Prof. Dr. Sema Aydo\u011fdu, \u00e7ocukluk \u00e7a\u011f\u0131nda kanamalar\u0131n \u00e7o\u011funlukla \u00fcst mide-ba\u011f\u0131rsak sisteminden kaynakland\u0131\u011f\u0131n\u0131 s\u00f6yledi. Alt mide-barsak kanamalar\u0131n en s\u0131k nedenin ise kab\u0131zl\u0131\u011fa ba\u011fl\u0131 makat \u00e7atlaklar\u0131 (anal fiss\u00fcr) oldu\u011funu belirten Prof. Dr. Aydo\u011fdu, “Bunun d\u0131\u015f\u0131nda a\u011f\u0131z i\u00e7i, burun veya \u00fcst solunum yolundan gelen kan\u0131n yutulmas\u0131 da s\u0131k\u00e7a \u2018sahte mide kanamas\u0131\u2019 tablosuna yol a\u00e7\u0131p anne babalar\u0131 endi\u015felendiriyor. Asl\u0131nda bu kanamalar 24 saat i\u00e7inde geriler ve ya\u015famsal bir sorun olu\u015fturmaz.” dedi.
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Ac\u0131badem Kent Hastanesi \u00c7ocuk Gastroenteroloji Uzman\u0131 Prof. Dr. Sema Aydo\u011fdu, \u00e7ocuklarda mide-ba\u011f\u0131rsak sistemi kanamalar\u0131n\u0131n yeni do\u011fan d\u00f6neminden ba\u015flayarak her ya\u015fta g\u00f6r\u00fclebilece\u011fini s\u00f6yledi. Kanamalar\u0131n \u00e7o\u011funlukla da bu sistemin \u00fcst b\u00f6l\u00fcm\u00fcnden kaynakland\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Aydo\u011fdu, \u015f\u00f6yle konu\u015ftu: “Di\u011fer bir deyi\u015fle; a\u011f\u0131zdan ba\u015flayarak, yutak, yemek borusu, \u00f6zellikle mide ve 12 parmak ba\u011f\u0131rsa\u011f\u0131 (duodenum) en \u00f6nemli kanama alanlar\u0131d\u0131r. Alt mide-ba\u011f\u0131rsak b\u00f6l\u00fcm\u00fc ise ince ba\u011f\u0131rsaklar ve kal\u0131n ba\u011f\u0131rsaktan olu\u015fur ve ciddi kanamalar daha \u00e7ok ba\u011f\u0131rsak hastal\u0131klar\u0131na (kolit) ba\u011fl\u0131d\u0131r. Ancak t\u00fcm d\u00fcnyada en yayg\u0131n neden kab\u0131zl\u0131\u011fa ba\u011fl\u0131 makat \u00e7atlaklar\u0131d\u0131r (anal fiss\u00fcr). Kan miktar\u0131 \u00e7ok azd\u0131r ve tuvalet ka\u011f\u0131d\u0131na bula\u015fan pembe veya taze k\u0131rm\u0131z\u0131 renkte, \u00e7izgisel \u00f6zelliktedir. Damarsal anomaliler, polipler, alerjik, bakteriyel veya parazitlere ba\u011fl\u0131 kolitler di\u011fer nedenlerdir.”<\/p>\n
Anne babalar panikliyor
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Prof. Dr. Aydo\u011fdu, nezle, grip esnas\u0131nda \u015fi\u015fmi\u015f burun, geniz, yutaktan s\u0131zan veya burun kanamas\u0131, di\u015f \u00e7ekimleri ard\u0131ndan yutulan kan\u0131n kahve telvesi \u015feklinde kusmaya neden olup “taklit mide kanamas\u0131” tablosu olu\u015fturdu\u011funu kaydetti. Ailelerin “\u00e7ocu\u011fumun midesi kan\u0131yor\u2019\u2019 diye korku i\u00e7inde acile ba\u015fvurduklar\u0131n\u0131 belirten Prof. Dr. Aydo\u011fdu, bu kanamalar\u0131n ya\u015famsal bir sorun olu\u015fturmad\u0131\u011f\u0131n\u0131, kendili\u011finden ge\u00e7ti\u011fini kaydetti.
