{"id":7501,"date":"2010-03-08T06:09:15","date_gmt":"2010-03-08T05:09:15","guid":{"rendered":"https:\/\/www.kinderwunschteam.berlin\/unsere-leistungsbereiche\/unerfuellter-kinderwunsch\/ursachen\/"},"modified":"2020-09-06T01:05:56","modified_gmt":"2020-09-05T23:05:56","slug":"nedenler","status":"publish","type":"page","link":"https:\/\/kwt.meiio.net\/tr\/uzun-omur\/tuep-bebek-ve-kisirlik\/nedenler","title":{"rendered":"Nedenler"},"content":{"rendered":"

Erkekler ve kad\u0131nlarda k\u0131s\u0131rl\u0131k nedenleri<\/h3>\n

Erkeklerde k\u0131s\u0131rl\u0131k nedenleri<\/h2>\n

Testis fonksiyonlar\u0131n\u0131n iyi olmamas\u0131<\/h4>\n

Meni kalitesinin d\u00fc\u015f\u00fck olmas\u0131, sperm kalitesinin \u00fc\u00e7 ana fakt\u00f6r\u00fcn\u00fc de (konsantrasyon, hareketlilik, normal v\u00fccut \u015feklinin y\u00fczdesi) etkileyebilir. Testis, baz\u0131 enfeksiyonlara ba\u011fl\u0131 olarak zarar g\u00f6rebilir (kabakulak). Testis varisleri (varikosel) veya erke\u011fin i\u015f yerinde ya\u015fad\u0131\u011f\u0131 bask\u0131 veya s\u0131cakl\u0131k (hatta \u0131\u015f\u0131nlar\u0131n) meni kalitesi \u00fczerinde etkisi b\u00fcy\u00fckt\u00fcr. Tan\u0131 koyulmakta ge\u00e7 kal\u0131nan bir testis anomalisi (Maldescensus testis), genelde d\u00fc\u015f\u00fck sperm kalitesine yol a\u00e7maktad\u0131r.<\/p>\n

Sperm yollar\u0131n\u0131n yeterli \u00e7al\u0131\u015fmamas\u0131 veya t\u0131kanm\u0131\u015f olmas\u0131<\/h3>\n

Belirli genetik rahats\u0131zl\u0131klar veya enfeksiyonlar, sperm yollar\u0131n\u0131n hi\u00e7 olu\u015fmamas\u0131na veya yap\u0131\u015f\u0131kl\u0131\u011f\u0131na yol a\u00e7abilirler. Burada da mesela a\u011f\u0131r ve ate\u015fli ge\u00e7en bir kabakulak hastal\u0131\u011f\u0131n\u0131n rol\u00fc olabilir.<\/p>\n

Hormonal bozukluklar<\/h3>\n

Sperm \u00fcretiminde azalmaya ender olarak hormonal bozukluklar neden olur. Kendili\u011finden olu\u015fan hormonal de\u011fi\u015fiklerin olmas\u0131na bir neden de anabolik steroid al\u0131m\u0131d\u0131r.<\/p>\n

Ba\u011f\u0131\u015f\u0131kl\u0131k fakt\u00f6rleri<\/h3>\n

\u00d6rne\u011fin, enfeksiyona ba\u011fl\u0131 olarak veya vazektomi (meni yolunun ameliyat ile kapat\u0131lmas\u0131) sonucu spermler birikti\u011finde, v\u00fccut, spermlerin d\u00f6llenme kabiliyetini azaltan antikorlar \u00fcretir.<\/p>\n

Vazektomi durumu<\/h3>\n

Erke\u011fin kad\u0131n\u0131 hamile b\u0131rakmas\u0131n\u0131 engellemek amac\u0131yla, meni yolunun ameliyat ile kapat\u0131lmas\u0131 (hamileli\u011fi \u00f6nleme) y\u00f6ntemidir. Sonu\u00e7 olarak menide sperm olmamas\u0131na yol a\u00e7ar.<\/p>\n

