{"id":1091,"date":"2023-08-14T07:57:20","date_gmt":"2023-08-14T07:57:20","guid":{"rendered":"https:\/\/new.vwdtest.com\/nw\/?page_id=1091"},"modified":"2023-10-10T11:52:06","modified_gmt":"2023-10-10T11:52:06","slug":"family-doctor-paediatrician","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/","title":{"rendered":"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS"},"content":{"rendered":"
\n

<\/p>\n<\/div>\n\n\"CSAL\u00c1DI\r\n\n\n

\n

A VWD-ben szenved\u0151 gyermekek a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem miatt \u00e9rzelmi \u00e9s viselked\u00e9si kih\u00edv\u00e1sokat is tapasztalhatnak az iskol\u00e1ban \u00e9s a csal\u00e1di \u00e9let\u00fckben, a gyakori v\u00e9rz\u00e9s pedig az iskol\u00e1b\u00f3l val\u00f3 t\u00e1volmarad\u00e1shoz vezethet. 4 <\/sup>S\u0151t, a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem jelent\u0151s pszichol\u00f3giai teher<\/a> a gyermek gondoz\u00f3i sz\u00e1m\u00e1ra, \u00e9s arra k\u00e9szteti \u0151ket, hogy korl\u00e1tozz\u00e1k azokat a fizikai \u00e9s szoci\u00e1lis tev\u00e9kenys\u00e9geket, amelyek fontosak gyermek\u00fck norm\u00e1lis fejl\u0151d\u00e9s\u00e9hez.5<\/sup><\/h5><\/p>\n<\/div>\n\n
\n

A h\u00e1ziorvosok \u00e9s a gyermekorvosok szerepe<\/h3>\n<\/div>\n\n
\n

A VWD a gyermekek leggyakoribb v\u00e9rz\u00e9si rendelleness\u00e9ge.6 <\/sup>A VWD-ben szenved\u0151 gyermekek gyakori v\u00e9rz\u00e9ses t\u00fcnetei: k\u00f6nny\u0171 v\u00e9ral\u00e1fut\u00e1s<\/a>, v\u00e9rz\u00e9s a sz\u00e1jb\u00f3l \u00e9s az orrb\u00f3l<\/a>, valamint a kisebb sebekb\u0151l \u00e9s m\u0171t\u00e9t ut\u00e1ni hosszan tart\u00f3 v\u00e9rz\u00e9s.2 <\/sup>H\u00e1ziorvosk\u00e9nt vagy gyermekorvosk\u00e9nt gyakran \u00d6n lesz az els\u0151 eg\u00e9szs\u00e9g\u00fcgyi szakember, aki ilyen t\u00fcnetekkel rendelkez\u0151 gyermekeket l\u00e1t, \u00e9s az \u00d6n feladata lesz annak meghat\u00e1roz\u00e1sa, hogy a gyermek k\u00f3ros v\u00e9rz\u00e9si mint\u00e1zattal rendelkezik, amely tov\u00e1bbi szakorvosi vizsg\u00e1latot ig\u00e9nyel.7 <\/sup>Mind a feln\u0151ttek, mind a gyermekek, akiknek lehets\u00e9ges v\u00e9rz\u00e9si rendelleness\u00e9gei vannak, a v\u00e9rz\u00e9ses anamn\u00e9zis felv\u00e9tele a diagn\u00f3zis els\u0151 l\u00e9p\u00e9se. A gyermek v\u00e9rz\u00e9ses anamn\u00e9zis\u00e9nek \u00e9rt\u00e9kel\u00e9sekor d\u00f6nt\u0151 fontoss\u00e1g\u00fa a beteg \u00e9letkor\u00e1nak \u00e9s fejletts\u00e9gi k\u00e9pess\u00e9geinek figyelembe v\u00e9tele. Azokn\u00e1l a csecsem\u0151kn\u00e9l, akik m\u00e9g nem mozognak, ritk\u00e1n mutatkoznak z\u00faz\u00f3d\u00e1sok, de szokatlan v\u00e9rz\u00e9st tapasztalhatnak k\u00f6r\u00fclmet\u00e9l\u00e9s vagy v\u00e9rv\u00e9tel ut\u00e1n.2,7<\/sup>Ahogy a gyerekek egyre mozg\u00e9konyabbak, \u00fagy gyakoribb\u00e1 v\u00e1lnak a kisebb horzsol\u00e1sok \u00e9s z\u00faz\u00f3d\u00e1sok, amelyek \u00fct\u00e9sekb\u0151l vagy es\u00e9sekb\u0151l sz\u00e1rmaznak. A v\u00e1rtn\u00e1l nagyobb vagy gyakrabban el\u0151fordul\u00f3 z\u00faz\u00f3d\u00e1sok azonban felvetik a v\u00e9rz\u00e9si rendelleness\u00e9g gyan\u00faj\u00e1t. Szokatlan helyeken, p\u00e9ld\u00e1ul a h\u00e1ton vagy a hason kialakul\u00f3 z\u00faz\u00f3d\u00e1sok VWD-ben szenved\u0151 gyermekekn\u00e9l is el\u0151fordulhatnak. Az ilyen z\u00faz\u00f3d\u00e1sok \u00f6sszet\u00e9veszthet\u0151k a gyermekb\u00e1ntalmaz\u00e1s jeleivel, \u00e9s a sz\u00fcl\u0151k agg\u00f3dhatnak emiatt.8 <\/sup>V\u00e9g\u00fcl, ahogy a l\u00e1nyok pubert\u00e1sba l\u00e9pnek, er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s<\/a> a VWD leggyakoribb v\u00e9rz\u00e9ses t\u00fcnete. Amikor ezeket a t\u00fcneteket megbesz\u00e9lj\u00fck a betegekkel \u00e9s gondoz\u00f3ikkal, fontos, hogy a csal\u00e1di v\u00e9rz\u00e9st\u00f6rt\u00e9netet is figyelembe vegy\u00e9k, mivel a visszat\u00e9r\u0151 k\u00f3ros v\u00e9rz\u00e9s a csal\u00e1don bel\u00fcl elbagatelliz\u00e1lhat\u00f3.2,9<\/sup><\/p>\n<\/div>\n\n

