{"id":39509,"date":"2022-10-18T02:06:07","date_gmt":"2022-10-18T02:06:07","guid":{"rendered":"https:\/\/haberulus.net\/?p=39509"},"modified":"2022-10-18T02:06:07","modified_gmt":"2022-10-18T02:06:07","slug":"covid-19-akcigerlerde-kalici-hasara-yol-acar-mi","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=39509","title":{"rendered":"Covid-19 akci\u011ferlerde kal\u0131c\u0131 hasara yol a\u00e7ar m\u0131?"},"content":{"rendered":"

Covid-19 sonras\u0131 ge\u00e7ici ve bazen kal\u0131c\u0131 hava yolu a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 olu\u015fabildi\u011fini belirten Prof. Dr. Servet Kayhan, bu durumun akci\u011ferlere etkilerine dikkat \u00e7ekti\u2026<\/b><\/p>\n

CovId-19’a dair en \u00e7ok merak edilenlerin ba\u015f\u0131nda hastal\u0131\u011f\u0131 atlatan veya yo\u011fun bak\u0131m tedavisi g\u00f6ren hastalar\u0131n akci\u011ferlerinde kal\u0131c\u0131 hasar olup olmayaca\u011f\u0131 sorusu geliyor.\u00a0G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Servet Kayhan, bu konuda merak edilen noktalar\u0131 \u015f\u00f6yle a\u00e7\u0131klad\u0131\u2026<\/p>\n

\"\"<\/p>\n

Prof. Dr. Servet Kayhan<\/p>\n<\/div>\n

Tehlike ge\u00e7ti mi?<\/b><\/p>\n

Covid-19 yapm\u0131\u015f oldu\u011fu mikro damar hasar\u0131yla b\u00fct\u00fcn v\u00fccudu etkileyebilse de en s\u0131k \u00fcst solunum yollar\u0131n\u0131 ve ilerlemi\u015f vakalarda akci\u011ferleri etkiler. A\u015f\u0131lar\u0131n yayg\u0131n kullan\u0131m\u0131 ve Covid-19 vir\u00fcs\u00fcn\u00fcn yeni varyantlar\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131yla birlikte son zamanlarda, ilk d\u00f6nemde g\u00f6r\u00fclen olgulardan farkl\u0131 olarak ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ve risk fakt\u00f6rlerine g\u00f6re hafif-orta veya a\u011f\u0131r \u015fiddette de\u011fi\u015fiklik g\u00f6steren \u00fcst solunum yolu enfeksiyonu \u015feklinde ge\u00e7irilmektedir. Ek hastal\u0131klar\u0131 olan ki\u015filerde ise akci\u011fer tutulumuna ba\u011fl\u0131 olarak zat\u00fcrre, solunum yetmezli\u011fi ve \u00f6l\u00fcm riski halen devam etmektedir.<\/p>\n

Kimler kontrole gitmeli?<\/b><\/p>\n

Covid-19 enfeksiyonu s\u0131ras\u0131nda ve sonras\u0131nda solunum yolu epiteli hasar\u0131na ba\u011fl\u0131 olarak uzam\u0131\u015f \u00f6ks\u00fcr\u00fck, eforla birlikte nefes darl\u0131\u011f\u0131 \u015fikayetleri g\u00f6rmekteyiz. Solunum yolunun vir\u00fcs kaynakl\u0131 enfeksiyonlar\u0131ndan sonra ge\u00e7ici ve bazen kal\u0131c\u0131 hava yolu a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 olu\u015fabilir. Bu durum sigara i\u00e7enlerde ve herhangi bir nedenle mesleksel toz, duman maruziyeti olanlarda kronik bron\u015fit, ast\u0131m ve KOAH hastal\u0131klar\u0131na zemin haz\u0131rlamaktad\u0131r. B\u00f6yle \u015fikayetleri olan hastalar\u0131m\u0131z\u0131n kal\u0131c\u0131 ast\u0131m, KOAH ve akci\u011fer fibrozisi (akci\u011fer sertle\u015fmesi) geli\u015fme riskleri a\u00e7\u0131s\u0131ndan solunum fonksiyon testleri ve akci\u011fer g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzmanlar\u0131 taraf\u0131ndan de\u011ferlendirilmesini tavsiye ediyoruz.<\/p>\n

