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PEDİATRİK ASTIM VE/VEYA ALERJİK RİNİT HASTALARINDA ENÜREZİS VE DİSFONKSİYONEL İŞEME

Yıl 2023, Cilt: 4 Sayı: Ek Sayı, 163 - 168, 16.10.2023

Öz

Giriş: İşeme bozuklukları çocukluk çağında en sık görülen sorunlardan biridir. İdrar kaçırma ve enürezisin obstrüktif uyku apnesi ve horlama gibi solunum yolu obstrüksiyonunun eşlik ettiği durumlarla ilişkili olduğu gösterilmiştir. Bu çalışmada, solunum yolu obstrüksiyonuna yol açabilen astım ve alerjik rinit tanılı hastalarda işeme bozuklukları sıklığının belirlenmesi amaçlandı.
Yöntemler: Astım ve/veya alerjik rinitli çocuklarda idrar kaçırma/enürezis varlığını değerlendirmek için Kayseri Şehir Hastanesi Çocuk Alerji polikliniğine başvuran 5 yaş üstü hastalara “İşeme Bozuklukları Semptom Skorlaması” formu kullanıldı. Form hastanın ebeveynleri tarafından dolduruldu. Çalışma Kayseri Şehir Hastanesi Etik Kurulu tarafından onaylandı.
Bulgular: 110 hastanın 71'i erkek, 39'u kadındı. Hastaların %53.6'sında astım, %28.2'sinde alerjik rinit, %18.2'sine astım + alerjik rinit tanıları mevcuttu. “İşeme Bozuklukları Semptom Skorlaması” formu ve anamnez eşliğinde alınan bilgilerle 110 hastanın 38'inde (%34.5) bir işeme bozukluğu olduğu gösterildi. Hastaların 14'ünde (%12.7) enürezis nokturna, 6 hastada (%5.5) enürezis diurna mevcuttu, 18 hastada (%16.4) işeme disfonksiyonu saptandı. İşeme bozukluğu olan toplam 38 hastanın 27'sinde astım, 4'ünde alerjik rinit, 7'sinde alerjik rinit + astım vardı. Atopi 38 hastanın %50'sinde saptandı.
Sonuç: Astım ve/veya alerjik rinit tanısı ile izlenen hastalarda işeme disfonksiyonu %34.5 oranında saptanmış olup, toplumdaki enürezis/inkontinans sıklığı ile karşılaştırıldığında oldukça yüksek olduğu görülmektedir. Astımlı ve alerjik rinitli hastalarda işeme bozukluklarının erken saptanması için farkındalık yaratmak önemlidir.

