{"id":1548488,"date":"2020-11-22T00:05:55","date_gmt":"2020-11-21T21:05:55","guid":{"rendered":"http:\/\/www.erzurumflas.com\/koah-hastalari-covid-19u-5-kat-daha-agir-geciriyor\/"},"modified":"2020-11-22T00:05:59","modified_gmt":"2020-11-21T21:05:59","slug":"koah-hastalari-covid-19u-5-kat-daha-agir-geciriyor","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=1548488","title":{"rendered":"KOAH hastalar\u0131 COVID-19\u2019u 5 kat daha a\u011f\u0131r ge\u00e7iriyor"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2020\/11\/koah-hastalari-covid-19u-5-kat-daha-agir-geciriyor_2fb3c2f.jpg\" width=\"600\">Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 18 Kas\u0131m D\u00fcnya KOAH G\u00fcn\u00fc dolay\u0131s\u0131yla bildiri yay\u0131nlad\u0131.  KOAH\u2019\u0131n, nefes yollar\u0131nda daralmayla seyreden ilerleyici bir akci\u011fer hastal\u0131\u011f\u0131 oldu\u011fu belirtilen bildiride, KOAH hastalar\u0131n\u0131n, COVID-19\u2019u be\u015f kat daha a\u011f\u0131r ge\u00e7irme riski ta\u015f\u0131d\u0131\u011f\u0131 belirtildi.<\/p>\n<p>M\u00fczmin t\u0131kay\u0131c\u0131 akci\u011fer hastal\u0131\u011f\u0131 olarak tan\u0131mlanan KOAH, nefes yollar\u0131nda daralmayla seyreden ilerleyici bir akci\u011fer hastal\u0131\u011f\u0131d\u0131r. Hava yollar\u0131nda veya hava keseciklerinde anormalliklere yol a\u00e7an, kal\u0131c\u0131 solunumsal yak\u0131nmalarla seyreden KOAH, ayn\u0131 zamanda \u00f6nlenebilir ve tedavi edilebilir bir hastal\u0131kt\u0131r. Ya\u015fam kayna\u011f\u0131n\u0131n oksijendir ve t\u00fcm v\u00fccut organlar\u0131n\u0131n ise oksijene gereksinim duyar. Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 yay\u0131nlad\u0131\u011f\u0131 bildiride KOAH\u2019l\u0131 bireylerin yeteri kadar oksijen \u00fcretememeleri nedeniyle, zaman i\u00e7inde t\u00fcm organlar\u0131n olumsuz etkilenmeye ba\u015flad\u0131\u011f\u0131 belirtildi. Bildiride, \u201cKOAH\u2019ta olay sadece akci\u011ferler ile s\u0131n\u0131rl\u0131 de\u011fildir. Akci\u011ferlerdeki mikrobik olmayan m\u00fczmin iltihaplanma ve yetersiz oksijen \u00fcretimi nedeniyle ba\u015fta kaslar (kol, bacak ve solunum kaslar\u0131), kalp, beyin h\u00fccreleri ve kemik gibi v\u00fccudun en aktif organlar\u0131nda yorgunluk ve hasarlanma olu\u015fmaya ba\u015flar\u201d ifadeleri yer ald\u0131.<\/p>\n<p>KOAH\u2019a ne s\u0131kl\u0131kta rastlan\u0131r?<\/p>\n<p>KOAH, d\u00fcnyada 40 ya\u015f \u00fcst\u00fc yeti\u015fkinlerde ortalama y\u00fczde 11.7 s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcyor. Bu oran yakla\u015f\u0131k her on eri\u015fkinden birine denk geliyor. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc verilerine g\u00f6re en \u00e7ok \u00f6l\u00fcme yol a\u00e7an hastal\u0131k listesinde \u00fc\u00e7\u00fcnc\u00fc s\u0131rada yer al\u0131yor. Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 taraf\u0131ndan yay\u0131nlanan bildiride \u201cD\u00fcnya genelinde erkeklerde daha s\u0131k g\u00f6r\u00fclse de t\u00fct\u00fcn \u00fcr\u00fcnlerinin kullan\u0131m\u0131na paralel art\u0131\u015fla, son y\u0131llarda kad\u0131nlarda da \u00f6nceki y\u0131llara g\u00f6re daha s\u0131k rastlanmaya ba\u015flanm\u0131\u015ft\u0131r\u201d ifadesi kullan\u0131l\u0131yor.<\/p>\n<p>KOAH nas\u0131l ortaya \u00e7\u0131kar?