{"id":694,"date":"2024-04-28T17:12:05","date_gmt":"2024-04-28T14:12:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=694"},"modified":"2024-04-28T17:12:05","modified_gmt":"2024-04-28T14:12:05","slug":"gastroozefageal-reflu-larengofarengeal-reflu-hastaligi-mide-asidinin-bogaza-ve-agiza-gelmesi-mide-asidi-regurjitasyonu","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/gastroozefageal-reflu-larengofarengeal-reflu-hastaligi-mide-asidinin-bogaza-ve-agiza-gelmesi-mide-asidi-regurjitasyonu\/","title":{"rendered":"Gastro\u00f6zefageal reflu-larengofarengeal refl\u00fc hastal\u0131\u011f\u0131- mide asidinin bo\u011faza ve a\u011f\u0131za gelmesi-mide asidi reg\u00fcrjitasyonu"},"content":{"rendered":"
<\/figure>\n

Mide i\u00e7eri\u011finin (mide asidinin) ge\u011firme, \u00f6ks\u00fcrme veya kusma olmadan \u00f6zefagusa (yemek borusuna) do\u011fru geri ka\u00e7\u0131\u015f\u0131 gastro\u00f6zefageal refl\u00fc olarak adland\u0131r\u0131l\u0131r. Bu asit ka\u00e7\u0131\u015f\u0131 g\u0131rtlak b\u00f6lgesine hatta a\u011f\u0131z i\u00e7ine kadar olursa buna larengofarengeal refl\u00fc denir.<\/p>\n

Hastalar g\u00f6\u011f\u00fcs kafesinin arkas\u0131nda, s\u0131rtlar\u0131nda yanma, b\u0131\u00e7ak batmas\u0131 \u015fikayeti ile ba\u015fvurabilirler. Bazen yemek borusunun arkas\u0131ndaki yanman\u0131n yan\u0131 s\u0131ra a\u011f\u0131za g\u0131dalar\u0131n ve ac\u0131 asit i\u00e7eren mide suyu da gelebilir. \u00d6zefageal refl\u00fc s\u0131kl\u0131kla yemeklerden sonra olur. Ayr\u0131ca \u00d6zefagal refl\u00fcs\u00fc olan pek \u00e7ok hastada bu \u015fikayetler g\u00f6r\u00fclmeden de g\u0131rtlak b\u00f6lgesi ile ilgili \u015fikayetler g\u00f6r\u00fclebilir.<\/p>\n

Gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131 t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de s\u0131kt\u0131r. \u00dclkemizde yap\u0131lan bir \u00e7al\u0131\u015fmada toplumun %20’sinde gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131 bulunmu\u015ftur. Kulak burun bo\u011faz ve ba\u015f boyun cerrahisi kapsam\u0131ndaki bir\u00e7ok farkl\u0131 hastal\u0131\u011f\u0131n zemininde laringofarengeal refl\u00fcn\u00fcn etkisi vard\u0131r.<\/p>\n

Gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131n\u0131nbulgular\u0131n\u0131n (semptomlar\u0131n\u0131n) k\u00f6keninde, yemek borusunun uzun bir s\u00fcre, fazla miktarda midenin asidik i\u00e7eri\u011fi ile temas\u0131 yatmaktad\u0131r.<\/p>\n

Mide asidik i\u00e7eri\u011finin yemek borusu ile uzun s\u00fcreli temas\u0131 yemek borusunda tahri\u015f ve hasara yol a\u00e7ar bu da yanma hissine sebep olur.<\/span><\/p>\n

Normal olarak yemek borusunun alt ucundaki alt \u00f6zefagus sfinkteri dedi\u011fimiz Midenin giri\u015finde kapak benzeri bir yap\u0131 vard\u0131r. Bu yap\u0131 asidin yemek borusuna geri ka\u00e7mas\u0131n\u0131 \u00f6nleyerek midenin i\u00e7inde kalmas\u0131n\u0131 sa\u011flar. Refl\u00fc hastal\u0131\u011f\u0131nda ise bu sfinkter s\u0131k aral\u0131klar ile gev\u015fer ve mide asidik i\u00e7eri\u011fi yemek borusuna geri ka\u00e7ar.<\/p>\n