Kaynakça

  • 1. Yılmaz-Durmuş S, Alaygut D, Soylu A, Alparslan C, Köse SŞ, Anal Ö. The association between monosymptomatic enuresis and allergic diseases in children. Turk J Pediatr. 2018;60(4):415-420. doi: 10.24953/turkjped.2018.04.009.
  • 2. Kurt E, Metintas S, Basyigit I, et al; PARFAIT Study of Turkish Thoracic Society Asthma-Allergy Working Group. Prevalence and risk factors of allergies in Turkey: Results of a multicentric cross-sectional study in children. Pediatr Allergy Immunol 2007; 18: 566-574.
  • 3. Reiter J, Ramagopal M, Gileles-Hillel A, Forno E. Sleep disorders in children with asthma. Pediatr Pulmonol. 2022;57(8):1851-1859. doi:10.1002/ppul.25264
  • 4. Dahan P, de Oliveira PMN, Brum AR, et al. Treating asthma in patients with enuresis: repercussions on urinary symptoms. Int Braz J Urol. 2023;49(5):590-598. doi:10.1590/S1677-5538.IBJU.2023.0101
  • 5. Zhu B, Zou K, He J, et al. Sleep Monitoring of Children With Nocturnal Enuresis: A Narrative Review. Front Pediatr. 2021;9:701251. Published 2021 Sep 30. doi:10.3389/fped.2021.701251
  • 6. Tsai JD, Chen HJ, Ku MS, Chen SM, Hsu CC, Tung MC, Lin CC, Chang HY, Sheu JN. Association between allergic disease, sleep-disordered breathing, and childhood nocturnal enuresis: a population-based case-control study. Pediatr Nephrol. 2017 Dec;32(12):2293-2301. doi: 10.1007/s00467-017-3750-0.
  • 7. Dahan, P. et al. (2016) ‘Association between Asthma and Primary Nocturnal Enuresis in Children’, Journal of Urology, 195(4), pp. 1221–1226. doi: 10.1016/j.juro.2015.10.081.
  • 8. Akbal C, Genc Y, Burgu B, Ozden E, Tekgul S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005 Mar;173(3):969-73. doi: 10.1097/01.ju.0000152183.91888.f6.
  • 9. Capdevila OS, Crabtree VM, Kheirandish-Gozal L et al: Increased morning brain natriuretic peptide levels in children with nocturnal enuresis and sleep-disordered breathing: a community-based study. Pediatrics 2008; 121: 1208.
  • 10. Kovacevic L, Wolfe-Christensen C, Lu H et al: Why does adenotonsillectomy not correct enuresis in all children with sleep disordered breathing? J Urol 2014; 191: 1592.
  • 11. Barone JG, Hanson C, DaJusta DG et al: Nocturnal enuresis and overweight are associated with obstructive sleep apnea. Pediatrics 2009; 124: e53
  • 12. Aydil U, Iseri E, Kizil Y et al: Obstructive upper airway problems and primary enuresis nocturnal relationship in pediatric patients: reciprocal study. Otolaryngol Head Neck Surg 2008; 37: 235.
  • 13. Waleed FE, Samia F and Samar MF: Impact of sleep-disordered breathing and its treatment on children with primary nocturnal enuresis. Swiss Med Wkly 2011; 141: w13216.
  • 14. Cinar U, Vural C, C¸ akir B et al: Nocturnal enuresis and upper airway obstruction. Int J Pediatr Otorhinolaryngol 2001; 59: 115.
  • 15. Firoozi F, Batniji R, Aslan AR et al: Resolution of diurnal incontinence and nocturnal enuresis after adenotonsillectomy in children. J Urol 2006; 175: 1885.
  • 16. Weissbach A, Leiberman A, Tarasiuk A et al: Adenotonsilectomy improves enuresis in children with obstructive sleep apnea syndrome. Int J Pediatr Otorhinolaryngol 2006; 70: 1351.
  • 17. Brooks LJ and Topol H: Enuresis in children with sleep apnea. J Pediatr 2003; 142: 515.
  • 18. Neveus T, Hetta J, Cnattingius S et al: Depth of sleep and sleep habits among enuretic and incontinent children. Acta Pædiatr 1999; 88: 748
  • 19. Weider DJ, Sateia MJ and West RP: Nocturnal enuresis in children with upper airway obstruction. Otolaryngol Head Neck Surg 1991; 105: 421.
  • 20. Kaditis AG, Alexoupolos EI, Hatzi F et al: Overnight change in brain natriuretic peptide levels in children with sleep disordered breathing. Chest 2006; 130: 1377.
  • 21. Lai PH, Yang PS, Lai WY, Lin CL, Hsu CY, Wei CC. Allergic rhinitis and the associated risk of nocturnal enuresis in children: a population-based cohort study. Int Forum Allergy Rhinol. 2018 Nov;8(11):1260-1266. doi: 10.1002/alr.22219.
  • 22. Liu J, Zhang X, Zhao Y, Wang Y (2020) The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies. PLoS ONE 15(2): e0228533.

ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS

Yıl 2023, Cilt: 4 Sayı: Ek Sayı, 163 - 168, 16.10.2023

Öz

Introduction: Voiding disorders are one of the most common problems in childhood. It has been shown that urinary incontinence/enuresis is associated with conditions accompanied by airway obstruction such as obstructive sleep apnea and snoring. In this study, it was aimed to determine the frequency of voiding disorders in patients with asthma and allergic rhinitis which are associated with airway obstruction.
Methods: In order to evaluate the presence of urinary incontinence/enuresis in children with asthma and/or allergic rhinitis, the "Dysfunctional voiding and incontinence scoring system" form was used for patients over the age of 5 who applied to the Kayseri City Hospital Pediatric Allergy Polyclinic. The form was filled by the patient's parents. The study was approved by the Kayseri City Hospital Ethics Committee.
Results: Of 110 patients, 71 were male and 39 were female. Asthma was the allergic diagnosis in 53.6% of the patients, whereas 28.2% had allergic rhinitis, 18.2% had asthma + allergic rhinitis. With the information obtained from the form and accompanied by anamnesis, it was shown that 38 (34.5%) of 110 patients had a type of voiding disorder; 14 (12.7%) patients had enuresis nocturna, and 6 patients (5.5%) had enuresis diurna, and voiding dysfunction was detected in 18 patients (16.4%). Of 38 patients with voiding disorder, 27 had asthma, 4 had allergic rhinitis, 7 had allergic rhinitis + asthma. Atopy was detected in 50% of 38 patients.
Conclusion: Voiding dysfunction was found at a rate of 34.5% in patients followed up with the diagnosis of asthma and/or allergic rhinitis, and it is seen to be quite high when compared to the frequency of enuresis/incontinence in the community. It is important to raise awareness for early detection of voiding disorders in patients with asthma and allergic rhinitis.

Kaynakça

  • 1. Yılmaz-Durmuş S, Alaygut D, Soylu A, Alparslan C, Köse SŞ, Anal Ö. The association between monosymptomatic enuresis and allergic diseases in children. Turk J Pediatr. 2018;60(4):415-420. doi: 10.24953/turkjped.2018.04.009.
  • 2. Kurt E, Metintas S, Basyigit I, et al; PARFAIT Study of Turkish Thoracic Society Asthma-Allergy Working Group. Prevalence and risk factors of allergies in Turkey: Results of a multicentric cross-sectional study in children. Pediatr Allergy Immunol 2007; 18: 566-574.
  • 3. Reiter J, Ramagopal M, Gileles-Hillel A, Forno E. Sleep disorders in children with asthma. Pediatr Pulmonol. 2022;57(8):1851-1859. doi:10.1002/ppul.25264
  • 4. Dahan P, de Oliveira PMN, Brum AR, et al. Treating asthma in patients with enuresis: repercussions on urinary symptoms. Int Braz J Urol. 2023;49(5):590-598. doi:10.1590/S1677-5538.IBJU.2023.0101
  • 5. Zhu B, Zou K, He J, et al. Sleep Monitoring of Children With Nocturnal Enuresis: A Narrative Review. Front Pediatr. 2021;9:701251. Published 2021 Sep 30. doi:10.3389/fped.2021.701251
  • 6. Tsai JD, Chen HJ, Ku MS, Chen SM, Hsu CC, Tung MC, Lin CC, Chang HY, Sheu JN. Association between allergic disease, sleep-disordered breathing, and childhood nocturnal enuresis: a population-based case-control study. Pediatr Nephrol. 2017 Dec;32(12):2293-2301. doi: 10.1007/s00467-017-3750-0.
  • 7. Dahan, P. et al. (2016) ‘Association between Asthma and Primary Nocturnal Enuresis in Children’, Journal of Urology, 195(4), pp. 1221–1226. doi: 10.1016/j.juro.2015.10.081.
  • 8. Akbal C, Genc Y, Burgu B, Ozden E, Tekgul S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005 Mar;173(3):969-73. doi: 10.1097/01.ju.0000152183.91888.f6.
  • 9. Capdevila OS, Crabtree VM, Kheirandish-Gozal L et al: Increased morning brain natriuretic peptide levels in children with nocturnal enuresis and sleep-disordered breathing: a community-based study. Pediatrics 2008; 121: 1208.
  • 10. Kovacevic L, Wolfe-Christensen C, Lu H et al: Why does adenotonsillectomy not correct enuresis in all children with sleep disordered breathing? J Urol 2014; 191: 1592.
  • 11. Barone JG, Hanson C, DaJusta DG et al: Nocturnal enuresis and overweight are associated with obstructive sleep apnea. Pediatrics 2009; 124: e53
  • 12. Aydil U, Iseri E, Kizil Y et al: Obstructive upper airway problems and primary enuresis nocturnal relationship in pediatric patients: reciprocal study. Otolaryngol Head Neck Surg 2008; 37: 235.
  • 13. Waleed FE, Samia F and Samar MF: Impact of sleep-disordered breathing and its treatment on children with primary nocturnal enuresis. Swiss Med Wkly 2011; 141: w13216.
  • 14. Cinar U, Vural C, C¸ akir B et al: Nocturnal enuresis and upper airway obstruction. Int J Pediatr Otorhinolaryngol 2001; 59: 115.
  • 15. Firoozi F, Batniji R, Aslan AR et al: Resolution of diurnal incontinence and nocturnal enuresis after adenotonsillectomy in children. J Urol 2006; 175: 1885.
  • 16. Weissbach A, Leiberman A, Tarasiuk A et al: Adenotonsilectomy improves enuresis in children with obstructive sleep apnea syndrome. Int J Pediatr Otorhinolaryngol 2006; 70: 1351.
  • 17. Brooks LJ and Topol H: Enuresis in children with sleep apnea. J Pediatr 2003; 142: 515.
  • 18. Neveus T, Hetta J, Cnattingius S et al: Depth of sleep and sleep habits among enuretic and incontinent children. Acta Pædiatr 1999; 88: 748
  • 19. Weider DJ, Sateia MJ and West RP: Nocturnal enuresis in children with upper airway obstruction. Otolaryngol Head Neck Surg 1991; 105: 421.
  • 20. Kaditis AG, Alexoupolos EI, Hatzi F et al: Overnight change in brain natriuretic peptide levels in children with sleep disordered breathing. Chest 2006; 130: 1377.
  • 21. Lai PH, Yang PS, Lai WY, Lin CL, Hsu CY, Wei CC. Allergic rhinitis and the associated risk of nocturnal enuresis in children: a population-based cohort study. Int Forum Allergy Rhinol. 2018 Nov;8(11):1260-1266. doi: 10.1002/alr.22219.
  • 22. Liu J, Zhang X, Zhao Y, Wang Y (2020) The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies. PLoS ONE 15(2): e0228533.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Nefrolojisi
Bölüm Araştırma Makaleleri
Yazarlar

