{"id":8378,"date":"2020-10-13T22:53:09","date_gmt":"2020-10-13T19:53:09","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=8378"},"modified":"2020-10-13T22:53:09","modified_gmt":"2020-10-13T19:53:09","slug":"bebeklerde-boy-kisaligi-belirtileri-nelerdir","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/","title":{"rendered":"Bebeklerde boy k\u0131sal\u0131\u011f\u0131 belirtileri nelerdir?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a57d168e579d\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a57d168e579d\"  aria-label=\"A\u00e7\/Kapat\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Bebeklerde_boy_kisaligi_neden_olur\" >Bebeklerde boy k\u0131sal\u0131\u011f\u0131 neden olur?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Boy_olcumu_ve_degerlendirilmesi\" >Boy \u00f6l\u00e7\u00fcm\u00fc ve de\u011ferlendirilmesi<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Hedef_boy_nasil_hesaplanir\" >Hedef boy nas\u0131l hesaplan\u0131r?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Boy_kisaligi_tanimi_ve_boy_kisaliginin_nedenleri\" >Boy k\u0131sal\u0131\u011f\u0131 tan\u0131m\u0131 ve boy k\u0131sal\u0131\u011f\u0131n\u0131n nedenleri<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Bebeklerde_boy_kisaligi_nedenleri_nelerdir\" >Bebeklerde boy k\u0131sal\u0131\u011f\u0131 nedenleri nelerdir?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Boy_kisaligina_yaklasim_nasil_olmali\" >Boy k\u0131sal\u0131\u011f\u0131na yakla\u015f\u0131m nas\u0131l olmal\u0131?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Normalin_varyanti_boy_kisaliklari\" >Normalin varyant\u0131 boy k\u0131sal\u0131klar\u0131<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-boy-kisaligi-belirtileri-nelerdir\/#Patolojik_boy_kisaliklari\" >Patolojik boy k\u0131sal\u0131klar\u0131<\/a><\/li><\/ul><\/nav><\/div>\n<p><b>Bebeklerde boy k\u0131sal\u0131\u011f\u0131 belirtileri nelerdir? <\/b>Erkek \u00e7ocuklarda boy k\u0131sal\u0131\u011f\u0131 nedenleri nelerdir? Bebeklerde boy k\u0131sal\u0131\u011f\u0131 tedavisi nas\u0131l yap\u0131l\u0131r? Boy k\u0131sal\u0131\u011f\u0131 i\u00e7in ne yap\u0131lmal\u0131? <strong>\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. D\u00fcndar K\u0131l\u0131\u00e7<\/strong>, \u00e7ocuklarda boy k\u0131sal\u0131\u011f\u0131 (b\u00fcy\u00fcme gerili\u011fi) hakk\u0131nda merak edilenleri yazd\u0131!..<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Bebeklerde_boy_kisaligi_neden_olur\"><\/span><strong>Bebeklerde boy k\u0131sal\u0131\u011f\u0131 neden olur?\u00a0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><b>Normal boy uzamas\u0131<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Boy uzamas\u0131; intrauterin (anne kar\u0131), s\u00fct \u00e7ocuklu\u011fu (0-1 ya\u015f), \u00e7ocukluk (1 ya\u015f-ergenlik) ve ergenlik d\u00f6nemi kapsar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0130ntrauterin d\u00f6nem b\u00fcy\u00fcme h\u0131z\u0131n\u0131n en fazla oldu\u011fu d\u00f6nemdir; dokuz ayda 50 cm uzama olur. Bu d\u00f6nemde annenin hastal\u0131klar\u0131, beslenmesi, plasentan\u0131n durumu, bebekteki hastal\u0131klar ve b\u00fcy\u00fcme fakt\u00f6rleri fetusun b\u00fcy\u00fcmesinde etkilidir. Do\u011fumdan sonra ilk y\u0131l ortalama 25 cm, ikinci y\u0131l 10-12 cm, \u00fc\u00e7\u00fcnc\u00fc y\u0131l 8 cm, d\u00f6rd\u00fcnc\u00fc y\u0131l ise 7 cm uzama beklenir. D\u00f6rt ya\u015f ile ergenlik ba\u015flang\u0131c\u0131 aras\u0131ndaki uzama y\u0131lda ortalama 5-6 cm\u2019dir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bebeklerin boyu do\u011fumda ortalama 50 (48-52)\u00a0 cm&#8217;dir.