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oluşuyor."]},"beginTime":211,"endTime":299,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=211&ask_summarization=1"},{"index":3,"title":"Kısırlık Nedenleri","list":{"type":"unordered","items":["Kısırlık nedenleri arasında kadının tüplerinin tıkalığı, rahimde miyom veya polip gibi anomalik problemler, yumurtlama bozuklukları ve erkek spermde sorunlar bulunuyor.","Bu nedenler çocuk olmama sebeplerinin yaklaşık %75-80'ini oluşturuyor.","Kadınlarda kısırlık daha fazla görülüyor."]},"beginTime":299,"endTime":353,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=299&ask_summarization=1"},{"index":4,"title":"Tüp Tıkalığı Tedavisi","list":{"type":"unordered","items":["Tüpler tıkalıysa önce laparoskopi ve rahim filmi yapılıyor.","Tüpler rahim içindeyse histeroskopla stent gibi bir alet yerleştirilerek %40'ı açılabiliyor.","Tüpler yumurtalığa yakın kısmından tıkalıysa (hidrosalpenks) başarı yüzdesi %20'yi geçmiyor çünkü tüplerin içi hasarlanmış oluyor."]},"beginTime":353,"endTime":424,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=353&ask_summarization=1"},{"index":5,"title":"Diğer Kısırlık Nedenleri ve Tedaviler","list":{"type":"unordered","items":["Yumurtlama bozuklukları iki türlü oluyor: kötü yumurta rezervi veya çok polikistik yumurtalık.","Erkeklerde sperm sayısı 5 milyona kadar olan durumlarda mikroenjeksiyon tekniği uygulanıyor.","Hanım yaşı 38-40'ı geçtikten sonra gebelik şansı azalıyor çünkü yumurta azalıyor, kalitesi bozuluyor ve genetik deformasyon oranı artıyor."]},"beginTime":424,"endTime":516,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=424&ask_summarization=1"},{"index":6,"title":"Tedavi Yaklaşımları","list":{"type":"unordered","items":["Rahim içinde polip varsa histeroskopla kolayca çıkarılıyor.","Tüplerin başlangıcında stent takılarak açılıyor.","Yumurtalıklarda kistler, endometriozis veya çikolata kistleri varsa ayıklanıyor ve yapışıklıklar tüplerle yumurtalık arasında ayrılıyor."]},"beginTime":516,"endTime":568,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=516&ask_summarization=1"},{"index":7,"title":"Çikolata Kisti ve Tedavisi","list":{"type":"unordered","items":["Çikolata kisti, adet sırasında endometrium tabakasının tüplerden geriye kaçarak yumurtalıklara ve rahim arkasına yerleşmesi sonucu oluşan, içi kahverengi sıvıyla dolu bir kisttir.","Çikolata kisti 5 cm'e kadar dokunulmaz, ancak çok ağrılıysa, 5 cm'i geçmişse veya tek taraflıysa ameliyatla çıkarılır.","Ameliyat laparoskopla yapılır ve yumurtalık rezervi azalmasına rağmen, 5 cm'in altında iki taraflı ve 35 yaşın altındaki kadınlar için erken menopoza sokmamak için tüp bebek programına alınır."]},"beginTime":571,"endTime":707,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=571&ask_summarization=1"},{"index":8,"title":"Sperm ve Yumurta Yolculuğu","list":{"type":"unordered","items":["Üç günlük cinsel perizi olan bir erkek ortalama 50 milyon sperm içerir ve vajinaya 250 milyon canlı sperm bırakır, ancak rahim ağzına sadece 5 milyon, tüplere ise yaklaşık 5 bin sperm ulaşır.","Sperm, vajinaya bırakıldıktan sonra tüplere ulaşma mesafesi 9-12 saat içinde olur ve saniyede milimetrik hızlarla ilerler.","Sperm, erkekte 4-5 kilometrelik bir yolla borucuklardan geçerek dışarı çıkar."]},"beginTime":707,"endTime":814,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=707&ask_summarization=1"},{"index":9,"title":"Embriyologların Rolü ve Teknolojileri","list":{"type":"unordered","items":["Embriyologlar, yumurta ve sperm laboratuvarı ulaştığı andan itibaren işin içine girer ve vücudun yaptığı eleme mekanizmasını laboratuvarda gerçekleştirmek zorundadır.","Son teknoloji, çift kırılma yöntemiyle spermin DNA'sında kitleme mekanizmasının oluşmadığı spermleri parlama ile özel filtrasyon yardımıyla seçmeyi sağlar.","Parlayan sperm, DNA bütünlüğünü en iyi koruyan ve en yüksek oranda döllenmeye ve embriyo gelişimine sebep olacak spermdir."]