{"id":77772,"date":"2019-09-09T14:22:14","date_gmt":"2019-09-09T11:22:14","guid":{"rendered":"http:\/\/arantv.az\/?p=77772"},"modified":"2019-09-09T14:22:14","modified_gmt":"2019-09-09T11:22:14","slug":"az%c9%99rbaycanda-qeys%c9%99riyy%c9%99-%c9%99m%c9%99liyyati-il%c9%99-doguslar-niy%c9%99-artir-s%c9%99b%c9%99bl%c9%99r-t%c9%99hluk%c9%99l%c9%99r","status":"publish","type":"post","link":"https:\/\/arantv.az\/?p=77772","title":{"rendered":"Az\u0259rbaycanda qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131 il\u0259 do\u011fu\u015flar niy\u0259 art\u0131r? – S\u0259b\u0259bl\u0259r, t\u0259hl\u00fck\u0259l\u0259r…"},"content":{"rendered":"

D\u00fcnyada v\u0259 Az\u0259rbaycanda qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131 il\u0259 do\u011fulan u\u015faqlar\u0131n say\u0131 artmaqdad\u0131r. H\u0259tta h\u0259kim analizl\u0259rind\u0259n y\u00fcks\u0259k n\u0259tic\u0259 il\u0259 \u00e7\u0131xan qad\u0131nlar\u0131m\u0131z bel\u0259, qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131na \u00fcz tuturlar.<\/p>\n

\u00dcmumiyy\u0259tl\u0259, qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131 n\u0259dir? Xan\u0131mlar\u0131m\u0131z\u0131n qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131nda israr\u00e7\u0131 olmas\u0131na \u0259sas s\u0259b\u0259bl\u0259r n\u0259dir?<\/p>\n

ARANTV.AZ<\/strong>\u00a0 x\u0259b\u0259r verir ki, mama-ginekoloq Leyla M\u0259mm\u0259dova Modern.az-a m\u00fcsahib\u0259sind\u0259 ilk olaraq\u00a0 qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131n\u0131n n\u0259 oldu\u011funa ayd\u0131nl\u0131q g\u0259tirib:<\/p>\n

\u201cQeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 \u2013 u\u015faql\u0131q \u00fcz\u0259rind\u0259 k\u0259siyin apar\u0131lmas\u0131 il\u0259 do\u011fu\u015fun abdominal yolla ba\u015fa \u00e7atd\u0131r\u0131lmas\u0131d\u0131r. M\u00fcasir d\u00f6vrd\u0259 b\u00fct\u00fcn \u00f6lk\u0259l\u0259rd\u0259 qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131n\u0131n say\u0131 art\u0131b. Hamil\u0259liyin qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 il\u0259 sonland\u0131r\u0131lmas\u0131n\u0131n \u0259sas m\u0259qs\u0259di perinatal itkil\u0259rin azalmas\u0131d\u0131r. Lakin qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131 do\u011fu\u015flar\u0131n \u00fcmumi say\u0131n\u0131n 15 %-d\u0259n yuxar\u0131 olduqda perinatal itkil\u0259rin azalmas\u0131na t\u0259sir g\u00f6st\u0259rmir. Qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131n\u0131n tezliyinin artmas\u0131n\u0131n obyektiv v\u0259 subyektiv s\u0259b\u0259bl\u0259ri var. Obyektiv s\u0259b\u0259bl\u0259rd\u0259n \u0259n \u0259sas\u0131 Az\u0259rbaycanda qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131na g\u00f6st\u0259ri\u015fl\u0259rin geni\u015fl\u0259ndirilm\u0259sidir. Qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131na g\u00f6st\u0259ri\u015fl\u0259r Az\u0259rbaycan Respublikas\u0131 S\u0259hiyy\u0259 Nazirliyi kollegiyas\u0131n\u0131n 03 oktyabr 2013-c\u00fc il tarixli 30 sayl\u0131 q\u0259rar\u0131 il\u0259 t\u0259sdiq edilmi\u015f \u201cQeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 \u00fczr\u0259 klinik protokol\u201dda \u0259ksini tap\u0131b.<\/p>\n

