{"id":10908,"date":"2021-11-05T22:34:37","date_gmt":"2021-11-05T19:34:37","guid":{"rendered":"https:\/\/momslab.app\/blog\/?p=2785"},"modified":"2025-06-01T19:49:30","modified_gmt":"2025-06-01T16:49:30","slug":"hamileligin-hangi-asamasinda-kadin-dogum-uzmanina-gitmeli-erken-basvuru-nedenleri","status":"publish","type":"post","link":"https:\/\/momslab.app\/blog\/tr\/hamileligin-hangi-asamasinda-kadin-dogum-uzmanina-gitmeli-erken-basvuru-nedenleri\/","title":{"rendered":"Hamileli\u011fin hangi a\u015famas\u0131nda kad\u0131n do\u011fum uzman\u0131na gitmeli: Erken ba\u015fvuru nedenleri"},"content":{"rendered":"\n

Hamilelikte doktora ne zaman gidilece\u011fi, hamilelik testinde iki \u00e7izgi g\u00f6rd\u00fc\u011f\u00fcnde kad\u0131n\u0131 endi\u015felendiren temel sorulardan biridir. Bu sorunun mant\u0131kl\u0131 ve tamamen anla\u015f\u0131l\u0131r nedenleri vard\u0131r, \u00e7\u00fcnk\u00fc nitelikli t\u0131bbi g\u00f6zetim b\u00fcy\u00fck \u00f6l\u00e7\u00fcde \u00e7ocu\u011fun sa\u011fl\u0131kl\u0131 ta\u015f\u0131nmas\u0131n\u0131 garanti eder. Bu y\u00fczden yak\u0131nda anne olaca\u011f\u0131n\u0131 \u00f6\u011frenen bir kad\u0131n\u0131n yapmas\u0131 gereken ilk \u015fey kad\u0131n do\u011fum uzman\u0131na giderek kaydolmakt\u0131r. <\/p>\n\n\n\n

Hamile kad\u0131n\u0131n ve bebe\u011fin sa\u011fl\u0131\u011f\u0131n\u0131 korumaya y\u00f6nelik saf fizyolojik nedenlerin yan\u0131 s\u0131ra, hamilelik sonras\u0131nda doktora gitmeyi ertelemenin mant\u0131kl\u0131 olmad\u0131\u011f\u0131 ba\u015fka nedenler de vard\u0131r. Bunlar aras\u0131nda, ebeveynlik sonras\u0131 do\u011fumda ek \u00f6denek alma imkan\u0131 bulunmaktad\u0131r. \u00d6rne\u011fin, hamilelik s\u0131ras\u0131nda jinekolo\u011fu ziyaret etmek ve 12. haftadan \u00f6nce kaydolmak, \u00e7al\u0131\u015fan bir kad\u0131na bu t\u00fcr bir \u00f6denek sa\u011flar.<\/p>\n\n\n\n

\"Hamilelikte<\/figure>\n\n\n\n

Hamilelikte ilk kez ne zaman doktora gidilmeli?<\/h2>\n\n\n\n

Do\u011fum ve jinekoloji alan\u0131nda uzun y\u0131llara dayanan deneyime sahip uzmanlar, hamilelik s\u0131ras\u0131nda jinekolo\u011fa erken ba\u015fvurman\u0131n bir\u00e7ok nedenini \u00f6ne s\u00fcr\u00fcyorlar. \u0130lk olarak, hamileli\u011fin meydana geldi\u011finin bizzat do\u011frulanmas\u0131 gerekti\u011finden dolay\u0131 bunu gerekli g\u00f6rmektedirler, bu yaln\u0131zca kapsaml\u0131 bir muayene, HCG analizi sonu\u00e7lar\u0131 ve ultrason ile kesin olarak do\u011frulanabilir. <\/p>\n\n\n\n

