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G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. \u00d6zg\u00fcr \u0130nce, a\u011f\u0131r ge\u00e7en grip hastal\u0131\u011f\u0131n\u0131n zat\u00fcrreye ortam haz\u0131rlad\u0131\u011f\u0131n\u0131, v\u00fccudu a\u015f\u0131r\u0131 \u00f6l\u00e7\u00fcde zay\u0131f d\u00fc\u015f\u00fcren hastal\u0131klar\u0131n seyri s\u0131ras\u0131nda da zat\u00fcrrenin ortaya \u00e7\u0131kabildi\u011fini s\u00f6yledi.<\/p>\n
Medicana Samsun Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fcnden Uzm. Dr. \u00d6zg\u00fcr \u0130nce gribin \u00f6nemli komplikasyonlar\u0131ndan zat\u00fcrre konusunda bilgi verdi. Dr. \u00d6zg\u00fcr \u0130nce, \u201cBaz\u0131 bakteri, vir\u00fcs ve mantarlar akci\u011fer dokusu iltihab\u0131na neden olarak zat\u00fcrrenin ortaya \u00e7\u0131kmas\u0131na sebep olur. D\u00fcnyada ve T\u00fcrkiye\u2019de en \u00e7ok rastlanan pn\u00f6moniler, pn\u00f6mokok denen bakterilere ba\u011fl\u0131 geli\u015fir. Sonbahar ve k\u0131\u015f aylar\u0131nda ise grip vir\u00fcs\u00fcne ba\u011fl\u0131 olarak veya gribe eklenen bakterilerle a\u011f\u0131r zat\u00fcrre tablolar\u0131 ortaya \u00e7\u0131kabilmektedir\u201d dedi.<\/p>\n
Zat\u00fcrre neden ortaya \u00e7\u0131kar?<\/p>\n
Dr. \u0130nce, \u015fu bilgileri verdi: \u201cZat\u00fcrre, akci\u011fer dokusunun iltihaplanmas\u0131 \u015feklinde ortaya \u00e7\u0131kan, e\u015flik eden ba\u015fka bir hastal\u0131\u011f\u0131 olmayan hastalarda g\u00fcnl\u00fck ya\u015fam\u0131 s\u0131ras\u0131nda g\u00f6r\u00fclebilen, kronik bir rahats\u0131zl\u0131k sahibi olan ki\u015filerde daha a\u011f\u0131r bir \u015fekilde seyreden ve zaman zaman \u00f6l\u00fcmle sonu\u00e7lanabilen ate\u015fli bir hastal\u0131kt\u0131r. Bu hastal\u0131kta akci\u011ferlerde bulunan hava kesecikleri iltihapl\u0131 bir s\u0131v\u0131yla doldu\u011fundan akci\u011ferlerin g\u00f6revi olan oksijen al\u0131\u015fveri\u015f i\u015flevi bozulur ve bu nedenle kanda oksijen d\u00fczeyi azal\u0131r. \u0130ltihaplanmaya vir\u00fcs, bakteri veya mantar gibi mikroorganizmalar neden olur. A\u011f\u0131r ge\u00e7en grip hastal\u0131\u011f\u0131 zat\u00fcreye ortam haz\u0131rlar, v\u00fccudu a\u015f\u0131r\u0131 \u00f6l\u00e7\u00fcde zay\u0131f d\u00fc\u015f\u00fcren hastal\u0131klar\u0131n seyri s\u0131ras\u0131nda da zat\u00fcrre ortaya \u00e7\u0131kar.\u201d<\/p>\n
Bula\u015f\u0131c\u0131 m\u0131d\u0131r?<\/p>\n
Zat\u00fcrreye neden olan bu mikroplar\u0131n ki\u015fiden ki\u015fiye, yak\u0131n temas sonucu bula\u015ft\u0131\u011f\u0131n\u0131 belirten Dr. \u00d6zg\u00fcr \u0130nce, \u201cHastal\u0131\u011f\u0131n sa\u011fl\u0131kl\u0131 ki\u015filere bula\u015fmas\u0131, \u00f6ks\u00fcr\u00fck, aks\u0131r\u0131k ya da hasta ki\u015filerin konu\u015fmas\u0131 s\u0131ras\u0131nda havaya yay\u0131lan damlac\u0131klar\u0131n do\u011frudan solunmas\u0131 yoluyla ger\u00e7ekle\u015fir. Kalabal\u0131k yerler, kapal\u0131 alanlar, insanlar\u0131n toplu h\u00e2lde ya\u015fad\u0131\u011f\u0131 okullar, askeriye ve yurtlar zat\u00fcrrenin bula\u015fma olas\u0131l\u0131\u011f\u0131n\u0131n fazla oldu\u011fu yerlerdir. Alkol, uyu\u015fturucu maddeler, sigara ve k\u00f6t\u00fc hayat \u015fartlar\u0131, a\u011f\u0131r grip zemin haz\u0131rlayan etmenlerdendir. Pn\u00f6monide \u015fikayetler etken mikroorganizman\u0131n t\u00fcr\u00fcne g\u00f6re de\u011fi\u015fiklikler g\u00f6sterir. Bakteriyel pn\u00f6monilerde genellikle ate\u015f, \u00fc\u015f\u00fcme ve titreme ile ba\u015flar ve gittik\u00e7e y\u00fckselir. \u00d6ks\u00fcr\u00fck ba\u015flang\u0131\u00e7ta kuru vas\u0131ftad\u0131r. Ancak daha sonra \u00f6ks\u00fcr\u00fckle beraber iltihapl\u0131 balgam da g\u00f6r\u00fcl\u00fcr. Yan a\u011fr\u0131s\u0131, akci\u011fer zarlar\u0131n\u0131n tahri\u015fi sonucu meydana gelebilir ve \u00f6ks\u00fcrmekle, nefes al\u0131p vermekle a\u011fr\u0131da art\u0131\u015f olur. Hastal\u0131\u011f\u0131n yayg\u0131nl\u0131k derecesine g\u00f6re hastalarda nefes darl\u0131\u011f\u0131 ve el, ayak ve dudaklarda morarmalar g\u00f6r\u00fclebilir. Halsizlik, i\u015ftahs\u0131zl\u0131k, k\u0131rg\u0131nl\u0131k gibi genel \u015fikayetler s\u0131kl\u0131kla hastal\u0131\u011fa e\u015flik eder\u201d diye konu\u015ftu.<\/p>\n
