Sunday, July 18, 2021

Tongue Tie - Ankyloglossia Surgery With Thermal Welding System Videos

Lingual Frenectomy in Istanbul

Video 1

Video 2


About Tongue Tie Surgery


Ankyloglossia,Tongue Tie  Surgery Doctor in Istanbul,
Tongue tie operation can usually be performed for feeding problems in infants and speech problems (articulation problems) in older children. There is a lot of different and new information about tongue tie, also known as hypertrophic lingual frenulum or Ankyloglossia. It is important to meet with a physician who is interested in the subject and to get information about the techniques used in treatment. There are many physicians and clinics dealing with tongue tie treatment in Turkey. Generally, devices such as laser, scissors, electrocautery, thermal welding can be used during tissue cutting.



Heat cutting devices "can cause nerve damage"!


Especially the device and incision technique used while making the incision are very important. During the tongue tie operation, while devices such as laser, electrocautery, radiofrequency that can cause serious heat are used, it should be noted that various nerve damage may occur in the areas adjacent to the incision. The thermal welding device has a technology that reduces the heat dissipation to the adjacent area during the incision.

The cost of the tongue tie operation in Istanbul


Generally, the operation fees vary between 500-1500 US dollars depending on the hospital and the materials used.

Is general anesthesia necessary for tongue tie operation?


This operation can be performed under local anesthesia in office conditions and under sedation anesthesia in patient conditions. It is not always necessary to perform under general anesthesia.

Is stitching necessary during the tongue tie operation?


As seen in the video above, removing a triangular piece of tissue from under the tongue (tongue tie tissue) (lingual frenectomy) and then suturing the mucosa is beneficial for speech performance and healing in the vertical plane of the wound. After a simple tongue tie incision, reclosing and partial regrowth of the tongue tie may occur.


Ankyloglossia,Tongue Tie  Surgery Doctor in Istanbul,


Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
 
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 0533 6550199
Fax: +90 212 542 74 47
 

Wednesday, November 18, 2020

Cesarean or Normal Birth?

Cesarean section or normal birth is one of the indecisions experienced by expectant mothers, especially when there is a short time before birth. Getting more detailed information about both types of delivery can also facilitate decision making. Sometimes, it may not be possible to give birth with the pre-planned delivery method, and a caesarean decision can be made urgently. First of all, it is necessary to know which factors are effective in determining the mode of delivery. We can list these factors as follows:

  • Duration of labor
  • Whether there is an opening in the cervix with contractions
  • The position of the baby in the womb
  • Stenosis level of the pelvis of the expectant mother
  • Whether the baby is big
  • Whether there is active bleeding
  • Whether there is a disease that may affect the birth of the expectant mother

Considering all these factors, a recommendation to the expectant mother can be made by the gynecology and obstetrician about cesarean or normal birth. In terms of the health of the baby and the expectant mother, it is beneficial to accept the delivery method recommended by the doctor and not to insist on a different delivery method.

Cesarean or Normal Birth

Cesarean or Difficult Normal Birth?

First of all, there is an important element that expectant mothers and fathers who experience cesarean delivery or normal birth should know. Both forms of birth do not have an advantage over each other. Their advantages and disadvantages may differ from each other. However, this does not mean that one type of delivery is a better option than another. The important thing is to determine the delivery method by taking the health of the baby into consideration, and making this decision in consultation with the obstetrician and gynecologist who follows the pregnancy is the best option in terms of the health of both the expectant mother and the baby.

It may also be necessary to abandon the pre-planned delivery method during birth. When you discuss the issue of cesarean section or normal birth, your doctor may tell you that there is no harm in having a normal birth. However, when the birth begins, even the position of the baby may make cesarean delivery mandatory. Therefore, it is useful to know that expectant mothers who prefer normal birth may have to give birth by cesarean section.

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Situations Requiring Cesarean Section?

The decision of cesarean can be made after the examinations before the birth or during the birth. In the case of placenta previa, that is, in cases where the placenta covers part or all of the cervix, the cesarean section or normal birth issue loses its importance. Because in this case, the birth should be done by cesarean section. At the same time, normal delivery becomes inconvenient if the baby stands upside down or sideways during birth. In order to prevent the health of the baby from being endangered, even if a normal birth decision has been taken, it is mandatory to perform the birth by cesarean section.

If the baby is found to be large on ultrasound imaging, the answer to the question of cesarean or normal birth is cesarean. In some expectant mothers, the pelvis structure may prevent the baby from being born with normal birth. In this case, we can say that the cesarean decision has become essential. In addition, herpes simplex virus (HSV) can be passed from mother to baby during birth. In order to prevent this, the baby is delivered by cesarean section.

Let us state that in the presence of some anomalies in the baby or the presence of masses obstructing the birth canal, the answer to the question of cesarean section or normal birth is cesarean. Sometimes, some brain and heart diseases that are present in the expectant mother can cause harm in case of straining. However, straining is important for the expectant mother to help normal birth. In such cases, cesarean, which is a method of delivery that does not require straining, is preferred in order not to risk the life of the expectant mother.

