![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/bebeklerde-kabizlik-sorunu_19251a1.jpg\")
\u00c7e\u015fitli nedenlerle tuvalet ihtiyac\u0131n\u0131 erteleyen \u00e7ocuklarda kab\u0131zl\u0131\u011f\u0131n daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ifade eden \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. \u015eule Turan Akyol, tuvaletini yaparken bebe\u011fin y\u00fcz\u00fcn\u00fcn k\u0131zarmas\u0131n\u0131n, kab\u0131z oldu\u011fu anlam\u0131na gelmedi\u011fini s\u00f6yledi.<\/p>\n
\u00c7ocukluklarda kab\u0131zl\u0131k rahats\u0131zl\u0131\u011f\u0131 hakk\u0131nda bilgi veren Medical Park Samsun Hastanesi, \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Klini\u011finden Uzm. Dr. \u015eule Turan Akyol, anne s\u00fct\u00fc ile beslenen bebeklerde d\u0131\u015fk\u0131lama say\u0131s\u0131 g\u00fcnde 10 defa olabilece\u011fi gibi haftada 1 kez de olabilece\u011fini s\u00f6yledi. Mama ile beslenen bebeklerde kaka say\u0131s\u0131n\u0131n g\u00fcnde 1-4 aras\u0131nda oldu\u011funu belirten Uzm. Dr. \u015eule Turan Akyol, daha b\u00fcy\u00fck \u00e7ocuklar\u0131n g\u00fcnde 1-3 aras\u0131 ya da iki g\u00fcnde 1 kaka yapabilece\u011fini dile getirdi. B\u00fcy\u00fck tuvaletin verilen bu say\u0131lardan daha nadir ve kat\u0131 olarak yap\u0131lmas\u0131 durumunda kab\u0131zl\u0131ktan bahsedilebilece\u011fini belirten Akyol, bebe\u011fin d\u0131\u015fk\u0131s\u0131 yumu\u015faksa, bebek zorlanmadan kaka yap\u0131yorsa ve ayn\u0131 zamanda kilo al\u0131\u015f\u0131 d\u00fczenli, genel durumu da iyi ise endi\u015felenmeye gerek olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Akyol, \u201cE\u011fer bebek normal s\u0131kl\u0131\u011f\u0131n\u0131n d\u0131\u015f\u0131nda birka\u00e7 g\u00fcn tuvaletini yapamad\u0131ysa, sert ve yo\u011fun, zaman zaman \u00e7ak\u0131l ta\u015f\u0131 gibi d\u0131\u015fk\u0131l\u0131yorsa, bunu yaparken ac\u0131 \u00e7ekiyorsa veya kakas\u0131nda kanl\u0131 izler varsa kab\u0131z olmu\u015f demektir. Bebe\u011fin b\u00fcy\u00fck tuvaletini yaparken y\u00fcz\u00fcn\u00fcn k\u0131zarmas\u0131 normaldir, kab\u0131z oldu\u011fu anlam\u0131na gelmez\u201d dedi.<\/p>\n
\u201cNEY\u0130 YANLI\u015e YAPTIM?\u201d<\/p>\n
Genelde anne s\u00fct\u00fc alan bebeklerde daha s\u0131k kaka yapt\u0131klar\u0131ndan dolay\u0131 kab\u0131zl\u0131k g\u00f6r\u00fclmedi\u011fini s\u00f6yleyen Uzm. Dr. \u015eule Turan Akyol, \u201c\u0130nek s\u00fct\u00fc alan bebekler ya da form\u00fcl mama ile beslenen bebeklerde kab\u0131zl\u0131k g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 daha fazlad\u0131r. Bebek anne s\u00fct\u00fc al\u0131yorsa ve buna ra\u011fmen bebekte kab\u0131zl\u0131k ya\u015fan\u0131yorsa, anne diyetinde kab\u0131zl\u0131\u011f\u0131 \u00f6nleyici besinlere \u00f6ncelik verilmelidir. Bebekler ve k\u00fc\u00e7\u00fck \u00e7ocuklar form\u00fcl mama al\u0131yorlarsa kab\u0131zl\u0131\u011f\u0131 \u00f6nleyici mamalar tercih edilmelidir. E\u011fer k\u00fc\u00e7\u00fck bir bebekte yine de kab\u0131zl\u0131k meydana gelirse, b\u00fcy\u00fck olas\u0131l\u0131kla yetersiz beslemeden ileri gelmi\u015f olabilir. Bu nedenle, bebe\u011fe yeterli miktarlarda anne s\u00fct\u00fc ya da mama verilmesi \u00f6zellikle \u00f6nemlidir. Kab\u0131zl\u0131k, kal\u0131nba\u011f\u0131rsa\u011f\u0131n sonundaki kaslar sertle\u015fti\u011fi ve kakan\u0131n normal ge\u00e7i\u015fini \u00f6nledi\u011fi zaman meydana gelir. D\u0131\u015fk\u0131 ba\u011f\u0131rsakta ne kadar uzun s\u00fcre kal\u0131rsa, o kadar s\u0131k\u0131la\u015f\u0131p