{"id":2272,"date":"2018-08-18T09:56:57","date_gmt":"2018-08-18T09:56:57","guid":{"rendered":"http:\/\/www.doktoryilmazbay.com\/?p=2272"},"modified":"2018-08-18T09:56:57","modified_gmt":"2018-08-18T09:56:57","slug":"idrar-yolu-enfeksiyonu-iye","status":"publish","type":"post","link":"http:\/\/www.doktoryilmazbay.com\/idrar-yolu-enfeksiyonu-iye\/","title":{"rendered":"\u0130DRAR YOLU ENFEKS\u0130YONU (\u0130YE)"},"content":{"rendered":"<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>\u0130drar Yolu Enfeksiyonu; b\u00f6breklerden idrar\u0131n son \u00e7\u0131k\u0131\u015f noktas\u0131na (\u00dcretra giri\u015fi) kadar olan b\u00f6l\u00fcmdeki idrar yollar\u0131n\u0131n bakteri, vir\u00fcs ya da mantar denilen mikroplarla olan enfeksiyonlar\u0131na idrar yolu enfeksiyonu (\u0130YE) denir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>\u00c7ocukluk \u00e7a\u011f\u0131nda solunum yolu enfeksiyonlar\u0131ndan sonra 2.s\u0131rada \u0130YE yer al\u0131r. Yeni do\u011fan d\u00f6nemi ve 0-3 ya\u015f aras\u0131 bebeklik d\u00f6neminde ba\u011f\u0131\u015f\u0131kl\u0131k sistemi geli\u015fmedi\u011fi i\u00e7in \u0130YE g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 \u00e7ok daha fazlad\u0131r. 0-1 ya\u015f aras\u0131nda \u0130YE geli\u015fme s\u0131kl\u0131\u011f\u0131 %3-8 iken, 1-5 ya\u015f aras\u0131 bu oran %2-3 e d\u00fc\u015fmektedir. Ya\u015fam\u0131n ilk y\u0131llar\u0131nda erkeklerde \u0130YE geli\u015fme s\u0131kl\u0131\u011f\u0131 k\u0131zlara oranla daha y\u00fcksektir. Birinci y\u0131ldan sonra ise<span class=\"Apple-converted-space\">\u00a0 <\/span>k\u0131zlarda \u0130YE g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 erkeklere oranla daha fazlad\u0131r. 1-5 ya\u015f aras\u0131 k\u0131zlarda \u0130YE g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 %3-7 iken erkeklerde bu oran %1-2 dolaylar\u0131ndad\u0131r. \u0130YE\u2019nin k\u0131zlarda daha s\u0131k g\u00f6r\u00fclmesinin birinci nedeni; idrar\u0131n \u00e7\u0131k\u0131\u015f deli\u011finden, idrar\u0131n topland\u0131\u011f\u0131 idrar kesesine kadar olan mesafenin erkeklere g\u00f6re daha k\u0131sa olmas\u0131d\u0131r. \u0130kinci nedeni ise; k\u0131zlarda gaita \u00e7\u0131k\u0131\u015f\u0131n\u0131n oldu\u011fu yer olan an\u00fcsle, idrar \u00e7\u0131k\u0131\u015f a\u011fz\u0131 olan \u00fcretran\u0131n birbirine yak\u0131n olmas\u0131d\u0131r.