{"id":464,"date":"2012-01-05T16:38:30","date_gmt":"2012-01-05T16:38:30","guid":{"rendered":"https:\/\/benimyuvam.com.tr\/?p=464"},"modified":"2012-01-05T16:38:30","modified_gmt":"2012-01-05T16:38:30","slug":"burun-kanamalari-ve-nedenleri","status":"publish","type":"post","link":"https:\/\/benimyuvam.com.tr\/?p=464","title":{"rendered":"Burun Kanamalar\u0131 ve Nedenleri"},"content":{"rendered":"

Burun kanamalar\u0131, birkaç damla gibi k\u0131sa süren kanamalardan, bol ve uzun süren kanamalara kadar geni\u015f bir yelpaze içerisinde olabilir. Ciddi burun kanamalar\u0131 ise solunum yolunu etkilemesi, tansiyon dü\u015fmesi ve kalp krizine yol açabilen hipoksi gibi ölümcül sonuçlar nedeniyle hafife al\u0131nmamal\u0131d\u0131r. Burun kanamalar\u0131 ön ve arka burun kanamalar\u0131 olarak iki s\u0131n\u0131fta ele al\u0131n\u0131r. Ön burun kanamalar\u0131 burun ön k\u0131sm\u0131ndan gelen kanamalard\u0131r. Ayakta duran ya da oturan ki\u015fide burun deli\u011finden akan kanama \u015feklinde kendini gösterir. Arka burun kanamalar\u0131 burun arkas\u0131ndan olan kanamalard\u0131r. Kanama genizden bo\u011faza do\u011frudur. Otururken veya ayakta dururken bile kanama bo\u011faza do\u011fru olur. Hasta s\u0131rt üstü yatt\u0131\u011f\u0131nda ön kanama bile olsa her iki yönde kanama olabilecektir. Arka burun kanamalar\u0131 kayna\u011f\u0131n saptanmas\u0131ndaki zorluk ve s\u0131kl\u0131kla ba\u015fka t\u0131bbi sorunlar\u0131n e\u015flik etmesi nedeniyle hemen hekim tedavisi gerektiren ciddi durumlardand\u0131r.<\/p>\n

Burun kanamas\u0131n\u0131n nedenleri nelerdir?<\/strong><\/p>\n

Burun, oldukça yo\u011fun ve yüzeyel damarlar içeren bir organd\u0131r. Özellikle burun bo\u015flu\u011funu ikiye ay\u0131ran bölmenin ön k\u0131sm\u0131 burna gelen damarlar\u0131n oldukça yüzeysel oldu\u011fu bir bölümdür. Özellikle çocuklarda bu bölgede en hafif travmada bile kanama gerçekle\u015febilir. Ayr\u0131ca kuru hava veya k\u0131\u015f aylar\u0131nda görülen kabuklanmalar da s\u0131kl\u0131kla kanamaya neden olmaktad\u0131r.<\/p>\n

Lokal nedenler:<\/strong><\/p>\n

Burnun normal fizyolojisini bozarak damar hasar\u0131na ve kanamaya neden olurlar.<\/p>\n

· <\/strong>Burun içi iltihaplar\u0131
\n· <\/strong>Buruna gelen darbeler
\n· <\/strong>Burun kar\u0131\u015ft\u0131rmalar\u0131
\n· <\/strong>Buruna sokulan yabanc\u0131 cisimler
\n· <\/strong>Burun içi ve sinüs tümörleri
\n· <\/strong>Burun kemik k\u0131k\u0131rdak e\u011frili\u011fi (septum deviasyonu)
\n· <\/strong>Alerjik nedenler
\n· <\/strong>Mevsimsel nedenler
\n· <\/strong>Damarsal hastal\u0131klar (Anevrizma gibi..)
\n· <\/strong>A\u011f\u0131r egzersizler<\/p>\n

