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Ardından erkek kısırlığının nedenleri (inmemiş testis, varikosel, sperm yetmezliği) anlatılıyor. Üroloji uzmanının değerlendirme süreci, fizik muayene, kan testleri ve genetik incelemeler detaylı olarak açıklanıyor. Son bölümde azoospermi teşhisi, sebepleri (tıkanıklık veya üretim bozukluğu) ve tedavi yöntemleri (mikrotese yöntemi, hormon tedavisi) ele alınıyor."]},"endTime":269,"title":"Erkek Kısırlığı ve Azoospermi Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Erkek Kısırlığı İstatistikleri ve Nedenleri","list":{"type":"unordered","items":["Evli çiftlerin yaklaşık %15'inde kısırlık problemi görülmektedir.","Bu çiftlerin yaklaşık yarısında erkekle ilgili problemlerle karşılaşılmaktadır.","Erkek kısırlığının nedenleri doğuştan olan nedenler (inmemiş testis, varikosel) ve sonradan olan nedenler olmak üzere iki kısımda toplanabilir."]},"beginTime":5,"endTime":66,"href":"/video/preview/14662279370980341101?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=5&ask_summarization=1"},{"index":1,"title":"Erkek Kısırlığı Değerlendirmesi","list":{"type":"unordered","items":["Erkek kısırlığı durumunda 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Dr. Emre Bakırcıoğlu ile yapılan bir röportajdır. Programda sunucu, Dr. Bakırcıoğlu'na erkek kısırlığı ve çocuk sahibi olma yaşları hakkında sorular sormaktadır.","Video, erkek kısırlığının nedenleri, sperm üretimini etkileyen faktörler ve tedavi yöntemleri üzerine odaklanmaktadır. İçerikte Türkiye'deki erkek kısırlığı iddiaları, ileri yaşta çocuk sahibi olmanın riskleri, çocukluk hastalıkları, genetik faktörler, inmemiş testisler ve radyasyona maruz kalmanın sperm üretimi üzerindeki etkileri ele alınmaktadır.","Ayrıca sperm analizi, azospermi, mikrotese ve TSE operasyonları gibi tedavi yöntemleri, sperm dondurma teknikleri ve beslenme-yaşam tarzının sperm kalitesine etkisi hakkında detaylı bilgiler verilmektedir. Video, izleyicilerden gelen sorulara da yanıt verilerek ilerlemektedir."]},"endTime":1949,"title":"Erkek Kısırlığı ve Tedavi Yöntemleri Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Erkek Kısırlığı Hakkında Gerçekler","list":{"type":"unordered","items":["Son on yılda basında sıkça \"erkekler giderek kısırlaşıyor\" diye haberler çıkıyor ve genç erkekler evlilikten önce test yaptırmaya başladılar.","Türkiye'de erkek kısırlığı konusunda bilimsel kanıtlar yok, ancak Dünya Sağlık Örgütü'nün 2010 yılında yayınladığı manuelde sperm sayılarının mililitrede 20 milyondan 15 milyona düşürüldüğü belirtiliyor.","Bu çalışma 8 ülkeden alınan 400-1901 yıl içerisinde eşi gebe kalmış olan erkeklerden alınan örneklerin ortalamasıdır ve sperm sayısı 15 milyonun altında olduğu zaman bir erkek çocuk sahibi olamaz demek doğru 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orantılıdır."]},"beginTime":135,"endTime":242,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=135&ask_summarization=1"},{"index":2,"title":"Çocuk Sahibi Olma Yaşları","list":{"type":"unordered","items":["İnsanların çocuk sahibi olma yaşları ilerliyor ve bu önemli bir faktör.","Erkekler için de çocuk sahibi olma yaşları önemli; erken yaşta çocuk sahibi olmak birtakım defektleri getirebiliyor.","Geç yaşta çocuk sahibi olmanın bilimsel olarak ispat edilmiş otizm, şizofreni veya birtakım kalıtsal hastalıkları geçirme riskinin arttığı bilinmektedir."]},"beginTime":242,"endTime":354,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=242&ask_summarization=1"},{"index":3,"title":"Genetik Mutasyonlar ve Çocuk Sahibi Olma","list":{"type":"unordered","items":["Genlerimiz kuşaktan kuşağa geçerken bir takım başkalaşımlara (mutasyonlara) uğruyorlar.","Erken yaşta çocuk sahibi olanlarda ve ileri yaşta çocuk sahibi olanlarda genetik mutasyonların arttığı yapılan çalışmalarla gösterilmiş.","Çocuk sahibi olma yaşlarını geçirmemek gerekiyor."]},"beginTime":354,"endTime":450,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=354&ask_summarization=1"},{"index":4,"title":"Sperm Azlığı ve Nedenleri","list":{"type":"unordered","items":["Sperm azlığına yol açan sebepleri tek tek araştırmak gerekiyor ve bir erkeği değerlendirirken ilk başta özgeçmişi ile başlamak gerekiyor.","Çocukluk çağında bir erkeğin geçirdiği inmemiş testis hadisesidir; bir yaşından önce doğumda testislerin torbada olması gerekirken bu olmaması durumunda kanalda kalması veya vücut içerisinde kalması durumunda inmemiş testis olarak adlandırılır.","İnmemiş testis bir yaşına kadar mutlaka yerine indirilmeli, aksi takdirde ileri yaşlarda testisin gelişimi ile ilgili problemler ve sperm üretimi ile ilgili problemler başlayabilir."]