{"id":8058,"date":"2016-11-16T13:22:27","date_gmt":"2016-11-16T11:22:27","guid":{"rendered":"https:\/\/w3.bilkent.edu.tr\/tr\/?page_id=8058"},"modified":"2016-11-16T13:22:27","modified_gmt":"2016-11-16T11:22:27","slug":"gebeligi-onleyici-haplar","status":"publish","type":"page","link":"https:\/\/w3.bilkent.edu.tr\/tr\/saglik-merkezi\/genclik-danisma-birimi\/ureme-sagligi\/gebeligi-onleyici-haplar\/","title":{"rendered":"Gebeli\u011fi \u00d6nleyici Haplar"},"content":{"rendered":"<p>Haplar\u0131n i\u00e7inde gebeli\u011fi \u00f6nleyici sentetik hormonlar bulunur. Haplar\u0131n geri d\u00f6n\u00fc\u015fl\u00fc olan etkileri uygulama b\u0131rak\u0131ld\u0131\u011f\u0131nda ortadan kalkar. Yayg\u0131n olarak kullan\u0131lan haplarda d\u00fc\u015f\u00fck dozda progestin ve \u00f6strojen birlikte bulunur. Bu hormonlar normalde de kad\u0131n v\u00fccudunda bulunan hormonlar\u0131n benzerleridir. Yaln\u0131zca ritmik do\u011fal dalgalanmalar\u0131 yerine, hep ayn\u0131 d\u00fczeyde hormon sa\u011flayarak gebelik i\u00e7in elveri\u015fli ortam\u0131n olu\u015fmas\u0131n\u0131 \u00f6nlerler.<\/p>\n<p><strong>Haplar Gebeli\u011fi Nas\u0131l \u00d6nler?\u00a0\u00a0<\/strong><\/p>\n<ul>\n<li>Haplar\u0131n,<\/li>\n<li>Ana etkileri kad\u0131nda yumurtlamay\u0131 (ov\u00fclasyon) bask\u0131lamakt\u0131r,<\/li>\n<li>Rahim a\u011fz\u0131nda do\u011fal olarak bulunan salg\u0131y\u0131 spermlerin ge\u00e7i\u015fini g\u00fc\u00e7le\u015ftirecek \u015fekilde \u00a0\u00a0 kal\u0131nla\u015ft\u0131r\u0131c\u0131 etkileri de vard\u0131r,<\/li>\n<li>Di\u011fer bir etkileri rahmin i\u00e7 duvar\u0131nda, d\u00f6llenmi\u015f yumurtan\u0131n i\u00e7ine yerle\u015ferek geli\u015febilece\u011fidokuyu incelterek yumurtan\u0131n yerle\u015fmesine elveri\u015fsiz hale getirmektir.<\/li>\n<\/ul>\n<p><strong>Haplar Etkili Bir Korunma Sa\u011flar m\u0131?<\/strong><\/p>\n<ul>\n<li>Haplar kurallar\u0131na uygun kullan\u0131ld\u0131klar\u0131nda \u00e7ok etkilidirler. Ancak unutulduklar\u0131nda\u00a0 etkileri azal\u0131r. <u>\u00a0<\/u><\/li>\n<\/ul>\n<p><strong>Koruyucu Haplar Nas\u0131l Kullan\u0131l\u0131r?\u00a0<\/strong><\/p>\n<p>Haplar\u0131n ba\u015flar ba\u015flamaz etkili olabilmesi i\u00e7in tercihen adetin ilk g\u00fcn\u00fcnde, en ge\u00e7 ilk be\u015f g\u00fcn i\u00e7inde kullan\u0131lmaya ba\u015flanmas\u0131 gerekir. \u0130li\u015fki olsun ya da olmas\u0131n her g\u00fcn bir hap i\u00e7ilmelidir. Baz\u0131 kutular\u0131n i\u00e7inde 21 hap, baz\u0131lar\u0131nda ise 28 hap vard\u0131r. 28\u2019lik kutulardaki ilk 21 hap hormon, son 7 hap ise kans\u0131zl\u0131\u011f\u0131 \u00f6nlemek ve ara verilmesi gereken g\u00fcnleri hat\u0131rlatmak amac\u0131yla demir i\u00e7erir. 28\u2019lik haplar i\u00e7ilirken bir kutu bitti\u011finde hemen ikinci kutuya ba\u015flanmal\u0131d\u0131r. 21\u2019lik kutu bitti\u011finde yeni kutuya ba\u015flamak i\u00e7in yedi g\u00fcn ara verilmelidir. Haplar unutulmadan her g\u00fcn ayn\u0131 saatte al\u0131nmal\u0131d\u0131r.