<\/span><\/p>\n<p><strong>Do\u011fumdan sonra;<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">0-3 ay 8 cm\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">3-6 ay 8 cm<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">6-9 ay 5cm<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">9-12 ay 4 cm yani ilk y\u0131l ortalama 25 cm uzar. 1 ya\u015f\u0131nda bebe\u011fin boyu 75 (72-77) cm olur.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">1-2 ya\u015f aras\u0131nda 10-12 cm<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2-3 ya\u015f aras\u0131nda 8 cm<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">3-4 ya\u015f aras\u0131nda 7 cm uzama beklenir.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">4 ya\u015f ile ergenlik ba\u015flang\u0131c\u0131 aras\u0131ndaki uzama y\u0131lda ortalama 5-6 cm\u2019dir.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ya\u015fam\u0131n ilk iki y\u0131l\u0131nda \u00e7evresel fakt\u00f6rler ve beslenme b\u00fcy\u00fcmeyi birincil olarak etkilerken, bu d\u00f6nemden sonra iki ya\u015f\u0131na do\u011fru genetik etkenler \u00f6n plana \u00e7\u0131kar. \u0130lk iki ya\u015f \u00e7ocuklar\u0131n \u00fc\u00e7te ikisi b\u00fcy\u00fcme e\u011frisini a\u015fa\u011f\u0131 ya da yukar\u0131 \u00e7aprazlayarak b\u00fcy\u00fcr, yani <strong>persentil e\u011frisinde<\/strong> yeri a\u015fa\u011f\u0131 veya yukar\u0131 do\u011fru de\u011fi\u015febilir. \u00dc\u00e7 ya\u015f\u0131nda ise genetik boy potansiyeli persentiline yerle\u015fmi\u015f olur. \u00dc\u00e7 ya\u015f ile ergenlik aras\u0131ndaki d\u00f6nemde b\u00fcy\u00fcme, endokrin fakt\u00f6rlerin etkisi alt\u0131ndad\u0131r. Bu d\u00f6nemde b\u00fcy\u00fcme e\u011frisine paralel gitme, b\u00fcy\u00fcme h\u0131z\u0131n\u0131n normal oldu\u011funu, dolay\u0131s\u0131 ile \u00e7ocu\u011fun sa\u011fl\u0131kl\u0131 oldu\u011funu g\u00f6sterir. E\u011fri a\u015fa\u011f\u0131 do\u011fru \u00e7aprazland\u0131\u011f\u0131 takdirde sistemik hastal\u0131k taramalar\u0131n\u0131n ard\u0131ndan hipotiroidi, b\u00fcy\u00fcme hormonu eksikli\u011fi gibi b\u00fcy\u00fcme gerili\u011fine yol a\u00e7an endokrinolojik bozukluklar de\u011ferlendirilmelidir. Ergenlik d\u00f6neminde b\u00fcy\u00fcme, b\u00fcy\u00fcme hormonu yan\u0131nda cinsiyet hormonlar\u0131n\u0131n etkisi ile ger\u00e7ekle\u015fir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ergenli\u011fe kadar<strong> k\u0131z ve erkek \u00e7ocuklar\u0131n\u0131n b\u00fcy\u00fcmesi<\/strong> benzerdir. Ergenlik d\u00f6neminde b\u00fcy\u00fcme a\u00e7\u0131s\u0131ndan cinsiyet farkl\u0131la\u015fmas\u0131 \u00f6ne \u00e7\u0131kar. K\u0131z \u00e7ocuklar\u0131nda ortalama 10-11 ya\u015f\u0131nda ergenlik d\u00f6nemi ba\u015flar ve 2 y\u0131l sonra 12-13 ya\u015f\u0131nda ( Tanner evre 2-3\u2019de) b\u00fcy\u00fcme patlamas\u0131n\u0131\u00a0 ger\u00e7ekle\u015ftiriler. En fazla b\u00fcy\u00fcme h\u0131z\u0131na ula\u015ft\u0131klar\u0131nda y\u0131lda 9 cm uzar ve puberte boyunca toplam olarak yakla\u015f\u0131k 25 cm kazan\u0131rlar. Buna kar\u015f\u0131l\u0131k erkek \u00e7ocuklar\u0131nda ergenlik ba\u015flang\u0131c\u0131 k\u0131zlardan 2 y\u0131l daha ge\u00e7 (ortalama 12-13 ya\u015f\u0131nda) girerler, b\u00fcy\u00fcme patlamalar\u0131n\u0131 da 2 y\u0131l sonra (Tanner evre 4-5\u2019de) ger\u00e7ekle\u015ftirirler. Bu d\u00f6nemde y\u0131lda yakla\u015f\u0131k 10.3 cm uzar ve p\u00fcberte boyunca toplam olarak 28 cm uzarlar.