{"id":102483,"date":"2023-06-21T13:21:04","date_gmt":"2023-06-21T13:21:04","guid":{"rendered":"https:\/\/haberulus.net\/?p=102483"},"modified":"2023-06-21T13:21:04","modified_gmt":"2023-06-21T13:21:04","slug":"kizamik-vakalarina-dikkat-ceken-iddia-sahadan-olum-bilgileri-geliyor","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=102483","title":{"rendered":"K\u0131zam\u0131k vakalar\u0131na dikkat \u00e7eken iddia: Sahadan \u00f6l\u00fcm bilgileri geliyor"},"content":{"rendered":"

Antalya Tabip Odas\u0131, oda binas\u0131nda d\u00fczenledi\u011fi bas\u0131n a\u00e7\u0131klamas\u0131nda k\u0131zam\u0131k vakalar\u0131n\u0131n art\u0131\u015f\u0131na ili\u015fkin uyar\u0131larda bulundu.<\/p>\n

\u201cSA\u011eLIK BAKINLI\u011eI ETK\u0130N B\u0130R ROL OYNAMAKTA \u0130STEKS\u0130Z<\/strong>\u201d<\/p>\n

Bas\u0131n a\u00e7\u0131klamas\u0131n\u0131 okuyan ATO Y\u00f6netim kurulu \u00fcyesi Do\u00e7ent Dr. Figen Sar\u0131g\u00fcl Y\u0131ld\u0131r\u0131m, sa\u011fl\u0131k otoritesinin k\u0131zam\u0131k salg\u0131n\u0131n\u0131n duyulmas\u0131n\u0131 engelleyecek giri\u015fimlerde bulundu\u011funu, \u00f6nlemek i\u00e7in etkin bir rol oynama konusunda da isteksiz davrand\u0131\u011f\u0131n\u0131 belirterek, \u015funlar\u0131 s\u00f6yledi; \u00a0\u201cSa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n reddiyeci ve \u015feffafl\u0131ktan uzak tutumu \u00fclkemizde K\u0131zam\u0131k salg\u0131n\u0131n\u0131n ba\u015flad\u0131\u011f\u0131 2010 Aral\u0131k y\u0131l\u0131ndan itibaren de\u011fi\u015fmemi\u015ftir. \u00d6te yandan K\u0131zam\u0131k nedeniyle \u00f6l\u00fcmler oldu\u011funa dair sahadan bilgiler al\u0131nmaktad\u0131r. Oysa k\u0131zam\u0131k a\u015f\u0131 ile \u00f6nlenebilir bir bula\u015f\u0131c\u0131 hastal\u0131k olup on y\u0131llard\u0131r milyonlarca \u00e7ocu\u011fun \u00f6l\u00fcm\u00fcn\u00fcn a\u015f\u0131 ile engellendi\u011fi bilinmektedir.<\/p>\n

Bug\u00fcn i\u00e7inde bulundu\u011fumuz durum ise son k\u0131zam\u0131k \u00f6l\u00fcm\u00fcn\u00fc ya\u015famam\u0131zdan 13 y\u0131l sonra yeniden \u00f6l\u00fcmlerin ba\u015flad\u0131\u011f\u0131 kayg\u0131s\u0131d\u0131r. \u00dclkemizde de sa\u011fl\u0131k emek\u00e7ileri ba\u015far\u0131l\u0131 bir ba\u011f\u0131\u015f\u0131klama program\u0131 ile k\u0131zam\u0131k hastal\u0131\u011f\u0131n\u0131 eliminasyon a\u015famas\u0131na kadar getirmeyi ba\u015farm\u0131\u015ft\u0131. 2007-2010 y\u0131llar\u0131 aras\u0131nda K\u0131zam\u0131k olgu say\u0131s\u0131 10’u ge\u00e7miyordu. Ne oldu da yeniden k\u0131zam\u0131k salg\u0131n\u0131 ve k\u0131zam\u0131\u011fa ba\u011fl\u0131 \u00f6l\u00fcmlere tan\u0131k olmaya ba\u015flad\u0131k? TTB olarak, halk sa\u011fl\u0131\u011f\u0131na g\u00f6n\u00fcl verenler olarak bunun nedenini \u00e7ok iyi biliyoruz: Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 (SDP) ile koruyucu hizmetlerden tedavi edici hizmetlere evrilen birinci basamak ve a\u015f\u0131 kar\u015f\u0131tlar\u0131n\u0131n yaratt\u0131\u011f\u0131 a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131n\u0131n\/teredd\u00fcd\u00fcn\u00fcn b\u00fcy\u00fcmesi ve \u00fclkenin sa\u011fl\u0131k otoritesinin bu teredd\u00fcd\u00fc giderecek hi\u00e7bir etkili giri\u015fimde bulunmamas\u0131, sorumlulu\u011fu bireylere y\u00fcklemesidir\u201d<\/p>\n