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Aydo\u011fdu, “Ayr\u0131ca g\u0131da boyalar\u0131, kans\u0131zl\u0131k tedavisinde kullan\u0131lan ila\u00e7lar, ampisillin i\u00e7eren antibiyotikler, \u00fcz\u00fcm, \u015falgam, \u0131spanak, siyah \u00e7ikolata gibi g\u0131dalar da d\u0131\u015fk\u0131y\u0131 siyaha boyayarak mide kanamas\u0131n\u0131 taklit edebilirler.” dedi.<\/p>\n
Ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fclere dikkat
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Aydo\u011fdu, ciddi kanamalara yol a\u00e7abilen \u00fclserler konusunda da uyar\u0131larda bulundu. \u00d6zellikle ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc olarak s\u0131k kullan\u0131lan ibuprofen i\u00e7eren ila\u00e7lar\u0131n mide kanamas\u0131na neden olabilece\u011fini vurgulayan Aydo\u011fdu, mide gastrit mikrobunun (Helikobakter pilori), , stres ve g\u0131da alerjilerinin de \u00e7ocuklarda \u00fclser geli\u015fimini tetikleyebilece\u011fini s\u00f6yledi.<\/p>\n
Gizemli kanama nedeni: Anjiodisplazi
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\u00d6te yandan Prof. Dr. Aydo\u011fdu, \u00e7ocuklarda nadir g\u00f6r\u00fclen, s\u0131kl\u0131kla do\u011fumsal olan anjiodisplaziye de dikkat \u00e7ekti. Anjiodisplazinin, damarsal anormalliklerden kaynakland\u0131\u011f\u0131n\u0131, \u00e7o\u011funlukla yeti\u015fkinlerde, \u00f6zellikle, ileri ya\u015flarda (>60-65 ya\u015f) g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Aydo\u011fdu, \u015fu bilgileri verdi: “Literat\u00fcrde \u00e7ocukluk \u00e7a\u011f\u0131na ait \u00e7ok az veri bulunmaktad\u0131r. Bu nedenle \u00e7ocuklar\u0131n ilk anda d\u00fc\u015f\u00fcn\u00fclmeyen gizemli bir mide-ba\u011f\u0131rsak kanama nedenidir. S\u0131kl\u0131kla tekrarlayan, kendili\u011finden duran kanamalar \u015feklindedir. Tedavide en etkili ve en g\u00fcvenli y\u00f6ntem endoskopi ile uygulanan argon plazma koag\u00fclasyon olarak adland\u0131r\u0131lan argon gaz\u0131 ile yakma i\u015flemidir. \u00c7ocuklarda \u00f6zellikle tekrarlayan mide-ba\u011f\u0131rsak kanamalar\u0131nda, yemek borusundan kal\u0131n ba\u011f\u0131rsa\u011fa kadar uzanabilen anjiodisplazik de\u011fi\u015fikliklerin de g\u00f6z \u00f6n\u00fcnde bulundurulmas\u0131 gerekir. Bu durumlarda mutlaka uzmana ba\u015fvurulmal\u0131d\u0131r.”
<\/p>\n","protected":false},"excerpt":{"rendered":"
Prof. Dr. Sema Aydo\u011fdu, \u00e7ocukluk \u00e7a\u011f\u0131nda kanamalar\u0131n \u00e7o\u011funlukla \u00fcst mide-ba\u011f\u0131rsak sisteminden kaynakland\u0131\u011f\u0131n\u0131 s\u00f6yledi. Alt mide-barsak kanamalar\u0131n en s\u0131k nedenin ise kab\u0131zl\u0131\u011fa ba\u011fl\u0131 makat \u00e7atlaklar\u0131 (anal fiss\u00fcr) oldu\u011funu belirten Prof. Dr. Aydo\u011fdu, “Bunun d\u0131\u015f\u0131nda a\u011f\u0131z i\u00e7i, burun veya \u00fcst solunum yolundan gelen kan\u0131n yutulmas\u0131 da s\u0131k\u00e7a \u2018sahte mide kanamas\u0131\u2019 tablosuna yol a\u00e7\u0131p anne babalar\u0131 endi\u015felendiriyor. Asl\u0131nda…<\/p>\n","protected":false},"author":1,"featured_media":50354,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-50353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/50353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50353"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/50353\/revisions"}],"predecessor-version":[{"id":50355,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/50353\/revisions\/50355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/50354"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}