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cinsiyetler aras\u0131ndaki boy fark\u0131 erkek \u00e7ocuklar\u0131n\u0131n ergenli\u011fe 2 y\u0131l daha ge\u00e7 girerek ergenlikten \u00f6nceki b\u00fcy\u00fcme d\u00f6nemini uzatmalar\u0131, ayr\u0131ca ergenlikte kazand\u0131klar\u0131 boyun k\u0131zlardan daha fazla olmas\u0131ndan kaynaklan\u0131r. Her iki cinste de b\u00fcy\u00fcme patlamas\u0131ndan sonra y\u0131ll\u0131k b\u00fcy\u00fcme h\u0131z\u0131 yava\u015flar ve sol el-bilek grafisiyle de\u011ferlendirilen kemik ya\u015f\u0131 k\u0131zlarda 15, erkeklerde 17 ya\u015fa geldi\u011finde t\u00fcm epifizler kapan\u0131r, boy uzamas\u0131 sonlan\u0131r.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Boy_olcumu_ve_degerlendirilmesi\"><\/span><b>Boy \u00f6l\u00e7\u00fcm\u00fc ve de\u011ferlendirilmesi<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Boyun standart bir \u015fekilde \u00f6l\u00e7\u00fclmesi de\u011ferlendirmenin esas\u0131n\u0131 olu\u015fturur. \u0130ki ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklar yatar durumda, iki ya\u015f\u0131ndan b\u00fcy\u00fck \u00e7ocuklar ise ayakta \u00f6l\u00e7\u00fclmelidir. Ayakta \u00f6l\u00e7\u00fcm i\u00e7in \u00e7ocu\u011fun ayakkab\u0131lar\u0131 ve tokas\u0131 \u00e7\u0131km\u0131\u015f; topuklar, kal\u00e7a, omuz ve ba\u015f duvara dayanacak \u015fekilde, d\u00fcz pozisyon verilmi\u015f, tam kar\u015f\u0131ya bakarken \u00f6l\u00e7\u00fclmesi, \u00f6l\u00e7\u00fcmlerin m\u00fcmk\u00fcnse ayn\u0131 ki\u015fi taraf\u0131ndan yap\u0131lmas\u0131 gerekir.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Boy \u00f6l\u00e7\u00fcm\u00fc ya\u015f ve cinsiyete g\u00f6re haz\u0131rlanm\u0131\u015f b\u00fcy\u00fcme grafiklerine i\u015flenir. Her milletin kendilerine \u00f6zg\u00fc b\u00fcy\u00fcme grafikleri bulunabilece\u011fi gibi \u00e7ok uluslu verilerden elde edilmi\u015f b\u00fcy\u00fcme e\u011frileri de kullan\u0131labilir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u00fcy\u00fcmenin de\u011ferlendirilmesinde tek \u00f6l\u00e7\u00fcm\u00fcn de\u011feri d\u00fc\u015f\u00fckt\u00fcr. \u00d6nemli olan d\u00fczenli aral\u0131klarla tekrarlanan \u00f6l\u00e7\u00fcmler ile b\u00fcy\u00fcmelerini de\u011ferlendirmektir. Bebeklerde ilk 6 ay ayda bir, 6-24 ay 3 ayda bir, 2 ya\u015f sonras\u0131nda ise 6 ayda bir tekrarlanan boy ve v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcmleri b\u00fcy\u00fcmeye ili\u015fkin daha ayr\u0131nt\u0131l\u0131 bilgi verir.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Hedef_boy_nasil_hesaplanir\"><\/span><b>Hedef boy nas\u0131l hesaplan\u0131r?