Adolesanlarda Anormal Uterin Kanamanın Değerlendirilmesi: Tersiyer Merkez Deneyimi

Öz

Adolesanlarda Anormal Uterin Kanamanın Değerlendirilmesi: Tersiyer Merkez Deneyimi The Evaluation of Abnormal Uterine Bleeding in Adolescents: Tertiary Center Experience Reyhan Gündüz Dicle Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı/Diyarbakır/Türkiye e-mail: [e-mail] ORCID: https://orcid.org/0000-0001-8468-7038 *Sorumlu Yazar / Corresponding Author: Reyhan Gündüz Gönderim Tarihi / Received: Kabul Tarihi / Accepted: DOI: 10.34087/cbusbed. Öz Giriş ve Amaç: Anormal uterin kanaması olan adolesanların demografik, ultrasonografik, klinik ve laboratuvar verilerini değerlendirmektir. Anemi derecelerine göre menorajisi olan adolesanları üç gruba ayırıp kanama etiyolojisini ve şiddetini belirleyerek literatüre katkı sunmaktır. Gereç ve Yöntemler: Adolesan dönemde olup menorajisi olan 112 kadının verileri retrospektif olarak incelendi. Hafif menoraji Hemoglobin (Hgb) > 12 g/dl, orta derecede menoraji Hgb 10-12 g/dl ve şiddetli menoraji Hgb ≤ 10 g/dl olarak üç gruba ayrıldı. Veriler bu üç grup arasında karşılaştırıldı. Bulgular: Çalışmaya dahil edilen adolesanların yaş ortalamaları 17.9±1.5 yıl, Hgb değerleri ortalama olarak 11±3.5 g/dl olarak belirlendi. %59.6’sında (53) hafif anemi, %19.1’inde (17) orta derecede anemi, %21.3’ünde (19) ağır derecede anemi belirlendi. Hgb değerine göre ayırdığımız üç grup arasında demografik ve klinik veriler açısından istatistiksel olarak anlamlı fark bulamadık. İki hastada faktör 8 eksikliği, bir hastada glanzman trombositopenisi ve altı hastada ITP tespit ettik. Gebeliğe bağlı menorajiyi %25 (28) olarak belirledik. Sonuç: Adolesan dönemde yoğun olarak görülebilen menorajinin değerlendirilmesinde disfonksiyonel uterin kanama dışında sebep olabilecek kanama bozukluklarını ve gebeliği de aklımızda tutup multidisipliner olarak bu durumu yönetmemiz gerekmektedir. Anahtar kelimeler: Adolesan, anormal uterin kanama, menoraji, kanama bozukluğu, gebelik Abstract Aim; The purpose of the present study was to evaluate demographic, ultrasonographic, clinical, and laboratory data of adolescents who had abnormal uterine bleeding. The study also aimed to contribute to the literature by dividing adolescents who had menorrhagia into three groups based on their degree of anemia and determining the etiology and severity of bleeding. Method; The data of 112 women who had menorrhagia during adolescence were retrospectively analyzed. Mild menorrhagia was divided into three groups as Hemoglobin (Hgb) > 12 g/dl, moderate menorrhagia Hgb 10-12 g/dl, and severe menorrhagia Hgb ≤ 10 g/dl. The data were then compared among these three groups. Results; The mean age of the adolescents included in the study was 17.9 ±1.5 years, and the mean Hgb value was 11 ±3.5 g/dl. Mild anemia was determined in 59.6% (53), moderate anemia in 19.1% (17), and severe anemia in 21.3% (19). No statistically significant differences were detected in demographic and clinical data among the three groups we separated based on Hgb values. Factor 8 deficiency was detected in two patients, Glanzmann Thrombocytopenia in one patient, and ITP in six patients. Pregnancy-related menorrhagia was determined in 25% (28). Conclusion; In the evaluation of menorrhagia, which might be detected frequently in adolescence, clinicians must keep in mind the bleeding disorders and pregnancy that might cause it, other than dysfunctional uterine bleeding, and manage this condition in a multidisciplinary manner. Keywords: Adolescent, abnormal uterine bleeding, menorrhagia, bleeding disorder, pregnancy

Anahtar Kelimeler

• Adolesan
• anormal uterin kanama
• menoraji
• kanama bozukluğu
• gebelik

The Evaluation of Abnormal Uterine Bleeding in Adolescents: Tertiary Center Experience

