Behçet Hastalığı Olan Gebede Anestezi Yönetimi

Behçet hastalığı Dr. Hulusi Behçet tarafından 1937’de tanımlanmıştır. Behçet hastalığı tekrarlayan oral ve genital ülserlerin görüldüğü, göz, deri, eklem, damar, sinir sistemi tutulumu gösteren multisistemik iltihabi bir hastalıktır. Özellikle tekrarlayan oral ülserlere bağlı oluşan skar dokusu entübasyon ve ventilasyonu zorlaştırmaktadır. Birçok organ tutulumu nedeni ile anestezi seçimi önem arz eder. Ayrıca tedavide kullanılan ilaçlar birçok organ üzerinde yan etki oluşturabilir. Olgu, 38 yaşında, 38 haftalık gebeliği olan ve sezaryen planlanan Behçet hastasıydı. Hem Behçet hastalığı hem de gebelik, anestezi yönetimi açısından önemlidir. Hastada öncelikli olarak zor havayolu düşünülmediği için genel anestezi planlandı. Bu olgu sunumunda Behçet hastası olan bir hastada genel anestezi yönetimi tartışılmıştır.

Anahtar Kelimeler:

Behçet hastalığı, gebelik, anestezi

Management of Anesthesia in a Pregnant with Behçet’s Disease

Behçet’s disease was described by Dr. Hulusi Behçet in 1937. Behçet’s disease is an inflammatory multisystem disease including recurrent oral and genital ulcers, eye and skin symptoms, joint, vein and nervous system involvement. Especially the scar tissue formed due to recurrent oral ulcers causes difficult intubation and ventilation. Also the drugs used for treatment may cause adverse effects on many organs. It has great importance for anesthesia choice due to multiple organ involvement. Our case was a 38-year old woman, who has been diagnosed as Behçet’s, caesarean section was planned at 38 weeks of gestation. Behçet’s disease and pregnancy are both important for the anesthesia management. It was planned as a general anesthesia for the patient because it was not thought to be a difficult airway management. In this case report the general anesthesia management of the patient with Behçet’s Disease was discussed.

Keywords:

Behçet’s disease, pregnancy, anesthesia,

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