{"id":6485,"date":"2020-11-02T01:24:07","date_gmt":"2020-11-01T22:24:07","guid":{"rendered":"https:\/\/by-tv.co.uk\/?p=6485"},"modified":"2020-11-02T01:24:07","modified_gmt":"2020-11-01T22:24:07","slug":"cocuklarda-kovid-19un-tetikledigi-kawasaki-hastaliginda-da-vakalar-artiyor","status":"publish","type":"post","link":"https:\/\/by-tv.co.uk\/en\/cocuklarda-kovid-19un-tetikledigi-kawasaki-hastaliginda-da-vakalar-artiyor\/","title":{"rendered":"\u00c7ocuklarda Kovid-19’un tetikledi\u011fi Kawasaki hastal\u0131\u011f\u0131nda da vakalar art\u0131yor"},"content":{"rendered":"

\u0130stanbul \u00dcniversitesi-Cerrahpa\u015fa (\u0130\u00dcC) Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u0307 Ba\u015fhekim Yard\u0131mc\u0131s\u0131 ve \u00c7ocuk Romatoloji Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. Kenan Barut,<\/strong> AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, Kawasaki hastal\u0131\u011f\u0131n\u0131n, genellikle 5 ya\u015f alt\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fclen, uzun s\u00fcre d\u00fc\u015fmeyen ate\u015f, g\u00f6zlerde k\u0131zar\u0131kl\u0131k, v\u00fccutta de\u011fi\u015fik d\u00f6k\u00fcnt\u00fcler, lenf bezi \u015fi\u015fli\u011fi ile birlikte seyreden, kalp damarlar\u0131nda anevrizmalar yapabilen \u00e7ocukluk \u00e7a\u011f\u0131 vaskil\u00fctlerinden (damar iltihab\u0131) biri oldu\u011funu belirtti.<\/p>\n

Barut, Asya-Pasifik b\u00f6lgesi ve Japonya’da s\u0131k g\u00f6r\u00fclen Kawasaki hastal\u0131\u011f\u0131na T\u00fcrkiye’de nadir rastlan\u0131ld\u0131\u011f\u0131n\u0131 dile getirdi.<\/p>\n

Kovid-19 salg\u0131n\u0131 ba\u015flad\u0131\u011f\u0131nda \u0130ngiltere ve ABD’den Kawasaki hastal\u0131\u011f\u0131 vakalar\u0131n\u0131n bildirildi\u011fini, pandeminin pik yapt\u0131\u011f\u0131 d\u00f6nemde ise bu vakalarda art\u0131\u015f ya\u015fand\u0131\u011f\u0131n\u0131 belirten Barut, \u015f\u00f6yle devam etti:<\/p>

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

“Bununla birlikte d\u00fcnyadaki fark\u0131ndal\u0131k artt\u0131. Ayn\u0131 Kawasakiymi\u015f gibi bulgular g\u00f6steriyorlar. Bunun, Multi Sistemik \u0130nflamatuar Yan\u0131t Sendromu (\u00c7oklu Organ Yetmezli\u011fi Sendromu) gibi di\u011fer b\u00fct\u00fcn organlar\u0131 da etkileyen ba\u015fka bir altyap\u0131da oldu\u011fu da g\u00f6zlendi. Bu sendrom daha a\u011f\u0131r, Kawasaki biraz daha hafif ama tamamen farkl\u0131 klinik bulgularla gelebiliyorlar. \u0130lk ba\u015fta Kovid-19’a yakalanan \u00e7ocuklar\u0131n \u00e7ok b\u00fcy\u00fck bir k\u0131sm\u0131, piramit gibi d\u00fc\u015f\u00fcn\u00fcrsek, genellikle hafif ge\u00e7iriyorlar. Az bir k\u0131sm\u0131nda da ate\u015f oluyor, sanki bir enfeksiyon hastal\u0131\u011f\u0131ym\u0131\u015f gibi. Bir k\u0131sm\u0131nda multi organ yetersizli\u011fi oluyor. Kalp, akci\u011fer, gastrointestinal sistem etkilenebiliyor. Bazen n\u00f6betler, konf\u00fczyonlar ya\u015fanabiliyor. Daha sonra da Kawasaki hastal\u0131\u011f\u0131n\u0131 g\u00f6rebiliyoruz. Ayr\u0131m yapacak olursak; Kawasaki hastal\u0131\u011f\u0131 daha \u00e7ok 5 ya\u015f alt\u0131ndakilerde, Multi Sistemik \u0130nflamatuar Yan\u0131t Sendromu ise 8-9 ya\u015f\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fcl\u00fcyor.”<\/p>\n

\u00c7ocuklar sitelerinde, oyun parklar\u0131nda oynarken maske takm\u0131yor<\/h4>\n