\u0130yile\u015fen hastalar hangi sorunlar\u0131 ya\u015f\u0131yor?<\/b><\/p>\n

G\u00fcn\u00fcm\u00fczde halen \u201cUzam\u0131\u015f Covid Sendromu” olarak isimlendirilen ve enfeksiyon sonras\u0131 90 g\u00fcne kadar devam edebilen inat\u00e7\u0131 baz\u0131 \u015fikayetlerin oldu\u011funu g\u00f6rmekteyiz. En s\u0131k bildirilen Covid-19 sonras\u0131 semptomlar yorgunluk, nefes darl\u0131\u011f\u0131, uzun s\u00fcren \u00f6ks\u00fcr\u00fck ve \u00e7e\u015fitli a\u011fr\u0131lard\u0131r. KOAH, ast\u0131m, interstisyel akci\u011fer hastal\u0131\u011f\u0131 (akci\u011ferlerin hava keseleri \u00e7evresindeki\u00a0doku ve bo\u015flu\u011fu etkileyen bir grup solunum yolu hastal\u0131\u011f\u0131) gibi kronik akci\u011fer hastal\u0131\u011f\u0131 olanlar Covid-19’dan daha \u00e7ok etkilenebilmekte ve solunum kapasitelerinde \u00f6ncesine g\u00f6re d\u00fc\u015f\u00fckl\u00fck olu\u015fabilmektedir.<\/p>\n

\"\"<\/p>\n

Nefes darl\u0131\u011f\u0131 \u015fikayeti olanlar ne yapmal\u0131?<\/b><\/p>\n

Yapm\u0131\u015f oldu\u011fumuz akci\u011fer de\u011ferlendirmelerinde Covid-19 sonras\u0131nda ortaya \u00e7\u0131kan solunum \u015fikayetlerinin tedavisi ve akci\u011ferlerde kal\u0131c\u0131 hasar olu\u015fmamas\u0131 i\u00e7in \u00f6zellikle hastane yat\u0131\u015f\u0131 olan olgularda gerekli durumlarda medikal ila\u00e7 tedavilerinin yan\u0131 s\u0131ra solunum fizyoterapisti e\u015fli\u011finde solunum egzersizleri ve pulmoner rehabilitasyon (solunum fizyoterapisi) programlar\u0131 \u00f6nermekteyiz. 6 dakika y\u00fcr\u00fcy\u00fc\u015f seanslar\u0131 ve diyafram egzersizleri evde de kendi kendimize yapabilece\u011fimiz en basit solunum fizyoterapi y\u00f6ntemlerindendir. Diyafram egzersizleri yaparken bir elimizi g\u00f6\u011f\u00fcs kafesimizin \u00fcst\u00fcne, di\u011fer elimizi de karn\u0131m\u0131z\u0131n \u00fcst k\u0131sm\u0131na koyup burundan sakin ve derin nefes alarak, bu esnada karn\u0131m\u0131z\u0131n \u015fi\u015fti\u011fini ve g\u00f6\u011f\u00fcs kafesimizin geni\u015fledi\u011fini hissetmeliyiz. Sonras\u0131nda kar\u0131n kaslar\u0131m\u0131z\u0131 kasarak nefesimizi a\u011f\u0131zdan yava\u015f yava\u015f vererek karn\u0131n\u0131zdaki elimizin a\u015fa\u011f\u0131ya inmesini sa\u011flamal\u0131y\u0131z. Bu hareket en \u00f6nemli solunum kas\u0131m\u0131z olan diyafram\u0131 \u00e7al\u0131\u015ft\u0131r\u0131r ve g\u00fc\u00e7lenmesini sa\u011flar.<\/p>\n

Yoga ve pilates de faydal\u0131<\/b><\/p>\n

Diyafram egzersizleri organlar\u0131m\u0131z\u0131n daha iyi oksijenlenmesini ve zararl\u0131 at\u0131k olan karbondioksitin v\u00fccuttan daha etkin bir \u015fekilde at\u0131lmas\u0131n\u0131 sa\u011flar. Covid-19 egzersizlerini g\u00fcn i\u00e7erisinde 3-4 kez ve 5-10 dakika aras\u0131 yap\u0131lmas\u0131n\u0131 \u00f6neriyoruz. Ayr\u0131ca yoga ve pilates gibi egzersizler diyafram\u0131 \u00e7al\u0131\u015ft\u0131rarak akci\u011fer kapasitesini art\u0131r\u0131r. Solunum kaslar\u0131n\u0131, stresle ba\u015f edebilme kabiliyetini ve ba\u011f\u0131\u015f\u0131kl\u0131k sistemini g\u00fc\u00e7lendirir.<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Covid-19 sonras\u0131 ge\u00e7ici ve bazen kal\u0131c\u0131 hava yolu a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 olu\u015fabildi\u011fini belirten Prof. Dr. Servet Kayhan, bu durumun akci\u011ferlere …<\/p>\n","protected":false},"author":1,"featured_media":39510,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[4017,1540,7638,5650,255],"class_list":["post-39509","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-akciger","tag-covid-19","tag-diyafram","tag-solunum","tag-yolu"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/39509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=39509"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/39509\/revisions"}],"predecessor-version":[{"id":39511,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/39509\/revisions\/39511"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/39510"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}