{"id":1373,"date":"2017-05-04T10:22:09","date_gmt":"2017-05-04T07:22:09","guid":{"rendered":"http:\/\/www.bulentsekerel.com\/?page_id=1373"},"modified":"2017-05-04T10:22:09","modified_gmt":"2017-05-04T07:22:09","slug":"astim","status":"publish","type":"page","link":"https:\/\/bulentsekerel.com\/index.php\/astim\/","title":{"rendered":"Ast\u0131m"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_image-1c54e165a57a9313ebc1967170865cd2\">\n.avia-image-container.av-av_image-1c54e165a57a9313ebc1967170865cd2 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-av_image-1c54e165a57a9313ebc1967170865cd2 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-av_image-1c54e165a57a9313ebc1967170865cd2 av-styling- avia-align-center  avia-builder-el-0  el_before_av_heading  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image- avia-img-lazy-loading-not- avia_image ' src=\"https:\/\/bulentsekerel.com\/wp-content\/uploads\/2017\/05\/alerji-4-300x200.jpg\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-6fbdd4dfd48bb8654f6e1a87e58546a9\">\n#top .av-special-heading.av-av_heading-6fbdd4dfd48bb8654f6e1a87e58546a9{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-6fbdd4dfd48bb8654f6e1a87e58546a9 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-6fbdd4dfd48bb8654f6e1a87e58546a9 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-6fbdd4dfd48bb8654f6e1a87e58546a9 av-special-heading-h1  avia-builder-el-1  el_after_av_image  el_before_av_textblock '><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Ast\u0131m<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Tan\u0131m: <\/strong>Ast\u0131m, ataklar halinde beliren ve bron\u015flar\u0131n t\u0131kanmas\u0131na neden olan bir hastal\u0131kt\u0131r. Hastal\u0131k, bron\u015flarda bulunan ba\u011f\u0131\u015f\u0131kl\u0131k sistemi h\u00fccrelerinin verdi\u011fi a\u015f\u0131r\u0131\/abart\u0131l\u0131 yan\u0131ttan ileri gelir ve bu\u00a0a\u015f\u0131r\u0131\/abart\u0131l\u0131 yan\u0131tlar sonucu bron\u015flar t\u0131kan\u0131r. Bron\u015flar\u0131n t\u0131kanmas\u0131, bron\u015flar\u0131 \u00e7evreleyen kas tabakas\u0131n\u0131n kas\u0131lmas\u0131, bron\u015f duvar\u0131n\u0131n \u00f6demi (\u015fi\u015fmesi) ve bron\u015flar i\u00e7indeki balgam t\u0131ka\u00e7lar\u0131ndan ileri gelir. Bunun sonucu olarak akci\u011ferlere giren havan\u0131n akci\u011ferden \u00e7\u0131kmas\u0131nda g\u00fc\u00e7l\u00fck olu\u015fur. Ataklar s\u0131ras\u0131nda \u00f6ks\u00fcr\u00fck, g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma-bask\u0131 hissi, solunumda h\u0131zlanma, h\u0131r\u0131lt\u0131 (h\u0131\u015f\u0131lt\u0131) ve nefes darl\u0131\u011f\u0131 olur. Hastalar ataklar aras\u0131nda tamamen veya k\u0131smen iyidirler. Ast\u0131ml\u0131 hastalar \u00e7evredeki bir\u00e7ok maddeye ast\u0131ml\u0131 olmayanlara g\u00f6re daha fazla duyarl\u0131d\u0131rlar ve bu maddelerle kar\u015f\u0131la\u015fma ast\u0131ml\u0131larda h\u0131\u015f\u0131lt\u0131 ve \u00f6ks\u00fcr\u00fck gibi yak\u0131nmalara olu\u015fmas\u0131na yol a\u00e7ar.