{"id":14648,"date":"2014-04-13T13:29:45","date_gmt":"2014-04-13T10:29:45","guid":{"rendered":"http:\/\/www.gncz.net\/bebeginizi-bogmacadan-koruyun.html"},"modified":"2014-04-13T13:29:45","modified_gmt":"2014-04-13T10:29:45","slug":"bebeginizi-bogmacadan-koruyun","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/bebeginizi-bogmacadan-koruyun.html","title":{"rendered":"Bebe\u011finizi Bo\u011fmacadan Koruyun"},"content":{"rendered":"<p>Uzmanlar, bo\u011fmacaya yakalanan yeti\u015fkinlerin, hastal\u0131\u011f\u0131 hen&uuml;z ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olu\u015fmam\u0131\u015f yenido\u011fan bebeklere bula\u015ft\u0131rabildi\u011fini, bu nedenle yeti\u015fkinlerin bo\u011fmacaya kar\u015f\u0131 a\u015f\u0131lanmas\u0131n\u0131n bebekleri bu hastal\u0131ktan koruyabilece\u011fini bildirdi.Hacettepe &Uuml;niversitesi T\u0131p Fak&uuml;ltesi &Ccedil;ocuk Enfeksiyon Hastal\u0131klar\u0131 Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Mehmet Ceyhan, &ouml;zellikle bebekler a&ccedil;\u0131s\u0131ndan &ccedil;ok ciddi bir hastal\u0131k olan bo\u011fmacan\u0131n akci\u011fer problemi ba\u015fta olmak &uuml;zere bir&ccedil;ok kal\u0131c\u0131 Sa\u011fl\u0131k sorununa yol a&ccedil;t\u0131\u011f\u0131n\u0131 belirtti.Bo\u011fmacan\u0131n so\u011fuk alg\u0131nl\u0131\u011f\u0131na benzer belirtilerle ba\u015flad\u0131\u011f\u0131n\u0131, daha sonra bo\u011fulurcas\u0131na, yo\u011fun ve h\u0131zl\u0131 &ouml;ks&uuml;r&uuml;k n&ouml;betleri g&ouml;r&uuml;ld&uuml;\u011f&uuml;n&uuml; anlatan Ceyhan, &quot;Bu hastal\u0131\u011fa yakalanan bebeklerle k&uuml;&ccedil;&uuml;k &ccedil;ocuklar n&ouml;betler s\u0131ras\u0131nda morar\u0131p kusabilir, hatta bo\u011fularak ya\u015famlar\u0131n\u0131 kaybedebilir. Bu minikler ayr\u0131ca beyne giden Oksijenin azalmas\u0131na ba\u011fl\u0131 olarak n&ouml;bet ge&ccedil;irebilecekleri gibi beyin enfeksiyonuna da yakalanabilirler&#039; diye konu\u015ftu.Bo\u011fmacan\u0131n hafif seyretti\u011fi yeti\u015fkinlerde di\u011fer solunum yolu enfeksiyonlar\u0131na benzer diren&ccedil;li &ouml;ks&uuml;r&uuml;k geli\u015fti\u011fini kaydeden Ceyhan, bu nedenle hastalarda ya\u015f b&uuml;y&uuml;d&uuml;k&ccedil;e bo\u011fmacadan \u015f&uuml;phelenilmedi\u011fine dikkati &ccedil;ekti. Ceyhan, \u015funlar\u0131 s&ouml;yledi:&quot;Oysa yap\u0131lan ara\u015ft\u0131rmada 2 haftadan uzun s&uuml;ren &ouml;ks&uuml;r&uuml;klerin y&uuml;zde 17&#039;sinin bo\u011fmacadan kaynakland\u0131\u011f\u0131 tespit edildi. Bo\u011fmacaya yakalanan yeti\u015fkinler hastal\u0131\u011f\u0131, a\u015f\u0131lanmam\u0131\u015f ki\u015filere, anne-baba ve bak\u0131c\u0131lar yeni do\u011fmu\u015f ve ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 hen&uuml;z olu\u015fmam\u0131\u015f bebeklere bula\u015ft\u0131rabiliyor.Yenido\u011fanlarda