{"id":241,"date":"2020-03-02T05:42:00","date_gmt":"2020-03-02T02:42:00","guid":{"rendered":"http:\/\/dr-life-saver-lite.cyclonethemes.com\/?p=241"},"modified":"2021-03-19T11:28:44","modified_gmt":"2021-03-19T08:28:44","slug":"fetal-eko","status":"publish","type":"post","link":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/2020\/03\/02\/fetal-eko\/","title":{"rendered":"Fetal EKO"},"content":{"rendered":"\n<p>Gebelikte bebe\u011fin kalp anomalileri a\u00e7\u0131s\u0131ndan de\u011ferlendirilmesini sa\u011flayan bir <strong>ultrasonografik<\/strong> g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir. <\/p>\n\n\n\n<p>Do\u011fumda en s\u0131k rastlan\u0131lan anomali olan Do\u011fumsal Kalp Hastal\u0131klar\u0131, canl\u0131 yenido\u011fanlar\u0131n 1\/100\u2019inde g\u00f6r\u00fclmekte olup kromozom anormalisi varl\u0131\u011f\u0131nda s\u0131kl\u0131\u011f\u0131 6-7 kat daha artmaktad\u0131r. Do\u011fumsal kalp hastal\u0131klar\u0131, \u00f6nemli bir sa\u011fl\u0131k sorunu ve en s\u0131k rastlan\u0131lan bir anomali olmas\u0131na ra\u011fmen, rutin ultrasonografik inceleme esnas\u0131nda en s\u0131k g\u00f6zden ka\u00e7\u0131r\u0131lan anomalidir.<\/p>\n\n\n\n<p><strong>Fetal kalp muayenesi<\/strong> 3 de\u011fi\u015fik y\u00f6ntemle yap\u0131labilmektedir. <strong>Temel taramada<\/strong> kalbin 4-odac\u0131kl\u0131 yap\u0131s\u0131, <strong>Detayl\u0131 temel taramada<\/strong> kalbin 4-odac\u0131k yap\u0131s\u0131 ve b\u00fcy\u00fck damar \u00e7\u0131k\u0131\u015flar\u0131n\u0131n birlikte de\u011ferlendirilmesi ile yap\u0131lmaktad\u0131r. Temel tarama ve detayl\u0131 temel tarama, t\u00fcm gebelere uygulanmaktad\u0131r. T\u00fcm gebelere yap\u0131lmayan <strong>Fetal ekokardiyografide<\/strong> ise kardiak yap\u0131n\u0131n ve fonksiyonun detayl\u0131 analizi yap\u0131lmaktad\u0131r. Fetal ekokardiyografi, <strong>do\u011fumsal kalp hastal\u0131\u011f\u0131 riskinin y\u00fcksek oldu\u011fu <\/strong>veya <strong>temel tarama<\/strong> ya da <strong>detayl\u0131 temel taramada<\/strong> <strong>bir kalp anomalisinden \u015f\u00fcphe edildi\u011fi<\/strong> durumlarda uygulanmaktad\u0131r.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Kimler Do\u011fumsal Kalp Hastal\u0131\u011f\u0131 i\u00e7in artm\u0131\u015f riske sahiptir ?<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>Anne, baba ve di\u011fer karde\u015flerde do\u011fumsal kalp hastal\u0131\u011f\u0131 bulunmas\u0131,<\/li><li>Bebekte kalp d\u0131\u015f\u0131nda ba\u015fka bir do\u011fumsal hastal\u0131ktan \u015f\u00fcphelenilmesi,<\/li><li>Annede \u015feker hastal\u0131\u011f\u0131 varl\u0131\u011f\u0131,<\/li><li>Annenin epilepsi ilac\u0131 kullanmas\u0131,<\/li><li>Kad\u0131n do\u011fum doktoru taraf\u0131ndan bebe\u011fin kalbinin yeterli g\u00f6r\u00fcnt\u00fclenememesi veya kalp hastal\u0131\u011f\u0131ndan \u015f\u00fcphelenilmesi,<\/li><li>11-14 hafta Ultrasonografik ense saydaml\u0131\u011f\u0131 testinde, artm\u0131\u015f ense kal\u0131nl\u0131\u011f\u0131 saptanmas\u0131 (&gt;3.5 mm)<\/li><li>Bebe\u011fin kalp h\u0131z\u0131nda h\u0131zlanma ve yava\u015flama saptanmas\u0131 (kalp aritmisi)<\/li><\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Fetal ekokardiyografi <\/strong>ideal olarak <strong>16 \u2013 24. hamilelik haftas\u0131nda<\/strong> yap\u0131lmaktad\u0131r. Ancak \u015f\u00fcpheli bir bulgu saptanmas\u0131 durumunda 14. haftadan sonra gebeli\u011fin her d\u00f6neminde yap\u0131labilir. \u00c7al\u0131\u015fma 15-30 dakika kadar s\u00fcrmekle beraber, bebe\u011fin yerle\u015fimine, g\u00f6r\u00fcnt\u00fcn\u00fcn netli\u011fine ba\u011fl\u0131 olarak daha uzun s\u00fcrebilir. Bazen birden fazla da inceleme yapmak gerekebilir.