<\/p>\n<p><strong>Ya\u015f grubu: <\/strong>Ast\u0131m hem \u00e7ocukluk hem de eri\u015fkin \u00e7a\u011f\u0131n\u0131n en s\u0131k g\u00f6r\u00fclen sa\u011fl\u0131k sorunlar\u0131ndan biridir. Dr \u015eekerel\u2019in Devlet Planlama Te\u015fkilat\u0131 ile ger\u00e7ekle\u015ftirdi\u011fi ara\u015ft\u0131rmalar \u00fclkemizde ilkokul \u00e7a\u011f\u0131 her 10-15 \u00e7ocuktan (ve 10-20 eri\u015fkinden) birinde ast\u0131m benzeri yak\u0131nmalar oldu\u011funu g\u00f6stermi\u015ftir.<\/p>\n<p><strong>\u00d6nemi:<\/strong>\u00a0Ast\u0131m neden oldu\u011fu g\u00fcnl\u00fck yak\u0131nmalar ile i\u015f ya da okul ba\u015far\u0131s\u0131n\u0131n d\u00fc\u015fmesi, g\u00fcnl\u00fck aktivitenin yap\u0131lamamas\u0131, gece uykular\u0131n\u0131n b\u00f6l\u00fcnmesi gibi sorunlar nedeniyle ya\u015fam kalitesinde \u00e7ok \u00f6nemli bozulmalara yol a\u00e7ar. Ast\u0131m ataklar\u0131 acil m\u00fcdahale gerektiren ve bazen ya\u015fam\u0131 tehdit edebilen durumlard\u0131r. Dr.B\u00fclent \u015eekerel\u2019in \u00fclkemizdeki ast\u0131ml\u0131 hastalar\u0131n kontrol d\u00fczeylerini 5 y\u0131l ara ile ara\u015ft\u0131rd\u0131\u011f\u0131 iki ara\u015ft\u0131rmas\u0131 \u00fclkemizdeki hastalar\u0131n beklenen kontrol seviyelerine ula\u015fmad\u0131\u011f\u0131n\u0131 ortaya koymu\u015ftur. Her iki\u00a0makalede de bu durumun olas\u0131 nedenleri ayr\u0131nt\u0131l\u0131 olarak irdelenmi\u015f ve \u00f6neriler sunulmu\u015ftur.<\/p>\n<p><strong>Risk fakt\u00f6rleri: <\/strong>T\u00fcm alerjik hastal\u0131klarda oldu\u011fu gibi ast\u0131m\u0131n geli\u015fmesindeki en b\u00fcy\u00fck risk fakt\u00f6r\u00fc o ki\u015finin ailesinde alerjik hastal\u0131klar\u0131n veya ast\u0131m\u0131n olmas\u0131d\u0131r. Ancak \u00f6zellikle tek yumurta ikizlerinden (genetik materyali ayn\u0131 olan iki ki\u015fi) birinde ast\u0131m saptan\u0131rken di\u011ferinde olmamas\u0131 bilinen bir durumdur. Bu durum ast\u0131m\u0131n geli\u015fmesinde yaln\u0131z genetik fakt\u00f6rlerin rol\u00fc olmad\u0131\u011f\u0131n\u0131n en b\u00fcy\u00fck kan\u0131t\u0131d\u0131r. Nitekim son 20 y\u0131lda, \u00f6zellikle bat\u0131 \u00fclkelerinde, ast\u0131m\u0131n iki kata varan oranlarda artm\u0131\u015f olmas\u0131, \u00e7evresel fakt\u00f6rlerinde rol\u00fc oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcrmektedir. Ancak bug\u00fcne kadar \u00e7evremizdeki