{"id":26994,"date":"2024-01-18T20:11:05","date_gmt":"2024-01-18T20:11:05","guid":{"rendered":"https:\/\/kibrisdakik.com\/index.php\/2024\/01\/18\/nedime-serakinci-kronik-rahatsizligi-olanlar-kemoterapi-alanlar-kendilerini-daha-iyi-korumali\/"},"modified":"2024-01-18T20:11:05","modified_gmt":"2024-01-18T20:11:05","slug":"nedime-serakinci-kronik-rahatsizligi-olanlar-kemoterapi-alanlar-kendilerini-daha-iyi-korumali","status":"publish","type":"post","link":"https:\/\/kibrisdakik.com\/?p=26994","title":{"rendered":"Nedime Serak\u0131nc\u0131: Kronik rahats\u0131zl\u0131\u011f\u0131 olanlar, kemoterapi alanlar kendilerini daha iyi korumal\u0131"},"content":{"rendered":"

<\/p>\n

Serak\u0131nc\u0131, bu t\u00fcr rahats\u0131zl\u0131klar\u0131 bulunan ki\u015filerin kapal\u0131 ve kalabal\u0131k ortamlarda maske kullanmas\u0131,  m\u00fcmk\u00fcnse influenza a\u015f\u0131s\u0131 yapt\u0131rmas\u0131, yine ileri ya\u015fta ve d\u00fc\u015f\u00fck ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahip bireylere bakmakla g\u00f6revli ki\u015filerin onlar\u0131 korumak ad\u0131na maske kullanmas\u0131 gerekti\u011fini s\u00f6yledi.<\/span><\/span><\/span><\/span><\/p>\n

Ki\u015finin ya\u015fad\u0131\u011f\u0131 semptomlar\u0131n ciddiyetinin genellikle enfeksiyona neden olan de\u011fi\u015fkenler ve patojenler yan\u0131nda ki\u015finin temel sa\u011fl\u0131\u011f\u0131na, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131na da ba\u011fl\u0131 oldu\u011funa i\u015faret eden Serak\u0131nc\u0131, bu nedenle \u00f6zellikle risk grubu say\u0131lan bireylerin semptom g\u00f6stermesi halinde gecikmeden doktora ba\u015fvurmalar\u0131, uygun destek ve tedavi almas\u0131 gerekti\u011fine dikkat \u00e7ekti.  <\/span><\/span><\/span><\/span><\/p>\n

\u0130\u00e7inde bulundu\u011fumuz k\u0131\u015f aylar\u0131n\u0131n solunum yolu enfeksiyonlar\u0131n\u0131n normalde de en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc d\u00f6nem oldu\u011funu belirten Serak\u0131nc\u0131, bu d\u00f6nemlerde, 20\u2019den fazla vir\u00fcs t\u00fcr\u00fcn\u00fcn akut \u00fcst ve alt solunum yolu enfeksiyonuna neden olabildi\u011fine i\u015faret etti.  <\/span><\/span><\/span><\/span><\/p>\n

Serak\u0131n\u0131c\u0131, bunlardan en s\u0131k kar\u015f\u0131la\u015f\u0131lanlar\u0131n; Influenza Vir\u00fcs tip A ve B (INF A\/B), Respiratuar Sinsityal Vir\u00fcs (RSV), Adenovirus (ADV), Parainfluenza vir\u00fcs tip 1-3 (PIV 1,2,3,4), Human Rhinovirus A\/B (HRV A\/B), Enterovirus (EV), Human Coronavirus (HCoV), Human Bocavirus (HBoV), Human Metapneumovirus (HMPV)  gibi vir\u00fcsler oldu\u011funu ifade ederek, bunlar\u0131n yan\u0131 s\u0131ra bakteriyel enfeksiyonlarla da kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131n\u0131 aktard\u0131.<\/span><\/span><\/span><\/span><\/p>\n

Cumhurba\u015fkanl\u0131\u011f\u0131 Sa\u011fl\u0131k Dan\u0131\u015fman\u0131 Prof. Dr. Nedime Serak\u0131nc\u0131, TAK\u2019a son d\u00f6nemde artan salg\u0131n hastal\u0131klar konusunda de\u011ferlendirmelerde bulunarak, al\u0131nmas\u0131 gereken tedbirler hakk\u0131nda bilgiler verdi.<\/span><\/span><\/span><\/span><\/p>\n

