\u00d6zellikle d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131kl\u0131 ve erken do\u011fan (premat\u00fcre) bebeklerde g\u00f6r\u00fclen ve nedeni tam olarak ayd\u0131nlat\u0131lamam\u0131\u015f olan akci\u011ferlerde kanama ile karakterize bir klinik durumdur. Canl\u0131 do\u011fumlar\u0131n 1\/1000’inde g\u00f6r\u00fcl\u00fcr. Yap\u0131lan yenido\u011fan otopsilerinin %18’inde akci\u011ferlerde kanama saptanm\u0131\u015ft\u0131r. Enfeksiyonlar, akci\u011fer hastal\u0131klar\u0131, so\u011fuk stresi, do\u011fumsal kalp hastal\u0131klar\u0131, kanama ve p\u0131ht\u0131la\u015fma bozukluklar\u0131, bebe\u011fin do\u011fumda Oksijensiz kalmas\u0131 gibi durumlar rol oynayabilir.<\/p>\n
BEL\u0130RT\u0130LER<\/p>\n
Akci\u011fer kanamas\u0131 olan bebekte solunum g\u00fc\u00e7l\u00fc\u011f\u00fc ve morarma h\u0131zla geli\u015fir. Burun, a\u011f\u0131z veya bebe\u011fi solunum cihaz\u0131na ba\u011flayan soluma t\u00fcp\u00fcnde kanl\u0131 S\u0131v\u0131 s\u0131z\u0131nt\u0131s\u0131 g\u00f6zlenir. Bu s\u0131v\u0131 kahverengi, mukus ile kar\u0131\u015f\u0131k olabilir veya taze kana da benzeyebilir.<\/p>\n
TANI<\/p>\n
Fizik muayenede solunum g\u00fc\u00e7l\u00fc\u011f\u00fc ve morarma mevcuttur. A\u011f\u0131z, burun ve solunum yollar\u0131nda kanl\u0131 s\u0131v\u0131 s\u0131z\u0131nt\u0131s\u0131 g\u00f6zlenir. Akci\u011fer filminde yayg\u0131n opasite (beyazla\u015fma) g\u00f6zlenir, havalanma azalm\u0131\u015ft\u0131r.<\/p>\n
PROGNOZ<\/p>\n
Hastal\u0131\u011f\u0131n gidi\u015fat\u0131 olduk\u00e7a k\u00f6t\u00fcd\u00fcr. Uygulanan destek tedavilerine ra\u011fmen \u00f6l\u00fcm oranlar\u0131 \u00e7ok y\u00fcksektir.<\/p>\n
TEDAV\u0130<\/p>\n
Altta yatan hastal\u0131k varsa buna y\u00f6nelik destek tedavileri uygulan\u0131r. Yard\u0131mc\u0131 solunum cihaz\u0131 deste\u011fi \u00e7o\u011funlukla gerekir. Solunum yollar\u0131n\u0131 a\u00e7\u0131k tutmak amac\u0131yla aspirasyon yap\u0131l\u0131r. Kan \u00fcr\u00fcnleri deste\u011fi s\u0131kl\u0131kla verilir. Tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcne y\u00f6nelik tedaviler, serum vb damar i\u00e7i destek tedavileri uygulan\u0131r.<\/p>\n
KOMPL\u0130KASYONLAR<\/p>\n
Kanamaya ba\u011fl\u0131 akci\u011fer fonksiyonlar\u0131 ve kan\u0131n oksijenlenmesi bozulur. Hava yollar\u0131nda kanamaya ba\u011fl\u0131 hava giri\u015f-\u00e7\u0131k\u0131\u015f\u0131 bozulur.<\/p>\n
KORUNMA<\/p>\n
Belirli bir korunma y\u00f6ntemi yoktur. Premat\u00fcre bebeklerin \u00f6zellikle riskli grupta olmas\u0131 nedeniyle erken do\u011fumlar\u0131n \u00f6nlenmesine y\u00f6nelik tedbirle faydal\u0131 olacakt\u0131r.,<\/p>\n
HAZIRLAYAN; Dr. Hayrettin YILDIZ, Dr. Sibel \u00d6ZBEK, Dr M. G\u00f6n\u00fcl AYDO\u011eAN <\/p>\n
KAYNAKLARMac Donald MG,\u00a0 Mullett MD, Seshia MMK. Avery’s\u00a0 Neonatology\u00a0 Pathophysiology & management\u00a0 of\u00a0 the\u00a0 Newborn. 6 th ed. Lippincott Williams&Wilkins comp. O. Neyzi, T. Ertu\u011frul. Pediatri. \u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6zellikle d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131kl\u0131 ve erken do\u011fan (premat\u00fcre) bebeklerde g\u00f6r\u00fclen ve nedeni tam olarak ayd\u0131nlat\u0131lamam\u0131\u015f olan akci\u011ferlerde kanama ile karakterize bir klinik durumdur. Canl\u0131 do\u011fumlar\u0131n 1\/1000’inde g\u00f6r\u00fcl\u00fcr. Yap\u0131lan yenido\u011fan otopsilerinin %18’inde akci\u011ferlerde kanama saptanm\u0131\u015ft\u0131r. Enfeksiyonlar, akci\u011fer hastal\u0131klar\u0131, so\u011fuk stresi, do\u011fumsal kalp hastal\u0131klar\u0131, kanama ve p\u0131ht\u0131la\u015fma bozukluklar\u0131, bebe\u011fin do\u011fumda Oksijensiz kalmas\u0131 gibi durumlar rol oynayabilir. BEL\u0130RT\u0130LER Akci\u011fer kanamas\u0131 olan bebekte solunum[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":[23290],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13279"}],"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=13279"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13279\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13279"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}