Öz

Adolesanlarda Anormal Uterin Kanamanın Değerlendirilmesi: Tersiyer Merkez Deneyimi The Evaluation of Abnormal Uterine Bleeding in Adolescents: Tertiary Center Experience Reyhan Gündüz Dicle Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı/Diyarbakır/Türkiye e-mail: [e-mail] ORCID: https://orcid.org/0000-0001-8468-7038 *Sorumlu Yazar / Corresponding Author: Reyhan Gündüz Gönderim Tarihi / Received: Kabul Tarihi / Accepted: DOI: 10.34087/cbusbed. Öz Giriş ve Amaç: Anormal uterin kanaması olan adolesanların demografik, ultrasonografik, klinik ve laboratuvar verilerini değerlendirmektir. Anemi derecelerine göre menorajisi olan adolesanları üç gruba ayırıp kanama etiyolojisini ve şiddetini belirleyerek literatüre katkı sunmaktır. Gereç ve Yöntemler: Adolesan dönemde olup menorajisi olan 112 kadının verileri retrospektif olarak incelendi. Hafif menoraji Hemoglobin (Hgb) > 12 g/dl, orta derecede menoraji Hgb 10-12 g/dl ve şiddetli menoraji Hgb ≤ 10 g/dl olarak üç gruba ayrıldı. Veriler bu üç grup arasında karşılaştırıldı. Bulgular: Çalışmaya dahil edilen adolesanların yaş ortalamaları 17.9±1.5 yıl, Hgb değerleri ortalama olarak 11±3.5 g/dl olarak belirlendi. %59.6’sında (53) hafif anemi, %19.1’inde (17) orta derecede anemi, %21.3’ünde (19) ağır derecede anemi belirlendi. Hgb değerine göre ayırdığımız üç grup arasında demografik ve klinik veriler açısından istatistiksel olarak anlamlı fark bulamadık. İki hastada faktör 8 eksikliği, bir hastada glanzman trombositopenisi ve altı hastada ITP tespit ettik. Gebeliğe bağlı menorajiyi %25 (28) olarak belirledik. Sonuç: Adolesan dönemde yoğun olarak görülebilen menorajinin değerlendirilmesinde disfonksiyonel uterin kanama dışında sebep olabilecek kanama bozukluklarını ve gebeliği de aklımızda tutup multidisipliner olarak bu durumu yönetmemiz gerekmektedir. Anahtar kelimeler: Adolesan, anormal uterin kanama, menoraji, kanama bozukluğu, gebelik Abstract Aim; The purpose of the present study was to evaluate demographic, ultrasonographic, clinical, and laboratory data of adolescents who had abnormal uterine bleeding. The study also aimed to contribute to the literature by dividing adolescents who had menorrhagia into three groups based on their degree of anemia and determining the etiology and severity of bleeding. Method; The data of 112 women who had menorrhagia during adolescence were retrospectively analyzed. Mild menorrhagia was divided into three groups as Hemoglobin (Hgb) > 12 g/dl, moderate menorrhagia Hgb 10-12 g/dl, and severe menorrhagia Hgb ≤ 10 g/dl. The data were then compared among these three groups. Results; The mean age of the adolescents included in the study was 17.9 ±1.5 years, and the mean Hgb value was 11 ±3.5 g/dl. Mild anemia was determined in 59.6% (53), moderate anemia in 19.1% (17), and severe anemia in 21.3% (19). No statistically significant differences were detected in demographic and clinical data among the three groups we separated based on Hgb values. Factor 8 deficiency was detected in two patients, Glanzmann Thrombocytopenia in one patient, and ITP in six patients. Pregnancy-related menorrhagia was determined in 25% (28). Conclusion; In the evaluation of menorrhagia, which might be detected frequently in adolescence, clinicians must keep in mind the bleeding disorders and pregnancy that might cause it, other than dysfunctional uterine bleeding, and manage this condition in a multidisciplinary manner. Keywords: Adolescent, abnormal uterine bleeding, menorrhagia, bleeding disorder, pregnancy

Anahtar Kelimeler

• Adolescent
• abnormal uterine bleeding
• menorrhagia
• bleeding disorder
• pregnancy

Kaynakça

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