{"id":1358,"date":"2026-02-02T16:09:07","date_gmt":"2026-02-02T14:09:07","guid":{"rendered":"https:\/\/gynaikologos-komotini.gr\/yperichografima-v-epipedou\/"},"modified":"2026-04-08T14:33:56","modified_gmt":"2026-04-08T11:33:56","slug":"yperichografima-v-epipedou","status":"publish","type":"page","link":"https:\/\/gynaikologos-komotini.gr\/tr\/yperichografima-v-epipedou\/","title":{"rendered":"2. Seviye Ultrasonografi"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1358\" class=\"elementor elementor-1358 elementor-501\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-54d9ce4c e-flex e-con-boxed e-con e-parent\" data-id=\"54d9ce4c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6586250c elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"6586250c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">2. Seviye Ultrasonografi <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59137345 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"59137345\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Do\u011fum \u00f6ncesi muayene konusunda ileri d\u00fczey hizmetler,\nKad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Alexandros Maina taraf\u0131ndan, Komotini'de \n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-79b80d67 e-flex e-con-boxed e-con e-parent\" data-id=\"79b80d67\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6d8a2e3a e-con-full e-flex e-con e-child\" data-id=\"6d8a2e3a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f6b376c elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"2f6b376c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-35cf158d e-flex e-con-boxed e-con e-parent\" data-id=\"35cf158d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-2e8bd75f e-con-full e-flex e-con e-child\" data-id=\"2e8bd75f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-398cea93 elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"398cea93\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6d3ec5e5 e-flex e-con-boxed e-con e-parent\" data-id=\"6d3ec5e5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4858ba44 e-con-full e-flex e-con e-child\" data-id=\"4858ba44\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1f67ba6 elementor-widget elementor-widget-mfn_tabs\" data-id=\"1f67ba6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mfn_tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jq-tabs tabs_wrapper tabs_vertical\"><ul><li><a href=\"#tab-69d845404b00d-1\">Nedir, ne zaman yap\u0131l\u0131r ve kimler taraf\u0131ndan yap\u0131l\u0131r?<\/a><\/li><li><a href=\"#tab-69d845404b00d-2\">Merkezi Sinir Sistemi:<\/a><\/li><li><a href=\"#tab-69d845404b00d-3\">Y\u00fcz:<\/a><\/li><li><a href=\"#tab-69d845404b00d-4\">Akci\u011ferler:<\/a><\/li><li><a href=\"#tab-69d845404b00d-5\">Kalp: <\/a><\/li><li><a href=\"#tab-69d845404b00d-6\">\u0130skelet:<\/a><\/li><li><a href=\"#tab-69d845404b00d-7\">\u00d6n kar\u0131n duvar\u0131: <\/a><\/li><li><a href=\"#tab-69d845404b00d-8\">Gastrointestinal sistem: <\/a><\/li><li><a href=\"#tab-69d845404b00d-9\">\u00dcrogenital sistem: <\/a><\/li><li><a href=\"#tab-69d845404b00d-10\">Plasenta, serviks, g\u00f6bek kordonu: <\/a><\/li><\/ul><div id=\"tab-69d845404b00d-1\" ><p>\u0130kinci trimester ultrasonu, 18-22. haftalar aras\u0131nda yap\u0131lan ayr\u0131nt\u0131l\u0131 bir ultrason muayenesidir. Amac\u0131, do\u011fum \u00f6ncesi bak\u0131m\u0131 iyile\u015ftirecek ve do\u011fumla ilgili bilgiler sa\u011flayacak kesin tan\u0131sal bilgileri toplamakt\u0131r. Nihai hedef, anne ve fet\u00fcs i\u00e7in gebeli\u011fin en iyi \u015fekilde sonu\u00e7lanmas\u0131d\u0131r.