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>\u0130drar yollar\u0131nda idrar ak\u0131m\u0131n\u0131n yava\u015flamas\u0131na neden olabilecek her t\u00fcrl\u00fc sorun idrar yolu enfeksiyonu geli\u015fimi a\u00e7\u0131s\u0131ndan risk olu\u015fturur. Ta\u015f, kanal i\u00e7erisinde t\u0131kan\u0131kl\u0131klar, i\u015feme bozukluklar\u0131, idrar\u0131n; idrar kesesinden idrar yollar\u0131na geri ka\u00e7mas\u0131 (veziko\u00fcreteral refl\u00fc), idrar ak\u0131m\u0131nda yava\u015flama ve duraklama \u0130YE\u2019nin en \u00f6nemli nedenleri aras\u0131ndad\u0131r. \u0130drar\u0131n\u0131 uzun s\u00fcre erteleyen ya da i\u015femeyi tam bitirmeyip mesanesinde s\u00fcrekli idrar kalan (rezid\u00fcel idrar) \u00e7ocuklarda mikroplar idrar yollar\u0131na daha kolay yerle\u015fir ve \u00e7o\u011fal\u0131rlar. Tipik olarak 3-7 ya\u015flar\u0131 aras\u0131nda g\u00f6r\u00fclen i\u015feme bozukluklar\u0131 s\u0131k idrar yolu enfeksiyonunun en \u00f6nemli nedenleri aras\u0131ndad\u0131r.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0\u00a0 \u00a0 \u00a0 \u00a0 <\/span>\u0130YE\u2019de tekrarlama s\u0131kl\u0131\u011f\u0131 ilk enfeksiyondan sonraki bir y\u0131l i\u00e7inde<span class=\"Apple-converted-space\">\u00a0 <\/span>%12-30 iken ilk be\u015f y\u0131l i\u00e7inde bu oran %40-50 dolaylar\u0131na y\u00fckselmektedir. O nedenle \u00e7ocukluk \u00e7a\u011f\u0131ndaki \u0130YE tekrarlama riski a\u00e7\u0131s\u0131ndan \u00e7ok yak\u0131ndan izlenmelidir. \u00c7ocuklarda zaman\u0131nda belirlenip uygun tedavi, tetkik ve izlem yap\u0131lmayan idrar yolu enfeksiyonlar\u0131; b\u00fcy\u00fcme-geli\u015fme gerili\u011fi, hipertansiyon ve ilerleyici b\u00f6brek hasar\u0131na yol a\u00e7arak sonu\u00e7ta kronik b\u00f6brek yetmezli\u011fi tablolar\u0131na neden olabilir. \u0130leri ya\u015flardaki diyaliz gereksinimi ve b\u00f6brek nakil gereksiniminin en b\u00fcy\u00fck nedeni zaman\u0131nda saptan\u0131p tedavisi yap\u0131lmayan ve iyi izlenmeyen \u0130YE\u2019lerdir. O nedenle tekrarlayan idrar yolu enfeksiyonu olan t\u00fcm \u00e7ocuklarda erken tan\u0131 konulmas\u0131, e\u015flik eden yap\u0131sal bozukluklar varsa saptanmas\u0131, idrar yolu enfeksiyonu a\u00e7\u0131s\u0131ndan riskli \u00e7ocuklar\u0131n yak\u0131ndan izlenmesi \u00e7ok \u00e7ok \u00f6nemlidir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>\u00c7ocuklarda \u0130YE\u2019nin en s\u0131k nedeni ba\u011f\u0131rsak bakterileridir. Bunlardan en \u00f6nemlisi Ecoli (%60-90), sonra s\u0131ras\u0131yla Klepsiella, Enterokoklar, Proteus ve Pseudamanas\u2019t\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Yeni do\u011fan d\u00f6neminden sonra \u0130YE a\u015fa\u011f\u0131dan yukar\u0131ya do\u011fru bula\u015f\u0131r. K\u0131zlarda Vajen b\u00f6lgesine, erkeklerde penis a\u011fz\u0131na yap\u0131\u015fan mikroplar burada \u00e7o\u011falarak idrar yollar\u0131na, idrar kesesine hatta b\u00f6breklere kadar \u00e7\u0131karak iYE\u2019ye neden olurlar. \u0130YE\u2019de \u00f6zellikle yeni do\u011fanda olmak \u00fczere %3 kan yoluyla da bula\u015fma da g\u00f6r\u00fclebilir.<\/p>\n<p><b>\u00c7OCUKLARDA \u0130YE BEL\u0130RT\u0130LER\u0130<\/b><\/p>\n<p><b>0-3 ya\u015f aras\u0131 nedeni belirlenemeyen ate\u015flerin en b\u00fcy\u00fck nedeni \u0130YE dir.