Ba\u011f\u0131\u015f\u0131klama vir\u00fcs ve bakterilerin meydana getirdi\u011fi hastal\u0131klardan korunmak \u00fczere v\u00fccudun kendi ba\u011f\u0131\u015f\u0131kl\u0131k sistemini haz\u0131r hale getirmesidir. Ba\u011f\u0131\u015f\u0131klama; a\u015f\u0131lama ile aktif \u015fekilde yada immuglobulin ad\u0131 verilen \u00f6zel serumlarla pasif bir \u015fekilde sa\u011flanabilir. A\u015f\u0131lanm\u0131\u015f bir ki\u015fi o hastal\u0131\u011f\u0131n etkeni ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda v\u00fccudun savunma sistemi hastal\u0131\u011f\u0131 \u00f6nlemek \u00fczere h\u0131zl\u0131 ve etkin bir \u015fekilde harekete ge\u00e7er.<\/p>\n
A\u015f\u0131lar; mikrobun hastal\u0131k yap\u0131c\u0131 \u00f6zelli\u011fi azalt\u0131larak yada \u00f6ld\u00fcr\u00fclerek, do\u011frudan kendisinden veya belli b\u00f6l\u00fcmlerinden haz\u0131rlanabilir. Kas i\u00e7i, cilt alt\u0131, a\u011f\u0131z gibi \u00e7e\u015fitli yollardan uygulanmaktad\u0131r. \u0130\u00e7lerinde koruyucu baz\u0131 Maddeler bulundu\u011fundan bu maddelere kar\u015f\u0131 allerjik reaksiyon (allerji) geli\u015febilir.<\/p>\n
Her t\u00fcrl\u00fc a\u015f\u0131 cinsi ayn\u0131 anda uygulanabilir. A\u015f\u0131lar laboratuvarda Canl\u0131 mikrop kullan\u0131larak veya \u00f6ld\u00fcr\u00fclm\u00fc\u015f mikroptan yap\u0131labilir. Canl\u0131 mikroptan olu\u015fturulmu\u015f a\u015f\u0131 ile \u00f6l\u00fc mikrop kullan\u0131larak yap\u0131lan a\u015f\u0131lar\u0131n ayn\u0131 anda uygulanmas\u0131 a\u015f\u0131n\u0131n etkinli\u011fini azaltmaz. Canl\u0131 mikroptan elde edilmi\u015f enjekte edilen a\u015f\u0131lar ayn\u0131 anda uygulanabilir. Ayn\u0131 anda yap\u0131lmad\u0131ysa aralar\u0131nda en az d\u00f6rt hafta s\u00fcre b\u0131rak\u0131lmal\u0131d\u0131r.<\/p>\n
A\u015f\u0131lar\u0131n yap\u0131lamayaca\u011f\u0131 durumlar \u00e7ok nadirdir. Kesin yap\u0131lmamas\u0131 gereken durumlar varsa a\u015f\u0131 ertelenir. Bu durumda a\u015f\u0131 zaman\u0131n\u0131n nas\u0131l olaca\u011f\u0131na hekim karar verir.<\/p>\n
A-\u00a0\u00a0\u00a0 A\u015f\u0131lar\u0131n Uygulanmamas\u0131 Gereken Durumlar:<\/p>\n
1-\u00a0\u00a0\u00a0\u00a0\u00a0 Bir a\u015f\u0131 cinsine kar\u015f\u0131 ciddi allerjik reaksiyon geli\u015fmi\u015fse, o a\u015f\u0131n\u0131n takip eden sonraki dozlar\u0131 kesinlikle yap\u0131lmaz<\/p>\n
2-\u00a0\u00a0\u00a0\u00a0\u00a0 Bir a\u015f\u0131n\u0131n i\u00e7indeki maddelerden birine allerjik reaksiyon geli\u015fmi\u015fse, bu maddeyi i\u00e7eren t\u00fcm a\u015f\u0131lar kesinlikle yap\u0131lmaz.<\/p>\n
3-\u00a0\u00a0\u00a0\u00a0\u00a0 A\u015f\u0131n\u0131n yap\u0131lmas\u0131 gereken zaman esnas\u0131nda ate\u015fli veya ate\u015fsiz ciddi bir hastal\u0131k ge\u00e7iriliyorsa, izleyen hekime dan\u0131\u015f\u0131lmadan a\u015f\u0131 yap\u0131lmaz.<\/p>\n
B-\u00a0\u00a0\u00a0 A\u015f\u0131 Cinslerine G\u00f6re Uygulanmamas\u0131 Gereken Durumlar:<\/p>\n
1-\u00a0\u00a0\u00a0\u00a0\u00a0 \u0130naktif Polio A\u015f\u0131s\u0131 (Enjekte Edilen \u00c7ocuk Felci A\u015f\u0131s\u0131): Neomisin, streptomisin veya polimiksin-B gibi antibiyotiklere kar\u015f\u0131 allerji varsa yap\u0131lmaz. Gebelik varsa \u00f6nlem al\u0131narak yap\u0131labilir.<\/p>\n
2-\u00a0\u00a0\u00a0\u00a0\u00a0 Oral Polio A\u015f\u0131s\u0131 (A\u011f\u0131zdan Verilen \u00c7ocuk Felci A\u015f\u0131s\u0131): – AIDS enfeksiyonu (hastal\u0131\u011f\u0131) veya evde AIDS hastas\u0131 varsa,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bozulmu\u015f olanlara ve kanserli hastalara,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini etkileyen ila\u00e7lar ve radyasyon,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A\u015f\u0131 yap\u0131lan ki\u015finin evinde ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bozuk hasta olmas\u0131 durumlar\u0131nda bu a\u015f\u0131 yap\u0131lmaz.<\/p>\n
