{"id":5464,"date":"2020-09-05T17:42:06","date_gmt":"2020-09-05T14:42:06","guid":{"rendered":"https:\/\/by-tv.co.uk\/?p=5464"},"modified":"2020-09-05T17:42:06","modified_gmt":"2020-09-05T14:42:06","slug":"risk-gruplarina-influenzaya-karsi-asi-uyarisi","status":"publish","type":"post","link":"https:\/\/by-tv.co.uk\/en\/risk-gruplarina-influenzaya-karsi-asi-uyarisi\/","title":{"rendered":"Risk gruplar\u0131na influenzaya kar\u015f\u0131 ‘a\u015f\u0131’ uyar\u0131s\u0131"},"content":{"rendered":"

\u0130STANBUL (AA) – Sa\u011fl\u0131k Bilimleri \u00dcniversitesi \u00d6\u011fretim \u00dcyesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Berna K\u00f6m\u00fcrc\u00fco\u011flu<\/strong>, \u00f6ncelikle sa\u011fl\u0131k personeli ve risk grubundaki ki\u015filere influenza a\u015f\u0131s\u0131<\/strong>n\u0131 yapt\u0131rmalar\u0131n\u0131 \u00f6nerdiklerini belirterek, “Ancak influenza a\u015f\u0131s\u0131n\u0131n Kovid-19’a kar\u015f\u0131 korumad\u0131\u011f\u0131, izolasyon, maske ve sosyal mesafe maske kural\u0131na bu k\u0131\u015f mutlaka uyulmas\u0131 gerekti\u011fini tekrar hat\u0131rlatmak istiyorum.” dedi.<\/p>\n

Do\u00e7. Dr. K\u00f6m\u00fcrc\u00fco\u011flu, AA muhabirine, Aral\u0131k 2019’da \u00c7in’de ba\u015flayan yeni tip koronavir\u00fcs (Kovid-19) pandemisinin t\u00fcm d\u00fcnya \u00e7ap\u0131nda yay\u0131lmaya ve can almaya devam etti\u011fini hat\u0131rlatt\u0131.<\/p>\n

K\u00f6m\u00fcrc\u00fco\u011flu, a\u015f\u0131 ve etkin tedavi \u00e7al\u0131\u015fmalar\u0131 sonu\u00e7 verinceye ya da vir\u00fclans\u0131 azaltan ciddi bir mutasyon geli\u015finceye kadar hastal\u0131\u011f\u0131n d\u00fcnya \u00e7ap\u0131nda yay\u0131lmas\u0131n\u0131n devam edece\u011finin d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti.<\/p>

\"\"<\/a><\/div>\n

Kuzey yar\u0131m k\u00fcrede bahar ve yaz aylar\u0131n\u0131n gelmesiyle \u00e7evresel bula\u015fmada k\u0131smi azalma beklentisine ra\u011fmen hastal\u0131k seyrinde \u00e7ok b\u00fcy\u00fck de\u011fi\u015fiklik izlenmedi\u011fini anlatan K\u00f6m\u00fcrc\u00fco\u011flu, izolasyon \u00f6nlemlerinin gev\u015fetildi\u011fi \u0130spanya, \u0130talya ve T\u00fcrkiye gibi \u00fclkelerde dalgal\u0131 seyir ve hasta say\u0131s\u0131ndaki art\u0131\u015flar\u0131n devam etti\u011fini dile getirdi.<\/p>\n

Do\u00e7. Dr. K\u00f6m\u00fcrc\u00fco\u011flu, yakla\u015fan k\u0131\u015f mevsimi nedeniyle her y\u0131l ekim-may\u0131s aylar\u0131 aras\u0131 kar\u015f\u0131la\u015f\u0131lan ola\u011fan influenzaya bu k\u0131\u015f Kovid-19 salg\u0131n\u0131n\u0131n eklenmesiyle seyrin nas\u0131l olaca\u011f\u0131n\u0131n as\u0131l sorun oldu\u011funu vurgulayarak, \u015funlar\u0131 kaydetti:<\/p>\n

“2018 D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc verilerine g\u00f6re her y\u0131l d\u00fcnya genelinde 3-5 milyon ki\u015fi a\u011f\u0131r influenzaya yakalan\u0131yor ve 290 bin-350 bin ki\u015fi influenzaya ba\u011fl\u0131 komplikasyonlar nedeniyle hayat\u0131n\u0131 kaybediyor. \u0130nfluenza a\u015f\u0131lanmas\u0131 ile \u00e7ocuklarda ve risk gruplar\u0131ndaki eri\u015fkinlerde y\u00fczde 60 civar\u0131nda a\u011f\u0131r hastal\u0131k, pn\u00f6moni ve yo\u011fun bak\u0131m yat\u0131\u015f\u0131 gibi komplikasyonlar\u0131n \u00f6nlendi\u011fi ve mortalitenin azalt\u0131ld\u0131\u011f\u0131 biliniyor.<\/p>\n