N\u00f6rolojik ve psikolojik fakt\u00f6rler<\/h3>\n

Belden a\u015fa\u011f\u0131s\u0131n\u0131n fel\u00e7 olmas\u0131 veya cinsel organlardan cerrahi m\u00fcdahale ile al\u0131nm\u0131\u015f olan t\u00fcm\u00f6rler, ereksiyon ve bo\u015falma bozukluklar\u0131na (erkekte spermin bo\u015falma problemi) yol a\u00e7abilirler. Geriye bo\u015falma<\/em> ismiyle bilinen bo\u015falma problemlerinde, bo\u015falma olur fakat ters y\u00f6ne, yani mesaneye do\u011fru olur. Psikolojik rahats\u0131zl\u0131klar, cinsel isteksizlik ve buna ba\u011fl\u0131 olarak ereksiyon olamamak veya sadece bo\u015falma bozuklu\u011fu da \u00e7ocuk olmas\u0131n\u0131 engelleyebilir.<\/p>\n

Kromozom bozukluklar\u0131<\/h3>\n

Belirli kromozom bozukluklar\u0131nda testislerdeki spermler olgunla\u015famaz. Testis biyopsisinde (testis dokusunun al\u0131nmas\u0131) bile olgun, d\u00f6llenmeye elveri\u015fli sperm bulunmaz.<\/p>\n

Yap\u0131sal bozukluklar<\/h3>\n

\u00dcretran\u0131n (idrar yolunun), penis ucuna de\u011fil de penis sap\u0131na a\u00e7\u0131lmas\u0131ndan dolay\u0131 erkek organ\u0131nda bozukluklar\u0131n olmas\u0131 m\u00fcmk\u00fcnd\u00fcr. Bu y\u00fczden, erkek, bo\u015falma s\u0131ras\u0131nda spermlerini kolayca kad\u0131na yani rahim a\u011fz\u0131na b\u0131rakamaz.<\/p>\n

\n

Kad\u0131nlarda k\u0131s\u0131rl\u0131k nedenleri<\/h2>\n

Endometriozis ve k\u0131s\u0131rl\u0131k<\/h4>\n

Endometriozis, gen\u00e7 kad\u0131nlar\u0131n \u00e7ocuk sahibi olamamalar\u0131n\u0131n en s\u0131k nedenlerinden biridir. K\u0131s\u0131rl\u0131k problemi olan kad\u0131nlara yap\u0131lan laparoskopi sonucunda, % 50’nin \u00fczerinde kad\u0131nda endometriozis problemi oldu\u011fu ortaya \u00e7\u0131kmaktad\u0131r.<\/p>\n

Endometriozisin olu\u015fum nedenleri tam olarak bilinmemektedir.<\/p>\n

Aglutinasyonlar\/yap\u0131\u015fmalar, dokunun yap\u0131\u015fmas\u0131 (adhezyonlar) ve fallop t\u00fcplerinin kapal\u0131 olmas\u0131 mekanik engeller yaratabilir. Yumurtal\u0131klardaki endometriozis kistleri, yumurtan\u0131n geli\u015fimini engelleyebilirler. Endometriozis lezyonlar\u0131ndan dolay\u0131 kar\u0131n b\u00f6lgesinde s\u00fcrekli enfeksiyon olur. Bunlar ayn\u0131 sperm kalitesinde oldu\u011fu gibi, yumurtalar\u0131n geli\u015fimini veya d\u00f6llenmi\u015f yumurtan\u0131n tutunmas\u0131n\u0131\/implantasyonunu engellerler.<\/p>\n

