. 2012; 14(3): 117-126 | DOI: 10.5505/solunum.2012.52207 | |||
Kronik Öksürüğün Tanı ve TedavisiEmine ArgüderAnkara Atatürk Eğitim Ve Araştırma Hastanesi, Göğüs Hastalıkları BölümüSekiz haftadan uzun süren öksürüğe kronik öksürük denir. Göğüs hastalıkları polikliniklerinde sık karşılaşılan, çoğu kronik akciğer hastalıklarında ve bazı akciğer dışı hastalıklarda görülen Diagnosis and Treatment of Chronic CoughEmine ArgüderAnkara Atatürk Education And Training Hospital, Department Of Chest DiseasesChronic cough is defined as the cough that lasts more than 8 weeks. It is a symptom that is encountered frequently in chest diseases clinics, mostly in association with chronic lung diseases and also in some other diseases. The most common causes of chronic cough are upper airway cough syndrome (UACS), asthma and gastroesophageal reflux disease (GERD). Sometimes chronic cough may have more than one cause and it may concern many systems. For that reason systematic diagnostic approach is a must. Besides, this state which is lowering the quality of life should be sufficiently treated. However, difficulties for diagnosing may be experienced in some patients. For all patients presenting with chronic cough detailed history, physical examination and chest X-ray should be obtained primarily. In patient’s life if there is smoking, environmental exposure to dust or allergens, use of ACE inhibitors, they should be avoided. If the cough has stopped partially or fully when the exposure is avoided then it can be stated that the cough was triggered by the avoided condition. If chest X-ray is abnormal, further diagnostic studies should be planned. Sputum examinations, chest tomography, bronchoscopy and necessary cardiac investigations should be obtained. Bronchoscopy is especially helpful in neoplastic diseases, and active inflammatory lung diseases. If chest X-ray is normal, diagnosis of one of UACS, GERD, chronic bronchitis or eosinophilic bronchitis is likely. Keywords: chronic, cough, asthma, UACS (upper airway cough syndrome), GERD (gastroesophageal reflux disease), bronchitisEmine Argüder. Diagnosis and Treatment of Chronic Cough. . 2012; 14(3): 117-126 Sorumlu Yazar: Emine Argüder, Türkiye |
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