{"id":8025,"date":"2020-07-01T23:26:20","date_gmt":"2020-07-01T20:26:20","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=8025"},"modified":"2020-07-04T09:02:39","modified_gmt":"2020-07-04T06:02:39","slug":"cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/","title":{"rendered":"\u00c7ocuklarda ast\u0131m tedavisi nas\u0131l yap\u0131l\u0131r? Ast\u0131m ila\u00e7lar\u0131 nas\u0131l kullan\u0131l\u0131r?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a57d168bd6b1\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a57d168bd6b1\"  aria-label=\"A\u00e7\/Kapat\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/#Cocugumun_astim_oldugunu_nasil_anlarim\" >\u00c7ocu\u011fumun ast\u0131m oldu\u011funu nas\u0131l anlar\u0131m?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/#Astim_nedir\" >Ast\u0131m nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/#Astim_sikayetleri_nelerdir\" >Ast\u0131m \u015fik\u00e2yetleri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/#Ilac_tedavisi_nasil_yapilir\" >\u0130la\u00e7 tedavisi nas\u0131l yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/#Astim_ilaclari_nasil_kullanilir\" >Ast\u0131m ila\u00e7lar\u0131 nas\u0131l kullan\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-astim-tedavisi-nasil-yapilir-astim-ilaclari-nasil-kullanilir\/#Astim_uzun_sureli_tedavi_gerektiren_bir_hastaliktir\" >Ast\u0131m uzun s\u00fcreli tedavi gerektiren bir hastal\u0131kt\u0131r<\/a><\/li><\/ul><\/nav><\/div>\n<p><b>\u00c7ocuklarda ast\u0131m tedavisi nas\u0131l yap\u0131l\u0131r? Ast\u0131m ila\u00e7lar\u0131 nas\u0131l kullan\u0131l\u0131r? <\/b>Ast\u0131m \u015fikayetleri nelerdir? \u00c7ocu\u011fumun ast\u0131m oldu\u011funu nas\u0131l anlar\u0131m? <i>Ankara \u015eehir Hastanesi, \u00c7ocuk \u0130mm\u00fcnoloji ve Alerji Klini\u011fi; Sa\u011fl\u0131k Bilimleri \u00dcniversitesi<\/i><b><i> \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 AD \u00f6\u011fretim \u00fcyesi<\/i> Prof. Dr. Ersoy Civelek, \u00e7ocuklarda ast\u0131m hakk\u0131nda merak edilenleri yazd\u0131!&#8230;<\/b><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cocugumun_astim_oldugunu_nasil_anlarim\"><\/span><strong>\u00c7ocu\u011fumun ast\u0131m oldu\u011funu nas\u0131l anlar\u0131m?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Ast\u0131m m\u0131 ast\u0131m bron\u015fit mi?\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Kronik ast\u0131m ile alerjik ast\u0131m ayn\u0131 \u015fey de\u011filmi\u015f bizim \u00e7ocu\u011fumuz hangisi?<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Ast\u0131m yedi ya\u015f\u0131nda ge\u00e7er dediler ge\u00e7medi.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u015eik\u00e2yetleri her g\u00fcn yok, sadece hasta olunca var bu y\u00fczden ben \u00e7ocu\u011fumun ast\u0131m oldu\u011funa inanm\u0131yorum.