Ortalama 10 y\u0131lda bir Pandemi ve 3-4 y\u0131lda bir de Epidemi ve Endemi’ler yolu ile binlerce insan \u00f6l\u00fcm\u00fcne direk veya dolayl\u0131 yol a\u00e7an bu yayg\u0131n enfeksyonu biraz daha yak\u0131ndan tan\u0131yal\u0131m.<\/p>\n
Bula\u015fmas\u0131 k\u00fc\u00e7\u00fck vir\u00fcs partik\u00fclleri i\u00e7eren aerosollerin(havada u\u00e7u\u015fan damlac\u0131klar) solunmas\u0131 ile s\u0131kl\u0131kla k\u0131\u015f aylar\u0131nda (Aral\u0131k\u0096 Nisan), ki buna \u0130nfluenza(Grip) mevsimi de denir.Genellikle endemiler k\u0131\u015flalar,okullar,toplu ta\u015f\u0131ma ara\u00e7lar\u0131,sinema\u0085vb kalabal\u0131k ortamlarda olur.<\/p>\n
Hastal\u0131k ani ba\u015flar ate\u015f,ba\u015f a\u011fr\u0131s\u0131,\u00f6ks\u00fcr\u00fck,kas a\u011fr\u0131lar\u0131,halsizlik,i\u015ftahs\u0131zl\u0131k, titreme,terleme ve burun ak\u0131nt\u0131s\u0131 g\u00f6r\u00fcl\u00fcr.K\u0131rg\u0131nl\u0131k ve i\u015ftahs\u0131zl\u0131k 1 hafta kadar s\u00fcrer,di\u011fer \u015fikayetler genellikle 2-3 g\u00fcn.Ate\u015f ilk 2 g\u00fcn 38-38,5 C aras\u0131d\u0131r ve pek nadir 39 C yi ge\u00e7er.Bu s\u00fcre\u00e7 i\u00e7inde kendili\u011finden hastal\u0131k iyile\u015fir,ancak bazen komplikasyon denen daha a\u011f\u0131r formlara d\u00f6n\u00fc\u015f\u00fcr.Bu durum hastal\u0131\u011f\u0131n yaratt\u0131\u011f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k zay\u0131flamas\u0131 nedeniyle ve ba\u015fka mikroplar\u0131n eklenmesi ile olur.En s\u0131k sin\u00fczit,orta kulak iltihab\u0131,bron\u015fit,zat\u00fcre g\u00f6r\u00fcl\u00fcr.Ya\u015fl\u0131 ve ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 \u00e7e\u015fitli nedenlerle zay\u0131flam\u0131\u015f insanlarda ve yeni do\u011fanlarda maalesef daha a\u011f\u0131r ve \u00f6l\u00fcmc\u00fcl durumlar da g\u00f6r\u00fcl\u00fcr.\u00d6l\u00fcmlerin %80-90’\u0131 65 ya\u015f \u00fcst\u00fcndedir ve varolan kalp-akci\u011fer hastal\u0131klar\u0131n\u0131n alevlenmesi sonucu olu\u015fur.<\/p>\n
Te\u015fhis genellikle hastadan al\u0131nan epidemiolojik ve klinik bilgilerle konur(%85 do\u011fru),Kesin te\u015fhis kanda laboratuar testleri ile konur(H\u0131zl\u0131 antijen testi,Antikor testi gibi\u0085)<\/p>\n
So\u011fuk alg\u0131nl\u0131\u011f\u0131 ve alerjik rinit ile kar\u0131\u015ft\u0131r\u0131labiliyor.So\u011fuk alg\u0131nl\u0131\u011f\u0131 veya nezle durumunda ate\u015f nadir,alerjik rinitte hi\u00e7 olmaz iken t\u0131kal\u0131 burun ve hap\u015f\u0131rma her iki rahats\u0131zl\u0131kta s\u0131kt\u0131r.Grip’in en karakteristik bulgular\u0131 ileri derecede halsizlik,bitkinlik,g\u00f6\u011f\u00fcste s\u0131k\u0131nt\u0131,kas a\u011fr\u0131lar\u0131 ve ate\u015ftir.<\/p>\n
Tedavisine gelince yatak istirahat\u0131, s\u0131v\u0131 al\u0131m\u0131, a\u011fr\u0131 kesici-ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler, burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 hafifleten ila\u00e7lar, \u00f6ks\u00fcr\u00fck hafifleticiler ve antivirallerden olu\u015fur.<\/p>\n
\u00d6nlemede en etkili yol a\u015f\u0131lamad\u0131r.Canl\u0131l\u0131\u011f\u0131 azalt\u0131lm\u0131\u015f vir\u00fcs a\u015f\u0131lar\u0131 kullan\u0131l\u0131r.Her y\u0131l s\u0131k antijenik de\u011fi\u015fim nedeni ile bir \u00f6nceki k\u0131\u015f epidemisinde bask\u0131n antijenlerden haz\u0131rlanan yeni a\u015f\u0131 haz\u0131rlan\u0131r.<\/p>\n
