Bebe\u011fin kaybedilmi\u015f oldu\u011fu veya ya\u015famla ba\u011fda\u015fmayacak hastal\u0131klar\u0131n\u0131n bulundu\u011fu durumlarda gebelikler t\u00fcm gebelik haftalar\u0131nda sonland\u0131r\u0131labilir.<\/p><\/blockquote>\n
\u00dclkemizde on haftan\u0131n \u00fczerindeki gebelikler ancak t\u0131bbi gerek\u00e7e varsa sonland\u0131r\u0131labilir.\u00a0On haftan\u0131n \u00fczerindeki gebeliklerde k\u00fcrtaj tamamen farkl\u0131 y\u00f6ntemlerle yap\u0131l\u0131r. B\u00fcy\u00fck gebelik k\u00fcrtaj\u0131nda\u00a0ama\u00e7 rahim kas\u0131lmalar\u0131n\u0131 uyarmak ve d\u00fc\u015f\u00fck eylemini ba\u015flatmakt\u0131r. Bunun i\u00e7in en \u00e7ok kullan\u0131lan y\u00f6ntemler \u015funlar\u0131d\u0131r: \u00c7ocu\u011fun su kesesi i\u00e7ine veya d\u0131\u015f\u0131na \u00a0verilen hipertonik sol\u00fcsyonlar (%20 salin sol\u00fcsyonu), \u00fcre sol\u00fcsyonlar\u0131, %0,1 rivanol, oksitosik ajanlar, prostoglandin F1 ve F2 tablet \u00a0veya jelleri say\u0131labilir. Bazen de direkt rahim a\u011fz\u0131 dilate edilerek k\u00fcnt k\u00fcretaj (forseps) ile gebelik \u00fcr\u00fcn\u00fc bo\u015falt\u0131l\u0131r. B\u00fct\u00fcn bunlarda ba\u015far\u0131s\u0131z olunursa; kar\u0131ndan histerotomi y\u00f6ntemi uygulan\u0131r.<\/p>\n
Rahim a\u011fz\u0131n\u0131n haz\u0131rlanmas\u0131<\/h4>\n
Rahim a\u011fz\u0131n\u0131n geni\u015fletilebilmesi i\u00e7in i\u015fleme ba\u015flamadan \u00f6nce yumu\u015fam\u0131\u015f olmas\u0131 gerekir. Bunun i\u00e7in a\u011f\u0131zdan veya vajinal yoldan baz\u0131 ila\u00e7lar verilebilir veya rahim a\u011fz\u0131na nem \u00e7ekerek geni\u015fleyen ve rahim a\u011fz\u0131n\u0131 a\u00e7an laminarya adl\u0131 t\u0131bbi \u00fcr\u00fcnler yerle\u015ftirilebilir. Bu y\u00f6ntemler rahim a\u011fz\u0131n\u0131 yumu\u015fat\u0131r ve a\u00e7\u0131lmas\u0131n\u0131 sa\u011flar. Bunun i\u00e7in ila\u00e7 i\u015flemden 6 saat kadar \u00f6nce al\u0131n\u0131r veya laminarya bir g\u00fcn \u00f6nce yerle\u015ftirilir.<\/p>\n
Rahim kas\u0131lmas\u0131 sa\u011flayarak d\u00fc\u015f\u00fck yapt\u0131rma<\/h4>\n
\u0130\u015flemin bu k\u0131sm\u0131 mutlaka hastanede uygulanmal\u0131d\u0131r. Verilen ila\u00e7lar rahim kas\u0131lmas\u0131 ile gebeli\u011fin at\u0131lmas\u0131n\u0131 sa\u011flar.<\/p>\n
\u0130la\u00e7lar etkili olmaya ba\u015flad\u0131\u011f\u0131nda kramplar \u015feklinde gelen kas\u0131k a\u011fr\u0131lar\u0131 hissedersiniz. Bu a\u011fr\u0131lar i\u00e7in epidural anestezi uygulanmas\u0131n\u0131 tercih edebilirsiniz. Bu s\u00fcre\u00e7 genellikle 24 saatten k\u0131sa s\u00fcrer. Gebeli\u011fin d\u00fc\u015fmesi i\u00e7in rahim kas\u0131lmalar\u0131 yeterli olacakt\u0131r. Do\u011fumdaki gibi \u0131k\u0131nman\u0131z gerekmez. Ik\u0131nman\u0131z ancak gebeli\u011fin 8 aydan b\u00fcy\u00fck oldu\u011fu durumlarda gerekli olabilir.<\/p>\n
K\u00fcretaj<\/h4>\n
