Pediatrik Kardiyoloji Uzman\u0131 Do\u00e7. Dr. I\u015f\u0131l Y\u0131ld\u0131r\u0131m Ba\u015ftuhan, \u201cYeti\u015fkinlerde g\u00f6r\u00fclen g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131nda akla gelen ilk neden kalp hastal\u0131klar\u0131 olsa da \u00e7ocukluk \u00e7a\u011f\u0131nda da g\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131n\u0131n k\u00fc\u00e7\u00fck bir k\u0131sm\u0131 kalp kaynakl\u0131 olabiliyor. Yap\u0131lan \u00e7al\u0131\u015fmalarda, \u00e7ocukluk \u00e7a\u011f\u0131ndaki g\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131n\u0131n y\u00fczde 95\u2019inin iyi huylu oldu\u011funu, ancak y\u00fczde 5 oran\u0131nda da kalp hastal\u0131klar\u0131na ba\u011fl\u0131 geli\u015fti\u011fini g\u00f6steriyor\u201d dedi.<\/p>\n
Memorial Antalya Hastanesi Pediatrik Kardiyoloji B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. I\u015f\u0131l Y\u0131ld\u0131r\u0131m Ba\u015ftuhan, \u00e7ocuklarda g\u00f6r\u00fclen g\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131 hakk\u0131nda bilgi verdi.<\/p>\n
\u201cG\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 pek \u00e7ok nedene ba\u011fl\u0131 olabilir\u201d<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131nda g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131n\u0131n erkek ve k\u0131z \u00e7ocuklar\u0131nda, s\u0131kl\u0131kla 11-14 ya\u015f aras\u0131nda ve daha k\u00fc\u00e7\u00fck ya\u015flarda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Ba\u015ftuhan, \u201cG\u00f6\u011f\u00fcs ve g\u00f6\u011f\u00fcs duvar\u0131, deri, kas ve iskelet, solunum, kalp-damar ve sindirim sistemlerinden olu\u015fmakta. G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, bu sistemlerden herhangi birinden kaynaklanabilece\u011fi gibi psikolojik nedenlere ba\u011fl\u0131 olarak da geli\u015febilir. G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131n\u0131 de\u011ferlendirirken, ayr\u0131nt\u0131l\u0131 \u00f6yk\u00fc ve a\u011fr\u0131ya neden olabilecek t\u00fcm organ ve dokular\u0131n tam muayenesi \u00e7ok \u00f6nemlidir. \u00c7ocukluk \u00e7a\u011f\u0131nda en s\u0131k kar\u015f\u0131la\u015f\u0131lan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u2018sebebi bilinmeyen-idiyopatik\u2019 g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131d\u0131r. \u0130diyopatik a\u011fr\u0131, keskin ve bat\u0131c\u0131 karakterli, birka\u00e7 saniye ile birka\u00e7 dakika aras\u0131nda s\u00fcren, genellikle derin nefes almakla artan, en s\u0131k g\u00f6\u011fs\u00fcn ortas\u0131nda veya memenin alt\u0131nda g\u00f6r\u00fclen bir a\u011fr\u0131d\u0131r. Kalp kaynakl\u0131 de\u011fildir, hayat\u0131 tehlikesi yoktur. A\u011fr\u0131 genellikle yeniden meydana gelir ve hatta bazen aylarca ara ara tekrarlar. Bu a\u011fr\u0131larda tedavi gerekmemektedir. A\u011fr\u0131n\u0131n idiyopatik karakterli oldu\u011funa ancak ayr\u0131nt\u0131l\u0131 de\u011ferlendirme yap\u0131ld\u0131ktan sonra bir doktor taraf\u0131ndan karar verilir\u201d dedi.<\/p>\n
\u201cYeme al\u0131\u015fkanl\u0131klar\u0131 g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 yapabilir\u201d<\/p>\n
Do\u00e7. Dr. I\u015f\u0131l Y\u0131ld\u0131r\u0131m Ba\u015ftuhan, \u201c\u00c7ocuklarda g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na en s\u0131k ikinci nedeni, kas iskelet sistemi kaynakl\u0131d\u0131r. Yumu\u015fak dokulardaki travmalar, egzersiz ile kaslar\u0131n spazm\u0131 ve gerilmesi, g\u00f6\u011f\u00fcs duvar\u0131ndaki enfeksiyonlar, kas-iskelet sistemi kaynakl\u0131 g\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131na yol a\u00e7ar. Refl\u00fc, gastrit, \u00f6zafajit ve \u00fclser g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 yapabilen sindirim sistemi hastal\u0131klar\u0131d\u0131r. Bu hastalarda a\u011fr\u0131 daha \u00e7ok yemekle ili\u015fkilidir ve genellikle g\u00f6\u011f\u00fcs kemi\u011finin alt\u0131nda yanma \u015feklinde hissedilir. Ast\u0131m, bron\u015fit, zat\u00fcrre akci\u011fer zar\u0131 iltihab\u0131 solunum sistemi kaynakl\u0131 g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na neden olur. S\u0131nav stresi, aile veya okuldaki problemler, anksiyete ve depresyon da g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na yol a\u00e7abilecek psikolojik nedenlerdir. Ancak g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na psikolojik demeden \u00f6nce ayr\u0131nt\u0131l\u0131 inceleme yap\u0131lmal\u0131 ve altta yatan bir hastal\u0131k olmad\u0131\u011f\u0131 g\u00f6r\u00fclmelidir.\u201d<\/p>\n
