{"id":3582,"date":"2019-10-10T19:35:12","date_gmt":"2019-10-10T16:35:12","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=3582"},"modified":"2019-10-10T19:37:18","modified_gmt":"2019-10-10T16:37:18","slug":"kalp-sesleri-ve-seslerin-kaynagi-uzerine","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/kalp-sesleri-ve-seslerin-kaynagi-uzerine\/","title":{"rendered":"Kalp sesleri ve seslerin kayna\u011f\u0131 \u00fczerine"},"content":{"rendered":"\n

KALP SESLER\u0130 VE SESLER\u0130N KAYNA\u011eI \u00dcZER\u0130NE
Bilindi\u011fi \u00fczere, hasta \u00f6yk\u00fcs\u00fc (anamnez) al\u0131nd\u0131ktan hemen sonra ger\u00e7ekle\u015ftirilen muayenede steteskop ile kalp sesi dinlenir. \u0130ster \u00f6ks\u00fcr\u00fck i\u00e7in, ister grip i\u00e7in gelin farketmez, o ses dinlenir.
Muayene\u00a0 s\u0131ras\u0131nda bu kadar yayg\u0131n olmas\u0131n\u0131n nedeni ger\u00e7ekle\u015ftirilmesi kolay bir check up gibi d\u00fc\u015f\u00fcn\u00fclerek, h\u0131zl\u0131 bir kontrolle kalbin i\u015flevselli\u011finin\u00a0 kontrol edilmesidir. K\u0131saca \u00f6zetlemek gerekirse ses g\u00fc\u00e7l\u00fc ve eksiksiz geliyorsa bu sa\u011fl\u0131kl\u0131 bir kardiak d\u00f6ng\u00fcs\u00fcn\u00fcn ger\u00e7ekle\u015fti\u011fini g\u00f6sterir. Tam tersi zay\u0131f ve kesikli gelinen zamanlarda kalbi etkileyen bir patoloji den s\u00f6z etmek m\u00fcmk\u00fcnd\u00fcr.
Peki kalbin neresinden gelir bu sesler, kaynaklar\u0131 nedir?
Asl\u0131nda kalbin dinlenmesi s\u0131ras\u0131nda san\u0131ld\u0131\u011f\u0131 gibi tek ses yoktur, tam 4 tane ses vard\u0131r ancak \u00e7o\u011fu doktor bu seslerin hepsini duymaz, duysa da belirli belirsiz oldu\u011fundan dolay\u0131\u00a0 ihmal eder, ki zaten 3 ve 4. seslerin duyulmas\u0131 normal olarak kabul elmez ve sorun te\u015fkil eder.\u00a0 <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Klinikte 1 ve 2. seslerin \u00f6zelliklerini tan\u0131mlayabilmek durum te\u015fhisi i\u00e7in yeterlidir. <\/p>\n\n\n\n

1. Ses : Ventrik\u00fcllerin systol\u00fcnden hemen \u00f6nce duyulur ki bu ses AV kapaklar\u0131n bas\u0131n\u00e7 fark\u0131ndan dolay\u0131 kapanmas\u0131yla meydana gelir. Ventr\u00fck\u00fcllere kan\u0131n dolmu\u015f olmas\u0131 ventrik\u00fcler bas\u0131nc\u0131 art\u0131r\u0131r. <\/p>\n\n\n\n

2.ses :Genelde en net ses 2. sese aittir.Y\u00fcksek frekansl\u0131 ve net duyulur. Semilunar kapaklar\u0131n, aort ve pulmanar artere kan g\u00f6ndermesiyle  olu\u015fturdu\u011fu  bas\u0131n\u00e7 fark\u0131ndan dolay\u0131 kapanmas\u0131 bu sesi olu\u015fturur.
\n3.ses : Ventrik\u00fcllerin, atrialar kas\u0131lma dan \u00f6nce pasif olarak dolmas\u0131 s\u0131ras\u0131nda olu\u015fan sestir.
\n4ses : Duymak \u00e7ok g\u00fc\u00e7t\u00fcr, atriyumlar\u0131n kas\u0131lmas\u0131 bu sesi olu\u015fturur. <\/p>\n\n\n\n

Yukar\u0131da da g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fczere, kalbin dinlenmesiyle olu\u015fan 4 adet ses vard\u0131r ve bu seslerde duyulan herhangi bir bozukluk, kesiklik belirtilen i\u015flevle ilgili bir sorun oldu\u011funu g\u00f6sterir .
\nA\u015fa\u011f\u0131da bu sorunlar\u0131n k\u0131sa bir \u00f6zeti listelenmi\u015ftir.
\nKalp Sesleri Sesleri \u2013 Bozukluklar  ve \u0130stisnalar
\n\u2022 Presistolik galop
\nAtrium sesinin (4. kalp sesi) duyulmas\u0131
\n\u2022 Protodiastolik galop
\n3. kalp sesinin (vent. dolu\u015fu) duyulmas\u0131<\/p>\n\n\n\n

\u00dcf\u00fcr\u00fcmler (\u201cmurmur\u201dlar)
\n\u2022 1, 2, 3, 4, 5 ve 6. d fl erece \u00fcf\u00fcr\u00fcmler
\n\u2022 Apekste
\n\u2022 Mitral yetmezlik \u2013 Sistolik \u00fcf\u00fcr\u00fcm
\n\u2022 Mitral darl\u0131k (stenoz) \u2013 Diyastolik \u00fcf\u00fcr\u00fcm
\n\u2022 \u0130kinci interkostal aral\u0131kta
\n\u2022 Aort yetmezli\u011fi \u2013 Diyastolik \u00fcf\u00fcr\u00fcm Diyastolik \u00fcf\u00fcr\u00fcm
\n\u2022 Aort darl\u0131\u011f\u0131 \u2013 Sistolik \u00fcf\u00fcr\u00fcm
\n\u2022 Septal defektler
\n\u2022 S\u00fcrekli \u00fcf\u00fcr\u00fcm VSD PDA
\n\u2022 Kan\u0131n ak\u0131\u015f yolu bozulur \u2013 Soldan sa\u011fa ge\u00e7i\u015f<\/p>\n\n\n\n

https:\/\/www.google.com\/url?sa=t&source=web&rct=j&url=https:\/\/myoclinic. org















<\/p>\n","protected":false},"excerpt":{"rendered":"

KALP SESLER\u0130 VE SESLER\u0130N KAYNA\u011eI \u00dcZER\u0130NE Bilindi\u011fi \u00fczere, hasta \u00f6yk\u00fcs\u00fc (anamnez) al\u0131nd\u0131ktan hemen sonra ger\u00e7ekle\u015ftirilen muayenede steteskop ile kalp sesi<\/p>\n","protected":false},"author":141,"featured_media":3586,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"acf":[],"views":3224,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/3582"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/141"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=3582"}],"version-history":[{"count":2,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/3582\/revisions"}],"predecessor-version":[{"id":3585,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/3582\/revisions\/3585"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/3586"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=3582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=3582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=3582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}