\u00c7ocuk N\u00f6roloji Uzman\u0131 Do\u00e7. Dr. Semih Ayta, \u00e7ocuklar\u0131n en az y\u00fczde 10 – 14’\u00fcnde \u00e7ocukluk \u00e7a\u011f\u0131 migreni g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirterek, “Ailede migren, araba tutma \u00f6yk\u00fcs\u00fc varsa, \u00e7ocuk s\u0131k\u0131nt\u0131yla aln\u0131n\u0131, ba\u015f\u0131n\u0131 tutuyor, yapt\u0131\u011f\u0131 aktiviteyi b\u0131rak\u0131yor, buna bulant\u0131 da e\u015flik ediyorsa bunun migren olma ihtimali y\u00fcksektir.” dedi.<\/p>\n
T\u00fcrk N\u00f6roloji Derne\u011fi \u00c7ocuk ve Ergen N\u00f6rolojisi \u00c7al\u0131\u015fma Grubu uzmanlar\u0131ndan, ayn\u0131 zamanda T\u00fcrkiye Spastik \u00c7ocuklar Vakf\u0131’nda dan\u0131\u015fman n\u00f6rolog olarak g\u00f6rev yapan Ayta, AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, \u00e7ocuklarda ba\u015fa\u011fr\u0131s\u0131n\u0131n nedenlerine ili\u015fkin bilgileri payla\u015ft\u0131.<\/p>\n
Toplumda az bilinmesine kar\u015f\u0131n \u00e7ocuklarda da migren g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve bu oran\u0131n tahminlerin \u00fczerinde oldu\u011funu anlatan Ayta, bu konuda Mersin \u00dcniversitesi T\u0131p Fak\u00fcltesi taraf\u0131ndan daha \u00f6nce 5 binden fazla \u00e7ocu\u011fun incelendi\u011fi \u00e7al\u0131\u015fma y\u00fcr\u00fct\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
Ayta, \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131na ili\u015fkin, “\u00dclkemizde 0-18 ya\u015f grubu \u00e7ocuk n\u00fcfusunu dikkate ald\u0131\u011f\u0131m\u0131zda, en az y\u00fczde 10 – y\u00fczde 14 aras\u0131nda \u00e7ocukluk \u00e7a\u011f\u0131 migreni var. \u00d6rne\u011fin, 3 ya\u015f\u0131nda bir \u00e7ocuk ‘ba\u015f\u0131m a\u011fr\u0131yor’ diyemez, derdini anlat\u0131p, bu a\u011fr\u0131y\u0131 tan\u0131mlayamaz. Ancak \u00e7ok sevdi\u011fi bir oyunu b\u0131rak\u0131p, bir kenara \u00e7ekiliyor, ba\u015f\u0131n\u0131 tutuyorsa, midesi bulan\u0131yorsa ve sonras\u0131nda da uyukluyorsa bu migren i\u00e7in \u00f6nemli bir belirtidir. ” ifadesini kulland\u0131.<\/p>\n
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<\/p>\n
Ailede migren ve araba tutma \u00f6yk\u00fcs\u00fc risk belirtisi<\/h3>\n
Do\u00e7. Dr. Ayta, \u00e7ocukluk \u00e7a\u011f\u0131 migreninde aile \u00f6yk\u00fcs\u00fcn\u00fcn de \u00f6nemli risk fakt\u00f6r\u00fc oldu\u011funu vurgulayarak, anne-babada migren veya tek ba\u015f\u0131na araba tutma \u00f6yk\u00fcs\u00fc varsa \u00e7ocukta da migren olma ihtimalinin bulundu\u011funu bildirdi.<\/p>\n
K\u00fc\u00e7\u00fck \u00e7ocuklarda migrenin her zaman a\u011fr\u0131 belirtisiyle ortaya \u00e7\u0131kmayabilece\u011fini belirten Ayta, “Anne babada migren veya araba tutma \u00f6yk\u00fcs\u00fc olan, tekrarlayan kusmalar ya\u015fayan ve refl\u00fc gibi hastal\u0131klar a\u00e7\u0131s\u0131ndan incelenip bir \u015fey bulunamayan 1 ya\u015f civar\u0131ndaki bir bebekte migren de ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc bu bebek, migrenin bir varyant\u0131 olan ‘septik kusmalar’ dedi\u011fimiz tabloyu ya\u015f\u0131yor olabilir.” uyar\u0131s\u0131n\u0131 yapt\u0131.<\/p>\n
