{"id":54427,"date":"2022-11-11T10:36:05","date_gmt":"2022-11-11T10:36:05","guid":{"rendered":"https:\/\/haberulus.net\/?p=54427"},"modified":"2022-11-11T10:36:05","modified_gmt":"2022-11-11T10:36:05","slug":"prof-dr-dagli-okullar-salgin-cenneti-gibi-oldu","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=54427","title":{"rendered":"Prof. Dr. Da\u011fl\u0131: Okullar salg\u0131n cenneti gibi oldu"},"content":{"rendered":"

\u00c7ocuk G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Elif Da\u011fl\u0131, bu y\u0131l \u00fc\u00e7l\u00fc, hatta d\u00f6rtl\u00fc vir\u00fcs enfeksiyonlar\u0131 nedeniyle \u00e7ocuklarda daha \u015fiddetli bulgularla kendini g\u00f6steren solunum yolu enfeksiyonlar\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.\u00a0Da\u011fl\u0131, “Okullar maalesef salg\u0131n cenneti gibi oldu” dedi. <\/b><\/p>\n

Bu y\u0131l \u00f6zellikle pandemi d\u00f6neminde do\u011fan \u00e7ocuklar ba\u015fta olmak \u00fczere \u00e7ocuklar\u0131n vir\u00fcs enfeksiyonlar\u0131ndan \u00e7ok daha \u015fiddetli etkilendi\u011fini kaydeden \u00c7ocuk G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 ve Sa\u011fl\u0131\u011fa Evet Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Elif Da\u011fl\u0131, T\u00fcrkiye\u2019de \u015fu anda halk aras\u0131nda domuz gribi olarak bilinen \u0130nfluenza A\u2019n\u0131n \u00e7ok yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc, bunun yan\u0131 s\u0131ra bron\u015fiolit ad\u0131 verilen solunum yolu enfeksiyonuna yol a\u00e7an vir\u00fcse \u00e7ok s\u0131k rastland\u0131\u011f\u0131n\u0131, Aral\u0131k ay\u0131nda da covid\u2019in y\u00fckseli\u015fe ge\u00e7mesinin beklendi\u011fini, dolay\u0131s\u0131yla \u00fc\u00e7l\u00fc viral enfeksiyonlar\u0131n kap\u0131da oldu\u011funu s\u00f6yledi.<\/p>\n

\u0130nfluenza A\u2019n\u0131n \u00fclkemizde ilk g\u00f6r\u00fcld\u00fc\u011f\u00fc 2009 y\u0131l\u0131ndakinden \u00e7ok daha yayg\u0131n seyretti\u011fine de dikkat \u00e7eken Prof. Dr. Da\u011fl\u0131, \u015funlar\u0131 s\u00f6yledi:<\/p>\n

\u201cABD\u2019de hastane yataklar\u0131 tamamen dolmu\u015f durumda. \u00c7ocuk yataklar\u0131 da bunlar\u0131n y\u00fczde 30\u2019unu olu\u015fturuyor ki bu oran \u015fimdiye kadar g\u00f6r\u00fclmemi\u015f y\u00fckseklikte. Nedenine bak\u0131ld\u0131\u011f\u0131 zaman da \u015fu g\u00f6r\u00fcl\u00fcyor, Kovid orada yeniden y\u00fckselmeye ba\u015flad\u0131. Ayr\u0131ca RSV dedi\u011fimiz k\u00fc\u00e7\u00fck bebeklerde bron\u015fiolit yapan vir\u00fcs de \u00e7ok artt\u0131.<\/p>\n

Bunun \u00fczerine \u0130nfluenza A da eklenmi\u015f durumda. 3 de\u011fi\u015fik mikrobun ayn\u0131 anda art\u0131yor olmas\u0131, \u2018Triplemi\u2019 dedi\u011fimiz \u00fc\u00e7l\u00fc salg\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcr\u00fcyor. ABD \u015fu anda bundan \u00e7ok korkuyor. Bizde de olabilir mi?<\/p>\n

Covid hen\u00fcz \u00e7ok yay\u0131lmad\u0131 ama Aral\u0131kta y\u00fckselece\u011fi y\u00f6n\u00fcnde tahminler var. \u0130nfluenza A ve RSV \u015fu anda \u00e7ok yayg\u0131n. \u00d6zellikle \u00e7ocuk hastalar\u0131m\u0131zda ikisinden biri \u00e7\u0131k\u0131yor, bazen ikisi bir arada \u00e7\u0131k\u0131yor; hatta ge\u00e7enlerde bir hastamda 4, birinde 3 vir\u00fcs bir arada g\u00f6rd\u00fck. \u00c7ocuk hastaneye yat\u0131\u015flar\u0131 bu nedenle art\u0131yor.\u201d<\/p>\n

\"\"<\/p>\n

V\u0130R\u00dcSLER\u0130N \u0130\u015e ORTAKLI\u011eI TEHL\u0130KEY\u0130 KATLADI<\/strong><\/p>\n

