{"id":15592,"date":"2014-04-13T14:14:52","date_gmt":"2014-04-13T11:14:52","guid":{"rendered":"http:\/\/www.gncz.net\/akciger-absesi.html"},"modified":"2014-04-13T14:14:52","modified_gmt":"2014-04-13T11:14:52","slug":"akciger-absesi","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/akciger-absesi.html","title":{"rendered":"Akci\u011fer Absesi"},"content":{"rendered":"<p>TEMEL B\u0130LG\u0130LER<\/p>\n<p>TANIMLAMA: &Ccedil;evre dokudaki enfeksiyona ba\u011fl\u0131 akci\u011fer erimesi ile geli\u015fen i&ccedil;i cerahat ile dolu akci\u011fer kaviteleri. Genel gidi\u015f ani ba\u015flay\u0131c\u0131 ve ilerleyicidir. Genetik :Bilinen genetik ge&ccedil;i\u015f yok G&ouml;r&uuml;lme s\u0131kl\u0131\u011f\u0131: Bilinmiyor, olduk&ccedil;anadir Ya\u015f: Gen&ccedil; eri\u015fkinler (16- 40 ya\u015f); orta ya\u015f(40- 75 ya\u015f) da s\u0131k g&ouml;r&uuml;l&uuml;r Cinsiyet: Erkek= kad\u0131n<\/p>\n<p>BEL\u0130RT\u0130 VE BULGULAR -&Ouml;ks&uuml;r&uuml;k -A\u011f\u0131z Kokusu -Balgam -\u0130ltihapl\u0131, k&ouml;t&uuml;- kokulu balgam -Ate\u015f -G&ouml;\u011f&uuml;s a\u011fr\u0131s\u0131 -Nefes darl\u0131\u011f\u0131 -&Uuml;\u015f&uuml;me, titreme -Halsizlik -K\u0131r\u0131kl\u0131k -Zay\u0131flama -Kilo kayb\u0131 -Gece terlemesi -Kanl\u0131 balgam -Solunum seslerinde azalma -H\u0131r\u0131l\u0131t\u0131l\u0131 solunum -S\u0131k solunum -&Ccedil;arp\u0131nt\u0131 -Terleme -Asimetrik g&ouml;\u011f&uuml;s hareketleri -Parmak &ccedil;omakla\u015fmas\u0131<\/p>\n<p>NEDENLER\u0130 -Yabanc\u0131 cisimlerin akci\u011fere ka&ccedil;mas\u0131 sonucu olu\u015fan zat&uuml;rreler. -Akci\u011fer dokusunu eriten tipde zat&uuml;rreler -Vucudun ba\u015fka yerinde olu\u015fan iltihab\u0131n kan yoluyla Akci\u011ferlere ula\u015fmas\u0131 ve burda zat&uuml;rre yapmas\u0131 (septik emboli) -Bakterilerin kana kar\u0131\u015fmas\u0131 -Bron\u015fial t\u0131kanmas\u0131 veya darl\u0131\u011f\u0131 -T&uuml;m&ouml;rler<\/p>\n<p>R\u0130SK FAKT&Ouml;RLER\u0130 -K&ouml;t&uuml; a\u011f\u0131z ve di\u015f bak\u0131m\u0131,di\u015f eti iltihaplar\u0131. -Alkolizm -\u0130la&ccedil; ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 -Epilepsi (Sara Hastal\u0131\u011f\u0131) -\u015euur kayb\u0131 &#8211; Akci\u011fer Kanseri -Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanmas\u0131 -Diabetes mellitus (\u015eeker hastal\u0131\u011f\u0131) -Yabanc\u0131 cisim -Mide muhtevas\u0131n\u0131n yemek borusuna ka&ccedil;mas\u0131 (Gastro&ouml;zafagial refl&uuml;) -Sin&uuml;zit<\/p>\n<p>TANI LABARATUAR -Beyaz k&uuml;re y&uuml;kselmesi -kans\u0131zl\u0131k -Serum Protein azalmas\u0131 -Balgam k&uuml;lt&uuml;r&uuml; ve antibiogram\u0131nda iltihaba yol a&ccedil;an mikrobun &uuml;retilmesi.<\/p>\n<p>G&Ouml;R&Uuml;NT&Uuml;LEME -Akci\u011fer grafisi- abse ve &ccedil;evresinde iltihap alan\u0131 net olarak g&ouml;r&uuml;l&uuml;r -Hava- S\u0131v\u0131 seviyesi -Akci\u011fer zar\u0131nda s\u0131v\u0131 toplanmas\u0131 -Bilgisayarl\u0131 tomografi: Absenin lokalizasyon ve yay\u0131l\u0131m\u0131 belirler.