![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/bronsit-uyarisi_90e8976.jpg\")
\u00d6zel Sani Konuko\u011flu Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Yrd. Do\u00e7. Dr. Nevhiz G\u00fcndo\u011fdu, sigara t\u00fcketimi, enfeksiyonlar, hava kirlili\u011fi, tekrarlayan so\u011fuk alg\u0131nl\u0131\u011f\u0131 gibi olumsuz etkenlerin tetiklemesiyle ortaya \u00e7\u0131kan bron\u015fitin, en s\u0131k g\u00f6r\u00fclen k\u0131\u015f hastal\u0131klar\u0131ndan biri oldu\u011funu s\u00f6yledi.<\/p>\n
SANKO \u00dcniversitesi T\u0131p Fak\u00fcltesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 Ba\u015fkan\u0131 da olan Yrd. Do\u00e7. Dr. G\u00fcndo\u011fdu, bron\u015fitin akci\u011ferlere giden havayollar\u0131n\u0131n i\u00e7 y\u00fcz\u00fcndeki zar\u0131n iltihaplanmas\u0131yla ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131, akut ve kronik olmak \u00fczere iki \u00e7e\u015fidinin g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc kaydetti. Akut bron\u015fitin, \u2019bron\u015flar\u0131n s\u0131n\u0131rl\u0131 yang\u0131s\u0131\u2019 olarak tan\u0131mland\u0131\u011f\u0131n\u0131 belirten Yrd. Do\u00e7. Dr. G\u00fcndo\u011fdu, \u00f6ks\u00fcr\u00fck ve balgam\u0131n, bu rahats\u0131zl\u0131\u011f\u0131n en \u00f6nemli klinik belirtileri oldu\u011funu ifade etti. Genellikle \u00fcst solunum yolu enfeksiyonunu takiben ba\u015flayan akut bron\u015fitle \u00fcst solunum yolu enfeksiyonunu birbirinden ay\u0131ran en belirgin fark\u0131n akut bron\u015fitte \u00f6ks\u00fcr\u00fc\u011f\u00fcn 5 g\u00fcnden fazla s\u00fcrmesi oldu\u011funu anlatan Yrd. Do\u00e7. Dr. G\u00fcndo\u011fdu, \u201cAkut bron\u015fit etkenleri, \u00fcst solunum yolu enfeksiyonunada yol a\u00e7an vir\u00fcslerdir. \u0130nfluenza A ve B, parainfluenza,coronavir\u00fcs (tip1-3), rhinovir\u00fcs, respiratuar sinsisyal vir\u00fcs ve insan s\u0131k kar\u015f\u0131la\u015f\u0131lan etkenlerdir\u201d diye konu\u015ftu.<\/p>\n
TANI<\/p>\n
Akut bron\u015fitin tan\u0131s\u0131nda zat\u00fcrre, Kronik Obstr\u00fcktif Akci\u011fer Hastal\u0131\u011f\u0131 (KOAH) alevlenmeleri, astma ve geniz ak\u0131nt\u0131s\u0131 sendromlar\u0131n g\u00f6z ard\u0131 edilmemesi gerekti\u011fine dikkati \u00e7eken Yrd. Do\u00e7. Dr. G\u00fcndo\u011fdu, \u201cAkut bron\u015fiti olan hastalar\u0131n \u00e7o\u011funda hastal\u0131k hakk\u0131nda bilgilendirme ve semptomatik tedavi yeterlidir, ileri tetkik gerekmez. Ancak hastada \u00e7arp\u0131nt\u0131, h\u0131zl\u0131 soluk alma, ate\u015f ve zat\u00fcrre d\u00fc\u015f\u00fcnd\u00fcren semptomlar varsa akci\u011fer grafisi istenebilir. Ayr\u0131ca 75 ya\u015f ve \u00fcst\u00fc olgularda normalfizik muayene bulgusu olanlarda dahi zat\u00fcre ekarte edilemez. Bu ya\u015f grubunda akut bron\u015fit saptanan olgularda rutin akci\u011fer grafisi gerekir\u201d dedi.<\/p>\n
S\u0130GARA FAKT\u00d6R\u00dc<\/p>\n