<\/p>\n<p>KOAH\u2019\u0131n geli\u015fimini etkiliyen en iyi bilinen ve en yayg\u0131n g\u00f6r\u00fclen risk fakt\u00f6r\u00fcn\u00fcn t\u00fct\u00fcn \u00fcr\u00fcnlerine maruz kalma oldu\u011fu belirten bildiride, pasif i\u00e7icili\u011fin de KOAH geli\u015fimine katk\u0131da bulundu\u011fu, sadece t\u00fct\u00fcn \u00fcr\u00fcnleri de\u011fil, anne karn\u0131ndan ba\u015flayarak eri\u015fkin ya\u015fa kadar kar\u015f\u0131la\u015f\u0131lan pek \u00e7ok fakt\u00f6r\u00fcn de KOAH\u2019a neden olabilece\u011fi ifade edildi.  Bildiride bu fakt\u00f6rler, d\u00fc\u015f\u00fck kiloda do\u011fmak, \u00e7ocuklukta s\u0131k solunum yolu infeksiyonu ge\u00e7irmek, sa\u011fl\u0131kta e\u015fitsizlik, odun gibi yak\u0131tlara ba\u011fl\u0131 ortaya \u00e7\u0131kan i\u00e7 ortam ve d\u0131\u015f ortam hava kirlili\u011fi, tozlu, dumanl\u0131 i\u015fyerlerinde \u00e7al\u0131\u015fmak olarak belirtildi.<\/p>\n<p>Tan\u0131<\/p>\n<p>KOAH\u2019l\u0131 hastalarda en s\u0131k g\u00f6r\u00fclen yak\u0131nmalar\u0131n uzun s\u00fcreli nefes darl\u0131\u011f\u0131, \u00f6ks\u00fcr\u00fck ve balgam, alevlenme olarak adland\u0131r\u0131lan atak d\u00f6nemlerinde ise bu \u015fikayetlerde ge\u00e7ici art\u0131\u015flar ya\u015fanmas\u0131 oldu\u011fu belirten bildiride, basit ve a\u011fr\u0131s\u0131z bir test olan \u201cnefes \u00f6l\u00e7\u00fcm testi\u201d ile tan\u0131n\u0131n kolayca konabildi\u011fi, erken tan\u0131n\u0131n ise hastal\u0131\u011fa ba\u011fl\u0131 sakatl\u0131k ve \u00f6l\u00fcm oranlar\u0131n\u0131 azaltabildi\u011fi ifade edildi.<\/p>\n<p>Tedavi<\/p>\n<p>KOAH tedavisi ile ilgili a\u00e7\u0131klamalar\u0131n da yer ald\u0131\u011f\u0131 bildiride, en temel tedavi basama\u011f\u0131n\u0131n elektronik sigara dahil t\u00fcm t\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131n\u0131n ya da maruziyetinin sonland\u0131r\u0131lmas\u0131 oldu\u011fu belirtildi.<\/p>\n<p>Devam eden tedavi yakla\u015f\u0131m\u0131nda ise ila\u00e7lar, a\u015f\u0131lanma ve fiziksel aktivite yer almaktad\u0131r.  KOAH tedavisinde kullan\u0131lan nefes a\u00e7\u0131c\u0131 \u00f6zellikteki ila\u00e7lar \u201cinhaler\u201d olarak adland\u0131r\u0131lan cihazlar ile al\u0131nmaktad\u0131r.  Bu cihazlar i\u00e7indeki toz ya da gazlar, a\u011f\u0131z yoluyla akci\u011ferlere iletilmekte ve hastal\u0131\u011fa ba\u011fl\u0131 olu\u015fan daralmadan kaynaklanan yang\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmektedir. G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 taraf\u0131ndan yay\u0131nlanan bildiride ileri evredeki hastalara y\u00f6nelik tedavi plan\u0131 i\u00e7in ise \u015f\u00f6yle denilmektedir: \u201c\u0130leri evre olup solunum yetmezli\u011fi geli\u015fmi\u015f KOAH\u2019l\u0131 hastalarda evde oksijen veya solunum cihaz\u0131 tedavisine ihtiya\u00e7 olabilmektedir. Hastal\u0131\u011f\u0131n k\u00f6t\u00fcle\u015fmesi ve seyrini etkileyen, hatta \u00f6l\u00fcmlere neden olan ataklardan ve zat\u00fcrreden korunmak i\u00e7in grip ve zat\u00fcrre a\u015f\u0131lar\u0131n\u0131n yapt\u0131r\u0131lmas\u0131, nefes yoluyla al\u0131nan ila\u00e7 tedavilerinin d\u00fczg\u00fcn uygulanmas\u0131 gerekmektedir. Bu tedavilerin yan\u0131 s\u0131ra fiziksel aktivite ve gerekirse akci\u011fer rehabilitasyonu uygulanmas\u0131 da hastalar\u0131n g\u00fcnl\u00fck ya\u015famlar\u0131n\u0131n kalitesini art\u0131rmaktad\u0131r.