<\/b><\/p>\n<p>\u00c7OCUKLUK \u00c7A\u011eINDA SEBEB\u0130 A\u00c7IKLANAMAYAN HER T\u00dcRL\u00dc ATAE\u015eTE \u0130YE D\u00dc\u015e\u00dcN\u00dcLMEL\u0130 VE BU A\u00c7IDAN UYGUN TETK\u0130LER YAPILARAK \u00c7OCUK DE\u011eERLEND\u0130R\u0130LMEL\u0130D\u0130R.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Ate\u015f, kusma, huzursuzluk, uyar\u0131ya a\u015f\u0131r\u0131 tepki, halsizlik, uyuklama, kilo alamama, b\u00fcy\u00fcme gerili\u011fi, beslenme yetersizli\u011fi, kar\u0131n a\u011fr\u0131s\u0131, ishal, kusma, bazen de kab\u0131zl\u0131k, idrar\u0131n k\u00f6t\u00fc kokmas\u0131, idrarda kanama, idrar yaparken a\u011flama, erkek \u00e7ocukta idrar\u0131n f\u0131\u015fk\u0131rmamas\u0131, kesik kesik idrar yapma, yeni do\u011fan d\u00f6neminde reflekslerde ve aktivitede azalma, uzayan sar\u0131l\u0131k, bebe\u011fin kilo alamamas\u0131 durumunda \u0130YE d\u00fc\u015f\u00fcnd\u00fcrmelidir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Daha \u00f6nce i\u015feme sorunu olmayan bir \u00e7ocukta ortaya \u00e7\u0131kan s\u0131k\u0131\u015fma, g\u00fcnd\u00fcz ya da gece alt\u0131n\u0131 \u0131slatmada da \u0130YE<span class=\"Apple-converted-space\">\u00a0 <\/span>d\u00fc\u015f\u00fcn\u00fclmelidir.<\/p>\n<p>\u0130YE\u2019de tutulan b\u00f6lgeye g\u00f6re de\u011fi\u015fik klinik belirtiler g\u00f6zlenebilir.<\/p>\n<p>B\u00f6brekten idrar kesesine kadar olan idrar yollar\u0131, idrar torbas\u0131 ve idrar torbas\u0131ndan idrar\u0131n son \u00e7\u0131k\u0131\u015f deli\u011fi olan \u00fcretraya kadar olan b\u00f6l\u00fcm &#8220;Alt \u0130YE&#8221; olarak adland\u0131r\u0131l\u0131r. Alt \u0130YE\u2019de 2 ya\u015f \u00fcst\u00fc \u00e7ocuklarda idrar yaparken ac\u0131ma, s\u0131zlama, yanma, s\u0131k s\u0131k idrara \u00e7\u0131kma, idrar ka\u00e7\u0131rma, acil idrar yapma, k\u00f6t\u00fc kokulu idrar ,bulan\u0131k idrar yapma bize \u0130YE\u2019yi d\u00fc\u015f\u00fcnd\u00fcrmelidir.<\/p>\n<p>\u00dcst \u0130YE; b\u00f6brek tutulumu demektir. Ate\u015f, kusma, kar\u0131n a\u011fr\u0131s\u0131, yan a\u011fr\u0131s\u0131, bel bo\u015flu\u011funda a\u011fr\u0131, kilo alamama, b\u00fcy\u00fcme gerili\u011fi bize &#8220;\u00dcst \u0130YE&#8221;yi d\u00fc\u015f\u00fcnd\u00fcrmelidir.<\/p>\n<p><b>2 ay-2 ya\u015f aras\u0131ndaki \u00e7ocuklarda idrar yolu enfeksiyonu hi\u00e7 belirti vermeden de seyredebilir.