{"id":17680,"date":"2026-03-05T16:08:28","date_gmt":"2026-03-05T15:08:28","guid":{"rendered":"https:\/\/ivrt.de\/?p=17680"},"modified":"2026-05-14T16:22:08","modified_gmt":"2026-05-14T14:22:08","slug":"gebelikte-bas-doenmesi-kanit-ve-tedbir-arasinda-tani-ve-tedavi","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/schwindel-in-der-schwangerschaft-diagnostik-und-therapie-zwischen-evidenz-und-vorsicht\/","title":{"rendered":"Gebbelik s\u0131ras\u0131nda ba\u015f d\u00f6nmesi: Kan\u0131t ve ihtiyat aras\u0131nda tan\u0131 ve tedavi"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p class=\"translation-block\">Hamilelik s\u0131ras\u0131nda ba\u015f d\u00f6nmesi s\u0131k g\u00f6r\u00fclen bir durumdur. G\u00fcncel bir derleme, gebelik s\u0131ras\u0131nda <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibueler-migren\/\" data-type=\"post\" data-id=\"5313\" target=\"_self\">vestib\u00fcler migren<\/a>, <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/meniere-hastaligi\/\" data-type=\"post\" data-id=\"7403\" target=\"_self\">Meniere hastal\u0131\u011f\u0131<\/a> ve benign paroksismal pozisyonel vertij (<a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\" target=\"_self\">BPPV<\/a>) tedavisinde kar\u015f\u0131la\u015f\u0131lan zorluklar\u0131 ele almakta ve anne ile bebek i\u00e7in g\u00fcvenli\u011fin nas\u0131l sa\u011flanabilece\u011fini ortaya koymaktad\u0131r.<\/p>\n\n\n\n<p>\ud83d\udd17 Castillo-Bustamante M, Bhandari A, \u00c7elebisoy N, Whitney SL, Petrak MR, Campo-Campo MN. Gebel\u00fck S\u0131ras\u0131nda Vestib\u00fcler Bozukluklar\u0131n Terap\u00f6tik Y\u00f6netimi: Anlat\u0131sal ve Kan\u0131ta Dayal\u0131 Bir Derleme.&nbsp;<em>Cureus<\/em>. 2025;17(8):e89705.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40787181\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>Arka Plan ve Fizyoloji<\/strong><\/p>\n\n\n\n<p>Gebbelik, devasa hormonal (\u00f6strojen\/progesteron) ve hemodinamik de\u011fi\u015fiklikleri tetikler. Bunlar, i\u00e7 kula\u011f\u0131n homeostaz\u0131n\u0131 (endolenf) ve merkezi uyar\u0131 i\u015fleme s\u00fcrecini do\u011frudan etkiler. Bunun sonucu olarak; vestib\u00fcler migren (VM) gibi mevcut rahats\u0131zl\u0131klar k\u00f6t\u00fcle\u015febilir veya de\u011fi\u015fen kalsiyum metabolizmas\u0131 nedeniyle BPLS (benign paroksismal pozisyonel vertigosu) gibi hastal\u0131klar ilk kez ortaya \u00e7\u0131kabilir. Ayr\u0131ca gebelik ilerledik\u00e7e v\u00fccut a\u011f\u0131rl\u0131k merkezi kayar, bu da postural kontrol\u00fc zorla\u015ft\u0131r\u0131r ve d\u00fc\u015fme riskini art\u0131r\u0131r.<\/p>\n\n\n\n<p>Ba\u015fl\u0131ca klinik tablolar\u0131n genel g\u00f6r\u00fcn\u00fcm\u00fc<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\" target=\"_self\">BPLS <\/a>(gebelik ba\u015f d\u00f6nmesi):<\/strong> \u00d6zellikle 2. ve 3. trimesterde s\u0131k g\u00f6r\u00fcl\u00fcr. Nedenleri genellikle de\u011fi\u015fen D vitamini d\u00fczeyleri, fetal iskelet i\u00e7in artan kalsiyum ihtiyac\u0131 veya uzun s\u00fcre s\u0131rt \u00fcst\u00fc yatmakt\u0131r.