{"id":207747,"date":"2019-09-25T17:32:36","date_gmt":"2019-09-25T14:32:36","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/uzmanindan-antibiyotik-uyarisi\/"},"modified":"2019-09-25T17:32:36","modified_gmt":"2019-09-25T14:32:36","slug":"uzmanindan-antibiyotik-uyarisi","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/uzmanindan-antibiyotik-uyarisi\/","title":{"rendered":"Uzman\u0131ndan antibiyotik uyar\u0131s\u0131"},"content":{"rendered":"<p>Ya\u015fam\u0131n bir par\u00e7as\u0131n\u0131 olu\u015fturan hastal\u0131klar\u0131n tedavi y\u00f6ntemlerinden olan ila\u00e7lar, v\u00fccutta istenmeyen sonu\u00e7lar do\u011furabiliyor. Antibiyotik ve a\u011fr\u0131 kesici gibi baz\u0131 ila\u00e7lar, v\u00fccutta alerjik reaksiyonlara neden olabiliyor. Alerjik reaksiyonlar, bazen \u00e7ok hafif sonu\u00e7larla atlat\u0131l\u0131rken bazen de ya\u015fam\u0131 tehdit eden boyutlara ula\u015f\u0131yor. Birle\u015fmi\u015f Milletler taraf\u0131ndan a\u00e7\u0131klanan raporda ise 2050 y\u0131l\u0131nda, y\u0131lda yakla\u015f\u0131k 10 milyon \u00f6l\u00fcm\u00fcn antimikrobiyal dirence ba\u011fl\u0131 enfeksiyon hastal\u0131klar\u0131n\u0131 tedavi edememeye y\u00f6nelik \u00f6l\u00fcmlerin olu\u015fturaca\u011f\u0131 yer al\u0131yor. Uzmanlar, ila\u00e7lar\u0131n do\u011fru, bilin\u00e7li ve gereksiz kullan\u0131m\u0131 konusunda hastalara uyar\u0131larda bulunuyor.<\/p>\n<p>T\u00fcrkiye Ulusal Alerji ve \u0130mm\u00fcnoloji Derne\u011fi (A\u0130D), \u0130la\u00e7 Alerjileri \u00c7al\u0131\u015fma Grubu, \u201c\u0130la\u00e7 Alerjileri Konusunda Fark\u0131ndal\u0131\u011f\u0131n Art\u0131r\u0131lmas\u0131\u201d, \u201cAk\u0131lc\u0131 \u0130la\u00e7, Ak\u0131lc\u0131 Antibiyotik Kullan\u0131m\u0131n\u0131n \u00d6nemi\u201d ve \u201cT.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 e-Nab\u0131z Uygulamas\u0131n\u0131n \u0130la\u00e7 Alerjileri Konusunda Katk\u0131lar\u0131\u201d konu ba\u015fl\u0131klar\u0131 ile penisilin ve ila\u00e7 alerjileri konusunda bir bas\u0131n toplant\u0131s\u0131 d\u00fczenledi.<\/p>\n<p>K\u00fcresel sa\u011fl\u0131k sorunu antimikrobiyal ila\u00e7 direnci<\/p>\n<p>Burada konu\u015fan Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 T\u00fcrkiye \u0130la\u00e7 ve T\u0131bbi Cihaz Kurum Ba\u015fkan\u0131 Dr. Hakk\u0131 G\u00fcrs\u00f6z, do\u011fru ve bilin\u00e7li antibiyotik kullan\u0131m\u0131yla ilgili toplumun fark\u0131ndal\u0131k d\u00fczeyini art\u0131rmaya y\u00f6nelik \u00e7al\u0131\u015fmalar yapt\u0131klar\u0131n\u0131 belirterek, \u201cAntibiyotiklerin gereksiz, \u00f6zensiz, a\u015f\u0131r\u0131 kullan\u0131m\u0131na ba\u011fl\u0131 ya\u015fanan kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z k\u00fcresel bir sa\u011fl\u0131k sorunu olan antimikrobiyal ila\u00e7 direnci meselesi sadece bizi ilgilendiren bir konu de\u011fil, k\u00fcresel bir halk sa\u011fl\u0131\u011f\u0131 sorunu haline gelmi\u015f durumda. K\u00fcresel sa\u011fl\u0131k g\u00fcndeminde iki temel konu var. Obezite ve antibiyotiklere kar\u015f\u0131 geli\u015fen diren\u00e7 meselesi al\u0131yor. Bu art\u0131\u015f e\u011filimi bu \u015fekilde devam ederse, \u00f6n\u00fcm\u00fczdeki y\u0131llar\u0131n en \u00f6nemli sa\u011fl\u0131k sorunu olmaya da devam edecek\u201d diye konu\u015ftu.