},"beginTime":814,"endTime":1057,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=814&ask_summarization=1"},{"index":10,"title":"Tüp Bebek Süreci","list":{"type":"unordered","items":["Tüp bebek yaparken, sperm yumurtanın içine mikroenjeksiyon yöntemiyle sokulur ve ertesi gün iki çekirdek oluşur.","Embriyo, 8-12 saat sonra üç hücreye, sonra dört hücreye, sekiz hücreye ve compaction aşamasına geçer.","Embriyo rahim içine yerleştirildiğinde, genetiği sağlam olması koşuluyla %55-60 gebelik oranı elde edilir."]},"beginTime":1057,"endTime":1184,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1057&ask_summarization=1"},{"index":11,"title":"Embriyo İmplantasyonu Süreci","list":{"type":"unordered","items":["Genetiği sağlam olan embriyolar beş günlük bir süreçte implantasyona tabi tutulur.","Embriyolar, anne ortamı gibi sterilizasyon ve hijyen koşullarında dışarıda büyütülür, böylece sağlıklı gelişim sağlanır.","Embriyoların gelişimi sırasında üç çekirdek oluşması veya kromozom anomalileri gibi sorunlar görülebilir, bu durumlar implantasyon genetik tanı ile tespit edilir."]},"beginTime":1186,"endTime":1325,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1186&ask_summarization=1"},{"index":12,"title":"Erkeklerde Sperm Sorunları","list":{"type":"unordered","items":["Türkiye'de erkeğin sperm üretememe durumu yaygın olup, tarım ilaçları, toksik ilaçlar ve sigara kullanımı gibi faktörler bu duruma sebep olmuştur.","Tarım ilaçları özellikle Doğu ve İç Anadolu'da azot spermiye neden olmuştur.","Sperm olmayan erkeklerde sperm kök hücreleri kullanılarak çocuk yapılabildiği gösterilmiştir, ancak bu hücreler her zaman sperme dönüşebilir."]},"beginTime":1325,"endTime":1579,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1325&ask_summarization=1"},{"index":13,"title":"Kısırlığa Sebep Olan Faktörler","list":{"type":"unordered","items":["Kısırlığa sebep olan faktörler arasında besinler, sigara, aşırı alkol tüketimi ve geçmiş enfeksiyonlar bulunmaktadır.","Kadınların geçirdiği yumurtalık ve rahim ameliyatları üreme cerrahisi uzmanları tarafından yapılmalıdır.","Erkekler için dar pantolonlar giymek, aşırı araba kullanmak ve sıcakta kalmak testislerin damarlarını genişletebilir, bu da varikosel gibi sorunlara yol açabilir."]},"beginTime":1579,"endTime":1698,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1579&ask_summarization=1"},{"index":14,"title":"Erken Müdahale Önemi","list":{"type":"unordered","items":["Rahim yapışıklığı gibi durumlarda zamanında müdahale önemlidir, rahim kalınlığı 7 mm'yi geçmezse implantasyon başarısız olabilir.","Erken müdahale her durumda olduğu gibi kısırlık sorunlarında da şarttır.","Yeni evlenen çiftler için erken müdahale ve uygun uzmana başvurmak önemlidir."]},"beginTime":1698,"endTime":1755,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1698&ask_summarization=1"},{"index":15,"title":"Evlilik Öncesi Kontroller","list":{"type":"unordered","items":["Evlilik öncesi çiftlerin spermogram ve AMH (anti-müllerian hormon) testleri yapılması önemlidir.","Erken menopoz veya vajina/rahim eksikliği gibi sorunlar evlilik sonrası ortaya çıkabilir.","Erkeklerde sperm sıfır olabilirken, görünüşte sağlıklı olabilirler."]},"beginTime":1761,"endTime":1834,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1761&ask_summarization=1"},{"index":16,"title":"Gebe Kalma Süreci","list":{"type":"unordered","items":["Muntazam, ağrısız ve ayda bir adet gören kadınlar ve sağlıklı erkekler bir yıl beklemelidir.","Haftada 2-3 cinsellik yaşanmalı, ancak bir yıl sonunda olmazsa doktora gidilmelidir.","Doktor rahim filmi çekmeli, yumurtalık testleri yapmalı ve erkekten sperm testi istemelidir."]