Sigara kullan\u0131m\u0131n\u0131n bron\u015fite yol a\u00e7an en \u00f6nemli etkenlerden biri oldu\u011funun alt\u0131n\u0131 \u00e7izen Yrd. Do\u00e7. Dr. G\u00fcndo\u011fdu, \u201cBron\u015fitte yap\u0131lacak ilk i\u015f e\u011fer i\u00e7iliyorsa sigaray\u0131 b\u0131rak\u0131p istirahat etmektir.Kronik bron\u015fitte; havayollar\u0131n\u0131 ya\u011flayan bezler b\u00fcy\u00fcm\u00fc\u015f, i\u00e7 y\u00fczlerinde bulunan t\u00fcyler g\u00f6revini yapamaz olmu\u015ftur. Kronik bron\u015fitte ba\u015fka bir hastal\u0131\u011fa ba\u011flanamayan birbirini izleyen en az iki y\u0131l boyunca her y\u0131l en az \u00fc\u00e7 ay devam eden \u00f6ks\u00fcr\u00fck ve balgam g\u00f6r\u00fcl\u00fcr\u201d uyar\u0131s\u0131nda bulundu.<\/p>\n
NELER YAPILMALI<\/p>\n
Kronik bron\u015fitin aniden ortaya \u00e7\u0131kan bir hastal\u0131k olmad\u0131\u011f\u0131n\u0131 so\u011fuk alg\u0131nl\u0131\u011f\u0131 tedavisi sonras\u0131, hastan\u0131n \u00f6ks\u00fcrmeye devam edece\u011fini ve birka\u00e7 hafta boyunca b\u00fcy\u00fck miktarlarda balgam \u00e7\u0131karmay\u0131 s\u00fcrd\u00fcrece\u011fini vurgulayan Yrd. Do\u00e7. Dr. G\u00fcndo\u011fdu, \u201cKronik bron\u015fit hastalar\u0131n\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu sigara kullan\u0131c\u0131s\u0131 oldu\u011fundan, bu \u00f6ks\u00fcr\u00fckler sigara \u00f6ks\u00fcr\u00fc\u011f\u00fc olarak alg\u0131lanabilir. Zaman ilerledik\u00e7e, \u00f6ks\u00fcr\u00fck ve balgam \u00e7\u0131karma her so\u011fuk alg\u0131nl\u0131\u011f\u0131ndan sonra daha da artar ve k\u0131sa s\u00fcrede bu belirtiler y\u0131l boyunca g\u00f6r\u00fcl\u00fcr hale gelir. Sigara kullan\u0131m\u0131 kronik bron\u015fitin en \u00e7ok kar\u015f\u0131la\u015f\u0131lan nedenidir. Sigara kullanmayanlarda hastal\u0131\u011f\u0131n nedenleri aras\u0131nda; hava kirlili\u011fi, end\u00fcstriyel toz ve k\u00fcl, kronik ast\u0131m, kistikfibroz, kronik akci\u011fer enfeksiyonlar\u0131 vard\u0131r. Kronik bron\u015fitte tozlu ve kirli havadan m\u00fcmk\u00fcn oldu\u011funca uzak durulmal\u0131, sa\u011fl\u0131kl\u0131 beslenmeye \u00f6zen g\u00f6sterilmeli ve so\u011fuk alg\u0131nl\u0131\u011f\u0131na kar\u015f\u0131 dikkatli olunmal\u0131d\u0131r. Bron\u015fit mutlaka tedavi edilmesi gereken bir hastal\u0131kt\u0131r. Doktor \u00f6nerisi ile takip edilen hastal\u0131\u011f\u0131n tedavisinde solunum yollar\u0131n\u0131 geni\u015fletici ve balgam s\u00f6kt\u00fcr\u00fcc\u00fc ila\u00e7lar\u0131n yan\u0131nda, iltihap giderici ila\u00e7 ve antibiyotikler kullan\u0131labilir. Mutlaka tedavi edilmelidir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6ZEL SAN\u0130 KONUKO\u011eLU HASTANES\u0130 G\u00d6\u011e\u00dcS HASTALIKLARI UZMANI YRD. DO\u00c7. DR. NEVH\u0130Z G\u00dcNDO\u011eDU…<\/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":[22709,12873],"class_list":["post-178925","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bronsit","tag-uyarisi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/178925","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=178925"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/178925\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=178925"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=178925"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=178925"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}