{"id":2257,"date":"2018-06-05T11:29:59","date_gmt":"2018-06-05T11:29:59","guid":{"rendered":"http:\/\/www.doktoryilmazbay.com\/?p=2257"},"modified":"2018-06-05T11:29:59","modified_gmt":"2018-06-05T11:29:59","slug":"su-cicegi-varicella","status":"publish","type":"post","link":"http:\/\/www.doktoryilmazbay.com\/su-cicegi-varicella\/","title":{"rendered":"SU \u00c7\u0130\u00c7E\u011e\u0130 (VARICELLA)"},"content":{"rendered":"<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Su \u00e7i\u00e7e\u011fi; Varicella zoster denilen bir cins vir\u00fcs\u00fcn yapt\u0131\u011f\u0131, t\u00fcm v\u00fccutta i\u00e7i su dolu k\u00fc\u00e7\u00fck kabarc\u0131klarla seyreden d\u00f6k\u00fcnt\u00fcl\u00fc bir hastal\u0131kt\u0131r. Bilinen en bula\u015f\u0131c\u0131 hastal\u0131kt\u0131r. Hastan\u0131n ge\u00e7ti\u011fi koridordan 2-3 saat i\u00e7erisinde ge\u00e7en ki\u015fi su \u00e7i\u00e7e\u011fine yakalanabilir. Vir\u00fcs havada 2-3 saat canl\u0131 kalabilir. Hasta ki\u015finin \u00f6ks\u00fcr\u00fck ve hap\u015f\u0131rmas\u0131 ile havaya yay\u0131lan vir\u00fcs sa\u011fl\u0131kl\u0131 ki\u015finin o havay\u0131 solumas\u0131 ile bula\u015fabilece\u011fi gibi hasta ki\u015fi ile her t\u00fcrl\u00fc yak\u0131n temas, hasta ki\u015finin v\u00fccuttaki d\u00f6k\u00fcnt\u00fcleriyle temas ve hasta \u00e7ocu\u011fun kulland\u0131\u011f\u0131 e\u015fyalarla temas<span class=\"Apple-converted-space\">\u00a0 <\/span>sonucu hastal\u0131k bula\u015fabilir.<!--more--><\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Su \u00e7i\u00e7e\u011fi yeni do\u011fan \u00e7ocuk dahil her ya\u015fta g\u00f6r\u00fclebilir ancak hastalar\u0131n %90 kadar\u0131 5-10 ya\u015f gurubu \u00e7ocuklard\u0131r. \u00d6zellikle anaokulu ve ilkokul gibi \u00e7ocuklar\u0131n toplu bulundu\u011fu yerlerde salg\u0131nlara neden olabilir. Ocak-May\u0131s aylar\u0131 aras\u0131nda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 en fazlad\u0131r.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Hastal\u0131kta d\u00f6k\u00fcnt\u00fc; vir\u00fcs\u00fc ald\u0131ktan 10-21 g\u00fcn sonra (ortalama<span class=\"Apple-converted-space\">\u00a0 <\/span>12-18 g\u00fcn) ortaya \u00e7\u0131kar. D\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kmadan 24-48 saat \u00f6nce hasta vir\u00fcs\u00fc solunum yoluyla ortama yaymaya ba\u015flar ve d\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kt\u0131ktan sonraki 6-7. g\u00fcne kadar d\u00f6k\u00fcnt\u00fclerden ortama vir\u00fcs\u00fc yay\u0131lmaya devam eder. Bu s\u00fcre i\u00e7erisinde hasta hastal\u0131\u011f\u0131 etraf\u0131ndakilere bula\u015ft\u0131r\u0131r. D\u00f6k\u00fcnt\u00fclerin tamam\u0131 kabukland\u0131\u011f\u0131nda bula\u015f\u0131c\u0131l\u0131k sona erer.