Ast\u0131m\u0131n geli\u015fiminde genetik fakt\u00f6rlerin etkisinin oldu\u011funu belirten uzmanlar, “Her iki ebeveynde birden bu hastal\u0131klardan bulunmas\u0131, \u00e7ocuklarda bu riski y\u00fczde 60-70\u2019lere kadar y\u00fckseltebilmektedir” dedi. Ayr\u0131ca, ast\u0131m\u0131n kronik bir rahats\u0131zl\u0131k oldu\u011fu halde ataklar halinde seyretti\u011fi i\u00e7in doktorlar ve aileler taraf\u0131ndan fark edilmedi\u011fi belirtildi.<\/p>\n
Burtom \u00d6zl\u00fcce T\u0131p Merkezi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Ufuk Sevgican, \u00e7ocuklarda ast\u0131m hastal\u0131\u011f\u0131 ile ilgili \u00f6nemli bilgiler verdi. Sevgican, ataklar aras\u0131nda hastalarda herhangi bir bulgunun g\u00f6zlenmedi\u011fini, atak esnas\u0131nda \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131, h\u0131\u015f\u0131lt\u0131, solunumda h\u0131zlanma ve nefes darl\u0131\u011f\u0131 g\u00f6zlenmesinin, ast\u0131m tan\u0131s\u0131 i\u00e7in \u00f6nemli oldu\u011funu s\u00f6yledi.<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131nda ast\u0131m tan\u0131s\u0131 alan hastalar\u0131n bir\u00e7o\u011funda s\u00fct \u00e7ocuklu\u011fu d\u00f6neminde de benzer bulgular g\u00f6zlendi\u011fini belirten Sevgican, bu hastalara as\u0131l tan\u0131 konmadan \u00f6nce bron\u015fit, astmatik bron\u015fit, zat\u00fcrre ba\u015flang\u0131c\u0131 gibi farkl\u0131 tan\u0131lar\u0131n kondu\u011fu s\u00f6yledi. \u00c7ocukluk \u00e7a\u011f\u0131nda ast\u0131m tan\u0131s\u0131 alan hastalar\u0131n yakla\u015f\u0131k y\u00fczde 60\u2019\u0131n\u0131n ergenlik d\u00f6neminde iyile\u015febildi\u011fini anlatan Sevgican, “Ast\u0131m iki t\u00fcrl\u00fc olabilmektedir. Alerjik ast\u0131m, en s\u0131k g\u00f6zlenen gruptur. Duyarl\u0131l\u0131k g\u00f6sterilen \u00e7evresel etmenler kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda atak g\u00f6zlenir. Ast\u0131ml\u0131 hastalar\u0131n bir k\u0131sm\u0131nda ise alerjik etken g\u00f6sterilemez ve bu hastalar alerjik olmayan (nonallerjik) ast\u0131m grubuna dahil edilirler. Ast\u0131ml\u0131 hastalar\u0131n solunum yollar\u0131n\u0131n, bir\u00e7ok \u00e7evresel maddeye duyarl\u0131 oldu\u011fu bilinmektedir. Bunlar aras\u0131nda tozlar, parf\u00fcmler, polenler, k\u00f6t\u00fc yo\u011fun kokular, yemek kokular\u0131, temizlik maddeleri, boya kokular\u0131, pudra, k\u00fcf, sigara duman\u0131, hava kirlili\u011fi say\u0131lmaktad\u0131r” dedi.<\/p>\n
Ast\u0131m\u0131n geli\u015fiminde genetik fakt\u00f6rlerin de etkisinin oldu\u011funu belirten Sevgican, “Ebeveynlerden birinde ast\u0131m veya alerjik hastal\u0131k bulunan bir \u00e7ocukta ast\u0131m geli\u015fme riski y\u00fczde 25-30 iken, her iki ebeveynde birden bu hastal\u0131klardan bulunmas\u0131, bu riski y\u00fczde 60-70\u2019lere kadar y\u00fckseltebilmektedir. Tekrarlayan nefes darl\u0131klar\u0131, tekrarlayan kuru inat\u00e7\u0131 \u00f6ks\u00fcr\u00fckler, gece \u00f6ks\u00fcr\u00fckleri, egzersiz ile veya farkl\u0131 bir kokuyu alg\u0131lad\u0131ktan hemen sonra ortaya \u00e7\u0131kan \u00f6ks\u00fcr\u00fckler, a\u015f\u0131r\u0131 g\u00fclme veya a\u011flama sonras\u0131 ortaya \u00e7\u0131kan \u00f6ks\u00fcr\u00fckler ast\u0131m tan\u0131s\u0131n\u0131 akla getirmelidir. Ayr\u0131ca bu hastalarda egzama varl\u0131\u011f\u0131, alerjik g\u00f6z veya burun nezlesinin olmas\u0131, bebeklik d\u00f6neminde iken g\u0131da alerjilerinin mevcudiyeti, anne-baba- karde\u015fte alerjik hastal\u0131klar\u0131n varl\u0131\u011f\u0131 tan\u0131y\u0131 kuvvetlendiren bulgular aras\u0131nda say\u0131lmaktad\u0131r. Ast\u0131m tedavisinde yer alan rahatlat\u0131c\u0131 ila\u00e7lar\u0131n, \u00f6ks\u00fcr\u00fck ata\u011f\u0131 esnas\u0131nda uygulanmas\u0131 ile al\u0131nan olumlu yan\u0131t\u0131n, tedaviden tan\u0131ya giden yolda de\u011feri b\u00fcy\u00fckt\u00fcr” dedi.<\/p>\n