<\/p>\n<p>2050 y\u0131l\u0131n\u0131n en \u00f6nemli \u00f6l\u00fcm sebebi olacak<\/p>\n<p>G\u00fcrs\u00f6z, ge\u00e7en y\u0131l a\u00e7\u0131klanan Birle\u015fmi\u015f Milletler raporunu hat\u0131rlatarak, \u201c2050 y\u0131l\u0131na ula\u015ft\u0131\u011f\u0131m\u0131zda en \u00f6nemli \u00f6l\u00fcm sebebinin antimikrobiyal dirence ba\u011fl\u0131 enfeksiyon hastal\u0131klar\u0131n\u0131 tedavi edememeye ba\u011fl\u0131 \u00f6l\u00fcmler olaca\u011f\u0131, y\u0131ll\u0131k yakla\u015f\u0131k 10 milyon \u00f6l\u00fcm\u00fcn bununla ili\u015fki olaca\u011f\u0131 kayd\u0131 ge\u00e7en y\u0131l yay\u0131nlanan Birle\u015fmi\u015f Milletler raporunda var. Bu \u00f6nemli tespitler bir\u00e7ok \u00fclkeyi harekete ge\u00e7irdi. Biz, bu eyleme 2011 y\u0131l\u0131nda tam anlam\u0131yla ba\u015flad\u0131k. Penisilin ilk ke\u015ffedilen antibiyotik guruplar\u0131ndan bir tanesi ve hala \u00f6nemini yitirmemi\u015f bir \u00fcr\u00fcn. Do\u011fru kullan\u0131l\u0131rsa da sonu\u00e7 alabilece\u011fimiz antibiyotikler aras\u0131nda. Penisilin alerjisi var denilen her 10 ki\u015fiden asl\u0131nda 9\u2019unda olmad\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcyor. Bu yapt\u0131\u011f\u0131m\u0131z \u00e7al\u0131\u015fmalarla birlikte antibiyotik t\u00fcketim h\u0131z\u0131n\u0131 Avrupa\u2019da en y\u00fcksek oranda azaltmay\u0131 ba\u015faran \u00fclkeyiz\u201d \u015feklinde konu\u015ftu.<\/p>\n<p>\u00c7ok ila\u00e7 kullananlar dikkat<\/p>\n<p>A\u0130D Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. B\u00fclent \u015eekerel de antibiyotiklerin, a\u011fr\u0131 kesicilerin ve epilepsi ila\u00e7lar\u0131n\u0131n en fazla alerjik reaksiyon g\u00f6r\u00fclen ila\u00e7lar oldu\u011funu vurgulayarak, \u201cAma b\u00fct\u00fcn ila\u00e7larda alerjik reaksiyon g\u00f6rme potansiyeli vard\u0131r. \u00c7ok ila\u00e7 kullananlarda, birden fazla ilac\u0131 ayn\u0131 anda kullananlarda, ve bilin\u00e7siz ila\u00e7 kullan\u0131m\u0131nda daha fazla g\u00f6r\u00fcyoruz. B\u00fct\u00fcn herkesi bilin\u00e7li t\u00fcketici olarak davranmaya ve hekim \u00f6nerisi olmadan ila\u00e7 kullanmamaya davet ediyoruz\u201d ifadelerini kulland\u0131.<\/p>\n<p>Ya\u015fam\u0131 tehlikeye alan boyutlara da gidebiliyor<\/p>\n<p>Deri ve kan testleriyle alerji bulgular\u0131n\u0131 ortaya koyabildiklerini s\u00f6yleyen \u015eekerel, \u201cBunlar, yeterli olmaz ise ilac\u0131 hastaya k\u00fc\u00e7\u00fck dozdan giderek artan doza do\u011fru vererek v\u00fccudun nas\u0131l bir reaksiyon verdi\u011fini g\u00f6zlemleyip, alerji olup olmad\u0131\u011f\u0131n\u0131 peki\u015ftirmi\u015f oluruz. Hepsinin tedavisi var. Erken tedaviye ba\u015flamak sonucun y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc olmas\u0131n\u0131 garantiye al\u0131yor. An\u0131nda geli\u015fip birden ya\u015fam\u0131 tehlikeye alan boyutlara da gidebiliyor\u201d dedi.