Görüntüleme
27
İndirme
5
Amaç: Bu çalışmada Çölyak Hastalığı (ÇH) tanısıyla izlediğimiz hastaların demografik verilerini ve malnütrisyon durumlarını inceleyip değerlendirmeyi amaçladık. Gereç ve Yöntemler: Üçüncü basamak hastanemizin Pediatrik Gastroenteroloji Polikliniğinden ÇH tanısı ile izlenen 2-18 yaş arasındaki 113 çocuk hastanın dosyaları retrospektif olarak incelendi. ÇH tanısı hastalığa ait semptomları(karın ağrısı, ishal, malnütrüsyon vb) olan, doku transglutaminaz değerleri pozitif hastaların endoskopik yöntemle incelenip, biyopsi alınan ve patoloji kliniği tarafından yapılan MARS sınıflandırmasına göre konuldu. Bu çocukların takvim yaşı, cinsiyet, ağırlık, boy değerlerine bakılarak yaşa göre ağırlık, boya göre ağırlık, vücut kitle indekslerine (VKI) bakılarak malnütrisyon durumlarına bakıldı. Ayrıca hemoglobin, ferritin, demir, vitamin B12 değerlerine bakılarak beslenme durumları değerlendirildi. Bulgular: Çalışmaya ÇH tanısı konulan ve takip edilen 75’i (%66.4) kız, 38’i (%33.6) erkek, toplam 113 hasta dâhil edildi. Hastaların yaşa göre ağırlık değerlerine bakıldığında 3 persentil altı %23.3-10 persentil arası %16.8, 10-25p %16.8, 25-97 persentil %41.6 ve 97 persentil üzeri %1.8 tespit edildi. Gomez sınıflamasına göre hafif malnütrüsyon %34.5, orta malnütrisyon %18.5 ve ağır malnütrisyon %1.7, boya göre ağırlık bakıldığında hafif %2 4.8, orta %3.5,malnütrisyon, VKİ göre %16.8 oranında zayıf olarak tespit edildi. Vitamin B12 eksikliği %39, hemoglobin düşüklüğü %22. ferritin düşüklüğü %45 ve demir eksikliği %30 tespit edildi. Sonuç: ÇH’da ortaya çıkan malnütrisyon önemli bir sorun olmaya devam etmektedir. Çalışmamızda malnütrisyon durumu, yaşa göre ağırlık bakıldığında %54.7, boya göre ağırlık bakıldığında %28.3, VKI’ne göre %16.8 oranında malnütrisyon tespit edildi. Dünyada ve ülkemizde ÇH ve buna bağlı malnütrisyonun olumsuz etkilerini en aza indirmek için daha geniş çalışmalar yapmak gerekmektedir.
Purpose: In this study, we aimed at examining and evaluating the demographic data of the patients we follow with the diagnosis of Cervical Disease (CH) and malnutrition conditions. Tools and Methods: The files of 113 children between the ages of 2 and 18 who were monitored with CH diagnosis from the Pediatric Gastroenterology Clinic of our Third Stage Hospital were retrospective examined. CH diagnosis; with symptoms of the disease (burning pain, diarrhea, malnutrition, etc.), the tissue transglutaminase values were studied by endoscopic methods of positive patients and placed according to the MARS classification taken by the biopsy and pathological clinic. The calendar age, gender, weight, size values of these children, weight by age, weight by paint, body mass index (VKI) and malnutrition conditions were considered. Nutritional conditions were also evaluated in view of the values of hemoglobin, ferritin, iron, vitamin B12. Results: The study included 75 (66.4) girls, 38 (33.6) men and a total of 113 patients diagnosed with CH. The patient’s age-based weight values were 3 percentil 6 percentil 23.3-10 percentil 16.8 percentil 10-25p 16.8 percentil 25-97 percentil 41.6 percentil and 97 percentil 1.8 percentil above. According to the Gomez classification, light malnutrition was detected by 34.5%, medium malnutrition by 18.5%, and heavy malnutrition by 1.7%, light weight by 4.8%, medium 3.5%, malnutrition by 16.8%. Vitamin B12 deficiency is 39% and hemoglobin deficiency is 22%. Ferritin is reduced by 45% and iron deficiency by 30%. The result: the malnutrition that occurs in CH remains a major problem. In our study, malnutrition status was detected by 54.7% when weighs according to age, 28.3% when weighs according to paint, 16.8% when weighs according to VKI. In the world and in our country, we need to do greater work to reduce the negative effects of CH and related malnutrition.
Objective: In this study, we aimed to examine and evaluate the demographic data and malnutrition of patients we followed up with a diagnosis of CD. Material and Methods: The files of 113 children aged between 2 and 18 years who were followed up with a diagnosis of CD from the Pediatric Gastroenterology Outpatient Clinic of our tertiary hospital were retrospectively analyzed. Diagnosis of CD; Patients with symptoms of the disease (abdominal pain, diarrhea, growth retardation, etc.), whose tissue transglutaminase values were positive, were examined by endoscopic method, and were classified according to the MARS classification, which was biopsied and made by the pathology clinic. The malnutrition status of these children was examined by looking at their calendar age, gender, weight and height, weight for age, weight for height, and body mass index (BMI). In addition, nutritional status was evaluated by looking at hemoglobin, ferritin, iron and vitamin B12 values. Results: A total of 113 patients, 75 (66.4%) female and 38 (33.6%) male, who were diagnosed with CD and followed up were included in the study. When the weight values of the patients were examined, the 3rd percentile was 23%, the 3-10th percentile was 16.8%, the 10-25p was 16.8%, the 25-97th percentile was 41.6%, and the above 97th percentile was 1.8%. According to Gomez classification, mild malnutrition was 34.5%, moderate malnutrition 18.5% and heavy malnutrition 1.7%, weight for height was found to be mild 24.8%, moderate 3.5%, malnutrition, 16.8% according to BMI. Vitamin B12 deficiency was found 39%, low hemoglobin 22%, low ferritin 45% and iron deficiency 30%. Conclusion: Malnutrition in CD continues to be an important problem. Malnutrition status in our study; Malnutrition was determined as 54.7% by weight for age, 28.3% for weight for height and 16.8% for BMI. Broader studies are required to minimize the negative effects of CD and related malnutrition in the world and in our country.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
