B\u00fcy\u00fcme gerili\u011finin klinikte s\u0131k rastlanan nedenlerinden birisi yap\u0131sal boy k\u0131sal\u0131\u011f\u0131d\u0131r. S\u0131kl\u0131kla erkeklerde g\u00f6r\u00fcl\u00fcr ve ailevi yatk\u0131nl\u0131k s\u00f6z konusudur. Ya\u015fam\u0131n ilk 2-3 y\u0131l\u0131nda b\u00fcy\u00fcme h\u0131z\u0131 di\u011fer y\u0131llara g\u00f6re daha d\u00fc\u015f\u00fck olma e\u011filimindedir. Bu hastalarda daha bebekken kemik ya\u015f\u0131 ya\u015f\u0131tlar\u0131na g\u00f6re daha geri kalm\u0131\u015ft\u0131r ayr\u0131ca boy k\u0131sa kalm\u0131\u015ft\u0131r. Bu hastalarda genellikle ergenlik ge\u00e7 kalm\u0131\u015ft\u0131r. Bu nedenle ergenlik \u00e7a\u011f\u0131nda boy k\u0131sal\u0131\u011f\u0131 belirgindir. Bu hastalar\u0131n eri\u015fkin boylar\u0131 normal s\u0131n\u0131rlar i\u00e7erisinde ve hedef boylar\u0131na uygundur. Ergenlik \u00e7a\u011f\u0131ndaki k\u0131sa boy ve bu s\u00fcrecin gecikmesi ki\u015finin psikolojisini bozabildi\u011fi i\u00e7in bir tak\u0131m Hormonlarla tedavi edilmektedir.<\/p>\n
Boy k\u0131sal\u0131\u011f\u0131n\u0131n \u00f6nemli nedenlerinden birisi de ailevi boy k\u0131sal\u0131\u011f\u0131d\u0131r. Bu hastalar\u0131n kemik ya\u015flar\u0131 takvim ya\u015f\u0131na uygundur ancak boy ya\u015flar\u0131 takvim ya\u015f\u0131ndan k\u0131sad\u0131r. Ergenli\u011fe zaman\u0131nda girerler ve eri\u015fkin boylar\u0131 hedef boylar\u0131na uygun olarak k\u0131sad\u0131r. B\u00fcy\u00fcme Hormonu tedavisi yarars\u0131z hatta zararl\u0131 olabilir.<\/p>\n
T\u00fcm d\u00fcnyada en yayg\u0131n boy k\u0131sal\u0131\u011f\u0131 nedeni besin eksikli\u011fine ba\u011fl\u0131 boy k\u0131sal\u0131\u011f\u0131d\u0131r. Beslenme bozuklu\u011funda hastan\u0131n \u00f6nce v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131 d\u00fc\u015fmekte ve bunu takiben b\u00fcy\u00fcme h\u0131z\u0131nda azalma olmaktad\u0131r. Boya g\u00f6re a\u011f\u0131rl\u0131k normal olabilir. Tan\u0131 i\u00e7in hastan\u0131n uzun s\u00fcreli boy ve a\u011f\u0131rl\u0131k cetveli takibi \u00f6nemlidir.\u00a0 Al\u0131m azl\u0131\u011f\u0131 yan\u0131nda besinlerin emiliminde bozukluk yapan hastal\u0131klar, \u00e7\u00f6lyak hastal\u0131\u011f\u0131, \u00e7inko ve demir eksikli\u011fi en \u00f6nemli besinsel boy k\u0131sal\u0131\u011f\u0131 nedenleridir. Tedavisi beslenmenin d\u00fczeltilmesi ve eksik olan vitamin ve Minerallerin yerine konulmas\u0131d\u0131r.<\/p>\n
Boy k\u0131sal\u0131\u011f\u0131n\u0131n nedenlerinden birisi de \u015fimdiye kadar anlat\u0131lanlardan \u00e7ok daha az g\u00f6r\u00fclen b\u00fcy\u00fcme Hormon eksikli\u011fidir. Bu durum baz\u0131 genetik anormallikler nedeniyle olabilece\u011fi gibi, do\u011fum travmas\u0131 (\u00f6rne\u011fin makat geli\u015f), do\u011fu\u015ftan beyin anomalileri ve ilerleyen ya\u015flarda ortaya \u00e7\u0131kan beyin t\u00fcm\u00f6rleri nedeniyle ortaya \u00e7\u0131kabilir. Bir tak\u0131m hormonal tahlil ve testlerle b\u00fcy\u00fcme Hormonun yan\u0131t\u0131na bak\u0131l\u0131r ve tan\u0131 konulur. Tedavide b\u00fcy\u00fcme Hormonu verilir.<\/p>\n
Boy k\u0131sal\u0131\u011f\u0131n\u0131n di\u011fer nedenleri aras\u0131nda tiroid hormon eksikl\u011fi, ergenli\u011fe erken girilmesi, kortizol fazlal\u0131\u011f\u0131, k\u00f6t\u00fc kontroll\u00fc diyabet, Turner sendromu,\u00a0 Noonan sendromu, Down sendromu, Prader Willi sendromu gibi sendromlar say\u0131labilir.\u00a0\u00a0<\/p>\n
HAZIRLAYAN; Dr. Devrim D\u00d6LEK, Prof. Dr. Mitat BAH\u00c7EC\u0130<\/p>\n
KAYNAKLARHarrison’s Endocrinology 2006 Endokrinoloji El Kitab\u0131 2004 \u00dc\u00e7\u00fcnc\u00fc Bas\u0131m \u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
B\u00fcy\u00fcme gerili\u011finin klinikte s\u0131k rastlanan nedenlerinden birisi yap\u0131sal boy k\u0131sal\u0131\u011f\u0131d\u0131r. S\u0131kl\u0131kla erkeklerde g\u00f6r\u00fcl\u00fcr ve ailevi yatk\u0131nl\u0131k s\u00f6z konusudur. Ya\u015fam\u0131n ilk 2-3 y\u0131l\u0131nda b\u00fcy\u00fcme h\u0131z\u0131 di\u011fer y\u0131llara g\u00f6re daha d\u00fc\u015f\u00fck olma e\u011filimindedir. Bu hastalarda daha bebekken kemik ya\u015f\u0131 ya\u015f\u0131tlar\u0131na g\u00f6re daha geri kalm\u0131\u015ft\u0131r ayr\u0131ca boy k\u0131sa kalm\u0131\u015ft\u0131r. Bu hastalarda genellikle ergenlik ge\u00e7 kalm\u0131\u015ft\u0131r. Bu nedenle ergenlik \u00e7a\u011f\u0131nda boy k\u0131sal\u0131\u011f\u0131 belirgindir. Bu[Devam\u0131n\u0131 Oku…]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23023],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13182"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13182"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13182\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}