Do\u00e7. Dr. Kenan Barut, Kawasaki hastal\u0131\u011f\u0131n\u0131n Kovid-19 ile e\u015f zamanl\u0131 m\u0131 yoksa Kovid-19’u ge\u00e7irdikten sonra m\u0131 g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fcn tam olarak bilinmedi\u011fini fakat y\u00fcksek ihtimalle Kovid-19 ge\u00e7irildikten sonra ya\u015fand\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n

Kawasaki hastal\u0131\u011f\u0131nda intraven\u00f6z immunglobulin, steroid ve aspirin tedavisine ba\u015fvuruldu\u011funu anlatan Barut, \u00e7ocuklar\u0131n b\u00fcy\u00fck k\u0131sm\u0131n\u0131n sekelsiz iyile\u015ftirilebildi\u011fini aktard\u0131.<\/p>\n

Nadiren de olsa baz\u0131 \u00e7ocuklar\u0131n kalp koroner arterlerinde anevrizmalar geli\u015febildi\u011fine dikkati \u00e7eken Barut, bunlar\u0131n ya\u015fanmamas\u0131 i\u00e7in tedaviye zaman\u0131nda ba\u015flanmas\u0131n\u0131n \u00f6nemli oldu\u011funu vurgulad\u0131.<\/p>\n

Ailelerin bu konuda dikkatli olmas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Barut, “Mutlaka maske takmal\u0131lar. \u00d6zellikle \u00e7ocuklar sosyal ortamlar\u0131nda, sitelerinde, oyun parklar\u0131nda di\u011fer \u00e7ocuklarla oynarken maske takm\u0131yorlar. Aileler, \u00e7ocuklar\u0131na bula\u015fmayaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyor. Halbuki \u00e7ocuklardan ailelere, ailelerden tekrar \u00e7ocuklara bula\u015f\u0131p toplum i\u00e7erisinde \u00e7ok yayg\u0131n bir hale gelebiliyor. O y\u00fczden, \u00e7ocuklar\u0131m\u0131za sosyal ortamlar\u0131nda arkada\u015flar\u0131yla oynarken de maske takt\u0131ral\u0131m.” diye konu\u015ftu.<\/p>\n

Do\u00e7. Dr. Barut, vatanda\u015flara, aile i\u00e7erisinde Kovid-19 ge\u00e7iren varsa ve \u00e7ocukta “belli bir zaman i\u00e7erisinde d\u00fc\u015fmeyen ate\u015f, d\u00f6k\u00fcnt\u00fcler, yorgunluk, halsizlik, organ fonksiyon bozuklu\u011funu g\u00f6steren solunum zorlu\u011fu, ciddi ishaller, el ayaklarda \u015fi\u015fme” gibi bulgular g\u00f6r\u00fcl\u00fcrse, mutlaka en yak\u0131n hastanenin acil servisine ba\u015fvurmalar\u0131 uyar\u0131s\u0131nda bulundu.<\/p>\n

Kawasaki hastal\u0131\u011f\u0131 \u00f6l\u00fcmc\u00fcl sonu\u00e7lara yol a\u00e7abiliyor<\/h4>\n

Kovid-19 ile ili\u015fkili Kawasaki hastal\u0131\u011f\u0131 ve Multi Sistemik \u0130nflamatuar Yan\u0131t Sendromu vakalar\u0131n\u0131n T\u00fcrkiye’de de g\u00f6r\u00fclmeye ba\u015flad\u0131\u011f\u0131n\u0131 aktaran Barut, \u015f\u00f6yle devam etti:<\/p>\n

“Doktor arkada\u015flar\u0131m\u0131zla konu\u015ftu\u011fumuzda Ankara’da, Kayseri’de, di\u011fer Anadolu b\u00f6lgelerinde ve \u0130stanbul’da bu vakalar\u0131n artm\u0131\u015f s\u0131kl\u0131\u011f\u0131ndan bahsettiler. \u00c7ok dikkat etmemiz, hijyen \u015fartlar\u0131na, maskeye \u00e7ok \u00f6nem vermemiz laz\u0131m. Salg\u0131n bitmedi, bizimle birlikte. \u00d6nlemlerimize devam etmemiz gerekiyor. Ger\u00e7ekten korkulacak bir durum. ‘\u00c7ocuklar etkilenmiyor, hafif ge\u00e7iriyor.’ diyorlar ama bir k\u0131sm\u0131 maalesef a\u011f\u0131r ge\u00e7iriyor. Hatta kaybetti\u011fimiz \u00e7ocuklar\u0131m\u0131z da oluyor. Bu nedenle aileler ‘Benim \u00e7ocu\u011fum etkilenmeyecek, hafif ge\u00e7irecek.’ diye d\u00fc\u015f\u00fcnmesin. Yo\u011fun bak\u0131mlar\u0131m\u0131zda bu durumdan (Kawasaki hastal\u0131\u011f\u0131) muzdarip \u00e7ocuklar var. Salg\u0131n e\u011fer pik yaparsa, bu vakalar daha da artacak. \u0130stanbul’da \u00e7ok say\u0131da hastane ve 2 pandemi hastanesi var. Bu hastanelerde \u015fu anda yo\u011funluk ya\u015fan\u0131yor. O nedenle mutlaka dikkat etmemiz gerekiyor. \u00c7ocuklar\u0131m\u0131z, gelece\u011fimiz i\u00e7in mutlaka hijyen kurallar\u0131na ve maske takmaya dikkat etmeliyiz. Kesinlikle \u00f6l\u00fcmc\u00fcl sonu\u00e7lara yol a\u00e7abiliyor. D\u00fcnyadan ve \u00fclkemizden bildirilen vakalarda \u00f6l\u00fcmc\u00fcl olan sonu\u00e7lar var.”<\/p>\n

