{"id":109941,"date":"2019-03-23T13:02:26","date_gmt":"2019-03-23T10:02:26","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/erken-tani-konulan-piyde-kok-hucre-umudu\/"},"modified":"2019-03-23T13:02:26","modified_gmt":"2019-03-23T10:02:26","slug":"erken-tani-konulan-piyde-kok-hucre-umudu","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/erken-tani-konulan-piyde-kok-hucre-umudu\/","title":{"rendered":"Erken tan\u0131 konulan P\u0130Y\u2019de k\u00f6k h\u00fccre umudu"},"content":{"rendered":"<p>Klinik \u0130mm\u00fcnoloji Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Aydan \u0130kincio\u011fullar\u0131, 350\u2019den fazla hastal\u0131\u011f\u0131 kapsayan primer imm\u00fcn yetmezli\u011fine (P\u0130Y) en \u00e7ok akraba evlili\u011finin neden oldu\u011funu belirterek, \u201dBu hastal\u0131\u011f\u0131 yeni do\u011fan d\u00f6neminde topuk kan\u0131yla taray\u0131p, enfeksiyonlar ba\u015flamadan h\u0131zla tan\u0131 al\u0131p, k\u00f6k h\u00fccre nakliyle \u015fifaya kavu\u015fturulabilmesi m\u00fcmk\u00fcn\u201d dedi.<\/p>\n<p>Klinik \u0130mm\u00fcnoloji Derne\u011finin ev sahipli\u011finde ger\u00e7ekle\u015fen &#8220;5. Klinik \u0130mm\u00fcnoloji Kongresi&#8221;, Belek\u2019te bir otelde sona erdi. Klinik \u0130mm\u00fcnoloji Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi ve Ankara \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00d6\u011fretim \u00dcyesi Prof. Dr. Aydan \u0130kincio\u011fullar\u0131, primer imm\u00fcn yetmezlik (P\u0130Y) denilen hastal\u0131klar\u0131n do\u011fu\u015ftan kal\u0131tsal olarak imm\u00fcn sistemin herhangi bir eleman\u0131nda say\u0131 veya fonksiyon bozuklu\u011fuyla karakterize olan hastal\u0131klar oldu\u011funu belirtti. Hastal\u0131\u011f\u0131n hatal\u0131 genlerle olu\u015ftu\u011funu dile getiren Prof. Dr. \u0130kincio\u011fullar\u0131, \u201cBu sebeple akraba evliliklerinin yayg\u0131n oldu\u011fu \u00fclkelerde ve toplumlarda \u00e7ok s\u0131k g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Hastal\u0131k s\u0131k g\u00f6r\u00fcl\u00fcyor ama bilinilirli\u011fi az. Maalesef hem toplumda, hem sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 ve hekimler aras\u0131nda bu hastal\u0131k yeterince bilinir halde de\u011fil. Biz bunu T\u00fcrkiye\u2019de \u00f6zellikle akraba evliliklerinin \u00e7ok s\u0131k olmas\u0131 nedeniyle gizli kalm\u0131\u015f bir halk sa\u011fl\u0131\u011f\u0131 sorunu olarak de\u011ferlendiriyoruz ve tan\u0131ml\u0131yoruz\u201d diye konu\u015ftu.<\/p>\n<p>&#8220;350 hastal\u0131\u011f\u0131 kaps\u0131yor&#8221;<\/p>\n<p>P\u0130Y\u2019in her ya\u015fta g\u00f6r\u00fclebilece\u011fine dikkati \u00e7eken Prof. Dr. \u0130kincio\u011fullar\u0131, \u201cVakalar\u0131n \u00e7o\u011fu bebek ve \u00e7ocuklard\u0131r. Bu tek bir hastal\u0131k de\u011fil. 350\u2019den fazla hastal\u0131k var P\u0130Y dedi\u011fimiz hastal\u0131k grubunda. Tabii bunlar\u0131n bir k\u0131sm\u0131 \u00e7ok a\u011f\u0131r vakalar. Do\u011fal seyri birka\u00e7 y\u0131l i\u00e7inde bebe\u011fi \u00f6l\u00fcme g\u00f6t\u00fcrebilen hastal\u0131klar oldu\u011fu gibi di\u011fer k\u0131sm\u0131 ise ge\u00e7ici, daha hafif, daha semptomatik olabiliyor. Ve hastadan hastaya, hastal\u0131ktan hastal\u0131\u011fa da ya\u015fam s\u00fcresi de\u011fi\u015fiklik g\u00f6sterebiliyor\u201d dedi.<\/p>\n<p>&#8220;Akraba evlili\u011fi do\u011fuda y\u00fcksek&#8221;<\/p>\n<p>P\u0130Y\u2019in s\u0131k g\u00f6r\u00fclmesine neden olan akraba evlikleri hakk\u0131nda bilgi veren Prof. Dr. Aydan \u0130kincio\u011fullar\u0131, \u201c2016-2017 T\u00dc\u0130K verilerine g\u00f6re  T\u00fcrkiye\u2019de akraba evlilikleri s\u0131kl\u0131\u011f\u0131 y\u00fczde 23 ama do\u011fu b\u00f6lgelerinde bu oran y\u00fczde 46 civar\u0131na y\u00fckseliyor. Bat\u0131da en d\u00fc\u015f\u00fck oldu\u011fu b\u00f6lgemiz Trakya, y\u00fczde 8.9. Tabii \u00e7ok y\u00fcksek bir de\u011fer, do\u011fuya gitti\u011finiz zaman her iki aileden birinde kuzenler aras\u0131 birinci, ikinci, \u00fc\u00e7\u00fcnc\u00fc derece kuzenler aras\u0131 bir evlilikle kar\u015f\u0131la\u015f\u0131yoruz. T\u00fcrkiye\u2019nin sosyo-k\u00fclt\u00fcrel bir \u00f6zelli\u011fi bu ama bu \u00f6zellik maalesef baz\u0131 hastal\u0131klara yatk\u0131nl\u0131k olu\u015fturuyor\u201d ifadelerini kulland\u0131.