Necip Faz\u0131l \u015eehir Hastanesi Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Uzman\u0131 Dr. Evrim G\u00fclderen, grip tedavisinde antibiyotiklerin yerinin olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Uz. Dr. G\u00fclderen, yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, eyl\u00fcl, ekim aylar\u0131nda g\u00f6r\u00fclmeye ba\u015flanan daha sonra kas\u0131m aral\u0131k ve ocak aylar\u0131nda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artan grip vakalar\u0131n\u0131n salg\u0131n olarak tan\u0131mlanmamas\u0131 gerekti\u011fini, vaka say\u0131lar\u0131n\u0131n beklenen bir d\u00fczeyde oldu\u011funun belirtti.<\/p>\n
Hasta ki\u015filerin vir\u00fcs ta\u015f\u0131yan solunum salg\u0131lar\u0131n\u0131n damlac\u0131k yoluyla ba\u015fka ki\u015fiye ge\u00e7mesiyle bula\u015fma ger\u00e7ekle\u015fti\u011fini belirten Uz. Dr. Evrim G\u00fclderen, “\u00d6zellikle \u00e7ocuklar i\u00e7in g\u00fcnl\u00fck ya\u015famda temas edilen y\u00fczeylerden de masa, kap\u0131 kulpu, oyuncak gibi y\u00fczeylerden bula\u015fabilece\u011fi ve grip olan ki\u015filerle ayn\u0131 ortamda olabildi\u011fince bulunmamak bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131 \u00f6nleyebilmektedir. Vir\u00fcs bula\u015ft\u0131\u011f\u0131 y\u00fczeylerde 2-8 saat boyunca canl\u0131l\u0131\u011f\u0131n\u0131 koruyabilmektedir. Vir\u00fcs bula\u015ft\u0131ktan sonra belirtilerin \u00e7\u0131kmas\u0131 1-4 g\u00fcn s\u00fcrmektedir. Klinik olarak akut solunum yolu enfeksiyonu yapar ve akut solunum yolu enfeksiyonu yapan di\u011fer etkenlerden ay\u0131rt edilemez. Ani ba\u015flayan ate\u015f, kuru \u00f6ks\u00fcr\u00fck, bo\u011faz a\u011fr\u0131s\u0131, burun t\u0131kanmas\u0131 ya da akmas\u0131, ba\u015f a\u011fr\u0131s\u0131, g\u00f6zlerde sulanma, kas a\u011fr\u0131s\u0131 ve halsizlik bulgular\u0131 olabilir. K\u00fc\u00e7\u00fck \u00e7ocuklarda ate\u015f daha y\u00fcksek; i\u015ftahs\u0131zl\u0131k, bulant\u0131-kusma gibi mide-ba\u011f\u0131rsak yak\u0131nmalar\u0131 daha s\u0131k ve ate\u015fli havale ge\u00e7irme e\u011filimi daha fazla olabilir. Yakla\u015f\u0131k olarak 1-2 haftal\u0131k bir s\u00fcrede tamamen iyile\u015fir fakat ya\u015fl\u0131lar, \u00e7ocuklar ve di\u011fer duyarl\u0131 gruplarda gerekli tedaviler yap\u0131lmad\u0131\u011f\u0131 takdirde akci\u011fer, kalp veya beyin enfeksiyonu gibi a\u011f\u0131r komplikasyonlar ortaya \u00e7\u0131kabilir” dedi<\/p>\n
“En etkili y\u00f6ntem a\u015f\u0131”<\/p>\n
A\u015f\u0131lanman\u0131n \u00f6nemine vurgu yapan Uz. Dr. Evrim G\u00fclderen s\u00f6zlerine \u015f\u00f6yle devam etti:<\/p>\n
“\u0130naktive edilmi\u015f vir\u00fcslerden haz\u0131rlanan a\u015f\u0131lar ba\u011f\u0131\u015f\u0131kland\u0131rma i\u00e7in kullan\u0131lmaktad\u0131r. A\u015f\u0131 bir sezon \u00f6nce dola\u015fan vir\u00fcslerden haz\u0131rlanmakta olup a\u015f\u0131n\u0131n etkinli\u011fi vir\u00fcs\u00fcn antijenik yap\u0131s\u0131n\u0131 h\u0131zl\u0131 de\u011fi\u015ftirmesi nedeniyle y\u00fczde 70-90 d\u00fczeyindedir. Her sene tekrarlanan a\u015f\u0131lanmalar farkl\u0131 antijenik yap\u0131daki vir\u00fcsleri de kapsamaya ba\u015flayaca\u011f\u0131 i\u00e7in a\u015f\u0131 etkinli\u011fini artt\u0131racakt\u0131r. A\u015f\u0131lanma hastal\u0131\u011f\u0131n a\u011f\u0131r ge\u00e7mesini ve komplikasyonlar\u0131n\u0131 engellemektedir.”<\/p>\n
Kimlere a\u015f\u0131 yap\u0131lmal\u0131<\/p>\n
Uz. Dr. G\u00fclender, komplikasyonlar\u0131n azalt\u0131lmas\u0131 ad\u0131na riskli grup olarak belirtilen insanlar\u0131n mutlaka a\u015f\u0131lanmalar\u0131 tavsiye ederek bunlar\u0131 \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
“65 ya\u015f \u00fczeri ve 6 ya\u015f alt\u0131 ki\u015filer, ast\u0131ml\u0131 \u00e7ocuklar ve kronik kardiopulmoner hastal\u0131\u011f\u0131 olanlar, \u015feker hastal\u0131\u011f\u0131, b\u00f6brek hastal\u0131klar\u0131 ya da ba\u011f\u0131\u015f\u0131kl\u0131k yetmezli\u011fi olanlar, uzun s\u00fcreli aspirin tedavisi alanlar, grip sezonunda gebeli\u011finin ikinci ya da \u00fc\u00e7\u00fcnc\u00fc trimesterinde olacak kad\u0131nlar, grip vir\u00fcs\u00fcn\u00fc riskli gruplara ta\u015f\u0131yabilecek ki\u015filer, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131, ya\u015fl\u0131 bak\u0131m evlerinde \u00e7al\u0131\u015fanlar, ev ziyareti yapanlar, grip a\u00e7\u0131s\u0131ndan riskli ki\u015finin ev halk\u0131, HIV ile enfekte ki\u015filer mutlaka grip a\u015f\u0131s\u0131 yapt\u0131rmal\u0131d\u0131rlar.”<\/p>\n