O g\u00fcvendi\u011finiz ki\u015fi size Kovid-19 bula\u015ft\u0131rabilir<\/h4>\n

Sosyal ortamlar\u0131nda kom\u015fu ve yak\u0131nlar\u0131yla bir araya geldiklerinde maskelerini \u00e7\u0131karan vatanda\u015flara, “\u0130\u015fte, o g\u00fcvendi\u011finiz ki\u015fi size Kovid-19 bula\u015ft\u0131rabilir.” uyar\u0131s\u0131nda bulunan Barut, baz\u0131 insanlar\u0131n hastal\u0131\u011fa yakalansa da hi\u00e7bir bulgu g\u00f6stermeyebildi\u011fini ya da durumunu gizleyebildi\u011fini dile getirdi.<\/p>\n

Do\u00e7. Dr. Kenan Barut, sosyal ortamlar\u0131n insanlar\u0131 Kovid-19’a kar\u015f\u0131 savunmas\u0131z b\u0131rakabildi\u011finin alt\u0131n\u0131 \u00e7izerek, m\u00fcmk\u00fcn oldu\u011funca daha az sosyalle\u015filmesi, \u00e7ekirdek aile i\u00e7erisinde kal\u0131nmas\u0131, eve yabanc\u0131 biri geliyorsa maske tak\u0131lmas\u0131 gerekti\u011fini s\u00f6zlerine ekledi.<\/p>\n

\u0130STANBUL(AA)<\/strong><\/p>\n

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

\u0130stanbul \u00dcniversitesi-Cerrahpa\u015fa (\u0130\u00dcC) Cerrahpa\u015fa T\u0131p Fak\u00fcltesi\u0307 Ba\u015fhekim Yard\u0131mc\u0131s\u0131 ve \u00c7ocuk Romatoloji Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. Kenan Barut, AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, Kawasaki hastal\u0131\u011f\u0131n\u0131n, genellikle 5 ya\u015f alt\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fclen, uzun s\u00fcre d\u00fc\u015fmeyen ate\u015f, g\u00f6zlerde k\u0131zar\u0131kl\u0131k, v\u00fccutta de\u011fi\u015fik d\u00f6k\u00fcnt\u00fcler, lenf bezi \u015fi\u015fli\u011fi ile birlikte seyreden, kalp damarlar\u0131nda anevrizmalar yapabilen \u00e7ocukluk \u00e7a\u011f\u0131 vaskil\u00fctlerinden (damar iltihab\u0131) biri oldu\u011funu belirtti. Barut, Asya-Pasifik b\u00f6lgesi ve Japonya’da s\u0131k g\u00f6r\u00fclen Kawasaki hastal\u0131\u011f\u0131na T\u00fcrkiye’de nadir rastlan\u0131ld\u0131\u011f\u0131n\u0131 dile getirdi. Kovid-19 salg\u0131n\u0131 ba\u015flad\u0131\u011f\u0131nda \u0130ngiltere ve ABD’den Kawasaki hastal\u0131\u011f\u0131 vakalar\u0131n\u0131n bildirildi\u011fini, pandeminin pik yapt\u0131\u011f\u0131 d\u00f6nemde ise bu vakalarda art\u0131\u015f ya\u015fand\u0131\u011f\u0131n\u0131 belirten Barut, \u015f\u00f6yle devam etti: “Bununla birlikte d\u00fcnyadaki fark\u0131ndal\u0131k […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[13],"tags":[2156,2157,2155,2158,1509,1550,460],"class_list":["post-6485","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-cerrahpasa-tip-fakultesi","tag-dr-kenan-barut","tag-istanbul-universitesi","tag-kawasaki-hastaligi","tag-kovid-19","tag-pandemi","tag-salgin"],"_links":{"self":[{"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/posts\/6485","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=6485"}],"version-history":[{"count":0,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/posts\/6485\/revisions"}],"wp:attachment":[{"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/media?parent=6485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/categories?post=6485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/by-tv.co.uk\/en\/wp-json\/wp\/v2\/tags?post=6485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}