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Conditions Requiring Normal Birth?

Conditions Requiring Normal Birth

Normal delivery is not necessarily the preferred mode of delivery. If the condition of the expectant mother and the baby is suitable and there is no harm, cesarean or normal birth can be used in the direction of normal delivery. Women who have given birth by cesarean before may also prefer normal birth. However, the doctor must state that there is no harm in normal birth.

Advantages of Normal Birth

During pregnancy, the body prepares itself for a normal birth. Especially mothers who experience cesarean section or normal birth may wonder about the advantages of normal birth. In normal birth, the expectant mother can recover faster and start taking care of her baby immediately. In this type of birth, surgical intervention is applied only when necessary. It should also be noted that the risk of infection is less in normal delivery compared to cesarean. It is also observed that birth weight is lost more easily.

The Harms of Normal Birth

In terms of disadvantage, it is possible to state that there are some harms of normal birth when considering the issue of cesarean section or normal birth. After birth, pain may be experienced in the perineum and vagina due to tears. It should also be noted that unwanted complications such as shoulder wear in the baby can be experienced. Postpartum urinary incontinence problems may occur, provided that it is short-term and temporary.

Advantages of Cesarean Delivery

Cesarean delivery is considered as a savior option especially for expectant mothers who are afraid of normal birth. Cesarean section provides a planned delivery. The lower risk of complications that may arise during delivery can lead to the decision of cesarean section or normal birth to be used in the direction of cesarean section. The fact that there is no pain and pain experienced in normal birth is also on the list of advantages.

The harms of cesarean delivery

Expectant mothers should evaluate the issue of cesarean delivery or normal birth by considering the disadvantages of cesarean section. The recovery time is longer in cesarean section and the risk of infection is higher than normal birth. Depending on the surgical operation, there is a risk of injury to the baby or some organs of the expectant mother. It should be noted that it is stressful for the baby because the baby is born before the baby is ready, and the baby has a higher risk of developing jaundice, asthma and allergies after birth.

It is also useful to know that the risks arising from the anesthesia applied are also valid. When you look at the disadvantages only, you can notice that the disadvantage list of cesarean is longer in comparison to cesarean or normal birth. However, this does not mean that cesarean delivery is a worse choice than normal birth.

It should not be forgotten that cesarean delivery is a much more appropriate choice in terms of the health of the expectant mother and the baby, especially if it is medically necessary, and it is beneficial not to take a persistent attitude towards normal birth.

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How Long Does Normal Birth and Cesarean Section Last?

How Long Does Normal Birth and Cesarean Section Last

Expectant mothers may wonder about the duration of both delivery types, whether it is cesarean section or normal birth. However, the duration of the birth is not the same in every woman in both cesarean delivery and normal birth. We can state that the normal delivery period is slightly longer, especially in women who give birth for the first time. This period can be completed within a few hours or can be extended up to 10 hours. In subsequent births, the period can be extended up to 7 hours.

Cesarean delivery is usually completed between 40 minutes and 60 minutes. However, it should be known that this period may be extended if any problems are encountered during cesarean delivery. In addition, it would be much more correct to make the decision of cesarean section or normal delivery not by taking the birth period into account, but by taking the health of the baby and medical necessities into consideration.


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Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
Mobile: +905323253008
E-Mail: dr.ismetyildirim@hotmail.com

Friday, November 13, 2020

Nasal Valve Collapse - Definition, Causes, Symptoms, Treatment

Nostril Collapse

Nasal valve collapse - Nostril collapse - Alar collapse - Treatment of nasal valve collapse - Treatment of alar collapse - Nasal valve collapse surgery - Repair of nasal valve collapse - Nasal valve collapse operation

What is nasal valve collapse?


The angle of the nasal wing to the nasal septum and therefore the open or closed airway is closely related to the structure of the nasal valves. Nasal valves must be at the appropriate angle for healthy breathing through the nose. Otherwise, especially functional problems such as septum deviation, a nasal congestion problem will be experienced, which will reduce the quality of life.

The nasal valve consists of two parts, external and internal. Difficulty breathing through the nose (nasal valve insufficiency) occurs with the narrowing of the valve angle or the decrease of the valve area below normal, and it is one of the main causes of nasal obstruction. Nasal valve stenosis may occur congenitally or later. Factors that lead to nasal valve stenosis, which may also occur with the combination of one or more factors, can be listed as follows:

  • Rhinoplasty operations performed in the past,
  • Traumas taken to the face
  • Septum deviation,
  • Weakening of the nasal sidewall with aging

Nasal valve collapse diagnosis


Cottle maneuver


Nasal valve collapse, which has a high incidence in people with a narrow nose structure; It can be understood by a simple physical test called the "Cottle maneuver". Nasal valve insufficiency can be diagnosed if the person can breathe easily by placing two index fingers at the intersection of the nose and cheek and opening the area. Nasal valve collapse can usually be treated surgically.

