{"id":64748,"date":"2016-04-26T09:43:00","date_gmt":"2016-04-26T06:43:00","guid":{"rendered":"http:\/\/www.sorubak.com\/blog\/?p=64748"},"modified":"2016-04-26T09:45:35","modified_gmt":"2016-04-26T06:45:35","slug":"bademcik-iltihaplanmasi-ve-bademcik-ameliyati","status":"publish","type":"post","link":"https:\/\/www.sorubak.com\/blog\/bademcik-iltihaplanmasi-ve-bademcik-ameliyati.html","title":{"rendered":"Bademcik \u0130ltihaplanmas\u0131 ve Bademcik Ameliyat\u0131"},"content":{"rendered":"<p><strong>Bademcik<\/strong><\/p>\n<p><a href=\"https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/bademcik-ameliyati.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-64749 aligncenter\" src=\"https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/bademcik-ameliyati.jpg\" alt=\"bademcik-ameliyati\" width=\"545\" height=\"310\" srcset=\"https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/bademcik-ameliyati.jpg 545w, https:\/\/www.sorubak.com\/blog\/wp-content\/uploads\/2016\/04\/bademcik-ameliyati-300x171.jpg 300w\" sizes=\"auto, (max-width: 545px) 100vw, 545px\" \/><\/a><\/p>\n<p>Tonsiller (bademcikler), bo\u011faz\u0131n arka k\u0131sm\u0131nda yerle\u015fmi\u015f lenf dokusu k\u00fctleleridir.Palatin tonsillerin s\u0131kl\u0131kla streptokoksik, daha az olarakta virus infeksiyonlar\u0131na ba\u011fl\u0131 olarak akut iltihab\u0131d\u0131r.Bu dokular\u0131n kendisinde meydana gelen enfeksiyona ise &#8220;tonsillit&#8221; ad\u0131 verilir. Tonsillit daha \u00e7ok 3-7 ya\u015flar aras\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fcl\u00fcr.<\/p>\n<p><strong>BADEMC\u0130K \u0130LT\u0130HAPLANMASINI KOLAYLA\u015eTIRAN ETMENLER:<\/strong><\/p>\n<ul>\n<li>Tonsillerin olmas\u0131 gerekenden daha b\u00fcy\u00fck olmas\u0131.<\/li>\n<li>Hiyjenik olmayan ya\u015fam ko\u015fullar\u0131.<\/li>\n<li>Mevsimlere ba\u011fl\u0131 olarak(k\u0131\u015f aylar\u0131nda daha s\u0131k g\u00f6r\u00fcl\u00fcr)<\/li>\n<li>Kronik bir hastal\u0131\u011f\u0131n olmas\u0131(kans\u0131zl\u0131k,t\u00fcberk\u00fcloz,\u015feker hastal\u0131\u011f\u0131,\u00a0\u00a0\u00a0\u00a0sifiliz vs&#8230;)<\/li>\n<li>Fiziksel, kimtasal ve mekanik yollarla meydana gelen tahri\u015f sonucu.<\/li>\n<li>Yetersiz ba\u011f\u0131s\u0131kl\u0131\u011f\u0131 olan kimseler.<\/li>\n<li>Kronik bademcik iltihaplanmas\u0131 olanlar.<\/li>\n<li>Alt solunum yolu enfeksiyonu olan hastalarda bunum yukar\u0131 y\u00f6nde yay\u0131l\u0131m\u0131 sonucu.<\/li>\n<li>Akut rinitin komplikasyonuna ba\u011fl\u0131 olarak.<\/li>\n<li>So\u011fu\u011fun etkisi sonucu.<\/li>\n<li>\u00d6n plikalar\u0131n( bademci\u011fin yerle\u015fti\u011fi yerin \u00f6n k\u0131sm\u0131ndaki mukoza katlant\u0131s\u0131) bademci\u011fe yap\u0131\u015fok olmas\u0131 durumunda.