{"id":426,"date":"2024-04-27T20:24:06","date_gmt":"2024-04-27T17:24:06","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=426"},"modified":"2024-04-27T20:24:06","modified_gmt":"2024-04-27T17:24:06","slug":"kroniklesmis-sinuzit-sikayetleri","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/kroniklesmis-sinuzit-sikayetleri\/","title":{"rendered":"Kronikle\u015fmi\u015f sin\u00fczit \u015fikayetleri"},"content":{"rendered":"<p> Genel olarak 3 aydan fazla sorunu devam eden veya y\u0131lda 3-6 defa sin\u00fczit ata\u011f\u0131 ge\u00e7irenlerin, kronik veya tekrarlayan sin\u00fczit rahats\u0131zl\u0131\u011f\u0131 var d\u0131r. Kronikle\u015fmi\u015f sin\u00fczit\u2019i olan ki\u015filer g\u00fcn i\u00e7inde ve uyku s\u0131ras\u0131nda \u00e7ok rahats\u0131zd\u0131rlar. \u0130\u015f ve okul ya\u015fam\u0131 da ciddi \u015fekilde etkilenebilir. Bir\u00e7ok hasta \u015fikayetlerinin hi\u00e7 ge\u00e7meyece\u011fini d\u00fc\u015f\u00fcn\u00fcr.<\/p>\n<p><strong>Moral bozan bu \u015fikayetleri an\u0131msatmak istiyorum ;<\/strong><\/p>\n<p><em>-\u2018S\u00fcrekli balgam \u00e7\u0131kartmak zorunda kal\u0131yorum !\u2019<\/em><\/p>\n<p> -\u2018<em>Burnum ve \u00e7evresi t\u0131kal\u0131, dolu, a\u011f\u0131rl\u0131k var<\/em><em>!<\/em>\u2019<\/p>\n<p><em>-\u2018Kulaklar\u0131mda bas\u0131n\u00e7 oluyor ! bazen duyam\u0131yorum !\u2019<\/em><\/p>\n<p> -\u2018<em>Geceleri horlad\u0131\u011f\u0131m\u0131 s\u00f6yl\u00fcyorlar, evdekiler uyuyam\u0131yormu\u015f !\u2019<\/em><\/p>\n<p><em>-\u2018A\u011f\u0131z kokusundan e\u015fim ve  \u00e7evremdekiler rahats\u0131z oluyor ! <\/em><\/p>\n<p><em>  \u00c7ok \u00fcz\u00fcl\u00fcyorum !\u2019<\/em><\/p>\n<p><em>&#8211; \u2018Uzun s\u00fcredir koku alam\u0131yorum..ve yaln\u0131z kald\u0131\u011f\u0131m zaman, evde bir\u015fey <\/em><\/p>\n<p><em> olup haberim olmayacak diye bazen korkuyorum !\u2019<\/em><\/p>\n<p><em>-\u2018G\u00fcnd\u00fcz masa ba\u015f\u0131nda uyuklad\u0131\u011f\u0131m zamanlar oluyor ! yorgunluk var \u00fczerimde !\u2019<\/em><\/p>\n<p><em><u>Belirgin Sin\u00fczit \u015fikayetleri<\/u><\/em><em>:<\/em><\/p>\n<ul>\n<li> A\u011fr\u0131 (Y\u00fcz ya da ba\u015f\u2019da)<\/li>\n<li> Burun t\u0131kan\u0131kl\u0131\u011f\u0131<\/li>\n<li> Geniz ak\u0131nt\u0131s\u0131<\/li>\n<li> Koku da azalma<\/li>\n<\/ul>\n<p><em><u>ana<\/u><\/em>problemlerdir.<\/p>\n<p> Ate\u015f, kronik sin\u00fczit tablosunda pek bulunmaz. Kronik sin\u00fczit\u2019deki y\u00fcksek ate\u015f varl\u0131\u011f\u0131nda ciddi bir komplikasyon (istenmeyen yan etki) d\u00fc\u015f\u00fcn\u00fclmelidir.