\u00d6zel Hayat Hastanesi \u00c7ocuk Cerrahisi Uzman\u0131 Prof. Dr. Hasan Do\u011fruyol, \u00e7ocuklarda kab\u0131zl\u0131\u011f\u0131n, do\u011fduklar\u0131 g\u00fcnden itibaren ortaya \u00e7\u0131kabilen ve ayr\u0131ca s\u0131k g\u00f6r\u00fclen hastal\u0131klardan biri oldu\u011funu s\u00f6yledi.<\/p>\n
\u00c7ocuklarda kab\u0131zl\u0131\u011f\u0131n, do\u011fduklar\u0131 g\u00fcnden itibaren ortaya \u00e7\u0131kabilen ve s\u0131k g\u00f6r\u00fclen hastal\u0131klardan biri oldu\u011funa dikkat \u00e7eken Prof. Dr. Do\u011fruyol, ilk iki g\u00fcn \u00f6zellikle bebe\u011fin \u00e7\u0131kard\u0131\u011f\u0131 siyah kakaya dikkat edilmesi gerekti\u011fine dikkat \u00e7ekti.<\/p>\n
Kab\u0131zl\u0131\u011f\u0131 olan bebe\u011fin mutlaka anal b\u00f6lgesinin g\u00f6zlemlenmesinin \u00f6nemine de\u011finen Do\u011fruyol, \u201cKaka, ilk iki g\u00fcn i\u00e7inde \u00e7\u0131km\u0131\u015f m\u0131? \u015eekli nas\u0131l, kalem ya da solucan gibi mi, yoksa bol miktarda m\u0131? Kakayla beraber kanama oluyor mu? Kaka yaparken bebekte huzursuzluk, a\u011fr\u0131 oluyor mu? Kaka deli\u011fi (an\u00fcs) normal yerinde mi? B\u00fct\u00fcn bunlar\u0131n ilk g\u00fcnlerde muayene edilip tespit edilmesi laz\u0131m. \u0130lk 20-30 g\u00fcnde normal olan bebekler, daha sonra kab\u0131z olabilir. Bunun da nedeni ara\u015ft\u0131r\u0131l\u0131p ortaya konmal\u0131d\u0131r. Bu durumlar\u0131n genellikle nedeni cerrahi olmuyor.Fakat bazen altta yatan \u00f6nemli cerrahi hastal\u0131klar s\u00f6z konusu olabilir. Bunlardan ilk anda, hirschsprung hastal\u0131\u011f\u0131, anal stenoz, anterioranus, anal fiss\u00fcr say\u0131labilir. \u00d6zetle diyece\u011fimiz \u015fudur ki pek \u00e7ok hastal\u0131kta oldu\u011fu gibi zaman\u0131nda tedavi \u00e7ok \u00f6nemlidir\u201d dedi.<\/p>\n
Pek \u00e7ok nedeni bulunuyor<\/p>\n
Kab\u0131zl\u0131\u011f\u0131n bir\u00e7ok nedeninin oldu\u011funu belirten Prof. Dr. Hasan Do\u011fruyol, \u015f\u00f6yle konu\u015ftu:<\/p>\n
\u201c\u00c7ocuklarda kab\u0131zl\u0131k; d\u0131\u015fk\u0131lama s\u0131kl\u0131\u011f\u0131 dikkate al\u0131nmadan d\u0131\u015fk\u0131n\u0131n kat\u0131 olmas\u0131 demektir. D\u0131\u015fk\u0131 hem kat\u0131, hem de d\u0131\u015fk\u0131lama s\u0131kl\u0131\u011f\u0131 seyrekse bu duruma obstipasyon denmektedir. Kab\u0131zl\u0131\u011f\u0131n \u00e7\u00f6z\u00fcms\u00fcz kalmas\u0131 kal\u0131n ba\u011f\u0131rsak i\u00e7inde topla\u015fm\u0131\u015f d\u0131\u015fk\u0131n\u0131n birikmesi ve ta\u015fma \u015feklinde d\u0131\u015fk\u0131 ka\u00e7\u0131rmaya (k\u00fclot kirlenmesi) neden olur.Anne \u00e7ocu\u011funun ishal oldu\u011funu san\u0131r, oysa \u00e7ocuk a\u015f\u0131r\u0131 derecede kab\u0131zd\u0131r ve muayenede ba\u011f\u0131rsaklar\u0131n d\u0131\u015fk\u0131 ile dolu oldu\u011fu g\u00f6r\u00fcl\u00fcr. \u00c7ocuk d\u0131\u015fk\u0131 ka\u00e7\u0131r\u0131r ve daha ileride alt\u0131n\u0131 da \u0131slat\u0131r. Kab\u0131zl\u0131\u011f\u0131n bir\u00e7ok nedeni vard\u0131r. Bu nedenler ya\u015fa g\u00f6re de\u011fi\u015fkenlik g\u00f6sterebildi\u011fi gibi, fizyolojik sebeplerden ve cerrahi sebeplerden olu\u015fabilir.\u00c7ocu\u011fun haftada \u00fc\u00e7ten az say\u0131da d\u0131\u015fk\u0131lamas\u0131, d\u0131\u015fk\u0131lama s\u0131ras\u0131nda a\u015f\u0131r\u0131 \u0131k\u0131nma veya a\u011fr\u0131 duyulmas\u0131, d\u0131\u015fk\u0131n\u0131n sert ve par\u00e7a par\u00e7a olmas\u0131, k\u00fclot kirletmesi ile beraber olmas\u0131 fonksiyonel kab\u0131zl\u0131k bulgular\u0131d\u0131r.\u201d<\/p>\n
