\u00dclkemizde yakla\u015f\u0131k her 10 \u00e7ocuktan birinde g\u00f6r\u00fclen ast\u0131m, do\u011fru y\u00f6netilmedi\u011finde tekrarlayan \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131 ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fc ile \u00e7ocuklar\u0131n ya\u015fam kalitesini ciddi \u015fekilde etkileyebiliyor. Aile fark\u0131ndal\u0131\u011f\u0131 ve erken tan\u0131yla do\u011fru tedavi planlamas\u0131, hastal\u0131\u011f\u0131n kontrol alt\u0131na al\u0131nmas\u0131nda \u00f6nemli rol oynuyor. \u00c7ocukluk \u00e7a\u011f\u0131 ast\u0131m\u0131n\u0131n anla\u015f\u0131lmas\u0131 ve do\u011fru \u015fekilde y\u00f6netilmesi i\u00e7in baz\u0131 bulgular yol g\u00f6sterici nitelik ta\u015f\u0131yor. Memorial G\u00f6ztepe Hastanesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Haluk \u00c7oku\u011fra\u015f, \u00e7ocuklarda ast\u0131m hastal\u0131\u011f\u0131 hakk\u0131nda bilgi verdi ve al\u0131nmas\u0131 gereken \u00f6nlemleri anlatt\u0131.<\/p>\n
\u00c7ocu\u011funuzun \u00f6ks\u00fcr\u00fc\u011f\u00fcn\u00fc basit bir enfeksiyon sanmay\u0131n<\/p>\n
Ast\u0131m, bron\u015flar\u0131n zaman zaman daralmas\u0131yla ortaya \u00e7\u0131kan tekrarlay\u0131c\u0131 \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131 ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fc ataklar\u0131yla seyreden bir hastal\u0131kt\u0131r. \u00d6ks\u00fcr\u00fck ast\u0131m\u0131n en temel belirtisidir, \u00f6ks\u00fcr\u00fcks\u00fcz bir ast\u0131m hastal\u0131\u011f\u0131 olmaz. T\u00fcrkiye\u2019de \u00e7ocuklarda ast\u0131m g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u00fczde 5\u20139 aras\u0131nda de\u011fi\u015fmektedir. Kuru ve y\u00fcksek b\u00f6lgelerde daha az, nemli ve deniz k\u0131y\u0131s\u0131 b\u00f6lgelerde daha fazla g\u00f6r\u00fcl\u00fcr. Maalesef pek \u00e7ok \u00e7ocuk ast\u0131m ilac\u0131 kullanmas\u0131na ra\u011fmen, ailesi onun ast\u0131m oldu\u011funu bilmemekte ve bron\u015fit, alerjik bron\u015fit veya zat\u00fcrre ba\u015flang\u0131c\u0131 gibi yanl\u0131\u015f tan\u0131lar alabilmektedir. Bu nedenle \u00f6nce do\u011fru tan\u0131 konulmal\u0131d\u0131r. Ayr\u0131ca, her \u00e7ocu\u011fun akci\u011ferlerinin yan\u0131 s\u0131ra, \u00a0burun i\u00e7i de detayl\u0131 de\u011ferlendirilmelidir. \u00c7\u00fcnk\u00fc e\u015flik eden bir alerjik rinit de s\u0131kl\u0131kla birlikte bulunabilir. \u00d6zellikle 2-3 ya\u015f alt\u0131ndaki \u00e7ocuklarda viral enfeksiyonlara ba\u011fl\u0131 k\u0131sa s\u00fcreli h\u0131\u015f\u0131lt\u0131l\u0131 ataklar g\u00f6r\u00fclebilir ve bu durum \u00e7o\u011fu zaman ya\u015f ilerledik\u00e7e kaybolur. Ancak bu \u00e7ocuklar yak\u0131ndan ve d\u00fczenli olarak izlenmeli; gereksiz uzun s\u00fcreli ila\u00e7 tedavisinden de ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n
\u00c7ocuklarda ast\u0131m\u0131 fark etmek i\u00e7in bu 9 bulgu \u00f6nemli<\/p>\n
