Kendi kendine nefes alamayan hastalara uygulanan ent\u00fcbasyon i\u015flemi sonras\u0131nda hastalar\u0131n solunumu hekimin uygulamalar\u0131 ile desteklendi\u011fini ve temiz kan\u0131n v\u00fccutta dola\u015farak organlar\u0131 \u00e7al\u0131\u015ft\u0131rd\u0131\u011f\u0131n\u0131 bu sayede de hastalar\u0131n iyile\u015fmesinin sa\u011fland\u0131\u011f\u0131n\u0131 belirten Alt\u0131nba\u015f \u00dcniversitesi Sa\u011fl\u0131k Meslek Hizmet Y\u00fcksekokulu \u00d6\u011fr. G\u00f6r. ve \u0130lk ve Acil Yard\u0131m Program Ba\u015fkan\u0131 \u00d6zlem Karag\u00f6l, ent\u00fcbe i\u015flemi ile ilgili olarak toplumda bir \u00f6nyarg\u0131n\u0131n olu\u015ftu\u011funu s\u00f6yledi ve \u00e7e\u015fitli a\u00e7\u0131klamalarda bulundu.<\/p>\n
ENT\u00dcBASYON HANG\u0130 HASTALARDA\/DURUMLARDA UYGULANIR?<\/strong><\/p>\n Ent\u00fcbasyon i\u015fleminin hastan\u0131n anestezi, sedasyon ya da \u015fiddetli hastal\u0131k s\u0131ras\u0131nda rahat nefes almas\u0131na yard\u0131mc\u0131 olmak i\u00e7in yap\u0131ld\u0131\u011f\u0131na dikkat \u00e7eken \u00d6zlem Karag\u00f6l, \u201cKoronavir\u00fcs nedeniyle ad\u0131n\u0131 s\u0131k\u00e7a duydu\u011fumuz ent\u00fcbasyonu nefes alamama durumlar\u0131nda uygulan\u0131r. Bu y\u00f6ntemle koronavir\u00fcs hastalar\u0131n\u0131n rahat nefes almas\u0131 desteklenir. Bu evrede v\u00fccut vir\u00fcsle sava\u015f\u0131rken ona yard\u0131m da eder. Ancak ent\u00fcbasyon i\u015flemi koronavir\u00fcs\u00fc tedavi etmez\u201d dedi.<\/p>\n Ent\u00fcbasyon i\u015fleminin uyguland\u0131\u011f\u0131 di\u011fer durumlara da de\u011finen \u00d6zlem Karag\u00f6l, \u201cGenel anestezi ila\u00e7lar\u0131, diyafram dahil v\u00fccuttaki t\u00fcm kaslar\u0131 ameliyat s\u00fcrecinde fel\u00e7 ederek ventilat\u00f6r olmadan nefes almay\u0131 imk\u00e2ns\u0131z hale getirebilir. Hasta, kendi kendine nefes al\u0131p vermeye ba\u015flad\u0131\u011f\u0131nda, kan\u0131 yeterince oksijene doygun hale geldi\u011fine ent\u00fcbenin tersi olan \u2018ekst\u00fcbe\u2019 i\u015flemi yap\u0131labilir\u201d \u015feklinde konu\u015ftu.<\/p>\n DAMAR YOLUYLA BESLEN\u0130RLER<\/strong><\/p>\n \u00d6zlem Karag\u00f6l, \u00e7o\u011fu ameliyattan sonra hastalar\u0131n anesteziden uyand\u0131r\u0131lmak i\u00e7in verilen ila\u00e7la kendi kendine nefes almaya ba\u015flad\u0131\u011f\u0131na da de\u011finerek \u201cAncak anesteziyi tersine \u00e7evirecek ila\u00e7lar\u0131n kullan\u0131lmad\u0131\u011f\u0131 a\u00e7\u0131k kalp ameliyatlar\u0131 gibi durumlarda, hasta kendi kendine uyan\u0131r. Bu t\u00fcr hastalar\u0131n solunum yolunu korumak ve kendi ba\u015flar\u0131na nefes almalar\u0131n\u0131 sa\u011flamak i\u00e7in yeterince uyan\u0131k olana kadar ventilat\u00f6rde kalmalar\u0131, yani ent\u00fcbe edilmeleri gerekebilir Hastan\u0131n akci\u011ferindeki hasar, ileri seviye zat\u00fcrre ya da KOAH nedeniyle de solunum yetmezli\u011fi ya\u015fad\u0131\u011f\u0131 durumlarda da s\u0131k\u00e7a ba\u015fvurulan bir i\u015flemdir. Ent\u00fcbe s\u0131ras\u0131nda hastalar\u0131n uyku durumundad\u0131r. Bu nedenle damar yoluyla beslenirler\u201d a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/p>\n \u201cENT\u00dcBE HASTALARIN B\u00dcY\u00dcK \u00c7O\u011eUNLU\u011eU \u0130Y\u0130LE\u015e\u0130R\u201d<\/strong><\/p>\n \u00d6zlem Karag\u00f6l, ent\u00fcbasyonun tedaviye yard\u0131mc\u0131, hayat kurtaran bir i\u015flem oldu\u011funu hat\u0131rlatarak ent\u00fcbe hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funun iyile\u015fti\u011fine vurgu yapt\u0131. \u201cPek \u00e7ok ki\u015fi ent\u00fcbasyonun genelde \u00f6l\u00fcm\u00fcn bir \u00f6nc\u00fc habercisi oldu\u011funu varsaysa da durum b\u00f6yle de\u011fil\u201d diye konu\u015ftu. <\/p>\n Kendilerine s\u0131k s\u0131k, \u201cEnt\u00fcbe hasta ka\u00e7 g\u00fcn ya\u015far?