Sin\u00fczit, bademcik iltihab\u0131, hatta orta kulak enfeksiyonu, k\u00f6pek havlamas\u0131 \u015feklinde geli\u015fen larenjit (krup), mide refl\u00fcs\u00fc \u00f6ks\u00fcr\u00fc\u011fe neden olabilir. 2 haftadan uzun s\u00fcren, gece uyand\u0131ran \u00f6ks\u00fcr\u00fckler ve kanl\u0131 balgam durumunda hastaneye ba\u015fvurulmal\u0131d\u0131r\u201d dedi.<\/p>\n
F\u0131nd\u0131kzade Medipol \u00dcniversitesi Hastanesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fcnden Dr. \u00d6\u011fr. \u00dcyesi Yeliz \u00d6z, \u00e7ocuklarda s\u0131k\u00e7a g\u00f6r\u00fclen \u00f6ks\u00fcr\u00fc\u011f\u00fcn alt\u0131nda yatan nedenlere dikkati \u00e7ekti.<\/p>\n
\u00d6KS\u00dcR\u00dcK AKC\u0130\u011eER DI\u015eI NEDENLERLE OLU\u015eAB\u0130L\u0130R<\/strong><\/p>\n Dr. \u00d6\u011fr. \u00dcyesi \u00d6z, \u00f6ks\u00fcr\u00fc\u011f\u00fcn asl\u0131nda akci\u011ferlerin bir savunma mekanizmas\u0131 oldu\u011funu belirterek \u201cKendisi bir hastal\u0131k de\u011fil, bir hastal\u0131k veya durumun habercisidir. O y\u00fczden \u00f6ks\u00fcr\u00fck kesici ila\u00e7lar\u0131 kullanarak \u00f6ks\u00fcr\u00fc\u011f\u00fc kesmek de\u011fil, sebebini anlay\u0131p ona y\u00f6nelik tedavi vermek uygun oland\u0131r. \u00d6ks\u00fcr\u00fck akci\u011fer ve akci\u011fer d\u0131\u015f\u0131 nedenlerle olu\u015fabilir. En s\u0131k sebeplerin ba\u015f\u0131nda basit viral \u00fcst solunum yolu enfeksiyonlar\u0131 (nezle) gelir. Bu durumda muayenede akci\u011fer sesleri normaldir. Ate\u015f genellikle yok veya hafiftir. \u00d6ks\u00fcr\u00fc\u011fe \u015feffaf burun ak\u0131nt\u0131s\u0131, burun t\u0131kan\u0131kl\u0131\u011f\u0131 ve hap\u015f\u0131r\u0131k e\u015flik eder. \u00d6ks\u00fcr\u00fc\u011fe sebep vir\u00fcs\u00fcn olu\u015fturdu\u011fu rahats\u0131zl\u0131k (irritasyon) ve\/veya olu\u015fan burun ak\u0131nt\u0131lar\u0131n\u0131n genizden a\u015fa\u011f\u0131 inerek \u00f6ks\u00fcr\u00fc\u011f\u00fc uyarmas\u0131d\u0131r. Burnu a\u00e7\u0131k tutmaya \u00e7al\u0131\u015fmak, oday\u0131 nemlendirmek, 6 ya\u015f\u0131ndan b\u00fcy\u00fck \u00e7ocuklarda geniz ak\u0131nt\u0131s\u0131 azaltan ila\u00e7lar\u0131 kullanmak, 1 ya\u015f \u00fcst\u00fc bebeklerde bitkisel \u00e7ay ve destekleri kullanmak \u00f6ks\u00fcr\u00fc\u011f\u00fcn rahatlamas\u0131na yard\u0131mc\u0131 olabilir\u201d diye konu\u015ftu.