{"id":50231,"date":"2022-11-04T12:36:05","date_gmt":"2022-11-04T12:36:05","guid":{"rendered":"https:\/\/haberulus.net\/?p=50231"},"modified":"2022-11-04T12:36:05","modified_gmt":"2022-11-04T12:36:05","slug":"kuduz-tanisi-konulan-kucuk-cocukla-ilgili-son-durumu-belli-oldu","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=50231","title":{"rendered":"Kuduz tan\u0131s\u0131 konulan k\u00fc\u00e7\u00fck \u00e7ocukla ilgili son durumu belli oldu"},"content":{"rendered":"

Prof. Dr. Ali B\u00fclent Cengiz, “Kuduz vir\u00fcs\u00fc v\u00fccuda girmi\u015f olsa bile erken \u00f6nlemlerle bu \u00f6ld\u00fcr\u00fcc\u00fc hastal\u0131\u011f\u0131 \u00f6nleyebiliyoruz. Is\u0131r\u0131k fark edildi\u011fi an yara temizli\u011finin yap\u0131lmas\u0131, m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede sa\u011fl\u0131k kurulu\u015funa ba\u015fvurulmas\u0131 gerekiyor” uyar\u0131s\u0131nda bulundu.<\/b><\/p>\n

Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi \u00c7ocuk Enfeksiyon Hastal\u0131klar\u0131 Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Ali B\u00fclent Cengiz,\u00a0 yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, Bitlis\u2019te sahipsiz k\u00f6peklerin \u0131s\u0131rd\u0131\u011f\u0131 ve kuduz \u015f\u00fcphesiyle Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesine kald\u0131r\u0131lan 2 \u00e7ocu\u011fun sa\u011fl\u0131k durumu ve bu hastal\u0131\u011fa kar\u015f\u0131 al\u0131nabilecek \u00f6nlemler hakk\u0131ndaki bilgileri payla\u015ft\u0131.<\/p>\n

Hastalar\u0131n ekim ay\u0131 i\u00e7inde hastaneye sevk edildi\u011fini an\u0131msatan Cengiz, \u201c\u00c7ocuklar\u0131m\u0131zdan biri d\u00fcn taburcu edildi. Kuduz hastal\u0131\u011f\u0131na ait bir bulgu \u00e7\u0131kmad\u0131, temas sonras\u0131 a\u015f\u0131yla koruma s\u00fcrecini tamamlamak \u00fczereyiz, bir a\u015f\u0131s\u0131 kald\u0131.\u201d bilgisini payla\u015ft\u0131.<\/p>\n

10 ya\u015f\u0131ndaki di\u011fer \u00e7ocu\u011fun ise \u0131s\u0131r\u0131ld\u0131\u011f\u0131n\u0131n ge\u00e7 fark edildi\u011fini ve hastaneye geldi\u011finde \u0131s\u0131r\u0131lma yerinde yanma, kar\u0131ncalanma, kar\u0131n a\u011fr\u0131s\u0131, su korkusu gibi kuduz hastal\u0131\u011f\u0131 bulgular\u0131n\u0131n ba\u015flad\u0131\u011f\u0131n\u0131 vurgulayan Cengiz, \u201c\u00c7ocu\u011fumuz 21 Ekim\u2019den beri yo\u011fun bak\u0131m \u00fcnitesinde takip ediliyor, solunum cihaz\u0131na ba\u011fl\u0131. S\u0131v\u0131 tedavisiyle destekleniyor, kan bas\u0131nc\u0131ndaki y\u00fckselme ve d\u00fc\u015f\u00fc\u015fler engellenmeye \u00e7al\u0131\u015f\u0131l\u0131yor. Uyutularak a\u011fr\u0131 kesici veriliyor. Beynin etkilendi\u011fine dair \u00f6nemli bulgular var, durumu \u00e7ok kritik.\u201d diye konu\u015ftu.<\/p>\n

Prof. Dr. Cengiz, d\u00fcnya literat\u00fcr\u00fcnde \u015fu ana kadar kuduz olup ya\u015fayan 15-17 aras\u0131nda vaka bulundu\u011funa ve bu ki\u015filerin bir k\u0131sm\u0131nda a\u015f\u0131 olurken kuduz geli\u015fti\u011fine dikkati \u00e7ekerek, \u201cBu nedenle kuduz, geli\u015fen ki\u015filerde ya\u015famalar\u0131 i\u00e7in mucizelere gereksinim duyulan bir hastal\u0131k, ne yaz\u0131k ki.\u201d ifadesini kulland\u0131.<\/p>\n