\u00a0<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Genetik potansiyele g\u00f6re bebeklerin eri\u015fkin d\u00f6nem boyu tahmin edilebilir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>K\u0131z bebek i\u00e7in hedef boy:<\/strong> ((baban\u0131n boyu cm olarak) + (annenin boyu cm olarak) &#8211; 13 ) \/ 2<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Erkek bebek i\u00e7in hedef boy:<\/strong> ((baban\u0131n boyu cm olarak) + (annenin boyu cm olarak) + 13 ) \/ 2<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>\u00d6rnek:<\/strong> baba 178 cm, anne 168 cm<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>K\u0131z bebek i\u00e7in hedef boy:<\/strong> 178+168-13=333,\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 333\/2=\u00a0 166,5 cm<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Erkek bebek i\u00e7in hedef boy:<\/strong> 178+168 +13= 359\u00a0 \u00a0 359\/2= 179,5 cm<br \/>\n<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Boy_kisaligi_tanimi_ve_boy_kisaliginin_nedenleri\"><\/span><b>Boy k\u0131sal\u0131\u011f\u0131 tan\u0131m\u0131 ve boy k\u0131sal\u0131\u011f\u0131n\u0131n nedenleri<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Boy k\u0131sal\u0131\u011f\u0131 ya\u015f ve cinsiyete g\u00f6re haz\u0131rlanm\u0131\u015f b\u00fcy\u00fcme e\u011frilerinde boyun \u00fc\u00e7\u00fcnc\u00fc persentilin (bir ba\u015fka tan\u0131mla ya\u015f ve cinsiyete g\u00f6re ortalaman\u0131n iki standart sapmas\u0131n\u0131n [SD]) alt\u0131nda olmas\u0131 olarak tan\u0131mlan\u0131r.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Boy k\u0131sal\u0131\u011f\u0131 etiyolojisinde en b\u00fcy\u00fck grubu \u201cnormalin varyant\u0131\u201d boy k\u0131sal\u0131klar\u0131 olu\u015fturur. Yani herhengi bir hastal\u0131k veya eksiklik olmadan \u00e7ocu\u011fun &#8221;minyon tipli&#8221; olmas\u0131 diyebiliriz. Hacettepe \u00dcniversitesi \u0130hsan Do\u011framac\u0131 \u00c7ocuk Hastanesi Pediatrik Endokrinoloji Poliklini\u011finde yap\u0131lan bir \u00e7al\u0131\u015fmada boyu \u00fc\u00e7\u00fcnc\u00fc persentilin alt\u0131nda olan 862 \u00e7ocu\u011fun 566\u2019s\u0131 (%65.7) normalin varyant\u0131 olarak tan\u0131mlanm\u0131\u015ft\u0131r.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Normalin varyant\u0131 boy k\u0131sal\u0131klar\u0131 altta yatan organik hastal\u0131\u011f\u0131n d\u0131\u015fland\u0131\u011f\u0131, b\u00fcy\u00fcme h\u0131z\u0131n\u0131n normal oldu\u011fu (boyu k\u0131sa ancak b\u00fcy\u00fcme h\u0131z\u0131 normal s\u0131n\u0131rlar i\u00e7inde) ve eri\u015fkin boyunun anne-baba boyuna g\u00f6re hesaplanan hedef boya ula\u015fabildi\u011fi durumlar\u0131 tan\u0131mlar. Patolojik boy k\u0131sal\u0131\u011f\u0131 ise altta yatan boyu olumsuz etkileyecek bir hastal\u0131\u011f\u0131n varl\u0131\u011f\u0131nda g\u00f6r\u00fcl\u00fcr; bu hastalarda b\u00fcy\u00fcme h\u0131z\u0131 d\u00fc\u015f\u00fckt\u00fcr. Patolojik boy k\u0131sal\u0131\u011f\u0131na yol a\u00e7an hastal\u0131klar, g\u00f6vde-ekstremite oran\u0131n\u0131n ya\u015fa g\u00f6re normlara uyup uymad\u0131\u011f\u0131na g\u00f6re orant\u0131l\u0131 veya orant\u0131s\u0131z boy k\u0131sal\u0131\u011f\u0131 olarak s\u0131n\u0131fland\u0131r\u0131l\u0131rlar.<\/span><\/p>\n<figure id=\"attachment_8383\" aria-describedby=\"caption-attachment-8383\" style=\"width: 626px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-8383 size-full\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/10\/bebeklerde-boy-kisaligi-neden-olur.jpg?resize=626%2C417&#038;ssl=1\" alt=\"Bebeklerde boy k\u0131sal\u0131\u011f\u0131 neden olur?\" width=\"626\" height=\"417\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/10\/bebeklerde-boy-kisaligi-neden-olur.jpg?w=626&amp;ssl=1 626w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/10\/bebeklerde-boy-kisaligi-neden-olur.jpg?resize=300%2C200&amp;ssl=1 300w\" sizes=\"(max-width: 626px) 100vw, 626px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-8383\" class=\"wp-caption-text\">Bebeklerde boy k\u0131sal\u0131\u011f\u0131 neden olur?