Zat\u00fcrrenin ya\u015fl\u0131larda \u00f6l\u00fcmc\u00fcl olabilece\u011fini s\u00f6yleyen \u0130stanbul Aile Hekimli\u011fi Derne\u011fi (\u0130STAHED) Bilim Komisyonu ve A\u015f\u0131 \u00c7al\u0131\u015fma Grubu \u00dcyesi Uzm. Dr. Ay\u015fe Seda Demirel, ya\u015fl\u0131l\u0131k d\u00f6neminde \u00f6zellikle akci\u011ferlerin d\u0131\u015far\u0131dan al\u0131nabilecek bakteri ve vir\u00fcslere kar\u015f\u0131 \u00e7ok daha savunmas\u0131z kald\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
D\u00fcnya genelinde ya\u015fl\u0131 n\u00fcfusun say\u0131s\u0131 ve d\u00fcnya ya\u015f ortalamas\u0131 h\u0131zla artarken ya\u015fl\u0131l\u0131\u011f\u0131n tan\u0131m\u0131 da de\u011fi\u015fiyor. Art\u0131k ya\u015fl\u0131l\u0131k y\u0131l hesab\u0131na g\u00f6re de\u011fil, insanlar\u0131n hayat\u0131n\u0131 ba\u015fka birine muhta\u00e7 olmadan s\u00fcrd\u00fcrebilme kapasitesine g\u00f6re tan\u0131mlan\u0131yor. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc taraf\u0131ndan haz\u0131rlanan Ya\u015flanma ve Sa\u011fl\u0131k D\u00fcnya Raporu\u2019na g\u00f6re ya\u015fl\u0131 ki\u015fi, \u2019do\u011fdu\u011fu zaman mevcut olan ortalama ya\u015fam beklentisini ge\u00e7en kimse\u2019 olarak tan\u0131mlan\u0131yor. Ayn\u0131 raporda 60-74 ya\u015f aras\u0131 ya\u015fl\u0131l\u0131k, 75-89 ya\u015f aras\u0131 ileri ya\u015fl\u0131l\u0131k ve 90 ya\u015f ve \u00fczeri ihtiyarl\u0131k olarak tan\u0131mlan\u0131yor. 2050 y\u0131l\u0131nda 60 ya\u015f ve \u00fcst\u00fc n\u00fcfusun d\u00fcnya n\u00fcfusunun y\u00fczde 22\u2019lerine ula\u015faca\u011f\u0131 (2 milyar ki\u015fi) \u00f6ng\u00f6r\u00fcl\u00fcyor.<\/p>\n
Ya\u015fl\u0131lar Haftas\u0131 sebebiyle a\u00e7\u0131klama yapan \u0130stanbul Aile Hekimli\u011fi Derne\u011fi (\u0130STAHED) Bilim Komisyonu ve A\u015f\u0131 \u00c7al\u0131\u015fma Grubu \u00dcyesi Uzm. Dr. Ay\u015fe Seda Demirel, sa\u011fl\u0131kl\u0131 bir ya\u015fl\u0131l\u0131\u011f\u0131n m\u00fcmk\u00fcn oldu\u011funu vurgulayarak, eri\u015fkin a\u015f\u0131lamas\u0131n\u0131n da bu do\u011frultuda b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
“Ya\u015fl\u0131l\u0131kla birlikte ba\u011f\u0131\u015f\u0131kl\u0131k sistemi de zay\u0131fl\u0131yor”<\/p>\n
Son y\u0131llarda bireyin sa\u011fl\u0131\u011f\u0131n\u0131 ve i\u015flevselli\u011fini tan\u0131mlarken kronolojik ya\u015ftan ziyade, \u2018k\u0131r\u0131lganl\u0131k\u2019 tan\u0131m\u0131n\u0131n daha b\u00fcy\u00fck bir \u00f6nem kazand\u0131\u011f\u0131n\u0131 belirten Demirel, “K\u0131r\u0131lganl\u0131k; kronik hastal\u0131klara da ba\u011fl\u0131 sa\u011fl\u0131k riskleri, hareketin azl\u0131\u011f\u0131 ve beslenme bozuklu\u011fu gibi \u00e7e\u015fitli fakt\u00f6rlere ba\u011fl\u0131 olarak geli\u015fen, ilerleyici seyreden, g\u00fcnl\u00fck aktivitelerde ve strese yan\u0131tta g\u00f6rev alan fizyolojik birikimlerde azalma olarak tan\u0131mlanabilir. Bu da ba\u011f\u0131\u015f\u0131kl\u0131k h\u00fccrelerimizin yap\u0131m\u0131nda ve yenilenmesinde de ka\u00e7\u0131n\u0131lmaz bir azalma ve g\u00fc\u00e7s\u00fczl\u00fck ve bir\u00e7ok hastal\u0131\u011f\u0131n riskinin artmas\u0131na ve bireyin de yenilenme ve i\u015flev kapasitesinde