Eri\u015fkinlerde risk grubu, 65 ya\u015f \u00fczeri ki\u015filer, 19-64 ya\u015f aras\u0131nda ise kronik kalp, akci\u011fer hastal\u0131klar\u0131, karaci\u011fer yetmezli\u011fi, diyabet, immuns\u00fcprese olgular (kanser tan\u0131s\u0131 ile kemoterapi, radyoterapi gibi aktif tedavi alan) ya da romatizmal hastal\u0131klar gibi nedenlerle immunsupresif tedavi alan hastalar\u0131n a\u015f\u0131lanmas\u0131 \u00f6nerilmekte.”<\/p>\n

Kovid-19 ile mevsimsel influenza semptom ve bulgular\u0131 kar\u0131\u015fabilir<\/h4>\n

Do\u00e7. Dr. Berna K\u00f6m\u00fcrc\u00fco\u011flu, Kovid-19 ile mevsimsel influenza semptom ve bulgular\u0131n\u0131n kar\u0131\u015fabilece\u011fini, klinik olarak ay\u0131rt edilmesinin zor olaca\u011f\u0131n\u0131 belirterek, “Bo\u011faz a\u011fr\u0131s\u0131, \u00f6ks\u00fcr\u00fck, ate\u015f y\u00fcksekli\u011fi, myalji her iki hastal\u0131kta da kar\u015f\u0131m\u0131za en s\u0131k \u00e7\u0131kan semptomlar. Kovid-19’da nezle bulgular\u0131n\u0131n daha az oldu\u011fu bildirilse de son yay\u0131nlarda anozmi (koku alamama) yak\u0131nmas\u0131n\u0131n s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc biliyoruz. Ayr\u0131ca her iki hastal\u0131k ayn\u0131 ki\u015fide de (co-enfeksiyon) g\u00f6r\u00fclebilir ve klinikte a\u011f\u0131rla\u015fmalara neden olabilece\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir. Bu nedenle ba\u015fta sa\u011fl\u0131k personeli ve risk grubundaki ki\u015filerin influenza a\u015f\u0131s\u0131 yapt\u0131rmas\u0131n\u0131 \u00f6neriyoruz.<\/p>\n

Ancak influenza a\u015f\u0131s\u0131n\u0131n Kovid-19’a kar\u015f\u0131 korumad\u0131\u011f\u0131, izolasyon, maske ve sosyal mesafe kural\u0131na bu k\u0131\u015f mutlaka uyulmas\u0131 gerekti\u011fini tekrar hat\u0131rlatmak istiyorum.” de\u011ferlendirmesinde bulundu.<\/p>\n

Pn\u00f6mokok a\u015f\u0131lamas\u0131n\u0131n ise “streptokokkus pn\u00f6monia” adl\u0131 toplum k\u00f6kenli pn\u00f6moninin en s\u0131k nedenine kar\u015f\u0131 yap\u0131ld\u0131\u011f\u0131n\u0131 dile getiren K\u00f6m\u00fcrc\u00fco\u011flu, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n

“Bu a\u015f\u0131y\u0131 \u00e7ocuklarda rutin a\u015f\u0131 program\u0131nda ve ileri ya\u015f (65 ya\u015f \u00fcst\u00fc ) ve ek hastal\u0131\u011f\u0131 olan eri\u015fkinlerde \u00f6nermekteyiz. Pn\u00f6mokok a\u015f\u0131s\u0131n\u0131n da Kovid-19 zat\u00fcrresine kar\u015f\u0131 bir koruyuculu\u011fu yok ancak ikincil enfeksiyon dedi\u011fimiz hastane ve yo\u011fun bak\u0131mda yatan a\u011f\u0131r hastalarda eklenen sadece pn\u00f6mokok enfeksiyonlar\u0131n\u0131n daha hafif ge\u00e7irilmesinde etkilidir.<\/p>\n

