Dermatoloji Uzm. Dr. Gonca Soyuduru, halk aras\u0131nda gece yan\u0131\u011f\u0131 ad\u0131yla bilinen ve a\u011f\u0131rl\u0131kl\u0131 olarak 40 ya\u015f \u00fczerinde g\u00f6r\u00fclen Zona hastal\u0131\u011f\u0131n\u0131n, HIV enfeksiyonunun ilk belirtisi olarak ortaya \u00e7\u0131kabilece\u011fine dikkat \u00e7ekti.<\/p>\n
VM Medical Park Kocaeli Hastanesi Dermatoloji Uzman\u0131 Uzm. Dr. Gonca Soyuduru, halk aras\u0131nda gece yan\u0131\u011f\u0131 ad\u0131yla bilinen Zona hastal\u0131\u011f\u0131 hakk\u0131nda uyar\u0131larda bulundu. Uzm. Dr. Gonca Soyuduru, su\u00e7i\u00e7e\u011fi vir\u00fcs\u00fc olan \u2018varisella zoster\u2019 vir\u00fcs\u00fcn\u00fcn sebep oldu\u011fu ve su\u00e7i\u00e7e\u011fi ge\u00e7iren ki\u015filerde ortaya \u00e7\u0131kan bir hastal\u0131k oldu\u011funu a\u00e7\u0131klad\u0131. Dr. Soyuduru, genelde 40 ya\u015f \u00fczerinde g\u00f6r\u00fclen hastal\u0131\u011f\u0131n nadiren \u00e7ocuklarda da g\u00f6r\u00fclebilece\u011fini belirtti. Zona d\u00f6k\u00fcnt\u00fcleri olu\u015fmadan hemen \u00f6nce halsizlik ve hafif ate\u015fin olabilece\u011fini de ifade eden Soyuduru, hastal\u0131\u011f\u0131n belirtilerinin ka\u015f\u0131nt\u0131, hassasiyet ve a\u011fr\u0131 oldu\u011funu s\u00f6yledi. Soyuduru, hastal\u0131\u011f\u0131n HIV enfeksiyonunun ilk belirtisi olarak ortaya \u00e7\u0131kabilece\u011fine de dikkat \u00e7ekti.<\/p>\n
“Ka\u015f\u0131nt\u0131, hassasiyet veya a\u011fr\u0131 ile ba\u015flar”<\/p>\n
Hastal\u0131k ile ilgili bilgiler veren Uzm. Dr. Soyuduru, “Zona, halk aras\u0131ndaki ad\u0131yla gece yan\u0131\u011f\u0131, su\u00e7i\u00e7e\u011fi vir\u00fcs\u00fc olan varisella zoster vir\u00fcs\u00fcn\u00fcn sebep oldu\u011fu ve su\u00e7i\u00e7e\u011fi ge\u00e7iren ki\u015filerde ortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r. Su\u00e7i\u00e7e\u011fi enfeksiyonu sonras\u0131 vir\u00fcs, s\u0131kl\u0131kla g\u00f6vdedeki sinir k\u00f6klerinde inaktif olarak kal\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin \u00e7e\u015fitli nedenlerle zay\u0131flamas\u0131 sonras\u0131 yerle\u015fti\u011fi sinir boyunca \u00e7o\u011fal\u0131r ve deriye ula\u015f\u0131r. Hastalar\u0131n 3\u2019te 2\u2019si 40 ya\u015f \u00fczerindedir; fakat nadiren \u00e7ocuklarda da g\u00f6r\u00fclebilir. Zona d\u00f6k\u00fcnt\u00fcleri olu\u015fmadan hemen \u00f6nce halsizlik ve hafif ate\u015f olabilir. Belirtiler ka\u015f\u0131nt\u0131, hassasiyet veya a\u011fr\u0131 ile ba\u015flar. A\u011fr\u0131 yayg\u0131n, b\u00f6lgesel veya yans\u0131yan a\u011fr\u0131 \u015feklinde olabilir. Tutulum b\u00f6lgesine g\u00f6re akci\u011fer veya kalp hastal\u0131klar\u0131, safra kesesi hastal\u0131klar\u0131 veya b\u00f6brek hastal\u0131klar\u0131nda olu\u015fan a\u011fr\u0131 ile kar\u0131\u015fabilir. A\u011fr\u0131 ile d\u00f6k\u00fcnt\u00fclerin geli\u015fmesi aras\u0131ndaki s\u00fcre 10 g\u00fcn\u00fc bulabilse de ortalama 3-5 g\u00fcnd\u00fcr. D\u00f6k\u00fcnt\u00fcler genellikle v\u00fccudun bir taraf\u0131n\u0131 tutan k\u0131zar\u0131k ufak kabar\u0131kl\u0131klar \u015feklinde ba\u015flar. Zamanla bu kabar\u0131kl\u0131klar b\u00fcy\u00fcyerek i\u00e7i s\u0131v\u0131 dolu yap\u0131lara d\u00f6n\u00fc\u015f\u00fcr. Birka\u00e7 g\u00fcn i\u00e7inde bu yap\u0131lar kabuklan\u0131r ve 1-2 hafta i\u00e7inde d\u00f6k\u00fcl\u00fcr. T\u00fcm deri belirtilerinin ortadan kalkmas\u0131 2-4 hafta kadar s\u00fcrebilir” dedi.<\/p>\n
Hastal\u0131kta B vitamini ve antiviral ila\u00e7lar kullan\u0131lmaktad\u0131r<\/p>\n
