{"id":568,"date":"2012-07-15T11:23:30","date_gmt":"2012-07-15T08:23:30","guid":{"rendered":"http:\/\/www.hvtd.org\/?p=568"},"modified":"2012-07-16T18:51:15","modified_gmt":"2012-07-16T15:51:15","slug":"ucus-sirasinda-barodontalji","status":"publish","type":"post","link":"https:\/\/www.hvtd.org\/?p=568","title":{"rendered":"U\u00e7u\u015f S\u0131ras\u0131nda Barodontalji"},"content":{"rendered":"
\n

\"\"<\/a>Barodontalji (veya aerodontalji), normal \u015fartlarda semptom vermeyen bir di\u015fte, barometrik bas\u0131n\u00e7 de\u011fi\u015fiklikleri sonucunda ortaya \u00e7\u0131kan ve u\u00e7u\u015f vertigosu, inkapasitasyon, u\u00e7u\u015fun durdurulmas\u0131na sebep olabilecek kadar \u015fiddetli bir di\u015f a\u011fr\u0131s\u0131d\u0131r. Barodontalji ile ilgili g\u00fcn\u00fcm\u00fcze kadar edinilen bulgular ger\u00e7ek u\u00e7u\u015flardan \u00e7ok y\u00fcksek irtifa simulasyonlar\u0131 (hipobarik \u00e7ember u\u00e7u\u015flar\u0131) s\u0131ras\u0131nda elde edilmi\u015ftir. Amerikan Hava Kuvvetleri pilotlar\u0131n\u0131n y\u00fcksek irtifa simulasyonlar\u0131 s\u0131ras\u0131nda edinilen bilgilere g\u00f6re; barodontalji % 0,23 ile %2 aras\u0131nda g\u00f6r\u00fclm\u00fc\u015f ve simulasyonun erken sonland\u0131r\u0131lma sebepleri aras\u0131nda 3. s\u0131radaki fakt\u00f6r olarak bulunmu\u015ftur. Ger\u00e7ek u\u00e7u\u015fta 2-50 bin ft irtifada ya\u015fand\u0131\u011f\u0131 rapor edilmi\u015ftir.<\/p>\n

Barodontalji; kendisi patolojik bir durum olmaktan \u00e7ok, bir semptomdur. Genellikle mevcut bir subklinik durumun barometrik bas\u0131n\u00e7 de\u011fi\u015fiklikleri sonucunda alevlenmesi \/ ortaya \u00e7\u0131kmas\u0131d\u0131r. Bu subklinik durumlar aras\u0131nda; di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc, hasarl\u0131 di\u015f dolgular\u0131, pulpa iltihab\u0131 (di\u015f absesi), \u00e7ene kistleri, di\u015feti hastal\u0131klar\u0131, g\u00f6m\u00fcl\u00fc di\u015fler say\u0131labilir. Ayr\u0131ca barometrik bas\u0131n\u00e7 de\u011fi\u015fikliklerine ba\u011fl\u0131 geli\u015fen sin\u00fczit ve orta kulak a\u011fr\u0131s\u0131 da barodontalji ile kar\u0131\u015ft\u0131r\u0131labilmektedir.<\/p>\n

Barodontaljiyi ay\u0131rt etmedeki bir di\u011fer sorun ise; u\u00e7u\u015ftaki bas\u0131n\u00e7 d\u00fc\u015fmesi nedeniyle ba\u015flayan a\u011fr\u0131 ile u\u00e7u\u015f s\u0131ras\u0131nda tesad\u00fcfen ba\u015flayan (u\u00e7ucu yerde de olsa ba\u015flayacak) a\u011fr\u0131n\u0131n birbirinden ay\u0131rt edilememesidir. U\u00e7u\u015f s\u0131ras\u0131nda ba\u015flayan a\u011fr\u0131lar\u0131n %29,6\u2019s\u0131 yeni dolgu yap\u0131lm\u0131\u015f di\u015flerde; %18,5\u2032i sin\u00fczit a\u011fr\u0131s\u0131 (barosin\u00fcsit) ve %18,5\u2032i di\u015fin ya da \u00e7ene kemi\u011finin iltihaplar\u0131 olarak s\u0131ralanm\u0131\u015ft\u0131r.<\/p>\n

