Kordosentez: Fetal sedasyon, 3.5-5 MHz USG, 9-16 cm. 20-23 no - TopicsExpress

Kordosentez: Fetal sedasyon, 3.5-5 MHz USG, 9-16 cm. 20-23 no iğne kullanılır. 16-40 hafta arası gebelikte yapılır. İdeal bölge umblikal kordonun plasenta insersiyosunun 1-2 cm distalinden 1,5 – 4 ml fetal kan alınır. Kordosentez endikasyonları: Kan hastalıkları, hemoglobinopatiler, koagulopatiler, metabolik hastalıklar. intrauterin fetal enfeksiyonlar, TORCH, intrauterin gelişme gerilikleri, kongenital trombositopeni, fetal anemi, immun fetal anemi, non immun fetal anemi. Kordosentez komplikasyonları: Fetal bradikardi, feto maternal hemoraji, fetal hemoraji, fetal kayıp, koryoamniotis, EMR, kord hematomu, kord tamponatı. Kordosentezde fetal kayıplarla ilgili faktörler: Maternal yaş, gebelik yaşı, endikasyonlar, operatör deneyim, müdahale yapılan damar. Fetal aneminin belirlenmesi: Anamnez, antikor titresi, fetus plasenta marfometrisi, fetal kalp atım trasesi, doppler USG, amniotik sıvı spektrofotometrisi, fetal kan örneklemesi.

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