Son g\u00fcnlerde artan uyuz vak\u2019alar\u0131n\u0131 de\u011ferlendiren Prof. Dr. Ya\u015far Ali \u00d6ner, uyuz vak\u2019alar\u0131nda erken tan\u0131 ve tedbirin, hastal\u0131\u011f\u0131n tedavisinde b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n
Son g\u00fcnlerde ba\u015fta \u0130stanbul olmak \u00fczere bir\u00e7ok \u015fehirde ciddi bir art\u0131\u015f g\u00f6steren uyuz vak\u2019alar\u0131n\u0131 de\u011ferlendiren \u0130stanbul Ayd\u0131n \u00dcniversitesi T\u0131p Fak\u00fcltesi T\u0131bbi Mikrobiyoloji Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Ya\u015far Ali \u00d6ner, uyuzun h\u0131zl\u0131 tedavi edilmesi i\u00e7in erken tan\u0131 ve tedbirin b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131na dikkat \u00e7ekti.<\/p>\n
“Y\u0131lda 300 milyon vak\u2019a”<\/p>\n
D\u00fcnya \u00e7ap\u0131nda y\u0131lda yakla\u015f\u0131k 300 milyon uyuz vak\u2019as\u0131na rastland\u0131\u011f\u0131n\u0131 belirten Prof. Dr. \u00d6ner, \u201cUyuz, \u00dc\u00e7\u00fcnc\u00fc D\u00fcnya \u00fclkeleri tropikal ve subtropikal \u00fclkelerde endemiktir. K\u0131\u015f\u0131n daha yayg\u0131n olarak g\u00f6r\u00fclmekle birlikte bahar aylar\u0131nda da s\u0131kl\u0131\u011f\u0131 artar, bunun nedeni k\u0131\u015f\u0131n kalabal\u0131k ortamlarda daha uzun s\u00fcre bulunma ve so\u011fuk ortamda akar\u0131n daha uzun ya\u015fayabilmesidir. Baz\u0131 k\u0131rsal ve yoksul topluluklarda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u00fczde 10\u2019a ula\u015f\u0131r ve vak\u2019alar\u0131n y\u00fczde 60\u2019\u0131 \u00e7ocuktur. Endemik oldu\u011fu yerler d\u0131\u015f\u0131nda her 7 y\u0131lda bir dalgalanma (7 y\u0131ll\u0131k ka\u015f\u0131nt\u0131), baz\u0131 b\u00f6lgelerde 1525 y\u0131lda bir pik ve sava\u015flar s\u00fcresince art\u0131\u015flar bildirilmi\u015ftir. Bununla birlikte a\u015f\u0131r\u0131 kalabal\u0131k, g\u00f6\u00e7, k\u00f6t\u00fc beslenme, k\u00f6t\u00fc hijyen, evsizlik ve demans zemin haz\u0131rlayan fakt\u00f6rler aras\u0131ndad\u0131r\u201d dedi.<\/p>\n
\u201cUyuz herkeste g\u00f6r\u00fclebilir\u201d<\/p>\n
Uyuzun ya\u015f, cinsiyet ve sosyoekonomik d\u00fczey g\u00f6zetmeksizin herkesi enfekte edebilen, son derece bula\u015f\u0131c\u0131 bir hastal\u0131k oldu\u011funu hat\u0131rlatan Prof. Dr. \u00d6ner, uyuzun tan\u0131m\u0131n\u0131 ve belirtilerini \u015f\u00f6yle anlatt\u0131: \u201cUyuzda, zorunlu insan paraziti olan Sarcoptes scabiei var. Hominis\u2019in neden oldu\u011fu ka\u015f\u0131nt\u0131l\u0131 bir deri hastal\u0131\u011f\u0131d\u0131r. Parazit ki\u015fiye ge\u00e7tikten sonra ortalama 3-6 hafta gibi bir s\u00fcreden sonra \u015fikayet olu\u015fturmaya ba\u015flar. \u00d6zellikle geceleri artan, s\u0131cak banyo ve du\u015f ile \u015fiddetlenen ka\u015f\u0131nt\u0131 en \u00f6nemli klinik bulgusudur.\u201d<\/p>\n
\u201cT\u00fcnel\u201dlere dikkat”<\/p>\n
Uyuzun en \u00f6nemli lezyonunun, literat\u00fcrde \u201ct\u00fcnel\u201d olarak adland\u0131r\u0131lan, dalgal\u0131 kirli bir \u00e7izgi halinde g\u00f6r\u00fclen, parazitin i\u00e7inde ya\u015fad\u0131\u011f\u0131, 1 il\u00e2 10 milimetre uzunlu\u011fundaki yap\u0131 oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. \u00d6ner, \u201cBu t\u00fcnel adl\u0131 lezyonlar en \u00e7ok el ve ayak parmak aralar\u0131nda g\u00f6r\u00fcl\u00fcr. Bundan ba\u015fka el bile\u011finin i\u00e7 y\u00fcz\u00fc, koltuk altlar\u0131, kulak arkalar\u0131, bel b\u00f6lgesi, ayak bilekleri, ayaklar, kal\u00e7alar kad\u0131nlarda meme altlar\u0131 ve erkeklerde genital b\u00f6lge; ka\u015f\u0131nt\u0131 ve ba\u015fka lezyonlar\u0131n g\u00f6r\u00fclebilece\u011fi v\u00fccut b\u00f6lgeleridir. Ayr\u0131ca deride k\u00fc\u00e7\u00fck kabar\u0131kl\u0131klar ve sertlikler, su toplamalar\u0131 ve kepekli-kabuklu lezyonlar yapabilir\u201d diye konu\u015ftu.<\/p>\n