<\/li>\n<\/ul>\n<p><strong>AKUT TONS\u0130LL\u0130T:<\/strong><\/p>\n<p>Ekseriya viral etkenlere ba\u011fl\u0131 olarak %90 bazende bakteriyel etkenlere ba\u011fl\u0131 olarak meydana gelir.<\/p>\n<p>Objektif bulgu olarak:<\/p>\n<ul>\n<li>Bademcik \u00fczerinde yayg\u0131n bir k\u0131rm\u0131z\u0131l\u0131k mevcut olup<\/li>\n<li>Ani y\u00fcksek ate\u015f<\/li>\n<li>Halsizlik ve bo\u011faz a\u011fr\u0131s\u0131 ile kendini g\u00f6sterir.<\/li>\n<\/ul>\n<p>Bu k\u0131rm\u0131z\u0131l\u0131\u011f\u0131 s\u00fcrekli var olan kronik tonsillitteki k\u0131rm\u0131z\u0131l\u0131ktan ay\u0131rdetmek i\u00e7in iki dil basaca\u011f\u0131 ile kronik tonsillitte bademcik araya al\u0131n\u0131p s\u0131k\u0131ld\u0131\u011f\u0131nda olay kronik ise bademcik kriptlerinden magma ad\u0131 verilen (fibrin ,l\u00f6kosit ve epitel at\u0131klar\u0131n\u0131n) \u00e7\u0131k\u0131\u015f\u0131n\u0131n g\u00f6zlenmesidir.<\/p>\n<p><strong>KRON\u0130K TONS\u0130LL\u0130T\u0130S:<\/strong><\/p>\n<p>S\u0131k tekrarlayan tonsillitler sonucu kronik tonsillit olu\u015fur.<\/p>\n<p>\u00c7ocuklarda 4-9 ya\u015f aras\u0131 d\u00f6nemde senede 1-2 defa akut tonsillit epizotunun ge\u00e7irilmesi normal kabul edilebilir. S\u0131k tekrarlayan tonsillit epizodlar\u0131,<\/p>\n<ul>\n<li>Allerji veya immun yetmezlik gibi kolayla\u015ft\u0131r\u0131c\u0131 bir etkenin varl\u0131\u011f\u0131nda kronikle\u015fmeye yol a\u00e7abilir.<\/li>\n<li>Kirli hava<\/li>\n<li>Fena ya\u015fam ko\u015fullar\u0131<\/li>\n<\/ul>\n<p>kolayla\u015ft\u0131r\u0131c\u0131 etkenler aras\u0131nda say\u0131labilir.<\/p>\n<p>Kronik tonsillit olay\u0131nda tonsiller (bademcik) her zaman b\u00fcy\u00fcm\u00fc\u015f olmayabilir, bazen fibrozis geli\u015fip tonsiller k\u00fc\u00e7\u00fclebilir.<\/p>\n<p><strong>BULGULAR:<\/strong><\/p>\n<p><strong>1-)<\/strong><strong>\u00a0<\/strong>Yutkunma zorlu\u011fu.<\/p>\n<p><strong>2-)<\/strong><strong>\u00a0<\/strong>Bo\u011fazda batma hissi.<\/p>\n<p><strong>3-)<\/strong><strong>\u00a0<\/strong>Kula\u011fa yans\u0131yan a\u011fr\u0131.<\/p>\n<p><strong>4-)<\/strong><strong>\u00a0<\/strong>Bazen kuru bir \u00f6ks\u00fcr\u00fck.<\/p>\n<p><strong>5-)<\/strong><strong>\u00a0<\/strong>Nadir olmak ile birlikte a\u011f\u0131zda k\u00f6t\u00fc koku ve tad bozuklu\u011fu.<\/p>\n<p><strong>6-)<\/strong><strong>\u00a0<\/strong>Ate\u015f y\u00fcksekli\u011fi.<\/p>\n<p><strong>7-)<\/strong><strong>\u00a0<\/strong>Bazen tonsillerin \u00fczerinde beyaz noktalar veya beyaz bir\u00a0 ak\u0131nt\u0131\u00a0olabilir.(Kriptik tonsillit)<\/p>\n<p><strong>\ud83d\ude0e<\/strong><strong>\u00a0<\/strong>Halsizlik ve bitkinlik.<\/p>\n<p><strong>OBJEKT\u0130F BULGULAR:<\/strong><\/p>\n<ul>\n<li>Dil basaca\u011f\u0131 ile kronik tonsillitte bademcik araya al\u0131n\u0131p s\u0131k\u0131ld\u0131\u011f\u0131nda olay kronik ise bademcik kriptlerinden magma ad\u0131 verilen (fibrin, l\u00f6kosit ve epitel at\u0131klar\u0131n\u0131n) \u00e7\u0131k\u0131\u015f\u0131n\u0131n g\u00f6zlenmesidir.