![\"Hamilelikte](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/doctor-holding-suppository-hemorrhoid-treatment-woman-suffering-from-pain-light-background-closeup_11zon-1024x554.jpg\")
<\/figure>\n\n\n\nHemoroid Nedir<\/h2>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroid problemini etkili bir \u015fekilde \u00e7\u00f6zmek, bu hastal\u0131\u011f\u0131n ne oldu\u011funu iyi anlamakla m\u00fcmk\u00fcnd\u00fcr. Proktolojik rahats\u0131zl\u0131k, rektal kanal\u0131n mukozas\u0131nda ve anal a\u00e7\u0131kl\u0131k etraf\u0131nda ac\u0131 veren nod\u00fcller olu\u015fturan hemoroidal damarlar\u0131n geni\u015flemesi ve iltihaplanmas\u0131 durumunda ortaya \u00e7\u0131kar. Karma\u015f\u0131k kan ak\u0131\u015f\u0131 sistemi, anal sfinkterin i\u015fleyi\u015fine ba\u011fl\u0131 olarak bu nod\u00fcllerin k\u00fc\u00e7\u00fclmesini veya b\u00fcy\u00fcmesini sa\u011flar. Hamilelik s\u0131ras\u0131nda hemoroid nod\u00fcllerinin iltihaplanmas\u0131, \u00f6zellikle d\u0131\u015fk\u0131lama s\u0131ras\u0131nda rahats\u0131zl\u0131k ve \u00f6nemli derecede a\u011fr\u0131ya sebep olur. <\/p>\n\n\n\n
Hastal\u0131\u011f\u0131n birka\u00e7 formu vard\u0131r:<\/p>\n\n\n\n
- \n
- d\u0131\u015f \u2013 anal a\u00e7\u0131kl\u0131k ve perine derisi alt\u0131ndaki damarlar\u0131n etkilenmesi;<\/li>\n\n\n\n
- i\u00e7 \u2013 rektal kanal\u0131n mukozas\u0131 alt\u0131ndaki rektum yap\u0131s\u0131nda patolojik de\u011fi\u015fiklikler meydana gelir;<\/li>\n\n\n\n
- kombine \u2013 her iki formun belirtileri g\u00f6r\u00fcl\u00fcr.<\/li>\n<\/ul>\n\n\n\n
Genellikle, hamilelerde hastal\u0131k d\u0131\u015fsal olur.<\/p>\n\n\n\n
![\"Hamilelikte](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/woman-holding-paper-roll-suffering-from-diarrhea-constipation-cystitis-toilet-stomach-abdominal-pain-pms-health-care_11zon-1024x683.jpg\")
<\/figure>\n\n\n\nHastal\u0131\u011f\u0131n ba\u015fka hangi s\u0131n\u0131fland\u0131rmas\u0131 var<\/h3>\n\n\n\n
Hastal\u0131k akut ve kronik evrelerde de olabilir. \u0130lk se\u00e7ene\u011fi g\u00fc\u00e7l\u00fc a\u011fr\u0131lar, etkilenen b\u00f6lgenin kanamas\u0131 ile karakterizedir. Akut hemoroid belirtileri, hemoroid nod\u00fcllerinin tromboz evresinin ba\u015flad\u0131\u011f\u0131n\u0131 g\u00f6sterir – bunlar, iltihaplanma, ileri durumda – \u015fiddetli kanama ve hatta nekroz belirtilerini i\u00e7erir. \u00c7o\u011fu zaman, kronik hemoroidin \u00e7ok fazla k\u00f6t\u00fcle\u015fmesi durumunda akut forma ge\u00e7er. Bu hastal\u0131k formu tehlikelidir ve olduk\u00e7a nadiren, \u00f6rne\u011fin do\u011fum s\u0131ras\u0131nda ortaya \u00e7\u0131kar.<\/p>\n\n\n\n
Kronik evre, gebelik s\u0131ras\u0131nda hemoroid d\u00fc\u011f\u00fcmlerinin an\u00fcsten d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131ndan dolay\u0131 kad\u0131na hafif rahats\u0131zl\u0131k verir. A\u011fr\u0131 olmamas\u0131na ra\u011fmen kronik hemoroidi zaman\u0131nda tedavi etmeye ba\u015flamak \u00e7ok \u00f6nemlidir. Bu hastal\u0131k genellikle sfinkter b\u00f6lgesini etkiler. Genellikle, gebelik s\u00fcresince kronik hemoroid geli\u015fir. Bu durumun geli\u015fiminde d\u00f6rt a\u015fama vard\u0131r.<\/p>\n\n\n\n
Birinci A\u015fama<\/h3>\n\n\n\n
Gebelik s\u0131ras\u0131nda hemoroidin geli\u015fim a\u015famalar\u0131n\u0131n hepsi semptomatik farkl\u0131l\u0131klar, hisler ve tehdit seviyesi bak\u0131m\u0131ndan farkl\u0131d\u0131r. Birinci a\u015fama en hafif olan\u0131d\u0131r ve farkl\u0131 medikal tedavi y\u00f6ntemleriyle ba\u015fa \u00e7\u0131kmak kolayd\u0131r. Belirgin belirtileri, an\u00fcs b\u00f6lgesinde rahats\u0131zl\u0131k, d\u0131\u015fk\u0131lama sonras\u0131 hafif a\u011fr\u0131 ve bazen tuvalet ka\u011f\u0131d\u0131nda parlak kan izleri b\u0131rakmas\u0131d\u0131r. <\/p>\n\n\n\n
Bunlar, zaman\u0131nda yan\u0131t verilmesi gereken yakla\u015fan bir rahats\u0131zl\u0131\u011f\u0131n ilk sinyalleridir. Bu t\u00fcr belirtiler gelecekteki anneyi pek rahats\u0131z etmeyebilir ve kendi kendine ge\u00e7mesini bekleme karar\u0131 alabilir. Soruna bu \u015fekilde umursamaz yakla\u015fmak, hastal\u0131\u011f\u0131n ilerlemesine ve bir sonraki a\u015famaya ge\u00e7mesine neden olabilir.<\/p>\n\n\n\n
\u0130kinci A\u015fama<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroidin patolojik ilerlemesinin bu a\u015famas\u0131nda, birinci a\u015faman\u0131n t\u00fcm semptomlar\u0131 daha da artar ve rahats\u0131z edici, \u0131srarc\u0131 bir ka\u015f\u0131nt\u0131 eklenir. Hisler de\u011fi\u015fir – d\u0131\u015fk\u0131lama s\u0131ras\u0131nda a\u011fr\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde artabilir, ancak a\u011fr\u0131l\u0131 belirtiler h\u0131zla ge\u00e7er. <\/p>\n\n\n\n
E\u011fer d\u0131\u015fk\u0131lama s\u0131ras\u0131nda g\u00fc\u00e7l\u00fc \u0131k\u0131nmalar olursa, hamilelikte iltihaplanan i\u00e7 hemoroid d\u00fc\u011f\u00fcmleri an\u00fcs a\u00e7\u0131kl\u0131\u011f\u0131ndan \u00e7\u0131kmaya ba\u015flar. Ancak hen\u00fcz bu d\u00fc\u011f\u00fcmler kolayca geri itilebilir. Bu durum hemen bir proktolog ba\u015fvurmay\u0131 gerektirir, \u00e7\u00fcnk\u00fc hamilelik s\u0131ras\u0131nda hemoroid \u00fc\u00e7\u00fcnc\u00fc a\u015famaya ge\u00e7ti\u011finde, a\u011fr\u0131l\u0131 semptomlar artar ve hastal\u0131\u011f\u0131 tedavi etmek zamanla daha da karma\u015f\u0131k hale gelir ve bunun i\u00e7in \u00f6nemli \u00f6l\u00e7\u00fcde daha fazla zamana ihtiya\u00e7 duyulmaktad\u0131r.<\/p>\n\n\n\n