\u201d<\/p>\n<p>KOAH ve COVID-19<\/p>\n<p>Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 taraf\u0131ndan yay\u0131nlanan bildiride, KOAH hastalar\u0131nda COV\u0130D-19\u2019un daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc, bu hastalar\u0131n COV\u0130D-19\u2019u a\u011f\u0131r ge\u00e7irme riskinin ise be\u015f kat daha y\u00fcksek oldu\u011fu belirtildi.  Bu \u00e7er\u00e7evede KOAH hastalar\u0131n\u0131n COV\u0130D-19\u2019dan korunma \u00f6nlemleri bildiride \u015f\u00f6yle ifade edildi: \u201cKOAH hastalar\u0131n\u0131n da toplumun t\u00fcm bireyleri gibi Covid-19\u2019a kar\u015f\u0131 standart ki\u015fisel koruyucu \u00f6nlemleri almas\u0131 gerekmektedir. KOAH hastalar\u0131nda temel hedef; hastal\u0131\u011f\u0131n mevcut tedavisinde de\u011fi\u015fiklik yapmadan, pandemi \u00f6ncesinde kullan\u0131lan KOAH ila\u00e7lar\u0131n\u0131n ayn\u0131 \u015fekilde kullan\u0131lmaya devam edilmesi ve hastal\u0131\u011f\u0131n stabil halde tutulabilmesidir. Oksijen ve ev solunum cihaz\u0131 tedavileri de ayn\u0131 \u015fekilde devam etmelidir.  KOAH ataklar\u0131 ile ili\u015fkili yak\u0131nmalar, COV\u0130D-19 enfeksiyonunda da g\u00f6r\u00fclebildi\u011finden, mutlaka do\u011fru tan\u0131 gereklidir.  Yap\u0131lan \u00e7al\u0131\u015fmalarda, pandemi nedeniyle y\u00fcz y\u00fcze klinik ziyaretlerin azald\u0131\u011f\u0131 tespit edilmi\u015f, ayn\u0131 \u015fekilde pulmoner rehabilitasyon programlar\u0131n\u0131n kesintiye u\u011frad\u0131\u011f\u0131 g\u00f6zlenmi\u015ftir. KOAH hastalar\u0131 alevlenme d\u00f6nemlerini evde ge\u00e7irmeyi tercih etmi\u015flerdir.  Bu s\u00fcre\u00e7ler i\u00e7in tele sa\u011fl\u0131k \u2018uzaktan ya da online\u2019 sa\u011fl\u0131k uygulamalar\u0131 geli\u015ftirilerek KOAH hastalar\u0131 desteklenmektedir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>YAKIN DO\u011eU \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 G\u00d6\u011e\u00dcS HASTALIKLARI ANAB\u0130L\u0130M DALI 18 KASIM D\u00dcNYA KOAH G\u00dcN\u00dc DOLAYISIYLA B\u0130LD\u0130R\u0130 YAYINLADI.  KOAH\u2019IN, NEFES YOLLARINDA DARALMAYLA SEYREDEN \u0130LERLEY\u0130C\u0130 B\u0130R AKC\u0130\u011eER HASTALI\u011eI OLDU\u011eU BEL\u0130RT\u0130LEN B\u0130LD\u0130R\u0130DE, KOAH HASTALARININ, COVID-19\u2019U BE\u015e KAT DAHA A\u011eIR GE\u00c7\u0130RME R\u0130SK\u0130 TA\u015eIDI\u011eI BEL\u0130RT\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":1548489,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[14189,117035,13777,24232,15966,16524,12772],"class_list":["post-1548488","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","category-turkiye","tag-agir","tag-covid-19u","tag-daha","tag-geciriyor","tag-hastalari","tag-kat","tag-koah"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1548488","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=1548488"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1548488\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/1548489"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1548488"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1548488"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1548488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}