Sistemik nedenler:<\/strong><\/p>\n

· <\/strong>Yüksek tansiyon
\n· <\/strong>Kan hastal\u0131klar\u0131 (Kanama-p\u0131ht\u0131la\u015fma bozukluklar\u0131, lösemi vs.)
\n· <\/strong>Barsak parazitleri
\n· <\/strong>Hormonal bozukluklar
\n· <\/strong>\u0130diopatik nedenler (Ayr\u0131nt\u0131l\u0131 incelemelere ra\u011fmen olgular\u0131n % 10’unda neden bulunamaz)<\/p>\n

Burun kanamas\u0131 varsa neler yap\u0131lmal\u0131?<\/strong><\/p>\n

· <\/strong>Burun ucundaki yumu\u015fak k\u0131sm\u0131 ba\u015fparma\u011f\u0131n\u0131zla di\u011fer iki parma\u011f\u0131n\u0131z aras\u0131na al\u0131n\u0131z.
\n· <\/strong>Burnu parmakla s\u0131k\u0131\u015ft\u0131r\u0131lm\u0131\u015f olarak yüzünüze do\u011fru bast\u0131r\u0131n.
\n· <\/strong>Ba\u015f\u0131n\u0131z\u0131 kalbinizden daha yüksek tutmaya dikkat ediniz.
\n· <\/strong>Ba\u015f öne meyilli ve dik olarak oturunuz, be\u015f dakika böyle bekleyiniz.
\n· <\/strong>Burun ve yana\u011f\u0131n\u0131za buz tatbik ediniz. (Bir plastik torba içine buz doldurarak)
\n· <\/strong>Tansiyon kontrolü yap\u0131n\u0131z.<\/p>\n

Kanama durduktan sonra tekrar kanama gerçekle\u015fmemesi için neler yap\u0131lmal\u0131?<\/strong><\/p>\n

· <\/strong>Sümkürmemeye dikkat ediniz.
\n· <\/strong>Yerden a\u011f\u0131r bir \u015fey kald\u0131rmak ya da buna benzer zorlay\u0131c\u0131 hareketler yapmay\u0131n\u0131z.
\n· <\/strong>Ba\u015f\u0131n\u0131z\u0131 mutlaka gö\u011fsünüzden daha yukarda tutmaya çal\u0131\u015f\u0131n\u0131z.
\n· <\/strong>Arka burun kanamalar\u0131n\u0131n tan\u0131nmas\u0131 oldukça önemlidir. Bu kanama tipi bir uzman\u0131n takibini gerektirmektedir.
\n· <\/strong>Kanama durmuyor veya yeniden kanamaya e\u011filim gösteriyorsa,
\n· <\/strong>Kanama nedeniyle yorgunluk ve halsizlik hissediliyorsa,
\n· <\/strong>Kanaman\u0131z burun önüne kanamadan çok bo\u011faz arkas\u0131na do\u011fru oluyorsa Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 uzman\u0131na ba\u015fvurunuz.
\n· <\/strong>Özellikle \u015fiddetli burun kanamalar\u0131nda genellikle ilk yap\u0131lan i\u015f, sebebine bak\u0131lmaks\u0131z\u0131n kanaman\u0131n durdurulmas\u0131d\u0131r. Kanama durdurulduktan sonra sebebi konusunda baz\u0131 ara\u015ft\u0131rmalar yap\u0131lmal\u0131d\u0131r. Sebebin ara\u015ft\u0131r\u0131lmas\u0131nda yap\u0131lmas\u0131 gereken ilk \u015fey hastan\u0131n muayenesidir. Birçok kez muayene ile sebep anla\u015f\u0131l\u0131r. \u015eüphelenilen sebebe göre hekim taraf\u0131ndan ayr\u0131nt\u0131l\u0131 tetkikler yap\u0131l\u0131r.<\/p>\n