<\/p>\n<p><strong>UNUTULURSA<\/strong><\/p>\n<p><strong>Bir hap i\u00e7in;<\/strong><\/p>\n<ul>\n<li>Ka\u00e7\u0131nc\u0131 hap oldu\u011funa bakmaks\u0131z\u0131n unuttu\u011funuz hap\u0131 hat\u0131rlad\u0131\u011f\u0131n\u0131zda hemen i\u00e7in ve\u00a0 g\u00fcn\u00fcn hap\u0131 dahil di\u011ferlerini her g\u00fcn almaya devam edin.<\/li>\n<\/ul>\n<p><strong>Birden fazla hap i\u00e7in;<\/strong><\/p>\n<ul>\n<li>Unuttu\u011funuz haplardan birini hemen al\u0131n, di\u011ferlerini paketten at\u0131n, kalanlar\u0131 her g\u00fcn almaya devam edin.<\/li>\n<li>Unutulan haplar 2 &#8211; 4 adet ve ilk yedi g\u00fcn\u00fcn haplar\u0131ndansa yedi g\u00fcn s\u00fcreyle ek olarak bir bariyer y\u00f6ntemle gebelikten korunun. Bu arada cinsel ili\u015fkide bulunduysan\u0131z cinsel ili\u015fki sonras\u0131 korunma uygulaman\u0131z gerekir.<\/li>\n<li>Yedi g\u00fcnl\u00fck ek korunma, hangi g\u00fcnlerde oldu\u011funa bak\u0131lmaks\u0131z\u0131n be\u015f ya da daha fazla hormon i\u00e7eren hap unutuldu\u011funda da gereklidir. Bu durumda hap i\u00e7meyi unuttu\u011funuz g\u00fcnlerde cinsel ili\u015fkide bulunduysan\u0131z cinsel ili\u015fki sonras\u0131 korunma uygulaman\u0131z gerekir.<\/li>\n<li>Be\u015f ya da daha fazla hap unutulmas\u0131 halinde ya da unutulan haplar daha az say\u0131da ancak 14-21. g\u00fcn\u00fcn haplar\u0131ndansa ara vermeden yeni bir pakete ba\u015flamal\u0131s\u0131n\u0131z. Bu durumda 28 hapl\u0131k paketlerden kullan\u0131yorsan\u0131z, hormon i\u00e7ermediklerinden son yedi hap\u0131 atarak yeni pakete ba\u015flaman\u0131z gerekir.<\/li>\n<li>28 hapl\u0131k paketlerden kullan\u0131yorsan\u0131z, son yedi hap hormon i\u00e7ermedi\u011finden unutulmas\u0131 sorun yaratmaz. Unuttu\u011funuz haplar\u0131 at\u0131p kald\u0131\u011f\u0131n\u0131z yerden devam edebilirsiniz.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>B\u0130R YA DA B\u0130RKA\u00c7 HAP \u0130\u00c7MEK UNUTULURSA<\/strong><\/p>\n<p><strong>1-21 g\u00fcn aras\u0131nda 1 hap i\u00e7mek unutuldu\u011funda<\/strong><\/p>\n<p><strong>Herkes Gebeli\u011fi \u00d6nleyici Haplar\u0131 Kullanabilir mi?<\/strong><\/p>\n<p>Her ya\u015ftaki kad\u0131nlar hi\u00e7 do\u011fum yapmam\u0131\u015f olsalar da haplar\u0131 g\u00fcvenle kullanabilirler. Ge\u00e7mi\u015finde ya da halen meme kanseri \u00f6yk\u00fcs\u00fc, y\u00fcksek tansiyon, kalp damar hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan riskler ta\u015f\u0131ma, damar t\u0131kan\u0131kl\u0131\u011f\u0131, kalp hastal\u0131\u011f\u0131 ya da inme ge\u00e7irmi\u015f olma, karaci\u011fer ya da safra kesesi hastal\u0131\u011f\u0131, migren ya da komplikasyon geli\u015fmi\u015f \u015feker hastal\u0131\u011f\u0131 gibi durumlarda haplar kullan\u0131lmamal\u0131d\u0131r. Haplar\u0131n baz\u0131 antibiyotiklerle ve di\u011fer baz\u0131 ila\u00e7larla etkile\u015fime girdi\u011fi bilinmeli ve bu gibi durumlarda hekime dan\u0131\u015f\u0131lmal\u0131d\u0131r. Emziren kad\u0131nlar do\u011fumdan sonraki ilk <strong>6 ayda<\/strong>, emzirmeyen kad\u0131nlar da do\u011fumdan sonraki ilk <strong>6 hafta <\/strong>haplar\u0131 kullanmamal\u0131d\u0131r. 35 ya\u015f \u00fczerinde olup sigara i\u00e7en kad\u0131nlar hap kullanacaklarsa sigaray\u0131 b\u0131rakmal\u0131d\u0131rlar.