<\/p>\n K\u00d6PEK HAVLAMASI \u015eEKL\u0130NDEK\u0130 \u00d6KS\u00dcR\u00dc\u011eE D\u0130KKAT<\/strong><\/p>\n Sin\u00fczit, bademcik iltihab\u0131 hatta orta kulak enfeksiyonu s\u0131ras\u0131nda da \u00f6ks\u00fcr\u00fck olu\u015fabildi\u011fine de\u011finen Dr. \u00d6\u011fr. \u00dcyesi \u00d6z, \u015f\u00f6yle devam etti:<\/p>\n \u201cBu hastal\u0131klar akci\u011fer d\u0131\u015f\u0131 \u00f6ks\u00fcr\u00fck nedenleri aras\u0131ndad\u0131r. Akci\u011fer sesleri bu hastal\u0131klarda genellikle normaldir. Sin\u00fczitte \u00f6ks\u00fcr\u00fck genellikle sabah ilk kalkmada ve ak\u015fam yata\u011fa girildi\u011fi zamanda olur. Geriye olan sin\u00fcs ak\u0131nt\u0131lar\u0131n\u0131n yer de\u011fi\u015ftirmesi \u00f6zellikle bu zamanlarda \u00f6ks\u00fcr\u00fck olu\u015fturur. \u00d6ks\u00fcr\u00fck \u015fiddetli oldu\u011funda bebek ve \u00e7ocuklarda kusmada e\u015flik edebilir. Akci\u011ferle ilgili sebeplerden bron\u015fiolit \u00f6zellikle s\u00fct \u00e7ocuklar\u0131nda \u00f6ks\u00fcr\u00fc\u011f\u00fcn ba\u015fl\u0131ca sebepleri aras\u0131ndad\u0131r. Bu hastal\u0131kta genellikle vir\u00fcslere ba\u011fl\u0131 olarak bron\u015fiol denen minik ve en u\u00e7taki hava yollar\u0131nda daralma ve bunun sonucunda nefes verirken duyulan \u0131sl\u0131k sesine benzer ses i\u015fitilir. Bu ses hafif oldu\u011funda d\u0131\u015far\u0131dan anla\u015f\u0131lmaz. Doktor muayenesi s\u0131ras\u0131nda duyulur. Daralma fazla oldu\u011funda ise d\u0131\u015far\u0131dan duyulacak \u015fekildedir. Hastal\u0131\u011f\u0131n \u015fiddetine ba\u011fl\u0131 olarak hafif \u00f6ks\u00fcr\u00fckten, nefes darl\u0131\u011f\u0131 olu\u015fturacak yo\u011fun, uykudan uyand\u0131ran \u00f6ks\u00fcr\u00fc\u011fe kadar geni\u015f bir yelpazede \u00f6ks\u00fcr\u00fck i\u015fitilebilir. Larenjit (krup) de \u00e7ocukluk \u00e7a\u011f\u0131nda \u00f6ks\u00fcr\u00fck nedenleri aras\u0131ndad\u0131r. Bu hastal\u0131kta ses telleri vir\u00fcslerle tutulur ve tipik \u2018k\u00f6pek havlamas\u0131\u2019 diye tabir etti\u011fimiz \u00f6ks\u00fcr\u00fck sesi duyulur. Bazen hafif bazen de nefes darl\u0131\u011f\u0131 olu\u015fturacak \u015fekilde yo\u011fun \u00f6ks\u00fcr\u00fck ve buna ba\u011fl\u0131 kusma olu\u015fturabilir.\u201d<\/p>\n KORONAV\u0130R\u00dcS, BRON\u015e\u0130T, ZAT\u00dcRRE, BO\u011eMACA<\/strong><\/p>\n Dr. \u00d6\u011fr. \u00dcyesi Yeliz \u00d6z, koronavir\u00fcs\u00fcn de \u00f6ks\u00fcr\u00fck yapabildi\u011fini belirterek, \u201c\u00d6ks\u00fcr\u00fck tipi, s\u0131kl\u0131\u011f\u0131 ve \u015fekli ki\u015fiden ki\u015fiye farkl\u0131l\u0131k g\u00f6sterebilir. Bron\u015fit ve zat\u00fcrre de \u00f6zellikle balgaml\u0131 \u00f6ks\u00fcr\u00fck yapan sebeplerdendir. Bu hastal\u0131klarda genellikle y\u00fcksek ate\u015f de e\u015flik eder. Enfeksiyonun \u015fiddetine g\u00f6re nefes g\u00fc\u00e7l\u00fc\u011f\u00fc, h\u0131z\u0131 nefes alma ve terleme de bulunabilir. G\u00fcnd\u00fcz ve gece \u00f6ks\u00fcr\u00fck fark\u0131 genellikle yoktur. Bo\u011fmacada tipik \u00f6ks\u00fcr\u00fc\u011f\u00fcn\u00fc duydu\u011fumuzda akla gelen hastal\u0131klar aras\u0131ndad\u0131r. Bo\u011fmaca