\u00c7o\u011fu jinekolog, adet d\u00f6neminin gecikmesinden sonra 2-3 hafta i\u00e7inde jinekolo\u011fa gitmeyi \u00f6nerir. \u0130kincisi, gebelik kesinlikle onayland\u0131\u011f\u0131nda, jinekolog, gebeli\u011fin do\u011fru konumland\u0131r\u0131lm\u0131\u015f oldu\u011fundan emin olarak d\u0131\u015f gebeli\u011fi ekarte edebilir. Uzman muayene yapacak, son adet d\u00f6neminin ilk g\u00fcn\u00fcn\u00fc, muhtemel d\u00f6llenme tarihini veya biliniyorsa yumurtlama tarihini belirleyecektir. Bu, gebeli\u011fin s\u00fcresini ve beklenen do\u011fum tarihini daha do\u011fru hesaplamay\u0131 sa\u011flar.<\/p>\n\n\n\n

\u0130lk doktor ziyaretinde genellikle ba\u015fka neler olur<\/h3>\n\n\n\n

\u0130lk gebelikte, daha hamileli\u011fin erken d\u00f6nemlerinde bile, jinekolo\u011fa yap\u0131lan ilk ziyaret genellikle bebe\u011fin sa\u011fl\u0131kl\u0131 bir \u015fekilde ta\u015f\u0131nmas\u0131 i\u00e7in bir\u00e7ok temel konunun belirlenmesiyle ilgilidir. Doktor ve hasta g\u00fcnl\u00fck rutin ve beslenme al\u0131\u015fkanl\u0131klar\u0131 hakk\u0131nda tart\u0131\u015f\u0131rlar, g\u00fcnl\u00fck s\u0131v\u0131 t\u00fcketiminin en uygun miktar\u0131n\u0131 belirlerler. Ayr\u0131ca, uzman, mikroelementler ve vitaminlerin bireysel al\u0131m\u0131 i\u00e7in bir program haz\u0131rlar. \u00d6zellikle, folik asidin zorunlu al\u0131m\u0131 \u00f6nemlidir \u00e7\u00fcnk\u00fc bu, do\u011fu\u015ftan gelen anormalliklerin riskini \u00f6nler. <\/p>\n\n\n\n

Bu vitamin, kad\u0131n hamilelik planlamas\u0131 ve haz\u0131rl\u0131k d\u00f6neminde almad\u0131ysa re\u00e7ete edilir. Hamilelikte jinekolo\u011fa ilk ziyarette, anne aday\u0131 ve bebe\u011fin do\u011fum an\u0131na kadar onu takip edecek uzman, kabul edilebilir fiziksel aktiviteleri, u\u00e7u\u015f ve ta\u015f\u0131nma imkanlar\u0131n\u0131, doktor ziyaretlerinin, analizlerin ve taramalar\u0131n plan\u0131n\u0131 belirlerler.<\/p>\n\n\n\n

\"Hamilelikte<\/figure>\n\n\n\n

Jinekolog muayenesi ve anamnez toplanmas\u0131<\/h2>\n\n\n\n

Hamileli\u011fin hangi a\u015famas\u0131nda jinekologa gidilece\u011fi sorusu \u00e7\u00f6z\u00fcld\u00fckten ve kad\u0131n, do\u011fum uzman\u0131-jinekologun ofisinde bulunduktan sonra, hamilelik planlamas\u0131 ve test tayinlerine ek olarak genel bir muayene de beklenmektedir:<\/p>\n\n\n\n

    \n
  • v\u00fccut yap\u0131s\u0131, cilt rengi incelemesi;<\/li>\n\n\n\n
  • meme ve tiroid bezleri palpasyonu;<\/li>\n\n\n\n
  • v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131, tansiyon, pelvis boyutlar\u0131n\u0131n \u00f6l\u00e7\u00fclmesi;<\/li>\n\n\n\n
  • jinekolojik muayene yap\u0131lmas\u0131.<\/li>\n<\/ul>\n\n\n\n

