{"id":104082,"date":"2019-03-20T14:30:36","date_gmt":"2019-03-20T11:30:36","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/prof-dr-tezcan-primer-immun-yetmezlik-piy-gizli-kalmis-halk-sagligi-sorunu\/"},"modified":"2019-03-20T14:30:41","modified_gmt":"2019-03-20T11:30:41","slug":"prof-dr-tezcan-primer-immun-yetmezlik-piy-gizli-kalmis-halk-sagligi-sorunu","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/prof-dr-tezcan-primer-immun-yetmezlik-piy-gizli-kalmis-halk-sagligi-sorunu\/","title":{"rendered":"Prof. Dr. Tezcan, “Primer imm\u00fcn yetmezlik (P\u0130Y) gizli kalm\u0131\u015f halk sa\u011fl\u0131\u011f\u0131 sorunu”"},"content":{"rendered":"

Klinik \u0130mm\u00fcnoloji Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. \u0130lhan Tezcan, T\u00fcrkiye\u2019de akraba evlilikleri nedeniyle primer imm\u00fcn yetmezli\u011fin s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirterek, “Gizli kalm\u0131\u015f bir halk sa\u011fl\u0131\u011f\u0131 sorunu ile kar\u015f\u0131 kar\u015f\u0131yay\u0131z” dedi.<\/p>\n

Klinik \u0130mm\u00fcnoloji Derne\u011fi taraf\u0131ndan d\u00fczenlenen 5. Klinik \u0130mm\u00fcnoloji Kongresi, Antalya\u2019n\u0131n Belek Turizm Merkezi\u2019ndeki bir otelde ba\u015flad\u0131. Kongreye 3 \u00fclkeden 4\u2019\u00fc yabanc\u0131 350 bilim insan\u0131 kat\u0131l\u0131yor. Dernek taraf\u0131ndan, Primer \u0130mm\u00fcn Yetmezlik (P\u0130Y) alan\u0131nda fark\u0131ndal\u0131k olu\u015fturmak, erken tan\u0131 etkin tedavinin bu hastalar\u0131n ya\u015fam\u0131nda \u00f6nemine dikkat \u00e7ekerek primer imm\u00fcn yetmezliklerde \u201ctan\u0131dan tedaviye\u201d yenilikleri g\u00f6zden ge\u00e7irmek hedefleniyor. Kongrede \u00f6zellikle son iki y\u0131l i\u00e7inde saptanm\u0131\u015f olan yeni P\u0130Y vakalar\u0131, P\u0130Y alan\u0131nda ulusal ve uluslararas\u0131 d\u00fczeyde en yetkin isimlerin kat\u0131l\u0131m\u0131yla t\u00fcm detaylar\u0131yla ele al\u0131n\u0131yor.<\/p>\n

Klinik \u0130mm\u00fcnoloji Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. \u0130lhan Tezcan, toplant\u0131da primer imm\u00fcn yetmezlik hastal\u0131klar\u0131na kar\u015f\u0131 fark\u0131ndal\u0131\u011f\u0131n artmas\u0131, tan\u0131 tedavi yeni geli\u015fmeler konusunun g\u00f6r\u00fc\u015f\u00fclece\u011fini bildirdi.<\/p>\n

Primer imm\u00fcn yetmezlik hakk\u0131nda bilgi veren Prof. Dr. Tezcan, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin ki\u015fiyi bir\u00e7ok hastal\u0131klardan korudu\u011funun alt\u0131n\u0131 \u00e7izdi. \u0130mm\u00fcn sistemi yani ba\u011f\u0131\u015f\u0131kl\u0131k sistemi olmadan sa\u011fl\u0131kl\u0131 bir ya\u015fam\u0131n s\u00f6z konusu olamayaca\u011f\u0131n\u0131 kaydeden Prof. Dr. Tezcan, “Bu sistemi olu\u015fturan pek \u00e7ok h\u00fccre ve molek\u00fcller var. Bu h\u00fccre ve molek\u00fcllerin do\u011fu\u015ftan veya daha sonradan ortaya \u00e7\u0131kan eksiklikleri s\u00f6z konusu. Bu eksiklikler oldu\u011fu zaman ba\u011f\u0131\u015f\u0131kl\u0131k yetmezli\u011fi yani primer imm\u00fcn yetmezlikler ortaya \u00e7\u0131k\u0131yor. \u0130la\u00e7 kullan\u0131m\u0131, enfeksiyonlarla da ortaya \u00e7\u0131kabilir. Do\u011fu\u015ftan genetik orjinli hastal\u0131klar\u0131n bir toplulu\u011fudur. Primer imm\u00fcn yetmezlik bir hastal\u0131k de\u011fil, 350\u2019den fazla hastal\u0131ktan bahsediyoruz. Hafif ve a\u011f\u0131r olarak seyreder. A\u011f\u0131r olan grup iki y\u0131l i\u00e7inde k\u00f6k h\u00fccre nakli olmazsa kaybedilebilir” diye konu\u015ftu.<\/p>\n