Hal-haz\u0131rda d\u00fcnya t\u0259cr\u00fcb\u0259sind\u0259 qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 \u00fc\u00e7\u00fcn olan g\u00f6st\u0259ri\u015fl\u0259r be\u015f \u0259sas qrupa b\u00f6l\u00fcn\u00fcr.
\nBirinci qrupa anamnezd\u0259 qeys\u0259riyy\u0259 k\u0259siyi v\u0259 ya u\u015faql\u0131q \u00fcz\u0259rind\u0259 dig\u0259r \u0259m\u0259liyyatlar\u0131n olmas\u0131 aid edilir. U\u015faql\u0131q \u00fcz\u0259rind\u0259 \u00e7ap\u0131\u011f\u0131n olmas\u0131 Az\u0259rbaycanda qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131na g\u00f6st\u0259ri\u015fl\u0259r aras\u0131nda \u0259n \u00e7ox qeyd olunan s\u0259b\u0259bdir. \u018fvv\u0259ll\u0259r bir hamil\u0259liyi qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 il\u0259 ba\u015fa \u00e7atan qad\u0131nlar ancaq bir ne\u00e7\u0259 ild\u0259n sonra hamil\u0259 qal\u0131rd\u0131lar v\u0259 \u00fc\u00e7\u00fcnc\u00fc d\u0259f\u0259 qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131n\u0131n apar\u0131lmas\u0131n\u0131 qeyri-m\u00fcmk\u00fcn hesab edirdil\u0259r. Hal-haz\u0131rda \u00fc\u00e7\u00fcnc\u00fc qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 adi bir hal hesab edilir. H\u0259tta anamnezind\u0259 \u00fc\u00e7, d\u00f6rd qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 olan v\u0259 n\u00f6vb\u0259ti hamil\u0259liyi planla\u015fd\u0131ran xan\u0131mlar\u0131m\u0131z da var. \u018flb\u0259tt\u0259, \u00fc\u00e7\u00fcnc\u00fc qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131ndan \u0259vv\u0259l h\u0259m hamil\u0259y\u0259, h\u0259m d\u0259 onun h\u0259yat yolda\u015f\u0131na n\u00f6vb\u0259ti hamil\u0259liyin qad\u0131n\u0131n h\u0259yat\u0131 \u00fc\u00e7\u00fcn t\u0259hl\u00fck\u0259li olmas\u0131 bar\u0259d\u0259 m\u0259lumat verilir v\u0259 \u0259m\u0259liyyat zaman\u0131 u\u015faql\u0131q borular\u0131n\u0131n ba\u011flanmas\u0131 t\u0259klif olunur. Lakin he\u00e7 d\u0259 b\u00fct\u00fcn c\u00fctl\u00fckl\u0259r borular\u0131n ba\u011flanmas\u0131na icaz\u0259 vermirl\u0259r\u201d.<\/p>\n

Ginekoloq qeyd edib ki, qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131na ikinci qrup g\u00f6st\u0259ri\u015fl\u0259r do\u011fu\u015fa mane ola bil\u0259c\u0259k s\u0259b\u0259bl\u0259rin olmas\u0131d\u0131r:<\/p>\n

\u201c\u00dc\u00e7\u00fcnc\u00fc qrupa d\u00f6l\u00fcn \u00e7anaq g\u0259li\u015fi aid edilir. \u018fvv\u0259ll\u0259r d\u00f6l\u00fcn sa\u011fr\u0131 g\u0259li\u015fi qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131na g\u00f6st\u0259ri\u015f hesab olunmurdu v\u0259 bu halda hamil\u0259lik t\u0259bii yolla sonland\u0131r\u0131l\u0131rd\u0131. Lakin d\u00f6l\u00fcn sa\u011fr\u0131 g\u0259li\u015find\u0259 t\u0259bii yolla do\u011fu\u015f zaman\u0131 d\u00f6ld\u0259 v\u0259 anada f\u0259sadlar\u0131n meydana \u00e7\u0131xma riskinin ba\u015f g\u0259li\u015find\u0259 olan do\u011fu\u015flarla m\u00fcqayis\u0259d\u0259 d\u0259f\u0259l\u0259rl\u0259 \u00e7ox oldu\u011funu n\u0259z\u0259r\u0259 alaraq, son ill\u0259rd\u0259 d\u00f6l\u00fcn sa\u011fr\u0131 g\u0259li\u015fi qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131na \u0259sas g\u00f6st\u0259ri\u015fl\u0259rd\u0259n biridir.<\/p>\n

Qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131na \u0259sas g\u00f6st\u0259ri\u015fl\u0259rd\u0259n biri d\u0259 d\u00f6l\u00fcn disstressi v\u0259 ya d\u00f6l\u00fcn disstressin\u0259 \u015f\u00fcbh\u0259dir. Az\u0259rbaycanda son ill\u0259rd\u0259 ultras\u0259s, kardiotokoqrafiya v\u0259 dopplerometriya kimi m\u00fcayin\u0259l\u0259rin geni\u015f t\u0259tbiq olunmas\u0131 d\u00f6l\u00fcn patoloji v\u0259ziyy\u0259tl\u0259rinin vaxt\u0131nda a\u015fkar olunaraq hamil\u0259liyin zaman\u0131nda sonland\u0131r\u0131lmas\u0131na imkan verir. \u00d6lk\u0259mizd\u0259 yenido\u011fulmu\u015flar\u0131n reanimasiyas\u0131 xidm\u0259tinin inki\u015faf\u0131 b\u0259tndaxili inki\u015faf l\u0259ngim\u0259si, d\u00f6l\u00fcn b\u0259tndaxili hipoksiyas\u0131 kimi v\u0259ziyy\u0259tl\u0259rd\u0259 hamil\u0259liyin vaxt\u0131ndan \u0259vv\u0259l sonland\u0131r\u0131laraq yenido\u011fulmu\u015fun x\u00fcsusi \u015f\u0259raitd\u0259 y\u00fcks\u0259k ixtisasl\u0131 tibbi yard\u0131m almas\u0131na imkan verir.<\/p>\n

Qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131na dig\u0259r g\u00f6st\u0259ri\u015fl\u0259rd\u0259n biri d\u0259 anamnezd\u0259 uzunm\u00fcdd\u0259tli sonsuzlu\u011fun olmas\u0131, hamil\u0259liyin yard\u0131m\u00e7\u0131 reproduktiv texnologiyalar\u0131n t\u0259tbiqi n\u0259tic\u0259sind\u0259 ba\u015f verm\u0259sidir. Son ill\u0259rd\u0259 Az\u0259rbaycanda yard\u0131m\u00e7\u0131 reproduktiv texnologiyalar\u0131n t\u0259tbiqi il\u0259 ba\u015f ver\u0259n hamil\u0259likl\u0259rin say\u0131n\u0131n artmas\u0131 n\u0259tic\u0259 etibaril\u0259 c\u0259rrahi do\u011fu\u015flar\u0131n artmas\u0131na g\u0259tirir. Anamnezind\u0259 a\u011f\u0131rla\u015fm\u0131\u015f hamil\u0259likl\u0259rin olmas\u0131, perinatal itkil\u0259rin olmas\u0131 da qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131na g\u00f6st\u0259ri\u015f hesab olunur. Bu qrupa aid olan hamil\u0259 qad\u0131nlar\u0131n da say\u0131 az deyil\u201d.<\/p>\n

Leyla xan\u0131m qeyd edib ki, yard\u0131m\u00e7\u0131 reproduktiv texnologiyalar\u0131n geni\u015f t\u0259tbiqi \u0259kiz v\u0259 \u00fc\u00e7d\u00f6ll\u00fc hamil\u0259likl\u0259rin say\u0131n\u0131n artmas\u0131na g\u0259tirir ki, bu da n\u0259tic\u0259 etibaril\u0259 c\u0259rrahi do\u011fu\u015flar\u0131n say\u0131na t\u0259sir g\u00f6st\u0259rir.<\/p>\n

\u201cAz\u0259rbaycanda yenido\u011fulmu\u015flar\u0131n reanimasiyas\u0131 v\u0259 intensiv terapiyas\u0131 xidm\u0259tinin t\u0259kmill\u0259\u015fdirilm\u0259si say\u0259sind\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flarda h\u0259kim mama-ginekoloqlar hamil\u0259liyi d\u00f6l\u00fcn m\u00fchafiz\u0259si m\u0259qs\u0259dil\u0259 c\u0259rrahi do\u011fu\u015fla sonland\u0131r\u0131lmaq q\u0259rar\u0131n\u0131 verirl\u0259r. Bel\u0259 ki, son ill\u0259rd\u0259 Az\u0259rbaycanda ekstremal az \u00e7\u0259kili v\u0259 az \u00e7\u0259kili yenido\u011fulmu\u015flara tibbi xidm\u0259tin g\u00f6st\u0259rilm\u0259si sah\u0259sind\u0259 b\u00f6y\u00fck u\u011furlar \u0259ld\u0259 edilmi\u015fdir. Yuxar\u0131da sadalananlarla yana\u015f\u0131, \u00f6lk\u0259d\u0259 c\u0259rrahi do\u011fu\u015flar\u0131n say\u0131na t\u0259sir g\u00f6st\u0259r\u0259n dig\u0259r amill\u0259r d\u0259 m\u00f6vcuddur. \u0130\u0130V infeksiyas\u0131, herpes infeksiyas\u0131, g\u00f6rm\u0259 z\u0259ifliyi, \u00fcr\u0259k-damar patologiyalar\u0131, hamil\u0259liyin a\u011f\u0131r preeklampsiya, eklampsiya kimi a\u011f\u0131rla\u015fmalar\u0131, cift g\u0259li\u015fl\u0259ri v\u0259 dig\u0259r v\u0259ziyy\u0259tl\u0259r d\u0259 c\u0259rrahi do\u011fu\u015flar\u0131n say\u0131n\u0131n artmas\u0131na g\u0259tirir.<\/p>\n