binlerce fakt\u00f6rden hangisinin veya hangilerinin ast\u0131ma neden oldu\u011fu hen\u00fcz g\u00f6sterilememi\u015ftir. Sigara, egzoz duman\u0131, hava kirlili\u011fi, giderek daha hijyenik ortamlarda ya\u015famam\u0131z\u0131n rol\u00fc olabilece\u011fine y\u00f6nelik kan\u0131tlara ula\u015f\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Olu\u015fum mekanizmas\u0131: <\/strong>Organizmam\u0131z\u0131n (v\u00fccudumuzun) hem d\u0131\u015f (bakteri, vir\u00fcs, parazit) hem de i\u00e7 (kanser gibi) d\u00fc\u015fmanlara kar\u015f\u0131 korunmas\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sistemi denen bir sistem ile sa\u011flanmaktad\u0131r. Bu sistem tepkilerini aralar\u0131nda kompleks ili\u015fkiler olan h\u00fccre ve molek\u00fcller arac\u0131l\u0131\u011f\u0131 ile verir. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi organizmam\u0131z i\u00e7in zararl\u0131 olan bir etken ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131n da, ona kar\u015f\u0131 g\u00fc\u00e7l\u00fc tepkiler \u00fcretir ve onu ortadan kald\u0131rarak bize zararl\u0131 olmas\u0131n\u0131 engeller. Organizmam\u0131z, zararl\u0131 olmayan yabanc\u0131 bir etken ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda ise daha \u00f6l\u00e7\u00fcl\u00fc tepkiler verir. \u00c7\u00fcnk\u00fc ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin verdi\u011fi g\u00fc\u00e7l\u00fc tepkiler genelde v\u00fccudumuz i\u00e7in rahats\u0131z verici nitelikte durumlara yol a\u00e7ar. Bunlar v\u00fccut s\u0131cakl\u0131\u011f\u0131n\u0131n y\u00fckselmesi ve k\u0131rg\u0131nl\u0131k gibi genel belirtiler veya tepkinin verildi\u011fi organa ait yak\u0131nmalar \u015feklinde kendini g\u00f6sterir. Bu kapsamda alerji, v\u00fccudumuza solunum, mide-barsak veya deri temas\u0131 ile giren baz\u0131 yabanc\u0131 maddelere kar\u015f\u0131 gere\u011finden fazla a\u015f\u0131r\u0131 tepkiler vermesi olarak tan\u0131mlan\u0131r. Bir di\u011fer ifadeyle, genel kan\u0131n\u0131n aksine alerji, ba\u011f\u0131\u015f\u0131kl\u0131k sistemindeki bir eksiklikten de\u011fil, aksine zararl\u0131 olmayan bir yabanc\u0131 maddeye kar\u015f\u0131 a\u015f\u0131r\u0131 bir tepki verilmesinden ileri gelir. Ast\u0131mda ba\u011f\u0131\u015f\u0131kl\u0131k sistemimiz yaln\u0131z alerjenlere de\u011fil ayn\u0131 zamanda \u00fcst solunum yolu infeksiyonlar\u0131, yo\u011fun kokular ve baz\u0131 ila\u00e7lara kar\u015f\u0131da yo\u011fun ve \u015fiddetli tepkiler \u00fcretir. Bu tepkiler hastalarda ast\u0131m yak\u0131nmalar\u0131n belirmesi ile kendini belli eder.