<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Bebeklerde_boy_kisaligi_nedenleri_nelerdir\"><\/span><b>Bebeklerde boy k\u0131sal\u0131\u011f\u0131 nedenleri nelerdir?\u00a0<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ol>\n<li><span style=\"font-weight: 400;\"> Normalin varyant\u0131 boy k\u0131sal\u0131\u011f\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Ailevi (genetik) boy k\u0131sal\u0131\u011f\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Yap\u0131sal boy k\u0131sal\u0131\u011f\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Ailevi ve yap\u0131sal boy k\u0131sal\u0131\u011f\u0131 birlikteli\u011fi<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Patolojik boy k\u0131sal\u0131\u011f\u0131<\/span><\/li>\n<\/ol>\n<p><strong>IIa. Orant\u0131s\u0131z boy k\u0131sal\u0131\u011f\u0131<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> \u0130skelet displazileri<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Mukopolisakkaridozlar<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> SHOX gen mutasyonlar\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Spinal radyoterapi<\/span><\/li>\n<\/ol>\n<p><strong>IIb. Orant\u0131l\u0131 boy k\u0131sal\u0131\u011f\u0131\u00a0<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Endokrin (hormonal) hastal\u0131klar (Hipotiroidi, B\u00fcy\u00fcme hormonu aks bozukluklar\u0131 vb.)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0130ntrauterin b\u00fcy\u00fcme gerili\u011fi<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Sendromik boy k\u0131sal\u0131klar\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Sistemik hastal\u0131klara ba\u011fl\u0131 boy k\u0131sal\u0131\u011f\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Beslenme bozukluklar\u0131, malabsorpsiyon<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Psikososyal boy k\u0131sal\u0131klar\u0131<\/span><\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Boy_kisaligina_yaklasim_nasil_olmali\"><\/span><b>Boy k\u0131sal\u0131\u011f\u0131na yakla\u015f\u0131m nas\u0131l olmal\u0131?\u00a0<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">B\u00fcy\u00fcmenin de\u011ferlendirilmesi ve izlenmesi sa\u011flam \u00e7ocuk izleminin en \u00f6nemli basamaklar\u0131ndan birisini olu\u015fturmaktad\u0131r. \u00d6l\u00e7\u00fclen boy o cinsiyet i\u00e7in haz\u0131rlanm\u0131\u015f b\u00fcy\u00fcme e\u011frisine i\u015flenir, ya\u015fa g\u00f6re boy persentili belirlenir.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Normalin_varyanti_boy_kisaliklari\"><\/span><b>Normalin varyant\u0131 boy k\u0131sal\u0131klar\u0131<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Bu grubu patolojik boy k\u0131sal\u0131klar\u0131ndan ay\u0131ran en \u00f6nemli \u00f6zellik b\u00fcy\u00fcme h\u0131z\u0131n\u0131n normal olmas\u0131d\u0131r. Bu gruptaki \u00e7ocuklar ya\u015famlar\u0131n\u0131n ilk \u00fc\u00e7 y\u0131l\u0131nda b\u00fcy\u00fcme e\u011frilerini a\u015fa\u011f\u0131 do\u011fru \u00e7aprazlar (persentil kaybeder), daha sonra b\u00fcy\u00fcme e\u011frilerine paralel b\u00fcy\u00fcrler ba\u015fka bir deyi\u015fle b\u00fcy\u00fcme h\u0131zlar\u0131 normaldir. Bu grubu ailevi boy