![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2018\/08\/cocuklarda-yaz-ishaline-dikkat_6947467.jpg\")
\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 Uzman\u0131 Prof. Dr. Sabri Acar, yaz ishaline dikkat \u00e7ekerek, d\u00fcnyada her y\u0131l 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda bir milyara yak\u0131n ishal vakas\u0131 g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve bu \u00e7ocuklardan 2,5 milyona yak\u0131n\u0131n\u0131n \u00f6ld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
Medicana International Samsun Hastanesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 B\u00f6l\u00fcm\u00fcnden Prof. Dr. Sabri Acar, bebek ve \u00e7ocuklarda ishal konusunda bilgi verdi. \u0130shalin bebek ve \u00e7ocuklarda her mevsimde g\u00f6r\u00fclebilece\u011finin alt\u0131n\u0131 \u00e7izen Dr. Sabri Acar, \u00f6zellikle yaz aylar\u0131nda daha dikkatli olunmas\u0131 konusunda uyar\u0131larda bulundu.<\/p>\n
\u201cHer y\u0131l 2,5 milyona yak\u0131n \u00e7ocuk ishalden \u00f6l\u00fcyor\u201d<\/p>\n
\u0130shal hastal\u0131\u011f\u0131ndan milyonlarca bebek ya da \u00e7ocu\u011fun \u00f6ld\u00fc\u011f\u00fcn\u00fc belirten Dr. Sabri Acar, \u201cD\u00fcnyada her y\u0131l 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda bir milyara yak\u0131n ishal vakas\u0131 g\u00f6r\u00fclmekte ve bu \u00e7ocuklar\u0131n 2,5 milyona yak\u0131n\u0131 \u00f6lmektedir. \u00d6l\u00fcmlerin en b\u00fcy\u00fck sebebi ishal ile su s\u0131v\u0131 kayb\u0131d\u0131r. \u00d6zellikle 2 ya\u015f\u0131n alt\u0131ndaki bebeklerde ishalden \u00f6l\u00fcm daha s\u0131kt\u0131r. \u0130shal, bebek ve \u00e7ocu\u011fun her zaman yapmakta oldu\u011fu gaita (kaka) say\u0131s\u0131n\u0131n ve k\u0131vam\u0131n\u0131n artmas\u0131d\u0131r. Anne s\u00fct\u00fc alan ufak bebeklerde g\u00fcnl\u00fck gaita say\u0131s\u0131 6-7 defa k\u0131vamlar\u0131 ise biraz yumu\u015fak olabilir. B\u00fcy\u00fck \u00e7ocuklarda ise g\u00fcnl\u00fck gaita say\u0131s\u0131 1\u20132 ise normal kabul edilebilir. Yeter ki gaita k\u0131vam\u0131 \u00e7ok sulu olmas\u0131n, adeta par\u00e7as\u0131ndan akar hale gelmesin. \u0130shalde gaitan\u0131n say\u0131s\u0131 kadar, rengi, kokusu ve i\u00e7eri\u011fi de \u00e7ok \u00f6nemlidir. Anne s\u00fct\u00fc olan bir bebek sa\u011fl\u0131kl\u0131 iken alt\u0131n sar\u0131s\u0131 renginde gaita yaparken, ishal mikrobik bir hal alacak olursa, ye\u015fil- kahve rengi, pis kokulu, s\u00fcm\u00fckl\u00fc bir hale d\u00f6n\u00fc\u015febilir. Hatta baz\u0131 virutik ve mikrobik ishallerde gaita i\u00e7inde kan ve mukus (s\u00fcm\u00fcks\u00fc bir yap\u0131) olabilir. \u00d6rne\u011fin dizanteri ve tifo gibi. \u0130shalde ba\u011f\u0131rsak i\u00e7inde ilerleyen yiyecek ve i\u00e7ecekler kalmas\u0131 gereken s\u00fcreden daha az ba\u011f\u0131rsaklar\u0131n i\u00e7inde kal\u0131rlar. B\u00f6ylece yiyecekler yeterince emilemez, sindirilemez olurlar\u201d dedi.<\/p>\n
\u0130shalin sebepleri<\/p>\n
\u0130shalin sebepleri hakk\u0131nda da a\u00e7\u0131klamalarda bulunan Dr. Acar, \u201c\u0130shalin sebepleri \u00e7ok \u00e7e\u015fitlidir. \u00c7o\u011fu kez virutiktir. Yani mikroplarla olmayan, mikroptan daha k\u00fc\u00e7\u00fck canl\u0131 yarat\u0131klard\u0131r. Virutik olanlar, genellikle \u00e7ocu\u011fun genel durumunu pek bozmaz, ate\u015f pek y\u00fckselmez. Ancak mikrobik ishallerde ate\u015f g\u00f6r\u00fclebilir, bunun yan\u0131 s\u0131ra gaitan\u0131n g\u00f6r\u00fcn\u00fc\u015f\u00fc, kokusu de\u011fi\u015fir. Hatta kanl\u0131 olabilir. \u0130shal, \u00e7ocuklarda kirli g\u0131dalar, abur cubur yiyecekler ile de meydana gelebilir. Ya\u011fl\u0131 ve \u015fekeri bol g\u0131dalarda ishal yapabilir. Ayr\u0131ca g\u0131da zehirlenmelerinin ilk saatlerinde kusma kar\u0131n a\u011fr\u0131s\u0131, ilerleyen saat ve g\u00fcnlerinde de ishal ortaya \u00e7\u0131kabilir. Ayr\u0131ca g\u0131da zehirlenmelerinin ilk saatlerinde kusma, kar\u0131n a\u011fr\u0131s\u0131, ilerleyen saat ve g\u00fcnlerde de ishal ortaya \u00e7\u0131kabilir. Yolculuk ishallerinde, \u00e7ocu\u011fun ald\u0131\u011f\u0131 besinlerin de\u011fi\u015fmesi sonucu da ishaller g\u00f6r\u00fclebilir. Yine \u00e7ocuklarda g\u00f6zle g\u00f6r\u00fclmeyen ancak gaita incelemesi (tahlili) ile te\u015fhisi konulan amip ve giard\u0131a gibi parazitler de ishal yapan sebepler aras\u0131ndad\u0131r\u201d diye konu\u015ftu.<\/p>\n
