![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/grip-baska-hastaliklari-tetikler_85ed909.jpg\")
K\u0131\u015f mevsimi ile birlikte artan grip vakalar\u0131na kar\u015f\u0131 uyaran uzmanlar, gribin bir \u00e7ok farkl\u0131 hastal\u0131\u011f\u0131 tetikledi\u011fini ifade etti.<\/p>\nK\u0131\u015f mevsimi ile birlikte artan grip vakalar\u0131na kar\u015f\u0131 uyaran uzmanlar, gribin bir \u00e7ok farkl\u0131 hastal\u0131\u011f\u0131 tetikledi\u011fini ifade etti.<\/p>\n
\u00d6zel Sani Konuko\u011flu Hastanesi Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Uzman\u0131 Dr. Rezan Harman k\u0131\u015f aylar\u0131nda neredeyse t\u00fcm insanlar\u0131n yakaland\u0131\u011f\u0131 ancak pek de \u00f6nemsenmeyen gribin, bir\u00e7ok farkl\u0131 hastal\u0131\u011f\u0131 tetikleyebilece\u011finden ciddiye al\u0131nmas\u0131 gereken bir hastal\u0131k oldu\u011funu s\u00f6yledi.<\/p>\n
Gribe \u2019\u0130nfluenza\u2019 ad\u0131 verilen bir vir\u00fcs\u00fcn neden oldu\u011funu hat\u0131rlatan Dr. Harman, gribin ate\u015f, \u015fiddetli kas ve eklem a\u011fr\u0131lar\u0131, halsizlik, bitkinlik, titreme, ba\u015f a\u011fr\u0131s\u0131 ve kuru \u00f6ks\u00fcr\u00fck gibi belirtiler ile ba\u015flayan bir enfeksiyon hastal\u0131\u011f\u0131 oldu\u011funu ifade etti. \u00c7ok kolay ve h\u0131zl\u0131 bula\u015fan gribin, influenza vir\u00fcslerinin yol a\u00e7t\u0131\u011f\u0131, akut \u00fcst solunum yolu enfeksiyonu semptomlar\u0131 ile ba\u015flayan bir hastal\u0131k oldu\u011funu anlatan Dr. Harman, \u201cHastal\u0131\u011fa grip ad\u0131 da verilmekle birlikte, di\u011fer vir\u00fcslerin yapt\u0131\u011f\u0131 \u00fcst solunum yolu enfeksiyonlar\u0131na da toplumda grip denilmektedir. Bu durum hastal\u0131\u011f\u0131n di\u011fer \u00fcst solunum yolu enfeksiyonlar\u0131 ile kar\u0131\u015ft\u0131r\u0131lmas\u0131na neden olmaktad\u0131r\u201d diyerek te\u015fhisin \u00f6nemine dikkat \u00e7ekti. Gribin yay\u0131l\u0131m\u0131n\u0131 engellemek a\u00e7\u0131s\u0131ndan grip a\u015f\u0131s\u0131n\u0131n ta\u015f\u0131d\u0131\u011f\u0131 \u00f6neme de de\u011finen Dr. Harman, \u201cGribin a\u011f\u0131r seyretme ihtimali olan risk gruplar\u0131n\u0131 hastal\u0131ktan korumak,hastal\u0131\u011f\u0131n \u015fiddetini ve \u00f6l\u00fcmleri engellemek, toplumda verilmesi gereken zorunlu hizmetlerin kesintisiz s\u00fcrd\u00fcr\u00fclmesini sa\u011flamak amac\u0131yla a\u015f\u0131 uygulanmaktad\u0131r\u201d diye konu\u015ftu.<\/p>\n
Dr. Harman, mutlaka grip a\u015f\u0131s\u0131 yapt\u0131rmas\u0131 gereken risk gruplar\u0131 hakk\u0131nda da bilgi verdi. Harman, \u201cHac\u0131 adaylar\u0131, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131, gebeler ile do\u011fum veya d\u00fc\u015f\u00fck yapm\u0131\u015f ilk 15 g\u00fcndeki kad\u0131nlar, 6-59 ay \u00e7ocuklar, diyabet, kronik akci\u011fer hastal\u0131\u011f\u0131, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bask\u0131land\u0131\u011f\u0131 durumlar gibi kronikhastal\u0131k nedeniyle risk ta\u015f\u0131yan 5-64 ya\u015f grubu ki\u015filer, okul \u00f6ncesi, ilk ve orta \u00f6\u011fretim ve \u00fcniversite \u00f6\u011frencileri, 65 ya\u015f \u00fcst\u00fc kronik hastal\u0131\u011f\u0131 olanlar, Silahl\u0131 Kuvvetler mensuplar\u0131, kolluk kuvvetleri (Emniyet, Jandarma), 5-24 ya\u015f aras\u0131 geri kalan t\u00fcm n\u00fcfus\u201d dedi.<\/p>\n
