\u0130n\u015faat i\u015f\u00e7isi 6 \u00e7ocuk babas\u0131 Dervi\u015f Aslan (44), pasl\u0131 b\u0131\u00e7akla eli kesilince acil servise ba\u015fvurdu. Tetanos a\u015f\u0131s\u0131n\u0131n oldu\u011funu s\u00f6yledi\u011fi i\u00e7in kesik tedavisi yap\u0131ld\u0131 ve taburcu edildi. Ancak 3-4 g\u00fcn sonra \u015fiddetli kas\u0131lmalar ve \u015fuuru kapal\u0131 bir \u015fekilde tekrar acile kald\u0131r\u0131ld\u0131. 10 y\u0131lda bir yapt\u0131r\u0131lmas\u0131 gereken tetanos a\u015f\u0131s\u0131 olmad\u0131\u011f\u0131 i\u00e7in tetanos mikrobu beynini etkiledi ve \u00f6l\u00fcmc\u00fcl ensefalit tablosu olu\u015ftu. <\/b><\/p>\n
\u0130stanbul\u2019da in\u015faat i\u015f\u00e7ili\u011fi yapan 6 \u00e7ocuk babas\u0131 44 ya\u015f\u0131ndaki Dervi\u015f Aslan, pasl\u0131 b\u0131\u00e7akla elini kesti. 5-6 ay \u00f6nce tetanos a\u015f\u0131s\u0131 yapt\u0131rd\u0131\u011f\u0131n\u0131 s\u00f6yledi\u011fi i\u00e7in acilde uygulanan kesik tedavisinin ard\u0131ndan taburcu edildi. Bo\u011faz\u0131nda \u015fi\u015fme, y\u00fcksek ate\u015f \u00fczerine bademcik enfeksiyonu ge\u00e7irdi\u011fini sansa da 4 g\u00fcn sonra \u015fiddetli kas\u0131lma n\u00f6betleriyle tekrar acil servise kald\u0131r\u0131ld\u0131.<\/p>\n
Okmeydan\u0131 Prof. Dr. Cemil Ta\u015f\u00e7\u0131o\u011flu \u015eehir Hastanesinde yo\u011fun bak\u0131ma al\u0131nan talihsiz adam\u0131n tetanos oldu\u011fu ve a\u015f\u0131s\u0131n\u0131n da olmad\u0131\u011f\u0131 anla\u015f\u0131ld\u0131. Aslan\u0131n beyni tetanos mikrobuyla enfekte oldu, 28 g\u00fcn\u00fc uyutularak toplam 45 g\u00fcn yo\u011fun bak\u0131mda tedavi g\u00f6rd\u00fc. Bu s\u00fcre\u00e7te hastal\u0131\u011f\u0131n etkisiyle b\u00f6brekleri iflas\u0131n e\u015fi\u011fine geldi, diyalize al\u0131nd\u0131.<\/p>\n
Tedavisini ger\u00e7ekle\u015ftiren Anestezi ve Reanimasyon Klinik \u015eefi Prof. Dr. Namigar Turgut, hastan\u0131n kendilerine geldi\u011finde kemiklerinde k\u0131r\u0131k olu\u015fturacak \u015fiddette kas\u0131lmalar\u0131 oldu\u011funu, ilk 24 saat i\u00e7inde kaybedeceklerini d\u00fc\u015f\u00fcnd\u00fcklerini ama haftalar s\u00fcren ba\u015far\u0131l\u0131 tedavilerle Aslan\u0131n hi\u00e7bir engeli dahi kalmadan hayat\u0131n\u0131 s\u00fcrd\u00fcrebilece\u011fini s\u00f6yledi. Prof. Dr. Turgut, \u201cHastam\u0131z \u00e7ok \u015fansl\u0131yd\u0131, erken m\u00fcdahale ve do\u011fru tedavi ile hayata d\u00f6nd\u00fcr\u00fcld\u00fc.<\/p>\n
A\u015f\u0131n\u0131z yoksa tetanos enfeksiyonunun maalesef \u00f6ld\u00fcr\u00fcc\u00fcl\u00fc\u011f\u00fc \u00e7ok y\u00fcksek. \u00d6zellikle in\u015faat i\u015f\u00e7ileri, tar\u0131mla u\u011fra\u015fanlar ve gebeler, 10 y\u0131lda bir tekrarlanmas\u0131 gereken tetanos a\u015f\u0131lar\u0131n\u0131n hat\u0131rlatma dozunu mutlaka yapt\u0131rmal\u0131\u201d dedi.<\/p>\n
