{"id":303547,"date":"2024-05-07T19:09:36","date_gmt":"2024-05-07T16:09:36","guid":{"rendered":"https:\/\/www.nationalturk.com\/tr\/?p=303547"},"modified":"2024-05-07T19:09:36","modified_gmt":"2024-05-07T16:09:36","slug":"gece-oksurugu-astim-belirtisi-olabilir","status":"publish","type":"post","link":"https:\/\/www.nationalturk.com\/tr\/gece-oksurugu-astim-belirtisi-olabilir\/","title":{"rendered":"Gece \u00f6ks\u00fcr\u00fc\u011f\u00fc ast\u0131m belirtisi olabilir"},"content":{"rendered":"

Liv Hospital Ankara \u0130mm\u00fcnoloji ve Alerji Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Zeynep M\u0131s\u0131rl\u0131gil, 7 May\u0131s D\u00fcnya Ast\u0131m G\u00fcn\u00fc dolay\u0131s\u0131yla a\u00e7\u0131klamalarda bulundu. Her 10 \u00e7ocuktan birinde ast\u0131m g\u00f6r\u00fcl\u00fcrken, eri\u015fkin ya\u015f grubunda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n daha az oldu\u011funa dikkat \u00e7eken Prof. Dr. M\u0131s\u0131rl\u0131gil, \u201cEri\u015fkin ya\u015f grubunda y\u00fczde 5-7 oran\u0131nda ast\u0131m g\u00f6r\u00fcld\u00fc\u011f\u00fc bildirilmi\u015ftir. GINA (K\u00fcresel Ast\u0131m Giri\u015fimi) verilerine g\u00f6re ast\u0131m, t\u00fcm d\u00fcnyada 260 milyondan fazla ki\u015fiyi etkileyen ve her y\u0131l 450 binin \u00fczerinde \u00f6l\u00fcme yol a\u00e7t\u0131\u011f\u0131 bilinen kronik bir hastal\u0131kt\u0131r. T\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de her y\u0131l may\u0131s ay\u0131n\u0131n ilk sal\u0131 g\u00fcn\u00fc \u2018D\u00fcnya Ast\u0131m G\u00fcn\u00fc \u2018olarak bilimsel etkinliklerle kutlanmaktad\u0131r. Ast\u0131m ata\u011f\u0131ndan \u00f6l\u00fcm\u00fcn \u00f6nlenebilece\u011fi ve tedavi ile kontrol alt\u0131na al\u0131nabilmesi m\u00fcmk\u00fcn olan bu hastal\u0131\u011f\u0131 tan\u0131man\u0131n \u00f6nemi konusunda fark\u0131ndal\u0131\u011f\u0131 artt\u0131rmak i\u00e7in hekimlere ve topluma y\u00f6nelik bilgilendirme toplant\u0131lar\u0131 ve \u00e7e\u015fitli etkinlikler yap\u0131l\u0131r\u201d diye konu\u015ftu.<\/p>\n

Ast\u0131m ataklar\u0131 \u00f6l\u00fcmc\u00fcl olabiliyor<\/strong><\/h2>\n

\"\"<\/p>\n

Prof. Dr. M\u0131s\u0131rl\u0131gil, ast\u0131m\u0131n nedenlerine ve belirtilerine ile ilgili \u015funlar\u0131 s\u00f6yledi:<\/p>\n

Ast\u0131m hastal\u0131\u011f\u0131n\u0131n g\u00f6r\u00fclmesinde genetik yatk\u0131nl\u0131k ve \u00e7evresel fakt\u00f6rlerin rol\u00fc oldu\u011fu gibi ebeveynlerde alerjik hastal\u0131\u011f\u0131n ve ast\u0131m\u0131n olmas\u0131 \u00e7ocuklarda ast\u0131m geli\u015fme riskini artt\u0131r\u0131r. Hastal\u0131k tekrarlayan \u00f6ks\u00fcr\u00fck, nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcste bask\u0131 hissi, h\u0131r\u0131lt\u0131l\u0131-h\u0131\u015f\u0131lt\u0131l\u0131 solunum gibi yak\u0131nmalarla kendini g\u00f6sterir.<\/p>\n

Bu yak\u0131nmalar\u0131n tekrarlamas\u0131 ve uzun s\u00fcrmesi ast\u0131m\u0131n habercisi olabilir. Gece veya sabaha kar\u015f\u0131 \u00f6ks\u00fcr\u00fck ve nefes darl\u0131\u011f\u0131 ataklar\u0131nda artma olur. \u015eik\u00e2yetlerin hepsi bir arada olmayabilir fakat semptomlar\u0131n artarak a\u011f\u0131rla\u015fmas\u0131 ast\u0131m ata\u011f\u0131 olarak adland\u0131r\u0131l\u0131r. Ataklar a\u011f\u0131r oldu\u011funda ve h\u0131zla tedavi edilmedi\u011finde \u00f6l\u00fcm riski oldu\u011fu unutulmamal\u0131d\u0131r.<\/p>\n

