Hepatit vir\u00fcsleri aras\u0131nda, bula\u015fmas\u0131 en zor olan fakat di\u011fer vir\u00fcslerden farkl\u0131 olarak geli\u015ftirilmi\u015f bir a\u015f\u0131s\u0131 bulunmayan Hepatit C, bir\u00e7ok karaci\u011fer hastal\u0131\u011f\u0131na zemin haz\u0131rl\u0131yor. Hepatit C tedavi edilmedi\u011fi takdirde, y\u00fczde 60-70 kronik karaci\u011fer hastal\u0131\u011f\u0131na, y\u00fczde 5-20 siroza neden olurken, sirozlu hastalar\u0131nda y\u00fcze 1-5\u2019inde ise genellikle karaci\u011fer kanseri geli\u015fiyor.<\/p>\n
\u0130\u00e7 Hastal\u0131klar\u0131, Gastroenteroloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, d\u00fcnyada yakla\u015f\u0131k 70 milyon ki\u015fiyi etkileyen, ciddi bir sa\u011fl\u0131k sorunu olan Hepatit C hastal\u0131\u011f\u0131n\u0131n bula\u015fma \u015fekli, belirtileri, tan\u0131, tedavi ve korunma y\u00f6ntemleri hakk\u0131nda bilgilendirmede bulundu.<\/p>\n
Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, Hepatit C\u2019nin karaci\u011ferde hasar olu\u015fmas\u0131na ve kronik karaci\u011fer hastal\u0131\u011f\u0131n\u0131n temeli oldu\u011funu belirtti.<\/p>\n
Hepatit C kan yoluyla bula\u015f\u0131r<\/p>\n
Hepatit C\u2019nin insandan insana kan yoluyla bula\u015fan bir RNA vir\u00fcsu oldu\u011funu belirten Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, sar\u0131lma ve \u00f6pme, Hepatit C hastas\u0131 olan ki\u015fi ile yiyecek veya i\u00e7eceklerin payla\u015f\u0131lmas\u0131, ayn\u0131 ortamda bulunma ile herhangi bir bula\u015fma riskinin s\u00f6z konusu olmad\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
Havuzlardan, tuvaletlerden, sivrisinek \u0131s\u0131r\u0131klar\u0131ndan da Hepatit C bula\u015fmas\u0131n\u0131n m\u00fcmk\u00fcn olmad\u0131\u011f\u0131n\u0131 a\u00e7\u0131klayan G\u00fcm\u00fcrd\u00fcl\u00fc, Hepatit C\u2019nin cinsel yolla bula\u015fma ihtimalinin d\u00fc\u015f\u00fck olmas\u0131yla beraber, cinsel ili\u015fki esnas\u0131nda olu\u015fabilecek kanamalar veya travmalar ile di\u011fer bir tak\u0131m enfeksiyonlara ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilecek \u00fclserlerin bula\u015fmaya neden olabilece\u011fini kaydetti.<\/p>\n
Hepatit C vir\u00fcs\u00fcn\u00fcn, bu vir\u00fcs\u00fc ta\u015f\u0131yan ki\u015fiyle bir kan temas\u0131 etmesi durumunda bula\u015ft\u0131\u011f\u0131n\u0131 s\u00f6yleyen G\u00fcm\u00fcrd\u00fcl\u00fc, \u2018\u2019Vir\u00fcs, enfeksiyon riskleri a\u00e7\u0131s\u0131ndan kontrol\u00fc sa\u011flanmam\u0131\u015f kan ve kan \u00fcr\u00fcnlerinin nakli, \u00fczerinde hepatit C vir\u00fcs\u00fc ile enfekte olmu\u015f kan bulunan ki\u015fisel hijyen \u00fcr\u00fcnlerinin (di\u015f f\u0131r\u00e7alar\u0131, t\u0131ra\u015f makineleri veya t\u0131rnak makas\u0131 gibi) payla\u015f\u0131m, do\u011fru \u015fekilde sterilize edilmemi\u015f aletlerle yap\u0131lan di\u015f tedavileri, enjeksiyon i\u011fnesi gibi damar i\u00e7i materyallerin birden \u00e7ok ki\u015fi taraf\u0131ndan