<\/b><\/p>\n<p><b>\u0130YE\u2019DE TANI<\/b><\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Tan\u0131 klinik bulgularla birlikte idrar analizleriyle koyulur. Kesin tan\u0131 koymak i\u00e7in idrar\u0131n mikroskopla de\u011ferlendirilmesi yan\u0131nda mutlaka idrar k\u00fclt\u00fcr\u00fc yap\u0131lmas\u0131 gereklidir. Tam idrar analizinde mikroskopta her sahada 10 &#8216;dan fazla l\u00f6kosit ve mikroplar\u0131n g\u00f6r\u00fcnmesi idrar yolu enfeksiyonunu d\u00fc\u015f\u00fcnd\u00fcr\u00fcr ancak kesin tan\u0131 i\u00e7in idrar k\u00fclt\u00fcr\u00fc \u015fartt\u0131r. \u0130drar k\u00fclt\u00fcr\u00fc; enfeksiyona yol a\u00e7an mikroplar\u0131n \u00f6zel bir besi yerinde \u00fcretilmesidir. \u0130drarda \u00fcreyen mikroba etkili olacak antibiyotik antibiogram denilen bir test ile belirlenir. Bu testte idrar k\u00fclt\u00fcr\u00fcnde \u00fcreyen mikroplarla antibiyotikler kar\u015f\u0131la\u015ft\u0131r\u0131l\u0131r ve \u00fcreyen mikroba en etkili antibiyotik belirlenir.Ancak do\u011fru teknik ile ve steril ko\u015fullarda al\u0131nmam\u0131\u015f bir idrar k\u00fclt\u00fcr\u00fc yan\u0131lt\u0131c\u0131 olabilir. \u0130drar k\u00fclt\u00fcr\u00fc i\u00e7in genellikle plastik torba kullan\u0131l\u0131r. Ancak ku\u015fkulu durumlarda sonda ile ya da kar\u0131n\u0131n alt b\u00f6l\u00fcm\u00fcnde i\u011fne ile idrar torbas\u0131ndan idrar alarak (suprapubik aspirasyon) idrar k\u00fclt\u00fcr\u00fc yap\u0131lmal\u0131d\u0131r.<\/p>\n<p>0-2 Ya\u015f aras\u0131 \u00e7ocuklarda<span class=\"Apple-converted-space\">\u00a0 <\/span>k\u00fclt\u00fcr i\u00e7in idrar; plastik idrar torbas\u0131 ile al\u0131n\u0131r.<\/p>\n<p>\u0130drar torbas\u0131 ile idrar al\u0131nmas\u0131;<\/p>\n<ul>\n<li>\u0130drar K\u00fclt\u00fcr\u00fc mutlaka k\u00fclt\u00fcr yap\u0131lacak laboratuarda al\u0131nmal\u0131. D\u0131\u015far\u0131da al\u0131n\u0131p laboratuara getirilen idrardan idrar k\u00fclt\u00fcr\u00fc yap\u0131lmamal\u0131<\/li>\n<li>\u0130drar k\u00fclt\u00fcr\u00fc alacak ki\u015fi ellerini sabunlu su ile y\u0131kamal\u0131 ve havada do\u011fal kurumaya b\u0131rakmal\u0131<\/li>\n<li>Bebek s\u0131rt \u00fcst\u00fc yatarken genital b\u00f6lge, anal b\u00f6lge, deri k\u0131vr\u0131mlar\u0131 sabunlu su ile y\u0131kanmal\u0131 ve havada do\u011fal kurumaya b\u0131rak\u0131lmal\u0131,<\/li>\n<li>K\u0131z \u00e7ocuklar\u0131nda deri k\u0131vr\u0131mlar\u0131 gerilerek idrar \u00e7\u0131k\u0131\u015f a\u011fz\u0131 ve<span class=\"Apple-converted-space\">\u00a0 <\/span>vajen g\u00f6r\u00fcn\u00fcr hale getirilir. \u0130drar torbas\u0131 tak\u0131l\u0131rken; \u00f6nce<span class=\"Apple-converted-space\">\u00a0 <\/span>idrar torbas\u0131n\u0131n dar k\u0131sm\u0131 vajen ve makat aras\u0131ndaki b\u00f6lgeye yap\u0131\u015ft\u0131r\u0131l\u0131r. Daha sonra da torban\u0131n di\u011fer k\u0131s\u0131mlar\u0131 arkadan \u00f6ne<span class=\"Apple-converted-space\">\u00a0 <\/span>do\u011fru idrar\u0131n \u00e7\u0131k\u0131\u015f deli\u011fini i\u00e7ine alacak \u015fekilde<span class=\"Apple-converted-space\">\u00a0 <\/span>yerle\u015ftirilir.