Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Mustafa As\u0131m \u015eafak, “Uzun s\u00fcre devam eden h\u0131\u00e7k\u0131r\u0131k ba\u015fka hastal\u0131klar\u0131n habercisi olabilir. H\u0131\u00e7k\u0131r\u0131k i\u00e7in buruna sirke \u00e7ekmek, limon veya amonyak gibi keskin kokulu bir maddeyi koklamak, h\u0131zl\u0131 nefes al\u0131p vermek, derin bir nefes al\u0131p solu\u011fumuzu tutmak, buz yutmak veya buzlu su i\u00e7mek gibi y\u00f6ntemler uygulanmal\u0131” dedi.<\/p>\n
H\u0131\u00e7k\u0131r\u0131k, ans\u0131z\u0131n ba\u015fl\u0131yor ve \u00e7o\u011fu zaman ciddi bir hastal\u0131k olarak g\u00f6r\u00fclm\u00fcyor. Ancak uzun s\u00fcrmesi halinde rahats\u0131z eden bir sa\u011fl\u0131k problemine d\u00f6n\u00fc\u015febiliyor. H\u0131\u00e7k\u0131r\u0131k, birtak\u0131m manevralarla kolayca durdurulabilirken, bazen son derece inat\u00e7\u0131 olabiliyor. Kesik kesik ya da pe\u015f pe\u015fe duyulabilen h\u0131\u00e7k\u0131r\u0131k krizleri uzun s\u00fcr\u00fcp ge\u00e7meyebiliyor ve strese neden olabiliyor. Ayr\u0131ca 48 saati a\u015fan ve ge\u00e7meyen h\u0131\u00e7k\u0131r\u0131klar\u0131n alt\u0131nda, g\u0131rtlak hastal\u0131klar\u0131, akci\u011fer ve beyin t\u00fcm\u00f6r\u00fc ile kalp zar\u0131nda enfeksiyon olu\u015fmas\u0131, beyin damarlar\u0131nda t\u0131kanma gibi ciddi hastal\u0131klar\u0131n varl\u0131\u011f\u0131 s\u00f6z konusu olabiliyor. Memorial Antalya Hastanesi Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Mustafa As\u0131m \u015eafak h\u0131\u00e7k\u0131r\u0131k hakk\u0131nda bilgi verdi.<\/p>\n
H\u0131\u00e7k\u0131r\u0131\u011f\u0131n solunum kaslar\u0131ndan diyafram\u0131n ve bazen kaburgalar aras\u0131ndaki kaslar\u0131n ritmik kas\u0131lmalar\u0131yla olu\u015ftu\u011funu ifade eden \u015eafak, “Ani ve h\u0131zl\u0131 bir nefes alma hareketi, ses tellerinin kapanmas\u0131yla kesilir. Bu s\u0131rada olu\u015fan h\u0131\u00e7k sesi nedeniyle h\u0131\u00e7k\u0131r\u0131k olarak isimlendirilir. Yakla\u015f\u0131k dakikada 4-60 kez tekrarlayarak devam edebilir. H\u0131\u00e7k\u0131r\u0131k tipleri s\u00fcrelerine g\u00f6re s\u0131n\u0131flan\u0131r, 48 saatten k\u0131sa s\u00fcr\u00fcyorsa akut h\u0131\u00e7k\u0131r\u0131kt\u0131r, 2-30 g\u00fcn s\u00fcrenler inat\u00e7\u0131 ve 1 aydan uzun s\u00fcrenler dayan\u0131lmaz h\u0131\u00e7k\u0131r\u0131k olarak isimlendirilir” dedi.<\/p>\n
“Hayat\u0131 olumsuz etkiliyor”<\/p>\n
H\u0131\u00e7k\u0131r\u0131\u011f\u0131n genellikle mide ba\u011f\u0131rsak sistemi ve merkezi sinir sistemi rahats\u0131zl\u0131klar\u0131 sonucunda ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 dile getiren \u015eafak, akut h\u0131\u00e7k\u0131r\u0131klar\u0131n genellikle \u00e7ocuklarda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve genellikle kendili\u011finden d\u00fczeldi\u011fini belirtti. Uzun s\u00fcreli oldu\u011funda ki\u015finin hayat\u0131n\u0131 dayan\u0131lmaz hale getirebilece\u011fini belirten \u015eafak, “Yemek yemesini, uykusunu ve sosyalle\u015fmesini \u00f6nemli derecede zorla\u015ft\u0131r\u0131r. Tan\u0131mlanm\u0131\u015f y\u00fcz\u00fcn \u00fczerinde h\u0131\u00e7k\u0131r\u0131k nedeni vard\u0131r ancak s\u00fcrekli olan ve ge\u00e7meyen h\u0131\u00e7k\u0131r\u0131k \u015fikayetlerinde merkezi sinir sistemi hastal\u0131klar\u0131 d\u00fc\u015f\u00fcn\u00fclmelidir. H\u0131\u00e7k\u0131r\u0131\u011f\u0131 tetikleyen nedenler refl\u00fc hastal\u0131\u011f\u0131, midenin a\u015f\u0131r\u0131 yemek veya gazl\u0131 i\u00e7eceklerle gerilmesi, a\u015f\u0131r\u0131 ac\u0131l\u0131 beslenme, fazla alkol al\u0131m\u0131, akci\u011ferlerin sigara veya rahats\u0131z edici kokularla uyar\u0131lmas\u0131, a\u015f\u0131r\u0131 co\u015fku veya \u00fcz\u00fcnt\u00fc durumu olarak s\u0131ralanabilir” diye konu\u015ftu.<\/p>\n
