Tedavi edilmeyen diş iltihabında ölümcül 'mediastinit' riski

Adana'da Çukurova Üniversitesi (ÇÜ) Tıp Fakültesi Balcalı Hastanesi Göğüs Cerrahi Anabilim Dalı Öğretim Üyesi Doç. Dr. Alper Avcı, tedavi edilmeyen diş iltihaplarının boyundan aşağı inerek 'mediastinit' denilen göğüs boşluğunda iltihaplanmaya neden olabileceğini söyledi. Bu durumun ölümcül tablolar oluşturduğuna dikkati çeken Avcı, "Son yıllarda pandemi döneminde diş muayenelerinin aksatılmasıyla azı dişi apsesi kaynaklı 'mediastinit' vakalarında bir artış yaşanıyor" dedi.

ÇÜ Tıp Fakültesi Balcalı Hastanesi Göğüs Cerrahi Anabilim Dalı Öğretim Üyesi Doç. Dr. Alper Avcı, tedavi edilmeyen diş iltihabın aşağı inerek boyunda şişlik, kızarıklık ve ateş gibi belirtiler verdiğini, daha sonra göğüs boşluğunda birikmesiyle 'mediastinit' denilen ölümcül bir tabloyu oluşturduğunu kaydetti. Bu durumun grip benzeri halsizlik, ateş, yorgun hissetme gibi bulgularla belirti vermeye başladığından tanı konması zorlu bir vaka olduğuna dikkat çeken Doç. Dr. Avcı, uyarılarda bulundu. Mediastinit vakalarının son yıllarda özellikle azı dişi apselerinden sonra görüldüğünü vurgulayan Doç. Dr. Avcı, "Pandemi dönemi diş muayenelerinin aksatılmasıyla birlikte diş kaynaklı vakalarda artış yaşanıyor. Hastaların diş hekimlerinin tavsiye ve kontrollerine uymamasından dolayı zamanla enfeksiyon boyuna yayılıp aşağı doğru inerek 'mediastinit' dediğimiz göğüs boşluğunda iltihaplanmaya neden oluyor. Hastalar, dişlerinde oluşacak bir enfeksiyonu kendi kendilerine tedavi etmeye çalışmamalı, kesinlikle bir diş hekimine başvurmalıdır" diye konuştu.

'GRİP BENZERİ BELİRTİLERLE BAŞLIYOR'

Grip benzeri belirtiler vermesi nedeniyle bu vakaların tanısının zorlu olduğunu ifade eden Doç. Dr. Avcı, "Diş kaynaklı mediastinit yapan tablonun bariz bir semptomu yok. Klasik bir grip gibi halsizlik, ateş, yorgun hissetme gibi bulgularla seyrediyor. Bu nedenle boynunda şişlik, kızarıklık ve ateş görülene kadar hastaların bu durumu fark etmemesi geç kalmalarındaki en büyük sebep oluyor" ifadesini kullandı.

'72 SAATTE ÖLÜME GÖTÜRÜYOR'

Göğüs boşluğundaki iltihaplanmanın 72 saat gibi kısa bir sürede hastayı ölüme götürebildiğinin altını çizen Doç. Dr. Alper Avcı, yapılması gerekenleri ise şöyle sıraladı:

"Mediastenin enfekte olması vücudun sepsis denilen tabloya girmesine de neden oluyor. Bu da hastayı 72 saat gibi kısa bir sürede ölüme götürüyor. Bu süre zarfında hızlıca tanı konması, uygun antibiyotik tedavisinin başlanması ve hastaya uygun şekilde drenaj dediğimiz cerrahi müdahaleyle o bölgedeki iltihapların boşaltılması lazım. Dişlerinde problem olan hastaların ise rutin diş muayenelerini yaptırmaları, saptanabilecek bir diş enfeksiyonunun da tedavi ve takibinin düzgün yapılması gerekiyor. Böylece sonucu mediastinit olabilecek bir enfeksiyonun yayılmasının önüne baştan geçmiş olunacaktır."

