The Approach to Adult Patients with Cerebral Palsy in The Chest Diseases Clinic: with 4 Cases

Öz

Nowadays, cerebral palsy can be seen in adults with improved care facilities. As a result, adult patients with cerebral palsy are more frequently followed up in the pulmonology clinic. Respiratory diseases are an important factor affecting hospitalization and mortality. Identification and management of predisposing risk factors is important for effective follow-up and treatment of adults with cerebral palsy. In pulmonology practice, adult patients with cerebral palsy should be carefully evaluated especially in terms of aspiration. In addition to the treatment of respiratory system diseases that occur, plans for prevention should be made specifically for each patient.In this case series, risk factors which leading to respiratory system diseases and their management are reviewed with 4 cases.

Anahtar Kelimeler

• Aspiration
• Cerebral palsy
• Dysphagia
• Gastroesophageal reflux
• Respiratory failure

Serebral Palsili Yetişkin Hastalara Göğüs Hastalıkları Kliniğinde Yaklaşım: 4 Olgu ile Birlikte

Öz

Serebral palsi günümüzde iyileşen bakım olanaklarıyla birlikte yetişkin yaşlarda karşımıza çıkabilmektedir. Bunun sonucu olarak göğüs hastalıkları kliniğinde daha sık olarak serebral palsili yetişkin hasta takibi yapılmaktadır. Solunum sistemi hastalıkları hastane yatışı ve mortaliteyi etkileyen önemli bir unsurdur. Bu duruma hazırlayıcı risk faktörlerinin tanımlanması ve yönetimi, serebral palsili yetişkin bireylerin takip ve tedavilerinin etkin yapılabilmesi bakımından önemlidir. Göğüs hastalıkları pratiğinde serebral palsili yetişkin hastalar özellikle aspirasyon açısından dikkatle değerlendirilmelidir. Meydana gelen solunum sistemi hastalıklarının tedavisinin yanı sıra önlenmesine yönelik planlamalar da her hasta özelinde yapılmalıdır. Bu olgu serisinde solunum sistemi hastalıklarına yol açan risk faktörleri ve yönetimi 4 olguyla birlikte gözden geçirilmiştir.

Anahtar Kelimeler

• Aspirasyon
• Disfaji
• Gastroözofageal reflü
• Serebral palsi
• Solunum yetmezliği

Kaynakça

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