Tedavide antiviral ila\u00e7lar\u0131n d\u00f6k\u00fcnt\u00fcler ba\u015flad\u0131ktan sonra 72 saat i\u00e7erisinde kullan\u0131lmas\u0131 gerekti\u011fini belirten Uzm. Dr. Gonca Soyuduru, “Zona tan\u0131s\u0131 genellikle hasta \u00f6yk\u00fcs\u00fc ve fizik muayene ile konur. Zonan\u0131n tipik tek tarafl\u0131 d\u00f6k\u00fcnt\u00fcs\u00fc ve e\u015flik eden a\u011fr\u0131 veya kar\u0131ncalanma hissi tan\u0131 koyulmas\u0131nda b\u00fcy\u00fck \u00f6neme sahiptir. Hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131ndaki a\u011fr\u0131 farkl\u0131 hastal\u0131klarla kar\u0131\u015fabilir. D\u00f6k\u00fcnt\u00fcler olu\u015ftuktan sonra tan\u0131 genellikle kolayd\u0131r; fakat egzama veya u\u00e7uk vir\u00fcs\u00fcn\u00fcn yapt\u0131\u011f\u0131 deri d\u00f6k\u00fcnt\u00fcleriyle kar\u0131\u015fabilir. \u00c7o\u011funlukla gerek duyulmamakla birlikte kan tetkikinde vir\u00fcse kar\u015f\u0131 v\u00fccudun \u00fcretti\u011fi antikor ad\u0131 verilen savunma maddelerinde y\u00fckseklik, tan\u0131da kullan\u0131labilir. Tan\u0131n\u0131n kesinle\u015ftirilmesi ise s\u0131v\u0131 dolu kabarc\u0131klardan al\u0131nan \u00f6rnekte vir\u00fcs\u00fcn tespitiyle m\u00fcmk\u00fcnd\u00fcr. Zona tedavisinde; kurutucu losyonlar ve antibiyotikli kremlerin yan\u0131 s\u0131ra a\u011fr\u0131 kesici, B vitamini ve antiviral ad\u0131 verilen vir\u00fcs\u00fc hedef alarak iyile\u015fmeyi h\u0131zland\u0131ran, a\u011fr\u0131n\u0131n daha h\u0131zl\u0131 ortadan kalkmas\u0131n\u0131 sa\u011flayan ila\u00e7lar kullan\u0131lmaktad\u0131r. Tedavide antiviral ila\u00e7lar\u0131n d\u00f6k\u00fcnt\u00fcler ba\u015flad\u0131ktan sonra 72 saat i\u00e7erisinde kullan\u0131lmas\u0131 gerekmektedir” diye konu\u015ftu.<\/p>\n
Hastal\u0131k HIV enfeksiyonunun ilk belirtisi olarak ortaya \u00e7\u0131kabilir<\/p>\n
\u015eiddetli hastal\u0131k sonras\u0131nda deri belirtilerinin iz b\u0131rakarak iyile\u015febilece\u011fini de aktaran Soyuduru, “Zona birka\u00e7 g\u00fcn rahats\u0131zl\u0131\u011fa neden olan fakat genellikle komplikasyonsuz olarak iyile\u015fen, kendini s\u0131n\u0131rlayan, b\u00f6lgesel bir hastal\u0131kt\u0131r. Zona sonras\u0131 a\u011fr\u0131 veya yanma, kar\u0131ncalanma gibi his bozukluklar\u0131n\u0131n devam etmesi, genellikle ya\u015fl\u0131 hastalarda g\u00f6r\u00fclen bir komplikasyondur. Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminde yetmezlik olan hastalarda, kanser hastalar\u0131nda ve HIV vir\u00fcs\u00fc olan hastalarda hastal\u0131k yayg\u0131n ve \u015fiddetli seyredebilir. Hastal\u0131k, HIV enfeksiyonunun ilk belirtisi olarak ortaya \u00e7\u0131kabilir. \u015eiddetli hastal\u0131k sonras\u0131 deri belirtileri iz b\u0131rakarak iyile\u015febilir. Zonay\u0131 d\u00fc\u015f\u00fcnd\u00fcren belirtiler g\u00f6sterenlerin en k\u0131sa zamanda bir hekime ba\u015fvurarak, tedaviye k\u0131sa s\u00fcrede ba\u015flamas\u0131 hastal\u0131\u011f\u0131n daha hafif ve komplikasyonsuz bir \u015fekilde atlat\u0131lmas\u0131n\u0131 sa\u011flayacakt\u0131r” \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
DERMATOLOJ\u0130 UZM. DR. GONCA SOYUDURU, HALK ARASINDA GECE YANI\u011eI ADIYLA B\u0130L\u0130NEN ZONA HASTALI\u011eININ 3’TE 2’S\u0130N\u0130N 40 YA\u015e \u00dcZER\u0130NDE G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":54664,"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":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[13970,272,4084,17751,17750],"class_list":["post-54663","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-hastaligi","tag-konusunda","tag-uyari","tag-uzmanlardan","tag-zona"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/02\/zona-hastaligi-konusunda-uzmanlardan-uyari_1ce07d7.jpg?fit=861%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-edF","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/54663","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=54663"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/54663\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/54664"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=54663"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=54663"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=54663"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}