{"id":416,"date":"2024-04-27T19:24:05","date_gmt":"2024-04-27T16:24:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=416"},"modified":"2024-04-27T19:24:05","modified_gmt":"2024-04-27T16:24:05","slug":"hamilelik-ve-kulak-burun-bogaza-ait-sorunlar","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/hamilelik-ve-kulak-burun-bogaza-ait-sorunlar\/","title":{"rendered":"Hamilelik ve kulak burun bo\u011faz&#8217;a  ait sorunlar"},"content":{"rendered":"<p><strong>ORTA KULAK HAVALANMA BOZUKLU\u011eU<\/strong><\/p>\n<p> Geniz b\u00f6lgesindeki \u00f6dem (mukozal \u015fi\u015fkinlik) nedeni ile \u00f6ztaki borusu a\u011fz\u0131n\u0131n kapanmas\u0131 sonucu orta kula\u011fa giden havan\u0131n azalmas\u0131, orta kulak da negatif bas\u0131n\u00e7 etkisi yaratarak; kulak da dolgunluk, bas\u0131n\u00e7 hissi, \u00e7\u0131nlama ve i\u015fitme azl\u0131\u011f\u0131na neden olabilir. Burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 ortadan kald\u0131ran tedavi ve bol su i\u00e7ilmesi (yutkunma \u00e7ok yararl\u0131d\u0131r)\/sak\u0131z \u00e7i\u011fnenmesi ile \u015fikayetler engellenebilir. Burun kanatlar\u0131n\u0131 s\u0131k\u0131ca kapat\u0131p kulaklara -\u0131k\u0131nma hareketi gibi- hava verilmesi do\u011fru de\u011fildir, genizdeki salg\u0131\/mikroorganizmalar\u0131n orta kula\u011fa y\u00f6nelmesine neden olabilir.<\/p>\n<p><strong>Y\u00dcZ FELC\u0130<\/strong><\/p>\n<p> Hamilelik d\u00f6neminde \u00f6dem art\u0131\u015f\u0131 ve ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin d\u00fc\u015f\u00fck olmas\u0131 nedeni ile, virusun (<em>Herpes Simplex-<\/em>U\u00e7uk virus\u00fcne benzer!) y\u00fcz siniri kanal\u0131 i\u00e7inde \u00f6dem olu\u015fturmas\u0131 ve y\u00fcz kaslar\u0131n\u0131 olumsuz etkilemesi, y\u00fcz felci olma ihtimalini 2 ya da 3 kez artt\u0131r\u0131r. Genellikle y\u00fcz\u00fcn bir yar\u0131s\u0131ndaki kaslar\u0131n \u00e7al\u0131\u015fmamas\u0131 s\u00f6z konusudur, y\u00fcz \u00e7izgileri silinir, g\u00f6z tam kapanamaz, a\u011f\u0131z kenar\u0131nda \u00e7arp\u0131kl\u0131k vard\u0131r. \u00d6zellikle gebeli\u011fin son aylar\u0131, y\u00fcz felcinin g\u00f6r\u00fclme ihtimalinin y\u00fcksek oldu\u011fu d\u00f6nemdir. Klinik \u015fikayetler ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda uygun tedavi (steroid-kortizon) uzman doktor taraf\u0131ndan ba\u015flat\u0131lmal\u0131d\u0131r. Tedavi sonras\u0131, 3 hafta i\u00e7inde bulgular\u0131n hemen hepsi d\u00fczelir.<\/p>\n<p><strong>AS\u0130T REFL\u00dc (Mide asidinin yukar\u0131ya y\u00fckselmesi)<\/strong><\/p>\n<p> Hamilelik d\u00f6neminde %50 oran\u0131nda g\u00f6r\u00fcl\u00fcr. Yemek borusu alt k\u0131s\u0131m tonusunda azalma ve kar\u0131n-i\u00e7i bas\u0131nc\u0131nda artma, refl\u00fc\u2019y\u00fc kolayl\u0131kla ortaya \u00e7\u0131kar\u0131r. G\u00f6\u011f\u00fcsde yanma, \u00f6ks\u00fcr\u00fck, bo\u011faz a\u011fr\u0131s\u0131, ses k\u0131s\u0131kl\u0131\u011f\u0131 olabilir. Yemek yeme al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 de\u011fi\u015ftirmek, diyete dikkat edilmesi ve ila\u00e7 tedavisi, refl\u00fc rahats\u0131zl\u0131\u011f\u0131n\u0131 belirgin \u00f6l\u00e7\u00fcde azaltacakt\u0131r. Kullan\u0131lan anti-asit ila\u00e7lar\u0131n bir\u00e7o\u011funun bebe\u011fin geli\u015fimine olumsuz etki yapma riski oldu\u011fundan uzman doktora dan\u0131\u015fmadan anti-asit ila\u00e7 kullanmay\u0131n\u0131z.