Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı

Resmiye Özdilek; Suzi Özdemir; Nursena Duran

doi:10.59244/ktokusbd.1409750

Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı

Öz

İnsan uyuzu olarak bilinen scabies dünyanın en yaygın hastalıklarından biridir. Yoğun kaşıntı ve genellikle yaygın papüler veya ekzematöz lezyonlarla karakterize olan scabiesin daha çok insandan insana cilt teması ile bulaştığı bilinmektedir. Uyuz tanısı genellikle klinik muayene ve hasta öyküsüne dayalı olarak konulmaktadır. Gebelikte uyuz prevalansı sistematik olarak araştırılmamış olmasına rağmen, gözlem çalışmalarının sonuçları, gebelikte gelişen tüm cilt hastalıklarının %2-6’sını oluşturduğunu göstermektedir. Gebelikte uyuz tedavisi seçenekleri sınırlı olup belirli bir standart bulunmamaktadır. Uyuzdan etkilenen hastanın tedavi yönetimi, akarların farmakolojik bir yöntemle yok edilmesini, uyuzun diğer bireylere yayılmasını önleme stratejilerini ve uyuzla ilişkili komplikasyonların, yani ilişkili kaşıntının gözetimini ve tedavisini içermektedir. Permethrin %5 krem (kanıt düzeyi III, Kategori B), gebelikte tercih edilen bir tedavi yöntemidir. Plasentayı geçebilmesine rağmen, permetrin sadece küçük miktarlarda emildiği ve hızla metabolize olduğu için fetal maruziyet riski minimumdur. Oral ivermektin ile ilişkili risk düşük olsa da gebelikte kullanımla ilgili veriler sınırlıdır. Malathion kullanımı gebe kadınlarda çalışılmamış olup hayvan çalışmaları sonucunda teratojenik etki saptanmamıştır. Topikal kükürt ve %25 benzil benzoat losyon ikinci basamak tedavilerdir. Travmatize cilt üzerine uygulandığında maternal nörotoksisite ve aplastik anemi riski nedeniyle Lindane gebelikte kullanılmamalıdır. Laktasyon dönemi ise anne ve bebeğin yakın temasta olduğu bağlanma sürecinin de parçasını oluşturan bir dönemdir. Uyuzla enfekte olan emziren kadınların, anne sütüyle beslenmeyi sürdürmeye ve bebeğe uyuz bulaşma riskini sınırlamaya izin veren etkili bir tedavi almadıkları sürece, sütlerini sağmaları gerekmektedir. Emzirme döneminde uyuz tedavisinde kullanılan ilaçların güvenliğine ilişkin veriler sınırlıdır. Potansiyel yan etkileri nedeniyle emzirme döneminde Lindane’dan kaçınılmalıdır. Uyuzun tedavisinde toksisitenin çok düşük olduğu düşünülen Permethrin, emziren annelerde de güvenle kullanılmıştır. Bu bağlamda uyuzun gebelik ve laktasyon dönemindeki tedavi ve bakımını kapsayan ebelik yaklaşımlarını inceleyen araştırmalara ihtiyaç vardır.

Anahtar Kelimeler

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Doğum ve Kadın Hastalıkları Hemşireliği

Bölüm

Derleme

Yazarlar

Resmiye Özdilek ^*
0000-0002-4025-078X
Türkiye

Suzi Özdemir
0000-0003-2437-9169
Türkiye

Nursena Duran
0009-0008-4866-7249
Türkiye

Erken Görünüm Tarihi

30 Nisan 2024

Yayımlanma Tarihi

30 Nisan 2024

Gönderilme Tarihi

25 Aralık 2023

Kabul Tarihi

3 Nisan 2024

Yayımlandığı Sayı

Yıl 2024 Cilt: 5 Sayı: 1

DOI

https://doi.org/10.59244/ktokusbd.1409750

IZ

https://izlik.org/JA95CN76TY

Kaynak Göster

RIS / Bibtex

APA

Özdilek, R., Özdemir, S., & Duran, N. (2024). Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, 5(1), 80-96. https://doi.org/10.59244/ktokusbd.1409750

AMA

1.Özdilek R, Özdemir S, Duran N. Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı. KTOKUSB-D. 2024;5(1):80-96. doi:10.59244/ktokusbd.1409750

Chicago

Özdilek, Resmiye, Suzi Özdemir, ve Nursena Duran. 2024. “Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı”. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 5 (1): 80-96. https://doi.org/10.59244/ktokusbd.1409750.

EndNote

Özdilek R, Özdemir S, Duran N (01 Nisan 2024) Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 5 1 80–96.

IEEE

[1]R. Özdilek, S. Özdemir, ve N. Duran, “Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı”, KTOKUSB-D, c. 5, sy 1, ss. 80–96, Nis. 2024, doi: 10.59244/ktokusbd.1409750.

ISNAD

Özdilek, Resmiye - Özdemir, Suzi - Duran, Nursena. “Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı”. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 5/1 (01 Nisan 2024): 80-96. https://doi.org/10.59244/ktokusbd.1409750.

JAMA

1.Özdilek R, Özdemir S, Duran N. Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı. KTOKUSB-D. 2024;5:80–96.

MLA

Özdilek, Resmiye, vd. “Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı”. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, c. 5, sy 1, Nisan 2024, ss. 80-96, doi:10.59244/ktokusbd.1409750.

Vancouver

1.Resmiye Özdilek, Suzi Özdemir, Nursena Duran. Gebelik ve laktasyon döneminde scabies ve ebelik yaklaşımı. KTOKUSB-D. 01 Nisan 2024;5(1):80-96. doi:10.59244/ktokusbd.1409750