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Yukar\u0131da yazd\u0131\u011f\u0131m c\u00fcmleler<strong> \u00e7ocuklar\u0131 ast\u0131ml\u0131 olan aileler<\/strong> ile konu\u015furken hemen her zaman duydu\u011fum c\u00fcmlelerdir. Ger\u00e7ekten zordur asl\u0131nda bir anneye <strong>\u201c\u00c7ocu\u011funda ast\u0131m var\u201d<\/strong> demek. Ama \u201c<strong>ast\u0131ml\u0131 olan bir \u00e7ocu\u011fun ailesine \u00e7ocu\u011funun ast\u0131m olmas\u0131n\u0131 kabul ettirmek tedavinin ilk basama\u011f\u0131d\u0131r.<\/strong> \u00c7\u00fcnk\u00fc aileler \u00e7ocuklar\u0131nda ast\u0131m olduklar\u0131n\u0131 kabul etmezlerse gerekli tedaviyi uygulamazlar.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bu yaz\u0131da ast\u0131m tedavisinin nas\u0131l yap\u0131laca\u011f\u0131 ve ast\u0131m ila\u00e7lar\u0131n\u0131n nas\u0131l kullan\u0131laca\u011f\u0131ndan bahsetmeye \u00e7al\u0131\u015faca\u011f\u0131m ancak \u00f6ncelikle ast\u0131m hakk\u0131nda bilgi vererek ba\u015flamak daha do\u011fru olur.\u00a0<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Astim_nedir\"><\/span><b>Ast\u0131m nedir?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ast\u0131m solunum yollar\u0131n\u0131n uzun s\u00fcreli (kronik) iltihabi bir hastal\u0131\u011f\u0131d\u0131r. Ancak bu iltihabi durum mikrobik bir iltihap de\u011fildir. Bunu anlatmak i\u00e7in kullan\u0131labilecek en iyi \u00f6rneklerden biri g\u00f6z\u00fcm\u00fczle g\u00f6rd\u00fc\u011f\u00fcm\u00fcz i\u00e7in \u201ciltihapl\u0131 romatizmad\u0131r\u201d. Bu iltihabi durum (inflamasyon olarak isimlendirilir) olu\u015ftu\u011fu doku ve organlarda birtak\u0131m de\u011fi\u015fikliklere neden olarak \u015fik\u00e2yetlere neden olur. \u0130ltihapl\u0131 romatizmada eklemelerin \u015fi\u015fmesi \u015fekil de\u011fi\u015ftirmesi bu hastal\u0131klara g\u00fczel bir \u00f6rnektir. Ast\u0131mda da bu iltihabi durum (inflamasyon) solunum yollar\u0131nda baz\u0131 de\u011fi\u015fikliklere neden olarak \u015fik\u00e2yetler yapar.\u00a0<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Astim_sikayetleri_nelerdir\"><\/span><b>Ast\u0131m \u015fik\u00e2yetleri nelerdir?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00d6ks\u00fcr\u00fck, nefes darl\u0131\u011f\u0131, h\u0131r\u0131lt\u0131, h\u0131\u015f\u0131lt\u0131 (g\u00f6\u011f\u00fcsten gelen ince tiz \u0131sl\u0131k benzeri bir ses (\u0130ngilizcesi \u201cwheezing\u201d\u00a0 &#8211;<\/span><i><span style=\"font-weight: 400;\">vizing okunur<\/span><\/i><span style=\"font-weight: 400;\">-), g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma hissi ast\u0131m\u0131n en belirgin \u015fik\u00e2yetleridir. Ast\u0131ml\u0131 \u00e7ocuklarda \u015fik\u00e2yetler her g\u00fcn de\u011fil aral\u0131kl\u0131 olarak ortaya \u00e7\u0131kar. Tabi atak durumlar\u0131nda bir hafta 10 g\u00fcn \u00fcst \u00fcste \u015fik\u00e2yet oldu\u011fu olabilir. \u015eik\u00e2yetlerin s\u00fcrekli olmamas\u0131 ailelerin, \u00e7ocuklar\u0131n ve gen\u00e7lerin ast\u0131m\u0131 anlamalar\u0131n\u0131 ve kabul etmelerini g\u00fc\u00e7le\u015ftirmektedir.