S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, mama-ginekoloq Nigar Axundova S\u0259hiyy\u0259 Nazirliyinin r\u0259smi sayt\u0131na m\u00fcsahib\u0259 verib.<\/p>\n
M\u00fcsahib\u0259ni t\u0259qdim edirik:<\/p>\n
– Nigar xan\u0131m, hans\u0131 halda hamil\u0259lik riskli q\u0259bul edilir v\u0259 ad\u0259t\u0259n buna n\u0259l\u0259r s\u0259b\u0259b ola bil\u0259r?<\/strong><\/p>\n – Hamil\u0259likd\u0259 risk qruplar\u0131n\u0131n t\u0259yini \u00e7ox vacib amill\u0259rd\u0259n biridir. Bu risk qruplar\u0131 h\u0259kim mama-ginekoloq t\u0259r\u0259find\u0259n t\u0259yin olunur v\u0259 b\u00fct\u00fcn d\u00fcnyada q\u0259bul olunan perinatal konsepsiya \u00e7\u0259r\u00e7iv\u0259sind\u0259 apar\u0131l\u0131r. Risk qruplar\u0131n\u0131n t\u0259yini hamil\u0259 qad\u0131nlarda f\u0259sadla\u015fmalar\u0131n \u00f6nc\u0259d\u0259n proqnozla\u015fmas\u0131na v\u0259 bu a\u011f\u0131rla\u015fmalar\u0131n minimuma endirilm\u0259sin\u0259 k\u00f6m\u0259k edir. N\u0259tic\u0259d\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar\u0131n say\u0131n\u0131, anadang\u0259lm\u0259 q\u00fcsurlar\u0131n faizini v\u0259 \u00f6l\u00fcdo\u011fulanlar\u0131n say\u0131n\u0131 azald\u0131r.<\/p>\n Bu risk qruplar\u0131n\u0131n \u0259n \u0259sas probleml\u0259rd\u0259n biri kimi qad\u0131n\u0131n ya\u015f\u0131 aiddir. Bildiyiniz kimi, 18 ya\u015fdan a\u015fa\u011f\u0131 v\u0259 38 ya\u015fdan yuxar\u0131 olan hamil\u0259 xan\u0131mlara ciddi n\u0259zar\u0259t olmal\u0131d\u0131r. \u00c7\u00fcnki onlarda tez-tez m\u00fc\u0259yy\u0259n a\u011f\u0131rla\u015fmalar – hipertenziya (preeklampsiya, eklampsiya, gestasion diabet, d\u00f6l\u00fcn inki\u015faf l\u0259ngim\u0259si, psixoloji probleml\u0259r) qeyd oluna bil\u0259r.<\/p>\n Qad\u0131nda ne\u00e7\u0259nci hamil\u0259liyin olmas\u0131 da vacib hesab olunur. \u00c7oxsayl\u0131 do\u011fu\u015flarda (5, 6 v\u0259 daha \u00e7ox) a\u011f\u0131rla\u015fmalara daha tez rast g\u0259linir. Bu zaman d\u00f6l\u00fcn sa\u011fr\u0131 g\u0259li\u015fi, mamal\u0131q qanaxmalar\u0131 (ciftin vaxt\u0131ndan \u0259vv\u0259l qopmas\u0131, hipotonik v\u0259 atonik qanaxmalar), vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar v\u0259 s. patologiyalar ola bil\u0259r.