Uyku hastal\u0131\u011f\u0131 olarak da bilinen Afrika tripanosomiyaz\u0131 tedavi edilmedi\u011finde \u00f6l\u00fcmc\u00fcl olabilen bir enfeksiyon hastal\u0131\u011f\u0131d\u0131r.<\/p>\n
D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc verilerine g\u00f6re 50 milyon insan bu hastal\u0131k a\u00e7\u0131s\u0131ndan risk alt\u0131ndad\u0131r. y\u0131lda 66. 000 ki\u015fi bu hastal\u0131ktan \u00f6lmektedir. 1850’lerden bu yana milyonlarca ki\u015finin \u00f6l\u00fcm\u00fcne yol a\u00e7m\u0131\u015ft\u0131r.<\/p>\n
Afrika’n\u0131n do\u011fusunda g\u00f6r\u00fclen \u015fekli Do\u011fu Afrika uyku hastal\u0131\u011f\u0131d\u0131r. \u00d6zellikle Uganda, Tanzanya, Kenya, Etiyopya gibi \u00fclkelerde yayg\u0131nd\u0131r. Trypanosoma B. rhodesiense t\u00fcr\u00fc parazitlerle olu\u015fur.<\/p>\n
Afrika’n\u0131n bat\u0131s\u0131nda g\u00f6r\u00fclen uyku hastal\u0131\u011f\u0131 da Bat\u0131 Afrika uyku hastal\u0131\u011f\u0131 olarak adland\u0131r\u0131l\u0131r. Trypanosoma b gambiense t\u00fcr\u00fc parazitlerle meydana gelen bu hastal\u0131k \u00f6zellikle Sudan, Angola gibi \u00fclkelerde yayg\u0131nd\u0131r. Her iki hastal\u0131kta da paraziti hastadan sa\u011flam insanlara bula\u015ft\u0131ran \u00e7e\u00e7e sinekleridir.<\/p>\n
BEL\u0130RT\u0130LER <\/p>\n
Hastal\u0131\u011f\u0131n ilk belirtileri sine\u011fin \u0131s\u0131rd\u0131\u011f\u0131 yerde 1-2 hafta i\u00e7inde olu\u015fan sert, a\u011fr\u0131l\u0131 ve k\u0131rm\u0131z\u0131 renkte yaralard\u0131r. O b\u00f6lgeye yak\u0131n lenf bezlerinde \u015fi\u015fme g\u00f6r\u00fcl\u00fcr.<\/p>\n
Hastal\u0131k ilerledi\u011fine parazit kan yolu ile beyne ula\u015f\u0131r ve bu b\u00f6lgede iltihaplanmaya yol a\u00e7ar. Bu durumda ki\u015fide uykuya e\u011filim, fel\u00e7, y\u00fcr\u00fcyeme ve konu\u015fmada bozukluk, bay\u0131lma, ki\u015filik de\u011fi\u015fikli\u011fi gibi belirtiler g\u00f6r\u00fcl\u00fcr. Halsizlik, yorgunluk ve d\u00fczensiz ate\u015f y\u00fckselmeleri hastal\u0131\u011fa e\u015flik eder. nefes darl\u0131\u011f\u0131, kalpte aritmi ve yetersizlik, ishal, dalakta b\u00fcy\u00fcme, adet d\u00fczensizli\u011fi de di\u011fer bulgular\u0131 olu\u015fturmaktad\u0131r.<\/p>\n
TANI<\/p>\n
Kan, lenf bezinden veya beyin omurilik s\u0131v\u0131s\u0131ndan al\u0131nan \u00f6rneklerin boyanmas\u0131 ile parazitin g\u00f6sterilmesi gerekmektedir. Bunun d\u0131\u015f\u0131nda hasta insan\u0131n serumunda parazite kar\u015f\u0131 olu\u015fmu\u015f antikorlar da kan testleri ile saptanabilir.<\/p>\n
TEDAV\u0130<\/p>\n
Tedavide a\u011f\u0131zda al\u0131nan ve damardan verilen antiparaziter ila\u00e7lar kullan\u0131lmaktad\u0131r. Hastal\u0131\u011f\u0131n ilk d\u00f6nemlerinde tedavi daha ba\u015far\u0131l\u0131d\u0131r. Ancak beynin hasar g\u00f6rd\u00fc\u011f\u00fc durumlarda ve tedavi olmayanlarda \u00f6l\u00fcm oran\u0131 y\u00fcksektir.<\/p>\n
KOMPL\u0130KASYONLAR<\/p>\n
Beyin iltihab\u0131, n\u00f6rolojik ve hormonal bozukluklar, akci\u011fer \u00f6demi, kalp yetmezli\u011fine yol a\u00e7abilmektedir.<\/p>\n
KORUNMA<\/p>\n
\u00c7e\u00e7e sineklerinin \u00fcreme alanlar\u0131n\u0131 kontrol alt\u0131na alabilmek i\u00e7in \u00e7al\u0131l\u0131klar\u0131n temizlenmesi, u\u00e7aklarla o b\u00f6lgelerin b\u00f6cek ila\u00e7lar\u0131 ile ila\u00e7lanmas\u0131 temel ama\u00e7t\u0131r. O b\u00f6lgeye yolculuk yap\u0131lacaksa koruyucu ve a\u00e7\u0131k renkli elbiseleri tercih edilmelidir. Uyurken cibinlik veya benzeri yatak koruyucular\u0131n\u0131n kullanmas\u0131 \u00f6nemlidir. O b\u00f6lgede bulunan nehir k\u0131y\u0131lar\u0131 ve \u00e7al\u0131l\u0131klardan uzak durulmal\u0131d\u0131r. Sinek \u00f6ld\u00fcr\u00fcc\u00fc ila\u00e7 ve kremler yararl\u0131 olabilir.<\/p>\n
HAZIRLAYAN; Dr. \u00c7i\u011fdem Arabac\u0131<\/p>\n
KAYNAKEnfeksiyon Hastal\u0131klar\u0131 ve Mikrobiyolojisi,Cilt 2,sayfa 2526-2532,Top\u00e7u Wilke A, S\u00f6yletir G,Do\u011fanay M<\/p>\n","protected":false},"excerpt":{"rendered":"
Uyku hastal\u0131\u011f\u0131 olarak da bilinen Afrika tripanosomiyaz\u0131 tedavi edilmedi\u011finde \u00f6l\u00fcmc\u00fcl olabilen bir enfeksiyon hastal\u0131\u011f\u0131d\u0131r. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc verilerine g\u00f6re 50 milyon insan bu hastal\u0131k a\u00e7\u0131s\u0131ndan risk alt\u0131ndad\u0131r. y\u0131lda 66. 000 ki\u015fi bu hastal\u0131ktan \u00f6lmektedir. 1850’lerden bu yana milyonlarca ki\u015finin \u00f6l\u00fcm\u00fcne yol a\u00e7m\u0131\u015ft\u0131r. Afrika’n\u0131n do\u011fusunda g\u00f6r\u00fclen \u015fekli Do\u011fu Afrika uyku hastal\u0131\u011f\u0131d\u0131r. \u00d6zellikle Uganda, Tanzanya, Kenya, Etiyopya gibi \u00fclkelerde yayg\u0131nd\u0131r. Trypanosoma B.[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":[23357],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13297"}],"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=13297"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13297\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}