Ayşenur KAYA, Can Naci KOCABAŞ, Celal ÖZCAN, Tayfur GİNİŞ, Ayşe METİN, Mustafa ERKOÇOĞLU

Primer İmmün Yetmezliği Olan Hastalarda Tamamlayıcı ve Alternatif Tedavi Kullanımı

Amaç: Tamamlayıcı ve alternatif tedavi kullanımının çocuklarda giderek arttığı bildirilmektedir. Bu çalışmanın amacı, primer immün yetmezliği olan çocuklarda tamamlayıcı ve alternatif tedavi (TAM) kullanım sıklığını belirlemektir.Gereç ve Yöntemler: Primer immün yetmezlik tanısıyla takipli 2,5 ile 18 yaş arasında olan hastaların anne veya babalarına tamamlayıcı ve alternatif tedavi ile ilgili soruları içeren anket uygulandı.Bulgular: Hastaların 76’sı (%64.4) son 12 ayda tamamlayıcı ve alternatif tedavi kullanmıştı. Tamamlayıcı ve alternatif tedavi kullanımının yaş, cinsiyet, ortalama takip süresi ve primer immün yetmezlik türü ile herhangi bir ilişkisi yok iken, kontrollere düzenli gelen hastalarda ve intravenöz immünglobulin (İVİG), interferon-γ (IFN-γ) veya granülosit koloni sitimüle edici faktör (G-CSF) ile rutin tedavi yapılan hastalarda TAM kullanımı, anlamlı olarak daha düşük bulundu (P=0,019 ve P=0,033).Sonuç: Kontrollere düzenli gelmeyen ve rutin periyodik tıbbi tedavi almayan primer immün yetmezliği olan hastalarda TAM kullanımının yüksek olduğu görülmektedir.

Anahtar Kelimeler:

Alternatif tedavi, Bitkisel tedaviler, Diyet alışkanlıkları, İmmün yetmezlik

Complementary and Alternative Medicine in Patients with Primary Immunodeficiency

Objective: It has been reported that the use of complementary and alternative medicine is increasing in childhood. The aim of this study was to determine the frequency of CAM usage in children with primary immunodeficiency. Material and Methods: A survey was conducted to the parents of patients between the ages of 2.5 and 18 years diagnosed with primary immunodeficiency. results: Seventy-six (64.4%) of patients had used CAM in the last 12 months. We could not demonstrate any relationship between CAM usage and age, sex, duration of follow up and type of primary immunodeficiency. CAM usage was significantly low both in patients who came to the visits regularly and in patients who underwent a specific treatment with intravenous immune globulin (IVIG), interferon γ (IFn-γ) or granulocyte colony stimulating factor (G-CSF) (P=0.019 and P=0.033). conclusion: In the present study it was shown that use of CAM is high in patients with primary immunodeficiency who do not attend their regular control visits at the hospital and who are not under a specific medical treatment

Keywords:

Alternative medicine, Herbal medicine, Diet habits, Immune deficiency,

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