\u00c7ocuk sahibi olmak isteyen ya da bu hayalini biraz daha erteleyen kad\u0131nlar i\u00e7in yumurtal\u0131k ya\u015f\u0131 \u00f6nem ta\u015f\u0131yor. Medicana Sa\u011fl\u0131k Grubu Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019den Op. Dr. \u0130lkay Nafiye Topalo\u011flu, kad\u0131nlar\u0131n takvim ya\u015f\u0131 ile yumurtal\u0131k ya\u015f\u0131n\u0131n ayn\u0131 olmayabilece\u011fine dikkat \u00e7ekti. Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Bazen 30 ya\u015f\u0131ndaki bir kad\u0131n\u0131n yumurtal\u0131k rezervi 40 ya\u015f\u0131ndaki bir kad\u0131na benzer olabilir ya da tam tersi olabilir” a\u00e7\u0131klamas\u0131nda bulundu.
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\u00c7ocuk sahibi olmak isteyen ya da bu d\u00fc\u015f\u00fcncesini ileri ya\u015flara erteleyen kad\u0131nlar\u0131n 30 ya\u015f\u0131ndan sonra \u00f6zellikle yumurtal\u0131k ya\u015f\u0131na dikkat etmesi gerekti\u011fini dile getiren Medicana International \u0130zmir Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Yumurtal\u0131k ya\u015f\u0131, kad\u0131n\u0131n biyolojik do\u011furganl\u0131k s\u00fcresini anlamak i\u00e7in kritik bir parametredir. Kad\u0131n\u0131n takvim ya\u015f\u0131 ile yumurtal\u0131k ya\u015f\u0131 her zaman ayn\u0131 de\u011fildir. Bazen 30 ya\u015f\u0131ndaki bir kad\u0131n\u0131n yumurtal\u0131k rezervi 40 ya\u015f\u0131ndaki bir kad\u0131na benzer olabilir ya da tam tersi olabilir. Bu y\u00fczden yumurtal\u0131k ya\u015f\u0131 deyince sadece ya\u015fa bakmak yan\u0131lt\u0131c\u0131 olabilir” dedi. Yumurtal\u0131klar\u0131n sa\u011fl\u0131kl\u0131 olup olmad\u0131\u011f\u0131na ve yumurtal\u0131k ya\u015f\u0131n\u0131n ka\u00e7 oldu\u011funa bakmak i\u00e7in belirli testler yap\u0131ld\u0131\u011f\u0131n\u0131 aktaran Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Yumurtal\u0131k ya\u015f\u0131n\u0131n belirlenmesi; do\u011furganl\u0131k potansiyelini belirlemesi, t\u00fcp bebek (IVF) ba\u015far\u0131s\u0131na etkisi, \u00fcreme planlamas\u0131na y\u00f6n vermesi ve de erken yumurtal\u0131k yetmezli\u011fi riski a\u00e7\u0131s\u0131ndan uyar\u0131c\u0131d\u0131r” dedi.<\/p>\n
30 ya\u015f\u0131ndan sonra mutlaka bakt\u0131r\u0131n
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Yumurtal\u0131k ya\u015f\u0131n\u0131 do\u011frudan \u00f6l\u00e7en bir test olmad\u0131\u011f\u0131n\u0131 belirten Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Ancak over rezervini g\u00f6steren testler sayesinde bu ya\u015f tahmin edilebilir. Bunlar aras\u0131nda en yayg\u0131n olanlar; AMH (Anti-M\u00fcllerian Hormon) testi, Antral Folik\u00fcl Say\u0131m\u0131 (AFC), FSH, LH ve Estradiol (E2) testleridir” diye konu\u015ftu. \u00d6zellikle 30 ya\u015f sonras\u0131nda gebelik planlayan kad\u0131nlar\u0131n yumurtal\u0131k rezervlerini \u00f6l\u00e7t\u00fcrmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izen Op. Dr. \u0130lkay Nafiye Toplalo\u011flu, “Yap\u0131lan \u00f6l\u00e7\u00fcmler sonucu yumurtal\u0131klarda d\u00fc\u015f\u00fck rezerv tespit edilirse, yumurta dondurma gibi se\u00e7eneklerle gelecekteki gebelik \u015fans\u0131 korunabilir” mesaj\u0131n\u0131 verdi.<\/p>\n
