\u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Y\u00fcksel Ka\u015f, sahte i\u00e7ki (metil alkol) zehirlenmesi tedavisinin olduk\u00e7a zor ve tedavi ba\u015far\u0131s\u0131n\u0131n olduk\u00e7a d\u00fc\u015f\u00fck oldu\u011funu s\u00f6yledi.<\/p>\n
Mersin\u2019de temmuz ay\u0131n\u0131n ba\u015f\u0131nda sahte i\u00e7ki nedeniyle 8 ki\u015finin hayat\u0131n\u0131 kaybetmesi, 15 ki\u015finin de tedavi alt\u0131na al\u0131nmas\u0131, g\u00f6zleri bir kez daha \u2019metil alkol\u2019 zehirlenmesine \u00e7evirdi. Medicana Samsun Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Y\u00fcksel Ka\u015f, sahte i\u00e7ki (metil alkol) zehirlenmesi konusunda bilgi verdi. Dr. Ka\u015f, \u201cSahte i\u00e7ki yap\u0131m\u0131nda kullan\u0131lan metil alkol \u00e7ok toksik (zehirleyici) bir maddedir. Metil alkol eritici olarak boya end\u00fcstrisinde ve antifrizlerde, ispirto \u00fcretiminde kullan\u0131l\u0131r. Evde meyveden yap\u0131lan alkol \u00fcretiminde bir miktar metil alkol de \u00fcretildi\u011finden bunun ayr\u0131\u015ft\u0131r\u0131lmas\u0131 yap\u0131lmay\u0131nca ciddi zehirlenme yapar. Daha ucuz oldu\u011fu i\u00e7in ger\u00e7ek i\u00e7kilerdeki etil alkol\u00fcn yerine metil alkol kullan\u0131lmaktad\u0131r. Sahte i\u00e7kileri ucuz satmaktalar ve kullananlar\u0131n (sa\u011f kalanlar) ifadesine g\u00f6re ispirto gibi koktu\u011fu bilinmektedir. Ama i\u00e7kinin sahte olup almad\u0131\u011f\u0131n\u0131n fark edilmesi olduk\u00e7a g\u00fc\u00e7t\u00fcr. K\u00fc\u00e7\u00fck miktarlarda bile (15-30 ml; 1-2 yemek ka\u015f\u0131\u011f\u0131) toksik etkisi olabilmekte, 60 ml al\u0131m\u0131 bile \u00f6ld\u00fcr\u00fcc\u00fc olabilmektedir. Sahte i\u00e7ki kanda formaldehite ve sonunda formik asite d\u00f6n\u00fc\u015ferek zararl\u0131 etkilerini g\u00f6sterir. Yani v\u00fccutta asidoza neden olur. Bu d\u00f6n\u00fc\u015f\u00fcm zaman al\u0131r. Bu nedenle belirtiler ge\u00e7 ba\u015flar. Ki\u015fi metil alkol\u00fc ald\u0131ktan 6-12 saat sonra ilk belirtileri g\u00f6r\u00fclmeye ba\u015flan\u0131r. E\u011fer ki\u015fi beraberinde etil alkol (normal i\u00e7ki) alm\u0131\u015fsa belirtiler daha ge\u00e7 ba\u015flar. Normal alkol zehirlenmesi gibi ba\u015flar ama daha farkl\u0131 olarak; uyuklama, kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc ve \u00f6fori (sarho\u015fluk hali) \u00e7ok daha belirgindir. Toplu zehirlenme \u015feklinde g\u00f6r\u00fcl\u00fcr. Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc, a\u011f\u0131r kusmalar, \u00fcst kar\u0131n b\u00f6lgesinde a\u011fr\u0131lar, ishal, ba\u015f d\u00f6nmesi, ba\u015f a\u011fr\u0131s\u0131, bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131, nefes darl\u0131\u011f\u0131, s\u0131k soluma, bulan\u0131k g\u00f6rme, \u0131\u015f\u0131\u011fa bakamama, \u00e7ift g\u00f6rme ve sonunda tamamen g\u00f6rememe \u015fikayetleri ile ba\u015flar. G\u00f6rme sinirinde harabiyet sonucunda k\u00f6rl\u00fck geli\u015fir. \u0130lk belirtilerden sonra ki\u015fide geli\u015fen nefes darl\u0131\u011f\u0131n\u0131 takiben deliriyum (\u00e7\u0131ld\u0131rma) ve