-“Zaten var olan bu vir\u00fcsler, her y\u0131l bu zamanlarda kendilerini, mutasyona u\u011fram\u0131\u015f yeni varyantlar\u0131 ile g\u00f6stermekte”<\/span><\/span><\/span><\/span><\/p>\n

Serak\u0131nc\u0131 \u015f\u00f6yle devam etti:<\/span><\/span><\/span><\/span><\/p>\n

\u201cZaten var olan bu vir\u00fcsler, her y\u0131l bu zamanlarda kendilerini, mutasyona u\u011fram\u0131\u015f yeni varyantlar\u0131 ile g\u00f6stermektedir. Yine her y\u0131l bunlardan bir veya birka\u00e7 tanesi ayn\u0131 anda ve daha a\u011f\u0131rl\u0131kl\u0131 olarak g\u00f6r\u00fclmektedir.<\/span><\/span><\/span><\/span><\/p>\n

Bu vir\u00fcslerin baz\u0131lar\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sistemimizi daha fazla yorarak ve zorlayarak v\u00fccudumuz i\u00e7in y\u0131k\u0131c\u0131 seyir g\u00f6sterebilirler.<\/span><\/span><\/span><\/span><\/p>\n

Mevsimsel influenza tiplerinden ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131m\u0131z\u0131 yoran, bir ba\u015fka deyi\u015fle zay\u0131flatan vir\u00fcslere yakaland\u0131\u011f\u0131m\u0131z zaman, halk aras\u0131ndaki s\u00f6ylemi ile b\u00fcnyemiz y\u0131prand\u0131\u011f\u0131 zaman ise ikinci, hatta \u00fc\u00e7\u00fcnc\u00fc bir vir\u00fcs veya bakterinin f\u0131rsat\u00e7\u0131 olarak devreye girmesi ile hastal\u0131\u011f\u0131 daha a\u011f\u0131r  ve uzun s\u00fcrede ge\u00e7irebilmekteyiz.<\/span><\/span><\/span><\/span><\/p>\n

Laboratuvarda yapt\u0131\u011f\u0131m\u0131z influenza\/grip panel testleri ile bunlar\u0131n t\u00fcrlerini tespit edip ay\u0131rt etmemiz m\u00fcmk\u00fcn olabilmekte ve bu tarz \u00e7oklu vir\u00fcs enfeksiyonlar\u0131n\u0131 \u00f6nceki y\u0131llarda da g\u00f6rebilmekteydik.\u201d<\/span><\/span><\/span><\/span><\/p>\n

-“Covid-19 da art\u0131k mevsimsel vir\u00fcsler aras\u0131nda nitelendiriliyor”<\/span><\/span><\/span><\/span><\/p>\n

Bu y\u0131l klasik mevsim griplerine Covid-19 varyantlar\u0131 ile ortaya \u00e7\u0131kan klinik tablolar\u0131n da ilave oldu\u011funu s\u00f6yleyen Serak\u0131nc\u0131, Covid-19\u2019un da art\u0131k mevsimsel vir\u00fcsler aras\u0131nda nitelendirildi\u011fini kaydetti.<\/span><\/span><\/span><\/span><\/p>\n

Serak\u0131nc\u0131, \u201cDolay\u0131s\u0131 ile \u00f6zellikle yeni y\u0131l kutlamalar\u0131n\u0131n yo\u011fun oldu\u011fu, havan\u0131n \u0131s\u0131 ve nem de\u011fi\u015fkenliklerinin ani ya\u015fand\u0131\u011f\u0131 aral\u0131k ay\u0131n\u0131n hemen arkas\u0131nda \u00fcst solunum yolu enfeksiyonlar\u0131nda art\u0131\u015f \u015fa\u015f\u0131rt\u0131c\u0131 de\u011fildir. Benzer ba\u011flamda G\u00fcneyde ve bir \u00e7ok Avrupa \u00fclkesinde kas\u0131m ay\u0131 ile ba\u015flayan Xmas kutlamalar\u0131 ve yine havan\u0131n \u00fclkemize g\u00f6re ekim ay\u0131 ile so\u011fudu\u011fu ve kapal\u0131 ortamlara ge\u00e7ildi\u011fi \u00fclkelerde solunum yolu enfeksiyonlar\u0131ndaki y\u00fckseli\u015f \u00fclkemize g\u00f6re yakla\u015f\u0131\u015fk 3 hafta, bir ay \u00f6nce olmas\u0131 da tabiidir\u201d dedi.<\/span><\/span><\/span><\/span><\/p>\n

