{"id":1277778,"date":"2018-08-31T00:49:06","date_gmt":"2018-08-30T21:49:06","guid":{"rendered":"http:\/\/www.erzurumflas.com\/cocuklarda-yaz-ishaline-dikkat-2\/"},"modified":"2018-08-31T00:49:20","modified_gmt":"2018-08-30T21:49:20","slug":"cocuklarda-yaz-ishaline-dikkat-2","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=1277778","title":{"rendered":"\u00c7ocuklarda yaz ishaline dikkat"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2018\/08\/cocuklarda-yaz-ishaline-dikkat_1c54814.jpg\" width=\"600\">Ba\u015fkent \u00dcniversitesi Adana Dr. Turgut Noyan Uygulama ve Ara\u015ft\u0131rma Merkezi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 Uzm. Dr. Talip Sayar, yaz aylar\u0131nda \u00e7ocuklarda kusma ve ishal vakalar\u0131n\u0131n s\u0131kl\u0131kla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc, yo\u011fun s\u0131v\u0131 kayb\u0131na neden olan ishalin erken d\u00f6nemde \u00f6nlem al\u0131nmazsa ciddi sa\u011fl\u0131k problemlerine yol a\u00e7abilece\u011fini s\u00f6yledi.<\/p>\n<p>Uzm. Dr. Talip Sayar, yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, ishalin bir\u00e7ok nedeni oldu\u011funu belirterek, &#8220;\u0130shal sebepleri mikrobik olabilir. Baz\u0131 bakteri ve vir\u00fcsler ishal yapabilir. Bunun d\u0131\u015f\u0131nda \u00f6zellikle hava s\u0131cakl\u0131klar\u0131n\u0131n giderek artmas\u0131yla uygun ko\u015fullarda saklanmayan besinlerde bakteriler kontamine olabilmekte ve kendileri veya \u00fcrettikleri toksinler ile ishale sebep olabilmektedirler. Yaz\u0131n \u00e7ocuklar\u0131n kulland\u0131\u011f\u0131 havuzlar\u0131n hijyeninin sa\u011flanmas\u0131 gerekir. Temiz olmayan sularda y\u00fczmek mikroplu sular\u0131n yutulmas\u0131na ve ishale sebep olabilir\u201d dedi.<\/p>\n<p>\u0130shalin ciddi bir hastal\u0131k oldu\u011funu ve \u00e7e\u015fitli nedenleri olabilece\u011fini belirten Uzm. Dr. Sayar: \u201cAnne s\u00fct\u00fc alan bebeklerde 6-7 kereden fazla olan daha b\u00fcy\u00fck \u00e7ocuklarda ise 3-4 kereden fazla olan sulu d\u0131\u015fk\u0131lama ishal olarak kabul edilir. B\u00f6yle bir durum ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131n\u0131z mutlaka en yak\u0131n sa\u011fl\u0131k birimine gitmeniz gerekiyor\u201c diye konu\u015ftu.<\/p>\n<p>\u0130shaldeki en b\u00fcy\u00fck tehlikenin v\u00fccudun a\u015f\u0131r\u0131 s\u0131v\u0131 kayb\u0131 oldu\u011funu dile getiren Uzm. Dr. Sayar \u015f\u00f6yle devam etti:<\/p>\n<p>\u201c\u0130shale kusma da e\u015flik etti\u011fi zaman \u00e7ocuklarda s\u0131v\u0131 kayb\u0131 olabilmektedir. \u0130shalli \u00e7ocuklar d\u0131\u015fk\u0131 yoluyla su ve elektrolit kaybeder. E\u011fer a\u011f\u0131zdan verilen s\u0131v\u0131larla \u00e7ocu\u011fun kay\u0131plar\u0131 kar\u015f\u0131lanamazsa \u00e7ocu\u011fun v\u00fccudundaki s\u0131v\u0131 azal\u0131r. Dehidratasyon dedi\u011fimiz bir tablo ortaya \u00e7\u0131kar. \u00c7ocu\u011fun g\u00f6zleri \u00e7\u00f6ker, dudaklar\u0131 ve a\u011fz\u0131 kurur, daha seyrek ve koyu idrar yapmaya ba\u015flar, a\u011flarken g\u00f6zya\u015f\u0131 akmaz. Bu durumda \u00f6nemli derecede s\u0131v\u0131 a\u00e7\u0131\u011f\u0131 var demektir. Acilen bir sa\u011fl\u0131k kurulu\u015funda de\u011ferlendirilmesi ve gerekirse damar yolu a\u00e7\u0131larak kaybetti\u011fi s\u0131v\u0131n\u0131n yerine konmas\u0131 gerekir.