<\/p><p>Daha spesifik olarak, gebelik ya\u015f\u0131 belirlenir, fet\u00fcs\u00fcn geli\u015fimini kontrol etmek i\u00e7in fet\u00fcs \u00f6l\u00e7\u00fcmleri (biometri) yap\u0131l\u0131r ve fet\u00fcs\u00fcn konjenital anomalileri tespit edilir. Muayenenin g\u00fcvenilirli\u011fi, fet\u00fcs\u00fcn maj\u00f6r anatomik anomalileri (do\u011fumdan sonra cerrahi d\u00fczeltme gerektiren veya bir dereceye kadar sakatl\u0131\u011fa yol a\u00e7an) i\u00e7in %55'tir.<\/p><p>Muayene, bu muayeneyi yapmak i\u00e7in sertifikal\u0131, d\u00fczenli olarak ultrason muayeneleri ger\u00e7ekle\u015ftiren, s\u00fcrekli olarak bilgilendirilen ve son olarak, patolojik bulgular olmas\u0131 durumunda hastalar\u0131 y\u00f6nlendirebilen ultrason uzmanlar\u0131 taraf\u0131ndan yap\u0131l\u0131r.<\/p><p>Komotini'deki Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Alexandros Maina'n\u0131n muayenehanesinde, 2. d\u00fczey ultrasonografi, son teknoloji Voluson S 10 GE Healthcare BT16 ultrason cihaz\u0131 (Kuzey Yunanistan'da kurulan ilk cihaz) ile ger\u00e7ekle\u015ftirilmektedir.<\/p><p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-517\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/anatomiks-anwmalies.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/anatomiks-anwmalies.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/anatomiks-anwmalies-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/anatomiks-anwmalies-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/anatomiks-anwmalies-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><ol start=\"2\"><li>d\u00fczey ultrasonografi<\/li><\/ol><\/div><div id=\"tab-69d845404b00d-2\" ><p>Al\u0131nan temel kesitler, ventrik\u00fcler ve paraventrik\u00fcler kesitlerdir; burada lateral ventrikler, septum pellucidum, kamara, serebellum, vermis, beynin 4. ventrik\u00fcl\u00fc gibi bir dizi anatomik b\u00f6l\u00fcm kontrol edilir ve gerekti\u011finde, beyin ventrik\u00fcllerini ve mezolobik g\u00f6vdeyi kontrol etmek i\u00e7in sagital ve koronal kesitler gibi ek kesitler al\u0131n\u0131r.<\/p><p><img decoding=\"async\" class=\"alignnone size-full wp-image-519\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kentriko-nevriko-sistima.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kentriko-nevriko-sistima.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kentriko-nevriko-sistima-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kentriko-nevriko-sistima-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kentriko-nevriko-sistima-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><div id=\"tab-69d845404b00d-3\" ><p>Al\u0131n, g\u00f6z \u00e7ukurlar\u0131, dudaklar ve kulaklar 12. haftadan sonra net bir \u015fekilde g\u00f6r\u00fcl\u00fcr. Sagital, transvers ve koronal kesitler, anatomiyi de\u011ferlendirmek i\u00e7in \u00e7ok a\u00e7\u0131klay\u0131c\u0131d\u0131r. Orta sagital kesit bize fet\u00fcs\u00fcn profilini verirken, kafatas\u0131na biti\u015fik paravaginal kesitler kulaklar\u0131 g\u00f6sterir. Ancak, t\u00fcm anatomiyi belirlemek i\u00e7in en \u00f6nemli kesitler koronal kesitlerdir.<\/p><p><img decoding=\"async\" class=\"alignnone size-full wp-image-520\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/iperixografima-v-epipedou-proswpo3.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/iperixografima-v-epipedou-proswpo3.