonu\u00e7lar\u0131n iyile\u015ftirilmesini, serviksin yap\u0131sal b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc koruyarak sa\u011flayan etkinli\u011fi kan\u0131tlanm\u0131\u015f cerrahi bir i\u015flemdir.<\/p>\n<p>Servikal serklaj; acil ve profilaktik olmak \u00fczere ikiye ayr\u0131l\u0131r. Acil serklaj, bu durum tespit edildi\u011fi anda; profilaktik serklaj ise genellikle gebeli\u011fin 13-14. haftalar\u0131 aras\u0131nda uygulan\u0131r. Diki\u015fler, hamileli\u011fin 37. haftas\u0131na kadar kal\u0131r. Servikal serklaj uygulamas\u0131na ra\u011fmen planlanandan \u00f6nce do\u011fuma ba\u015flayan kad\u0131nlar\u0131n vakit kaybetmeden sa\u011fl\u0131k kurulu\u015fu ile ileti\u015fime ge\u00e7mesi gerekir. Sezaryen planland\u0131ysa, diki\u015fler ameliyattan \u00f6nce ya da sonra al\u0131nabilir. Bu i\u015flemin en \u00f6nemli avantaj\u0131 ise gebeli\u011fi ortalama 5 hafta kadar uzatmas\u0131d\u0131r.<\/p>\n<div class=\"row\"><\/div>\n<p>&nbsp;<\/p>\n<h2 id=\"servikal-serklaj-kimlere-uygulanir\"><span style=\"font-size: 12pt;\">Servikal Serklaj Kimlere Uygulan\u0131r?<\/span><\/h2>\n<p>Gebe kad\u0131nlar\u0131n v\u00fccudu do\u011fum yapmaya haz\u0131r oldu\u011funda serviks geni\u015flemeye ba\u015flar. Ancak serviksin zay\u0131f olmas\u0131 gibi baz\u0131 durumlarda geni\u015fleme do\u011fumdan \u00e7ok \u00f6nce ger\u00e7ekle\u015febilir. Geni\u015fleyen serviks nedeniyle erken do\u011fum ya da d\u00fc\u015f\u00fck riski bulunan ki\u015filer i\u00e7in servikal serklaj uygulanabilir. A\u015fa\u011f\u0131daki durumlarda serviks zay\u0131f olabilir:<\/p>\n<ul>\n<li>Daha \u00f6nceki gebeliklerde, \u00f6zellikle 14. haftadan sonra acil servikal serklaj ge\u00e7irilmesi<\/li>\n<li>24 haftadan daha az s\u00fcre boyunca hamile olan kad\u0131nlar\u0131n serviksinin 25 cm\u2019den k\u0131sa olmas\u0131<\/li>\n<li>Daha \u00f6nce rahim a\u011fz\u0131 biyopsisi ya da d\u00f6ng\u00fcl\u00fc elektrocerrahi eksizyonu prosed\u00fcr\u00fc (LEEP) ge\u00e7irilmesi<\/li>\n<li>Daha \u00f6nce serviksin geni\u015flemesi nedeniyle ikinci trimesterda gebeli\u011fin sonlanmas\u0131<\/li>\n<li>Daha \u00f6nce 34 haftal\u0131k gebelikten \u00f6nce do\u011fum yap\u0131lmas\u0131<\/li>\n<li>Rahim a\u011fz\u0131nda bir hastal\u0131ktan kaynakl\u0131 ya da k\u00fcrtaj nedeniyle ge\u00e7mi\u015fte olu\u015fan yaralar\u0131n bulunmas\u0131<\/li>\n<\/ul>\n<p>A\u015fa\u011f\u0131daki durumlarda ise rahim a\u011fz\u0131 normalden erken geni\u015flese dahi servikal serklaj \u00f6nerilmez:<\/p>\n<ul>\n<li>Vajinal kanama<\/li>\n<li>Erken do\u011fum<\/li>\n<li>Rahim enfeksiyonlar\u0131<\/li>\n<li>Amniyotik kesenin 37. haftadan \u00f6nce y\u0131rt\u0131lmas\u0131<\/li>\n<li>Amniyotik kesenin serviks boyunca \u015fi\u015fmesi<\/li>\n<li>\u0130ki ya da daha fazla bebe\u011fe gebe kal\u0131nmas\u0131<\/li>\n<li>Bir fetal anomali durumunda<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p>Sayfa bilgilendirme ama\u00e7l\u0131d\u0131r. Tan\u0131 ve Tedavi i\u00e7in doktorunuza ba\u015fvurunuz.<\/p>\n<pre>G\u00fcncelleme Tarihi 18.11.2024<\/pre>\n<\/div>\n<div><\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Servikal serklaj, y\u00fcksek erken do\u011fum riski bulunan ki\u015filerde gebeli\u011fin uzamas\u0131n\u0131 sa\u011flamak i\u00e7in uygulanan y\u00f6ntemdir. Zay\u0131flam\u0131\u015f serviksi bulunan ki\u015filerde 37 haftadan \u00f6nce ger\u00e7ekle\u015febilecek erken do\u011fumu \u00f6nlemek i\u00e7in kullan\u0131l\u0131r. Bebe\u011fin anne karn\u0131nda daha uzun kalarak geli\u015fimini tamamlamas\u0131 ama\u00e7lan\u0131r. &nbsp; Servikal Serklaj Nedir? Servikal diki\u015f olarak da bilinen servikal serklaj, erken do\u011fum ihtimali y\u00fcksek kad\u0131nlarda hamileli\u011fin uzat\u0131lmas\u0131 amac\u0131yla&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_joinchat":[]},"_links":{"self":[{"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=\/wp\/v2\/pages\/1749"}],"collection":[{"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1749"}],"version-history":[{"count":3,"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=\/wp\/v2\/pages\/1749\/revisions"}],"predecessor-version":[{"id":2003,"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=\/wp\/v2\/pages\/1749\/revisions\/2003"}],"wp:attachment":[{"href":"https:\/\/drzeynepgedikozkose.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}