{"id":127203,"date":"2021-08-23T21:42:37","date_gmt":"2021-08-23T17:42:37","guid":{"rendered":""},"modified":"-0001-11-30T00:00:00","modified_gmt":"-0001-11-29T20:00:00","slug":"","status":"publish","type":"post","link":"https:\/\/ucnoqta.az\/?p=127203","title":{"rendered":"S\u00fcd ver\u0259n qad\u0131nlar\u0131n peyv\u0259nd olunmas\u0131 m\u0259sl\u0259h\u0259t g\u00f6r\u00fclm\u00fcr"},"content":{"rendered":"

Mama-ginekoloq: “Yax\u015f\u0131 olar ki, hamil\u0259lik planla\u015fd\u0131ran, yeni ail\u0259 quran cütlükl\u0259r vaksini \u0259vv\u0259lc\u0259d\u0259n vurdursunlar”<\/strong><\/p>\n

\u018fhalinin koronavirusdan kütl\u0259vi qorunmas\u0131 m\u0259qs\u0259dil\u0259 dövl\u0259timizin t\u0259\u015f\u0259bbüsü il\u0259 kollektiv immunitet yaratmaq üçün geni\u015f vaksinasiya prosesi apar\u0131l\u0131r. M\u0259lumdur ki, reproduktiv sa\u011flaml\u0131q h\u0259r zaman mühüm m\u0259s\u0259l\u0259 olub. Bu bax\u0131mdan, koronavirusa qar\u015f\u0131 vaksinasiya zaman\u0131 yeni ail\u0259 quran, hamil\u0259lik planla\u015fd\u0131ran, el\u0259c\u0259 d\u0259 do\u011fu\u015fdan sonrak\u0131 m\u0259rh\u0259l\u0259d\u0259 olan qad\u0131nlara peyv\u0259nd vurulub-vurulmamas\u0131 c\u0259miyy\u0259td\u0259 müzakir\u0259 olunan mövzulardand\u0131r.<\/p>\n

Bu m\u0259s\u0259l\u0259 il\u0259 ba\u011fl\u0131 b\u0259zi nüanslara ayd\u0131nl\u0131q g\u0259tirm\u0259si üçün ATU-nun I Mama-ginekologiya kafedras\u0131n\u0131n dosenti, tibb üzr\u0259 f\u0259ls\u0259f\u0259 doktoru Nat\u0259van Axundova il\u0259 görü\u015fdük.
\nN.Axundova qeyd etdi ki, bu istiqam\u0259td\u0259 geni\u015f elmi-t\u0259dqiqat i\u015fl\u0259ri olmasa da, b\u0259zi m\u0259nb\u0259l\u0259rd\u0259 müxt\u0259lif fikirl\u0259r söyl\u0259nilir: “Bel\u0259 ki, hamil\u0259lik planla\u015fd\u0131ran, yeni ail\u0259 quran cütlükl\u0259r\u0259 \u0259vv\u0259lc\u0259d\u0259n peyv\u0259nd olunmaq m\u0259sl\u0259h\u0259t görülür. \u018flb\u0259tt\u0259, burada bir s\u0131ra \u0259ks göst\u0259ri\u015fl\u0259r d\u0259 n\u0259z\u0259r\u0259 al\u0131nmal\u0131d\u0131r. \u018fvv\u0259ll\u0259r vaksinasiyadan 6 ay sonra hamil\u0259liyin planla\u015fd\u0131r\u0131lmas\u0131 tövsiy\u0259 olunurdusa, sonradan bu müdd\u0259t 3 v\u0259 son olaraq 1 aya q\u0259d\u0259r azald\u0131ld\u0131.<\/p>\n

