G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Sibel Doruk, g\u00f6\u011f\u00fcs hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131nda kullan\u0131lan bronkoskopi y\u00f6nteminin bir\u00e7ok uygulama alan\u0131 oldu\u011funu ve y\u00f6ntemin olduk\u00e7a g\u00fcvenli oldu\u011funu belirtti.<\/p>\n
G\u00f6\u011f\u00fcs hastal\u0131klar\u0131 kliniklerinde uygulanan tan\u0131sal i\u015flemler aras\u0131nda yer alan bronkoskopinin pek \u00e7ok uygulama alan\u0131 bulundu\u011funu anlatan \u0130zmir \u00d6zel Ata Sa\u011fl\u0131k Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Sibel Doruk, \u201cBronkoskopi i\u015flemi bron\u015f a\u011fac\u0131n\u0131n g\u00f6r\u00fcnt\u00fclenmesini sa\u011flar. \u0130\u015flem s\u0131ras\u0131nda bron\u015f a\u011fac\u0131, akci\u011fer parankimi (hava keseciklerini i\u00e7eren s\u00fcngerimsi dolu) ve mediasten (her iki akci\u011fer aras\u0131nda kalan bo\u015fluk) lenf bezlerinden patoloji ve mikrobiyoloji incelemeleri i\u00e7in \u00f6rnek al\u0131nabilir. Bronkoskopi i\u015flemi \u00e7e\u015fitli solunumsal yak\u0131nmalar\u0131 olan hastalarda bu yak\u0131nmalar\u0131n nedeninin belirlenmesinde kullan\u0131labilir. Kronik (6-8 haftadan uzun s\u00fcren) \u00f6ks\u00fcr\u00fck, \u00f6ks\u00fcr\u00fckle kan t\u00fck\u00fcrme ya da kanl\u0131 balgam varl\u0131\u011f\u0131nda, ses k\u0131s\u0131kl\u0131\u011f\u0131 durumunda, solunum fonksiyon testi normal olup h\u0131r\u0131lt\u0131s\u0131 olan hastalarda tan\u0131sal ama\u00e7la bronkoskopi yap\u0131labilir\u201d diye konu\u015ftu.<\/p>\n
Neden yap\u0131l\u0131r?<\/p>\n
Akci\u011fer grafisinde anormal bulgu (plevra (akci\u011fer zar\u0131) s\u0131v\u0131s\u0131, atelektazi (akci\u011ferin bir b\u00f6l\u00fcm\u00fc ya da tamam\u0131n\u0131n havalanamamas\u0131 nedeni ile s\u00f6nmesi), kitle varl\u0131\u011f\u0131nda bronkoskopi i\u015flemi yap\u0131labilece\u011fini anlatan Dr. Doruk, \u201cBilin\u00e7 bozuklu\u011fu, ses tellerinde fel\u00e7 ve \u00f6zellikle \u00e7ocuk hastalarda kaza ile ba\u015fta g\u0131da olmak \u00fczere her t\u00fcrl\u00fc yabanc\u0131 cisim aspirasyonundan (bron\u015f a\u011fac\u0131na ka\u00e7\u0131\u015f\u0131) \u015f\u00fcphe edildi\u011finde tan\u0131n\u0131n kesinle\u015ftirilmesi ve yabanc\u0131 cismin bron\u015f a\u011fac\u0131ndan uzakla\u015ft\u0131r\u0131lmas\u0131 i\u00e7in de bronkoskopi kullan\u0131labilir. \u00d6zellikle yo\u011fun bak\u0131m \u00fcnitelerinde takip ve tedavi edilen, yeteri kadar \u00f6ks\u00fcr\u00fcp alt solunum yolu sekresyonlar\u0131n\u0131 atamayan hastalarda bron\u015f a\u011fac\u0131n\u0131n temizlenmesi de bronkoskopinin bir di\u011fer kullan\u0131m\u0131 alan\u0131d\u0131r. Klinik ve radyolojik bulgular\u0131na g\u00f6re uygun tedavi alan ancak iyile\u015fme sa\u011flanamayan pn\u00f6moni (zat\u00fcre) veya akci\u011fer absesi olan hastalarda iyile\u015fememe nedenini ortaya koymak \u00fczere de bronkoskopi yap\u0131labilir\u201d diye konu\u015ftu.<\/p>\n
