Bebek sahibi olmak isteyen kad\u0131nlarda en s\u0131k kayg\u0131 yaratan ba\u015fl\u0131klardan biri olan AMH testiyle ilgili \u00f6nemli uyar\u0131lar geldi. Memorial Bah\u00e7elievler Hastanesi T\u00fcp Bebek Merkezi\u2019nden Op. Dr. Ali Osman Koyuncuo\u011flu, d\u00fc\u015f\u00fck AMH de\u011ferinin halk aras\u0131nda \u00e7o\u011fu zaman yanl\u0131\u015f yorumland\u0131\u011f\u0131n\u0131 belirterek, bunun annelik ihtimalinin sona erdi\u011fi anlam\u0131na gelmedi\u011fini ifade etti.<\/p>\n
Uzmanlara g\u00f6re AMH testi yumurtal\u0131k rezervini g\u00f6steren \u00f6nemli bir parametre olsa da tek ba\u015f\u0131na kesin sonu\u00e7 vermiyor. AMH de\u011ferinin adet d\u00f6ng\u00fcs\u00fcne, \u00f6l\u00e7\u00fcm zaman\u0131na ve kullan\u0131lan laboratuvar y\u00f6ntemlerine g\u00f6re de\u011fi\u015febildi\u011fini belirten Koyuncuo\u011flu, d\u00fc\u015f\u00fck de\u011ferin yaln\u0131zca do\u011furganl\u0131k s\u00fcresinin zaman a\u00e7\u0131s\u0131ndan k\u0131sald\u0131\u011f\u0131n\u0131 g\u00f6sterdi\u011fini kaydetti.<\/p>\n
Toplumda yayg\u0131n olan \u201cD\u00fczenli adet g\u00f6r\u00fcyorsam do\u011furganl\u0131\u011f\u0131mda sorun yoktur\u201d d\u00fc\u015f\u00fcncesinin her zaman do\u011fru olmad\u0131\u011f\u0131n\u0131 belirten Koyuncuo\u011flu, yumurtal\u0131k rezervi t\u00fckenmi\u015f baz\u0131 kad\u0131nlar\u0131n bile 3 ila 7 y\u0131l boyunca d\u00fczenli adet g\u00f6rebildi\u011fine dikkat \u00e7ekti. Bu nedenle adet d\u00fczeninin tek ba\u015f\u0131na g\u00fcvenilir bir g\u00f6sterge olmad\u0131\u011f\u0131 vurguland\u0131.<\/p>\n
Do\u011furganl\u0131\u011f\u0131n daha sa\u011fl\u0131kl\u0131 de\u011ferlendirilebilmesi i\u00e7in AMH testinin yan\u0131 s\u0131ra ultrasonografi ile yumurta say\u0131s\u0131n\u0131n incelenmesi ve adet d\u00f6ng\u00fcs\u00fcn\u00fcn ikinci g\u00fcn\u00fc yap\u0131lan FSH testinin birlikte ele al\u0131nmas\u0131 gerekti\u011fi ifade edildi. Bu \u00e7ok y\u00f6nl\u00fc yakla\u015f\u0131m\u0131n daha ger\u00e7ek\u00e7i sonu\u00e7lar sundu\u011fu belirtildi.<\/p>\n
Uzmanlar, AMH de\u011ferinin y\u00fcksek \u00e7\u0131kmas\u0131n\u0131n da tek ba\u015f\u0131na g\u00fcvence anlam\u0131na gelmedi\u011fini belirtiyor. Burada en \u00f6nemli belirleyici unsurun kad\u0131n ya\u015f\u0131 oldu\u011funa dikkat \u00e7eken Koyuncuo\u011flu, ya\u015f ilerledik\u00e7e yumurtalarda kromozomal hatalar\u0131n artt\u0131\u011f\u0131n\u0131 ve bunun gebelik \u015fans\u0131n\u0131 do\u011frudan etkiledi\u011fini s\u00f6yledi. Yumurta say\u0131s\u0131 yeterli olsa bile ileri ya\u015fta genetik olarak sa\u011fl\u0131kl\u0131 yumurta elde etme ihtimalinin d\u00fc\u015febildi\u011fi ifade edildi.<\/p>\n
