KAYALIK DA\u011eLAR BENEKL\u0130 HUMMASI<\/p>\n
Ate\u015f, makulopap\u00fcler d\u00f6k\u00fcnt\u00fc ile seyreden bir hastal\u0131kt\u0131r. Amerikan k\u0131tas\u0131nda endemik olan bu hastal\u0131kta tav\u015fan, k\u00f6stebek, fare gibi kemiriciler rezervuar, Kene vekt\u00f6rd\u00fcr. \u0130nsana infekte kenelerin \u0131s\u0131rmas\u0131yla bula\u015f\u0131r. Ricketsia rickettsii taraf\u0131ndan olu\u015fturulan bir hastal\u0131kt\u0131r.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
Kulu\u00e7ka d\u00f6nemi 2-14 g\u00fcnd\u00fcr. Hastal\u0131k ba\u015f a\u011fr\u0131s\u0131, halsizlik, bel a\u011fr\u0131s\u0131, kas, kemik, eklem a\u011fr\u0131lar\u0131, ate\u015f gibi \u015fikayetlerle ba\u015flar. Ate\u015f 40 C kadar y\u00fckselir. Ortalama \u00fc\u00e7\u00fcnc\u00fc G\u00fcnde basmakla solmayan mak\u00fclopap\u00fcler d\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kar. A\u011f\u0131r olgularda menenjit ve koma g\u00f6r\u00fclebilir. E\u011fer ikinci hafta sonuna kadar hasta kaybedilmezse ate\u015f d\u00fc\u015fer, lezyonlar iyile\u015fir. Tedavi edilmedi\u011finde olgular\u0131n %20’sinde \u00f6l\u00fcm g\u00f6r\u00fcl\u00fcr.<\/p>\n
TANI<\/p>\n
Hayvan deneyleri yap\u0131labilir. Ayr\u0131ca serolojik tan\u0131 amac\u0131yla Weil-Felix deneyinde titre 1\/320 veya daha y\u00fcksek olmak \u00fczere OX2 ve OX19 ile Pozitif sonu\u00e7 al\u0131n\u0131r.<\/p>\n
TEDAV\u0130<\/p>\n
Tetrasiklin 25 mg\/kg\/g\u00fcn veya Kloramfenikol 50 mg\/kg\/g\u00fcn kullan\u0131l\u0131r.\u00a0\u00a0\u00a0<\/p>\n
KORUNMA<\/p>\n
Kenelerle m\u00fccadele etmek, kenelerden uzak durmak gerekmektedir. Endemik oldu\u011fu b\u00f6lgelerde kullan\u0131lan bir a\u015f\u0131s\u0131 vard\u0131r.<\/p>\n
MARS\u0130LYA HUMMASI<\/p>\n
Akdeniz B\u00f6lgesi’nde endemik olarak g\u00f6r\u00fclen, insana kene \u0131s\u0131r\u0131\u011f\u0131 ile bula\u015fan bir hastal\u0131kt\u0131r. R.conorii taraf\u0131ndan olu\u015fturulan bir hastal\u0131kt\u0131r.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
Kulu\u00e7ka s\u00fcresi ortalama 5-7 g\u00fcnd\u00fcr. Hastal\u0131k ani titreme ile ba\u015flar ve ate\u015f 39-40 C kadar y\u00fckselir. S\u00fcrekli olarak bel, ba\u015f, kas, eklem, g\u00f6z dibi a\u011fr\u0131s\u0131 vard\u0131r. I\u015f\u0131\u011fa hassasiyet, konjunktivalarda k\u0131zar\u0131kl\u0131k olur. Ate\u015f y\u00fckseldi\u011finde kenenin \u0131s\u0131rd\u0131\u011f\u0131 yerde etraf\u0131 k\u0131rm\u0131z\u0131 mor bir b\u00f6lgeyle \u00e7evrili birka\u00e7 milimetre \u00e7ap\u0131nda kara nekrotik bir b\u00f6lge \u015feklinde bir yara geli\u015fir, a\u011fr\u0131s\u0131z olan bu \u00fclser hastal\u0131k i\u00e7in tipiktir. Hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131ndan 3-4 G\u00fcn sonra\u00a0 mak\u00fclopap\u00fcler d\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kar. D\u00f6k\u00fcnt\u00fcler t\u00fcm v\u00fccutta olmakla beraber, el ayas\u0131 ve Ayak taban\u0131nda daha s\u0131kt\u0131r. Ba\u015flang\u0131\u00e7ta d\u00f6kmeler bast\u0131rmakla kaybolur; daha sonra bunlar pap\u00fcl haline d\u00f6n\u00fc\u015f\u00fcr ve elleyince d\u00fc\u011fmeymi\u015f gibi hissedilir. Ate\u015f h\u0131zla d\u00fc\u015fer ve hastalar iyile\u015fir. Mortalitesi d\u00fc\u015f\u00fckt\u00fcr, %2 kadar.<\/p>\n