kurur ve v\u00fccuttan at\u0131lmas\u0131 zorla\u015f\u0131r. Sertle\u015fince kal\u0131n ba\u011f\u0131rsa\u011f\u0131n son k\u0131sm\u0131ndan ge\u00e7erken y\u0131rt\u0131lmalara ve \u00e7atlaklara neden olur. Bu da bebeklerde ve \u00e7ocuklarda d\u0131\u015fk\u0131lama s\u0131ras\u0131nda a\u011fr\u0131ya neden olur. \u00c7ocuklar, bu ac\u0131y\u0131 ya\u015famamak i\u00e7in d\u0131\u015fk\u0131y\u0131 tutmak isteyebilir ve d\u0131\u015fk\u0131lama hissini bast\u0131rabilir. Bu da kakan\u0131n i\u00e7erde daha \u00e7ok kurumas\u0131na, b\u00fcy\u00fck \u00e7ap ve hacme ula\u015fmas\u0131na neden olur. B\u00f6ylece kab\u0131zl\u0131\u011f\u0131n k\u0131s\u0131r d\u00f6ng\u00fcs\u00fc ba\u015flam\u0131\u015f olur\u201d diye konu\u015ftu.<\/p>\n
\u201cEK BES\u0130NLERE GE\u00c7\u0130\u015e VE D\u0130\u015e \u00c7IKARMA KABIZLI\u011eA NEDEN OLAB\u0130L\u0130R\u201d<\/p>\n
Kab\u0131zl\u0131\u011f\u0131n bir\u00e7ok nedeni oldu\u011funu belirten Dr. Akyol \u201cGenelde beslenme al\u0131\u015fkanl\u0131klar\u0131ndan ve d\u00fczensizliklerinden dolay\u0131 olur. Baz\u0131 enfeksiyon hastal\u0131klar\u0131, metabolik hastal\u0131klar ve baz\u0131 ila\u00e7lar da kab\u0131zl\u0131\u011fa neden olabilir. Ek besinlere ge\u00e7i\u015f ve di\u015f \u00e7\u0131karma da kab\u0131zl\u0131\u011fa neden olabilecek etkenlerdir. Oyun, okul vb. nedenlerle tuvalet ihtiyac\u0131n\u0131 erteleyen \u00e7ocuklarda kab\u0131zl\u0131k daha s\u0131k g\u00f6r\u00fcl\u00fcr. D\u00fczenli d\u0131\u015fk\u0131lama ama\u00e7l\u0131 tuvalete gitmesini sa\u011flamak al\u0131nacak \u00f6nlemlerdir. \u00c7ocu\u011fun g\u00fcn\u00fcn hangi saatinde tuvaletini yapt\u0131\u011f\u0131na dikkat edilmeli ve her g\u00fcn ayn\u0131 saatte yemekten sonra tuvalette 10 dakika d\u0131\u015fk\u0131s\u0131n\u0131 yapmas\u0131n\u0131 bekleyerek \u00e7ocu\u011fa bu konuda al\u0131\u015fkanl\u0131k kazand\u0131r\u0131lmal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cBEBE\u011eE, B\u0130R YA\u015eINA KADAR \u0130NEK S\u00dcT\u00dc VER\u0130LMEMEL\u0130\u201d<\/p>\n
Kab\u0131zl\u0131kta yemek d\u00fczeninin \u00e7ok \u00f6nemli oldu\u011funu s\u00f6yleyen Dr.\u015eule Turan Akyol \u201c\u00c7ocu\u011fun lifli g\u0131dalar almas\u0131, bol s\u0131v\u0131 t\u00fcketmesi gereklidir. Bebeklerde ek g\u0131dalara ba\u015fland\u0131\u011f\u0131nda; muz, patates ve pirin\u00e7 lapas\u0131 kab\u0131zl\u0131\u011fa neden olabilir. Bu g\u0131dalar daha aral\u0131kl\u0131 zamanlarda verilmelidir. Bebe\u011fin beslenmesine daha fazla meyve ve sebze p\u00fcresi eklenmelidir. Bebe\u011fe, bir ya\u015f\u0131na kadar inek s\u00fct\u00fc verilmemelidir. Suland\u0131r\u0131lm\u0131\u015f meyve suyu ve \u00f6\u011f\u00fcnler aras\u0131nda kaynam\u0131\u015f \u0131l\u0131k su kab\u0131zl\u0131\u011f\u0131 yumu\u015fatabilir. Haz\u0131r mama kullan\u0131l\u0131yorsa \u00f6l\u00e7\u00fcs\u00fcn\u00fc doktor kontrol\u00fcnde tekrar g\u00f6zden ge\u00e7irilmeli ve i\u00e7eri\u011finde prebiyotik lifler i\u00e7eren mamalar tercih edilmelidir. Ek besine ge\u00e7mi\u015f olan bebeklerde ve \u00e7ocuklarda beslenme \u015fekli; sebze, meyve, baklagiller, kepekli ekmek, yulaf gibi art\u0131k b\u0131rakan lifli yiyeceklerden zengin olmal\u0131d\u0131r. \u00c7ocuklar\u0131n beslenme diyetinde \u00f6zellikle; kuru erik, kay\u0131s\u0131, kuru \u00fcz\u00fcm, bezelye, fasulye, brokoli, kabak, kepekli ve tah\u0131ll\u0131 ekmekler olmal\u0131d\u0131r. S\u00fcrekli kab\u0131zl\u0131\u011f\u0131 olan \u00e7ocuklar genelde, \u00e7abuk doyan i\u015ftahs\u0131z \u00e7ocuklard\u0131r. Ayn\u0131 zamanda bu \u00e7ocuklar, ana \u00f6\u011f\u00fcnlerde yemek yemektense, aralarda abur cubur at\u0131\u015ft\u0131rmay\u0131 severler. B\u00f6yle durumlarda bir beslenme uzman\u0131 ile g\u00f6r\u00fc\u015fmek faydal\u0131 olmaktad\u0131r\u201d dedi.<\/p>\n
