BEBEKLER\u0130N\u0130Z\u0130 ve \u00c7OCUKLARINIZI ENFEKS\u0130YONDAN KORUYU !!!…<\/p>\n
\u00a0<\/strong>ORTA KULAK \u0130LT\u0130HABI VE ZAMK KULAK HASTALI\u011eI\u2026<\/strong><\/p>\n \u00c7ocuklara, bebeklikten itibaren hayatlar\u0131n\u0131n ilk y\u0131llar\u0131nda bir s\u00fcr\u00fc \u201cate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc, a\u011fr\u0131 kesici ve antibiyotik<\/strong>\u201d verilmesinin en \u00f6nemli nedenlerinden birisi de \u201ckulak iltihaplar\u0131 ve zamk kulak hastal\u0131\u011f\u0131d\u0131r.<\/strong>\u201d Eldeki verilere g\u00f6re kulak enfeksiyonlar\u0131 (sanki bir salg\u0131n hastal\u0131k gibi)<\/strong>, \u00e7ocukluk \u00e7a\u011f\u0131nda ki doktor ziyaretlerinin en az yar\u0131s\u0131n\u0131n ana sebebidir.<\/p>\n \u201cPeki y\u0131llard\u0131r neden b\u00f6yle bir salg\u0131n var<\/strong>?\u201d Neden bu kadar \u00e7ok bebek ve \u00e7ocuk akut orta kulak enfeksiyonu nedeniyle, bir t\u00fcrl\u00fc sonu gelmeyen kimyasal ila\u00e7 tedavilerine mahkum ediliyor? Kimyasal ila\u00e7lardan ba\u015fka do\u011fal yollarla \u00e7\u00f6z\u00fcm yolu yok mu?<\/p>\n Bu sorular\u0131n cevab\u0131n\u0131 verebilmek, v\u00fccudumuzda (en k\u00fc\u00e7\u00fck zerresine kadar) \u201chi\u00e7bir \u015feyin \u015fansa b\u0131rak\u0131lmad\u0131\u011f\u0131n\u0131<\/strong>,\u201d her \u015feyin en ince ayr\u0131nt\u0131s\u0131na kadar yarat\u0131c\u0131 taraf\u0131ndan hesap edildi\u011fini ve ona g\u00f6re b\u00fct\u00fcn tedbirlerin al\u0131nd\u0131\u011f\u0131n\u0131 g\u00f6rebilmek i\u00e7in, \u201ckulak yap\u0131s\u0131n\u0131 ve \u00e7al\u0131\u015fma \u015feklini<\/strong>\u201d k\u0131saca a\u00e7\u0131klamakta fayda g\u00f6r\u00fcyorum.<\/p>\n Bizleri (\u00f6zellikle bebek ve \u00e7ocuklar\u0131) rahats\u0131z eden a\u011fr\u0131, ate\u015f, ba\u015f d\u00f6nmesi ve mide bulant\u0131s\u0131 gibi \u015fikayetlere neden olan as\u0131l kulak enfeksiyonlar\u0131 \u201corta kulakta ger\u00e7ekle\u015fir.<\/strong>\u201d Orta kulak; ortalama 1 cm\u00b3 hacminde, k\u00fc\u00e7\u00fck kapal\u0131 bir aland\u0131r ve as\u0131l fonksiyonu \u201cd\u0131\u015far\u0131dan gelen sesi kulak zar\u0131ndan i\u00e7 kula\u011fa aktarmakt\u0131r<\/strong>.\u201d<\/p>\n Bu i\u015flemi, \u201cbirbirine ba\u011fl\u0131<\/strong> \u00f6rs, \u00e7eki\u00e7 ve \u00fczengi kemikleri<\/strong>\u201d yard\u0131m\u0131yla yerine getirir. Orta kula\u011f\u0131n i\u00e7i hava ile doludur ve d\u0131\u015f kulak kanal\u0131ndan kulak zar\u0131yla ayr\u0131l\u0131r. Ancak \u201cd\u0131\u015f d\u00fcnyaya kulak yolu veya \u00f6staki borusu<\/strong>\u201d denen bir t\u00fcnelle ba\u011fl\u0131d\u0131r. Bu t\u00fcnelin fonksiyonu ve kulak hastal\u0131klar\u0131nda oynad\u0131\u011f\u0131 \u00f6nemli rol\u00fc nedeniyle \u00f6zellikle detayland\u0131rmak istiyorum.<\/p>\n Ana g\u00f6revi; \u201corta kulakta ki bas\u0131nc\u0131 atmosferik bas\u0131n\u00e7la e\u015fitlemek<\/strong>\u201d olan \u00f6staki borusu, orta kula\u011f\u0131n \u00f6n duvar\u0131ndan \u00fcst yuta\u011fa, yani burun ve bo\u011faz\u0131n arkas\u0131na kadar uzan\u0131r. \u00d6staki borusunun \u00fcst yutakta a\u00e7\u0131ld\u0131\u011f\u0131 alan, \u201cba\u011f\u0131\u015f\u0131kl\u0131k sisteminin organlar\u0131 olan geniz eti ve bademcikler<\/strong>\u201d b\u00fcnyesinde yer alan ve \u201ctubal tonsil denilen<\/strong>\u201d bir lenfoid doku y\u0131\u011f\u0131n\u0131 taraf\u0131ndan korunur.