Burtom \u00d6zl\u00fcce T\u0131p Merkezi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Ufuk Sevgican, el-ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 hakk\u0131nda \u00f6nemli bilgiler verdi.<\/p>\n
Havalar\u0131n so\u011fumas\u0131 ve \u00e7ocuklar\u0131n okul ortam\u0131nda bir arada bulunmas\u0131 sebebiyle hastal\u0131klar\u0131n daha h\u0131zl\u0131 bula\u015ft\u0131\u011f\u0131n\u0131 ifade eden Uzm. Dr. Sevgican, \u201cSonbahar geldi. Hem hava s\u0131cakl\u0131\u011f\u0131 de\u011fi\u015fimleri hem de okullar\u0131n a\u00e7\u0131lmas\u0131 ile birlikte \u00e7ocuklar\u0131n daha fazla bir arada olmas\u0131, bula\u015f\u0131c\u0131 hastal\u0131klara davetiye \u00e7\u0131kar\u0131yor. Bula\u015f\u0131c\u0131 hastal\u0131klar bildi\u011fimiz gibi anne babalar\u0131n en tedirgin oldu\u011fu y\u00fcksek ate\u015f \u015fikayetiyle seyreder. Kendini en \u00e7ok y\u00fcksek ate\u015f, el ve ayakta d\u00f6k\u00fcnt\u00fc, a\u011f\u0131z i\u00e7inde aft benzeri yaralarla g\u00f6steren bu hastal\u0131\u011f\u0131n halk aras\u0131nda bilinen ad\u0131 el ayak a\u011f\u0131z hastal\u0131\u011f\u0131. El-ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 son y\u0131llarda \u00e7ocuklarda s\u0131k kar\u015f\u0131la\u015f\u0131lan ve ebeveynlerin mutlaka hakk\u0131nda bilgi sahibi olmas\u0131 gereken bir hastal\u0131kt\u0131r\u201d dedi.<\/p>\n
El-ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131n\u0131n ne oldu\u011fu ile ilgili de bilgi veren Sevgican, tedavi y\u00f6ntemlerini de anlatt\u0131. Sevgican, \u201cEl, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 \u00f6zellikle 5 ya\u015f alt\u0131 \u00e7ocuklarda g\u00f6r\u00fclen olduk\u00e7a bula\u015f\u0131c\u0131 bir viral hastal\u0131kt\u0131r. Buras\u0131 \u00f6nemli: viral hastal\u0131k: Yani antibiyotik tedavide YOK. Nadiren daha b\u00fcy\u00fck \u00e7ocuklarda ve yeti\u015fkinlerde de hastal\u0131k g\u00f6r\u00fclebilmektedir. Ben 8 ya\u015f\u0131nda bir \u00e7ocukta g\u00f6rd\u00fcm. El-ayak-a\u011f\u0131z hastal\u0131\u011f\u0131nda, ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k sistemine g\u00f6re hastal\u0131\u011f\u0131n seyri de\u011fi\u015fkenlik g\u00f6sterir. Ate\u015f, bo\u011faz a\u011fr\u0131s\u0131, i\u015ftahs\u0131zl\u0131k, halsizlik bulgular\u0131 ile birlikte a\u011f\u0131z i\u00e7erisinde ve a\u011f\u0131z \u00e7evresinde, avu\u00e7 i\u00e7i ve ayak taban\u0131nda g\u00f6r\u00fclen d\u00f6k\u00fcnt\u00fcler ile karakterize bir klinik tablodur. D\u00f6k\u00fcnt\u00fcler k\u0131rm\u0131z\u0131, yuvarlak lezyonlar \u015feklinde olabildi\u011fi gibi bazen i\u00e7i s\u0131v\u0131 dolu vezik\u00fcller \u015feklinde de g\u00f6r\u00fclebilmektedir. Bu d\u00f6k\u00fcnt\u00fcler su\u00e7i\u00e7e\u011fine \u00e7ok benzedi\u011fi i\u00e7in genellikle bu hastal\u0131kla da kar\u0131\u015ft\u0131r\u0131labiliyor. D\u00f6k\u00fcnt\u00fcler su\u00e7i\u00e7e\u011fini and\u0131r\u0131r ancak boyut olarak