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Michaelmeeva (doğrulanmamış) Sa, 10/12/2024 - 12:25

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For the four women in the photo, Marion Bamforth, Sue Morris, Carol Ansbro and Mary Helliwell, the picture is a firm favorite. Taken over 50 years ago on a group vacation to the English seaside town of Torquay, Devon, the photo’s since become symbolic of their now decades-long friendship. Whenever they see the picture, they’re transported back to the excitement of that first trip together.

“It’s always been our memory of Torquay,” Sue Morris tells CNN Travel. “The iconic photograph — which is why I got the idea of trying to recreate it.”

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Bamforth, Morris, Ansbro and Helliwell were 17 when the photo was taken, “by one of these roving photographers that used to roam the promenade and prey on tourists like us,” as Morris recalls it.

It was the summer of 1972 and the four high school classmates — who grew up in the city of Halifax, in the north of England — were staying in a rented caravan in coastal Devon, in southwest England. It was a week of laughs, staying out late, flirting with boys in fish and chip shops, sunburn, swapping clothes, sharing secrets and making memories by the seaside.

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TheresaHep (doğrulanmamış) Çar, 11/12/2024 - 01:35

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TheresaHep (doğrulanmamış) Çar, 11/12/2024 - 02:46

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TheresaHep (doğrulanmamış) Çar, 11/12/2024 - 05:06

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TheresaHep (doğrulanmamış) Çar, 11/12/2024 - 12:43

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TheresaHep (doğrulanmamış) Çar, 11/12/2024 - 23:03

They fell in love three…

Jamessam (doğrulanmamış) Per, 12/12/2024 - 01:13

They fell in love three decades ago. Now they pilot planes together
[url=https://sites.google.com/view/aave-protocol/aave ]Aave[/url]

On their first flight together, Joel Atkinson and Shelley Atkinson couldn’t contain their excitement. They enthused to the flight attendants. They posed for photos. They told passengers via a pre-flight announcement.

“We made a big deal about it,” Joel tells CNN Travel.

Then, right before take off, Joel and Shelley sat side by side in the flight deck, just the two of them. They’d come full circle, and were about to embark on an exciting new chapter.

“It felt amazing,” Shelley tells CNN Travel.

“As we prepared to take off, I was giddy, euphoric,” says Joel.

Joel and Shelley met as twentysomethings flying jets in the US Air Force. They became fast friends, then, over time, fell in love.

Today, they’ve been married for 27 years and counting. They’ve brought up two kids together. And now they’re both pilots for Southwest Airlines. They regularly fly together, with Joel as captain and Shelley as first officer.

The couple say working together is “amazing.” They treat layovers as “date nights.” They learn from one another’s respective “wisdom and judgment.”

And no, they don’t argue mid-flight.

“People ask us, how does it work, flying together?” says Joel. “We know a few pilot couples and some of them fly together, some of them don’t. I’ve heard people say, ‘Oh I could never fly with my wife or my husband.’”

For Joel and Shelley, working together is seamless – a joy that comes easily to them both.

“We’re best friends,” says Shelley.

“There’s just that unspoken bond,” says Joel.

ЧувашияЯпония https:/…

Sabrinabep (doğrulanmamış) Per, 12/12/2024 - 20:02

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Кирово-ЧепецкКаристос

Bug-bitten oolong? The…

RobertGex (doğrulanmamış) Per, 12/12/2024 - 20:25

Bug-bitten oolong? The secret behind Taiwan’s rare honey-flavored tea — and where to enjoy it
[url=https://sites.google.com/view/ethena/ethena-fi]Ethena[/url]

As the leaves rustle atop the hills in Nantou, Taiwan’s largest tea-producing area, the farm suddenly comes alive, millions of tiny green bugs hopping into the air.

While many farmers might frown at the sight of these pests munching on their crops, Lee Ming-cheng, a third-generation tea farmer and maker, can’t hide the broad smile on his sun-kissed face.

This “green insect fog,” as locals call it, is a sign they’ll have a good harvest of Gui Fei Oolong (also known as Honey Flavor Dong Ding Oolong or Concubine Oolong), a special tea that’s prized for offering a hint of honey flavor.

