Hırıltılı Hışıltılı Solunum
Özet
Bu metin, çocuklarda en sık görülen solunum yolu bulgusu olan hışıltılı ve hırıltılı solunumu; görülme sıklığı, risk faktörleri ve tanı yöntemleri açısından kapsamlı bir şekilde ele almaktadır. Hışıltının sadece astımla sınırlı kalmayıp enfeksiyonlar, yabancı cisim aspirasyonları ve konjenital anomaliler gibi pek çok farklı nedenden kaynaklanabileceği vurgulanmaktadır. Metin ayrıca, vakaların klinik özelliklerine göre sınıflandırılmasını, güncel tedavi yaklaşımlarını ve erken teşhisin çocukların yaşam kalitesini artırmadaki önemini detaylandırmaktadır.
This text provides a comprehensive analysis of wheezing, the most common respiratory symptom in children, focusing on its prevalence, risk factors, and diagnostic methods. It emphasizes that wheezing is not limited to asthma but can also result from various causes such as infections, foreign body aspirations, and congenital anomalies. Furthermore, the text details the classification of cases based on clinical features, current treatment approaches, and the critical role of early diagnosis in improving children's quality of life.
Referanslar
Garcia-Marcos L, Mallol J, Solé D, et al. International study of wheezing in infants: risk factors in affluent and non-affluent countries during the first year of life. Pediatr Allergy Immunol. 2010;21(5):878-888. doi:10.1111/j.1399-3038.2010.01035.x
Muglia C, Oppenheimer J. Wheezing in Infancy: An Overview of Recent Literature. Curr Allergy Asthma Rep. 2017;17(10):67. Published 2017 Sep 11. doi:10.1007/s11882-017-0737-7
Türktaş İ, Selçuk ZT, Kalyoncu A.(1998). Prevalance of asthma and wheezing in Turkish children. World Asthma Meeting. 9-13 December 1998 Barselona/İspanya. EurRespir j. 1998;(Suppl 29):52
Mallol J, García-Marcos L, Solé D, et al. International prevalence of recurrent wheezing during the first year of life: variability, treatment patterns and use of health resources. Thorax. 2010;65(11):1004-1009. doi:10.1136/thx.2009.115188
Durrani SR, Leonard B, Bacharier LB, et al.(2019). Diagnosis of asthma in infants and children. In: Burks AW, Holgate ST, eds. Middleton’s Allergy Principles and Practise. 9th ed. Sydney: 2019. p.816-30.
Martinez FD. Development of wheezing disorders and asthma in preschool children. Pediatrics. 2002;109(2 Suppl):362-367.
Weiss LN. The diagnosis of wheezing in children. Am Fam Physician. 2008;77(8):1109-1114.
Zhang Y, Zhou C, Liu J, et al. A new index to identify risk of multi-trigger wheezing in infants with first episode of wheezing. J Asthma. 2014;51(10):1043-1048. doi:10.3109/02770903.2014.936449
Stein RT, Sherrill D, Morgan WJ, et al. Respiratory syncytial virus in early life and risk of wheeze and allergy by age 13 years. Lancet. 1999;354(9178):541-545. doi:10.1016/S0140-6736(98)10321-5
Guilbert TW, Morgan WJ, Zeiger RS, et al. Atopic characteristics of children with recurrent wheezing at high risk for the development of childhood asthma. J Allergy Clin Immunol. 2004;114(6):1282-1287. doi:10.1016/j.jaci.2004.09.020
Al-Shamrani A, Bagais K, Alenazi A, et al. . Wheezing in children: Approaches to diagnosis and management [published correction appears in Int J Pediatr Adolesc Med. 2020 Dec;7(4):212]. Int J Pediatr Adolesc Med. 2019;6(2):68-73. doi:10.1016/j.ijpam.2019.02.003
