{"id":13117,"date":"2014-04-13T01:51:01","date_gmt":"2014-04-12T22:51:01","guid":{"rendered":"http:\/\/www.gncz.net\/gripte-alinacak-onlemler.html"},"modified":"2014-04-13T01:51:01","modified_gmt":"2014-04-12T22:51:01","slug":"gripte-alinacak-onlemler","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/gripte-alinacak-onlemler.html","title":{"rendered":"Gripte Al\u0131nacak \u00f6nlemler"},"content":{"rendered":"\n<p>\u00d6zel Karadeniz Hastanesi Enfeksiyon Hastal\u0131klar\u0131 Uzman\u0131 ve Ba\u015fhekimi G\u00fcrb\u00fcz Yulu\u011f, grip hastal\u0131\u011f\u0131n\u0131n \u00f6zellikle k\u0131\u015f aylar\u0131nda tokala\u015fma ve yak\u0131n temaslarla bula\u015ft\u0131\u011f\u0131n\u0131 belirterek al\u0131nmas\u0131 gereken \u00f6nlemleri anlatt\u0131.<\/p>\n<p>\u00d6zel Karadeniz Hastanesi Enfeksiyon Hastal\u0131klar\u0131 Uzman\u0131 ve Ba\u015fhekimi G\u00fcrb\u00fcz Yulu\u011f, grip i\u00e7in Antibiyotik kullanman\u0131n faydas\u0131z oldu\u011funu belirterek, grip a\u00e7\u0131s\u0131ndan en y\u00fcksek risk ta\u015f\u0131yanlar\u0131n 65 ya\u015f \u00fczeri oldu\u011funu s\u00f6yledi. Gribin viral bir hastal\u0131k oldu\u011funu ve vir\u00fcslerle bula\u015ft\u0131\u011f\u0131n\u0131 belirten Yulu\u011f, \u201cGrip, viral bir hastal\u0131kt\u0131r ve vir\u00fcslerle bula\u015f\u0131r. Grip as\u0131l olarak solunum yollar\u0131nda yerle\u015fen influenza A, B ve C vir\u00fcslerinin neden oldu\u011fu, y\u00fcksek ate\u015f, yayg\u0131n kas a\u011fr\u0131lar\u0131, halsizlik ve k\u0131rg\u0131nl\u0131k ile seyreden bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Grip \u00f6zellikle k\u0131\u015f mevsiminde salg\u0131nlar yapan bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Vir\u00fcs\u00fc ta\u015f\u0131yan hastalar\u0131n, solunum yolu sekresyonlar\u0131yla ve bunlarla bula\u015fm\u0131\u015f e\u015fyalar vas\u0131tas\u0131yla yay\u0131lmaktad\u0131r. En s\u0131k bula\u015fma yolu da tokala\u015fma, yak\u0131n konu\u015fmalar, \u00f6p\u00fc\u015fme gibi yak\u0131n temast\u0131r. Elleri y\u0131kamak, korunmada yap\u0131lacak en \u00f6nemli y\u00f6ntemdir. Vir\u00fcs \u00e7ok kolay bula\u015fmakta ve h\u0131zla yay\u0131lmaktad\u0131r. \u00d6zellikle okullar, yurtlar, k\u0131\u015flalar, kahvehaneler, huzur evleri gibi kalabal\u0131k ve topluca ya\u015fanan ortamlar hastal\u0131\u011f\u0131n yay\u0131lmas\u0131nda \u00f6nemli rol oynar\u201d dedi.<\/p>\n<p>Salg\u0131nlardan korunmak toplumda aktif ya\u015fayanlar\u0131n i\u00e7in zor oldu\u011funu ifade eden Yulu\u011f, \u201cSalg\u0131nlardan korunmak toplumda aktif ya\u015fayanlar i\u00e7in \u00e7ok zordur. Salg\u0131nlar s\u0131ras\u0131nda ilk atakta genellikle arkada\u015flar\u0131ndan mikrobu alan okul \u00e7ocuklar\u0131 hastalanmakta, bunu izleyen ikinci atakta ise \u00e7ocuklar\u0131ndan mikrobu alan eri\u015fkinler hastal\u0131\u011fa tutulmaktad\u0131r. Salg\u0131nlar genellikle 5-7 hafta dolaylar\u0131nda kendili\u011finden s\u0131n\u0131rlanmaktad\u0131r. K\u0131\u015f aylar\u0131nda (kas\u0131m-mart) en s\u0131k g\u00f6r\u00fclmektedir. D\u00fczensiz ya\u015fam, Alkol