{"id":7679,"date":"2020-11-09T09:48:49","date_gmt":"2020-11-09T09:48:49","guid":{"rendered":"https:\/\/ilknuryilmaz.com\/?p=7679"},"modified":"2020-12-22T14:15:43","modified_gmt":"2020-12-22T11:15:43","slug":"gebelik-sansini-artirmak-icin-psikolojik-yontemler","status":"publish","type":"post","link":"https:\/\/ilknuryilmaz.com\/gebelik-sansini-artirmak-icin-psikolojik-yontemler\/","title":{"rendered":"Gebelik \u015fans\u0131n\u0131 art\u0131rmak i\u00e7in psikolojik y\u00f6ntemler"},"content":{"rendered":"

Stres-\u0130nfertilite \u0130li\u015fkisi\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/span><\/p>\r\n

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\u0130nfertilite s\u00fcrecini ya\u015f\u0131yor iseniz, \u00e7evrenizdekilerden s\u0131k s\u0131k \u015fu c\u00fcmleleri duyuyor olmal\u0131s\u0131n\u0131z: \u201c\u00c7ok fazla stres yapma, rahat ol\u201d, \u201cSen stresli oldu\u011fun i\u00e7in sonu\u00e7 da olumlu olmuyor\u201d. Elbette, siz \u00e7ok zor zamanlar ge\u00e7irirken bu t\u00fcr \u201cs\u00f6yleyene basit, ama ya\u015fayana zor\u201d \u00f6neriler belki sinirlerinizi daha da \u00e7ok bozuyor olabilir! Sizinle ayn\u0131 yolda y\u00fcr\u00fcmemi\u015f ki\u015filerin bu s\u00f6zleri size \u00e7ok anlaml\u0131 gelmiyor olabilir. Bu konuda peki bilim ne s\u00f6yl\u00fcyor? \u00a0Hakikaten herkesin dile getirdi\u011fi gibi stres sizi infertil yapar m\u0131? Stresle etkili bi\u00e7imde ba\u015f edebilir ve stresi yenebilirseniz \u00e7ocuk sahibi olma \u015fans\u0131n\u0131z artar m\u0131? <\/span><\/p>\r\n

Gebe kalmaya \u00e7al\u0131\u015fman\u0131n yaratt\u0131\u011f\u0131 stres<\/span><\/strong><\/p>\r\n

Dilerseniz \u201cStres-infertilite\u201d ili\u015fkisine \u00f6nce \u00f6b\u00fcr taraftan bakal\u0131m: \u0130nfertilite s\u00fcreci strese yol a\u00e7ar m\u0131? Bu sorunun cevab\u0131 san\u0131r\u0131m herkes i\u00e7in g\u00fc\u00e7l\u00fc bir \u201cEvet\u201d \u015feklinde olacakt\u0131r. Bu konuda yap\u0131lan en \u00e7arp\u0131c\u0131 ara\u015ft\u0131rmalardan birisi (Domar, Zuttermeister, & Friedman,1993), infertilite tedavisi g\u00f6ren hastalar\u0131n stres d\u00fczeylerinin, ya\u015famsal \u00f6nem ta\u015f\u0131yan hastal\u0131klarla (AIDS, kanser, kalp hastal\u0131klar\u0131) m\u00fccadele eden kad\u0131nlar\u0131nkinden farkl\u0131 olmad\u0131\u011f\u0131n\u0131, hatta s\u0131kl\u0131kla, bir par\u00e7a daha fazla oldu\u011funu g\u00f6stermi\u015ftir. Bu, belki ilk okununca \u015fa\u015fk\u0131nl\u0131k verici bir sonu\u00e7 gibi g\u00f6r\u00fcnebilir, neticede infertilite tedavilerini deneyenler i\u00e7in \u00f6l\u00fcmc\u00fcl bir durum bulunmamaktad\u0131r. Ancak, \u00f6zellikle t\u00fcp bebek tedavilerinin kad\u0131nlar\u0131n bedenlerinde ve duygu d\u00fcnyalar\u0131nda yaratt\u0131klar\u0131 yorgunluk ve y\u0131pranmalar\u0131, tedavi sonu\u00e7lar\u0131n\u0131n bilinmezli\u011fi, kontrol edilmezli\u011fini, sosyal ili\u015fkilere yans\u0131yan zorlanmalar\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fczde asl\u0131nda ne kadar da do\u011fru olabilece\u011fini g\u00f6rmek m\u00fcmk\u00fcn. \u00d6zellikle de, birden fazla tedavi denemesi yap\u0131lm\u0131\u015fsa, \u201cumut \u2013 hayal k\u0131r\u0131kl\u0131\u011f\u0131\u201d\u00a0 tekrarlanan bir d\u00f6ng\u00fc halinde ya\u015fan\u0131yor demektir, ki bu da duygusal a\u00e7\u0131dan \u00e7ok zorlay\u0131c\u0131 ve kronik strese davetiye \u00e7\u0131kar\u0131c\u0131 bir durumdur.<\/span><\/p>\r\n

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Kronik stres nelere yol a\u00e7ar?<\/strong><\/span><\/p>\r\n

