AKC\u0130\u011eER ABSES\u0130<\/p>\n
\u00c7evre dokudaki enfeksiyona ba\u011fl\u0131 akci\u011fer erimesi ile geli\u015fen i\u00e7i cerahat dolu akci\u011fer kaviteleridir. Genel gidi\u015f ani ba\u015flay\u0131c\u0131 ve ilerleyicidir.<\/p>\n
Bilinen bir genetik ge\u00e7i\u015f yoktur. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 olduk\u00e7a nadir. Gen\u00e7 eri\u015fkinler (16-40 ya\u015f ) ve orta ya\u015f (40-75 ya\u015f) da s\u0131k g\u00f6r\u00fcl\u00fcr. Erkek ve kad\u0131nda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 e\u015fittir.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
\u00d6ks\u00fcr\u00fck, A\u011f\u0131z Kokusu, balgam, iltihapl\u0131 k\u00f6t\u00fc kokulu balgam, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131, \u00fc\u015f\u00fcme, titreme, halsizlik,, k\u0131r\u0131kl\u0131k, zay\u0131flama, kilo kayb\u0131, gece terlemesi, kanl\u0131 balgam, solunum seslerinde azalma, h\u0131r\u0131lt\u0131l\u0131 solunum, s\u0131k solunum, \u00e7arp\u0131nt\u0131, asimetrik g\u00f6\u011f\u00fcs hareketleri, parmaklar\u0131n \u00e7omakla\u015fmas\u0131d\u0131r.<\/p>\n
\u00a0<\/p>\n
Nedenleri aras\u0131nda:<\/p>\n
Akci\u011fer dokusunu eriten tipte zat\u00fcreler<\/p>\n
Yabanc\u0131 cisimlerin akci\u011fere ka\u00e7mas\u0131 sonucu olu\u015fan zat\u00fcrreler<\/p>\n
V\u00fccudun ba\u015fka bir b\u00f6lgesinde olu\u015fan iltihab\u0131n kan yoluyla gelip akci\u011ferde zat\u00fcrre olu\u015fturmas\u0131(septik emboli)<\/p>\n
Bakterilerin kana kar\u0131\u015fmas\u0131<\/p>\n
Bron\u015f t\u0131kanmas\u0131 veya darl\u0131\u011f\u0131<\/p>\n
T\u00fcm\u00f6rler say\u0131labilir.<\/p>\n
Risk fakt\u00f6rleri:<\/p>\n
K\u00f6t\u00fc a\u011f\u0131z ve di\u015f bak\u0131m\u0131, di\u015f eti iltihaplar\u0131 Alkolizm \u0130la\u00e7 Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 Epilepsi (Sara Hastal\u0131\u011f\u0131) \u015euur Kayb\u0131 Akci\u011fer Kanseri Ba\u011f\u0131\u015f\u0131kl\u0131k Sisteminin Bask\u0131lanmas\u0131 \u015eeker Hastal\u0131\u011f\u0131 Yabanc\u0131 Cisim 10.\u00a0 Sin\u00fczit<\/p>\n
11.\u00a0 Mide muhtevas\u0131n\u0131n yemek borusuna ka\u00e7mas\u0131(refl\u00fc hastal\u0131\u011f\u0131)<\/p>\n
TANI<\/p>\n
Labaratuar: Beyaz k\u00fcre y\u00fckselmesi, Kans\u0131zl\u0131k, serum Protein azalmas\u0131, balgam k\u00fclt\u00fcr\u00fc ve antibiogram\u0131nda iltihaba yol a\u00e7an mikrobun \u00fcretilmesidir.<\/p>\n
G\u00f6r\u00fcnt\u00fcleme:Akci\u011fer grafisi: Apse ve \u00e7evresindeki iltihap alan\u0131 net olarak g\u00f6r\u00fcl\u00fcr. Hava \u2013s\u0131v\u0131 seviyesi, akci\u011fer zar\u0131nda S\u0131v\u0131 toplanmas\u0131 g\u00f6r\u00fclebilir.<\/p>\n
Bilgisayarl\u0131 Tomografi: Apsenin yerini ve yay\u0131l\u0131m\u0131n\u0131 g\u00f6sterir.<\/p>\n
Bron\u015f t\u0131kanmas\u0131 ve darl\u0131\u011f\u0131 \u015f\u00fcphesi varsa bronkoskopi(ucunda minik Kamera olan fiberoptik fleksbl bir boru ) ile bron\u015flar\u0131n i\u00e7i incelenir.<\/p>\n
G\u00f6\u011f\u00fcs y\u00fczeyinden i\u011fne ile girilerek abseden numune al\u0131nabilir.(transtorasik akci\u011fer biyopsisi)<\/p>\n
TEDAV\u0130<\/p>\n
Ciddi ise veya cerrahi tedavi uygulanacaksa hasta yat\u0131r\u0131larak tedavi edilmelidir..<\/p>\n
Genel \u00d6nlemler<\/p>\n
\u00d6zel pozisyon ve masajlarla, akci\u011ferdeki abse balgam yoluyla at\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r.(postural drenaj)<\/p>\n
Akci\u011fer fizyoterapisi<\/p>\n
Nedene y\u00f6nelik tedavi \u00f6rne\u011fin, antibiotikler.<\/p>\n
Diyet olarak, k\u0131s\u0131tlama yoktur.<\/p>\n
Hastan\u0131n e\u011fitilmesi, fizyoterapi teknikleri \u00f6\u011fretilir.<\/p>\n