Her zaman IVF tedavisi yap\u0131lmas\u0131 gerekmez. Doktorunuz hastal\u0131\u011f\u0131n\u0131z\u0131n derecesiyle ilgili size gerekli bilgiyi verecek ve tavsiyede bulunacakt\u0131r. Endometriozisiniz varsa da spontan olarak gebe kalabilirsiniz. Cinsel birle\u015fme s\u0131ras\u0131nda endometriozisden dolay\u0131 a\u011fr\u0131s\u0131\u0131 olan bir\u00e7ok \u00e7ift, cinsel ili\u015fkiye girmekten \u00e7ekinmekte hatta bu y\u00fczden hi\u00e7 ili\u015fkiye girmemektedir.<\/p>\n

Endometriozis ile ilgili daha fazla bilgi<\/a><\/p>\n

Kad\u0131nlardaki k\u0131s\u0131rl\u0131\u011f\u0131n nedenleri \u015f\u00f6yle s\u0131ralanabilir:<\/h3>\n

Hormonal nedenler<\/strong> (S\u0131rf k\u0131s\u0131r olan kad\u0131nlara bak\u0131ld\u0131\u011f\u0131nda, s\u0131kl\u0131\u011f\u0131 % 30)<\/h4>\n

Ara beyin, hipofiz bezi ve yumurtal\u0131klar\u0131n (hipotalamus \u2013 hipofiz-ovariyel aks) aras\u0131ndaki duyarl\u0131 hormonal yap\u0131n\u0131n problemsiz \u00e7al\u0131\u015fmas\u0131, ovariyel siklusun problemsiz olmas\u0131 \u00e7ok \u00f6nemlidir. Burada en iyi \u015fartlarda, kad\u0131n\u0131n do\u011furgan d\u00f6neminde (15 ya\u015f ile 40 ya\u015f aras\u0131) ve 45 ya\u015f\u0131na kadar giderek d\u00fczensizle\u015fen her siklusunda, prensip olarak kad\u0131n\u0131n v\u00fccudunda ov\u00fclasyon sonras\u0131 her zaman d\u00f6llenmeye haz\u0131r olgun bir yumurta olu\u015fur. Hipotalamus (ara beynin bir b\u00f6l\u00fcm\u00fc), beynin en \u00f6nemli b\u00f6lgelerinden biridir. Bu b\u00f6lge, gonadotropinin (cinsel hormonlar), folik\u00fcl olu\u015fumunu (yumurta kisti) uyaran FSH (Folik\u00fcl uyar\u0131c\u0131 hormon)’nin ve sonu\u00e7 olarak d\u00f6llenmeye haz\u0131r yumurtan\u0131n ov\u00fclasyonunu sa\u011flayan LH (Lutein hormonu)’n\u0131n do\u011fru zamanda salg\u0131lanmas\u0131n\u0131 sa\u011flar.<\/p>\n

Bu hormonlar\u0131n do\u011fru zamanda ve oranda salg\u0131lanmas\u0131 ayr\u0131ca, prolaktin, tiroksin, erkeklik hormonlar\u0131 ve ins\u00fclin gibi di\u011fer hormonlara da ba\u011fl\u0131d\u0131r. Bu sistem i\u00e7erisindeki en ufak sapmalar dahi folik\u00fcl\u00fcn geli\u015fimine engel olabilir.<\/p>\n

Hormon dengesini bozabilecek a\u011f\u0131r sporlar ve a\u015f\u0131r\u0131 psikolojik stres gibi d\u0131\u015f etkenler de k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilir.<\/p>\n

Hormonal bozukluklar, sadece gebeli\u011fin olu\u015fumunu engellemekle kalmay\u0131p, kad\u0131n gebeyse, \u00e7ocu\u011fun geli\u015fimine de olumsuz etki eder, hatta d\u00fc\u015f\u00fc\u011fe de yol a\u00e7abilir.<\/p>\n

T\u00fcplere ba\u011fl\u0131 k\u0131s\u0131rl\u0131k (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 30)<\/h4>\n