<\/li>\n\n\n\n<li class=\"translation-block\"><strong><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibueler-migren\/\" data-type=\"post\" data-id=\"5313\" target=\"_self\">Vestib\u00fcler migren<\/a>:<\/strong> Belirtiler \u00f6ng\u00f6r\u00fclemez. Klasik migren ba\u015f a\u011fr\u0131lar\u0131 bir\u00e7ok kad\u0131nda (50\u201370 %) hafiflerken, ba\u015f d\u00f6nmesi ataklar\u0131 bundan ba\u011f\u0131ms\u0131z olarak devam edebilir.<\/li>\n\n\n\n<li class=\"translation-block\"><strong><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/meniere-hastaligi\/\" data-type=\"post\" data-id=\"7403\" target=\"_self\">Meni\u00e8re hastal\u0131\u011f\u0131<\/a>:<\/strong> \u00d6zellikle 2. trimesterde fizyolojik s\u0131v\u0131 birikimi (hidrops) ve hormonal dalgalanmalar nedeniyle alevlenebilir.<\/li>\n\n\n\n<li class=\"translation-block\"><strong><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/kalici-postural-perseptueel-bas-doenmesi-pppd\/\" data-type=\"post\" data-id=\"5343\" target=\"_self\">PPPD <\/a>(kal\u0131c\u0131 postural-alg\u0131sal ba\u015f d\u00f6nmesi<\/strong> \/ <strong>fonksiyonel ba\u015f d\u00f6nmesi):<\/strong> Hormonel dalgalanmalar, artan yorgunluk ve psikolojik stres, uyumsuz uyaran i\u015flemeyi tetikleyebilir veya \u015fiddetlendirebilir.<\/li>\n<\/ul>\n\n\n\n<p>Trimesterlere g\u00f6re klinik y\u00f6netim<\/p>\n\n\n\n<p class=\"translation-block\"><strong>1. trimesterde<\/strong>, fet\u00fcs\u00fcn organ olu\u015fumu ger\u00e7ekle\u015fti\u011fi i\u00e7in g\u00fcvenlik en \u00f6ncelikli konudur. Y\u00fcksek teratojenik etki nedeniyle ila\u00e7 kullan\u0131m\u0131 kesinlikle ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Bu d\u00f6nemde odak noktas\u0131, kapsaml\u0131 bir anamnez ve gebeli\u011fe \u00f6zg\u00fc mide bulant\u0131s\u0131 ile ilgili ay\u0131r\u0131c\u0131 tan\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"translation-block\"><strong>2. trimester<\/strong> en istikrarl\u0131 d\u00f6nem olarak kabul edilir ve s\u0131kl\u0131kla \u201ef\u0131rsat penceresi\u201c olarak adland\u0131r\u0131l\u0131r. Bu d\u00f6nemde <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_self\">vestib\u00fcler rehabilitasyon tedavisi<\/a> (VRT) ve <a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/pozisyonel-vertigo-egzersizleri-epley-semont\/\" data-type=\"page\" data-id=\"112\" target=\"_self\">serbest b\u0131rakma manevralar\u0131 <\/a>\u00e7ok ba\u015far\u0131l\u0131 bir \u015fekilde uygulanabilir. Ka\u00e7\u0131n\u0131lmaz olmas\u0131 durumunda, bu a\u015famada da titiz bir de\u011ferlendirme sonras\u0131nda dikkatli bir \u015fekilde ila\u00e7 tedavisine ba\u015flanabilir.<\/p>\n\n\n\n<p class=\"translation-block\"><strong>3. trimesterde<\/strong> mekanik y\u00fck \u00f6n plana \u00e7\u0131kar. Rahmin a\u011f\u0131rl\u0131\u011f\u0131 nedeniyle s\u0131rt\u00fcst\u00fc yatarken <strong>vena<\/strong> <strong>kava<\/strong> <strong>kompresyon<\/strong> <strong>sendromu<\/strong> riski ortaya \u00e7\u0131kar. Bu durumda, yan yatma veya oturma pozisyonunda yap\u0131lan uyarlanm\u0131\u015f hareketler ile hedefe y\u00f6nelik d\u00fc\u015fme \u00f6nleme tedbirleri hayati \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n<p><strong>Uygulama i\u00e7in uzman ipucu<\/strong>\u00d6zellikle 3. trimesterde, posterior kanal i\u00e7in Li manevras\u0131 ve horizontal kanal i\u00e7in Gufoni manevras\u0131 olduk\u00e7a avantajl\u0131d\u0131r. Bu