<\/p>\n<p><strong>V\u00fccutta Gebeli\u011fi \u00d6nleme D\u0131\u015f\u0131ndaki Etkileri Nelerdir?<\/strong><\/p>\n<p>Gebeli\u011fi \u00f6nleme etkisinin yan\u0131 s\u0131ra haplar adet kanamalar\u0131n\u0131n miktar\u0131n\u0131 azaltt\u0131\u011f\u0131ndan bu nedenle olu\u015fan kans\u0131zl\u0131\u011fa kar\u015f\u0131 koruyucu etkileri vard\u0131r. Ayr\u0131ca adet \u00f6ncesi gerginli\u011fi ve adet sanc\u0131lar\u0131n\u0131 \u00f6nler, baz\u0131 kanserlere (yumurtal\u0131k ve rahim) kar\u015f\u0131 da koruyucudur.<\/p>\n<p>Baz\u0131 kad\u0131nlarda hafif ba\u015f a\u011fr\u0131s\u0131, bulant\u0131, kilo art\u0131\u015f\u0131, adet d\u00fczensizlikleri, g\u00f6\u011f\u00fcslerde hassasiyet ve sinirlilik g\u00f6r\u00fclebilir. Bunlar sa\u011fl\u0131\u011fa zararl\u0131 olmayan ve genellikle birka\u00e7 ay i\u00e7inde kendili\u011finden ge\u00e7en belirtilerdir.<\/p>\n<h4>UNUTMAYIN!<\/h4>\n<p>Haplar\u0131 kullan\u0131rken;<\/p>\n<ul>\n<li>\u015eiddetli bir a\u011fr\u0131 (kar\u0131n, g\u00f6\u011f\u00fcs, ba\u015f ya da bacakta) ve nefes darl\u0131\u011f\u0131,\u00a0 ba\u015f d\u00f6nmesi, halsizlik\u00a0 veya uyu\u015fukluk,<\/li>\n<li>Bulan\u0131k g\u00f6rme, \u00e7ift g\u00f6rme veya g\u00f6rme kayb\u0131 gibi bir durumla kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda, gecikmeden kontrol i\u00e7in hekiminize ba\u015fvurunuz.<\/li>\n<\/ul>\n<p><strong>GEBEL\u0130\u011e\u0130 \u00d6NLEY\u0130C\u0130 HAPLAR, C\u0130NSEL YOLLA BULA\u015eAN ENFEKS\u0130YONLARDAN KORUMAZ.\u00a0<\/strong>Cinsel yolla bula\u015fan enfeksiyonlardan korunman\u0131n en etkili yolu, cinsel ili\u015fki s\u0131ras\u0131nda kad\u0131n ya da erke\u011fin kondom kullanmas\u0131d\u0131r.<\/p>\n<p>Koruyucu haplar \u00dcniversitenizin Mediko-sosyal Sa\u011fl\u0131k Merkezi Gen\u00e7lik Dan\u0131\u015fma Birimi&#8217;nden, eczanelerden, sa\u011fl\u0131k ocaklar\u0131ndan, devlet hastaneleri ve SSK hastanelerine ba\u011fl\u0131 aile planlamas\u0131 kliniklerinden, ana \u00e7ocuk sa\u011fl\u0131\u011f\u0131 ve aile planlamas\u0131 merkezlerinden elde edilebilir ve bir hekim ya da ebe\/hem\u015fire taraf\u0131ndan verilebilir. Ancak kullan\u0131ma ilk kez ba\u015flamadan \u00f6nce bir hekim ya da bu konuda e\u011fitimli sa\u011fl\u0131k personeli ile g\u00f6r\u00fc\u015f\u00fclmelidir.<\/p>\n<p><strong>\u015e\u0130KAYET\u0130N\u0130Z OLMASA DA\u00a0 D\u00dcZENL\u0130 ARALIKLARLA SA\u011eLIK KONTROL\u00dcNE G\u0130TMEN\u0130Z SA\u011eLI\u011eINIZ \u0130\u00c7\u0130N GEREKL\u0130D\u0130R.<\/strong><\/p>\n<p><em><b>\u0130lginizi \u00e7eken konularda ya da soru ve sorunlar\u0131n\u0131z hakk\u0131nda daha fazla bilgi ve dan\u0131\u015fmanl\u0131k hizmetini \u00fcniversitenizin mediko-sosyal sa\u011fl\u0131k merkezi gen\u00e7lik dan\u0131\u015fma biriminden ve sa\u011fl\u0131k merkezlerinin ilgili birimlerinden edinebilirsiniz!