\u015eikayeti olanlara refl\u00fc tan\u0131s\u0131n\u0131 koyarken bulgular\u0131n ger\u00e7ekten refl\u00fcden kaynaklan\u0131p kaynaklanmad\u0131\u011f\u0131n\u0131, komplikasyonlar\u0131n geli\u015fip geli\u015fmedi\u011fini anlamak i\u00e7in bir tak\u0131m testlere ihtiyac\u0131 olabilir.<\/p>\n

Bunlar\u0131 \u015fu \u015fekilde g\u00f6zden ge\u00e7irebiliriz;<\/p>\n

1- Baryum \u00f6zefagus mide duedonum grafisi :<\/strong> Hasta baryum i\u00e7erken radyologun floroskopide baryumun a\u015fa\u011f\u0131ya yemek borusuna ve mideye seyahatini inceledi\u011fi bir testtir.<\/p>\n

2- Gasroskopi :<\/strong> Endoskop ucunda \u0131\u015f\u0131k bulunan fleksibl bir t\u00fcpt\u00fcr.Bu t\u00fcp\u00fcn a\u011f\u0131zdan \u00f6zefagusa ve mideye do\u011fru ilerletilmesi s\u0131ras\u0131nda yemek borusu incelenebilir. Hasta sedatize edilerek bu i\u015flem ger\u00e7ekle\u015ftirilir. <\/p>\n

3- \u00d6zefagus manometresi ve PH metre : <\/strong>Burundan \u00e7ok ince fleksibl bir t\u00fcp yemek borusundan mideye g\u00f6nderilerek buradaki bas\u0131n\u00e7lar ve yukar\u0131 \u00e7\u0131kan asit miktar\u0131 \u00f6l\u00e7\u00fclebilir.<\/p>\n

Gastro \u00d6zefagal Reflusu bulunan hastala\u0131n yak\u0131nmalar\u0131 genellikle;<\/strong><\/p>\n

\u00b7 <\/strong>Bo\u011fazda kitle hissi<\/strong><\/p>\n

\u00b7 <\/strong>Boyun b\u00f6lgesinde a\u011fr\u0131<\/strong><\/p>\n

\u00b7 <\/strong>Geniz ak\u0131nt\u0131s\u0131<\/strong><\/p>\n

\u00b7 <\/strong>Devaml\u0131 kuru \u00f6ks\u00fcr\u00fck<\/strong><\/p>\n

\u00b7 <\/strong>S\u00fcrekli bo\u011faz\u0131 temizleme ihtiyac\u0131<\/strong><\/p>\n

\u00b7 <\/strong>Bo\u011faz kurulu\u011fu<\/strong><\/p>\n

\u00b7 <\/strong>Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc<\/strong><\/p>\n

\u00b7 <\/strong>A\u011f\u0131z kokusu<\/strong><\/p>\n

\u00b7 <\/strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131<\/strong><\/p>\n

\u00b7 <\/strong>Kulak a\u011fr\u0131s\u0131<\/strong><\/p>\n

\u00b7 <\/strong>T\u00fckr\u00fck salg\u0131s\u0131n\u0131n artmas\u0131<\/strong><\/p>\n

E\u011fer refl\u00fc tedavi edilmezse ciddi komplikasyonlarla seyredebilir.<\/p>\n

\u00d6rne\u011fin yemek borusunda darl\u0131k, kanama ve mukozada prekanser\u00f6z (kanser \u00f6ncesi) bir tak\u0131m de\u011fi\u015fikliklere (barrett \u00f6zefagusu) neden olabilir.<\/p>\n

Genelde hastalar doktoruna,
1- Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc (disfaji)
2- Kanama
3- Bo\u011fulma hissi, \u00f6ks\u00fcr\u00fck, ses k\u0131s\u0131kl\u0131\u011f\u0131
4- Kilo kayb\u0131 yak\u0131nmalar\u0131 ile ba\u015f vurmaktad\u0131r ve kontrol alt\u0131na al\u0131nmaktad\u0131r.<\/p>\n

