Çocuklarda Kronik İshale Yaklaşım

İshal genel olarak günlük dışkı miktarının veya dışkının su içeriğinin artmasıdır. Bebek ve çocuklarda dışkı miktarının 10 g/kg/gün; adolesan ve erişkinlerde 200 g/kg/gün olması ishal olarak tanımlanır. İki haftadan uzun sürenler kronik veya persistan ishal olarak tanımlanmaktadır. Esas patofiz- yolojik mekanizmalar osmotik, sekretuvar, motilite bozuk- luğu ve inflamasyondur. İshal nedenleri yaşa göre değiş- kenlik göstermekle birlikte gelişmekte olan ülkelerde enfek- siyonlar sık neden iken gelişmiş ülkelerde fonksiyonel bağırsak hastalıkları, malabsorbsiyon ve inflamatuvar bağırsak hastalıkları en sık nedenlerini oluşturmaktadır. İyi öykü ve fizik muayenenin dikkatli yapılması, tanı için gereksiz test ve girişim yapılmasını engeller. Tedavide amaç nedene yönelik tedavi, beslenme durumunu düzelt- mek ve büyümeyi sağlamaktır

Anahtar Kelimeler:

İshal, kronik, çocuk

Approach to the Treatment of Chronic Diarrhea in Children

Diarrhea is generally an increase in the amount of daily stool or water in the feces. The amount of feces in infants and children is 10 g/kg/day; Adolescents and adults with diarrhea of 200 g/kg/day. Patients who are more than two weeks old are defined as chronic or persistant diarrhea. The main pathophysiological mechanisms are osmotic, secretory, motility disorders and inflammation. While cau- ses of diarrhea vary according to age, in developing count- ries frequent causes of incidence are functional intestinal diseases, malabsorption and inflammatory bowel diseases in developed countries. Careful management of good his- tory and physical examination prevents unnecessary tes- ting and intervention for diagnosis. The goal of treatment is to improve the condition of nutrition and to provide growth

Keywords:

Diarrhea, chronic, child,

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