<\/p>\n<p><strong>LARENJ\u0130T<\/strong><\/p>\n<p> Artm\u0131\u015f mukoza \u00f6demi ve damarlanma, g\u0131rtlakb\u00f6lgesinde iltihap olu\u015fturabilir. Larenjit (g\u0131rtlak b\u00f6lgesi iltihab\u0131), k\u0131sa s\u00fcreli veya uzun s\u00fcreli olabilir. \u0130ltihap giderici bo\u011faz gargaras\u0131, bol \u0131l\u0131k su t\u00fcketilmesi, <em>paracetamol<\/em> (Calpol, Tylol, Tamol tb.vb.) i\u00e7eren ila\u00e7lar\u0131n birka\u00e7 g\u00fcn kullan\u0131lmas\u0131 yararl\u0131 olabilir. Rahats\u0131zl\u0131\u011f\u0131n 5-7 g\u00fcnden uzun s\u00fcrmesi halinde, KBB muayenesi ve endoskopik g\u0131rtlak\/ses telleri muayenesi, uzman doktora tedavi konusunda \u00e7ok yard\u0131mc\u0131 olacakt\u0131r.<\/p>\n<p><strong>A\u015eIRI T\u00dcKR\u00dcK SALGI ARTI\u015eI (Hipersalivasyon)<\/strong><\/p>\n<p> Hormonal de\u011fi\u015fiklikler ve karbohidrat metabolizmasindaki de\u011fi\u015fiklikler, hamile bayanlarda t\u00fckr\u00fck \u00fcretimini artt\u0131r\u0131r. G\u00fcn i\u00e7erisinde bardaklar dolusu t\u00fckr\u00fck \u00e7\u0131kar\u0131lmas\u0131na dahi rastlan\u0131labilir hatta s\u0131v\u0131 kayb\u0131na neden olabilir.  Bulant\u0131 ve kusma ve refl\u00fc, bu sorunu artt\u0131ran di\u011fer nedenlerdir. \u0130lk aylarda t\u00fckr\u00fck art\u0131\u015f\u0131 daha s\u0131k g\u00f6r\u00fclmektedir. T\u00fckr\u00fck ak\u0131\u015f\u0131n\u0131 azaltan\/engelleyen etkenler de akla getirilmelidir (bo\u011faz iltihab\u0131, larenjit, yutma bozukluklar\u0131 vb.). Tedavi nedene y\u00f6nelik olmal\u0131d\u0131r. S\u0131k olarak di\u015fleri f\u0131r\u00e7alama ve ni\u015fastadan fakir diyet \u00f6nerilmelidir. Nadiren, ila\u00e7 tedavisi veya t\u00fckr\u00fck bezlerine y\u00f6nelik giri\u015fim (ila\u00e7 enjeksiyonu) d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n<p><strong>ORTA KULA\u011eA A\u0130T \u0130\u015e\u0130TME AZLI\u011eI (<em>OTOSKLEROZ<\/em>)<\/strong><\/p>\n<p><em>Otoskleroz<\/em> ad\u0131 verilen orta kulak i\u00e7indeki \u00fczengi kemik\u00e7ik taban\u0131n\u0131n kire\u00e7lenmeye benzer bir rahats\u0131zl\u0131\u011f\u0131, kad\u0131nlarda s\u0131k g\u00f6r\u00fcl\u00fcr ve genetik ge\u00e7i\u015f g\u00f6sterir. Hormon seviyelerindeki art\u0131\u015f, hamilelik d\u00f6neminde \u015fikayetleri artt\u0131rabilir. \u0130\u015fitme azl\u0131\u011f\u0131 ve \u00e7\u0131nlama, ana klinik rahats\u0131zl\u0131klard\u0131r. Her iki kulakda g\u00f6r\u00fclme ihtimali daha fazlad\u0131r. E\u011fer fazla i\u015fitme kayb\u0131 yok ise i\u015fitme cihaz\u0131 \u00f6nerilebilir. Cerrahi tedavi, i\u015fitme kayb\u0131n\u0131n\/\u00e7\u0131nlaman\u0131n fazla oldu\u011fu durumda d\u00fc\u015f\u00fcn\u00fclmelidir (hamilelik sonras\u0131nda). Ameliyat s\u0131ras\u0131nda -\u00e7o\u011funlukla genel anestezi alt\u0131nda- orta kula\u011fa girilerek, \u00fczengi kemik\u00e7i\u011fi \u00e7\u0131kar\u0131l\u0131p teflon piston protez yerle\u015ftirilir.  Ameliyat s\u0131ras\u0131nda i\u00e7 kula\u011fa zarar verme oran\u0131 %2-3 aras\u0131ndad\u0131r. O nedenle ameliyat, deneyimli bir cerrah taraf\u0131ndan ger\u00e7ekle\u015ftirilmelidir.<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hamilelik ve kulak burun bo\u011faz&#8217;a  ait sorunlar 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":[71,38,92,42,56],"class_list":["post-416","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-ilac","tag-neden","tag-orta","tag-tedavi","tag-yuz"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/416","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=416"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/416\/revisions"}],"predecessor-version":[{"id":417,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/416\/revisions\/417"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=416"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=416"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}