teknikler uzun s\u00fcreli s\u0131rt\u00fcst\u00fc pozisyondan ka\u00e7\u0131n\u0131r ve b\u00f6ylece anne aday\u0131n\u0131n dola\u015f\u0131m riski en aza indirilir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pratik \u0130\u00e7in Sonu\u00e7<\/h3>\n\n\n\n<p class=\"translation-block\">\u0130la\u00e7 d\u0131\u015f\u0131 yakla\u015f\u0131mlar alt\u0131n standart tedavi y\u00f6ntemidir. <strong>Vestib\u00fcler Rehabilitasyon Tedavisi (VRT)<\/strong>, hamileli\u011fin t\u00fcm \u00fc\u00e7 ayl\u0131k d\u00f6nemlerinde g\u00fcvenli ve etkilidir. \u0130la\u00e7lar (antiemetikler veya SSRI\u2019lar gibi), ancak jinekoloji ve n\u00f6roloji b\u00f6l\u00fcmleri aras\u0131nda disiplinler aras\u0131 bir g\u00f6r\u00fc\u015fme sonras\u0131nda ve hastan\u0131n a\u015f\u0131r\u0131 derecede rahats\u0131zl\u0131k ya\u015fad\u0131\u011f\u0131 durumlarda kullan\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve istiyorsun <strong>pozisyonel vertigoyu ve di\u011fer vestib\u00fcler bozukluklar\u0131, \u00f6zel hasta gruplar\u0131nda dahi g\u00fcvenli ve kan\u0131ta dayal\u0131 bir \u015fekilde nas\u0131l tedavi edece\u011finizi \u00f6\u011frenmek mi?<\/strong>&nbsp;<\/strong><\/p>\n\n\n\n<p>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong>Gebelikte ba\u015f d\u00f6nmesi: Arkas\u0131nda sadece dola\u015f\u0131m sisteminden fazlas\u0131 oldu\u011funda<\/strong><\/p>\n\n\n\n<p>Pek \u00e7ok hamile kad\u0131n ba\u015f d\u00f6nmesi ya\u015far; bu durum genellikle d\u00fc\u015f\u00fck tansiyona veya hormonlara ba\u011flan\u0131r. Peki ya d\u00fcnya ger\u00e7ekten d\u00f6n\u00fcyor ya da zemin ayaklar\u0131n\u0131n alt\u0131nda sallan\u0131yorsa? Yeni bir bilimsel derleme, hamilelikteki ger\u00e7ek denge bozukluklar\u0131n\u0131n, kolayca tedavi edilebilir olmalar\u0131na ra\u011fmen genellikle g\u00f6z ard\u0131 edildi\u011fini g\u00f6steriyor.<\/p>\n\n\n\n<p><br>\ud83d\udcc4 Castillo-Bustamante M, Bhandari A, \u00c7elebisoy N, Whitney SL, Petrak MR, Campo-Campo MN. Gebelikte Vestib\u00fcler Bozukluklar\u0131n Terap\u00f6tik Y\u00f6netimi: Anlat\u0131sal ve Kan\u0131ta Dayal\u0131 Bir Derleme.&nbsp;<em>Cureus<\/em>. 2025;17(8):e89705.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40787181\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><strong>Bilmeniz gerekenler:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Pozisyonel vertigo (BPLS):<\/strong> Mineral dengesindeki de\u011fi\u015fiklikler nedeniyle kulakta k\u00fc\u00e7\u00fck \u201eta\u015f\u00e7\u0131klar\u201c yerinden \u00e7\u0131kabilir. Bu durum, \u00f6zellikle yatakta d\u00f6n\u00fcl\u00fcrken veya uzan\u0131rken \u015fiddetli d\u00f6nme hissi yarat\u0131r.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Hormonlar\u0131n etkisi:<\/strong> Hormonlar, t\u00fcm v\u00fccuttaki s\u0131v\u0131 dengesini de\u011fi\u015ftirir; i\u00e7 kulakta da durum b\u00f6yledir. Bu, migren kaynakl\u0131 ba\u015f d\u00f6nmesi gibi mevcut sorunlar\u0131 \u015fiddetlendirebilir.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>G\u00fcvenlik her \u015feyden \u00f6nce gelir:<\/strong> Bir\u00e7ok ki\u015fi, hamilelik s\u0131ras\u0131nda ba\u015f d\u00f6nmesi tedavisi uygulanmamas\u0131 gerekti\u011fini d\u00fc\u015f\u00fcn\u00fcr. Oysa tam tersi do\u011frudur: En etkili y\u00f6ntemler hi\u00e7 ila\u00e7 kullan\u0131lmadan uygulan\u0131r ve bebe\u011finiz i\u00e7in tamamen g\u00fcvenlidir.