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Mikro TESE meni ile dışarı sperm çıkmadığı durumlarda veya çıkan spermlerin tüp bebek tedavisine uygun olmadığı...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3509441/8d7b3446827c359c4edbd38dd17da9e9/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/YjMmPwIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"9","reqid":"1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=videoid:16345088798595042825","teaser":[{"list":{"type":"unordered","items":["Bu video, bir üroloji uzmanının mikrotese ameliyatı hakkında detaylı bilgi verdiği bir eğitim içeriğidir.","Video, mikrotese ameliyatının ne olduğunu, nasıl yapıldığını ve kimlere uygulandığını açıklamaktadır. Mikrotese, mikroskop altında yapılan testis ameliyatının mikroskop altında yapılan versiyonudur ve özellikle azoospermik hastalarda, tüp bebek tedavisinde kaliteli sperm elde etmek için kullanılır. Video ayrıca ameliyatın komplikasyonları, sonrası bakım, tekrarlanabilirliği ve hastaların ameliyat sonrası yaşam kalitesi hakkında bilgiler sunmaktadır."]},"endTime":535,"title":"Mikrotese Ameliyatı Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Mikrotese Ameliyatı Nedir?","list":{"type":"unordered","items":["Mikrotese, tese ameliyatının mikroskop altında yapılanına verilen isimdir.","Tese ameliyatı, testis içerisindeki seminifer tübüllerden sperm olabilecek bölgelerin alınmasıdır.","Mikroskop altında yapılan mikrotese ameliyatı, başarı şansını yüzde yirmi-yüzde otuz kadar artırır."]},"beginTime":6,"endTime":53,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=6&ask_summarization=1"},{"index":1,"title":"Mikrotese Ameliyatının Amacı","list":{"type":"unordered","items":["Testis içerisindeki spermler seminifer tübüllerde yapılır ve bu tüplerin her yerinde aynı şekilde aktivasyon ve işlem sürmüyor.","Mikrotese işlemi, rastgele örnekleme yerine tüplerin iyi görünen, parlak ve dolgun olanlarının örneklenmesi ile sperm çıkma ihtimalini arttırır.","Mikrotese ameliyatı mikroskop altında üroloji uzmanları tarafından yapılır ve amaç daha iyi spermlerin elde edilmesidir."]},"beginTime":53,"endTime":91,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=53&ask_summarization=1"},{"index":2,"title":"Mikrotese Ameliyatının Kimlere Yapılması Gerekir?","list":{"type":"unordered","items":["Mikrotese ameliyatı azot spermi olan erkeklere (ejeküllatta sperm hücresi olmayan) yapılır.","Dışarıya atılan spermlerden kaliteli spermler bulunamayan hastalarda tüp bebekte daha kaliteli spermlerin kullanılması için yapılır.","Total inmotil hastalar, ciddi morfoloji problemi olan globazol sperm hastaları ve küçük başlı, küçük kuyruklu spermler gibi ciddi morfoloji ve hareket problemi olan hastalarda mikrotese işlemi yapılır."]},"beginTime":91,"endTime":129,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=91&ask_summarization=1"},{"index":3,"title":"Mikrotese Ameliyatının Uygulanması","list":{"type":"unordered","items":["Mikrotese işlemi özel ameliyatlar altında yapılır ve genellikle doktorun deneyimine göre lokal anestezi ile veya genel anestezi altında yapılabilmektedir.","Sedasyon (hafif ilaçlarla uyutma) ve lokal anestezi kombinasyonu ile hasta ağrı duymadan ve işlem sırasında bir şey hatırlamadan işlemi tamamlar.","Mikrotese işlemi kaç defa yapılabilir, bu yapan doktorun aldığı tüplere ve doku miktarına göre değişmektedir."]},"beginTime":129,"endTime":172,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=129&ask_summarization=1"},{"index":4,"title":"Mikrotese Ameliyatının Etkinliği","list":{"type":"unordered","items":["Mikrotese işlemi temelde testis içerisinde iyi olan ve sperm çıkabilecek tüplerin alınması işlemidir.","Ne kadar az örnek alınırsa, ne kadar az tüp alınırsa ameliyatın etkinliği o kadar artar ve tesise verdiği zarar da o kadar azalır.","Son yıllarda spermi olan erkeklerde de bazen mikrotese işlemleri yapılıyor, özellikle tekrarlayan tüp bebek başarısızlıklarında testiküler spermin tüp bebek başarısının normalden daha iyi olduğu gösterilmiştir."]},"beginTime":172,"endTime":234,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=172&ask_summarization=1"},{"index":5,"title":"Mikrotese Ameliyatının Sonuçları","list":{"type":"unordered","items":["Mikrotese işlemi yapıldıktan sonra sperm bulunan hastalarda tekrar mikrotese yapıldığında yaklaşık yüzde yetmişbeş'lik bir oranla sperm bulunabileceğini düşünüyoruz.","Mikroskop altında uygun şartlarda yapıldığında genellikle daha önce sperm çıkan erkeklerden de tese işleminde sperm çıktığını ve bulunduğunu görmekteyiz.","Mikrotese ameliyatının komplikasyonları enfeksiyon, hematom (kanama) ve şiddetli ağrılar olabilir, ancak bu komplikasyonlar nadir görülür ve zamanında tedavi edildiğinde ciddi sıkıntılar yaratmaz."]},"beginTime":234,"endTime":301,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=234&ask_summarization=1"},{"index":6,"title":"Sperm Bulunamadığında","list":{"type":"unordered","items":["Sperm bulunamayan hastalarda mikrotese sonrası hastalığın en baştan tekrar değerlendirilmesi gerekir.","Azospermide genetik analizler ve hormonal profillerin gözden geçirilmesi önemlidir.","Tese işleminde sperm bulunamayan hastalarda tekrarlayan tese işlemlerini hiçbir hazırlık yapmadan direkt olarak yapmıyoruz, önce ilaç tedavileri ve şansımızı artırabilecek tedavi yöntemleri değerlendirilir."]