su\u00e7i\u00e7e\u011finden daha k\u00fc\u00e7\u00fckt\u00fcr. P\u00fct\u00fcr p\u00fct\u00fcr olarak tan\u0131mlanan bu k\u0131rm\u0131z\u0131 d\u00f6k\u00fcnt\u00fcler, kas\u0131klarda, kal\u00e7ada, dizlerin arkas\u0131nda ve genital b\u00f6lgede de g\u00f6r\u00fclebilir. Her ne kadar ad\u0131 el-ayak-a\u011f\u0131z hastal\u0131\u011f\u0131 da olsa, her zaman t\u00fcm bu alanlarda d\u00f6k\u00fcnt\u00fc g\u00f6r\u00fclmeyebilir. Sadece a\u011f\u0131z yaralar\u0131 veya sadece deride d\u00f6k\u00fcnt\u00fcler \u015feklinde geli\u015febilir. Nadiren t\u00fcm v\u00fccudu tutar. 4 hafta i\u00e7inde el ve ayak t\u0131rnaklar\u0131nda d\u00fc\u015fme g\u00f6r\u00fcl\u00fcr. Bu durum ge\u00e7icidir ve t\u0131rnaklar t\u0131bbi tedavi gerekmeden tekrar b\u00fcy\u00fcrler. Hastal\u0131\u011f\u0131n tan\u0131s\u0131 t\u00fcm d\u00fcnyada yayg\u0131n olarak hastan\u0131n ya\u015f\u0131, klinik bulgular\u0131, d\u00f6k\u00fcnt\u00fclerin \u00f6zellikleri ve d\u00f6k\u00fcnt\u00fclerin b\u00f6lgesel da\u011f\u0131l\u0131m\u0131 ile klinik olarak konulmaktad\u0131r. Bununla birlikte t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de nazofarengeal \u00f6rnekler, d\u00f6k\u00fcnt\u00fc i\u00e7erisindeki s\u0131v\u0131 ve g\u00e2ita \u00f6rneklerinden hastal\u0131\u011f\u0131n laboratuvar te\u015fhisi konulmaktad\u0131r. Vir\u00fcs enfekte ki\u015filerin nazofarengeal sekresyonlar\u0131, vezik\u00fcler d\u00f6k\u00fcnt\u00fc i\u00e7erisindeki s\u0131v\u0131da ve gaytada bulunur. Solunum yolu, fekal-oral ve temas ile enfekte ki\u015filerden duyarl\u0131 ki\u015filere yay\u0131l\u0131m g\u00f6steren olduk\u00e7a bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Genellikle hastal\u0131\u011f\u0131n ilk haftas\u0131nda bula\u015f oran\u0131 en y\u00fcksektir” diye konu\u015ftu.<\/p>\n
Sevgican, \u015fu tedbirlerin al\u0131nmas\u0131 gerekti\u011fini bildirdi:<\/p>\n
“M\u00fcmk\u00fcn ise hasta olan ki\u015finin semptomatik d\u00f6nemde yay\u0131l\u0131m\u0131 \u00f6nlemek i\u00e7in evinde kalmal\u0131d\u0131r. Bula\u015f\u0131c\u0131 oldu\u011fundan el-ayak-a\u011f\u0131z hastal\u0131\u011f\u0131na yakalanan ki\u015filerden uzak durun. Duyarl\u0131 ki\u015filerin bula\u015f\u0131 \u00f6nlemek i\u00e7in su ve sabunla s\u0131k s\u0131k el y\u0131kamalar\u0131, s\u0131k temas edilen y\u00fczeyleri uygun \u015fekilde dezenfekte etmeleri, temas ile kontamine olan objeleri, oyuncaklar\u0131 uygun \u015fekilde dezenfekte etmeleri, ortak \u00e7atal, ka\u015f\u0131k kullan\u0131m\u0131ndan ve yak\u0131n temastan (sar\u0131lma, tokala\u015fma) ka\u00e7\u0131nmalar\u0131 gerekmektedir. \u00c7ocuklar\u0131n ortak oyuncaklarla oynad\u0131klar\u0131 alanlar\u0131n d\u00fczenli \u015fekilde dezenfekte edilmesine \u00f6zen g\u00f6sterin. \u00c7ocuklar\u0131n ellerini d\u00fczg\u00fcn \u015fekilde y\u0131kad\u0131klar\u0131ndan emin olun. Bebeklerin bezini de\u011fi\u015ftirdikten sonra ellerinizi