<\/p>\n<p> Kronikle\u015fmi\u015f sin\u00fczit, alerji ve\/veya <em>polipozis<\/em> olarak adland\u0131r\u0131lan burun etleri (polipleri) olu\u015fumu ile birlikte ortaya \u00e7\u0131kabilir. Burun i\u00e7inde anatomik olarak yolu daraltan kemik\/k\u0131k\u0131rdak e\u011frilik ya da <em>konka\/<\/em> burun eti b\u00fcy\u00fckl\u00fc\u011f\u00fc de sin\u00fczit\u2019in tekrarlamas\u0131na\/uzun s\u00fcrmesine neden olacakt\u0131r. Burun t\u0131kan\u0131kl\u0131\u011f\u0131, burun \u00fcst\u00fc\/\u00e7evresinde bas\u0131n\u00e7-a\u011fr\u0131 hissi, geniz arkas\u0131na ak\u0131nt\u0131, koku alamama, a\u011f\u0131z kokusu, kronik yorgunluk, burun kanamas\u0131, orta kulak sorunu, dikkatsizlik, \u00f6ks\u00fcr\u00fck, zaman zaman ortaya \u00e7\u0131kan ba\u015f a\u011fr\u0131lar\u0131, refl\u00fc, stres genel rahats\u0131zl\u0131klard\u0131r.<\/p>\n<div>\n<p><strong> Uzun s\u00fcredir devam eden <u>YORGUNLUK<\/u> \u015fikayeti olan ki\u015fide, <\/strong><\/p>\n<p><strong><u>KRON\u0130K S\u0130N\u00dcZ\u0130T<\/u> olabilir !<\/strong><\/p>\n<\/div>\n<p><strong><u>BA\u015e\/Y\u00dcZ A\u011eRISI<\/u><\/strong><\/p>\n<p> A\u011fr\u0131 ve dolgunluk, bas\u0131n\u00e7 hissi \u00e7o\u011fu zaman birliktedir. Ba\u015f ve y\u00fczdeki a\u011fr\u0131, sin\u00fcs iltihab\u0131n\u0131n yerine g\u00f6re de\u011fi\u015fecektir (t\u0131bbi terimler olarak);<\/p>\n<ul>\n<li> Al\u0131n sin\u00fcs\u00fc iltihab\u0131nda; Ka\u015flar hizas\u0131nda ve al\u0131nda a\u011fr\u0131 hissedilir.<\/li>\n<li> G\u00f6z-burun aras\u0131ndaki sin\u00fcs iltihab\u0131nda; a\u011fr\u0131, bas\u0131n\u00e7 dolgunluk burun  \u00e7evresindedir.<\/li>\n<li> \u00dcst\u00e7ene sin\u00fcs iltihab\u0131nda; yanak b\u00f6lgesinde a\u011fr\u0131 ve dolgunluk vard\u0131r.<\/li>\n<li> Burun derinindeki (sfenoid) sin\u00fczit\u2019de; burun arka b\u00f6lgedeki sin\u00fcs  <\/li>\n<\/ul>\n<p> iltihab\u0131d\u0131r, g\u00f6z arkas\u0131nda yo\u011fun a\u011fr\u0131 olu\u015fturabilir.<\/p>\n<p><em>Sin\u00fcs a\u011fr\u0131lar\u0131<\/em><\/p>\n<p> Sin\u00fcs a\u011fr\u0131lar\u0131 sevimsizdir, sabah uyan\u0131nca sin\u00fcs a\u011fr\u0131s\u0131 ba\u015flar. G\u00fcn boyunca a\u011fr\u0131 artar ve hastalar bas\u0131nc\u0131 daha \u00e7ok hissederler. Ba\u015f hareketleri (e\u011filmek vb.) ile sin\u00fcs bas\u0131nc\u0131 artt\u0131\u011f\u0131 i\u00e7in daha \u00e7ok rahats\u0131z olunur. Ara\u015ft\u0131rmalar, sin\u00fcs a\u011fz\u0131n\u0131n a\u011fr\u0131ya daha hassas oldu\u011funu g\u00f6stermi\u015ftir. A\u011fr\u0131 art\u0131\u015f\u0131nda g\u00fcnl\u00fck aktivitelerin de etkisi bulunur (merdiven \u00e7\u0131kmak, e\u011filmek, spor vb.). Basit a\u011fr\u0131 kesiciler a\u011fr\u0131y\u0131 hemen ortadan kald\u0131rmayabilir. Burun a\u00e7\u0131c\u0131 ila\u00e7lar ve a\u011fr\u0131 kesici\/iltihap giderici etkisi olan ila\u00e7lar a\u011fr\u0131y\u0131 engeller. Al\u0131n \u00e7evresi, g\u00f6z etraf\u0131, \u00fcst\u00e7ene, g\u00f6z arkas\u0131 a\u011fr\u0131 merkezi olabilir. <\/p>\n<p><em>Ba\u015f a\u011fr\u0131s\u0131 i\u00e7in <\/em>Aspirin&#x2122;<em>kullanay\u0131m m\u0131?