Yenido\u011fan bebekler de a\u011fr\u0131 duyuyor<\/h3>\n
Ayta, yenido\u011fanlar\u0131n da a\u011fr\u0131 ya\u015fayabildi\u011fini anlatarak, “90’l\u0131 y\u0131llar\u0131n ba\u015f\u0131nda ‘yenido\u011fan\u0131n a\u011fr\u0131s\u0131 olmaz’ diye d\u00fc\u015f\u00fcn\u00fclerek, yenido\u011fan bebeklere her t\u00fcrl\u00fc m\u00fcdahale rahat\u00e7a yap\u0131l\u0131rd\u0131. Sonras\u0131nda yenido\u011fanlar\u0131n da a\u011fr\u0131 duydu\u011fu fark belirlendi, bu nedenle art\u0131k onlara i\u011fne bile yap\u0131l\u0131rken ac\u0131 hissetmemesi i\u00e7in lokal anestezik spreyler kullan\u0131l\u0131yor. \u00c7\u00fcnk\u00fc yenido\u011fan d\u00f6neminde a\u011fr\u0131l\u0131 deneyime fazla maruz kalan \u00e7ocuklar\u0131n ileride ba\u015f a\u011fr\u0131s\u0131 deneyimlerinin de daha fazla oldu\u011fu yap\u0131lan \u00e7al\u0131\u015fmalarla saptand\u0131.” dedi.<\/p>\n
“Araba tutan \u00e7ocuklarda da migren ara\u015ft\u0131r\u0131lmal\u0131”<\/h3>\n
Ergenlik \u00e7a\u011f\u0131ndaki \u00e7ocuklarda ise gerilim tipi ba\u015f a\u011fr\u0131lar\u0131n\u0131n s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktaran Ayta, bunun uzun s\u00fcre bilgisayar ba\u015f\u0131nda \u00e7al\u0131\u015fma, gergin durumlar gibi nedenlerle ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131, \u00e7ok \u015fiddetli olmayan, genelde boynun arkas\u0131ndan gelen a\u011fr\u0131lar \u015feklinde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fcn alt\u0131n\u0131 \u00e7izdi.<\/p>\n
Do\u00e7. Dr. Ayta, \u00e7ocukluk \u00e7a\u011f\u0131nda migreni olanlar\u0131n ergenlik d\u00f6neminde de genellikle gerilim tipi ba\u015f a\u011fr\u0131lar\u0131yla kar\u015f\u0131 kar\u015f\u0131ya kald\u0131\u011f\u0131n\u0131 belirterek, “Ailede migren, araba tutma \u00f6yk\u00fcs\u00fc varsa, k\u00fc\u00e7\u00fck \u00e7ocuk s\u0131k\u0131nt\u0131yla aln\u0131n\u0131, ba\u015f\u0131n\u0131 tutuyorsa, yapt\u0131\u011f\u0131 aktiviteyi b\u0131rak\u0131yor, buna bulant\u0131 da e\u015flik ediyorsa bunun migren olma ihtimali y\u00fcksektir. Sadece a\u011fr\u0131 de\u011fil, araba tutan \u00e7ocuklarda da migren ara\u015ft\u0131r\u0131lmal\u0131. Bu gibi durumlarda, bir uzmana ba\u015fvurulmas\u0131n\u0131 \u00f6neriyoruz.” a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
“Migrenli \u00e7ocuklar uzun s\u00fcre a\u00e7, uykusuz ve ekran ba\u015f\u0131nda kalmamal\u0131”<\/h3>\n
Ayta, \u00e7ocuklarda migren tedavisine ili\u015fkin, \u015fu bilgileri payla\u015ft\u0131:<\/p>\n
“\u00c7ocuklarda migren tedavisinde \u00f6ncelikle ya\u015fam tarz\u0131n\u0131n d\u00fczenlenmesini \u00f6neriyoruz. Migren ya\u015fayan \u00e7ocuk, ara\u00e7 tutmas\u0131na, bulant\u0131ya yatk\u0131n oldu\u011fu i\u00e7in sabah okula giderken, evden \u00e7\u0131kmadan kahvalt\u0131 yapmal\u0131d\u0131r. Uzun a\u00e7l\u0131k ve uykusuzluk migren ataklar\u0131n\u0131 kolayla\u015ft\u0131r\u0131yor, bu nedenle uzun s\u00fcre a\u00e7, uykusuz kalmamas\u0131, ortalama en az 7-8 saat uyumas\u0131, \u00f6\u011f\u00fcn atlamamas\u0131 gerekiyor.<\/p>\n
