{"id":972,"date":"2024-04-29T10:36:07","date_gmt":"2024-04-29T07:36:07","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=972"},"modified":"2024-04-29T10:36:07","modified_gmt":"2024-04-29T07:36:07","slug":"reflu-ile-farenjiti-karistirmayin","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/reflu-ile-farenjiti-karistirmayin\/","title":{"rendered":"Refl\u00fc ile farenjiti kar\u0131\u015ft\u0131rmay\u0131n"},"content":{"rendered":"<figure><img decoding=\"async\" src=\"https:\/\/odyova.com\/haberler\/wp-content\/uploads\/2024\/04\/reflu-ile-farenjiti-karistirmayin-0-Tv3lGmg4.jpg\"><\/figure>\n<p>Son y\u0131llarda \u00e7ok s\u0131k olarak kar\u015f\u0131m\u0131za \u00e7\u0131kan ve m\u00fcphem bo\u011faz \u015fikayetleri ile hastay\u0131 \u00e7o\u011funlukla kulak burun bo\u011faz hastal\u0131klar\u0131 doktoru g\u00f6t\u00fcren Refl\u00fc hastal\u0131\u011f\u0131 ile ilgili \u00f6\u011frenmek istedi\u011finiz her \u015fey a\u015fa\u011f\u0131da a\u00e7\u0131klanm\u0131\u015ft\u0131r.<\/p>\n<p><img decoding=\"async\" src=\"file:\/\/localhost\/Users\/Apple\/Library\/Caches\/TemporaryItems\/msoclip\/0clip_image002.png\"\/> Refl\u00fc nedir?<\/p>\n<p>Refl\u00fc, mide i\u00e7eri\u011finin kusma olmaks\u0131z\u0131n, geriye do\u011fru yemek borusundan g\u0131rtlak veya farenkse ula\u015fmas\u0131d\u0131r.<\/p>\n<p><img decoding=\"async\" src=\"file:\/\/localhost\/Users\/Apple\/Library\/Caches\/TemporaryItems\/msoclip\/0clip_image004.png\"\/> Refl\u00fc nas\u0131l olu\u015fur?<\/p>\n<p>Refl\u00fc olu\u015fumunda bir\u00e7ok fakt\u00f6r rol oynamaktad\u0131r. Bu fakt\u00f6rler i\u00e7erisinde \u00f6zefagogastrik (yemek borusu ile mide) bile\u015fke, yemek borusunun asit temizleyebilirli\u011fi, yemek borusunun mukoza direnci ve \u00fcst yemek borusu sfinkteri (kapak\u00e7\u0131\u011f\u0131) bulunmaktad\u0131r. T\u00fcm bu yap\u0131lara ilaveten farenks (bo\u011faz), g\u0131rtlak, akci\u011ferler ve yemek borusu aras\u0131ndaki fonksiyonel ili\u015fki de hastal\u0131\u011f\u0131n olu\u015fum mekanizmas\u0131nda rol oynamaktad\u0131r. Yemek borusu ile midenin birle\u015fim yerinde alt yemek borusu kapak\u00e7\u0131\u011f\u0131 bulunur. Bu kapak\u00e7\u0131k, yemek borusu ile mide aras\u0131nda y\u00fcksek bas\u0131n\u00e7l\u0131 bir bariyer olu\u015fturur. Bu bas\u0131n\u00e7 baz\u0131 yiyecekler (ya\u011f, \u00e7ikolata, kola), ila\u00e7lar (kalsiyum kanal blok\u00f6rleri, diazem), hormonlar (glukagon, gastrin, vazoaktif intestinal peptid) ve sigara nedeniyle de\u011fi\u015febilir. Yap\u0131lan \u00e7al\u0131\u015fmalar refl\u00fcs\u00fc olan ki\u015filerde alt yemek borusu kapak\u00e7\u0131\u011f\u0131n\u0131n bas\u0131nc\u0131nda azalma oldu\u011funu g\u00f6stermi\u015ftir. Yemek borusunun asit temizleyebilirli\u011fi de refl\u00fc olu\u015fumunda \u00f6nemlidir. Bu s\u00fcrenin azalmas\u0131 demek, yemek borusu mukozas\u0131n\u0131n geriye ka\u00e7an asitle daha uzun s\u00fcre temas\u0131 demektir. B\u00f6ylelikle yemek borusunun mukozas\u0131 zarar g\u00f6rm\u00fc\u015f olur. Yemek borusu mukozas\u0131nda hasar olunca yemek borusu duvar\u0131ndaki kan ak\u0131m\u0131 artarak daha ileri hasar olu\u015fumu \u00f6nlenmeye \u00e7al\u0131\u015f\u0131l\u0131r. \u00dcst yemek borusu kapak\u00e7\u0131\u011f\u0131 da bo\u011faz ile yemek borusu aras\u0131nda y\u00fcksek bas\u0131n\u00e7l\u0131 bir bariyer olu\u015fturur. Bu kapak\u00e7\u0131k, yemek borusuna hava ka\u00e7\u0131\u015f\u0131n\u0131 ve geriye do\u011fru olan ka\u00e7a\u011f\u0131n bo\u011faza ge\u00e7i\u015fini engeller. Yutkunma s\u0131ras\u0131nda \u00fcst yemek borusu kapak\u00e7\u0131\u011f\u0131 gev\u015fer ve yemeklerin a\u015fa\u011f\u0131ya ge\u00e7i\u015fine izin verir. \u00d6zellikle uykuda bu kapak\u00e7\u0131\u011f\u0131n bas\u0131nc\u0131 azal\u0131r ve geriye ka\u00e7\u0131\u015f i\u00e7in uygun bir zemin yarat\u0131l\u0131r.<\/p>\n<p><img decoding=\"async\" src=\"file:\/\/localhost\/Users\/Apple\/Library\/Caches\/TemporaryItems\/msoclip\/0clip_image006.png\"\/> Refl\u00fcn\u00fcn belirtileri nelerdir?