    Hamilelik s\u0131ras\u0131nda jinekologa yap\u0131lan ilk ziyarette, hamile kad\u0131n\u0131n ve do\u011fum yapan kad\u0131n\u0131n ki\u015fisel kart\u0131 olu\u015fturulur. Bu \u00f6nemli belge, genel ve jinekolojik hastal\u0131klar dahil olmak \u00fczere annenin \u00e7ocukluk ve yeti\u015fkinlikte ge\u00e7irdi\u011fi hastal\u0131klar\u0131n yan\u0131 s\u0131ra, hem annenin yak\u0131n akrabalar\u0131n\u0131n hem de \u00e7ocu\u011fun babas\u0131n\u0131n akrabalar\u0131n\u0131n ge\u00e7irdi\u011fi ciddi hastal\u0131klar hakk\u0131nda bilgiler i\u00e7erir.<\/p>\n\n\n\n

    Yak\u0131n dikkat gerektiren konular<\/h3>\n\n\n\n

    Aile \u00f6z ge\u00e7mi\u015fi son derece \u00f6nemlidir, \u00f6zellikle verem, ruhsal bozukluklar, diyabet, hipertansiyon gibi yak\u0131n akrabalar\u0131nda te\u015fhis edilen hastal\u0131klar dikkatle incelenmelidir. Hamilelikte jinekolo\u011fa ilk ziyarette doktor, daha \u00f6nce ge\u00e7irilen enfeksiyon hastal\u0131klar\u0131 hakk\u0131nda, \u00f6rne\u011fin herpes, toksoplazmozis, k\u0131zam\u0131k\u00e7\u0131k, b\u00f6brek ve karaci\u011fer hastal\u0131klar\u0131, CMV gibi hastal\u0131klara dair m\u00fcmk\u00fcn oldu\u011funca eksiksiz bilgi almaya \u00e7al\u0131\u015f\u0131r. <\/p>\n\n\n\n

    Do\u011fum-jinekoloji ge\u00e7mi\u015fi genellikle yap\u0131lm\u0131\u015f k\u00fcrtajlar, kullan\u0131lan kontraseptifler ve t\u00fcrleri, gebelik say\u0131s\u0131 ve sonu\u00e7lar\u0131, adet fonksiyonunun \u00f6zellikleri, do\u011fum ve do\u011fum sonras\u0131 d\u00f6nemdeki komplikasyonlar hakk\u0131nda bilgiler i\u00e7erir.<\/p>\n\n\n\n

    \"Hamilelikte<\/figure>\n\n\n\n

    Gerekli Testler ve \u0130ncelemeler<\/h2>\n\n\n\n

    Hamilelikte klinik ilk ziyaret, geni\u015f kapsaml\u0131 laboratuvar testlerini i\u00e7eren geni\u015f bir muayene yelpazesini i\u00e7erir, bunlar aras\u0131nda:<\/p>\n\n\n\n

      \n
    • Rh fakt\u00f6r\u00fc ve kan grubunun belirlenmesi;<\/li>\n\n\n\n
    • hormon testi;<\/li>\n\n\n\n
    • kan testlerinin toplanmas\u0131 \u2013 genel, biyokimyasal, frengi, HIV, glukoz, herpes, ferritin, hepatit B ve C, TORCH, TT;<\/li>\n\n\n\n
    • idrar ve bula\u015fma testleri.<\/li>\n<\/ul>\n\n\n\n