\u00dc\u00e7\u00fcnc\u00fc A\u015fama<\/h3>\n\n\n\n
E\u011fer hamile bir kad\u0131n gebelik s\u0131ras\u0131nda hemoroid belirtilerini g\u00f6rmezden gelmeye devam ederse, a\u011fr\u0131 onun s\u00fcrekli bir yolda\u015f\u0131 olur ve ondan ne g\u00fcnd\u00fcz ne de gece kurtulamaz. B\u00f6yle bir durumda, hamile kad\u0131n i\u00e7in y\u00fcr\u00fcmek zorla\u015f\u0131r, yatmak rahats\u0131z edici hale gelir ve oturmak dayan\u0131lmaz bir a\u011fr\u0131ya e\u015flik eder. Gebelik s\u0131ras\u0131nda hemoroid d\u00fc\u011f\u00fcmleri hala d\u0131\u015far\u0131 \u00e7\u0131kar, ancak onlar\u0131 tekrar yerine koymak art\u0131k zordur, \u00e7aba gerektirir. <\/p>\n\n\n\n
Bu a\u015famadaki hastal\u0131k, proktolog muayenehanesine kesin ziyaret gerektirir. Uzman, hastal\u0131\u011f\u0131n nas\u0131l tedavi edilece\u011fini anlatacak ve hamilelik s\u0131ras\u0131nda uygulanabilir bir tedavi \u00f6nerecektir. \u00dc\u00e7\u00fcnc\u00fc a\u015fama, \u00e7ocuk i\u00e7in do\u011frudan bir tehdit olu\u015fturur, bu y\u00fczden hi\u00e7bir \u015fey olmuyormu\u015f gibi davranmaya devam etmek ve doktora gitmeyi ertelemek art\u0131k tehlikelidir.<\/p>\n\n\n\n
Son a\u015fama<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda bu hemoroid evresi art\u0131k ila\u00e7 tedavisi gerektirmez, ancak cerrahi m\u00fcdahale ve operasyon masas\u0131nda d\u00fc\u011f\u00fcmlerin \u00e7\u0131kar\u0131lmas\u0131 gerektirir. Mevcut bir\u00e7ok teknik aras\u0131nda hamilelik s\u0131ras\u0131nda m\u00fcmk\u00fcn olan en az travmatik olan\u0131 se\u00e7meye \u00e7al\u0131\u015f\u0131l\u0131r. D\u00f6rd\u00fcnc\u00fc a\u015fama, ayr\u0131ca sanc\u0131l\u0131d\u0131r ve s\u00fcrekli stres bir\u00e7ok hastal\u0131\u011f\u0131 tetikleyebilir. Ancak esas tehlikesi, an\u00fcs\u00fcn \u015fiddetli bir \u015fekilde kanamas\u0131 ve hastal\u0131\u011f\u0131n akut bir a\u015famaya ge\u00e7mesidir, burada tromboz ve nekroz m\u00fcmk\u00fcnd\u00fcr. Bununla birlikte, hamilelik s\u0131ras\u0131nda hemoroidin d\u00f6rd\u00fcnc\u00fc a\u015famaya kadar geli\u015fimi nadiren ger\u00e7ekle\u015fir. <\/p>\n\n\n\n
Genellikle ikinci a\u015famada hamile ki\u015fi, etkili tedaviye ba\u015flayan proktolo\u011fa ba\u015fvurmaktad\u0131r. Ayr\u0131ca, hastal\u0131k o kadar h\u0131zl\u0131 ilerlemeyebilir ve gebelik s\u00fcresince kritik a\u015famaya kadar geli\u015femeyebilir. Tabii ki, hemoroid hen\u00fcz ikinci veya \u00fc\u00e7\u00fcnc\u00fc a\u015famada iken hamilelik ba\u015flamad\u0131ysa.<\/p>\n\n\n\n
Hamilelerde hemoroidin tehlikeleri neden \u00f6nemlidir<\/h2>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroidin geli\u015fimi, kad\u0131nlar i\u00e7in bu durumda rahats\u0131zl\u0131k ve a\u011fr\u0131 d\u0131\u015f\u0131nda bir\u00e7ok tehlike bar\u0131nd\u0131r\u0131r. Hastal\u0131\u011f\u0131n i\u00e7 \u00e7e\u015fidi genellikle hemoroid d\u00fc\u015fmesi ile ili\u015fkilendirilmez ancak kanamalarla komplike olabilir. Geni\u015flemi\u015f, gerilmi\u015f damarlar \u00e7o\u011funlukla d\u0131\u015fk\u0131lama sonras\u0131 patlar. Bu durum anemiye yol a\u00e7ar ve oksijen yetersizli\u011finden dolay\u0131 hipoksiye neden olarak fet\u00fcs\u00fcn geli\u015fimini etkiler. Ayr\u0131ca, i\u00e7 hemoroid d\u00fc\u011f\u00fcm\u00fc patlad\u0131\u011f\u0131nda s\u0131kl\u0131kla \u00e7atlaklar olu\u015fur ve a\u011fr\u0131 meydana gelir. <\/p>\n\n\n\n
Sonraki d\u0131\u015fk\u0131lama zorla\u015f\u0131r, bu da kab\u0131zl\u0131\u011fa yatk\u0131nl\u0131\u011f\u0131 art\u0131r\u0131r. Buna ek olarak, a\u011fr\u0131, anal sfinkter kaslar\u0131n\u0131n kronik spazm\u0131n\u0131 tetikler. Bu, anal \u00e7atla\u011f\u0131n iyile\u015fmesini engeller \u00e7\u00fcnk\u00fc anal kanal mukozas\u0131n\u0131n beslenmesi bozulur. B\u00f6yle bir \u00e7atla\u011f\u0131n varl\u0131\u011f\u0131, kendi ba\u015f\u0131na kronik bir sorundur.<\/p>\n\n\n\n
Gelecek anneler i\u00e7in hastal\u0131\u011f\u0131n ba\u015fka ne gibi tehlikeleri var<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda d\u0131\u015f hemoroid varsa, anal \u00e7atlak ve kanamaya ek olarak d\u0131\u015f hemoroid d\u00fc\u011f\u00fcmlerinin s\u0131k\u0131\u015fmas\u0131 da eklenir. Bu durumda, sfinkterin kas spazm\u0131 nedeniyle d\u00fc\u011f\u00fcmlerde kan dola\u015f\u0131m\u0131 bozulur. Arterlerle d\u00fc\u011f\u00fcme gelen kan, damarlardan \u00e7\u0131karken b\u00fcy\u00fck zorlukla \u00e7\u0131kar. Bu durum d\u00fc\u011f\u00fcm\u00fcn geni\u015flemesine ve \u015fiddetli a\u011fr\u0131ya neden olur. B\u00f6yle bir durum, hemoroid d\u00fc\u011f\u00fcmlerinde tromboza yol a\u00e7ar ve \u00e7evre dokular\u0131n iltihab\u0131 nedeniyle a\u011fr\u0131n\u0131n kat kat artmas\u0131na neden olur.<\/p>\n\n\n\n
Hamile kad\u0131n\u0131 birka\u00e7 g\u00fcn boyunca a\u011fr\u0131lar nedeniyle uyutmayacak kadar t\u00fcketen bir durumdur. Her \u015fey korkutucu g\u00f6r\u00fcn\u00fcyor – d\u00fc\u011f\u00fcmler b\u0131ld\u0131rc\u0131n yumurtas\u0131 b\u00fcy\u00fckl\u00fc\u011f\u00fcne, bazen tavuk yumurtas\u0131 boyutuna kadar \u015fi\u015fer ve rektumda yerine geri d\u00f6nmez. Uzun s\u00fcreli hemoroid d\u00fc\u011f\u00fcm\u00fcn\u00fcn trombozu, mikroplar\u0131n beslenme ortam\u0131 olan doku nekrozuna yol a\u00e7ar. Ard\u0131ndan perineumda \u015fi\u015fme ve ate\u015f y\u00fckselmesi gelir.<\/p>\n\n\n\n