<\/p>\n\n\n\n<p>Bu \u00e7al\u0131\u015fma s\u0131ras\u0131nda gebelik haftas\u0131, duru\u015fu, annenin a\u015f\u0131r\u0131 kilolu olmas\u0131, g\u00f6r\u00fcnt\u00fc kalitesinin yetersiz olmas\u0131 nedeni ile <strong>fetal ekokardiyografinin<\/strong> do\u011fumsal kalp hastal\u0131klar\u0131n\u0131 saptama oran\u0131 % 90 civar\u0131ndad\u0131r. Ya\u015fam\u0131 tehdit eden ciddi kalp anomalilerinde yan\u0131lma oran\u0131 \u00e7ok d\u00fc\u015f\u00fck olmakla birlikte, kapaklar ve b\u00fcy\u00fck damarlardaki hafif darl\u0131klar, k\u00fc\u00e7\u00fck atriyal veya ventrik\u00fcler septal defektler (k\u00fc\u00e7\u00fck delikler) g\u00f6zden ka\u00e7abilir. Bunun nedenleri aras\u0131nda baz\u0131 hastal\u0131klar\u0131n do\u011fumdan sonra hastal\u0131k haline gelmesi ve baz\u0131 deformitelerin ilerleyici olmas\u0131 da say\u0131labilir. Saptanan baz\u0131 anomalilerde de do\u011fuma kadar kaybolabilir.<\/p>\n\n\n\n<p><strong>Fetal ekokardiyografi incelemesi <\/strong>sayesinde hangi fetusa erken m\u00fcdahale edilmesi, hangisinin do\u011fum sonras\u0131na b\u0131rak\u0131lmas\u0131 gerekti\u011fi konusunda bir karar verilebilmekte, dolay\u0131s\u0131yla do\u011fumun yapt\u0131r\u0131laca\u011f\u0131 merkez de \u00f6nceden tespit edilebilmektedir. Do\u011fumdan \u00e7ok daha sonra d\u00fczeltilecek bir kalp anomalisi olan bebe\u011fe normal \u015fartlarda do\u011fum yapt\u0131r\u0131l\u0131rken, hemen operasyon gerektiren bebekler <strong>\u00e7ocuk kalp cerrahisi<\/strong> ve <strong>yenido\u011fan yo\u011fun bak\u0131m \u00fcnitesi<\/strong> olan hastanelere sevk edilerek, do\u011fum sonras\u0131nda bebe\u011fin ya\u015fat\u0131lma \u015fans\u0131 art\u0131r\u0131labilmektedir.<\/p>\n\n\n\n<p> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gebelikte bebe\u011fin kalp anomalileri a\u00e7\u0131s\u0131ndan de\u011ferlendirilmesini sa\u011flayan bir ultrasonografik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir. Do\u011fumda en s\u0131k rastlan\u0131lan anomali olan Do\u011fumsal Kalp Hastal\u0131klar\u0131, canl\u0131 yenido\u011fanlar\u0131n 1\/100\u2019inde g\u00f6r\u00fclmekte olup kromozom anormalisi varl\u0131\u011f\u0131nda s\u0131kl\u0131\u011f\u0131 6-7 kat daha artmaktad\u0131r. Do\u011fumsal kalp hastal\u0131klar\u0131, \u00f6nemli bir sa\u011fl\u0131k sorunu ve en s\u0131k rastlan\u0131lan bir anomali olmas\u0131na ra\u011fmen, rutin ultrasonografik inceleme esnas\u0131nda en s\u0131k g\u00f6zden ka\u00e7\u0131r\u0131lan anomalidir. Fetal kalp muayenesi [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5677,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-241","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-departments-medical"],"_links":{"self":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/comments?post=241"}],"version-history":[{"count":2,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/241\/revisions"}],"predecessor-version":[{"id":6152,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/241\/revisions\/6152"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/media\/5677"}],"wp:attachment":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/media?parent=241"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/categories?post=241"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/tags?post=241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}