\u2018\u015e\u0130DDETL\u0130 KASILMALAR KEM\u0130KLERDE KIRI\u011eA DAH\u0130 YOL A\u00c7AB\u0130L\u0130R\u2019<\/strong><\/p>\n Prof. Dr. Turgut, Aslan\u0131n yakla\u015f\u0131k 50 g\u00fcn \u00f6nce enfekte b\u0131\u00e7akla yaralanma sonucu acile ba\u015fvurdu\u011funu anlatarak \u015fu bilgileri verdi: \u201cElini kesip enfekte materyalle yap\u0131\u015ft\u0131r\u0131p acil servise gelmi\u015f. Tetanos i\u00e7in a\u015f\u0131 durumu sorulmu\u015f ve a\u015f\u0131s\u0131n\u0131n oldu\u011funu beyan etmi\u015f. Bunun \u00fczerine gerekli tedavisi verilerek taburcu edilmi\u015f.<\/p>\n Yakla\u015f\u0131k 4 g\u00fcn sonra \u00f6zellikle y\u00fcz ve \u00e7ene kaslar\u0131nda \u00e7ok ciddi kas\u0131lmalar, \u015fuur bozuklu\u011fu ve nefes almakta g\u00fc\u00e7l\u00fck \u015fikayetiyle acile tekrar ba\u015fvurmu\u015flar. Had safhada kas\u0131lmalar\u0131 vard\u0131 ki bu kas\u0131lmalar bazen kemiklerde k\u0131r\u0131klara bile neden olabiliyor. Biz hasta bu haldeyken acil serviste g\u00f6rd\u00fck. Hemen solumu i\u00e7in trakeostomisini a\u00e7t\u0131k (bo\u011faz\u0131na kan\u00fcl yerle\u015ftirilmesi) ve yo\u011fun bak\u0131ma kald\u0131rd\u0131k. Yakla\u015f\u0131k 45 g\u00fcn kadar yo\u011fun bak\u0131mda kald\u0131.<\/p>\n Beyindeki sinirler de tetanos mikrobuyla tutuldu\u011fu i\u00e7in ensefalit tablosu olu\u015fmu\u015ftu. Bu yo\u011fun tedavi s\u0131ras\u0131nda u\u00e7 organlar dedi\u011fimiz ba\u015fta b\u00f6brekler olmak \u00fczere hasar g\u00f6rmeye ba\u015flad\u0131. Diyaliz tedavisi de ald\u0131. Art\u0131k beyinde tetanos mikrobunun yaratt\u0131\u011f\u0131 hasar\u0131n yava\u015f yava\u015f ortadan kalkt\u0131\u011f\u0131n\u0131 g\u00f6rd\u00fckten sonra \u00f6ncelikle solunum cihaz\u0131ndan ay\u0131rd\u0131k.<\/p>\n \u015euuru a\u00e7\u0131ld\u0131 ve yo\u011fun bir fizik tedavi program\u0131na ba\u015flad\u0131k. Bu s\u00fcre\u00e7ten sonra da art\u0131k y\u00fcr\u00fcyebilir, konu\u015fabilir ve kendisi yiyip i\u00e7ebilir vaziyete geldi. K\u0131sa s\u00fcre sonra normal hayat\u0131na herkes gibi devam edebilecek. Gecikseydi kesin \u00f6l\u00fcmle sonu\u00e7lan\u0131rd\u0131. Ben meslek hayat\u0131mda 33 y\u0131l\u0131m\u0131 doldurdum, 2 tane gebe tetanos vakas\u0131 g\u00f6rd\u00fcm ve bir de bu hasta i\u015fte\u201d<\/p>\n \u201cHASARSIZ \u0130Y\u0130LE\u015eMES\u0130 B\u0130Z\u0130M \u0130\u00c7\u0130N B\u0130LE MUC\u0130ZE OLDU\u201d<\/strong><\/p>\n Aslan\u2019\u0131n bu a\u011f\u0131r tablonun ard\u0131ndan hi\u00e7 hasars\u0131z hayat\u0131n\u0131 s\u00fcrd\u00fcrebilecek olmas\u0131n\u0131n kendileri a\u00e7\u0131s\u0131ndan da \u00e7ok \u015fa\u015f\u0131rt\u0131c\u0131 oldu\u011funu s\u00f6yleyen Prof. Dr. Turgut, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc: Bizler a\u00e7\u0131s\u0131ndan da hastan\u0131n ya\u015f\u0131yor olmas\u0131 mucize. Bize geldi\u011fi andan itibaren 5-6 saat i\u00e7erisinde kaybedece\u011fimizi d\u00fc\u015f\u00fcnd\u00fck. \u00c7\u00fcnk\u00fc en a\u011f\u0131r formda geldi. A\u015f\u0131 ger\u00e7ekten \u00e7ok \u00f6nemli. Tetanos a\u00e7\u0131s\u0131ndan riskli gruptakilerin mutlaka hat\u0131rlatma dozlar\u0131n\u0131 yapt\u0131rmas\u0131 gerekiyor.