\"\"<\/p>\n

\u201cA\u015eISIZ \u00c7OCUKLARIN BU KADAR Y\u00dcKSEK OLMASI S\u00dcRPR\u0130Z OLMAKTAN \u00c7IKMAKTADIR\u201d<\/strong><\/p>\n

Deprem nedeniyle artan n\u00fcfus hareketlili\u011fi, birinci basamak hizmetlerde ciddi aksamalar a\u015f\u0131s\u0131z ve eksik a\u015f\u0131l\u0131 \u00e7ocuklar\u0131n say\u0131s\u0131n\u0131 daha da art\u0131rd\u0131\u011f\u0131n\u0131 dile getiren Y\u0131ld\u0131r\u0131m; \u00a0\u201cT\u00fcm bunlara a\u015f\u0131lamalar\u0131 d\u00fczenli olarak yap\u0131lmayan sistem d\u0131\u015f\u0131 b\u0131rak\u0131lan m\u00fclteci n\u00fcfusu ve mevsimlik tar\u0131m i\u015f\u00e7ileri de eklenmelidir.<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n pandemi d\u00f6neminde daha da g\u00f6r\u00fcn\u00fcr hale gelen a\u015f\u0131 konusundaki ilgisizli\u011fi ve a\u015f\u0131 kar\u015f\u0131tlar\u0131na kar\u015f\u0131 suskunlu\u011fu ve a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131n\u0131 \u00f6nlemeye y\u00f6nelik ciddi bir \u00e7al\u0131\u015fma y\u00fcr\u00fctmemesi dikkate al\u0131nd\u0131\u011f\u0131nda a\u015f\u0131s\u0131z \u00e7ocuklar\u0131n bu kadar y\u00fcksek olmas\u0131 s\u00fcrpriz olmaktan \u00e7\u0131kmaktad\u0131r. Dahas\u0131 ailelerin a\u015f\u0131 reddi ile ilgili karar s\u00fcrecini kolayla\u015ft\u0131rma, aile hekimlerini de a\u015f\u0131 yapt\u0131rmayan \u00e7ocuklarla ilgili yorucu bir s\u00fcre\u00e7 yerine ret butonunu i\u015faretleme kolayc\u0131l\u0131\u011f\u0131 sorunun boyutunu b\u00fcy\u00fctmektedir.<\/p>\n

B\u00f6lge tabanl\u0131 hizmet yerine liste tabanl\u0131 hizmet, geni\u015f ekip yerine dar ekip, sahada hizmet yerine poliklini\u011fe daralma, aile sa\u011fl\u0131\u011f\u0131 hem\u015fire say\u0131s\u0131ndaki ciddi a\u00e7\u0131k ve a\u00e7l\u0131k s\u0131n\u0131r\u0131ndaki \u00fccretleri, artan i\u015f listesi ve performans bask\u0131s\u0131 ile cebelle\u015fen aile hekimli\u011fi sisteminin yap\u0131sal sorunlar\u0131 a\u015f\u0131s\u0131z n\u00fcfusun gittik\u00e7e y\u00fckselmeye ba\u015flamas\u0131 ile yak\u0131ndan ili\u015fkilidir\u201d dedi.<\/p>\n

\u00a0\u201c\u00d6L\u00dcMC\u00dcL K\u00d6RL\u00dcK G\u0130B\u0130 SAKATLIKLARA NEDEN OLAB\u0130L\u0130R\u201d<\/strong><\/p>\n

K\u0131zam\u0131\u011f\u0131n, \u00f6l\u00fcmc\u00fcl, k\u00f6rl\u00fck gibi sakatl\u0131klara neden olabilen, salg\u0131nlardan 7-10 y\u0131l sonra ortaya \u00e7\u0131kan santral sinir sisteminin kal\u0131c\u0131 k\u0131zam\u0131k vir\u00fcs enfeksiyonu Subakut sklerozan panensefalit (SSPE) gibi kal\u0131c\u0131 sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7an bir hastal\u0131k oldu\u011funu, iki doz a\u015f\u0131 ile \u00f6nlenebildi\u011fini s\u00f6yleyen ATO Y\u00f6netim kurulu \u00fcyesi Do\u00e7ent Dr. Figen Sar\u0131g\u00fcl Y\u0131ld\u0131r\u0131m; \u201cDaha \u00f6nce k\u0131zam\u0131k ge\u00e7irmemi\u015f veya k\u0131zam\u0131k a\u015f\u0131s\u0131 ile korunur hale gelmemi\u015f birisi k\u0131zam\u0131k ile kar\u015f\u0131la\u015f\u0131rsa, neredeyse y\u00fczde 100 hastalan\u0131r ve bu bir hasta ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda o hastal\u0131\u011f\u0131 ge\u00e7irme riskinin ve bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131n en y\u00fcksek oldu\u011fu hastal\u0131klardan biridir.<\/p>\n