Ast\u0131m belirtileri her \u00e7ocukta ayn\u0131 \u015fekilde ortaya \u00e7\u0131kmaz. \u00c7ocuklarda ast\u0131m belirtileri farkl\u0131l\u0131k g\u00f6sterebilir. Ast\u0131mda yaln\u0131zca solunum g\u00fc\u00e7l\u00fc\u011f\u00fc de\u011fil, tekrarlayan kuru veya balgaml\u0131 \u00f6ks\u00fcr\u00fck de tek ba\u015f\u0131na belirti olabilir. H\u0131r\u0131lt\u0131l\u0131 solunum, nefes verirken duyulan \u0131sl\u0131k sesi, gece artan \u00f6ks\u00fcr\u00fck, eforla gelen \u00f6ks\u00fcr\u00fck n\u00f6betleri, a\u011f\u0131r ataklarda g\u00f6\u011f\u00fcs duvar\u0131nda \u00e7\u00f6kmeler ve solunumda zorlanma g\u00f6r\u00fclebilir. \u00c7ocuklarda ast\u0131m\u0131 fark edebilmek i\u00e7in bu belirtileri g\u00f6z ard\u0131 edilmemelidir:<\/p>\n
\tGece artan \u00f6ks\u00fcr\u00fck
\n\tH\u0131r\u0131lt\u0131l\u0131 solunum
\n\tNefes verirken duyulan \u0131sl\u0131k sesi
\n\tTekrarlayan kuru veya balgaml\u0131 \u00f6ks\u00fcr\u00fck
\n\tKo\u015fma, g\u00fclme, a\u011flama gibi eforla gelen \u00f6ks\u00fcr\u00fck
\n\tAtak d\u00f6nemlerinde omuz ve kaburga aralar\u0131nda solunum eforunun artmas\u0131
\n\tCiddi n\u00f6betlerde halsizlik, huzursuzluk ve nadiren bilin\u00e7 de\u011fi\u015fikli\u011fi
\n\t\u00c7ocu\u011fun ge\u00e7mi\u015finde besin alerjisi, egzama bulunmas\u0131
\n\tAilede alerjik hastal\u0131k varl\u0131\u011f\u0131<\/p>\n
Alerjiler kontrol edilmezse ast\u0131m kontrol\u00fc zorla\u015f\u0131r<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 ast\u0131m\u0131n\u0131n y\u00fczde 70\u2019inden fazlas\u0131 alerjik k\u00f6kenlidir. Ailede alerji veya ast\u0131m \u00f6yk\u00fcs\u00fc, \u00e7ocukta ast\u0131m g\u00f6r\u00fclme riskini art\u0131rabilir. Ast\u0131m\u0131 olan \u00e7ocuklarda s\u0131kl\u0131kla, inek s\u00fct\u00fc proteini alerjisi gibi besin alerjileri, egzama ve burun ak\u0131nt\u0131s\u0131, t\u0131kan\u0131kl\u0131k, hap\u015f\u0131rma, g\u00f6z ka\u015f\u0131nt\u0131s\u0131 gibi bulgularla seyreden alerjik nezle de g\u00f6r\u00fclebilir. \u00d6zellikle alerjik nezlenin tedavi edilmemesi, ast\u0131m kontrol\u00fcn\u00fc zorla\u015ft\u0131rabilir.<\/p>\n
Ast\u0131mda uzun s\u00fcreli bir tedavi plan\u0131 gerekli\u00a0<\/p>\n
Ast\u0131m kronik bir gidi\u015fle, y\u0131llarca devam eden bir hastal\u0131k oldu\u011fundan yaln\u0131zca atak d\u00f6nemlerinde de\u011fil, atak d\u0131\u015f\u0131 uzun s\u00fcreli tedavi gereklidir. D\u00fcnya genelinde kabul g\u00f6ren basamak tedavisi yakla\u015f\u0131m\u0131 ile \u00e7ocu\u011fun durumuna g\u00f6re tedavi d\u00fczeni belirlenmelidir. Son y\u0131llarda solunum yolundan al\u0131nan kortizonlu ila\u00e7lar, ast\u0131m\u0131n uzun s\u00fcreli tedavisinin en \u00f6nemli \u00f6gelerinden biri haline geldi. Bu ila\u00e7lar\u0131n dozu a\u011f\u0131zdan al\u0131nanlardan \u00e7ok daha d\u00fc\u015f\u00fck oldu\u011fundan, di\u011fer kortizonlu ila\u00e7lar\u0131n al\u0131nmas\u0131yla s\u0131k\u00e7a g\u00f6z\u00fcken yan etkiler bunlarda g\u00f6z\u00fckmez. Koruyucu etkileri olan bu ila\u00e7lar doktor kontrolu alt\u0131nda uzun s\u00fcre kullan\u0131labilirler. Hava yolu ile kullan\u0131lan (inhaler ya da neb\u00fclizer) ila\u00e7lar\u0131n do\u011fru kullan\u0131mlar\u0131n\u0131n \u00f6\u011frenilmesi ba\u015far\u0131l\u0131 bir tedavi i\u00e7in son derecede \u00f6nemlidir.<\/p>\n
