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\u00c7ukurova \u00dcniversitesi T\u0131p Fak\u00fcltesi Balcal\u0131 Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Do\u00e7 Dr. Ezgi \u00d6zy\u0131lmaz, \u00f6ks\u00fcr\u00fc\u011f\u00fcn g\u00fcn\u00fcm\u00fczde \u00e7ok say\u0131da hastal\u0131\u011f\u0131n belirtisi olarak ortaya \u00e7\u0131kan yayg\u0131n ve \u00f6nemli bir klinik sorun oldu\u011funu s\u00f6yledi.<\/p>\n
Do\u00e7. Dr. \u00d6zy\u0131lmaz, yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, \u00f6zellikle k\u0131\u015f aylar\u0131nda g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 polikliniklerine ba\u015fvuran hastalar\u0131n y\u00fczde 10-40\u2019\u0131n\u0131 \u00f6ks\u00fcren hastalar\u0131n olu\u015fturdu\u011funu ancak \u00f6ks\u00fcr\u00fc\u011f\u00fcn asl\u0131nda hastal\u0131k de\u011fil, bir savunma mekanizmas\u0131 olarak de\u011ferlendirilmesi gerekti\u011fini ifade etti.<\/p>\n
Uygun tan\u0131sal yakla\u015f\u0131m ve tedavi ile bu hastalar\u0131n y\u00fczde 90\u2019\u0131nda \u00f6ks\u00fcr\u00fc\u011f\u00fcn nedeninin bulunabildi\u011fine ve ba\u015far\u0131yla tedavi edilebildi\u011fine dikkati \u00e7eken \u00d6zy\u0131lmaz, g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzmanlar\u0131n\u0131n bak\u0131\u015f a\u00e7\u0131s\u0131na g\u00f6re \u00f6ks\u00fcr\u00fc\u011f\u00fcn ne zaman ba\u015flad\u0131\u011f\u0131n\u0131n tan\u0131 i\u00e7in \u00e7ok \u00f6nemli oldu\u011funu, 3 haftadan k\u0131sa olan\u0131 \u2019akut \u00f6ks\u00fcr\u00fck\u2019, 8 haftadan daha fazla olan\u0131 ise \u2019kronik \u00f6ks\u00fcr\u00fck\u2019 olarak adland\u0131rd\u0131klar\u0131n\u0131 s\u00f6yledi.<\/p>\n
Akut \u00f6ks\u00fcr\u00fc\u011f\u00fcn en s\u0131k nedenleri aras\u0131nda so\u011fuk alg\u0131nl\u0131\u011f\u0131, sin\u00fczit, rinit olmakla beraber zat\u00fcrree, pulmoner emboli olarak adland\u0131r\u0131lan akci\u011fere p\u0131ht\u0131 atmas\u0131 ve kalp yetmezli\u011fi gibi ya\u015fam\u0131 tehdit edici pek \u00e7ok nedeninin say\u0131labildi\u011fine i\u015faret eden Do\u00e7. Dr. Ezgi \u00d6zy\u0131lmaz, kronik \u00f6ks\u00fcr\u00fc\u011f\u00fcn nedenleri aras\u0131nda eri\u015fkin ya\u015f grubunda postnazal ak\u0131nt\u0131 sendromu, ast\u0131m, gastro\u00f6zafageal reflu ve baz\u0131 hipertansiyon ila\u00e7lar\u0131n\u0131n g\u00f6sterildi\u011fine de\u011findi. \u00d6zy\u0131lmaz, ancak t\u00fcberk\u00fcloz (verem hastal\u0131\u011f\u0131), akci\u011fer kanseri, bron\u015fektazi ve psikojenik gibi di\u011fer \u00f6nemli nedenlerinde uzun s\u00fcreli \u00f6ks\u00fcr\u00fckler i\u00e7in dikkate al\u0131nmas\u0131 gerekti\u011fine dikkati \u00e7ekti.<\/p>\n
BRON\u015e DUYARLILI\u011eINA D\u0130KKAT<\/p>\n
Bron\u015f a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131n\u0131n da en \u00f6nemli \u00f6ks\u00fcr\u00fck nedenlerinden biri oldu\u011funa de\u011finen \u00d6zy\u0131lmaz, \u201cToplumda her \u00fc\u00e7 ki\u015fiden birinde bron\u015f a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 mevcuttur. Kokular, toz, \u0131s\u0131 ve ortam farkl\u0131l\u0131\u011f\u0131, solunum yolu infeksiyonlar\u0131, hava kirlili\u011fi gibi nedenler, bu duyarl\u0131 ki\u015fileri hemen etkiler. Etkilenen ki\u015filer \u00f6ks\u00fcrmeye ba\u015flar. Nefesi daralabilir, g\u00f6\u011fs\u00fc h\u0131r\u0131ldayabilir, gece \u00f6ks\u00fcr\u00fckten yatamazlar, uyuyamazlar. Yani ayn\u0131 ast\u0131m gibi olurlar ama ast\u0131m de\u011fillerdir. Bu durumun halk aras\u0131ndaki ismi “grip oldum g\u00f6\u011fs\u00fcme indi” \u015feklindedir. En rahats\u0131z edici \u015fikayet \u00f6ks\u00fcr\u00fck olup 6-8 haftaya kadar s\u00fcrebilir. \u00d6ks\u00fcr\u00fck genellikle kuru, daha az oranda balgamla beraberdir\u201d dedi. Bron\u015f a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 olan ki\u015filerin, y\u0131l boyu \u00f6zellikle yo\u011fun kokulardan rahats\u0131z olmalar\u0131 nedeniyle kolay tan\u0131nd\u0131\u011f\u0131n\u0131 belirten Do\u00e7. Dr. \u00d6zy\u0131lmaz, kokunun g\u00fczel bir parf\u00fcm veya \u00e7ama\u015f\u0131r suyu, ter kokusu olmas\u0131 de\u011fil, yo\u011fun olmas\u0131n\u0131n \u00f6nemli oldu\u011funu, bu ki\u015filerin pek sigara i\u00e7emediklerini, etraflar\u0131nda sigara i\u00e7ilmesinden rahats\u0131z olduklar\u0131n\u0131 s\u00f6zlerine ekledi.<\/p>\n