kullan\u0131lmas\u0131, steril olmayan t\u0131bbi ve kozmetik malzemelerin (manik\u00fcr-pedik\u00fcr malzemeleri vb) kullan\u0131m\u0131 veya steril olmayan malzemeler ile d\u00f6vme yapmak ve piercing kullan\u0131m\u0131, Hepatit C vir\u00fcs\u00fc ile enfekte organlar\u0131n nakli, enfeksiyon riskleri a\u00e7\u0131s\u0131ndan kontrol\u00fc sa\u011flanmam\u0131\u015f hemodiyaliz makinas\u0131yla diyalize girme durumlar\u0131nda bula\u015f\u0131r\u2019\u2019 dedi.<\/p>\n
Bulgu vermeyen sinsi bir vir\u00fcs<\/p>\n
Hepatit C\u2019nin ileri evrelere kadar bulgu vermeyen sinsi bir vir\u00fcs oldu\u011funun ve genellikle di\u011fer hepatitlerden farkl\u0131 olarak sar\u0131l\u0131\u011fa neden olmad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Prof. Dr. G\u00fcm\u00fcrd\u00fcl\u00fc, bu nedenle hastal\u0131\u011f\u0131 erken d\u00f6neminde yakalaman\u0131n \u00e7ok zor oldu\u011funu dile getirdi.<\/p>\n
Hepatit C\u2019nin genellikle bir\u00e7ok hastal\u0131kta g\u00f6r\u00fclen yorgunluk, halsizlik gibi \u00f6nemsiz belirtiler g\u00f6sterdi\u011fini belirten G\u00fcm\u00fcrd\u00fcl\u00fc hastal\u0131\u011f\u0131n belirtilerini \u015f\u00f6yle anlatt\u0131:<\/p>\n
\u2018\u2019Akut Hepatit C\u2019de grip benzeri semptomlar yani kas a\u011fr\u0131lar\u0131 ve y\u00fcksek ate\u015f g\u00f6zlenebilir. Bunun yan\u0131 s\u0131ra s\u00fcrekli yorgunluk hissi, i\u015ftahs\u0131zl\u0131k, kar\u0131n a\u011fr\u0131s\u0131, koyu renkli idrar, bulant\u0131 gibi belirtiler de g\u00f6r\u00fclebilir. Akut hastal\u0131k 6 aydan k\u0131sa s\u00fcrmekle beraber, hastalar\u0131n y\u00fczde 20-30\u2019u vir\u00fcs\u00fc v\u00fccuttan temizleyebilir. Vir\u00fcs\u00fcn temizlenmedi\u011fi durumlarda kronik hepatit, siroz ve karaci\u011fer yetmezli\u011fi geli\u015febilir. Hepatit C vir\u00fcs\u00fc genellikle kronik hastal\u0131\u011fa neden olur. Bu durumlarda ise ilk belirtiler olarak hafif bir yorgunluk ve bir tak\u0131m bili\u015fsel problemlere rastlanabilir. Fakat, bu ilk belirtilerden y\u0131llar sonra vir\u00fcs siroza ve devam\u0131nda karaci\u011fer yetmezli\u011fine neden olabilir.\u2019\u2019<\/p>\n
40 ya\u015f \u00fcst\u00fc erkekler dikkat<\/p>\n
Hepatit C enfeksiyonu ge\u00e7irenlerin y\u00fczde 20-30\u2019unda tamamen iyile\u015fme oldu\u011funu kaydeden \u0130\u00e7 Hastal\u0131klar\u0131, Gastroenteroloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, hastal\u0131\u011f\u0131n y\u00fczde 70 oran\u0131nda kronikle\u015fti\u011fini ifade etti. Kronikle\u015fen Hepatit C\u2019nin y\u00fczde 20-30 oran\u0131nda siroza neden oldu\u011funu belirten G\u00fcm\u00fcrd\u00fcl\u00fc, \u2018\u2019Kronik Hepatit C \u2018nin siroza d\u00f6n\u00fc\u015fmesi durumunda, y\u00fczde 1-2 oran\u0131nda karaci\u011fer kanseri ortaya \u00e7\u0131kabilmektedir. Fakat bu geli\u015fmeler uzun y\u0131llar i\u00e7inde olur. Hastal\u0131\u011f\u0131n erken d\u00f6neminden sonra kronik bir duruma gelmesi ortalama 10 y\u0131l s\u00fcrebilir. Siroz geli\u015fme s\u00fcresi yakla\u015f\u0131k 20 y\u0131l, karaci\u011fer kanseri geli\u015fme s\u00fcresi ise ortalama 30 y\u0131ld\u0131r. Yani Hepatit C yava\u015f ve sinsi ilerleyen bir hastal\u0131kt\u0131r. 40 ya\u015f\u0131n \u00fczerinde, alkol kullanan erkeklerde siroz olma riski daha y\u00fcksektir\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n