\u0130shalin basit bir hastal\u0131k olmad\u0131\u011f\u0131n\u0131 ifade eden Acar, \u015fu bilgileri verdi:<\/p>\n
\u201cKulak burun bo\u011faz, idrar yolu enfeksiyonlar\u0131 ve bu hastal\u0131klar\u0131n tedavilerinde kullan\u0131lan baz\u0131 antibiyotikler de \u00e7ocuklarda ishal yapabilir. Di\u015f \u00e7\u0131karan baz\u0131 \u00e7ocuklarda gaita yumu\u015fak olup ishal g\u00f6r\u00fclebilir. \u0130nek s\u00fct\u00fcne alerjisi olan \u00e7ocuklarda, yine nadiren de olsa bu\u011fday kabu\u011funu girdi\u011fi un ve unlu mamuller yiyen \u00e7ocuklarda guluten alerjisi sonucu ishaller g\u00f6r\u00fclebilir. \u00c7ocuklarda a\u011f\u0131z kurulu\u011fu idrar miktar\u0131n\u0131n azalmas\u0131, bazen havale-kas\u0131lma g\u00f6zlenebilir. Ufak bebeklerde b\u0131ng\u0131ldakta \u00e7\u00f6kmeler, huzursuzluk, g\u00f6zlerde \u00e7\u00f6kme g\u00f6r\u00fclebilir. Bu \u015fikayetler v\u00fccudun a\u015f\u0131r\u0131 su kaybetti\u011fi durumlarda daha ciddi bir hal alabilir. B\u00f6ylece bebeklerde beslenme bozuklu\u011fu ve \u00f6l\u00fcmlere yol a\u00e7abilir. \u0130shalde yap\u0131lacak tedavi, ishalin sebebini bulup onu ortadan kald\u0131rmakt\u0131r. Ancak sebep her zaman bulunmayabilir. \u0130shalli \u00e7ocuklar az az, s\u0131k s\u0131k beslenmelidir. Anne s\u00fct\u00fc al\u0131yorsa, mutlaka anne s\u00fct\u00fcne devam edilmelidir. Ya\u011fs\u0131z ve \u015fekersiz g\u0131dalar verilmeli, \u00f6zellikle pirin\u00e7 lapas\u0131, patates p\u00fcresi, ya\u011fs\u0131z yo\u011furt- ayran, muhallebi, \u015feftali, muz, havu\u00e7 suyu verilmeli, kusan \u00e7ocu\u011fun midesi kusmaya takiben birka\u00e7 saat dinlendirilmelidir. Mikrobik ve parasiter olanlarda ila\u00e7 kullan\u0131lmal\u0131 di\u011fer ishallerde antibiyotikler ve ishal kesici ila\u00e7lar kullanmamal\u0131d\u0131r. Bebeklerde ishal sebebi en s\u0131k rota vir\u00fcs\u00fc olup, buna kar\u015f\u0131 rota vir\u00fcs a\u015f\u0131lar\u0131n (ishal a\u015f\u0131lar\u0131n) bebeklik d\u00f6neminde yap\u0131lmas\u0131 \u00f6nerilmekte, doktor kontrol\u00fcnden sonra a\u015f\u0131r\u0131 s\u0131v\u0131 kayb\u0131 olan \u00e7ocuklara a\u011f\u0131zdan tuz \u015feker kar\u0131\u015f\u0131m\u0131 tozlar verilmeli hatta a\u011f\u0131zdan yeteri kadar almay\u0131p, a\u015f\u0131r\u0131 kusanlara serum tak\u0131l\u0131p g\u00f6zlenmelidir. 1-2 g\u00fcn\u00fc a\u015fan ciddi ishallerde mutlaka doktora dan\u0131\u015f\u0131lmal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7OCUK SA\u011eLI\u011eI B\u00d6L\u00dcM\u00dcNDEN PROF. DR. SABR\u0130 ACAR, YAZ \u0130SHAL\u0130NE D\u0130KKAT \u00c7EKEREK, D\u00dcNYADA HER YIL 5 YA\u015eINDAN K\u00dc\u00c7\u00dcK \u00c7OCUKLARDA B\u0130R M\u0130LYARA YAKIN \u0130SHAL VAKASI G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc VE BU \u00c7OCUKLARDAN 2,5 M\u0130LYONA YAKINININ \u00d6LD\u00dc\u011e\u00dcN\u00dc S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[19067,4992,105247,17974],"class_list":["post-1264922","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-cocuklarda","tag-dikkat","tag-ishaline","tag-yaz"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1264922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1264922"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1264922\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1264922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1264922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1264922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}