\u201cStres-infertilite\u201d ili\u015fkisinin di\u011fer boyutu i\u00e7in ise \u015funu s\u00f6ylemek m\u00fcmk\u00fcn: Evet, \u00f6zellikle kronik stresin (yani s\u00fcreklilik g\u00f6steren, kemikle\u015fmi\u015f stres) ve depresyonun ba\u015far\u0131 \u015fans\u0131n\u0131 olumsuz etkiledi\u011fine dair baz\u0131 ipu\u00e7lar\u0131 bilimsel literat\u00fcrde yer al\u0131yor. Beyinde yer alan hipotalamus, \u00fcreme hormonlar\u0131n\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131ndan sorumlu olmas\u0131n\u0131n yan\u0131 s\u0131ra, bizim strese kar\u015f\u0131 duygusal tepkilerimizi de ayarlar; yani tek bir b\u00f6lge, hem \u00fcreme, hem de duygularla ili\u015fkilidir.\u00a0 Bu bilgi, stres ve \u00fcremenin birbirleri \u00fczerindeki etkisini a\u00e7\u0131klama a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Ya\u015fam\u0131n\u0131zda e\u011fer s\u00fcregiden bir stres fakt\u00f6r\u00fc varsa, hipotalamusun \u00fcremeyle ilgili hormonlar\u0131 y\u00f6netme g\u00f6revi bu durumdan olumsuz etkilenir ve gebe kalman\u0131z daha zorla\u015fabilir. Bir ba\u015fka deyi\u015fle, a\u015f\u0131r\u0131 seviyelerdeki stres, yumurtlaman\u0131z\u0131, embriyonun d\u00f6llenmesini ve rahime tutunmas\u0131n\u0131, t\u00fcplerinizin i\u015flevselli\u011fini olumsuz etkiler. <\/span><\/p>\r\n

Depresyon ge\u00e7irmemi\u015f kad\u0131nlarda, ge\u00e7irenlere k\u0131yasla iki kat daha fazla gebelik oranlar\u0131 bulundu\u011funu g\u00f6steren bir \u00e7al\u0131\u015fma (Thiering, Beaurepaire, Jones, & Saunders, 1993) ve benzeri daha bir\u00e7ok \u00e7al\u0131\u015fma, psikolojik ve bedensel boyutun birbirinden ayr\u0131lamayaca\u011f\u0131n\u0131 vurgular niteliktedir. <\/span><\/p>\r\n

Psikoloijk deste\u011fin gebelik \u015fans\u0131 \u00fczerindeki etkisi<\/span><\/strong><\/p>\r\n

Bu noktada, zihninizde \u015f\u00f6yle bir soru belirebilir: \u201cStres ve duygusal bozukluklar do\u011furganl\u0131\u011f\u0131 olumsuz etkiliyorsa, psikolojik yakla\u015f\u0131mlar\u0131n yard\u0131m\u0131yla gebelik \u015fans\u0131m\u0131z\u0131 art\u0131rabilir miyiz?\u201d. Bu sorunun \u00e7ok basit bir cevab\u0131 olmasa da, ara\u015ft\u0131rma sonu\u00e7lar\u0131 \u00f6zetle, ba\u015fta ve \u00f6zellikle depresyon olmak \u00fczere, kayg\u0131 bozukluklar\u0131 ve ba\u015f edilemeyen stres var ise, \u201czihin-beden\u201d y\u00f6nelimli psikolojik deste\u011fin olduk\u00e7a yararl\u0131 sonu\u00e7lar verdi\u011fini g\u00f6steriyor. Zihin-beden y\u00f6nelimli terapiler, infertilite s\u00fcrecindeki s\u0131k\u0131nt\u0131lar\u0131n\u0131z\u0131 hafifletmeye yard\u0131mc\u0131 olacak \u00e7e\u015fitli duygusal, d\u00fc\u015f\u00fcnsel ve davran\u0131\u015fsal beceriler kazanman\u0131za y\u00f6nelik, bireysel olarak da uygulanabilen, grup \u00e7al\u0131\u015fmas\u0131 olarak yap\u0131ld\u0131\u011f\u0131nda da g\u00fc\u00e7l\u00fc bir etki yaratan bir terapi program\u0131d\u0131r. Bu program\u0131n birincil amac\u0131 ya\u015fam\u0131n\u0131z\u0131 daha tatmin dolu, keyifli, ne\u015feli ve huzurlu hale getirmektir. B\u00fct\u00fcn bu kazan\u00e7lar\u0131n yan\u0131 s\u0131ra gebelik de ger\u00e7ekle\u015firse, bu da herkesle payla\u015faca\u011f\u0131n\u0131z m\u00fcjdeli bir haber olacakt\u0131r \u015f\u00fcphesiz!<\/span><\/p>\r\n

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Psikolojik destek alman\u0131n yarar\u0131<\/strong><\/span><\/p>\r\n

Bu bilgilerin \u0131\u015f\u0131\u011f\u0131nda, e\u011fer ba\u015f edemedi\u011finiz, kontrol alt\u0131na alamad\u0131\u011f\u0131n\u0131z stresiniz ya da duygusal problemleriniz var ise, bir uzman yard\u0131m\u0131 alabilir ve ya\u015fam\u0131n\u0131z \u00fczerinde bir kontrol sergileyebilirsiniz. B\u00f6ylelikle, tedaviler boyunca hissetti\u011finiz \u00e7aresizlik duygular\u0131 yerini daha g\u00fc\u00e7l\u00fc, \u00f6zg\u00fcvenli ve canl\u0131 bir duru\u015fa b\u0131rak\u0131r. Unutmay\u0131n, siz iyi olmazsan\u0131z, hi\u00e7bir \u015fey iyi olmaz! De\u011fi\u015fim ve geli\u015fim \u201csizin\u201d i\u00e7in..Yeter ki isteyin..<\/span><\/p>\r\n

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\u0130yi dileklerimle,<\/span><\/p>\r\n