Lakin obyektiv s\u0259b\u0259bl\u0259rl\u0259 yana\u015f\u0131, qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131n\u0131n tezliyin\u0259 t\u0259sir g\u00f6st\u0259r\u0259n subyektiv s\u0259b\u0259bl\u0259r d\u0259 m\u00f6vcuddur. B\u0259zi hamil\u0259 xan\u0131mlar\u0131m\u0131z qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131n\u0131 h\u0259m ana, h\u0259m d\u0259 d\u00f6l \u00fc\u00e7\u00fcn daha t\u0259hl\u00fck\u0259siz hesab edirl\u0259r. Lakin bu, bel\u0259 deyil. T\u0259bii yolla do\u011fu\u015f h\u0259m ana, h\u0259m d\u0259 d\u00f6l \u00fc\u00e7\u00fcn daha t\u0259hl\u00fck\u0259sizdir, \u0259lb\u0259tt\u0259 ki, c\u0259rrahi do\u011fu\u015fa tibbi g\u00f6st\u0259ri\u015fin olmad\u0131\u011f\u0131 hallarda. Qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 zaman\u0131 qanaxma, u\u015faql\u0131\u011f\u0131n atoniyas\u0131, anestezioloji f\u0259sadlar, qon\u015fu orqanlar\u0131n z\u0259d\u0259l\u0259nm\u0259si, u\u015faql\u0131qdak\u0131 tiki\u015fl\u0259rin yarars\u0131zl\u0131\u011f\u0131, endomiometrit, peritonit, sepsis, \u0259m\u0259liyyatdan sonra yaralar\u0131n infeksiyala\u015fmas\u0131, ba\u011f\u0131rsaq ke\u00e7m\u0259m\u0259zliyi, tromboemboliya, a\u011fciy\u0259r arteriyas\u0131n\u0131n, d\u0259rin venalar\u0131n trombozu qeyd oluna bil\u0259r. \u018fm\u0259liyyatdan sonra keloidin yaranmas\u0131, reproduktiv funksiyan\u0131n pozulmas\u0131 (sonsuzluq, n\u00f6vb\u0259ti hamil\u0259liyin a\u011f\u0131rla\u015fmas\u0131) kimi gecikmi\u015f a\u011f\u0131rla\u015fmalar da qeyd oluna bil\u0259r\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"

D\u00fcnyada v\u0259 Az\u0259rbaycanda qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131 il\u0259 do\u011fulan u\u015faqlar\u0131n say\u0131 artmaqdad\u0131r. H\u0259tta h\u0259kim analizl\u0259rind\u0259n y\u00fcks\u0259k n\u0259tic\u0259 il\u0259 \u00e7\u0131xan qad\u0131nlar\u0131m\u0131z bel\u0259, qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131na \u00fcz tuturlar. \u00dcmumiyy\u0259tl\u0259, qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131 n\u0259dir? Xan\u0131mlar\u0131m\u0131z\u0131n qeys\u0259riyy\u0259 \u0259m\u0259liyyat\u0131nda israr\u00e7\u0131 olmas\u0131na \u0259sas s\u0259b\u0259bl\u0259r n\u0259dir? ARANTV.AZ\u00a0 x\u0259b\u0259r verir ki, mama-ginekoloq Leyla M\u0259mm\u0259dova Modern.az-a m\u00fcsahib\u0259sind\u0259 ilk olaraq\u00a0 qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131n\u0131n n\u0259 oldu\u011funa ayd\u0131nl\u0131q g\u0259tirib: \u201cQeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 \u2013 u\u015faql\u0131q \u00fcz\u0259rind\u0259 k\u0259siyin apar\u0131lmas\u0131 il\u0259 do\u011fu\u015fun abdominal yolla ba\u015fa \u00e7atd\u0131r\u0131lmas\u0131d\u0131r. M\u00fcasir d\u00f6vrd\u0259 b\u00fct\u00fcn \u00f6lk\u0259l\u0259rd\u0259 qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyatlar\u0131n\u0131n say\u0131 art\u0131b. Hamil\u0259liyin qeys\u0259riyy\u0259 k\u0259siyi \u0259m\u0259liyyat\u0131 il\u0259 sonland\u0131r\u0131lmas\u0131n\u0131n \u0259sas m\u0259qs\u0259di perinatal itkil\u0259rin azalmas\u0131d\u0131r. 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