<\/span><\/p>\n<p><b>Ast\u0131m tek bir hastal\u0131k de\u011fildir<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Benzetmede kusur olmaz. O nedenle \u015f\u00f6yle ba\u015flayal\u0131m: Be\u015f parma\u011f\u0131n be\u015fi bir olmaz. Ast\u0131m tek bir hastal\u0131k ad\u0131 olmas\u0131na kar\u015f\u0131n ast\u0131m tek bir hastal\u0131k de\u011fildir. Ast\u0131m i\u00e7inde pek \u00e7ok farkl\u0131 \u00f6zellikleri olan farkl\u0131 gruplar bar\u0131nd\u0131ran bir hastal\u0131k k\u00fcmesidir. Ast\u0131m\u0131 \u00e7ok genel olarak \u015fu \u015fekilde gruplayabiliriz: Alerjik ast\u0131m, alerjik olmayan ast\u0131m, a\u011f\u0131r ast\u0131m, egzersizle ortaya \u00e7\u0131kan ast\u0131m, \u015fi\u015fmanl\u0131kla birlikte g\u00f6r\u00fclen ast\u0131m, tedaviye iyi cevap vermeyen ast\u0131m.<\/span><\/p>\n<p><b>Her hastan\u0131n ast\u0131m\u0131 kendisine \u00f6zeldir\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ast\u0131m \u015fik\u00e2yetleri hastadan hastaya de\u011fi\u015fkenlik g\u00f6sterebilir. Baz\u0131 hastalarda \u00f6ks\u00fcr\u00fck h\u0131r\u0131lt\u0131 daha belirginken baz\u0131 hastalarda nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma daha bask\u0131n olabilir. Baz\u0131 hastalarda g\u00fcnd\u00fcz \u015fik\u00e2yetleri daha \u00e7okken baz\u0131 hastalarda gece \u015fik\u00e2yetleri \u00e7oktur. Di\u011fer bir \u00f6nemli noktada ayn\u0131 hastada zaman i\u00e7inde \u015fik\u00e2yetlerin \u015feklinde de\u011fi\u015fiklikler olabilir. \u0130lk ba\u015flarda daha \u00e7ok \u00f6ks\u00fcr\u00fck varken daha sonra nefes darl\u0131\u011f\u0131 veya gece \u00f6ks\u00fcr\u00fckleri daha belirgin hale gelebilir. Ast\u0131m \u015fiddetini kabaca hafif, orta ve a\u011f\u0131r olarak gruplara ay\u0131r\u0131rsak \u00e7ocuklar\u0131n yakla\u015f\u0131k %97\u2019sinin ast\u0131m\u0131 hafif ve orta grupta yer almaktad\u0131r.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p><b>Ast\u0131m\u0131n sebebi bilinmemektedir.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Bana sa\u011fl\u0131kl\u0131 bir \u00e7ocuk verseler ve bu \u00e7ocu\u011fu bir sene i\u00e7inde ast\u0131ml\u0131 yap deseler b\u00fcy\u00fck ihtimal ba\u015far\u0131l\u0131 olamam. \u00c7\u00fcnk\u00fc ast\u0131m\u0131n niye oldu\u011fu, hangi durumlar\u0131n ast\u0131ma yol a\u00e7t\u0131\u011f\u0131 halen tam olarak bilinmemektedir. Ben de bu nedenle sa\u011fl\u0131kl\u0131 bir \u00e7ocu\u011fu ast\u0131ml\u0131 hale getiremem. Ast\u0131m\u0131n tek bir nedeni yoktur. Ast\u0131m genetik yatk\u0131nl\u0131klar\u0131n (anne babada ast\u0131m veya alerjik nezle olmas\u0131, \u00e7ocu\u011fun kendisinde besin alerjisi veya atopik dermatit olmas\u0131 gibi), ki\u015fisel baz\u0131 \u00f6zelliklerin (\u015fi\u015fmanl\u0131k gibi) ve \u00e7evresel baz\u0131 \u015fartlar\u0131n (hava kirlili\u011fi, sigara duman\u0131 gibi) bir araya gelmesi sonucunda ortaya \u00e7\u0131kar. Bu \u015fu \u015fekilde anla\u015f\u0131lmamal\u0131d\u0131r: Annesi veya babas\u0131 ast\u0131ml\u0131 olan herkes mutlaka ast\u0131ml\u0131 olur. Sigara i\u00e7ilmezse hi\u00e7bir \u015fekilde ast\u0131m olmaz (siz hi\u00e7bir zaman sigara i\u00e7meyin). Bu sayd\u0131\u011f\u0131m sebepler ast\u0131ma yatk\u0131nl\u0131\u011f\u0131 artt\u0131ran sebeplerdir. Hi\u00e7birisi tek ba\u015f\u0131na ast\u0131mdan sorumlu de\u011fildir.