<\/p>\n N\u00f6vb\u0259ti risk qrupuna \u00e7oxd\u00f6ll\u00fc hamil\u0259lik aiddir. D\u00f6l say\u0131n\u0131n \u00e7ox olmas\u0131 d\u00fc\u015f\u00fckl\u0259rin v\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar\u0131n riskini art\u0131r\u0131r (40 faiz\u0259d\u0259k), hamil\u0259 qad\u0131nda is\u0259 daha \u00e7ox t\u0259zyiq probleml\u0259ri, \u00f6deml\u0259r v\u0259 b\u00f6yr\u0259k infeksiyalar\u0131na rast g\u0259linir. N\u0259tic\u0259d\u0259 bu da yenido\u011fulmu\u015flar\u0131n az\u00e7\u0259kili v\u0259 b\u0259tndaxili patologiyalar il\u0259 do\u011fulmas\u0131na s\u0259b\u0259b ola bilir.<\/p>\n – Birinci do\u011fu\u015fdan n\u0259 q\u0259d\u0259r m\u00fcdd\u0259t sonra orqanizm b\u0259rpa olunur v\u0259 ikinci hamil\u0259lik planla\u015fd\u0131r\u0131la bil\u0259r?<\/strong><\/p>\n – Hamil\u0259lik qad\u0131n orqanizmind\u0259 bir \u00e7ox d\u0259yi\u015fiklikl\u0259r\u0259 s\u0259b\u0259b olur. Burada ya\u015f faktoru, do\u011fu\u015fun t\u0259bii v\u0259 ya operativ yolla (qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131) apar\u0131lmas\u0131, x\u00fcsusi a\u011f\u0131rla\u015fmalar, ekstragenital v\u0259 dig\u0259r s\u0259b\u0259bl\u0259rin rolu var. H\u0259r bir do\u011fu\u015f qad\u0131n \u00fc\u00e7\u00fcn imtahand\u0131r. T\u0259krar hamil\u0259 qalmaq v\u0259 d\u00fcnyaya sa\u011flam u\u015faq g\u0259tirm\u0259k \u00fc\u00e7\u00fcn \u0259n az\u0131 12-18 ay ke\u00e7m\u0259lidir ki, a\u011f\u0131rla\u015fmalar\u0131n da say\u0131 az olsun. Bu m\u00fcdd\u0259td\u0259 qad\u0131n orqanizmi b\u0259rpa olunub, dig\u0259r hamil\u0259liy\u0259 haz\u0131r ola bil\u0259r.<\/p>\n – 40 ya\u015fdan sonra hamil\u0259lik nec\u0259 d\u0259y\u0259rl\u0259ndirilir?<\/strong><\/p>\n – Qad\u0131n reproduksiyas\u0131nda, s\u00f6zs\u00fcz ki, m\u00fc\u0259yy\u0259n s\u0259rh\u0259dl\u0259r var. 18 ya\u015fdan a\u015fa\u011f\u0131 v\u0259 35-38 ya\u015fdan yuxar\u0131 olan hamil\u0259l\u0259r risk qrupuna aiddir. Amma h\u0259yat \u00f6z qanunlar\u0131n\u0131 biz\u0259 dikt\u0259 edir. He\u00e7 k\u0259s indi 40-45 v\u0259 h\u0259tta 50 ya\u015f\u0131nda hamil\u0259y\u0259 t\u0259\u0259cc\u00fcb etmir. \u0130nki\u015faf etmi\u015f \u00f6lk\u0259l\u0259rd\u0259 bu normal q\u0259bul edilir – qad\u0131n \u00f6z karyeras\u0131n\u0131 qurur v\u0259 maddi-m\u0259n\u0259vi bazas\u0131n\u0131 ciddi haz\u0131rlayandan sonra bu add\u0131m\u0131 at\u0131r. Amma t\u0259\u0259ss\u00fcf ki, bir \u00e7ox hallarda bu gec olur v\u0259 hamil\u0259lik ya he\u00e7 ba\u015f vermir, ya da m\u00fc\u0259yy\u0259n a\u011f\u0131rla\u015fmalara s\u0259b\u0259b olur. \u018fn \u00e7ox rast g\u0259lin\u0259n is\u0259 xromosom patologiyalar\u0131d\u0131r. Biz h\u0259r bir qad\u0131na d\u0259st\u0259k olmal\u0131 v\u0259 t\u0259bab\u0259td\u0259 \u0259n son texnologiyalar\u0131n k\u00f6m\u0259yi il\u0259 (genetik analizl\u0259r, USM, m\u00fcxt\u0259lif skrininql\u0259r, amniosentez, kordosentez v\u0259 s.) a\u011f\u0131rla\u015fma v\u0259 x\u0259st\u0259 u\u015faqlar\u0131n do\u011fulmas\u0131 riskini bu qrup hamil\u0259l\u0259rd\u0259 minimuma salmal\u0131y\u0131q.