\"\"<\/p>\n

Kuduzun erken m\u00fcdahale edildi\u011finde \u00f6nlenebilir bir hastal\u0131k oldu\u011funun alt\u0131n\u0131 \u00e7izen Cengiz, \u015f\u00f6yle konu\u015ftu:<\/p>\n

*Kuduz hastal\u0131\u011f\u0131, \u0131s\u0131r\u0131lmadan hemen sonra ba\u015flam\u0131yor, kulu\u00e7ka dedi\u011fimiz bir s\u00fcre var. Vir\u00fcs \u00f6nce \u0131s\u0131r\u0131lma yerindeki kas dokusunun i\u00e7inden sinir u\u00e7lar\u0131na giriyor ve oradan g\u00fcnde 1-2 santim kadar ilerleyerek beyne, omurili\u011fe ula\u015f\u0131yor.<\/p>\n

*Beyine ula\u015fmas\u0131yla birlikte tekrar v\u00fccuttaki t\u00fcm sinirlere iletiliyor ve dokular\u0131, organlar\u0131 etkiliyor, fel\u00e7 durumu geli\u015febiliyor.<\/p>\n

*Bu nedenle hastal\u0131k sinirler i\u00e7inde yay\u0131lmadan, vir\u00fcs orada \u00e7o\u011falmaya ba\u015flamadan s\u00fcrecini durdurabilirsek hastal\u0131\u011f\u0131 \u00f6nleyebiliyoruz.<\/p>\n

Prof. Dr. Cengiz, k\u00f6pekler taraf\u0131ndan \u0131s\u0131r\u0131lma, nadiren kedi taraf\u0131ndan t\u0131rmalanma veya kuduz bir hayvan\u0131n salyas\u0131n\u0131n bir insan\u0131n g\u00f6z, a\u011f\u0131z b\u00f6lgesine, derisinde yara veya \u00e7izik olan bir b\u00f6lgesine temas etmesi gibi risklerde, ailelerin izlemeleri gereken ad\u0131mlar\u0131 \u015fu s\u00f6zlerle anlatt\u0131:<\/p>\n

*B\u00f6yle bir durumda yara yerinin \u00e7ok iyi temizlenmesi laz\u0131m. \u00d6zellikle bas\u0131n\u00e7l\u0131, tazyikli su ve sabunla yara b\u00f6lgesinin temizlenmesi gerekiyor.<\/p>\n

*Ard\u0131ndan evde bulunan alkol i\u00e7eren antiseptikle o b\u00f6lge tekrar temizlenmeli ve en yak\u0131n sa\u011fl\u0131k kurulu\u015funa ba\u015fvurulmal\u0131.<\/p>\n

*T\u00fcm bunlar ne kadar erken yap\u0131l\u0131rsa o kadar iyi. Hastal\u0131k v\u00fccuda girdikten genelde 1-3 ay sonra geli\u015fiyor ama birka\u00e7 g\u00fcn i\u00e7inde semptom g\u00f6sterenler olabildi\u011fi gibi 19 y\u0131l sonra geli\u015fen hastal\u0131\u011f\u0131 da g\u00f6rebiliyoruz.<\/p>\n

*Bu nedenle kuduz riskinin \u00f6nlenmesi i\u00e7in \u0131s\u0131r\u0131k fark edildi\u011fi an yara temizli\u011finin yap\u0131lmas\u0131 ve m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede sa\u011fl\u0131k kurulu\u015funa ba\u015fvurulmas\u0131 gerekiyor.<\/p>\n

Kuduz riski bulunup sa\u011fl\u0131k kurulu\u015flar\u0131na ba\u015fvuran ki\u015filere, vir\u00fcs\u00fcn sinirlere ula\u015fmas\u0131n\u0131 engellemek i\u00e7in h\u0131zla a\u015f\u0131 uygulamas\u0131n\u0131n yap\u0131ld\u0131\u011f\u0131n\u0131 anlatan Cengiz, ayn\u0131 zamanda \u0131s\u0131ran hayvan\u0131n izlenmesinin de \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 dile getirdi.<\/p>\n

