\u0130\u00e7 Hastal\u0131klar\u0131, Gastroenteroloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, hepatitin \u00e7ok ge\u00e7 fark edilen hastal\u0131k gruplar\u0131 aras\u0131nda yer ald\u0131\u011f\u0131n\u0131, hastalar\u0131n yakla\u015f\u0131k y\u00fczde 50\u2019sinin hastal\u0131\u011f\u0131n fark\u0131nda bile olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, hepatit i\u00e7in fark\u0131ndal\u0131k olu\u015fturulan \u2019Hepatit Fark\u0131ndal\u0131k G\u00fcn\u00fc\u2019 nedeniyle uyar\u0131da bulunurken, insan v\u00fccudunda halsizlik d\u0131\u015f\u0131nda hi\u00e7bir belirti vermeyen, bu nedenle de yorgunluk olarak alg\u0131lanan bu hastal\u0131\u011f\u0131n genelde \u00e7ok ge\u00e7 fark edildi\u011fini bildirdi. Hepatitin bula\u015ft\u0131ktan sonra \u00e7o\u011fu hastada genellikle gribal enfeksiyon gibi seyretti\u011fini, az bir k\u0131sm\u0131n\u0131n ise sar\u0131l\u0131kla ilerledi\u011fini belirten Prof. Dr. G\u00fcm\u00fcrd\u00fcl\u00fc, \u201cBu d\u00f6nemde hastal\u0131k tan\u0131namazsa, sonras\u0131nda sessizle\u015ferek kronikle\u015fiyor. Oysa yap\u0131lacak bir kan testi ile hastal\u0131\u011f\u0131n te\u015fhisinin konmas\u0131 m\u00fcmk\u00fcn\u201d diye konu\u015ftu.<\/p>\n
G\u00fcm\u00fcrd\u00fcl\u00fc, “Hepatit, en basit anlam\u0131yla karaci\u011ferin fazla belirti ve sessiz seyreden bir enfeksiyon ve bir\u00e7ok nedenle ba\u011fl\u0131 olarak olu\u015fabilmekte. Bu nedenlerin ba\u015f\u0131nda viral enfeksiyonlar gelmektedir. Viral hepatitlere sebep olan farkl\u0131 hepatit vir\u00fcs tipleri (hepatit A, B, C, D ve E) bulunmaktad\u0131r. Bunlardan Hepatit B, C ve D kronik karaci\u011fer hastal\u0131klar\u0131na yol a\u00e7maktad\u0131r\u2019\u2019 uyar\u0131s\u0131nda bulundu.<\/p>\n
Hepatitin, HIV (AIDS), s\u0131tma ve t\u00fcberk\u00fcloz gibi bula\u015f\u0131c\u0131 hastal\u0131klardan \u00e7ok daha yayg\u0131n oldu\u011funu belirten G\u00fcm\u00fcrd\u00fcl\u00fc, D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn 2017 K\u00fcresel Hepatit Raporu\u2019na g\u00f6re, 2015 y\u0131l\u0131nda 257 milyon ki\u015finin Hepatit B ve 71 milyon ki\u015finin Hepatit C enfeksiyonu ile enfekte oldu\u011funun a\u00e7\u0131kland\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n
Y\u00fczde 5\u2019i hastal\u0131\u011f\u0131 fark ediyor<\/p>\n
D\u00fcnyada viral hepatit hastalar\u0131n\u0131n sadece y\u00fczde 5\u2019inin bu vir\u00fcslerle kar\u015f\u0131la\u015ft\u0131\u011f\u0131n\u0131 fark edebildi\u011fini dile getiren G\u00fcm\u00fcrd\u00fcl\u00fc, \u201cViral hepatit B ve C, d\u00fcnya \u00e7ap\u0131nda 300 milyondan fazla insan\u0131 etkileyen \u00f6nemli sa\u011fl\u0131k sorunudur. Karaci\u011fer sirozunun temel nedenleridir, ayr\u0131ca karaci\u011fer kanserine de neden olabilmektedir. Her y\u0131l yakla\u015f\u0131k 1 milyonun \u00fcst\u00fcnde \u00f6l\u00fcme yol a\u00e7ar. D\u00fcnyada viral hepatit ile ya\u015fayanlar\u0131n sadece y\u00fczde 5\u2019i bu vir\u00fcslerle kar\u015f\u0131la\u015f\u0131p kar\u015f\u0131la\u015fmad\u0131klar\u0131n\u0131n fark\u0131ndad\u0131r. \u00c7\u00fcnk\u00fc \u00e7o\u011fu zaman siroz olana kadar belirti vermez\u201d dedi.<\/p>\n
