{"id":1398,"date":"2017-05-04T11:24:25","date_gmt":"2017-05-04T08:24:25","guid":{"rendered":"http:\/\/www.bulentsekerel.com\/?page_id=1398"},"modified":"2017-05-04T11:24:25","modified_gmt":"2017-05-04T08:24:25","slug":"anafilaksi","status":"publish","type":"page","link":"https:\/\/bulentsekerel.com\/index.php\/anafilaksi\/","title":{"rendered":"Anafilaksi"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-b7892afb8e86bbca236258a9f67e531e\">\n#top .av-special-heading.av-av_heading-b7892afb8e86bbca236258a9f67e531e{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-b7892afb8e86bbca236258a9f67e531e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-b7892afb8e86bbca236258a9f67e531e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-b7892afb8e86bbca236258a9f67e531e av-special-heading-h1  avia-builder-el-0  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Anafilaksi<\/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>\u00a0Anafilaksi ani geli\u015fen ve ya\u015fam\u0131 tehdit edebilen boyutlara ula\u015fabilen ciddi bir alerjik reaksiyondur. Reaksiyon \u00e7o\u011funlukla alerjenle kar\u015f\u0131la\u015fmadan sonraki ilk iki saat i\u00e7inde ortaya \u00e7\u0131kar ve genelde ne kadar erken ba\u015flarsa o oranda daha \u015fiddetli seyreder. Anafilakside \u00e7o\u011funlukla v\u00fccudun b\u00fct\u00fcn\u00fcn\u00fc etkileyen bir reaksiyondur. D\u00f6k\u00fcnt\u00fc, y\u00fcz ve dudaklarda \u015fi\u015flik, \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131l\u0131 solunum, nefes darl\u0131\u011f\u0131, h\u0131zl\u0131 nab\u0131z, tansiyon d\u00fc\u015fmesi, bilin\u00e7 kayb\u0131, kar\u0131nda kramplar en s\u0131k rastlanan bulgulard\u0131r. \u00d6l\u00fcmle sonu\u00e7lanabilen solunum ve dola\u015f\u0131m sistemi yetersizli\u011fi geli\u015febilece\u011finden erken ve h\u0131zl\u0131 bir m\u00fcdahale gerekir. En s\u0131k nedeni g\u0131da ve ila\u00e7 alerjileri ve de b\u00f6cek (ar\u0131) sokmalar\u0131d\u0131r.<\/p>\n<p><strong>Ya\u015f grubu:<\/strong>\u00a0Her ya\u015f grubunda g\u00f6r\u00fclebilir.<\/p>\n<p><strong>\u00d6nemi:<\/strong>\u00a0Anafilaksi ya\u015fam\u0131 tehdit edebilen bir reaksiyon oldu\u011fundan erken tan\u0131 ve h\u0131zl\u0131\/uygun bir m\u00fcdahale gerektirir.<\/p>\n<p><strong>Olu\u015fum mekanizmas\u0131:<\/strong>\u00a0Reaksiyonun olu\u015fmas\u0131nda farkl\u0131 mekanizmalar sorumlu olurlar. Ancak hangi mekanizma sorumlu olursa olsun son a\u015famada kanda histamin ve benzeri maddelerin ani y\u00fckseli\u015fi olur. Bu maddeler deri, solunum ve dola\u015f\u0131m sisteminde olu\u015fan belirti ve bulgulardan sorumludurlar. Reaksiyon farkl\u0131 mekanizmalar ile oldu\u011fundan, sadece alerjisi olan bireylerde de\u011fil, ayn\u0131 zamanda alerjik b\u00fcnyesi olmayan bireylerde de \u00e7e\u015fitli nedenlere ba\u011fl\u0131 olarak anafilaksi g\u00f6r\u00fclebilir.