Ataklar d\u0131\u015f\u0131nda hastalar kendilerini iyi hissederler ve \u015fik\u00e2yetleri olmaz ve hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kmas\u0131nda bir\u00e7ok \u00e7evresel fakt\u00f6r\u00fcn de rol\u00fc vard\u0131r. Bu fakt\u00f6rler polenler, ev tozu akarlar\u0131, k\u00fcf sporlar\u0131, evcil hayvanlar\u0131n deri d\u00f6k\u00fcnt\u00fcleri, besinler gibi \u00e7e\u015fitli alerjenler, \u00f6zellikle viral enfeksiyonlar, egzersiz, hava kirlili\u011fi, sigara duman\u0131, i\u015f yerindeki \u00e7e\u015fitli maddelere maruz kalma yak\u0131nmalar\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131 uyarabilir.<\/p>\n

\u00c7ocuklarda ast\u0131m genellikle alerji ile ili\u015fkilidir ama eri\u015fkin ya\u015fta ba\u015flayan ast\u0131ml\u0131 hastada alerji daha az orandad\u0131r. Ast\u0131m hastal\u0131\u011f\u0131n\u0131n tan\u0131s\u0131, yak\u0131nmalar\u0131n de\u011ferlendirildi\u011fi iyi bir \u00f6yk\u00fc ve muayene bulgular\u0131 ile koyulur. Tan\u0131da solunum fonksiyon testleri ve tetikleyicileri de\u011ferlendirmek amac\u0131yla yap\u0131lan \u00e7e\u015fitli testlerden yararlan\u0131lmaktad\u0131r.<\/p>\n

Ast\u0131m hastal\u0131\u011f\u0131n\u0131n tedavisi var m\u0131?<\/strong><\/h3>\n

Ast\u0131m\u0131n tedavi ile kontrol alt\u0131na al\u0131nabilen bir hastal\u0131k oldu\u011funu belirten Prof. Dr. M\u0131s\u0131rl\u0131gil, \u015funlar\u0131 s\u00f6yledi:<\/p>\n

Hasta ve hekimin i\u015f birli\u011fi kontrol\u00fcn sa\u011flanmas\u0131nda \u00e7ok \u00f6nemlidir. Tedavinin hedefi ise hastan\u0131n hi\u00e7 \u015fik\u00e2yetinin olmamas\u0131, hastal\u0131\u011f\u0131n okul ve i\u015f kayb\u0131na yol a\u00e7mas\u0131n\u0131n \u00f6nlenmesidir. Tedavinin ilk basama\u011f\u0131 olarak hastan\u0131n tetikleyicilerden uzak durmas\u0131, \u00f6zellikle sigaradan uzak, obez hastalar\u0131n kilo vermesi, sa\u011fl\u0131kl\u0131 ve dengeli beslenme, solunan havan\u0131n temiz tutulmas\u0131 ast\u0131m\u0131n kontrol\u00fc i\u00e7in olduk\u00e7a \u00f6nemlidir.<\/p>\n

Tedavide \u00e7o\u011funlukla solunum yoluyla al\u0131nan ila\u00e7lar kullan\u0131l\u0131r. Do\u011fru teknikle ila\u00e7 kullan\u0131m\u0131 ve doktorun \u00f6nerdi\u011fi tedavi plan\u0131na uyum, hastal\u0131\u011f\u0131n kontrol\u00fcnde ba\u015far\u0131y\u0131 sa\u011flar. Hastal\u0131\u011f\u0131n \u015fiddeti ve seyri her hastada ayn\u0131 de\u011fildir.<\/p>\n

Ayn\u0131 hastada bile zamanla de\u011fi\u015fkenlik g\u00f6r\u00fclebilir. Ast\u0131m tedavisinin seyrinde g\u00f6r\u00fclen de\u011fi\u015fkenlik nedeniyle kullan\u0131lan ila\u00e7 ve dozlar\u0131nda de\u011fi\u015fiklik yap\u0131labilen dinamik bir tedavi s\u00fcreci uygulan\u0131r. Ast\u0131m tan\u0131 ve tedavisi, konunun uzmanlar\u0131 taraf\u0131ndan haz\u0131rlanarak her y\u0131l geli\u015fmeler do\u011frultusunda g\u00fcncellenen, Uluslararas\u0131 ve Ulusal Rehberlerdeki \u00f6nerilere g\u00f6re yap\u0131l\u0131r.<\/p>\n

Ast\u0131m hastalar\u0131 spor yapabilir mi?<\/strong><\/h4>\n

Ast\u0131m hastalar\u0131n\u0131n tan\u0131 ald\u0131klar\u0131 zaman korkuya kap\u0131lmamalar\u0131 gerekti\u011fini kaydeden Prof. Dr. M\u0131s\u0131rl\u0131gil, \u201cHastal\u0131k kontrol alt\u0131na al\u0131nd\u0131\u011f\u0131nda ya\u015famlar\u0131n\u0131 istedikleri \u015fekilde s\u00fcrd\u00fcrebilirler. Hastal\u0131k egzersiz yapmalar\u0131na engel de\u011fildir. Hatta a\u011f\u0131r spor bile yapabilirler. G\u00fcn\u00fcm\u00fczde tedavideki geli\u015fmelerle a\u011f\u0131r ast\u0131m hastalar\u0131n\u0131n da ya\u015fam kaliteleri artm\u0131\u015f ve hastal\u0131\u011f\u0131n kontrol\u00fc sa\u011flanabilmektedir\u201d dedi.<\/p>\n