RSV\u2019nin \u0130nfluenza A ile \u201ci\u015fbirli\u011fine\u201d girerek daha \u015fiddetli akci\u011fer enfeksiyonlar\u0131na yol a\u00e7ma kabiliyeti kazand\u0131\u011f\u0131na da dikkat \u00e7eken Prof. Dr. Da\u011fl\u0131, \u015f\u00f6yle konu\u015ftu:<\/p>\n

\u201cRSV normalde bron\u015fiolit yapar. Ast\u0131m ata\u011f\u0131na benzeyen h\u0131r\u0131lt\u0131larla giden, ate\u015f ve halsizlik bulgular\u0131 veren bir tablodur. Di\u011fer taraftan \u0130nfluenza A da \u00fclkemizde \u015fu anda salg\u0131n durumunda. G\u00fcnde en az birka\u00e7 vaka g\u00f6r\u00fcyoruz. \u0130nfluenza A\u2019n\u0131n, RSV ile \u2018i\u015f anla\u015fmas\u0131 yapt\u0131\u011f\u0131n\u0131\u2019 bilim insanlar\u0131 bir ara\u015ft\u0131rma ile bunu g\u00f6sterdiler. \u0130nfluenza A, RSV\u2019nin \u00fcst k\u0131l\u0131f\u0131n\u0131 kullanarak h\u00fccre i\u00e7ine daha rahat giriyor.<\/p>\n

Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi \u0130nfluenza\u2019y\u0131 tan\u0131d\u0131\u011f\u0131 i\u00e7in i\u00e7eri alm\u0131yor ama vir\u00fcs, RSV\u2019yi kullanarak bunu ba\u015far\u0131yor. \u00dcstelik influenza normalde sadece \u00fcst solunum yollar\u0131na yerle\u015febilirken, bu sayede akci\u011ferin \u00e7ok \u00fccra k\u00f6\u015felerine girebilen RSV\u2019nin bu \u00f6zelli\u011fini kullanarak daha a\u015fa\u011f\u0131lara inebiliyor ve zat\u00fcrre yapabilme kapasitesine eri\u015fiyor.<\/p>\n

\u0130nfluenza A\u2019n\u0131n RSV ile ayn\u0131 hastada bulunmas\u0131na bu y\u0131l ilk kez \u015fahit oluyoruz. T\u00fcrkiye\u2019de de bir\u00e7ok hastam\u0131zda bunu buluyoruz. Bilim insanlar\u0131n\u0131n en b\u00fcy\u00fck kayg\u0131s\u0131, e\u011fer bu birliktelik devam ederse, bu vir\u00fcs farkl\u0131 bir vir\u00fcs haline gelmeye ba\u015flayabilir; \u00fc\u00e7\u00fcnc\u00fc bir vir\u00fcs ortaya \u00e7\u0131kabilir ve bu da eskisinden daha tehlikeli hale gelip daha uzun s\u00fcreli devam edebilecek salg\u0131nlara sebep olabilir.\u201d<\/p>\n

Bu durumun \u015fu an kontrol alt\u0131na al\u0131nmazsa k\u0131\u015f geldi\u011finde \u00e7ok daha s\u0131k\u0131nt\u0131l\u0131 g\u00fcnlerin do\u011fabilece\u011fine de\u011finen Prof. Dr. Da\u011fl\u0131, \u201cBiz korkuyoruz ki e\u011fer bunu \u015fu anda kontrol alt\u0131na almazsak, bizde de ikili \u00fc\u00e7l\u00fc salg\u0131nlar ortaya \u00e7\u0131kabilir. Hen\u00fcz covid \u00e7ok yayg\u0131n de\u011fil, in\u015fallah olmaz ama olursa da bunlar birle\u015febilir.\u201d<\/p>\n

\u201cBU YIL \u0130LK OLARAK PANDEM\u0130 D\u00d6NEM\u0130N\u0130N BEBEKLER\u0130 ETK\u0130LEND\u0130\u201d<\/strong><\/p>\n