bebeklerde 2. aydan itibaren a\u015f\u0131lanmaya ba\u015flan\u0131lan bir bakteriyel hastal\u0131kt\u0131r. 2-4-6-18. aylarda ve okul \u00f6ncesi 4\u2019\u00fcnc\u00fc ya\u015fta yap\u0131lan karma a\u015f\u0131lar\u0131n i\u00e7inde bo\u011fmaca a\u015f\u0131s\u0131 bulunur. \u00d6zellikle a\u015f\u0131 dozlar\u0131n\u0131n hen\u00fcz tamamlanmad\u0131\u011f\u0131 k\u00fc\u00e7\u00fck bebek ve \u00e7ocuklarda bo\u011fmacada \u00f6ks\u00fcr\u00fck yapan sebeplerin aras\u0131nda saptanabilir. \u00d6ncesinde yapt\u0131\u011f\u0131 hafif nezle bulgular\u0131n\u0131n akabinde ba\u015flayan n\u00f6bet \u015feklinde \u00f6ks\u00fcr\u00fck krizleri art arda dakikalar boyunca s\u00fcrebilir, bebek\/\u00e7ocuk bu s\u0131rada yo\u011fun \u00f6ks\u00fcr\u00fckten nefes alamad\u0131\u011f\u0131ndan morarabilir, \u00f6ks\u00fcr\u00fck biti\u015finin akabinde derin nefes almaya \u00e7al\u0131\u015f\u0131rken horoz sesine benzer bir ses duyulabilir\u201d ifadelerini kulland\u0131.<\/p>\n A\u015eIRI TEM\u0130ZL\u0130K VE GEREKS\u0130Z ANT\u0130B\u0130YOT\u0130K ALERJ\u0130Y\u0130 TET\u0130KL\u0130YOR<\/strong><\/p>\n \u00d6ks\u00fcr\u00fck yapan enfeksiyon d\u0131\u015f\u0131 nedenlerin ba\u015f\u0131nda ise alerjinin geldi\u011fine dikkati \u00e7eken Dr. \u00d6\u011fr. \u00dcyesi \u00d6z, \u201c\u00c7a\u011f\u0131m\u0131zda fazla ve gereksiz antibiyotik kullan\u0131m\u0131, kimyasal hijyen malzemelerinin fazla kullan\u0131m\u0131, a\u015f\u0131r\u0131 temizlik ve titizlik nedeniyle \u00e7ocu\u011fun hi\u00e7 mikroba maruz kalmamas\u0131 ve hava kirlili\u011fi gibi nedenlerle alerjik hastal\u0131klar artm\u0131\u015ft\u0131r. Sevindirici olan bunlar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcn\u00fcn ergenli\u011fe kadarki d\u00f6nem i\u00e7inde ge\u00e7iyor veya hafifliyor olu\u015fudur. \u00d6ks\u00fcr\u00fc\u011f\u00fcn 2 haftadan uzun s\u00fcrmesi, ge\u00e7ip bir s\u00fcre sonra yeniden tekrarlamas\u0131, ailede alerji \u00f6yk\u00fcs\u00fc bulunmas\u0131 gibi durumlar bize alerjik \u00f6ks\u00fcr\u00fc\u011f\u00fc d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Bu tip \u00f6ks\u00fcr\u00fckler \u00f6zellikle mevsim ge\u00e7i\u015flerinde, alerjen olunan madde ile temas sonras\u0131nda (ev tozu, polen, parf\u00fcm, kedi k\u00f6pek t\u00fcy\u00fc, y\u00fcn vb.) ortaya \u00e7\u0131kar. Genellikle kuru karakterde, bazen \u015feffaf yap\u0131\u015fkan nitelikte balgam e\u015flik eden, geceleri \u00e7o\u011falan, g\u00fcnd\u00fcz ise hareket edip terledik\u00e7e artan \u00f6ks\u00fcr\u00fck \u015feklinde kendini g\u00f6sterir. Uygun tedavilerle kontrol alt\u0131na al\u0131n\u0131r\u201d de\u011ferlendirmesinde bulundu.