<\/p>\n<p>Hastalar\u0131n b\u00fcy\u00fck bir \u00e7o\u011funlu\u011funda kronik veya aral\u0131kl\u0131 ses k\u0131s\u0131kl\u0131\u011f\u0131, seste yorulma ve k\u0131r\u0131lmalar, s\u0131k\u00e7a bo\u011faz kaz\u0131ma ihtiyac\u0131, bo\u011fazda a\u015f\u0131r\u0131 sekresyon birikimi, kronik \u00f6ks\u00fcr\u00fck, geniz ak\u0131nt\u0131 hissi, bo\u011faz a\u011fr\u0131s\u0131, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, bo\u011fazda yabanc\u0131 cisim hissi ve g\u00f6\u011f\u00fcs arkas\u0131 yanma mevcuttur.<\/p>\n<p><img decoding=\"async\" src=\"file:\/\/localhost\/Users\/Apple\/Library\/Caches\/TemporaryItems\/msoclip\/0clip_image008.png\"\/> Te\u015fhis nas\u0131l konur? Yap\u0131lan testler nelerdir?<\/p>\n<p>Te\u015fhis kulak-burun-bo\u011faz uzman\u0131n\u0131n ger\u00e7ekle\u015ftirdi\u011fi tam bir kulak burun bo\u011faz muayenesiyle konur. Bu muayenede klasik muayeneye ilaveten yap\u0131lan fleksible larengoskopi ve videostroboskopi ile refl\u00fcye sekonder olarak geli\u015fen posterior larenjit ve ses tellerindeki \u00f6dem ve k\u0131zar\u0131kl\u0131k rahatl\u0131kla g\u00f6zlemlenebilir. Bunun yan\u0131 s\u0131ra \u00f6zefagoskopi (yemek borusunun endoskopik muayenesi), radyolojik tetkikler (radyon\u00fckleid sintigrafi, baryumlu \u00f6zefagogram), 24 saatlik ambulatuar (ayaktan yap\u0131lan) farengo\u00f6zefageal pH monitorizasyonu da tan\u0131n\u0131n konulmas\u0131nda olduk\u00e7a de\u011ferli testlerdir.<\/p>\n<p><img decoding=\"async\" src=\"file:\/\/localhost\/Users\/Apple\/Library\/Caches\/TemporaryItems\/msoclip\/0clip_image010.png\"\/> Tedavisi kolay m\u0131d\u0131r?<\/p>\n<p>Tedavi a\u015famal\u0131 olarak yap\u0131l\u0131r. \u00d6ncelikle mide asidinin geriye ka\u00e7\u0131\u015f\u0131n\u0131 azaltmak i\u00e7in hastan\u0131n ya\u015fam \u015feklini, al\u0131\u015fkanl\u0131klar\u0131n\u0131 ve beslenme d\u00fczenini de\u011fi\u015ftirmek gerekir. Hafif \u015fiddetli vakalarda sadece bu ya\u015fam tarz\u0131n\u0131n d\u00fczenlenmesi yeterli olabilir. Ancak orta ve ileri derecedeki hastalarda bunlara ilaveten asit azalt\u0131c\u0131 ila\u00e7lar\u0131n kullan\u0131m\u0131 gerekir. Medikal tedavinin ba\u015far\u0131s\u0131z oldu\u011fu \u00e7ok ileri vakalarda, asit ka\u00e7a\u011f\u0131n\u0131 \u00f6nleyici cerrahi m\u00fcdahaleler yap\u0131lmal\u0131d\u0131r.<\/p>\n<p><img decoding=\"async\" src=\"file:\/\/localhost\/Users\/Apple\/Library\/Caches\/TemporaryItems\/msoclip\/0clip_image012.png\"\/> \u00d6nlenmesi i\u00e7in tavsiyeler nelerdir?<\/p>\n<p>o Yatarken yata\u011f\u0131n\u0131z\u0131n ba\u015f\u0131n\u0131 y\u00fckseltiniz.<\/p>\n<p>o Ya\u011f al\u0131n\u0131m\u0131n\u0131 azalt\u0131n\u0131z, k\u0131zarm\u0131\u015f yiyeceklerden sak\u0131n\u0131n\u0131z.<\/p>\n<p>o Sigara kullan\u0131yorsan\u0131z azalt\u0131n veya daha da iyisi tamamen vazge\u00e7iniz.<\/p>\n<p>o \u00d6zellikle kafeinden ve asitli i\u00e7eceklerden uzak durunuz.<\/p>\n<p>o Ak\u015fam yeme\u011finden hemen sonra yatmay\u0131n\u0131z. Yatman\u0131z i\u00e7in en az 3 saatlik bir s\u00fcre ge\u00e7mesine dikkat ediniz.<\/p>\n<p><strong>\u00d6zellikle bel b\u00f6lgesi \u00e7ok s\u0131k\u0131 giysiler giymekten ka\u00e7\u0131n\u0131n\u0131z.<\/strong><\/p>\n<p><strong>Op. Dr. TAMER HAL\u0130LO\u011eLU<\/strong><\/p>\n<p><strong>Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 ve Ba\u015f Boyun Cerrahisi uzman\u0131<\/strong><\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Refl\u00fc ile farenjiti kar\u0131\u015ft\u0131rmay\u0131n Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":973,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[108,142,333,106,105],"class_list":["post-972","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-asit","tag-bogaz","tag-geriye","tag-reflu","tag-yemek-borusu"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/972","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=972"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/972\/revisions"}],"predecessor-version":[{"id":975,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/972\/revisions\/975"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/973"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}