Özlem Yüksel Aksoy 0000-0001-7905-3524

Hatice Eke Güngör 0000-0002-0102-8123

Doğukan Susam 0009-0000-1990-2491

Funda Baştuğ 0000-0001-9584-6364

Erken Görünüm Tarihi 16 Ekim 2023
Yayımlanma Tarihi 16 Ekim 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: Ek Sayı

Kaynak Göster

APA Aksoy, Ö. Y., Eke Güngör, H., Susam, D., Baştuğ, F. (2023). ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS. Eskisehir Medical Journal, 4(Ek Sayı), 163-168.
AMA Aksoy ÖY, Eke Güngör H, Susam D, Baştuğ F. ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS. Eskisehir Med J. Ekim 2023;4(Ek Sayı):163-168.
Chicago Aksoy, Özlem Yüksel, Hatice Eke Güngör, Doğukan Susam, ve Funda Baştuğ. “ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS”. Eskisehir Medical Journal 4, sy. Ek Sayı (Ekim 2023): 163-68.
EndNote Aksoy ÖY, Eke Güngör H, Susam D, Baştuğ F (01 Ekim 2023) ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS. Eskisehir Medical Journal 4 Ek Sayı 163–168.
IEEE Ö. Y. Aksoy, H. Eke Güngör, D. Susam, ve F. Baştuğ, “ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS”, Eskisehir Med J, c. 4, sy. Ek Sayı, ss. 163–168, 2023.
ISNAD Aksoy, Özlem Yüksel vd. “ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS”. Eskisehir Medical Journal 4/Ek Sayı (Ekim 2023), 163-168.
JAMA Aksoy ÖY, Eke Güngör H, Susam D, Baştuğ F. ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS. Eskisehir Med J. 2023;4:163–168.
MLA Aksoy, Özlem Yüksel vd. “ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS”. Eskisehir Medical Journal, c. 4, sy. Ek Sayı, 2023, ss. 163-8.
Vancouver Aksoy ÖY, Eke Güngör H, Susam D, Baştuğ F. ENURESIS AND DYSFUNCTIONAL VOIDING IN PEDIATRIC ASTHMA AND/OR ALLERGIC RHINITIS PATIENTS. Eskisehir Med J. 2023;4(Ek Sayı):163-8.