al\u0131m\u0131, sigara, so\u011fuk maruziyeti hastal\u0131\u011fa yakalanma riskini art\u0131rmaktad\u0131r. Bilhassa bebekler, ya\u015fl\u0131lar, kronik hastal\u0131\u011f\u0131 olanlarda (kalp hastal\u0131\u011f\u0131, Ast\u0131m, kronik bron\u015fit, bron\u015fektazi, \u015feker hastal\u0131\u011f\u0131, b\u00f6brek yetmezli\u011fi, AIDS, kan hastal\u0131klar\u0131) a\u011f\u0131r seyretmekte ve \u00f6l\u00fcmlere neden olmaktad\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n<p>&#8220;GR\u0130P \u0130\u00c7\u0130N ANT\u0130B\u0130YOT\u0130K KULLANILMAZ&#8221;<\/p>\n<p>Grip i\u00e7in antibiyoti\u011fin faydas\u0131z oldu\u011funu ifade eden Yulu\u011f, \u201cGrip i\u00e7in antibiyotik kullan\u0131lmaz ve faydas\u0131zd\u0131r ancak griple kar\u0131\u015fan ve bazen griple birlikte ve ona ba\u011fl\u0131 ikincil olarak ortaya \u00e7\u0131kan hastal\u0131klarda; zat\u00fcrree, kulak iltihab\u0131, bademcik iltihab\u0131 gibi durumlar s\u00f6z konusu ise antibiyotik kullan\u0131lmal\u0131d\u0131r. Herhangi bir bakteriyel iltihap olmadan koruyucu olsun diye griplilere antibiyotik verilmemelidir. Faydas\u0131z oldu\u011fu gibi diren\u00e7li bakterilerle iltihaplanmalara zemin haz\u0131rlayabilir. Grip hastalar\u0131nda istirahat edilmesi, bol S\u0131v\u0131 al\u0131nmas\u0131, a\u011fr\u0131 kesici ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler ile solunum yolu sekresyonlar\u0131n\u0131 ve irritasyonunu giderici ila\u00e7lar\u0131n kullan\u0131lmas\u0131yla yak\u0131nmalar\u0131n kontrol\u00fc m\u00fcmk\u00fcnd\u00fcr. Ancak, bilhassa \u00e7ocuklarda Aspirin kullan\u0131lmamal\u0131, di\u011fer ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler tercih edilmelidir\u201d diye konu\u015ftu.<\/p>\n<p>&#8220;\u0130LA\u00c7 EZBERE KULLANILMAMALIDIR&#8221;<\/p>\n<p>Grip i\u00e7in istirahat\u0131n \u00f6nemli oldu\u011funu kaydeden Yulu\u011f, \u201c\u0130stirahat \u00e7ok \u00f6nemlidir. Bu hem hastan\u0131n daha k\u0131sa zamanda iyile\u015fmesini ve tehlikeli \u00f6l\u00fcmc\u00fcl komplikasyondan korunmas\u0131n\u0131 temin eder hem de etraf\u0131na hastal\u0131\u011f\u0131 yaymas\u0131n\u0131 \u00f6nler. Hastalar\u0131n izolasyonu gerekli de\u011fildir. Hastalar\u0131n solunum sistemine ait ak\u0131nt\u0131lar\u0131 temizlenmeli ve ortamdan uzakla\u015ft\u0131r\u0131lmal\u0131d\u0131r. Okullar\u0131n kapat\u0131lmas\u0131n\u0131n salg\u0131n\u0131 kontrol alt\u0131na al\u0131nmas\u0131nda bir yarar\u0131 yoktur. Okullar\u0131n kapat\u0131lmas\u0131n\u0131 nedeni hastal\u0131k nedeniyle devams\u0131zl\u0131\u011f\u0131n \u00e7ok y\u00fcksek olmas\u0131d\u0131r. Yani salg\u0131n\u0131 kontrol alt\u0131na alamaz. &#8216;Hastal\u0131\u011f\u0131 ila\u00e7 kullanmadan atlataca\u011f\u0131m&#8217; diye bu t\u00fcr rahatlat\u0131c\u0131 ila\u00e7lardan ka\u00e7\u0131nman\u0131n gere\u011fi yoktur. \u00c7\u00fcnk\u00fc yak\u0131nmalar hasta i\u00e7in olduk\u00e7a \u0131zd\u0131rap verici ve ya\u015fam\u0131 zorla\u015ft\u0131r\u0131c\u0131d\u0131r. Ancak mutlaka doktor tavsiyesi ile kullan\u0131lmal\u0131, ezbere