\u201c\u00c7ocukta kalp hastal\u0131\u011f\u0131 varl\u0131\u011f\u0131 ne zaman d\u00fc\u015f\u00fcn\u00fclmeli\u201d<\/p>\n
Pediatrik Kardiyoloji Uzman\u0131 Do\u00e7. Dr. Ba\u015ftuhan \u015f\u00f6yle devam etti:<\/p>\n
\u201c\u00c7ocuklarda kalp hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131 i\u00e7in elektrokardiyografi (EKG), ekokardiyografi (EKO) ve egzersiz stres testi gibi ek testlerin yap\u0131lmas\u0131, kalple ili\u015fkili nedenlerin tan\u0131nabilmesi i\u00e7in \u00f6nemlidir. Egzersizle beraber a\u011fr\u0131 olmas\u0131, a\u011fr\u0131ya terleme, solukluk, fenala\u015fma hissinin e\u015flik etmesi, a\u011fr\u0131 ile beraber \u00e7arp\u0131nt\u0131, ba\u015f d\u00f6nmesi ve bay\u0131lman\u0131n olmas\u0131, ailede ani \u00f6l\u00fcm veya kalp kas\u0131 hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fcn\u00fcn olmas\u0131, fizik muayenede kalp \u00fcf\u00fcr\u00fcm\u00fc duyulmas\u0131 gibi belirtiler, \u00e7ocukta kalple ilgili bir sorun oldu\u011funa i\u015faret edebilir. Kalp kas\u0131 hastal\u0131klar\u0131, kapak hastal\u0131klar\u0131 ve koroner damarlar\u0131n do\u011fumsal bozukluklar\u0131 da ani ya\u015fam kayb\u0131na neden olabilen yap\u0131sal kalp hastal\u0131klar\u0131d\u0131r. Ritim problemlerinde g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 nadir g\u00f6r\u00fclse de yap\u0131sal kalp hastal\u0131klar\u0131nda g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u00f6nemli bir belirti olabilir. Bu nedenle \u00f6zellikle ailesinde erken ya\u015fta ani \u00f6l\u00fcmler, ailede kalp pili \u00f6yk\u00fcs\u00fc bulunan ki\u015filer ve ko\u015farken bay\u0131lma, fenala\u015fma gibi ciddi \u015fikayetleri olan hastalar\u0131n mutlaka bir kardiyoloji uzman\u0131na dan\u0131\u015fmas\u0131 gerekmektedir. Ani kardiyak \u00f6l\u00fcmle kaybedilmi\u015f hastalar\u0131n yak\u0131nlar\u0131n\u0131n da ayn\u0131 \u015fekilde de\u011ferlendirilmesi ve genetik ge\u00e7i\u015fli kalp hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan ayr\u0131nt\u0131l\u0131 taramas\u0131n\u0131n yap\u0131lmas\u0131 \u00f6nerilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MEMOR\u0130AL ANTALYA HASTANES\u0130 PED\u0130ATR\u0130K KARD\u0130YOLOJ\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN DO\u00c7. DR. I\u015eIL YILDIRIM BA\u015eTUHAN, \u00c7OCUKLARDA G\u00d6R\u00dcLEN G\u00d6\u011e\u00dcS A\u011eRILARI HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":43760,"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":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[658],"tags":[15220,7305,11326,13970,73,2120,3573,15221],"class_list":["post-43759","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-agrisin","tag-cocuklarda","tag-gogus","tag-hastaligi","tag-her","tag-kalp","tag-nedeni","tag-olmayabilir"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/02\/cocuklarda-her-gogus-agrisin-nedeni-kalp-hastaligi-olmayabilir_e78f80b.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-bnN","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/43759","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=43759"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/43759\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/43760"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=43759"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=43759"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=43759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}