Ast\u0131m i\u00e7in en \u00f6nemli risk fakt\u00f6r\u00fcn\u00fcn alerjenler oldu\u011funu hat\u0131rlatan Uzm.Dr. Ufuk Sevgican, “Bu alerjenler polenler, mantar sporlar\u0131, ev tozu akarlar\u0131, hamam b\u00f6ce\u011fi, hayvan t\u00fcyleri, s\u00fct, yumurta, bal\u0131k, yer f\u0131st\u0131\u011f\u0131, f\u0131nd\u0131k gibi g\u0131dalar olabilmektedir. Duyarl\u0131 olunan alerjenlerin tespiti deri veya kan testleri ile yap\u0131labilmektedir. Tespit edilen alerjenden uzak durmak, ast\u0131mda tedavinin en basit ve en \u00f6nemli k\u0131sm\u0131n\u0131 olu\u015fturmakta ve hastan\u0131n kullanaca\u011f\u0131 ila\u00e7 ihtiyac\u0131n\u0131 azaltmaktad\u0131r. Ast\u0131mda kullan\u0131lan ila\u00e7lar, ataklar esnas\u0131nda kullan\u0131lan bron\u015f daralmas\u0131n\u0131 azaltan rahatlat\u0131c\u0131 olanlar ve uzun s\u00fcreli d\u00fczenli kullan\u0131lmas\u0131 gereken koruyucu olanlar olmak \u00fczere iki \u00e7e\u015fittirler. Alerjene \u00f6zg\u00fcn a\u015f\u0131 tedavileri ise ancak se\u00e7ilmi\u015f bir k\u0131s\u0131m hastada, alerji uzmanlar\u0131nca uygulanmal\u0131d\u0131r. Uzman \u00f6nerileri do\u011frultusunda al\u0131nacak \u00e7evre \u00f6nlemleri ile birlikte \u00f6nerilen doz ve s\u00fcrelerde ast\u0131m ila\u00e7lar\u0131n\u0131n kullan\u0131m\u0131n\u0131n, bu hastalar\u0131n ileri ya\u015flardaki solunum fonksiyonlar\u0131ndaki azalman\u0131n \u00f6n\u00fcne ge\u00e7ti\u011fi \u00e7al\u0131\u015fmalarla g\u00f6sterilmi\u015ftir” diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
ASTIMIN GEL\u0130\u015e\u0130M\u0130NDE GENET\u0130K FAKT\u00d6RLER\u0130N\u0130N ETK\u0130S\u0130N\u0130N OLDU\u011eUNU BEL\u0130RTEN UZMANLAR, “HER \u0130K\u0130 EBEVEYNDE B\u0130RDEN BU HASTALIKLARDAN BULUNMASI, \u00c7OCUKLARDA BU R\u0130SK\u0130 Y\u00dcZDE 60-70\u2019LERE KADAR Y\u00dcKSELTEB\u0130LMEKTED\u0130R” DED\u0130. AYRICA ASTIM’IN KRON\u0130K B\u0130R RAHATSIZLIK OLDU\u011eU HALDE ATAKLAR HAL\u0130NDE SEYRETT\u0130\u011e\u0130 \u0130\u00c7\u0130N DOKTORLAR VE A\u0130LELER TARAFINDAN FARK ED\u0130LMED\u0130\u011e\u0130 BEL\u0130RT\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":125007,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[12064,24135,4136,29606,572,6336,3572,3480],"class_list":["post-125006","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-12064","tag-astim","tag-cocuklarin","tag-ebeveynleri","tag-olan","tag-olma","tag-riski","tag-yuzde"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/ebeveynleri-astim-olan-cocuklarin-astim-olma-riski-yuzde-70_0ca3bc2.jpg?fit=706%2C499","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-wwe","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/125006","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=125006"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/125006\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/125007"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=125006"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=125006"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=125006"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}