kullan\u0131lmamal\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n<p>&#8220;GR\u0130B\u0130N \u00d6L\u00dcMC\u00dcL OLAN KOMPL\u0130KASYONU ZAT\u00dcRRED\u0130R&#8221;<\/p>\n<p>Gribin komplikasyonlar\u0131nda en \u00f6nemli ve \u00f6l\u00fcmc\u00fcl olan\u0131n\u0131n zat\u00fcrre oldu\u011funa dikkat \u00e7eken Yulu\u011f, \u201cBademcik iltihab\u0131, kulak iltihab\u0131, sin\u00fczit, bron\u015fit gibi komplikasyonlar\u0131 geli\u015febilir. Hastal\u0131\u011f\u0131n a\u011f\u0131r seyretti\u011fi ki\u015filer, ya\u015fl\u0131 ve kronik hastal\u0131\u011f\u0131 olanlar ve 3-5 g\u00fcnl\u00fck ate\u015fli d\u00f6nemin ard\u0131ndan d\u00fczelme periyoduna girip daha sonra tekrar ate\u015fi y\u00fckselip hastalananlar mutlaka bu komplikasyonlar a\u00e7\u0131s\u0131ndan bir hekim taraf\u0131ndan de\u011ferlendirilmelidirler. Grip a\u00e7\u0131s\u0131ndan y\u00fcksek risk ta\u015f\u0131yanlar 65 ya\u015f\u0131n \u00fczerinde ya\u015fl\u0131 ki\u015filer, kronik kalp, akci\u011fer hastalar\u0131 (ast\u0131m, kronik bron\u015fit, bron\u015fektazi vb.), \u015feker hastalar\u0131, baz\u0131 kan hastalar\u0131, AIDS&#8217;liler, bak\u0131m ve huzur evlerinde ya\u015fayan ve kronik hastal\u0131\u011f\u0131 olanlar ile devaml\u0131 aspirin kullanmak zorunda olan 6-18 Ay aras\u0131ndaki bebeklerdir\u201d dedi.<\/p>\n<p>&#8220;GR\u0130PTEN KURTULMANIN EN ETK\u0130L\u0130 Y\u00d6NTEM\u0130 ELLER\u0130N YIKANMASI&#8221;<\/p>\n<p>Gripten korunmak i\u00e7in en etkili y\u00f6ntemin ellerin y\u0131kanmas\u0131 oldu\u011funu belirten Yulu\u011f, \u201cD\u00fczenli ya\u015famak, uyku ve dengeli beslenmemizi ihmal etmemek, alkol ve sigara al\u0131\u015fkanl\u0131\u011f\u0131m\u0131z\u0131 s\u0131n\u0131rlamak ve e\u011fer varsa zemindeki kronik \u015feker, kalp, akci\u011fer hastal\u0131klar\u0131m\u0131z\u0131n bak\u0131m ve tedavisini usul\u00fcne g\u00f6re yapmakt\u0131r. En etkili korunma y\u00f6ntemlerinden bir de a\u015f\u0131lanmad\u0131r. Grip a\u015f\u0131s\u0131, her y\u0131l sonbahar aylar\u0131nda piyasaya \u00e7\u0131kmakta ve form\u00fcl\u00fc her y\u0131l yenilenmektedir. A\u015f\u0131n\u0131n koruyuculu\u011fu de\u011fi\u015fkendir. A\u015f\u0131n\u0131n haz\u0131rland\u0131\u011f\u0131 su\u015f ile salg\u0131n yapan su\u015f aras\u0131ndaki antijenik farkl\u0131l\u0131klara ve uygulanan ki\u015filerin imm\u00fcnolojik direncine g\u00f6re koruyuculuk oran\u0131 y\u00fczde 60 ile y\u00fczde 80 aras\u0131nda de\u011fi\u015fmektedir. Grip olmay\u0131 \u00f6nlemese bile, hastal\u0131ktan dolay\u0131 hastanelere yat\u0131\u015f\u0131, zat\u00fcrre ve \u00f6l\u00fcm gibi a\u011f\u0131r komplikasyonlar\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 azaltt\u0131\u011f\u0131 bildirilmektedir. Baz\u0131 \u00e7al\u0131\u015fmalarda grip sonras\u0131 g\u00f6r\u00fclen zat\u00fcrreleri \u00f6nlemede y\u00fczde 50-60, \u00f6l\u00fcmleri \u00f6nlemede y\u00fczde 80 etkin oldu\u011fu bildirilmi\u015ftir\u201d \u015feklinde konu\u015ftu.