{"id":1541703,"date":"2020-10-21T00:05:25","date_gmt":"2020-10-20T21:05:25","guid":{"rendered":"http:\/\/www.erzurumflas.com\/astim-turkiyede-her-12-yetiskin-ve-8-cocuktan-birinde-goruluyor\/"},"modified":"2020-10-21T00:05:27","modified_gmt":"2020-10-20T21:05:27","slug":"astim-turkiyede-her-12-yetiskin-ve-8-cocuktan-birinde-goruluyor","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=1541703","title":{"rendered":"Ast\u0131m T\u00fcrkiye\u2019de her 12 yeti\u015fkin ve 8 \u00e7ocuktan birinde g\u00f6r\u00fcl\u00fcyor"},"content":{"rendered":"![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2020\/10\/astim-turkiyede-her-12-yetiskin-ve-8-cocuktan-birinde-goruluyor_c0159c9.jpg\")
Nefes darl\u0131\u011f\u0131, soluk al\u0131p verirken \u0131sl\u0131k sesi \u00e7\u0131kmas\u0131, \u00f6zellikle sabaha kar\u015f\u0131 artan \u00f6ks\u00fcr\u00fck, g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma ve batma hissi gibi belirtilerle ortaya \u00e7\u0131kan ast\u0131m, T\u00fcrkiye\u2019de her 12 yeti\u015fkin ve 8 \u00e7ocuktan birinde g\u00f6r\u00fcl\u00fcyor. Ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde azaltan hastal\u0131k, uygun tedavi ve yak\u0131n takip sayesinde kontrol alt\u0131nda tutulabiliyor.<\/p>\n
Medicana International Samsun Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. \u00d6zg\u00fcr \u0130nce, ast\u0131m ve tedavi y\u00f6ntemleri hakk\u0131nda bilgi verdi. Uzm. Dr. \u0130nce, \u201cAst\u0131m, hava yollar\u0131n\u0131n ataklar (krizler) halinde gelen t\u0131kanmalar\u0131 ile kendini g\u00f6steren bir hastal\u0131kt\u0131r. Hastalar ataklar aras\u0131nda kendilerini iyi hissederler. Ast\u0131mda hava yollar\u0131nda mikrobik olmayan bir iltihap vard\u0131r. Bu nedenle hava yolu duvar\u0131 \u015fi\u015f ve \u00f6demlidir. Bu durum akci\u011ferlerin uyaranlara a\u015f\u0131r\u0131 duyarl\u0131 olmas\u0131na neden olur. Toz, duman koku gibi uyaranlar ile hemen \u00f6ks\u00fcr\u00fck, nefes darl\u0131\u011f\u0131 ve g\u00f6\u011f\u00fcste bask\u0131 hissi gibi yak\u0131nmalar ortaya \u00e7\u0131kar. Krizde hava yollar\u0131n\u0131 saran kaslar (adaleler) kas\u0131l\u0131r, \u00f6dem ve \u015fi\u015flik artar, ilerleyen iltihapla birlikte hava yolu duvar\u0131 kal\u0131nla\u015f\u0131r. Hava yollar\u0131ndaki salg\u0131 bezlerinden k\u0131vaml\u0131 bir mukus (ifrazat-balgam) sal\u0131n\u0131r. T\u00fcm bunlar hava yollar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde daralt\u0131r ve havan\u0131n akci\u011ferlere girip \u00e7\u0131kmas\u0131 engellenir. Bu durum kendini artan \u00f6ks\u00fcr\u00fck, nefes darl\u0131\u011f\u0131, h\u0131r\u0131lt\u0131, h\u0131\u015f\u0131lt\u0131 ile kendini g\u00f6sterir. Ast\u0131m her ya\u015ftan bireyi etkileyebilen ve kontrol alt\u0131na al\u0131namad\u0131\u011f\u0131nda g\u00fcnl\u00fck aktiviteleri ciddi olarak s\u0131n\u0131rlayabilen kronik (m\u00fczmin) bir hastal\u0131kt\u0131r\u201d dedi.<\/p>\n