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Su \u00e7i\u00e7e\u011finde; hafif ate\u015f y\u00fcksekli\u011fi, halsizlik, i\u015ftahs\u0131zl\u0131k \u015feklinde ba\u015flayan hastal\u0131k 24-48 saat i\u00e7inde deriden kabar\u0131k k\u00fc\u00e7\u00fck k\u0131zar\u0131kl\u0131klar \u015feklinde d\u00f6k\u00fcnt\u00fcyle kendini belli eder. Bu k\u0131zar\u0131kl\u0131klar\u0131n \u00fczerinde \u015feffaf, oval, g\u00f6zya\u015f\u0131 damlas\u0131na benzer i\u00e7i su dolu kesecikler olur. Bu s\u0131v\u0131 dolu kesecikler 24-48 saat i\u00e7inde par\u00e7alanarak i\u00e7indeki s\u0131v\u0131 d\u0131\u015far\u0131 \u00e7\u0131kar ve \u00fczeri kabuklan\u0131r. 6-7 g\u00fcn s\u00fcre ile de\u011fi\u015fik zamanl\u0131 olarak bu d\u00f6k\u00fcnt\u00fcler v\u00fccudun belirli yerlerinde \u00e7\u0131kmaya devam eder.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Kar\u0131n ve g\u00f6vdeden ba\u015flayan bu d\u00f6k\u00fcnt\u00fcler, boyuna, y\u00fcze, a\u011f\u0131z i\u00e7ine hatta sa\u00e7l\u0131 deriye, g\u00f6ze, genital organlara kadar yay\u0131labilir. Hastal\u0131k her \u00e7ocukta farkl\u0131 \u015fekilde seyreder. \u00d6zellikle k\u00fc\u00e7\u00fck \u00e7ocuklarda ve a\u015f\u0131l\u0131 \u00e7ocuklarda<span class=\"Apple-converted-space\">\u00a0 <\/span>birka\u00e7 d\u00f6k\u00fcnt\u00fcyle seyrederken daha b\u00fcy\u00fck \u00e7ocuklarda ve gen\u00e7 eri\u015fkinlerde t\u00fcm v\u00fccudu kaplayan daha a\u011f\u0131r lezyonlarla da seyredebilir. Ya\u015f ilerledik\u00e7e hastal\u0131\u011f\u0131n a\u011f\u0131rl\u0131\u011f\u0131 da artar. Hastal\u0131k hamilelerde \u00e7ok daha a\u011f\u0131r seyreder. Hatta hamileli\u011fin ilk birka\u00e7 ay\u0131nda \u00e7ocukta \u00e7e\u015fitli anomalilere neden olabildi\u011fi gibi, d\u00fc\u015f\u00fcklere de sebep olabilir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Hastal\u0131\u011f\u0131 ge\u00e7iren ki\u015filerde ikinci kez g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 \u00e7ok az da olsa, olabilir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>SU \u00c7\u0130\u00c7E\u011e\u0130 GE\u00c7\u0130RENLERDE \u0130LER\u0130DE <b>&#8220;ZONA&#8221;<\/b> DEN\u0130LEN HASTALIK G\u00d6R\u00dcLEB\u0130L\u0130R. Su \u00e7i\u00e7e\u011fi ge\u00e7tikten sonra vir\u00fcs v\u00fccutta sinir u\u00e7lar\u0131nda<span class=\"Apple-converted-space\">\u00a0 <\/span>20-30-40 y\u0131l canl\u0131 kalabilir. Ki\u015finin v\u00fccut direnci k\u0131r\u0131ld\u0131\u011f\u0131nda tuttu\u011fu sinir boyunca su \u00e7i\u00e7e\u011fine benzer d\u00f6k\u00fcnt\u00fclerle zona hastal\u0131\u011f\u0131 meydana \u00e7\u0131kabilir. Zona ge\u00e7iren bir eri\u015fkinle temas eden \u00e7ocuk su \u00e7i\u00e7e\u011fi ge\u00e7irebilir hatta zonal\u0131 bir eri\u015fkinin ba\u015flatt\u0131\u011f\u0131 su \u00e7i\u00e7e\u011fi salg\u0131nlar\u0131 bile g\u00f6r\u00fclebilir.<\/p>\n<p><b>TEDAV\u0130:<\/b><\/p>\n<ul>\n<li>Hastal\u0131k vir\u00fcslerin yapt\u0131\u011f\u0131 bir hastal\u0131k oldu\u011fu i\u00e7in tedavisinde antibiyotiklerin yeri yoktur.<\/li>\n<li>Ka\u015f\u0131nt\u0131ya kar\u015f\u0131 a\u011f\u0131zdan ka\u015f\u0131nt\u0131 giderici ila\u00e7lar verilebilir.<\/li>\n<li>\u00c7ocukla ilgilenen ki\u015filer ellerini s\u0131k s\u0131k y\u0131kamal\u0131d\u0131r.<\/li>\n<li>T\u0131rnaklar kesilmeli, t\u0131rnak u\u00e7lar\u0131 bir f\u0131r\u00e7a ile f\u0131r\u00e7alanmal\u0131, b\u00f6ylelikle<span class=\"Apple-converted-space\">\u00a0 <\/span>ka\u015f\u0131nan k\u0131s\u0131mlar\u0131n t\u0131rnaklardan bakteriyel enfeksiyon almas\u0131 \u00f6nlenebilir.