ilk a\u015f\u0131 2. ay\u0131n sonunda yap\u0131ld\u0131\u011f\u0131 i&ccedil;in mikrobu bundan &ouml;nce alan bebek riskle kar\u015f\u0131 kar\u015f\u0131ya kal\u0131yor. Bo\u011fmaca bakteriyel enfeksiyon oldu\u011fu i&ccedil;in anneden korunma da ge&ccedil;miyor. Bu nedenle ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olu\u015fmam\u0131\u015f bebeklerin korunmas\u0131 a&ccedil;\u0131s\u0131ndan yeti\u015fkinlerin bo\u011fmaca a\u015f\u0131s\u0131 yapt\u0131rmas\u0131 yararl\u0131 olur. Genellikle yeti\u015fkinlerin 10 y\u0131lda bir difteri-tetanoz a\u015f\u0131s\u0131 yapt\u0131rmalar\u0131 &ouml;nerilir. Bunun yerine ilk seferinde difteri, asell&uuml;ler bo\u011fmaca, tetanoz ve inaktif polionun t&uuml;m&uuml;n&uuml; i&ccedil;eren a\u015f\u0131 yapt\u0131r\u0131lmal\u0131, sonraki 10 y\u0131lda a\u015f\u0131lama difteri ve tetanoz \u015feklinde devam ettirilmelidir.&#039;T&uuml;rkiye&#039;de Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131&#039;n\u0131n a\u015f\u0131 takvimine g&ouml;re yan etkileri daha az olan asell&uuml;ler bo\u011fmaca a\u015f\u0131s\u0131n\u0131n difteri, tetanoz, inaktif polio ve hemofilus influenza tip B ile birlikte 5&#039;li olarak 2&#039;nci, 4&#039;&uuml;nc&uuml; ve 6&#039;nc\u0131 aylar\u0131n sonunda uyguland\u0131\u011f\u0131n\u0131, 18-24&#039;&uuml;nc&uuml; aylar aras\u0131nda da rapel (peki\u015ftirme) dozu yap\u0131ld\u0131\u011f\u0131n\u0131 belirten Ceyhan, 4-6 ya\u015f aras\u0131nda yap\u0131lmas\u0131 uygun olan 5&#039;inci doz uygulanamad\u0131\u011f\u0131, son doz da &ccedil;ok erken ya\u015fta uyguland\u0131\u011f\u0131 i&ccedil;in a\u015f\u0131n\u0131n etkisinin azald\u0131\u011f\u0131n\u0131 bildirdi.Art\u0131k T&uuml;rkiye&#039;de de bulunabilen, yan etkisi olmayan ve k&uuml;&ccedil;&uuml;k &ccedil;ocuklarda da uygulanabilen yeni a\u015f\u0131lar geli\u015ftirildi\u011fini belirten Ceyhan, bu a\u015f\u0131lardan birinin 3-11, di\u011ferinin de 3-65 ya\u015f aras\u0131ndaki ki\u015filerde uygulanabildi\u011fini s&ouml;yledi.\u0130leri ya\u015flardaki &ccedil;ocuklarda da uygulanabilen asell&uuml;ler bo\u011fmaca a\u015f\u0131s\u0131n\u0131n a\u015f\u0131 takvimine girmesinin A\u015f\u0131 Ba\u011f\u0131\u015f\u0131klama Dan\u0131\u015fma Kurulu&#039;nda ele al\u0131nd\u0131\u011f\u0131n\u0131, kurulun ilk&ouml;\u011fretim 1. s\u0131n\u0131ftaki &ouml;\u011frencilere difteri, tetanoz, inaktif polio ve bo\u011fmaca a\u015f\u0131s\u0131n\u0131n uygulanmas\u0131na y&ouml;nelik tavsiye karar\u0131 ald\u0131\u011f\u0131n\u0131 bildiren Ceyhan, &quot;Bir &ccedil;ok &uuml;lkede zaten bu uygulamaya ge&ccedil;ildi&#039; \u015feklinde konu\u015ftu.Bo\u011fmaca nedir?