SANKO \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 \/ \u00c7ocuk Kardiyolojisi Bilim Dal\u0131\u2019nda g\u00f6rev yapan Uzm. Dr. Ahmet K\u00f6se, kalbinde \u00fcf\u00fcr\u00fcm duyulan her \u00e7ocu\u011fun, \u00c7ocuk Kardiyolojisi uzman\u0131 taraf\u0131ndan muayene edilip, elektrokardiyografi (EKG) ve ekokardiyografi (EKO) ile \u00fcf\u00fcr\u00fcm\u00fcn nedeni a\u00e7\u0131s\u0131ndan de\u011ferlendirilmesi gerekti\u011fini s\u00f6yledi.\n<\/p>\n
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Normal kalp seslerinin, kalp d\u00f6ng\u00fcs\u00fc boyunca kalpteki kan ak\u0131m\u0131 ve bas\u0131n\u00e7 de\u011fi\u015fikliklerine yan\u0131t olarak d\u00f6rt ana kapa\u011f\u0131n kapanmas\u0131ndan kaynakland\u0131\u011f\u0131n\u0131 hat\u0131rlatan Uzm. Dr. K\u00f6se, “\u0130lk kalp sesi S1 “lup”, ikinci kalp sesi S2 “dup” \u015feklinde duyulur. \u00dcf\u00fcr\u00fcm; bu seslerden farkl\u0131 olarak stetoskop ile duyulan adeta \u00fcflemeye benzeyen sese verilen isimdir. Kan\u0131n kalp ve damarlar i\u00e7erinde bas\u0131n\u00e7l\u0131 bir \u015fekilde pompalanmas\u0131 s\u0131ras\u0131nda kan ak\u0131m\u0131nda meydana gelen de\u011fi\u015fiklikler nedeni ile olu\u015fur ve duyulur. \u00dcf\u00fcr\u00fcmler masum ve patolojik olarak ikiye ayr\u0131l\u0131r. \u00c7ocuklar\u0131n y\u00fczde 50-80\u2019inde hayatlar\u0131n\u0131n bir d\u00f6neminde duyulan ve genellikle \u00e7ocuk b\u00fcy\u00fcy\u00fcp g\u00f6\u011f\u00fcs kafesi kal\u0131nla\u015f\u0131nca duyulmaz olan \u00fcf\u00fcr\u00fcmlere masum \u00fcf\u00fcr\u00fcm denir” dedi.\n<\/p>\n
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Kalbinde \u00fcf\u00fcr\u00fcm sesi duyulan \u00e7ocuklar\u0131n \u00e7o\u011fu zaman \u015fikayetinin olmad\u0131\u011f\u0131n\u0131 ve ailelerin bu durumu fark edemediklerini kaydeden Uzm. Dr. K\u00f6se, “Doktor taraf\u0131ndan \u00fcf\u00fcr\u00fcm duyulunca hakl\u0131 olarak aileler panik ve endi\u015feye kap\u0131l\u0131rlar. \u00dcf\u00fcr\u00fcm nedeni ile mutlaka \u00c7ocuk Kardiyolojisi Uzman\u0131 taraf\u0131ndan de\u011ferlendirme yap\u0131lmal\u0131d\u0131r. Yap\u0131lan muayene, EKO ve EKG incelemesi sonucu \u00fcf\u00fcr\u00fcm\u00fcn masum veya patolojik oldu\u011fu tespit edilir” ifadelerini kulland\u0131.\n<\/p>\n
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Uzm. Dr. K\u00f6se, en s\u0131k duyulan \u00fc\u00e7 masum \u00fcf\u00fcr\u00fcm tipini \u00f6zetleyerek, “1. Klasik vibratuar \u00fcf\u00fcr\u00fcm (Still \u00fcf\u00fcr\u00fcm\u00fc): \u0130man tahtas\u0131 kemi\u011finin sol orta kenar\u0131nda veya sol alt kenar\u0131 ve apeks aras\u0131nda en \u015fiddetli, 2-3\/6 derecede, d\u00fc\u015f\u00fck frekansl\u0131 ve kas\u0131lma faz\u0131n\u0131n ortas\u0131nda. 3-6 ya\u015f aras\u0131, bazen bebeklikte duyulabilir. 2. Pulmoner ejeksiyon \u00fcf\u00fcr\u00fcm\u00fc: \u0130man tahtas\u0131 kemi\u011finin sol \u00fcst kenar\u0131nda en \u015fiddetli, erken-kas\u0131lma evresinde, 1-3\/6 derece \u015fiddetinde, \u00fcfler tarzda ve 8-14 ya\u015f aras\u0131nda en s\u0131k ad\u00f6lesanlarda duyulur. (Atrial Septal Defekt, kalp kulak\u00e7\u0131klar\u0131 aras\u0131nda delik) ve akci\u011fer damar kapak darl\u0131\u011f\u0131 ile ayr\u0131m\u0131n\u0131n iyi yap\u0131lmas\u0131 gerekir. 3. Yenido\u011fan\u0131n pulmoner ak\u0131m \u00fcf\u00fcr\u00fcm\u00fc: \u0130man tahtas\u0131 kemi\u011finin sol \u00fcst kenar\u0131nda en \u015fiddetli, en iyi sol ve sa\u011f g\u00f6\u011f\u00fcs duvar\u0131na, koltukalt\u0131na ve s\u0131rta yay\u0131l\u0131r, kas\u0131lma faz\u0131nda ve 1-2\/6 \u015fiddetinde duyulur. Yenido\u011fanlarda duyulur, bebekte anormal y\u00fcz g\u00f6r\u00fcn\u00fcm\u00fc yok ise genellikle 3-6 aya kadar kaybolur” ifadelerine yer verdi.\n<\/p>\n