      Bunun yan\u0131 s\u0131ra, anne aday\u0131n\u0131 uzman doktorlara – KBB, terapist, di\u015f hekimi, g\u00f6z doktoruna y\u00f6nlendirirler. Gerekti\u011finde hasta kardiyolog, \u00fcrolog, endokrinolog gibi alan\u0131nda uzman doktorlar taraf\u0131ndan dan\u0131\u015fmanl\u0131k al\u0131r. Gebe, tam bir muayeneden ge\u00e7tikten sonra, dinamik takibi olan mevcut gruplardan birine – d\u00fc\u015f\u00fck, orta veya y\u00fcksek – ait olup olmad\u0131\u011f\u0131 belirlenir. Elde edilen bilgilerin ve nesnel incelemelerin sonu\u00e7lar\u0131n\u0131n taml\u0131\u011f\u0131na dayanarak doktor gebelik y\u00f6netim plan\u0131n\u0131 haz\u0131rlar.<\/p>\n\n\n\n

      \u0130lk randevuda yan\u0131n\u0131za alman\u0131z gerekenler<\/h2>\n\n\n\n

      Poliklini\u011fi ilk kez ziyaret etmeye haz\u0131rlanan bir kad\u0131n, yan\u0131nda belirli belgeler setine sahip olmal\u0131 ve hamilelik s\u0131ras\u0131nda jinekologa ziyarete uygun \u015fekilde haz\u0131rlanmal\u0131d\u0131r. Zorunlu olanlar aras\u0131nda, a\u015fa\u011f\u0131daki belgeler ve bunlar\u0131n 2 n\u00fcsha kopyalar\u0131 – pasaport (1. sayfa ve ikametgah), SNILS, OMS sa\u011fl\u0131k sigortas\u0131 poli\u00e7esi bulunur.<\/p>\n\n\n\n

      Kad\u0131n\u0131n ve ailesinin sa\u011fl\u0131k durumuna ili\u015fkin belgeler de faydal\u0131 olacakt\u0131r (ayr\u0131ca 2 n\u00fcsha halinde):<\/p>\n\n\n\n

        \n
      • Baban\u0131n HIV ve frengi i\u00e7in kan testi sonu\u00e7lar\u0131;<\/li>\n\n\n\n
      • Baban\u0131n ve hamile kad\u0131n\u0131n birlikte ya\u015fad\u0131\u011f\u0131 15 ya\u015f\u0131ndan b\u00fcy\u00fck aile \u00fcyelerinin florografi sonu\u00e7lar\u0131;<\/li>\n\n\n\n
      • Mevcutsa, kad\u0131n\u0131n hamilelik \u00f6ncesi florografi sonu\u00e7lar\u0131.\u00a0<\/li>\n<\/ul>\n\n\n\n

        Daha \u00f6nce te\u015fhis edilmi\u015f patolojiler varsa, bunlara ili\u015fkin t\u0131bbi raporlar\u0131 yan\u0131n\u0131zda bulundurmak do\u011fru olur. Bu, hamileli\u011fin sonraki y\u00f6netimini daha rasyonel ve ba\u015far\u0131l\u0131 hale getirecektir. Jinekolojik muayene i\u00e7in \u00e7orap ve galo\u015f gerekecektir.<\/p>\n\n\n\n

        \"Hamilelikte<\/figure>\n\n\n\n

        Do\u011fru muayene zamanlar\u0131<\/h2>\n\n\n\n

        Ancak, hamilelikte bir kad\u0131n do\u011fum uzman\u0131n\u0131 ilk ziyaret etmek ve \u00f6n testleri yapt\u0131rmak, bir daha asla hastaneye gitmenizi gerektirmeyece\u011fi ve hamileler i\u00e7in muayenelerin bebe\u011fin do\u011fum an\u0131na kadar bitti\u011fi anlam\u0131na gelmez. Anne aday\u0131n\u0131n ve geli\u015fmekte olan fet\u00fcs\u00fcn durumunu kontrol eden ara\u015ft\u0131rmalar\u0131n yap\u0131ld\u0131\u011f\u0131 kesin belirlenmi\u015f zamanlar vard\u0131r. <\/p>\n\n\n\n

