{"id":23,"date":"2021-04-05T07:26:56","date_gmt":"2021-04-05T07:26:56","guid":{"rendered":"https:\/\/ankarasinuzittedavisi.com\/?p=23"},"modified":"2021-04-05T07:26:56","modified_gmt":"2021-04-05T07:26:56","slug":"akut-ve-kronik-sinuzit-tedavisi","status":"publish","type":"post","link":"https:\/\/ankarasinuzittedavisi.com\/index.php\/2021\/04\/05\/akut-ve-kronik-sinuzit-tedavisi\/","title":{"rendered":"AKUT VE KRON\u0130K S\u0130N\u00dcZ\u0130T TEDAV\u0130S\u0130"},"content":{"rendered":"

\"\"<\/p>\n

Akut sin\u00fczit tedavisinde<\/strong> \u00a0\u00a0genel olarak zemin haz\u0131rlayan fakt\u00f6rleri kald\u0131rmak \u00f6n plandad\u0131r. Nezle, grip gibi burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 art\u0131ran ve sin\u00fcs havalanmas\u0131n\u0131 bozan durumlar \u00f6ncelikle tedavi edilmelidir. Bunun i\u00e7in uygun burun spreyleri, gerekirse burun t\u0131kan\u0131kl\u0131\u011f\u0131na y\u00f6nelik antihistaminik ve dekonjestan t\u00fcr\u00fc ila\u00e7lar, ortam\u0131n havas\u0131n\u0131n nemlendirilmesi, s\u0131v\u0131 al\u0131m\u0131n\u0131n artt\u0131r\u0131lmas\u0131 tedaviyi destekleyen uygulamalard\u0131r. Bol s\u0131v\u0131 al\u0131m\u0131,\u00a0 sin\u00fcsleri t\u0131kayan koyu k\u0131vamdaki\u00a0 mukusun yumu\u015famas\u0131n\u0131 ve ak\u0131\u015fkanl\u0131\u011f\u0131n\u0131 da kolayla\u015ft\u0131racakt\u0131r.<\/p>\n

Burun i\u00e7ini d\u00f6\u015feyen \u00a0mukozal dokuda \u00f6dem tespit edilen ya da burun etlerinde b\u00fcy\u00fcme olan ki\u015filerde buruna steroid’li spray uygulamalar\u0131 yararl\u0131 olabilir. Alerjik nedenlerle olu\u015fan akut sin\u00fczit olgular\u0131nda ise antihistaminik olarak s\u0131n\u0131fland\u0131r\u0131lan ila\u00e7lara ba\u015fvurulabilir.<\/p>\n

Akut sin\u00fczit nedeninin bakteriyel bir enfeksiyon oldu\u011funun tespit edilmesi halinde uygun antibiyotikler mutlaka tedaviye eklenmelidir. Antibiyotik tedavisi minimum 10 g\u00fcn s\u00fcrmeli, tedaviye ba\u015flanmas\u0131ndan sonra 4-5\u00a0 g\u00fcn i\u00e7erisinde yan\u0131t al\u0131namayan durumlarda gerekirse antibiyotik de\u011fi\u015ftirilmelidir.<\/p>\n

Kronik Sin\u00fczitin Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/p>\n

Kronik sin\u00fczit tedavisinde \u00f6ncelikle uygun antibiyotikler kullan\u0131lmal\u0131d\u0131r. Ayr\u0131ca burun i\u00e7erisindeki ve sin\u00fcs havalanma kanallar\u0131ndaki t\u0131kan\u0131kl\u0131\u011f\u0131 azaltmak i\u00e7in burun i\u00e7inden steroidli spreyler kullan\u0131l\u0131r. Antibiyotik tedavi s\u00fcresi kronik sin\u00fcs enfeksiyonlar\u0131nda en az 2-3 hafta olmal\u0131d\u0131r. Bu enfeksiyonlarda antibiyotiklere kar\u015f\u0131 artm\u0131\u015f diren\u00e7 oran\u0131, ayn\u0131 anda birden fazla farkl\u0131 bakteri ya da oksijensiz ortamda \u00e7o\u011falan mikroorganizma bulunma ihtimali ve uzun tedavi s\u00fcresi g\u00f6z \u00f6n\u00fcne al\u0131narak, uygun ki\u015filerde ve olanak varsa endoskopi e\u015fli\u011finde burun i\u00e7inden al\u0131nacak k\u00fclt\u00fcrlerin sonu\u00e7lar\u0131na g\u00f6re uygun antibiyotik\u00a0 se\u00e7imi sa\u011flanmal\u0131d\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi yetmezli\u011fi olan ya da hastanede yatarken enfeksiyon alan hastalarda sin\u00fcs enfeksiyonlar\u0131n\u0131n her tipinde k\u00fclt\u00fcr ve antibiyograma g\u00f6re antibiyotik se\u00e7ilmesi gereklidir.<\/p>\n

Kronik sin\u00fczit tan\u0131s\u0131 ile tedavi edilen hastalarda bilgisayarl\u0131 tomografi \u00e7ekiminden \u00f6nce 2-3 hafta uygun dozda antibiyotik ve kortizonlu burun spreyleri kullan\u0131lmal\u0131d\u0131r. Belirgin \u015fikayeti olmayan hastalarda tomografide sin\u00fczit bulgular\u0131 bulunsa bile ameliyat karar\u0131 vermeden \u00f6nce hastay\u0131 takip edip \u015fikayetlerin kontrol edilmesi uygun yakla\u015f\u0131m olacakt\u0131r. \u015eikayetleri d\u00fczelmeyen ya da tekrarlayan hastalarda cerrahi tedavi alternatif olarak d\u00fc\u015f\u00fcn\u00fclmelidir. G\u00fcn\u00fcm\u00fczde kronik sin\u00fczitlerin cerrahi tedavisinde tercih edilen yakla\u015f\u0131m endoskopik sin\u00fcs cerrahisidir.Bu ameliyat s\u0131ras\u0131nda sin\u00fcslerdeki kronik enfeksiyon odaklar\u0131 temizlenmekte ve sin\u00fcslerin t\u0131kal\u0131 olan burun i\u00e7ine bo\u015falma kanallar\u0131 uygun teknikler kullan\u0131larak a\u00e7\u0131lmaktad\u0131r.<\/p>\n

 <\/p>\n

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

Akut sin\u00fczit tedavisinde \u00a0\u00a0genel olarak zemin haz\u0131rlayan fakt\u00f6rleri kald\u0131rmak \u00f6n plandad\u0131r. Nezle, grip gibi burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 art\u0131ran ve sin\u00fcs havalanmas\u0131n\u0131 bozan durumlar \u00f6ncelikle tedavi...<\/p>\n","protected":false},"author":1,"featured_media":24,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-23","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/posts\/23","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":1,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/posts\/23\/revisions"}],"predecessor-version":[{"id":25,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/posts\/23\/revisions\/25"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/media\/24"}],"wp:attachment":[{"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/media?parent=23"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/categories?post=23"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ankarasinuzittedavisi.com\/index.php\/wp-json\/wp\/v2\/tags?post=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}