“Farkl\u0131 hastal\u0131klar\u0131n habercisi olabilir”<\/p>\n
Devam eden h\u0131\u00e7k\u0131r\u0131\u011f\u0131n farkl\u0131 hastal\u0131klar\u0131n habercisi olabilece\u011fini ifade eden \u015eafak, “H\u0131\u00e7k\u0131r\u0131k tek \u015fikayet ise akla beyin hastal\u0131klar\u0131 gelmez, beraberinde ba\u015fka belirtilerin de olmas\u0131 gerekir. Refl\u00fc hastal\u0131\u011f\u0131 ve mide f\u0131t\u0131\u011f\u0131 ilk akla gelebilecek nedenler aras\u0131nda say\u0131labilir. Koroner arter hastal\u0131\u011f\u0131, perikardit ve aort anevrizmas\u0131 gibi kalp hastal\u0131klar\u0131 ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Burun, geniz, g\u0131rtlak hastal\u0131klar\u0131 incelenmeli, d\u0131\u015f kulak yolu yabanc\u0131 cisimleri de d\u00fc\u015f\u00fcn\u00fclmelidir. Ayr\u0131ca elektrolit dengesizlikleri, \u00fcremi, hiperglisemi, zehirlenmeler veya baz\u0131 ila\u00e7lar\u0131n yan etkileri olarak da h\u0131\u00e7k\u0131r\u0131k g\u00f6r\u00fclebilmektedir. Ayr\u0131ca anksiyete, a\u015f\u0131r\u0131 stres ve \u00f6fori gibi psikolojik durumlar sonucunda h\u0131\u00e7k\u0131r\u0131k g\u00f6r\u00fclebilir. Ani ba\u015flayan ve k\u0131sa s\u00fcreli h\u0131\u00e7k\u0131r\u0131k tedavisi i\u00e7in bir tak\u0131m fiziksel manevralar etkili olabilir. Bunlar\u0131 burun ve geniz uygulamalar\u0131, vagus sinirinin uyar\u0131lmalar\u0131 ve solunum manevralar\u0131d\u0131r. \u0130nat\u00e7\u0131 ve dayan\u0131lmaz h\u0131\u00e7k\u0131r\u0131k tedavisi i\u00e7in altta yatan hastal\u0131\u011f\u0131n tespit edilmesi \u00e7ok \u00f6nemlidir. Ancak nedeni saptanamayan veya altta yatan hastal\u0131\u011f\u0131n tedavi edilemedi\u011fi durumlarda semptomatik ila\u00e7 tedavilerine ba\u015fvurmak gerekebilir” \u015feklinde konu\u015ftu.<\/p>\n
\u015eafak, h\u0131\u00e7k\u0131r\u0131k s\u0131ras\u0131nda uygulanabilecek y\u00f6ntemleri, “Buruna sirke \u00e7ekmek, limon veya amonyak gibi keskin kokulu bir maddeyi koklamak, h\u0131zl\u0131 nefes al\u0131p vermek, derin bir nefes al\u0131p solu\u011fumuzu tutmak, bo\u011fazda \u00f6\u011f\u00fcrme refleksini uyarmak i\u00e7in k\u00fc\u00e7\u00fck bir ka\u015f\u0131kla dilin gerisine dokunmak, buz yutmak veya buzlu su i\u00e7mek, y\u00fcz\u00fc so\u011fuk suyla y\u0131kamak veya y\u00fcze so\u011fuk kompres uygulamak” olarak s\u0131ralad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
KULAK BURUN BO\u011eAZ HASTALIKLARI UZMANI PROF. DR. MUSTAFA ASIM \u015eAFAK, “UZUN S\u00dcRE DEVAM EDEN HI\u00c7KIRIK BA\u015eKA HASTALIKLARIN HABERC\u0130S\u0130 OLAB\u0130L\u0130R. HI\u00c7KIRIK \u0130\u00c7\u0130N BURUNA S\u0130RKE \u00c7EKMEK, L\u0130MON VEYA AMONYAK G\u0130B\u0130 KESK\u0130N KOKULU B\u0130R MADDEY\u0130 KOKLAMAK, HIZLI NEFES ALIP VERMEK, DER\u0130N B\u0130R NEFES ALIP SOLU\u011eUMUZU TUTMAK, BUZ YUTMAK VEYA BUZLU SU \u0130\u00c7MEK G\u0130B\u0130 Y\u00d6NTEMLER UYGULANMALI” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":193490,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[307,48443,1552,17259],"class_list":["post-193489","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gelen","tag-hickiriga","tag-iyi","tag-yontem"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/hickiriga-iyi-gelen-7-yontem_653e489.jpg?fit=939%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-OkN","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/193489","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=193489"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/193489\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/193490"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=193489"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=193489"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=193489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}