En Yayg\u0131n Komplikasyonlar<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroid sonucunda ortaya \u00e7\u0131kan en yayg\u0131n komplikasyon, bunun kronik forma d\u00f6n\u00fc\u015fmesidir. Doktorlar, iltihapl\u0131 d\u00fc\u011f\u00fcmler do\u011fumdan 5-6 ay sonra kad\u0131n\u0131 rahats\u0131z ediyorsa cerrahi m\u00fcdahaleyi \u00f6nerir. Kanamal\u0131 hemoroid d\u00fc\u011f\u00fcmlerinin neden olabilece\u011fi demir eksikli\u011fi anemisi riski d\u0131\u015f\u0131nda, di\u011fer patolojilerin geli\u015fimine de neden olabilirler. \u00d6rne\u011fin – enfeksiyon iltihaplanma komplikasyonlar\u0131n\u0131n geli\u015fmesi. <\/p>\n\n\n\n
Anal \u00e7atlaklar d\u0131\u015f\u0131nda bu rahats\u0131zl\u0131klar, proktit (rektum mukozas\u0131n\u0131n iltihaplanmas\u0131) veya paraproktit (rektum \u00e7evresindeki dokunun iltihaplanmas\u0131) olabilir. Enfeksiyonlar ve mekanik bask\u0131 sonucu olu\u015fan inflamatuar s\u00fcre\u00e7ler, tromboz sonras\u0131 kangrene yol a\u00e7abilir ve bu durumda acil cerrahi m\u00fcdahale gerekir. Ayr\u0131ca hamilelik s\u0131ras\u0131nda hemoroid nedeniyle sinirsel ve fiziksel yorgunluk, do\u011fum i\u00e7in v\u00fccudun haz\u0131rl\u0131\u011f\u0131n\u0131 olumsuz etkiler.<\/p>\n\n\n\n
Hijyenik \u0130\u015flemler<\/h3>\n\n\n\n
Enflamasyonlu hemoroid nod\u00fcllerini etkili bir \u015fekilde tedavi etmek i\u00e7in, hamilelik s\u0131ras\u0131nda hemoroidin enfeksiyon ve iltihaplanma komplikasyonlar\u0131n\u0131 \u00f6nlemeye yard\u0131mc\u0131 olacak hijyenik prosed\u00fcrlerin ger\u00e7ekle\u015ftirilmesi gereklidir. \u0130\u00e7, \u00f6zellikle d\u0131\u015f nod\u00fcller oldu\u011funda hijyenik mendil veya tuvalet ka\u011f\u0131d\u0131 kullan\u0131m\u0131 kesinlikle yasakt\u0131r. Oda s\u0131cakl\u0131\u011f\u0131nda su ile y\u0131kanmal\u0131 ve ba\u011f\u0131rsak hareketinden sonra nemli bir bezle silinmelidir. <\/p>\n\n\n\n
Anal b\u00f6lge temizli\u011fi, zay\u0131f bir potasyum permanganat \u00e7\u00f6zeltisi veya t\u0131bbi bitkilerin kaynatmalar\u0131 kullan\u0131larak yap\u0131l\u0131r. \u015eiddetli a\u011fr\u0131 sendromu olan hijyenik prosed\u00fcrler, s\u0131cak banyolar\u0131n al\u0131nmas\u0131 ile birle\u015ftirilir. S\u0131cak su prosed\u00fcrleri i\u00e7 hemoroidlerde \u00f6zellikle faydal\u0131d\u0131r \u00e7\u00fcnk\u00fc spazmolitik etki g\u00f6sterirler. E\u011fer nod\u00fcller d\u0131\u015fta ise, enfeksiyon komplikasyonlar\u0131n\u0131 \u00f6nlemek i\u00e7in antiseptik maddeler i\u00e7eren y\u00f6ntemlerle banyolar yap\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n
Hamilelikte rahats\u0131zl\u0131\u011f\u0131n nedenleri<\/h2>\n\n\n\n
Kad\u0131n\u0131n v\u00fccudundaki hormonal de\u011fi\u015fiklikler, hamilelikte hemoroidin ortaya \u00e7\u0131kmas\u0131na zemin haz\u0131rlar. Bu d\u00f6nemde, hamile kad\u0131nlar\u0131n kan serumunda “gebelik hormonu” olarak bilinen progesteron seviyeleri y\u00fckselir. Progesteron miktar\u0131n\u0131n artmas\u0131, kan damarlar\u0131n\u0131n duvarlar\u0131n\u0131n esnekli\u011finin azalmas\u0131na yol a\u00e7ar. Bu da, alt ekstremiteler ve pelvis organlar\u0131ndaki ven\u00f6z durgunlu\u011fa neden olur. <\/p>\n\n\n\n
Bunun yan\u0131 s\u0131ra, fet\u00fcs ta\u015f\u0131nd\u0131\u011f\u0131 d\u00f6nemde anne aday\u0131n\u0131n fizyolojik durumu, parametrial dokuda durgun s\u00fcre\u00e7lere, kar\u0131n i\u00e7i bas\u0131nc\u0131n artmas\u0131na, rektumdaki damarlar\u0131n kanlanmas\u0131n\u0131n \u00f6nemli \u00f6l\u00e7\u00fcde artmas\u0131na katk\u0131da bulunur. Hamilelik s\u0131ras\u0131nda hemoroid geli\u015fiminin nedenleri aras\u0131nda fiziksel aktivitenin azalmas\u0131 ve \u00f6nceden var olan bir hastal\u0131\u011f\u0131n n\u00fcksetmesi yer al\u0131r. <\/p>\n\n\n\n
Hastal\u0131\u011f\u0131n ba\u015fka hangi nedenleri var<\/h3>\n\n\n\n
Bunun yan\u0131 s\u0131ra, hamilelik s\u0131ras\u0131nda hemoroid geli\u015fimine yol a\u00e7abilecek nedenler \u015funlard\u0131r:<\/p>\n\n\n\n
- \n
- Do\u011fum say\u0131s\u0131 ve kad\u0131n\u0131n ya\u015f\u0131 – 30 ya\u015f\u0131na kadar her be\u015f anne aday\u0131ndan biri bu sorunla kar\u015f\u0131la\u015f\u0131rken, sonras\u0131nda bu sorunla kar\u015f\u0131la\u015fanlar\u0131n yar\u0131s\u0131na yak\u0131n\u0131 bu durumu ya\u015far.<\/li>\n\n\n\n
- Hemoroidal damar yast\u0131klar\u0131ndaki damar\u0131n duvar\u0131n\u0131n kal\u0131tsal zay\u0131fl\u0131\u011f\u0131.<\/li>\n\n\n\n
- Hamilelik s\u00fcresince \u00f6strojen seviyesindeki ani art\u0131\u015f, hemoroid venlerinin damar duvar\u0131n\u0131n kas tonusunu zay\u0131flat\u0131r.<\/li>\n\n\n\n
- Rahmin derin pelvis damarlar\u0131na yapt\u0131\u011f\u0131 bask\u0131 nedeniyle bacak ve hemoroidal venlerdeki ven\u00f6z bas\u0131nc\u0131n artmas\u0131 ve bacaklarda varis olu\u015fumunu tetiklemesi.<\/li>\n\n\n\n
- Y\u00fckselmi\u015f \u00f6strojen seviyesi, damarlar\u0131n ve ba\u011f\u0131rsak d\u00fcz kaslar\u0131n\u0131n kas tonusunun azalmas\u0131 nedeniyle, hamilelik s\u0131ras\u0131nda kab\u0131zl\u0131\u011fa e\u011filim geli\u015fmesi.<\/li>\n\n\n\n
- Yanl\u0131\u015f veya dengesiz beslenme.<\/li>\n\n\n\n
- An\u00fcs kanal\u0131ndaki damarlar\u0131n ven\u00f6z t\u0131kan\u0131kl\u0131\u011f\u0131.<\/li>\n<\/ul>\n\n\n\n
![\"Hamilelikte](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/riding-waves-nausea-pregnant-woman-struggling-with-morning-sickness-bathroom_11zon-1024x684.jpg\")
<\/figure>\n\n\n\nBelirtiler<\/h2>\n\n\n\n