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Uzman Klinik Psikolog \u0130lknur Y\u0131lmaz<\/span><\/p>\r\n

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D\u00f6n\u00fc\u015f\u00fcm Psikolojik Dan\u0131\u015fmanl\u0131k Merkezi Atak\u00f6y\/Bak\u0131rk\u00f6y<\/span><\/p>\r\n

\u0130leti\u015fim: 02126617887<\/p>\r\n

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Referans<\/strong><\/span><\/p>\r\n

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Domar, A., Zuttermeister, P., Friedman, R: The Psychological impact of infertility: a comparison with patients with other medical conditions Journal of Psychosomatic Obstetric Gynaecology. 1993; 14 Special issue 45-52<\/span><\/p>\r\n

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Thiering P<\/a>, Beaurepaire J<\/a>, Jones M<\/a>, Saunders D<\/a>, Tennant C<\/a>: Mood state as a predictor of treatment outcome after in vitro fertilization\/embryo transfer technology (IVF\/ET). Journal of Psychosomatic Research 1993; 37(5):481-91.<\/span><\/p>\r\n

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Stres-\u0130nfertilite \u0130li\u015fkisi\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0130nfertilite s\u00fcrecini ya\u015f\u0131yor iseniz, \u00e7evrenizdekilerden s\u0131k s\u0131k \u015fu c\u00fcmleleri duyuyor olmal\u0131s\u0131n\u0131z: \u201c\u00c7ok fazla stres yapma, rahat ol\u201d, \u201cSen stresli oldu\u011fun i\u00e7in sonu\u00e7 da olumlu olmuyor\u201d. Elbette, siz \u00e7ok zor zamanlar ge\u00e7irirken bu t\u00fcr \u201cs\u00f6yleyene basit, ama ya\u015fayana zor\u201d \u00f6neriler belki sinirlerinizi daha da \u00e7ok bozuyor olabilir! Sizinle ayn\u0131 yolda y\u00fcr\u00fcmemi\u015f ki\u015filerin bu s\u00f6zleri size \u00e7ok anlaml\u0131 gelmiyor olabilir. Bu konuda peki bilim ne s\u00f6yl\u00fcyor? \u00a0Hakikaten herkesin dile getirdi\u011fi gibi stres sizi infertil yapar m\u0131? Stresle etkili bi\u00e7imde ba\u015f edebilir ve stresi yenebilirseniz \u00e7ocuk sahibi olma \u015fans\u0131n\u0131z artar m\u0131? Gebe kalmaya \u00e7al\u0131\u015fman\u0131n yaratt\u0131\u011f\u0131 stres Dilerseniz \u201cStres-infertilite\u201d ili\u015fkisine \u00f6nce \u00f6b\u00fcr taraftan bakal\u0131m: \u0130nfertilite s\u00fcreci strese yol a\u00e7ar m\u0131? Bu sorunun cevab\u0131 san\u0131r\u0131m herkes i\u00e7in g\u00fc\u00e7l\u00fc bir \u201cEvet\u201d \u015feklinde olacakt\u0131r. Bu konuda yap\u0131lan en \u00e7arp\u0131c\u0131 ara\u015ft\u0131rmalardan birisi (Domar, Zuttermeister, & Friedman,1993), infertilite tedavisi g\u00f6ren hastalar\u0131n stres d\u00fczeylerinin, ya\u015famsal \u00f6nem ta\u015f\u0131yan hastal\u0131klarla (AIDS, kanser, kalp hastal\u0131klar\u0131) m\u00fccadele eden kad\u0131nlar\u0131nkinden farkl\u0131 olmad\u0131\u011f\u0131n\u0131, hatta s\u0131kl\u0131kla, bir par\u00e7a daha fazla oldu\u011funu g\u00f6stermi\u015ftir. Bu, belki ilk okununca \u015fa\u015fk\u0131nl\u0131k verici bir sonu\u00e7 gibi g\u00f6r\u00fcnebilir, neticede infertilite tedavilerini deneyenler i\u00e7in \u00f6l\u00fcmc\u00fcl bir durum bulunmamaktad\u0131r. Ancak, \u00f6zellikle t\u00fcp bebek tedavilerinin kad\u0131nlar\u0131n bedenlerinde ve duygu d\u00fcnyalar\u0131nda yaratt\u0131klar\u0131 yorgunluk ve y\u0131pranmalar\u0131, tedavi sonu\u00e7lar\u0131n\u0131n bilinmezli\u011fi, kontrol edilmezli\u011fini, sosyal ili\u015fkilere yans\u0131yan zorlanmalar\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fczde asl\u0131nda ne kadar da do\u011fru olabilece\u011fini g\u00f6rmek m\u00fcmk\u00fcn. \u00d6zellikle de, birden fazla tedavi denemesi yap\u0131lm\u0131\u015fsa, \u201cumut \u2013 hayal k\u0131r\u0131kl\u0131\u011f\u0131\u201d\u00a0 tekrarlanan bir d\u00f6ng\u00fc halinde ya\u015fan\u0131yor demektir, ki bu da duygusal a\u00e7\u0131dan \u00e7ok zorlay\u0131c\u0131 ve kronik strese davetiye \u00e7\u0131kar\u0131c\u0131 bir durumdur. Kronik stres nelere