<\/p>\n M\u0130DE REFL\u00dcS\u00dc DE \u00d6KS\u00dcR\u00dc\u011eE NEDEN OLAB\u0130L\u0130R<\/strong><\/p>\n Dr. \u00d6\u011fr. \u00dcyesi Yeliz \u00d6z, \u015f\u00f6yle devam etti:<\/p>\n “Akci\u011fer d\u0131\u015f\u0131 \u00f6ks\u00fcr\u00fck sebeplerinin aras\u0131nda yine s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz ba\u015fka bir durum da gastro\u00f6zefageal refl\u00fc (mide refl\u00fcs\u00fc) hastal\u0131\u011f\u0131d\u0131r. Yenido\u011fan d\u00f6neminden ergenli\u011fe kadar t\u00fcm ya\u015f gruplar\u0131nda g\u00f6r\u00fclebilen bu durum bazen g\u00f6zden ka\u00e7abilir. \u00d6ks\u00fcr\u00fck burada da alerjide oldu\u011fu gibi uzun s\u00fcrelidir. \u00d6zellikle beslenme sonras\u0131nda olu\u015fan \u00f6ks\u00fcr\u00fck, a\u011fza besinlerin geri gelmesi, bazen kusma, a\u011f\u0131zda \u00f6zellikle sabahlar\u0131 k\u00f6t\u00fc koku, bazen ise bunlar olmay\u0131p sadece uzam\u0131\u015f ses k\u0131s\u0131kl\u0131\u011f\u0131 \u015fikayeti ile refl\u00fc tan\u0131s\u0131 alan hastalar bulunur. Yenido\u011fan ve bebeklik d\u00f6neminde yemek borusu ve mide aras\u0131ndaki b\u00f6l\u00fcm\u00fcn fizyolojik yetersizli\u011fi; i\u00e7ilen s\u00fct\u00fcn ge\u011firme, alt de\u011fi\u015ftirme i\u00e7in yere d\u00fcz yat\u0131rma veya tutu\u015f esnas\u0131nda g\u00f6be\u011fe yap\u0131lan bask\u0131 ile kolayca a\u011fza geri gelmesine yol a\u00e7ar. Bu durum \u00f6ks\u00fcr\u00fc\u011f\u00fc de tetikler. Bebek\/\u00e7ocuk bazen kusar, bazen de kusmaz ama y\u00fcz\u00fcn\u00fc ek\u015fitir ve yutkunma hareketi yapar. Bu fizyolojik refl\u00fc durumu genellikle 9-12 ay aras\u0131 kendili\u011finden d\u00fczelir. \u00c7ok az durumda ila\u00e7la tedavisi yap\u0131l\u0131r. Yat\u0131\u015f pozisyonunu refl\u00fc yataklar\u0131 ile d\u00fczeltmek, az ve s\u0131k beslemek ila\u00e7s\u0131z yap\u0131labilecek tedbirlerdir. Refl\u00fc yata\u011f\u0131nda ama\u00e7 \u00f6zellikle beslenme sonras\u0131 bebe\u011fin 45 derece kadar a\u00e7\u0131 ile y\u00fcz\u00fcst\u00fc yatmas\u0131n\u0131 sa\u011flayarak refl\u00fcy\u00fc azaltmakt\u0131r. Bu yat\u0131\u015f pozisyonu gece \u00f6nerilmez. G\u00fcnd\u00fcz saatlerinde ebeveyn kontrol\u00fcnde iken \u00f6nerilir. Daha b\u00fcy\u00fck \u00e7ocuklarda ise k\u0131zartmalar ve ya\u011fl\u0131 yiyeceklerle sal\u00e7a, domates veya ket\u00e7apl\u0131 yiyecekler, baharatlar, gazl\u0131 i\u00e7ecekler, \u00e7ikolata gibi kakaolu besinler, kahve ve \u00e7ocuklar\u0131n indirekt olarak maruz kald\u0131\u011f\u0131 sigara duman\u0131 refl\u00fcy\u00fc tetikler. Bu durumda ise bu besinlerden uzakla\u015fmak ve gerekti\u011finde mideyi rahatlatan ila\u00e7lar \u00f6nerilir.”