y\u0131kay\u0131n. Tabak, bardak, \u00e7atal, ka\u015f\u0131k, havlu gibi ki\u015fisel e\u015fyalar\u0131n ortak kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131n. Hastalarla \u00f6p\u00fc\u015fme ve sar\u0131lma gibi yak\u0131n temasta bulunmay\u0131n. El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131ndan korunmada etkinli\u011fi ve g\u00fcvenilirli\u011fi kan\u0131tlanm\u0131\u015f bir a\u015f\u0131 yoktur. Hastal\u0131k viral bir infeksiyon oldu\u011fu i\u00e7in antibiyotik tedavisi yoktur, kendi seyrini tamamlad\u0131ktan sonra iyile\u015fir. \u00c7o\u011funlukla hastal\u0131\u011f\u0131n hafif semptomlar ile seyretmesi ve kendi kendine d\u00fczelmesi g\u00f6zlenmektedir. Bununla birlikte gereken hastalarda, mevcut semptomlar\u0131 hafifletmek i\u00e7in a\u011fr\u0131 kesici ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fclerin kullan\u0131m\u0131, parasetamol ve ibuprofen i\u00e7eren \u015furuplar \u00f6nerilir. Bo\u011faz a\u011fr\u0131s\u0131n\u0131 azaltmak i\u00e7in gargara ve spreylerin kullan\u0131m\u0131 \u00f6nerilmektedir. Il\u0131k sabunlu suyla y\u0131kanman\u0131n zarar\u0131 yoktur. Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc olan \u00e7ocuklar\u0131n muhallebi, yo\u011furt, \u00e7orba gibi \u0131l\u0131k ve yumu\u015fak besinlerle beslenmesi ve yeterli miktarda s\u0131v\u0131 al\u0131m\u0131n\u0131n sa\u011flanmas\u0131 i\u00e7in bol bol su i\u00e7meleri \u00f6nerilir. A\u011f\u0131z i\u00e7ine uygulanan lokal antiseptik ve analjezik i\u00e7eren di\u015f jelleri \u00e7ocuklar\u0131n beslenmesini daha konforlu hale getirebilir. Yeterli s\u0131v\u0131 ve beslenme deste\u011fi alamayan \u00e7ocuklarda gerekli s\u0131v\u0131 ve beslenme deste\u011fi yap\u0131lmal\u0131d\u0131r”.<\/p>\n","protected":false},"excerpt":{"rendered":"
BURTOM \u00d6ZL\u00dcCE TIP MERKEZ\u0130 \u00c7OCUK SA\u011eLI\u011eI VE HASTALIKLARI UZMANI UZM. DR. UFUK SEVG\u0130CAN EL-AYAK VE A\u011eIZ HASTALI\u011eI HAKKINDA \u00d6NEML\u0130 B\u0130LG\u0130LER VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":209937,"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":[9014,2541,1806,1169,6809],"class_list":["post-209936","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-hastaliklarina","tag-karsi","tag-kis","tag-uyardi","tag-uzmanlar"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/uzmanlar-kis-hastaliklarina-karsi-uyardi_4b0af34.jpg?fit=1000%2C798","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-SC4","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/209936","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=209936"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/209936\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/209937"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=209936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=209936"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=209936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}