Hamilelik s\u0131ras\u0131nda ba\u015flayan hemoroid belirtileri, an\u00fcs\u00fcn d\u0131\u015f\u0131nda k\u00fc\u00e7\u00fck d\u00fc\u011f\u00fcmler olarak g\u00f6r\u00fcl\u00fcr, bunlar g\u00f6r\u00fcnmez ve rektumun i\u00e7inde yer al\u0131r. Hemoroidal damarlar b\u00fcy\u00fcd\u00fck\u00e7e kad\u0131n rahats\u0131zl\u0131k hissetmeye ba\u015flar. An\u00fcs b\u00f6lgesinde hafif ka\u015f\u0131nt\u0131 ve nemlilik hissi periyodik olarak ortaya \u00e7\u0131kar. Bu t\u00fcr belirtiler, ba\u011f\u0131rsak yolundan salg\u0131lanan ve an\u00fcs \u00e7evresindeki cildi tahri\u015f eden iltihapl\u0131 s\u0131v\u0131n\u0131n salg\u0131lanmas\u0131 ile ili\u015fkilidir. <\/p>\n\n\n\n
Ba\u015fka belirtiler de olabilir – d\u0131\u015fk\u0131lama eylemiyle ili\u015fkili olarak an\u00fcsden gelen az miktarda kanl\u0131 ak\u0131nt\u0131. Bunun yan\u0131nda, d\u0131\u015f hemoroidin di\u011fer belirtileri aras\u0131nda anal b\u00f6lgede rahats\u0131zl\u0131k, d\u0131\u015fk\u0131da kan bulunmas\u0131, anal a\u00e7\u0131kl\u0131k b\u00f6lgesinde cilt alt\u0131nda hemoroidal d\u00fc\u011f\u00fcmlerin \u00e7\u0131k\u0131nt\u0131 yapmas\u0131 yer al\u0131r. Hamilelik s\u0131ras\u0131nda d\u0131\u015f hemoroidi tedavi etmek ilk belirtiler ortaya \u00e7\u0131kar \u00e7\u0131kmaz yap\u0131lmal\u0131d\u0131r – bu cerrahi m\u00fcdahaleden ka\u00e7\u0131nma \u015fans\u0131n\u0131 art\u0131racakt\u0131r.<\/p>\n\n\n\n
Te\u015fhis<\/h2>\n\n\n\n
Genellikle hamilelik s\u0131ras\u0131nda hemoroid, koloproktolog bir doktor taraf\u0131ndan yap\u0131lan ilk muayenede kolayca belirlenir. Do\u011fru tan\u0131y\u0131 koymak i\u00e7in uzman, hamile kad\u0131n\u0131 sorgular ve an\u00fcs\u00fcn manuel muayenesini yapar. Hastal\u0131\u011f\u0131n i\u00e7 t\u00fcr\u00fcn\u00fcn varl\u0131\u011f\u0131n\u0131 d\u0131\u015flamak i\u00e7in kad\u0131na ek olarak anaskopi veya rektosigmoidoskopi gibi cihazla yap\u0131lan muayeneler de yap\u0131l\u0131r. <\/p>\n\n\n\n
Son ara\u015ft\u0131rma t\u00fcr\u00fc, rektosigmoidoskop ad\u0131 verilen optik cihaz\u0131n an\u00fcs a\u00e7\u0131kl\u0131\u011f\u0131na yerle\u015ftirilmesini i\u00e7erir. Bu cihaz\u0131n yard\u0131m\u0131yla doktor, ba\u011f\u0131rsak i\u00e7ini g\u00f6rebilir ve mukozadan inceleme i\u00e7in materyal alabilir. Hamilelik s\u0131ras\u0131nda hemoroidin te\u015fhis edilmesi durumunda, genellikle geli\u015fmekte olan fet\u00fcse ila\u00e7lar\u0131n etkisini \u00f6nleyen yerel konservatif tedavi se\u00e7ilir. <\/p>\n\n\n\n
\u00d6nleme<\/h2>\n\n\n\n
Herhangi bir rahats\u0131zl\u0131\u011f\u0131n tedavisinden \u00e7ok \u00f6nlenmesinin daha kolay oldu\u011fu ifadesi art\u0131k bir \u00f6zdeyi\u015f haline geldi. Bu durum, hamilelik s\u0131ras\u0131nda hemoroidin geli\u015fimini \u00f6nleme konusunda da ge\u00e7erlidir. Bu rahats\u0131zl\u0131\u011f\u0131n ortaya \u00e7\u0131kma riskini en aza indirmek i\u00e7in, hem hamilelik s\u00fcresince hem de do\u011fum sonras\u0131 hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131 engellemek amac\u0131yla bu rahats\u0131zl\u0131\u011f\u0131n nedenlerini maksimum d\u00fczeyde ortadan kald\u0131rmak gerekir. <\/p>\n\n\n\n
\u0130lk neden damarlarla ilgili olup, hamilelik s\u0131ras\u0131nda hemoroid d\u00fc\u011f\u00fcmlerinde kan ak\u0131\u015f\u0131n\u0131n bozulmas\u0131yla ilgilidir. \u0130kinci neden ise mekanik olup do\u011fum s\u00fcreciyle ba\u011flant\u0131l\u0131d\u0131r. Hamilelik sonras\u0131 hemoroidin geli\u015fimine peri-rektal b\u00f6lgedeki ba\u011flar (Parks ve Teidts) ve kaslar \u00fczerine binen a\u011f\u0131r y\u00fckler neden olur. Bu nedenleri ortadan kald\u0131rarak, k\u00f6t\u00fc al\u0131\u015fkanl\u0131klardan ka\u00e7\u0131n\u0131p fiziksel aktiviteyi art\u0131rarak hastal\u0131\u011f\u0131n hamilelik s\u00fcresince ve do\u011fum sonras\u0131 d\u00f6nemde olu\u015fumunu \u00f6nlemek m\u00fcmk\u00fcnd\u00fcr.<\/p>\n\n\n\n
Rahats\u0131zl\u0131\u011f\u0131n geli\u015fimini \u00f6nlemek i\u00e7in neler yap\u0131labilir<\/h3>\n\n\n\n
Hamilelikte hemoroidin \u00f6nlenmesi alkol, sigara ve zararl\u0131 yiyeceklerin (fast food) kullan\u0131m\u0131n\u0131n yan\u0131 s\u0131ra a\u015fa\u011f\u0131dakiler olabilir:<\/p>\n\n\n\n
- \n
- A\u011f\u0131r kald\u0131rman\u0131n kesinlikle yasak olmas\u0131;<\/li>\n\n\n\n
- Hamile kad\u0131n\u0131n diyetine taze sebze ve meyveler, y\u00fcksek lif i\u00e7eren g\u0131dalar eklenmesi;<\/li>\n\n\n\n
- Anne aday\u0131n\u0131n men\u00fcs\u00fcnden rectum mukozas\u0131n\u0131 tahri\u015f eden g\u0131dalar\u0131n, baharatl\u0131, f\u00fcme, tuzlu yiyeceklerin \u00e7\u0131kar\u0131lmas\u0131;<\/li>\n\n\n\n
- Yeterli miktarda s\u0131v\u0131 t\u00fcketilmesi – g\u00fcnde 1,5-2 litre su;<\/li>\n\n\n\n
- Uzun s\u00fcre oturman\u0131n yasak olmas\u0131;<\/li>\n\n\n\n
- G\u00fcnl\u00fck rutin i\u00e7erisine hafif fiziksel aktivitelerin eklenmesi.<\/li>\n<\/ul>\n\n\n\n
Ancak doktor hamilelik s\u0131ras\u0131nda hemoroid te\u015fhisi koyduysa, anne aday\u0131n\u0131n durumunu diyet ve fiziksel egzersiz gibi basit y\u00f6ntemlerle \u00f6nemli \u00f6l\u00e7\u00fcde hafifletebilir.<\/p>\n\n\n\n
Hamilelikte Hemoroid Diyeti<\/h3>\n\n\n\n
Proktologlar\u0131n hamilelik s\u0131ras\u0131nda hemoroit te\u015fhisi konulan kad\u0131nlara verdi\u011fi ilk ve en \u00f6nemli tavsiyelerden biri kab\u0131zl\u0131ktan derhal kurtulmakt\u0131r. Bunu ba\u015farmak i\u00e7in, gebelik s\u0131ras\u0131nda hemoroitleri alevlenen hamile bir kad\u0131n\u0131n diyetinden acilen \u00e7\u0131karmas\u0131 gereken \u00fcr\u00fcnleri bilmek gerekir. <\/p>\n\n\n\n