k\u0131sal\u0131\u011f\u0131, yap\u0131sal boy k\u0131sal\u0131\u011f\u0131 ve bu ikisinin bir arada bulundu\u011fu boy k\u0131sal\u0131klar\u0131 olarak \u00fc\u00e7e ay\u0131r\u0131labilir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ailevi boy k\u0131sal\u0131\u011f\u0131 olan \u00e7ocuklar\u0131n boy ya\u015flar\u0131 takvim ya\u015f\u0131ndan k\u00fc\u00e7\u00fck, buna kar\u015f\u0131l\u0131k kemik ya\u015flar\u0131 takvim ya\u015flar\u0131na paraleldir; ailede k\u0131sa boylu eri\u015fkin bireyler olmas\u0131 tan\u0131y\u0131 destekler. Bu \u00e7ocuklar\u0131n eri\u015fkin boyu, ailedeki k\u0131sa boylu bireylerle uyumlu olarak k\u0131sa kal\u0131r. Yap\u0131sal boy k\u0131sal\u0131\u011f\u0131nda ise boy ve kemik ya\u015flar\u0131 birbirine paralel ve takvim ya\u015f\u0131ndan geridir. Yap\u0131sal boy k\u0131sal\u0131\u011f\u0131 erkek \u00e7ocuklarda daha s\u0131k g\u00f6r\u00fcl\u00fcr; ailede ergenli\u011fi geciken, b\u00fcy\u00fcme patlamas\u0131n\u0131 ge\u00e7 yapan ki\u015filer vard\u0131r. Yap\u0131sal boy k\u0131sal\u0131\u011f\u0131 olan bireyler \u00e7ocukluk \u00e7a\u011flar\u0131n\u0131 k\u0131sa boylu olarak ge\u00e7irse de eri\u015fkin boylar\u0131 ailelerine uygun normal de\u011ferlere ula\u015f\u0131r.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Normalin varyant\u0131 boy k\u0131sal\u0131klar\u0131 tedavi gerektirmeyen durumlard\u0131r.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Patolojik_boy_kisaliklari\"><\/span><b>Patolojik boy k\u0131sal\u0131klar\u0131<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Patolojik boy k\u0131sal\u0131\u011f\u0131nda b\u00fcy\u00fcme h\u0131z\u0131 d\u00fc\u015f\u00fckt\u00fcr. Bu gruptaki hastal\u0131klar\u0131n ay\u0131r\u0131c\u0131 tan\u0131s\u0131nda ilk olarak v\u00fccut oran\u0131 \u00f6l\u00e7\u00fcm\u00fc ( kula\u00e7 boyu, pubis-topuk \u00f6l\u00e7\u00fcm\u00fc ve \u00fcst\/alt oran\u0131 hesaplamas\u0131) yap\u0131larak, orant\u0131l\u0131 \/ orant\u0131s\u0131z boy k\u0131sal\u0131\u011f\u0131 ay\u0131r\u0131m\u0131 yap\u0131l\u0131r.\u00a0<\/span><\/p>\n<p><strong>Orant\u0131l\u0131 patolojik boy k\u0131sal\u0131\u011f\u0131;<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Orant\u0131l\u0131 patolojik boy k\u0131sal\u0131\u011f\u0131na neden olan hastal\u0131klar\u0131n de\u011ferlendirmesinde ilk basamakta \u00f6yk\u00fc, fizik muayene ve de\u011fi\u015fik sendromlara \u00f6zg\u00fc fenotipik \u00f6zelliklerin ay\u0131rt edilmesiyle ay\u0131r\u0131c\u0131 tan\u0131ya gidilir. Daha sonra laboratuvar tetkikleri yap\u0131l\u0131r. Tam kan say\u0131m\u0131, eritrosit sedimentasyon h\u0131z\u0131, idrar incelemesi, karaci\u011fer ve b\u00f6brek fonksiyon testleri, serum elektrolitler, kalsiyum, fosfor, alkalen fosfataz, tiroid fonksiyon testleri ve sol el-bilek grafisi ilk a\u015famada yap\u0131lacak laboratuvar incelemeleridir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Malabsorpsiyon bulgular\u0131 olan hastalarda \u00e7\u00f6lyak hastal\u0131\u011f\u0131 mutlaka ay\u0131rt edilmelidir. Ciddi k\u0131sa boylu k\u0131z \u00e7ocuklar\u0131nda fenotipik \u00f6zellikleri bulunmasa bile karyotip analizi ile Turner sendromu d\u0131\u015flanmal\u0131d\u0131r. T\u00fcm de\u011ferlendirmeler normal oldu\u011fu takdirde b\u00fcy\u00fcme hormonu aks\u0131 incelenmelidir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>B\u00fcy\u00fcme