Her ka\u015f\u0131nt\u0131 uyuz mu?<\/p>\n
V\u00fccutta ve deride hissedilen her ka\u015f\u0131nt\u0131n\u0131n ciddiye al\u0131nmas\u0131 gerekti\u011fine, ancak her vak\u2019an\u0131n da uyuz olmayabilece\u011fine dikkat \u00e7eken Prof. Dr. \u00d6ner, \u201cUyuzun tan\u0131s\u0131 \u00e7o\u011funlukla hikaye ve lezyon da\u011f\u0131l\u0131m\u0131n\u0131n tan\u0131nmas\u0131 ile konur. \u00d6zellikle geceleri \u015fiddetlenen ka\u015f\u0131nt\u0131, yak\u0131n temas eden ki\u015filerde benzer \u015fikayetlerin olmas\u0131, hastada t\u00fcnel saptanmas\u0131 ve non-spesifik lezyonlar\u0131n tipik da\u011f\u0131l\u0131m\u0131 tan\u0131da \u00f6nemlidir\u201d ifadelerini kulland\u0131. Normalde insanlar\u0131n \u00e7o\u011funda h\u00fccresel ba\u011f\u0131\u015f\u0131kl\u0131\u011fa ve uyuz parazitinin mekanik olarak uzakla\u015ft\u0131r\u0131lmas\u0131na ba\u011fl\u0131 olarak parazitin say\u0131s\u0131n\u0131n giderek azald\u0131\u011f\u0131na dikkat \u00e7eken Prof. Dr. \u00d6ner, \u201cAncak uyuzun baz\u0131 klinik formlar\u0131nda parazite kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k cevab\u0131n\u0131n yetersiz olmas\u0131 ve deri duyarl\u0131l\u0131\u011f\u0131n\u0131n bozulmas\u0131 nedeniyle parazitler mekanik olarak uzakla\u015ft\u0131ramad\u0131klar\u0131 i\u00e7in hastalar\u0131n v\u00fccutlar\u0131nda binlerce hatta milyonlarca say\u0131ya ula\u015fabilirler. Bu y\u00fczden a\u015f\u0131r\u0131 bula\u015f\u0131c\u0131d\u0131r ve b\u00fcy\u00fck hastane salg\u0131nlar\u0131na neden olabilir\u201d \u015feklinde konu\u015ftu.<\/p>\n
Uyuz nas\u0131l tedavi edilir?<\/p>\n
Uyuz hastal\u0131\u011f\u0131n\u0131n tedavisinin ki\u015finin ya\u015f\u0131na ve ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin durumuna g\u00f6re de\u011fi\u015fti\u011fini ifade eden Prof. Dr. \u00d6ner, \u201cTedavide en \u00f6nemli kural, ayn\u0131 ortam\u0131 payla\u015fan ki\u015filerin ve aile bireylerinin de, \u015fikayetleri olmasa dahi, e\u015f zamanl\u0131 olarak tedavi uygulamas\u0131 gereklili\u011fidir. Bu anlamda; \u015f\u00fcpheli ka\u015f\u0131nt\u0131l\u0131 ki\u015filerin doktora ba\u015fvurmas\u0131, do\u011fru ve yeterli tedavinin al\u0131narak yay\u0131lman\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir. Tedaviyle paralel olarak e\u015fyalardaki parazitleri yok etmeye y\u00f6nelik uygulamalar da \u00f6nerilir\u201d diyerek s\u00f6zlerini noktalad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
SON G\u00dcNLERDE ARTAN UYUZ VAKALARINI DE\u011eERLEND\u0130REN PROF. DR. YA\u015eAR AL\u0130 \u00d6NER, UYUZ VAKALARINDA ERKEN TANI VE TEDB\u0130R\u0130N, HASTALI\u011eIN TEDAV\u0130S\u0130NDE B\u00dcY\u00dcK \u00d6NEM TA\u015eIDI\u011eINI KAYDETT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":233570,"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":[58737,105,4955,332,3612],"class_list":["post-233569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-uyuzda","tag-cok","tag-erken","tag-onemli","tag-tedbir"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/uyuzda-erken-tedbir-cok-onemli_b463472.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-YLf","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/233569","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=233569"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/233569\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/233570"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=233569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=233569"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=233569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}