<\/li>\n<li>Erkek \u00e7ocuklarda idrar torbas\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>\u00f6nden arkaya do\u011fru \u00e7ocu\u011fun penisi idrar<span class=\"Apple-converted-space\">\u00a0 <\/span>torbas\u0131n\u0131n i\u00e7inde olacak \u015fekilde yerle\u015ftirilir.<\/li>\n<li>Torba tak\u0131ld\u0131ktan sonra bebek dik pozisyonda tutulmal\u0131<\/li>\n<li>30 dakikada idrar al\u0131namaz ise idrar torbas\u0131 de\u011fi\u015ftirilmelidir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<\/ul>\n<p>2 ya\u015f \u00fcst\u00fc idrar kontrol\u00fc sa\u011flanm\u0131\u015f \u00e7ocuklarda k\u00fclt\u00fcr i\u00e7in idrar; orta ak\u0131m idrar al\u0131narak yap\u0131l\u0131r.<\/p>\n<p>Orta ak\u0131m idrar al\u0131nmas\u0131:<\/p>\n<ul>\n<li>Do\u011fru uyguland\u0131\u011f\u0131nda g\u00fcvenirlili\u011fi \u00e7ok y\u00fcksektir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Bebek s\u0131rt \u00fcst\u00fc yatarken genital b\u00f6lge, anal b\u00f6lge, deri k\u0131vr\u0131mlar\u0131 sabunlu su ile y\u0131kanmal\u0131 ve havada do\u011fal kurumaya b\u0131rak\u0131lmal\u0131<\/li>\n<li>Al\u0131nacak idrar\u0131n genital b\u00f6lgede deriye veya herhangi bir yere de\u011fmemesine \u00f6zen g\u00f6sterilmeli<\/li>\n<li>K\u0131z \u00e7ocuklar\u0131nda vajen yapraklar\u0131 aralanarak ve gerilerek; erkek \u00e7ocukta s\u00fcnnet derisi geri \u00e7ekilerek; \u00e7ocuklar i\u015femeye ba\u015flar ve kesintisiz i\u015ferken, ilk idrar d\u0131\u015far\u0131ya ak\u0131t\u0131l\u0131r daha sonra i\u015femenin ortas\u0131nda idrar direkt olarak steril toplama kab\u0131na al\u0131n\u0131r. \u0130\u015feme bitmeden toplama kab\u0131 geri \u00e7ekilir.<\/li>\n<\/ul>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>\u0130drar k\u00fclt\u00fcr\u00fc yapma olana\u011f\u0131 yok ise klinik bulgular\u0131n yan\u0131nda idrar dald\u0131rma \u00e7ubu\u011fu ile bak\u0131ld\u0131\u011f\u0131nda L\u00f6kosit + Nitrit ve idrar mikroskobisinde bakteri \u00fcri ve piy\u00fcri<span class=\"Apple-converted-space\">\u00a0 <\/span>var ise \u0130YE tan\u0131s\u0131 konup tedaviye ba\u015flanabilir.<\/p>\n<p><b>\u0130DRAR YOLU ENFEKS\u0130YONLARINDA TEDAV\u0130<\/b><\/p>\n<p><span class=\"Apple-converted-space\">\u00a0\u00a0 \u00a0 \u00a0 \u00a0 <\/span><b>Tedavinin amac\u0131<\/b>; idrar yollar\u0131ndaki enfeksiyonu yok etmek, idrar yolu enfeksiyonuna neden olabilecek anatomik ya da i\u015flevsel bozukluklar\u0131 belirleyip d\u00fczeltmek, idrar yolu enfeksiyonunun tekrarlamalar\u0131n\u0131 \u00f6nlemek ve b\u00f6brek i\u015flevini korumakt\u0131r. Tedavi; idrar k\u00fclt\u00fcr\u00fc sonucuna g\u00f6re uygun antibiyotik tedavisi ile hastalar h\u0131zl\u0131 ve tam olarak iyile\u015fir. Antibiyotik se\u00e7imi ve uygulama y\u00f6ntemi; hastan\u0131n ya\u015f grubu, ya\u015fanan b\u00f6lgedeki antibiyotik direnci ve