yol a\u00e7ar? \u201cStres-infertilite\u201d ili\u015fkisinin di\u011fer boyutu i\u00e7in ise \u015funu s\u00f6ylemek m\u00fcmk\u00fcn: Evet, \u00f6zellikle kronik stresin (yani s\u00fcreklilik g\u00f6steren, kemikle\u015fmi\u015f stres) ve depresyonun ba\u015far\u0131 \u015fans\u0131n\u0131 olumsuz etkiledi\u011fine dair baz\u0131 ipu\u00e7lar\u0131 bilimsel literat\u00fcrde yer al\u0131yor. Beyinde yer alan hipotalamus, \u00fcreme hormonlar\u0131n\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131ndan sorumlu olmas\u0131n\u0131n yan\u0131 s\u0131ra, bizim strese kar\u015f\u0131 duygusal tepkilerimizi de ayarlar; yani tek bir b\u00f6lge, hem \u00fcreme, hem de duygularla ili\u015fkilidir.\u00a0 Bu bilgi, stres ve \u00fcremenin birbirleri \u00fczerindeki etkisini a\u00e7\u0131klama a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Ya\u015fam\u0131n\u0131zda e\u011fer s\u00fcregiden bir stres fakt\u00f6r\u00fc varsa, hipotalamusun \u00fcremeyle ilgili hormonlar\u0131 y\u00f6netme g\u00f6revi bu durumdan olumsuz etkilenir ve gebe kalman\u0131z daha zorla\u015fabilir. Bir ba\u015fka deyi\u015fle, a\u015f\u0131r\u0131 seviyelerdeki stres, yumurtlaman\u0131z\u0131, embriyonun d\u00f6llenmesini ve rahime tutunmas\u0131n\u0131, t\u00fcplerinizin i\u015flevselli\u011fini olumsuz etkiler. Depresyon ge\u00e7irmemi\u015f kad\u0131nlarda, ge\u00e7irenlere k\u0131yasla iki kat daha fazla gebelik oranlar\u0131 bulundu\u011funu g\u00f6steren bir \u00e7al\u0131\u015fma (Thiering, Beaurepaire, Jones, & Saunders, 1993) ve benzeri daha bir\u00e7ok \u00e7al\u0131\u015fma, psikolojik ve bedensel boyutun birbirinden ayr\u0131lamayaca\u011f\u0131n\u0131 vurgular niteliktedir. Psikoloijk deste\u011fin gebelik \u015fans\u0131 \u00fczerindeki etkisi Bu noktada, zihninizde \u015f\u00f6yle bir soru belirebilir: \u201cStres ve duygusal bozukluklar do\u011furganl\u0131\u011f\u0131 olumsuz etkiliyorsa, psikolojik yakla\u015f\u0131mlar\u0131n yard\u0131m\u0131yla gebelik \u015fans\u0131m\u0131z\u0131 art\u0131rabilir miyiz?\u201d. Bu sorunun \u00e7ok basit bir cevab\u0131 olmasa da, ara\u015ft\u0131rma sonu\u00e7lar\u0131 \u00f6zetle, ba\u015fta ve \u00f6zellikle depresyon olmak \u00fczere, kayg\u0131 bozukluklar\u0131 ve ba\u015f edilemeyen stres var ise, \u201czihin-beden\u201d y\u00f6nelimli psikolojik deste\u011fin olduk\u00e7a yararl\u0131 sonu\u00e7lar verdi\u011fini g\u00f6steriyor. Zihin-beden y\u00f6nelimli terapiler, infertilite s\u00fcrecindeki s\u0131k\u0131nt\u0131lar\u0131n\u0131z\u0131 hafifletmeye yard\u0131mc\u0131 olacak \u00e7e\u015fitli duygusal, d\u00fc\u015f\u00fcnsel ve davran\u0131\u015fsal beceriler kazanman\u0131za y\u00f6nelik, bireysel olarak da uygulanabilen, grup \u00e7al\u0131\u015fmas\u0131 olarak yap\u0131ld\u0131\u011f\u0131nda da g\u00fc\u00e7l\u00fc bir etki yaratan bir terapi program\u0131d\u0131r. Bu program\u0131n birincil amac\u0131 ya\u015fam\u0131n\u0131z\u0131 daha tatmin dolu, keyifli, ne\u015feli ve huzurlu hale getirmektir. B\u00fct\u00fcn bu kazan\u00e7lar\u0131n yan\u0131 s\u0131ra gebelik de ger\u00e7ekle\u015firse, bu da herkesle payla\u015faca\u011f\u0131n\u0131z m\u00fcjdeli bir haber olacakt\u0131r \u015f\u00fcphesiz! Psikolojik destek alman\u0131n yarar\u0131 Bu bilgilerin \u0131\u015f\u0131\u011f\u0131nda, e\u011fer ba\u015f edemedi\u011finiz, kontrol alt\u0131na alamad\u0131\u011f\u0131n\u0131z stresiniz ya da duygusal problemleriniz var ise, bir uzman yard\u0131m\u0131 alabilir ve ya\u015fam\u0131n\u0131z \u00fczerinde bir kontrol sergileyebilirsiniz. B\u00f6ylelikle, tedaviler boyunca hissetti\u011finiz \u00e7aresizlik duygular\u0131 yerini daha g\u00fc\u00e7l\u00fc, \u00f6zg\u00fcvenli ve canl\u0131 bir duru\u015fa b\u0131rak\u0131r. Unutmay\u0131n, siz iyi olmazsan\u0131z, hi\u00e7bir \u015fey iyi olmaz! De\u011fi\u015fim ve geli\u015fim \u201csizin\u201d i\u00e7in..Yeter ki isteyin.. \u0130yi dileklerimle, Uzman Klinik Psikolog \u0130lknur Y\u0131lmaz D\u00f6n\u00fc\u015f\u00fcm Psikolojik Dan\u0131\u015fmanl\u0131k Merkezi Atak\u00f6y\/Bak\u0131rk\u00f6y \u0130leti\u015fim: 02126617887 Referans Domar, A., Zuttermeister, P., Friedman, R: The Psychological impact of infertility: a comparison with patients with other medical conditions Journal of Psychosomatic Obstetric Gynaecology. 