Buna birde 2019\u2019dan g\u00fcn\u00fcm\u00fcze art arda 3 k\u0131\u015f boyunca maskeli olunmas\u0131, klasik veya mevsimsel denilen vir\u00fcslere olan ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n da biraz d\u00fc\u015f\u00fcrmesini ilave etmek gerekti\u011fine dikkat \u00e7eken Serak\u0131nc\u0131, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/span><\/span><\/span><\/span><\/p>\n

\u201c\u00c7\u00fcnk\u00fc her y\u0131l grip olmasak bile farkl\u0131 dozlarda bu vir\u00fcslerin en az\u0131ndan birka\u00e7\u0131 ile kar\u015f\u0131la\u015f\u0131p semptom vermeden ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131m\u0131z\u0131 tazelerken, do\u011fal yoldan a\u015f\u0131lan\u0131rken, son 3 k\u0131\u015f maskeli olmam\u0131z bu ba\u011flamda mevsim griplerini normalden daha a\u011f\u0131r ge\u00e7irmemize neden olabilece\u011fi g\u00f6r\u00fc\u015f\u00fcm\u00fcz hala ge\u00e7erlidir.\u201d<\/span><\/span><\/span><\/span><\/p>\n

Al\u0131nmas\u0131 gereken \u00f6nlemler konusuna da de\u011finen Nedime Serak\u0131nc\u0131, Covid 19 salg\u0131n\u0131n ilk y\u0131llar\u0131ndaki gibi bir maske d\u00f6nemine gerek oldu\u011funu d\u00fc\u015f\u00fcnmedi\u011fini kaydetti.<\/span><\/span><\/span><\/span><\/p>\n

-“Hasta olan, semptom g\u00f6steren ki\u015filerin hijyen kurallar\u0131na maksimum uymas\u0131 gerek”<\/span><\/span><\/span><\/span><\/p>\n

 Her zaman oldu\u011fu gibi hasta olan, semptom g\u00f6steren ki\u015filerin hijyen kurallar\u0131na maksimum uymas\u0131 gerekti\u011fini belirten Serak\u0131nc\u0131, \u201cHap\u015f\u0131r\u0131p, \u00f6ks\u00fcr\u00fcrken a\u011f\u0131z ve burnun kapat\u0131lmas\u0131 gereklili\u011fi unutulmamal\u0131 ve bu nedenle semptomlu yatak istirahati gerekmeyen g\u00fcnl\u00fck hayata devam edebilecek ki\u015filerin maske takmas\u0131 bu durumda uygun bir davran\u0131\u015f olur.<\/span><\/span><\/span><\/span><\/p>\n

Dolay\u0131s\u0131 ile ate\u015fi olan bir bireyin evinde istirahat etmesi de yine salg\u0131n\u0131 \u00f6nlemek, hem kendini, hem \u00e7evresini korumak ad\u0131na uyun olur.  T\u00fcm kapal\u0131 alanlar\u0131n s\u0131kl\u0131kla havaland\u0131r\u0131lmas\u0131 s\u00fcrekli hava sirk\u00fclasyonuna dikkat edilmesi de yerinde olur\u201d dedi.<\/span><\/span><\/span><\/span><\/p>\n

Serak\u0131nc\u0131 s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/span><\/span><\/span><\/span><\/p>\n

\u201cKronik rahats\u0131zl\u0131\u011f\u0131 yani uzun s\u00fcreli diyabet veya kalp, akci\u011fer veya b\u00f6brek rahats\u0131zl\u0131\u011f\u0131, zay\u0131flam\u0131\u015f  ba\u011f\u0131\u015f\u0131kl\u0131k sistemi olanlar, \u00f6rne\u011fin kemoterapi alanlar kendilerini daha iyi korumal\u0131 kapal\u0131 ve kalabal\u0131k ortamlarda maske kullanmal\u0131, m\u00fcmk\u00fcnse influenza a\u015f\u0131s\u0131n\u0131 yapt\u0131rmal\u0131. Yine ileri ya\u015fta ve d\u00fc\u015f\u00fck ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahip bireylere bakmakla g\u00f6revli ki\u015filer onlar\u0131 korumak i\u00e7in maske kullanmal\u0131.\u201d<\/span><\/span><\/span><\/span><\/p>\n