},"beginTime":301,"endTime":374,"href":"/video/preview/16345088798595042825?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=301&ask_summarization=1"},{"index":7,"title":"Mikrotese Ameliyatının Sonrası","list":{"type":"unordered","items":["Mikrotese işlemi yapıldıktan sonra hasta konforları eski yıllara göre çok daha iyi seyrediyor, cerrahi işlemden yaklaşık iki saat sonra hastalar evine gönderiliyor.","Hastalara antibiyotik ve ödem dağıtıcı ilaçların beş-altı gün kullanması, dört-beş gün banyo yapmaması ve pansumanların dört-beş gün sonra çıkartılması öneriliyor.","Mikrotese işleminden sonra kişilerin yaptığı işe göre değişmekle beraber yaklaşık bir hafta-on 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Daha sonra materyalin inkübatora kaldırılması, spermlerin incelenmesi, hareketli spermlerin seçilmesi ve morfolojik anomalilerin tespit edilmesi anlatılmaktadır.","Videoda ayrıca sperm sayısının az olduğu durumlarda daha basit işlemler yapılabileceği belirtilmekte ve sperm havuzunun oluşturulması ile mikro enjeksiyon uygulamasının yapılacağı bilgisi verilmektedir."]},"endTime":799,"title":"Tese Operasyonu ve Laboratuvar İşlemleri Eğitim Videosu","beginTime":0}],"fullResult":[{"index":0,"title":"Tese Operasyonu Hakkında Genel Bilgi","list":{"type":"unordered","items":["Tese operasyonu, testislerde sperm eldesi alınması anlamına gelen tesküler sperm ekstresyonu işlemidir.","Bu operasyon özellikle primer azoospermi raporu verilen hastalara önerilir, yani menüde canlı sperm hücresine rastlanmamıştır.","Tese operasyonu ayrıca genetik altyapılı problemler, başarısız IBF denemeleri veya kötü embriyo gelişimi öyküsü olan hastalarda da 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gerekir."]},"beginTime":183,"endTime":257,"href":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=183&ask_summarization=1"},{"index":4,"title":"Sperm Hücresinin Tespiti","list":{"type":"unordered","items":["Değerlendirme invert mikroskopta yapılır ve sperm hücresi tespit edilir.","Sperm hücresinin sayısı önemlidir ve yeterli sayıda sperm varsa ameliyat durdurulabilir.","Tese materyalinde genellikle immotive (hareketsiz) sperm görülür, ancak canlı olanlar yıkandıktan sonra hareketlenmeye başlar."]},"beginTime":257,"endTime":390,"href":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=257&ask_summarization=1"},{"index":5,"title":"Sperm Yıkama İşlemi","list":{"type":"unordered","items":["Parçalanmış dokular yaklaşık yarım saat 37 derecedeki invatorda bekletilir ve dokular tüpün dibine çöker.","Spermleri 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değerlendirilir."]},"beginTime":552,"endTime":648,"href":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=552&ask_summarization=1"},{"index":7,"title":"Sperm İnkübasyonu ve Kontrolü","list":{"type":"unordered","items":["Petri kapları yağlanarak inkübatora kaldırılıyor ve yaklaşık yarım saatlik bir bekleme süresi veriliyor.","Yarım saat sonra kontrol edildiğinde spermlerin güzel hareketlendiği görülebiliyor.","Eritrosit yoğunluğu çok fazla olduğunda onları parçalayacak solüsyon kullanılabilir."]},"beginTime":664,"endTime":713,"href":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=664&ask_summarization=1"},{"index":8,"title":"Sperm Morfolojisi ve Seçim","list":{"type":"unordered","items":["Tesede bulunan spermler morfolojik olarak değişik olabilir, örneğin kafa anomalisi olabilir.","Morfolojisi en güzel olan spermler seçilerek işlemler gerçekleştiriliyor.","Sperm sayısı az olan durumlarda daha basit işlemlerden geçirilerek sperm kaybı olmaması sağlanıyor."]},"beginTime":713,"endTime":777,"href":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=713&ask_summarization=1"},{"index":9,"title":"Mikro Enjeksiyon Hazırlığı","list":{"type":"unordered","items":["Kaç tane yumurta çıkacaksa o kadar sperm gerekiyor.","Spermler arasından bir sperm havuzu oluşturulup en güzel olanlar seçiliyor.","Seçilen spermlerle mikro enjeksiyon uygulanacak."]},"beginTime":777,"endTime":799,"href":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=777&ask_summarization=1"}],"linkTemplate":"/video/preview/13098910433666510858?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"TESE serisi 1: Örnekleri nasıl çalışıyoruz? 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TESE dokularını nasıl çözülür? Bizde böyle:) İyi seyirler How are frozen TESE tissues thawed? Like this in our lab:) Enjoy...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/4302884/83145f63e38bd2d37810e3321db14087/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/u30IjQEAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"16","reqid":"1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DihdKMKcGW9Q","linkTemplate":"/video/preview/8599568582532964383?parent-reqid=1765317376783812-935425270319166995-balancer-l7leveler-kubr-yp-klg-307-BAL&text=TESE+PLUS&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"TESE dokularını nasıl çözdürüyoruz; bir de benden dinleyin!/ This is how we thaw frozen TESE tissue","related_orig_text":"TESE PLUS","related_porno":false,"related_less_3m_off":true,"client":"d2d","no_cnt":1,"related_src":"serp","related":"{\"porno\":false,\"vfp\":1,\"orig_text\":\"TESE 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