\n

Neh\u00e9z eld\u00f6nteni, hogy a v\u00e9rz\u00e9ses t\u00fcnetek szokatlanok-e.7 <\/sup>A v\u00e9rz\u00e9ses t\u00fcnetek els\u0151 felm\u00e9r\u00e9s\u00e9hez, k\u00fcl\u00f6n\u00f6sen a m\u0171t\u00e9tre tervezett betegek eset\u00e9ben javasoljuk, hogy v\u00e9gezzen beteg\u00e9vel v\u00e9gzett v\u00e9rz\u00e9si teszt\u00fcnket<\/a>. A teszt megmutatja, hogy sz\u00fcks\u00e9g van-e tov\u00e1bbi vizsg\u00e1latokra \u2013 \u00e9s ez megv\u00e1ltoztathatja p\u00e1ciense \u00e9let\u00e9t!<\/p>\n<\/div>\n\n

\n

A VWD v\u00e9gleges diagn\u00f3zisa egy bonyolult folyamat eredm\u00e9nye.2<\/sup>Ez\u00e9rt azt javasoljuk, hogy forduljon egy k\u00f6zeli hemof\u00edlia kezel\u0151k\u00f6zpont<\/a>, ha tov\u00e1bbi diagnosztikai \u00e9rt\u00e9kel\u00e9s sz\u00fcks\u00e9ges. A kezel\u0151k\u00f6zpont multidiszciplin\u00e1ris csapatai optim\u00e1lis ell\u00e1t\u00e1st biztos\u00edtanak a v\u00e9rz\u00e9si zavarokkal k\u00fczd\u0151 betegek sz\u00e1m\u00e1ra is. A VWDtest tov\u00e1bbi inform\u00e1ci\u00f3kat is k\u00edn\u00e1l az etiol\u00f3gi\u00e1r\u00f3l<\/a>, diagn\u00f3zis<\/a> \u00e9s a VWD kezel\u00e9se<\/a>, valamint betekint\u00e9s a VWD-ben szenved\u0151 betegek tipikus \u00fatj\u00e1ba <\/a>.<\/p>\n<\/div>\n\n

