ÇOCUKLARDA ASTIM ATAK TEDAVİSİ: REHBERLERLE PRATİK YAKLAŞIM

Astım; hastane ve acil başvurularına, okul kaybına neden olan çocukluk çağının en sık kronik hastalığıdır. Astım atağı; nefes darlığı, hışırtılı solunum, göğüste sıkışma ve baskı hissi, özellikle gece olan öksürük gibi semptomlarla, egzersiz toleransında azalma, beslenmede bozulma gibi günlük aktivitelerde bozulma ve bronkodilatatör ihtiyacında artma ve ekspiratuvar akım hızında azalma ile ortaya çıkar. Beş yaş altında ve üstünde olan çocukların anatomik ve fizyolojik özellikleri birbirinden oldukça farklı olduğundan hem kronik astım tedavisi hem de atak sırasında yapılması gerekenler bazı farklılıklar göstermektedir. Bu yazıda çocuklarda astım atağına yaklaşım güncel rehberler doğrultusunda değerlendirilecektir.
Anahtar Kelimeler:

Astım, çocuk, özyönetim

APPROACH TO MANAGEMENT OF ASTHMA EXACERBATION IN CHILDHOOD WITH CURRENT GUIDELINES

Asthma is the most common chronic disease of childhood that causes hospital and emergency admissions and school absences. Asthma exacerbation is characterized by an increase in symptoms of shortness of breath, wheezing, chest tightness, nocturnal cough; decrease in exercise tolerance; reduced daily activities; increase in need of bronchodilators and decrease of expiratory flow rate. Management of chronic asthma and exacerbation shows some varieties, because the anatomical and physiological characteristics are quite different in children who are younger and older than 5 years old. In this article we evaluated current guidelines of asthma exacerbation in children

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