Eski Soruna Yeni Bir Bakış: İnfantil Kolik

Karabayır Nalan; Gökçay Emine

doi:https://dx.doi.org/10.5222/j.child.2017.053

Derleme

DOI :10.5222/j.child.2017.053 IUP :10.5222/j.child.2017.053 Tam Metin (PDF)

Eski Soruna Yeni Bir Bakış: İnfantil Kolik

İnfantil kolik, iyi gelişen sağlıklı bebeklerde, daha çok akşam saatlerinde görülen, ataklar hâlinde ortaya çıkan, etiyolojisi tam olarak aydınlatılamamış aşırı ağlama durumudur. İlk kez 1954 yılında Wessel tarafından tanımlanan infantil kolik Rome IV kriterlerine göre yaşamın ilk 5 ayında büyüme geriliği olmayan bebeklerde, görünen bir neden olmadan başlayan ve biten, huzursuzluk/ağlama ile birlikte görülen, bir haftadan daha uzun süren, haftada en az 3 gün günde an az 3 saat devam eden irritabilite nöbetleridir. Kolik prevalansı % 10-40 olarak bildirilmektedir. İnfantil koliğin etiyolojisi tam olarak aydınlatılamamış olup, multifaktöryel olduğu düşünülmektedir. İnfantil kolik ile cinsiyet, doğum tartısı, doğum şekli, beslenme biçimi ilişki saptanmamıştır. Olası risk faktörleri maternal sigara kullanımı, ileri anne yaşı ve ilk bebektir. Son yıllarda intestinal floradaki dengesizliğin koliğe neden olabilecegi konusundaki çalışmalar giderek artmaktadır. Koliğin kesin nedeni bilinemediği için standart bir protokolün oluşturulamaması nedeniyle birçok seçenek uygulanmış, ancak hâlen etkili bir tedavi biçimi bulunamamıştır. İnfantil kolik tedavisinde davranışssal uygulamalarının diğer yöntemlerden daha etkin olduğu bildirilmektedir. Diurnal ritmin olgunlaştığı dönemde spontan olarak kaybolan infantil kolikli bebeklerde migren, atopi, hiperreaktivite gibi sorunların daha sık olduğu bilinmektedir.

Anahtar Kelimeler: Ağlama, infantil kolik, inflamasyon, intestinal disbiyozis, sütçocuğu

DOI :10.5222/j.child.2017.053 IUP :10.5222/j.child.2017.053 Tam Metin (PDF)

New Perspective to the Old Problem: Infantile Colic

Nalan Karabayır, Emine Gülbin Gökçay

Infantile colic is a condition of excessive crying mostly observed in the evening hours in healthy infants, emerging in the form of attacks and of which etiology has not been explored completely. Infantile colic, which was defined by Wessel in 1954 for the first time, as irritability attacks in infants who have no growth retardation within the first 5 months of their lives according to the Rome IV criteria, that start and end without a visible cause which are observed with fuss/crying, last for more than one week, continue for at least 3 days a week and at least 3 hours a day. Prevalence of colic is reported to be 10-40%. The etiology of infantile colic has not been understood completely, but it is thought to be multifactorial. No correlation was determined between infantile colic and gender, birth weight, birth type and diet. The potential risk factors are maternal cigarette use, advanced maternal age and the first baby. In recent years, studies on the subject related to imbalance in the intestinal flora which may cause colic are gradually increasing. Many options have been applied, but an effective treatment type has not been found yet since the absolute reason for colic is not known and thus, a standard protocol cannot be created. It is reported that behavioural practices are more effective in infantile colic treatment than other methods. It is known that the problems such as migraine, atopy and hyperactivity occur more frequently in infants with infantile colic, which spontaneously terminates in the period when the diurnal rhythm develops.

Anahtar Kelimeler: Crying, infant, infantile colic, intestinal dysbiosis, inflamation

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Karabayır, N., & Gökçay, E.G. (0001). Eski Soruna Yeni Bir Bakış: İnfantil Kolik. Çocuk Dergisi, 17(2), 53-60. https://doi.org/10.5222/j.child.2017.053

AMA

Karabayır N, Gökçay E G. Eski Soruna Yeni Bir Bakış: İnfantil Kolik. Çocuk Dergisi. 0001;17(2):53-60. https://doi.org/10.5222/j.child.2017.053

ABNT

Karabayır, N.; Gökçay, E.G. Eski Soruna Yeni Bir Bakış: İnfantil Kolik. Çocuk Dergisi, [Publisher Location], v. 17, n. 2, p. 53-60, 0001.

Chicago: Author-Date Style

Karabayır, Nalan, and Emine Gülbin Gökçay. 0001. “Eski Soruna Yeni Bir Bakış: İnfantil Kolik.” Çocuk Dergisi 17, no. 2: 53-60. https://doi.org/10.5222/j.child.2017.053

Chicago: Humanities Style

Karabayır, Nalan, and Emine Gülbin Gökçay. “Eski Soruna Yeni Bir Bakış: İnfantil Kolik.” Çocuk Dergisi 17, no. 2 (Oct. 2024): 53-60. https://doi.org/10.5222/j.child.2017.053

Harvard: Australian Style

Karabayır, N & Gökçay, EG 0001, 'Eski Soruna Yeni Bir Bakış: İnfantil Kolik', Çocuk Dergisi, vol. 17, no. 2, pp. 53-60, viewed 7 Oct. 2024, https://doi.org/10.5222/j.child.2017.053

Harvard: Author-Date Style

Karabayır, N. and Gökçay, E.G. (0001) ‘Eski Soruna Yeni Bir Bakış: İnfantil Kolik’, Çocuk Dergisi, 17(2), pp. 53-60. https://doi.org/10.5222/j.child.2017.053 (7 Oct. 2024).

MLA

Karabayır, Nalan, and Emine Gülbin Gökçay. “Eski Soruna Yeni Bir Bakış: İnfantil Kolik.” Çocuk Dergisi, vol. 17, no. 2, 0001, pp. 53-60. [Database Container], https://doi.org/10.5222/j.child.2017.053

Vancouver

Karabayır N, Gökçay EG. Eski Soruna Yeni Bir Bakış: İnfantil Kolik. Çocuk Dergisi [Internet]. 7 Oct. 2024 [cited 7 Oct. 2024];17(2):53-60. Available from: https://doi.org/10.5222/j.child.2017.053 doi: 10.5222/j.child.2017.053

ISNAD

Karabayır, Nalan - Gökçay, EmineGülbin. “Eski Soruna Yeni Bir Bakış: İnfantil Kolik”. Çocuk Dergisi 17/2 (Oct. 2024): 53-60. https://doi.org/10.5222/j.child.2017.053

Cilt 17, Sayı 22017, S. 53-60

ZAMAN ÇİZELGESİ

Gönderim	26.02.2017
Kabul	31.05.2017

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Eski Soruna Yeni Bir Bakış: İnfantil Kolik

New Perspective to the Old Problem: Infantile Colic

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Referanslar

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DIŞA AKTAR

APA

AMA

ABNT

Chicago: Author-Date Style

Chicago: Humanities Style

Harvard: Australian Style

Harvard: Author-Date Style

MLA

Vancouver

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