Tedavisi nedir?<\/p>\n
Tedavi hakk\u0131nda bilgi veren Dr. \u00d6zg\u00fcr \u0130nce, \u201cTedavide antibiyotikler, gerekirse antiviral ajanlar, ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler kullan\u0131lmas\u0131, oksijen al\u0131nmas\u0131, su kayb\u0131n\u0131 kar\u015f\u0131layacak \u00f6l\u00e7\u00fcde s\u0131v\u0131 al\u0131nmas\u0131, yatak istirahati, bol vitaminli ve y\u00fcksek kalorili diyet ile hastan\u0131n \u00e7ok iyi beslenmesi gerekir. Pn\u00f6moni yani zat\u00fcrrenin te\u015fhisi hastan\u0131n \u015fik\u00e2yetleri ve doktor muayenesi ile konulabilir. Akci\u011ferden gelen tipik sesler hastal\u0131\u011f\u0131n en \u00f6nemli belirtisidir. Bunun yan\u0131 s\u0131ra akci\u011fer g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ve v\u00fccutta enfeksiyon varl\u0131\u011f\u0131n\u0131 g\u00f6steren kan tetkikleri de kesin tan\u0131n\u0131n konulmas\u0131nda etkilidir. Baz\u0131 durumlarda ise balgam ve idrar tetkiki, tomografi, bronkoskopi denilen hava yollar\u0131n\u0131 kamerayla g\u00f6r\u00fcnt\u00fclenmesi y\u00f6ntemleri de hastaya uygulanabilir. Geli\u015fen bir\u00e7ok tedavi y\u00f6ntemine, yo\u011fun bak\u0131m imkanlar\u0131n\u0131n olumlu \u015fekilde artmas\u0131na, hastal\u0131klara g\u00f6re geli\u015ftirilen antibiyotiklere ve di\u011fer ila\u00e7lara ra\u011fmen pn\u00f6moni hala ya\u015fam\u0131 tehdit eden \u00f6nemli bir halk sorunudur\u201d \u015feklinde konu\u015ftu.<\/p>\n
D\u00fc\u015fmeyen ate\u015fe dikkat<\/p>\n
Zat\u00fcrreye yakalanm\u0131\u015f hastalar\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn hastaneye yat\u0131r\u0131lmadan ayakta tedavi edilebildi\u011fi bilgisini veren \u0130nce, \u201cUygun antibiyotikler ile 48-72 saat i\u00e7erisinde genel durumu d\u00fczelen, \u015fik\u00e2yetleri gerileyen ve ate\u015fi d\u00fc\u015fen hastalar tedavilerine g\u00fcvenle devam edebilirler. Ancak ilk 72 saatte antibiyotiklerle ate\u015fi d\u00fc\u015fmeyen, genel durumunda bir d\u00fczelme sa\u011flanamayan hastalar\u0131n gecikmeden yeniden doktora ba\u015fvurmas\u0131 gerekir ve takip edilmesi gerekebilir. Genellikle k\u00fc\u00e7\u00fck \u00e7ocuklar ve ya\u015fl\u0131lar\u0131n, evde bak\u0131m ve tedavisi yap\u0131lamayan hastalar\u0131n, kalp hastal\u0131\u011f\u0131, kanser, b\u00f6brek yetmezli\u011fi, diyabet, KOAH, ast\u0131m hastal\u0131klar\u0131 olan ki\u015filerin hastaneye yat\u0131r\u0131larak tedavi edilmesi gerekebilmektedir. Zat\u00fcrre tedavisinde 5-7 g\u00fcnl\u00fck antibiyotik tedavisi genellikle yeterlidir. Bu nedenle haftalarca s\u00fcren antibiyotiklerin bilin\u00e7sizce kullan\u0131lmas\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00d6\u011e\u00dcS HASTALIKLARI UZMANI DR. \u00d6ZG\u00dcR \u0130NCE, A\u011eIR GE\u00c7EN GR\u0130P HASTALI\u011eININ ZAT\u00dcRREYE ORTAM HAZIRLADI\u011eINI, V\u00dcCUDU A\u015eIRI \u00d6L\u00c7\u00dcDE ZAYIF D\u00dc\u015e\u00dcREN HASTALIKLARIN SEYR\u0130 SIRASINDA DA ZAT\u00dcRREN\u0130N ORTAYA \u00c7IKAB\u0130LD\u0130\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":[67013,12707,27704],"class_list":["post-1406313","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-donusebilir","tag-grip","tag-zaturreye"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1406313","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=1406313"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1406313\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1406313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1406313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1406313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}