1993; 14 Special issue 45-52 Thiering P, Beaurepaire J, Jones M, Saunders D, Tennant C: Mood state as a predictor of treatment outcome after in vitro fertilization\/embryo transfer technology (IVF\/ET). Journal of Psychosomatic Research 1993; 37(5):481-91.<\/p>\n","protected":false},"author":1,"featured_media":7680,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[73],"tags":[431,174,602,634,635,636,637,638,68,155],"yoast_head":"\nGebelik \u015fans\u0131n\u0131 art\u0131rmak i\u00e7in psikolojik y\u00f6ntemler - Uzman Klinik Psikolog \u0130lknur Y\u0131lmaz<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ilknuryilmaz.com\/gebelik-sansini-artirmak-icin-psikolojik-yontemler\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gebelik \u015fans\u0131n\u0131 art\u0131rmak i\u00e7in psikolojik y\u00f6ntemler - Uzman Klinik Psikolog \u0130lknur Y\u0131lmaz\" \/>\n<meta property=\"og:description\" content=\"Stres-\u0130nfertilite \u0130li\u015fkisi\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0130nfertilite s\u00fcrecini ya\u015f\u0131yor iseniz, \u00e7evrenizdekilerden s\u0131k s\u0131k \u015fu c\u00fcmleleri duyuyor olmal\u0131s\u0131n\u0131z: \u201c\u00c7ok fazla stres yapma, rahat ol\u201d, \u201cSen stresli oldu\u011fun i\u00e7in sonu\u00e7 da olumlu olmuyor\u201d. Elbette, siz \u00e7ok zor zamanlar ge\u00e7irirken bu t\u00fcr \u201cs\u00f6yleyene basit, ama ya\u015fayana zor\u201d \u00f6neriler belki sinirlerinizi daha da \u00e7ok bozuyor olabilir! Sizinle ayn\u0131 yolda y\u00fcr\u00fcmemi\u015f ki\u015filerin bu s\u00f6zleri size \u00e7ok anlaml\u0131 gelmiyor olabilir. Bu konuda peki bilim ne s\u00f6yl\u00fcyor? \u00a0Hakikaten herkesin dile getirdi\u011fi gibi stres sizi infertil yapar m\u0131? Stresle etkili bi\u00e7imde ba\u015f edebilir ve stresi yenebilirseniz \u00e7ocuk sahibi olma \u015fans\u0131n\u0131z artar m\u0131? Gebe kalmaya \u00e7al\u0131\u015fman\u0131n yaratt\u0131\u011f\u0131 stres Dilerseniz \u201cStres-infertilite\u201d ili\u015fkisine \u00f6nce \u00f6b\u00fcr taraftan bakal\u0131m: \u0130nfertilite s\u00fcreci strese yol a\u00e7ar m\u0131? Bu sorunun cevab\u0131 san\u0131r\u0131m herkes i\u00e7in g\u00fc\u00e7l\u00fc bir \u201cEvet\u201d \u015feklinde olacakt\u0131r. Bu konuda yap\u0131lan en \u00e7arp\u0131c\u0131 ara\u015ft\u0131rmalardan birisi (Domar, Zuttermeister, & Friedman,1993), infertilite tedavisi g\u00f6ren hastalar\u0131n stres d\u00fczeylerinin, ya\u015famsal \u00f6nem ta\u015f\u0131yan hastal\u0131klarla (AIDS, kanser, kalp hastal\u0131klar\u0131) m\u00fccadele eden kad\u0131nlar\u0131nkinden farkl\u0131 olmad\u0131\u011f\u0131n\u0131, hatta s\u0131kl\u0131kla, bir par\u00e7a daha fazla oldu\u011funu g\u00f6stermi\u015ftir. Bu, belki ilk okununca \u015fa\u015fk\u0131nl\u0131k verici bir sonu\u00e7 gibi g\u00f6r\u00fcnebilir, neticede infertilite tedavilerini deneyenler i\u00e7in \u00f6l\u00fcmc\u00fcl bir durum bulunmamaktad\u0131r. Ancak, \u00f6zellikle t\u00fcp bebek tedavilerinin kad\u0131nlar\u0131n bedenlerinde ve duygu d\u00fcnyalar\u0131nda yaratt\u0131klar\u0131 yorgunluk ve y\u0131pranmalar\u0131, tedavi sonu\u00e7lar\u0131n\u0131n bilinmezli\u011fi, kontrol edilmezli\u011fini, sosyal ili\u015fkilere yans\u0131yan zorlanmalar\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fczde asl\u0131nda ne kadar da do\u011fru olabilece\u011fini g\u00f6rmek m\u00fcmk\u00fcn. \u00d6zellikle de, birden fazla tedavi denemesi yap\u0131lm\u0131\u015fsa, \u201cumut \u2013 hayal k\u0131r\u0131kl\u0131\u011f\u0131\u201d\u00a0 tekrarlanan