Nedeni belli, tedavisi m\u00fcmk\u00fcn, korunulabilir bir hastal\u0131k olmas\u0131na kar\u015f\u0131n t\u00fcberk\u00fclozun hala d\u00fcnyada insanlar\u0131 en \u00e7ok \u00f6ld\u00fcren 10 hastal\u0131k aras\u0131nda bulundu\u011fu belirtildi.G\u00fcn\u00fcm\u00fczde her G\u00fcn 22 bin ki\u015fide veremin geli\u015fti\u011fini ve 9 bin hastan\u0131n veremden \u00f6ld\u00fc\u011f\u00fcn\u00fc kaydeden Karadeniz Teknik \u00dcniversitesi (KT\u00dc) T\u0131p Fak\u00fcltesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Tevfiek \u00d6zl\u00fc, bir y\u0131lda veremden \u00f6lenlerin say\u0131s\u0131n\u0131n 3 milyonu buldu\u011funu s\u00f6yledi. A\u015fa\u011f\u0131 yukar\u0131 her 10 saniyede bir ki\u015finin d\u00fcnyada veremden \u00f6ld\u00fc\u011f\u00fcne ifade eden Prof. Dr. \u00d6zl\u00fc, “\u0130nsanl\u0131k tarihinin hi\u00e7bir d\u00f6neminde yery\u00fcz\u00fcnde bu kadar t\u00fcberk\u00fclozlu hasta olmam\u0131\u015ft\u0131r. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO), 1993’te t\u00fcberk\u00fcloz salg\u0131n\u0131n\u0131n \u00f6nlenemedi\u011fini itiraf ederek acil durum ilan etmi\u015ftir. 2005’e gelindi\u011finde de durum benzerdir. Bu y\u0131l i\u00e7in hesaplanan rakamlara g\u00f6re, yery\u00fcz\u00fcnde ya\u015fayan her \u00fc\u00e7 ki\u015fiden biri Verem mikrobuyla tan\u0131\u015fm\u0131\u015f olup, g\u00fcn\u00fcn birinde verem hastas\u0131 olmaya adayd\u0131r. Y\u0131lda 62 milyon ki\u015fi mikrobu almakta ve 10 milyon ki\u015fi hastalanmaktad\u0131r. T\u00fcm veremli hastalar\u0131n say\u0131s\u0131 ise 23 milyon olarak tahmin edilmektedir. Eskiden sadece geli\u015fmemi\u015f \u00fclkelerle, fakir ve sefalet i\u00e7erisinde ya\u015fayan insanlar\u0131n hastal\u0131\u011f\u0131 olarak kabul edilen verem, g\u00fcn\u00fcm\u00fczde k\u00fcreselle\u015fme, h\u0131zlanan n\u00fcfus hareketleri ve AIDS salg\u0131n\u0131na ba\u011fl\u0131 olarak s\u0131n\u0131r tan\u0131mamaktad\u0131r ve zengin toplumlarda ve \u00e7ok pop\u00fcler ki\u015filerde de s\u0131k rastlan\u0131r olmu\u015ftur. Art\u0131k kimse g\u00fcvende de\u011fildir’ dedi.T\u00fcrkiye’nin hastal\u0131\u011f\u0131n orta s\u0131kl\u0131kla rastland\u0131\u011f\u0131 co\u011frafyada yer ald\u0131\u011f\u0131na dikkat \u00e7eken Tevfik \u00d6zl\u00fc “N\u00fcfusumuzun d\u00f6rtte birine verem mikrobu bula\u015fm\u0131\u015f haldedir. 