Tan\u0131 ve tedavi<\/p>\n
Her hastal\u0131kta oldu\u011fu gibi Hepatit C\u2019de de erken tan\u0131n\u0131n \u00f6nemli oldu\u011funu vurgulayan G\u00fcm\u00fcrd\u00fcl\u00fc, hastal\u0131\u011f\u0131n tan\u0131s\u0131n\u0131n Antikor ve PCR testi ile koyulabildi\u011fini bildirdi. G\u00fcm\u00fcrd\u00fcl\u00fc, karaci\u011fer fonksiyonlar\u0131n\u0131n de\u011ferlendirilmesi i\u00e7in yap\u0131lan ALT, AST, Alb\u00fcmin gibi testlerin yan\u0131 s\u0131ra ultrasonografik incelemelerin de hastal\u0131\u011f\u0131n seyrinin takibi a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nemi oldu\u011funu kaydetti. G\u00fcm\u00fcrd\u00fcl\u00fc, Amerika Birle\u015fik Devletleri\u2019nde FDA taraf\u0131ndan onay verilen ila\u00e7lar\u0131n, hastal\u0131kla m\u00fccadelede son derece etkili oldu\u011funun da alt\u0131n\u0131 \u00e7izdi. T\u00fcrkiye\u2019de de ila\u00e7lar\u0131n kullan\u0131ma girmesi ile Hepatit C\u2019nin tamamen tedavi edilebildi\u011finin belirten G\u00fcm\u00fcrd\u00fcl\u00fc, \u2018\u2019Bu yeni ila\u00e7larla; Hepatit C\u2019yi \u00fc\u00e7 ayl\u0131k tedavi ile tamamen iyile\u015ftirmek ve siroz olu\u015fma riskinin de ortadan kalkmas\u0131 ama\u00e7lan\u0131yor\u2019\u2019 dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130\u00c7 HASTALIKLARI, GASTROENTEROLOJ\u0130 VE HEPATOLOJ\u0130 UZMANI PROF. DR. Y\u00dcKSEL G\u00dcM\u00dcRD\u00dcL\u00dc, D\u00dcNYADA YAKLA\u015eIK 70 M\u0130LYON K\u0130\u015e\u0130Y\u0130 ETK\u0130LEYEN, C\u0130DD\u0130 B\u0130R SA\u011eLIK SORUNU OLAN HEPAT\u0130T C HASTALI\u011eININ BULA\u015eMA \u015eEKL\u0130, BEL\u0130RT\u0130LER\u0130, TANI, TEDAV\u0130 VE KORUNMA Y\u00d6NTEMLER\u0130 HAKKINDA B\u0130LG\u0130LEND\u0130RMEDE BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":228118,"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":[57445,19665],"class_list":["post-228117","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-karacigerinizi","tag-koruyun"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/karacigerinizi-koruyun_61b839a.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Xlj","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/228117","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=228117"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/228117\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/228118"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=228117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=228117"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=228117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}