Chagas Nedir:Trypanosoma cruzi t\u00fcr\u00fc parazitlerle meydana gelen, h\u0131zl\u0131 ba\u015flang\u0131\u00e7l\u0131 veya yava\u015f seyirli olabilen bir enfeksiyon hastal\u0131\u011f\u0131d\u0131r.<\/p>\n
\u0130lk kez 1909 y\u0131l\u0131nda paraziti ke\u015ffeden Dr.Carlos Chagas taraf\u0131ndan tan\u0131mlanm\u0131\u015ft\u0131r. Hastal\u0131\u011fa \u00f6zellikle Orta ve G\u00fcney Amerika da rastlanmaktad\u0131r. Bug\u00fcn, bu b\u00f6lgede 16\u201318 milyon ki\u015finin parazit ile enfekte oldu\u011fu, 10 milyon ki\u015finin de risk alt\u0131nda oldu\u011fu tahmin edilmektedir. Chagas hastal\u0131\u011f\u0131 her y\u0131l 45.000 ki\u015finin \u00f6l\u00fcm\u00fcne yol a\u00e7maktad\u0131r. Hastal\u0131k \u00f6zellikle k\u0131rsal alanlarda, sosyo-ekonomik d\u00fczeyi k\u00f6t\u00fc olan yerlerde daha s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n
BEL\u0130RT\u0130LER <\/p>\n
Hastal\u0131k; insan, domuz, k\u00f6pek, sincap, maymun gibi memelilerde g\u00f6r\u00fcl\u00fcr. Hastal\u0131\u011f\u0131 meydana getiren paraziti bu Canl\u0131lar aras\u0131nda ta\u015f\u0131yanlar ise reduvid b\u00f6ceklerdir. Bunun d\u0131\u015f\u0131nda gebelik ve emzirme s\u0131ras\u0131nda hasta anneden bebe\u011fe hastal\u0131k ge\u00e7ebilir. Kan nakilleri s\u0131ras\u0131nda ve korunmas\u0131z cinsel ili\u015fki ile de hastal\u0131k bula\u015fabilir.<\/p>\n
Parazitin v\u00fccuda girerek hastal\u0131k olu\u015fturmas\u0131 i\u00e7in ge\u00e7en s\u00fcre 10\u201320 g\u00fcnd\u00fcr. Bazen hi\u00e7 bir \u015fikayete yol a\u00e7mayabilir. Akut hastal\u0131\u011f\u0131n ilk bulgular\u0131 b\u00f6ce\u011fin \u0131s\u0131rd\u0131\u011f\u0131 yerde olu\u015fan k\u00fc\u00e7\u00fck sert bir k\u0131zar\u0131k ve yak\u0131n lenf bezlerinde meydana gelen \u015fi\u015fmedir. Ate\u015f, halsizlik, i\u015ftahs\u0131zl\u0131k, \u00fc\u015f\u00fcme, titreme, kas a\u011fr\u0131lar\u0131 di\u011fer bulgulard\u0131r. \u015ei\u015flik 2\u20133 ayda yava\u015f yava\u015f geriler. Bu belirtiler daha \u00e7ok \u00e7ocuklarda g\u00f6r\u00fcl\u00fcr. Yava\u015f seyirli olan Chagas hastal\u0131\u011f\u0131nda ise en \u00e7ok hasarlanan organ kalptir. Kalp yetersizli\u011fi, ritm bozuklu\u011fu ve b\u00fcy\u00fcme g\u00f6r\u00fcl\u00fcr. Beyin iltihab\u0131 ve yemek borusunda iltihaplanma ve b\u00fcy\u00fcme de g\u00f6r\u00fclen di\u011fer rahats\u0131zl\u0131klard\u0131r.<\/p>\n
TANI<\/p>\n
Hastal\u0131\u011f\u0131n tan\u0131nmas\u0131 i\u00e7in kan\u0131n Cama yay\u0131larak \u00f6zel boyalarla boyanmas\u0131 ve parazitin g\u00f6sterilmesi esast\u0131r. Bunun d\u0131\u015f\u0131nda hastan\u0131n serumunda parazite kar\u015f\u0131 olu\u015fan antikorlar saptanabilir.<\/p>\n