“K\u00f6k h\u00fccrenin \u00f6nemi”<\/p>\n

Primer imm\u00fcn yetmezliklerin \u00e7ok \u00f6zel bir hastal\u0131k grubunu olu\u015fturdu\u011funa vurgu yapan Prof. Dr. \u0130lhan Tezcan, “Erken tan\u0131 ya\u015fam\u0131 kurtaran bir olay. Ne kadar erken tan\u0131 konulursa hastalar\u0131n tedaviye verdi\u011fi yan\u0131t o kadar daha iyi oluyor. K\u00f6k h\u00fccre nakli sihirli bir dokunu\u015f oluyor. \u0130yile\u015fen hastalar\u0131m\u0131z normal ya\u015fam\u0131na d\u00f6n\u00fcyor. Erken tan\u0131 ya\u015fam kurtar\u0131r mottosunu benimsiyoruz. \u00c7abalar\u0131m\u0131z hem toplumda, hem t\u0131p ortam\u0131nda bu hastal\u0131\u011f\u0131n fark\u0131ndal\u0131\u011f\u0131n artt\u0131r\u0131lmas\u0131 erken tan\u0131 hedefe y\u00f6nelik tedavi ki\u015fiselle\u015ftirilmi\u015f tedavi ve gen tedavisi gibi \u00e7a\u011fda\u015f g\u00fcncel y\u00f6ntemleri geli\u015ftiren bir alan. Primer imm\u00fcn yetmezlikler sayesinde organizman\u0131n gizemini \u00e7\u00f6zm\u00fc\u015f oluyoruz. Tedavilere alt yap\u0131 haz\u0131rl\u0131yoruz” dedi.<\/p>\n

P\u0130Y\u2019in akraba evlikleri nedeniyle ortaya \u00e7\u0131kt\u0131\u011f\u0131na de\u011finen Prof. Dr. Tezcan, “Gizli kalm\u0131\u015f bir halk sa\u011fl\u0131\u011f\u0131 sorunu ile kar\u015f\u0131 kar\u015f\u0131yay\u0131z. Erken tan\u0131, etkin tedavi hayat kurtar\u0131r” dedi. Prof. Dr. Tezcan, aile ve hastan\u0131n el ele vererek hastal\u0131\u011f\u0131n izleminde g\u00fc\u00e7leri birle\u015ftirmeleri gerekti\u011finin alt\u0131n\u0131 \u00e7izdi.<\/p>\n

Prof. Dr. Tezcan, tan\u0131 ve tedavi merkezlerin hem klinik hem laboratuvar merkezlerinin g\u00fcncel izlemeye imkan sa\u011flamas\u0131 gerekti\u011fini bildirdi.<\/p>\n

“Akraba evlili\u011finin etkisi”<\/p>\n

Klinik \u0130mm\u00fcnoloji Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Aydan \u0130kincio\u011fullar\u0131, erken tan\u0131n\u0131n \u00e7ok de\u011ferli oldu\u011funu ve T\u00fcrkiye\u2019nin de \u00f6nemli sorunlar\u0131ndan birinin P\u0130Y oldu\u011funu kaydetti.<\/p>\n