3-\u00a0\u00a0\u00a0\u00a0\u00a0 K\u0131zam\u0131k – K\u0131zam\u0131k\u00e7\u0131k – Kabakulak A\u015f\u0131s\u0131 (KKK):<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Neomisin veya jelatine kar\u015f\u0131 allerjik reaksiyon,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Yumurtaya kar\u015f\u0131 ciddi allerjik reaksiyon (ciddi reaksiyon d\u0131\u015f\u0131ndaki allerjiler engel de\u011fildir),<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gebelik,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bozulmu\u015f olanlara ve kanserli hastalara,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan ila\u00e7lar ve radyasyon.<\/p>\n
4-\u00a0\u00a0\u00a0\u00a0\u00a0 Hepatit-B A\u015f\u0131s\u0131: Ekmek Hamuru mayas\u0131na ciddi allerjik reaksiyon<\/p>\n
5-\u00a0\u00a0\u00a0\u00a0\u00a0 BCG A\u015f\u0131s\u0131:<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gebelik,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bozulmu\u015f olanlara ve kanserli hastalara,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan ila\u00e7lar ve radyasyon.<\/p>\n
6-\u00a0\u00a0\u00a0\u00a0\u00a0 DT\/TD A\u015f\u0131s\u0131 (Difteri Tetanoz A\u015f\u0131s\u0131): Genel olarak a\u015f\u0131 uygulanmamas\u0131 gereken durumlarla ayn\u0131d\u0131r.<\/p>\n
7-\u00a0\u00a0\u00a0\u00a0\u00a0 Canl\u0131 A\u015f\u0131lar:<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gebelik,<\/p>\n
–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bozulmu\u015f olanlara ve kanserli hastalara,<\/p>\n
Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan ila\u00e7lar ve radyasyon uygulananlara<\/p>\n
YAN ETK\u0130LER\u0130<\/p>\n
1) Yerel Yan Etkiler:\u00a0 A\u015f\u0131 yerinde hassasiyet ve a\u011fr\u0131 bir iki G\u00fcn i\u00e7inde kaybolur. S\u0131k g\u00f6r\u00fcl\u00fcr. Bazen a\u015f\u0131 uygulanan b\u00f6lgede bir sertlik olu\u015fabilir, haftalarca devam edebilir. Absele\u015fme olmad\u0131k\u00e7a tedavi gerektirmez. A\u015f\u0131 yerinde, bazen de a\u015f\u0131 yeri d\u0131\u015f\u0131nda d\u00f6k\u00fcnt\u00fcler g\u00f6r\u00fclebilir.<\/p>\n
2) Genel Yan Etkiler: Ani tansiyon d\u00fc\u015fmesi, g\u0131rtlakta geli\u015fen \u00f6dem, \u015fiddetli allerji hayat\u0131 tehdit edebilir. Baz\u0131 \u00e7ocuklarda bir iki g\u00fcn i\u00e7inde kendili\u011finden ge\u00e7en ba\u015f a\u011fr\u0131s\u0131, mide barsak sistemi rahats\u0131zl\u0131klar\u0131 g\u00f6r\u00fclebilir. A\u015f\u0131 sonras\u0131nda % 10-20 olas\u0131l\u0131kla ortaya \u00e7\u0131kan ate\u015f, ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fclerle bir iki G\u00fcnde kaybolur. Lenf Bezesi \u015ei\u015fmesi: Koltuk alt\u0131nda lenf bezesi \u015fi\u015fmesi, BCG (verem) a\u015f\u0131s\u0131 sonras\u0131nda % 6-12 s\u0131kl\u0131kla kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. BCG a\u015f\u0131s\u0131na ba\u011fl\u0131 lenf bezesi \u015fi\u015fmesi genellikle kendili\u011finden d\u00fczelir, ila\u00e7 tedavisi gerekmez. Absele\u015fme olursa ayr\u0131ca m\u00fcdahale gerekebilir.<\/p>\n
HAZIRLAYAN; Dr. Ba\u015fak DOKUZO\u011eUZ<\/p>\n
KAYNAKLAR 1- www.saglik.gov.tr 2- Eri\u015fkin A\u015f\u0131 Ba\u011f\u0131\u015f\u0131klama Rehberi 3- www.hastarehberi.com 4- www.cdc.gov<\/p>\n","protected":false},"excerpt":{"rendered":"
Ba\u011f\u0131\u015f\u0131klama vir\u00fcs ve bakterilerin meydana getirdi\u011fi hastal\u0131klardan korunmak \u00fczere v\u00fccudun kendi ba\u011f\u0131\u015f\u0131kl\u0131k sistemini haz\u0131r hale getirmesidir. Ba\u011f\u0131\u015f\u0131klama; a\u015f\u0131lama ile aktif \u015fekilde yada immuglobulin ad\u0131 verilen \u00f6zel serumlarla pasif bir \u015fekilde sa\u011flanabilir. A\u015f\u0131lanm\u0131\u015f bir ki\u015fi o hastal\u0131\u011f\u0131n etkeni ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda v\u00fccudun savunma sistemi hastal\u0131\u011f\u0131 \u00f6nlemek \u00fczere h\u0131zl\u0131 ve etkin bir \u015fekilde harekete ge\u00e7er. A\u015f\u0131lar; mikrobun hastal\u0131k yap\u0131c\u0131 \u00f6zelli\u011fi azalt\u0131larak yada \u00f6ld\u00fcr\u00fclerek,[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":[23132],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13219"}],"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=13219"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13219\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13219"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}