{"id":10601,"date":"2022-07-20T02:51:03","date_gmt":"2022-07-20T02:51:03","guid":{"rendered":"https:\/\/haberulus.net\/?p=10601"},"modified":"2022-07-20T02:51:03","modified_gmt":"2022-07-20T02:51:03","slug":"pandemide-cocuklarda-atese-dikkat","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=10601","title":{"rendered":"Pandemide \u00e7ocuklarda ate\u015fe dikkat"},"content":{"rendered":"

Son g\u00fcnlerde \u00e7ocuk acil servislerinin \u00e7o\u011funu ate\u015fli \u00e7ocuklar\u0131n olu\u015fturdu\u011funu belirten Dr. Banu Yaz\u0131c\u0131, \u201cBu sorun, Covid-19 vakalar\u0131n\u0131n da artt\u0131\u011f\u0131 bug\u00fcnlerde bir\u00e7ok hastal\u0131ktan kaynaklanabiliyor\u201d dedi.<\/b><\/p>\n

Ate\u015f, bir semptomdur, en s\u0131k g\u00f6r\u00fclme nedeni ise enfeksiyonlard\u0131r. Bug\u00fcnlerde Covid-19’un alt varyantlar\u0131 BA.4 ve BA.5 nedeniyle vaka say\u0131lar\u0131 giderek artarken, bu yeni varyantlar\u0131n da grip, ve ishalde oldu\u011fu gibi y\u00fcksek ate\u015fe yol a\u00e7t\u0131\u011f\u0131na dikkat \u00e7eken \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Banu Yaz\u0131c\u0131, ailelere \u00e7ocuklarda y\u00fcksek ate\u015fle ilgili \u015fu bilgileri verdi:<\/p>\n

\"\"<\/p>\n

Dr. Banu Yaz\u0131c\u0131<\/p>\n<\/div>\n

Belirtileri ay\u0131rt etmek zor<\/b><\/p>\n

\u00d6zellikle 2019’da patlak veren coronavir\u00fcs enfeksiyonlar\u0131 bu aylarda da en s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz nedenler aras\u0131nda yer almaktad\u0131r. Bu sene pandemi ko\u015fullar\u0131n\u0131n de\u011fi\u015fmesiyle birlikte grip vakalar\u0131 da artt\u0131. Hastalar\u0131n acile ba\u015fvuru sebepleri genellikle ate\u015f, burun ak\u0131nt\u0131s\u0131, \u00f6ks\u00fcr\u00fck, bo\u011faz a\u011fr\u0131s\u0131, kar\u0131n a\u011fr\u0131s\u0131 olmaktad\u0131r, bu semptomlar di\u011fer viral enfeksiyon kaynaklar\u0131 gibi Covid ve \u0130nfluenza’da da benzerdir. \u00d6zellikle son d\u00f6nemde g\u00f6r\u00fclen Omicron’un alt varyantlar\u0131 BA.4 ve BA.5’in belirtilerini \u0130nfluenza’dan ay\u0131rt etmek \u00e7ok g\u00fc\u00e7t\u00fcr. Bu nedenle PCR antijen tarama testleri ile tan\u0131 konulabilir.<\/p>\n

\"\"<\/p>\n

Akut bron\u015fiyolit<\/b><\/p>\n

Ate\u015fe, \u00f6ks\u00fcr\u00fck ve nefes darl\u0131\u011f\u0131n\u0131n da e\u015flik etti\u011fi akut bron\u015fiyolit vakalar\u0131 bir di\u011fer ate\u015f nedenidir. Bir alt solunum yolu enfeksiyonudur. Hastal\u0131\u011fa RSV ad\u0131 verilen bir vir\u00fcs neden olur. \u0130lk 1 ya\u015fta s\u0131k g\u00f6r\u00fcl\u00fcr. S\u0131k ve zorlu nefes alma, beslenme azalmas\u0131, burun t\u0131kan\u0131kl\u0131\u011f\u0131 ile giden bir hastal\u0131kt\u0131r. Tedavisi a\u011f\u0131zdan s\u0131v\u0131 al\u0131m\u0131n\u0131n yerine konulup oksijen tedavisidir. Bron\u015f a\u00e7\u0131c\u0131 ila\u00e7lar da kullan\u0131labilmektedir.<\/p>\n