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/iperixografima-v-epipedou-proswpo3-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/iperixografima-v-epipedou-proswpo3-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/iperixografima-v-epipedou-proswpo3-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><div id=\"tab-69d845404b00d-4\" ><p>Akci\u011ferlerin muayenesi i\u00e7in 4 odac\u0131kl\u0131 kesit yeterlidir. Bu kesitte akci\u011ferler homojen bir \u015fekilde ekojeniktir; 18-23. haftalardaki ultrasonografide ise bu kesitin merkezi 1\/3'\u00fc kalp taraf\u0131ndan, geri kalan\u0131 ise akci\u011ferler taraf\u0131ndan kaplan\u0131r. Bu kesit ile torasik bo\u015flu\u011fun \u00e7evresini de \u00f6l\u00e7ebiliriz. Fetal g\u00f6vdenin sagital kesiti, torasik ve abdominal bo\u015fluklar\u0131 ay\u0131ran diyafram\u0131n tan\u0131mlanmas\u0131na olanak tan\u0131r.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-521\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/pneumones.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/pneumones.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/pneumones-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/pneumones-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/pneumones-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><div id=\"tab-69d845404b00d-5\" ><p>Al\u0131nan temel kesitler, kalbin 4 odac\u0131\u011f\u0131n\u0131n kesiti olup, burada kalp lezyonlar\u0131n\u0131n %60'\u0131 tespit edilir, aort ve pulmoner arter \u00e7\u0131k\u0131\u015f kesiti ile b\u00fcy\u00fck damarlar\u0131n ve aralar\u0131ndaki ba\u011flant\u0131lar\u0131n ayr\u0131nt\u0131l\u0131 olarak incelendi\u011fi 3 damar kesitidir. Herhangi bir lezyon \u015f\u00fcphesi durumunda, ek kesitler al\u0131n\u0131r veya fet\u00fcs\u00fcn \u00f6zel bir ultrason-embriyokardiyolojik muayenesi istenir.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-522\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kardia.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kardia.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kardia-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kardia-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/kardia-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><div id=\"tab-69d845404b00d-6\" ><p>Ekstremiteler tomurcuklar halinde ilk kez 8. haftada g\u00f6r\u00fcl\u00fcrken, uyluk ve kol kemikleri 9. haftadan itibaren, kaval kemi\u011fi ve fibula ise 10. haftadan itibaren g\u00f6r\u00fcl\u00fcr, ayak ve el parmaklar\u0131 ise 11. haftadan itibaren g\u00f6r\u00fcl\u00fcr. T\u00fcm kemikler 11. haftadan itibaren bulunur. V\u00fccut hareketleri 9. haftadan itibaren, uzuv hareketleri ise 11. haftadan itibaren g\u00f6r\u00fcl\u00fcr. Humerus, radius\/ulna, femur ve tibia\/fibula uzunluklar\u0131 e\u015fittir ve do\u011frusal olarak artar. 18-23. haftadaki ultrasonografide her uzuvun \u00fc\u00e7 b\u00f6l\u00fcm\u00fc tan\u0131nmal\u0131d\u0131r, ancak sadece femur \u00f6l\u00e7\u00fclmelidir.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-523\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/skeletos-image2.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/skeletos-image2.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/skeletos-image2-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/skeletos-image2-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/skeletos-image2-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><div id=\"tab-69d845404b00d-7\" ><p>Anterior abdominal duvar\u0131n normal geli\u015fimi, 4 eksodermal k\u0131vr\u0131m\u0131n (kafeter, uriner, 2 lateral) birle\u015fmesine ba\u011fl\u0131d\u0131r. 8-10. haftalarda t\u00fcm fet\u00fcslerde, OL taban\u0131nda hiperekojen bir kitle olarak g\u00f6r\u00fclen normal orta ba\u011f\u0131rsak f\u0131t\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcr, ancak bu kitle 10-12. haftalar aras\u0131nda kar\u0131n bo\u015flu\u011funa geri d\u00f6ner. Bu s\u00fcre\u00e7 11+5. haftada tamamlan\u0131r ve bu noktadan itibaren kar\u0131n bo\u015flu\u011funun normal anatomisi enine kesitlerde g\u00f6r\u00fclebilir hale gelir. B\u00f6ylece OL'nin kar\u0131n i\u00e7ine giri\u015fi g\u00f6r\u00fcl\u00fcr, ancak pelvis i\u00e7indeki idrar kesesi de g\u00f6r\u00fcnt\u00fclenir, b\u00f6ylece idrar kesesi ve kloak\u0131n d\u0131\u015fa d\u00f6nmesi ihtimali ortadan kalkar.