Kulak Burun Bo\u011faz Uzman\u0131 Dr. Servet Karaca, burun kanamalar\u0131n\u0131n bir\u00e7ok nedeninin olabilece\u011fini belirterek, \u201cYatak odan\u0131zda nemlendirici bulundurun, burnunuz i\u00e7in tuzlu su kullan\u0131n. Sigara duman\u0131 ve kimyasal gazlar gibi burun kanamas\u0131na neden olabilecek fakt\u00f6rlerden uzak durun\u201d dedi.<\/p>\n
\u00c7aml\u0131ca Medipol \u00dcniversite Hastanesi Kulak Burun Bo\u011faz Uzman\u0131 Dr. Servet Karaca, sonbahar aylar\u0131nda burun kanamalar\u0131n\u0131n artt\u0131\u011f\u0131na dikkati \u00e7ekti. \u0130ki t\u00fcr burun kanamas\u0131n\u0131n oldu\u011funu belirten Karaca, \u201cAnterior (\u00f6n) ve posterior (arka) kanamalar bulunuyor. Anterior kanamalar, \u00e7ocuklarda ve gen\u00e7lerde s\u0131k g\u00f6r\u00fcl\u00fcr. Posterior kanamalar ise 50 ya\u015f ve \u00fcst\u00fcndekiler ile erkeklerde fazla g\u00f6r\u00fcl\u00fcyor. Hipertansiyonu ve damar sertli\u011fi hastal\u0131\u011f\u0131 olan ya\u015fl\u0131lar burun kanamas\u0131 a\u00e7\u0131s\u0131ndan riskli grupta\u201d dedi.<\/p>\n
Karaca, burun kanamalar\u0131n\u0131n bir\u00e7ok sebebi olabilece\u011fine i\u015faret ederek \u015fu ifadeleri kulland\u0131, \u201cKanamalar sonbahar aylar\u0131nda artar. Bunun sebebi, artm\u0131\u015f \u00fcst solunum yolu enfeksiyonlar\u0131, a\u015f\u0131r\u0131 kuru, \u0131s\u0131t\u0131lm\u0131\u015f ve nemsiz hava olabilir. Bebeklerde kanama pek g\u00f6r\u00fclmez, ancak ya\u015f ilerledik\u00e7e risk artar. Burun kanamas\u0131 sebebi olarak bir\u00e7ok fakt\u00f6r say\u0131labilir. Bu fakt\u00f6rler lokal ve sistemik olarak ikiye ayr\u0131l\u0131r\u201d diye konu\u015ftu.<\/p>\n
\u201cTansiyon ve \u015feker hastalar\u0131na dikkat\u201d<\/p>\n
Lokal sebeplerin i\u00e7inde en \u00e7ok rastlan\u0131lan\u0131n travma oldu\u011funa dikkati \u00e7eken Karaca, \u201c\u0130nflamasyon dedi\u011fimiz \u00fcst solunum yollar\u0131ndaki enfeksiy\u00f6z veya alerjik durumlar etkilidir. T\u00fcm\u00f6rler, burun k\u0131k\u0131rda\u011f\u0131ndaki e\u011frilikler, t\u00fcberk\u00fcloz, sarkoidoz, sifiliz dedi\u011fimiz gran\u00fclamat\u00f6z hastal\u0131klar da burun kanamas\u0131na neden olabilir. \u00d6zellikle \u00e7ocuklarda burundaki yabanc\u0131 cisimler ve mukozan\u0131n kuru kalmas\u0131 da en \u00f6nemli etkenler aras\u0131nda. Sistemik fakt\u00f6rlere ili\u015fkin ise \u015fu bilgileri verdi: Hemofili, Osler-Rendu-Weber gibi kanamal\u0131 hastal\u0131klar, ya\u015fl\u0131 hastalarda damar sertli\u011fi ve y\u00fcksek tansiyon, \u015feker hastalar\u0131nda damarlar\u0131n hasarlanmas\u0131 sistemik sebeplerdendir. \u00d6te yandan t\u00fcm incelemelere ra\u011fmen hastalar\u0131n bir k\u0131sm\u0131n\u0131n burun kanamas\u0131n\u0131n sebebi hala tespit edilemiyor\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cSigara duman\u0131ndan ka\u00e7\u0131n\u0131n\u201d<\/p>\n
\u00d6zellikle kuru ve so\u011fuk iklimlerde ya\u015fayanlarda burun mukozas\u0131n\u0131n kurumas\u0131 ve kabuklanmas\u0131 nedeniyle s\u0131k s\u0131k burun kanamas\u0131n\u0131n g\u00f6r\u00fclebilece\u011fini vurgulayan Karaca, \u201cBu gibi yerlerde ya\u015fayan ki\u015filerin yatak odalar\u0131nda nemlendirici bulundurmalar\u0131, kurumay\u0131 \u00f6nleyebilir. Burun i\u00e7ine evde haz\u0131rlanm\u0131\u015f tuzlu su kullan\u0131m\u0131 da ayn\u0131 ama\u00e7 i\u00e7in kullan\u0131labilir. Sigara duman\u0131 ve kimyasal gazlar gibi burun kanamas\u0131na neden olabilecek fakt\u00f6rlerden