\u201c\u00c7OCU\u011eUMDA KABIZLI\u011eA BA\u011eLI NE \u015e\u0130KAYETLER OLUR?\u201d<\/p>\n
\u00c7ocuklarda kab\u0131zl\u0131\u011fa ba\u011fl\u0131 bir\u00e7ok belirtinin g\u00f6r\u00fclebilece\u011fini vurgulayan Akyol \u201cKab\u0131zl\u0131\u011f\u0131 tekrarlayan \u00e7ocuklarda kar\u0131n a\u011fr\u0131lar\u0131, kramplar, bulant\u0131, kusma g\u00f6r\u00fclebilmektedir. D\u0131\u015fk\u0131 \u00e7\u0131karmadan \u00f6nce ya da \u00e7\u0131kar\u0131rken bebekte a\u011flama, a\u011fr\u0131 ve rahats\u0131zl\u0131k g\u00f6r\u00fclebilir. \u0130\u015ftah azalabilir. Ba\u011f\u0131rsaklarda biriken gaitaya ba\u011fl\u0131 kar\u0131nda sertlik olabilir. Sert d\u0131\u015fk\u0131lamaya ba\u011fl\u0131 popo da kanama ve y\u0131rt\u0131klar olabilir\u201d diye konu\u015ftu.<\/p>\n
\u201cNE YAPMALIYIM?\u201d<\/p>\n
Kab\u0131zl\u0131k s\u00f6z konusu oldu\u011funda, doktora dan\u0131\u015f\u0131lmadan, bebe\u011fe asla m\u00fcshil, fitil ya da lavman uygulanmamas\u0131 gerekti\u011fini bildiren Akyol a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle tamamlad\u0131: \u201cKab\u0131zl\u0131k tedavisinde temel ama\u00e7; kal\u0131n ba\u011f\u0131rsa\u011f\u0131 ilk a\u015famada bo\u015faltmak, sonras\u0131nda d\u00fczenli ba\u011f\u0131rsak al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 devam ettirebilmek ve kaka yapmayla alakal\u0131 olan a\u011fr\u0131n\u0131n ve korkunun ortadan kald\u0131r\u0131lmas\u0131d\u0131r. A\u011fr\u0131n\u0131n ortadan kalkmas\u0131n\u0131 sa\u011flayacak durum ise d\u0131\u015fk\u0131n\u0131n yumu\u015fak kalmas\u0131 ve kal\u0131n olmamas\u0131d\u0131r. Bunun i\u00e7in d\u00fczenli ve kontroll\u00fc bir diyetin yan\u0131nda tuvalette yeterli s\u00fcre kalma al\u0131\u015fkanl\u0131\u011f\u0131n\u0131n edindirilmesi gereklidir. Tuvalet terbiyesini kazanm\u0131\u015f \u00e7ocuklar, kahvalt\u0131dan ve ak\u015fam yeme\u011finden sonra 5-10 dakika s\u00fcreyle tuvalette oturtulmal\u0131d\u0131r. Tedavi s\u00fcresi \u00e7ocuktan \u00e7ocu\u011fa de\u011fi\u015fiklik g\u00f6stermektedir. K\u00fc\u00e7\u00fck \u00e7ocuklar\u0131n b\u00fcy\u00fck \u00e7ocuklara g\u00f6re daha uzun s\u00fcreler tedavi edilmesi gerekilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7E\u015e\u0130TL\u0130 NEDENLERLE TUVALET \u0130HT\u0130YACINI ERTELEYEN \u00c7OCUKLARDA KABIZLI\u011eIN DAHA SIK G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc \u0130FADE EDEN \u00c7OCUK SA\u011eLI\u011eI VE HASTALIKLARI UZMANI DR. \u015eULE TURAN AKYOL, KAKA YAPARKEN BEBE\u011e\u0130N Y\u00dcZ\u00dcN\u00dcN KIZARMASININ, KABIZ OLDU\u011eU ANLAMINA GELMED\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[26011,12337,14775],"class_list":["post-220493","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bebeklerde","tag-kabizlik","tag-sorunu"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/220493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=220493"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/220493\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=220493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=220493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=220493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}