Serak\u0131nc\u0131, m\u00fcmk\u00fcnse grip a\u015f\u0131s\u0131 yapt\u0131rman\u0131n azami korumay\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 ve salg\u0131n\u0131n yay\u0131lmas\u0131n\u0131 k\u0131rmak i\u00e7in \u00f6nemli oldu\u011funu vurgulad\u0131.<\/span><\/span><\/span><\/span><\/p>\n

Covid-19\u2019un yeni varyant\u0131 olan JN.1 hakk\u0131nda da bilgiler veren Serakn\u0131c\u0131, JN.1\u2019in ilk olarak A\u011fustos 2023’te rapor edildi\u011fini ve D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc’ne g\u00f6re \u015fu ana kadar en az 41 \u00fclkeye yay\u0131ld\u0131\u011f\u0131n\u0131 aktard\u0131.<\/span><\/span><\/span><\/span><\/p>\n

-” JN.1’in, \u0130nfluenza ve Covid 19 semptomlar\u0131n\u0131n bir kar\u0131\u015f\u0131m\u0131 \u015feklinde semptomlar\u0131 var”<\/span><\/span><\/span><\/span><\/p>\n

18 Aral\u0131k’ta DS\u00d6\u2019\u00fcn\u00fcn d\u00fcnya \u00e7ap\u0131nda h\u0131zla yay\u0131lmas\u0131 nedeniyle JN.1’i “ilgi duyulan bir de\u011fi\u015fken” olarak s\u0131n\u0131fland\u0131rd\u0131\u011f\u0131n\u0131 anlatan Serak\u0131nc\u0131, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/span><\/span><\/span><\/span><\/p>\n

\u201c2021’in sonlar\u0131nda ortaya \u00e7\u0131kan Omikron ailesinin bir \u00fcyesi ve vir\u00fcs\u00fcn insan h\u00fccrelerine tutunmas\u0131na yard\u0131mc\u0131 Spike proteininde ilave bir mutasyona sahip. \u0130nfluenza ve Covid 19 semptomlar\u0131n\u0131n bir kar\u0131\u015f\u0131m\u0131 \u015feklinde semptomlar\u0131 var. JN.1 bo\u011faz a\u011fr\u0131s\u0131, t\u0131kan\u0131kl\u0131k, burun akmas\u0131. \u00f6ks\u00fcr\u00fck, yorgunluk \/t\u00fckenmi\u015flik, ba\u015f a\u011fr\u0131s\u0131, kas a\u011fr\u0131lar\u0131, ate\u015f veya titreme, tat veya koku alma kayb\u0131, nefes darl\u0131\u011f\u0131 veya nefes almada zorluk, mide bulant\u0131s\u0131 ya da kusma, ve\/veya ishal \u015feklinde seyretmektedir.\u201d<\/span><\/span><\/span><\/span><\/p>\n

-“Art\u0131k mevsimsel vir\u00fcsler aras\u0131na giren bu vir\u00fcsle hepimiz tan\u0131\u015faca\u011f\u0131z”<\/span><\/span><\/span><\/span><\/p>\n

Nedime Serkanc\u0131 \u015f\u00f6yle konu\u015ftu:<\/span><\/span><\/span><\/span><\/p>\n

\u201c3 y\u0131ld\u0131r Covid olmad\u0131m, \u015fimdi oldum diyenler var ve olacak da. Art\u0131k mevsimsel vir\u00fcsler aras\u0131na giren bu vir\u00fcsle hepimiz tan\u0131\u015faca\u011f\u0131z.<\/span><\/span><\/span><\/span><\/p>\n

Nas\u0131l herkes mutlaka en az bir kez grip olmu\u015ftur ve belli d\u00f6nemlerde de grip olur. Bundan b\u00f6yle Covid de bizim i\u00e7in b\u00f6yle olacak. JN,1 varyant\u0131 a\u00e7\u0131s\u0131ndan bakarsak \u015fu ana kadar d\u00fcnya genelinde hasta say\u0131s\u0131nda art\u0131\u015f olmakla birlikte hastane ve yo\u011fun bak\u0131m yat\u0131\u015flar\u0131nda bir art\u0131\u015f g\u00f6r\u00fclm\u00fcyor.<\/span><\/span><\/span><\/span><\/p>\n

 Dikkatli bakt\u0131\u011f\u0131m\u0131zda k\u0131\u015fa ve solunum yolu vir\u00fcs\u00fc sezonuna girilmesiyle birlikte bu d\u00f6nemde Covid-19 aktivitesinin de yeni y\u0131l civar\u0131nda sosyal etkenlere ba\u011fl\u0131 artan ve mevsimsel zirveye \u00e7\u0131kan vir\u00fcslerle bir seyir izledi\u011fini g\u00f6r\u00fcyoruz.<\/span><\/span><\/span><\/span><\/p>\n