},"beginTime":1834,"endTime":1889,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1834&ask_summarization=1"},{"index":17,"title":"Yaşlı Kadınlar İçin Gebe Kalma","list":{"type":"unordered","items":["Kadın yaşı 35 ve üstü için gebe kalma süresi 6 aya indirilmelidir.","38-40 yaş aralığında yumurtanın kalitesi azalır ve kadınlar kariyer hayatları nedeniyle çocuk yapmayı ertelerler.","Çocuk olmayınca kabullenememe duyguları başlayabilir ve bu bir hastalık olarak kabul edilir."]},"beginTime":1889,"endTime":2000,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=1889&ask_summarization=1"},{"index":18,"title":"Tüp Bebek Tedavisi","list":{"type":"unordered","items":["Tüp bebek ilk defa 1978'de Louis Brown'un doğmasıyla başlamıştır.","Robert Edwards, Nobel Ödülü'nü almış ve 30 yıl boyunca koyunlarda, farelerde ve insanlarda çalışarak yumurtlama mekanizmalarını keşfetmiştir.","Tüp bebek marketinde trilyon dolarlar varken, bilim adamları mütevazı bir yaşamla yaşamışlardır."]},"beginTime":2000,"endTime":2154,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2000&ask_summarization=1"},{"index":19,"title":"Tüp Bebek Başarısı ve Riskler","list":{"type":"unordered","items":["1985'te tüp bebek başarı oranı %10 iken, teknoloji gelişimiyle %55-60'lara ulaşmıştır.","Tüp bebek deneme süresi 20 gün olup, 20 gün ara verilerek devam edebilir.","Klomifen sitrat gibi ilaçlar 6 aydan fazla kullanıldığında yumurtalık kanserinin öncülüğü riski olabilir, ancak tüp bebek tedavisi sırasında kullanılan yumurtlatmalerin kanser yaptığına dair belirti çıkmamıştır."]},"beginTime":2154,"endTime":2305,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2154&ask_summarization=1"},{"index":20,"title":"Tüp Bebek Tedavisi ve Yumurtalık Rezervi","list":{"type":"unordered","items":["Yaşlı çiftler ilk bebeklerini tüp bebek yöntemiyle dünyaya getiriyor ve bu durum çok sık görülen bir durum.","Semra Hanım'ın çiftinde yumurtalık rezervi az olduğu için üç defa genetik test yapıldı, ancak tüm embriyolar bozuk çıktı.","Çift üç kez daha genetik test yaptırdı, embriyoları dondurdu ve bir tane sağlam embriyo verildi, böylece bir yaşında bir kız bebek doğdu."]},"beginTime":2313,"endTime":2426,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2313&ask_summarization=1"},{"index":21,"title":"Yumurtalık Rezervi Ölçümü","list":{"type":"unordered","items":["Yumurtalık rezervi, AMH (Anti-Müller Hormon) testi ve ultrason ile ölçülür.","Ultrasonda yumurtalıkta 5-10 arasında folikül (yumurta içeren sıvı yapılar) olması iyi bir sayıdır.","FSH hormonu 12'nin altında, AMH hormonu 1,20-3,94 aralığında ise kadın 35 yaşına kadar çocuk sahibi olabilir."]},"beginTime":2426,"endTime":2525,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2426&ask_summarization=1"},{"index":22,"title":"Yumurta Dondurma Teknolojisi","list":{"type":"unordered","items":["Sağlık Bakanlığı ve Üreme Tıbbı Cerrahi Derneği'nin çabalarıyla Türkiye'de yumurta dondurma işlemi başlatılmıştır.","40 yaşındaki bir kadın yumurtalarını dondurmuş, 2 yıl sonra evlenmiş ve dondurulan yumurtaları kullanarak gebe kalmıştır.","Yumurta dondurma işlemi yasal olarak kişi kendi iradesiyle yapabilir, ancak heyet raporu gereklidir."]},"beginTime":2525,"endTime":2663,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2525&ask_summarization=1"},{"index":23,"title":"Spermik Erkekler İçin Umut","list":{"type":"unordered","items":["Spermik erkekler için testis dokusundan alınan spermlerin kromozomları 46'dan 23'e düşerek iyi spermler haline gelmektedir.","Bu spermler mikroenjeksiyon ve elektrik akımı ile olgunlaşıp embriyoyu dölleyebilmektedir.","Spermi olan erkeklerin eşlerinin yumurtalarının dondurulma izni talep edilecektir."]},"beginTime":2663,"endTime":2741,"href":"/video/preview/5645322140380021573?