\u00dclkemiz, D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (DS\u00d6) Avrupa B\u00f6lgesi K\u0131zam\u0131k ve K\u0131zam\u0131k\u00e7\u0131k Raporuna g\u00f6re, son bir y\u0131lda 457 K\u0131zam\u0131k vakas\u0131 ile Rusya ve Tacikistan’\u0131n ard\u0131ndan \u00fc\u00e7\u00fcnc\u00fc \u00fclkedir. Nisan 2022-May\u0131s 2023’te bildirilen 457 vakan\u0131n 343’\u00fc 2023 y\u0131l\u0131n\u0131n Ocak ve \u015eubat aylar\u0131na ait olup salg\u0131n\u0131n boyutu \u00f6zellikle 2023 y\u0131l\u0131nda gitgide artm\u0131\u015ft\u0131r. \u00dclkemizde 2023 y\u0131l\u0131 ilk d\u00f6rt ay\u0131nda K\u0131zam\u0131k \u00f6n tan\u0131s\u0131yla 2005 ki\u015fi incelenmi\u015f ve bunlar\u0131n 1440’\u0131nda K\u0131zam\u0131k laboratuvar tan\u0131s\u0131yla do\u011frulanm\u0131\u015ft\u0131r. K\u0131zam\u0131k vakalar\u0131n\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu 1-9 ya\u015f grubundad\u0131r.\u00a0 K\u0131zam\u0131k nedeniyle 242 ki\u015fi hastaneye yatm\u0131\u015ft\u0131r, bu olgular i\u00e7erisinde 1-9 ya\u015f \u00e7ocuklar en y\u00fcksektir.<\/p>\n

\u0130leri ya\u015f k\u0131zam\u0131k olgular\u0131n varl\u0131\u011f\u0131 uzun d\u00f6nem a\u015f\u0131 ile ilgili sorun ile y\u00fcz y\u00fcze oldu\u011fumuzu g\u00f6stermektedir. K\u0131zam\u0131k \u00f6n tan\u0131s\u0131yla incelenen olgularda a\u015f\u0131s\u0131z ve eksik a\u015f\u0131l\u0131lar \u00e7o\u011funluktad\u0131r. \u00d6zellikle K\u0131zam\u0131k komplikasyonlar\u0131 ve \u00f6l\u00fcm a\u00e7\u0131s\u0131ndan en riskli 5 ya\u015f alt\u0131nda a\u015f\u0131lanma durumu a\u00e7\u0131s\u0131ndan vakalar de\u011ferlendirildi\u011finde: 1 ya\u015f alt\u0131nda vakalar\u0131n neredeyse t\u00fcm\u00fc, 1-4 ya\u015fta ise yar\u0131s\u0131ndan fazlas\u0131 a\u015f\u0131s\u0131zd\u0131r\u201d diye konu\u015ftu.<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

K\u0131zam\u0131k vakalar\u0131n\u0131n h\u0131zla artmas\u0131 \u00fczerine yap\u0131lan oplant\u0131da konu\u015fan ATO Y\u00f6netim kurulu \u00fcyesi Do\u00e7ent Dr. Figen Sar\u0131g\u00fcl Y\u0131ld\u0131r\u0131m; “K\u0131zam\u0131k salg\u0131n\u0131n\u0131n ba\u015flad\u0131\u011f\u0131 2010 Aral\u0131k y\u0131l\u0131ndan itibaren de\u011fi\u015fmemi\u015ftir. \u00d6te yandan K\u0131zam\u0131k nedeniyle \u00f6l\u00fcmler oldu\u011funa dair sahadan bilgiler al\u0131nmaktad\u0131r.” dedi.<\/p>\n","protected":false},"author":1,"featured_media":102484,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[180,159,12290,536,177],"class_list":["post-102483","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-asi","tag-hasta","tag-kizamik","tag-olum","tag-saglik"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/102483","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=102483"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/102483\/revisions"}],"predecessor-version":[{"id":102485,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/102483\/revisions\/102485"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/102484"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=102483"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=102483"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=102483"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}