Bir s\u00fcre sonra da g\u00f6r\u00fclebiliyor<\/p>\n
Do\u011fumdan sonra bir m\u00fcddet normal d\u0131\u015fk\u0131 \u00e7\u0131karan \u00e7ocuklarda daha sonra kab\u0131zl\u0131\u011f\u0131n ortaya \u00e7\u0131kabildi\u011fini hat\u0131rlatan Prof. Dr. Do\u011fruyol, \u201cGenellikle fonksiyonel kab\u0131zl\u0131k denen bu durumda kab\u0131zl\u0131\u011f\u0131 a\u00e7\u0131klayacak anatomik, sinirsel, hormonal bir neden bulunmaz.E\u011fer \u00f6nemsenmez ve zaman\u0131nda tedavisi yap\u0131lmazsa veya yanl\u0131\u015f ve eksik tedavi yap\u0131l\u0131rsa kaka ka\u00e7\u0131rma(ta\u015fma) gibi \u00e7ok ciddi sonu\u00e7lar do\u011furur.\u00c7ocuk hem aile hem de arkada\u015flar\u0131 taraf\u0131ndan kirli ve \u0131slak \u00e7ocuk olarak d\u0131\u015flan\u0131r. Tedavisi uzun s\u00fcrer ve sab\u0131r gerektirir\u201d diye konu\u015ftu.<\/p>\n
Test yap\u0131lmas\u0131 \u00f6nemli<\/p>\n
Kab\u0131zl\u0131\u011f\u0131n nedenini ortaya koymak i\u00e7in bir tak\u0131m testler yap\u0131lmas\u0131n\u0131n \u00f6nemine i\u015faret eden \u00c7ocuk Cerrahisi Uzman\u0131 Prof. Dr. Hasan Do\u011fruyol, \u201cBu testler sonucu tan\u0131s\u0131 konan hastal\u0131k etrafl\u0131 bir bi\u00e7imde aileye nedenleri, sonu\u00e7lar\u0131 ve tedavi prensipleriyle birlikte anlat\u0131l\u0131r.Kab\u0131zl\u0131\u011f\u0131n tam olarak giderilme s\u00fcresi, kab\u0131zl\u0131k s\u00fcresinin iki kat\u0131 olarak ortaya konur.Sonu\u00e7ta cerrahi tedavi gerektirenlere cerrahi giri\u015fim uygulan\u0131r.T\u0131bbi tedavide hekim, aile, diyetisyen ve gerekirse psikolog devreye girer\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6ZEL HAYAT HASTANES\u0130 \u00c7OCUK CERRAH\u0130S\u0130 UZMANI PROF. DR. HASAN DO\u011eRUYOL, \u00c7OCUKLARDA KABIZLI\u011eIN, DO\u011eDUKLARI G\u00dcNDEN \u0130T\u0130BAREN ORTAYA \u00c7IKAB\u0130LEN VE AYRICA SIK G\u00d6R\u00dcLEN HASTALIKLARDAN B\u0130R\u0130 OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":156379,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[125,6749,36156],"class_list":["post-156378","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bir","tag-hastaliktir","tag-kabizlik"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/kabizlik-bir-hastaliktir_83c207f.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-EGe","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156378","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=156378"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156378\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/156379"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=156378"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=156378"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=156378"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}