<\/p>\n \u00dcmumiyy\u0259tl\u0259, qad\u0131n orqanizmi \u00fc\u00e7\u00fcn d\u00fcnyaya sa\u011flam u\u015faq g\u0259tirm\u0259k bax\u0131mdan \u0259n optimal 20-35 ya\u015f aral\u0131\u011f\u0131d\u0131r.<\/p>\n – Hamil\u0259lik d\u00f6vr\u00fcn\u00fc sa\u011flam sonland\u0131rmaq \u00fc\u00e7\u00fcn qad\u0131nlara m\u0259sl\u0259h\u0259tiniz n\u0259 olard\u0131?<\/strong><\/p>\n – Hamil\u0259lik d\u00f6vr\u00fc ana olma\u011fa haz\u0131rla\u015fan h\u0259r bir qad\u0131n \u00fc\u00e7\u00fcn h\u0259m fizioloji, h\u0259m d\u0259 psixoloji olaraq d\u0259yi\u015fiklikl\u0259rin oldu\u011fu prosesdir. Eyni zamanda, hamil\u0259lik fonunda g\u0259l\u0259c\u0259k anan\u0131n davran\u0131\u015f\u0131nda bir s\u0131ra d\u0259yi\u015fiklikl\u0259r formala\u015f\u0131r. Buna g\u00f6r\u0259 d\u0259 g\u0259l\u0259c\u0259k ana \u00fc\u00e7\u00fcn \u0259n vacib amill\u0259rd\u0259n biri do\u011fu\u015fa psixoloji haz\u0131rl\u0131qd\u0131r.<\/p>\n Qad\u0131n hamil\u0259liy\u0259 \u00f6nc\u0259d\u0259n haz\u0131rlansa daha yax\u015f\u0131 olar. Bu, g\u0259l\u0259c\u0259k ataya da aiddir. \u00c7\u00fcnki valideynl\u0259rin sa\u011flam h\u0259yat t\u0259rzi, alkoqol, siqaret v\u0259 h\u0259r hans\u0131 bir z\u0259r\u0259rli v\u0259rdi\u015fl\u0259rd\u0259n imtina ed\u0259r\u0259k d\u00fcnyaya sa\u011flam k\u00f6rp\u0259 g\u0259tirm\u0259y\u0259, eyni zamanda hamil\u0259liyin m\u0259nfi a\u011f\u0131rla\u015fmalar\u0131ndan m\u00fcmk\u00fcn q\u0259d\u0259r qa\u00e7ma\u011fa imkan verir. H\u0259m\u00e7inin, 2-3 ay \u00f6nc\u0259d\u0259n fol tur\u015fusunun q\u0259bulu m\u0259sl\u0259h\u0259t g\u00f6r\u00fcl\u00fcr.<\/p>\n Bundan \u0259lav\u0259, \u0259g\u0259r qad\u0131nda v\u0259 ki\u015fid\u0259 hans\u0131sa xroniki x\u0259st\u0259lik varsa m\u00fctl\u0259q onu h\u0259kiml\u0259 m\u0259sl\u0259h\u0259t etm\u0259lidil\u0259r. Ail\u0259 quran c\u00fctl\u00fckl\u0259r nikahdan \u00f6nc\u0259 m\u00fc\u0259yy\u0259n irsi x\u0259st\u0259likl\u0259rd\u0259n rutin olaraq yoxlan\u0131l\u0131r. Lakin b\u0259zi hallarda ail\u0259 dig\u0259r patologiyalar\u0131 gizl\u0259dir v\u0259 bunlar sonradan hamil\u0259lik a\u011f\u0131rla\u015fmalar\u0131na v\u0259 ya u\u015faqda anadang\u0259lm\u0259 q\u00fcsurlara s\u0259b\u0259b olur.