Ast\u0131mda do\u011fru te\u015fhisin \u00f6nemli oldu\u011funu belirten Uzm. Dr. \u00d6zg\u00fcr \u0130nce, \u201cSolunum fonksiyon testleri, g\u00f6r\u00fcnt\u00fclemeler \u00f6nemlidir. Yeterli bir tedaviyle ast\u0131m hastal\u0131\u011f\u0131 kontrol alt\u0131na al\u0131nabilir, tedavi hastal\u0131\u011f\u0131n o anki \u015fiddetine ve \u015fartlara g\u00f6re de\u011fi\u015fir. Tedavi edilmedi\u011fi s\u00fcrece, \u00f6l\u00fcme kadar gidebilen ciddi solunum problemlerine ve di\u011fer sistemik hastal\u0131klar\u0131n tetiklenmesine neden olabilir\u201d diye konu\u015ftu.<\/p>\n
Ast\u0131mda erken te\u015fhisin \u00f6nemi<\/p>\n
Ast\u0131mda erken te\u015fhisin \u00f6nemli oldu\u011funu belirten \u0130nce, \u201cSonu\u00e7 olarak ast\u0131m kronik, sebep olan etkenlerle tetiklenebilen dolay\u0131s\u0131yla \u00f6nlenebilen ve tedavi edilebilen bir hastal\u0131kt\u0131r. Ancak erken te\u015fhis \u00e7ok \u00f6nemlidir. \u00c7ocukluk ya\u015f grubunda da s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcnden, \u00e7ocuklarda s\u0131k enfeksiyon ge\u00e7irme veya b\u00fcy\u00fcme-geli\u015fme gerili\u011fi veya \u00e7abuk yorulma gibi durumlarda mutlaka hekim taraf\u0131ndan kontrol edilmelidir. Ge\u00e7 te\u015fhis alan ve ileri ya\u015fta ortaya \u00e7\u0131k\u0131p tedavisi geciken ast\u0131m, \u00e7e\u015fitli kalp ve damar hastal\u0131klar\u0131na sebep olabilir. Eri\u015fkinde sebepsiz \u00f6ks\u00fcr\u00fck, toz -koku hassasiyeti durumunda ast\u0131m a\u00e7\u0131s\u0131ndan de\u011ferlendirme yap\u0131lmal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ast\u0131m hastalar\u0131 ve \u015fehir ya\u015fam\u0131<\/p>\n
G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. \u00d6zg\u00fcr \u0130nce \u015f\u00f6yle devam etti:<\/p>\n
\u201cKent hayat\u0131nda sanayile\u015fme ile birlikte \u00e7arp\u0131k yap\u0131la\u015fma, beton y\u0131\u011f\u0131nlar\u0131n\u0131n aras\u0131nda a\u011fa\u00e7tan \u00e7i\u00e7ekten b\u00f6cekten uzak b\u00fcy\u00fcme ve ya\u015fama, binlerce y\u0131ld\u0131r k\u00fc\u00e7\u00fck k\u00fc\u00e7\u00fck nak\u0131\u015f i\u015fler gibi geli\u015fmi\u015f olan imm\u00fcn (ba\u011f\u0131\u015f\u0131kl\u0131k) sistemin bir nevi \u015fa\u015f\u0131rmas\u0131na, dengesinin bozulmas\u0131na neden olmaktad\u0131r. Bundan dolay\u0131d\u0131r ki, alerji ve alerjik hastal\u0131klara \u00e7a\u011f\u0131n hastal\u0131\u011f\u0131 gibi s\u0131fatlar yap\u0131\u015ft\u0131r\u0131l\u0131r. Genelde duydu\u011fumuz \u2018eskiden bu kadar yoktu\u2019 ifadesinin alt\u0131nda bu durum yatar. \u0130lgin\u00e7tir ki, \u00e7i\u00e7ek, polen akar, k\u00fcf, maya alerjileri bu ortamlardan zengin olan k\u0131rsaldan \u00e7ok \u015fehir merkezlerinde g\u00f6zlenir. Ast\u0131m da b\u00fcy\u00fck \u00e7apta alerjiyle alakal\u0131 hatta direkt imm\u00fcn sistem ile ili\u015fkili oldu\u011fundan, ki\u015finin ya\u015famakta oldu\u011fu ortamla direkt ba\u011flant\u0131l\u0131d\u0131r. \u015eehir hayat\u0131nda ya\u015fayan hastalar\u0131n \u00f6zellikle hava kirlili\u011fine, \u00e7ok r\u00fczgarl\u0131 havalarda tozlu ortamlara, ani \u0131s\u0131 