PSYCHOLOGICAL COMPONENT OF HYPEREMESIS GRAVIDARUM ETIOLOGY: A CRITICAL REVIEW

Year 2016, Volume: 18 Issue: 3, 151 - 156, 15.12.2016

Murat Bulanık Yavuz Şimşek

https://doi.org/10.24938/kutfd.273864

Abstract

Nause and vomiting affect
approximately 75% of pregnant women during the first trimester. Hyperemesis gravidarum
(HG) which characterised by intractable nausea and vomiting especially begins
the first trimester of pregnancy leading to nutritional deficiency, ketonuria,
weight loss, electrolyte imbalance and dehydratation. The etiopathogenesis of
disease which affect 0.5-2% pregnant women is unclear. Gastrointestinal, endocrinological,
infectious and immunological disorders are thought to be cause of hyperemesis
gravidarum. However the exact role in pathogenesis of the condition is unclear,
another suspected condition associated with hyperemesis gravidarum is psychological
factors. In this review, the
presence of the psychological component in the etiopathogenesis and the studies
done in this context are discussed in the light of the current knowledge.

Keywords

hyperemesis gravidarum, anxiety, depression

HİPEREMEZİS GRAVİDARUM ETYOLOJİSİNDE PSİKOLOJİK KOMPONENT: KRİTİK BİR DERLEME

Abstract

Bulantı
ve kusma şikâyeti ilk trimester gebelerin %75 ‘inde görülür. Hiperemezis
gravidarum (HG) ise, gebeliğin ilk trimesterinde başlayan şiddetli bulantı ve
kusmaya ek olarak beslenme bozukluğu, ketonüri, kilo kaybı, dehidratasyonve
elektrolit bozuklukları ile karakterize bir hastalıktır. Hamile kadınların %0.5-2
‘sini etkileyen hastalığın etyopatogenezi tam olarak bilinmemektedir.
Gastrointestinal, endokrinolojik, enfeksiyöz ve immunolojik bozuklukların
hiperemezis gravidaruma yol açtığı düşünülmektedir. Patogenezdeki yeri
tartışmalı olmakla birlikte HG ile ilişkilendirilen bir başka neden psikolojik
etmenlerdir. Bu derlemede HG' un etyopatogenezinde psikolojik komponentin
varlığı ve bu bağlamda yapılan çalışmalar güncel bilgiler ışığında
tartışılmıştır.

Keywords

hiperemezis gravidarum, anksiyete, depresyon

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