<\/p>\n<p><strong>Risk Fakt\u00f6rleri:<\/strong><strong>\u00a0<\/strong>Alerjik b\u00fcnyeli olsun olmas\u0131n herkesin anafilaksi ge\u00e7irme riski vard\u0131r Alerjisi olan bireylerin alerjik olduklar\u0131 maddeden ka\u00e7\u0131nmalar\u0131 gerekir. Ancak alerjisi olan bireylerin hepsinde alerjen ile kar\u015f\u0131la\u015fma anafilaksiye neden olmaz. \u00d6rne\u011fin kimi besin alerjisi olan \u00e7ocuklarda o besin sadece d\u00f6k\u00fcnt\u00fcye neden olurken di\u011ferlerinde anafilaksi \u015feklinde seyredebilir. Daha evvelden alerjik oldu\u011fu maddenin anafilaktik reaksiyona neden oldu\u011funu bilenlerin bu maddelerden \u015fiddetle ka\u00e7\u0131nmalar\u0131 gerekir. Ancak alerjisi olmayan bireylerde de anafilaksi g\u00f6r\u00fclebilir. \u00d6rne\u011fin daha evvelden belirli bir ilaca alerjisi olmad\u0131\u011f\u0131n\u0131 bilen bir birey, ayn\u0131 ilac\u0131n sonraki bir enjeksiyonunda anafilaksi ge\u00e7irebilir. Bu sebeple her enjeksiyonun acil bir m\u00fcdahale edilebilen bir ortamda yap\u0131lmas\u0131 \u00f6nemlidir. Alerjik b\u00fcnyelilerde genelde anafilaksi daha a\u011f\u0131r seyredebilirse de hasta ya\u015f\u0131, alerjenin cinsi, alerjenin miktar\u0131, alerjenle kar\u015f\u0131la\u015fma \u015fekli (enjeksiyon, sokma, yenilme gibi..) ve hastan\u0131n kullanmakta oldu\u011fu di\u011fer ila\u00e7lar ve mevcut hastal\u0131klar\u0131 anafilaksinin geli\u015fme olas\u0131l\u0131\u011f\u0131 ve \u015fiddeti \u00fczerine etkili fakt\u00f6rlerdir. Anafilaksi geli\u015fti\u011finde erken tan\u0131 ve hemen\/uygun m\u00fcdahalenin istenmeyen bir durumun geli\u015fmesini \u00f6nlemek a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nemi vard\u0131r.<\/p>\n<p><strong>Nedenler:<\/strong>\u00a0Son y\u0131llarda en s\u0131k nedenin g\u0131da alerjisi oldu\u011fu belirtilmektedir. Bunu ila\u00e7 alerjileri ve ar\u0131 sokmalar\u0131na ba\u011fl\u0131 geli\u015fen anafilaksi izlemektedir. Bunu d\u0131\u015f\u0131nda bilinen ba\u015fka anafilaksi varsa da bir grup hastada anafilaksi nedenini bulmak m\u00fcmk\u00fcn olmayabilir.<\/p>\n<p><strong>Tedavi:<\/strong>\u00a0Ya\u015fam\u0131 tehdit eden anafilaksi durumunda solunum ve dola\u015f\u0131m sistemine erken ve yeterli deste\u011fin sa\u011flanmas\u0131 gerekir. Anafilaksi ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda alerjen ile temas\u0131n derhal kesilmesi, hastan\u0131n yat\u0131r\u0131larak bacaklar\u0131n\u0131n havaya kald\u0131r\u0131lmas\u0131 ve solunum yolunun a\u00e7\u0131k oldu\u011fundan emin olunmas\u0131 gerekir. Bunu solunum ve dola\u015f\u0131m durumunun belirlenmesi ve kas i\u00e7ine yap\u0131lan adrenalin enjeksiyonu takip etmelidir. Hastan\u0131n bir sa\u011fl\u0131k kurumuna ula\u015ft\u0131r\u0131lmaya \u00e7al\u0131\u015f\u0131lmas\u0131nda \u00f6nce ilk \u00f6nlemlerin ve tedavilerin uygulanmas\u0131 \u00e7ok \u00f6nemlidir. \u00c7\u00fcnk\u00fc \u00f6l\u00fcmlerin b\u00fcy\u00fck bir k\u0131sm\u0131 bu erken m\u00fcdahalenin yetersizli\u011fi sonucu olmaktad\u0131r. Alerjisi olmas\u0131na kar\u015f\u0131n mutlaka kullan\u0131lmas\u0131 gereken ila\u00e7 varl\u0131\u011f\u0131 durumunda alerji uzmanlar\u0131 ile temasa ge\u00e7ilmelidir.