Di\u015fkkat edilmesi gereken uyar\u0131lar ise<\/p>\n

1- Sigara b\u0131rak\u0131lmal\u0131d\u0131r. T\u00fct\u00fcn asidi dengeleyen koruyucu mekanizmalara zarar verir.Asit \u00fcretimini uyararak ve yemek borusu ile mide aras\u0131ndaki kaslar\u0131n gev\u015femesine de yol a\u00e7arak asit refl\u00fcs\u00fcne yol a\u00e7ar.
2- Gazl\u0131 ve asitli i\u00e7eceklerden uzak durulmal\u0131d\u0131r.
3- Alkol, \u00e7ikolata, kafein, kahve, \u00e7ay, ya\u011fl\u0131, baharatl\u0131 yiyecekler ve domates gibi asidi artt\u0131ran yiyeceklerden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Kilo verilmesi \u00f6nerilir.Yatmadan en az 3 saat \u00f6nce yemek sona erdirilmelidir.Yata\u011f\u0131n ba\u015f ucunun kald\u0131r\u0131lmas\u0131 gece boyunca asit refl\u00fcs\u00fcn\u00fc \u00f6nleyecektir. S\u0131k\u0131 kemer ve giysilerden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n

Gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131 tetkik ve takibi yap\u0131lmaz ise kronik tekrarlayan bir hastal\u0131kt\u0131r.<\/p>\n

Tedavi ile mideden yemek borusuna gelen asit miktar\u0131n\u0131n azalmas\u0131 ama\u00e7lan\u0131r.<\/p>\n

1- Semptomlar\u0131 ortadan kald\u0131rmak
2- Yeme borusundaki iltihab\u0131 (\u00f6zefajiti) tedavi etmek.
3- \u00d6zefajitin n\u00fcks\u00fcn\u00fc veya komplikasyonlar\u0131n\u0131n geli\u015fmesini \u00f6nlemek. Tedavinin temelidir.<\/p>\n

Gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131n\u0131n organik bir sebebi vard\u0131r. Genelde sadece ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fi ile \u00f6nlenemez gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131nda medikal tedavi \u00e7ok \u00f6nemli bir yer tutar. Medikal tedavide yer alan anti asit grubu ila\u00e7lar yemek borusunu koruyarak ve mide asiditesini bast\u0131rarak tedaviye yard\u0131mc\u0131 olurlar.<\/span><\/p>\n

Mide asidini bast\u0131ran H2 blokerleri ve proton pompa inhibit\u00f6rleri denilen ila\u00e7lar da tedavide \u00f6nemli yer tutmakta ve uygun dozlarda kullan\u0131lmal\u0131d\u0131r.<\/p>\n

Medikal tedavi ile hastalar\u0131n \u00e7o\u011funda gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131n\u0131n yak\u0131nmalar\u0131 \u00f6nlenebilir.<\/p>\n

Bu ila\u00e7lar\u0131n yan\u0131 s\u0131ra asidin yemek borusundan mideye a\u015fa\u011f\u0131 do\u011fru ge\u00e7i\u015fini kolayla\u015ft\u0131ran Prokinetik ila\u00e7lar da tedavide yer al\u0131rlar.<\/p>\n

E\u011fer medikal tedavi ile hastalar\u0131n \u015fikayetleri ge\u00e7miyorsa ya da kanama, darl\u0131k gibi komplikasyonlar varsa cerrahi tekniklerden faydalan\u0131labilinir. Cerrahi teknikler asit refl\u00fcs\u00fcn\u00fc \u00f6nleyen yemek borusu ve mide aras\u0131ndaki do\u011fal bariyerleri onaran cerrahi uygulamalard\u0131r.<\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Gastro\u00f6zefageal reflu-larengofarengeal refl\u00fc hastal\u0131\u011f\u0131- mide asidinin bo\u011faza ve a\u011f\u0131za gelmesi-mide asidi reg\u00fcrjitasyonu Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":695,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[25,107,106,42,105],"class_list":["post-694","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-hasta","tag-mide","tag-reflu","tag-tedavi","tag-yemek-borusu"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/694","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=694"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/694\/revisions"}],"predecessor-version":[{"id":697,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/694\/revisions\/697"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/695"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}