Hepatit B ve C<\/p>\n
Hepatit B ve Hepatit C vir\u00fcslerinin uzun d\u00f6nemde kronik karaci\u011fer hastal\u0131\u011f\u0131, siroz veya karaci\u011fer kanserine yol a\u00e7abildi\u011fi i\u00e7in ayr\u0131 bir \u00f6neme sahip oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. G\u00fcm\u00fcrd\u00fcl\u00fc, hastal\u0131\u011f\u0131n bula\u015fma y\u00f6ntemlerini \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
\u2018\u2019Kontrol edilmemi\u015f kan ve kan \u00fcr\u00fcnlerinin transf\u00fczyonu, uygun \u015fekilde steril edilmemi\u015f cerrahi malzemelerin kullan\u0131ld\u0131\u011f\u0131 t\u0131bbi giri\u015fimler ya da di\u015f hekimli\u011fi m\u00fcdahaleleri, kullan\u0131lm\u0131\u015f enjekt\u00f6r payla\u015f\u0131m\u0131, t\u0131ra\u015f b\u0131\u00e7a\u011f\u0131, di\u015f f\u0131r\u00e7as\u0131 gibi e\u015fyalar\u0131n payla\u015f\u0131m\u0131, uygun \u015fekilde steril edilmemi\u015f ara\u00e7larla yap\u0131lan d\u00f6vme, akupunktur ya da v\u00fccut tak\u0131lar\u0131n\u0131n uygulanmas\u0131, Hepatit B ve C ta\u015f\u0131y\u0131c\u0131lar\u0131n\u0131n aile i\u00e7i temas\u0131, anneden bebe\u011fe do\u011fumda ve sonras\u0131nda, korunmas\u0131z cinsel ili\u015fkidir\u2019.”<\/p>\n
Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, Hepatit B\u2019den korunman\u0131n en etkili yolunun ise a\u015f\u0131lama oldu\u011funu, 1998 y\u0131l\u0131nda \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131 takvimine eklenen Hepatit B a\u015f\u0131s\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n azalmas\u0131n\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 ifade etti. G\u00fcm\u00fcrd\u00fcl\u00fc, \u00fclkemiz i\u00e7in Hepatit B\u2019nin hala ciddi bir sa\u011fl\u0131k problemi oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n
Hepatit C vir\u00fcs\u00fcne kar\u015f\u0131 a\u015f\u0131 hen\u00fcz bulunmad\u0131\u011f\u0131n\u0131, ancak kullan\u0131lmaya ba\u015flayan yeni ila\u00e7larla y\u00fczde 95 \u00fczerinde iyile\u015fme sa\u011fland\u0131\u011f\u0131n\u0131 s\u00f6yleyen G\u00fcm\u00fcrd\u00fcl\u00fc, a\u015f\u0131 d\u0131\u015f\u0131nda hastal\u0131ktan korunman\u0131n en etkili yolunun korunma \u00f6nlemlerinin al\u0131nmas\u0131 ve hijyene dikkat edilmesi oldu\u011funu s\u00f6yledi.<\/p>\n
Hapatit A<\/p>\n
\u00c7ocukluk \u00e7a\u011flar\u0131nda hafif belirtilerle ge\u00e7irilen Hepatit A enfeksiyonunun ilerleyen ya\u015flarda daha a\u011f\u0131r seyretti\u011fini s\u00f6yleyen Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc \u015funlar\u0131 kaydetti:<\/p>\n
