Medicana Bursa Hastanesi \u00c7ocuk Hastal\u0131klar\u0131 Uzman\u0131 Dr. Mesut Arslan, d\u00fcnya genelinde y\u0131lda yakla\u015f\u0131k 2-3 milyar ki\u015finin ishale yakaland\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Arslan, yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, \u201cBe\u015f ya\u015f alt\u0131ndaki \u00e7ocuklar\u0131n y\u0131lda 3-9 kez ishal ata\u011f\u0131 ge\u00e7irdikleri bildirilmi\u015ftir. \u0130shaller hijyen ko\u015fullar\u0131n\u0131n ve sa\u011fl\u0131k sisteminin geri oldu\u011fu, alt yap\u0131n\u0131n yetersiz oldu\u011fu geli\u015fmekte olan \u00fclkelerde yayg\u0131n olarak g\u00f6r\u00fclmektedir. \u0130shal sulu veya yumu\u015fak s\u0131k d\u0131\u015fk\u0131lamad\u0131r. G\u00fcnde \u00fc\u00e7 veya daha fazla say\u0131da ve normale g\u00f6re daha yumu\u015fak veya sulu d\u0131\u015fk\u0131lama olarak tarif edilir . Ate\u015f veya kusma e\u015flik edebilir. \u0130shal genel olarak 7 g\u00fcnden daha k\u0131sa s\u00fcrer, \u0130ki haftadan daha k\u0131sa s\u00fcren ishal ve kusma ataklar\u0131n\u0131n hepsi akut ishal olarak adland\u0131r\u0131l\u0131r. \u00d6zellikle yeterli s\u0131v\u0131 t\u00fcketebilen sa\u011fl\u0131kl\u0131 fertlerde hastal\u0131k kendini s\u0131n\u0131rlar ve kendili\u011finden iyile\u015fir. Ancak, k\u00fc\u00e7\u00fck \u00e7ocuk ve bebeklerde sakatl\u0131k ve \u00f6l\u00fcme sebebiyet verebilir\u201d dedi.<\/p>\n
Arslan, \u201c\u0130shal enfeksiy\u00f6z veya enfeksiy\u00f6z olmayan sebeplerle meydana gelebilir .Enfeksiyona ba\u011fl\u0131 ishallere virus, bakteri, parazit ve mantarlar sebep olur. \u00c7ocukluk \u00e7a\u011f\u0131nda enfeksiyona ba\u011fl\u0131 ishallerin \u00e7o\u011fu viral sebeplidir. Viral ishal, bu gruptaki infeksiyonlar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcn\u00fc kapsar ve \u00f6zellikle 5 ya\u015f alt\u0131 \u00e7ocuklarda en s\u0131k sebepdir. Rotaviruslar, d\u00fcnya genelinde y\u0131lda 500 bin, g\u00fcnde yakla\u015f\u0131k 1600 \u00e7ocu\u011fun \u00f6l\u00fcm\u00fcnden sorumludur. \u00dclkemizde yap\u0131lan \u00e7al\u0131\u015fmalarda ise 5 ya\u015f alt\u0131 \u00e7ocuklarda g\u00f6r\u00fclen ishallerin y\u00fczde 30-50\u2019sinden rotaviruslar\u0131n sorumlu oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n
Rotavirus ishali primer olarak 2 ya\u015f alt\u0131ndaki \u00e7ocuklar\u0131n akut infeksiyonudur ve sulu d\u0131\u015fk\u0131lama ve kusma ile karakterizedir. Rotavirus infeksiyonlar\u0131 herhangi bir bulgu vermeden seyredebildi\u011fi gibi, a\u011f\u0131r ishallere de neden olabilmektedir. Genellikle kusma hastal\u0131\u011f\u0131n ilk iki g\u00fcn i\u00e7inde olur ve ate\u015f g\u00f6r\u00fcl\u00fcr. \u0130shal mikrobu, insandan insana \u00f6zellikle de bir \u00e7ocuktan di\u011ferine kolayl\u0131kla bula\u015fabilir. Genellikle, tuvalet temizli\u011fini tam olarak \u00f6\u011frenememi\u015f k\u00fc\u00e7\u00fck \u00e7ocuklar aras\u0131nda h\u0131zla yay\u0131labilir. \u00c7ocuklar ve yeti\u015fkinler