<br \/>\n<strong>Belirtiler: <\/strong>S\u00fcrekli veya ataklar halinde gelen \u00f6ks\u00fcr\u00fck, tekrarlayan h\u0131r\u0131lt\u0131 (h\u0131\u015f\u0131lt\u0131), nefes darl\u0131\u011f\u0131 ve g\u00f6\u011f\u00fcsde s\u0131k\u0131\u015fma hissi ast\u0131m\u0131 d\u00fc\u015f\u00fcnd\u00fcrmelidir. Ast\u0131m \u00f6ks\u00fcr\u00fc\u011f\u00fc kuru, inat\u00e7\u0131 ve tekrarlay\u0131c\u0131d\u0131r. N\u00f6betler halinde gelir, s\u0131kl\u0131kla gece ve sabaha kar\u015f\u0131 ba\u015flay\u0131p hastay\u0131 uykudan uyand\u0131rabilir. H\u0131\u015f\u0131lt\u0131 ast\u0131m\u0131n en karekteristik bulgusudur. \u00d6zellikle nefes verirken g\u00f6\u011f\u00fcsten \u0131sl\u0131k sesine benzer bir ses duyulur. Ancak her h\u0131\u015f\u0131lt\u0131 ast\u0131m de\u011fildir. \u00d6zellikle ya\u015fam\u0131n ilk iki y\u0131l\u0131nda bebeklerde solunum yolu infeksiyonlar\u0131 s\u0131kt\u0131r ve bu infeksiyonlar h\u0131r\u015f\u0131lt\u0131l\u0131 bir seyir g\u00f6sterebilir. Bu nedenle, \u00f6zellikle tekrarlayan h\u0131\u015f\u0131lt\u0131s\u0131 olan \u00e7ocuklarda ast\u0131m akla getirilmelidir. Nefes darl\u0131\u011f\u0131, s\u0131k nefes al\u0131p-verme ve bebeklerde karn\u0131n, \u00e7ocuklarda g\u00f6\u011fs\u00fcn k\u00f6r\u00fck gibi inip kalkmas\u0131 ile kendini belli edebilir.<\/p>\n<p><strong>Nedenler: <\/strong>Ast\u0131ml\u0131 bir ki\u015fide yak\u0131nmalar\u0131 ba\u015flatan en s\u0131k neden \u00fcst solunum yolunun infeksiyonlar\u0131d\u0131r. Bunu alerjenler, yo\u011fun duman\/kokular ve baz\u0131 ila\u00e7lar izler. Ast\u0131ma en s\u0131k yol a\u00e7an alerjenler pollenler, ev tozu akar\u0131, hayvanlar, baz\u0131 k\u00fcf mantarlar\u0131 ve hamam b\u00f6ce\u011fidir. \u00dcst solunum yolunun her t\u00fcrl\u00fc infeksiyonu ast\u0131m yak\u0131nmalar\u0131n\u0131 ba\u015flatmaz. En fazla sorumlu olan viral (virusla ili\u015fkili) infeksiyonlard\u0131r. Nezle virusu (rinovirus) ast\u0131m ataklar\u0131na en s\u0131k neden olan ajand\u0131r. Genelde bakterilerin neden oldu\u011fu \u00fcst solunum yolu infeksiyonlar ast\u0131m\u0131 tetiklememekle birlikte sin\u00fczit ast\u0131m\u0131 tetikler\/k\u00f6t\u00fcle\u015ftirir. \u00dclkemizde en s\u0131k ast\u0131ma yol a\u00e7an alerjeler pollen alerjisi ve ev tozu kar alerjisidir. Pollenlerden de en s\u0131k alerji g\u00f6r\u00fcleni ise \u00e7ay\u0131r pollenleri yani \u00e7im pollenidir. Akar ise ev tozu i\u00e7inde ya\u015fayan ve g\u00f6zle g\u00f6r\u00fclemeyecek derecede k\u00fc\u00e7\u00fck olan bir b\u00f6cektir ve \u00f6zellikle de tekstil \u00fcr\u00fcnlerin \u00fczerinde bulunur. Rutubetli ve \u0131l\u0131man iklim ya\u015famas\u0131 i\u00e7in en uygun ortam\u0131 sa\u011flar. Ku\u015f t\u00fcy\u00fc ve y\u00fcn yatak yorganlar en s\u0131k bulundu\u011fu yerlerdir. Hayvanlardan ise en s\u0131k