d\u00fc\u015f\u00fc\u015fe yol a\u00e7ar. \u00d6te yandan, bireysel genetik ve ya\u015fam tarz\u0131 farkl\u0131l\u0131klar\u0131, beslenme ve egzersiz al\u0131\u015fkanl\u0131klar\u0131 da s\u00f6z konusu oldu\u011fu i\u00e7in 70 ya\u015f \u00fcst\u00fc baz\u0131 bireylerin zihinsel ve fiziksel olarak \u00e7ok iyi durumda bulunmalar\u0131na kar\u015f\u0131n, baz\u0131 ya\u015f\u0131tlar\u0131n\u0131n \u2018k\u0131r\u0131lganl\u0131k\u2019 ba\u015fta olmak \u00fczere \u00e7e\u015fitli nedenlerle en basit ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131lamak i\u00e7in dahi ba\u015fka bireylere ba\u011f\u0131ml\u0131 hale gelebildikleri g\u00f6r\u00fclmektedir” dedi.<\/p>\n
“Zat\u00fcrre 65 ya\u015f \u00fcst\u00fc ve risk grubundaki ki\u015filerde \u00e7ok ciddi sonu\u00e7lar do\u011furabilir”<\/p>\n
Ya\u015fl\u0131l\u0131k d\u00f6neminde \u00f6zellikle akci\u011ferlerin d\u0131\u015far\u0131dan al\u0131nabilecek bakteri ve\/veya vir\u00fcslere kar\u015f\u0131 \u00e7ok daha savunmas\u0131z kald\u0131\u011f\u0131n\u0131 belirten Demirel \u015f\u00f6yle devam etti:<\/p>\n
“Halk aras\u0131nda akci\u011fer enfeksiyonlar\u0131na genel olarak zat\u00fcrre ismi verilmektedir. Toplumda en s\u0131k zat\u00fcrre yapan bakterinin ismi Streptococcus Pneumoniae\u2019dir(Pn\u00f6mokok). Yak\u0131n temas ile ki\u015fiden ki\u015fiye bula\u015fabilir. Bu bakteri sa\u011fl\u0131kl\u0131 ki\u015filerde burun-yutak b\u00f6lgesinde yerle\u015fip orta kulak enfeksiyonuna ve sin\u00fczite yol a\u00e7sa da ba\u015fta ya\u015fl\u0131l\u0131k gibi baz\u0131 durumlarda akci\u011fer, beyin ve eklemleri de etkileyebilir, kana kar\u0131\u015f\u0131p \u00f6l\u00fcmc\u00fcl olabilir”<\/p>\n
Ya\u015fl\u0131l\u0131k d\u00f6neminde ya\u015fanan zat\u00fcrre vakalar\u0131n\u0131n, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n da d\u00fc\u015f\u00fck olmas\u0131 nedeniyle ilerleyerek hayat\u0131 tehdit edecek boyuta gelebildi\u011fini belirten Demirel “Din\u00e7 bir ya\u015fl\u0131da ya\u015fanan tek bir enfeksiyon hastay\u0131 bir anda k\u0131r\u0131lgan-d\u00fc\u015fk\u00fcn ya\u015fl\u0131 s\u00fcrecine sokabilir. K\u0131sacas\u0131 sa\u011fl\u0131kl\u0131 bir ki\u015fide basit bir orta kulak enfeksiyonu yapan bu bakteri; k\u00fc\u00e7\u00fck \u00e7ocuklarda, 65 ya\u015f\u0131n \u00fcst\u00fcndeki ya\u015fl\u0131larda ve kronik hastal\u0131\u011f\u0131 olan ki\u015filerde \u00e7ok daha a\u011f\u0131r ve \u00f6l\u00fcmc\u00fcl enfeksiyonlara neden olabilir. \u00d6rne\u011fin halk aras\u0131nda Kronik bron\u015fit olarak bilinen KOAH hastalar\u0131nda zat\u00fcrre riski sa\u011fl\u0131kl\u0131 ki\u015filere g\u00f6re 10 kat artmaktad\u0131r. \u015eeker hastas\u0131 olan ya\u015fl\u0131larda da riskin artt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Bu nedenle 65 ya\u015f \u00fczeri herkese ve 65 ya\u015f alt\u0131ndaki ast\u0131m ve KOAH hastalar\u0131na, \u015feker hastalar\u0131na, kronik iskemik kalp hastalar\u0131na ve kalp yetmezli\u011fi olanlara, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 d\u00fc\u015f\u00fck hastalara, kronik b\u00f6brek yetmezli\u011fi hastalar\u0131na, uygun d\u00f6nemdeki kanser hastalar\u0131na, organ nakli yap\u0131lan