Hastal\u0131\u011f\u0131n T\u00fcrkiye\u2019de fazla olmas\u0131n\u0131n akraba evliliklerinden yayg\u0131n olmas\u0131ndan kaynaklad\u0131\u011f\u0131n\u0131 aktaran Prof. Dr. \u0130kincio\u011flullar\u0131, “Ortalama y\u00fczde 23 akraba oran\u0131 evlenme oran\u0131. Do\u011fu b\u00f6lgelerinde y\u00fczde 47\u2019leri buluyor, bat\u0131ya gittik\u00e7e azal\u0131yor. Y\u00fczde 8.9 Trakya\u2019da. P\u0130Y pek \u00e7ok hastal\u0131\u011fa zemin haz\u0131rlayan temel bir sebep. Akraba evliliklerini \u00e7\u00f6zmek ayr\u0131 bir durum \u00e7\u00fcnk\u00fc bu \u00fclke politikas\u0131na girecek bir durum. Ama bize d\u00fc\u015fen g\u00f6rev tan\u0131y\u0131 h\u0131zland\u0131rmak do\u011fru ve erken tan\u0131ya hastalar\u0131n ula\u015fmas\u0131n\u0131 sa\u011flamakt\u0131r” dedi.<\/p>\n

“Hekimler aras\u0131nda bilinirlik az”<\/p>\n

P\u0130Y\u2019in akraba evlilikleri d\u0131\u015f\u0131nda da ortaya \u00e7\u0131kabildi\u011fini belirten Prof. Dr. Aydan \u0130kincio\u011fullar\u0131, akraba evlili\u011fin yo\u011fun oldu\u011fu toplumlarda hastal\u0131kta bir y\u0131\u011f\u0131lma oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n

Erken tan\u0131 i\u00e7in yap\u0131lmas\u0131 gerekenleri anlatan Prof. Dr. \u0130kincio\u011fullar\u0131, “Derne\u011fin be\u015f y\u0131ld\u0131r kurulma amac\u0131 budur. S\u0131k rastlanan sa\u011fl\u0131k sorununu g\u00fcndemde tutabilmektir. Erken tan\u0131 etkin tedaviyi olu\u015fturabilmektir. Halka ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 aras\u0131nda bilinirli\u011fi artt\u0131rmak i\u00e7in \u00e7al\u0131\u015fmalar\u0131m\u0131z oldu. \u0130lk \u00e7al\u0131\u015fmada hekimler aras\u0131nda hastal\u0131\u011f\u0131n fark\u0131ndal\u0131\u011f\u0131 nedir diye sorduk. P\u0130Y\u2019in \u00f6nce fark\u0131ndal\u0131\u011f\u0131n\u0131 hekimlerde g\u00f6stermemiz gerekti\u011fi ortaya \u00e7\u0131kt\u0131. Hekimlerin bir\u00e7o\u011fu P\u0130Y ile kar\u015f\u0131 kar\u015f\u0131ya kalmak istemedi\u011fi belirtmi\u015fler. Bu oran y\u00fczde 80\u2019ler seviyesindeydi. \u015eimdilerde yol katettik. Ama istedi\u011fimiz noktada de\u011filiz, e\u011fitim \u00e7al\u0131\u015fmalar\u0131n\u0131 yo\u011fun \u015fekilde s\u00fcrd\u00fcrmeliyiz” ifadelerine yer verdi.<\/p>\n

“K\u00f6k h\u00fccreyle ba\u015far\u0131 oran\u0131 y\u00fcksek”<\/p>\n

D\u00fcnyada yeni do\u011fan tarama program\u0131na P\u0130Y\u2019in 2009 y\u0131l\u0131ndan itibaren girmeye ba\u015flad\u0131\u011f\u0131n\u0131 aktaran Prof. Dr. Aydan \u0130kincio\u011fullar\u0131, “D\u00fcnyan\u0131n pek \u00e7ok \u00fclkesinde bebekler do\u011far do\u011fmaz al\u0131nan topuk kan\u0131yla taranabiliyor. Bu taramayla ba\u015fta, pediatrik bir acil olarak adland\u0131rd\u0131\u011f\u0131m\u0131z\u0131 e\u011fer tan\u0131 alamazsa ilk iki y\u0131l i\u00e7inde \u00f6l\u00fcm olan bu hastal\u0131\u011f\u0131 tan\u0131mak erken hale geldi. Bu t\u0131pta bir devrim olu\u015fturdu. Genetik temelli bir metod kullan\u0131l\u0131yor. Bir damla kandan tan\u0131 koymak hi\u00e7bir bulgu enfeksiyon ya\u015famadan hastal\u0131k tan\u0131nabiliyor. Erken tan\u0131, erken nakil olana\u011f\u0131 sa\u011fl\u0131yor. \u0130lk 3 aydan \u00f6nce yap\u0131lan nakiller y\u00fczde 90\u2019\u0131n \u00fczerinde y\u00fczde 100\u2019e varan ba\u015far\u0131 \u015fans\u0131 getiriyor” dedi.<\/p>\n

