Gebelerde Kronik Yorgunluk Sendromu Belirti ve Bulgularının Sıklığının Araştırılması

Year 2017, Volume: 17 Issue: 3, 160 - 173, 27.09.2017

Mehmet Gölcür Oktay Sarı , Ümit Aydoğan Yaşam Kemal Akpak Uğur Keskin

https://doi.org/10.17098/amj.339335

Abstract

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.

Keywords

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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