<\/p>\n Yuxar\u0131da qeyd olunanlarla yana\u015f\u0131, d\u00fczg\u00fcn qidalanmaq v\u0259 b\u00fct\u00fcn hamil\u0259lik m\u00fcdd\u0259tind\u0259 meyv\u0259-t\u0259r\u0259v\u0259z, bal\u0131q, s\u00fcd m\u0259hsullar\u0131na \u00fcst\u00fcnl\u00fck verm\u0259k, qazl\u0131 i\u00e7kil\u0259r v\u0259 q\u0259hv\u0259nin, \u015firniyyat v\u0259 x\u0259mir yem\u0259kl\u0259rin q\u0259bulunu m\u00fcmk\u00fcn q\u0259d\u0259r azaltmaq t\u00f6vsiy\u0259 olunur. Bundan \u0259lav\u0259, a\u00e7\u0131q havada g\u0259zinti hamil\u0259 qad\u0131nlarda oksigen\u0259 olan t\u0259l\u0259bat\u0131 \u00f6d\u0259yir.<\/p>\n H\u0259kim t\u0259r\u0259find\u0259n hamil\u0259 qad\u0131n n\u0259zar\u0259t\u0259 g\u00f6t\u00fcr\u00fcl\u0259rk\u0259n h\u0259r bir d\u0259yi\u015fiklikl\u0259ri ona izah edir v\u0259 perenatal qullu\u011fa aid olan hamil\u0259 qad\u0131n\u0131n n\u0259zar\u0259t kitab\u00e7as\u0131n\u0131 a\u00e7\u0131r. Hamil\u0259liyin 12-13 h\u0259ft\u0259sind\u0259 (\u0259g\u0259r daha erk\u0259n aparma\u011fa g\u00f6st\u0259ri\u015f yoxdursa) ultras\u0259s m\u00fcayin\u0259si (USM) apar\u0131l\u0131r. H\u0259min d\u00f6vrd\u0259n polivitamin v\u0259 kalsium q\u0259buluna ba\u015flanmal\u0131, anemiya olduqda d\u0259mir preparatlar\u0131 da \u0259lav\u0259 olunur.<\/p>\n Qeyd edim ki, hamil\u0259liyin normal gedi\u015find\u0259 hamil\u0259 qad\u0131n \u0259n az\u0131 7-8 d\u0259f\u0259 h\u0259kim m\u0259sl\u0259h\u0259tind\u0259n ke\u00e7m\u0259lidir.<\/p>\n","protected":false},"excerpt":{"rendered":" S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, mama-ginekoloq Nigar Axundova S\u0259hiyy\u0259 Nazirliyinin r\u0259smi sayt\u0131na m\u00fcsahib\u0259 verib. M\u00fcsahib\u0259ni t\u0259qdim edirik: – Nigar xan\u0131m, hans\u0131 halda hamil\u0259lik riskli q\u0259bul edilir v\u0259 ad\u0259t\u0259n buna n\u0259l\u0259r s\u0259b\u0259b ola bil\u0259r? – Hamil\u0259likd\u0259 risk qruplar\u0131n\u0131n t\u0259yini \u00e7ox vacib amill\u0259rd\u0259n biridir. Bu risk qruplar\u0131 h\u0259kim mama-ginekoloq t\u0259r\u0259find\u0259n t\u0259yin olunur v\u0259 b\u00fct\u00fcn d\u00fcnyada q\u0259bul olunan perinatal konsepsiya…<\/p>\n","protected":false},"author":2,"featured_media":559147,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-559146","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cmiyyt"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t