{"id":1091,"date":"2023-08-14T07:57:20","date_gmt":"2023-08-14T07:57:20","guid":{"rendered":"https:\/\/new.vwdtest.com\/hu\/?page_id=1091"},"modified":"2026-01-19T14:32:43","modified_gmt":"2026-01-19T14:32:43","slug":"family-doctor-paediatrician","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/hu\/family-doctor-paediatrician\/","title":{"rendered":"H\u00c1ZIORVOS \/ GYERMEKORVOS"},"content":{"rendered":"
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<\/p>\n<\/div>\n\n\"H\u00c1ZIORVOS\r\n\n\n

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A VWD-ben szenved\u0151 gyermekeket \u00e9rzelmi \u00e9s viselked\u00e9si kih\u00edv\u00e1sok is \u00e9rhetik az iskol\u00e1ban \u00e9s a csal\u00e1di \u00e9letben a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem miatt, \u00e9s a gyakori v\u00e9rz\u00e9s az iskol\u00e1b\u00f3l val\u00f3 hi\u00e1nyz\u00e1shoz vezethet.4 <\/sup>Ezenk\u00edv\u00fcl a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem jelent\u0151s pszichol\u00f3giai terhet is jelenthet<\/a> a gyermek gondoz\u00f3i sz\u00e1m\u00e1ra, \u00e9s arra k\u00e9sztetheti \u0151ket, hogy korl\u00e1tozz\u00e1k a gyermek norm\u00e1lis fejl\u0151d\u00e9s\u00e9hez fontos fizikai \u00e9s szoci\u00e1lis tev\u00e9kenys\u00e9geket. 5<\/sup><\/h5>\n<\/div>\n\n
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A h\u00e1ziorvosok \u00e9s gyermekorvosok szerepe<\/h3>\n<\/div>\n\n
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<\/p>\n<\/div>\n\n

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A VWD a leggyakoribb v\u00e9rz\u00e9si rendelleness\u00e9g a gyermekekn\u00e9l.6<\/sup> A VWD-ben szenved\u0151 gyermekek gyakori v\u00e9rz\u00e9si t\u00fcnetei k\u00f6z\u00e9 tartozik a k\u00f6nny\u0171 v\u00e9ral\u00e1fut\u00e1s<\/a>, a sz\u00e1j- \u00e9s orrv\u00e9rz\u00e9s<\/a>, valamint hosszan tart\u00f3 v\u00e9rz\u00e9s kisebb sebekb\u0151l \u00e9s m\u0171t\u00e9t ut\u00e1n.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 annak meg\u00e1llap\u00edt\u00e1sa, hogy a gyermeknek van-e olyan rendellenes v\u00e9rz\u00e9si mint\u00e1ja, amely tov\u00e1bbi szakorvosi vizsg\u00e1latot ig\u00e9nyel.7<\/sup> Mind a feln\u0151ttek, mind a lehets\u00e9ges v\u00e9rz\u00e9si rendelleness\u00e9gben szenved\u0151 gyermekek eset\u00e9ben a v\u00e9rz\u00e9si el\u0151zm\u00e9nyek felv\u00e9tele a diagn\u00f3zis els\u0151 l\u00e9p\u00e9se. A gyermek v\u00e9rz\u00e9si el\u0151zm\u00e9nyeinek \u00e9rt\u00e9kel\u00e9sekor fontos figyelembe venni a beteg \u00e9letkor\u00e1t \u00e9s fejl\u0151d\u00e9si k\u00e9pess\u00e9geit. Azok a csecsem\u0151k, akik m\u00e9g nem mozg\u00e9konyak, ritk\u00e1n mutatj\u00e1k z\u00faz\u00f3d\u00e1s jeleit, de k\u00f6r\u00fclmet\u00e9l\u00e9s vagy v\u00e9rv\u00e9tel ut\u00e1n szokatlan v\u00e9rz\u00e9s\u00fck lehet.2,7<\/sup> Ahogy a gyermekek mozg\u00e9konyabb\u00e1 v\u00e1lnak, egyre gyakoribb\u00e1 v\u00e1lnak az \u00fct\u00e9sekb\u0151l vagy es\u00e9sekb\u0151l sz\u00e1rmaz\u00f3 kisebb horzsol\u00e1sok \u00e9s z\u00faz\u00f3d\u00e1sok. Azonban a v\u00e1rtn\u00e1l nagyobb vagy gyakrabban el\u0151fordul\u00f3 z\u00faz\u00f3d\u00e1sok felvethetik a v\u00e9rz\u00e9si rendelleness\u00e9g gyan\u00faj\u00e1t. A szokatlan helyeken, p\u00e9ld\u00e1ul a h\u00e1ton vagy a hason kialakul\u00f3 v\u00e9ral\u00e1fut\u00e1sok szint\u00e9n el\u0151fordulhatnak VWD-ben szenved\u0151 gyermekekn\u00e9l. Az ilyen z\u00faz\u00f3d\u00e1sokat \u00f6sszet\u00e9veszthetik a gyermekb\u00e1ntalmaz\u00e1s jeleivel, \u00e9s a sz\u00fcl\u0151k agg\u00f3dhatnak e lehet\u0151s\u00e9g miatt.8<\/sup> V\u00e9g\u00fcl, ahogy a l\u00e1nyok bel\u00e9pnek a pubert\u00e1skorba, az er\u0151s menstru\u00e1ci\u00f3s v\u00e9rz\u00e9s<\/a> v\u00e1lik a VWD leggyakoribb v\u00e9rz\u00e9ses t\u00fcnet\u00e9v\u00e9. Amikor ezeket a t\u00fcneteket megbesz\u00e9lj\u00fck a p\u00e1ciensekkel \u00e9s gondoz\u00f3ikkal, fontos, hogy a csal\u00e1di v\u00e9rz\u00e9st\u00f6rt\u00e9netet is felvegy\u00fck, mivel a visszat\u00e9r\u0151 rendellenes v\u00e9rz\u00e9s trivializ\u00e1lt lehet a csal\u00e1don bel\u00fcl.2,9<\/sup> <\/p>\n<\/div>\n\n

