Özlem Yüksel AKSOY, Hatice EKE GÜNGÖR, Doğukan SUSAM, Funda BAŞTUĞ

PEDİATRİK ASTIM VE/VEYA ALERJİK RİNİT HASTALARINDA ENÜREZİS VE DİSFONKSİYONEL İŞEME

Giriş: İşeme bozuklukları çocukluk çağında en sık görülen sorunlardan biridir. İdrar kaçırma ve enürezisin obstrüktif uyku apnesi ve horlama gibi solunum yolu obstrüksiyonunun eşlik ettiği durumlarla ilişkili olduğu gösterilmiştir. Bu çalışmada, solunum yolu obstrüksiyonuna yol açabilen astım ve alerjik rinit tanılı hastalarda işeme bozuklukları sıklığının belirlenmesi amaçlandı. Yöntemler: Astım ve/veya alerjik rinitli çocuklarda idrar kaçırma/enürezis varlığını değerlendirmek için Kayseri Şehir Hastanesi Çocuk Alerji polikliniğine başvuran 5 yaş üstü hastalara “İşeme Bozuklukları Semptom Skorlaması” formu kullanıldı. Form hastanın ebeveynleri tarafından dolduruldu. Çalışma Kayseri Şehir Hastanesi Etik Kurulu tarafından onaylandı. Bulgular: 110 hastanın 71'i erkek, 39'u kadındı. Hastaların %53.6'sında astım, %28.2'sinde alerjik rinit, %18.2'sine astım + alerjik rinit tanıları mevcuttu. “İşeme Bozuklukları Semptom Skorlaması” formu ve anamnez eşliğinde alınan bilgilerle 110 hastanın 38'inde (%34.5) bir işeme bozukluğu olduğu gösterildi. Hastaların 14'ünde (%12.7) enürezis nokturna, 6 hastada (%5.5) enürezis diurna mevcuttu, 18 hastada (%16.4) işeme disfonksiyonu saptandı. İşeme bozukluğu olan toplam 38 hastanın 27'sinde astım, 4'ünde alerjik rinit, 7'sinde alerjik rinit + astım vardı. Atopi 38 hastanın %50'sinde saptandı. Sonuç: Astım ve/veya alerjik rinit tanısı ile izlenen hastalarda işeme disfonksiyonu %34.5 oranında saptanmış olup, toplumdaki enürezis/inkontinans sıklığı ile karşılaştırıldığında oldukça yüksek olduğu görülmektedir. Astımlı ve alerjik rinitli hastalarda işeme bozukluklarının erken saptanması için farkındalık yaratmak önemlidir.

Anahtar Kelimeler:

enürezis, astım, alerjik rinit, işeme bozuklukları

ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS

Introduction: Voiding disorders are one of the most common problems in childhood. It has been shown that urinary incontinence/enuresis is associated with conditions accompanied by airway obstruction such as obstructive sleep apnea and snoring. In this study, it was aimed to determine the frequency of voiding disorders in patients with asthma and allergic rhinitis which are associated with airway obstruction. Methods: In order to evaluate the presence of urinary incontinence/enuresis in children with asthma and/or allergic rhinitis, the "Dysfunctional voiding and incontinence scoring system" form was used for patients over the age of 5 who applied to the Kayseri City Hospital Pediatric Allergy Polyclinic. The form was filled by the patient's parents. The study was approved by the Kayseri City Hospital Ethics Committee. Results: Of 110 patients, 71 were male and 39 were female. Asthma was the allergic diagnosis in 53.6% of the patients, whereas 28.2% had allergic rhinitis, 18.2% had asthma + allergic rhinitis. With the information obtained from the form and accompanied by anamnesis, it was shown that 38 (34.5%) of 110 patients had a type of voiding disorder; 14 (12.7%) patients had enuresis nocturna, and 6 patients (5.5%) had enuresis diurna, and voiding dysfunction was detected in 18 patients (16.4%). Of 38 patients with voiding disorder, 27 had asthma, 4 had allergic rhinitis, 7 had allergic rhinitis + asthma. Atopy was detected in 50% of 38 patients. Conclusion: Voiding dysfunction was found at a rate of 34.5% in patients followed up with the diagnosis of asthma and/or allergic rhinitis, and it is seen to be quite high when compared to the frequency of enuresis/incontinence in the community. It is important to raise awareness for early detection of voiding disorders in patients with asthma and allergic rhinitis.

Keywords:

enuresis, asthma, allergic rhinitis, voiding dysfunction,

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