\n
Hivatkoz\u00e1sok<\/h6>\n<\/div>\n\n
\n
    \n
  1. Atiq F et al. EClinicalMedicine 2021; 32:100726.<\/li>\n<\/div>\n\n
    \n
  2. Corrales-Medina FF et al. Blood Rev <\/em><\/a>2023; 58:101018.<\/li>\n<\/div>\n\n
    \n
  3. Patel PN et al. Int J Pediatr Otorhinolaryngol<\/em> 2017; 100:216-22.<\/li>\n<\/div>\n\n
    \n
  4. de Wee EM et al. J Thromb Haemost<\/em> 2011; 9:502-9.<\/li>\n<\/div>\n\n
    \n
  5. https:\/\/www.hemophilia.org\/sites\/default\/files\/document\/files\/nurses-guide-chapter-13a-child-development-with-bleeding-disorder-transition.pdf<\/a>; last el\u00e9rve: 2023. m\u00e1rc.<\/li>\n<\/div>\n\n
    \n
  6. Klaassen R \u00e9s Halton JM Paediatr Child Health 2002; 7:245-9.<\/li>\n<\/div>\n\n
    \n
  7. Van Ommen CH \u00e9s Peters M. Eur J Pediatr 2012; 171:1-10.<\/li>\n<\/div>\n\n
    \n
  8. Jackson J et al. Child Abuse Negl 2012; 36:127-34.<\/li>\n<\/div>\n\n
    \n
  9. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program 2022 1: 631-6.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    A VWD-ben szenved\u0151 gyermekek a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem miatt \u00e9rzelmi \u00e9s viselked\u00e9si kih\u00edv\u00e1sokat is tapasztalhatnak az iskol\u00e1ban \u00e9s a csal\u00e1di \u00e9let\u00fckben, a gyakori v\u00e9rz\u00e9s pedig az iskol\u00e1b\u00f3l val\u00f3 t\u00e1volmarad\u00e1shoz vezethet. 4 S\u0151t, a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem jelent\u0151s pszichol\u00f3giai teher a gyermek gondoz\u00f3i sz\u00e1m\u00e1ra, \u00e9s arra k\u00e9szteti \u0151ket, hogy korl\u00e1tozz\u00e1k azokat a fizikai \u00e9s szoci\u00e1lis tev\u00e9kenys\u00e9geket, […]<\/p>\n","protected":false},"author":1,"featured_media":1095,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nCSAL\u00c1DI ORVOS \/ GYERMEKORVOS - Backup Hungry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS - Backup Hungry\" \/>\n<meta property=\"og:description\" content=\"A VWD-ben szenved\u0151 gyermekek a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem miatt \u00e9rzelmi \u00e9s viselked\u00e9si kih\u00edv\u00e1sokat is tapasztalhatnak az iskol\u00e1ban \u00e9s a csal\u00e1di \u00e9let\u00fckben, a gyakori v\u00e9rz\u00e9s pedig az iskol\u00e1b\u00f3l val\u00f3 t\u00e1volmarad\u00e1shoz vezethet. 4 S\u0151t, a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem jelent\u0151s pszichol\u00f3giai teher a gyermek gondoz\u00f3i sz\u00e1m\u00e1ra, \u00e9s arra k\u00e9szteti \u0151ket, hogy korl\u00e1tozz\u00e1k azokat a fizikai \u00e9s szoci\u00e1lis tev\u00e9kenys\u00e9geket, […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/\" \/>\n<meta property=\"og:site_name\" content=\"Backup Hungry\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-10T11:52:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vwdtest.com\/bkp-hu\/wp-content\/uploads\/sites\/62\/2023\/08\/paediatrician-img.png\" \/>\n\t<meta property=\"og:image:width\" content=\"687\" \/>\n\t<meta property=\"og:image:height\" content=\"799\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/\",\"url\":\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/\",\"name\":\"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS - Backup Hungry\",\"isPartOf\":{\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/#website\"},\"datePublished\":\"2023-08-14T07:57:20+00:00\",\"dateModified\":\"2023-10-10T11:52:06+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/vwdtest.com\/bkp-hu\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/vwdtest.com\/bkp-hu\/#website\",\"url\":\"https:\/\/vwdtest.com\/bkp-hu\/\",\"name\":\"Backup Hungry\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/vwdtest.com\/bkp-hu\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS - Backup Hungry","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/","og_locale":"en_US","og_type":"article","og_title":"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS - Backup Hungry","og_description":"A VWD-ben szenved\u0151 gyermekek a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem miatt \u00e9rzelmi \u00e9s viselked\u00e9si kih\u00edv\u00e1sokat is tapasztalhatnak az iskol\u00e1ban \u00e9s a csal\u00e1di \u00e9let\u00fckben, a gyakori v\u00e9rz\u00e9s pedig az iskol\u00e1b\u00f3l val\u00f3 t\u00e1volmarad\u00e1shoz vezethet. 4 S\u0151t, a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem jelent\u0151s pszichol\u00f3giai teher a gyermek gondoz\u00f3i sz\u00e1m\u00e1ra, \u00e9s arra k\u00e9szteti \u0151ket, hogy korl\u00e1tozz\u00e1k azokat a fizikai \u00e9s szoci\u00e1lis tev\u00e9kenys\u00e9geket, […]","og_url":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/","og_site_name":"Backup Hungry","article_modified_time":"2023-10-10T11:52:06+00:00","og_image":[{"width":687,"height":799,"url":"https:\/\/vwdtest.com\/bkp-hu\/wp-content\/uploads\/sites\/62\/2023\/08\/paediatrician-img.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/","url":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/","name":"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS - Backup Hungry","isPartOf":{"@id":"https:\/\/vwdtest.com\/bkp-hu\/#website"},"datePublished":"2023-08-14T07:57:20+00:00","dateModified":"2023-10-10T11:52:06+00:00","breadcrumb":{"@id":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/vwdtest.com\/bkp-hu\/family-doctor-paediatrician\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/vwdtest.com\/bkp-hu\/"},{"@type":"ListItem","position":2,"name":"CSAL\u00c1DI ORVOS \/ GYERMEKORVOS"}]},{"@type":"WebSite","@id":"https:\/\/vwdtest.com\/bkp-hu\/#website","url":"https:\/\/vwdtest.com\/bkp-hu\/","name":"Backup Hungry","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/vwdtest.com\/bkp-hu\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/pages\/1091"}],"collection":[{"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/comments?post=1091"}],"version-history":[{"count":44,"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/pages\/1091\/revisions"}],"predecessor-version":[{"id":2458,"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/pages\/1091\/revisions\/2458"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/media\/1095"}],"wp:attachment":[{"href":"https:\/\/vwdtest.com\/bkp-hu\/wp-json\/wp\/v2\/media?parent=1091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}