Test a\u00e7\u0131s\u0131ndan bakacak olursak hala haz\u0131rda var olan h\u0131zl\u0131 antijen testlerinin ve de PCR tersleri JN.1 varyant\u0131nda tespit edebilmektedir.\u201d <\/span><\/span><\/span><\/span><\/p>\n

-“Gerekli deste\u011fi almak i\u00e7in doktora ba\u015fvurmak s\u00fcreci daha rahat ge\u00e7irmek ve salg\u0131n\u0131n yay\u0131l\u0131m\u0131n\u0131 \u00f6nlemek i\u00e7in do\u011fru bir ad\u0131m”<\/span><\/span><\/span><\/span><\/p>\n

Hastal\u0131klar i\u00e7in klinisyenlerin uygun ve gerekli g\u00f6r\u00fclen destek ve gerekli tedaviyi planlad\u0131klar\u0131na i\u015faret eden Seraknc\u0131, \u201cBu nedenle gerekli deste\u011fi almak i\u00e7in doktora ba\u015fvurmak s\u00fcreci daha rahat ge\u00e7irmek ve salg\u0131n\u0131n yay\u0131l\u0131m\u0131n\u0131 \u00f6nlemek i\u00e7in do\u011fru bir ad\u0131m\u201d dedi.<\/span><\/span><\/span><\/span><\/p>\n

Salg\u0131nlardan korunmak i\u00e7in yap\u0131lmas\u0131 gerekenlere de de\u011finen Serakn\u0131c\u0131, asl\u0131nda sadece Covid de\u011fil, t\u00fcm solunum yolu enfeksiyonlar\u0131 i\u00e7in yap\u0131lmas\u0131 gerekenlerin ayn\u0131 oldu\u011funu, havaland\u0131rma, hijyen kurallar\u0131na uyulmas\u0131 gerekti\u011fini s\u00f6yledi.<\/span><\/span><\/span><\/span><\/p>\n

Gerekti\u011finde maske kullan\u0131lmas\u0131n\u0131n hem kendimizi, hem de \u00e7evremizdekileri korumak ad\u0131na uygulamas\u0131 gereken normal tedbirler oldu\u011funu ifade eden Serak\u0131nc\u0131, Covid-19  semptomlar\u0131n\u0131n \u015fu anda yay\u0131lan di\u011fer mevsim vir\u00fcslerinin ( RSV, Rinovir\u00fcs vb) neden oldu\u011fu semptomlardan ay\u0131rt edilemedi\u011fini, bu sebeple de test yap\u0131larak yay\u0131l\u0131m\u0131n bu \u015fekilde engellenebilece\u011fini kaydetti.<\/span><\/span><\/span><\/span><\/p>\n

Serak\u0131nc\u0131, salg\u0131nlardan korunmak ad\u0131na uyku d\u00fczenine dikkat edilmesi gerekti\u011fini, uykunun yan\u0131 s\u0131ra diyetisyenlerin hep s\u00f6yledi\u011fi gibi do\u011fru ve dengeli beslenme, bol su i\u00e7mek ve m\u00fcmk\u00fcnse spor yapman\u0131n, g\u00fcnl\u00fck 20-30 dakikal\u0131k tempolu y\u00fcr\u00fcy\u00fc\u015f, e\u011fer imkan yoksa en az\u0131ndan evde 7-10 dakika  pilates gibi koruyucu aktivitenin yeterli oldu\u011funu belirten \u00e7al\u0131\u015fmalar bulundu\u011funu aktard\u0131.<\/span><\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Serak\u0131nc\u0131, bu t\u00fcr rahats\u0131zl\u0131klar\u0131 bulunan ki\u015filerin kapal\u0131 ve kalabal\u0131k ortamlarda maske kullanmas\u0131,  m\u00fcmk\u00fcnse influenza a\u015f\u0131s\u0131 yapt\u0131rmas\u0131, yine ileri ya\u015fta ve d\u00fc\u015f\u00fck ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahip bireylere bakmakla g\u00f6revli ki\u015filerin onlar\u0131 korumak ad\u0131na maske kullanmas\u0131 gerekti\u011fini s\u00f6yledi. 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