Yumurta kanal\u0131 mukozas\u0131n\u0131n enfeksiyonu sonucunda, yumurtan\u0131n overden (yumurtal\u0131k) uterusa (rahim) ula\u015fmas\u0131 engellenebilir. Ola\u011fand\u0131\u015f\u0131 olsa da nadir olmayan bir durum da, bir veya iki yumurta kanal\u0131n\u0131n (t\u00fcp) tamamen t\u0131kal\u0131 olmas\u0131d\u0131r. Bu de\u011fi\u015fikliklere \u00e7o\u011funlukla bakteriler (\u00f6r: klamidya) neden olur.<\/p>\n

Yumurtal\u0131k enfeksiyonu veya apandisit gibi enfeksiyonlar genelde \u00e7evre dokunun yap\u0131\u015fmas\u0131na sebep olan lokal enfeksiyonlara yol a\u00e7ar. Dolay\u0131s\u0131yla fallop t\u00fcp\u00fc esnekli\u011fini kaybedebilir, bu da fallop t\u00fcp\u00fc sa\u00e7aklar\u0131n\u0131n (Fimbria) tutma fonksiyonunu engelleyebilir. Ov\u00fclasyon s\u0131ras\u0131nda d\u00f6llenmeye haz\u0131r yumurta, fallop t\u00fcp\u00fc sa\u00e7aklar\u0131ndan fallop t\u00fcp\u00fcne girer, buradan d\u00f6llenece\u011fi b\u00f6lgeye ta\u015f\u0131n\u0131r. Yumurtan\u0131n veya embriyonun bu ge\u00e7i\u015finde a\u011f\u0131r engeller olu\u015fursa, yumurta kanal\u0131nda erken ekilme dedi\u011fimiz \u00f6l\u00fcmc\u00fcl etkileri olabilen bir durum meydana gelir (d\u0131\u015f gebelik).<\/p>\n

Ba\u015fka bir yerde daha detaylar\u0131yla anlatt\u0131\u011f\u0131m\u0131z bakteriyel olmayan endometriozisin benzer ve daha de\u011fi\u015fik sonu\u00e7lar\u0131 olabilir.<\/p>\n

Uterin k\u0131s\u0131rl\u0131k (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 5)<\/h4>\n

Rahimde uterus septus, uterus subseptus ve uterus arcuatus gibi yap\u0131sal bozukluklar\u0131n yumurtan\u0131n ekilmesini veya embriyonun rahat\u00e7a geli\u015fmesini engellemesi m\u00fcmk\u00fcnd\u00fcr. Miyomlar (iyi huylu kas t\u00fcm\u00f6rleri) b\u00fcy\u00fckl\u00fcklerine, olu\u015ftuklar\u0131 yere (rahim a\u011fz\u0131, rahim duvar\u0131, rahim y\u00fczeyi) g\u00f6re, do\u011furganl\u0131\u011f\u0131 engelleyebilirler. Endometriyal polipler (mukozan\u0131n lokal olarak fazla prod\u00fcksiyonu) ve enfeksiyon sonras\u0131 veya k\u00fcrtaj sonras\u0131 aglutinasyonlar\/yap\u0131\u015fmalar da do\u011furganl\u0131\u011f\u0131 engellerler.<\/p>\n

Bir ba\u015fka problem, rahim mukozas\u0131n\u0131n tespit edilemeyen nedenlerden dolay\u0131 k\u00f6t\u00fc geli\u015fimidir.<\/p>\n

Servikal k\u0131s\u0131rl\u0131k (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 5)<\/h4>\n

Serviks y\u0131rt\u0131lmalar\u0131 veya enfeksiyonlar spermlerin ge\u00e7i\u015flerini engeller. \u00d6zellikle kad\u0131n\u0131n do\u011furgan oldu\u011fu d\u00f6nemde serviks mukozas\u0131 \u00f6strojen hormonunun eksikli\u011fine ba\u011fl\u0131 olarak \u00f6nemli bir de\u011fi\u015fime u\u011frayabilir ve spermlerin vajinadan (d\u00f6l yolu) uterusa (rahim) ge\u00e7meleri engellenebilir.<\/p>\n

