Gastro\u00f6safajial refl\u00fc mide i\u00e7eri\u011finin istem d\u0131\u015f\u0131 olarak \u00f6safagusa yanl\u0131\u015f y\u00f6nde akmas\u0131 sonucunda olu\u015fur. \u0130nfantlarda bu tip refl\u00fc fonksiyoneldir ve genellikle kendili\u011finden kaybolur, ancak refl\u00fc hastal\u0131k haline geldi\u011finde anemi, geli\u015fme gerili\u011fi, a\u015f\u0131r\u0131 huzursuzluk, apne, bronkokonstriksiyon, ses k\u0131s\u0131kl\u0131\u011f\u0131, ani bebek \u00f6l\u00fcm\u00fc sendromu gibi klinik komplikasyonlar olu\u015fturur. Daha b\u00fcy\u00fck \u00e7ocuklarda daha az g\u00f6r\u00fcl\u00fcr, ancak g\u00f6r\u00fcld\u00fc\u011f\u00fcnde mide yanmas\u0131, \u00f6safajit, solunum s\u0131k\u0131nt\u0131s\u0131 gibi klasik semptomlar yapar. Fizyopatolojisinde bir \u00e7ok hipotez bulunmaktad\u0131r. D\u00fc\u015f\u00fck alt \u00f6safagus sfingter bas\u0131nc\u0131 ve alt \u00f6safagus sfingterinin \u00f6safagus peristaltismi ile uyumuz olarak ge\u00e7ici gev\u015femesi \u00f6nerilen nedenler aras\u0131ndad\u0131r. Allerji ve inek s\u00fct\u00fc intolerans\u0131 gibi hastal\u0131klar da refl\u00fc nedeni olabilir.<\/p>\n
Refl\u00fc’n\u00fcn neden oldu\u011fu \u00f6nemli hastal\u0131klar:<\/strong><\/p>\n –Ani infant \u00f6l\u00fcm sendromu:<\/strong> Mide i\u00e7eri\u011fi farenkse ge\u00e7ince larengofarengeal kemoresept\u00f6rleri stim\u00fcle ederek apne olu\u015fturur. Ani \u00e7ocuk \u00f6l\u00fcm\u00fcnde apne nedenlerinin %10’u refl\u00fc olarak g\u00f6sterilmi\u015ftir.<\/p>\n –Ast\u0131m:<\/strong> Bu hastalarda ast\u0131m %25-75 oran\u0131nda g\u00f6r\u00fcl\u00fcr. Refl\u00fc i\u00e7eriklerinin aspire edilmesi ile solunum yollar\u0131nda hiper reaksiyon olu\u015fur. Standard astma tedavisine cevap al\u0131nmaz ise refl\u00fc ve ast\u0131m tedavisi bir arada uygulanabilir.<\/p>\n –Rek\u00fcrrent pn\u00f6moni:<\/strong> Rek\u00fcrren pn\u00f6moni nedenleri aras\u0131nda refl\u00fc de d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n –\u00dcst solunum yolu hastal\u0131klar\u0131:<\/strong> \u00d6safag\u00fcs i\u00e7erikleri, yukar\u0131da larengo \u00f6safajial b\u00f6lgede asid artmas\u0131na ve larenks b\u00f6lgesinin s\u00fcrekli irritasyonuna neden olur. Ses k\u0131s\u0131kl\u0131\u011f\u0131, stridor, kronik \u00f6ks\u00fcr\u00fck, globus hissi, disfoni, rek\u00fcrent krup, subglottik stenoz, posterior glottik \u00f6dem, posterior eritem yapar.<\/p>\n –Kronik t\u00fcbotimpanik bozukluklar: <\/strong>Farengeal refl\u00fc ve rek\u00fcrren rinofarejit sonucu tubotimpanik fonksiyon bozuklu\u011fu olu\u015fur. Yap\u0131lan ara\u015ft\u0131rmalarda baz\u0131 orta kulak mayilerinde pepsin bulunmu\u015ftur.<\/p>\n Rek\u00fcrrent sin\u00fcs hastal\u0131\u011f\u0131 ve farenjitlerin potansiel nedenleri aras\u0131nda refl\u00fc bulunmaktad\u0131r<\/p>\n Ultrason, sintigrafi, floroskopi, ve pH monitorizasyonu diagnostik metodlar aras\u0131ndad\u0131r. Multikanal intraluminal impedans \u00f6l\u00e7\u00fcmleri bu hastal\u0131\u011f\u0131n fizyopatolojisini alg\u0131lamada yenilik olmu\u015ftur. Refl\u00fc miktar\u0131n\u0131, retrograde bolus iletimini, bolus h\u0131z ve y\u00f6n\u00fcn\u00fc, apne miktar\u0131n\u0131 ve pH metreyi g\u00f6sterir. <\/p>\n Refl\u00fc son y\u0131llarda olduk\u00e7a pop\u00fcler olmu\u015f bir konudur, endoskopik tetkiklerin geli\u015fmesi ile refl\u00fcn\u00fcn \u00f6nemi daha \u00e7ok kavranm\u0131\u015ft\u0131r. Buna ba\u011fl\u0131 olarak baz\u0131 \u00e7ocuk ve eri\u015fkin hastal\u0131klar\u0131n\u0131n etyolojisinde refl\u00fcn\u00fcn rol oynad\u0131\u011f\u0131 anla\u015f\u0131lm\u0131\u015ft\u0131r. Sonu\u00e7ta tedavi ve hastal\u0131\u011fa bak\u0131\u015f a\u00e7\u0131s\u0131 de\u011fi\u015fmi\u015ftir.<\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Reflu 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":[88,38,106],"class_list":["post-202","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-hastalik","tag-neden","tag-reflu"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/202","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=202"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/202\/revisions"}],"predecessor-version":[{"id":203,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/202\/revisions\/203"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}