\u2018\u2019\u00dclkemizde hijyen kurallar\u0131na ve temizlik ko\u015fullar\u0131na uyum, temiz su kaynaklar\u0131na ula\u015f\u0131m\u0131n art\u0131\u015f\u0131, sosyoekonomik ko\u015fullarla ilgili di\u011fer g\u00f6stergelerin iyile\u015fmesi ve 2012 y\u0131l\u0131 sonu itibariyle ba\u015flayan Hepatit A a\u015f\u0131 uygulamalar\u0131 ba\u015far\u0131l\u0131 sonu\u00e7 vermi\u015ftir. Halen \u00fclkemizde \u00e7ocuklara 18. ve 24. aylarda, risk grubundaki ki\u015filere a\u015f\u0131 program\u0131 sa\u011fl\u0131k kurulu\u015flar\u0131m\u0131zda \u00fccretsiz uygulanmaktad\u0131r.\u2019\u2019<\/p>\n
Hepatit D<\/p>\n
Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, Hepatit D\u2019nin ise hepatit B vir\u00fcs (HBV) ile enfekte olan ki\u015filerde hastal\u0131\u011fa yol a\u00e7abildi\u011fini belirterek, \u201cHBV\u2019nin yoklu\u011funda enfeksiyon yapamaz. Hafif seyreden HBV enfeksiyonunu daha a\u011f\u0131r ve h\u0131zl\u0131 seyreden bir hastal\u0131\u011fa d\u00f6n\u00fc\u015ft\u00fcrebilir. Bula\u015fma esas olarak damar i\u00e7i madde ba\u011f\u0131ml\u0131lar\u0131nda, kan ve kan \u00fcr\u00fcnleri transf\u00fczyonuyla olur, cinsel yolla bula\u015fma ve anneden bebe\u011fe bula\u015f riski d\u00fc\u015f\u00fckt\u00fcr\u201d dedi.<\/p>\n
Hepatit E<\/p>\n
\u0130\u00e7 Hastal\u0131klar\u0131, Gastroenteroloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc Hepatit E vir\u00fcs\u00fcn\u00fcn (HEV) spesifik bir tedavisi ve a\u015f\u0131s\u0131 olmad\u0131\u011f\u0131n\u0131 anlatt\u0131. G\u00fcm\u00fcrd\u00fcl\u00fc, “HEV, eri\u015fkinlerde \u00e7ocuklardan daha s\u0131k g\u00f6r\u00fcl\u00fcr. \u00d6zellikle gebelikte ge\u00e7irildi\u011finde Hepatit E hastal\u0131\u011f\u0131 daha a\u011f\u0131r seyreder. Gebelerde son 3 ayl\u0131k d\u00f6nemde HEV enfeksiyonu ge\u00e7irildi\u011finde d\u00fc\u015f\u00fck, erken do\u011fum, ciddi karaci\u011fer yetmezli\u011fi ile \u00f6l\u00fcm riskinin artmas\u0131na sebep olabilir\u2019\u2019 diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130\u00c7 HASTALIKLARI, GASTROENTEROLOJ\u0130 VE HEPATOLOJ\u0130 UZMANI PROF. DR. Y\u00dcKSEL G\u00dcM\u00dcRD\u00dcL\u00dc, HEPAT\u0130T HASTALI\u011eININ \u00c7OK GE\u00c7 FARK ED\u0130LEN HASTALIK GRUPLARI ARASINDA YER ALDI\u011eINI, HASTALARIN YAKLA\u015eIK Y\u00dcZDE 50\u2019S\u0130N\u0130N FARKINDA B\u0130LE OLMADI\u011eINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":187469,"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":[18137,2393,16126,2603,24776,8054],"class_list":["post-187468","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dunyayi","tag-eden","tag-hastalik","tag-hepatit","tag-sinsi","tag-tehdit"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/dunyayi-tehdit-eden-sinsi-hastalik-hepatit_7f58b7e.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-MLG","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/187468","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=187468"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/187468\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/187469"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=187468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=187468"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=187468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}