<\/p>\n<p>&#8220;GR\u0130P A\u015eISI 6 AYDAN K\u00dc\u00c7\u00dcK OLAN \u00c7OCUKLARA YAPILMAMALIDIR&#8221;<\/p>\n<p>\u00d6zel Karadeniz Hastanesi Enfeksiyon Hastal\u0131klar\u0131 Uzman\u0131 ve Ba\u015fhekimi G\u00fcrb\u00fcz Yulu\u011f, grip a\u015f\u0131s\u0131n\u0131n 6 aydan k\u00fc\u00e7\u00fck olan \u00e7ocuklara yap\u0131lmamas\u0131 gerekti\u011fini belirterek \u015f\u00f6yle konu\u015ftu:<\/p>\n<p>\u201cVir\u00fcs\u00fcn antijenik yap\u0131s\u0131 s\u0131k de\u011fi\u015fti\u011finden bu a\u015f\u0131lar her y\u0131l i\u00e7in izole edilen vir\u00fcslerden yeni olarak haz\u0131rlanmakta ve her y\u0131l\u0131n eyl\u00fcl-aral\u0131k aylar\u0131 aras\u0131nda tek doz olarak yap\u0131lmas\u0131 \u00f6nerilmektedir. \u00c7\u00fcnk\u00fc a\u015f\u0131lamay\u0131 takiben yeterli ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n olu\u015fmas\u0131 i\u00e7in 1-2 ayl\u0131k bir s\u00fcreye gerek vard\u0131r. Eyl\u00fcl-kas\u0131m aras\u0131nda yap\u0131l\u0131rsa grip salg\u0131nlar\u0131n\u0131n ba\u015flad\u0131\u011f\u0131 k\u0131\u015f aylar\u0131 i\u00e7erisinde ba\u011f\u0131\u015f\u0131kl\u0131k en y\u00fcksek d\u00fczeyde olmu\u015f olur. Grip a\u015f\u0131s\u0131n\u0131n 6 aydan k\u00fc\u00e7\u00fck \u00e7ocuklara yap\u0131lmas\u0131 \u00f6nerilmemektedir. 8 ya\u015f ve daha k\u00fc\u00e7\u00fck \u00e7ocuklar e\u011fer ilk kez a\u015f\u0131lan\u0131yorlarsa tam etkinin olu\u015fmas\u0131 i\u00e7in en az 1 ay ara ile 2 doz a\u015f\u0131 uygulanmal\u0131d\u0131r. Yumurta alerjisi olanlara a\u015f\u0131 uygulanmamal\u0131d\u0131r. Bazen a\u015f\u0131r\u0131 duyarl\u0131l\u0131k reaksiyonlar\u0131 yapabilmektedir. Uygulama yerinde 1-2 G\u00fcn i\u00e7inde lokal sertlik ve k\u0131zar\u0131kl\u0131\u011fa neden olabilir. Daha nadiren uygulamadan 6-12 Saat sonra ate\u015f, halsizlik ve kas a\u011fr\u0131lar\u0131 g\u00f6r\u00fclebilir. Ancak bunlar 48 saat i\u00e7inde kaybolur. G\u00fcvenli bir a\u015f\u0131 olarak kabul edilmektedir.\u201d(\u0130HA)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zel Karadeniz Hastanesi Enfeksiyon Hastal\u0131klar\u0131 Uzman\u0131 ve Ba\u015fhekimi G\u00fcrb\u00fcz Yulu\u011f, grip hastal\u0131\u011f\u0131n\u0131n \u00f6zellikle k\u0131\u015f aylar\u0131nda tokala\u015fma ve yak\u0131n temaslarla bula\u015ft\u0131\u011f\u0131n\u0131 belirterek al\u0131nmas\u0131 gereken \u00f6nlemleri anlatt\u0131. \u00d6zel Karadeniz Hastanesi Enfeksiyon Hastal\u0131klar\u0131 Uzman\u0131 ve Ba\u015fhekimi G\u00fcrb\u00fcz Yulu\u011f, grip i\u00e7in Antibiyotik kullanman\u0131n faydas\u0131z oldu\u011funu belirterek, grip a\u00e7\u0131s\u0131ndan en y\u00fcksek risk ta\u015f\u0131yanlar\u0131n 65 ya\u015f \u00fczeri oldu\u011funu s\u00f6yledi. Gribin viral bir hastal\u0131k oldu\u011funu ve vir\u00fcslerle<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/gripte-alinacak-onlemler.html\">[Devam\u0131n\u0131 Oku&#8230;]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[22830,22828],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13117"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13117"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13117\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13117"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}