<\/p>\n<p><strong>\u00d6nlemler:<\/strong>\u00a0Ara\u015ft\u0131rmalar anafilaksi riski y\u00fcksek bireylerin her t\u00fcrl\u00fc tedbire kar\u015f\u0131n ortalama iki y\u0131lda bir bu tablo ile kar\u015f\u0131la\u015fmalar\u0131n\u0131n ka\u00e7\u0131n\u0131lmaz oldu\u011funu g\u00f6stermektedir. Bu bireylerin ve yak\u0131n \u00e7evrelerinin alerjenden nas\u0131l sak\u0131nacaklar\u0131n\u0131 \u00f6\u011frenmeleri durumunda bu kar\u015f\u0131la\u015fma olas\u0131l\u0131\u011f\u0131 en aza indirilebilmektedir. Alerjenin yan\u0131 s\u0131ra o madde ile benzer yap\u0131daki di\u011fer maddelerinde anafilaksiye neden olabilece\u011fi ve bu maddelerden de mutlak ka\u00e7\u0131nmak gerekti\u011fi hasta taraf\u0131ndan alg\u0131lanm\u0131\u015f olmal\u0131d\u0131r. Gene de her hastan\u0131n anafilaksi ge\u00e7irebilece\u011fi d\u00fc\u015f\u00fcn\u00fclerek, hasta ve hasta yak\u0131nlar\u0131na acil m\u00fcdahale becerisi kazand\u0131r\u0131lmal\u0131d\u0131r. Bu sebeple hasta ve yak\u0131nlar\u0131 acil m\u00fcdahalede kullan\u0131lacak baz\u0131 ila\u00e7lar ile donat\u0131lm\u0131\u015f olmal\u0131d\u0131rlar. Bu ba\u011flamda adrenalin oto-enjekt\u00f6r\u00fc ve antihistamin ila\u00e7lar kritik \u00f6neme sahiptirler. Anafilaksi durumunda ilk m\u00fcdahaleyi takiben h\u0131zla en yak\u0131n sa\u011fl\u0131k kurulu\u015funa ba\u015fvurulmas\u0131 gerekir. Ayr\u0131ca, anafilaksi enjeksiyon ile verilen ila\u00e7lar ile daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcnden m\u00fcmk\u00fcnse a\u011f\u0131z yolu ile kullan\u0131mlar\u0131 tercih edilmeli; her enjeksiyon mutlaka acil m\u00fcdahale edilebilecek bir kurumda yap\u0131lmal\u0131; bir enjeksiyon sonras\u0131 ya\u015fam\u0131 tehdit edebilecek bir reaksiyona m\u00fcdahale edilebilmesi i\u00e7in enjeksiyon sonras\u0131 30 dakika hasta yak\u0131n izlenmeli; hasta alerjilerinden doktorunu, bran\u015f\u0131 ne olursa olsun, mutlaka haberdar etmeli; anafilaksi riski y\u00fcksek olan ki\u015filerin bu durumu belirten bir k\u00fcnye ta\u015f\u0131malar\u0131; anafilaksinin a\u011f\u0131r seyretmesine neden olan ila\u00e7lardan m\u00fcmk\u00fcn oldu\u011funca sak\u0131n\u0131lmal\u0131; alerjiye neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen bir maddeden \u015f\u00fcphelenildi\u011finde bu durum bir alerji uzman\u0131 taraf\u0131ndan ayr\u0131nt\u0131l\u0131 bir \u015fekilde incelenene kadar o maddeden kesinlikle uzak durulmal\u0131d\u0131r.<\/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>Anafilaksi - 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;anafilaksi&quot; konulu yaz\u0131\" \/>\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\/anafilaksi\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anafilaksi - 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;anafilaksi&quot; 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