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Kih\u00edv\u00e1st jelenthet annak eld\u00f6nt\u00e9se, hogy a v\u00e9rz\u00e9ses t\u00fcnetek szokatlanok-e.7<\/sup> A v\u00e9rz\u00e9si t\u00fcnetek els\u0151 felm\u00e9r\u00e9s\u00e9hez, \u00e9s k\u00fcl\u00f6n\u00f6sen a m\u0171t\u00e9tre be\u00fctemezett betegek eset\u00e9ben, javasoljuk, hogy v\u00e9gezze el v\u00e9rz\u00e9si teszt\u00fcnket<\/a> beteg\u00e9vel. A teszt megmutatja, hogy indokoltak-e tov\u00e1bbi vizsg\u00e1latok \u2013 \u00e9s megv\u00e1ltoztathatja a p\u00e1ciense \u00e9let\u00e9t! <\/p>\n<\/div>\n\n

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A VWD definit\u00edv diagn\u00f3zisa egy bonyolult folyamat eredm\u00e9nye.2<\/sup> Ez\u00e9rt azt javasoljuk, hogy vegye fel a kapcsolatot egy k\u00f6zeli hemof\u00edlia kezel\u00e9si k\u00f6zponttal<\/a>, ha tov\u00e1bbi diagnosztikai \u00e9rt\u00e9kel\u00e9s indokolt. A kezel\u00e9si k\u00f6zpont multidiszciplin\u00e1ris csapatai optim\u00e1lis ell\u00e1t\u00e1st is ny\u00fajtanak a v\u00e9rz\u00e9si rendelleness\u00e9gekkel k\u00fczd\u0151 betegek sz\u00e1m\u00e1ra. A VWDtest tov\u00e1bbi inform\u00e1ci\u00f3kat ny\u00fajt a VWD etiol\u00f3gi\u00e1j\u00e1r\u00f3l<\/a>, diagn\u00f3zis\u00e1r\u00f3l<\/a> \u00e9s kezel\u00e9s\u00e9r\u0151l<\/a>, valamint betekint\u00e9st ny\u00fajt a VWD-ben szenved\u0151 betegek tipikus \u00fatj\u00e1ba.<\/a><\/p>\n<\/div>\n\n

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Referenci\u00e1k<\/h6>\n<\/div>\n\n
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  1. Atiq F et al. EClinicalMedicine<\/em> 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 accessed Mar 2023.<\/li>\n<\/div>\n\n
    \n
  6. Klaassen R and Halton JM Paediatr Child Health<\/em> 2002; 7:245-9.<\/li>\n<\/div>\n\n
    \n
  7. Van Ommen CH and Peters M. Eur J Pediatr<\/em> 2012; 171:1-10.<\/li>\n<\/div>\n\n
    \n
  8. Jackson J et al. Child Abuse Negl<\/em> 2012; 36:127-34.<\/li>\n<\/div>\n\n
    \n
  9. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    A VWD-ben szenved\u0151 gyermekeket \u00e9rzelmi \u00e9s viselked\u00e9si kih\u00edv\u00e1sok is \u00e9rhetik az iskol\u00e1ban \u00e9s a csal\u00e1di \u00e9letben a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem miatt, \u00e9s a gyakori v\u00e9rz\u00e9s az iskol\u00e1b\u00f3l val\u00f3 hi\u00e1nyz\u00e1shoz vezethet.4 Ezenk\u00edv\u00fcl a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem jelent\u0151s pszichol\u00f3giai terhet is jelenthet a gyermek gondoz\u00f3i sz\u00e1m\u00e1ra, \u00e9s arra k\u00e9sztetheti \u0151ket, hogy korl\u00e1tozz\u00e1k a gyermek norm\u00e1lis fejl\u0151d\u00e9s\u00e9hez fontos […]<\/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":"\nH\u00c1ZIORVOS \/ GYERMEKORVOS - Hungary<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00c1ZIORVOS \/ GYERMEKORVOS - 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