},"beginTime":450,"endTime":577,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=450&ask_summarization=1"},{"index":5,"title":"Sperm Üretimini Etkileyen Faktörler","list":{"type":"unordered","items":["Çocukluk çağında geçirilen kanser vakaları, lösemi ve Hoçkin lenfoma gibi hastalıklar sperm üretimi üzerine geçici etki yapabilir.","Erişkinlerde yüksek ateşli hastalık geçirmek veya sıcak ortama maruz kalmak sperm sayılarını düşürebilir, ancak bu durum ortamdan uzaklaşıldığında normale dönebilir.","Sperm üretimini bozan en önemli sebeplerden biri genetiktir; anne ve babadan gelen genlerin etkileşimi çocukta infertilite gibi durumlara yol açabilir."]},"beginTime":579,"endTime":647,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=579&ask_summarization=1"},{"index":6,"title":"Kromozom Bozuklukları ve Çocuk Sahibi Olma","list":{"type":"unordered","items":["En sık görülen kromozom yapısı ile ilgili bozukluklardan biri Klinefelter sendromudur (47 XXY), bu durumda testislerin gelişimiyle ilgili problem ve sperm sayılarının sıfır olması (azospermi) görülür.","Klinefelter sendromuna sahip erkeklerde mikrotese yöntemi ile testisten sperm elde edilerek mikroenjeksiyon yöntemiyle çocuk sahibi olunabilir.","Günümüzde bu erkeklerin en az %50'sinin çocuk sahibi olabileceği bilinmektedir."]},"beginTime":647,"endTime":807,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=647&ask_summarization=1"},{"index":7,"title":"İnmemiş Testis ve Kanser Riski","list":{"type":"unordered","items":["İnmemiş testis normal yerine indirilse bile testis kanseri görülme riski normal popülasyona göre yüksektir.","İnmemiş testis olan erkeklerin yaşamları boyunca bu riski taşıyacaklarını bilmesi gerekir ve testislerinde ağrısız büyüme veya sert kitle hissedildiğinde hemen üroa müracaat etmeleri gerekir.","İnmemiş testis durumunda ultrasonla en az senede bir defa testislerin görüntülenmesi mümkündür."]},"beginTime":807,"endTime":875,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=807&ask_summarization=1"},{"index":8,"title":"İnmemiş Testis ve Sperm Üretimi","list":{"type":"unordered","items":["İnmemiş testis durumunda testosteron hormonu salgılanmaz, bu nedenle hastalar ömür boyu testosteron hormonu dışarıdan verilmesi durumunda kalabilir.","İnmemiş testis durumunda sperm üretimi açısından sıkıntılı olabilir çünkü testis dokusu vücut sıcaklığında olduğu için sperm üretimi normal vücut sıcaklığından daha düşük olur.","İnmemiş testis durumunda sperm bulma açısından testis dokusunda oldukça az şans olabilir."]},"beginTime":875,"endTime":938,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=875&ask_summarization=1"},{"index":9,"title":"Teknoloji ve Sperm Üretimi","list":{"type":"unordered","items":["Dizüstü bilgisayarların ısınması testislerin ısınmasına neden olabilir.","Cep telefonlarına maruz bırakılmış spermler laboratuvar ortamında hareketliliğini ve canlılığını kaybedebilir.","Uzun zamandır kullandığımız gereçler olduğu için kısırlıkla ilgili net bilimsel veriler henüz derlenmiş değildir."]},"beginTime":938,"endTime":1053,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=938&ask_summarization=1"},{"index":10,"title":"Spor ve Sperm Üretimi","list":{"type":"unordered","items":["Sporcular kas kütlesini, dayanıklılığını ve gücünü artırmak için testosteron gibi androjenler kullanabilirler.","Dışarıdan verilen testosteron, kadınlarda kullanılan doğum kontrol haplarının yaptığı etkiyi yapar ve sperm sayısını sıfıra düşürebilir.","Testosteron kullanımı bırakıldığında sperm sayıları yavaş yavaş geri dönebilir."]},"beginTime":1053,"endTime":1132,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1053&ask_summarization=1"},{"index":11,"title":"Sperm Testleri ve Sağlık Bakımı","list":{"type":"unordered","items":["Sperm analizi yaparak spermle ilgili sayısal, hareket ve morfolojik problemler tespit edilebilir.","Şüpheler varsa ürologun muayenesi ve gerekli testlerin yapılması gerekebilir.","Erkeklerin hayat boyu bir ürologla görüşmesi önemlidir, ancak erkekler genellikle sağlık konusunda kendilerine daha az dikkat ederler."]