Kronik Öksürük ve Klinik Yaklaşım
Öksürük değişik uyaranlara karşı havayollarının önemli savunma mekanizması olup,havayollarının temizlenmesinde önemli bir rolü vardır. Öksürük refleksinin tam mekanizmasıanlaşılamamıştır. Bir çok hastada öksürük önemsiz nedenlerden kaynaklanmasınarağmen, hayat kalitesini olumsuz etkilediği için ve altta yatan ciddi hastalıkların bulgusuolabileceği için özellikle kronik öksürük dikkatlice değerlendirilmelidir. Hastalaraetiyolojik sebebe göre tedavi edilmelidir. Çocukların küçük erişkinler olmadığı unutulmamalıdır.Bu yüzden kronik öksürüğün değerlendirilmesi çocuklar ve erişkinler arasındabir takım farklılıklar göstermektedir. Dikkatli hikaye alınması ve öksürük reseptörlerininanatomik dağılımına göre fizik muayene ilk yapılması gerekenlerdir. İkinci olaraksık rastlanan etiyolojik sebepler (astım, gastroösofajialreflü ve postnasaldripsendromu)araştırılmalı. Üçüncü basamakta daha az rastlanan sebepler araştırılmalı ve son olaraktedavi planlanmalıdır. Hastalar değerlendirilirken bu süreçte hastalarının
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