bir d\u00f6ng\u00fc halinde ya\u015fan\u0131yor demektir, ki bu da duygusal a\u00e7\u0131dan \u00e7ok zorlay\u0131c\u0131 ve kronik strese davetiye \u00e7\u0131kar\u0131c\u0131 bir durumdur. Kronik stres nelere yol a\u00e7ar? \u201cStres-infertilite\u201d ili\u015fkisinin di\u011fer boyutu i\u00e7in ise \u015funu s\u00f6ylemek m\u00fcmk\u00fcn: Evet, \u00f6zellikle kronik stresin (yani s\u00fcreklilik g\u00f6steren, kemikle\u015fmi\u015f stres) ve depresyonun ba\u015far\u0131 \u015fans\u0131n\u0131 olumsuz etkiledi\u011fine dair baz\u0131 ipu\u00e7lar\u0131 bilimsel literat\u00fcrde yer al\u0131yor. Beyinde yer alan hipotalamus, \u00fcreme hormonlar\u0131n\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131ndan sorumlu olmas\u0131n\u0131n yan\u0131 s\u0131ra, bizim strese kar\u015f\u0131 duygusal tepkilerimizi de ayarlar; yani tek bir b\u00f6lge, hem \u00fcreme, hem de duygularla ili\u015fkilidir.\u00a0 Bu bilgi, stres ve \u00fcremenin birbirleri \u00fczerindeki etkisini a\u00e7\u0131klama a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Ya\u015fam\u0131n\u0131zda e\u011fer s\u00fcregiden bir stres fakt\u00f6r\u00fc varsa, hipotalamusun \u00fcremeyle ilgili hormonlar\u0131 y\u00f6netme g\u00f6revi bu durumdan olumsuz etkilenir ve gebe kalman\u0131z daha zorla\u015fabilir. Bir ba\u015fka deyi\u015fle, a\u015f\u0131r\u0131 seviyelerdeki stres, yumurtlaman\u0131z\u0131, embriyonun d\u00f6llenmesini ve rahime tutunmas\u0131n\u0131, t\u00fcplerinizin i\u015flevselli\u011fini olumsuz etkiler. Depresyon ge\u00e7irmemi\u015f kad\u0131nlarda, ge\u00e7irenlere k\u0131yasla iki kat daha fazla gebelik oranlar\u0131 bulundu\u011funu g\u00f6steren bir \u00e7al\u0131\u015fma (Thiering, Beaurepaire, Jones, & Saunders, 1993) ve benzeri daha bir\u00e7ok \u00e7al\u0131\u015fma, psikolojik ve bedensel boyutun birbirinden ayr\u0131lamayaca\u011f\u0131n\u0131 vurgular niteliktedir. Psikoloijk deste\u011fin gebelik \u015fans\u0131 \u00fczerindeki etkisi Bu noktada, zihninizde \u015f\u00f6yle bir soru belirebilir: \u201cStres ve duygusal bozukluklar do\u011furganl\u0131\u011f\u0131 olumsuz etkiliyorsa, psikolojik yakla\u015f\u0131mlar\u0131n yard\u0131m\u0131yla gebelik \u015fans\u0131m\u0131z\u0131 art\u0131rabilir miyiz?\u201d. Bu sorunun \u00e7ok basit bir cevab\u0131 olmasa da, ara\u015ft\u0131rma sonu\u00e7lar\u0131 \u00f6zetle, ba\u015fta ve \u00f6zellikle depresyon olmak \u00fczere, kayg\u0131 bozukluklar\u0131 ve ba\u015f edilemeyen stres var ise, \u201czihin-beden\u201d y\u00f6nelimli psikolojik deste\u011fin olduk\u00e7a yararl\u0131 sonu\u00e7lar verdi\u011fini g\u00f6steriyor. Zihin-beden y\u00f6nelimli terapiler, infertilite s\u00fcrecindeki s\u0131k\u0131nt\u0131lar\u0131n\u0131z\u0131 hafifletmeye yard\u0131mc\u0131 olacak \u00e7e\u015fitli duygusal, d\u00fc\u015f\u00fcnsel ve davran\u0131\u015fsal beceriler kazanman\u0131za y\u00f6nelik, bireysel olarak da uygulanabilen, grup \u00e7al\u0131\u015fmas\u0131 olarak yap\u0131ld\u0131\u011f\u0131nda da g\u00fc\u00e7l\u00fc bir etki yaratan bir terapi program\u0131d\u0131r. Bu program\u0131n birincil amac\u0131 ya\u015fam\u0131n\u0131z\u0131 daha tatmin dolu, keyifli, ne\u015feli ve huzurlu hale getirmektir. B\u00fct\u00fcn bu kazan\u00e7lar\u0131n yan\u0131 s\u0131ra gebelik de ger\u00e7ekle\u015firse, bu da herkesle payla\u015faca\u011f\u0131n\u0131z m\u00fcjdeli bir haber olacakt\u0131r \u015f\u00fcphesiz! Psikolojik destek alman\u0131n yarar\u0131 Bu bilgilerin \u0131\u015f\u0131\u011f\u0131nda, e\u011fer ba\u015f edemedi\u011finiz, kontrol alt\u0131na alamad\u0131\u011f\u0131n\u0131z stresiniz ya da duygusal problemleriniz var ise, bir uzman yard\u0131m\u0131 alabilir ve ya\u015fam\u0131n\u0131z \u00fczerinde bir kontrol sergileyebilirsiniz. B\u00f6ylelikle, tedaviler boyunca hissetti\u011finiz \u00e7aresizlik duygular\u0131 yerini daha g\u00fc\u00e7l\u00fc, \u00f6zg\u00fcvenli ve canl\u0131 bir duru\u015fa b\u0131rak\u0131r. Unutmay\u0131n, siz iyi olmazsan\u0131z, hi\u00e7bir \u015fey iyi olmaz! De\u011fi\u015fim ve geli\u015fim \u201csizin\u201d i\u00e7in..Yeter ki isteyin.. \u0130yi dileklerimle, Uzman Klinik Psikolog \u0130lknur Y\u0131lmaz D\u00f6n\u00fc\u015f\u00fcm Psikolojik Dan\u0131\u015fmanl\u0131k Merkezi Atak\u00f6y\/Bak\u0131rk\u00f6y \u0130leti\u015fim: 02126617887 Referans Domar, A., Zuttermeister, P., Friedman, R: The Psychological impact of infertility: a comparison with patients with other medical conditions Journal of Psychosomatic Obstetric Gynaecology. 