{"id":220,"date":"2024-04-27T04:24:05","date_gmt":"2024-04-27T01:24:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=220"},"modified":"2024-04-27T04:24:05","modified_gmt":"2024-04-27T01:24:05","slug":"kronik-oksuruk","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/kronik-oksuruk\/","title":{"rendered":"Kronik \u00f6ks\u00fcr\u00fck"},"content":{"rendered":"<p>Nedenler burun ya da geniz b\u00f6lgesinden ba\u015flay\u0131p alt solunum yollar\u0131na kadar uzan\u0131r.<\/p>\n<p>Sigara i\u00e7meyen akci\u011fer filmi normal olan hastalar\u0131n %92 sinde temel olarak 3 sebep tespit edilmi\u015ftir.<\/p>\n<p>1) \u00dcst hava yolu sendromu (<em>daha \u00f6nce geniz ak\u0131nt\u0131s\u0131na ba\u011fl\u0131 \u00f6ks\u00fcr\u00fck sendromu deniliyordu<\/em>) Sin\u00fcsleri ve burnu y\u0131kayan salg\u0131 burun bo\u015flu\u011fu geniz b\u00f6lgesinden bo\u011faz do\u011fru akar. Bu baz\u0131 hastalar taraf\u0131ndan \u015fiddetli olarak alg\u0131lan\u0131r ve \u00f6ks\u00fcr\u00fc\u011fe yol a\u00e7ar. Bu durum alerjik rinit, vazomotor rinit, enfeksiyon sonras\u0131 rinit, bakteriyel sin\u00fczit, alerjinin e\u015flik etti\u011fi mantar sin\u00fczitleri, kimyasal buhar ve tozlar, mesleki ortam,gebelik, burun damlalar\u0131n\u0131n \u00e7ok uzun s\u00fcre ve s\u0131k kullan\u0131m\u0131 \u015fiddetli geniz ak\u0131nt\u0131s\u0131 ve inat\u00e7\u0131 \u00f6ks\u00fcr\u00fc\u011fe yol a\u00e7ar.<\/p>\n<p>2) Ast\u0131m, havayolu darl\u0131\u011f\u0131, nefes darl\u0131\u011f\u0131 \u00f6ks\u00fcr\u00fck ve h\u0131r\u0131lt\u0131-c\u0131z\u0131lt\u0131 (<em>wheezing<\/em>) ile karakterizedir.<\/p>\n<p>3) Refl\u00fc (<em>mideden yemek borusu ve bo\u011faza asit ka\u00e7\u0131\u015f\u0131<\/em>) Bu asit ka\u00e7\u0131\u015f\u0131 \u00f6ks\u00fcr\u00fck refleksini tetikler. Di\u011fer bir nedense mideden gelen asit i\u00e7eri\u011finin soluk borusuna ka\u00e7mas\u0131 \u00f6ks\u00fcr\u00fc\u011f\u00fc tetikler.<\/p>\n<p>Di\u011fer \u00f6nemli sebepler ise sigara ve ACE inhibit\u00f6r\u00fc olarak adland\u0131r\u0131lan tansiyon ila\u00e7lar\u0131d\u0131r. Sigaran\u0131n b\u0131rak\u0131lmas\u0131ndan 4 hafta sonra belirtilen tansiyon ilac\u0131n\u0131n b\u0131rak\u0131lmas\u0131ndan 2 hafta sonra \u00f6ks\u00fcr\u00fck \u015fikayetleri d\u00fczelir.<\/p>\n<p>Bu \u00fc\u00e7 durum uzun s\u00fcreli inat\u00e7\u0131 \u00f6ks\u00fcr\u00fcklerde en \u00f6nemli nedenlerdir. \u201cHastan\u0131n akci\u011fer filmi normal ve sigara i\u00e7miyorsa\u201d<\/p>\n<p><strong>Ge\u00e7emeyen \u00f6ks\u00fcr\u00fcklerde di\u011fer nedenler ise<\/strong><br \/>  &#8211; Bron\u015fiektazi<br \/>  &#8211; Bron\u015fit<br \/>  &#8211; Bron\u015f kanseri<br \/>  &#8211; Aspirasyon<br \/>  &#8211; Kronik t\u0131kay\u0131c\u0131 akci\u011fer hastal\u0131\u011f\u0131<br \/>  &#8211; Kalp yetmezli\u011fi<br \/>  &#8211; Yabanc\u0131 cisim<br \/>  &#8211; \u0130nterstisiyel akci\u011fer hastal\u0131\u011f\u0131<br \/>  &#8211; N\u00f6rom\u00fcsk\u00fcler hastal\u0131lar<br \/>  &#8211; Pertusis<br \/>  &#8211; Psikolojik \u00f6ks\u00fcr\u00fck<br \/>  &#8211; Sarcoidozis<br \/>  &#8211; Yemek borusu soluk borusu aras\u0131nda ka\u00e7ak<br \/>  &#8211; T\u00fcberk\u00fcloz<br \/>  &#8211; Zenker divertik\u00fcl\u00fc (yemek borusunda cep olu\u015fmas\u0131 ve g\u0131dalar\u0131n bu cepte birikip daha sonra refl\u00fcye ve a\u011f\u0131z kokusuna yol a\u00e7ar)<\/p>\n<p>Sonu\u00e7 olarak hastada inat\u00e7\u0131 \u00f6ks\u00fcr\u00fck varsa KBB ve g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzman\u0131na ba\u015fvurur hastada detayl\u0131 endoskopik muayene ard\u0131ndan gerekirse ileri tetkik y\u00f6ntemleri ile de\u011ferlendirilir.