\u00a0<\/span><\/p>\n<p><b>Bilgi en \u00f6nemli g\u00fc\u00e7t\u00fcr.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ast\u0131m tedavisinde en \u00f6nemli basamak hastalar\u0131n ve ailelerin hastal\u0131k hakk\u0131nda e\u011fitilmeleri ve \u00e7ok iyi bir hasta doktor ili\u015fkisinin sa\u011flanmas\u0131d\u0131r. Pek \u00e7ok \u00e7al\u0131\u015fmada hastal\u0131klar\u0131 hakk\u0131nda yeterli ve do\u011fru bilgiye sahip olanlar\u0131n hastal\u0131k kontrollerinin bilgi sahibi olamayanlardan iyi oldu\u011fu g\u00f6sterilmi\u015ftir. (Yeterli bilgiye sahip olmak \u00e7ok \u00f6nemli ama Google doktorlu\u011funa \u00f6zenmek iki kendimizi adeta te\u015fhisimizi bilir \u015fekilde doktora gitmeye \u00e7al\u0131\u015fma \u00e7ok do\u011fru bir \u00e7aba de\u011fildir)<\/span><\/p>\n<p><b>Dengeli beslen hareket et<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Genel \u00e7evresel \u00f6nlemler tedavideki bir di\u011fer basamakt\u0131r. Sigara, egzoz duman\u0131, rutubet, k\u00fcf ve alerjenlerden uzak durulmas\u0131, kilo almamaya dikkat edilmesi, d\u00fczenli egzersiz yap\u0131lmas\u0131, dengeli beslenme bu \u00f6nlem ve \u00f6nerilerin en \u00f6nemlileridir.\u00a0<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ilac_tedavisi_nasil_yapilir\"><\/span><strong>\u0130la\u00e7 tedavisi nas\u0131l yap\u0131l\u0131r?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ast\u0131m tedavisinde ama\u00e7 sadece ataklar\u0131 tedavi etmek de\u011fil esas ama\u00e7 atak atak olu\u015fmas\u0131n\u0131 \u00f6nlemektir.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Ast\u0131mda ila\u00e7 tedavisinin iki ana b\u00f6l\u00fcm\u00fc vard\u0131r.<\/strong>\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>D\u00fczenli koruyucu tedavi:<\/strong> Ataklar belirli bir s\u0131kl\u0131ktan fazla veya \u015fiddetli ise d\u00fczenli ila\u00e7 tedavisi kullanmak gerekir. D\u00fczenli ila\u00e7 tedavisi kullan\u0131p kullanmaman\u0131za doktorunuz karar verecektir. \u00a0 Dikkat edilmesi gereken en \u00f6nemli nokta doktor taraf\u0131ndan \u00f6nerildiyse ila\u00e7lar\u0131n d\u00fczenli kullan\u0131lmas\u0131 ve \u015fik\u00e2yetler ge\u00e7ince b\u0131rak\u0131lmamas\u0131d\u0131r. Unutmay\u0131n kimse benim tansiyonum normal \u00e7\u0131k\u0131yor diye tansiyon ilac\u0131n\u0131 b\u0131rakmaz.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Ast\u0131m ata\u011f\u0131n\u0131n tedavisi:<\/strong> D\u00fczenli tedaviye ra\u011fmen zaman zaman ataklar ortaya \u00e7\u0131kmakta bu ataklar bazen evde bazen hastanede tedavi edilmektedir. Bazen de hastaneye yat\u0131r\u0131lmas\u0131 gerekir \u00e7ocuklar\u0131n. Atak durumunda \u00f6zellikle nefes a\u00e7\u0131c\u0131 ila\u00e7lar\u0131n kullan\u0131lmas\u0131 gerekir. Buna doktorunuz kazar verecektir.