{"id":300,"date":"2006-03-12T11:07:23","date_gmt":"2006-03-12T09:07:23","guid":{"rendered":"http:\/\/karder.org.tr\/?p=300"},"modified":"2018-04-21T11:08:01","modified_gmt":"2018-04-21T08:08:01","slug":"mustafa-sahin-reflu-hastaligi-ve-tedavisi","status":"publish","type":"post","link":"https:\/\/karder.org.tr\/index.php\/2006\/03\/12\/mustafa-sahin-reflu-hastaligi-ve-tedavisi\/","title":{"rendered":"Mustafa \u015eahin-REFL\u00dc HASTALI\u011eI VE TEDAV\u0130S\u0130"},"content":{"rendered":"

REFL\u00dc HASTALI\u011eI VE TEDAV\u0130S\u0130<\/span><\/b><\/h2>\n

REFL\u00dc HASTALI\u011eI VETEDAV\u0130S\u0130….11.03.2006
\nrefl\u00fc nedir? mide asidinin,anormal bir \u015fekilde yukar\u0131 do\u011fru \u00e7\u0131karak yemek borusuna ve bo\u011faza gelmesidir.normalde mide ile yemek borusu aras\u0131nda bulunan kaslar,asit salg\u0131s\u0131n\u0131n yukar\u0131 ka\u00e7mas\u0131na izin vermez.ancak baz\u0131 hastal\u0131klarda bu ka\u00e7\u0131\u015f olur.e\u011fer bu ka\u00e7\u0131\u015f,yemek borusuna kadar geliyorsagastroozefageal refl\u00fc(g\u00f6r),bo\u011faza kadar geliyorsa laringofaringeal refl\u00fc(lfr)ad\u0131 verilir.refl\u00fc \u00e7ok s\u0131k g\u00f6r\u00fclen bir durumdur.bu,bazan hastalar\u0131n \u00e7ok \u00fczerinde durmamas\u0131 bazan de doktorlar\u0131n bu hastal\u0131\u011f\u0131 \u00f6n tan\u0131 olarak d\u00fc\u015f\u00fcnmemesi iledir. refl\u00fc neden olur? a\u015fa\u011f\u0131da say\u0131lan etmenlerle olur: mide ile yemek borusu aras\u0131ndaki kaslar\u0131n(sifinkter) yapt\u0131\u011f\u0131 kapa\u011f\u0131n gev\u015femesi,mide f\u0131t\u0131\u011f\u0131,\u015fi\u015fmanl\u0131k,mideden fazla asit salg\u0131lanmas\u0131(hiperasidite),mideden yiyeceklerin barsaklara ge\u00e7i\u015finin yava\u015flamas\u0131,sigara ve alkol kullan\u0131lmas\u0131,fazla ya\u011fl\u0131 yiyeceklerin yenmesi,mideye bir defada fazla yemek g\u00f6nderilmesi ve s\u0131rt \u00fcst\u00fc yatmakt\u0131r. yak\u0131nmalar nelerdir? bazan hastalarda yak\u0131nma olmaz.ancak refl\u00fcn\u00fcn \u015fiddetine g\u00f6re,ki\u015fi de yak\u0131nmalar yapabilir.e\u011fer sadece g\u00f6\u011f\u00fcs bo\u015flu\u011funa ge\u00e7i\u015f varsa;g\u00f6\u011f\u00fcste yanma,h\u0131\u00e7k\u0131r\u0131k,sindirim bozuklu\u011fu ve yalanc\u0131 kalb a\u011fr\u0131s\u0131 yapabilir.e\u011fer asit salg\u0131s\u0131 bo\u011faza kadar y\u00fckseliyorsa;bo\u011fazda g\u0131c\u0131k duyusu,buna ba\u011fl\u0131 bo\u011faz\u0131 s\u00fcrekli temizleme refleksi olu\u015fur.bo\u011fazla ilgili yak\u0131nmalar\u0131n mide yak\u0131nmalarla ilgili olmas\u0131 \u015fart de\u011fildir.refl\u00fc sadece kendini kbb ile ilgili yak\u0131nmalarla kendini,yutak ve g\u0131rtla\u011f\u0131n asit salg\u0131s\u0131na daha hassas oldu\u011fu i\u00e7in,g\u00f6sterir. muayenede ne g\u00f6r\u00fcl\u00fcr? ses tellerinin gerisinde k\u0131zar\u0131kl\u0131k ve tahri\u015f g\u00f6r\u00fcl\u00fcr.bunun d\u0131\u015f\u0131nda laringafarigeal(lfr)rfl\u00fcde pek bir\u015fey g\u00f6r\u00fclmez. peki,tan\u0131 nas\u0131l konur? en \u00f6nemli tan\u0131 arac\u0131 hastan\u0131n anlatt\u0131klar\u0131d\u0131r(anamnez=\u00f6yk\u00fc).hastan\u0131n yakynmalar\u0131na g\u00f6re refl\u00fc olaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcr.refl\u00fcy\u00fc do\u011frulmak i\u00e7in;yemek borusundan 24 saatlik asit(ph)tayini,ila\u00e7l\u0131 film \u00e7ekilmesi,endoskopik muayene gibi testlerden yararlan\u0131l\u0131r.\u00e7o\u011fu kez bunlara ba\u015fvurulmaz,hastan\u0131n \u00f6yk\u00fcs\u00fc ile yetinilir. nas\u0131l sa\u011f\u0131t\u0131l\u0131r? refl\u00fc tedavisinde \u00fc\u00e7 se\u00e7enek vard\u0131r:hastan\u0131n dikkat etmesi gerekenler,ila\u00e7la sa\u011f\u0131lt\u0131m ve ameliyat. s\u0131rt \u00fct\u00fc yatmamak ve ba\u015f normalden daha yukar\u0131da olacak \u015fekilde yatmak(y\u00fcksek yast\u0131k vb.),mideyi \u00e7ok doldurmaktan sak\u0131nmak,yatmadan \u00f6nceki \u00fc\u00e7 saat i\u00e7erisinde;\u00e7ayikahve,alkol ve kolal\u0131 i\u00e7ecekleri ve \u00e7ikolata gibi yiyecekleri almamak,sigaray\u0131 b\u0131rakmak!!,yemek yiyip hemen yatmamak,fazla kilolar\u0131 vermek!!,mide asidini artt\u0131r\u0131c\u0131 ila\u00e7lar\u0131 almamak(aspirin ve non-steroid a\u011fr\u0131 kesici ila\u00e7lar),dar pantolon ve etek giymemek,g\u0131ck duyusunu ge\u00e7irmek i\u00e7in bo\u011faz\u0131 s\u00fcrekli temizlemekten ka\u00e7\u0131nmak onun yerine su i\u00e7erek ge\u00e7irmeye \u00e7al\u0131\u015fmak. ila\u00e7 tedavisinde;refl\u00fc hastal\u0131\u011f\u0131nda asit salg\u0131s\u0131n\u0131 azaltan ve\/veya asidin zarar vermesini \u00f6nleyici ila\u00e7lar kullan\u0131l\u0131r.en s\u0131k kullan\u0131lan ila\u00e7lar “asit pompas\u0131 inhibit\u00f6r\u00fc” ad\u0131 verilen ila\u00e7lard\u0131r.bu ila\u00e7lar enaz 6 hafta bazen aylarca kullan\u0131l\u0131r.dozu ve s\u00fcresini doktorunuz ayarlayacakt\u0131r. son tedavi \u015fekline ise,tedaviye kar\u015f\u0131n yak\u0131nmalar\u0131n s\u00fcrmesi durumunda hekiminiz karar verecektir,sizin onam\u0131n\u0131z\u0131(r\u0131za)alarak.sa\u011fl\u0131kl\u0131 g\u00fcnler dil\u011fiyle,kal\u0131n dostlukla.m\u015f
\nEkleyen :Mustafa \u015eahin<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