<\/li>\n<li>Kroniknik tonsillitte basmakla duyarl\u0131l\u0131\u011f\u0131 olan geni\u015f servikal lenfadenopati (boyun b\u00f6lgesi lenf bezi b\u00fcy\u00fcmesi ) bulunabilir.<\/li>\n<li>\u00c7ocuklarda olay\u0131n kronik olup olmad\u0131\u011f\u0131n\u0131n saptanmas\u0131nda \u00f6nenli bir delil olan \u00e7ene k\u00f6\u015fesi alt\u0131 lenf bezi b\u00fcy\u00fcmesinin varl\u0131\u011f\u0131 tipiktir.<\/li>\n<li>Bazen \u00e7ocuklarda mezenterik (Kar\u0131n zar\u0131) lenf bezi b\u00fcy\u00fcmelerine ba\u011fl\u0131 olarak\u00a0\u00a0tekrarlay\u0131c\u0131 kar\u0131n a\u011fr\u0131lar\u0131 ve kusma g\u00f6r\u00fclebilir nadirde olsa g\u00f6r\u00fclebilir.<\/li>\n<\/ul>\n<p><strong>BAZI DURUMLARDA BADEMC\u0130KLER\u0130M\u0130Z V\u00dcCUDA YARAR YER\u0130NE ZARAR VERMEKTED\u0130R VE BU DURUMLARDA UYGUN OLAN, BADEMC\u0130K OPERASYONU \u0130LE BADEMC\u0130KLER\u0130N ALINMASIDIR<\/strong><\/p>\n<ul>\n<li>S\u0131k s\u0131k bademcik iltihab\u0131 ge\u00e7irmek (Son 3 y\u0131l i\u00e7erisinde y\u0131lda en az 3 kez, son 2 y\u0131l i\u00e7erisinde y\u0131lda en az 5 kez veya son 1 y\u0131l i\u00e7inde y\u0131lda en az 7 kez bademcik iltihab\u0131 ge\u00e7irmek.<\/li>\n<li>Bademciklerin solunum veya beslenme sorunu yaratacak kadar b\u00fcy\u00fck olmas\u0131 durumunda.<\/li>\n<li>Bademcik apsesi olmas\u0131 durumunda.<\/li>\n<li>Baz\u0131 mikroplar\u0131n (\u00f6zellikle t\u00fcberk\u00fcloz\u00a0\u00a0ve difteri) ta\u015f\u0131y\u0131c\u0131s\u0131 durumunda olmak veya bademcik t\u00fcm\u00f6r\u00fc \u015f\u00fcphesi olmasi durumunda.<\/li>\n<li>Kronik (en az 6 ay s\u00fcre ile) antibiotik tedavisine ra\u011fmen devam eden bademcik iltihaplanmas\u0131n\u0131n olmas\u0131.<\/li>\n<li>S\u0131k olarak, p\u00fcr\u00fclan orta kulak iltihaplammalar\u0131n\u0131n olaya e\u015flik etmesi.<\/li>\n<li>Ser\u00f6z ortakulak iltihaplanmas\u0131na ba\u011fl\u0131 i\u015fitme kayb\u0131.<\/li>\n<\/ul>\n<p><strong>BADEMC\u0130\u011e\u0130N ALINMASININ SAKINCALI OLDU\u011eU DURUMLAR<\/strong><\/p>\n<ul>\n<li>Hematolojik bir bozuklu\u011fun varl\u0131\u011f\u0131 (l\u00f6semi,purpura,aplastik anemi,hemofili vs..)<\/li>\n<li>Velofarengeal yetmezlik.<\/li>\n<li>Akut enfeksiyonlar\u0131n mevcudiyeti durumunda (3 haftal\u0131k tedavi gerekir)<\/li>\n<li>Allerjik hastal\u0131klar\u0131n mevcudiyeti durumunda ise ( 6 ayl\u0131k tedavi gerekir)<\/li>\n<\/ul>\n<p><strong>BADEMC\u0130K AMEL\u0130YATLARI ESNASINDA VEYA SONRASINDA KAR\u015eILA\u015eILAN SORUNLAR<\/strong><\/p>\n<ul>\n<li>Anesteziye ba\u011fl\u0131 komplikasyonlar.