Bunlar aras\u0131nda:<\/p>\n\n\n\n
- \n
- ya\u011fl\u0131 yiyecekler;<\/li>\n\n\n\n
- t\u00fcm baklagiller;<\/li>\n\n\n\n
- alkoll\u00fc i\u00e7ecekler;<\/li>\n\n\n\n
- hamur i\u015fleri;<\/li>\n\n\n\n
- tuzlu, biberli, ac\u0131 ve baharatl\u0131 yemekler – bunlar alkol gibi pelvik damarlardaki kan dola\u015f\u0131m\u0131n\u0131 art\u0131r\u0131r;<\/li>\n\n\n\n
- olgunla\u015fmam\u0131\u015f meyve ve meyveler;<\/li>\n\n\n\n
- hardal;<\/li>\n\n\n\n
- y\u00fcksek kalorili s\u00fct \u00fcr\u00fcnleri;<\/li>\n\n\n\n
- so\u011fan;<\/li>\n\n\n\n
- kara ekmek.<\/li>\n<\/ul>\n\n\n\n
Aksine, hamilelik s\u0131ras\u0131nda hemoroit nod\u00fclleri iltihaplanm\u0131\u015fsa, men\u00fcye ha\u015flanm\u0131\u015f veya pi\u015firilmi\u015f patates, pancar, brokoli, havu\u00e7, karnabahar, erik, \u00fcz\u00fcm, tatl\u0131 kay\u0131s\u0131 (sadece komposto olarak) eklenmelidir.<\/p>\n\n\n\n
Hemoroit \u00d6nleme Egzersizleri<\/h3>\n\n\n\n
Gebelik s\u0131ras\u0131nda hemoroid d\u00fc\u011f\u00fcmlerinin iltihaplanmas\u0131n\u0131 ve hastal\u0131\u011f\u0131n kendisinin alevlenmesini \u00f6nlemek i\u00e7in, bebe\u011fin t\u00fcm ta\u015f\u0131nma s\u00fcresi boyunca \u015fu ba\u015flang\u0131\u00e7 pozisyonlar\u0131nda egzersizleri yapman\u0131z gerekir:<\/p>\n\n\n\n
1. Ayakta, ayaklar omuz geni\u015fli\u011finde, kollar \u00f6ne do\u011fru uzat\u0131lm\u0131\u015f. Ayaklar\u0131n\u0131z\u0131 yerden kald\u0131rmadan, v\u00fccudu sa\u011fa d\u00f6nd\u00fcr\u00fcp sa\u011f kolunuzu m\u00fcmk\u00fcn oldu\u011funca geriye \u00e7ekin – nefes al\u0131n. Nefes verirken ba\u015flang\u0131\u00e7 pozisyonuna d\u00f6n\u00fcn ve sola d\u00f6n\u00fc\u015f yap\u0131n. Her iki y\u00f6ne de 5 kez tekrarlay\u0131n.<\/p>\n\n\n\n
2. Ayakta, parmaklar\u0131 kilitlenmi\u015f halde kollar \u00f6n\u00fcn\u00fczde. Kollar\u0131 m\u00fcmk\u00fcn oldu\u011funca geriye \u00e7ekerek, v\u00fccudunuzla sola ve sa\u011fa d\u00f6n\u00fc\u015fler yap\u0131n. Her iki y\u00f6ne de egzersizi 5 kez tekrarlay\u0131n.<\/p>\n\n\n\n
3. Yerde oturarak, ellerinizle arkadan destek al\u0131n. Topuklar\u0131n\u0131z\u0131 yerden kald\u0131rmadan dizlerinizi b\u00fck\u00fcn. Sonraki a\u015famada bacaklar\u0131n\u0131z\u0131 yava\u015f\u00e7a uzat\u0131n. 5 kez tekrar gereklidir.<\/p>\n\n\n\n
Hemoroid i\u00e7in birinci ve ikinci trimester egzersizleri<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroid d\u00fc\u011f\u00fcmleri iltihaplan\u0131rsa, \u00fc\u00e7\u00fcnc\u00fc trimesterde kabul edilemez, ancak birinci ve ikinci trimesterde kabul edilebilir egzersizler yaparak durumu hafifletebilirsiniz. \u0130lk egzersiz, oturur pozisyonda, bacaklar\u0131 olabildi\u011fince yana a\u00e7arak ve yere s\u0131k\u0131ca bast\u0131rarak yap\u0131l\u0131r. M\u00fcmk\u00fcnse dizleri b\u00fckmeyin. S\u0131rayla sol ve sa\u011f aya\u011fa ellerle dokunarak \u00f6ne e\u011filin ve sonra do\u011frulun. Bu e\u011filme hareketini 5-7 kez tekrarlay\u0131n. <\/p>\n\n\n\n
\u0130kinci egzersiz, \u00f6nceki pozisyonda otururken, kar\u015f\u0131t eli belde tutarak yana e\u011filmektir. Her iki y\u00f6ne 5 kez tekrar edilmelidir. \u00dc\u00e7\u00fcnc\u00fc egzersiz; s\u0131rt\u00fcst\u00fc yat\u0131p, elleri v\u00fccut boyunca uzatarak yap\u0131l\u0131r. Dizleri b\u00fck\u00fcp karna \u00e7ekin, ard\u0131ndan ba\u015flang\u0131\u00e7 pozisyonuna d\u00f6n\u00fcn. 7-10 kez tekrar edilmesi \u00f6nerilir.<\/p>\n\n\n\n
\u00dc\u00e7\u00fcnc\u00fc Trimester \u2013 Hemoroid Egzersizleri<\/h3>\n\n\n\n
Zamanla hamilelik s\u0131ras\u0131nda hemoroid \u00f6nleme egzersizlerini yapmak, b\u00fcy\u00fcyen kar\u0131n nedeniyle daha zor hale gelir. 1. ve 2. trimesterde hala sa\u011f kol dirsekte b\u00fck\u00fclm\u00fc\u015f ve ba\u015f\u0131n alt\u0131nda duran bir \u015fekilde sa\u011f tarafta yatarak egzersiz yap\u0131labilir. Bu s\u0131rada sol baca\u011f\u0131 dizden b\u00fck\u00fcp g\u00f6be\u011fe do\u011fru \u00e7ekmek ve kendinize sol elle yard\u0131mc\u0131 olmak gerekir. Daha sonra di\u011fer tarafta yatarak egzersiz yap\u0131l\u0131r ve her iki taraf i\u00e7in 7-10 kez tekrarlan\u0131r.<\/p>\n\n\n\n
Ancak hamileli\u011fin 3. trimesterinde hemoroid ile ilgili olarak, en hafif hareketler bile yap\u0131labilir. \u00d6rne\u011fin, sandalyede oturma pozisyonundan ba\u015flayarak sa\u011f kolu yana uzatarak. Bu s\u0131rada sol bacak dizden b\u00fck\u00fclerek sola ve \u00f6ne kald\u0131r\u0131l\u0131r. Nefes verirken, g\u00f6bek y\u00fczeyine yan taraftan \u00e7ekmeye \u00e7al\u0131\u015f\u0131lmal\u0131 ve sol elle yard\u0131mc\u0131 olunmal\u0131. Nefes al\u0131rken ba\u015flang\u0131\u00e7 pozisyonuna d\u00f6n\u00fclebilir. Her iki bacak i\u00e7in de 5 kez tekrarlanmal\u0131d\u0131r.<\/p>\n\n\n\n
Tedavi Se\u00e7enekleri<\/h2>\n\n\n\n
Hamilelik s\u0131ras\u0131nda te\u015fhis edilen hemoroid, proktolog uzman\u0131n\u0131n kontrol\u00fc olmadan tedavi edilmesi kesinlikle yasakt\u0131r. Evde yaln\u0131zca geli\u015fmekte olan fet\u00fcse zarar vermeyece\u011fi garanti edilen, onun taraf\u0131ndan re\u00e7etelenmi\u015f olan merhemler ve ila\u00e7lar kullan\u0131labilir. Ayr\u0131ca, hamilelik s\u0131ras\u0131nda hemoroid i\u00e7in, hastal\u0131\u011f\u0131n \u015fekline ve evresine ba\u011fl\u0131 olarak farkl\u0131 tedavilerin re\u00e7ete edilebilece\u011fini bilmek \u00f6nemlidir. <\/p>\n\n\n\n