hastan\u0131n klinik bulgular\u0131na ba\u011fl\u0131 olarak de\u011fi\u015febilir. \u0130drar k\u00fclt\u00fcr\u00fc sonucunun kesinle\u015fmesi birka\u00e7 g\u00fcn s\u00fcrebilir. O nedenle<span class=\"Apple-converted-space\">\u00a0 <\/span>idrar yolu enfeksiyonu d\u00fc\u015f\u00fcn\u00fclen riskli hastalarda; \u00f6zellikle de 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda anatomik bozukluk, tekrarlayan idrar yolu enfeksiyonu \u00f6yk\u00fcs\u00fc var ise k\u00fclt\u00fcr\u00fcn kesinle\u015fmesini beklemeden<span class=\"Apple-converted-space\">\u00a0 <\/span>acilen tedaviye ba\u015flanmal\u0131d\u0131r. Geciken tedavi b\u00f6brek hasar\u0131 geli\u015fmesi riskini art\u0131r\u0131r.<\/p>\n<p>\u0130YE tedavisinde; alt \u0130YE\u2019de 5-7 g\u00fcn s\u00fcre ile uygun antibiyotik tedavisi verilmelidir.<\/p>\n<p>\u00dcst \u0130YE tedavisinde ise 10-14 g\u00fcn s\u00fcre ile<span class=\"Apple-converted-space\">\u00a0 <\/span>uygun antibiyotik tedavisi verilmelidir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Tedavi ba\u015flanan hastalarda genellikle 48-72 saat i\u00e7inde iyile\u015fme g\u00f6zlenir. 72 saatten sonra klinik bulgularda ve idrar mikroskobisinde d\u00fczelme g\u00f6zlenmediyse diren\u00e7li mikroplar\u0131n neden oldu\u011fu \u0130YE ya da idrar yollar\u0131nda t\u0131kanma zemininde geli\u015fen bir enfeksiyon olabilece\u011fi d\u00fc\u015f\u00fcn\u00fclerek tedavi de\u011fi\u015fikli\u011fine gidilmelidir. Tedavi tamamland\u0131ktan 2-3 g\u00fcn sonra idrar\u0131n mikroskobik incelemesi, 7-10 g\u00fcn sonra da idrar k\u00fclt\u00fcr\u00fc yap\u0131larak \u0130YE&#8217;nin tamamen ge\u00e7ti\u011fi kontrol edilmelidir.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Tekrarlayan \u0130YE de \u00e7ocu\u011fun klinik durumuna, tekrarlamalar\u0131n s\u0131kl\u0131\u011f\u0131na, ka\u00e7ak durumuna ve anatomik anormalliklerin durumuna g\u00f6re 6 ay-1 y\u0131l koruyucu antibiyotik tedavisi kullan\u0131lmas\u0131 gerekebilir.<\/p>\n<p><b>\u0130DRAR YOLU ENFEKS\u0130YONLARINDAN KORUNMA<\/b><\/p>\n<p><b>Korunma i\u00e7in:\u00a0<\/b><\/p>\n<ul>\n<li>\u00c7ocuklar\u0131n bol s\u0131v\u0131 almas\u0131 sa\u011flanmal\u0131<\/li>\n<li>S\u0131k s\u0131k idrara \u00e7\u0131kmas\u0131 i\u00e7in gerekli uyar\u0131lar yap\u0131lmal\u0131. \u00c7ocuklar\u0131n 4-5 saat ara ile g\u00fcnde 6-8 kez idrara \u00e7\u0131kmas\u0131 sa\u011flanmal\u0131<\/li>\n<li>\u00c7i\u015f yaparken \u00e7ocu\u011fun; \u0131k\u0131narak idrar torbas\u0131n\u0131 tam olarak bo\u015faltmas\u0131 sa\u011flanmal\u0131. \u0130drar kesesinde idrar kalmamal\u0131<\/li>\n<li>Anal ve genital b\u00f6lge temizli\u011finin \u00e7ok iyi yap\u0131lmas\u0131na \u00f6zen g\u00f6sterilmeli<\/li>\n<li>\u00d6zellikle k\u0131z \u00e7ocuklar\u0131nda alt temizli\u011fi \u00f6nden arkaya do\u011fru yap\u0131lmal\u0131. Silme bezi vajen b\u00f6lgesinde tek bir kez kullan\u0131lmal\u0131, tekrar silmek gerekiyorsa yeni bir bezle \u00f6nden arkaya do\u011fru silme i\u015flemi yap\u0131lmal\u0131<\/li>\n<li>\u00c7ocuklara naylon ve dar giysiler giydirilmemeli<\/li>\n<li>Durgun suda k\u00f6p\u00fckl\u00fc banyo yapt\u0131r\u0131lmamal\u0131<\/li>\n<li>Genital b\u00f6lgeye parf\u00fcm ve deodorant kullan\u0131lmamal\u0131<\/li>\n<li>Ba\u011f\u0131rsak parazitleri varsa tedavi edilmeli<\/li>\n<li>Kab\u0131z kalmamaya dikkat edilmeli. Su ve sulu g\u0131dalar\u0131 bol miktarda t\u00fcketmeli, protein, karbonhidrat ve ya\u011f oran\u0131 dengeli, sebze ve meyve a\u011f\u0131rl\u0131kl\u0131 bir beslenme d\u00fczeni sa\u011flanmal\u0131<\/li>\n<li>Hijyen kurallar\u0131na uyulmal\u0131. \u00d6zellikle yeni do\u011fan bebeklerde s\u0131k alt bezi de\u011fi\u015ftirilmeli, idrar yollar\u0131n\u0131n d\u0131\u015fk\u0131yla uzun s\u00fcre temas\u0131 engellenmeli<\/li>\n<li>Yeni do\u011fan s\u00fcnneti engellenmeli, bilinenin aksine penis ba\u015f\u0131n\u0131 \u00f6rten s\u00fcnnet derisi penisi d\u0131\u015f olumsuzluklardan ve idrar yolu enfeksiyonundan korumaktad\u0131r.<\/li>\n<li>\u0130shal ve pi\u015fik idrar yolu enfeksiyonu s\u0131kl\u0131\u011f\u0131n\u0131 artt\u0131rabilir. Bunun i\u00e7in gerekli \u00f6nlemler al\u0131nmal\u0131d\u0131r.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0 \u00a0 \u00a0 \u0130drar Yolu Enfeksiyonu; b\u00f6breklerden idrar\u0131n son \u00e7\u0131k\u0131\u015f noktas\u0131na (\u00dcretra giri\u015fi) kadar olan b\u00f6l\u00fcmdeki idrar yollar\u0131n\u0131n bakteri, vir\u00fcs ya da mantar denilen mikroplarla olan enfeksiyonlar\u0131na idrar yolu enfeksiyonu (\u0130YE) denir. \u00a0 \u00a0 \u00a0 \u00a0 \u00c7ocukluk \u00e7a\u011f\u0131nda solunum yolu enfeksiyonlar\u0131ndan sonra 2.s\u0131rada \u0130YE yer al\u0131r. Yeni do\u011fan d\u00f6nemi<\/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-2272","post","type-post","status-publish","format-standard","hentry","category-acil-durumlar"],"_links":{"self":[{"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts\/2272","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=2272"}],"version-history":[{"count":1,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts\/2272\/revisions"}],"predecessor-version":[{"id":2273,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/posts\/2272\/revisions\/2273"}],"wp:attachment":[{"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/media?parent=2272"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/categories?post=2272"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.doktoryilmazbay.com\/wp-json\/wp\/v2\/tags?post=2272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}