Hamil\u0259l\u0259r\u0259 g\u0259ldikd\u0259 is\u0259, koronavirus vaksinasiyas\u0131n\u0131n apar\u0131lmas\u0131 tövsiy\u0259 olunmur. Amma çox yüks\u0259k risk oldu\u011fu halda peyv\u0259nd vurula bil\u0259r. Ümumiyy\u0259tl\u0259 bu bar\u0259d\u0259 geni\u015f m\u0259lumatlar yoxdur. H\u0259tta b\u0259zi m\u0259nb\u0259l\u0259rd\u0259 göst\u0259rilir ki, hamil\u0259l\u0259ri gözl\u0259y\u0259n n\u0259tic\u0259 hamil\u0259lik zaman\u0131 dölün z\u0259d\u0259l\u0259nm\u0259sinin potensial riskind\u0259n yüks\u0259kdirs\u0259, bel\u0259 hamil\u0259l\u0259r vaksinasiya oluna bil\u0259rl\u0259r. Çünki yüks\u0259k risk qrupuna daxil olan hamil\u0259l\u0259r koronavirusa yoluxsalar, onlar\u0131n v\u0259ziyy\u0259ti çox a\u011f\u0131rla\u015fa, h\u0259tta ölüm ba\u015f ver\u0259 bil\u0259r.<\/p>\n

O ki qald\u0131 dünyaya yenic\u0259 u\u015faq g\u0259tirmi\u015f qad\u0131nlarda vaksinasiyaya, bu haqda da ziddiyy\u0259tli fikirl\u0259r mövcuddur. Qad\u0131n süd verirs\u0259, vaksinasiya olunmas\u0131 m\u0259sl\u0259h\u0259t görülmür. \u018fks halda vaksinasiya oluna bil\u0259r. N\u0259z\u0259r\u0259 almaq laz\u0131md\u0131r ki, do\u011fu\u015fdan sonrak\u0131 dövrd\u0259 qad\u0131n bir q\u0259d\u0259r z\u0259ifl\u0259yir. Zah\u0131l\u0131q dövrü bitdikd\u0259n sonra \u0259g\u0259r ümumi sa\u011flaml\u0131\u011f\u0131 imkan verirs\u0259, vaksinasiya olunmas\u0131 mümkün say\u0131l\u0131r. Zah\u0131l\u0131q dövrü 6-8 h\u0259ft\u0259 ç\u0259kir. Amma xarici \u0259d\u0259biyyatda do\u011fu\u015fdan sonrak\u0131 dövr 11-12 h\u0259ft\u0259 hesab olunur. Çünki u\u015faql\u0131qda cift sah\u0259sinin b\u0259rpas\u0131 prosesi 11 h\u0259ft\u0259 ç\u0259kir”.<\/p>\n

Hamil\u0259 qad\u0131nlar\u0131n koronavirusa yoluxmas\u0131 il\u0259 ba\u011fl\u0131 sual\u0131m\u0131za cavab ver\u0259n h\u0259kim bildirdi ki, hamil\u0259lik bir fizioloji prosesdir v\u0259 bu zaman orqanizmd\u0259 adaptasiya-uy\u011funla\u015fma reaksiyalar\u0131 ba\u015f verir: “Hamil\u0259 qad\u0131n\u0131n orqanizmind\u0259 do\u011fu\u015fdan sonrak\u0131 dövrd\u0259 ba\u015f ver\u0259 bil\u0259c\u0259k qanaxman\u0131n qar\u015f\u0131s\u0131n\u0131 almaq üçün qan laxtalanma sistemind\u0259 fizioloji hiperkoaqulyasiya (qat\u0131la\u015fma) ba\u015f verir. Bundan \u0259lav\u0259, hamil\u0259 qad\u0131n\u0131n ür\u0259k-damar, t\u0259n\u0259ffüs v\u0259 immun sisteml\u0259rind\u0259 d\u0259 bir çox d\u0259yi\u015fiklikl\u0259r olur. \u0130st\u0259nil\u0259n infeksiya, o cüml\u0259d\u0259n koronavirus onsuz da hamil\u0259lik zaman\u0131 artm\u0131\u015f koaqulyasion potensial\u0131 (qan\u0131n qat\u0131la\u015fmas\u0131n\u0131) daha da art\u0131r\u0131r. Bel\u0259 v\u0259ziyy\u0259t qad\u0131nda tromboz riskini art\u0131r\u0131r. \u018fg\u0259r hamil\u0259d\u0259 tromboz riskini art\u0131ran v\u0259ziyy\u0259tl\u0259r v\u0259 x\u0259st\u0259likl\u0259r: irsi v\u0259 qazan\u0131lm\u0131\u015f trombofilik amill\u0259r, autoimmun x\u0259st\u0259likl\u0259r, \u015f\u0259k\u0259rli diabet v\u0259 s. varsa, koronavirus infeksiyas\u0131 daha a\u011f\u0131r gedi\u015fli olur, hamil\u0259nin v\u0259 dölün v\u0259ziyy\u0259tl\u0259rin\u0259 ciddi t\u0259sir edir. Bir çox infeksiyalar cift baryerini keç\u0259r\u0259k dölün infeksiyala\u015fmas\u0131na, h\u0259tta b\u0259tndaxili ölümün\u0259 g\u0259tirib ç\u0131xara bil\u0259r.<\/p>\n