Baz\u0131 kad\u0131nlar, t\u0131bbi yard\u0131m almadan \u2013 halk y\u00f6ntemlerini kullanarak hastal\u0131kla ba\u015fa \u00e7\u0131kmaya \u00e7al\u0131\u015f\u0131r. Ancak, hamilelik s\u0131ras\u0131nda hemoroid te\u015fhisi konmu\u015f olan kad\u0131n\u0131n durumunu ge\u00e7ici olarak hafifletmek m\u00fcmk\u00fcn olsa da, sorunla tam anlam\u0131yla m\u00fccadele etmek ba\u015faramaz \u2013 sonu\u00e7 ancak ila\u00e7 tedavisi veya cerrahi m\u00fcdahale ile sa\u011flanabilir.<\/p>\n\n\n\n
\u0130la\u00e7 Tedavisi<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroidi tedavi etmek i\u00e7in ara\u00e7lar se\u00e7erken, uzman genellikle belirli bir kad\u0131nda hastal\u0131\u011f\u0131n d\u0131\u015f veya i\u00e7 t\u00fcr\u00fcne dikkat eder. \u0130lk durumlarda – merhemler, ikinci durumlarda – supozituvarlar re\u00e7ete ederler.<\/p>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroid a\u011f\u0131rla\u015fmad\u0131ysa, doktor genellikle hemoroid d\u00fc\u011f\u00fcmlerindeki kan dolulu\u011funu azaltmak i\u00e7in flebotonik ila\u00e7lar re\u00e7ete eder, ancak b\u00fcy\u00fck bir dikkatle.<\/p>\n\n\n\n
Sadece Detraleks ilac\u0131 hamilelik s\u0131ras\u0131nda zarars\u0131zl\u0131\u011f\u0131 bilimsel olarak test edilmi\u015f bir flebotoniktir. G\u00fcnde 2-4 kez 1-2 tablet al\u0131m\u0131 \u00f6nerilir. Troxerutin, Venarus gibi di\u011fer ila\u00e7lar ise fet\u00fcs i\u00e7in zarars\u0131zl\u0131\u011f\u0131 kan\u0131tlanmad\u0131\u011f\u0131 i\u00e7in \u00f6nerilemez.<\/p>\n\n\n\n
Tedavi i\u00e7in \u0130la\u00e7lar<\/h2>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroid ila\u00e7la tedavi edilebildi\u011finde, doktor ila\u00e7lar\u0131 durumun do\u011fas\u0131na ve a\u015famas\u0131na g\u00f6re se\u00e7er. Akut d\u00f6nemde sistemik ve lokal etkili, flebotonik, a\u011fr\u0131 kesici, anti-enflamatuar ve kan durdurucu ila\u00e7lar kullan\u0131l\u0131r. Etkili bir tedavi, her iki ila\u00e7 grubunun da kombine kullan\u0131m\u0131na ba\u011fl\u0131d\u0131r. <\/p>\n\n\n\n
Hamileli\u011fin son aylar\u0131nda NSAI’lar ve glukokortikoidler, hem sistemik tedavide (oral kullan\u0131m) hem de lokal uygulanmada ve hamilelik s\u0131ras\u0131nda hemoroit tedavisinde kullan\u0131lan sistemik ila\u00e7larda kontrendikedir. Hamileli\u011fin sonraki d\u00f6nemlerinde, do\u011fum sonras\u0131 ve emzirme d\u00f6neminde bu ila\u00e7lar k\u0131s\u0131tlamalarla kullan\u0131labilir. Bu durum, hem tablet formlar\u0131n\u0131 hem de lokal uygulamalar\u0131 kapsar.<\/p>\n\n\n\n
Sistemik Etkili \u0130la\u00e7lar<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroidin konservatif tedavisinde sistemik ila\u00e7 olarak NSAID’ler (Diklofenak, Ksefokam) kullan\u0131l\u0131r. Bu t\u00fcr ila\u00e7lar\u0131n anti-enflamatuar etkisi, inflamasyon ve BS patogenezi a\u00e7\u0131s\u0131ndan \u00f6nemli olan prostaglandinlerin biyosentezini bask\u0131layarak sa\u011flan\u0131r. Hamilelik s\u0131ras\u0131nda hemoroid tedavisinde hangi sistemik ila\u00e7lar\u0131n kullan\u0131ld\u0131\u011f\u0131na sadece ilgili hamileyi izleyen proktolog karar verir. <\/p>\n\n\n\n
Hi\u00e7bir ilac\u0131 kad\u0131n, onunla dan\u0131\u015fmadan alamaz. Genellikle uzmanlar, kan dola\u015f\u0131m\u0131n\u0131 ve metabolik s\u00fcre\u00e7leri normalle\u015ftiren, damar duvarlar\u0131n\u0131 g\u00fc\u00e7lendiren ve inflamasyonu bask\u0131layan, kan\u0131n reolojik \u00f6zelliklerini iyile\u015ftiren; tromb\u00fcs olu\u015fumunu engelleyici ancak kanamaya yol a\u00e7mayan ila\u00e7lar re\u00e7ete ederler.<\/p>\n\n\n\n
Yerel etkiye sahip ila\u00e7lar \u2013 fitiller, merhemler<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda hemoroid tedavisi i\u00e7in daha g\u00fcvenli bir se\u00e7enek, do\u011frudan hemoroid b\u00f6lgelerine ve anal \u00e7atla\u011fa lokal etki eden ajanlar\u0131n atanmas\u0131d\u0131r. Bu, Hepatrombin G, Troxevasin, Levomekol, Relief, heparin merhemi ve deniz topalak ya\u011f\u0131 i\u00e7eren fitiller gibi merhemler anlam\u0131na gelir. Lokal tedavi, a\u011fr\u0131y\u0131 hafifletmek ve iltihab\u0131 azaltmak i\u00e7in uygulan\u0131r. <\/p>\n\n\n\n
Bu grup ila\u00e7lar aras\u0131nda uzmanlar \u00f6zellikle Procto-Glivenol’u vurgulamaktad\u0131r. \u0130\u00e7eri\u011findeki lidokain, a\u011fr\u0131y\u0131 azalt\u0131r, yanma ve ka\u015f\u0131nt\u0131y\u0131 giderir, tribenozid ise iltihab\u0131 azalt\u0131r, mikro dola\u015f\u0131m\u0131 iyile\u015ftirir ve damar tonusunu art\u0131r\u0131r. \u0130la\u00e7, rektal fitil ve krem formunda sunulmaktad\u0131r. Kremin ve fitillerin birlikte kullan\u0131ld\u0131\u011f\u0131 kombine tedavide, hastal\u0131\u011f\u0131n ana belirtileri – kanama, a\u011fr\u0131, ka\u015f\u0131nt\u0131 – 7. g\u00fcnde azal\u0131r. Hamilelik s\u0131ras\u0131nda hemoroid belirtileri 15. g\u00fcne kadar vakalar\u0131n %92,9-97,6’s\u0131nda kaybolur.<\/p>\n\n\n\n
Di\u011fer Y\u00f6ntemler ve Yenilikler <\/h3>\n\n\n\n
T\u0131pta, hamilelik s\u0131ras\u0131nda hemoroid tedavisi i\u00e7in yeni y\u00f6ntemler bulunmas\u0131 konusunda durmadan ilerleme kaydedilmektedir. Rektal ses dalgas\u0131 jenerat\u00f6r\u00fcn\u00fc etkili bir \u015fekilde kullanan yenilik\u00e7i bir geli\u015fme iyi sonu\u00e7lar vermektedir. Cihaz, \u00f6zel bir ba\u015fl\u0131k ve ses dalgas\u0131 jenerat\u00f6r\u00fcnden olu\u015fmaktad\u0131r. <\/p>\n\n\n\n