<\/p>\n<p>En s\u0131k ila\u00e7 alerjisi penisilinde g\u00f6r\u00fcl\u00fcyor<\/p>\n<p>A\u0130D \u0130la\u00e7 Alerjileri \u00c7al\u0131\u015fma Grubu Ba\u015fkan\u0131 Prof Dr. Emine Dibek M\u0131s\u0131rl\u0131o\u011flu ise en s\u0131k g\u00f6r\u00fclen ila\u00e7 alerjilerinin penisilin grubunda oldu\u011funu vurgulayarak, \u201cBunun yan\u0131 s\u0131ra a\u011fr\u0131 kesiciler, epilepsi tedavisinde kullan\u0131lan ila\u00e7lar, kemoterapi dedi\u011fimiz kanser hastalar\u0131nda kullan\u0131lan ila\u00e7lar, tetkiklerde kullan\u0131lan ila\u00e7lar alerjik reaksiyonlara yol a\u00e7abiliyor\u201d ifadelerini kulland\u0131.<\/p>\n<p>\u0130la\u00e7 kullan\u0131m\u0131 sonras\u0131 v\u00fccutta d\u00f6k\u00fcnt\u00fc, ka\u015f\u0131nt\u0131, k\u0131zar\u0131kl\u0131k, y\u00fczde, g\u00f6zde, dudaklarda \u015fi\u015flik, burun ak\u0131nt\u0131s\u0131, burun t\u0131kan\u0131kl\u0131\u011f\u0131, hap\u015f\u0131r\u0131k, bay\u0131lma gibi bulgular ortaya \u00e7\u0131kabildi\u011fini s\u00f6yleyen M\u0131s\u0131rl\u0131o\u011flu, b\u00f6yle bir \u015fikayette mutlaka hekime ba\u015fvurulmas\u0131 gerekti\u011fini kaydetti.<\/p>\n<p>Hekim taraf\u0131ndan ila\u00e7lar d\u00fczenlendikten ve geli\u015fen reaksiyonunun tedavisi yap\u0131ld\u0131ktan sonra da testler a\u00e7\u0131s\u0131ndan da bir alerji hekimine de ba\u015fvurulmas\u0131 gerekti\u011fi konusunda uyar\u0131da bulunan M\u0131s\u0131rl\u0131o\u011flu, \u015fu ifadeleri s\u00f6yledi:<\/p>\n<p>\u201cAlerji hekimin gidildi\u011finde de hangi ilac\u0131 i\u00e7tikten ne kadar s\u00fcre sonra bulgular\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131 da \u00f6nemli. Bu durumda re\u00e7etelerin g\u00f6r\u00fclmesi \u00f6nemli \u00f6zellikle Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n e-Nab\u0131z uygulamas\u0131n\u0131n re\u00e7etelerim k\u0131sm\u0131nda ila\u00e7lar g\u00f6r\u00fclebiliyor ve bu olduk\u00e7a \u00f6nemli. \u0130la\u00e7 alerjisinin varl\u0131\u011f\u0131 durumunda hatalar\u0131m\u0131za mutlaka kimlik kartlar\u0131 d\u00fczenliyoruz. Hekime gittiklerinde mutlaka s\u00f6ylemeleri ve kimlik kartlar\u0131n\u0131 g\u00f6stermeleri gerekiyor. Bunun d\u0131\u015f\u0131nda e-Nab\u0131z uygulamas\u0131nda alerjilerim b\u00f6l\u00fcm\u00fc var ve buraya alerjilerinin kaydedilmesi gerekiyor. E\u011fer bir ilaca alerjiniz varsa ve siz bu ilac\u0131 yanl\u0131\u015fl\u0131kla kullan\u0131rsan\u0131z cilt d\u00f6k\u00fcnt\u00fcs\u00fcnden daha a\u011f\u0131r yerlere kadar gidebilecek reaksiyonlar\u0131n ortaya \u00e7\u0131kmas\u0131na neden olur. A\u011f\u0131r alerjik reaksiyonlar g\u00f6r\u00fclebiliyor. Solunum s\u0131k\u0131nt\u0131s\u0131, kalp bas\u0131nc\u0131nda d\u00fc\u015fmeler ve bay\u0131lmayla giden \u015fok tablosu ortaya \u00e7\u0131kabiliyor ve bu durum en a\u011f\u0131r alerjik reaksiyondur ve \u00f6l\u00fcme neden olabilir.