Vajinaya ba\u011fl\u0131 k\u0131s\u0131rl\u0131k (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 5)<\/h4>\n

Yap\u0131sal bozukluk veya o b\u00f6lgedeki darl\u0131klar cinsel birle\u015fmeye engel te\u015fkil edebilirler. Enfeksiyonel olu\u015fumlar d\u00fc\u015f\u00fck veya erken do\u011fumu tetiklerler.<\/p>\n

Ba\u011f\u0131\u015f\u0131kl\u0131k ile ilgili k\u0131s\u0131rl\u0131k (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 5)<\/h4>\n

Sperm antikorlar\u0131n\u0131n anlam\u0131 ve sperm ile yumurta aras\u0131ndaki olas\u0131 ”uyu\u015fmazl\u0131k reaksiyonlar\u0131\u201c hakk\u0131nda halen spek\u00fclasyonlar y\u00fcr\u00fct\u00fclmektedir. Ba\u011f\u0131\u015f\u0131kl\u0131kla ilgili oldu\u011fu tahmin edilen nedenlere y\u00f6nelik yap\u0131lan tedavilerin de etkili olup olmad\u0131\u011f\u0131 konusunda \u015f\u00fcpheler halen s\u00fcrmektedir.<\/p>\n

Kan\u0131n p\u0131ht\u0131la\u015fmamas\u0131 (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 5)<\/h4>\n

Koag\u00fclasyon kaskad\u0131 diye adland\u0131rd\u0131\u011f\u0131m\u0131z durumda olu\u015fan do\u011fu\u015ftan gelen \u00e7e\u015fitli bozukluklar g\u00fcnl\u00fck ya\u015fant\u0131ya herhangi bir belirgin etkisi olmad\u0131\u011f\u0131 halde gebe kalmaya veya gebeli\u011fin s\u00fcrd\u00fcr\u00fcmesine olumsuz etki edebilirler. ‘Trombofili\u2018 ad\u0131 alt\u0131nda toplanan bu bozukluklar, kan\u0131n p\u0131ht\u0131la\u015fmas\u0131n\u0131 \u00f6nleyici ila\u00e7lar ile k\u0131smen tedavi edilebilmektedir.<\/p>\n

Kromozom bozukluklar\u0131 (S\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k % 5)<\/h4>\n

Do\u011fu\u015ftan gelen bozukluklar \u00f6rn: v\u00fccuttaki t\u00fcm h\u00fccrelerde kromozom say\u0131s\u0131nda sapma veya bir b\u00f6l\u00fcm\u00fcnde sapma olmas\u0131 (mozaik yap\u0131), gebelik olu\u015fumunu engelleyebilir. Ayr\u0131ca, bunlar d\u00fc\u015f\u00fck riskini de artt\u0131r\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Erkekler ve kad\u0131nlarda k\u0131s\u0131rl\u0131k nedenleri Erkeklerde k\u0131s\u0131rl\u0131k nedenleri Testis fonksiyonlar\u0131n\u0131n iyi olmamas\u0131 Meni kalitesinin d\u00fc\u015f\u00fck olmas\u0131, sperm kalitesinin \u00fc\u00e7 ana […]<\/p>\n","protected":false},"author":2,"featured_media":7502,"parent":7487,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"page-siblingnavi.php","meta":{"footnotes":""},"class_list":["post-7501","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nNedenler • Kinderwunschteam Berlin<\/title>\n<meta name=\"description\" content=\"Erkekler ve kad\u0131nlarda k\u0131s\u0131rl\u0131k nedenleri Erkeklerde k\u0131s\u0131rl\u0131k nedenleri Testis fonksiyonlar\u0131n\u0131n iyi olmamas\u0131 Meni kalitesinin d\u00fc\u015f\u00fck olmas\u0131, sperm\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta 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