“20 bin bebe\u011fe tarama \u00e7al\u0131\u015fmas\u0131 devam ediyor”<\/p>\n

T\u00fcrkiye\u2019de yap\u0131lan P\u0130Y \u00e7al\u0131\u015fmalar\u0131 hakk\u0131nda bilgi veren Prof. Dr. \u0130kincio\u011fullar\u0131, “Bu konuda T\u00fcrkiye yakla\u015f\u0131k 10 y\u0131ld\u0131r u\u011fra\u015f\u0131m\u0131z sonucunda yeni do\u011fan tarama programlar\u0131na ulusal destek verildi. Son iki y\u0131ld\u0131r bir pilot \u00e7al\u0131\u015fma ve ge\u00e7mi\u015fe y\u00f6nelik \u00e7al\u0131\u015fma derken ard\u0131ndan 20 bin bebe\u011fin tarama \u00e7al\u0131\u015fmas\u0131n\u0131 ba\u015flad\u0131k ve y\u00fcr\u00fcyoruz. Tan\u0131mlayabildi\u011fimiz bir hasta \u00e7\u0131kmad\u0131 ama 5 bin bebek tarad\u0131k. Bununla T\u00fcrkiye\u2019deki durumun ciddiyetini g\u00f6stermi\u015f olaca\u011f\u0131z. Ulusal karakter kazanmas\u0131 konusunda yol alm\u0131\u015f olaca\u011f\u0131z” diye konu\u015ftu.<\/p>\n

Prof. Dr. \u0130kincio\u011flullar\u0131, T\u00fcrkiye\u2019de nakil merkezlerinin \u00e7ok \u00e7e\u015fitlendi\u011fini belirterek, P\u0130Y noktas\u0131nda erken ve h\u0131zl\u0131 nakilin \u00f6nemli oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n

“Yeterli hekim say\u0131s\u0131 az”<\/p>\n

Kongre Ba\u015fkan ve Dernek Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Figen Do\u011fu, P\u0130Y\u2019in \u00f6ks\u00fcz bir hastal\u0131k oldu\u011funu bu konuda yeterli hekimlerin say\u0131s\u0131n\u0131n az olmas\u0131ndan yak\u0131nd\u0131.<\/p>\n

T\u00fcrkiye\u2019de daha fazla hastaya tan\u0131 koyabilecek merkezlere ihtiya\u00e7 oldu\u011funu kaydeden Prof. Dr. Do\u011fu, “Bu hastalar\u0131n sosyal haklar\u0131 engelli ve \u00f6zel gereksinimlerinin oldu\u011funun kabul edilmesi gerekir. \u00c7\u00d6ZGER ad\u0131 alt\u0131nda kanun \u00e7\u0131kt\u0131. 2013\u2019de hastal\u0131k say\u0131s\u0131 azd\u0131. Eksiklikleri vard\u0131r. Derne\u011fin yard\u0131m\u0131yla, vak\u0131flarla daha g\u00f6r\u00fcn\u00fcr hale gelebiliriz. Hastalar\u0131m\u0131z\u0131 ayr\u0131 bir birey olarak g\u00f6rm\u00fcyoruz. Bizimle b\u00fcy\u00fcyen hastalar\u0131m\u0131z, \u00fcniversite okuyan \u00f6\u011frencilerimiz var. Ele ele verirsek daha fazla hak elde edebiliriz” diye konu\u015ftu.<\/p>\n