\u201d, \u201cEnt\u00fcbe olan hasta ya\u015far m\u0131?\u201d gibi sorular\u0131n\u0131n geldi\u011fini belirten \u00d6zlem Karag\u00f6l, deneyimlerine ve bilimsel veriler g\u00f6re ent\u00fcbe edilen koronavir\u00fcs hastalar\u0131n\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn iyile\u015fti\u011fini s\u00f6yledi. A\u00e7\u0131k kalp ameliyatlar\u0131 sonras\u0131nda da ent\u00fcbe hastalarda iyile\u015fme oranlar\u0131n\u0131n \u00e7ok y\u00fcksek oldu\u011funu da dile getiren \u00d6zlem Karag\u00f6l, ent\u00fcbasyonun korkulacak bir i\u015flem olmad\u0131\u011f\u0131n\u0131, \u0130yile\u015fme s\u00fcrecinin hastalar\u0131n durumuna g\u00f6re de\u011fi\u015fti\u011fini belirtti ve \u201cBazen haftalarca bazen de birka\u00e7 g\u00fcn s\u00fcrebilir\u201d dedi.<\/p>\n \u201cPN\u00d6MON\u0130 (ZAT\u00dcRRE), SES KISIKLI\u011eI, BO\u011eAZ A\u011eRISI G\u0130B\u0130 R\u0130SKLER\u0130 VAR\u201d<\/strong><\/p>\n Ent\u00fcbasyonun d\u00fc\u015f\u00fck riskli bir i\u015flem olsa da uzun s\u00fcre ventilat\u00f6rde kalmas\u0131n\u0131n baz\u0131 riskler ta\u015f\u0131d\u0131\u011f\u0131na da de\u011finen \u00d6zlem Karg\u00f6l \u015f\u00f6yle devam etti:<\/p>\n \u201cEnt\u00fcbasyon sonras\u0131 ba\u015fta pn\u00f6moni (zat\u00fcrre), si\u015f, a\u011f\u0131z, dil, g\u0131rtlakta travma, trakea travmas\u0131, ent\u00fcbasyon s\u0131ras\u0131nda t\u00fck\u00fcr\u00fck veya di\u011fer s\u0131v\u0131lar\u0131n aspire edilmesi, bo\u011faz a\u011fr\u0131s\u0131 ve ses k\u0131s\u0131kl\u0131\u011f\u0131 ya\u015fanabilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":" Pandemiyle ad\u0131 s\u0131k\u00e7a duyulan ent\u00fcbasyon i\u015fleminin halk aras\u0131nda olumsuz bir durum olarak alg\u0131lansa da asl\u0131nda hayat kurtar\u0131c\u0131 bir uygulama oldu\u011funu belirten Sa\u011fl\u0131k Meslek Hizmet Y\u00fcksekokulu, \u0130lk ve Acil Yard\u0131m Program Ba\u015fkan\u0131 \u00d6\u011fr. G\u00f6r. \u00d6zlem Karag\u00f6l, \u201cGe\u00e7en y\u0131l\u0131n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 verilerine g\u00f6re, hastaneye yat\u0131r\u0131lan yeni hasta say\u0131s\u0131 161.212\u2019dir. Kovid-19 hastalar\u0131n\u0131n y\u00fczde 49,5\u2019i hastaneye yat\u0131r\u0131lm\u0131\u015f olup bu hastalar\u0131n y\u00fczde 8,8\u2019i ent\u00fcbe edilmi\u015f, bu hastalar\u0131n y\u00fczde 95,6\u2019s\u0131 ise hastaneden taburcu edilmi\u015ftir\u201d dedi.<\/p>\n","protected":false},"author":6,"featured_media":7034,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[628,320,87],"class_list":["post-7032","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-kovid-19","tag-pandemi","tag-saglik"],"_links":{"self":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/7032","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=7032"}],"version-history":[{"count":1,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/7032\/revisions"}],"predecessor-version":[{"id":7035,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/7032\/revisions\/7035"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media\/7034"}],"wp:attachment":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media?parent=7032"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/categories?post=7032"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/tags?post=7032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}