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2663&ask_summarization=1"},{"index":24,"title":"Yumurta Dondurma İşlemi","list":{"type":"unordered","items":["Yumurta dondurma işlemi, yumurta toplanmasından sonraki 2 saat içinde gerçekleşir.","Yumurtaların temizliği ve dışarıdaki hücrelerinden arındırılması işlemi 11-18 gün sürer.","Hastalar kendi kendilerine insülin iğnesi gibi küçük iğnelerle her gün iğne 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İki embriyo verilmesi gebelik oranını artırır mı? 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Prof. Dr. Recai Pabuçcu ve Embriyolog Semra Sertyel #tüpbebek tedavisinde uygulanan yeni yöntemlerin başarı oranlarını nasıl etkilediğini anlatıyor.","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/1013096/f04f7ddd43ba2f9105f5aea4a1f55f0f/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/DAOORgAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"3","reqid":"1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=videoid:75112188984938791","teaser":[{"list":{"type":"unordered","items":["Bu video, bir röportaj formatında olup, Profesör Doktor Recai Papuçu ve Embriyolog Semra Sert Yel ile yapılan bir sohbeti içermektedir. Konuşmacılar, tüp bebek tedavisinde uygulanan yeni yöntemleri ve bunların sonuçlarını anlatmaktadır.","Video, tüp bebek tedavisinde kullanılan yeni teknolojileri detaylı şekilde ele almaktadır. Profesör Papuçu, sperm DNA hasar testi, mikro çip yöntemi, çift kırılma testi ve mikroenjeksiyon tekniği gibi yeni yöntemleri açıklamaktadır. Ayrıca, 40 yaş üstü kadınlarda uygulanan genetik tahlil teknikleri ve azo spermik hastalarda sperm bulma yöntemleri de anlatılmaktadır. Video, bu yeni yöntemlerin gebelik oranlarını nasıl artırdığını ve kısırlık tedavisinde yeni şanslar sunduğunu vurgulamaktadır."]},"endTime":363,"title":"Tüp Bebek Tedavisinde Yeni Yöntemler","beginTime":0}],"fullResult":[{"index":0,"title":"Tüp Bebek Tedavisinde Yeni Yöntemler","list":{"type":"unordered","items":["Çocuk sahibi olmak herkesin rüyası olsa da bazen bu süreç kolay olmuyor ve tüp bebek tedavisi devreye giriyor.","Son dönemde gelişen teknolojilerle çocuk sahibi olmak daha kolaylaştı ve ihtimaller arttı.","Tüp bebek tedavisinde kullanılan yeni yöntemler, bazı hastalarda sonuç vermeyen tedavilere çözüm sunuyor."]},"beginTime":2,"endTime":60,"href":"/video/preview/75112188984938791?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=2&ask_summarization=1"},{"index":1,"title":"Klasik Tüp Bebek Yöntemi ve Yeni Gelişmeler","list":{"type":"unordered","items":["Klasik tüp bebek yönteminde yumurtayla sperm döllenir, dördüncü gün morula, beşinci günde blastokist aşamasına gelir.","Bazı hastalarda bu aşamalara geçememe veya kaliteli embriyo oluşmama sorunu yaşanabiliyor.","Son zamanlarda sperm DNA hasar testi yapılarak, hasar varsa antioksidan tedaviler veriliyor veya iğne ile tesa yöntemiyle sperm alınıyor."]},"beginTime":60,"endTime":114,"href":"/video/preview/75112188984938791?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=60&ask_summarization=1"},{"index":2,"title":"Mikro Çip ve İMSI Tekniği","list":{"type":"unordered","items":["Alınan spermler mikro çip denilen manyetik alandan geçiriliyor ve yüzen spermler embriyologlar tarafından toplanıyor.","Bu spermlere imsi yapılıyor, 8000-1600 büyütme altında büyütülüyor ve çift kırılma testi yapılıyor.","En kaliteli sperm mikroenjeksiyon tekniği ile yumurtanın içine yerleştirildikten sonra elde edilen beşinci gün blastokist statüsler daha kaliteli oluyor ve gebelik sonuçları %15-20 daha artıyor."]},"beginTime":114,"endTime":159,"href":"/video/preview/75112188984938791?