Nasal valve collapse symptoms


Symptoms of nasal valve failure are as follows;

  • Sleeping with mouth open
  • Snore
  • Decrease in effort capacity
  • Drying in the throat
  • Tiredness
  • Aesthetic impairment in the nose (asymmetry in the nasal entrance in the external nasal valve insufficiency from the bottom and front view, if the internal nasal valve insufficiency is unilateral, collapse in the mid-lateral soft tissue of the nose, and bilateral collapse if bilateral)

Nasal valve collapse surgery


Patients who experience the above mentioned complaints due to nasal valve stenosis can get rid of their problems with surgical application. Cartilage supports are used to support the nasal side wall to expand the nasal valve angle during the surgery performed by giving the patient local or general anesthesia. Afterwards, stitches are made to open the air channels in the nose. The techniques to be used during nasal valve surgery differ between whether nasal valve obstruction is static or dynamic. Static obstruction, unchanged obstruction; dynamic obstruction can be defined as the closure of the internal and external nasal valves at low pressures. Spreader, butterfly and spreader grafts are used in patients with static obstruction during surgical intervention. In case of dynamic obstruction, nasal valve suspension sutures, blanket and overlay concha grafts are used. Nasal valve surgery is usually performed at the same time as septoplasty, turbinate surgery, which is performed to restore nasal function. For this reason, doctors should examine patients with nasal congestion in detail and examine their intranasal structures before the operation. Nasal valve surgery performed as a result of incomplete examinations will not be sufficient to solve the nasal obstruction of the patient alone.




Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
 
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 0533 6550199
Fax: +90 212 542 74 47
 

Thursday, November 12, 2020

What Does It Mean to Have a Miscarriage? How to Understand?

Miscarriage in the most general definition is the loss of the fetus due to various reasons before the 20th week of pregnancy. Nowadays, approximately 20% of pregnancies result in miscarriage and 80% of miscarriages occur in the first 3 months of pregnancy. Of course, miscarriages can be made after the 20th week of pregnancy and these miscarriages are called 'late miscarriages'. Late miscarriages can be more devastating and traumatic in women.

In women, age is closely related to miscarriage, because as age increases, the rate of miscarriage of pregnancies also increases. We can explain the relationship between the age of the woman and the risk of miscarriage as follows:

  • ·         Miscarriage risk increases by 20% in pregnancies between the ages of 35 and 40
  • ·         Miscarriage risk increases by 40% in pregnancies between the ages of 40 and 45
  • ·         Miscarriage risk increases 90% in pregnancies aged 45 and over

If women become pregnant at an advanced age, the likelihood of genetic abnormalities in babies increases significantly. Even based on this factor alone, a miscarriage may occur. Because when pregnancy occurs after a certain age, the body stops the development of the baby in the womb with a completely natural selection.

However, you should know that age is not the only factor that increases the risk of miscarriage, and this does not mean that pregnancies at later ages will necessarily result in miscarriage. It is very important for women planning pregnancy to have information about how to have a miscarriage. Especially the symptoms of miscarriage need to be known.

What is Miscarriage?

The loss of the baby in the womb, due to placental problems, lifestyle, cervical insufficiencies and many other factors, means miscarriage. At the same time, we can say that conditions such as diabetes, thyroid disease, infections, hormonal imbalances, some problems with the cervix, chromosome problems, some abnormalities in the body structure and polycystic ovary syndrome, although not always, cause miscarriage.

In recent years, it has been found that diseases such as gonorrhea and syphilis also cause miscarriage. Although miscarriage is an undesirable situation in planned pregnancies, the fact that it can be caused by many factors brings it to be experienced frequently. Although sometimes drugs are not used to cause miscarriage, drugs used in the treatment of various ailments can also cause pregnancy to result in miscarriage.

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What Are the Symptoms of Miscarriage?

What Are the Symptoms of Miscarriage

Expectant mothers may also wonder the answers to questions such as how miscarriage reveals itself, how miscarriage signals it. The most obvious symptom of miscarriage is vaginal bleeding. Common miscarriage symptoms can be listed as follows:

  • ·         Vaginal bleeding
  • ·         Cramping and pain in the abdomen
  • ·         Mild or severe back pain
  • ·         Experiencing weight loss
  • ·         Nausea and vomiting
  • ·         Fluid discharge from the vagina
  • ·         Textured or clotted discharge from the vagina
  • ·         Feeling like fainting at any moment
  • ·         Contractions in the womb
  • ·         High body fever

As a result, it should be underlined that each of the symptoms of miscarriage is extremely important. Regardless of the week of your pregnancy, immediately inform your doctor when the symptoms listed above occur. Because similar symptoms can be seen when different problems arise other than miscarriage, and it is of great importance to intervene in health problems that occur during pregnancy as soon as possible. It is not always possible to investigate the cause of the miscarriage.

It should be emphasized that sometimes a miscarriage shows no symptoms. In the examination, it is determined by the gynecologists and obstetricians that the development of the baby has stopped. However, until then, the mother-to-be has not experienced any symptoms of abortion. For this reason, it is of great importance that the examinations are not interrupted and neglected during the pregnancy period.

