Bulantı ve Kusma

Yazarlar

Önder Sezer
https://orcid.org/0000-0001-5073-3905

Özet

Çocuklarda bulantı ve kusma, antik dönemlerden bu yana tanımlanan ve genellikle kendi kendini sınırlayan ancak ciddi hastalıkların da habercisi olabilen karmaşık semptomlardır. Tanı süreci, hastanın yaşına göre değişen etiyolojik faktörlerin titiz bir anamnez ve fizik muayene ile değerlendirilmesini, özellikle hayati risk taşıyan "kırmızı bayrak" belirtilerinin dışlanmasını gerektirir. Tedavi yaklaşımı ise dehidratasyonun önlenmesi için uygun beslenme düzenlemelerini ve gerektiğinde yan etkileri gözetilerek seçilen farmakolojik yöntemleri kapsamaktadır.

Nausea and vomiting are common pediatric symptoms that result from various biological pathways and triggers, ranging from infections to neurological issues. Effective management in primary care relies on a detailed patient history and physical examination to distinguish self-limiting conditions like gastroenteritis from "red flag" emergencies requiring immediate referral. Treatment strategies include non-pharmacological approaches such as dietary adjustments and hydration with oral rehydration solutions, alongside cautious pharmacological interventions for severe cases. Ultimately, a patient-centered approach that combines clinical expertise with family education ensures the successful management of these multifaceted symptoms in children.

Referanslar

Balaban CD, Yates BJ. What is nausea? A historical analysis of changing views. Autonomic Neuroscience. 2017;202:5-17. doi: 10.1016/j.autneu.2016.07.003

Russell AC, Stone AL, Walker LS. Functional Nausea in children: a review of the literature and need for diagnostic criteria. Children (Basel). 2016;3(1):5. doi: 10.3390/children3010005

Sjölund J, Uusijärvi A, Tornkvist NT, et al. Prevalence and progression of recurrent abdominal pain, from early childhood to adolescence. Clinical Gastroenterology and Hepatology. 2021;19(5):930-938.e8. doi: 10.1016/j.cgh.2020.04.047

Kovacic K, Chelimsky G. Chronic idiopathic nausea. Pediatric Annals. 2014;43(4):e89-94. doi: 10.3928/00904481-20140325-10

Singhi SC, Shah R, Bansal A, et al. Management of a child with vomiting. Indian Journal of Pediatrics. 2013;80(4):318-325. doi: 10.1007/s12098-012-0959-6

Keller VE. Management of nausea and vomiting in children. Journal of Pediatric Nursing. 1995;10(5):280-286. doi: 10.1016/S0882-5963(05)80045-4

UpToDate. Approach to the infant or child with nausea and vomiting. [Online] (23/01/2022 tarihinde https://www.uptodate.com/contents/approach-to-the-infant-or-child-with-nausea-and-vomiting?topicRef=1223&source=see_link adresinden ulaşılmıştır).

WebMD. Understanding nausea and vomiting -- Treatment. [Online] (25/01/2022 tarihinde https://www.webmd.com/digestive-disorders/understanding-nausea-vomiting-treatment#:~:text=Your%20doctor%20may%20want%20you,to%20vomit%2C%20call%20your%20doctor adresinden ulaşılmıştır).

Consolini DM. Nausea and vomiting in infants and children [Online] (24/01/2022 tarihinde https://www.msdmanuals.com/professional/pediatrics/symptoms-in-infants-and-children/nausea-and-vomiting-in-infants-and-children adresinden ulaşılmıştır).

National Institude for Health and Care Excellence (NICE). Reflux, regurgitation and heartburn in babies, children and young people. [Online] (23/01/2022 tarihinde https://www.nice.org.uk/guidance/ng1/resources/reflux-regurgitation-and-heartburn-in-babies-children-and-young-people-pdf-555907525 adresinden ulaşılmıştır).

Donnet A, Redon S. Cyclic vomiting syndrome in children. Current Pain and Headache Reports. 2018;22(4):30. doi: 10.1007/s11916-018-0684-6

UpToDate. Patient education: nausea and vomiting in infants and children (Beyond the Basics). [Online] (20/01/2022 tarihinde https://www.uptodate.com/contents/nausea-and-vomiting-in-infants-and-children-beyond-the-basics adresinden ulaşılmıştır).

Taylor AT. Nausea and vomiting. In: DiPiro JT, Talbert RL, Yee Gl, et al.(eds.) Pharmacotherapy, a pathophysiologic approach. 4th ed. Stanford CT: Appleton & Lange; 1999. p. 586-596.

Cleveland Clinic. Nausea & vomiting. [Online] (26/01/2022 tarihinde https://my.clevelandclinic.org/health/symptoms/8106-nausea--vomiting adresinden ulaşılmıştır).

Del Favero A, Roila F, Basurto C, et al. Assessment of nausea. European Journal of Clinical Pharmacology. 1990;38(2):115-120. doi: 10.1007/BF00265968

Zeltzer LK, LeBaron S, Richie DM, et al. Can children understand and use a rating scale to quantify somatic symptoms? Assessment of nausea and vomiting as a model. Journal of Consulting and Clinical Psychology. 1988;56(4):567-572. doi: 10.1037//0022-006x.56.4.567.

Gravatt LAH, Donohoe KL, DiPiro CV. Nausea and vomiting. In: DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey LM (eds.) Pharmacotherapy: A Pathophysiologic Approach. 10th ed. New York: McGraw-Hill Education; 2017. ID: 146059308.

Hyman PE, Milla PJ, Benninga MA, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006;130(5):1519-1526. doi: 10.1053/j.gastro.2005.11.065

Morrow GR. Chemotherapy-related nausea and vomiting: etiology and management. CA: A Cancer Journal for Clinicians. 1989;39(2):89-104. doi: 10.3322/canjclin.39.2.89

Karagozoglu S, Tekyasar F, Yilmaz FA. Effects of music therapy and guided visual imagery on chemotherapy-induced anxiety and nausea-vomiting. Journal of Clinical Nursing. 2013;22(1-2):39-50. doi: 10.1111/jocn.12030

Cotanch P, Hockenberry M, Herman. Self-hypnosis as antiemetic therapy in children receiving chemotherapy. Oncology Nursing Forum. 1985;12(4):41-46.

Axelrod A, Vinciguerra V, Brennan-O'Neill E, et al. A preliminary report on the efficacy of hypnosis to control anticipatory nausea and vomiting caused by cancer chemotherapy. Progress in Clinical and Biological Research. 1988;278:147-150.

Yentis SM, Bissonnette B. P6 acupuncture and postoperative vomiting after tonsillectomy in children. British Journal of Anaesthesia. 1991;67(6):779-780. doi: 10.1093/bja/67.6.779

Dundee JW, Ghaly RG, Fitzpatrick KT, et al. Acupuncture prophylaxis of cancer chemotherapy-induced sickness. Journal of Royal Society of Medicine. 1989;82(5):268-271.

Culy CR, Bhana N, Plosker GL. Ondansetron: a review of its use as an antiemetic in children. Paediatric Drugs. 2001;3(6):441-79. doi: 10.2165/00128072-200103060-00007

Gelecek

15 Ekim 2022

Lisans

Lisans