Do\u011fumda ila\u00e7s\u0131z a\u011fr\u0131 y\u00f6netiminde ba\u015far\u0131l\u0131 olabilmek i\u00e7in, do\u011fum a\u011fr\u0131s\u0131n\u0131n kaynaklar\u0131n\u0131n ve a\u011fr\u0131yla ilgili teorilerin iyi anla\u015f\u0131lmas\u0131 gerekir.<\/p>\n

Do\u011fum a\u011fr\u0131s\u0131n\u0131n d\u00f6rt temel kayna\u011f\u0131 vard\u0131r.<\/p>\n

\n
1. Dokuda iskemi.<\/strong> Rahime giden kan ak\u0131\u015f\u0131, rahim kas\u0131lmalar\u0131 s\u0131ras\u0131nda azal\u0131r ve dokuda oksijensizli\u011fe neden olur.<\/li>\n
2. Servikal dilatasyon.<\/strong> Rahim a\u011fz\u0131 geni\u015flemesi ve gerilmesinden kaynaklanan a\u011fr\u0131, hipogastik pleksus \u00fczerinden omurili\u011fe T10, T11, T12 ve L1 seviyelerinden girer. A\u011fr\u0131; karn\u0131n alt k\u0131sm\u0131, s\u0131rt, kal\u00e7a ve bacaklarda hissedilir.<\/li>\n
3. Pelvik yap\u0131lardaki bask\u0131 ve gerilme.<\/strong> Rahim ba\u011flar\u0131, yumurtal\u0131k kanallar\u0131, yumurtal\u0131klar, idrar torbas\u0131 ve perine \u00fczerindeki bask\u0131 nedeniyle olu\u015fan a\u011fr\u0131 i\u00e7 organ a\u011fr\u0131s\u0131 olup, s\u0131rt ve bacaklarda hissedilir.<\/li>\n
4. Vagina ve perinenin geni\u015flemesi.<\/strong> Bebe\u011fin ini\u015fi s\u0131ras\u0131nda vagina ve perine gerilmekte, bu gerilim \u00f6zellikle do\u011fumun ikinci evresinde artmaktad\u0131r. Bu bask\u0131 ve gerilim, omurili\u011fe S2, S3 ve S4 seviyesinden girer. A\u011fr\u0131; perineye lokalize olmu\u015f gibidir, keskin ve yan\u0131c\u0131 tiptedir.<\/li>\n<\/ol>\n

   Travay ve do\u011fumda ne kadar a\u011fr\u0131 \u00e7ekilir?<\/h4>\n

   Travay ve do\u011fumda ya\u015fanan a\u011fr\u0131 her kad\u0131nda ve her gebelikte farkl\u0131l\u0131k g\u00f6sterir. Bu bebe\u011finizin b\u00fcy\u00fckl\u00fc\u011f\u00fc, rahminizdeki duru\u015fu gibi bir\u00e7ok fakt\u00f6re ba\u011fl\u0131d\u0131r. Ac\u0131 genellikle travayda hafiftir, do\u011fuma yakla\u015ft\u0131k\u00e7a k\u00f6t\u00fcle\u015fir.<\/p>\n

   A\u011fr\u0131, rahminiz k\u00fc\u00e7\u00fcl\u00fcrken olu\u015fan kas\u0131lmalardan ve bebe\u011finiz vajinadan \u00e7\u0131karken olu\u015fan gerilmeden kaynaklan\u0131r.<\/p>\n

   A\u011fr\u0131yla ba\u015f etmek i\u00e7in plan yapmal\u0131 m\u0131y\u0131m?<\/h4>\n

   Hamileli\u011finizin sonuna yakla\u015f\u0131rken doktorunuzla do\u011fum s\u00fcreci ve do\u011fumda a\u011fr\u0131yla nas\u0131l ba\u015fa \u00e7\u0131kaca\u011f\u0131n\u0131z hakk\u0131nda konu\u015fmal\u0131s\u0131n\u0131z. A\u011fr\u0131y\u0131 y\u00f6netmek i\u00e7in bir\u00e7ok yol vard\u0131r. En do\u011fru yol size en iyi gelenidir.<\/p>\n

   Do\u011fumdan \u00f6nce bir plan yapmak yararl\u0131 olsa da do\u011fum esnas\u0131nda plan\u0131n\u0131zda de\u011fi\u015fiklikler olabilece\u011fini unutmay\u0131n. Bunun nedeni ya\u015fanan a\u011fr\u0131n\u0131n beklenenden az yada \u00e7ok olabilmesidir.<\/p>\n

   A\u011fr\u0131m\u0131 y\u00f6netebilmenin farkl\u0131 yollar\u0131 nelerdir?<\/h4>\n

   Genelde iki se\u00e7ene\u011finiz vard\u0131r:<\/p>\n

   \n
   • \u0130la\u00e7s\u0131z y\u00f6ntemler<\/li>\n
   • \u0130la\u00e7lar<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

     Do\u011fumda ila\u00e7s\u0131z a\u011fr\u0131 y\u00f6netiminde ba\u015far\u0131l\u0131 olabilmek i\u00e7in, do\u011fum a\u011fr\u0131s\u0131n\u0131n kaynaklar\u0131n\u0131n ve a\u011fr\u0131yla ilgili teorilerin iyi anla\u015f\u0131lmas\u0131 gerekir. Do\u011fum a\u011fr\u0131s\u0131n\u0131n d\u00f6rt temel kayna\u011f\u0131 vard\u0131r. Dokuda iskemi. Rahime giden kan ak\u0131\u015f\u0131, rahim kas\u0131lmalar\u0131 s\u0131ras\u0131nda azal\u0131r ve dokuda oksijensizli\u011fe neden olur. Servikal dilatasyon. Rahim a\u011fz\u0131 geni\u015flemesi ve gerilmesinden kaynaklanan a\u011fr\u0131, hipogastik pleksus \u00fczerinden omurili\u011fe T10, T11, T12 ve […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1072],"tags":[265,262,1052,1050,1051],"yoast_head":"\n