200 bin civar\u0131nda verem hastas\u0131 oldu\u011fu ve her y\u0131l 30-40 bin yeni hastan\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131 san\u0131lmaktad\u0131r. T\u00fcberk\u00fcloz kar\u015f\u0131s\u0131nda t\u0131p aciz de\u011fildir. T\u00fcberk\u00fcloz, t\u0131bben hem kolay te\u015fhis edilebilen hem de y\u00fczde 100’e yak\u0131n ba\u015far\u0131 oran\u0131yla tedavi edilebilen ve hatta b\u00fcy\u00fck oranda korunulabilen bir hastal\u0131kt\u0131r. Bu bak\u0131mdan t\u00fcberk\u00fcloz t\u0131bbi bir sorun de\u011fildir. Y\u00f6netimsel bir sorundur’ diye konu\u015ftu.T\u00dcBERK\u00dcLOZUN KONTROL ALTINA ALINAMAMASININ NEDENLER\u0130Prof. Dr. \u00d6zl\u00fc, t\u00fcberk\u00fcloz olgular\u0131n\u0131n ve \u00f6l\u00fcmlerin y\u00fczde 90’dan fazlas\u0131n\u0131n geli\u015fmekte olan \u00fclkelerde oldu\u011funu ve olgular\u0131n y\u00fczde 75’inin \u00fcretken ya\u015f grubunda (15-54 ya\u015f) yer ald\u0131\u011f\u0131n\u0131 belirterek \u015funlar\u0131 s\u00f6yledi:”T\u00fcberk\u00fclozlu hasta say\u0131s\u0131 y\u0131lda y\u00fczde 2,4 oran\u0131nda artmaktad\u0131r. Bu art\u0131\u015f, yoksulluk, gelir da\u011f\u0131l\u0131m\u0131n\u0131n bozulmas\u0131, yetersiz beslenme, sava\u015flar, n\u00fcfus hareketleri, AIDS salg\u0131n\u0131, alkolikler, evsizler, mahkumlar, g\u00f6\u00e7menler gibi risk gruplar\u0131ndaki art\u0131\u015f, yanl\u0131\u015f veya eksik tedaviler, diren\u00e7 geli\u015fimi ve sa\u011fl\u0131k hizmetlerinin sunumundaki aksakl\u0131klardan kaynaklanmaktad\u0131r. G\u00f6r\u00fcld\u00fc\u011f\u00fc gibi ekonomik dengeler, gelir da\u011f\u0131l\u0131m\u0131, ya\u015fam ko\u015fullar\u0131, sava\u015f ve g\u00f6\u00e7ler ve sa\u011fl\u0131k hizmetlerinin yeterince ula\u015f\u0131labilir olmamas\u0131 gibi y\u00f6netimsel sorunlardan kaynaklanmaktad\u0131r’\u00dclkemizde t\u00fcberk\u00fclozun kontrol alt\u0131na al\u0131namamas\u0131n\u0131n nedenlerini ise Prof. Dr. \u00d6zl\u00fc, \u015fu \u015fekilde s\u0131ralad\u0131:’ \u2013 Birinci ve ikinci basamak sa\u011fl\u0131k kurumlar\u0131nda mikroskopik olarak verem mikrobunun tan\u0131nmas\u0131na d\u00f6n\u00fck i\u015flemlerin yayg\u0131n olarak yap\u0131lamamas\u0131,- Verem te\u015fhisi konan hastalar\u0131n yasal olarak zorunlu bildirimlerinin yap\u0131lmamas\u0131,- Verem hastalar\u0131n\u0131n tedavilerinin do\u011frudan g\u00f6zetim alt\u0131nda yap\u0131lamamas\u0131,- Tedavi ba\u015flanan olgular\u0131n sonuna kadar izlenememesi,- Hasta e\u011fitiminin yap\u0131lamamas\u0131 ve hastalar\u0131m\u0131zda tedaviye uyumsuzluk,- Yanl\u0131\u015f veya eksik tedavi rejimleri,- Verem sava\u015f\u0131ndaki personelin e\u011fitim ve motivasyon eksikli\u011fi.’VEREMLE SAVA\u015eTA YAPILMASI GEREKENLERProf. Dr. \u00d6zl\u00fc, verem sava\u015f\u0131nda yap\u0131lmas\u0131 gerekenleri ise \u015fu \u015fekilde \u00f6zetledi:”- Uygun yak\u0131nmalar\u0131 olan ki\u015filerin balgam \u00f6rneklerinde mikroskobik muayeneyle verem mikrobunu ara\u015ft\u0131rmak,- Tan\u0131 konmu\u015f hastalar\u0131n tedavilerini sonuna kadar g\u00f6zetim alt\u0131nda