A\u015f\u0131lar\u0131n etkinli\u011fi \u015f\u00f6yledir<\/strong>: % 70 – 90 gribe ba\u011fl\u0131 hastaneye yat\u0131\u015flar\u0131 ve akci\u011fer komplikasyonlar\u0131n\u0131 % 50-60 azalt\u0131r.Hastaneye yatan hastalardaki \u00f6l\u00fcm oran\u0131n\u0131 %80 azalt\u0131r.Doktor ziyaretlerini %40, i\u015f g\u00fcnlerindeki kay\u0131plar\u0131 %40 ve antibiyotik kullan\u0131m\u0131n\u0131 %25 azalt\u0131r.<\/p>\n A\u015f\u0131 uygulamas\u0131;<\/strong> 6 ayl\u0131ktan b\u00fcy\u00fcklere rahatl\u0131kla uygulanabilir.Kas i\u00e7ine yap\u0131l\u0131r yeti\u015fkinlerde kola, bebeklerde uyluk \u00f6n d\u0131\u015f b\u00f6lgeye yap\u0131l\u0131r.A\u015f\u0131 her y\u0131l Ekim – Kas\u0131m ortalar\u0131na kadar uygulanmal\u0131d\u0131r. <\/p>\n A\u015f\u0131 kimlere uygulanmal\u0131?<\/strong><\/p>\n 1-Enfeksiyonla ili\u015fkili komplikasyonlar i\u00e7in riskli gruplara(65 ya\u015f \u00fczerindekilere,huzur evleri ve bak\u0131m evlerinde kalan kronik hastal\u0131\u011f\u0131 olan ki\u015filere,akci\u011fer ve kalp-damar sisteme ait kronik hastal\u0131\u011f\u0131 olan yeti\u015fkin ve \u00e7ocuklar,kronik metabolik hastal\u0131k (Diabet), immunsupresyon nedeni ile \u00f6nceki y\u0131l d\u00fczenli olarak izlenen veya hastaneye yat\u0131r\u0131lan yeti\u015fkin ve \u00e7ocuklar, aspirin almak zorunda olan 6 ay-18 ya\u015f aras\u0131ndaki \u00e7ocuklar, grip mevsimi s\u0131ras\u0131nda gebeliklerinin ikinci veya \u00fc\u00e7\u00fcnc\u00fc trimenstrinde olacak olan kad\u0131nlar, <\/p>\n 2-Y\u00fcksek riskli ki\u015filere influenza bula\u015ft\u0131rabilen gruplar(Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 \/doktor, hem\u015fire\/ huzur evleri ve kronik hastal\u0131\u011f\u0131 olanlar\u0131n kald\u0131\u011f\u0131 bak\u0131m evlerinde \u00e7al\u0131\u015fan personel,y\u00fcksek riskli ki\u015filerin ya\u015fad\u0131\u011f\u0131 ev halk\u0131,<\/p>\n En uygun a\u015f\u0131 zaman\u0131<\/strong> : Ekim-Kas\u0131md\u0131r.Riskli ki\u015filer Ekim,di\u011fer gruplar Kas\u0131m ay\u0131nda a\u015f\u0131lanabilirler.Aral\u0131k ay\u0131ndan sonra da uygulanabilir.6-23 aylar aras\u0131ndaki sa\u011fl\u0131kl\u0131 \u00e7ocuklara a\u015f\u0131 \u00f6nerilmektedir.Grip a\u015f\u0131lar\u0131n\u0131n yan etkilerine gelince uygulama yerinde a\u011fr\u0131,sistemik reaksiyonlar(ate\u015f, halsizlik, kas a\u011fr\u0131s\u0131), allerjik reaksiyonlar(\u00e7ok nadir),yumurtaya duyarl\u0131l\u0131\u011f\u0131 olan ki\u015filere uygulanmaz.<\/p>\n","protected":false},"excerpt":{"rendered":" Ortalama 10 y\u0131lda bir Pandemi ve 3-4 y\u0131lda bir de Epidemi ve Endemi’ler yolu ile binlerce insan \u00f6l\u00fcm\u00fcne direk veya dolayl\u0131 yol a\u00e7an bu yayg\u0131n enfeksyonu biraz daha yak\u0131ndan tan\u0131yal\u0131m. Bula\u015fmas\u0131 k\u00fc\u00e7\u00fck vir\u00fcs partik\u00fclleri i\u00e7eren aerosollerin(havada …<\/p>\n","protected":false},"author":1,"featured_media":3686,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[100,354,281,220,645],"class_list":["post-3685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-agri","tag-asi","tag-ates","tag-kas","tag-kisiler"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3685","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=3685"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3685\/revisions"}],"predecessor-version":[{"id":3687,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3685\/revisions\/3687"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/3686"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3685"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3685"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}