<\/b><\/em><\/p>\n<p><em>\u00a0\u00a0<\/em><\/p>\n<p><b>Kaynaklar:<\/b><\/p>\n<p>Aile Planlamas\u0131nda Temel Bilgiler, 2. Bas\u0131m, \u0130nsan Kayna\u011f\u0131n\u0131 Geli\u015ftirme Vakf\u0131, Damla Matbaac\u0131l\u0131k, Ankara, 2002.<\/p>\n<p>Current Obstetric &amp; Gynecologic Diagnosis &amp; Treatment, 5th edition, Benson R.C., Lange Medical Publications, California, 1984.<\/p>\n<p>Hatcher, R.A. Rinehart, W., Blackburn, R., and Geller, J.S. The Essentials of Contraceptive Technology. Baltimore, Johns Hopkins School of Public Health, Population Information Program, 1997.<\/p>\n<p>Improving Access to Quality Care in Family Planning, Medical Eligibility Criteria for Contraceptive Use, Second Edition, Reproductive Health and Research, World Health Organization, 2000.<\/p>\n<p>Kontraseptif Y\u00f6ntemler Uluslararas\u0131 Bas\u0131m, Hatcher R.A. at all. \u00c7ev. Ed. Dervi\u015fo\u011flu A.A., Demircio\u011flu Matbaac\u0131l\u0131k, Ankara, 1990.<\/p>\n<p>Selected Practice Recommendations for Contraceptive Use, Reproductive Health and Research Family and Cummunity Health, World Health Organization, Geneva, 2002.<\/p>\n<p>Temel Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Bilgisi, Ki\u015fni\u015f\u00e7i H.A. ve ark., G\u00fcne\u015f Kitabevi, Ankara, 1996.<\/p>\n<p>Ulusal Aile Planlamas\u0131 Hizmet Rehberi, 2 cilt. T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, Ana \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Aile Planlamas\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc, Ankara, 2000.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Haplar\u0131n i\u00e7inde gebeli\u011fi \u00f6nleyici sentetik hormonlar bulunur. Haplar\u0131n geri d\u00f6n\u00fc\u015fl\u00fc olan etkileri uygulama b\u0131rak\u0131ld\u0131\u011f\u0131nda ortadan kalkar. Yayg\u0131n olarak kullan\u0131lan haplarda d\u00fc\u015f\u00fck dozda progestin ve \u00f6strojen birlikte bulunur. Bu hormonlar normalde de kad\u0131n v\u00fccudunda bulunan hormonlar\u0131n benzerleridir. Yaln\u0131zca ritmik do\u011fal dalgalanmalar\u0131 yerine, hep ayn\u0131 d\u00fczeyde hormon sa\u011flayarak gebelik i\u00e7in elveri\u015fli ortam\u0131n [\u2026] <\/p>\n<div class=\"clear\"><\/div>\n<p><a class=\"more_link clearfix\" href=\"https:\/\/w3.bilkent.edu.tr\/tr\/saglik-merkezi\/genclik-danisma-birimi\/ureme-sagligi\/gebeligi-onleyici-haplar\/\" rel=\"nofollow\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":7977,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-full-width.php","meta":{"footnotes":""},"class_list":["post-8058","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/pages\/8058","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/comments?post=8058"}],"version-history":[{"count":1,"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/pages\/8058\/revisions"}],"predecessor-version":[{"id":8059,"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/pages\/8058\/revisions\/8059"}],"up":[{"embeddable":true,"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/pages\/7977"}],"wp:attachment":[{"href":"https:\/\/w3.bilkent.edu.tr\/tr\/wp-json\/wp\/v2\/media?parent=8058"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}