And it’s these endemic insects, called Jacobiasca formosana, or tea jassids, that are to thank for it.

When the jassids feed, the leaves go into defensive mode and produce a sweetened hormone that tastes and smells like honey, creating one of the world’s most intriguing teas: mixiang cha, or honey-fragrance tea.

The bug-bitten leaves are oxidized and roasted to create a variety of beverages. There’s mixiang black tea (made with fully oxidized leaves) and oolong teas like Oriental Beauty (partially oxidized and not roasted) and the previously mentioned Concubine Tea (partially oxidized and roasted), to name a few.

Unlike Taiwan’s ubiquitous bubble tea, mixiang tea is still highly limited and largely off-the-radar. But what was once a hidden gem among serious tea lovers is now starting to gain international attention.

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Sabrinabep (doğrulanmamış) Per, 12/12/2024 - 20:50

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Люксембург городМонтекатини…

Sabrinabep (doğrulanmamış) Per, 12/12/2024 - 22:32

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Чинкве…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 02:41

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ТуранФранкфурт-на-МайнеПраслин СейшелыМишкольцХвойное

‘A short and significant…

MichaelPer (doğrulanmamış) Cu, 13/12/2024 - 04:01

‘A short and significant relationship’: How a piano in a pickup builds connections
[url=https://sites.google.com/view/metamask-wallet-apps/metamask]Metamask[/u…]

Dozens of internationally renowned recording artists give concerts in Vegas every year, but the musician who connects best with people might be a local troubadour who improvises on a piano in the back of his pickup.

The maestro, Danny Kean, calls his setup The Traveling Piano, and he has traversed North America sharing music for nearly 20 years.

Kean’s home base is Las Vegas now, and every time he plays, he invites passersby to climb aboard the truck and tickle the ivory for themselves. Even if people are shy or say they can’t do it, Kean usually convinces them to give it a try, inspiring total strangers to express themselves through the common language of music.

He estimates more than 100,000 people have played his piano since 2006.

For most of these impromptu virtuosos, the experience is cathartic — many of them step down from the truck in tears. For Kean, 69, the encounters nourish his soul.

“I enjoy sharing my music with others, but I enjoy having others share theirs with me just as much,” he said. “My goal is to connect with others by creating a short and significant relationship. Music is a great facilitator for that in every way and on every level.”

Kean does not accept fees or tips for these musical awakenings, giving away time and energy for nothing in return. He practices philanthropy in other ways, too, providing food and other necessities for the burgeoning population of unhoused individuals in downtown Las Vegas and around the Las Vegas Valley.

“I love the idea of strangers becoming less afraid of each other,” he said. “This love for humanity drives me to keep doing good.”

БогородскГаммартБератАлатырь…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 04:14

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ПлавскЦюрих…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 04:38

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МальмёОлонецБохолКалиВагарша…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 07:09

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УржумГурджааниЭль…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 07:32

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Плайя ДорадаНорильскМосква…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 07:57

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Лех-ам-АрльбергЛоян…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 08:22

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In China, people are hiring …

WesleyStaiz (doğrulanmamış) Cu, 13/12/2024 - 09:30

In China, people are hiring ‘climbing buddies’ for big money. The more attractive they are, the higher the price
[url=https://israel-escorts.com]Высококлассный эскорт в Израиле[/url]
Wendy Chen decided to challenge herself by climbing Mount Tai, a well-known mountain in eastern China.

But there was one obstacle in her way: she couldn’t find a friend to join her for the five-hour trek.

Rather than forgo her plans, the 25-year-old hired a “climbing buddy,” a young man with extensive outdoor experience, to accompany and support her to the 5,000-foot peak.

Known in Chinese as “pei pa” (meaning “accompany to climb”), these are young Chinese men who join strangers on their journeys up popular mountains for a price. The trend has gained momentum this year, as hashtags related to “climbing buddy” have had over 100 million views on Chinese social media.

Young, athletic individuals, often university students or even military veterans, advertise themselves on social media platforms like Xiaohongshu and Douyin, with profiles featuring their height, fitness level and hiking experience. They usually charge between 200 to 600 yuan ($30 to $85) per trip.