Eid NS, Morton RL. Rational approach to the wheezy infant. Paediatr Respir Rev. 2004;5 Suppl A:S77-S79. doi:10.1016/s1526-0542(04)90015-2
Tenero L, Tezza G, Cattazzo E, Piacentini G. Wheezing in preschool children. Early Hum Dev. 2013;89 Suppl 3:S13-S17. doi:10.1016/j.earlhumdev.2013.07.017
Kurukulaaratchy RJ, Matthews S, Arshad SH. Relationship between childhood atopy and wheeze: what mediates wheezing in atopic phenotypes?. Ann Allergy Asthma Immunol. 2006;97(1):84-91. doi:10.1016/S1081-1206(10)61375-0
Chavasse R, Seddon P, Bara A, et al. Short acting beta agonists for recurrent wheeze in children under 2 years of age. Cochrane Database Syst Rev. 2002;2002(3):CD002873. doi:10.1002/14651858.CD002873
Bacharier LB, Phillips BR, Zeiger RS, et al. Episodic use of an inhaled corticosteroid or leukotriene receptor antagonist in preschool children with moderate-to-severe intermittent wheezing. J Allergy Clin Immunol. 2008;122(6):1127-1135.e8. doi:10.1016/j.jaci.2008.09.029
Panickar J, Lakhanpaul M, Lambert PC, et al. Oral prednisolone for preschool children with acute virus-induced wheezing. N Engl J Med. 2009;360(4):329-338. doi:10.1056/NEJMoa0804897
Valovirta E, Boza ML, Robertson CF, et al. Intermittent or daily montelukast versus placebo for episodic asthma in children. Ann Allergy Asthma Immunol. 2011;106(6):518-526. doi:10.1016/j.anai.2011.01.017
Kantar A, Chang AB, Shields MD, et al. ERS statement on protracted bacterial bronchitis in children. Eur Respir J. 2017;50(2):1602139. Published 2017 Aug 24. doi:10.1183/13993003.02139-2016
McDonald NJ, Bara AI. Anticholinergic therapy for chronic asthma in children over two years of age. Cochrane Database Syst Rev. 2003;2003(3):CD003535. doi:10.1002/14651858.CD003535
Teoh L, Cates CJ, Hurwitz M, et al. Anticholinergic therapy for acute asthma in children. Cochrane Database Syst Rev. 2012;(4):CD003797. Published 2012 Apr 18. doi:10.1002/14651858.CD003797.pub2
Schwarzer G, Bassler D, Mitra A, et al. Ketotifen alone or as additional medication for long-term control of asthma and wheeze in children. Cochrane Database Syst Rev. 2004;2004(1):CD001384. doi:10.1002/14651858.CD001384.pub2
van Oeffelen AA, Bekkers MB, Smit HA, et al. Serum micronutrient concentrations and childhood asthma: the PIAMA birth cohort study. Pediatr Allergy Immunol. 2011;22(8):784-793. doi:10.1111/j.1399-3038.2011.01190.x
Pike KC, Inskip HM, Robinson S, et al. Maternal late-pregnancy serum 25-hydroxyvitamin D in relation to childhood wheeze and atopic outcomes. Thorax. 2012;67(11):950-956. doi:10.1136/thoraxjnl-2012-201888
MacDonald KD, Vesco KK, Funk KL, et al. Maternal body mass index before pregnancy is associated with increased bronchodilator dispensing in early childhood: A cross-sectional study. Pediatr Pulmonol. 2016;51(8):803-811. doi:10.1002/ppul.23384
Nwaru BI, Hayes H, Gambling L, et al. An exploratory study of the associations between maternal iron status in pregnancy and childhood wheeze and atopy. Br J Nutr. 2014;112(12):2018-2027. doi:10.1017/S0007114514003122
Han YY, Celedón JC. Maternal Folate Intake during Pregnancy and Childhood Asthma. Am J Respir Crit Care Med. 2017;195(2):155-156. doi:10.1164/rccm.201608-1713ED
Tenero L, Piazza M, Piacentini G. Recurrent wheezing in children. Transl Pediatr. 2016;5(1):31-36. doi:10.3978/j.issn.2224-4336.2015.12.01