{"id":51377,"date":"2022-11-07T02:06:13","date_gmt":"2022-11-07T02:06:13","guid":{"rendered":"https:\/\/haberulus.net\/?p=51377"},"modified":"2022-11-07T02:06:13","modified_gmt":"2022-11-07T02:06:13","slug":"grip-bu-yil-cok-guclu","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=51377","title":{"rendered":"Grip bu y\u0131l \u00e7ok g\u00fc\u00e7l\u00fc"},"content":{"rendered":"

Son g\u00fcnlerde influenza A vir\u00fcs\u00fcn\u00fcn H3N2 tipinin yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Prof. Dr. Aynur Eren Topkaya, \u2018\u2018Bu hastal\u0131k domuz gribine benzetilse de birka\u00e7 y\u0131lda bir salg\u0131n yapan farkl\u0131 bir grip tipi. Hem yeti\u015fkinler, hem de \u00e7ocuklarda daha \u015fiddetli seyrediyor\u2019\u2019 dedi\u2026<\/b><\/p>\n

Bir s\u00fcredir \u00f6ks\u00fcr\u00fck, ate\u015f, kas a\u011fr\u0131lar\u0131 gibi \u015fikayetler \u00e7ok yayg\u0131n. Dolay\u0131s\u0131yla bu belirtiler Covid-19 mu yoksa mu yoksa grip mi (influenza) endi\u015fesine yol a\u00e7\u0131yor. Ancak son zamanlarda influenza A’n\u0131n, koronavir\u00fcs alt varyantlar\u0131yla benzer belirtilere yol a\u00e7an H3N2 tipinin yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten T\u0131bbi Mikrobiyoloji Uzman\u0131 Prof. Dr. Aynur Eren Topkaya. bu konudaki sorular\u0131m\u0131 \u015f\u00f6yle yan\u0131tlad\u0131\u2026<\/p>\n

\"\"<\/p>\n

Prof. Dr. Aynur Eren Topkaya<\/p>\n<\/div>\n

DOMUZ GR\u0130B\u0130NE BENZET\u0130L\u0130YOR<\/b><\/p>\n

\u25a0 Son g\u00fcnlerde hangi \u00fcst solunum yolu enfeksiyonu yayg\u0131n?\u00a0<\/strong><\/p>\n

Son g\u00fcnlerde saptad\u0131\u011f\u0131m\u0131z influenza vir\u00fcs\u00fcn\u00fcn H3N2 tipi. Domuz gribine benzetilse de bu vir\u00fcs birka\u00e7 y\u0131lda bir salg\u0131n yapan farkl\u0131 bir infuenza tipi. Hem yeti\u015fkinler, hem de \u00e7ocuklarda daha \u015fiddetli seyrediyor. Mevsimsel influenzaya g\u00f6re daha \u015fiddetli salg\u0131nlar yap\u0131yor ki \u015fu anda \u00fcst solunum yolu \u015fikayetiyle ba\u015fvuranlar\u0131n hastalar\u0131n \u00e7o\u011funlu\u011funda bu vir\u00fcs\u00fc sapt\u0131yoruz.<\/p>\n

