Arpa, \u00e7avdar, yulaf gibi tah\u0131llardaki gluten benzeri proteinlerine kar\u015f\u0131 intolerans ile kendini belli eden bir ince ba\u011f\u0131rsak hastal\u0131\u011f\u0131 olan \u00e7\u00f6lyak konusunda bilgiler veren \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Uzman\u0131 Dr. \u015eule Turan Akyol, i\u015ftahs\u0131zl\u0131k, kronik inat\u00e7\u0131 ishal, kronik kab\u0131zl\u0131k, tekrarlayan kar\u0131n a\u011fr\u0131s\u0131, kusma, k\u0131sa boy, tedaviye yan\u0131ts\u0131z demir eksikli\u011fi anemisi gibi \u015fik\u00e2yetleri olan 3 ya\u015f alt\u0131 \u00e7ocuklar\u0131n \u00e7\u00f6lyak a\u00e7\u0131s\u0131ndan kontrol edilmesi gerekti\u011fini s\u00f6yledi.<\/p>\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131, bir di\u011fer ad\u0131 ile gluten enteropatisi, genetik olarak yatk\u0131n bireylerde ortaya \u00e7\u0131kan bir hastal\u0131k olarak biliniyor. Bilinen en eski tar\u0131m toplumu yerle\u015fkesi olan Konya \u00c7atalh\u00f6y\u00fck\u2019deki kal\u0131nt\u0131larda \u00e7\u00f6lyak ile ili\u015fkili bulgulara rastland\u0131\u011f\u0131n\u0131 s\u00f6yleyen VM Medical Park Samsun Hastanesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Uzman\u0131 Dr. \u015eule Turan Akyol, hastal\u0131\u011f\u0131n bug\u00fcnk\u00fc bilinen \u015feklinin ise 1800\u2019l\u00fc y\u0131llarda tan\u0131mland\u0131\u011f\u0131n\u0131 s\u00f6yledi. \u00c7\u00f6lyak\u2019\u0131n T\u00fcrkiye\u2019de g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n 212\u2019de 1 oldu\u011funun alt\u0131n\u0131 \u00e7izen Uzm. Dr. \u015eule Turan Akyol, \u201cTarama \u00e7al\u0131\u015fmalar\u0131 ile \u00e7\u00f6lyak hastal\u0131\u011f\u0131 s\u0131kl\u0131\u011f\u0131n\u0131n d\u00fcnyada giderek artt\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. Hastal\u0131k \u00e7ocuklar\u0131 ve eri\u015fkinleri ya\u015fam boyu etkilemekte ve her ya\u015fta ortaya \u00e7\u0131kabilmektedir\u201d dedi.<\/p>\n
3 ya\u015f alt\u0131ndaki \u00e7ocukta b\u00fcy\u00fcme gerili\u011fi varsa dikkat<\/p>\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n klasik bulgular\u0131n\u0131n kronik ishal, kar\u0131nda \u015fi\u015flik ve b\u00fcy\u00fcme gerili\u011fi oldu\u011funu belirten Uzm. Dr. \u015eule Turan Akyol, \u201cSindirim sistemi ile ilgili bulgular \u00f6zellikle 3 ya\u015f alt\u0131 \u00e7ocuklarda belirgindir. Ancak sindirim sistemi d\u0131\u015f\u0131 bulgularla da seyredebilir. Demir eksikli\u011fi anemisi, sa\u00e7larda d\u00f6k\u00fclme, artrit, eklem a\u011fr\u0131s\u0131, karaci\u011fer fonksiyon testlerinde bozulma, boy k\u0131sal\u0131\u011f\u0131, yorgunluk, kilo kayb\u0131 bu bulgulardan baz\u0131lar\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
\u0130\u015ftahs\u0131zl\u0131k, kronik inat\u00e7\u0131 ishal, kronik kab\u0131zl\u0131k, tekrarlayan kar\u0131n a\u011fr\u0131s\u0131, kusma, di\u015flerde mine hipoplazisi, k\u0131sa boy, puberte gecikmesi, tedaviye yan\u0131ts\u0131z demir eksikli\u011fi anemisi, osteoporoz durumlar\u0131nda \u00e7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 gerekti\u011fine dikkat \u00e7eken Uzm. Dr. Akyol, \u201c\u00c7\u00f6lyak hastal\u0131\u011f\u0131 tan\u0131s\u0131 konmu\u015f hastalar\u0131n 1. derece yak\u0131nlar\u0131, otoimmun tiroidit, tip 1 diyabet, down sendromu, turner sendromu, willams sendromu, se\u00e7ici Ig A eksikli\u011fi tan\u0131s\u0131 alm\u0131\u015f hastalar \u00e7\u00f6lyak hastal\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirilmelidir\u201d diye konu\u015ftu.<\/p>\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen hastalarda ilk a\u015famada serolojik testler yap\u0131larak pozitif antikor aranmas\u0131 gerekti\u011fini i\u015faret eden Uzm. Dr. Akyol, \u201cBu testler tarama i\u00e7in en uygun y\u00f6ntemdir. Kesin tan\u0131 ince ba\u011f\u0131rsak biyopsisi ile konulur\u201d dedi.<\/p>\n