How Is Miscarriage Cure?

When your doctor detects that the baby's development has stopped, immediate miscarriage treatment is required. In such a situation, it does not matter whether there is a symptom of miscarriage or not. The inside of the uterus should be cleaned with the treatment of abortion in a short time. Because if this treatment is not applied, the body tries to evacuate the baby whose development has stopped as a natural reaction, which raises the risk of serious blood loss. Since the risk of excessive bleeding also brings a life-threatening risk, it is necessary to undergo abortion treatment.

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How Does a Piece Fall in Low?

First of all, in case of miscarriage, it should not be thought that tissue pieces come from the vagina. A miscarriage can also start with bleeding only, without a piece of tissue. Tissue pieces, on the other hand, may have an irregular shape and vary in size. You can put the incoming tissue piece in a container so that your doctor can see it. The important thing is to know that a piece of tissue from the vagina is among the symptoms of miscarriage.

How Much Is The Amount Of Bleeding In Miscarriage?

How Much Is The Amount Of Bleeding In Miscarriage

The bleeding may start as light spotting and may become severe or severe. Note that the color of the blood can also be bright red, pink or close to brown. In case of a miscarriage during pregnancy, the amount of bleeding may not always be the same. Therefore, specifying a certain amount can be misleading. It is important to know that vaginal bleeding during pregnancy is among the symptoms of miscarriage and to inform the doctor. Of course, we are not talking about the mild bleeding that occurs in the early stages of pregnancy, which is known as "implantation bleeding" among the public, and occurs when the embryo is implanted in the uterus. Implantation bleeding is considered medically normal and not considered to be abortion. However, bleeding that occurs afterwards should be taken seriously.

Will There Be Miscarriage Without Bleeding?

One of the issues that confuses expectant mothers about miscarriage is bleeding. However, a miscarriage can be made without bleeding. For example, miscarriages that start with water coming out of the vagina may be experienced, and these miscarriages may not have bleeding or pain or cramping. Therefore, although bleeding is among the most common and most important symptoms of miscarriage, it is useful to know that a miscarriage can occur without bleeding. Sometimes, only the water coming from the vagina can be one of the answers to the question of how the miscarriage happens.

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Will Pregnancy Happen After Miscarriage?

Of course, ending a pregnancy with a miscarriage does not mean that you cannot be a mother or have a healthy pregnancy period. After a miscarriage, women can get pregnant again and have a healthy pregnancy period. We also observe that the concern that pregnancy will result in a re-miscarriage after abortion is extremely common.

Miscarriage in the first pregnancy does not increase the risk of miscarriage in subsequent pregnancies. Today, many women have a healthy pregnancy period after abortion. Of course, there is a possibility of a second miscarriage after a miscarriage, but we should also mention that this probability is around 5%.

In the meantime, miscarriage can be devastating for women not only physically but also psychologically, and it will be useful to wait for a psychological recovery before getting pregnant again. Psychologically, the expectant mother should be expected to feel ready. Physical recovery after abortion can take a few hours, as well as up to a few days. Because after abortion, there may be a need for abortion.

However, it is not necessary to have an abortion after every abortion. Especially in the early pregnancy period, it can be determined that there is no need for an abortion with the examination performed when miscarriage occurs. The regularization of the menstrual cycle requires a period of 4 to 6 weeks, and usually the menstrual cycle does not begin before 4 weeks. Because you should wait for women who have had a miscarriage to recover physically and psychologically in order to have a healthy pregnancy.

Are There Medications That Cause Miscarriage?

Unfortunately, various attempts are still being made to achieve an abortion in order to terminate unwanted pregnancies. However, there is only one way to end unwanted pregnancies; abortion! Therefore, different searches should not be made with questions such as what to do to abort. It is not possible to miscarriage with the use of various medicines or various herbal cures.

On the contrary, you can cause serious and permanent damage to your health. Finally, the only answer to the question of what to do to abortion would be "an appointment for abortion". There is no sale of a drug that is the answer to the question of what to do to abort in our country. You should definitely not use medicines that are claimed to cause miscarriage and are advertised in this way and you should not respect these people.

Indiscriminate use of medication does not cause miscarriage symptoms. There may be a belief that a miscarriage will occur in the event of the death of the unborn baby, but this may cause you to lose your life. As a result, there is no drug that causes miscarriage, and it is never possible to obtain such a drug from pharmacies. In case of unwanted pregnancy, you should contact your gynecologist and obstetrician to have an abortion procedure before exceeding the legal abortion period. In particular, methods such as using pills for miscarriage can be life-threatening.

How to Understand Low Risk?

It is not possible for the expectant mother to understand that there is a risk of miscarriage. However, with the examinations and tests performed by your doctor, it can be determined that there is a risk of miscarriage. For this, conditions such as cervical opening or light bleeding should be detected.