D\u00dcNYADAK\u0130 A\u015eI T\u0130PLER\u0130<\/p>\n
D\u00fcnyada halen \u00fc\u00e7 tip a\u015f\u0131 \u00fcretildi\u011fini kaydeden Dr. Harman, a\u015f\u0131lar\u0131n ise \u0130naktifadjuvanl\u0131, inaktifadjuvans\u0131z ve canl\u0131 attenue (hastal\u0131k yap\u0131c\u0131 etkisi zay\u0131flat\u0131lm\u0131\u015f) sprey a\u015f\u0131 oldu\u011funa vurgu yapt\u0131. Dr. Harman, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Bilim Kurulu\u2019nun ald\u0131\u011f\u0131 karar gere\u011fince \u00fclkemizde gebeler hari\u00e7 t\u00fcm hedef gruplara adjuvanl\u0131 a\u015f\u0131 uygulanaca\u011f\u0131n\u0131 ifade etti.<\/p>\n
ADJUVAN NED\u0130R<\/p>\n
Adjuvan\u2019\u0131 \u201cA\u015f\u0131lar\u0131n i\u00e7ine ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin verdi\u011fi yan\u0131t\u0131 art\u0131rmak i\u00e7in eklenen \u2019yard\u0131mc\u0131 maddeler\u2019 oldu\u011funu ifade eden Dr. Harman, bu maddenin bir doz a\u015f\u0131daki vir\u00fcs i\u00e7eri\u011finin 2-8 kat azalmas\u0131n\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 ve 80 y\u0131ldan buyana bir\u00e7ok a\u015f\u0131da kullan\u0131ld\u0131\u011f\u0131n\u0131 kaydetti. Grip a\u015f\u0131s\u0131n\u0131n yard\u0131mc\u0131 madde olarak \u2019skualen\u2019 i\u00e7erdi\u011fini kaydeden Dr. Harman, \u201cSkualen,insanlarda, hayvanlarda ve bitkilerde bulunan do\u011fal bir maddedir. Bal\u0131k ya\u011f\u0131nda, zeytinya\u011f\u0131nda, kozmetiklerde ve baz\u0131 re\u00e7etesiz sat\u0131lan ila\u00e7larda bulunur.A\u015f\u0131 \u00fcretiminde kullan\u0131lan skualen k\u00f6pek bal\u0131klar\u0131ndan elde edilmektedir\u201d \u015feklinde konu\u015ftu. A\u015f\u0131 yap\u0131ld\u0131ktan 8-10 g\u00fcn sonra koruyucu etkisinin ba\u015flad\u0131\u011f\u0131n\u0131 anlatan Dr. Harman, 2 hafta sonra da tam koruma sa\u011fland\u0131\u011f\u0131n\u0131 bildirdi.<\/p>\n
A\u015eI NASIL UYGULANIR<\/p>\n
A\u015f\u0131n\u0131n 10 ya\u015f ve \u00fczerindeki ki\u015filere tek doz olarak uyguland\u0131\u011f\u0131n\u0131 s\u00f6yleyen Dr. Harman, 6 ay ve alt\u0131ndaki bebeklere a\u015f\u0131 uygulanmad\u0131\u011f\u0131n\u0131, emzirme d\u00f6neminde ise a\u015f\u0131 yap\u0131labilece\u011fini kaydetti. Grip a\u015f\u0131s\u0131n\u0131n gebelikte zararl\u0131 olup olmad\u0131\u011f\u0131na dair \u00e7al\u0131\u015fmalar yap\u0131ld\u0131\u011f\u0131n\u0131 an\u0131msatan Dr. Harman, \u201cGerek canl\u0131 gerekadjuvanl\u0131 veya adjuvans\u0131z a\u015f\u0131lar ile hayvanlar \u00fczerinde yap\u0131lan \u00e7al\u0131\u015fmalarda gebelik, bebe\u011fin anne karn\u0131ndaki geli\u015fimi, do\u011fum ya da do\u011fum sonras\u0131 geli\u015fimi \u00fczerine do\u011frudan ya da dolayl\u0131 zararl\u0131 bir etkiye ili\u015fkin kan\u0131t saptanmam\u0131\u015ft\u0131r.D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn a\u015f\u0131 konusundaki Uzmanlar Komitesi pandemik A (H1N1) 2009 a\u015f\u0131lar\u0131n\u0131n gebelerde uygulanabilece\u011fine ili\u015fkin bir karar alm\u0131\u015ft\u0131r\u201d ifadelerine yer verdi. Grip a\u015f\u0131s\u0131n\u0131n 20. haftadan ileri gebeliklerde g\u00fcvenilir oldu\u011funu belirten Dr. Harman, 20. haftadan erken gebeliklerde de herhangi istenmeyen bir etkinin tespit edilmedi\u011fini kaydetti.20. haftadan \u00f6nceki gebeliklerde a\u015f\u0131n\u0131n ki\u015finin yaz\u0131l\u0131 onay\u0131 ile uyguland\u0131\u011f\u0131n\u0131 hat\u0131rlatan Dr. Harman, \u201cGebeler i\u00e7in adjuvans\u0131z a\u015f\u0131 temin edilmesi \u00f6ng\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Gebelere adjuvans\u0131z a\u015f\u0131uygulamas\u0131na 2009 y\u0131l\u0131 Aral\u0131k ay\u0131nda ba\u015flanm\u0131\u015ft\u0131r\u201d dedi.<\/p>\n
A\u015eININ YAN ETK\u0130LER\u0130<\/p>\n
Dr. Harman, a\u015f\u0131 uygulanmayacak risk gruplar\u0131ndakiler ile daha \u00f6nceki a\u015f\u0131da alerjisi geli\u015fenler ile yumurtaya kar\u015f\u0131 alerjisi olanlara a\u015f\u0131n\u0131n yap\u0131lmamas\u0131 gerekti\u011fini, y\u00fcksek ate\u015f bulunanlarda ise a\u015f\u0131n\u0131n ertelenmesi gereklili\u011fini ifade etti. Dr. Harman, a\u015f\u0131 uygulanan b\u00f6lgede k\u0131zar\u0131kl\u0131k, \u015fi\u015flik, a\u011fr\u0131, morluk, v\u00fccut k\u0131r\u0131kl\u0131\u011f\u0131, yorgunluk, ba\u015f a\u011fr\u0131s\u0131,terleme, titreme, kas a\u011fr\u0131s\u0131 gibi yan etkilerin g\u00f6r\u00fclebilece\u011fini kaydederek, yan etkilerin genellikle a\u015f\u0131dan sonraki birka\u00e7 g\u00fcnde i\u00e7erisinde kendili\u011finden d\u00fczeldi\u011fini de s\u00f6zlerine ekledi.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6ZEL SAN\u0130 KONUKO\u011eLU HASTANES\u0130 ENFEKS\u0130YON HASTALIKLARI VE KL\u0130N\u0130K M\u0130KROB\u0130YOLOJ\u0130 UZMANI DR. REZAN HARMAN KI\u015e AYLARINDA NEREDEYSE T\u00dcM \u0130NSANLARIN YAKALANDI\u011eI ANCAK PEK DE \u00d6NEMSENMEYEN GR\u0130B\u0130N, B\u0130R\u00c7OK FARKLI HASTALI\u011eI TET\u0130KLEYEB\u0130LECE\u011e\u0130NDEN C\u0130DD\u0130YE ALINMASI GEREKEN B\u0130R HASTALIK OLDU\u011eUNU 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":[13802,12707,25116,37194],"class_list":["post-215365","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-baska","tag-grip","tag-hastaliklari","tag-tetikler"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/215365","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=215365"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/215365\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=215365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=215365"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=215365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}