\"\"<\/p>\n

\u0130shal<\/b><\/p>\n

Acillerde ate\u015fe e\u015flik eden kusma ishal vakalar\u0131 da s\u0131k g\u00f6r\u00fclmektedir. En \u00e7ok ishal ve kusma yapan enfeksiyon etkenleri koronavi\u00fcs, rotavir\u00fcs, adenovir\u00fcs ve n\u00f6rovir\u00fcs gibi vir\u00fcslerdir. \u00c7ocuklarda diren\u00e7li ate\u015f, halsizlik, kusma, d\u00fc\u015fmeyen ate\u015f, a\u011f\u0131zdan al\u0131m\u0131n azalmas\u0131 gibi durumlar\u00a0 hastane yat\u0131\u015flar\u0131na neden olmaktad\u0131r. Ailelerin d\u00fc\u015fmeyen ate\u015f, g\u00fcnde 8-10 dan fazla kusma ve ishal geli\u015fen \u00e7ocuklar\u0131 mutlaka hekime g\u00f6t\u00fcrmeleri gerekir.<\/p>\n

\u0130drar yolu enfeksiyonu<\/b><\/p>\n

Ate\u015f yapan di\u011fer bir neden idrar yolu enfeksiyonudur. \u00d6zellikle k\u0131z \u00e7ocuklar\u0131nda daha s\u0131k g\u00f6r\u00fcl\u00fcr. 1 ya\u015f \u00f6ncesinde idrar yolu enfeksiyonu s\u0131k ge\u00e7iriliyorsa \u00e7ok iyi analiz edilmelidir. Ate\u015f, kusma, kar\u0131n a\u011fr\u0131s\u0131 \u015fikayetlerine yol a\u00e7an bu sorunda tedavi etkene y\u00f6nelik antibiyotiklerle yap\u0131l\u0131r.<\/p>\n

\"\"<\/p>\n

Di\u011fer nedenler<\/b><\/p>\n

Oda s\u0131cakl\u0131\u011f\u0131n\u0131n fazla olmas\u0131, s\u0131v\u0131 kay\u0131plar\u0131, \u00f6zellikle s\u00fct \u00e7ocuklu\u011fu d\u00f6neminde di\u015f \u00e7\u0131karma d\u00f6nemleri, kanserler, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131klar, \u00e7ocukluk \u00e7a\u011f\u0131 d\u00f6k\u00fcnt\u00fcl\u00fc hastal\u0131klar\u0131 da (k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, su\u00e7i\u00e7e\u011fi gibi) ate\u015f semptomlar\u0131 ile kendini g\u00f6stermektedir.<\/p>\n

\u0130\u015fte tedavi yollar\u0131<\/b><\/p>\n

PCR sonucuna g\u00f6re hasta, e\u011fer \u0130nfluenza ise\u00a0 antiviral ila\u00e7 ile tedavi etmek m\u00fcmk\u00fcnd\u00fcr. Ancak \u00e7ocuklarda Covid enfeksiyonuna y\u00f6nelik ila\u00e7 maalesef bulunmamaktad\u0131r. Sadece destek tedavisi yap\u0131lmaktad\u0131r (C vitamini, duruma g\u00f6re D vitamini, bol s\u0131v\u0131 ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc takipleri ile) Covid enfeksiyonlar\u0131 bazen enfeksiyon sonras\u0131 ilk 11 ay i\u00e7erisinde MISC tablosuyla kar\u015f\u0131m\u0131za \u00e7\u0131kabilmektedir. Ate\u015f, v\u00fccut d\u00f6k\u00fcnt\u00fcleri ve kalp problemleri (sitokin f\u0131rt\u0131nas\u0131) nedeniyle yo\u011fun bak\u0131m yat\u0131\u015flar\u0131\u00a0 (y\u00fczde 1 oran\u0131nda) olmaktad\u0131r. \u0130nfluenza’da ise ate\u015f ve \u015fikayetler genellikle ila\u00e7 ba\u015fland\u0131ktan 1-2 g\u00fcn sonra d\u00fczelir ancak bu d\u00f6nemde bula\u015ft\u0131r\u0131c\u0131l\u0131k devam etmektedir. Bazen de di\u011fer enfeksiyonlar eklenip kulak a\u011fr\u0131s\u0131, \u00f6ks\u00fcr\u00fck \u015fikayetleri yaparak sin\u00fczit, kulak enfeksiyonlar\u0131, zat\u00fcrre gibi durumlar olu\u015fabilir ve antibiyotik kullanmak gerekebilir.<\/p>\n

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

Son g\u00fcnlerde \u00e7ocuk acil servislerinin \u00e7o\u011funu ate\u015fli \u00e7ocuklar\u0131n olu\u015fturdu\u011funu belirten Dr. Banu Yaz\u0131c\u0131, \u201cBu sorun, Covid-19 vakalar\u0131n\u0131n da artt\u0131\u011f\u0131 …<\/p>\n","protected":false},"author":1,"featured_media":10602,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[1277,765,3067,378],"class_list":["post-10601","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-ates","tag-cocuk","tag-enfeksiyon","tag-neden"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/10601","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=10601"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/10601\/revisions"}],"predecessor-version":[{"id":10603,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/10601\/revisions\/10603"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/10602"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10601"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10601"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10601"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}