K\u00fclt\u00fcr ve antibiogram sonu\u00e7lar\u0131na g\u00f6re uygun antibiotik verilir. Akci\u011fer grafisindeki kistik bo\u015fluk veya, kavite d\u00fczelene kadar (birka\u00e7 hafta veya Ay ) tedaviye devam edilir.<\/p>\n
PROGNOZU (SEYR\u0130 VE SONUCU)<\/p>\n
Genelikle y\u00fcz g\u00fcld\u00fcr\u00fc. % 25 oran\u0131nda sekel b\u0131rak\u0131r. Birlikte ba\u015fka hastal\u0131k varsa sekel oran\u0131 artar.<\/p>\n
MED\u0130ASTEN ABSES\u0130<\/p>\n
S\u0131kl\u0131kla akut mediasten enfeksiyonlar\u0131nda ortaya \u00e7\u0131kar. Mediasten iki akci\u011fer aras\u0131nda, i\u00e7erisinde pek \u00e7ok sisteme ait yap\u0131n\u0131n yer ald\u0131\u011f\u0131 bo\u015fluktur. Bu bo\u015flu\u011fun duvarlar\u0131n\u0131, \u00f6nde sternum, ve k\u0131k\u0131rdak Kaburgalar, arkada s\u0131rt omurgalar\u0131, yanlarda sa\u011f ve sol akci\u011fer d\u0131\u015f zarlar\u0131, a\u015fa\u011f\u0131da diyafragma denilen kar\u0131n ve g\u00f6\u011f\u00fcs aras\u0131ndaki kas yap\u0131s\u0131 olu\u015fturur. Bu bo\u015flu\u011fun \u00fcst s\u0131n\u0131r\u0131 hayali olup birinci kaburga ile son boyun omurgas\u0131 alt\u0131ndan ge\u00e7en pland\u0131r.<\/p>\n
Mediastenin Akut Enfeksiyon Nedenleri;<\/p>\n
1- Mide barsak sistem ile ilgili olanlar.<\/p>\n
a) yemek borusu ile ilgili yap\u0131lan cerrahi giri\u015fimler sonras\u0131<\/p>\n
b) yabanc\u0131 cisim yutulmas\u0131<\/p>\n
c) \u015fiddeti kusmalar<\/p>\n
d) yak\u0131c\u0131 madeler i\u00e7ilmesi.<\/p>\n
2- Solunum sistemi ile ilgili sebepler<\/p>\n
a)soluk borusu ve bron\u015flar\u0131n t\u00fcm\u00f6rleri<\/p>\n
b) soluk borusu ve bron\u015flara yap\u0131lan baz\u0131 cerrahi giri\u015fimler sonras\u0131.<\/p>\n
3- Mediasten ve kalp cerrahisi sonras\u0131.<\/p>\n
4- Direkt iltihab\u0131n ba\u015fka bir b\u00f6lgeden yay\u0131lmas\u0131.<\/p>\n
a) zat\u00fcre<\/p>\n
b) di\u015f apsesi<\/p>\n
c)omurga enfeksiyonlar\u0131<\/p>\n
5- Kan yoluyla bir enfeksiyonun yay\u0131lmas\u0131.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
Hastalarda akut durumda ani ba\u015flayan \u00fc\u015f\u00fcme, titreme, ate\u015f, boyun ve sternum \u00fczerinde veya ense ve iki s\u0131rt kemikleri aras\u0131nda a\u011fr\u0131 ile birlikte morarma, nefes darl\u0131\u011f\u0131, yutma zorlu\u011fu, ses k\u0131s\u0131kl\u0131\u011f\u0131 g\u00f6r\u00fclebilir.<\/p>\n
TEDAV\u0130<\/p>\n
Akut mediasten enfeksiyonlar\u0131 iyi tedavi edilmedikleri takdirde ya apsele\u015fir ya da kronikle\u015firler. Mediasten absesinde o b\u00f6lgenin drenaj\u0131 \u00f6nemlidir. Apse bo\u015falt\u0131lmas\u0131 i\u011fne ile yap\u0131labilir ise de \u00e7o\u011funlukla cerrahi olarak drenaj gerekli olur. Beraberinde kuvvetli Antibiyotik tedavisi de verilir.<\/p>\n
HAZIRLAYAN; Do\u00e7. Dr. Attila SAYGI<\/p>\n","protected":false},"excerpt":{"rendered":"
AKC\u0130\u011eER ABSES\u0130 \u00c7evre dokudaki enfeksiyona ba\u011fl\u0131 akci\u011fer erimesi ile geli\u015fen i\u00e7i cerahat dolu akci\u011fer kaviteleridir. Genel gidi\u015f ani ba\u015flay\u0131c\u0131 ve ilerleyicidir. Bilinen bir genetik ge\u00e7i\u015f yoktur. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 olduk\u00e7a nadir. Gen\u00e7 eri\u015fkinler (16-40 ya\u015f ) ve orta ya\u015f (40-75 ya\u015f) da s\u0131k g\u00f6r\u00fcl\u00fcr. Erkek ve kad\u0131nda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 e\u015fittir. BEL\u0130RT\u0130LER\u0130 \u00d6ks\u00fcr\u00fck, A\u011f\u0131z Kokusu, balgam, iltihapl\u0131 k\u00f6t\u00fc kokulu balgam, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131,[Devam\u0131n\u0131 Oku…]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23289],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13278"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13278"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13278\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}