ard\u0131ndan koma geli\u015fir. Ya\u015fayanlarda k\u00f6rl\u00fck kal\u0131c\u0131 olabilir. Metil alkol zehirlenmesi fark edildi\u011finde ivedilikle yo\u011fun bak\u0131ma yat\u0131r\u0131l\u0131p takip edilmeli. Hastada metabolik asidoz ve koma geli\u015fir. Hastaya tedavide etil alkol verilmesi \u015fa\u015f\u0131rt\u0131c\u0131 olmamal\u0131d\u0131r. \u00c7\u00fcnk\u00fc metil alkol\u00fc v\u00fccutta y\u0131kan enzim i\u00e7in yar\u0131\u015fs\u0131n diye etil alkol verilir. B\u00f6ylece metil alkol tehlikeli olan asit yap\u0131s\u0131ndaki formaldehite d\u00f6n\u00fc\u015fmemi\u015f olur. Ayr\u0131ca hastaya hemodiyaliz uygulanmas\u0131n\u0131n son derece faydas\u0131 vard\u0131r. Metil alkol\u00fcn v\u00fccuttan at\u0131lmas\u0131 3-4 g\u00fcn\u00fc bulur. Zehirlenen ki\u015filerin \u00e7o\u011fu ya\u015fam\u0131n\u0131 yitirir. Sa\u011f kalanlarda da k\u00f6rl\u00fck b\u00fcy\u00fck oranda kal\u0131c\u0131 olur. Metil alkol zehirlenmesi g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi tedavisi olduk\u00e7a zor ve tedavi ba\u015far\u0131s\u0131 olduk\u00e7a d\u00fc\u015f\u00fckt\u00fcr. Bu durumun ya\u015fanmamas\u0131 i\u00e7in al\u0131nacak \u00f6nleyici tedbirler daha de\u011ferlidir\u201d dedi.<\/p>\n
\u2019Zehirlenme nas\u0131l anla\u015f\u0131l\u0131r\u2019<\/p>\n
Zehirlenmenin nas\u0131l anla\u015f\u0131laca\u011f\u0131 konusunda bilgi veren Dr. Y\u00fcksel Ka\u015f, \u201cDiyelim ki rak\u0131 i\u00e7tiniz, sahte oldu\u011fundan ne zaman \u015f\u00fcphelenmem gerekir diyenlere \u00f6nerim: Rak\u0131 i\u00e7tikten 6- 12 saat sonra denge ve hareket bozuklu\u011fu, bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131, ba\u015f a\u011fr\u0131s\u0131, bulant\u0131 ve kusma, \u015fiddetli kar\u0131n a\u011fr\u0131s\u0131, s\u0131rt, kol ve bacaklarda a\u011fr\u0131, g\u00f6rme bozuklu\u011fu belirtilerden en az ikisi varsa mutlaka acil servise ba\u015fvurun\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130\u00c7 HASTALIKLARI UZMANI DR. Y\u00dcKSEL KA\u015e, SAHTE \u0130\u00c7K\u0130 (MET\u0130L ALKOL) ZEH\u0130RLENMES\u0130 TEDAV\u0130S\u0130N\u0130N OLDUK\u00c7A ZOR VE TEDAV\u0130 BA\u015eARISININ OLDUK\u00c7A D\u00dc\u015e\u00dcK OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":189050,"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":[4764,5866,875],"class_list":["post-189049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-icki","tag-olduruyor","tag-sahte"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/sahte-icki-olduruyor_042386b.jpg?fit=644%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Nbb","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/189049","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=189049"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/189049\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/189050"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=189049"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=189049"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=189049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}