“Veri taban\u0131 olu\u015fturulmas\u0131n\u0131 istiyor”<\/p>\n

Can\u2019dan Bi\u015feyler Vakf\u0131 Kurucusu Prof.Dr. G\u00fclsan Sucak, 27 y\u0131ld\u0131r P\u0130Y\u2019li evlad\u0131yla hastal\u0131kla m\u00fccadele etti\u011fini aktararak “Zorlu bir 27 y\u0131ld\u0131. O\u011flumu kaybettim ama onun hikayesi bana bir g\u00f6rev b\u0131rakt\u0131. Bizimle ayn\u0131 yollardan ge\u00e7ecek insanlar\u0131n hikayelerini de\u011fi\u015ftirmek istedim. Kendi hikayemi de\u011fi\u015ftirecek g\u00fcc\u00fcm olmad\u0131. Hekim oldu\u011fu i\u00e7in her iki taraf\u0131 da iyi biliyorum. \u00c7ok \u00f6ks\u00fcz bir hastal\u0131k. Hasta ve hasta yak\u0131nlar\u0131 i\u00e7in \u00e7ok zor. Hastal\u0131\u011f\u0131 takip eden hekimler de yaln\u0131z. Tebdili k\u0131yafetle geziyor, o nedenle tan\u0131 koymak zor. \u0130nan\u0131lmaz farkl\u0131 tablolarla enfeksiyonlarla seyredebiliyor ama altta yatan bozuklu\u011fun fark edilmesi erken tan\u0131 hayat kurtar\u0131c\u0131. Bizim hikayemiz farkl\u0131 yani, do\u011fdu\u011fu d\u00f6nemlerde tan\u0131 olanaklar\u0131 bu kadar kolay de\u011fildi. Bug\u00fcn hikaye de\u011fi\u015fti. 2000\u2018li y\u0131llarda \u00e7ok h\u0131zl\u0131 geli\u015fme oldu. T\u00fcrkiye\u2019de fark\u0131ndal\u0131k d\u00fczeyi istedi\u011fimiz d\u00fczeyde de\u011fil. Bu yolda zor bir yolculuk yapan hekimlere nefsime kat\u0131p destek\u00e7isi olmak istedim. O\u011flumla ya\u015fad\u0131\u011f\u0131m zorluklar\u0131 onun ya\u015fad\u0131klar\u0131n\u0131 k\u0131sa s\u00fcren hayat\u0131n\u0131 faydaya d\u00f6n\u00fc\u015ft\u00fcrmek istiyorum” dedi.<\/p>\n

Prof. Dr. Sucak, T\u00fcrkiye\u2019de P\u0130Y veri taban\u0131n\u0131n olmas\u0131n\u0131 ve tarama testinin yap\u0131lmas\u0131n\u0131n \u00f6nemli oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n

Klinik \u0130mm\u00fcnoloji Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof.Dr. \u0130smail Reisli, ba\u011f\u0131\u015f\u0131kl\u0131k yetmezli\u011fi hastas\u0131n\u0131n e\u011fer \u00e7ocuksa tan\u0131da gecikme durumunun 2 y\u0131l oldu\u011funu vurgulad\u0131. Prof. Dr. Reisli, eri\u015fkinde ise tan\u0131da gecikme s\u00fcresinin 10 ile 20 y\u0131l aras\u0131nda de\u011fi\u015fti\u011fini kaydetti.<\/p>\n

Hekimler olarak bu hastalar\u0131 erken tan\u0131man\u0131n \u00f6nemli oldu\u011funa de\u011finen Prof. Dr. Reisli, T\u00fcrkiye\u2019de hekim fark\u0131ndal\u0131\u011f\u0131n\u0131n d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc tan\u0131 gecikmesi ve ailelerin de gizlemesi nedeniyle ba\u011f\u0131\u015f\u0131k yetmezli\u011fi \u00f6yk\u00fcs\u00fc ailelerde y\u00fczde 10-15 olarak kendilerine geldi\u011fini bildirdi.

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\"Prof. <\/a> <\/div> <\/div> <\/div>
\"Prof. <\/a> <\/div> <\/div> <\/div> <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

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