PROGNOZ<\/p>\n
Tedavi olmam\u0131\u015f hastalarda, parazitler v\u00fccutta \u00e7e\u015fitli organlara yay\u0131larak \u00f6zellikle kalp, ba\u011f\u0131rsak ve yemek borusunda ilerleyici hasara yol a\u00e7maktad\u0131r.<\/p>\n
TEDAV\u0130<\/p>\n
Tedavi de hastan\u0131n v\u00fccudunda bulunan parazitlerin yok edilmesi gerekmektedir. Bu ama\u00e7la 3 Ay s\u00fcre ile a\u011f\u0131zdan antiparaziter ila\u00e7lar verilmekte ve tedavi \u00f6zelikle \u00e7ocuklarda yararl\u0131 olmaktad\u0131r.<\/p>\n
KOMPL\u0130KASYONLAR<\/p>\n
Kalp yetersizli\u011fi, kalpte b\u00fcy\u00fcme, tromboemboli, yemek borusu ve ba\u011f\u0131rsaklarda hasar g\u00f6r\u00fclmektedir.<\/p>\n
KORUNMA<\/p>\n
Hastal\u0131ktan korunma \u00f6nemlidir. Hastal\u0131\u011f\u0131n yayg\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc yerlerde reduvid b\u00f6ceklerin ortadan kald\u0131r\u0131lmas\u0131 amac\u0131 ile periyodik olarak ila\u00e7lama programlar\u0131 haz\u0131rlanmal\u0131d\u0131r. Bu b\u00f6lgeye yolculuk planl\u0131yorsa ki\u015fisel \u00f6nlemler al\u0131nmal\u0131d\u0131r. Kapal\u0131 giysiler tercih edilmeli, b\u00f6cek \u00f6ld\u00fcr\u00fcc\u00fc krem ve ila\u00e7lar\u0131n kullan\u0131lmas\u0131 yararl\u0131 olmaktad\u0131r. E\u011fer bu b\u00f6lgede kan nakli yap\u0131lacak ise kan verilmeden \u00f6nce mutlaka bu hastal\u0131k a\u00e7\u0131s\u0131ndan verilecek kan test edilmelidir.<\/p>\n
HAZIRLAYAN; Dr. \u00c7i\u011fdem Arabac\u0131<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n
KAYNAKEnfeksiyon Hastal\u0131klar\u0131 ve Mikrobiyolojisi,Cilt 2,sayfa 2522-2526,Top\u00e7u Wilke A, S\u00f6yletir G,Do\u011fanay M <\/p>\n","protected":false},"excerpt":{"rendered":"
Chagas Nedir:Trypanosoma cruzi t\u00fcr\u00fc parazitlerle meydana gelen, h\u0131zl\u0131 ba\u015flang\u0131\u00e7l\u0131 veya yava\u015f seyirli olabilen bir enfeksiyon hastal\u0131\u011f\u0131d\u0131r. \u0130lk kez 1909 y\u0131l\u0131nda paraziti ke\u015ffeden Dr.Carlos Chagas taraf\u0131ndan tan\u0131mlanm\u0131\u015ft\u0131r. Hastal\u0131\u011fa \u00f6zellikle Orta ve G\u00fcney Amerika da rastlanmaktad\u0131r. Bug\u00fcn, bu b\u00f6lgede 16\u201318 milyon ki\u015finin parazit ile enfekte oldu\u011fu, 10 milyon ki\u015finin de risk alt\u0131nda oldu\u011fu tahmin edilmektedir. Chagas hastal\u0131\u011f\u0131 her y\u0131l 45.000 ki\u015finin \u00f6l\u00fcm\u00fcne[Devam\u0131n\u0131 Oku…]<\/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":[23002,23005],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13175"}],"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=13175"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13175\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}