{"id":538,"date":"2024-04-28T04:24:11","date_gmt":"2024-04-28T01:24:11","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=538"},"modified":"2024-04-28T04:24:11","modified_gmt":"2024-04-28T01:24:11","slug":"neden-horluyoruz","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/neden-horluyoruz\/","title":{"rendered":"Neden horluyoruz?"},"content":{"rendered":"<figure><img decoding=\"async\" src=\"https:\/\/odyova.com\/haberler\/wp-content\/uploads\/2024\/04\/neden-horluyoruz-0-6lwB6SsQ.jpg\"><\/figure>\n<p>Horlayan uykusunda rahatt\u0131r, ancak dinleyicileri rahats\u0131z eden bir durum ortaya \u00e7\u0131kar. Horlama can s\u0131k\u0131c\u0131 oldu\u011fu gibi ayn\u0131 zamanda t\u0131bb\u0131 bir sorundur. Ancak g\u00fcn\u00fcm\u00fczde g\u00fcr\u00fclt\u00fcl\u00fc horlaman\u0131n baz\u0131 fizyolojik anormallikler ile ortaya \u00e7\u0131kt\u0131\u011f\u0131 kabul edilmektedir. Ara\u015ft\u0131rmac\u0131lar ilk olarak bademcikler etraf\u0131ndaki anatomik olu\u015fumlar\u0131n ve damak anormalliklerinin uykuda hava yollar\u0131nda t\u0131kan\u0131kl\u0131\u011fa yol a\u00e7t\u0131\u011f\u0131n\u0131 g\u00f6sterdiler. Hava s\u00fctununun h\u0131zla hareketi gev\u015femi\u015f dokular\u0131 \u00f6zellikle yumu\u015fak dama\u011f\u0131 ve bademcikler etraf\u0131ndaki dokular\u0131 titreterek horlama diye tan\u0131mlad\u0131\u011f\u0131m\u0131z sesin kayna\u011f\u0131n\u0131 olu\u015fturur. Son \u00e7al\u0131\u015fmalar horlaman\u0131n sosyal \u00f6nemine ilave olarak bir sa\u011fl\u0131k problemi oldu\u011funu g\u00f6sterir. Yeti\u015fkin insanlar\u0131n %10&#8217;u yan odadan duyulacak \u015fekilde horlar. Ayr\u0131ca horlama her iki cinste ya\u015fla do\u011fru orant\u0131l\u0131 olarak artar. Erkeklerde 20 kad\u0131nlarda 40 ya\u015f\u0131ndan sonra art\u0131\u015f g\u00f6rmek m\u00fcmk\u00fcnd\u00fcr. Epidemiolojik \u00e7al\u0131\u015fmalara g\u00f6re 60 ya\u015f\u0131n\u0131 ge\u00e7mi\u015f erkeklerin %40 ila 50&#8217;si horlar. Horlaman\u0131n zamanla \u015fiddetinin artt\u0131\u011f\u0131 ve k\u00fc\u00e7\u00fck bir grup hastan\u0131n da uykuda hava a\u00e7l\u0131\u011f\u0131 hastal\u0131\u011f\u0131na (sleep apne) kadar ilerledi\u011fi saptanm\u0131\u015ft\u0131r.<br \/>  \u00dc\u00e7-d\u00f6rt oda ileriden hatta di\u011fer evden duyulan horlamalar\u0131 biraz abartm\u0131\u015f olsak da di\u011fer odaya ka\u00e7\u0131ran horlamalar\u0131n olu\u015fum mekanizmas\u0131 \u015f\u00f6yledir: Uykuda hava a\u00e7l\u0131\u011f\u0131 hastal\u0131\u011f\u0131 ve horlama, \u015fiddette farkl\u0131 olmalar\u0131na ra\u011fmen birbirlerine benzerler. Belli ba\u015fl\u0131 iki sorun vard\u0131r. Birincisi; bu hastalarda dar a\u011f\u0131z hava yolu ile uzun k\u00fc\u00e7\u00fck dil ve geni\u015f bademciklerdir. Bu anormallikler horlayan hastalar\u0131n %90&#8217;\u0131ndan fazlas\u0131nda g\u00f6r\u00fcl\u00fcr. \u0130kincisi; b\u00fcy\u00fck dil, \u00e7ene kemi\u011finin k\u00fc\u00e7\u00fck olmas\u0131, uyku s\u0131ras\u0131nda hava yolunu tutan kaslarda negatif bas\u0131n\u00e7 art\u0131\u015f\u0131yla \u00e7\u00f6k\u00fc\u015fe varan durumun olu\u015fmas\u0131d\u0131r. Nefes al\u0131nd\u0131\u011f\u0131nda damak geriye a\u015fa\u011f\u0131ya yan farenks duvarlar\u0131na do\u011fru \u00e7\u00f6ker. Bu bulgulara al\u0131nan alkol, hipotonikler, transklizanlar ve antihistaminikler kas tonusunu d\u00fc\u015f\u00fcrerek artt\u0131r\u0131c\u0131 etki yaparlar.