Migren hastalar\u0131n\u0131 \u00e7o\u011funlukla \u0131\u015f\u0131k ve ses rahats\u0131z eder, bu \u00e7ocuklarda da var. Bu nedenle bilgisayar ba\u015f\u0131nda ge\u00e7irdi\u011fi s\u00fcrenin k\u0131s\u0131tlanmas\u0131 \u00f6nemli. En \u00f6nemli hususlardan biri de bol su i\u00e7ilmesi. Al\u0131nan di\u011fer s\u0131v\u0131lardan ayr\u0131 olarak su i\u00e7ilmesinin migrenli \u00e7ocuklarda art\u0131r\u0131lmas\u0131 \u00e7ok \u00f6nemli. T\u00fcm bu ya\u015fam d\u00fczenlemeleri yap\u0131lmas\u0131na kar\u015f\u0131n \u00e7ocukta \u015fiddetli ba\u015f a\u011fr\u0131lar\u0131 devam ediyorsa, a\u011fr\u0131 kesicileri devreye al\u0131yoruz. Bu noktada en basit, parasetamol veya ibuprofen i\u00e7eren a\u011fr\u0131 kesicilerle ba\u015fl\u0131yoruz. Bunlar \u00e7o\u011fu zaman \u00e7ocuklarda i\u015fe yar\u0131yor.”<\/p>\n
“\u00c7ikolata ve so\u011fuk \u00e7ay” uyar\u0131s\u0131<\/h3>\n
Do\u00e7. Dr. Ayta, baz\u0131 yiyecek ve i\u00e7eceklerin migren ataklar\u0131n\u0131 tetikleyebildi\u011fine dikkati \u00e7ekerek, “Migreni olan \u00e7ocuklar ve yeti\u015fkinlere, \u00e7ikolata, mayal\u0131 i\u00e7ecekler, yo\u011fun katk\u0131 maddesi olmas\u0131ndan \u00f6t\u00fcr\u00fc so\u011fuk \u00e7aylar\u0131 \u00f6nermiyoruz. \u00c7ok fazla katk\u0131 maddesi olan, marketlerde haz\u0131r sat\u0131lan ‘noodle’lar da bu grupta. Yani g\u0131dada ne kadar \u00e7ok katk\u0131 maddesi varsa, migren ataklar\u0131n\u0131 tetikleme riski de o kadar \u00e7ok olabiliyor.” \u015feklinde konu\u015ftu.<\/p>\n
“B\u00f6ylesini ya\u015famad\u0131m’ dedirten a\u011fr\u0131larda hemen acile ba\u015fvurulmal\u0131”<\/h3>\n
Baz\u0131 ba\u015fa\u011fr\u0131lar\u0131n\u0131n ciddi durumlar\u0131n habercisi olabilece\u011fine de i\u015faret eden Ayta, \u015funlar\u0131 kaydetti:<\/p>\n
“Bir ki\u015fi e\u011fer ‘Ben b\u00f6yle bir ba\u015fa\u011fr\u0131s\u0131 ya\u015famad\u0131m’ diyecek oranda ciddi, sert bir a\u011fr\u0131 ya\u015f\u0131yorsa mutlaka acil servise ba\u015fvurmal\u0131. \u00c7\u00fcnk\u00fc ki\u015fi daha \u00f6nce ya\u015famad\u0131\u011f\u0131 kadar b\u00fcy\u00fck bir ba\u015fa\u011fr\u0131s\u0131 ya\u015f\u0131yorsa, hele buna y\u00fcz, el, kol uyu\u015fmalar\u0131 e\u015flik ediyor, g\u00f6rme bulan\u0131kla\u015f\u0131yorsa mutlaka acile gidilmeli. Bu n\u00f6rolojik, sinir sistemi, beyin kanamas\u0131 kaynakl\u0131 bir rahats\u0131zl\u0131\u011f\u0131n ciddi belirtisi de olabilir.”<\/p>\n
Ayta, ciddi tablolar\u0131n yan\u0131nda kan \u015fekeri d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc, tansiyon, kans\u0131zl\u0131k gibi durumlar\u0131n da ba\u015fa\u011fr\u0131s\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131, bu nedenle do\u011fru te\u015fhis i\u00e7in yeti\u015fkin ve \u00e7ocuklar\u0131n bir\u00e7ok a\u00e7\u0131dan, b\u00fct\u00fcnc\u00fcl de\u011ferlendirilmesi gerekti\u011fini s\u00f6zlerine ekledi.<\/p>\n