Uz. Dr. G\u00fclender, alt\u0131 aydan k\u00fc\u00e7\u00fck bebeklere, yumurta alerjisi olanlara, y\u00fcksek ate\u015fi olan eri\u015fkinlere bu a\u015f\u0131n\u0131n yap\u0131lmamas\u0131 gerekti\u011fini kaydetti.<\/p>\n
“Antibiyotiklerin etkisi yok”<\/p>\n
Grip tedavisinde antibiyotiklerin yerinin olmad\u0131\u011f\u0131n\u0131 belirten Uz. Dr. Evrim G\u00fclderen \u015funlar\u0131 kaydetti:<\/p>\n
\u201cAntiviral ila\u00e7lar, hastan\u0131n \u015fikayetleri ba\u015flad\u0131ktan sonraki 48 saat i\u00e7inde hatta ilk 24 saat i\u00e7inde kullan\u0131l\u0131rsa etkili olabilmekte, antiviral ila\u00e7lar\u0131n yan\u0131nda; ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc ve a\u011fr\u0131 kesici ila\u00e7lar, burun ak\u0131nt\u0131s\u0131n\u0131 ve t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 giderici ila\u00e7lar\u0131n kullan\u0131lmas\u0131, yatak istirahati, bol s\u0131v\u0131 al\u0131nmas\u0131, hasta odas\u0131n\u0131n s\u0131k s\u0131k havaland\u0131r\u0131lmas\u0131 grip tedavisinin temel ta\u015flar\u0131d\u0131r. Eller s\u0131k s\u0131k y\u0131kanmal\u0131d\u0131r. Komplikasyon geli\u015fen vakalar yatarak tedavi edilmelidir. Antibiyotikler, grip vir\u00fcs\u00fcne kar\u015f\u0131 etkili olmad\u0131\u011f\u0131 i\u00e7in kullan\u0131lmamal\u0131d\u0131r. Grip vakalar\u0131nda hastal\u0131k seyri 10 g\u00fcnden fazla s\u00fcrenler, daha komplike bir hastal\u0131\u011fa yakalanma riski olu\u015ftu\u011fu zaman uzman hekim tavsiyesi ile tedaviye antibiyotik dahil edilebilmektedir.\u201d<\/p>\n
Bu \u00f6nerilere kulak verin<\/p>\n
Uz. Dr. Evrim G\u00fclderen, gribe kar\u015f\u0131 korunmak i\u00e7in \u015fu \u00f6nerilerde bulundu:<\/p>\n
“Korunmada en etkin yol a\u015f\u0131lanmad\u0131r. Bula\u015fmay\u0131 \u00f6nlemek i\u00e7in \u00f6ks\u00fcrme, aks\u0131rma s\u0131ras\u0131nda a\u011f\u0131z ve burun ka\u011f\u0131t mendille kapat\u0131lmal\u0131, mendil \u00e7\u00f6pe at\u0131lmal\u0131d\u0131r. Grip olan ki\u015filer ba\u015fkalar\u0131 ile yak\u0131n temastan ka\u00e7\u0131nmal\u0131, hastal\u0131k d\u00f6neminde i\u015fe ve okula gitmemelidir. Grip olanlar\u0131n maske takmas\u0131 (cerrahi maske, standart maske) bula\u015fman\u0131n \u00f6nlenmesinde yard\u0131mc\u0131 olacakt\u0131r. Ellerin s\u0131k s\u0131k su ve sabunla y\u0131kanmas\u0131 hastal\u0131ktan korunmaya yard\u0131mc\u0131 olur.”<\/p>\n","protected":false},"excerpt":{"rendered":"
NEC\u0130P FAZIL \u015eEH\u0130R HASTANES\u0130 ENFEKS\u0130YON HASTALIKLARI VE KL\u0130N\u0130K M\u0130KROB\u0130YOLOJ\u0130 UZMANI DR. EVR\u0130M G\u00dcLDEREN, GR\u0130P TEDAV\u0130S\u0130NDE ANT\u0130B\u0130YOT\u0130KLER\u0130N YER\u0130N\u0130N OLMADI\u011eINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":248307,"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":[58001,279,10218,61709,8953,50365,488,664],"class_list":["post-248295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-antibiyotiklerin","tag-dr","tag-grip","tag-gulderen","tag-tedavisinde","tag-uz","tag-yeri","tag-yok"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/uz-dr-gulderen-grip-tedavisinde-antibiyotiklerin-yeri-yok_3016884.jpg?fit=795%2C737","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-12AL","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/248295","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=248295"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/248295\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/248307"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=248295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=248295"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=248295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}