![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/mutfaktaki-tehlikeye-dikkat_c8838f4.jpg\")
Y\u0131llard\u0131r ya\u015fanan olumsuz vakalar\u0131n s\u0131kl\u0131\u011f\u0131na ra\u011fmen, kolay ula\u015fabilecek yerde saklanan asit ve alkali i\u00e7eren temizlik maddelerinin \u00e7ocuklarda yol a\u00e7t\u0131\u011f\u0131 yaralanmalarda azalma sa\u011flanmad\u0131. Uzmanlar, a\u00e7\u0131kta sat\u0131lan, me\u015frubat ya da su \u015fi\u015fesi gibi kaplara konulan kostik maddelerin al\u0131nmamas\u0131 uyar\u0131s\u0131nda bulundu.<\/p>\n
Ba\u015fkent \u00dcniversitesi Adana Uygulama ve Ara\u015ft\u0131rma Merkezi \u00c7ocuk Cerrahisi Klini\u011fi Uzman\u0131 Dr.Hasan \u00d6zkan Gezer, al\u0131nacak basit \u00f6nlemlerle ciddi yaralanmalar\u0131n \u00f6n\u00fcne ge\u00e7ilebilece\u011fini bildirdi.<\/p>\n
YA\u011e VE K\u0130RE\u00c7 \u00c7\u00d6Z\u00dcC\u00dcLERLE, LAVABO A\u00c7ICILAR EN TEHL\u0130KEL\u0130LER\u0130<\/p>\n
Yemek borusu yan\u0131\u011f\u0131n\u0131n, \u00e7ocuklarda, mutfaklarda kire\u00e7 \u00e7\u00f6z\u00fcc\u00fc (asit) ve ya\u011f \u00e7\u00f6z\u00fcc\u00fc(alkali) olarak kullan\u0131lan temizlik malzemelerinin yanl\u0131\u015fl\u0131kla, az miktarda da olsa i\u00e7ilmesi sonucu geli\u015fti\u011fini belirten \u00c7ocuk Cerrahisi Uzman\u0131 Dr. Hasan \u00d6zkan Gezer, s\u0131v\u0131 (ya\u011f, kire\u00e7 \u00e7\u00f6z\u00fcc\u00fc) veya kat\u0131 (lavabo a\u00e7\u0131c\u0131) halde mutfaklara girmi\u015f olan alkalilerin sindirim sisteminde derin yaralanmalara yol a\u00e7t\u0131\u011f\u0131n\u0131 kaydetti. Gezer, ya\u011f \u00e7\u00f6z\u00fcc\u00fc ve kire\u00e7 \u00e7\u00f6z\u00fcc\u00fcn\u00fcn d\u0131\u015f\u0131ndaki, \u00e7ama\u015f\u0131r sular\u0131 ve di\u011fer deterjan tipi temizlik malzemesinin i\u00e7ilmesi sonucu geli\u015febilecek yan\u0131klar\u0131n ise nispeten, kal\u0131c\u0131 hasar yaratmayacak y\u00fczeysellikte geli\u015febilece\u011fini s\u00f6yledi.<\/p>\n
Uzman Dr. Gezer, \u00e7ocu\u011fun yanl\u0131\u015fl\u0131kla a\u011fz\u0131na ald\u0131\u011f\u0131 maddenin yak\u0131c\u0131 tad\u0131n\u0131 fark edinceye kadar birka\u00e7 mililitre kostik s\u0131v\u0131, yutma refleksiyle yemek borusuna do\u011fru hareket edece\u011fini belirterek, \u201cYutulan madde ve miktara ba\u011fl\u0131 olarak \u00e7ocu\u011fun yemek borusunda \u00e7e\u015fitli derecelerde yan\u0131klar olu\u015fur. Erken d\u00f6nemde hi\u00e7bir belirti olmayabilece\u011fi gibi, hastan\u0131n t\u00fck\u00fcr\u00fc\u011f\u00fcn\u00fc dahi yutamamas\u0131, a\u011f\u0131z ve hatta g\u00f6\u011f\u00fcs \u00e7evresi ciltte yan\u0131k yaralar\u0131 gibi ciddi belirtiler de g\u00f6r\u00fclebilir. E\u011fer kostik madde hava yolu ile temas etmi\u015fse solunum g\u00fc\u00e7l\u00fc\u011f\u00fc belirtileri \u00f6n plana \u00e7\u0131kabilir\u201d dedi.<\/p>\n
EN K\u00dc\u00c7\u00dcK \u015e\u00dcPHEDE B\u0130LE DOKTORA G\u00d6T\u00dcR\u00dcLMEL\u0130<\/p>\n