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=114&ask_summarization=1"},{"index":3,"title":"Yaşlı Kadınlar İçin Özel Yöntemler","list":{"type":"unordered","items":["Evlilik yaşının gecikmesine bağlı olarak 40-45 yaş arası kadınlar tüp bebek tedavisine başvuruyor.","Bu kadınların yumurtaları zayıf ve içindeki genetik problem ağır olabiliyor.","Özel yumurtlama yöntemleri ile yumurtalar alınıp mikroenjeksiyon yapılarak beşinci güne getiriliyor ve plasenta biyopsisi alınarak genetik tahlil yapılıyor."]},"beginTime":159,"endTime":202,"href":"/video/preview/75112188984938791?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=159&ask_summarization=1"},{"index":4,"title":"Genetik Tahlil ve Gebelik Sonuçları","list":{"type":"unordered","items":["Yeni kuşak jenerasyon genetik tahlillerle (ne generation sekanslama tekniği) bütün kromozomlar inceleniyor.","Embriyo dondurulup, kromozom sonuçları olumluysa bir ay veya iki ay sonra ağızdan ilaç vererek rahim içine transfer ediliyor.","Bu yöntemle %67-70 gibi gebelik sonuçları elde ediliyor."]},"beginTime":202,"endTime":233,"href":"/video/preview/75112188984938791?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=202&ask_summarization=1"},{"index":5,"title":"Azo Spermik Hastalar İçin Çözüm","list":{"type":"unordered","items":["Azo spermik hastalarda sperm bulunamıyor ve bu durumda hastalar önemli bir üreme dönemini boş yere geçirmiş oluyorlar.","Erkeklerin %30'luk bir kısmında çok küçük bir lokalize alanda sperm üretimi var ve bu sperm ayrıntılı analizlerle bulunabilmekte.","Bu sperm dondurulup havuzlanabilmekte ve hastaya hiç olmadık bir şans 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Ardından kötü embriyo durumunda endometrial kokültür (suni rahim) tedavisi, polikistik over hastalarında AMH düzeylerine göre tedavi seçenekleri anlatılıyor. Son olarak, iyi embriyo elde edilmesine rağmen gebelik yapılamadığında rahim içi sorunların (yapışıklık, polip, miyom) histeroskopla tespit edilmesi ve tedavisi hakkında bilgi veriliyor."]},"endTime":190,"title":"Tüp Bebek Başarısızlıklarında Başarı Artırma Yöntemleri","beginTime":0}],"fullResult":[{"index":0,"title":"Tüp Bebek Başarısızlıklarının Nedenleri","list":{"type":"unordered","items":["Tüp bebek başarısını etkileyen en önemli faktör embriyonun kalitesidir.","Kaliteli embriyolar üç gün sekiz hücreli veya beş gün blastokist dönemine ulaşmış olmalıdır.","Gününden geri embriyo, içinde parçalar olan, gelişmesi geri kalmış veya yapısı bozuk embriyolar gelişmeyen embriyolardır."]},"beginTime":0,"endTime":52,"href":"/video/preview/1144126028373781033?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=0&ask_summarization=1"},{"index":1,"title":"Kötü Embriyo Durumunda Tedavi Yöntemleri","list":{"type":"unordered","items":["Kötü embriyo durumunda bir sonraki uygulamada endometrial kokültür (suni rahim) tedavisi uygulanabilir.","Adetin 20-21. günlerinde rahimden alınan küçük parça ve kan serumu ayrıştırılarak rahim içi ortama benzeyen bir ortam hazırlanır.","Bu ortam dondurulup bir sonraki uygulamada çözülerek embriyo veya yumurta döllenme işlemi yapıldıktan sonra bu ortama konulursa %30-40 daha iyi embriyo elde edilebilir."]},"beginTime":52,"endTime":117,"href":"/video/preview/1144126028373781033?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=52&ask_summarization=1"},{"index":2,"title":"Polikistik Ovaryum Hastalarında Tedavi","list":{"type":"unordered","items":["Polikistik over gruplarında bazen kötü embriyolar elde edilebilir.","AMH düzeyleri 4, 5, 8 veya 10 üzerinde olan hastalarda yumurtalıklarına delik açarak daha kaliteli embriyo elde etme şansı vardır."]},"beginTime":117,"endTime":144,"href":"/video/preview/1144126028373781033?