{"id":1686,"date":"2018-03-28T10:47:59","date_gmt":"2018-03-28T10:47:59","guid":{"rendered":"http:\/\/bizimkokpit.com\/?p=1686"},"modified":"2018-03-28T10:51:09","modified_gmt":"2018-03-28T10:51:09","slug":"kokpitteki-mesleki-tehlike-venoz-trombozlar-emboli","status":"publish","type":"post","link":"https:\/\/bizimkokpit.com\/index.php\/2018\/03\/28\/kokpitteki-mesleki-tehlike-venoz-trombozlar-emboli\/","title":{"rendered":"Kokpitteki mesleki tehlike; EMBOL\u0130"},"content":{"rendered":"
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Kokpit ekipleri u\u00e7u\u015f s\u0131ras\u0131nda sa\u011fl\u0131klar\u0131na olumsuz y\u00f6nde etki eden bir \u00e7ok fakt\u00f6re maruz kalmaktad\u0131rlar. Kokpit elektronik par\u00e7alar\u0131n\u0131n olu\u015fturdu\u011fu elektromanyetik alan, kabin i\u00e7inde hava dola\u015f\u0131m\u0131 halinde olan havan\u0131n kirlili\u011fi, jet motorunun egzoz gaz\u0131, d\u00fczensiz uyku paterni ve uzun s\u00fcre ayni pozisyonda hareketsiz kalmak pilotlar\u0131n u\u00e7u\u015f s\u0131ras\u0131nda maruz kald\u0131\u011f\u0131 fakt\u00f6rlere \u00f6rnek olarak verilebilir1. Maruz kal\u0131nan fakt\u00f6rler aras\u0131nda \u00f6zellikle, kokpitte uzun s\u00fcre hareketsiz kalma durumu b\u00fcy\u00fck \u00f6nem arz etmektedir. Son 10 y\u0131l i\u00e7erisinde uzun s\u00fcreli u\u00e7u\u015flarda tromboz vakalar\u0131 (damar i\u00e7erisinde p\u0131ht\u0131 olu\u015fumu) \u00fczerine \u00f6nemli say\u0131da \u00e7al\u0131\u015fmalar yap\u0131lm\u0131\u015ft\u0131r. Uzun s\u00fcreli u\u00e7u\u0131\u015flarda oturulan koltu\u011fun \u00f6n k\u0131sm\u0131n\u0131n dizard\u0131 toplardamar ad\u0131 verilen damara uzun s\u00fcre hareketsiz kal\u0131nd\u0131\u011f\u0131nda bask\u0131 yapmas\u0131 ve v\u00fccudun s\u0131v\u0131 kayb\u0131 gibi tromboz olu\u015fumunu tetikleyen bir\u00e7ok fakt\u00f6r bulunmaktad\u0131r. Bu t\u00fcr fakt\u00f6rlere maruz kal\u0131nmas\u0131 ya derin ven trombozuna ya da \u00f6l\u00fcmc\u00fcl sonu\u00e7lar\u0131 olan pulmoner embolizme sebep olabilmektedir.<\/p>\n

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Tromboz, damar i\u00e7inde bir kan p\u0131ht\u0131s\u0131n\u0131n olu\u015fmas\u0131 ve b\u00f6ylece kan ak\u0131\u015f\u0131n\u0131 engellemesi durumuna verilen isimdir. Herhangi bir damardaki tromb\u00fcsten kopan p\u0131ht\u0131 par\u00e7as\u0131n\u0131n ba\u015fka bir b\u00f6lge damar\u0131nda t\u0131kanmaya sebep olmas\u0131na tromboembolizm denir. Pulmoner emboli (akci\u011fer embolisi) ise sa\u011f kalpten \u00e7\u0131karak akci\u011ferlere kan g\u00f6t\u00fcren damarlar\u0131n (pulmoner arterler) t\u0131kanmas\u0131na ba\u011fl\u0131 olarak geli\u015fen ciddi bir hastal\u0131kt\u0131r.<\/p>\n

\"1\"<\/a><\/p>\n

\u015eekil 1 : Ven\u00f6z Tromboembolizm<\/strong><\/p>\n

\u00a0\"2\"<\/a><\/p>\n

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\u015eekil 2 : Derin ven\u00f6z tromboemboli ve pulmoner emboloninin semptomlar\u0131<\/strong><\/p>\n

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Ven\u00f6z tromboembolinin bir \u00e7ok septromu bulunmaktad\u0131r ve sonu\u00e7lar\u0131ndan biri olan derin ven\u00f6z trombolinin semptromlar\u0131<\/strong> bacaklarda \u015fi\u015flik<\/span>, a\u011fr\u0131 ve hassasiyet, bacakta k\u0131zarma yada renk de\u011fi\u015fikli\u011fi ve bacakta a\u011fr\u0131l\u0131 b\u00f6lgede s\u0131cakl\u0131k art\u0131\u015f\u0131d\u0131r.<\/span><\/p>\n

Ven\u00f6z tromboembolinin di\u011fer sonu\u00e7lar\u0131ndan biri olan pulmoner embolinin septomlar\u0131<\/strong> ise; Akut nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcste a\u011fr\u0131, terleme ve h\u0131zl\u0131 kalp at\u0131\u015f\u0131d\u0131r.<\/span><\/p>\n

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Risk Fakt\u00f6rleri<\/strong><\/span><\/p>\n<\/div>\n<\/div>\n

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Ven\u00f6z tromboembolinin bir \u00e7ok septromu bulunmaktad\u0131r ve sonu\u00e7lar\u0131ndan biri olan derin ven\u00f6z trombolinin semptromlar\u0131 bacaklarda \u015fi\u015flik, a\u011fr\u0131 ve hassasiyet, bacakta k\u0131zarma yada renk de\u011fi\u015fikli\u011fi ve bacakta a\u011fr\u0131l\u0131 b\u00f6lgede s\u0131cakl\u0131k art\u0131\u015f\u0131d\u0131r.<\/strong><\/p>\n

Ven\u00f6z tromboembolinin di\u011fer sonu\u00e7lar\u0131ndan biri olan pulmoner embolinin septomlar\u0131 ise<\/strong>; Akut nefes darl\u0131\u011f\u0131, g\u00f6\u011f\u00fcste a\u011fr\u0131, terleme ve h\u0131zl\u0131 kalp at\u0131\u015f\u0131d\u0131r.<\/strong><\/p>\n<\/div>\n<\/div>\n

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Tromboembolismin bir\u00e7ok risk fakt\u00f6r\u00fc rapor edilmi\u015ftir. Bu risk fakt\u00f6rlerinden baz\u0131lar\u0131 cerrahi operasyon sonucu olu\u015fan fakt\u00f6rlerdir ve ki\u015fiyi ven\u00f6z tromboembolisme yatk\u0131nla\u015ft\u0131rmaktad\u0131r.<\/p>\n

Ayr\u0131ca uzun s\u00fcreli u\u00e7u\u015flarla ba\u011flant\u0131l\u0131 risk fakt\u00f6rleride bulunmaktad\u0131r.<\/strong> U\u00e7ak i\u00e7erisindeki hipobarik hipoksinin koag\u00fclasyon kaskad\u0131na sebep olabilece\u011fi rapor edilmi\u015ftir. Sakinle\u015ftirici<\/strong> kullan\u0131m\u0131n\u0131n da tromboz<\/strong> riskini<\/strong> artt\u0131rd\u0131\u011f\u0131<\/strong> belirtilmi\u015ftir.<\/p>\n<\/div>\n<\/div>\n

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Tablo 1- Risk Fakt\u00f6rleri<\/span><\/p>\n