\u201d<\/p>\n<p>\u0130shalin ana tedavisi s\u0131v\u0131 kayb\u0131n\u0131 yerine koymak oldu\u011funu belirten Dr. Talip Sayar s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n<p>\u201cKusmas\u0131 olmayan \u00e7ocuklarda oral rehidrasyon s\u0131v\u0131lar\u0131 kullan\u0131labilir.  Eczanelerde haz\u0131r paketlerde sat\u0131lmakla birlikte evde de haz\u0131rlanabilir. Bir litre kaynat\u0131l\u0131p so\u011futulmu\u015f suya bir \u00e7orba ka\u015f\u0131\u011f\u0131 \u015feker, bir tatl\u0131 ka\u015f\u0131\u011f\u0131 sofra tuzu ve bir \u00e7ay ka\u015f\u0131\u011f\u0131 karbonat konularak kar\u0131\u015ft\u0131r\u0131larak haz\u0131rlan\u0131r. Her d\u0131\u015fk\u0131lamadan sonra \u00e7ocu\u011fa bu s\u0131v\u0131dan i\u00e7irmek kaybetti\u011fi s\u0131v\u0131 ve mineralleri yerine koymay\u0131 sa\u011flar. \u0130shal tedavisi s\u0131ras\u0131nda beslenmenin s\u00fcrd\u00fcr\u00fclmesi gerekir. Bebekler anne s\u00fct\u00fc ya da mamaya devam etmelidir. \u00c7ocuklar ise pirin\u00e7, patates, ekmek, ya\u011fs\u0131z et, yo\u011furt t\u00fcketebilir. \u00c7ocukluk \u00e7a\u011f\u0131 ishallerinin b\u00fcy\u00fck \u00e7o\u011funlu\u011funun vir\u00fcslere ba\u011fl\u0131d\u0131r ve antibiyotikler vir\u00fcslere etkisiz oldu\u011fundan ishal vakalar\u0131n\u0131n \u00e7o\u011funda antibiyotik kullan\u0131m\u0131na ihtiya\u00e7 yoktur.  Ancak kanl\u0131 ve mukuslu d\u0131\u015fk\u0131lama, y\u00fcksek ate\u015f ve \u015fiddetli kar\u0131n a\u011fr\u0131s\u0131 ile seyreden ishal vakalar\u0131nda gerekli tetkikler yap\u0131larak antibiyotik kullan\u0131m\u0131 gerekebilir. Viral ishallerde hi\u00e7bir \u015fey vermeye gerek yoktur, 3-6 g\u00fcn i\u00e7inde kendili\u011finden d\u00fczelir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>BA\u015eKENT \u00dcN\u0130VERS\u0130TES\u0130 ADANA DR. TURGUT NOYAN UYGULAMA VE ARA\u015eTIRMA MERKEZ\u0130 \u00c7OCUK SA\u011eLI\u011eI VE HASTALIKLARI ANAB\u0130L\u0130M DALI UZM. DR. TAL\u0130P SAYAR, YO\u011eUN SIVI KAYBINA NEDEN OLAN \u0130SHAL\u0130N ERKEN D\u00d6NEMDE \u00d6NLEM ALINMAZSA C\u0130DD\u0130 SA\u011eLIK PROBLEMLER\u0130NE YOL A\u00c7AB\u0130LECE\u011e\u0130N\u0130 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-1277778","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\/1277778","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=1277778"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1277778\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1277778"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1277778"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1277778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}