1993; 14 Special issue 45-52 Thiering P, Beaurepaire J, Jones M, Saunders D, Tennant C: Mood state as a predictor of treatment outcome after in vitro fertilization\/embryo transfer technology (IVF\/ET). 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Elbette, siz \u00e7ok zor zamanlar ge\u00e7irirken bu t\u00fcr \u201cs\u00f6yleyene basit, ama ya\u015fayana zor\u201d \u00f6neriler belki sinirlerinizi daha da \u00e7ok bozuyor olabilir! Sizinle ayn\u0131 yolda y\u00fcr\u00fcmemi\u015f ki\u015filerin bu s\u00f6zleri size \u00e7ok anlaml\u0131 gelmiyor olabilir. Bu konuda peki bilim ne s\u00f6yl\u00fcyor? \u00a0Hakikaten herkesin dile getirdi\u011fi gibi stres sizi infertil yapar m\u0131? Stresle etkili bi\u00e7imde ba\u015f edebilir ve stresi yenebilirseniz \u00e7ocuk sahibi olma \u015fans\u0131n\u0131z artar m\u0131? Gebe kalmaya \u00e7al\u0131\u015fman\u0131n yaratt\u0131\u011f\u0131 stres Dilerseniz \u201cStres-infertilite\u201d ili\u015fkisine \u00f6nce \u00f6b\u00fcr taraftan bakal\u0131m: \u0130nfertilite s\u00fcreci strese yol a\u00e7ar m\u0131? Bu sorunun cevab\u0131 san\u0131r\u0131m herkes i\u00e7in g\u00fc\u00e7l\u00fc bir \u201cEvet\u201d \u015feklinde olacakt\u0131r. Bu konuda yap\u0131lan en \u00e7arp\u0131c\u0131 ara\u015ft\u0131rmalardan birisi (Domar, Zuttermeister, & Friedman,1993), infertilite tedavisi g\u00f6ren hastalar\u0131n stres d\u00fczeylerinin, ya\u015famsal \u00f6nem ta\u015f\u0131yan hastal\u0131klarla (AIDS, kanser, kalp hastal\u0131klar\u0131) m\u00fccadele eden kad\u0131nlar\u0131nkinden farkl\u0131 olmad\u0131\u011f\u0131n\u0131, hatta s\u0131kl\u0131kla, bir par\u00e7a daha fazla oldu\u011funu g\u00f6stermi\u015ftir. Bu, belki ilk okununca \u015fa\u015fk\u0131nl\u0131k verici bir sonu\u00e7 gibi g\u00f6r\u00fcnebilir, neticede infertilite tedavilerini deneyenler i\u00e7in \u00f6l\u00fcmc\u00fcl bir durum bulunmamaktad\u0131r. Ancak, \u00f6zellikle t\u00fcp bebek tedavilerinin kad\u0131nlar\u0131n bedenlerinde ve duygu d\u00fcnyalar\u0131nda yaratt\u0131klar\u0131 yorgunluk ve y\u0131pranmalar\u0131, tedavi sonu\u00e7lar\u0131n\u0131n bilinmezli\u011fi, kontrol edilmezli\u011fini, sosyal ili\u015fkilere yans\u0131yan zorlanmalar\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fczde asl\u0131nda ne kadar da do\u011fru olabilece\u011fini g\u00f6rmek m\u00fcmk\u00fcn. \u00d6zellikle de, birden fazla tedavi denemesi yap\u0131lm\u0131\u015fsa, \u201cumut \u2013 hayal k\u0131r\u0131kl\u0131\u011f\u0131\u201d\u00a0 tekrarlanan bir d\u00f6ng\u00fc halinde ya\u015fan\u0131yor demektir, ki bu da duygusal a\u00e7\u0131dan \u00e7ok zorlay\u0131c\u0131 ve kronik strese davetiye \u00e7\u0131kar\u0131c\u0131 bir durumdur. Kronik stres nelere yol a\u00e7ar? \u201cStres-infertilite\u201d ili\u015fkisinin di\u011fer boyutu i\u00e7in ise \u015funu s\u00f6ylemek m\u00fcmk\u00fcn: Evet, \u00f6zellikle kronik stresin (yani s\u00fcreklilik g\u00f6steren, kemikle\u015fmi\u015f stres) ve depresyonun ba\u015far\u0131 \u015fans\u0131n\u0131 olumsuz etkiledi\u011fine dair baz\u0131 ipu\u00e7lar\u0131 bilimsel literat\u00fcrde yer al\u0131yor. Beyinde yer alan hipotalamus, \u00fcreme hormonlar\u0131n\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131ndan sorumlu olmas\u0131n\u0131n yan\u0131 s\u0131ra, bizim strese kar\u015f\u0131 duygusal tepkilerimizi de ayarlar; yani tek bir b\u00f6lge, hem \u00fcreme, hem de duygularla ili\u015fkilidir.