\u018fks\u0259r hallarda yoluxmalar zaman\u0131 infeksiya döl b\u0259d\u0259nind\u0259 generalizasiya olunur, dölün neonatal sepsisl\u0259 v\u0259 pnevmaniya il\u0259 do\u011fulmas\u0131na g\u0259tirib ç\u0131xar\u0131r. Bel\u0259 hallarda dölyan\u0131 mayenin vaxt\u0131ndan \u0259vv\u0259l axmas\u0131, vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar, dölün b\u0259tndaxili inki\u015fafdan qalmas\u0131 riski yüks\u0259k olur. Hal-haz\u0131rda COV\u0130D-19-un hamil\u0259lik v\u0259 do\u011fu\u015f zaman\u0131 döl\u0259 keçm\u0259si hallar\u0131 mü\u0259yy\u0259n edilm\u0259yib, virusun dölyan\u0131 maye nümun\u0259l\u0259rind\u0259 v\u0259 ciftd\u0259 a\u015fkarlanma hallar\u0131na t\u0259sadüf olunmay\u0131b. Virusun ana südünd\u0259 a\u015fkarlanmas\u0131na t\u0259k-t\u0259k hallarda rast g\u0259linib. Do\u011fu\u015fdan sonra x\u0259st\u0259 ana v\u0259 ya yenido\u011fulmu\u015fa qulluq ed\u0259n \u015f\u0259xsl\u0259rl\u0259 s\u0131x \u0259laq\u0259 zaman\u0131 COV\u0130D-19-la neonatal infeksiyala\u015fma qeyd\u0259 al\u0131n\u0131b. Bir çox t\u0259dqiqat i\u015fl\u0259rind\u0259 hamil\u0259lik zaman\u0131 koronavirusun anadan döl\u0259 keçm\u0259si ehtimal\u0131n\u0131n az olmas\u0131 göst\u0259rilir. COV\u0130D-19-lu hamil\u0259l\u0259rd\u0259 dü\u015fükl\u0259r, dölün b\u0259tndaxili inki\u015faf l\u0259ngim\u0259si, dölün distressi, vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar qeyd olunur. Vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar özba\u015f\u0131na olub v\u0259 ya h\u0259kim t\u0259r\u0259find\u0259n ana v\u0259 döld\u0259 olan göst\u0259ri\u015fl\u0259r\u0259 \u0259sas\u0259n apar\u0131l\u0131b. Sonuncu halda hamil\u0259lik \u0259sas\u0259n c\u0259rrahi yolla ba\u015fa çatd\u0131r\u0131l\u0131b”.<\/p>\n