\"\"<\/p>\n

TEDB\u0130RLER KALKTI, HASTALIKLAR ARTTI<\/b><\/p>\n

\u25a0 Bu beklenen bir durum muydu?<\/strong><\/p>\n

Evet, \u00e7\u00fcnk\u00fc influenza vir\u00fcs\u00fc de koronavir\u00fcs ile ayn\u0131 \u015fekilde bula\u015f\u0131yor. Son 3 y\u0131lda Covid-19 nedeniyle bir\u00e7ok \u00f6nlem al\u0131nm\u0131\u015ft\u0131 ki bunlar\u0131n ba\u015f\u0131nda maske geliyor. Bu s\u0131k\u0131 \u00f6nlemler sayesinde koronavir\u00fcs ile birlikte influenza ve di\u011fer solunum yoluyla bula\u015fan mikroplar\u0131n da yay\u0131lmas\u0131n\u0131 \u00f6nlemi\u015ftik ama art\u0131k maskeler \u00e7\u0131kt\u0131, \u00f6nlemler kalkt\u0131. Bununla birlikte birka\u00e7 senedir toplumda bu vir\u00fcslerin neden oldu\u011fu salg\u0131nlar ya\u015fanmad\u0131\u011f\u0131 i\u00e7in bunlara kar\u015f\u0131 hassas insanlar artt\u0131. Her sene hastal\u0131kla kar\u015f\u0131la\u015ft\u0131k\u00e7a ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131m\u0131z art\u0131yordu. Birka\u00e7 senedir bu vir\u00fcslerle hi\u00e7 kar\u015f\u0131la\u015fmad\u0131\u011f\u0131m\u0131z i\u00e7in \u015fu anda bir\u00e7ok insan viral solunum yolu hastal\u0131klar\u0131na yakalanma riskiyle kar\u015f\u0131 kar\u015f\u0131ya. Dolay\u0131s\u0131yla bu sene daha fazla ki\u015fi \u00fcst solunum yolu enfeksiyonlar\u0131na neden olan vir\u00fcslerden etkileniyor.<\/p>\n

\"\"<\/p>\n

ZAT\u00dcRREYE KADAR G\u0130DEN TABLOLAR VAR<\/b><\/p>\n

\u25a0 Peki vir\u00fcs g\u00fc\u00e7lenmi\u015f mi?<\/strong><\/p>\n

Evet, bu vir\u00fcs\u00fcn genetik yap\u0131s\u0131nda da her y\u0131l farkl\u0131l\u0131klar oluyor. Influenza vir\u00fcs\u00fcyle (grip vir\u00fcs\u00fc) zaten s\u00fcrekli genetik de\u011fi\u015fime u\u011frad\u0131\u011f\u0131 i\u00e7in her y\u0131l kar\u015f\u0131la\u015f\u0131yoruz. Ama birka\u00e7 senedir Covid-19 \u00f6nlemleri sayesinde toplumda rahat dola\u015famad\u0131\u011f\u0131 i\u00e7in 3-4 sene \u00f6ncesine g\u00f6re daha fazla genetik olarak de\u011fi\u015fmi\u015f bir vir\u00fcsle kar\u015f\u0131 kar\u015f\u0131yay\u0131z diyebiliriz. Hem toplumun bu vir\u00fcsle kar\u015f\u0131la\u015fmad\u0131\u011f\u0131 i\u00e7in ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131n d\u00fc\u015fmesi hem de vir\u00fcs\u00fcn yap\u0131s\u0131ndaki genetik de\u011fi\u015fim nedeniyle vir\u00fcsten etkilenme riski ile kar\u015f\u0131 kar\u015f\u0131ya geldik. Dolay\u0131s\u0131yla bug\u00fcn i\u00e7in b\u00f6yle \u015fiddetli semptomlarla yayg\u0131n hastal\u0131k tablosu ya\u015fan\u0131yor. Y\u00fcksek ate\u015f, kemik a\u011fr\u0131s\u0131, eklem a\u011fr\u0131s\u0131, kas a\u011fr\u0131s\u0131 a\u015f\u0131r\u0131 yorgunluk, halsizlik hatta ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanan ki\u015filerde zat\u00fcrreye kadar gidebilen a\u011f\u0131r formlarda seyreden klinik tablolar ba\u015flad\u0131.<\/p>\n

\u25a0 \u015eikayetler daha m\u0131 \u015fiddetli?<\/strong><\/p>\n

Daha \u00f6nceki y\u0131llara g\u00f6re hem yeti\u015fkinlerde hem \u00e7ocuklarda \u015fikayetlerin daha \u015fiddetli ge\u00e7ti\u011fini g\u00f6r\u00fcyoruz. \u00dcstelik ilgin\u00e7 bir \u015fekilde \u00e7ocuklarda da olduk\u00e7a yo\u011fun. \u00d6rne\u011fin \u015fu anda \u00fcst solunum yolu \u015fikayetiyle gelen her \u00fc\u00e7 \u00e7ocuktan biri influenza A \u00e7\u0131k\u0131yor. \u015eikayetler de daha uzun s\u00fcr\u00fcyor.<\/p>\n

