Gebelerde Kronik Yorgunluk Sendromu Belirti ve Bulgularının Sıklığının Araştırılması

Öz

Amaç: Kronik yorgunluk sendromu (KYS) istirahat ile düzelmeyen ve en az altı aydan beri devam eden yorgunluk ile birlikte, ayrıca hafıza ve konsantrasyon problemleri, miyalji, artralji, başağrısı, uyku bozukluğu, tekrarlayan boğaz ağrısı ve hassas lenf nodları gibi bulgulardan en az dört tanesinin bulunmasıyla karakterize bir hastalıktır. Gebelik süreci ise çeşitli hormonal, metabolik ve anatomik değişiklikler paralelinde benzer yakınmaların görülebileceği fizyolojik bir süreçtir. Çalışmamızda, gebelerde karışabilen KYS semptomlarının sıklığını araştırdık.

Materyal ve Metot: Bu çalışma kronik sistemik hastalığı olmayan 224 gebe ile gerçekleştirildi. Gebelere sosyodemografik özellikleri ve gebelik bilgileri ile KYS belirti ve bulgularını içeren anket formu uygulandı. Sonuçlar hastalık koruma ve kontrol merkezi (CDC) ve Bruce M.Carruthers ve ark. nın yayınladığı tanı ve tedavi kılavuzunda yer alan KYS tanı kriterleri ışığında değerlendirildi. 
Bulgular: CDC’ye göre 24 (%10,7) gebe, tanı ve tedavi kılavuzuna göre ise 8 gebe (%3,5) KYS olarak değerlendirildi. Gebelerde en sık görülen yakınmalar; %75 (n=168) ile egzersiz sonrası yorgunluk, %58,9 (n=132) ile aşırı uyuma veya az uyuma ve %53,6 (n=120) ile ışık, ses ve kokulara karşı hassasiyet olarak saptandı. 
Sonuç: KYS ile gebelik arasında pek çok belirti ve bulgunun ortak olarak bulunması gerçeği gebe takibi yapan hekimlerinin gebelere ait her yakınmayı dikkatli bir şekilde değerlendirmesini gerektirmektedir. Gebelik sürecinde ve fizyolojik olarak değerlendirilebilen bazı yakınmalar, aslında gebelik süreci ile tetiklenmiş bazı patolojilere işaret ediyor olabilir.

Anahtar Kelimeler

• Kronik yorgunluk sendromu (KYS),Gebelik,sistemik hastalık

Evaluation of the Frequency of Symptoms and Signs Related to Chronic Fatigue Syndrome in Pregnant Women

Abstract

Objectives: Chronic fatigue syndrome (CFS) is characterized by fatigue that has not improved with rest and has continued for at least six months and also by four of the following symptoms; memory and concentration problems, myalgia, arthralgia, headache, sleep disturbance, recurrent throat pain and sensitive lymph nodes. The pregnancy period is a physiological process in which similar complaints can be seen in association with various hormonal, metabolic and anatomical changes. In our study, we investigated the frequency of symptoms of CFS that can interfere with pregnancy.
Materials and Methods: This study was performed with 224 pregnant women without any chronic systemic disease. A survey form including sociodemographic characteristics and pregnancy information and symptoms and findings of CFS were applied to the pregnants. The results were evaluated according to the CFS diagnostic criteria in the guideline for diagnosis and treatment of CDC and Bruce M. Carruthers et al.

Results: According to CDC 24 (10.7%) pregnant women and according to the diagnosis and treatment guide, 8 pregnant women (3.5%) were evaluated as CFS. The most common complaints in pregnancy are; fatigue after exercise in 75% (n = 168), sensitivity to light, sound and smell in 58.9% (n = 132) and excessive sleep or less sleep in 53.6%(n=120).

Conclusion: The fact that many signs and symptoms are common between CFS and pregnancy necessitates that doctors following-up pregnant women should carefully evaluate every complaint belonging to the pregnancy.

Keywords

• Chronic fatigue syndrome (CFS),Pregnancy,Systemic Disease

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