Bu t\u00fcr vakalarda ana belirtinin a\u011f\u0131z yaralar\u0131 ve t\u00fck\u00fcr\u00fc\u011f\u00fcn yutulamamas\u0131 oldu\u011funu ifade eden Dr. Gezer, \u201cAncak e\u011fer aile \u00e7ocu\u011fun i\u00e7ti\u011finden \u015f\u00fcpheleniyorsa; bu bulgular\u0131n olmamas\u0131, yemek borusu yan\u0131\u011f\u0131 olmad\u0131\u011f\u0131 anlam\u0131na gelmez. Bu durumda \u00e7ocuk mutlaka uzman hekime g\u00f6t\u00fcr\u00fclmelidir. \u00c7ocuk kostik madde alm\u0131\u015f veya ald\u0131\u011f\u0131ndan \u015f\u00fcpheleniliyorsa asla kusturulmamal\u0131, yo\u011furt, s\u00fct gibi g\u0131dalar verilmemelidir. Vakit kaybetmeden bir sa\u011fl\u0131k kurulu\u015funa g\u00f6t\u00fcr\u00fclmelidir\u201d diye konu\u015ftu.<\/p>\n
Yemek borusunun yan\u0131p yanmad\u0131\u011f\u0131n\u0131n anla\u015f\u0131lmas\u0131n\u0131n tek yolunun endoskopi ile yemek borusu ve bazen de midenin de\u011ferlendirilmesi oldu\u011funu ifade eden Dr. Gezer, \u201cKostik madde i\u00e7ti\u011fi belirtilen \u00e7ocuklar endoskopi yap\u0131lana kadar yan\u0131k olarak kabul edilmelidir. \u00c7ocu\u011fun fizik durumu uygun olur olmaz ilk 48 saat i\u00e7inde yap\u0131lmas\u0131 gereken endoskopi sonucuna g\u00f6re tedaviye devam edilir veya hasta beslenerek taburcu edilir. E\u011fer hastada ciddi yan\u0131k tespit edilirse, tedavinin en \u00f6nemli basama\u011f\u0131 \u2018yemek borusundaki yan\u0131k b\u00f6lgesine herhangi bir besinin temas etmemesi\u2019 oldu\u011fundan, bu hastalar, mideye sonda yerle\u015ftirilerek beslenir.Bu nedenle hastanede yatmalar\u0131 gerekir\u201d bilgisini verdi.<\/p>\n
TEDAV\u0130DE, BALON GEN\u0130\u015eLETME Y\u00d6NTEM\u0130 BA\u015eARILI<\/p>\n
Bu hastalarda medikal tedavinin 1 haftaya tamamland\u0131ktan sonra kontrol endoskopi yap\u0131ld\u0131\u011f\u0131n\u0131, yan\u0131k alanlar\u0131 d\u00fczelmi\u015f ise hastan\u0131n sondas\u0131n\u0131n \u00e7ekilerek beslenme ba\u015flat\u0131ld\u0131\u011f\u0131n\u0131 ve hastan\u0131n taburcu edildi\u011fini s\u00f6yleyen Dr. Gezer, \u015f\u00f6yle devam etti:<\/p>\n
\u201c\u00dc\u00e7\u00fcnc\u00fc haftan\u0131n sonunda yan\u0131\u011fa ba\u011fl\u0131 geli\u015febilecek ge\u00e7 komplikasyonlardan olan yemek borusu veya mide \u00e7\u0131k\u0131\u015f\u0131nda darl\u0131k ara\u015ft\u0131r\u0131lmas\u0131 amac\u0131 ile ila\u00e7l\u0131 yemek borusu ve mide filmi \u00e7ekilir. Darl\u0131k geli\u015fmi\u015f ise buna y\u00f6nelik tedavi program\u0131 yap\u0131l\u0131r. Darl\u0131k tedavisine, bir \u00e7ok y\u00f6ntem kullan\u0131ld\u0131. Ancak Ba\u015fkent \u00dcniversitesi Adana Uygulama ve Ara\u015ft\u0131rma Merkezi \u00c7ocuk Cerrahisi Klini\u011fi olarak, bu hastalarda balon geni\u015fletme y\u00f6ntemini kullan\u0131yoruz. Bu y\u00f6ntemdeki ba\u015far\u0131 oranlar\u0131m\u0131z da di\u011fer y\u00f6ntemlerle k\u0131yasland\u0131\u011f\u0131nda olduk\u00e7a y\u00fcksek.\u201d<\/p>\n