alerji yapt\u0131\u011f\u0131 bilinen kedidir. Yo\u011fun kimyasal madde koku ve dumanlar\u0131 her ki\u015fide baz\u0131 yak\u0131nmalara neden olur. Ancak ast\u0131ml\u0131larda her zaman bu yak\u0131nmalar daha fazla olur. Sigara ve soba duman\u0131, yo\u011fun parf\u00fcm, naftalin, boya vernik kokusu, egzos duman\u0131, so\u011fuk ve kuru hava solumak yak\u0131nmalar\u0131 ba\u015flat\u0131r. Egzersizin ast\u0131m yak\u0131nmalar\u0131 ba\u015flatt\u0131\u011f\u0131 iyi bilinen bir durumdur. Ancak burada sorumlu olan egzersizin kendisi de\u011fil egzersiz s\u0131ras\u0131nda a\u011f\u0131zdan solunum yap\u0131lmas\u0131 yani \u0131s\u0131nmam\u0131\u015f ve nemlenmemi\u015f havan\u0131n solunmas\u0131d\u0131r. \u0130la\u00e7lardan en s\u0131k ast\u0131ma yol a\u00e7an a\u011fr\u0131 kesici\/ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lard\u0131r. Eri\u015fkin ast\u0131ml\u0131lar\u0131n %10-20&#8217;sinde ve \u00e7ocuk ast\u0131ml\u0131lar\u0131n %5-10\u2019nunda bu ila\u00e7lara kar\u015f\u0131 a\u015f\u0131r\u0131 hassasiyet mevcuttur ve bu durumlarda hassas olunan ila\u00e7lar kesinlikle kullan\u0131lmamal\u0131d\u0131r. Bunun d\u0131\u015f\u0131nda hipertansiyon, kalp hastal\u0131klar\u0131 ve baz\u0131 g\u00f6z hastal\u0131klar\u0131nda kullan\u0131lan ila\u00e7larda ast\u0131m\u0131 k\u00f6t\u00fcle\u015ftirebilece\u011finden her ast\u0131ml\u0131n\u0131n ba\u015fvurdu\u011fu hekimi hastal\u0131\u011f\u0131 hakk\u0131nda bilgilendirmesi gerekir.<\/p>\n<p><strong>Tedavi: <\/strong>Mevcut tedaviler hastal\u0131\u011f\u0131 kontrol alt\u0131nda tutarak hasta ki\u015finin sa\u011fl\u0131kl\u0131 ki\u015filer kadar kaliteli ya\u015fam s\u00fcrmesine olanak sa\u011flar. Temel ama\u00e7lar spor dahil normal ya\u015fant\u0131n\u0131n devam ettirilmesi ve ast\u0131m krizlerini \u00f6nlemektir. Bu ama\u00e7lara ula\u015fabilmek i\u00e7in ast\u0131m erken d\u00f6nemde tan\u0131nmal\u0131 ve tedaviye erken d\u00f6nemde ba\u015flanmal\u0131d\u0131r. Ast\u0131m k\u0131sa s\u00fcrede gelip ge\u00e7en bir hastal\u0131k de\u011fildir. Bu nedenle hastan\u0131n yak\u0131nmas\u0131 olmasa da d\u00fczenli doktor kontrol\u00fc gereklidir. Ast\u0131m\u0131 k\u00fcr eden (tamamen ortadan kald\u0131ran) bir tedavi \u015fekli hen\u00fcz mevcut de\u011fildir. Ast\u0131m tedavisi kabaca \u00fc\u00e7 a\u015famada incelenebilir. \u0130lk a\u015fama tetikleyicilerden (infeksiyonlar, allejenler, yo\u011fun ve keskin kokular ve baz\u0131 ila\u00e7lar) sak\u0131nmad\u0131r. Sak\u0131nma \u00f6nlemleri yak\u0131nmalar\u0131n olu\u015fmas\u0131n\u0131 b\u00fcy\u00fck oranda kontrol edebilirse de \u00e7o\u011fu hastada t\u00fcm\u00fcyle ortadan kald\u0131ramaz. Bu takdirde