İnfantil Kolikte Risk Faktörlerinin ve Farmakolojik Tedavi Yaklaşımlarının Değerlendirilmesi

Abstract

Giriş ve Amaç: İnfantil kolik 3 hafta ile 4 ay arası bebeklerde sık görülen kendini sınırlayan bir klinik durumdur. Etiyopatogenezi hala net olarak anlaşılamadığından tedavisi de tartışmalıdır. Bu çalışmada infantil koliğin risk faktörleri ve güncel tedavi seçeneklerinin etkinliği değerlendirildi. Gereç ve Yöntemler: Çocuk polikliniğinde, yaşları 6-9 ay arası değişen infantlar çalışmaya alındı. Wessel ölçütlerine uygun olan bebekler infantil kolik olarak değerlendirildi. Bebeklerin cinsiyet, doğum ağırlığı, doğum şekli, beslenme yöntemi, eşlik eden yapısal hastalık, kimin baktığı, sigara maruziyeti, besin alerjisi, hekime başvuru oranı, önerilen tedaviler ve tedaviye yanıtlar değerlendirildi. Bulgular: Çalışma süresi boyunca 170 bebek değerlendirildi. 170 bebeğin %75’inde kolik öyküsü vardı. İnfantil kolik tanımına uyan hastalar grup 1, uymayanlar grup 2 olarak ayrıldı. Doğum ağırlıkları, cinsiyet, doğum şekli, eşlik eden hastalıklar, ilk 3 ay anne bakımı, ilk 3 ay mama takviyesi, besin alerjisi sigara maruziyeti, anne yaşı açısından her iki grup arasında anlamlı farklılık yoktu. Hekim tarafından en sık önerilen tedaviler sırasıyla, çinko naturel, simetikon damla, nurse-harveys bitkisel yağ, rezene çayı, elma yağı olduğu görüldü. Hekime başvurmadan tercih edilen tedaviler ise sırasıyla rezene çayı, çinko naturel, simetikon damla, elma yağı, nurse harvey olduğu belirlendi. Kolik tedavisi alan ve almayan gruplar arasında düzelme süreleri açısından anlamlı bir farklılık izlenmedi. Sonuçlar: İnfantil koliğin tedavisinde bilinen güncel uygulamaların, semptomları azaltma ve iyileşme süresi üzerine olumlu etkisi bulunamamıştır. Olası yan etkiler nedeniyle farmakolojik tedaviden çok, ailenin hekim tarafından eğitimi daha önemlidir. Bu durumun geçici olması konusunda huzursuz ve uykusuz ailenin rahatlatılması tedavinin esas noktasını oluşturacaktır.

Keywords

• İnfant, kolik, tedavi, eğitim

EVALUATION OF THE TREATMENT APPROACHES AND RISK FACTORS IN INFANTILE COLIC

Abstract

Background and Aim: Infantile colic is a self-limiting condition that is frequently seen in babies ranging from 3 weeks to 4 months of age. Its treatment can not be clearly understood as its etiopathogenesis is still controversial. In this study, the risk factors for infantile colic and the effectiveness of current treatment options were evaluated.Materials and methods: Infants with 6 to 9 months of age, who admitted to the peadiatric outpatient services, were recruited to the study. Infants who met Wessel criteria were determined as infantile colic. Babies’ gender, birth weight, type of delivery, feeding style, accompaning structural diseases, daily caretaker, smoking exposure, food allergies, physician contact rate, mothers’age, the proposed treatment and treatment responses were evaluated.Results: 170 infants were evaluated during the study period. 75% of the infants had a history of infantile colic. Infants were grouped according to the presence of infantile colic. Birth weight, gender, type of delivery, accompanying diseases, maternal care in first 3 months, food supplementation in first 3 months, food allergy, smoking exposure, mothers’age were not significantly different between both groups. The most common treatments recommended by physicians were zinc natural, simetikon drops, nurse-harveys vegetable oil, fennel tea, apple oil extract in order of frequency. The preferred treatments without resorting to the physicians by parents were fennel tea, zinc natural, simetikon drops, apple oil extract, nurse harvey vegetable oil in order of frequency. There was no significant difference in recovery time between treated and untreated infantile colic patients.Conclusion: Current treatments of infantile do not have a positive effect on reducing symptoms and duration of the condition. Parents’ education by physicians is more important than pharmacological treatment, because of possible side-effects. The main point of the treatment would be to make sleepless and restless parents feel more comfortable about this temporary situation

Keywords

• Infant, colic, treatment, education

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