<\/p>\n 3 YA\u015eINDAN K\u00dc\u00c7\u00dcKLERE KURUYEM\u0130L B\u00dcT\u00dcN OLARAK VER\u0130LMEMEL\u0130<\/strong><\/p>\n Akci\u011fere yabanc\u0131 cisim ka\u00e7mas\u0131n\u0131n da \u00f6ks\u00fcr\u00fck nedeni oldu\u011funu belirten Dr. \u00d6\u011fr. \u00dcyesi \u00d6z, \u201cBu durumda k\u00fc\u00e7\u00fck par\u00e7al\u0131 oyuncak, d\u00fc\u011fme pil veya kuru yemi\u015f gibi sert ve k\u00fc\u00e7\u00fck cisimlerin a\u011fza al\u0131nmas\u0131 sonras\u0131 ani geli\u015fen \u00f6ks\u00fcr\u00fck, t\u0131kanma, morarma \u015fikayeti olu\u015fur. B\u00f6yle bir durumda -emin olunmasa dahi- acil olarak hastaneye ba\u015fvurmak gerekir. Burada \u015funu hat\u0131rlatmak iyi olacakt\u0131r. 3 ya\u015f alt\u0131 \u00e7ocuklara kuruyemi\u015fler b\u00fct\u00fcn halinde verilmemeli ve k\u00fc\u00e7\u00fck par\u00e7alar\u0131 olan oyuncaklarla oynamamas\u0131 sa\u011flanmal\u0131d\u0131r. 1 aydan k\u00fc\u00e7\u00fck bebeklerde, 39 ve \u00fcst\u00fcnde ate\u015f ile birlikte olmas\u0131, solunum h\u0131z\u0131nda art\u0131\u015f, h\u0131zl\u0131 nefes alma ya da zorluk, h\u0131r\u0131lt\u0131l\u0131 nefes alma, dudaklarda morarma, halsizlik, emme ve beslenme problemi olu\u015fturan \u00f6ks\u00fcr\u00fckler de vakit kaybetmeden hastaneye ba\u015fvurulmal\u0131. Ayr\u0131ca 2 haftadan uzun s\u00fcren \u00f6ks\u00fcr\u00fckler, gece uykudan uyand\u0131ran \u00f6ks\u00fcr\u00fckler ve kanl\u0131 balgaml\u0131 \u00f6ks\u00fcr\u00fckler de hastaneye ba\u015fvurulmas\u0131 gereken durumlar\u0131 olu\u015fturur\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6ks\u00fcr\u00fc\u011f\u00fcn akci\u011ferlerin bir savunma mekanizmas\u0131 oldu\u011funu belirten Dr. \u00d6\u011fr. \u00dcyesi Yeliz \u00d6z, \u201c\u00d6ks\u00fcr\u00fck kesici ila\u00e7lar\u0131 kullanarak \u00f6ks\u00fcr\u00fc\u011f\u00fc kesmek yerine sebebini anlay\u0131p ona y\u00f6nelik tedavi uygulanmal\u0131. <\/p>\n","protected":false},"author":6,"featured_media":3324,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[189,435,1112],"class_list":["post-3323","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-cocuk","tag-doktor","tag-oksuruk"],"_links":{"self":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/3323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/comments?post=3323"}],"version-history":[{"count":2,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/3323\/revisions"}],"predecessor-version":[{"id":3326,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/3323\/revisions\/3326"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media\/3324"}],"wp:attachment":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media?parent=3323"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/categories?post=3323"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/tags?post=3323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}