Göğüs Cerrahisi Pratiğinde Hıçkırık

Öz

Hıçkırık herkes tarafından deneyimlenen, bilinen hiçbir faydası olmayan fizyolojik bir reflekstir. Hıçkırık atağı geçici olabileceği gibi inatçı hıçkırığa neden olan 100’den fazla etken gösterilmiştir. Persistan ve inatçı hıçkırıkla başvuran hastaların mutlaka detaylı araştırılması gereklidir. Sebepler arasında idyopatik olan grup en sıktır. Gastrointerstinal hastalıklar, vagus siniri ve diyaframı uyaran etkenler, santral sinir sistemi ve intratorasik etkenler ön planda araştırılmalıdır. Tanı yöntemleriyle ortaya konabilmiş bir etyolojik faktör varsa tedavi planı onun ortadan kaldırılmasına yönelik olmalıdır. Nedeni bulunamayan inatçı ve persistan hıçkırıklarda farmakoterapinin yanında cerrahi de etkili çözüm sağlayan bir seçenektir.

Anahtar Kelimeler

• Hıçkırık
• vagus siniri
• gastrointestinal hastalıklar
• intratorasik hastalıklar

Hiccups in Thoracic Surgery Practice

Öz

Hiccups is a physiological reflex experienced by everyone, with no known benefit. While hiccups attacks may be temporary, more than 100 factors have been shown to cause persistent hiccup. Patients presenting with persistent and intractable hiccups must be investigated in detail. Among the causes, idiopathic is the most common. Gastrointerstinal diseases, factors that stimulate the vagus nerve and diaphragm, central nervous system and intrathoracic factors should be primarily investigated. If there is an etiological factor that can be revealed by diagnostic methods, the treatment plan should be aimed to eliminate it. In addition to pharmacotherapy, surgery is an option that provides an effective solution for stubborn and persistent hiccups for which the cause cannot be found.

Anahtar Kelimeler

• Hiccups
• vagus nerve
• gastrointestinal diseases
• intrathoracic diseases

Kaynakça

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