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-524\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/prosthio-koiliako-toixwma.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/prosthio-koiliako-toixwma.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/prosthio-koiliako-toixwma-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/prosthio-koiliako-toixwma-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/prosthio-koiliako-toixwma-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><div id=\"tab-69d845404b00d-8\" ><p>Ultrasonografide mide, 9. haftadan itibaren kar\u0131n sol \u00fcst k\u0131sm\u0131nda ekojenik kistik bir b\u00f6lge olarak g\u00f6r\u00fcl\u00fcr. Ba\u011f\u0131rsak, 3. \u00fc\u00e7 ayl\u0131k d\u00f6neme kadar t\u00fcm b\u00f6lgelerinde normal olarak ayn\u0131 ekojeniteye sahiptir; bu d\u00f6nemde, kal\u0131n ba\u011f\u0131rsa\u011f\u0131n k\u0131vr\u0131mlar\u0131 ile dolmaktad\u0131r. Karaci\u011fer, sol lobun sa\u011f lobdan daha b\u00fcy\u00fck olmas\u0131 nedeniyle \u00fcst kar\u0131n b\u00f6lgesinde ay\u0131rt edilebilir; bunun nedeni, sol loba daha fazla oksijen verilmesi. Safra kesesi, sa\u011fda ve OF'nin intrahepatik b\u00f6l\u00fcm\u00fcn\u00fcn alt\u0131nda bulunan oval bir kistik olu\u015fumdur. Dalak, midenin arkas\u0131nda ve solunda, enine \u00e7apta yer al\u0131r. AC, karaci\u011ferin midesi ve portal venin b\u00f6l\u00fcnmesi seviyesinde \u00f6l\u00e7\u00fclmelidir. Enine kesitte, SS'nin solunda aort, sa\u011f\u0131nda ise inferior vena kava bulunurken, aortun solunda mide yer al\u0131r.<\/p><\/div><div id=\"tab-69d845404b00d-9\" ><p>B\u00f6brekler ve b\u00f6brek\u00fcst\u00fc bezleri, her iki tarafta da SS'nin \u00f6n\u00fcndeki mide seviyesinin alt\u0131nda bulunur ve 9. haftadan itibaren, ancak her durumda 12. haftadan itibaren g\u00f6r\u00fcl\u00fcr. 9. haftada yank\u0131lanma derecesi y\u00fcksektir, ancak gebelik ilerledik\u00e7e azal\u0131r. Kar\u0131n uzun ve enine kesitlerinde b\u00f6brekler incelenir. Daha spesifik olarak, uzun kesitte eliptik, enine kesitte ise oval bir g\u00f6r\u00fcnt\u00fc al\u0131rlar. Karaci\u011fer ve ba\u011f\u0131rsak k\u0131vr\u0131mlar\u0131na g\u00f6re biraz daha hiperekoiktirler. 20. haftada kaps\u00fcl gibi bir hiperekoik b\u00f6lgeye sahiptirler; korteks k\u0131sm\u0131 medulla k\u0131sm\u0131ndan daha ekojeniktir. Ya\u015f ilerledik\u00e7e dokular\u0131n \u00e7evresinde ya\u011f birikir, bu da s\u0131n\u0131rlar\u0131 geni\u015fletir ve b\u00f6brekleri \u00e7evre organlardan daha belirgin hale getirir. 26-28. haftalarda b\u00f6brek kaliksleri ve arkiform arterler g\u00f6r\u00fclebilir. B\u00f6breklerin uzunlu\u011fu ve \u00e7evresi ya\u015fla birlikte artar, ancak b\u00f6brek \u00e7evresi ile kar\u0131n \u00e7evresi aras\u0131ndaki oran, gebeli\u011fin yakla\u015f\u0131k tamam\u0131 boyunca %30 olarak sabit kal\u0131r. B\u00f6bre\u011fin anteroposterior \u00e7ap\u0131 15-19. haftalarda &lt;5 mm, 20-29. haftalarda &lt;6 mm, 30-40. haftalarda &lt;8 mm'dir. Periferik t\u0131kan\u0131kl\u0131k veya refl\u00fc olmad\u0131\u011f\u0131nda normal \u00fcreterler nadiren g\u00f6r\u00fcl\u00fcr. Mesane 11. haftadan itibaren %80, 13. haftadan itibaren ise %90'\u0131n \u00fczerinde g\u00f6r\u00fcl\u00fcr.