\u0130stanbul\u2019da pek \u00e7ok hastanenin \u00e7ocuk acillerine \u00f6zellikle y\u00fcksek ate\u015f ve bo\u011faz a\u011fr\u0131s\u0131 ile ba\u015fvuranlar\u0131n say\u0131s\u0131 g\u00fcnl\u00fck 1000-1500 ki\u015fiyi buluyor. Uzmanlar, pandemiden sonra ilk kez maskesiz ge\u00e7irilen bu k\u0131\u015f\u0131n en \u00e7ok \u00e7ocuklar\u0131 vurdu\u011funu kaydediyor. ABD ve Avrupa\u2019dan bildirilen ve endi\u015feye yol a\u00e7an Strep A enfeksiyonundan, viral ensefalitlere, \u00e7ocuklar pek \u00e7ok hastal\u0131k etkeniyle kar\u015f\u0131 kar\u015f\u0131ya.<\/p>\n
Sa\u011fl\u0131k Bilimleri \u00dcniversitesi \u015eehit Prof. Dr. \u0130lhan Varank E\u011fitim ve Ara\u015ft\u0131rma Hastanesi \u00c7ocuk Acil ve \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 Hastal\u0131klar\u0131 Klinik \u015eefi Prof. Dr. \u015eirin G\u00fcven, \u201cMenenjit etkenleri de damlac\u0131k yoluyla veya solunum salg\u0131lar\u0131 ile bula\u015fabiliyor. \u00dclkemizdeki ba\u015far\u0131l\u0131 a\u015f\u0131lama programlar\u0131 sayesinde bakteriyel menenjit vakalar\u0131n\u0131 neredeyse hi\u00e7 g\u00f6rm\u00fcyorduk. Ne yaz\u0131k ki \u015fu anda a\u015f\u0131yla \u00f6nlenebilir hib menenjiti<\/strong> veya streptococcus pneumonia<\/strong> bakterisine ba\u011fl\u0131 menenjitleri de g\u00f6rmeye ba\u015flad\u0131k\u201d dedi.<\/p>\n \u00c7OCUKLARDA A\u011eIR SEYRED\u0130YOR, YATI\u015eLAR FAZLA\u00a0<\/strong><\/p>\n Covid sonras\u0131 ilk defa bu kadar yo\u011fun bir viral \u00fcst ve alt solunum yolu enfeksiyonlar\u0131 ile kar\u015f\u0131 kar\u015f\u0131ya olundu\u011funu anlatan Prof. Dr. G\u00fcven, \u201cBuna paralel olarak menenjit<\/strong>, meningoensefalit<\/strong> vakalar\u0131nda da bir art\u0131\u015f g\u00f6zlemliyoruz. Acillere \u00e7ok say\u0131da hasta ba\u015fvurusu ger\u00e7ekle\u015fiyor. \u00d6rne\u011fin bizim acilimizde her g\u00fcn 1500-1600 civar\u0131 hasta ba\u015fvuruyor. \u0130stanbul\u2019da di\u011fer kliniklerde de durum benzer \u015fekilde. Tabii bu hastalar\u0131n baz\u0131lar\u0131 \u00e7ok a\u011f\u0131r seyretti\u011fi i\u00e7in, acillerden evlerine g\u00f6nderilemiyor ve servise yat\u0131r\u0131l\u0131yor. Baz\u0131lar\u0131 da yo\u011fun bak\u0131mlara al\u0131n\u0131yor. Buralarda da ciddi bir a\u011f\u0131r hasta ve yat\u0131\u015f gerektiren hasta yo\u011funlu\u011fu s\u00f6z konusu bug\u00fcnlerde\u201d dedi.<\/p>\n Prof. Dr. \u015eirin G\u00fcven<\/p>\n<\/div>\n \u201cBU YILA KADAR H\u0130\u00c7 G\u00d6RMEM\u0130\u015eT\u0130K\u201d<\/strong><\/p>\n Prof. Dr. G\u00fcven, bu y\u0131l hi\u00e7 al\u0131\u015f\u0131lmam\u0131\u015f patojenlerle menenjit g\u00f6rmeye ba\u015flad\u0131klar\u0131n\u0131 kaydederek \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u2013 \u00d6rne\u011fin klini\u011fimizde, bizim \u00fclkemizde y\u00fczde 98 oran\u0131nda a\u015f\u0131lama ile \u00f6nlenebilen bakteriyel menenjitleri yeniden g\u00f6rmeye ba\u015flad\u0131k. Menenjit olgular\u0131 damlac\u0131k veya solunum yoluyla bula\u015fabiliyor. \u00dclkemizde a\u015f\u0131lama programlar\u0131 sonras\u0131 bakteriyel etkenleri \u00e7ok nadir g\u00f6r\u00fcrd\u00fck, hatta neredeyse hi\u00e7 g\u00f6rm\u00fcyorduk bu y\u0131la kadar. Vir\u00fcse ba\u011fl\u0131 menenjit etmenleri \u00f6ne \u00e7\u0131k\u0131yordu.