Prof. Dr. Cengiz, kuduzun tedavisinde a\u015f\u0131n\u0131n yan\u0131 s\u0131ra doku kay\u0131plar\u0131, deri yaralanmalar\u0131nda \u201cimmunoglobulin\u201d denilen haz\u0131r antikorlar\u0131n da hastaya verildi\u011fini belirterek, \u201cAileler, \u00e7ocuklar\u0131n\u0131n v\u00fccudundaki di\u015f izlerine, \u0131s\u0131r\u0131klara ve s\u0131yr\u0131klara kar\u015f\u0131 dikkatli olmal\u0131. \u00c7\u00fcnk\u00fc bazen \u00e7ocuklar ya\u015fad\u0131\u011f\u0131 durumu anlatamayabiliyor. Aile bir \u015f\u00fcphe ya\u015f\u0131yorsa bile sa\u011fl\u0131k kurumuna ba\u015fvurmal\u0131.\u201d diye konu\u015ftu.<\/p>\n

T\u00fcrkiye ve d\u00fcnyadaki kuduz g\u00f6r\u00fclme s\u0131kl\u0131klar\u0131na ili\u015fkin de bilgileri payla\u015fan Cengiz, \u015funlar\u0131 kaydetti:<\/p>\n

*\u00dclkemizde y\u0131lda yakla\u015f\u0131k 250 bin kuduz riskli temas oluyor. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131m\u0131z bu a\u015f\u0131lar\u0131 ve serumlar\u0131 \u00fccretsiz olarak uyguluyor, hastalar\u0131n takipleri yap\u0131l\u0131yor. D\u00fcnyada y\u0131lda yakla\u015f\u0131k 36 bin ki\u015fi kuduz nedeniyle kaybediliyor, bunlar Asya ve Afrika \u00fclkelerinde.<\/p>\n

*Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 verilerine g\u00f6re, \u00fclkemizde de y\u0131lda 1 veya 2 kuduz vakas\u0131 g\u00f6r\u00fcl\u00fcyor. Kuduz vir\u00fcs\u00fc v\u00fccuda girmi\u015f olsa bile erken uygulanacak \u00f6nlemlerle, a\u015f\u0131 ve serumla bu \u00f6ld\u00fcr\u00fcc\u00fc hastal\u0131\u011f\u0131 \u00f6nleyebiliyoruz. Bu a\u00e7\u0131dan dikkatli olunmas\u0131 \u00f6nem ta\u015f\u0131yor.<\/p>\n

Cengiz, kuduzla m\u00fccadelenin hayvanlara k\u00f6t\u00fc davran\u0131lmas\u0131 anlam\u0131na gelmemesi gerekti\u011fini de vurgulayarak, \u201cHayvanlara k\u00f6t\u00fc davran\u0131lmas\u0131, eziyet, i\u015fkence yap\u0131lmas\u0131na kesinlikle kar\u015f\u0131y\u0131z. Biz insan sa\u011fl\u0131\u011f\u0131 \u00fczerinden korunma y\u00f6ntemlerini anlat\u0131yoruz, hayvanlara olumsuz eylemlerin ise kar\u015f\u0131s\u0131nday\u0131z.\u201d ifadelerini kulland\u0131. (AA)<\/p>\n","protected":false},"excerpt":{"rendered":"

Prof. Dr. Ali B\u00fclent Cengiz, “Kuduz vir\u00fcs\u00fc v\u00fccuda girmi\u015f olsa bile erken \u00f6nlemlerle bu \u00f6ld\u00fcr\u00fcc\u00fc hastal\u0131\u011f\u0131 \u00f6nleyebiliyoruz. Is\u0131r\u0131k fark edildi\u011fi …<\/p>\n","protected":false},"author":1,"featured_media":50232,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[180,2529,902,8918,177],"class_list":["post-50231","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-asi","tag-cengiz","tag-hastaligi","tag-kuduz","tag-saglik"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/50231","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=50231"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/50231\/revisions"}],"predecessor-version":[{"id":50233,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/50231\/revisions\/50233"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/50232"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50231"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50231"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}