Burun kanamalar\u0131 nas\u0131l tedavi edilir?<\/strong><\/p>\n

Birçok burun kanamas\u0131 kendili\u011finden ya da hastan\u0131n burun ucunu tutmas\u0131 ve so\u011fuk uygulamas\u0131 ile durur. Ancak bu \u015fekilde durmayan kanamalar doktor müdahalesini gerektirir. Hastaya yap\u0131lan müdahaleler esnas\u0131nda hastan\u0131n rahatlat\u0131lmas\u0131 önemli yer tutar. Özellikle yüksek tansiyonlu hastalarda daha da önem kazan\u0131r.<\/p>\n

Kanamay\u0131 durdurmak için yap\u0131labilecek müdahaleler \u015funlard\u0131r:<\/p>\n

· \u0130laç tedavisi<\/strong><\/p>\n

Kimyasal koterizasyon: Ucunda gümü\u015f nitrat tomurcu\u011fu olan bir çubukla kimyasal koterizasyon yap\u0131labilir. Ancak kan hastal\u0131\u011f\u0131 olan hastalarda etkili de\u011fildir.<\/p>\n

· Elektrokoterizasyon:<\/strong> Bu yöntem günümüzde endoskopik görüntü ile uygulanmaktad\u0131r.<\/p>\n

· Tampon konulmas\u0131:<\/strong> Kanama diatezi olmaks\u0131z\u0131n koterizasyona yan\u0131t vermeyen inatç\u0131 burun kanamalar\u0131nda kanama oda\u011f\u0131na sponjel veya surgicel gibi lokal etkili ajanlar kullan\u0131labilir. Bununla kontrol edilemeyen kanamalarda ön veya arka burun tamponu uygulanabilir. Tampon olarak antibiyotikli kremler sürülmü\u015f ve ortas\u0131nda hastan\u0131n nefes almas\u0131n\u0131 sa\u011flayacak hava yolunun bulundu\u011fu tamponlar daha uygundur.<\/p>\n

· Damarlar\u0131n ba\u011flanmas\u0131:<\/strong> Bu i\u015flem bir ameliyatt\u0131r ve hastan\u0131n hayat\u0131n\u0131 tehdit edecek \u015fiddette olan ve tampon konmas\u0131yla durmayan kanamalarda kullan\u0131l\u0131r. Kanaman\u0131n yerine göre belirlenen damar bazen sinüs içinden bazen de boyun aç\u0131larak ba\u011flan\u0131r.<\/p>\n

· <\/strong>Tan\u0131sal veya tedavi amaçl\u0131 anjiyografi veya embolizasyon yap\u0131labilir.<\/p>\n

· <\/strong>Tekrarlayan burun kanamalar\u0131nda, kanama noktas\u0131n\u0131n ve alt\u0131nda yatan nedenin bulunmas\u0131 tedavi \u015feklini belirleyen ana unsurdur.<\/p>\n

\n Op. Dr. Tayfun Apuhan<\/strong><\/p>\n

 <\/p>\n

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

Burun kanamalar\u0131, birkaç damla gibi k\u0131sa süren kanamalardan, bol ve uzun süren kanamalara kadar geni\u015f bir yelpaze içerisinde olabilir. Ciddi […]<\/p>\n","protected":false},"author":2,"featured_media":465,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[354,476,361,417,365,506],"tags":[],"class_list":["post-464","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-baba","category-anne-baba-egitimi","category-anne-babalara-oneriler","category-cocuk-hastaliklari-cocuk","category-cocuk-sagligi","category-saglikla-ilgili-problemler"],"yoast_head":"\r\nBurun Kanamalar\u0131 ve Nedenleri - Bloggerlar Birle\u015fiyor<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/benimyuvam.com.tr\/?p=464\" \/>\r\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Burun Kanamalar\u0131 ve Nedenleri - Bloggerlar Birle\u015fiyor\" \/>\r\n<meta property=\"og:description\" content=\"Burun kanamalar\u0131, birkaç damla gibi k\u0131sa süren kanamalardan, bol ve uzun süren kanamalara kadar geni\u015f bir yelpaze içerisinde olabilir. 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