Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin baz\u0131 alerjenlere verdi\u011fi tepki, yaln\u0131zca ciltte ya da solunum yollar\u0131nda de\u011fil, kalpte de ciddi sorunlara yol a\u00e7abiliyor. Anadolu Sa\u011fl\u0131k Ata\u015fehir T\u0131p Merkezi\u2019nden Kardiyoloji ve \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Nevrez Koylan, Kounis Sendromu\u2019nun, alerjik veya a\u015f\u0131r\u0131 duyarl\u0131l\u0131k reaksiyonlar\u0131 s\u0131ras\u0131nda geli\u015fen akut koroner sendrom tablosu oldu\u011funu belirtti.<\/p>\n
Halk aras\u0131nda \u201calerjik kalp krizi\u201d ya da \u201calerjik anjina\u201d olarak da bilinen bu durumun, ba\u011f\u0131\u015f\u0131kl\u0131k h\u00fccrelerinin aktive olmas\u0131yla ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Koylan, sal\u0131nan baz\u0131 maddelerin kalp damarlar\u0131nda spazma yol a\u00e7abildi\u011fini s\u00f6yledi. Koylan, \u00f6zellikle alerjik b\u00fcnyeye sahip ki\u015filerde ya da bilinen kalp hastal\u0131\u011f\u0131 bulunanlarda ani geli\u015fen reaksiyonlarla birlikte g\u00f6r\u00fclen g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131n\u0131n dikkate al\u0131nmas\u0131 gerekti\u011fini vurgulad\u0131.<\/p>\n
Prof. Dr. Koylan, re\u00e7etesiz sat\u0131lan bir ila\u00e7, ar\u0131 sokmas\u0131 ya da t\u00fcketilen baz\u0131 g\u0131dalar\u0131n bu tabloyu tetikleyebilece\u011fine i\u015faret etti. Kounis Sendromu\u2019nda en s\u0131k kar\u015f\u0131la\u015f\u0131lan belirtiler aras\u0131nda g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ve s\u0131k\u0131\u015fma hissi, nefes darl\u0131\u011f\u0131, \u00e7arp\u0131nt\u0131, yayg\u0131n ka\u015f\u0131nt\u0131, k\u0131zar\u0131kl\u0131k ve kurde\u015fen yer al\u0131yor. Baz\u0131 vakalarda tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc, bay\u0131lma hissi ya da bilin\u00e7 kayb\u0131 da tabloya e\u015flik edebiliyor.<\/p>\n
Sendromu tetikleyen unsurlar aras\u0131nda antibiyotikler ba\u015fta olmak \u00fczere baz\u0131 ila\u00e7lar, a\u011fr\u0131 kesiciler, kontrast maddeler, ar\u0131 ve e\u015fek ar\u0131s\u0131 sokmalar\u0131 bulunuyor. Bunun yan\u0131 s\u0131ra kabuklu deniz \u00fcr\u00fcnleri, f\u0131nd\u0131k, f\u0131st\u0131k gibi y\u00fcksek alerjen i\u00e7eren besinler, lateks alerjisi ve baz\u0131 kimyasal maruziyetlerin de riski art\u0131rabilece\u011fi belirtiliyor.<\/p>\n
Kounis Sendromu\u2019nun te\u015fhisini zorla\u015ft\u0131ran en \u00f6nemli nedenin, alerji belirtileri ile kalp krizi semptomlar\u0131n\u0131n i\u00e7 i\u00e7e ge\u00e7mesi oldu\u011funa dikkat \u00e7eken Koylan, tan\u0131da EKG, troponin testleri ve baz\u0131 durumlarda ekokardiyografinin kullan\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi. Ancak en kritik noktan\u0131n, hastan\u0131n \u00f6yk\u00fcs\u00fcnde alerjen maruziyetinin olup olmad\u0131\u011f\u0131n\u0131n belirlenmesi oldu\u011funu vurgulad\u0131.<\/p>\n
Tedavi s\u00fcrecinde hem alerjik reaksiyonun bask\u0131lanmas\u0131n\u0131n hem de kalp damarlar\u0131n\u0131n rahatlat\u0131lmas\u0131n\u0131n hedeflendi\u011fini belirten Koylan, baz\u0131 a\u011f\u0131r vakalarda adrenalinin hayat kurtar\u0131c\u0131 olabilece\u011fini, ancak Tip I Kounis vakalar\u0131nda damar spazm\u0131n\u0131 art\u0131rabilece\u011fi i\u00e7in dikkatli kullan\u0131lmas\u0131 gerekti\u011fini ifade etti.<\/p>\n
Uzmanlar, kalp ve ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin birbiriyle yak\u0131ndan ili\u015fkili oldu\u011funa dikkat \u00e7ekerek, birinde ya\u015fanan sorunun di\u011fer sistemi de etkileyebilece\u011fini belirtiyor. Erken tan\u0131 ve do\u011fru m\u00fcdahale sayesinde kal\u0131c\u0131 hasar riskinin \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131labilece\u011fi vurgulan\u0131yor.<\/p>\n","protected":false},"excerpt":{"rendered":"
Uzmanlar, alerjik reaksiyonlar\u0131n baz\u0131 durumlarda kalp damarlar\u0131n\u0131 da etkileyebilece\u011fine dikkat \u00e7ekiyor. Kounis Sendromu olarak bilinen tabloda, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin a\u015f\u0131r\u0131 tepkisi g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131 ve \u00e7arp\u0131nt\u0131 gibi belirtilerle ortaya \u00e7\u0131kabiliyor.<\/p>\n","protected":false},"author":6,"featured_media":15074,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[5735,4555],"class_list":["post-15073","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-alerji","tag-kalp-sagligi"],"yoast_head":"\n