Do\u011fru y\u00f6netilen ast\u0131m tedavisi \u00e7ocuklar\u0131n ya\u015fam kalitesini art\u0131r\u0131r<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 ast\u0131m\u0131, ailelerin do\u011fru bilgilendirilmesi ve uygun tedaviyle y\u00f6netildi\u011finde \u00e7ocuklar\u0131n ya\u015fam kalitesini olumsuz etkilemeden kontrol alt\u0131na al\u0131nabilen bir hastal\u0131kt\u0131r. \u00d6ks\u00fcr\u00fc\u011f\u00fcn k\u00fc\u00e7\u00fcmsenmemesi, alerjik belirtilerin dikkate al\u0131nmas\u0131 ve uzman hekim takibi, \u00e7ocuklar\u0131n sa\u011fl\u0131kl\u0131 bir gelece\u011fe ad\u0131m atmas\u0131 i\u00e7in kritik \u00f6neme sahiptir. Tedavide amac\u0131m\u0131z atak say\u0131s\u0131n\u0131 azaltmak, ataklar\u0131n \u015fiddetini hafifletmek, komplikasyonlar\u0131 \u00f6nlemek, \u00e7ocu\u011fun ya\u015f\u0131na uygun fiziksel aktiviteleri s\u00fcrd\u00fcrebilmesini sa\u011flamak, b\u00fcy\u00fcme ve geli\u015fmenin normal devam\u0131n\u0131 sa\u011flamak, ila\u00e7 yan etkilerinden korumak ve hem aileleri hem de \u00e7ocuklar\u0131 hastal\u0131k konusunda bilin\u00e7lendirmektir. Ast\u0131m konusunda ailelerin bilin\u00e7li olmas\u0131 ve ast\u0131m ataklar\u0131n\u0131 \u00f6nleyici tedbirler almalar\u0131 da \u00e7ocuklar\u0131n ya\u015fam kalitesine \u00f6nemli derecede etki eder. Ailelerin sigara i\u00e7mesi \u00e7ocuk ast\u0131m\u0131n\u0131 olumsuz etkileyen \u00e7ok ciddi bir fakt\u00f6rd\u00fcr.<\/p>\n
\u00c7ocu\u011funuzda ev tozu akar\u0131 alerjisi varsa ast\u0131m ataklar\u0131n\u0131 \u00f6nlemek i\u00e7in bu \u00f6nlemleri al\u0131n!<\/p>\n
\tYatak odas\u0131nda hal\u0131 bulundurmay\u0131n.
\n\tT\u00fcyl\u00fc oyuncak ve y\u00fcnl\u00fc e\u015fyalar\u0131 azalt\u0131n.
\n\tToz tutan e\u015fyalar\u0131 kapal\u0131 dolaplarda saklay\u0131n.
\n\tNevresim ve \u00e7ar\u015faflar\u0131 haftada iki kez 60\u00b0C \u00fczerinde y\u0131kay\u0131n.
\n\tYatak, yorgan ve yast\u0131\u011f\u0131n y\u00fcn, ku\u015ft\u00fcy\u00fc olmamas\u0131na dikkat edin.
\n\tAkar bar\u0131nd\u0131rmayan \u00f6zel yataklar tercih edin.
\n\tGerekli durumlarda HEPA filtreli hava temizleme cihazlar\u0131 kullan\u0131n.
\n\tD\u00fczenli doktor kontrolleri ihmal etmeyin.
\n\tDoktorunuz uygun g\u00f6r\u00fcrse \u00f6zel durumlarda alerji a\u015f\u0131 tedavisi gerekebilir.<\/p>\n
\u00a0<\/p>\n
Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00dclkemizde yakla\u015f\u0131k her 10 \u00e7ocuktan birinde g\u00f6r\u00fclen ast\u0131m, do\u011fru y\u00f6netilmedi\u011finde tekrarlayan \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131 ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fc ile \u00e7ocuklar\u0131n ya\u015fam kalitesini ciddi \u015fekilde etkileyebiliyor.<\/p>\n","protected":false},"author":1,"featured_media":9444,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[4317,721,2880,3113,196],"class_list":["post-9443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-alerjik","tag-cocuklarda","tag-oksuruk","tag-solunum","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/9443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=9443"}],"version-history":[{"count":0,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/9443\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media\/9444"}],"wp:attachment":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=9443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=9443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=9443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}