G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. Salih Bilgin, t\u00fcberk\u00fclozun (verem) d\u00fcnyada zengin-yoksul, gen\u00e7-ya\u015fl\u0131 herkeste ortaya \u00e7\u0131kabilece\u011fini, erken ve uygun tedavi ile hastalar\u0131n y\u00fczde y\u00fcz iyile\u015febildi\u011fini s\u00f6yledi.<\/p>\n
Medicana Samsun Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. Salih Bilgin, t\u00fcberk\u00fcloz konusunda bilgi verdi. T\u00fcberk\u00fclozun hava yoluyla bula\u015ft\u0131\u011f\u0131n\u0131 ifade eden Dr. Bilgin, \u201cT\u00fcberk\u00fcloz binlerce y\u0131ld\u0131r var oldu\u011fu bilinen bir mikropla olu\u015fmaktad\u0131r. Bu mikrobun ad\u0131: \u2019Mycobacterium tuberculosis\u2019tir. D\u00fcnyan\u0131n b\u00fct\u00fcn uluslar\u0131ndan insanlarda, zengin-yoksul, gen\u00e7-ya\u015fl\u0131 herkeste hastal\u0131k yapabilir. Erken ve uygun tedavi ba\u015flan\u0131r, yeterli s\u00fcre tedavi edilirse hastalar y\u00fczde y\u00fcz iyile\u015ftirilir\u201d dedi.<\/p>\n
T\u00fcberk\u00fcloz basilinin akci\u011ferlere yerle\u015fip \u00e7o\u011falabilmesi i\u00e7in alveollere kadar ula\u015fmas\u0131 gerekti\u011fini anlatan Dr. Bilgin, \u201cBu da ancak hasta ki\u015fiden solunum ile havaya sa\u00e7\u0131lan damlac\u0131k \u00e7ekirdeklerinde as\u0131l\u0131 halde bulunan basillerle m\u00fcmk\u00fcn olabilmektedir. Yap\u0131lan deneysel ara\u015ft\u0131rmalar, t\u00fcberk\u00fcloz basilinin tozla, toprakla, hastalar\u0131n e\u015fyalar\u0131n\u0131 kullanmakla ya da ayn\u0131 kaptan yemekle bula\u015famayaca\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. En bula\u015ft\u0131r\u0131c\u0131 olan hastalar balgam mikroskobisinde basil pozitif olan akci\u011fer ve g\u0131rtlak t\u00fcberk\u00fclozlulard\u0131r. Hasta ile yak\u0131n ve uzun s\u00fcreli temas\u0131 olan ki\u015filere bula\u015fma riski fazlad\u0131r. Bunlar, aile bireyleri, ayn\u0131 evi payla\u015ft\u0131\u011f\u0131 arkada\u015flar\u0131, i\u015f yeri arkada\u015flar\u0131 olabilir\u201d diye konu\u015ftu.<\/p>\n
T\u00fcberk\u00fclozda tan\u0131 ve semptomlar\u0131<\/p>\n
T\u00fcberk\u00fcloz tan\u0131s\u0131n\u0131n balgamda verem mikrobunun g\u00f6sterilmesi ile konuldu\u011funu aktaran Bilgin, \u201cHastan\u0131n yak\u0131nmalar\u0131 ve akci\u011fer film bulgular\u0131 ile hastal\u0131ktan \u015f\u00fcphelenilir. Hastalarda iki haftadan uzun s\u00fcren \u00f6ks\u00fcr\u00fck, ate\u015f, gece terlemesi, g\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131, i\u015ftahs\u0131zl\u0131k, zay\u0131flama (kilo kayb\u0131), \u00e7ocuklarda kilo alamama, halsizlik, kan t\u00fck\u00fcrme gibi sorunlar g\u00f6r\u00fcl\u00fcr\u201d diye konu\u015ftu.<\/p>\n
T\u00fcberk\u00fclozdan korunma yollar\u0131<\/p>\n
T\u00fcberk\u00fclozdan korunman\u0131n d\u00f6rt ba\u015fl\u0131k alt\u0131nda s\u0131ralanabilece\u011fini s\u00f6yleyen Bilgin, \u015fu bilgileri verdi: \u201cBula\u015ft\u0131r\u0131c\u0131 hastalar\u0131n tedavisi, basil kayna\u011f\u0131n\u0131 yok eder. Koruyucu ila\u00e7 tedavisi. BCG a\u015f\u0131s\u0131. TB bula\u015fmas\u0131n\u0131n \u00f6nlenmesi. Korunmada \u00f6nemli olan kaynak vakan\u0131n m\u00fcmk\u00fcn oldu\u011fu en erken zamanda tespit edilip tedavi edilmesidir. Etkili tedavi ile ilk g\u00fcnlerde basil say\u0131s\u0131 