In this case, you may be advised to rest by your doctor and you may be asked to inform if the complaints persist. However, when the symptoms of miscarriage appear clearly, it is not possible to prevent abortion by resting in cases such as water, blood and tissue fragments coming from the vagina.

In this case, unfortunately, the loss of the fetus may be inevitable and treatment is not required to prevent miscarriage. Especially if there is a risk of miscarriage after the first trimester of pregnancy, a successful result may not be obtained with medication. Unfortunately, this pregnancy picture often results in miscarriage and an abortion may be required afterwards.


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Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
Mobile: +905323253008
E-Mail: dr.ismetyildirim@hotmail.com

Saturday, October 31, 2020

What is Preterm Birth?

Preterm birth is one of the biggest concerns of expectant mothers. Approximately 12% of pregnancies result in premature birth. It is also possible to prevent premature birth, also known as premature birth, by eliminating various risk factors. However, sometimes protective measures are not enough, and premature birth can be an inevitable end. The anxiety of expectant mothers on the subject stems from the fear of losing their babies. However, giving birth earlier than it should be does not necessarily mean that the baby will result in death.

What is Preterm Birth

What are Preterm Birth Symptoms?

The most important premature birth symptom is regular and frequent contractions and these contractions intensify over time. However, most women experience false contractions called Braxton-Hicks during pregnancy. This should not be confused with the contractions experienced before premature birth. Pseudo-contractions are not consistent and there is also no increase in frequency. However, it does not cause pain like prenatal contractions. Position change in prenatal contractions does not stop the contraction, but acting in false contractions may stop the contraction.

Frequent urination and an increase in vaginal discharge are also symptoms of preterm labor. This condition may be accompanied by a bleeding in the form of vaginal bleeding or spotting. The expectant mother feels serious pressure on her pelvis. Spasm every 10 minutes and headache are among these symptoms. Headache usually occurs at the back of the head and is permanent in some expectant mothers and temporary in others.

In the lower part of the abdomen, a cramp like the menstrual period is also on the list of early birth symptoms. Symptoms include increased vaginal discharge, nausea, vomiting and diarrhea. Considering all these symptoms, expectant mothers should consult with their doctor immediately if they suspect about premature birth. Especially, the frequency of contractions for 10 minutes or less, increasing in intensity is the most important symptom and you should contact your doctor without wasting time.

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Who is at the Risk of Preterm Birth?

First of all, it is not possible to predict in which pregnancies premature birth will occur. However, this does not mean that there are no risk factors. We can list these risk factors as follows:

  • ·         Having had a premature birth before
  • ·         Having twins and triplets before
  • ·         Working in heavy physical work that exhausts the body
  • ·         A problem with the uterus, cervix or placenta
  • ·         Smoking and drug use
  • ·         Presence of fetal birth defects
  • ·         Experiencing a situation that causes severe stress and distress
  • ·         Some infections
  • ·         Excessive amniotic fluid
  • ·         Vaginal bleeding during pregnancy
  • ·         Less than 6 months between pregnancies
  • ·         Having some chronic illnesses
  • ·         Presence of periodontal disease

Can Preterm Birth Be Prevented?

Can Preterm Birth Be Prevented

Although it is possible to eliminate preventable risk factors, premature birth may not always be prevented. It is recommended that you have check-ups before pregnancy in order to eliminate possible risk factors and have a healthier pregnancy period. Many women realize that they have a health problem related to the uterus during pregnancy controls, but this problem cannot always be eliminated by surgical intervention due to pregnancy. However, not interrupting routine controls before pregnancy ensures that these problems are intervened in the early period.

However, a regular and healthy diet is of great importance. Folic acid and calcium supplements are much more important than expected in order to consume the ideal amount of water every day, to have a healthy pregnancy and to reduce the risk of preterm birth. For this reason, risk factors must be well known to prevent preterm birth.

It is the wisest choice to eliminate preventable risk factors. When these risk symptoms appear, your doctor may ask you to use some medications. Using prescribed medications as directed and not disrupting them can also prevent premature births.

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How Many Weeks Preterm Birth?

A normal pregnancy lasts 40 weeks. Delivery before the 37th week of pregnancy is considered premature birth. Of course, it is undesirable because premature births pose serious risks to babies' health. Premature babies are immediately taken to the neonatal care unit and need special attention.

How to Prevent Preterm Birth?

How to Prevent Preterm Birth

We have stated before that it is not always possible to prevent preterm birth. Some measures that expectant mothers can take may reduce the risk, but still premature birth may occur. For example, one of the most important factors causing preterm birth is vaginal infections. In fact, almost 50% of preterm births are caused by vaginal and uterine infections. You can eliminate this risk by taking precautions such as taking into account your doctor's recommendations and warnings and paying attention to hygiene conditions.

In addition, smoking and drug use is one of the causes of premature birth and it should be underlined that it is a preventable risk factor. Planning a pregnancy that will take longer than 6 months between two pregnancies is also important in order to prevent premature birth. Not putting too much strain on the body during pregnancy and checking dental health before pregnancy can also be considered in this category. Some gum diseases can also cause this problem.