hastalara, sigara i\u00e7enlere, alkolizm ve\/veya madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc olanlara, romatizmal hastal\u0131k \u00f6yk\u00fcs\u00fc olanlara zat\u00fcrre a\u015f\u0131s\u0131 mutlaka uygulanmal\u0131d\u0131r. \u00dclkemizde her y\u0131l yenilenen grip a\u015f\u0131lar\u0131na ek olarak iki tip de zat\u00fcrre a\u015f\u0131s\u0131 vard\u0131r: polisakkaritpn\u00f6mokok a\u015f\u0131s\u0131 ve konjugepn\u00f6mokok a\u015f\u0131s\u0131. Konjugepn\u00f6mokok a\u015f\u0131s\u0131 \u00f6m\u00fcr boyu kal\u0131c\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sa\u011flamaktayken polisakkarit a\u015f\u0131 ile kazan\u0131lan ba\u011f\u0131\u015f\u0131kl\u0131k daha k\u0131sa \u00f6m\u00fcrl\u00fcd\u00fcr. 2016 y\u0131l\u0131 itibar\u0131 ile 65 ya\u015f \u00fcst\u00fcndeki b\u00fct\u00fcn hastalara ve 65 ya\u015f alt\u0131nda olup \u015feker hastal\u0131\u011f\u0131, KOAH, ast\u0131m, koroner arter hastal\u0131\u011f\u0131, kalp yetmezli\u011fi ve ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 d\u00fc\u015f\u00fck olan eri\u015fkin hastalar\u0131n da tek doz konjugepn\u00f6mokok a\u015f\u0131 ile ba\u011f\u0131\u015f\u0131klanmas\u0131 tamamen \u00fccretsiz ve re\u00e7etesiz olarak yap\u0131lmaya ba\u015flanm\u0131\u015ft\u0131r. Konjuge a\u015f\u0131lar Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan temin edilmekte ve Aile Sa\u011fl\u0131\u011f\u0131 Merkezlerine ve a\u015f\u0131ya eri\u015fimin m\u00fcmk\u00fcn oldu\u011fu hastanelere da\u011f\u0131t\u0131lmaktad\u0131r. \u0130ki a\u015f\u0131n\u0131n da yan etkileri \u00e7ok nadirdir ve bu iki a\u015f\u0131 da olduk\u00e7a g\u00fcvenlidir” ifadelerini kaydetti.<\/p>\n","protected":false},"excerpt":{"rendered":"
ZAT\u00dcRREN\u0130N YA\u015eLILARDA \u00d6L\u00dcMC\u00dcL OLAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLEYEN \u0130STANBUL A\u0130LE HEK\u0130ML\u0130\u011e\u0130 DERNE\u011e\u0130 (\u0130STAHED) B\u0130L\u0130M KOM\u0130SYONU VE A\u015eI \u00c7ALI\u015eMA GRUBU \u00dcYES\u0130 UZM. DR. AY\u015eE SEDA DEM\u0130REL, YA\u015eLILIK D\u00d6NEM\u0130NDE \u00d6ZELL\u0130KLE AKC\u0130\u011eERLER\u0130N DI\u015eARIDAN ALINAB\u0130LECEK BAKTER\u0130 VE V\u0130R\u00dcSLERE KAR\u015eI \u00c7OK DAHA SAVUNMASIZ KALDI\u011eINI BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":108742,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[5897,27235,16950,27234],"class_list":["post-108741","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-olabilir","tag-olumcul","tag-yaslilarda","tag-zaturre"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/zaturre-yaslilarda-olumcul-olabilir_37b18c5.jpg?fit=977%2C779","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-shT","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/108741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=108741"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/108741\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/108742"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=108741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=108741"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=108741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}