Pn\u00f6mokok a\u015f\u0131s\u0131 2 farkl\u0131 formda bulunmaktad\u0131r. Konjuge 13 valanl\u0131 a\u015f\u0131 eri\u015fkinlerde \u00f6ncelikle yap\u0131lmal\u0131 (hayat boyu bir kez), ilk a\u015f\u0131dan 8 hafta sonra da 23 valanl\u0131 polisakkarit a\u015f\u0131 5 y\u0131l ara ile yap\u0131lmal\u0131d\u0131r. 65 ya\u015f \u00fcst\u00fcnde tek doz yeterlidir. ‘Kimlere yapal\u0131m?’ sorusuna gelince, 65 ya\u015f \u00fcst\u00fc hastalar, kronik kalp, akci\u011fer hastal\u0131\u011f\u0131, kronik b\u00f6brek yetmezli\u011fi, kanser tedavisi ve immuns\u00fcprese tedavi alan, s\u0131k zat\u00fcrre olan, ya\u015fl\u0131 bak\u0131m evlerinde \u00e7al\u0131\u015fan ve dala\u011f\u0131 al\u0131nm\u0131\u015f hastalar\u0131n ve sa\u011fl\u0131k personelinin \u00f6ncelikle a\u015f\u0131lanmas\u0131 \u00f6nerilmektedir.<\/p>\n

\u00d6zellikle pn\u00f6mokok a\u015f\u0131s\u0131 yap\u0131lmadan \u00f6nce Kovid-19 a\u00e7\u0131s\u0131ndan bula\u015f riski ve erken enfeksiyon a\u00e7\u0131s\u0131ndan hasta de\u011ferlendirilmeli, Kovid-19 riski varsa hastaya 14 g\u00fcn izlem sonras\u0131 a\u015f\u0131lama yap\u0131lmal\u0131. Yine aktif Kovid-19 hastal\u0131\u011f\u0131 ge\u00e7irenler de en az iki kez PCR negatifli\u011fi saptand\u0131ktan ve hasta asemptomatik d\u00f6neme ge\u00e7tikten sonra a\u015f\u0131lama a\u00e7\u0131s\u0131ndan de\u011ferlendirilmelidir.”<\/p>\n

\"\"<\/a><\/div>","protected":false},"excerpt":{"rendered":"

\u0130STANBUL (AA) – Sa\u011fl\u0131k Bilimleri \u00dcniversitesi \u00d6\u011fretim \u00dcyesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Berna K\u00f6m\u00fcrc\u00fco\u011flu, \u00f6ncelikle sa\u011fl\u0131k personeli ve risk grubundaki ki\u015filere influenza a\u015f\u0131s\u0131n\u0131 yapt\u0131rmalar\u0131n\u0131 \u00f6nerdiklerini belirterek, “Ancak influenza a\u015f\u0131s\u0131n\u0131n Kovid-19’a kar\u015f\u0131 korumad\u0131\u011f\u0131, izolasyon, maske ve sosyal mesafe maske kural\u0131na bu k\u0131\u015f mutlaka uyulmas\u0131 gerekti\u011fini tekrar hat\u0131rlatmak istiyorum.” dedi. Do\u00e7. Dr. K\u00f6m\u00fcrc\u00fco\u011flu, AA muhabirine, Aral\u0131k 2019’da \u00c7in’de ba\u015flayan yeni tip koronavir\u00fcs (Kovid-19) pandemisinin t\u00fcm d\u00fcnya \u00e7ap\u0131nda yay\u0131lmaya ve can almaya devam etti\u011fini hat\u0131rlatt\u0131. K\u00f6m\u00fcrc\u00fco\u011flu, a\u015f\u0131 ve etkin tedavi \u00e7al\u0131\u015fmalar\u0131 sonu\u00e7 verinceye ya da vir\u00fclans\u0131 azaltan ciddi bir mutasyon geli\u015finceye kadar hastal\u0131\u011f\u0131n d\u00fcnya \u00e7ap\u0131nda yay\u0131lmas\u0131n\u0131n devam edece\u011finin d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti. Kuzey yar\u0131m […]<\/p>\n","protected":false},"author":1,"featured_media":5465,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[13],"tags":[991,1683,1684,558,1688,1686,1509,1302,1550,1685,1687,1291],"class_list":["post-5464","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-asi","tag-berna-komurcuoglu","tag-doc-dr-berna-komurcuoglu","tag-dunya-saglik-orgutu","tag-immunsupresif-tedavi","tag-influenza","tag-kovid-19","tag-maske","tag-pandemi","tag-sagli","tag-sosyal-mesafe","tag-virus"],"_links":{"self":[{"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/posts\/5464","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/comments?post=5464"}],"version-history":[{"count":0,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/posts\/5464\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/media\/5465"}],"wp:attachment":[{"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/media?parent=5464"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/categories?post=5464"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/tags?post=5464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}