<\/li>\n<li>Kanama: Ameliyat esnas\u0131nda ameliyat sonras\u0131 erken d\u00f6nemde (ilk birka\u00e7 saat) veya ameliyat sonras\u0131 ge\u00e7 d\u00f6nemlerde (sonraki 5-7 g\u00fcn) meydana gelebilir. Erken kanamalar bademcik lojunda bir damar\u0131n a\u00e7\u0131lmas\u0131na ba\u011fl\u0131, ge\u00e7 kanamalar ise; hastan\u0131n ameliyat sonras\u0131 kat\u0131 ve sert g\u0131dalar almas\u0131 enfeksiyona veya p\u0131ht\u0131la\u015fma bozuklu\u011fu yapan baz\u0131 ila\u00e7lar\u0131n al\u0131n\u0131m\u0131na ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilir.<\/li>\n<li>Enfeksiyon : Menenjit , beyin apsesi\u00a0\u00a0vs&#8230;<\/li>\n<li>Cerrahi uygulama esnas\u0131nda meydana gelen travma.<\/li>\n<\/ul>\n<p><strong>\u00d6nemli<\/strong>: <strong>Bademcik \u0130ltihaplanmas\u0131 ve Bademcik Ameliyat\u0131\u00a0<\/strong>ile ilgili\u00a0<strong>\u00a0<\/strong>bilgiler internet ortam\u0131ndan derlenmi\u015ftir. Konuyla ilgili daha sa\u011fl\u0131kl\u0131 bilgi ve hastal\u0131\u011f\u0131n tedavisi i\u00e7in mutlaka uzman bir hekime ba\u015fvurmal\u0131s\u0131n\u0131z.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bademcik Tonsiller (bademcikler), bo\u011faz\u0131n arka k\u0131sm\u0131nda yerle\u015fmi\u015f lenf dokusu k\u00fctleleridir.Palatin tonsillerin s\u0131kl\u0131kla streptokoksik, daha az olarakta virus infeksiyonlar\u0131na ba\u011fl\u0131 olarak akut iltihab\u0131d\u0131r.Bu dokular\u0131n kendisinde meydana gelen enfeksiyona ise &#8220;tonsillit&#8221; ad\u0131 verilir. Tonsillit daha \u00e7ok 3-7 ya\u015flar aras\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fcl\u00fcr. BADEMC\u0130K \u0130LT\u0130HAPLANMASINI KOLAYLA\u015eTIRAN ETMENLER: Tonsillerin olmas\u0131 gerekenden daha b\u00fcy\u00fck olmas\u0131. Hiyjenik olmayan ya\u015fam ko\u015fullar\u0131. Mevsimlere ba\u011fl\u0131 &#8230; <a title=\"Bademcik \u0130ltihaplanmas\u0131 ve Bademcik Ameliyat\u0131\" class=\"read-more\" href=\"https:\/\/www.sorubak.com\/blog\/bademcik-iltihaplanmasi-ve-bademcik-ameliyati.html\" aria-label=\"More on Bademcik \u0130ltihaplanmas\u0131 ve Bademcik Ameliyat\u0131\">Devam\u0131n\u0131 oku&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20947,20865],"tags":[],"class_list":["post-64748","post","type-post","status-publish","format-standard","hentry","category-manset-haberler","category-saglik-kosesi"],"_links":{"self":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/posts\/64748","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/comments?post=64748"}],"version-history":[{"count":0,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/posts\/64748\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/media?parent=64748"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/categories?post=64748"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sorubak.com\/blog\/wp-json\/wp\/v2\/tags?post=64748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}