<\/p>\n \u00d6zellikle gebeler, in\u015faat i\u015f\u00e7ileri, ba\u011fda bah\u00e7ede toprakla me\u015fgul olanlar rapel dozlar\u0131n\u0131 mutlaka yapt\u0131rmal\u0131. \u00c7\u00fcnk\u00fc bunun \u015fakas\u0131 yok. Tek bir kurtulu\u015f var bu hastal\u0131ktan, a\u015f\u0131n\u0131z varsa g\u00fcvendesiniz. Bir de piercing, d\u00f6vme gibi i\u015flemlerde a\u00e7\u0131k yara olu\u015fuyor ve elimizle bile temas etti\u011fimizde e\u011fer tetanos mikrobu ta\u015f\u0131yorsan\u0131z, hastal\u0131\u011fa yakalanma riskiniz \u00e7ok y\u00fcksek\u201d<\/p>\n \u201cBADEMC\u0130K SANDIK ME\u011eERSE TETANOSA YAKALANMI\u015e\u201d<\/strong><\/p>\n Dervi\u015f Aslan\u2019\u0131n a\u011fabeyi Yusuf Aslan (46), basit bir kesik ile ba\u015flayan s\u00fcrecin \u00f6l\u00fcmc\u00fcl bir tabloya d\u00f6n\u00fc\u015fmesinin \u015fokunu hala atlatamad\u0131klar\u0131n\u0131 kaydederek \u015funlar\u0131 anlatt\u0131: Elini kestikten sonra hastaneye geldik. Hocalar tedavisini yapt\u0131lar, plastik cerrahi ve acil doktorlar\u0131m\u0131z. (Tetanos) a\u015f\u0131s\u0131n\u0131n olup olmad\u0131\u011f\u0131n\u0131 sordular. Karde\u015fim de oldum dedi. Tetanos a\u015f\u0131s\u0131 oldun mu diye doktorlar\u0131 tekrar sordu. Karde\u015fim de 4-5 ay \u00f6nce oldu\u011funu s\u00f6yledi.<\/p>\n Tedavi yap\u0131p eve g\u00f6nderdiler. Birka\u00e7 g\u00fcn sonra bo\u011faz\u0131m a\u011fr\u0131yor dedi. Biz de so\u011fuk su i\u00e7ti\u011fi i\u00e7in bademciklerinde enfeksiyon oldu\u011funu d\u00fc\u015f\u00fcnd\u00fck. O g\u00fcn sabah ben i\u015fe gitmi\u015ftim, durumunu sormak i\u00e7in evi arad\u0131\u011f\u0131mda di\u011fer karde\u015fim, rahats\u0131zland\u0131\u011f\u0131n\u0131 ve hastaneye g\u00f6t\u00fcrd\u00fcklerini s\u00f6yledi. Geldi\u011finde k\u00f6t\u00fc durumdayd\u0131 hakikaten.<\/p>\n \u015eiddetli kas\u0131lmalar\u0131 vard\u0131. \u00c7ok k\u00f6t\u00fcyd\u00fc. Yo\u011fun bak\u0131ma ald\u0131lar, 28 g\u00fcn ent\u00fcbe kald\u0131. \u00c7ok \u015f\u00fck\u00fcr uyand\u0131 art\u0131k. \u015eimdi bizimle konu\u015fuyor, y\u00fcr\u00fct\u00fcyoruz. Ger\u00e7ekten bu kadar basit bir kesikten bu hale gelmi\u015f olmas\u0131 \u00e7ok k\u00f6t\u00fc. Tetanos a\u015f\u0131s\u0131 o kadar \u00f6nemli ki, hi\u00e7 ihmal etmemek gerekiyor, 10 y\u0131lda bir hat\u0131rlatma dozunu yapt\u0131rmak gerekiyor. Ben de in\u015faatta \u00e7al\u0131\u015f\u0131yorum benim de a\u015f\u0131m var.\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":" \u0130n\u015faat i\u015f\u00e7isi 6 \u00e7ocuk babas\u0131 Dervi\u015f Aslan (44), pasl\u0131 b\u0131\u00e7akla eli kesilince acil servise ba\u015fvurdu. Tetanos a\u015f\u0131s\u0131n\u0131n oldu\u011funu s\u00f6yledi\u011fi i\u00e7in kesik …<\/p>\n","protected":false},"author":1,"featured_media":33330,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[1874,180,82,159,6862],"class_list":["post-33329","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-acil","tag-asi","tag-gun","tag-hasta","tag-tetanos"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/33329","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=33329"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/33329\/revisions"}],"predecessor-version":[{"id":33331,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/33329\/revisions\/33331"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/33330"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=33329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=33329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=33329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}