<\/p>\n<p>TANI \u0130\u015eLEMLER\u0130 -Bron\u015f t\u0131kanmas\u0131 veya darl\u0131\u011f\u0131 \u015f&uuml;phesi varsa bronkoskopi yap\u0131l\u0131r.(Ucunda minik Kamera olan fiberoptik fleksibl bir boru ile bron\u015flar\u0131n i&ccedil;i incelenir) -G&ouml;\u011f&uuml;s y&uuml;z&uuml;eyinden i\u011fneyle girerek abseden numune almak (Transtorasik akci\u011fer biopsisi) m&uuml;mk&uuml;nd&uuml;r.<\/p>\n<p>TEDAVi -Ciddi ise veya Cerrahi uygulanacaksa yat\u0131r\u0131larak tedavi edilmelidir.<\/p>\n<p>GENEL &Ouml;NLEMLER -&Ouml;zel pozisyonlar ve masajlarla akci\u011ferdeki abse balgam yoluyla at\u0131lmaya &ccedil;al\u0131\u015f\u0131l\u0131r(Postural drenaj) -Akci\u011fer fizyoterapisi -Nedene y&ouml;nelik tedavi (&ouml;rne\u011fin., antibi&uuml;tikler) -Komplikasyonlar i&ccedil;in cerrahi metodlar gerekebilir.<\/p>\n<p>D\u0130YET -K\u0131s\u0131tlama yok<\/p>\n<p>HASTANIN E\u011e\u0130T\u0130LMES\u0130 -Solunum fizyoterapi teknikleri<\/p>\n<p>\u0130LA&Ccedil;LAR K&uuml;lt&uuml;r ve hassasiyet sonu&ccedil;lar\u0131na g&ouml;re antibiolikler kullan\u0131l\u0131r .<\/p>\n<p>HASTANIN \u0130ZLENMES\u0130 Akci\u011fer grafilerindeki kistik bo\u015fluk (Kavite) kaybolana veya d&uuml;zelene kadar (birka&ccedil; hafta veya ay) tedaviye devam edilir.<\/p>\n<p>BEKLENEN GEL\u0130\u015eME VE PROGNOZ Genellikle y&uuml;z g&uuml;ld&uuml;r&uuml;c&uuml;. % 25 oran\u0131nda sekel kal\u0131r. Birlikte ba\u015fka hastal\u0131k varsa sekel artar.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TEMEL B\u0130LG\u0130LER TANIMLAMA: &Ccedil;evre dokudaki enfeksiyona ba\u011fl\u0131 akci\u011fer erimesi ile geli\u015fen i&ccedil;i cerahat ile dolu akci\u011fer kaviteleri. Genel gidi\u015f ani ba\u015flay\u0131c\u0131 ve ilerleyicidir. Genetik :Bilinen genetik ge&ccedil;i\u015f yok G&ouml;r&uuml;lme s\u0131kl\u0131\u011f\u0131: Bilinmiyor, olduk&ccedil;anadir Ya\u015f: Gen&ccedil; eri\u015fkinler (16- 40 ya\u015f); orta ya\u015f(40- 75 ya\u015f) da s\u0131k g&ouml;r&uuml;l&uuml;r Cinsiyet: Erkek= kad\u0131n BEL\u0130RT\u0130 VE BULGULAR -&Ouml;ks&uuml;r&uuml;k -A\u011f\u0131z Kokusu -Balgam -\u0130ltihapl\u0131, k&ouml;t&uuml;- kokulu balgam -Ate\u015f<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/akciger-absesi.html\">[Devam\u0131n\u0131 Oku&#8230;]<\/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":[29834,29833],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/15592"}],"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=15592"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/15592\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=15592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=15592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=15592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}