Neonatal abstinence syndrome

Neonatal abstinence syndrome is characterized by a clinical situation with withdrawal symptoms and physical dependence in the uterus exposed to addictive substances in infants. The well-known method in diagnosis of neonatal abstinence syndrome is to identify addictive substances in the first meconium. The prevalence of neonatal abstinence syndrome is between 16-90% in infants of mothers who used heroin. Clinical findings often occur within the first 48-72 hours. Most obvious symptoms are tremor and hiperirritability. Neonatal central nervous system is most common affected. Gastrointestinal system creates a second often affected. Mortality associated with premature birth problems, infections and perinatal asphyxia. This syndrome should be treated when it were convulsions, diarrhea, sleep and diet in the presence of the distorting extreme deprivation syndrome. Treatment of the syndrome were important by opium, benzodiazepines, phenobarbital with calm and
quiet environment and to minimize the stimulus into newborn. In this article presented with neonatal abstinence syndrome detected by a dependent mother’s baby heroin use during pregnancy period.

Neonatal yoksunluk sendromu

Neonatal yoksunluk sendromu, uterus içinde baðýmlýlýk yapan maddeye maruz kalmýþ infantlarda çekilme semptomlarýyla ve fiziksel baðýmlýlýkla karakterize klinik bir durumdur. En iyi taný metodu bebeðin ilk mekonyumunda baðýmlýlýk yapan maddenin saptanmasýdýr. Eroin kullanan annelerin bebeklerinde neonatal yoksunluk sendromunun görülme sýklýðý %16-90’dýr. Klinik bulgular sýklýkla ilk 48-72 saat içerisinde ortaya çýkmaktadýr. Tremor ve hiperirritabilite en belirgin bulgulardýr. Yenidoðanda en sýk merkezi sinir sistemi ve gastrointestinal sistem etkilenmektedir. Mortalite; sýklýkla eþlik eden erken doðum sorunlarý, enfeksiyon ve perinatal asfiksi ile iliþkilidir. Konvülziyon, ishal, uyku ve beslenme düzenini bozan hiperirritabilite varlýðýnda yoksunluk sendromu tedavi edilmelidir. Tedavide opiatlar, benzodiazepinler, fenobarbital ile birlikte yenidoðanýn sakin ve sessiz bir ortama alýnmasý ve uyaranlarýn minimuma indirilmesi önemlidir. Bu yazýda gebelik dönemi süresince eroin kullanan baðýmlý bir annenin, bebeðinde saptanan neonatal yoksunluk sendromu olgusu sunulmuþtur.