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=117&ask_summarization=1"},{"index":3,"title":"İyi Embriyo Elde Edilip Gebelik Yapılmadığında","list":{"type":"unordered","items":["İyi embriyo elde edilip gebelik yapılmadığında rahim içine bakılarak histeroskopla yapışıklık, polip, miyom veya doğuştan küçük bölme olup olmadığı kontrol edilmelidir.","Yaklaşık iki defa iyi embriyo verip başarı elde edilememiş gebeliklerin %20'sinde histeroskopla bu problemler bulunabilir.","Histeroskopla yapılan işlem anesteziye gereksinim olmayan, 10-15 dakikalık basit bir işlemdir ve tüm tüp bebek kliniklerinde mevcuttur."]},"beginTime":144,"endTime":188,"href":"/video/preview/1144126028373781033?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=144&ask_summarization=1"}],"linkTemplate":"/video/preview/1144126028373781033?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Prof. Dr. Recai Pabuçcu - 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Uzman, pandemi başlangıcında alınan kısıtlamaların ardından tedavilerin devamlılık prensibiyle devam ettiğini, merkezde herhangi bir COVID-19 vakası saptanmadığını ve tedavinin başarısında herhangi bir olumsuz etki olmadığını belirtiyor. Ayrıca, tedavinin ertelenmesinin önerilmediğini, özellikle yumurta rezervi az olan hastalarda tedavinin ertelenmesinin tedavi başarısını düşüreceğini vurguluyor. Video, anne-baba adaylarının pandemi sürecinde dikkat etmesi gereken hususları da açıklıyor."]},"endTime":248,"title":"Koronavirüs Pandemisi Sürecinde Tüp Bebek Tedavisi","beginTime":0}],"fullResult":[{"index":0,"title":"Pandemi Sürecinde Tüp Bebek Tedavisi","list":{"type":"unordered","items":["Pandemi süreci zorlu geçti ve henüz aşı veya tedavi gündemde olmadığı için bu virüsle yaşamaya devam edeceğiz.","Tüp bebek tedavilerinde sorun, aksama veya başarı düşüşü yaşanmadı.","Pandemi başlangıcında kısıtlamalar alındı ancak kısıtlamaların gevşemesiyle tedavilerde devamlılık prensibi uygulandı."]},"beginTime":0,"endTime":64,"href":"/video/preview/16372362319207155502?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=0&ask_summarization=1"},{"index":1,"title":"Virüs Bulaşması ve Tedavi Başarısı","list":{"type":"unordered","items":["Merkezde tüp bebek tedavisi görmüş çiftlerde corona virüsü enfeksiyonu saptanmadı.","Hastalar arasında COVID-19 pozitif tanısı alanlar oldu ancak sağlık çalışanları bulaşmadı.","Koronavirüs pandemisi sürecinde tüp bebek tedavisinde aksama olmadan hizmet devam etmektedir."]},"beginTime":64,"endTime":126,"href":"/video/preview/16372362319207155502?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=64&ask_summarization=1"},{"index":2,"title":"Tedavi Başarısı ve Ertelenme","list":{"type":"unordered","items":["Virüs tüp bebek tedavisi sürecine olumsuz katkıda bulunmamıştır.","Şu anda tüp bebek tedavisini erteleme önerilmiyor.","Yumurta rezervi az olan gruplarda tedavinin ertelenmesi tedavi başarısını düşürecek ve yumurta rezervini sıkıntıya sokacaktır."]},"beginTime":126,"endTime":200,"href":"/video/preview/16372362319207155502?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=126&ask_summarization=1"},{"index":3,"title":"Anne Baba Adaylarının Dikkat Edilmesi Gerekenler","list":{"type":"unordered","items":["İlgili bakanlık, otorite ve hekimlerin önerileri doğrultusunda hareket edilmeli.","Maske, mesafe ve hijyen konularına dikkat edilmeli.","Tüp bebek merkezindeki sağlık personelinin talimatları doğrultusunda uygun randevu saatinde ve kurallara uymak koşuluyla tedavi süreci başlatılabilir."]},"beginTime":200,"endTime":237,"href":"/video/preview/16372362319207155502?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=200&ask_summarization=1"}],"linkTemplate":"/video/preview/16372362319207155502?parent-reqid=1765324051403559-6538387734682745432-balancer-l7leveler-kubr-yp-klg-144-BAL&text=Centrum+T%C3%BCp+Bebek+TV&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Covid-19 Sürecinde Tüp bebek | DOÇ. 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