hormonu eksikli\u011fi<\/strong>, kronik hastal\u0131k olas\u0131l\u0131\u011f\u0131 d\u0131\u015flanm\u0131\u015f, k\u0131sa boylu, b\u00fcy\u00fcme h\u0131z\u0131 d\u00fc\u015f\u00fck, kemik ya\u015f\u0131 geri \u00e7ocuklarda ilk d\u00fc\u015f\u00fcn\u00fclecek tan\u0131d\u0131r. Laboratuvar incelemelerinden IGF-1 ve IGFBP-3 tarama testi olarak kullan\u0131l\u0131r. Hasta \u00f6tiroid (tiroid hormonu normal) iken en az iki b\u00fcy\u00fcme hormonu uyar\u0131 testinde b\u00fcy\u00fcme hormonu yan\u0131t\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131 b\u00fcy\u00fcme hormonu eksikli\u011fi tan\u0131s\u0131 koydurur. B\u00fcy\u00fcme hormonu eksikli\u011fi tan\u0131s\u0131 alan \u00e7ocuklarda di\u011fer \u00f6n hipofiz hormon d\u00fczeylerinin de de\u011ferlendirilmesi ve e\u015flik eden di\u011fer \u00f6n hipofiz eksikliklerinin de tedavi edilmesi gerekir. Ayr\u0131ca b\u00fcy\u00fcme hormonu eksikli\u011finin etiyolojisini belirlemek \u00fczere hipofiz b\u00f6lgesinin \u00f6zellikle MR (manyetik rezonans) ile g\u00f6r\u00fcnt\u00fclenmesi kitle, do\u011fu\u015ftan geli\u015fim bozukluklar\u0131 gibi olas\u0131l\u0131klar\u0131n ay\u0131r\u0131c\u0131 tan\u0131s\u0131n\u0131 sa\u011flayacakt\u0131r.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Boy k\u0131sal\u0131\u011f\u0131 olan \u00e7ocuklarda,<\/strong> \u00e7ocuk doktoru gerekli muayene ve tetkikleri yapt\u0131ktan sonra gerekli g\u00f6r\u00fcrse \u00e7ocu\u011fu; \u00e7ocuk endokrinoloji, \u00e7ocuk genetik, \u00e7ocuk beslenme ve gastroenteroloji uzman\u0131na y\u00f6nlendirecektir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sa\u011fl\u0131kl\u0131 ve mutlu g\u00fcnler.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bebeklerde boy k\u0131sal\u0131\u011f\u0131 belirtileri nelerdir? Erkek \u00e7ocuklarda boy k\u0131sal\u0131\u011f\u0131 nedenleri nelerdir? Bebeklerde boy k\u0131sal\u0131\u011f\u0131 tedavisi nas\u0131l yap\u0131l\u0131r? Boy k\u0131sal\u0131\u011f\u0131 i\u00e7in ne yap\u0131lmal\u0131? \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. D\u00fcndar K\u0131l\u0131\u00e7, \u00e7ocuklarda boy k\u0131sal\u0131\u011f\u0131 (b\u00fcy\u00fcme gerili\u011fi) hakk\u0131nda merak edilenleri yazd\u0131!.. Bebeklerde boy k\u0131sal\u0131\u011f\u0131 neden olur?\u00a0 Normal boy uzamas\u0131 Boy uzamas\u0131; intrauterin (anne kar\u0131), s\u00fct \u00e7ocuklu\u011fu (0-1 [&hellip;]<\/p>\n","protected":false},"author":78,"featured_media":8382,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[11313,11312,11314],"class_list":["post-8378","post","type-post","status-publish","format-standard","has-post-thumbnail","category-bebek","tag-5-yas-boy-kisaligi","tag-bebeklerde-boy-kisaligi","tag-buyume-hormonu-eksikligi"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/10\/bebeklerde-boy-kisaligi-belirtileri.jpg?fit=626%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/8378","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/78"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=8378"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/8378\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/8382"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=8378"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=8378"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=8378"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}