h\u0131zla azalmakta. Bunun yan\u0131nda \u00f6ks\u00fcr\u00fck s\u0131kl\u0131\u011f\u0131 da azalmaktad\u0131r. Hastalar\u0131n bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131, etkili tedavi ile 2-3 haftada pratik olarak sona erer. Bu nedenle, T\u00fcberk\u00fclozlu hastay\u0131 hemen izole etmek ve etkili tedaviye ba\u015flamak korunmada en \u00f6nemli fakt\u00f6rd\u00fcr. Koruyucu ila\u00e7 tedavisinin amac\u0131, t\u00fcberk\u00fcloz hastas\u0131 ile temas\u0131 olan ki\u015fide enfeksiyon geli\u015fimini ya da t\u00fcberk\u00fcloz enfekte ki\u015fide t\u00fcberk\u00fcloz hastal\u0131\u011f\u0131 geli\u015fimini \u00f6nlemektir. Ancak koruyucu ila\u00e7 tedavisi her ki\u015fiye de\u011fil, hasta olmad\u0131\u011f\u0131 kan\u0131tlanm\u0131\u015f y\u00fcksek riskli gruplara verilmelidir. BCG a\u015f\u0131s\u0131 \u00fclkemizde biri do\u011fumdan 2 ay sonra, di\u011feri ilkokul birinci s\u0131n\u0131fta olmak \u00fczere, \u00e7ocuklarda iki kez BCG yap\u0131lmaktad\u0131r. BCG, \u00fc\u00e7 ayl\u0131ktan b\u00fcy\u00fck herkese, t\u00fcberk\u00fclin cilt testi yap\u0131ld\u0131ktan sonra uygulanmal\u0131d\u0131r. BCG, t\u00fcberk\u00fcloz enfeksiyonundan koruyucu etki yapmaz, kanla ve lenfatik sistemle basilin yay\u0131lmas\u0131n\u0131 engeller. B\u00f6ylece hayat\u0131 tehdit eden milier, menenjit TB gibi durumlar\u0131n ortaya \u00e7\u0131k\u0131\u015f\u0131n\u0131 azalt\u0131r. T\u00fcberk\u00fcloz bula\u015fmas\u0131n\u0131n \u00f6nlenmesinde, bula\u015ft\u0131r\u0131c\u0131 olgulara h\u0131zla tan\u0131 konulmas\u0131 ve tedavi ba\u015flanmas\u0131 \u00f6nemlidir. Bunun yan\u0131 s\u0131ra ki\u015fisel \u00f6nlemler (\u00f6ks\u00fcr\u00fcrken a\u011fz\u0131n ka\u011f\u0131t mendille kapat\u0131lmas\u0131 vs ), ki\u015finin ya\u015fad\u0131\u011f\u0131 ortam\u0131n d\u00fczeltilmesi, toplumun bu konu hakk\u0131nda bilin\u00e7lendirilmesi de bula\u015fmay\u0131 \u00f6nlemede \u00f6nemli fakt\u00f6rler aras\u0131ndad\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00d6\u011e\u00dcS HASTALIKLARI UZMANI DR. SAL\u0130H B\u0130LG\u0130N, T\u00dcBERK\u00dcLOZDAN KORUNMADA \u00d6NEML\u0130 OLANIN VAKANIN M\u00dcMK\u00dcN OLDU\u011eUNCA EN ERKEN ZAMANDA TESP\u0130T ED\u0130L\u0130P TEDAV\u0130 ED\u0130LMES\u0130 TAKD\u0130RDE \u0130LK G\u00dcNLERDE BAS\u0130L SAYISININ HIZLA AZALAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":114064,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[11324,28012,28011,16126,28010],"class_list":["post-114063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-verem","tag-ayirmayan","tag-genc-yasli","tag-hastalik","tag-zengin-yoksul"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/zengin-yoksul-genc-yasli-ayirmayan-hastalik-verem_dc36b28.jpg?fit=772%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-tFJ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/114063","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=114063"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/114063\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/114064"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=114063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=114063"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=114063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}