tuvalete gittikten hemen sonra ellerini do\u011fru bir \u015fekilde y\u0131kamal\u0131d\u0131r. Yeterli s\u0131v\u0131 tedavisi ishallerin ana tedavisini olu\u015fturur. A\u011f\u0131zdan s\u0131v\u0131 tedavisi hafif ve orta \u015fiddetteki olgularda yeterli olur, ancak tedavi hastan\u0131n s\u0131v\u0131 ve elektrolit kayb\u0131n\u0131 kar\u015f\u0131layacak \u015fekilde haz\u0131rlanm\u0131\u015f olan s\u0131v\u0131lar\u0131 kapsamal\u0131d\u0131r (ORS). A\u011f\u0131zdan s\u0131v\u0131 tedavisinin (ORS) erken uygulanmas\u0131, daha az hastane yat\u0131\u015f\u0131na sebep olur. Hafif-orta, hatta a\u011f\u0131zdan alabilen a\u011f\u0131r s\u0131v\u0131kayb\u0131 olgular\u0131nda bile a\u011f\u0131zdan tedavi (ORS) tercih edilmelidir. \u0130shal olan \u00e7ocuk emzirme d\u00f6nemindeyse mutlaka anne s\u00fct\u00fc almal\u0131d\u0131r. Anne s\u00fct\u00fc, ishalden koruyan \u00f6nemli bir besin kayna\u011f\u0131d\u0131r. Anne s\u00fct\u00fc alan bebekler daha \u00e7abuk iyile\u015fmektedir. \u0130shal s\u00fcresince do\u011fru beslenme \u00e7ok \u00f6nemlidir. Bu d\u00f6nemde ya\u011fl\u0131 ve lifli yiyecekleri t\u00fcketmemek gerekir. Patates ve muz potasyum kayb\u0131n\u0131 \u00f6nlemek a\u00e7\u0131s\u0131ndan \u00f6nemli g\u0131dalard\u0131r. \u0130shale iyi gelen yiyecekler aras\u0131nda \u00e7orba, ha\u015flama, p\u00fcre, makarna ve pirin\u00e7 yer al\u0131r. Bunlar\u0131n t\u00fcketimi, ishali kesmek i\u00e7in faydal\u0131d\u0131r. \u0130shal tedavisinin en \u00f6nemli k\u0131sm\u0131 s\u0131v\u0131 ve elektrolit kayb\u0131n\u0131 \u00f6nlemektir. Hijyen \u015fartlar\u0131n\u0131n iyile\u015ftirilmesi, insan at\u0131klar\u0131n\u0131n kullan\u0131m ve i\u00e7me suyuna kar\u0131\u015fmas\u0131n\u0131n engellenmesi ve el y\u0131kamak enfeksiyona ba\u011fl\u0131 ishali engeller\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
MED\u0130CANA BURSA HASTANES\u0130 \u00c7OCUK HASTALIKLARI UZMANI DR. MESUT ARSLAN, D\u00dcNYA GENEL\u0130NDE YILDA YAKLA\u015eIK 2-3 M\u0130LYAR K\u0130\u015e\u0130N\u0130N \u0130SHALE YAKALANDI\u011eINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":188411,"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":[6173,25170,1440,46945],"class_list":["post-188410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cagi","tag-cocukluk","tag-dikkat","tag-ishallerine"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/cocukluk-cagi-ishallerine-dikkat_8b9a538.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-N0S","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/188410","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=188410"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/188410\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/188411"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=188410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=188410"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=188410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}