<\/p>\n Tubal tonsillerin g\u00f6revi \u201cburun ve a\u011f\u0131z yoluyla gelen bakteri veya vir\u00fcslerin \u00f6staki borusuna ve orta kula\u011fa girmesini engellemektir<\/strong>.\u201d \u00c7al\u0131\u015fma \u015feklini kafam\u0131zda daha rahat canland\u0131rabilmek i\u00e7in, \u00e7o\u011fumuzun ba\u015f\u0131na gelen \u00e7ok basit bir olay\u0131 \u00f6rnek olarak vermek istiyorum.<\/p>\n Zaman zaman u\u00e7akta veya y\u00fcksek yerlere \u00e7\u0131kt\u0131\u011f\u0131m\u0131zda, yahut a\u015fa\u011f\u0131 do\u011fru indi\u011fimizde (ani irtifa de\u011fi\u015fikliklerinde) \u201ckula\u011f\u0131m\u0131z\u0131n t\u0131kanmas\u0131<\/strong>,\u201d mikroplar nedeniyle tubal tonsillerde veya \u00f6staki borusunda enfeksiyon olu\u015fmas\u0131, veya mikroplar ya da toksinler nedeniyle tonsillerin hassasiyetinin azalmas\u0131 sonucudur.<\/p>\n Bu durumda \u201corta kula\u011f\u0131m\u0131zdaki bas\u0131n\u00e7<\/strong>,\u201d u\u00e7a\u011f\u0131n kalk\u0131\u015f veya ini\u015fi nedeniyle \u201cde\u011fi\u015fen atmosferik bas\u0131n\u00e7la e\u015fitlenemez<\/strong>.\u201d Kula\u011f\u0131m\u0131zda t\u0131kan\u0131kl\u0131k hisseder ve sesleri bo\u011fuk duyar\u0131z.<\/p>\n Yutkunma, esneme, a\u011fz\u0131m\u0131z\u0131 geni\u015f\u00e7e gerdirerek a\u00e7\u0131p kapama, nefesimizi d\u0131\u015far\u0131 vermeye \u00e7al\u0131\u015f\u0131rken, burun ve a\u011fz\u0131 kapal\u0131 tutma gibi hareketler \u00f6staki borusunun giri\u015fini esnetir ve orta kula\u011fa hava girmesini sa\u011flar ve t\u0131kan\u0131kl\u0131k a\u00e7\u0131l\u0131r. Ancak enfeksiyon fazlala\u015fm\u0131\u015f, orta kula\u011fa kadar ula\u015fm\u0131\u015f a\u011fr\u0131 ve ate\u015f yapmaya ba\u015flam\u0131\u015fsa bu yap\u0131lan hareketlerin bir faydas\u0131 olmaz.<\/p>\n \u00d6staki borusu enfeksiyona neden olacak mikroplar\u0131n orta kula\u011fa ula\u015fmas\u0131 i\u00e7in tek a\u00e7\u0131k yoldur. Ancak buradan mikroplar\u0131n ge\u00e7i\u015fi \u00e7ok kolay de\u011fildir. \u00d6staki borusunun mukus zarlar\u0131 \u201ckirpikli epitellerle<\/strong>\u201d kapl\u0131d\u0131r ve yo\u011fun \u015fekilde \u201cmukus bezi ile lenfatik folik\u00fcller<\/strong>\u201d i\u00e7erirler. \u00a0<\/strong><\/p>\n (Devam\u0131 – do\u011fal \u00e7\u00f6z\u00fcm yollar\u0131 bir sonraki yaz\u0131m\u0131zda)<\/strong><\/p>\n Cuma g\u00fcn\u00fcn\u00fcn sa\u011fl\u0131k bilincimizin \u00e7o\u011falmas\u0131na vesile olmas\u0131 dile\u011fiyle\u2026.<\/p>\n \u00dcmit Yurtkuran<\/p>\n","protected":false},"excerpt":{"rendered":" BEBEKLER\u0130N\u0130Z\u0130 ve \u00c7OCUKLARINIZI ENFEKS\u0130YONDAN KORUYU !!!… \u00a0ORTA KULAK \u0130LT\u0130HABI VE ZAMK KULAK HASTALI\u011eI\u2026 \u00c7ocuklara, bebeklikten itibaren hayatlar\u0131n\u0131n ilk y\u0131llar\u0131nda bir s\u00fcr\u00fc \u201cate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc, a\u011fr\u0131 kesici ve antibiyotik\u201d verilmesinin en \u00f6nemli nedenlerinden birisi de \u201ckulak iltihaplar\u0131 ve zamk kulak hastal\u0131\u011f\u0131d\u0131r.\u201d Eldeki verilere g\u00f6re kulak enfeksiyonlar\u0131 (sanki bir salg\u0131n hastal\u0131k gibi), \u00e7ocukluk \u00e7a\u011f\u0131nda ki doktor ziyaretlerinin en …<\/p>\n","protected":false},"author":2,"featured_media":2352,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0},"categories":[1],"tags":[],"yoast_head":"\n