Prof. Dr. Da\u011fl\u0131, bu y\u0131l vir\u00fcs enfeksiyonlar\u0131ndan ilk \u00f6nce 3-4 ya\u015f grubu \u00e7ocuklar\u0131n fazlaca etkilendi\u011fini, bunun da nedeninin bebeklikleri pandemi d\u00f6nemine denk gelen bu ya\u015f grubu \u00e7ocuklar\u0131n, izole b\u00fcy\u00fcd\u00fckleri i\u00e7in ba\u011f\u0131\u015f\u0131kl\u0131k sistemlerinin yeterince diren\u00e7 geli\u015ftirmemesi oldu\u011funu s\u00f6yleyerek \u201c\u00d6zellikle k\u00fc\u00e7\u00fck \u00e7ocuklarda 3-4 ya\u015f alt\u0131 grupta daha s\u0131k g\u00f6r\u00fcyoruz enfeksiyonlar\u0131. \u00c7\u00fcnk\u00fc bu \u00e7ocuklar pandemi s\u0131ras\u0131nda evde b\u00fcy\u00fcd\u00fcler, bu mikroplar\u0131 daha \u00f6nceden v\u00fccutlar\u0131 tan\u0131mad\u0131. Mikroplar ilk \u00f6nce bu yuva \u00e7ocuklar\u0131n\u0131 yakalad\u0131 \u015fimdilerde de grip a\u015f\u0131s\u0131 olmam\u0131\u015f daha b\u00fcy\u00fck ya\u015f \u00e7ocuklara geldi s\u0131ra. Pandemi s\u0131ras\u0131nda kapand\u0131k, pandemide a\u00e7\u0131ld\u0131k, o sene birdenbire di\u011fer mikroplar ortaya \u00e7\u0131kmaya ba\u015flad\u0131; ne olacak derken bu y\u0131l onun da \u00fcst\u00fcne \u00e7\u0131kt\u0131k daha \u015fiddetlendi enfeksiyonlar. Bu b\u00f6yle devam edemez, \u00e7\u00fcnk\u00fc hi\u00e7bir sistem ba\u015f edemez bu y\u00fckle. \u00d6nlemek zorunday\u0131z, tedavi etmekle bitmiyor \u00e7\u00fcnk\u00fc\u201d diye konu\u015ftu.<\/p>\n

\u201cOKULLAR SALGIN CENNET\u0130 G\u0130B\u0130 OLDU\u201d<\/strong><\/p>\n

\u201cOkullar maalesef salg\u0131n cenneti gibi oldu. Hasta \u00e7ocu\u011funuzu okula g\u00f6ndermeyin, nedeni ne olursa olsun halsizli\u011fi, burun ak\u0131nt\u0131s\u0131 varsa, d\u00fc\u015f\u00fck ate\u015fli bile olsa yollamay\u0131n. Sonra di\u011fer \u00e7ocuklar hasta oluyor, arkas\u0131ndan \u00f6\u011fretmenler, derken bir k\u0131s\u0131r d\u00f6ng\u00fcye giriyor s\u00fcre\u00e7\u201d diyen Prof. Dr. Da\u011fl\u0131, s\u00f6zlerine \u015f\u00f6yle devam etti:<\/p>\n

\u201cKendi hastalar\u0131mdan biliyorum ki baz\u0131lar\u0131 \u00e7ok a\u011f\u0131r ge\u00e7iriyor ve biz de hastaneye yat\u0131\u015f veriyoruz. \u00c7ocuk yataklar\u0131 ile ilgili bu durum \u00e7ok beklenmeyen bir \u015fey. Normalde eri\u015fkin yataklar\u0131 dolu olur. Kovid\u2019de de \u00e7ok az \u00e7ocuk hastaneye yatt\u0131. \u015eimdi olaylar tersine d\u00f6nmeye ba\u015flad\u0131 bu salg\u0131nda. Buna ila\u00e7 yeti\u015fmiyor. Ge\u00e7enlerde bir hastamda \u0130nfluenza tespit ettik, ila\u00e7 bulamad\u0131k. Piyasada ila\u00e7 kalmam\u0131\u015f. Elimizi y\u0131kamadan y\u00fcz\u00fcm\u00fcze dokunmamam\u0131z gerekiyor, de\u011fdi\u011fimiz zemin \u00fczerinden mikroplar\u0131 a\u011f\u0131z ve burun yoluyla v\u00fccuda sokuyoruz. Kalabal\u0131k toplant\u0131lara kesinlikle girmemek bu aylarda \u00e7ok \u00f6nemli. Yak\u0131n temasta bulunmamak gerekiyor. Maskeyi ke\u015fke \u00e7\u0131karmasayd\u0131k diyorum, \u00e7\u00fcnk\u00fc maske bizi sadece Kovid\u2019den de\u011fil, \u00f6b\u00fcr mikroplardan da koruyordu. Bir ba\u015fka husus daha var, maalesef grip a\u015f\u0131s\u0131n\u0131 yeterince olmad\u0131k. Risk grubundakiler d\u0131\u015f\u0131nda isteyen aileler \u00e7ocuklar\u0131na da grip a\u015f\u0131s\u0131 yapt\u0131rabilirdi.\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00c7ocuk G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Elif Da\u011fl\u0131, bu y\u0131l \u00fc\u00e7l\u00fc, hatta d\u00f6rtl\u00fc vir\u00fcs enfeksiyonlar\u0131 nedeniyle \u00e7ocuklarda daha \u015fiddetli …<\/p>\n","protected":false},"author":1,"featured_media":54428,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[188,765,159,9486,162],"class_list":["post-54427","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bas","tag-cocuk","tag-hasta","tag-rsv","tag-virus"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/54427","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=54427"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/54427\/revisions"}],"predecessor-version":[{"id":54429,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/54427\/revisions\/54429"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/54428"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=54427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=54427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=54427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}