<\/p>\n<p>&#8220;Hekimlerin \u015f\u00fcphesi \u00f6nemli&#8221;<\/p>\n<p>P\u0130Y\u2019de erken tan\u0131n\u0131n ya\u015fam kurtar\u0131c\u0131 oldu\u011funa vurgu yapan Prof. Dr. \u0130kincio\u011fullar\u0131, \u201cTan\u0131n\u0131n da \u00f6n ko\u015fulu \u015f\u00fcphe etmek, yani hekimlerin hastadan \u015f\u00fcphe edebilmesi gerekiyor. Ne g\u00f6r\u00fcrse \u015f\u00fcphe edecek? Hekimlerimizin \u015f\u00fcphe etti\u011fi hastalar\u0131 tan\u0131 ve tedaviyle u\u011fra\u015fan merkezlere y\u00f6nlendirmesi gerekiyor\u201d dedi.<\/p>\n<p>10 y\u0131l \u00f6nce hekimler aras\u0131nda P\u0130Y\u2019e y\u00f6nelik bir anket yapt\u0131klar\u0131n\u0131 anlatan Prof. Dr. \u0130kincio\u011fullar\u0131, \u201cO zaman g\u00f6rd\u00fck ki bilgi ve tutum eksi\u011fi olduk\u00e7a yayg\u0131n. Hekimlerin y\u00fczde 80\u2019i neredeyse P\u0130Y olan bir hastayla kar\u015f\u0131la\u015ft\u0131\u011f\u0131 zaman ne yapaca\u011f\u0131n\u0131 bilmedi\u011fini beyan etmi\u015fti. O zaman demek ki deneyim \u00e7ok \u00f6nemli. Bu hastalar\u0131n erken tan\u0131ya ula\u015fabilmesi i\u00e7in donan\u0131ml\u0131, deneyimli ekiplerden olu\u015fan m\u00fckemmeliyet merkezlerine T\u00fcrkiye\u2019de ihtiya\u00e7 var\u201d dedi.<\/p>\n<p>&#8220;Erken tan\u0131 ve k\u00f6k h\u00fccre nakli&#8221;<\/p>\n<p>Prof. Dr. \u0130kincio\u011fullar\u0131, P\u0130Y\u2019in g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n hastal\u0131ktan hastal\u0131\u011fa de\u011fi\u015fti\u011fini dile getirerek, \u201cMesela a\u011f\u0131r kombine P\u0130Y\u2019in T\u00fcrkiye\u2019de g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n 10 binde oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz. T\u00fcrkiye\u2019de y\u0131lda yakla\u015f\u0131k 1,5 milyon bebek do\u011fuyor. Demek ki 150 kadar yeni sadece a\u011f\u0131r kombine imm\u00fcn yetmezli\u011fi dedi\u011fimiz ve pediatrik acil kabul edilen, do\u011fal seyri hastan\u0131n 1-2 y\u0131l i\u00e7inde \u00f6l\u00fcm\u00fcyle sonu\u00e7lanan bir hastal\u0131ktan bahsediyoruz. Ve bu hastal\u0131\u011f\u0131 yeni do\u011fan d\u00f6neminde topuk kan\u0131yla taray\u0131p, hastan\u0131n daha enfeksiyonlar ba\u015flamadan h\u0131zla tan\u0131 al\u0131p k\u00f6k h\u00fccre nakliyle \u015fifaya kavu\u015fturulabilmesi m\u00fcmk\u00fcnd\u00fcr\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>KL\u0130N\u0130K \u0130MM\u00dcNOLOJ\u0130 DERNE\u011e\u0130 BA\u015eKAN YARDIMCISI PROF. DR. AYDAN \u0130K\u0130NC\u0130O\u011eULLARI,350\u2019DEN FAZLA HASTALI\u011eI KAPSAYAN P\u0130R\u0130MER \u0130MM\u00dcN YETMEZL\u0130\u011e\u0130N SIK G\u00d6R\u00dcLMES\u0130NE EN \u00c7OK AKRABA EVL\u0130L\u0130\u011e\u0130N\u0130N NEDEN OLDU\u011eUNU BEL\u0130RTEREK,\u201d BU HASTALI\u011eI YEN\u0130 DO\u011eAN D\u00d6NEM\u0130NDE TOPUK KANIYLA TARAYIP, ENFEKS\u0130YONLAR BA\u015eLAMADAN HIZLA TANI ALIP, K\u00d6K H\u00dcCRE NAKL\u0130YLE \u015e\u0130FAYA KAVU\u015eTURULAB\u0130LMES\u0130 M\u00dcMK\u00dcN.\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":109942,"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":[4955,747,746,7802,27394,5459,12297],"class_list":["post-109941","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-erken","tag-hucre","tag-kok","tag-konulan","tag-piyde","tag-tani","tag-umudu"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/erken-tani-konulan-piyde-kok-hucre-umudu_15fed5f.jpg?fit=625%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-sBf","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/109941","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=109941"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/109941\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/109942"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=109941"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=109941"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=109941"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}