Disfaji (yutma g\u00fc\u00e7l\u00fc\u011f\u00fc) genellikle ileri ya\u015flarda g\u00f6r\u00fclen boyun ve bo\u011faz a\u011fr\u0131s\u0131 ile birlikte olabilen ciddi bir bulgudur. Beraberinde boyunda \u015fi\u015fme, g\u00f6\u011f\u00fcste ve bo\u011fazda a\u011fr\u0131, a\u011f\u0131za ek\u015fi s\u0131v\u0131 gelmesi, kilo kayb\u0131 ve h\u0131r\u0131lt\u0131 gibi e\u015flik eden semptomlar olabilir. Hastan\u0131n hikayesinde \u00fclser, n\u00f6rolojik hastal\u0131klar, zat\u00fcrre, mide f\u0131t\u0131\u011f\u0131 ve Raynaud gibi hastal\u0131klar sorgulan\u0131r. Ayr\u0131ca kimyasal madde yutma hikayesi, ge\u00e7mi\u015finde burundan mideye indirilen sonda olup olmad\u0131\u011f\u0131 sorgulan\u0131r.<\/p>\n
Muayenede boyunda kitle olup olmad\u0131\u011f\u0131na bak\u0131l\u0131r. Yutma g\u00fc\u00e7l\u00fc\u011f\u00fcnde a\u011f\u0131z- bo\u011faz b\u00f6lgesi ve yemek borusu olmak \u00fczere iki ana b\u00f6lgede te\u015fhis ara\u015ft\u0131rmas\u0131 yap\u0131lmal\u0131d\u0131r.<\/p>\n
A\u011f\u0131z \/ Bo\u011faz<\/p>\n
Bu b\u00f6lgede \u00fc\u00e7 ana neden \u00f6n plana \u00e7\u0131kar;<\/p>\n
a) N\u00f6rolojik
b) Kendini kitleyle belli eden hastal\u0131klar
c) Kas hastal\u0131klar\u0131
d) Enfeksiyonlar<\/p>\n
Bu tip hastal\u0131klarda \u00f6\u011f\u00fcrme refleksinde de\u011fi\u015fiklikler g\u00f6r\u00fclebilir. Bo\u011fazda rahats\u0131zl\u0131k hissi, t\u00fckr\u00fc\u011f\u00fcn solunum yollar\u0131na ka\u00e7mas\u0131 ve \u00f6ks\u00fcr\u00fck s\u0131k g\u00f6r\u00fcl\u00fcr..Enfeksiyon varsa, \u015fiddetli bo\u011faz a\u011fr\u0131s\u0131, yutkunma s\u0131ras\u0131nda a\u011fr\u0131 ve a\u011f\u0131zdan t\u00fckr\u00fck akmas\u0131 g\u00f6r\u00fclebilir. A\u011f\u0131r farenjit ve bademcik apseleri bu durumlara \u00f6rnektir. Enfeksiyonlar muayene ile kolayca te\u015fhis edilebilirler.<\/p>\n
Baz\u0131 hastalar ise yutkunmakla bo\u011fazda bir kitle hissettiklerini s\u00f6ylerler ki, sorun genellikle psikolojiktir.<\/p>\n
Yemek Borusu<\/p>\n
Yemek borusu ile ilgili sorunlar, yemek borusunun \u00e7al\u0131\u015fmas\u0131na ait hastal\u0131klar ve yap\u0131sal hastal\u0131klar olmak \u00fczere ikiye ayr\u0131l\u0131r.<\/p>\n
a) \u00c7al\u0131\u015fma problemleri
b) Yap\u0131sal problemler<\/p>\n
\u00c7al\u0131\u015fma problemleri tak\u0131lma hissine yol a\u00e7ar. Mide i\u00e7eri\u011finin geri gelmesine ba\u011fl\u0131 rahats\u0131zl\u0131k hissi olabilir.Spazm olabilir. Kalp \u00e7evresinde a\u011fr\u0131 hissedilebilir.<\/p>\n
Yap\u0131sal sorunlarda daha \u00e7ok kat\u0131 g\u0131dalar\u0131 yutma problemi olur. Refl\u00fc gibi \u015fikayetler olur. T\u00fcm\u00f6ral bir olay varsa kilo kayb\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r.Yemek borusunda ceple\u015fme olmas\u0131(divertik\u00fcl) a\u011f\u0131zda k\u00f6t\u00fc kokuya neden olabilir.<\/p>\n
Tedavi altta yatan nedene g\u00f6re d\u00fczenlenir. Ya\u015f ilerledik\u00e7e t\u00fckr\u00fck miktar\u0131n\u0131n azalmas\u0131 da yutma g\u00fc\u00e7l\u00fc\u011f\u00fcne zemin haz\u0131rlayabilir. Kad\u0131nlarda kanda hemoglobin d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcyle (demir eksikli\u011fi anemisi = kans\u0131zl\u0131k) seyreden yutma g\u00fc\u00e7l\u00fc\u011f\u00fc yapabilen yemek borusu hastal\u0131\u011f\u0131 Mallory \u2013 Weiss da ara\u015ft\u0131r\u0131lmal\u0131d\u0131r<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[117,100,142,105],"class_list":["post-1818","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-agiz","tag-agri","tag-bogaz","tag-yemek-borusu"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1818","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=1818"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1818\/revisions"}],"predecessor-version":[{"id":1819,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1818\/revisions\/1819"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=1818"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=1818"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=1818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}