﻿{"id":1346302,"date":"2018-10-23T14:34:33","date_gmt":"2018-10-23T11:34:33","guid":{"rendered":"http:\/\/www.erzurumflas.com\/cocuklarda-dikkat-daginikligi-ve-asabiyete-dikkat-2\/"},"modified":"2018-10-23T14:34:43","modified_gmt":"2018-10-23T11:34:43","slug":"cocuklarda-dikkat-daginikligi-ve-asabiyete-dikkat-2","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=1346302","title":{"rendered":"\u00c7ocuklarda dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131 ve asabiyete dikkat"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2018\/10\/cocuklarda-dikkat-daginikligi-ve-asabiyete-dikkat_6ae8388.jpg\" width=\"600\">Do\u00e7.Dr. Yavuz Selim Y\u0131ld\u0131r\u0131m, \u00e7ocuklarda dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131 ve asabiyete dikkat edilmesi konusunda uyar\u0131larda bulundu.<\/p>\n<p>Hisar Hospital Intercontinental Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Yavuz Selim Y\u0131ld\u0131r\u0131m, \u201c\u00c7ocu\u011funuzda dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131, ders ba\u015far\u0131s\u0131nda azalma, huzursuzluk ve asabiyet varsa sebebi geniz eti olabilir. \u00c7ocuklarda uykuda solunum problemine ba\u011fl\u0131 bu belirtiler \u00e7ok fazla g\u00f6r\u00fcl\u00fcyor, ancak geniz eti akla gelmedi\u011fi i\u00e7in tedavide gecikmeler ya\u015fan\u0131yor. Temel olarak iki yolla problem olu\u015fturur. Birincisi; \u00e7ok b\u00fcy\u00fcd\u00fc\u011f\u00fcnde mekanik olarak genizi kapat\u0131r ve t\u0131kay\u0131c\u0131 uyku apnesi denilen uykuda solunumun duraklamas\u0131na kadar varan ciddi problemler olu\u015fturur. \u0130kinci olarak; t\u0131kay\u0131c\u0131 \u00f6zelli\u011finden ba\u011f\u0131ms\u0131z olmak \u00fczere geniz eti mikroplarla istila edildi\u011finde mikroplar\u0131n b\u00fcy\u00fcmesine ortam haz\u0131rlar. Bu durum, geniz etinin yerle\u015fti\u011fi b\u00f6l\u00fcm tam bir kav\u015fak oldu\u011fundan, \u00fcst ve alt solunum yollar\u0131nda tekrarlayan enfeksiyonlara sebep olur. Problemin uzun s\u00fcrmesi sonucu \u00e7ocuklarda uzun ve ince y\u00fcz yap\u0131s\u0131, y\u00fcksek damak, \u00fcst \u00e7enenin \u00f6ne do\u011fru b\u00fcy\u00fcmesi, a\u011f\u0131z\u0131n s\u00fcrekli a\u00e7\u0131k olmas\u0131 hali, bozuk di\u015fler ve g\u00f6z altlar\u0131nda \u00e7\u00f6k\u00fckl\u00fckle karakterize \u201cadenoid y\u00fcz\u201d denilen tipik bir y\u00fcz ifadesi ortaya \u00e7\u0131kar. Bu \u00e7ocuklar anneden babadan \u00e7ok bir birlerine benzer, bu hastalar\u0131n y\u00fcz g\u00f6r\u00fcn\u00fcm\u00fc \u00e7ok tipiktir, kap\u0131dan girerken tan\u0131mak m\u00fcmk\u00fcnd\u00fcr\u201d dedi.<\/p>\n<p>Geniz eti olan \u00e7ocuklarda; t\u0131kay\u0131c\u0131 uyku apnesi, \u00fcst solunum yolu diren\u00e7 sendromu, horlama, burun t\u0131kan\u0131kl\u0131\u011f\u0131 ve buna ba\u011fl\u0131 a\u011f\u0131z solunumu, dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131 ve buna ba\u011fl\u0131 ders ba\u015far\u0131s\u0131nda azalma, huzursuzluk ve asabiyet, gece alt\u0131na i\u015feme, yutma ve konu\u015fma bozuklu\u011fu, tat ve koku almada azalma, orta kulakta s\u0131v\u0131 toplanmas\u0131, i\u015fitmede azalma, anormal y\u00fcz ve di\u015f geli\u015fimi, b\u00fcy\u00fcme ve geli\u015fme gerili\u011fi, pulmoner hipertansiyon, kor pulmonale, orta kulak iltihab\u0131, sin\u00fczit, bademcik iltihab\u0131, akci\u011fer iltihab\u0131 gibi problemlerle kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131n\u0131 ifade eden Dr. Y\u0131ld\u0131r\u0131m, \u201cKBB uzmanlar\u0131n\u0131n sahip oldu\u011fu endoskop ile a\u011f\u0131z i\u00e7erisinden veya Fleksibil Endoskop ile burun i\u00e7erisinden kolayca saptanabilir. Muayeneye uyum sa\u011flamayan \u00e7ocuklarda Lateral Nazofarenks grafisi ile de saptanabilir. Aktif enfeksiyon varl\u0131\u011f\u0131nda ila\u00e7 tedavisi ile tedavi ettikten sonra mutlaka endoskop ile tekrar kontrol edilmelidir. B\u00fcy\u00fck olanlar i\u00e7in kortizonlu burun damlalar\u0131 denenebilir veya g\u00fcn\u00fcbirlik ameliyat ile tedavi edilebilir\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u0130SAR HOSP\u0130TAL INTERCONT\u0130NENTAL KULAK BURUN BO\u011eAZ HASTALIKLARI UZMANI DO\u00c7. DR. YAVUZ SEL\u0130M YILDIRIM<\/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":[107460,19067,107459,4992],"class_list":["post-1346302","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-asabiyete","tag-cocuklarda","tag-daginikligi","tag-dikkat"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1346302","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1346302"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1346302\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1346302"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1346302"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1346302"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}