Gebelik 5 aydan b\u00fcy\u00fck de\u011filse rahim a\u011fz\u0131 haz\u0131rlanarak k\u00fcretaj ile d\u00fc\u015f\u00fck yapt\u0131r\u0131labilir. Ancak bunun i\u00e7in rahim a\u011fz\u0131n\u0131n \u00e7ok iyi haz\u0131rlanmas\u0131 gerekir. Bu haz\u0131rl\u0131k i\u00e7in birka\u00e7 g\u00fcn gerekebilir.<\/p>\n
\u0130la\u00e7 veya laminarya ile yumu\u015fat\u0131lan rahim a\u011fz\u0131 buji ad\u0131 verilen aletlerle geni\u015fletilir. Gebelik \u00fcr\u00fcn\u00fc, erken gebelik sonland\u0131rmada oldu\u011fu gibi vakumla bo\u015falt\u0131l\u0131r. Ancak vakumdan sonra rahim i\u00e7inde kalan dokular olabilece\u011finden k\u00fcret denilen metal aletlerle kaz\u0131ma yap\u0131lmas\u0131 gerekir.<\/p>\n
Bu i\u015flem i\u00e7in de sedasyon anestezisi uygulanmas\u0131 uygun olur. Damardan yap\u0131lan ila\u00e7larla rahat\u00e7a uyuman\u0131z sa\u011flan\u0131r. Uyku s\u00fcresinde olanlar\u0131 i\u015flem sonras\u0131nda an\u0131msamazs\u0131n\u0131z. Rahim a\u011fz\u0131 \u00e7ok iyi haz\u0131rlanm\u0131\u015f olan olgularda lokal anestezi de uygulanabilir.<\/p>\n
\u0130\u015flem sonras\u0131<\/h4>\n
Vajinal kanama ve kramp \u015feklinde kas\u0131k a\u011fr\u0131s\u0131 i\u015flem sonras\u0131 beklenen yan etkilerdir. Bu iki yan etki, erken gebelik sonland\u0131rma ile ayn\u0131 \u00f6zelliklerdedir ve ayn\u0131 \u015fekilde \u00f6nlem alman\u0131z ve davranman\u0131z uygundur.<\/p>\n
Bir di\u011fer yan etki memelerden s\u00fct gelmesi<\/em>dir. \u00d6zellikle be\u015f aydan b\u00fcy\u00fck gebeliklerin sonland\u0131r\u0131lmas\u0131ndan sonra baz\u0131 kad\u0131nlarda memelerde gerginlik, a\u011fr\u0131 (angorjman) ve meme ba\u015f\u0131ndan sar\u0131-beyaz ak\u0131nt\u0131 g\u00f6r\u00fclebilir. Bu, s\u00fct olu\u015fturmaya haz\u0131rlanm\u0131\u015f memenin gebelik sonlan\u0131nca \u00fcretime ba\u015flamas\u0131d\u0131r. A\u011fr\u0131 kesici yan\u0131s\u0131ra s\u0131k\u0131 g\u00f6\u011f\u00fcs bandaj\u0131 ve prolaktin d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar kullan\u0131labilir. S\u00fct gelmesi en ge\u00e7 bir haftada sonlanm\u0131\u015f olmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
Bebe\u011fin kaybedilmi\u015f oldu\u011fu veya ya\u015famla ba\u011fda\u015fmayacak hastal\u0131klar\u0131n\u0131n bulundu\u011fu durumlarda gebelikler t\u00fcm gebelik haftalar\u0131nda sonland\u0131r\u0131labilir. \u00dclkemizde on haftan\u0131n \u00fczerindeki gebelikler ancak t\u0131bbi gerek\u00e7e varsa sonland\u0131r\u0131labilir.\u00a0On haftan\u0131n \u00fczerindeki gebeliklerde k\u00fcrtaj tamamen farkl\u0131 y\u00f6ntemlerle yap\u0131l\u0131r. B\u00fcy\u00fck gebelik k\u00fcrtaj\u0131nda\u00a0ama\u00e7 rahim kas\u0131lmalar\u0131n\u0131 uyarmak ve d\u00fc\u015f\u00fck eylemini ba\u015flatmakt\u0131r. Bunun i\u00e7in en \u00e7ok kullan\u0131lan y\u00f6ntemler \u015funlar\u0131d\u0131r: \u00c7ocu\u011fun su kesesi i\u00e7ine veya d\u0131\u015f\u0131na […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[41],"tags":[],"yoast_head":"\n
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