HİPEREMEZİS GRAVİDARUM ETYOLOJİSİNDE PSİKOLOJİK KOMPONENT: KRİTİK BİR DERLEME

Bulantı ve kusma şikâyeti ilk trimester gebelerin %75 ‘inde görülür. Hiperemezis gravidarum (HG) ise, gebeliğin ilk trimesterinde başlayan şiddetli bulantı ve kusmaya ek olarak beslenme bozukluğu, ketonüri, kilo kaybı, dehidratasyonve elektrolit bozuklukları ile karakterize bir hastalıktır. Hamile kadınların %0.5-2 ‘sini etkileyen hastalığın etyopatogenezi tam olarak bilinmemektedir. Gastrointestinal, endokrinolojik, enfeksiyöz ve immunolojik bozuklukların hiperemezis gravidaruma yol açtığı düşünülmektedir. Patogenezdeki yeri tartışmalı olmakla birlikte HG ile ilişkilendirilen bir başka neden psikolojik etmenlerdir. Bu derlemede HG' un etyopatogenezinde psikolojik komponentin varlığı ve bu bağlamda yapılan çalışmalar güncel bilgiler ışığında tartışılmıştır.

Anahtar Kelimeler:

hiperemezis gravidarum, anksiyete, depresyon

PSYCHOLOGICAL COMPONENT OF HYPEREMESIS GRAVIDARUM ETIOLOGY: A CRITICAL REVIEW

Nause and vomiting affect approximately 75% of pregnant women during the first trimester. Hyperemesis gravidarum (HG) which characterised by intractable nausea and vomiting especially begins the first trimester of pregnancy leading to nutritional deficiency, ketonuria, weight loss, electrolyte imbalance and dehydratation. The etiopathogenesis of disease which affect 0.5-2% pregnant women is unclear. Gastrointestinal, endocrinological, infectious and immunological disorders are thought to be cause of hyperemesis gravidarum. However the exact role in pathogenesis of the condition is unclear, another suspected condition associated with hyperemesis gravidarum is psychological factors. In this review, the presence of the psychological component in the etiopathogenesis and the studies done in this context are discussed in the light of the current knowledge.

Keywords:

hyperemesis gravidarum, anxiety, depression,

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