Hyperemesis Gravidarum

Yıl 2017, Cilt: 26 Sayı: 3, 269 - 296, 30.09.2017

Mehmet Bülbül Mustafa Kaplanoğlu Emel Arslan Yıldırım Berna Yılmaz

https://doi.org/10.17827/aktd.303579

Cited By: 8

Öz

Hyperemesis gravidarum is most commonly seen in the first trimester. Weight loss usually accompanies vomiting and it is less common that the pregnancy-related nausea (0.3-3.6%). Environmental factors and genetic predisposition may play a role in the etiology. Furthermore it is thought that the increased placental load and elevated β-hCG levels also play a role in development of hyperemesis gravidarum. The psychological state of the patient might also aggravate the disease. Hyperemesis gravidarum is diagnosed clinically. This situation will threaten the woman’s life besides having potential negative effects on the newborn health if it is not treated properly. The first step of treatment is diet and life style change. Intravenous hydration, electrolyte supplmentation and antiemetics can be used safely and efficiently..

Anahtar Kelimeler

Hyperemesis gravidarum, etiology, treatment

Hiperemezis Gravidarum

Öz

Hiperemezis gravidarum sıklıkla ilk trimesterde görülür. Kilo kaybı kusma ile birlikte seyreder ve gebeliğe bağlı bulantı-kusmaya göre daha nadirdir (%0,3-3.6). Çevresel faktörlerle genetik yatkınlığın etiyolojide rol oynadığı düşünülmektedir. Ayrıca plasental yük ve yüksek β-hCG düzeyleri de hiperemesis gravidarum gelişiminde rol oynar. Kişinin psikolojik yapısı da hastalığın seyrini değiştirebilir. Etiyolojide bunların dışında birçok faktör suçlansa da kanıtlanmış kesin bilgi yoktur. Hiperemesis gravidarum tanısı klinik olarak konulur. Uygun şekilde tedavi edilmediğinde anne ve bebeğin hayatını olumsuz etkileyebilir. Tedavide ilk basamak diyet ve yaşam tarzı değişikliğidir. İntravenöz hidrasyon, elektrolit desteği ile antiemetikler güvenli ve etkili olarak tedavide kullanılabilir.

Anahtar Kelimeler

Hiperemezis gravidarum, Etiyoloji, Tedavi

Kaynakça

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