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“Masum \u00fcf\u00fcr\u00fcmleri olan \u00e7ocuklarda ailevi bir kalp hastal\u0131\u011f\u0131 yoksa, kalple ilgili \u015fikayeti olmad\u0131k\u00e7a ve herhangi bir muayenesinde \u00fcf\u00fcr\u00fcmde anormal de\u011fi\u015fiklik yoksa takibi, tedavisi ve efor k\u0131s\u0131tlamas\u0131 gerekmez” diyen Uzm. Dr. K\u00f6se, \u00e7ocu\u011fu takip eden hekimin \u00fcf\u00fcr\u00fcm\u00fcn \u015fiddeti ve karakterinde de\u011fi\u015fiklik tespit ederse, beraberinde \u00e7ocu\u011fun daha sonradan \u00e7abuk yorulma, bay\u0131lma, eforla g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 gibi \u015fik\u00e2yeti de varsa tekrar de\u011ferlendirilmesini isteyebilece\u011fini s\u00f6yledi.\n<\/p>\n
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Uzm. Dr. K\u00f6se, a\u015fa\u011f\u0131daki durumlardan birinin veya daha fazlas\u0131n\u0131n olmas\u0131 durumunda \u00fcf\u00fcr\u00fcm\u00fcn patolojik olmas\u0131n\u0131n daha ihtimal oldu\u011funu ve \u00c7ocuk Kardiyolojisi Uzman\u0131 taraf\u0131ndan mutlaka de\u011ferlendirilmesi gerekti\u011fini bildirerek, “1. \u00c7ocukta \u00e7ok terleme, kilo alamama, h\u0131zl\u0131 nefes al\u0131p verme, morarma, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, bay\u0131lma gibi \u015fikayetler varsa 2. Akci\u011fer filminde anormal kalp bulgular\u0131 tepsit edilirse 3. Anormal EKG e\u015fli\u011fi 4. Kalbin gev\u015feme faz\u0131nda duyulan \u00fcf\u00fcr\u00fcmler 5. \u015eiddetli (3\/6 \u015fiddetinde veya trilin (Kedi m\u0131rlamas\u0131 gibi) e\u015flik etti\u011fi) \u00fcf\u00fcr\u00fcmler\n<\/p>\n
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6. Deri ve dil-dudaklarda mavi-mor renk de\u011fi\u015fikli\u011fi fark edilirse 7. Anormal derecede kuvvetli veya zay\u0131f nab\u0131zlar mevcutsa 8. Anormal kalp sesleri (Kalp sesleri \u00e7ok sert, fazladan duyulan sesler” diye konu\u015ftu.\n<\/p>\n
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Uzm. Dr. K\u00f6se, kalpteki delik, damar darl\u0131\u011f\u0131 ve kapak problemleri nedeni ile duyulan \u00fcf\u00fcr\u00fcmlerin patolojik \u00fcf\u00fcr\u00fcmler oldu\u011funu, \u00e7ocuk kardiyolojisi uzman\u0131nca yap\u0131lan muayenede kesin tan\u0131 konulup nedene y\u00f6nelik tedavi ve takip, gerekirse efor k\u0131s\u0131tlamas\u0131 gerekebilece\u011fini kaydetti.\n<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
SANKO \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 \/ \u00c7ocuk Kardiyolojisi Bilim Dal\u0131\u2019nda g\u00f6rev yapan Uzm. Dr. Ahmet K\u00f6se, kalbinde<\/p>\n","protected":false},"author":2,"featured_media":1176,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1206,1210,1208,1207,1209],"class_list":["post-1175","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel","tag-ahmet","tag-duyulan","tag-kalbinde","tag-kose","tag-ufurum"],"_links":{"self":[{"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=\/wp\/v2\/posts\/1175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1175"}],"version-history":[{"count":0,"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=\/wp\/v2\/posts\/1175\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=\/wp\/v2\/media\/1176"}],"wp:attachment":[{"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wordpress.habereditoru.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}