<\/li>\n<\/ul>\n\n\n\n<p><strong>Ne yapabilirim?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Hedefli manevralar:<\/strong> Pozisyon kaynakl\u0131 ba\u015f d\u00f6nmesi, genellikle birka\u00e7 hedefli hareketle an\u0131nda giderilebilir. Hamileli\u011fin ilerlemi\u015f a\u015famalar\u0131nda, bunun i\u00e7in (<strong>Li<\/strong> <strong>manevras\u0131<\/strong> gibi) sizin s\u0131rt \u00fcst\u00fc d\u00fcz bir \u015fekilde yatman\u0131za gerek kalmayan \u00f6zel teknikler kullan\u0131r\u0131z. Bu, hem sizin hem de bebe\u011finizin kan dola\u015f\u0131m\u0131n\u0131 korur.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>\u00d6zel egzersizler:<\/strong> \u201cBa\u015f d\u00f6nmesi tedavisi\u201d (VRT) olarak bilinen y\u00f6ntem, beyninizin yeni duruma ve de\u011fi\u015fen v\u00fccut a\u011f\u0131rl\u0131k merkezine uyum sa\u011flamas\u0131na yard\u0131mc\u0131 olur.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Uyarlama:<\/strong> Maksimum g\u00fcvenli\u011fi sa\u011flamak amac\u0131yla testleri ve al\u0131\u015ft\u0131rmalar\u0131 oturur pozisyonda veya yan yatarak ger\u00e7ekle\u015ftiriyoruz.<\/li>\n<\/ul>\n\n\n\n<p class=\"translation-block\"><strong>\u00d6nemli:<\/strong> S\u00fcrekli ba\u015f d\u00f6nmesi sorunu ya\u015f\u0131yorsan\u0131z mutlaka bunu dile getirin. Bunun nedeni \u201esadece hamilelik\u201c olmak zorunda de\u011fildir \u2013 yard\u0131m almak m\u00fcmk\u00fcnd\u00fcr ve g\u00fcvenlidir!<\/p>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f IVRT\u00ae ba\u015f d\u00f6nmesi ve vestib\u00fcler terapistlerimiz<\/strong> destekleyin<strong>:<\/strong> Tedaviyi gebelik haftan\u0131za ve ihtiya\u00e7lar\u0131n\u0131za g\u00f6re bireysel olarak ayarl\u0131yoruz. Uzman meslekta\u015flar\u0131m\u0131z\u0131 \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Schwindel w\u00e4hrend der Schwangerschaft ist keine Seltenheit. Ein aktueller Review beleuchtet die Herausforderungen bei der Behandlung von vestibul\u00e4rer Migr\u00e4ne, Morbus Meni\u00e8re und der benigne paroxysmale Lagerungsschwindel (BPLS) w\u00e4hrend der Gestation und zeigt auf, wie Sicherheit f\u00fcr Mutter und Kind gew\u00e4hrleistet bleibt. \ud83d\udd17 Castillo-Bustamante M, Bhandari A, \u00c7elebisoy N, Whitney SL, Petrak MR, Campo-Campo [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18088,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":649,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-17680","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17680","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=17680"}],"version-history":[{"count":3,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17680\/revisions"}],"predecessor-version":[{"id":17684,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17680\/revisions\/17684"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18088"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=17680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=17680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=17680"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}