\u25a0 H3N2 tehlikeli mi?\u00a0<\/strong><\/p>\n

Elbette tehlikelidir. \u00c7\u00fcnk\u00fc yeti\u015fkinlerde solunum fonksiyonlar\u0131n\u0131n ileri derecede bozulmas\u0131na neden olabildi\u011fi i\u00e7in hastada oksijenin azalmas\u0131na neden olabilir. Bu da dikkat bozuklu\u011fu, zihinsel fonksiyonlar\u0131nda bozuklu\u011fa kadar gidebilecek bir tabloya neden olabilir. \u00c7ocuklarda ise en b\u00fcy\u00fck sorun su kayb\u0131. Y\u00fcksek ate\u015f s\u0131v\u0131 kayb\u0131na neden olaca\u011f\u0131ndan bu da di\u011fer h\u00fccrelerin de fonksiyonlar\u0131n\u0131n bozulmas\u0131na neden olur. Bu nedenle hem yeti\u015fkin hem \u00e7ocuk hastalar\u0131n mutlaka s\u0131v\u0131 t\u00fcketmesi gerekir. E\u011fer s\u0131v\u0131 t\u00fcketmede sorun ya\u015fan\u0131yorsa da serum tak\u0131larak v\u00fccudun s\u0131v\u0131 dengesini sa\u011flamak gerekir. Bu nedenle ate\u015fin ve su kayb\u0131n\u0131n \u00e7ok yak\u0131ndan takip edilmesi \u00f6nemli.<\/p>\n

\"\"<\/p>\n

KAPALI ALANDA MASKE TAKILMALI<\/b><\/p>\n

\u25a0 Kronik hastalar nelere dikkat etmeli?<\/strong><\/p>\n

Asl\u0131nda son \u00fc\u00e7 y\u0131lda edindi\u011fimiz kapal\u0131 ve kalabal\u0131k ortamlarda maske takmak gibi g\u00fczel bir al\u0131\u015fkanl\u0131\u011f\u0131m\u0131z var. Bunu tekrar kazanmak yararl\u0131 olacak. \u00d6zellikle KOAH, kalp hastal\u0131klar\u0131 gibi kronik hastal\u0131klar\u0131 olanlar\u0131n yine hem bu d\u00f6nem hem de k\u0131\u015f\u0131n kalabal\u0131k alanlarda maske takmas\u0131n\u0131 \u00f6neriyoruz.<\/p>\n

Ayr\u0131ca \u00f6zellikle altta yatan farkl\u0131 bir hastal\u0131\u011f\u0131 olanlara ve ileri ya\u015f grubundakilere mutlaka grip a\u015f\u0131lar\u0131n\u0131 yapt\u0131rmalar\u0131n\u0131 \u00f6neriyoruz. Tabii yani yine ba\u011f\u0131\u015f\u0131kl\u0131k sistemini g\u00fc\u00e7lendirecek, d\u00fczenli ve kaliteli uyku, sa\u011fl\u0131kl\u0131 beslenme, a\u00e7\u0131k havada y\u00fcr\u00fcy\u00fc\u015fler de fayda sa\u011flayacakt\u0131r. Bununla birlikte kronik hastal\u0131\u011f\u0131 olanlar\u0131n m\u00fcmk\u00fcn oldu\u011funca kapal\u0131 alanlarda uzun s\u00fcre kalmamalar\u0131 da \u00f6nemli. Viral hastal\u0131klar i\u00e7in her zaman en \u00f6nemli korunma yolu a\u015f\u0131d\u0131r. Bu nedenle influenzada da en \u00f6nemli korunma yolunun a\u015f\u0131 oldu\u011fu unutulmamal\u0131. A\u015f\u0131y\u0131 \u00f6zellikle ileri ya\u015f ve altta yatan hastal\u0131\u011f\u0131 olan gruba \u00f6neriyoruz. Bunun d\u0131\u015f\u0131nda da kalabal\u0131kta, toplu ta\u015f\u0131ma ara\u00e7lar\u0131nda yine maske tak\u0131lmas\u0131n\u0131 \u00f6neriyoruz.<\/p>\n