uygulamak,- Do\u011fum sonras\u0131 2. ayda ve ilkokul 1. s\u0131n\u0131fta BCG a\u015f\u0131lamas\u0131n\u0131 yapmak,- Verem te\u015fhisi konmu\u015f hastalar\u0131n yak\u0131nlar\u0131 ile temasl\u0131 oldu\u011fu ki\u015fileri taramak, gerekirse ila\u00e7la korumaya almak,- Halk\u0131 verem konusunda bilgilendirmek,- Hasta ve hasta yak\u0131nlar\u0131n\u0131 e\u011fitip tedavilerini yanl\u0131\u015f ve eksik yapmalar\u0131n\u0131 \u00f6nlemek,- Verem te\u015fhis ve tedavisiyle ilgili sa\u011fl\u0131k hizmetlerini kolay ula\u015f\u0131labilir hale getirmek ve \u00fccretsiz sa\u011fl\u0131k hizmeti verildi\u011fini kamuoyuna duyurmak,- Verem tan\u0131s\u0131 alm\u0131\u015f t\u00fcm hastalar\u0131n kim taraf\u0131ndan te\u015fhis edilmi\u015f olursa olsun mutlaka hastaya en yak\u0131n verem sava\u015f dispanserine bildirmek ve ilgili dispanser taraf\u0131ndan takip edilebilmesini temin etmek,- Dispanserlerde t\u00fcberk\u00fcloz tedavisiyle ilgili t\u00fcm ila\u00e7lar\u0131 yeterli dozlarda ve kesintisiz bulundurmak,- Dispanserde \u00e7al\u0131\u015fan hekimlerin meslek i\u00e7i e\u011fitimlerini yapmak ve verem sava\u015f\u0131nda motivasyonlar\u0131n\u0131 g\u00fc\u00e7lendirecek moral ve ekonomik \u00f6nlemleri almak,- Verem sava\u015f\u0131nda taraf olabilecek t\u00fcm kesimlerin (T\u0131p Fak\u00fclteleri, Verem Sava\u015f Dernekleri, Hekimlerin Uzmanl\u0131k Dernekleri, Bas\u0131n ve g\u00f6n\u00fcll\u00fc kurulu\u015flar gibi) koordinasyonunu sa\u011flamak.’ \u0130HA<\/p>\n","protected":false},"excerpt":{"rendered":"
Nedeni belli, tedavisi m\u00fcmk\u00fcn, korunulabilir bir hastal\u0131k olmas\u0131na kar\u015f\u0131n t\u00fcberk\u00fclozun hala d\u00fcnyada insanlar\u0131 en \u00e7ok \u00f6ld\u00fcren 10 hastal\u0131k aras\u0131nda bulundu\u011fu belirtildi.G\u00fcn\u00fcm\u00fczde her G\u00fcn 22 bin ki\u015fide veremin geli\u015fti\u011fini ve 9 bin hastan\u0131n veremden \u00f6ld\u00fc\u011f\u00fcn\u00fc kaydeden Karadeniz Teknik \u00dcniversitesi (KT\u00dc) T\u0131p Fak\u00fcltesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Tevfiek \u00d6zl\u00fc, bir y\u0131lda veremden \u00f6lenlerin say\u0131s\u0131n\u0131n 3 milyonu buldu\u011funu s\u00f6yledi. A\u015fa\u011f\u0131[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":[25675,23107,25674],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/14174"}],"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=14174"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/14174\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=14174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=14174"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=14174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}