uzak durulmal\u0131. Burun salg\u0131s\u0131n\u0131 azalt\u0131c\u0131 etkiye sahip spreylerin kullan\u0131m s\u00fcresi k\u0131salt\u0131lmal\u0131. Travman\u0131n burun kanamas\u0131ndaki yeri d\u00fc\u015f\u00fcn\u00fclerek \u00e7ocuklarda burun kar\u0131\u015ft\u0131rman\u0131n \u00f6nlenmesi, burun temizli\u011finin dikkatlice yap\u0131lmas\u0131 gerekir. Kan suland\u0131r\u0131c\u0131 ila\u00e7 kullanan hastalar\u0131n dozlar\u0131 m\u00fcmk\u00fcn oldu\u011funca az olmal\u0131. Y\u00fcksek tansiyonu olan hastalar m\u00fcmk\u00fcn oldu\u011funca tuz kullan\u0131m\u0131ndan ka\u00e7\u0131nmal\u0131 ve tansiyon ila\u00e7lar\u0131n\u0131 d\u00fczenli kullanarak normal tansiyona sahip olmal\u0131. Tansiyonu s\u00fcrekli y\u00fcksek seyreden hasta potansiyel burun kanamas\u0131 riskine sahip\u201d ifadelerini kulland\u0131.<\/p>\n
\u201c10 dakika burnunuzu tutun\u201d<\/p>\n
Son olarak ise burun kanamas\u0131n\u0131 durduracak y\u00f6ntemleri s\u0131ralayan Karaca, \u201cGenellikle kanama burnun \u00f6n b\u00f6lgesinde oldu\u011fu i\u00e7in hastan\u0131n ilk yapmas\u0131 gereken burun kanatlar\u0131n\u0131 iki parma\u011f\u0131 aras\u0131nda s\u0131k\u0131\u015ft\u0131rmas\u0131 ve ba\u015f\u0131n\u0131 hafif\u00e7e \u00f6ne e\u011fmesidir. Bu pozisyonda 10 dakika kadar durduktan sonra devam eden burun kanamas\u0131 hekim m\u00fcdahalesi gerektirir ve bir acil servise ba\u015fvurulmal\u0131. Kanamas\u0131 tamamen kontrol alt\u0131na al\u0131nm\u0131\u015f hastalarda burun muayenesinde kanama alan\u0131 g\u00f6r\u00fcld\u00fcyse g\u00fcm\u00fc\u015f nitrat koterizasyon dedi\u011fimiz yakma i\u015flemini uygular\u0131z. Yakma i\u015flemi uygulanan hastalar 7 g\u00fcn s\u00fcmk\u00fcrmemeli, hap\u015f\u0131r\u0131rken a\u011fz\u0131n\u0131 a\u00e7\u0131k tutmal\u0131. T\u00fcm bu m\u00fcdahalelere ra\u011fmen kanamas\u0131 durmayan hastalar acil \u015fartlarda ameliyathaneye al\u0131n\u0131r ve kanamaya neden olan damarlar ba\u011flanarak kanama kontrol alt\u0131na al\u0131n\u0131r ki bu \u00e7ok nadir ba\u015fvurdu\u011fumuz bir y\u00f6ntem\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
KULAK BURUN BO\u011eAZ UZMANI DR. SERVET KARACA, BURUN KANAMALARININ B\u0130R\u00c7OK NEDEN\u0130N\u0130N OLAB\u0130LECE\u011e\u0130N\u0130 BEL\u0130RTEREK, \u201cYATAK ODANIZDA NEMLEND\u0130R\u0130C\u0130 BULUNDURUN, BURNUNUZ \u0130\u00c7\u0130N TUZLU SU KULLANIN. S\u0130GARA DUMANI VE K\u0130MYASAL GAZLAR G\u0130B\u0130 BURUN KANAMASINA NEDEN OLAB\u0130LECEK FAKT\u00d6RLERDEN UZAK DURUN\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":199108,"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_feature_clip_id":0,"_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":[5957,1440,50055],"class_list":["post-199107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-burun","tag-dikkat","tag-kanamalarina"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/burun-kanamalarina-dikkat_d813fd1.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-PNp","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/199107","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=199107"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/199107\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/199108"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=199107"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=199107"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=199107"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}