        Bunlar, hamileli\u011fin mevcut \u00fc\u00e7 ayl\u0131k d\u00f6nemi ve haftas\u0131na ba\u011fl\u0131d\u0131r. 7-8. haftada kay\u0131t alt\u0131na al\u0131nd\u0131ktan ve kapsaml\u0131 klinik-laboratuar muayenesinden ge\u00e7ildikten sonra, do\u011fru muayene takvimi \u015fu \u015fekilde g\u00f6r\u00fcn\u00fcr – ilk \u00fc\u00e7 ayl\u0131k d\u00f6nemde, hamileli\u011fin 11-13. haftalar\u0131nda, fet\u00fcste kromozom hastal\u0131klar\u0131n\u0131 tespit etmek i\u00e7in ultrason ve biyokimyasal kan testini i\u00e7eren ilk tarama yap\u0131l\u0131r.<\/p>\n\n\n\n

        2-3 Trimesterde Muayeneler<\/h3>\n\n\n\n

        Hamilelik s\u0131ras\u0131nda ilk kez jinekolo\u011fa gitti\u011finizde, doktor genellikle kad\u0131na t\u00fcm gebelik s\u00fcresi boyunca yap\u0131lacak muayenelerin plan\u0131n\u0131 haz\u0131rlar. Program, hamileli\u011fi takip eden doktor ziyareti tarihlerini i\u00e7erir:<\/p>\n\n\n\n

          \n
        • ikinci tarama – 19-21 haftalar;<\/li>\n\n\n\n
        • gizli diyabeti tespit etmek i\u00e7in glukoz tolerans testi – 23-24 haftalar;<\/li>\n\n\n\n
        • tekrar kapsaml\u0131 klinik ve laboratuvar incelemesi, terapist ve g\u00f6z doktoru ile yeniden dan\u0131\u015fma, \u00fc\u00e7\u00fcnc\u00fc tarama (damar doppleri ve fetal ultrason) \u2013 30. hafta;<\/li>\n\n\n\n
        • fetal durumun kardiyotokografik incelemesi – 32 ve 38. gebelik haftalar\u0131;<\/li>\n\n\n\n
        • servikal kanal ak\u0131nt\u0131s\u0131n\u0131n bakteriyolojik ekimi \u2013 36. hafta.\u00a0<\/li>\n<\/ul>\n\n\n\n

          Bu nedenle, hamilelik ba\u015flang\u0131c\u0131ndan sonra doktorla yap\u0131lan ilk g\u00f6r\u00fc\u015fmenin, 9 ay s\u00fcrecek olan uzun ve sorumluluk dolu bir yolculu\u011fun ba\u015flang\u0131c\u0131 oldu\u011fu a\u00e7\u0131kt\u0131r ve zaman\u0131nda ba\u015flamak \u00f6nemlidir.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Hamilelikte doktora ne zaman gidilece\u011fi, hamilelik testinde iki \u00e7izgi g\u00f6rd\u00fc\u011f\u00fcnde kad\u0131n\u0131 endi\u015felendiren temel sorulardan biridir. Bu sorunun mant\u0131kl\u0131 ve tamamen anla\u015f\u0131l\u0131r nedenleri vard\u0131r, \u00e7\u00fcnk\u00fc nitelikli…<\/p>\n","protected":false},"author":11,"featured_media":7555,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[757,739],"tags":[],"class_list":["post-10908","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gebelik-tr","category-kadin-sagligi-tr"],"yoast_head":"\nHamileli\u011fin Hangi Haftas\u0131nda Kad\u0131n Do\u011fum Uzman\u0131na Gitmelisiniz: Erken Bulu\u015fman\u0131n \u00d6nemi<\/title>\n<meta name=\"description\" content=\"Hamilelik testi pozitif \u00e7\u0131k\u0131nca kad\u0131nlar, bir doktoru ziyaret ederek hamileli\u011fi onaylatmay\u0131 ve zaman\u0131nda takibe ba\u015flamay\u0131 d\u00fc\u015f\u00fcnebilir. 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