<\/em><\/p>\n<p> Aspirin&#x2122;1893\u2019den beri ila\u00e7 piyasas\u0131ndad\u0131r ve en \u00e7ok bilinen ila\u00e7t\u0131r. Ba\u015f a\u011fr\u0131s\u0131 \u015fikayetiniz oldu\u011funda, eri\u015fkin bir ki\u015fi olarak kulllanabilece\u011finiz ilk<\/p>\n<p> ila\u00e7 Aspirin&#x2122;(<em>asetil salisilik asit<\/em>) olmal\u0131d\u0131r (suda \u00e7\u00f6z\u00fcnen, ba\u011f\u0131rsak da \u00e7\u00f6z\u00fcnen t\u00fcrleri mide \u015fikayeti olanlar i\u00e7in daha uygundur). Ciddi<\/p>\n<p> mide\/ba\u011f\u0131rsak sorununuz var ya da hasta olan ki\u015fi 16 ya\u015f alt\u0131 ise, i\u00e7eri\u011finde <em>parasetamol<\/em> olan, (\u00d6rne\u011fin.; Calpol&#x2122;, Parol&#x2122;,Tamol&#x2122;vb.)<\/p>\n<p> ila\u00e7lardan biri al\u0131nabilir. Y\u00fcksek doz <em>paracetamol<\/em> , karaci\u011fer de toksik etki yapabilir, unutmay\u0131n\u0131z.<\/p>\n<div>\n<p><strong><em><u>\u00c7ocuklara a\u011fr\u0131 kesici olarak aspirin verilmemelidir !  Neden ?<\/u><\/em><\/strong><\/p>\n<p><em>(Reye <\/em>sendromu ? )<\/p>\n<p> Bebek veya \u00e7ocuklardaki \u00fcst solunum yollar\u0131 enfeksiyonu s\u0131ras\u0131ndaAspirin&#x2122;kullan\u0131m\u0131, <em>Reye<\/em> sendomu\u2019na yol a\u00e7abilir (<em>R. Douglas Reye<\/em>,<\/p>\n<p> 1963 y\u0131l\u0131nda sendrom\u2019u tarif eden Avustralya\u2019l\u0131 patolo\u011fun ad\u0131d\u0131r). Bu sendrom\u2019da, Aspirin&#x2122;\u2019in vir\u00fcs iltihaplar\u0131nda kullan\u0131m\u0131na ba\u011fl\u0131 olarak, hastalarda kusma, karaci\u011ferde ya\u011flanma, kafai\u00e7i bas\u0131n\u00e7 art\u0131\u015f\u0131 g\u00f6r\u00fcl\u00fcr,<\/p>\n<p> \u00f6ld\u00fcr\u00fcc\u00fc olabilen bir rahats\u0131zl\u0131kt\u0131r, tedavi m\u00fcmk\u00fcn oldu\u011funca erken ba\u015flanmal\u0131d\u0131r.<\/p>\n<\/div>\n<p> Her zaman oldu\u011fu gibi, kutu i\u00e7indeki bilgileri okumadan ila\u00e7 almay\u0131n\u0131z, hasta olan yak\u0131nlar\u0131n\u0131za l\u00fctfen tavsiye etmeyiniz. \u00c7ocuklar, 65 ya\u015f \u00fcst\u00fc<\/p>\n<p> ve hamile hastalar\u0131n ise, re\u00e7etesiz ila\u00e7lar\u0131 kullanmas\u0131 sak\u0131ncal\u0131 olabilir.<\/p>\n<p><strong><u>GEN\u0130Z ARKASINA AKINTI<\/u><\/strong><\/p>\n<p><em>\u015eeffaf, beyaz renkli mi? Sar\u0131-ye\u015fil renkli mi? K\u00f6t\u00fc kokulu mu ?<\/em><\/p>\n<p> Geniz arkas\u0131na ak\u0131nt\u0131 \u00e7ok sevimsiz bir durumdur. Bo\u011faz\u0131n temizlenmesini, t\u00fck\u00fcrmeyi gerektirir, ayr\u0131ca a\u011f\u0131z kokusuna yol a\u00e7ar ve<\/p>\n<p> nadiren de mide, refl\u00fc sorunlar\u0131 olu\u015fturabilir. Normalde hissedilmeyen burun salg\u0131s\u0131n\u0131n iltihapla birlikte a\u015f\u0131r\u0131 art\u0131\u015f\u0131, geniz arkas\u0131na do\u011fru a\u00e7\u0131k<\/p>\n<p> beyaz veya sar\u0131-ye\u015fil renk ak\u0131nt\u0131ya neden olur. Beyaz\/\u015feffaf renk, alerji veya vir\u00fcslerin neden oldu\u011fu iltihapl\u0131 durumlarda g\u00f6r\u00fcl\u00fcr, genellikle kokusuz bir salg\u0131d\u0131r. <\/p>\n<div>\n<p><strong><em><u>Neden iltihapl\u0131 burun salg\u0131s\u0131 sar\u0131-ye\u015filimsi renktedir ?