N.Axundovan\u0131n sözl\u0259rin\u0259 gör\u0259, n\u0259zar\u0259t etdikl\u0259ri hamil\u0259l\u0259rin bir çoxu qan\u0131n qat\u0131la\u015fmas\u0131n\u0131n artmas\u0131 s\u0259b\u0259bind\u0259n yüks\u0259k risk qrupuna aid oldu\u011fu üçün ad\u0259t\u0259n qan\u0131 durultmaq m\u0259qs\u0259dil\u0259 antiaqreqant (asetil salisil tur\u015fusu) v\u0259 antikoaqulyantlar (a\u015fa\u011f\u0131 molekul ç\u0259kili heparinl\u0259r) t\u0259yin edilir:<\/p>\n

“Bu qad\u0131nlar koronavirusa yoluxduqda, d\u0259rhal n\u0259zar\u0259t\u0259 götürülmü\u015f v\u0259 hospitalizasiya edilmi\u015fl\u0259r. Bu qad\u0131nlarda onsuz da mövcud olan hiperkoaqulyasiyan\u0131 koronavirus bir q\u0259d\u0259r art\u0131rsa da, f\u0259sadla\u015fmalar az olub. Çünki onlar laxtalanman\u0131 aradan qald\u0131rmaq üçün \u0259vv\u0259ld\u0259n müalic\u0259 al\u0131blar. Hamil\u0259 qad\u0131n onu t\u0259qib ed\u0259n komandan\u0131n: mama-ginekoloq, infeksionist, reanimatoloq, laz\u0131m g\u0259ldikd\u0259 endokrinoloqun ciddi n\u0259zar\u0259tind\u0259 olmal\u0131d\u0131r. Ümumiyy\u0259tl\u0259, bu x\u0259st\u0259liyin bir çar\u0259si var. \u0130st\u0259r hamil\u0259, ist\u0259rs\u0259 d\u0259 hamil\u0259 olmayan x\u0259st\u0259l\u0259r vaxt\u0131nda a\u015fkar olunmal\u0131, x\u0259st\u0259liyin \u015fübh\u0259li v\u0259 ehtimal olunan siptomlar\u0131na \u0259sas\u0259n diaqnozu d\u0259qiql\u0259\u015fdirm\u0259k üçün \u0259lav\u0259 laborator müayin\u0259 apar\u0131lmal\u0131d\u0131r. Diaqnoz qoyulduqdan sonra x\u0259st\u0259 n\u0259zar\u0259t\u0259 götürülm\u0259li, müalic\u0259 t\u0259dbirl\u0259rin\u0259 ba\u015flan\u0131lmal\u0131d\u0131r. Müalic\u0259y\u0259 erk\u0259n ba\u015flamaq x\u0259st\u0259nin sonradan a\u011f\u0131rla\u015fmalarla üzl\u0259\u015fm\u0259sinin qar\u015f\u0131s\u0131n\u0131 al\u0131r”.<\/p>\n","protected":false},"excerpt":{"rendered":"

Mama-ginekoloq: “Yax\u015f\u0131 olar ki, hamil\u0259lik planla\u015fd\u0131ran, yeni ail\u0259 quran cütlükl\u0259r vaksini \u0259vv\u0259lc\u0259d\u0259n vurdursunlar” \u018fhalinin koronavirusdan kütl\u0259vi qorunmas\u0131 m\u0259qs\u0259dil\u0259 dövl\u0259timizin t\u0259\u015f\u0259bbüsü il\u0259 kollektiv immunitet yaratmaq üçün geni\u015f vaksinasiya prosesi apar\u0131l\u0131r. M\u0259lumdur…<\/p>\n","protected":false},"author":1,"featured_media":251278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[94],"tags":[],"class_list":["post-127203","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musahibe"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/127203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=127203"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/127203\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/media\/251278"}],"wp:attachment":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=127203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=127203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=127203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}