<br \/>  Alkol\u00fcn bu etkiyi iki yolla art\u0131r\u0131r: Hava yolunu ta\u015f\u0131yan kaslar\u0131n tonusunu d\u00fc\u015f\u00fcrmek ve uyand\u0131rma merkezinin hassasiyetini azaltmak. Horlaman\u0131n genelde derin uykuda en \u015fiddetli olmakla birlikte REM (rapid eye movement) d\u00f6neminde s\u00fcrekli g\u00f6r\u00fclmedi\u011fi bildirilmi\u015ftir. T\u0131kanmay\u0131 artt\u0131ran bir ba\u015fka fakt\u00f6r uykusuz kalmakt\u0131r. \u00c7ok g\u00fcr\u00fclt\u00fcl\u00fc horlayan ki\u015filerde anormal artan g\u00f6\u011f\u00fcs i\u00e7i bas\u0131n\u00e7la kalp b\u00f6lgesinde b\u00fcy\u00fcme ve pulmoner damarlarda kan y\u0131\u011f\u0131lmas\u0131 g\u00f6r\u00fcl\u00fcr. Uykuda hava a\u00e7l\u0131\u011f\u0131 hastal\u0131\u011f\u0131 olanlarda bu bulgular ciddi sonu\u00e7lar do\u011furabilir. Konuyla ilgili bir \u00e7al\u0131\u015fmada 432000 \u00f6l\u00fcmde en s\u0131k \u00f6l\u00fcm saati sabah 5 ile 6 yani f\u0131z\u0131ksel akt\u0131v\u0131ten\u0131n en d\u00fc\u015f\u00fck oldu\u011fu uyku s\u0131ras\u0131nda ger\u00e7ekle\u015fti\u011fi g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<br \/>  \u00c7ocuklar ile ilgili yap\u0131lan \u00e7al\u0131\u015fmalarda; horlayan \u00e7ocuklarda baz\u0131 g\u00fcnl\u00fck davran\u0131\u015f problemleri oldu\u011fu bildirilmi\u015ftir. Bir ba\u015fka \u00e7al\u0131\u015fmada b\u00f6yle \u00e7ocuklar\u0131n %3 ila %4&#8217;\u00fcnde bademcik ve geniz eti ameliyat\u0131ndan sonra anormal olan EKG bulgular\u0131n\u0131n normale d\u00f6nd\u00fc\u011f\u00fc g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Horlama \u00e7ocuklar i\u00e7in anormal bir durum olmakla birlikte bademcik ve geniz eti ameliyat\u0131 bu sorunu genellikle ortadan kald\u0131rmaktad\u0131r.<\/p>\n<p>* Cumhuriyet Gazetesi Bilim Teknik eki 7Eyl\u00fcl 2002 807. say\u0131s\u0131nda yay\u0131nlanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Tamer Halilo\u011flu <\/strong>Operat\u00f6r Doktor,KBB hastal\u0131klar\u0131 Uzman\u0131<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Neden horluyoruz? Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":539,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[131,72,76],"class_list":["post-538","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-hava","tag-horlama","tag-yol"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/538","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=538"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/538\/revisions"}],"predecessor-version":[{"id":541,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/538\/revisions\/541"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/539"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}