Barodontaljinin mekanizmas\u0131; iskemi ve di\u015f kanallar\u0131 i\u00e7erisindeki gaz bas\u0131nc\u0131 veya gaz\u0131n geni\u015flemesi, ya da kan damarlar\u0131ndan gaz s\u0131z\u0131nt\u0131s\u0131 olarak a\u00e7\u0131klanm\u0131\u015ft\u0131r. V\u00fccudun di\u011fer yerlerinin aksine pulpa kanallar\u0131 rijiddir; bu y\u00fczden de bas\u0131nc\u0131n artmas\u0131 kan dola\u015f\u0131m\u0131n\u0131n kesilmesine ve buna ba\u011fl\u0131 olarak da a\u011fr\u0131 ya da nekroz olu\u015fumuna neden olur. G\u00f6m\u00fcl\u00fc di\u015flerde de (\u00f6zellikle 20 ya\u015f di\u015fi) kemik i\u00e7erisinde bulunan di\u015f keseci\u011finin i\u00e7erisindeki bas\u0131nc\u0131n artmas\u0131 da barodontaljiye sebep olur.<\/p>\n

Askeri u\u00e7ucular\u0131n %8,2\u2019sinde ya\u015fand\u0131\u011f\u0131\u00a0 rapor edilen barodontalji genele oranland\u0131\u011f\u0131nda 100 u\u00e7u\u015f y\u0131l\u0131nda 1 vaka olarak tespit edilmi\u015ftir. Bir \u00e7al\u0131\u015fmada 709 Avustralya ve ABD bal\u0131kadamlar\u0131n\u0131n %9,2\u2019sinin 1 ya da birka\u00e7 kez barodontalji ya\u015fad\u0131klar\u0131 g\u00f6sterilmi\u015ftir; ancak askeri dalg\u0131\u00e7larla ilgili herhangi bir veri yoktur.<\/p>\n

U\u00e7u\u015f ekibinde barodontalji d\u0131\u015f\u0131nda, y\u00fcksek irtifada di\u015f k\u0131r\u0131lmalar\u0131, di\u015f a\u015f\u0131nmas\u0131, \u00e7ene kapan\u0131\u015f bozukluklar\u0131 ve di\u015feti hastal\u0131klar\u0131 gibi pek \u00e7ok a\u011f\u0131z di\u015f hastal\u0131\u011f\u0131 da olabilir. Barodontalji nadir ya\u015fanan bir sorun olmakla birlikte, u\u00e7u\u015fta a\u011fr\u0131, performans d\u00fc\u015f\u00fc\u015f\u00fc, \u00e7i\u011fneme sorunlar\u0131na ba\u011fl\u0131 beslenme bozukluklar\u0131na yol a\u00e7mas\u0131 sebebiyle u\u00e7u\u015f inkapasitasyonu ile sonu\u00e7lanabilece\u011finden \u00e7ok \u00f6nem atfedilen bir konudur.<\/p>\n

Kaynak :<\/strong> In-flight barodontalgia: Analysis of 29 cases in military aircrew. Zadik Y, Zapnick L, Goldstein L. Aviat Space Environ Med 2007;78:593-6<\/p>\n

\u00c7eviri :<\/strong> Dr. Dt. Ay\u015feg\u00fcl \u00c7eting\u00fc\u00e7<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Barodontalji (veya aerodontalji), normal \u015fartlarda semptom vermeyen bir di\u015fte, barometrik bas\u0131n\u00e7 de\u011fi\u015fiklikleri sonucunda ortaya \u00e7\u0131kan ve u\u00e7u\u015f vertigosu, inkapasitasyon, u\u00e7u\u015fun durdurulmas\u0131na sebep olabilecek kadar \u015fiddetli bir di\u015f a\u011fr\u0131s\u0131d\u0131r. Barodontalji ile ilgili g\u00fcn\u00fcm\u00fcze kadar edinilen bulgular ger\u00e7ek u\u00e7u\u015flardan \u00e7ok y\u00fcksek irtifa simulasyonlar\u0131 (hipobarik \u00e7ember u\u00e7u\u015flar\u0131) s\u0131ras\u0131nda elde edilmi\u015ftir. Amerikan Hava Kuvvetleri pilotlar\u0131n\u0131n y\u00fcksek irtifa simulasyonlar\u0131 s\u0131ras\u0131nda edinilen bilgilere g\u00f6re; barodontalji % […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-568","post","type-post","status-publish","format-standard","hentry","category-bulten"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=568"}],"version-history":[{"count":3,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/568\/revisions"}],"predecessor-version":[{"id":595,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/568\/revisions\/595"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}