<\/p>\n<p><strong>Kronik (\u0130nat\u00e7\u0131) \u00d6ks\u00fcr\u00fck<\/strong><\/p>\n<p>Sa\u011fl\u0131kl\u0131 insanda \u00f6ks\u00fcr\u00fck normal bir reflekstir. S\u00fcreklilik arz etmesi \u00f6nemli bir hastal\u0131\u011f\u0131n belirtisi olabilir. Akut yani aniden ortaya \u00e7\u0131kan \u00f6ks\u00fcr\u00fc\u011f\u00fcn nedeni genellikle bulunur ve tedavisi kolayd\u0131r. 3 haftadan fazla s\u00fcren \u00f6ks\u00fcr\u00fckler ise kronik \u00f6ks\u00fcr\u00fck olarak adland\u0131r\u0131l\u0131r ve daha derin ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. \u00d6ks\u00fcr\u00fcklerin \u00f6nemli bir k\u0131sm\u0131nda neden birden fazla olabilir. Nedenler burun ya da geniz b\u00f6lgesinden ba\u015flay\u0131p alt solunum yollar\u0131na kadar uzan\u0131r.Eri\u015fkinlerde en s\u0131k 3 neden geniz ak\u0131nt\u0131s\u0131, ast\u0131m ve refl\u00fc hastal\u0131\u011f\u0131d\u0131r.<\/p>\n<p><strong>A. Solunum yolunu ilgilendiren nedenler<\/strong><\/p>\n<p>1. Enfeksiyon (sin\u00fczit, geniz eti iltihab\u0131, bademcik iltihab\u0131, t\u00fcberk\u00fcloz, viral \u00fcst solunum yolu enfeksiyonu).<br \/>  2. Ast\u0131m<br \/>  3. Mekanik nedenler (burunda ve bron\u015fta yabanc\u0131 cisim, kulak kiri)<br \/>  4. \u00c7evresel fakt\u00f6rler (sigara duman\u0131, toz, hava kirlili\u011fi vs.)<\/p>\n<p><strong>B. \u0130ltihabi akci\u011fer hastal\u0131klar\u0131<\/strong><\/p>\n<p><strong>C. Akci\u011fer t\u00fcm\u00f6rleri ve kistleri g\u0131rtla\u011fa ait hastal\u0131klar ve yabanc\u0131 cisimler.<\/strong><\/p>\n<p><strong>D. Psikolojik \u00f6ks\u00fcr\u00fck<\/strong><\/p>\n<p><strong>E. Baz\u0131 kalp ve tansiyon ila\u00e7lar\u0131<\/strong><\/p>\n<p>\u00c7ocuklarda \u00f6ks\u00fcr\u00fck nedeni ya\u015f ile de\u011fi\u015fir. \u0130lk 1.5 ya\u015fta refl\u00fc, b\u00fcy\u00fck damar anomalileri ve ast\u0131m en s\u0131k nedenlerdir. 6 ya\u015f\u0131na kadar geniz eti, bademcik iltihab\u0131, ast\u0131m ve sin\u00fczit ilk 4 s\u0131ray\u0131 olu\u015fturur. 6 \u2013 16 ya\u015f aras\u0131nda ise en \u00f6nemli 3 neden ast\u0131m, psikolojik ve sin\u00fczittir.<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kronik \u00f6ks\u00fcr\u00fck 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":[145,38,144,143,76],"class_list":["post-220","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-astim","tag-neden","tag-nedenler","tag-oksuruk","tag-yol"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/220","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=220"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/220\/revisions"}],"predecessor-version":[{"id":221,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/220\/revisions\/221"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}