\u00c7ocuk Cerrahisi Uzman\u0131 Dr. \u00d6zkan Gezer, lavabo a\u00e7\u0131c\u0131lar, f\u0131r\u0131n, tuvalet, ev temizleyicileri, beyazlat\u0131c\u0131 \u00fcr\u00fcnler, bula\u015f\u0131k deterjanlar\u0131, clinitest tabletler, saat pilleri, sa\u00e7 d\u00fczle\u015ftiricilerin alkali yap\u0131daki; metal temizleyiciler, havuz temizleyicileri, pas \u00f6nleyiciler, pil s\u0131v\u0131lar\u0131n\u0131n da asitik yap\u0131daki maddeler oldu\u011funu s\u00f6yledi.<\/p>\n
MEVS\u0130MSEL TEM\u0130ZL\u0130K ZAMANLARINDA SIK RASTLANIYOR<\/p>\n
Kostik madde al\u0131m\u0131n\u0131n, ev kazalar\u0131 i\u00e7inde \u00e7ok \u00f6nemli bir yer tuttu\u011funu, \u00f6zelikle mevsimsel temizli\u011fin s\u0131k yap\u0131ld\u0131\u011f\u0131 zamanlarda ciddi \u00f6l\u00fcm ve kal\u0131c\u0131 sakatl\u0131\u011fa neden oldu\u011funu kaydeden Dr.\u00d6zkan Gezer, yap\u0131lan t\u00fcm uyar\u0131lara ve ayd\u0131nlat\u0131c\u0131 \u00e7al\u0131\u015fmalara ra\u011fmen bu kazalar\u0131n \u015fimdiye kadar \u00f6n\u00fcne ge\u00e7ilemedi\u011finden yak\u0131nd\u0131.<\/p>\n
\u00c7ocuk Cerrahisi Uzman\u0131 Dr. \u00d6zkan Gezer, \u201cE\u011fer yan\u0131k olu\u015fmu\u015fsa, bu kazan\u0131n meydana getirdi\u011fi olumsuz sonu\u00e7lar\u0131, hasta \u00e7ocuk ve ailesi \u00f6m\u00fcrlerinin sonuna kadar \u00e7ekmektedirler\u201d diyerek, bu tip kazalara kar\u015f\u0131 toplumun duyarl\u0131l\u0131\u011f\u0131n\u0131n sa\u011flanmas\u0131 gerekti\u011fine vurgu yapt\u0131. Gezer, \u201cAilelerin basit ama etkili \u00f6nlemler almalar\u0131 bu kazalar\u0131 ortadan kald\u0131racakt\u0131r. Bunun i\u00e7in; a\u00e7\u0131kta sat\u0131lan, me\u015frubat ya da su \u015fi\u015fesi gibi kaplara konular kostik maddeler al\u0131nmamal\u0131, \u00e7ocuklar\u0131n kolayl\u0131kla ula\u015fabilecekleri yerlere konulmamal\u0131, asla dolaplarda di\u011fer i\u00e7eceklerin yan\u0131nda saklanmamal\u0131, \u00e7ocuklar\u0131n a\u00e7amayacaklar\u0131 kapaklarla kapat\u0131lmal\u0131d\u0131r\u201d uyar\u0131lar\u0131nda bulundu.<\/p>\n","protected":false},"excerpt":{"rendered":"
BA\u015eKENT \u00dcN\u0130VERS\u0130TES\u0130 ADANA UYGULAMA VE ARA\u015eTIRMA MERKEZ\u0130 \u00c7OCUK CERRAH\u0130S\u0130 KL\u0130N\u0130\u011e\u0130 UZMANI DR. HASAN \u00d6ZKAN GEZER, “\u00c7OCUK KOST\u0130K MADDE ALMI\u015e VEYA ALDI\u011eINDAN \u015e\u00dcPHELEN\u0130L\u0130YORSA ASLA KUSTURULMAMALI, YO\u011eURT, S\u00dcT G\u0130B\u0130 GIDALAR VER\u0130LMEMEL\u0130D\u0130R. VAK\u0130T KAYBETMEDEN B\u0130R SA\u011eLIK KURULU\u015eUNA GT\u00dcR\u00dcLMEL\u0130” DED\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":[4992,34735,34163],"class_list":["post-196233","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-dikkat","tag-mutfaktaki","tag-tehlikeye"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/196233","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=196233"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/196233\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=196233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=196233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=196233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}