{"id":1297,"date":"2025-01-05T08:56:07","date_gmt":"2025-01-05T08:56:07","guid":{"rendered":"https:\/\/dremrekaraagac.com\/?p=1297"},"modified":"2025-01-05T11:07:43","modified_gmt":"2025-01-05T11:07:43","slug":"astim-recetesi","status":"publish","type":"post","link":"https:\/\/dremrekaraagac.com\/?p=1297","title":{"rendered":"Ast\u0131m Re\u00e7etesi"},"content":{"rendered":"

Akut tedavisi 7-10 g\u00fcnl\u00fck inhaler bronkodilat\u00f6r + inhaler kortikosteroid + oral antihistaminik<\/p>\n

Kronik d\u00f6nem tedavisi hastal\u0131\u011f\u0131n \u015fiddetine g\u00f6re kademli olarak belirlenir. 1. basamak tedavisi en az 2 ay inhaler steroid + oral antihistaminik, <\/p>\n

\u0130nhaler Bronkodilat\u00f6r;<\/span><\/p>\n

\u0130lk tercih Salbutamol’d\u00fcr. Fakat \u0130pratropium g\u00f6re ta\u015fikardi yapma etkisi fazlad\u0131r. Ta\u015fikardinin problem olaca\u011f\u0131 hastalarda \u0130pratropium tercih edilir. A\u011f\u0131r ast\u0131mlarda salbutamolle birlikte kombine verilebilir. Dozlar neb\u00fclizat\u00f6r dozlar\u0131d\u0131r. \u0130nhaler f\u0131sf\u0131slar\u0131 kullanmay\u0131 beceren \u00e7ocuklar i\u00e7in 1 puf yeterlidir.<\/p>\n

    \n
  1. \u00a0Tercih–><\/span>Salbutamol: 0,15 mg\/kg\/doz 3-4 saat ara ile. 1 neb\u00fclde 2,5 mg vard\u0131r. 10 kg i\u00e7in yar\u0131m neb\u00fcl. Maximum doz 2 neb\u00fcl.<\/li>\n
  2. Tercih–><\/span>\u0130pratropium Brom\u00fcr: 0,015 mg\/kg\/doz 3-4 saat ara ile. 1 neb\u00fclde 0,25 mg vard\u0131r. 10 kg i\u00e7in yar\u0131m neb\u00fcl. Maximum doz 2 neb\u00fcl.<\/li>\n<\/ol>\n

    \u0130nhaler Kortikosteroid;<\/span><\/p>\n

    Neb\u00fclizat\u00f6r kullanan hastalarda ilk tercih Budesonid’ dir. \u0130nhaler f\u0131sf\u0131s kullanabilen b\u00fcy\u00fck hastalarda ilk tercih Flutikazon’ dur. Budesonid neb\u00fcller piyasada 0,25mg\/ml ve 0,5mg\/ml olanlar\u0131 mevcuttur. Bu dozlar 1 ml de bulunan dozlar \u015feklinde ifade edildi\u011fi i\u00e7in 1 neb\u00fcl\u00fcn i\u00e7indeki toplam doz oldu\u011fu yan\u0131lg\u0131s\u0131 olu\u015fturmaktad\u0131r. Tam 1 neb\u00fcl i\u00e7inde 2 ml ila\u00e7 bulunur. Bu nedenle 1 neb\u00fcl i\u00e7inde asl\u0131nda 0,5 mg ve 1 mg olan 2 preparat vard\u0131r. Pediatride 0,25mg\/ml olan kullan\u0131l\u0131r.<\/p>\n

      \n
    1. Tercih–><\/span>Budesonid: 6 ya\u015f\u0131ndan k\u00fc\u00e7\u00fcklere\u00a0 2 x 0,25 mg (0,25mg\/ml olandan yar\u0131m neb\u00fcl).<\/li>\n<\/ol>\n

      6 ya\u015f\u0131ndan b\u00fcy\u00fcklere 2 x 0,25 mg (0,25mg\/ml olandan tam neb\u00fcl).<\/p>\n

      Antihistaminik Se\u00e7enekleri;<\/span><\/p>\n

        \n
      1. SE\u00c7ENEK:<\/span>\u00a0<\/span>Desloratadin <6 ya\u015f 1,25 mg,\u00a0 \u00a06-12 ya\u015f 2,5 mg,\u00a0 >12 ya\u015f \u00a05 mg \u2013>6 ay ve \u00fcst\u00fc kullan\u0131labilir<\/li>\n
      2. SE\u00c7ENEK:\u00a0<\/span>Setirizin <6 ya\u015f 2,5 mg ,\u00a0 \u00a0 6-12 ya\u015f 5 mg,\u00a0 \u00a0 >12 ya\u015f \u00a010 mg\u00a0 \u2013>2 ya\u015f ve \u00fczeri kullan\u0131abilir<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        Akut tedavisi 7-10 g\u00fcnl\u00fck inhaler bronkodilat\u00f6r + inhaler kortikosteroid + oral antihistaminik Kronik d\u00f6nem tedavisi hastal\u0131\u011f\u0131n \u015fiddetine g\u00f6re kademli olarak belirlenir. 1. basamak tedavisi en az 2 ay inhaler steroid + oral antihistaminik,<\/p>\n","protected":false},"author":1,"featured_media":1299,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":70,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[12,14],"tags":[],"class_list":["post-1297","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-receteler","category-saglik-profesyonelleri-icin"],"yoast_head":"\nAst\u0131m Re\u00e7etesi - Uzm. 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