<\/u><\/em><\/strong><\/p>\n<p> Balgam kelimesi, iltihapl\u0131 burun salg\u0131s\u0131n\u0131 ifade eder. Bakterilerin yol a\u00e7t\u0131\u011f\u0131 rinit\/sin\u00fczit durumunda iltihap elemanlar\u0131ndan olu\u015fan sar\u0131-ye\u015filimsi renkdeki geniz ak\u0131nt\u0131s\u0131 belirgindir. Akyuvarlar\u0131n % 60-65\u2019ini olu\u015fturan <em>N\u00f6trofil<\/em>\u2019ler, v\u00fccudumuzun herhangi bir yerinde iltihap  olu\u015ftu\u011funda o b\u00f6lgeye ula\u015fan ilk elemanlard\u0131r, i\u00e7erdi\u011fi <em>myeloperoxidase<\/em> enzimi ye\u015filimsi rengi verir, ayr\u0131ca alyuvarlar\u2019a (<em>eritrositler<\/em>) g\u00f6re mikroskop alt\u0131nda a\u00e7\u0131k renkli olduklar\u0131 i\u00e7in beyaz h\u00fccre (<em>l\u00f6kosit<\/em>-akyuvar) olarak adland\u0131r\u0131l\u0131rlar. Ye\u015fil rengi veren bir di\u011fer neden de, bakterilerin baz\u0131lar\u0131n\u0131n ye\u015filimsi renkde olmas\u0131d\u0131r. <\/p>\n<\/div>\n<p><em>Refl\u00fc<\/em><\/p>\n<p> Bir g\u00f6r\u00fc\u015fe g\u00f6re, geniz ak\u0131nt\u0131s\u0131n\u0131n yutulmas\u0131 ve mideye gelmesi, <em>refl\u00fc <\/em>olarak adland\u0131r\u0131lan mide asidinin y\u00fckselmesine bazen de bo\u011faz, geniz\u2019e<\/p>\n<p> kadar \u00e7\u0131k\u0131p tahri\u015fe, sin\u00fczit\u2019e neden olabilir, ancak bu durum kesinlik kazanm\u0131\u015f de\u011fildir. <\/p>\n<p> Yine de, refl\u00fc \u015fikayeti olanlar\u0131n dikkat etmesi gerekenleri sayarsak ;<\/p>\n<p> (ila\u00e7 tedavisi olsun ya da olmas\u0131n) <\/p>\n<ul>\n<li> Kilo fazlal\u0131\u011f\u0131 var ise, diyet<\/li>\n<li> Az ve s\u0131k yemek al\u0131\u015fkanl\u0131\u011f\u0131 edinmek<\/li>\n<li> Ya\u011fl\u0131, asitli yiyecekler, kahve, sigara ve alkol\u2019l\u00fc i\u00e7eceklerden ka\u00e7\u0131nmak<\/li>\n<li> Ak\u015fam yeme\u011finin \u00e7ok ge\u00e7 saatlerde yenmemesi<\/li>\n<li> Yata\u011f\u0131n\u0131z\u0131n ba\u015f taraf\u0131n\u0131 y\u00fckseltmek<\/li>\n<li> S\u0131k\u0131 elbiseler, kemer kullanmamak<\/li>\n<li> Sakin, stressiz bir ya\u015fant\u0131 s\u00fcrd\u00fcrmek<\/li>\n<\/ul>\n<p> Refl\u00fc \u015fikayeti olanlar\u0131n Dahiliye\/Gastroenteroloji uzman\u0131 taraf\u0131ndan da muayene edilmeleri gerekir.<\/p>\n<p><strong><u>BURUN TIKANIKLI\u011eI\/DOLGUNLUK<\/u><\/strong><\/p>\n<p> Burun mukozas\u0131 ve sin\u00fcslerdeki \u00f6dem, t\u0131kan\u0131kl\u0131k ve dolgunlu\u011fa yol a\u00e7ar. Burun salg\u0131s\u0131 kal\u0131nla\u015fmas\u0131 ve art\u0131\u015f\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131 daha da artt\u0131r\u0131r ve burun t\u0131kan\u0131kl\u0131\u011f\u0131 kronikle\u015fir.<\/p>\n<p><em>Sin\u00fczit d\u0131\u015f\u0131nda burun t\u0131kan\u0131kl\u0131\u011f\u0131 yapan nedenler:<\/em><\/p>\n<ul>\n<li> Kemik e\u011frili\u011fi<\/li>\n<li> Burun etleri<\/li>\n<li> Alerji<\/li>\n<li> Yabanc\u0131 cisimler<\/li>\n<\/ul>\n<p> t\u0131kan\u0131kl\u0131k yapabilir. Ayr\u0131ca:<\/p>\n<p> Do\u011fum kontrol haplar\u0131-menopoz\/gebelik, Tiroid bezinin az \u00e7al\u0131\u015fmas\u0131 (ya da tiroid seviyesi d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar) Hipertansiyon i\u00e7in kullan\u0131lan ila\u00e7lar da t\u0131kan\u0131kl\u0131k yapabilir. Burun t\u0131kan\u0131kl\u0131\u011f\u0131 yapan bu nedenler de sin\u00fczit geli\u015fimine yol a\u00e7abilir.