SALDIRGANLIK İÇEREN OYUNCAKLAR
25 Aralık 2023
Pasif Agresif Kişilik
2 Ocak 2024
SARSILMIŞ BEBEK SENDROMU
Sarsılmış bebek sendromu, bebekleri sevmek ya da cezalandırmak için genellikle iki kolundan tutarak sarsma sonucunda meydana gelen bir sendromdur ve sendromun en çok yaşandığı yaş 2-4 ay arasıdır.
Genellikle bebek uyumadığında, uzun süren ağlamalar karşısında ebeveynin kendisini kontrol edemeyerek kontrolü kaybetmesi ve bebeği şiddetli şekilde sarsması sonucu meydana gelir.
Sarsılmış bebek sendromuna uğrayan çocuklarda risk etmenleri çocuğa ait, aileye ait ve topluma ait olmak üzere üç kategoride incelenebilir. Çocuğa ait risk etmenleri; sürekli ağlayan bir bebek olmak, prematüre doğmuş olmak, istenmeyen bir çocuk olmak, hiperaktif bir yapıya sahip olmak ve üvey çocuk olmak olarak gösterilebilir. Aileye ait risk etmenleri; erken yaşta evlilik, parçalanmış aile olmak, katı disiplin uygulayan bir aile olmak, suça karışmış olmak, alkol- uyuşturucu bağımlılığı, aile içi şiddet görülmesi, ailenin sosyal ilişkilerde yetersiz olması olarak gösterilebilir. Topluma ait riskler ise çocuğu koruyan yasaların yetersizliği, cinsiyet ayrımcılığı, kültürel normlar, işsizlik ve yoksulluğun yüksek olması, uyuşturucu ve alkole kolay ulaşılabilir olması şeklinde ifade edilebilir. Çocuğa ait olan risk faktörlerinden biri olan sürekli ağlayan bir bebek olmak, bu sendromun en önemli tetikleyicisidir. Sürekli ağlayan bebek karşısında sinirlenen, nasıl davranacağını bilemeyen, tahammül seviyesi düşük ebeveyn, artan stresin etkisi ile kontrol kaybı yaşayarak bebeği şiddetli bir şekilde sarsabilir.
Sarsma şiddeti, süresi, sıklığı ne kadar artarsa bebeklerde o kadar ciddi fiziksel ve psikolojik zarara yol açar. Örneğin, sarsılmış bebek sendromu yaşayan bebeklerde uyku düzeninde bozulma, sinirlilik, kontrol edilemeyen ağlama, iştahsızlık, bilinç kaybı gibi günlük hayatını oldukça etkileyecek belirtiler gözlemlenebilir. Bu durum, hem bebekte hem de ebeveynlerde yorgun bir ruh hali oluşturur ve aile dengesini bozar. Ayrıca, sarsılmış bebek sendromu yaşayan bebeklerde 1/3 oranında ölüm, 1/3 oranında ise dikkat eksikliği, hafıza kaybı, zihinsel gerilik, ve öğrenme zorlukları gibi kalıcı hasarlar meydana gelmektedir. Sarsılmış bebek sendromunun önüne geçmek için ailelere eğitimler verilmelidir. Bebeklerde uzun süreli ağlamaların gelişimlerinin bir parçası olduğunu, bebekleri yatıştırma yollarını ve sarsma zararlarını anlatmak aile içerisinde farkındalık yaratabilir. Bebeği yatıştırmak için temel ihtiyaçların karşılanmış olması, anne rahmindeki seslere benzer beyaz gürültü denen seslerin kullanılması, sindirime yardımcı olmak için bebeğin sol tarafa döndürülmesi, bebeğin yavaş şekilde sallanması, kundaklama yapmak, oyuncak olan uyku arkadaşı ile uyutmak, bebekle yavaş ve sakin bir ses tonu ile konuşmak ağlama krizlerinin önüne geçebilecek yollar olarak gösterilebilir.
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