\"\"<\/p>\n

\u25a0 Hasta olan ki\u015filer yine de grip a\u015f\u0131s\u0131 yapt\u0131rmal\u0131 m\u0131?\u00a0<\/strong><\/p>\n

E\u011fer test yap\u0131ld\u0131ysa ve grip hastal\u0131\u011f\u0131 olarak tan\u0131s\u0131 konulduysa bu durumda a\u015f\u0131 olmaya gerek yok. \u00c7\u00fcnk\u00fc bu sezon i\u00e7in bir kere ge\u00e7iriliyor ayn\u0131 sezonda birden fazla ge\u00e7irilmiyor.<\/p>\n

\u25a0 H3N2 nas\u0131l anla\u015f\u0131l\u0131r?<\/strong><\/p>\n

Belirtileri ani ba\u015flayan ate\u015f, kas a\u011fr\u0131s\u0131, halsizlik, bo\u011faz a\u011fr\u0131s\u0131, burun t\u0131kan\u0131kl\u0131\u011f\u0131 ve \u00f6ks\u00fcr\u00fckt\u00fcr.<\/p>\n

ATE\u015e 3 G\u00dcNDEN FAZLA S\u00dcRERSE D\u0130KKAT!<\/b><\/p>\n

\u25a0 Ne zaman doktora ba\u015fvurulmal\u0131?<\/strong><\/p>\n

\u015eu anda kulland\u0131\u011f\u0131m\u0131z hem h\u0131zl\u0131 testlerde hem de molek\u00fcler PCR testlerinde solunum yolu etkenlerine ayn\u0131 anda bakabiliyoruz. Test yap\u0131ld\u0131ktan sonra hem influenza i\u00e7in hem de Covid i\u00e7in ki\u015fi hastal\u0131\u011f\u0131 \u00e7ok a\u011f\u0131r ge\u00e7iriyorsa hastaneye yatmas\u0131 gerekebiliyor. Ama \u00e7ok a\u011f\u0131r ge\u00e7irmiyorsa da \u00f6nlemler her ikisi i\u00e7in de ayn\u0131. \u00d6ncelikle dinlenmek gerekiyor. Okul \u00e7ocuklar\u0131n\u0131n okula g\u00f6nderilmemesi, \u00e7al\u0131\u015fan yeti\u015fkinlerin de evde dinlenmesi \u00f6nemli. Ayr\u0131ca s\u0131v\u0131 t\u00fcketimine de dikkat edilmeli. E\u011fer ate\u015f \u00fc\u00e7 g\u00fcnden uzun s\u00fcr\u00fcyorsa da mutlaka hekime ba\u015fvurulmal\u0131 ve akci\u011fer enfeksiyonu a\u00e7\u0131s\u0131ndan de\u011ferlendirilmeli.<\/p>\n","protected":false},"excerpt":{"rendered":"

Son g\u00fcnlerde influenza A vir\u00fcs\u00fcn\u00fcn H3N2 tipinin yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Prof. Dr. Aynur Eren Topkaya, \u2018\u2018Bu hastal\u0131k domuz gribine benzetilse …<\/p>\n","protected":false},"author":1,"featured_media":51378,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[180,181,9129,378,162],"class_list":["post-51377","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-asi","tag-hastalik","tag-influenza","tag-neden","tag-virus"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/51377","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=51377"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/51377\/revisions"}],"predecessor-version":[{"id":51379,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/51377\/revisions\/51379"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/51378"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=51377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=51377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=51377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}