What are Preterm Birth Losses?

Unfortunately, premature birth means life-threatening risk for babies. Of course, not every premature baby dies, but infant deaths due to premature birth are common. In addition, if the birth occurs earlier than it should be, it may cause some physical and mental problems in babies. In the newborn intensive care unit, all necessary treatments are applied to strengthen the development of the vital organs of babies. However, various diseases may occur due to internal organ development disorders.

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How is it treated?

Let us state that the treatment is specially planned and applied according to the health status of the mothers, the health condition of the baby and the reasons of preterm birth. The same treatment procedure is not applied to every expectant mother. First of all, when preterm labor is suspected, some medications may be prescribed by your doctor.

If this risk cannot be eliminated with the use of medication, gynecologists and obstetricians prepare themselves for a high risk birth and all kinds of precautions are taken. However, sometimes, unfortunately, the birth can start in the 34th week of pregnancy, or some doubts may arise that it will begin. In this case, you may need to be treated in a clinical setting and your doctor may recommend hospitalization.

A much different treatment is applied if the pregnancy water comes. Especially if the cause of premature birth and pregnancy water is due to infection, then your doctor may prescribe antibiotics. Corticosteroid use may be required between the 24th and 34th week of pregnancy to accelerate the lung development of the unborn baby.

However, it may be necessary to use some drugs in order to control the contractions and delay the birth. These are all common treatment protocols. Different treatments may be required depending on the condition of the mother and the baby. In such a case, it is important for the expectant mother to remain calm and strictly comply with her doctor's recommendations and warnings, in order to be able to apply the treatment smoothly.


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Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
Mobile: +905323253008
E-Mail: dr.ismetyildirim@hotmail.com

Tuesday, October 6, 2020

What is Fibroid? What are the Symptoms? What is the treatment?

Myoma is abnormal smooth muscle proliferation in the uterus and is one of the most common female diseases. We can define fibroids as benign tumors. Fibroids that can show different locations in the uterus such as intramural, subserus, intracavitary and pedunculated can be seen at any age. However, it is also known to be more common between the ages of 30 and 40. These tumors, which can be affected by the hormonal state of the body, tend to shrink after the menopause period.

Fibroids, which tend to grow after menopause, must be followed up regularly because of the possibility of turning into malignant. In general, the probability of these tumors becoming cancerous is 1 in 1000. However, it is very important to have regular follow-ups due to the risk of cancer, even if it is low.

Meanwhile, there is a risk of recurrence of fibroids. The probability of recurrence in the first 5 years after the removal of fibroids with surgery is around 20% to 25%. All visible tumors can be cleared during treatment. However, those in microscopic dimensions that are not yet visible to the eye can grow over time as they cannot be cleaned.

Why Does Myoma Occur?

The probability of being seen in women in the reproductive period is around 20%. Of course, when diagnosed, women also wonder why these tumors occur. However, it should be noted that the cause of fibroids is not yet known. Genetic factors are effective in this formation and therefore the family history of the patients is also important in diagnosing fibroids. However, these tumors also have a hormone-dependent feature. Their tendency to shrink after menopause suggests that they are highly affected by the estrogen hormone.

According to the researches, fibroids are more common in obese women and women who have never given birth before. Its dimensions can be different for each patient. We can also say that fibroids can pose some risks depending on their size and where they are located in the uterus. For example, fibroids that are large and put pressure on the cavity cavity in the uterus can cause infertility. However, we can say that they can cause problems such as miscarriage or recurrent pregnancy loss, as well as premature birth.

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What are the Symptoms of Myoma?

When patients have fibroids, the ability of the uterus to contract can also be negatively affected. Accordingly, menstrual irregularity may occur. Most of the women learn that they have uterine fibroids when they apply to the gynecologist and obstetrician with the complaint of long and severe menstrual bleeding. Due to severe bleeding, anemia may also occur. Anemia is usually seen in women who think that severe and prolonged menstrual bleeding is normal and who do not consult a doctor for a long time.

Myoma, which reaches large sizes, manifests itself with the following symptoms:

  • Swelling and pain in the abdominal area
  • Constipation
  • Complaints about degassing
  • Some kidney problems
  • Frequent urination

Healthy fibroids in the cavity can manifest themselves with different symptoms. For example, we can say that stalked fibroids can go outside the uterine cavity. Symptoms such as bleeding and infection after sexual intercourse can also be seen. Depending on the infection, malodorous vaginal discharge may also occur.

Dr. Ismet Yildirim says ...

Myoma is a benign tumor arising from the uterine muscle layer seen in 2 out of every 5 women after the age of 35. The cause is usually genetic, if it is present in the mother, it is likely to be in her daughter and siblings. It causes complaints depending on the location in the uterus.

