Umbilikal Kordonun Fetus Boynuna Dolanmas› Nedeniyle Antenatal Fetal Kay›p
作者： Murat Yayla , Ahmet Yalinkaya , Olgu Sunumu
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摘要: OZET UMB‹L‹KAL KORDONUN FETUS BOYNUNA MULT‹PL DOLANMASI NEDEN‹YLE ANTENATAL FETAL KAYIP: OLGU SUNUMU Amac: Fetus boynuna umbilikal kordonun multipl dolanmas› nedeniyle nadir gorulen antenal fetal kay›p olgusunu incelemektir. Olgu: Gebeli¤in 37. haftas›nda, G:3, P:1, 33 yafl›ndaki olgu, fetus hareketlerinin azalmas› ve do¤um oncesi son kontrol amac› ile baflvurdu. Ultrasonografi tetkikinde oligohidramniyos, intrauterin geliflme gerili¤i mortde saptand›. Prezantasyon bafl olup, abdomeninde s›v› birikimi mevcuttu. Mevcut gebeli¤in oykusunde ikinci trimesterde 18 MoM AFP, normal kromozom bulgusu ucuncu IUGR saptanmas› d›fl›nda onemli bir ozellik yoktu. Do¤um induksiyonunu takiben 1600 g, 45 cm olculerinde k›z vajinal yolla do¤urtuldu. Umbilikal boyun etraf›nda sekiz defa doland›¤› belirlendi. Yap›lan olcumde kordon uzunlu¤u 125 boynunda genifl derin iz b›rakt›¤› gozlendi. Sonuc: Gebeliklerin az›msanmayacak oran›nda saptanabilen boyuna genelde antenatal donemde ciddi sorunlara neden olmamakla birlikte, eylem s›ras›nda komplikasyonlara yol acabilmektedir. Olgumuzda oncesinde kez dolanm›fl olmas›, nedeni olarak duflunulmufltur. Bu durumun AFP yuksekli¤ini takip etmesi kanaatimizce olguyu ilginc k›lmaktad›r. Anahtar Sozcukler: Kordon, Multipl Dolanma, Fetal kay›p.
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