<\/p>\n \u0130SHALE NEDEN OLAN V\u0130R\u00dcS<\/strong><\/p>\n \u2013 Eyl\u00fcl ay\u0131 itibariyle daha \u00e7ok, erken bebeklik d\u00f6neminde enterovir\u00fcs<\/strong> (ishale neden olan bir vir\u00fcs) menenjitlerini g\u00f6r\u00fcyorduk. Ne yaz\u0131k ki \u015fu anda a\u015f\u0131yla \u00f6nlenebilir \u00a0Hib menenjiti gibi, streptococcus pneumonia gibi menenjitleri de g\u00f6rmeye ba\u015flad\u0131k. \u00d6zellikle corona d\u00f6neminde artan a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131 nedeniyle, t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de a\u015f\u0131lama oranlar\u0131 d\u00fc\u015fmeye ba\u015flad\u0131.<\/p>\n \u201cA\u015eI TAK\u0130P S\u0130STEM\u0130M\u0130Z BA\u015eARILI AMA A\u0130LE \u0130STEM\u0130YOR\u201d<\/strong><\/p>\n \u2013 \u00dclkemizde \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131 uygulama programlar\u0131 \u00e7ok ba\u015far\u0131l\u0131 bir \u015fekilde takip ediliyor. Asl\u0131nda bir\u00e7ok Avrupa \u00fclkesine g\u00f6re a\u015f\u0131lama oranlar\u0131m\u0131z \u00e7ok \u00e7ok y\u00fcksek. Ama aileler a\u015f\u0131 i\u00e7in onam vermedi\u011finde, biz hekimlerin de yapabilece\u011fi bir \u015fey kalm\u0131yor. Burada as\u0131l rol, aileye d\u00fc\u015f\u00fcyor. Ne yaz\u0131k ki \u00f6nlenebilir hastal\u0131klar\u0131 g\u00f6rmeye ba\u015flad\u0131k. \u00d6zellikle menenjit vakalar\u0131 ger\u00e7ekten \u00e7ok \u00f6l\u00fcmc\u00fcl, hayatta kalan \u00e7ocuklarda da ciddi sakatl\u0131klar\u0131 b\u0131rak\u0131yor.<\/p>\n \u0130NAT\u00c7I ATE\u015e, B\u0130L\u0130N\u00c7 DE\u011e\u0130\u015e\u0130KL\u0130\u011e\u0130, KUSMA\u00a0<\/strong><\/p>\n \u2013 Belirtiler solunum yolu enfeksiyonu ile ba\u015fvuran hastalardan \u00e7ok farkl\u0131 de\u011fil. \u00d6zg\u00fcn bir klinik tablosu yok. \u0130lk ba\u015fta, \u00f6zellikle k\u00fc\u00e7\u00fck \u00e7ocuklarda ate\u015f, huzursuzluk, kusma ve i\u015ftahs\u0131zl\u0131k dikkat \u00e7ekiyor. B\u00fcy\u00fck \u00e7ocuklarda ise ba\u015f a\u011fr\u0131s\u0131 yapabiliyor. Bu konuda da dikkatli olmam\u0131z gerekiyor. \u0130nat\u00e7\u0131 ate\u015f, d\u00f6k\u00fcnt\u00fc varl\u0131\u011f\u0131, bilin\u00e7 de\u011fi\u015fikli\u011fi, ayn\u0131 zamanda inat\u00e7\u0131 kusmalar olursa hemen doktora ba\u015fvurmalar\u0131 gerekir. \u00c7\u00fcnk\u00fc menenjitlerde erken tedavi ve erken tan\u0131, hem sekel (sakatl\u0131k) oran\u0131n\u0131, hem de \u00f6l\u00fcmleri ciddi bir \u015fekilde azalt\u0131r. (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":" Corona sonras\u0131 maskesiz ge\u00e7en ilk k\u0131\u015f en \u00e7ok \u00e7ocuklar\u0131 vurdu. \u00c7ocuk acillerine \u00f6zellikle y\u00fcksek ate\u015f ve bo\u011faz a\u011fr\u0131s\u0131 \u015fikayetiyle ba\u015fvuranlar\u0131n say\u0131s\u0131 g\u00fcnl\u00fck 1000-1500 ki\u015fiyi buldu. Buna paralel olarak menenjit vakalar\u0131nda da art\u0131\u015f var.<\/p>\n","protected":false},"author":1,"featured_media":59645,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[1874,188,765,159,9869],"class_list":["post-59644","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-acil","tag-bas","tag-cocuk","tag-hasta","tag-menenjit"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/59644","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=59644"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/59644\/revisions"}],"predecessor-version":[{"id":59646,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/59644\/revisions\/59646"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/59645"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59644"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59644"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"\"](\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2022\/12\/08\/resimid_219373481_21937348.jpg\" "\\"\\"")
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