TANI<\/p>\n
Hayvan deneyleri yap\u0131labilir. Ayr\u0131ca serolojik tan\u0131 amac\u0131yla kullan\u0131lan Weil-Felix deneyinde, hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131ndan on g\u00fcn sonra pozitif sonu\u00e7 verir.<\/p>\n
TEDAV\u0130<\/p>\n
Tetrasiklin veya Kloramfenikol kullan\u0131l\u0131r.<\/p>\n
KORUNMA<\/p>\n
Kenelerle m\u00fccadele etmek, kenelerden uzak durmak gerekmektedir. Cans\u0131z a\u015f\u0131s\u0131 vard\u0131r.<\/p>\n
KUZEY Asya BENEKL\u0130 HUMMASI<\/p>\n
\u0130yi seyirli bir hastal\u0131kt\u0131r. Yaban\u0131l kemiriciler kaynakt\u0131r. Ixodid t\u00fcr\u00fc kenelerin \u0131s\u0131rmas\u0131yla insana bula\u015f\u0131r. R.sibirica etken oldu\u011fu bir hastal\u0131kt\u0131r.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
Kulu\u00e7ka d\u00f6nemi be\u015f g\u00fcn kadar olup ba\u015f a\u011fr\u0131s\u0131, kas a\u011fr\u0131lar\u0131, i\u015ftahs\u0131zl\u0131k ve ate\u015f\u00a0 gibi belirtilerle ba\u015flar.Kenenin \u0131s\u0131rd\u0131\u011f\u0131 yerdeki lezyon k\u00fc\u00e7\u00fckt\u00fcr, ortas\u0131nda kabuk vard\u0131r. Yak\u0131n lenf bezleri tutulur. V\u00fccutta d\u00f6kmeler olu\u015fur. Ate\u015f yakla\u015f\u0131k on g\u00fcn kadar sonra aniden d\u00fc\u015fer.<\/p>\n
TANI, TEDAV\u0130 VE KORUNMA<\/p>\n
Di\u011fer riketsiyozlar ile ayn\u0131d\u0131r.<\/p>\n
\u00a0<\/p>\n
HAZIRLAYANLAR; Dr Yasmin KURTO\u011eLU, Dr Cemal BULUT<\/p>\n","protected":false},"excerpt":{"rendered":"
KAYALIK DA\u011eLAR BENEKL\u0130 HUMMASI Ate\u015f, makulopap\u00fcler d\u00f6k\u00fcnt\u00fc ile seyreden bir hastal\u0131kt\u0131r. Amerikan k\u0131tas\u0131nda endemik olan bu hastal\u0131kta tav\u015fan, k\u00f6stebek, fare gibi kemiriciler rezervuar, Kene vekt\u00f6rd\u00fcr. \u0130nsana infekte kenelerin \u0131s\u0131rmas\u0131yla bula\u015f\u0131r. Ricketsia rickettsii taraf\u0131ndan olu\u015fturulan bir hastal\u0131kt\u0131r. BEL\u0130RT\u0130LER\u0130 Kulu\u00e7ka d\u00f6nemi 2-14 g\u00fcnd\u00fcr. Hastal\u0131k ba\u015f a\u011fr\u0131s\u0131, halsizlik, bel a\u011fr\u0131s\u0131, kas, kemik, eklem a\u011fr\u0131lar\u0131, ate\u015f gibi \u015fikayetlerle ba\u015flar. Ate\u015f 40 C kadar y\u00fckselir.[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":[23086,23076,23089,23082,23081],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13201"}],"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=13201"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13201\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13201"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13201"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}