<\/li>\n<li>Ate\u015f varsa gerekli \u00f6nlemler al\u0131nmal\u0131, doktorunuzun \u00f6nerdi\u011fi paracetemol ya da ibuprofen cinsi ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler kullan\u0131labilir.<\/li>\n<li>ATE\u015e D\u00dc\u015e\u00dcR\u00dcC\u00dc OLARAK KES\u0130NL\u0130KLE ASP\u0130R\u0130N VER\u0130LMEMEL\u0130. SU \u00c7\u0130\u00c7E\u011e\u0130NDE ASP\u0130R\u0130N KULLANILDI\u011eINDA KARAC\u0130\u011eERDE <b>&#8220;REYE SENDROMU&#8221;<\/b> DEN\u0130LEN KOMAYA KADAR G\u0130DEN A\u011eIR TABLOLAR ORTAYA \u00c7IKAB\u0130L\u0130R.<\/li>\n<li>Giysi ve \u00e7ar\u015faflar her g\u00fcn de\u011fi\u015ftirilmelidir.<\/li>\n<li>Bol s\u0131v\u0131 al\u0131m\u0131 sa\u011flanmal\u0131d\u0131r.<\/li>\n<li>Hasta \u00e7ocuklar\u0131n di\u011fer \u00e7ocuklarla olan temas\u0131 engellenmelidir.Hasta \u00e7ocuklar 1 hafta s\u00fcre ile okula g\u00f6nderilmemelidir.<\/li>\n<li>Hasta \u00e7ocu\u011fun giysileri, sa\u011fl\u0131kl\u0131 \u00e7ocu\u011fa giydirilmemelidir.<\/li>\n<li>A\u015f\u0131r\u0131 giyindirmekten ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/li>\n<\/ul>\n<p><b>KORUNMA:<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>G\u00fcn\u00fcm\u00fczde su \u00e7i\u00e7e\u011finden a\u015f\u0131 ile korunmak olas\u0131 hale gelmi\u015ftir.1 ya\u015f\u0131n\u0131 ge\u00e7en t\u00fcm \u00e7ocuklar su \u00e7i\u00e7e\u011fi a\u015f\u0131s\u0131 ile a\u015f\u0131lanmal\u0131 ve a\u015f\u0131 4-6 ya\u015flar\u0131nda tekrarlanmal\u0131d\u0131r. A\u015f\u0131n\u0131n koruyuculu\u011fu %90-95 dolaylar\u0131ndad\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0 \u00a0 \u00a0 Su \u00e7i\u00e7e\u011fi; Varicella zoster denilen bir cins vir\u00fcs\u00fcn yapt\u0131\u011f\u0131, t\u00fcm v\u00fccutta i\u00e7i su dolu k\u00fc\u00e7\u00fck kabarc\u0131klarla seyreden d\u00f6k\u00fcnt\u00fcl\u00fc bir hastal\u0131kt\u0131r. Bilinen en bula\u015f\u0131c\u0131 hastal\u0131kt\u0131r. Hastan\u0131n ge\u00e7ti\u011fi koridordan 2-3 saat i\u00e7erisinde ge\u00e7en ki\u015fi su \u00e7i\u00e7e\u011fine yakalanabilir. Vir\u00fcs havada 2-3 saat canl\u0131 kalabilir. Hasta ki\u015finin \u00f6ks\u00fcr\u00fck ve hap\u015f\u0131rmas\u0131<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-2257","post","type-post","status-publish","format-standard","hentry","category-acil-durumlar"],"_links":{"self":[{"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts\/2257","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/comments?post=2257"}],"version-history":[{"count":1,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts\/2257\/revisions"}],"predecessor-version":[{"id":2258,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts\/2257\/revisions\/2258"}],"wp:attachment":[{"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/media?parent=2257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/categories?post=2257"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/tags?post=2257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}