\u00a0 Bu bilgi, stres ve \u00fcremenin birbirleri \u00fczerindeki etkisini a\u00e7\u0131klama a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Ya\u015fam\u0131n\u0131zda e\u011fer s\u00fcregiden bir stres fakt\u00f6r\u00fc varsa, hipotalamusun \u00fcremeyle ilgili hormonlar\u0131 y\u00f6netme g\u00f6revi bu durumdan olumsuz etkilenir ve gebe kalman\u0131z daha zorla\u015fabilir. Bir ba\u015fka deyi\u015fle, a\u015f\u0131r\u0131 seviyelerdeki stres, yumurtlaman\u0131z\u0131, embriyonun d\u00f6llenmesini ve rahime tutunmas\u0131n\u0131, t\u00fcplerinizin i\u015flevselli\u011fini olumsuz etkiler. Depresyon ge\u00e7irmemi\u015f kad\u0131nlarda, ge\u00e7irenlere k\u0131yasla iki kat daha fazla gebelik oranlar\u0131 bulundu\u011funu g\u00f6steren bir \u00e7al\u0131\u015fma (Thiering, Beaurepaire, Jones, & Saunders, 1993) ve benzeri daha bir\u00e7ok \u00e7al\u0131\u015fma, psikolojik ve bedensel boyutun birbirinden ayr\u0131lamayaca\u011f\u0131n\u0131 vurgular niteliktedir. Psikoloijk deste\u011fin gebelik \u015fans\u0131 \u00fczerindeki etkisi Bu noktada, zihninizde \u015f\u00f6yle bir soru belirebilir: \u201cStres ve duygusal bozukluklar do\u011furganl\u0131\u011f\u0131 olumsuz etkiliyorsa, psikolojik yakla\u015f\u0131mlar\u0131n yard\u0131m\u0131yla gebelik \u015fans\u0131m\u0131z\u0131 art\u0131rabilir miyiz?\u201d. Bu sorunun \u00e7ok basit bir cevab\u0131 olmasa da, ara\u015ft\u0131rma sonu\u00e7lar\u0131 \u00f6zetle, ba\u015fta ve \u00f6zellikle depresyon olmak \u00fczere, kayg\u0131 bozukluklar\u0131 ve ba\u015f edilemeyen stres var ise, \u201czihin-beden\u201d y\u00f6nelimli psikolojik deste\u011fin olduk\u00e7a yararl\u0131 sonu\u00e7lar verdi\u011fini g\u00f6steriyor. Zihin-beden y\u00f6nelimli terapiler, infertilite s\u00fcrecindeki s\u0131k\u0131nt\u0131lar\u0131n\u0131z\u0131 hafifletmeye yard\u0131mc\u0131 olacak \u00e7e\u015fitli duygusal, d\u00fc\u015f\u00fcnsel ve davran\u0131\u015fsal beceriler kazanman\u0131za y\u00f6nelik, bireysel olarak da uygulanabilen, grup \u00e7al\u0131\u015fmas\u0131 olarak yap\u0131ld\u0131\u011f\u0131nda da g\u00fc\u00e7l\u00fc bir etki yaratan bir terapi program\u0131d\u0131r. Bu program\u0131n birincil amac\u0131 ya\u015fam\u0131n\u0131z\u0131 daha tatmin dolu, keyifli, ne\u015feli ve huzurlu hale getirmektir. B\u00fct\u00fcn bu kazan\u00e7lar\u0131n yan\u0131 s\u0131ra gebelik de ger\u00e7ekle\u015firse, bu da herkesle payla\u015faca\u011f\u0131n\u0131z m\u00fcjdeli bir haber olacakt\u0131r \u015f\u00fcphesiz! Psikolojik destek alman\u0131n yarar\u0131 Bu bilgilerin \u0131\u015f\u0131\u011f\u0131nda, e\u011fer ba\u015f edemedi\u011finiz, kontrol alt\u0131na alamad\u0131\u011f\u0131n\u0131z stresiniz ya da duygusal problemleriniz var ise, bir uzman yard\u0131m\u0131 alabilir ve ya\u015fam\u0131n\u0131z \u00fczerinde bir kontrol sergileyebilirsiniz. B\u00f6ylelikle, tedaviler boyunca hissetti\u011finiz \u00e7aresizlik duygular\u0131 yerini daha g\u00fc\u00e7l\u00fc, \u00f6zg\u00fcvenli ve canl\u0131 bir duru\u015fa b\u0131rak\u0131r. Unutmay\u0131n, siz iyi olmazsan\u0131z, hi\u00e7bir \u015fey iyi olmaz! De\u011fi\u015fim ve geli\u015fim \u201csizin\u201d i\u00e7in..Yeter ki isteyin.. \u0130yi dileklerimle, Uzman Klinik Psikolog \u0130lknur Y\u0131lmaz D\u00f6n\u00fc\u015f\u00fcm Psikolojik Dan\u0131\u015fmanl\u0131k Merkezi Atak\u00f6y\/Bak\u0131rk\u00f6y \u0130leti\u015fim: 02126617887 Referans Domar, A., Zuttermeister, P., Friedman, R: The Psychological impact of infertility: a comparison with patients with other medical conditions Journal of Psychosomatic Obstetric Gynaecology. 1993; 14 Special issue 45-52 Thiering P, Beaurepaire J, Jones M, Saunders D, Tennant C: Mood state as a predictor of treatment outcome after in vitro fertilization\/embryo transfer technology (IVF\/ET). 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