\u00d6zellikle 20\u2019li ve 30\u2019lu ya\u015flardaki kad\u0131nlar\u0131n d\u00fczenli jinekolojik kontrollerini aksatmamas\u0131 gerekti\u011fini belirten Koyuncuo\u011flu, adetin ikinci veya \u00fc\u00e7\u00fcnc\u00fc g\u00fcn\u00fc yap\u0131lan FSH testi ile ultrasonografik de\u011ferlendirmelerin \u00f6nemine i\u015faret etti. Kariyer plan\u0131 nedeniyle evlilik ve anneli\u011fi ertelemeyi d\u00fc\u015f\u00fcnen kad\u0131nlar\u0131n yumurta rezervlerini d\u00fczenli olarak takip ettirmeleri gerekti\u011fi, kritik s\u0131n\u0131rda azalma g\u00f6r\u00fclmesi halinde yumurta dondurma stratejisinin g\u00fcndeme al\u0131nabilece\u011fi ifade edildi.<\/p>\n
Ailede erken menopoz \u00f6yk\u00fcs\u00fc bulunmas\u0131n\u0131n da \u00f6nemli bir risk fakt\u00f6r\u00fc oldu\u011fu, birka\u00e7 y\u0131l i\u00e7inde yumurta say\u0131s\u0131nda belirgin d\u00fc\u015f\u00fc\u015f g\u00f6r\u00fclmesi halinde mutlaka \u00fcreme sa\u011fl\u0131\u011f\u0131 uzman\u0131ndan destek al\u0131nmas\u0131 gerekti\u011fi belirtildi.<\/p>\n
Modern ya\u015fam ko\u015fullar\u0131n\u0131n \u00e7ocuk sahibi olma ya\u015f\u0131n\u0131 ileri ta\u015f\u0131d\u0131\u011f\u0131na dikkat \u00e7eken Koyuncuo\u011flu, yumurta dondurma y\u00f6nteminin kad\u0131nlara \u00f6nemli bir zaman kazan\u0131m\u0131 sundu\u011funu ve bir t\u00fcr do\u011furganl\u0131k sigortas\u0131 olarak de\u011ferlendirilebilece\u011fini s\u00f6yledi. 35 ya\u015f alt\u0131nda yumurta rezervi azalan, ailede erken menopoz \u00f6yk\u00fcs\u00fc bulunan veya yumurta azalmas\u0131na yol a\u00e7abilecek kronik hastal\u0131\u011f\u0131 olan kad\u0131nlar\u0131n yasal olarak yumurta dondurabildi\u011fi, ayr\u0131ca 38 ya\u015f ve \u00fczerindeki kad\u0131nlar\u0131n da ba\u015fka bir kriter aranmaks\u0131z\u0131n bu y\u00f6nteme ba\u015fvurabildi\u011fi belirtildi.<\/p>\n
Ancak burada hangi ya\u015fta ve ka\u00e7 yumurtan\u0131n donduruldu\u011funun b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131 vurguland\u0131. Uzman de\u011ferlendirmesine g\u00f6re 35 ya\u015f alt\u0131nda en az 15, 35-40 ya\u015f aras\u0131nda yakla\u015f\u0131k 30, 40 ya\u015f \u00fczerinde ise yakla\u015f\u0131k 40-45 yumurtan\u0131n dondurulmas\u0131n\u0131n sa\u011fl\u0131kl\u0131 gebelik \u015fans\u0131n\u0131 art\u0131rd\u0131\u011f\u0131 ifade edildi. Az say\u0131da yumurta dondurman\u0131n biyolojik saati durdurdu\u011fu d\u00fc\u015f\u00fcncesinin do\u011fru olmad\u0131\u011f\u0131 da \u00f6zellikle vurguland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
Uzmanlar, AMH de\u011ferinin d\u00fc\u015f\u00fck \u00e7\u0131kmas\u0131n\u0131n tek ba\u015f\u0131na \u00e7ocuk sahibi olunamayaca\u011f\u0131 anlam\u0131na gelmedi\u011fini, do\u011furganl\u0131\u011f\u0131n \u00e7ok y\u00f6nl\u00fc de\u011ferlendirilmesi gerekti\u011fini vurguluyor.<\/p>\n","protected":false},"author":6,"featured_media":17220,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2535,18],"tags":[6362,6363],"class_list":["post-17219","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3-bolge","category-saglik","tag-amh","tag-dogurganlik"],"yoast_head":"\n