Planl\u0131 hareket edilmeli
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\u00d6zellikle 30 ya\u015f sonras\u0131 kad\u0131nlar i\u00e7in d\u00fczenli AMH testi, ultrason takipleri ve planl\u0131 hareket etmenin fark olu\u015fturabilece\u011fini s\u00f6yleyen Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Rutin kontrollerle yumurtal\u0131k rezervlerinin \u00f6l\u00e7\u00fclmesi, planl\u0131 gebelik veya yumurta dondurma gibi \u00f6nlemlerin al\u0131nmas\u0131na fayda sa\u011flayabilir. Sessiz ilerleyen erken over yetmezli\u011fini (Bu durum adet d\u00fczensizli\u011finden \u00f6nce ortaya \u00e7\u0131k\u0131yor) yakalamak m\u00fcmk\u00fcn olabilir. T\u00fcp bebek ihtiyac\u0131n\u0131n olup olmayaca\u011f\u0131n\u0131 \u00f6ng\u00f6rebiliriz. Ayr\u0131ca \u00fcreme planlamas\u0131na y\u00f6n vermek kolayla\u015f\u0131r. Yani planl\u0131 hareket etmek erken uyar\u0131 sistemi gibi \u00e7al\u0131\u015facakt\u0131r” a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/p>\n
“Gen\u00e7 gibi” davranmas\u0131 m\u00fcmk\u00fcn olabilir
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Yumurtal\u0131k rezervini etkileyen pek \u00e7ok fakt\u00f6r oldu\u011funa vurgu yapan Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Yumurtal\u0131klar biyolojik olarak daha \u2018gen\u00e7\u2019 veya \u2018ya\u015fl\u0131\u2019 davranabilir. Yumurtal\u0131k ya\u015f\u0131n\u0131 etkileyen fakt\u00f6rlerden en \u00f6nemlisi genetik fakt\u00f6rler. Her kad\u0131n\u0131n do\u011fu\u015ftan sahip oldu\u011fu yumurta say\u0131s\u0131 farkl\u0131d\u0131r. Baz\u0131 kad\u0131nlar genetik olarak \u00e7ok daha fazla yumurtayla do\u011far ve rezervi uzun y\u0131llar iyi kal\u0131r. Di\u011fer fakt\u00f6rler de \u00e7evresel fakt\u00f6rler ve ya\u015fam tarz\u0131. Ayr\u0131ca endometriozis, \u00e7ikolata kisti ameliyat\u0131, kemoterapi-radyoterapi, otoimm\u00fcn hastal\u0131klar gibi durumlar da yumurtal\u0131k rezervlerini azaltabilir” ifadelerini kulland\u0131.<\/p>\n
Yumurtal\u0131k ya\u015f\u0131 do\u011frudan geri \u00e7evrilmiyor
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Kad\u0131n do\u011furganl\u0131\u011f\u0131 alan\u0131nda en merak edilen konular\u0131n ba\u015f\u0131nda, yumurtal\u0131k ya\u015f\u0131n\u0131 k\u00fc\u00e7\u00fcltmenin m\u00fcmk\u00fcn olup olmad\u0131\u011f\u0131 sorusunun geldi\u011fini vurgulayan Op. Dr. \u0130lkay Nafiye Topalo\u011flu, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:
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“Kronolojik ya\u015f gibi yumurtal\u0131k ya\u015f\u0131 da do\u011frudan \u2018geri \u00e7evrilemez\u2019 yani yumurtalar\u0131 gen\u00e7le\u015ftirmek veya yeniden \u00fcretmek g\u00fcn\u00fcm\u00fczde m\u00fcmk\u00fcn de\u011fil. Ama yumurtal\u0131k fonksiyonunu korumak, ya\u015flanma h\u0131z\u0131n\u0131 yava\u015flatmak ve baz\u0131 durumlarda fonksiyonel olarak yumurtal\u0131klar\u0131 \u2018daha gen\u00e7 gibi\u2019 \u00e7al\u0131\u015ft\u0131rmak m\u00fcmk\u00fcn olabilir. Bu sayede rezerv azalma h\u0131z\u0131 d\u00fc\u015febilir, yumurta kalitesi artabilir ve do\u011furganl\u0131k s\u00fcresi uzayabilir” diye konu\u015ftu.<\/p>\n