S\u0130GARA \u00d6NEML\u0130 FAKT\u00d6R<\/p>\n
Sigara t\u00fcketiminin de kronik \u00f6ks\u00fcr\u00fck nedenlerinden biri olmakla birlikte baz\u0131 \u00f6nemli hastal\u0131klar\u0131n te\u015fhisini geciktirebildi\u011fine vurgu yapan Do\u00e7. Dr. \u00d6zy\u0131lmaz, \u201dSigara i\u00e7en ki\u015filerde zamanla bron\u015flar a\u015f\u0131r\u0131 balgam \u00fcretmeye ba\u015flar. Bu durum s\u00fcrekli devam ederse, \u00f6ks\u00fcr\u00fc\u011f\u00fcn artmas\u0131na ve kronik hale gelmesine neden olabilir. Bu hastalar \u00f6ks\u00fcr\u00fcklerinin yaln\u0131zca sigaraya ba\u011fl\u0131 olu\u015ftu\u011funu d\u00fc\u015f\u00fcnerek, ciddiye almazlar. Bu durum da \u00f6ks\u00fcr\u00fc\u011f\u00fcn alt\u0131nda yatan ciddi bir hastal\u0131\u011f\u0131n te\u015fhisini geciktirebilir. \u015eiddetli \u00f6ks\u00fcr\u00fck krizleri, \u00e7ok yorucu ve rahats\u0131z edici bir durumdur. Gece uykusu bozulur, hasta s\u0131k s\u0131k uyanabilir. \u00d6ks\u00fcr\u00fcrken kusma, bayanlarda idrar ka\u00e7\u0131rma, bay\u0131lma, kaburga kemiklerinde k\u0131r\u0131k, g\u00f6z i\u00e7i kanamas\u0131, \u00e7e\u015fitli f\u0131t\u0131klara kadar bir\u00e7ok soruna yol a\u00e7abilmektedir\u201d \u015feklinde konu\u015ftu.<\/p>\n
HEK\u0130ME DANI\u015eMADAN \u015eURUP KULANMAYIN<\/p>\n
\u00c7ok rahats\u0131z edici bir \u015fikayet olmakla beraber \u00f6ks\u00fcren hastalar\u0131n herhangi bir doktora dan\u0131\u015f\u0131lmadan \u00f6ks\u00fcr\u00fck \u015furubu kullanmamas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Do\u00e7. Dr. Ezgi \u00d6zy\u0131lmaz, kuru bir \u00f6ks\u00fcr\u00fckte, balgam s\u00f6kt\u00fcr\u00fcc\u00fc ila\u00e7lar\u0131n kullan\u0131m\u0131n\u0131n \u00f6ks\u00fcr\u00fc\u011f\u00fcn \u015fiddetinin artmas\u0131na neden olabildi\u011fini, tam tersine balgam \u00e7\u0131karmas\u0131 gereken bir \u00f6ks\u00fcr\u00fckte, \u00f6ks\u00fcr\u00fck kesici \u015furuplar\u0131n balgam \u00e7\u0131kmas\u0131na engel olarak hastal\u0131\u011f\u0131 daha da k\u00f6t\u00fcle\u015ftirebildi\u011fine dikkati \u00e7ekti.<\/p>\n
Do\u00e7. Dr. \u00d6zy\u0131lmaz s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n
\u201c\u00d6ks\u00fcr\u00fck tedavilerinde; \u00f6ks\u00fcr\u00fc\u011fe neden olan hastal\u0131k tan\u0131s\u0131n\u0131n gecikmemesi ve tedavi s\u00fcresinin daha k\u0131sa s\u00fcrmesi i\u00e7in ila\u00e7 veya \u015furup kullan\u0131m\u0131n\u0131n mutlaka doktor kontrol\u00fcnde olmas\u0131 gerekmektedir. \u00d6ks\u00fcr\u00fck, 3 haftadan uzun s\u00fcr\u00fcyor ve antibiyotik tedavisine cevap vermiyorsa, mutlaka bir g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzman\u0131na ba\u015fvurmak gerekir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7UKUROVA \u00dcN\u0130VERS\u0130TES\u0130 TIP FAK\u00dcLTES\u0130 BALCALI HASTANES\u0130 G\u00d6\u011e\u00dcS HASTALIKLARI ANA B\u0130L\u0130M DALI \u00d6\u011eRET\u0130M \u00dcYES\u0130 DO\u00c7 DR. EZG\u0130 \u00d6ZYILMAZ.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[724,25180,36453],"class_list":["post-219630","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-diyerek","tag-gecmeyin","tag-oksuruk"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/219630","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=219630"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/219630\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=219630"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=219630"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=219630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}