},"beginTime":1132,"endTime":1223,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1132&ask_summarization=1"},{"index":12,"title":"Semen Analizi ve Sperm Özellikleri","list":{"type":"unordered","items":["Semen analizi mutlaka bir ürolog tarafından değerlendirilmeli ve spermin morfolojik özellikleri, yapısal durumu ve hareketliliği incelenmelidir.","Sperm sayısının normal değerlerin altında olması çocuk sahibi olunamayacağı anlamına gelmez, ancak nedenlerin araştırılması gerekir.","Bitkisel karışımlar ve vitaminler sperm sayısını artırmaya yönelik bilimsel kanıtlar bulunmamaktadır."]},"beginTime":1239,"endTime":1300,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1239&ask_summarization=1"},{"index":13,"title":"Beslenme ve Erkek Sağlığı","list":{"type":"unordered","items":["Beslenme, sigara ve alkol gibi sağlığa zararlı maddelerin kullanımı sperm sayısını etkileyebilir.","Bilimsel çalışmalar antioksidanların gebelik oranlarını artırdığını göstermiştir, ancak bu istatistiksel olarak çok anlamlı değildir.","Erkeklerin düzenli beslenmeleri, sebze ve meyve tüketmeleri, kilolarına dikkat etmeleri ve spor yapmaları önemlidir."]},"beginTime":1300,"endTime":1455,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1300&ask_summarization=1"},{"index":14,"title":"Azospermi ve Tedavisi","list":{"type":"unordered","items":["Azospermi, sperm analizinde santrifüj edildikten sonra hiç sperm hücre görülmemesi durumudur.","Azosperminin tek bir nedeni yoktur, çeşitli sebepler olabilir ve bunların araştırılması gerekir.","Gonodotropinlerin (FSH ve LH) azlığı durumunda ilaç tedavisi uygulanabilir ve sperm dışarı çıkabilir."]},"beginTime":1455,"endTime":1561,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1455&ask_summarization=1"},{"index":15,"title":"Sperm Çıkmamasının Nedenleri","list":{"type":"unordered","items":["Sperm çıkmamasının nedenleri arasında genetik problemler, üretim bozuklukları ve nedeni tam olarak açıklanamayan sorunlar olabilir.","Yaklaşık yarı yarıya sperm çıkmamasının nedeni tıkanıklık veya kanalların doğuştan olmamasıdır.","Testis içerisinde sperm üretimi olmasına rağmen kanalların doğuştan olmaması veya zaman içinde tıkanıklık oluşması spermlerin dışarı çıkmasını engelleyebilir."]},"beginTime":1561,"endTime":1620,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1561&ask_summarization=1"},{"index":16,"title":"Epilepsi İlaçları ve Libido","list":{"type":"unordered","items":["Epilepsi ilaçları ve antidepresanlar libido azalması gibi yan etkileri olabilir.","İlaçların kullanım süresi ve doz ayarlaması doktorların tavsiyesi üzerine yapılmalıdır.","İlaçların yan etkileri olabilir, ancak faydalanımları göz önünde bulundurulduğunda tedavi devam ettirilebilir."]},"beginTime":1620,"endTime":1704,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1620&ask_summarization=1"},{"index":17,"title":"Mikrotese ve TSE Operasyonları","list":{"type":"unordered","items":["Mikrotese ve TSE (testisten sperm elde etme) yöntemleri, üretim bozukluğu olan erkeklerde sperm üretimi olup olmadığını tespit etmek için kullanılır.","Mikroskop eşliğinde yapılan mikrotese yöntemi, rastgele örnek almak yerine sperm üreten kanalları inceleyerek daha isabetli sperm bulma ihtimallerini artırır.","Mikroskop aracılığıyla bulunan spermler dondurulup saklanabilir, böylece birden fazla deneme şansı sağlanabilir."]},"beginTime":1704,"endTime":1805,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1704&ask_summarization=1"},{"index":18,"title":"Sperm Dondurma ve Tüp Bebek","list":{"type":"unordered","items":["Testis spermleri hareket kabiliyeti daha az olan spermlerdir ve işlem günü mümkünse taze kullanılır.","Testisten elde edilen spermlerin %80-90'ı canlıdır, ancak dondurulup çözüldükten sonra bir kısmı ölebilir.","Dondurma ve çözme sonrasında hareketli sperm görülürse, bu spermler taze olanlar gibi işlev görür ve birkaç sperm bulunup birkaç yumurta döllenerek çocuk sahibi olunabilir."]},"beginTime":1805,"endTime":1948,"href":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=1805&ask_summarization=1"}],"linkTemplate":"/video/preview/17494095093872597091?parent-reqid=1765298568728176-12188170485301309484-balancer-l7leveler-kubr-yp-sas-200-BAL&text=Dr.Bak%C4%B1rc%C4%B1o%C4%9Flu&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Doç. 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