Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri

Neriman Temel Aksu; Abdullah Erdoğan

Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri

Abstract

Bronşektazi balgam üretimi ve tekrarlayan enfeksiyonla birlikte havayolunun kalıcı genişlemesi durumudur. Bronşektazide cerrahi artık çok sık uygulanmamaktadır. Fakat maksimal ilaç tedavisiyle kontrol altına alınamayan lokalize bronşektazide cerrahi düşünülmektedir.

Cerrahi öncesi aktif ve akut enfeksiyon antibiyotiklerle ciddi şekilde tedavi edilmelidir. Komple bakterial eradikasyon imkansız olmasına rağmen, antibiyotik tedavinin amaçları balgamın volümünü ve rengini azaltmaktır. Bu yüzden pürülan ve bol balgamlı hastalarda göğüs fizyoterapisi ve antibiyotikler balgam volümü minimum olana kadar ve rengi mukoid olana kadar devam edilmelidir. Bu minimum 2 haftayı almaktadır. Daha sonra bu hastalar cerrahi öncesi 2 gün yoğun göğüs fizyoterapisi ve vibratör masajlı postüral drenaj programına alınmalıdırlar. Buna postoperatif dönemde de devam edilmelidir. Proflaktik antibiyotiklere de başlanmalı ve postoperatif 48 saate kadar verilmelidir.

Bronşektazi cerrahisi sonrası tedavi akciğer rezeksiyonu geçiren hastalarla aynıdır. Erken mobilizasyon, agresif pulmoner temizlik, göğüs fizyoterapisi ve beslenme önemlidir. Bronşektazili hastaların egzersiz kapasitesi ve yaşam kalitesi azalmaktadır. Pulmoner rehabilitasyon bu sorunları azaltabilmektedir.

Bronşektazi cerrahisi sonrası hastalara, standart akciğer rezeksiyonundan sonra uygulanan tedavi yöntemleri uygulanmaktadır. Erken mobilizasyon, agresif pulmoner temizlik, göğüs fizyoterapisi ve beslenme desteği önemli konulardandır.

Operasyon öncesi ve sonrası uygulanan pulmoner rehabilitasyon programı; egzersiz ve inspiratuar kas eğitimini, ventilasyonu arttıran teknikleri, hava yolu temizleme tekniklerini ve hasta eğitimini içermektedir.

Keywords

Bronşektazi,Cerrahi

References

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Review

Authors

Neriman Temel Aksu ^*
0000-0001-7455-8697
Türkiye

Abdullah Erdoğan This is me
0000-0002-5841-800X
Türkiye

Publication Date

May 22, 2019

Submission Date

December 31, 2018

Acceptance Date

May 11, 2019

Published in Issue

Year 2019 Volume: 2 Number: 1

IZ

https://izlik.org/JA93UU66RD

Cite

RIS / Bibtex

APA

Temel Aksu, N., & Erdoğan, A. (2019). Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri. Sakarya University Journal of Holistic Health, 2(1), 10-21. https://izlik.org/JA93UU66RD

AMA

1.Temel Aksu N, Erdoğan A. Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri. SAUSHD. 2019;2(1):10-21. https://izlik.org/JA93UU66RD

Chicago

Temel Aksu, Neriman, and Abdullah Erdoğan. 2019. “Bronşektazide Cerrahi Öncesi Ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri”. Sakarya University Journal of Holistic Health 2 (1): 10-21. https://izlik.org/JA93UU66RD.

EndNote

Temel Aksu N, Erdoğan A (May 1, 2019) Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri. Sakarya University Journal of Holistic Health 2 1 10–21.

IEEE

[1]N. Temel Aksu and A. Erdoğan, “Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri”, SAUSHD, vol. 2, no. 1, pp. 10–21, May 2019, [Online]. Available: https://izlik.org/JA93UU66RD

ISNAD

Temel Aksu, Neriman - Erdoğan, Abdullah. “Bronşektazide Cerrahi Öncesi Ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri”. Sakarya University Journal of Holistic Health 2/1 (May 1, 2019): 10-21. https://izlik.org/JA93UU66RD.

JAMA

1.Temel Aksu N, Erdoğan A. Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri. SAUSHD. 2019;2:10–21.

MLA

Temel Aksu, Neriman, and Abdullah Erdoğan. “Bronşektazide Cerrahi Öncesi Ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri”. Sakarya University Journal of Holistic Health, vol. 2, no. 1, May 2019, pp. 10-21, https://izlik.org/JA93UU66RD.

Vancouver

1.Neriman Temel Aksu, Abdullah Erdoğan. Bronşektazide Cerrahi Öncesi ve Sonrasında Uygulanan Pulmoner Rehabilitasyon Yöntemleri. SAUSHD [Internet]. 2019 May 1;2(1):10-21. Available from: https://izlik.org/JA93UU66RD