\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Ast\u0131mda koruyucu tedavide kullan\u0131lan en \u00f6nemli ila\u00e7 grubu kortizonlard\u0131r. Asl\u0131nda kortizonlar ast\u0131m gibi iltihabi durumla seyreden hemen b\u00fct\u00fcn kronik hastal\u0131klarda kullan\u0131lan en \u00f6nemli ila\u00e7 grubudur.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Astim_ilaclari_nasil_kullanilir\"><\/span><strong>Ast\u0131m ila\u00e7lar\u0131 nas\u0131l kullan\u0131l\u0131r?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\"><strong>Ast\u0131mda kortizonlar genellikle f\u0131s-f\u0131s(sprey) veya \u00e7evirmeli cihazlar arac\u0131l\u0131\u011f\u0131 ile kullan\u0131l\u0131rlar.<\/strong> Bu ila\u00e7lar\u0131n kullan\u0131lmas\u0131 \u00e7ok kolay de\u011fildir. Bu durum doktorlar taraf\u0131ndan da bilinmektedir. Ama ilcalar\u0131n bu cihazlarla kullan\u0131lmas\u0131n\u0131n iki b\u00fcy\u00fck faydas\u0131 vard\u0131r. Birincisi bu \u015fekilde ila\u00e7lar do\u011frudan etkilen organa yani akci\u011fere verilir. Bu ilac\u0131n do\u011frudan etki g\u00f6stermesini sa\u011flar. \u0130kinci faydas\u0131 do\u011frudan akci\u011fere verildi\u011fi i\u00e7in a\u011f\u0131zdan hap yada i\u011fne \u015feklinde verilen ila\u00e7lardan \u00e7ok daha az dozlarda ila\u00e7 verilir ve buda yan etki ihtimalini en aza indirir.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A\u011f\u0131zdan f\u0131s f\u0131s veya \u00e7evirmeli cihazlarla ortalama dozlardan \u00e7ok uzun s\u00fcre kortizon kullan\u0131lmas\u0131n\u0131n ciddi bir yan etki yapmad\u0131\u011f\u0131 bilinmektedir. Bu nedenle kortizon korkusu ile ila\u00e7 tedavisi doktora haber verilmeden b\u0131rak\u0131lmamal\u0131d\u0131r.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00c7ocuklara hangi t\u00fcr cihazlar\u0131n yaz\u0131laca\u011f\u0131 daha \u00e7ok \u00e7ocuklar\u0131n ya\u015f\u0131 ile ili\u015fkilidir. <strong>K\u00fc\u00e7\u00fck \u00e7ocuklara f\u0131s f\u0131s ila\u00e7lar kullan\u0131lmal\u0131d\u0131r.<\/strong> Bu ila\u00e7lar do\u011frudan a\u011f\u0131z s\u0131k\u0131lmaz arac\u0131 bir t\u00fcp yard\u0131m\u0131 ile kullan\u0131l\u0131rlar.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Peki, ast\u0131m ila\u00e7lar\u0131n\u0131 <strong>elektrikli makinelerle (nebulizat\u00f6rler<\/strong>) kullanman\u0131n arac\u0131 t\u00fcplerle ila\u00e7 kullanmaya bir \u00fcst\u00fcnl\u00fc\u011f\u00fc var m\u0131d\u0131r? Nebulizat\u00f6r ile daha \u00e7ok atak s\u0131ras\u0131nda verilmesi gereken tedaviler uygulanmaktad\u0131r. Normal zamanlarda nebulizat\u00f6rlerin di\u011fer ila\u00e7 kullan\u0131m \u015fekillerine bir \u00fcst\u00fcnl\u00fc\u011f\u00fc yoktur. Ancak bilin\u00e7li olarak nefes al\u0131p vermesi sorunlu n\u00f6rolojik hastal\u0131\u011f\u0131 olan \u00e7ocuklarda nebulizat\u00f6r kullan\u0131labilir.