REFL\u00dc HASTALI\u011eI VE TEDAV\u0130S\u0130 REFL\u00dc HASTALI\u011eI VETEDAV\u0130S\u0130….11.03.2006 refl\u00fc nedir? mide asidinin,anormal bir \u015fekilde yukar\u0131 do\u011fru \u00e7\u0131karak yemek borusuna ve bo\u011faza gelmesidir.normalde mide ile yemek borusu aras\u0131nda bulunan kaslar,asit salg\u0131s\u0131n\u0131n yukar\u0131 ka\u00e7mas\u0131na izin vermez.ancak baz\u0131 hastal\u0131klarda bu ka\u00e7\u0131\u015f olur.e\u011fer bu ka\u00e7\u0131\u015f,yemek borusuna kadar geliyorsagastroozefageal refl\u00fc(g\u00f6r),bo\u011faza kadar geliyorsa laringofaringeal refl\u00fc(lfr)ad\u0131 verilir.refl\u00fc \u00e7ok s\u0131k g\u00f6r\u00fclen bir durumdur.bu,bazan hastalar\u0131n […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/posts\/300"}],"collection":[{"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/comments?post=300"}],"version-history":[{"count":1,"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/posts\/300\/revisions"}],"predecessor-version":[{"id":301,"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/posts\/300\/revisions\/301"}],"wp:attachment":[{"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/media?parent=300"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/categories?post=300"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/karder.org.tr\/index.php\/wp-json\/wp\/v2\/tags?post=300"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}