\u201c\u0130\u015flemden sonra 1-2 saat s\u00fcre ile kat\u0131 g\u0131da al\u0131m\u0131 olmaz\u201d<\/p>\n
\u0130\u015flem \u00f6ncesi yap\u0131lmas\u0131 gerekenler hakk\u0131nda bilgi veren Dr. Doruk, \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201c\u0130\u015flemden en az 6-8 saat \u00f6nce kat\u0131 ya da s\u0131v\u0131 al\u0131m\u0131 sonland\u0131r\u0131l\u0131r. Hastan\u0131n kulland\u0131\u011f\u0131 t\u00fcm ila\u00e7lar g\u00f6zden ge\u00e7irilir ve kan suland\u0131r\u0131c\u0131 ila\u00e7lar\u0131 5 g\u00fcn \u00f6nceden kesilmelidir. \u0130\u015flem genel olarak lokal anestezi ile hafif bir sedasyon alt\u0131nda yap\u0131labilir. Her hastada gerekli olacak sedatif ila\u00e7 dozu farkl\u0131d\u0131r ve hastaya g\u00f6re ayarlan\u0131r. Bronkoskopi olduk\u00e7a g\u00fcvenli bir uygulamad\u0131r, d\u00fc\u015f\u00fck hayati tehlike riski ta\u015f\u0131r. Bronkoskopiye ba\u011fl\u0131 enfeksiyon riski \u00e7ok d\u00fc\u015f\u00fckt\u00fcr. Hastan\u0131n i\u015flem \u00f6ncesi ve i\u015flem s\u0131ras\u0131nda uygulanan lokal anestezi ve sedatize ila\u00e7lara kar\u015f\u0131 bir duyarl\u0131l\u0131\u011f\u0131 varsa alerjik reaksiyonlar geli\u015febilir. \u0130\u015flem sonras\u0131 hastalar\u0131n bir k\u0131sm\u0131nda ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler ile kolayca kontrol edilebilen ate\u015f y\u00fcksekli\u011fi olabilir. \u0130\u015flem sonras\u0131nda da hastan\u0131n 1-2 saat s\u00fcre ile s\u0131v\u0131 ya da kat\u0131 g\u0131da al\u0131m\u0131 olmaz ve bilin\u00e7 normale d\u00f6nene kadar hasta yaln\u0131z kalmamal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00d6\u011e\u00dcS HASTALIKLARI UZMANI DO\u00c7.DR. S\u0130BEL DORUK, G\u00d6\u011e\u00dcS HASTALIKLARININ TANISINDA KULLANILAN BRONKOSKOP\u0130 Y\u00d6NTEM\u0130N\u0130N B\u0130R \u00c7OK UYGULAMA ALANI OLDU\u011eUNU S\u00d6YLED\u0130. DR. DORUK, BRONKOSP\u0130N\u0130N OLDUK\u00c7A G\u00dcVENL\u0130 B\u0130R Y\u00d6NTEM OLDU\u011eUNU BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":248038,"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":[61658,125,83,61659,6809,61660],"class_list":["post-248037","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bronkoskopi","tag-bir","tag-guvenli","tag-tanisal","tag-uzmanlar","tag-yontemdir"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/uzmanlar-bronkoskopi-guvenli-bir-tanisal-yontemdir_49df56e.jpg?fit=700%2C398","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-12wB","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/248037","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=248037"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/248037\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/248038"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=248037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=248037"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=248037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}