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ast\u0131m tedavisinde ila\u00e7lar\u0131n do\u011fru kullan\u0131lmamas\u0131 hastal\u0131k kontrol\u00fcn\u00fc \u00e7ok olumsuz etkilemektedir. Bu nedenle ila\u00e7lar\u0131n kullan\u0131lmas\u0131 \u00e7ok iyi bir \u015fekilde \u00f6\u011frenilmelidir. \u0130la\u00e7 kullan\u0131mlar\u0131 hakk\u0131nda internette \u00e7ok say\u0131da video bulabilirsiniz<\/span><b>.\u00a0<\/b><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Astim_uzun_sureli_tedavi_gerektiren_bir_hastaliktir\"><\/span><strong>Ast\u0131m uzun s\u00fcreli tedavi gerektiren bir hastal\u0131kt\u0131r<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ancak \u015funu rahatl\u0131kla s\u00f6yleyebilirim: Ast\u0131m hastalar\u0131n\u0131n \u00e7ok b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fc g\u00fcnde bir iki defa ila\u00e7 kullanarak hayat\u0131n\u0131 ast\u0131m\u0131 olmayan \u00e7ocuklardan farks\u0131z ge\u00e7irebilir. Gerekiyorsa ila\u00e7lar\u0131 d\u00fczenli kullanmak ve do\u011fru kullanmak \u00e7ok \u00f6nemlidir.<\/p>\n<p><span style=\"font-weight: 400;\">Sa\u011fl\u0131kl\u0131 ve rahat nefesli g\u00fcnler.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ocuklarda ast\u0131m tedavisi nas\u0131l yap\u0131l\u0131r? Ast\u0131m ila\u00e7lar\u0131 nas\u0131l kullan\u0131l\u0131r? Ast\u0131m \u015fikayetleri nelerdir? \u00c7ocu\u011fumun ast\u0131m oldu\u011funu nas\u0131l anlar\u0131m? Ankara \u015eehir Hastanesi, \u00c7ocuk \u0130mm\u00fcnoloji ve Alerji Klini\u011fi; Sa\u011fl\u0131k Bilimleri \u00dcniversitesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 AD \u00f6\u011fretim \u00fcyesi Prof. Dr. Ersoy Civelek, \u00e7ocuklarda ast\u0131m hakk\u0131nda merak edilenleri yazd\u0131!&#8230; \u00c7ocu\u011fumun ast\u0131m oldu\u011funu nas\u0131l anlar\u0131m? Ast\u0131m m\u0131 ast\u0131m bron\u015fit mi?\u00a0 [&hellip;]<\/p>\n","protected":false},"author":107,"featured_media":8033,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[11150,11149,11148,11147,11151,11146],"class_list":["post-8025","post","type-post","status-publish","format-standard","has-post-thumbnail","category-saglik","tag-astim-ilac-tedavisi","tag-astim-ilaci-adi","tag-astim-spreyi","tag-astim-tedavi-ilaclari","tag-astima-ne-iyi-gelir","tag-cocuklarda-astim-tedavisi"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/07\/cocuklarda-astim-tedavisi.jpg?fit=626%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/8025","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/107"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=8025"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/8025\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/8033"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=8025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=8025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=8025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}