Sa\u011fl\u0131kl\u0131 beslenin sigara i\u00e7meyin
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Yumurtal\u0131k ya\u015f\u0131n\u0131 olumlu y\u00f6nde etkileyebilecek baz\u0131 rutinlerden bahseden Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Ya\u015fam tarz\u0131 ve beslenme ile yumurtal\u0131k fonksiyonunu desteklemek m\u00fcmk\u00fcn olabilir. Bunun i\u00e7in sigara gibi k\u00f6t\u00fc al\u0131\u015fkanl\u0131klardan vazge\u00e7ilmeli. Antioksidan zengini beslenme d\u00fczenine ge\u00e7ilmeli. \u00d6zellikle C vitamini, E vitamini, koenzim Q10, resveratrol gibi antioksidanlar yumurta h\u00fccrelerini oksidatif stresten korumaktad\u0131r. Meyve, sebze, zeytinya\u011f\u0131, omega-3 a\u00e7\u0131s\u0131ndan zengin g\u0131dalar tercih edilmeli ve d\u00fczenli egzersizler yap\u0131lmal\u0131d\u0131r. D\u00fczenli uyku ve stres y\u00f6netimi de yumurtal\u0131k rezervi kalitesinin y\u00fckselmesine fayda sa\u011flayabilir. Ancak, yumurtal\u0131k ya\u015f\u0131n\u0131 k\u00fc\u00e7\u00fcltmek m\u00fcmk\u00fcn de\u011fil. Ancak ya\u015flanma h\u0131z\u0131n\u0131 yava\u015flatmak, yumurta kalitesini art\u0131rmak ve fonksiyonel olarak yumurtal\u0131klar\u0131 daha gen\u00e7 gibi \u00e7al\u0131\u015ft\u0131rmak; do\u011fru beslenme, sa\u011fl\u0131kl\u0131 ya\u015fam, doktor kontrol\u00fcnde destek tedavileri ve gerekirse yumurta dondurma y\u00f6ntemiyle m\u00fcmk\u00fcn k\u0131l\u0131nabilir” dedi.
<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7ocuk sahibi olmak isteyen ya da bu hayalini biraz daha erteleyen kad\u0131nlar i\u00e7in yumurtal\u0131k ya\u015f\u0131 \u00f6nem ta\u015f\u0131yor. Medicana Sa\u011fl\u0131k Grubu Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019den Op. Dr. \u0130lkay Nafiye Topalo\u011flu, kad\u0131nlar\u0131n takvim ya\u015f\u0131 ile yumurtal\u0131k ya\u015f\u0131n\u0131n ayn\u0131 olmayabilece\u011fine dikkat \u00e7ekti. Op. Dr. \u0130lkay Nafiye Topalo\u011flu, “Bazen 30 ya\u015f\u0131ndaki bir kad\u0131n\u0131n yumurtal\u0131k rezervi 40 ya\u015f\u0131ndaki bir…<\/p>\n","protected":false},"author":1,"featured_media":60465,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-60464","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/60464","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=60464"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/60464\/revisions"}],"predecessor-version":[{"id":60466,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/60464\/revisions\/60466"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/60465"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60464"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60464"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}