<\/p>\n<p><em>T\u0131kan\u0131kl\u0131k olunca ?<\/em><\/p>\n<p> Ciddi burun t\u0131kan\u0131kl\u0131\u011f\u0131 olunca yeterli oksijen al\u0131namaz. Kronik t\u0131kan\u0131kl\u0131k yorgunluk, kalp-damar sorunlar\u0131na yol a\u00e7abilir. Horlama, ses kalitesinde<\/p>\n<p> bozulma, a\u011f\u0131z kurulu\u011fu ve a\u011f\u0131z kokusu t\u0131kan\u0131kl\u0131\u011f\u0131n neden oldu\u011fu di\u011fer sorunlard\u0131r.<\/p>\n<p> Horlama \u015fikayeti (burun kaynakl\u0131 ve\/veya burun d\u0131\u015f\u0131 nedenler), sin\u00fczit ile birlikte oldu\u011funda kalp-damar sorunlar\u0131 (y\u00fcksek tansiyon vb.), g\u00f6r\u00fclme<\/p>\n<p> riski artar. Basit horlama veya t\u0131kay\u0131c\u0131 tip <em>apne<\/em> (nefes kesilmesi) sendromu\u2019nun de\u011fi\u015fik dereceleri \u015feklinde olan hastalar ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda \u00f6ncelikle ayr\u0131nt\u0131l\u0131 \u00f6yk\u00fc al\u0131nmas\u0131 gerekir. Uyku kalitesinin<\/p>\n<p> bozulmas\u0131na ba\u011fl\u0131 olarak; g\u00fcnd\u00fcz uyuklama, ba\u015f a\u011fr\u0131s\u0131, halsizlik, kronik yorgunluk vb. sorunlar ortaya \u00e7\u0131kar.<\/p>\n<p><strong><u>KOKU KAYBI<\/u><\/strong><\/p>\n<p> Hastalar\u0131m aras\u0131nda, bazen sadece koku kayb\u0131 ile ba\u015fvuranlar olmaktad\u0131r. Bahsettikleri sorun, daha \u00e7ok nezle\/so\u011fuk alg\u0131nl\u0131\u011f\u0131 sonras\u0131 ba\u015flayan koku alamamad\u0131r (Nadiren, do\u011fu\u015ftan olan koku alamama<\/p>\n<p> sorunu ile de kar\u015f\u0131la\u015f\u0131l\u0131r !). Bu grup hastalar\u0131n dikkatli \u015fekilde burun i\u00e7i muayenesi, BT veya MR incelemesi, bazen n\u00f6rolojik a\u00e7\u0131dan (N\u00f6roloji uzm.) da muayenesi gerekir.<\/p>\n<p> Akut veya kronik sin\u00fczit\u2019de de koku bozuklu\u011fu g\u00f6r\u00fclebilir. Koku duyusunu ve bozuklu\u011funu bilmemiz, sin\u00fczit s\u00fcrecinde \u00f6nemlidir.<\/p>\n<p> Ameliyat sonras\u0131ndaki kontrollerde de, hastaya sorulmas\u0131 gereken bir konudur.<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kronikle\u015fmi\u015f sin\u00fczit \u015fikayetleri 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":[100,32,116,50,58],"class_list":["post-426","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-agri","tag-burun","tag-koku","tag-sinus","tag-sinuzit"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/426","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=426"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/426\/revisions"}],"predecessor-version":[{"id":427,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/426\/revisions\/427"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=426"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=426"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}