During the climb, these “buddies” will do anything to distract their clients from feeling exhausted and push them to keep going: from singing, telling jokes, playing music, verbal encouragement, going so far as carrying their bags, holding their hands, and pulling them.
A day on the mountain
Chen and her climbing buddy’s adventure began at around 8:00 pm so she could arrive at the peak in time for the famous sunrise. After assessing her fitness level, her climbing buddy planned a moderate route and carried her backpack the whole way.

When they faced chilling winds at the peak, Chen’s climbing buddy rented a thick coat for her while directing her to a walled shelter.

At the moment the sun rose, Chen’s climbing buddy was already prepared with a national flag and other props so that she could take a memorable photo. Though she felt his photography skills still had room to improve, she rated her climbing buddy as “satisfactory.” The service cost her 350 yuan ($49).

Though Chen paid a typical price for a climbing buddy, she acknowledges that more good-looking buddies can command higher rates.

“Attractiveness is also part of their strength,” she says.

Climbing buddies’ main customers tend to be single young women, but that’s slowly changing.

A video of a strong male university student carrying a three-year-old effortlessly up a steep mountain — while the toddler’s mother trailed far behind — went viral this summer.

Москва КотловкаУсманьРас-Аль…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 09:31

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НаифаруГаграВолоколамсМосква…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 09:53

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СуэцТрентоАлексеевкаЧерепове…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 11:00

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ШеппартонЛантаКуусамоМадагас…

DellaZEK (doğrulanmamış) Cu, 13/12/2024 - 11:48

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The surprising history of…

EdwardNub (doğrulanmamış) Cu, 13/12/2024 - 12:08

The surprising history of the Fair Isle sweater
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Which fashion item is as beloved by members of the royal family as it is by JLo? Or as relevant on the runways of 2024 as in the knitting catalogs of 1960? The answer is surprisingly festive. The Fair Isle knit, a two-stranded knitting tradition originating off the coast of Scotland, has been a wardrobe staple for well over 100 years — keeping everyone from 18th century fisherman to Mick Jagger warm.

In the last five years, luxury brands Ralph Lauren, Thom Browne, Chanel, Celine, Balenciaga, Raf Simons, Versace and Dries van Noten have all sent their renditions of the heritage knit down the catwalk. London-based designer Molly Goddard has even made the pattern something of an unofficial signature, making sure to pair a structured Fair Isle-style knit with a flouncy, tulle skirt in almost every collection.

In short, it has become a winter classic that seems perpetually in vogue. Rom-com leading man, Adam Brody, recently wore a red and white version on the cover of Stylist magazine; while Katie Holmes was snapped running errands in an old beige Fair Isle favorite from 2022.
For those in the northern hemisphere, it’s appropriate to shrug on as soon as the nights draw in right until sweater weather deteriorates. That being said, even in season-less Los Angeles, stars like Hailey Bieber have been seen in the cozy Fair Isle knits grabbing coffees.

Taking its name from the island of Fair Isle — part of the Shetland archipelago about 100 miles off the northeastern coast of Scotland — the knitting technique first began in fisherman’s hats during the 18th and 19th century (our beloved sweaters came much later). The two strand pattern was not only artistic, but made the tall, conical shaped caps extra warm by doubling the textile mass. They often featured a knitted interior lining, too.

Флимс-ЛааксЛовина…

NancyElape (doğrulanmamış) Cu, 13/12/2024 - 12:53

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КатмандуЖезказганСокчоДжордж…

NancyElape (doğrulanmamış) Cu, 13/12/2024 - 13:15

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ВолновахаУглегорскЛицзянСула…

CarolFalge (doğrulanmamış) Cu, 13/12/2024 - 17:39

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АксукентБогдановичБрашов…

Sherylfat (doğrulanmamış) Cu, 13/12/2024 - 20:57

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https://telegra.ph/Forum-gde…

GwennDip (doğrulanmamış) Cu, 13/12/2024 - 23:10

Tedavi edilmeyen diş iltihabında ölümcül 'mediastinit' riski

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