{"id":450,"date":"2004-12-05T02:10:52","date_gmt":"2004-12-05T00:10:52","guid":{"rendered":"http:\/\/www.havacihaber.com\/taslakx\/ct\/?p=450"},"modified":"2014-08-29T15:11:44","modified_gmt":"2014-08-29T12:11:44","slug":"soru-cevap-94","status":"publish","type":"post","link":"https:\/\/coskuntecimer.com\/t\/soru-cevaplar\/soru-cevap-94","title":{"rendered":"Soru Cevap 94"},"content":{"rendered":"<p>Soru<br \/>\nBabamda akci\u011fer kanseri var. \u00c7e\u015fitli defalar kemoterapi ve radyoterapi ald\u0131. Doktorlar hastal\u0131\u011f\u0131n yay\u0131ld\u0131\u011f\u0131n\u0131, ila\u00e7lara kar\u015f\u0131 diren\u00e7 geli\u015fti\u011fini s\u00f6yl\u00fcyorlar. Bundan sonra sadece destek tedavisi verilecekmi\u015f. Ancak hastam\u0131z a\u015f\u0131r\u0131 nefes darl\u0131\u011f\u0131 \u00e7ekiyor. Bunun i\u00e7in ne yap\u0131lmas\u0131n\u0131 tavsiye edersiniz?<br \/>\nYan\u0131t<br \/>\nNefes darl\u0131\u011f\u0131 akci\u011fer kanserlerinin son d\u00f6nemlerinde s\u0131kl\u0131kla g\u00f6r\u00fclen yak\u0131nmalardan biridir. Bir di\u011fer \u00f6nemli yak\u0131nma a\u011fr\u0131 olsa bile akci\u011fer dokusunun i\u00e7indeki t\u00fcm\u00f6r, a\u011fr\u0131dan \u00e7ok nefes darl\u0131\u011f\u0131na yol a\u00e7ar. <\/p>\n<p>Akci\u011fer kanserlerinde nefes darl\u0131\u011f\u0131n\u0131n \u00e7e\u015fitli nedenleri vard\u0131r. Bunun tespiti \u00f6nemlidir. \u00c7\u00fcnk\u00fc tedavi nefes darl\u0131\u011f\u0131n\u0131n nedenine g\u00f6re de\u011fi\u015fiklik g\u00f6sterir. Akci\u011fer kanserindeki nefes darl\u0131\u011f\u0131 ba\u015fl\u0131ca \u015fu \u00fc\u00e7 durumda olur:<\/p>\n<p>1-  Ana bron\u015flar\u0131n ve b\u00fcy\u00fck hava yollar\u0131n\u0131n t\u00fcm\u00f6rle t\u0131kanmas\u0131 sonucu nefes darl\u0131\u011f\u0131 geli\u015febilir. Bu durumda lokal tedaviler uygulan\u0131r. Bronkoskopi ile yani hava yollar\u0131na t\u00fcp ile girmek suretiyle t\u00fcm\u00f6re ula\u015f\u0131l\u0131r ve kanser kitlesini eritecek i\u015flemler uygulan\u0131r.<\/p>\n<p>2- Bazen de akci\u011fer zarlar\u0131 aras\u0131na s\u0131v\u0131 birikmesi nefes darl\u0131\u011f\u0131na yol a\u00e7ar. S\u0131v\u0131 bazen birka\u00e7 litreyi bulup akci\u011fer dokusuna bask\u0131 yap\u0131p kapatabilir. Bu, g\u00f6receli olarak tedavisi en kolay nefes darl\u0131\u011f\u0131 nedenidir. S\u0131v\u0131n\u0131n bo\u015falt\u0131lmas\u0131 hastay\u0131 rahatlat\u0131r.<\/p>\n<p>3- Nefes darl\u0131\u011f\u0131 kanserin akci\u011fer dokusuna tamamen yay\u0131l\u0131p oksijen ge\u00e7i\u015finin engellenmesi \u015feklinde de olabilir. T\u00fcm\u00f6r, h\u00fccreler halinde alveoller ile k\u0131lcal damarlar aras\u0131nda yayg\u0131n olarak bulunur. Bu, \u00fcstesinden gelinmesi en zor durumlardan biridir.  Oksijen deste\u011fi ve kortizon da dahil de\u011fi\u015fik ila\u00e7lar kullan\u0131l\u0131r. \u0130la\u00e7larla tedaviye yan\u0131t vermeyen yayg\u0131n metastazlarda hastan\u0131n uyutularak bas\u0131n\u00e7l\u0131 oksijen cihaz\u0131na ba\u011flanmas\u0131 da d\u00fc\u015f\u00fcn\u00fclmelidir.  <\/p>\n<p>Akci\u011fer ve kalp sisteminin di\u011fer hastal\u0131klar\u0131 da dolayl\u0131 olarak nefes darl\u0131\u011f\u0131n\u0131 \u015fiddetlendirebilir. Akci\u011fer kanseri hastalar\u0131 sa\u011fl\u0131kl\u0131 d\u00f6nemlerinde genellikle uzun s\u00fcreler sigara i\u00e7mi\u015f olduklar\u0131 i\u00e7in kronik t\u0131kay\u0131c\u0131 akci\u011fer hastal\u0131klar\u0131 s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcr. Bu da nefes darl\u0131\u011f\u0131n\u0131n artmas\u0131n\u0131 kolayla\u015ft\u0131r\u0131r. Akci\u011fere ba\u011fl\u0131 kalp yetmezli\u011fi bulgular\u0131 da hastada \u00f6dem ve halsizlik yak\u0131nmalar\u0131n\u0131 art\u0131r\u0131r. Bu durumda kalp y\u00fck\u00fcn\u00fc ve \u00f6demi azalt\u0131c\u0131 ve hava yollar\u0131n\u0131 geni\u015fletici ila\u00e7lar kullan\u0131lmal\u0131d\u0131r.                                                                               <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Soru Babamda akci\u011fer kanseri var. \u00c7e\u015fitli defalar kemoterapi ve radyoterapi ald\u0131. Doktorlar hastal\u0131\u011f\u0131n yay\u0131ld\u0131\u011f\u0131n\u0131, ila\u00e7lara kar\u015f\u0131 diren\u00e7 geli\u015fti\u011fini s\u00f6yl\u00fcyorlar. Bundan sonra sadece destek tedavisi verilecekmi\u015f. Ancak hastam\u0131z a\u015f\u0131r\u0131 nefes darl\u0131\u011f\u0131 \u00e7ekiyor. Bunun i\u00e7in ne yap\u0131lmas\u0131n\u0131 tavsiye edersiniz? Yan\u0131t Nefes darl\u0131\u011f\u0131 akci\u011fer kanserlerinin son d\u00f6nemlerinde s\u0131kl\u0131kla g\u00f6r\u00fclen yak\u0131nmalardan biridir. Bir di\u011fer \u2026<\/p>\n<p> <a class=\"continue-reading-link\" href=\"https:\/\/coskuntecimer.com\/t\/soru-cevaplar\/soru-cevap-94\">Devam\u0131n\u0131 Oku<i class=\"icon-right-dir\"><\/i><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[],"_links":{"self":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/450"}],"collection":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/comments?post=450"}],"version-history":[{"count":1,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/450\/revisions"}],"predecessor-version":[{"id":451,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/450\/revisions\/451"}],"wp:attachment":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/media?parent=450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/categories?post=450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/tags?post=450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}