While those who settle in the inner layer of the uterus bleed excessively, those placed in the muscle layer cause pain. In case of excessive growth, it can damage the surrounding organs and cause trouble for conception. There is no drug treatment. If it causes conditions such as anemia, rapid growth and pain, it is appropriate to be removed by surgery. There are different types of surgery. Fibroids that do not complain are followed up. Fibroids may regress on their own in women who enter menopause. Regular periodic check-ups in women ensure early diagnosis.

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Is There a Treatment for Myoma?

Before proceeding to the treatment phase, myoma must be diagnosed in the uterus and myoma must be examined. Since it is possible to diagnose with pelvic examination and ultrasound imaging, it is not absolutely necessary to perform very advanced examinations. However, depending on the location of the myoma, the age and complaints of the patient, three-dimensional USG, MRI and tomography may be required.

After the diagnosis of myoma is made, treatment options are evaluated considering the age of the patient, symptoms, the size of the myoma and the location where it is located. If there is a very sudden growth or transformation into a malignant tumor, it may be necessary to perform surgical intervention and evacuate the fibroid formation from the body immediately.

However, it may be possible for fibroids to cause infertility, as we mentioned before. Fibroids located in a place that prevents fertilization may also need to be surgically removed to eliminate the infertility problem. In short, it is possible to treat fibroids with medical and surgical treatment methods. The most ideal treatment option will be applied by the gynecologist and obstetrician by evaluating the patient's condition.

Myoma Surgery In The Womb

First of all, in case of uterine fibroids, the patient does not necessarily need surgery. When the decision of surgery is made, the surgical intervention is performed with the most appropriate technique for the patient. Surgery can be performed using open, closed, BAE or hysteroscopy methods. 

Whether the patient wants to have children or not is also important in determining the surgical intervention technique. Because, as an alternative to evacuating fibroids from the body, it may be preferable to completely remove the uterus. However, in this case, the patient also loses fertility and cannot get pregnant again.

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Hysteroscopy

This method of myoma surgery is applied by entering and removing fibroids that cause severe pain or severe bleeding in the patient. In this method, a special imaging system is used and fibroids located under the uterus or inside the uterus can be imaged.

Closed Surgery

Surgery can be performed by laparoscopic or robotic surgery method. If the uterine fibroids are larger than 4-5 cm, the myoma is removed from the uterine bed. Then, bleeding in this area can be intervened.

Open Surgery

Other surgical techniques can be inconvenient in cases such as the large size of myomas and their progress to the upper part of the belly. Therefore, surgical intervention should be done with an open technique. The operation is completed with the application of stitches after the incision is applied to the patient and the removal of myomas. The recovery time of the patient is longer in operations performed with open technique. Therefore, it is preferred to perform the surgery with other techniques unless it is necessary.

Uterine Artery Embolization (UAE)

In very rare cases, interventional radiological techniques can be used. The veins that feed the myoma are closed with the help of catheter entering through the inguinal vein. In this way, the growth of myoma can be prevented and even shrinkage of myoma can be achieved. When this method is applied, it is observed that the symptoms are reduced by 90%.

Does Myoma Cause Much Pain?

In case of uterine fibroids in women, there is often no severe pain. However, some patients may experience pain that can disturb daily life, especially during menstrual periods. At the same time, although it is rare, some patients may also experience back pain.

It may also be possible to experience pain during or after sexual intercourse. Therefore, fibroids is a condition that can cause pain. Factors such as which part of the uterus is located, its size, and the tissues that it puts pressure on in the uterus can also determine whether it causes pain or how much pain it causes.

Does Myoma Bleed?

Since the most typical symptom of fibroids is bleeding, women who have fibroids in the uterus may experience severe bleeding during their menstrual periods. At the same time, these tumors can cause the menstrual period to take longer. This is because women experience problems such as anemia and fatigue due to severe and prolonged menstrual bleeding.

Myoma that causes excessive bleeding complaints should be removed by surgical intervention. Because different health problems may arise due to severe bleeding. You can write your questions on the subject in the comment section.


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Friday, October 2, 2020

What Is A Wound In The Cervix? (Servical Erosion) How Is It Treated?

cervicitis often develops due to infection and can be defined as inflammation of the cervical tissue. It can also occur after irritation or trauma and is commonly manifested by vaginal discharge. Treatment can be done with simple surgical interventions, and after a short recovery period, it is possible for the patient to return to his daily life. We can state that all women with active sex lives are suitable candidates for this ailment.

Cervical Erosion

Is There Really A Wound In The Cervical Mouth?

Wound in the cervix, which is common in the society, is among the problems frequently encountered by gynecologists and obstetricians. What is called "wound" among the people is actually the formation of a red and rough appearance in this area. The squamous epithelial cells of the vagina change due to various reasons such as irritation, trauma or infection, and this change causes a rough surface appearance in the cervix. Sometimes, the cervix can be bloody and velvety.

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Why Does Cervical Wound (Cervicitis) Occur?