\u00c7al\u0131\u015fma prensibi, cihaz\u0131n belirli bir frekansta titre\u015fimi nedeniyle anal kanal\u0131nda iyile\u015fmeyi h\u0131zland\u0131rmas\u0131, \u015fi\u015fli\u011fi, a\u011fr\u0131y\u0131, ikincil spazm\u0131 azaltmas\u0131 \u00fczerine kuruludur. Ucundaki mum, anal \u00e7ubu\u011fa ya\u011f ile birlikte yerle\u015ftirilir. Gerekirse bu prosed\u00fcr gerekli oldu\u011fu kadar tekrar edilebilir, \u00e7\u00fcnk\u00fc i\u00e7 hemoroid nod\u00fcllerinin yerle\u015fmesine katk\u0131 sa\u011flar.<\/p>\n\n\n\n
Hamilelerin Durumunu Hafifleten Etkinlikler<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda uzman taraf\u0131ndan re\u00e7ete edilen ila\u00e7lar\u0131n yan\u0131nda, hastal\u0131\u011f\u0131n belirtileriyle tetiklenen rahats\u0131zl\u0131\u011f\u0131n hafifletilmesine belirli eylemler de katk\u0131da bulunur. Bu eylemleri evde ba\u011f\u0131ms\u0131z olarak ger\u00e7ekle\u015ftirmek kolayd\u0131r. Hastal\u0131\u011f\u0131n en k\u00fc\u00e7\u00fck belirtileri bile ortaya \u00e7\u0131kt\u0131\u011f\u0131nda ishali ve kab\u0131zl\u0131\u011f\u0131 \u00f6nlemek ve d\u0131\u015fk\u0131lama s\u0131ras\u0131nda zorlanmaktan ka\u00e7\u0131nmak gerekir. <\/p>\n\n\n\n
Ayr\u0131ca, her tuvalet kullan\u0131m\u0131ndan sonra anal b\u00f6lgeyi dikkatlice temizlemek ve \u00e7evresindeki cildi temiz tutmak \u00f6nemlidir. Hamilelik s\u0131ras\u0131nda hemoroid ortaya \u00e7\u0131kan bir kad\u0131n, yumu\u015fak y\u00fczeylerde oturmaya \u00e7al\u0131\u015fmal\u0131d\u0131r. Bu, \u00f6demin azalmas\u0131na yard\u0131mc\u0131 olur ve yeni hemoroid olu\u015fma riskini d\u00fc\u015f\u00fcr\u00fcr.<\/p>\n\n\n\n
En erken evrelerde buz paketi kullan\u0131labilir.<\/p>\n\n\n\n
Cerrahi tedavi y\u00f6ntemleri<\/h3>\n\n\n\n
Hamilelik s\u0131ras\u0131nda kronik hemoroid kanama ve hemoroid d\u00fc\u011f\u00fcmlerinin \u00e7\u0131kmas\u0131 ile \u015fiddetlenebilir. Bu t\u00fcr durumlarda cerrahi m\u00fcdahale ka\u00e7\u0131n\u0131lmaz olabilir. Hamile bir kad\u0131nda bu t\u00fcr komplikasyonlar ortaya \u00e7\u0131kt\u0131\u011f\u0131nda, hamilelik s\u0131ras\u0131nda hemoroid d\u00fc\u011f\u00fcmlerine k\u0131z\u0131l\u00f6tesi \u0131\u015f\u0131n kullanarak bir \u0131s\u0131 ak\u0131\u015f\u0131 ile etki eden az invaziv bir y\u00f6ntem olan infraruj fotokoag\u00fclasyon uygulan\u0131r. <\/p>\n\n\n\n
\u00d6zel bir lateks halka kullanarak hemoroid d\u00fc\u011f\u00fcm\u00fcn\u00fcn \u00e7\u0131kar\u0131lmas\u0131 – ligasyon da uygulan\u0131r. D\u00fc\u011f\u00fcmleri besleyen damarlar\u0131n kimyasal yak\u0131lmas\u0131 olan skleroterapi ve lazer \u0131\u015f\u0131n\u0131 kullanarak yakma i\u015flemi olan lazer vaporizasyon s\u0131kl\u0131kla kullan\u0131l\u0131r. Proktolog, kad\u0131n\u0131n hastal\u0131\u011f\u0131 a\u011f\u0131r ge\u00e7iyorsa ve akut enfeksiyon geli\u015fme riski varsa, hamilelikte hemoroidi cerrahi y\u00f6ntemle tedavi etmeye karar verir.<\/p>\n\n\n\n
Hamilelik Sonras\u0131 Hemoroid <\/h2>\n\n\n\n
E\u011fer te\u015fhis konmu\u015f bir hastal\u0131\u011f\u0131 olan bir kad\u0131n hamileli\u011fini ba\u015far\u0131yla do\u011fumla tamamlam\u0131\u015fsa, bu hastal\u0131\u011f\u0131n kendili\u011finden kayboldu\u011fu anlam\u0131na gelmez, \u00e7\u00fcnk\u00fc onu tetikleyen bir\u00e7ok sebep art\u0131k yok olmu\u015ftur. Dahas\u0131, do\u011fum s\u00fcreci, hastal\u0131\u011f\u0131n daha da geli\u015fmesine, alevlenmesine ve tehlikeli komplikasyonlar\u0131n ortaya \u00e7\u0131kmas\u0131na katk\u0131da bulunan ek fakt\u00f6rlerle ili\u015fkilidir. Hamilelik sonras\u0131 hemoroid tedavisi kendine \u00f6zg\u00fc \u00f6zelliklere sahiptir ve proktolo\u011fa daha radikal \u00f6nlemler uygulama imkan\u0131 verir. <\/p>\n\n\n\n
Bu y\u00fczden, ila\u00e7 kullanarak yap\u0131lan tedavinin yan\u0131 s\u0131ra, doktor bebek do\u011fduktan birka\u00e7 ay sonra annelere hastal\u0131ktan kurtulmalar\u0131n\u0131 sa\u011flayacak planl\u0131 bir ameliyat \u00f6nerebilir. Bu ameliyat emzirmeyle birle\u015ftirilerek yap\u0131labilir ve uzun s\u00fcreli hastanede yat\u0131\u015f gerektirmez.<\/p>\n\n\n\n
Hamilelik Sonras\u0131 Medikal Tedavi<\/h3>\n\n\n\n
Hamilelik sonras\u0131 hemoroidin ila\u00e7larla tedavi prensibi, kullan\u0131lan sistemik ve lokal etkili ila\u00e7lar\u0131n anne s\u00fct\u00fcne ge\u00e7memesi, laktasyon s\u00fcrecine etki etmemesi ve bebek i\u00e7in tehlike olu\u015fturmamas\u0131d\u0131r. Bu tabii ki, bebek emziriliyorsa ge\u00e7erlidir. Genellikle, hastal\u0131k ilk a\u015famalar\u0131nda ve hafif formda ise, uzman kan dola\u015f\u0131m\u0131n\u0131 iyile\u015ftiren venotonik ila\u00e7lar ve laksatifler re\u00e7ete eder. <\/p>\n\n\n\n
Lokal uygulama i\u00e7in rektal deniz topalakl\u0131 fitiller ve merhemler kullan\u0131l\u0131r. Ayr\u0131ca, etkin maddesi sodyum alginat olan deniz yosunu bazl\u0131 bir ila\u00e7 olan Natasilid fitilleri de re\u00e7ete edilir. Bu bile\u015fim hemostatik ve anti-inflamatuar etkiler g\u00f6sterir, mukozan\u0131n hasarlar\u0131n\u0131n iyile\u015fmesine katk\u0131da bulunur.<\/p>\n\n\n\n
Cerrahi Y\u00f6ntemlerin \u00d6zellikleri \u2013 Lazerle \u00c7\u0131karma<\/h3>\n\n\n\n
Gebelik sonras\u0131 hemoroidi konservatif y\u00f6ntemlerle tedavi etmek m\u00fcmk\u00fcn olmad\u0131ysa, doktor kad\u0131na cerrahi tedavi y\u00f6ntemlerine ba\u015fvurmas\u0131n\u0131 \u00f6nerir. Hastan\u0131n ge\u00e7mi\u015fine ba\u011fl\u0131 olarak, i\u00e7 ve d\u0131\u015f hemoroidlerin lazerle \u00e7\u0131kar\u0131lmas\u0131 \u00f6nerilebilir. Bu minimal invaziv cerrahi m\u00fcdahale, CO2 lazer ile ger\u00e7ekle\u015ftirilir. Bu m\u00fcdahalenin \u00f6z\u00fc, hemoroid d\u00fc\u011f\u00fcmlerinin y\u00fcksek frekansl\u0131 lazer \u0131\u015f\u0131n\u0131 ile e\u015fzamanl\u0131 olarak kesilmesi ve yak\u0131lmas\u0131d\u0131r ve an\u00fcs kanal\u0131ndaki d\u00fc\u011f\u00fcm\u00fcn \u00e7evresindeki dokulara zarar vermeden yap\u0131l\u0131r. <\/p>\n\n\n\n
