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Yıl:1996; Cilt: 2; Sayı: 2>> Özet
PsychoMed; 1996;2(2):68-72
Gebelikte Görülen Kusmaların Psikiyatrik Yönü: Bir Gözden Geçirme
R Aytaç, A Özden, H Kumbasar
Ankara Üniversitesi Tıp Fakültesi
Hiperemezis Gravidarum (HG), %1'e varabilen görülme sıklığı ve hastaneye yatmayı gerektiren belirtileriyle önemli bir hastalıktır. Hem etyolojisinde, hem de tedavisinde psikolojik etkenlerin önemli bir yeri vardır. Bu gözden geçirme yazısında ağırlıklı olarak bu etkenler üzerinde durulacak, yeni bilgilerin de ışığı altında bu hastalığın tedavisinde psikiyatriyle işbirliğinin önemi üzerinde durulacaktır. Etyolojide üzerinde en çok durulan psişik etken gebenin bebekle ve gebelikle ilgili ambivalan duyguları ve evlilik çatışması olmuştur. Terapide de destekleyici psikoterapi, hipnoterapi ve davranışçı terapi yaklaşımları önerilmiş, içgörü kazandırmaya yönelik psikodinamik yaklaşımların riskli olabileceği vurgulanmıştır. Ayrıca, kadın-doğum hekimiyle olan ilişkinin niteliği de sonuç üzerinde etki edebilmektedir. Son olarak da, bazı yeme bozukluklarında HG'a rastlanabildiği için bu konuya yönelik sorular sorulmalı ve şüphelenilirse psikiyatriden konsültasyon istenmelidir.

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