It is still not known exactly which factors cause scar formation in the cervix. However, it should be noted that infection is an extremely active factor. This problem often arises as a result of infections that develop in the cervical region due to various factors. Generally, 3 microorganisms can cause cervicitis. These;

  • Chlamydia
  • Gonorrhea
  • Trichomonas

However, we can state that frequent sexual intercourse is among the causes of cervicitis. The hormonal changes in the body can also lead to such a result. In recent years, it has been understood that some chemical factors also cause scar formation in the cervix. This discomfort can occur in women, especially due to the chemical substances on the condom. As a result of the allergic reactions of the body to some substances, sores can occur in the cervix area.

 

What Symptoms Does Cervical Sore Cause?

What Symptoms Does Cervical Sore Cause

First of all, it should be noted that the symptoms of the wound in the cervix do not have specific features. Since symptoms that can occur in many different conditions are observed, it can only cause discharge in the patient. Because it does not cause a different complaint, it is sometimes diagnosed during routine control examinations.

Because discharge is not a symptom that patients take too seriously. Since the discharge that occurs after the menstrual period is often not considered as a disease precursor, patients do not need to consult a doctor. This situation turns into an important obstacle to early diagnosis in many diseases. However, vaginal discharge is the most important symptom of cervicitis.

Although there are no symptoms in mild cases, we can list the symptoms of cervicitis in general as follows:

  • Bleeding during or after sexual intercourse if the wound is large
  • Bleeding in the form of spotting outside the menstrual period
  • A burning sensation during urination
  • Itching in the vaginal area

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Who Is The Cervical Wound More Common?

Wound in the cervix, which can be seen at any age, can also occur due to genetic factors. A wound is expected in women with a wound on their mother. Especially in young girls who have never had intercourse, the presence of wounds suggests genetic factors. It can be mentioned that it is more common in women who have frequent vaginal infections or have more than one delivery. This problem may occur more commonly in women with cervical irritation for various reasons and women who have frequent sexual intercourse.

The use of birth control pills, on the other hand, can cause the cells that make secretion in the cervical canal to proliferate and increase the risk of wound formation in the cervix, even indirectly. We can state that this disorder is more common in women who use contraceptive pills or have spirals.

 

How To Treat Wounds In The Cervical Mouth? How Long Does It Take To Heal?

Burning the problematic area with electrocautery or freezing with cryotherapy are minor surgical methods used in the treatment of wounds in the cervix. Let us state that the healing time can vary depending on which treatment is applied and the size of the wound in the cervix. 

The most common treatment protocol is obtaining heat with a pen-like device and burning this area with heat. This treatment is the oldest treatment method and there may be very mild pain during the procedure. However, the patient can return to his life immediately after the procedure.

After the wound treatment in the cervix, which is applied by burning the wound with a cautery device, the complaint of discharge can continue for up to 15 days and this is medically quite normal. Slight burning may continue for a while. It takes 10 to 15 days for the tissues to fully heal, and sexual intercourse should not be made during this period. Because sexual intercourse can cause the wound to recur.

With cryotherapy, recovery occurs faster in the freezing process. The procedure takes about 5 minutes and the patient can return to his daily life immediately. After the cervical wound treatment applied with this method, only a mild groin pain can be experienced. It should be underlined that the probability of recurrence after this job is also lower.

 

Does The Cervical Wound Go On Itself?

Does The Cervical Wound Go On Itself

If it is a simple irritant substance that causes wound formation in the cervix, the problem may disappear if this substance is not used. In a sense, we can say that this ailment does not always require treatment. However, the smear test must be done beforehand and the test result must be evaluated by the gynecologist and obstetrician.

If the patient has an infection and the development of cervicitis is observed due to the infection, it will be beneficial to apply the treatment procedure. In addition, in case of wound in the cervix, the factor that causes the wound may need to be eliminated and it may be waited for a while. If there are no signs of improvement during this period, the appropriate treatment option may be preferred.

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What Happens If Uterine Wound Is Not Treated?

In case of a wound in the cervix, you should definitely consult with the gynecologist and obstetrician and be examined. If the wound condition is of a size that requires treatment and is not treated, it can become chronic in a short time. At the same time, the wound can deepen and spread over a wider area. In this case, the patient's complaints will also increase and the quality of daily life will be negatively affected by these complaints.

You should also know that the treatment may take longer and may be more difficult in the future. We can say that untreated cervical wounds cause infertility, premature birth, miscarriage and even cervical cancer. If it is not treated, changes occur in the flora of the vagina due to frequent discharge and vaginal inflammation occurs.

 

Does Cervical Wound Cause Cancer?

First of all, we need to mention that cervical wound and cervical cancer are very different conditions. Wound in the cervix does not necessarily mean that the patient will have cervical cancer. But not treating the wound can significantly increase the risk of cancer. It is also important whether cervicitis is ulcerated or not. In the case of an ulcerating wound, it is necessary to scan for the presence of the HPV virus immediately.

Because this virus progresses and spreads very quickly in the area with wound formation. It should not be forgotten that HPV virus alone is the cause of cervical cancer. As a result, although cervicitis is not a single cause of cancer, it is a condition that is indirectly related to cervical cancer.



Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
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