Bu y\u00f6ntem garantili etkili, ac\u0131s\u0131z, kans\u0131z ve h\u0131zl\u0131d\u0131r. Prosed\u00fcr yakla\u015f\u0131k 15 dakika s\u00fcrer, lokal anestezi s\u00fcresi 5-10 dakikad\u0131r. Hasta, i\u015flemden birka\u00e7 saat sonra klinikten ayr\u0131labilir.<\/p>\n\n\n\n
Ba\u011flama, Lazer Skleroterapisi, De-arterializasyon<\/h3>\n\n\n\n
Do\u011fumdan sonra hemoroid, lastik bant ligasyonu ile ortadan kald\u0131r\u0131labilir. \u00d6zel bir cihazla d\u00fc\u011f\u00fcmlere uygulan\u0131r ve bunlar\u0131 s\u0131kar, bu da d\u00fc\u011f\u00fcmdeki kan dola\u015f\u0131m\u0131n\u0131n durmas\u0131 nedeniyle doku nekrozuna yol a\u00e7ar. Yerel damarlardaki kan dola\u015f\u0131m\u0131 durur, bu da doku nekrozuna yol a\u00e7ar. D\u00fc\u011f\u00fcm, hasta i\u00e7in minimum rahats\u0131zl\u0131k vererek 10-14 g\u00fcn i\u00e7inde d\u00fc\u015fer. Bir di\u011fer ileri teknik ise hemoroidal d\u00fc\u011f\u00fcmlerin lazer skleroterapisidir. Lazer fiberinin hemoroidal d\u00fc\u011f\u00fcme yerle\u015ftirilmesini i\u00e7erir, b\u00f6ylece d\u00fc\u011f\u00fcm yap\u0131\u015farak birle\u015fir. <\/p>\n\n\n\n
Prosed\u00fcrde genellikle diyot lazer kullan\u0131l\u0131r. Genellikle hemoroidal d\u00fc\u011f\u00fcmleri besleyen damarlar\u0131n ultrasonik olarak tespit edilmesi ve ba\u011flanmas\u0131 i\u015flemi yap\u0131l\u0131r. Bu y\u00f6ntem ‘desarterizasyon ve mukopeksi’ olarak adland\u0131r\u0131l\u0131r. Uluslararas\u0131 kabul g\u00f6rm\u00fc\u015f ad\u0131 – Hemorroidal Artery Ligation and Recto Anal Repair veya HAL ve RAR.<\/p>\n\n\n\n
Do\u011fumdan Sonra Hemoroid \u00d6nleme<\/h2>\n\n\n\n
Bebe\u011finiz do\u011fduktan sonra hastal\u0131klardan korunma, hamilelik s\u0131ras\u0131nda oldu\u011fu kadar \u00f6nemlidir. Doktorlar, \u00f6ncelikle dengeli ve do\u011fru beslenmeyi, diyette bol lif i\u00e7eren g\u0131dalara – kepek, \u00e7e\u015fitli sebzeler ve ye\u015filliklere dikkat etmeyi \u00f6neriyor. S\u0131n\u0131rl\u0131 miktarda fermente s\u00fct \u00fcr\u00fcnleri, s\u00fct, unlu mamuller t\u00fcketimi kab\u0131zl\u0131\u011f\u0131 engeller \u00e7\u00fcnk\u00fc ba\u011f\u0131rsak peristaltizmi iyile\u015fir. <\/p>\n\n\n\n
\u0130kincisi, do\u011fum sonras\u0131 hastal\u0131ktan korunmak i\u00e7in uzmanlar bol su i\u00e7meyi tavsiye ediyor. Temiz su miktar\u0131 – v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n 1 kg’\u0131 ba\u015f\u0131na 30 ml olmal\u0131d\u0131r. Elbette bu miktara meyve sular\u0131, \u00e7aylar ve di\u011fer i\u00e7ecekler dahil de\u011fildir. Aktif bir ya\u015fam tarz\u0131 zorunludur. Bu, iyi g\u00f6r\u00fcnmenize, pelvik taban durumunu ve kas tonusunu iyile\u015ftirmenize yard\u0131mc\u0131 olacak – g\u00fcnl\u00fck sabah egzersizi, yoga, havuzda y\u00fczme, pilates bu konuda yard\u0131mc\u0131 olabilir. Mutlaka olmas\u0131 gereken – d\u0131\u015fk\u0131lama sonras\u0131 anal b\u00f6lgenin hijyenidir, \u0131k\u0131nmalar\u0131 \u00f6nlemek \u00f6nemlidir.<\/p>\n\n\n\n
Yorumlar<\/h2>\n\n\n\n
Hamilelik sonras\u0131 veya hamilelik s\u0131ras\u0131nda hemoroid ya\u015fayan bir\u00e7ok kad\u0131n, uzmanlara gitmenin hislerini ve izlenimlerini ve onlar\u0131n \u00f6nerdi\u011fi \u00f6nleme ve tedavi \u00f6nlemlerinin etkinli\u011fini payla\u015f\u0131yor. \u00c7o\u011fu i\u00e7in bu \u00f6nlemler faydal\u0131 oldu ve iyi sonu\u00e7lara yol a\u00e7t\u0131.<\/p>\n\n\n\n
5 ayl\u0131k hamile olan hasta Diana, hastal\u0131\u011f\u0131n belirtilerini \u00f6nemli \u00f6l\u00e7\u00fcde hafifletebilen merhemler, fitiller ve kremler i\u00e7eren tedavi plan\u0131 i\u00e7in proktolog doktoruna te\u015fekk\u00fcr ediyor. Bebek do\u011fduktan sonra problemi kesin olarak \u00e7\u00f6zmeyi planl\u0131yor.
Do\u011fum sonras\u0131 hastal\u0131\u011f\u0131 a\u011f\u0131rla\u015fan ba\u015fka bir kad\u0131n, Maria, hemoroidleri gidermek i\u00e7in yap\u0131lan skleroterapi ameliyat\u0131n\u0131n etkilerini payla\u015f\u0131yor. Hastal\u0131k \u00f6nceden de vard\u0131 ve do\u011fum sonras\u0131 komplikasyonlar ortaya \u00e7\u0131kt\u0131, bu da cerrahi m\u00fcdahaleyi gerektirdi.<\/p>\n","protected":false},"excerpt":{"rendered":"Hamilelikte hemoroid, anne adaylar\u0131n\u0131n s\u0131k\u00e7a kar\u015f\u0131la\u015ft\u0131\u011f\u0131 ve en rahats\u0131z edici sorunlardan biridir. \u00c7ocuk ta\u015f\u0131mak, hastal\u0131klar\u0131n ortaya \u00e7\u0131kmamas\u0131 i\u00e7in do\u011fal bir fizyolojik s\u00fcre\u00e7tir. Ancak, hamile kad\u0131nlar\u0131n…<\/p>\n","protected":false},"author":11,"featured_media":7486,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[757,739],"tags":[],"class_list":["post-10890","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gebelik-tr","category-kadin-sagligi-tr"],"yoast_head":"\n
Gebelikte Hemoroid \u2013 Neden Olu\u015fur, Nas\u0131l \u00d6nlenir ve Tedavi Edilir<\/title>\n<meta name=\"description\" content=\"Gelecek annelerin hamilelikte kar\u015f\u0131la\u015ft\u0131\u011f\u0131 hassas bir sorun \u2013 hemoroidin olu\u015fumu veya \u015fiddetlenmesi. 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