{"id":15,"date":"2026-10-15T13:57:56","date_gmt":"2026-10-15T13:57:56","guid":{"rendered":"http:\/\/pedirom.org.tr\/index.php\/cocuklarda-lupus\/"},"modified":"2026-10-15T13:57:56","modified_gmt":"2026-10-15T13:57:56","slug":"cocuklarda-lupus","status":"publish","type":"page","link":"https:\/\/pedirom.org.tr\/index.php\/cocuklarda-lupus\/","title":{"rendered":"\u00c7ocuklarda Lupus"},"content":{"rendered":"<figure class=\"pr-fig\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/pedirom.org.tr\/wp-content\/themes\/cocuk-romatoloji-rehberi\/assets\/img\/cocuklarda-lupus.jpg\" alt=\"\u00c7ocuklarda Lupus \u2013 temsil\u00ee ill\u00fcstrasyon\" width=\"1200\" height=\"750\"><figcaption>Temsil\u00ee ill\u00fcstrasyon<\/figcaption><\/figure>\n<p>Sistemik lupus eritematozus, k\u0131saca lupus, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin v\u00fccudun kendi dokular\u0131na kar\u015f\u0131 \u00e7al\u0131\u015ft\u0131\u011f\u0131 ve pek \u00e7ok organ\u0131 etkileyebilen kronik bir hastal\u0131kt\u0131r. \u00c7ocukluk \u00e7a\u011f\u0131nda ba\u015flayan lupus, eri\u015fkinlerdekine g\u00f6re daha az g\u00f6r\u00fcl\u00fcr ancak \u00e7o\u011fu zaman daha a\u011f\u0131r seyreder ve b\u00f6brek tutulumu daha s\u0131kt\u0131r. En s\u0131k ergenlik d\u00f6neminde ve k\u0131z \u00e7ocuklar\u0131nda ba\u015flar.<\/p>\n<h2>Belirtiler<\/h2>\n<p>Uzun s\u00fcren ate\u015f, halsizlik, kilo kayb\u0131, y\u00fczde kelebek \u015feklinde d\u00f6k\u00fcnt\u00fc, g\u00fcne\u015fe duyarl\u0131l\u0131k, a\u011f\u0131zda yaralar, sa\u00e7 d\u00f6k\u00fclmesi, eklem a\u011fr\u0131s\u0131 ve \u015fi\u015fli\u011fi, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ve v\u00fccutta \u015fi\u015flik g\u00f6r\u00fclebilir. Kan de\u011ferlerinde d\u00fc\u015f\u00fckl\u00fck ve idrarda protein ya da kan saptanabilir. Belirtiler ki\u015fiden ki\u015fiye \u00e7ok farkl\u0131 olabilir.<\/p>\n<h2>ANA testinin anlam\u0131<\/h2>\n<p>Lupuslu \u00e7ocuklar\u0131n hemen hepsinde ANA testi pozitiftir; ancak sa\u011fl\u0131kl\u0131 \u00e7ocuklar\u0131n \u00f6nemli bir k\u0131sm\u0131nda da d\u00fc\u015f\u00fck d\u00fczeylerde pozitif ANA saptanabilir. Bu nedenle belirtisi olmayan bir \u00e7ocukta pozitif ANA tek ba\u015f\u0131na lupus anlam\u0131na gelmez. Ayr\u0131nt\u0131lar <a href=\"http:\/\/pedirom.org.tr\/index.php\/romatoloji-kan-testleri\/\">romatolojik kan testleri<\/a> sayfam\u0131zda.<\/p>\n<h2>Tedavi<\/h2>\n<p>Tedavi, hastal\u0131\u011f\u0131n etkiledi\u011fi organlara ve \u015fiddetine g\u00f6re planlan\u0131r. Hekimin \u00f6nerdi\u011fi hidroksiklorokin pek \u00e7ok hastada temel tedavinin par\u00e7as\u0131d\u0131r; gerekti\u011finde kortizon ve ba\u011f\u0131\u015f\u0131kl\u0131k sistemini d\u00fczenleyen di\u011fer ila\u00e7lar eklenir. Tedavi uzun s\u00fcrelidir ve ila\u00e7lar hekime dan\u0131\u015fmadan b\u0131rak\u0131lmamal\u0131d\u0131r.<\/p>\n<h2>G\u00fcne\u015f ve g\u00fcnl\u00fck ya\u015fam<\/h2>\n<p>G\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 hastal\u0131k alevlenmelerini tetikleyebilece\u011fi i\u00e7in g\u00fcne\u015ften korunmak \u00f6nemlidir. A\u015f\u0131 durumu, enfeksiyonlardan korunma ve ruh sa\u011fl\u0131\u011f\u0131 deste\u011fi de takibin par\u00e7as\u0131d\u0131r; a\u015f\u0131lar i\u00e7in <a href=\"http:\/\/pedirom.org.tr\/index.php\/romatizmal-hastalikta-asilar\/\">a\u015f\u0131lar<\/a> sayfam\u0131za bakabilirsiniz.<\/p>\n<h2>Acil belirtiler<\/h2>\n<p>N\u00f6bet, bilin\u00e7 de\u011fi\u015fikli\u011fi, \u015fiddetli ba\u015f a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, idrar miktar\u0131nda azalma ve y\u00fcksek ate\u015f acil de\u011ferlendirme gerektirir.<\/p>\n<p class=\"kaynak\"><small>Genel bilgi kaynaklar\u0131: EULAR\/ACR 2019 SLE s\u0131n\u0131flama \u00f6l\u00e7\u00fctleri; SHARE \u00e7ocukluk \u00e7a\u011f\u0131 SLE \u00f6nerileri; Avrupa Pediatrik Romatoloji Derne\u011fi (PRES) ve SHARE giri\u015fimi \u00f6nerileri. Kontrol tarihi: Ekim 2026. Bu sayfa hekim incelemesinden ge\u00e7mi\u015f bir t\u0131bbi metin de\u011fildir; tan\u0131 ve tedavi i\u00e7in \u00e7ocu\u011funuzun hekimine ba\u015fvurun. Acil durumda 112\u2019yi aray\u0131n.<\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ocuklarda lupus (SLE): belirtiler, b\u00f6brek tutulumu, ANA testinin anlam\u0131, tan\u0131, tedavi, g\u00fcne\u015ften korunma ve uzun d\u00f6nem takip.<\/p>\n","protected":false},"author":0,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/15","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/comments?post=15"}],"version-history":[{"count":2,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/15\/revisions"}],"predecessor-version":[{"id":59,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/15\/revisions\/59"}],"wp:attachment":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/media?parent=15"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}