\u00d6m\u00fcr boyu gl\u00fctensiz diyet \u015fart<\/p>\n
Uzm. Dr. \u015eule Turan Akyol, \u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n tedavisi ile ilgili ise \u015fu bilgileri aktard\u0131:<\/p>\n
\u201cTedavisi \u00f6m\u00fcr boyu uygulanmas\u0131 gereken glutensiz diyettir. Hen\u00fcz alternatif bir tedavi bulunmamaktad\u0131r. Gluten i\u00e7ermeyen ba\u015fl\u0131ca tah\u0131llar m\u0131s\u0131r ve pirin\u00e7tir. Diyetteki ana tah\u0131l grubunu bunlar olu\u015fturur. Glutenden ar\u0131nd\u0131r\u0131lm\u0131\u015f bu\u011fday unu ve bu undan yap\u0131lan \u00fcr\u00fcnler de \u00e7\u00f6lyak hastalar\u0131n\u0131n diyetinde yer almaktad\u0131r. Glutensiz diyet ve yiyeceklerin haz\u0131rlanmas\u0131 s\u0131ras\u0131nda ya da kullan\u0131lan her t\u00fcrl\u00fc ki\u015fisel bak\u0131m \u00fcr\u00fcn\u00fcn\u00fcn gluten ile kontaminasyon olas\u0131l\u0131klar\u0131n\u0131n t\u00fcm ayr\u0131nt\u0131lar\u0131 ile bilinmesi ve hastalar ile onlara bakmakla y\u00fck\u00fcml\u00fc yak\u0131nlar\u0131n\u0131n bu konuda e\u011fitimi de tedavi s\u00fcrecinin \u00e7ok \u00f6nemli bir b\u00f6l\u00fcm\u00fcd\u00fcr.\u201d<\/p>\n
Uzm. Dr. Akyol, do\u011fru tan\u0131 konulmu\u015f ve uygun diyet ile tedavisi d\u00fczenlenmi\u015f \u00c7\u00f6lyak hastalar\u0131n\u0131n tamamen sa\u011fl\u0131kl\u0131 bir hayat s\u00fcrebilece\u011fini belirterek a\u00e7\u0131klamalar\u0131n\u0131 sonland\u0131rd\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7OCUK SA\u011eLI\u011eI VE UZMANI DR. \u015eULE TURAN AKYOL, \u0130\u015eTAHSIZLIK, KRON\u0130K \u0130NAT\u00c7I \u0130SHAL, KRON\u0130K KABIZLIK, TEKRARLAYAN KARIN A\u011eRISI, KUSMA, KISA BOY, TEDAV\u0130YE YANITSIZ DEM\u0130R EKS\u0130KL\u0130\u011e\u0130 ANEM\u0130S\u0130 G\u0130B\u0130 \u015e\u0130K\u00c2YETLER\u0130 OLAN 3 YA\u015e ALTI \u00c7OCUKLARIN \u00c7\u00d6LYAK A\u00c7ISINDAN KONTROL ED\u0130LMES\u0130 GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":252050,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[1567,5896,7305,1745,15861,37125,5897,5404],"class_list":["post-252049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-alti","tag-belirtisi","tag-cocuklarda","tag-colyak","tag-inatci","tag-ishal","tag-olabilir","tag-yas"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/3-yas-alti-cocuklarda-inatci-ishal-colyak-belirtisi-olabilir_974ed59.jpg?fit=932%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-13zj","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/252049","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=252049"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/252049\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/252050"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=252049"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=252049"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=252049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}