yak\u0131nmalar\u0131n d\u00fczenli veya gerektik\u00e7e kullan\u0131lan de\u011fi\u015fik ila\u00e7lar ile kontrol alt\u0131nda al\u0131nmas\u0131 gerekir. Hekimler hastal\u0131\u011f\u0131n \u015fiddeti, hasta ya\u015f\u0131, kolay kullan\u0131labilirli\u011fi ve maliyet gibi fakt\u00f6rlerin g\u00f6z \u00f6n\u00fcnde tutarak her hasta i\u00e7in \u00f6zg\u00fcn tedaviler \u00f6nerirler. \u0130la\u00e7 tedavilerinde koruyucu ve rahatlat\u0131c\u0131 olmak \u00fczere iki grup ila\u00e7 vard\u0131r. Koruyucu ila\u00e7lar\u0131n s\u00fcrekli olarak kullan\u0131lmas\u0131 gerekirken rahatlat\u0131c\u0131 ila\u00e7larda gerektik\u00e7e devreye girerler. Solunum yolu ile kullan\u0131lan kortikosteroid (kortizon) i\u00e7eren ila\u00e7lar ast\u0131m\u0131n en etkili ila\u00e7lar\u0131d\u0131r ve y\u00fcksek dozda kullan\u0131lmad\u0131klar\u0131nda genelde \u00f6nemli bir yan etki olu\u015fturmazlar. Ancak burada \u00f6nemli olan hastay\u0131 kontrol edecek en d\u00fc\u015f\u00fck dozun bulunmas\u0131d\u0131r ki bu dikkatli ve yak\u0131n bir hasta izlemini gerektirir. \u0130la\u00e7 tedavilerinin \u00f6nerilen \u015fekilde uygulamas\u0131 ile hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda yak\u0131nmalar giderilebilir ve hastan\u0131n ya\u015fam kalitesi artt\u0131r\u0131labilir. \u0130lk iki a\u015fama tedavileri uygulamas\u0131na kar\u015f\u0131n yeterli yarar\u0131 g\u00f6rmeyen k\u00fc\u00e7\u00fck bir hasta grubunda ise, hastalar\u0131n \u00e7o\u011funlukla \u201ca\u015f\u0131\u201d olarak and\u0131klar\u0131, imm\u00fcnoterapi tedavisi uygulanabilir. \u0130mm\u00fcnoterapi tedavisinde hastaya duyarl\u0131 oldu\u011fu alerjen giderek artan dozlarda verilerek ba\u011f\u0131\u015f\u0131kl\u0131k sisteminde verilen tepkilerin azalt\u0131lmas\u0131 ama\u00e7lan\u0131r. Bu tedavi bi\u00e7imi genelde hastal\u0131k kontrol\u00fcn\u00fc artt\u0131rsa bile k\u00fcr edemez (ortadan kald\u0131ramaz). \u0130mm\u00fcnoterapi yap\u0131lma karar\u0131 ve nas\u0131l yap\u0131laca\u011f\u0131 konu hakk\u0131nda uzmanl\u0131k(ihtisas) e\u011fitimi alm\u0131\u015f alerjistler taraf\u0131ndan verilir.<\/p>\n<p>Hastalar\u0131n s\u0131k atak ge\u00e7irmesi, a\u011f\u0131zdan veya enjeksiyon \u015feklind kortizon kullanma durumunda kalmas\u0131, \u00f6ks\u00fcr\u00fck ve h\u0131\u015f\u0131lt\u0131 ile uyanmas\u0131, egzersizle \u00f6ks\u00fcr\u00fck olmas\u0131, egzersiz kapasitesinde k\u0131s\u0131tlanma olmas\u0131 ve rahatlat\u0131c\u0131 ila\u00e7 gereksiniminde art\u0131\u015f olmas\u0131 ast\u0131m tedavisinin yetersiz oldu\u011funu g\u00f6sterir. Bu durumda tedavi \u015femas\u0131 tekrardan g\u00f6zden ge\u00e7irilmesi i\u00e7in hekim ile temas kurulmal\u0131d\u0131r.