de\u011fi\u015fikliklerinin oldu\u011fu hava \u015fartlar\u0131na dikkat etmeleri gerekir. Ev akar\u0131, di\u011fer ad\u0131yla mite alerjileri, g\u00f6zle g\u00f6r\u00fclmeyecek kadar k\u00fc\u00e7\u00fck canl\u0131lar\u0131n insan cilt d\u00f6k\u00fcnt\u00fcleriyle beslenmeleri, pamuklu, y\u00fcnl\u00fc s\u0131cak karanl\u0131k ve nemli ortamlar\u0131 se\u00e7melerinden dolay\u0131 daha ziyade evlerde yatak odalar\u0131nda hal\u0131 kilim ve masa \u00f6rt\u00fcleri, kal\u0131n perdeler, \u00e7ocuk pel\u00fc\u015f oyuncaklar\u0131 gibi alanlarda yerle\u015fip \u00e7o\u011fal\u0131rlar. Bu canl\u0131lar\u0131n at\u0131klar\u0131n\u0131n so\u011fumas\u0131yla da akar alerjileri ortaya \u00e7\u0131kar. Alerjik rinit, ciltte ka\u015f\u0131nt\u0131l\u0131 d\u00f6k\u00fcnt\u00fclerden ast\u0131m ve kronik sin\u00fczite kadar bir\u00e7ok hastal\u0131\u011fa sebep olabilirler.\u201d<\/p>\n
Neden ba\u015fkalar\u0131nda de\u011fil de belli ki\u015filerde?<\/p>\n
Uzm. Dr. \u00d6zg\u00fcr \u0130nce a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle tamamlad\u0131:<\/p>\n
\u201cAsl\u0131nda potansiyel olarak herkeste alerji olabilir. Alerjik reaksiyon g\u00f6r\u00fclmesinde genetik, \u00e7evresel fakt\u00f6rler, ya\u015fan\u0131lan ortam, beslenme, kullan\u0131lan ila\u00e7lar hatta stres bile etken olabilir. Son y\u0131llarda genetik incelemeler artmakta birlikte \u00f6zellikle beslenme \u00fczerinde \u00e7al\u0131\u015fmalar fazlad\u0131r. Besinlerin bozulmamas\u0131 i\u00e7in em\u00fclgat\u00f6r denilen katk\u0131 maddeleri kullan\u0131l\u0131r, t\u00fcm market \u00fcr\u00fcnlerinde neredeyse vard\u0131r, baharatl\u0131 \u00e7erezler, gazl\u0131 i\u00e7ecekler, do\u011fas\u0131 bozulmu\u015f bu\u011fday ve \u015feker i\u00e7eren besinler ba\u011f\u0131rsak floras\u0131n\u0131 bozarak alerjik reaksiyonlara sebep olabilmektedir. Alerjiden korunmak i\u00e7in ilk kural alerjen madde biliniyorsa ondan ka\u00e7\u0131nmakt\u0131r. Ev akar\u0131, neme ba\u011fl\u0131 k\u00fcf maya mantarlardan ka\u00e7\u0131nmak i\u00e7in bir tak\u0131m ev temizlik aletleri kullan\u0131labilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
UZM. DR. \u00d6ZG\u00dcR \u0130NCE.<\/p>\n","protected":false},"author":1,"featured_media":1541704,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[22708,20752,14400,20753,12869,1723,52654],"class_list":["post-1541703","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","category-turkiye","tag-astim","tag-birinde","tag-cocuktan","tag-goruluyor","tag-her","tag-turkiyede","tag-yetiskin"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1541703","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1541703"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1541703\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/1541704"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1541703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1541703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1541703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}