&quot;Bordatella pertussis&#039; ad\u0131ndaki bakterinin yol a&ccedil;t\u0131\u011f\u0131 &ccedil;ok bula\u015f\u0131c\u0131 bir hastal\u0131k olan bo\u011fmaca Hava yoluyla yay\u0131l\u0131yor. Hastal\u0131\u011f\u0131 bebeklere y&uuml;zde 75 oran\u0131nda anne, baba, karde\u015f veya &ccedil;evresindeki di\u011fer ki\u015filer bula\u015ft\u0131r\u0131yor.D&uuml;nya Sa\u011fl\u0131k &Ouml;rg&uuml;t&uuml; verilerine g&ouml;re d&uuml;nyada her y\u0131l 50 milyon bo\u011fmaca vakas\u0131 g&ouml;r&uuml;l&uuml;yor, bunlardan toplam 300 bini hayat\u0131n\u0131 kaybediyor. &Ouml;zellikle k&uuml;&ccedil;&uuml;k bebekler i&ccedil;in &ccedil;ok ciddi sonu&ccedil;lar\u0131 g&ouml;r&uuml;len ve &ouml;l&uuml;mc&uuml;l bir hastal\u0131k olan bo\u011fmacaya yakalanan her 100 bebekten 4&#039;&uuml; hayat\u0131n\u0131 kaybediyor.Antibiyotikler, bo\u011fmacan\u0131n &ouml;ks&uuml;r&uuml;k gibi belirtilerini azaltmada etkili de\u011fil. Hekimler, hastal\u0131k geli\u015ftikten sonra bo\u011fmaca hastalar\u0131n\u0131n yatak istirahatine al\u0131nmas\u0131n\u0131, S\u0131v\u0131 deste\u011fi verilmesini ve varsa ate\u015fin kontrol alt\u0131na al\u0131nmas\u0131n\u0131 &ouml;neriyor.Yakla\u015f\u0131k 12-14 hafta s&uuml;ren hastal\u0131k, i\u015f g&uuml;c&uuml; kayb\u0131na ve a\u015f\u0131r\u0131 tedavi giderine neden oluyor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Uzmanlar, bo\u011fmacaya yakalanan yeti\u015fkinlerin, hastal\u0131\u011f\u0131 hen&uuml;z ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olu\u015fmam\u0131\u015f yenido\u011fan bebeklere bula\u015ft\u0131rabildi\u011fini, bu nedenle yeti\u015fkinlerin bo\u011fmacaya kar\u015f\u0131 a\u015f\u0131lanmas\u0131n\u0131n bebekleri bu hastal\u0131ktan koruyabilece\u011fini bildirdi.Hacettepe &Uuml;niversitesi T\u0131p Fak&uuml;ltesi &Ccedil;ocuk Enfeksiyon Hastal\u0131klar\u0131 Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Mehmet Ceyhan, &ouml;zellikle bebekler a&ccedil;\u0131s\u0131ndan &ccedil;ok ciddi bir hastal\u0131k olan bo\u011fmacan\u0131n akci\u011fer problemi ba\u015fta olmak &uuml;zere bir&ccedil;ok kal\u0131c\u0131 Sa\u011fl\u0131k sorununa yol a&ccedil;t\u0131\u011f\u0131n\u0131 belirtti.Bo\u011fmacan\u0131n so\u011fuk alg\u0131nl\u0131\u011f\u0131na benzer belirtilerle<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/bebeginizi-bogmacadan-koruyun.html\">[Devam\u0131n\u0131 Oku&#8230;]<\/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":[26958,26961,26960,22740],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/14648"}],"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=14648"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/14648\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=14648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=14648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=14648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}