<\/p>\n<p><strong>Do\u011fal Seyir: <\/strong>Bat\u0131 toplumlar\u0131nda ast\u0131ml\u0131 \u00e7ocuklar\u0131n yakla\u015f\u0131k d\u00f6rtte biri ile yar\u0131s\u0131n\u0131n ergenlik \u00e7a\u011f\u0131na kadar yak\u0131nmas\u0131z hale gelece\u011fi bildirilmi\u015ftir. T\u00fcrk toplumunda ast\u0131ml\u0131 \u00e7ocuklar\u0131n hangisinin ileri ya\u015flarda hastal\u0131ktan kurtulaca\u011f\u0131 Dr B\u00fclent \u015eekerel\u2019in Hacettepe \u00dcniversitesi\u2019nde ger\u00e7ekle\u015ftirdi\u011fi ara\u015ft\u0131rmalarda incelenmi\u015ftir. Buna g\u00f6re ast\u0131m tan\u0131s\u0131 konmu\u015f alt\u0131 ya\u015f \u00e7ocuklar\u0131n yakla\u015f\u0131k yar\u0131s\u0131 ergenlik \u00e7a\u011f\u0131 sonunda yak\u0131nmas\u0131z hale gelmekte ve 6 ya\u015ftaki baz\u0131 \u00f6zelliklere bakarak y\u00fcksek bir olas\u0131l\u0131kla hangi \u00e7ocu\u011fun ileri ya\u015flarda ast\u0131mdan ar\u0131nabilece\u011fi tahmin edilebilmektedir.\u00a0Ast\u0131m \u015fiddeti zamanla art\u0131\u015f ve azalmalar g\u00f6sterebilir. Ve hatta uzun s\u00fcreler yak\u0131nmas\u0131z olabilirler. Ast\u0131ml\u0131 ki\u015filerde daha s\u0131k oranlarda alerjik rinit ve atopik dermatit (alerjik egzema) g\u00f6r\u00fcl\u00fcr. Bu sebeple alerjik rinitli ve atopik dermatitli her hastan\u0131n ast\u0131m geli\u015fimi y\u00f6n\u00fcnden dikkatle izlenmesi gerekir.<\/p>\n<p><em>Dikkat: Bu yaz\u0131 Dr B\u00fclent \u015eekerel taraf\u0131ndan haz\u0131rlanm\u0131\u015f olup kaynak g\u00f6sterilmeden kullan\u0131lamaz.<\/em><\/p>\n<p><em>Dikkat: Burada \u00e7ocukluk \u00e7a\u011f\u0131n\u0131n bir alerjik hastal\u0131\u011f\u0131 hakk\u0131nda Dr.B\u00fclent \u015eekerel taraf\u0131ndan size yard\u0131mc\u0131 olaca\u011f\u0131na inan\u0131larak derlenmi\u015f baz\u0131 bilgiler yer almaktad\u0131r. Bu nedenle bu bilgilerin, hekim olmayanlar taraf\u0131ndan tedavi amac\u0131yla kullan\u0131lmamalar\u0131 gerekir. L\u00fctfen daha ayr\u0131nt\u0131l\u0131 bilgi i\u00e7in hekiminize ba\u015fvurunuz.<\/em><\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ast\u0131m - Prof. Dr. B\u00fclent Enis \u015eekerel<\/title>\n<meta name=\"description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131,&quot;ast\u0131m&quot; konulu yaz\u0131 ve alerji ile ilgili di\u011fer konulara bu sayfadan eri\u015febilirsiniz\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bulentsekerel.com\/index.php\/astim\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ast\u0131m - Prof. Dr. B\u00fclent Enis \u015eekerel\" \/>\n<meta property=\"og:description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131,&quot;ast\u0131m&quot; 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