<\/p><\/div><div id=\"tab-69d845404b00d-10\" ><p>Plasenta konumu, g\u00f6bek kordonunun \u00e7\u0131k\u0131\u015f\u0131, kordondaki damar say\u0131s\u0131, olas\u0131 dolanma ve d\u00fc\u011f\u00fcmlerin varl\u0131\u011f\u0131 kontrol edilir; son olarak rahim a\u011fz\u0131n\u0131n uzunlu\u011fu \u00f6l\u00e7\u00fcl\u00fcr ve geni\u015fleme olup olmad\u0131\u011f\u0131 kontrol edilir.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-525\" src=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/plakountas-omfalios-lwros.jpg\" alt=\"\" width=\"314\" height=\"314\" srcset=\"https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/plakountas-omfalios-lwros.jpg 314w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/plakountas-omfalios-lwros-300x300.jpg 300w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/plakountas-omfalios-lwros-150x150.jpg 150w, https:\/\/gynaikologos-komotini.gr\/wp-content\/uploads\/2026\/02\/plakountas-omfalios-lwros-75x75.jpg 75w\" sizes=\"(max-width:767px) 314px, 314px\" \/><\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-133a7421 e-con-full e-flex elementor-invisible e-con e-parent\" data-id=\"133a7421\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;video&quot;,&quot;background_video_link&quot;:&quot;https:\\\/\\\/youtu.be\\\/TMZtZtylxI4&quot;,&quot;background_play_on_mobile&quot;:&quot;yes&quot;,&quot;background_privacy_mode&quot;:&quot;yes&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t<div class=\"elementor-background-video-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-video-embed\" role=\"presentation\"><\/div>\n\t\t\t\t\t\t<\/div><div class=\"elementor-element elementor-element-1c4d33df e-con-full e-flex e-con e-child\" data-id=\"1c4d33df\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7dbcf5c1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7dbcf5c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Komotini&#8217;deki Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Aleksandros Mainas, Londra Fetal T\u0131p Enstit\u00fcs\u00fc taraf\u0131ndan, fet\u00fcs\u00fcn tam ultrasonik do\u011fum \u00f6ncesi muayenesini yapma yetkisi alm\u0131\u015ft\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37b9323e elementor-widget elementor-widget-button\" data-id=\"37b9323e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/tr\/epikoinonia\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-right\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M190.5 66.9l22.2-22.2c9.4-9.4 24.6-9.4 33.9 0L441 239c9.4 9.4 9.4 24.6 0 33.9L246.6 467.3c-9.4 9.4-24.6 9.4-33.9 0l-22.2-22.2c-9.5-9.5-9.3-25 .4-34.3L311.4 296H24c-13.3 0-24-10.7-24-24v-32c0-13.3 10.7-24 24-24h287.4L190.9 101.2c-9.8-9.3-10-24.8-.4-34.3z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Doktorla randevu al\u0131n <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>2. Seviye Ultrasonografi Do\u011fum \u00f6ncesi muayene konusunda ileri d\u00fczey hizmetler, Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Alexandros Maina taraf\u0131ndan, Komotini&#8217;de Nedir, ne zaman yap\u0131l\u0131r ve kimler taraf\u0131ndan<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":-1,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1358","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>2. Seviye Ultrasonografi | Alexandros Mainas MD, PhD<\/title>\n<meta name=\"description\" content=\"Fet\u00fcs\u00fcn ayr\u0131nt\u0131l\u0131 ultrasonografik muayenesi i\u00e7in 2. 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