&#8221;<\/p>\n<p>Eri\u015fkinlerin aksine \u00e7ocuklarda daha az g\u00f6r\u00fcn\u00fcyor<\/p>\n<p>\u00c7ocuk \u0130mm\u00fcnolojisi ve Alerji Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Z\u00fclfikar Akelma, eri\u015fkinlerin aksine \u00e7ocuklarda ila\u00e7 alerjisi nispeten daha az g\u00f6r\u00fcnd\u00fc\u011f\u00fcn\u00fc aktararak, \u201c \u00c7ocuk hastalar\u0131m\u0131zda ila\u00e7 kullan\u0131rken cildinde k\u0131zar\u0131kl\u0131k, ka\u015f\u0131nt\u0131, kabarma, a\u011f\u0131zda ve dilde \u015fi\u015fme, nefes darl\u0131\u011f\u0131, aniden bast\u0131ran \u00f6ks\u00fcr\u00fck veya \u015fiddetli bir kar\u0131n a\u011fr\u0131s\u0131, kusma, ba\u015f d\u00f6nmesiyle birlikte bay\u0131lmaya kadar gidebilecek olan, \u015fok tablosuna kadar de\u011fi\u015febilecek \u015fikayetlerden biri geli\u015febiliyor. \u0130la\u00e7 kullan\u0131rken beklenmedik bir durum ortaya \u00e7\u0131karsa bu bir ila\u00e7 alerjisi olabilir. \u00d6zellikle hastanede yatan \u00e7ocuklarda ila\u00e7 alerjisi daha s\u0131k g\u00f6r\u00fcn\u00fcyor. \u0130la\u00e7 alerjisi \u015f\u00fcphesinin uzman\u0131 taraf\u0131ndan de\u011ferlendirilmesi ve testlerle netle\u015ftirilmesi \u00f6nemli. Ger\u00e7ek ila\u00e7 alerjisi ise ve ilac\u0131 kullanmaya devam ederse bu ilaca ba\u011fl\u0131 \u015fiddetli alerjik reaksiyonlarla kar\u015f\u0131la\u015fabilir. Bu ila\u00e7 alerjisi reaksiyonu de\u011filse de bu ilac\u0131 kullanmad\u0131\u011f\u0131ndan dolay\u0131 se\u00e7enekleri k\u0131s\u0131tlanm\u0131\u015f olacak\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2013 YA\u015eAMIN B\u0130R PAR\u00c7ASINI OLU\u015eTURAN HASTALIKLARIN TEDAV\u0130 Y\u00d6NTEMLER\u0130NDEN OLAN \u0130LA\u00c7LAR, V\u00dcCUTTA \u0130STENMEYEN SONU\u00c7LAR DO\u011eURAB\u0130L\u0130YOR. ANT\u0130B\u0130YOT\u0130K VE A\u011eRI KES\u0130C\u0130 G\u0130B\u0130 BAZI \u0130LA\u00c7LAR, V\u00dcCUTTA ALERJ\u0130K REAKS\u0130YONLARA NEDEN OLAB\u0130L\u0130YOR. ALERJ\u0130K REAKS\u0130YONLAR, BAZEN \u00c7OK HAF\u0130F SONU\u00c7LARLA ATLATILIRKEN BAZEN DE YA\u015eAMI TEHD\u0130T EDEN BOYUTLARA ULA\u015eIYOR. B\u0130RLE\u015eM\u0130\u015e M\u0130LLETLER TARAFINDAN A\u00c7IKLANAN RAPORDA \u0130SE 2050 YILINDA, YILDA YAKLA\u015eIK 10 M\u0130LYON \u00d6L\u00dcM\u00dcN ANT\u0130M\u0130KROB\u0130YAL D\u0130RENCE BA\u011eLI ENFEKS\u0130YON HASTALIKLARINI TEDAV\u0130 EDEMEMEYE Y\u00d6NEL\u0130K \u00d6L\u00dcMLER\u0130N OLU\u015eTURACA\u011eI YER ALIYOR. UZMANLAR, \u0130LA\u00c7LARIN DO\u011eRU, B\u0130L\u0130N\u00c7L\u0130 VE GEREKS\u0130Z KULLANIMI KONUSUNDA HASTALARA UYARILARDA BULUNUYOR.<\/p>\n","protected":false},"author":1,"featured_media":207748,"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":[15907,914,24329],"class_list":["post-207747","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-antibiyotik","tag-uyarisi","tag-uzmanindan"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/uzmanindan-antibiyotik-uyarisi_1aac30e.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-S2L","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/207747","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=207747"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/207747\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/207748"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=207747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=207747"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=207747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}