Bebeklik ve \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131klar\u0131 deyince akla ilk gelenler k\u0131zam\u0131k, k\u0131z\u0131l, el-ayak-a\u011f\u0131z hastal\u0131\u011f\u0131, krup, su\u00e7i\u00e7e\u011fi, bo\u011fmaca, k\u0131zam\u0131k\u00e7\u0131k, 5. hastal\u0131k, 6. hastal\u0131k ve kabakulak.<\/p>\n
Ancak bunlardan daha fazlas\u0131 var: Kawasaki ve Reye sendromlar\u0131, impetigo, konjunktivit ve gastroenterit ve RSV.<\/p>\n
Biz bu yaz\u0131da hepsine de\u011finmeye \u00e7al\u0131\u015ft\u0131k.<\/p>\n
Bu i\u00e7erik sadece genel bilgi vermek ama\u00e7l\u0131d\u0131r.<\/p>\n
Buradan yola \u00e7\u0131karak \u00e7ocu\u011funuza te\u015fhis koyamaz ya da onu tedavi edemezsiniz.<\/p>\n
L\u00fctfen \u00e7ocu\u011funuzla ilgili t\u0131bbi yard\u0131m\u0131 sadece t\u0131p profesyonellerinden isteyin.<\/p>\n
\u00c7ocu\u011funuzun sa\u011fl\u0131\u011f\u0131yla ve uygulanacak tedaviyle ilgili merak etti\u011finiz sorular\u0131 doktorunuza sormaktan \u00e7ekinmeyin.<\/p>\n
Dile\u011fimiz hi\u00e7bir \u00e7ocuk hasta olmas\u0131n. Olursa da en iyi ve en b\u00fct\u00fcnc\u00fcl t\u0131bbi bak\u0131m\u0131 alabilsin.<\/p>\n
G\u00fcn\u00fcm\u00fczde bebeklik ve \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131klar\u0131 olarak nitelendirilen pek \u00e7ok hastal\u0131\u011f\u0131n a\u015f\u0131s\u0131 a\u015f\u0131 takviminde yer al\u0131yor.<\/p>\n
\u00dclkemizde Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a> taraf\u0131ndan belirtildi\u011fi \u00fczere 13 hastal\u0131\u011fa rutin a\u015f\u0131 uygulamas\u0131 yap\u0131l\u0131yor.<\/p>\n K\u0131zam\u0131k, kabakulak, k\u0131zam\u0131k\u00e7\u0131k, su\u00e7i\u00e7e\u011fi ve bo\u011fmaca bu hastal\u0131klar aras\u0131nda.<\/p>\n <\/p>\n <\/p>\n K\u0131zam\u0131k t\u00fcm d\u00fcnyada g\u00f6r\u00fclen bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r.<\/p>\n Rubeola<\/em> olarak da bilinir.<\/p>\n Vir\u00fcs kaynakl\u0131d\u0131r. Solunum yolu ile kolayca bula\u015fabilir.<\/p>\n <\/p>\n K\u0131zam\u0131k belirtileri vir\u00fcs\u00fcn bula\u015fmas\u0131ndan yakla\u015f\u0131k 10-14 g\u00fcn sonra ortaya \u00e7\u0131kar.<\/p>\n \u2022 Ate\u015f<\/p>\n \u2022 Kuru \u00f6ks\u00fcr\u00fck<\/p>\n \u2022 Bo\u011faz a\u011fr\u0131s\u0131<\/p>\n \u2022 Halsizlik<\/p>\n \u2022 Burun ak\u0131nt\u0131s\u0131<\/p>\n \u2022 G\u00f6zlerde ve g\u00f6z \u00e7evresinde a\u011fr\u0131 ile seyreden k\u0131zar\u0131kl\u0131k<\/p>\n Bu belirtilerin ard\u0131ndan y\u00fczde d\u00f6k\u00fcnt\u00fc olarak ifade edilen k\u0131rm\u0131z\u0131 lekeler<\/strong> meydana gelir.<\/p>\n Bu lekeler k\u0131sa s\u00fcrede t\u00fcm v\u00fccuda yay\u0131l\u0131r.<\/p>\n K\u0131zam\u0131k enfeksiyonu 2-3 haftal\u0131k bir zaman diliminde a\u015famalar halinde ger\u00e7ekle\u015fir:<\/p>\n Enfeksiyon ve kulu\u00e7ka evresi:<\/strong><\/em> Enfekte olduktan sonraki ilk 10-14 g\u00fcn k\u0131zam\u0131\u011f\u0131n kulu\u00e7ka evresidir. Bu s\u00fcre\u00e7te k\u0131zam\u0131k herhangi bir belirti vermez.<\/p>\n Net olmayan semptomlar:<\/strong> <\/em>K\u0131zam\u0131k tipik olarak hafif ate\u015fle ba\u015flar.<\/p>\n Israrl\u0131 bir \u00f6ks\u00fcr\u00fck, burun ak\u0131nt\u0131s\u0131, bo\u011faz a\u011fr\u0131s\u0131 ve g\u00f6zde yang\u0131, ate\u015fe e\u015flik eder.<\/p>\n Bu evre yakla\u015f\u0131k 2 ya da 3 g\u00fcn s\u00fcrebilir.<\/p>\n Akut evre ve d\u00f6k\u00fcnt\u00fc:<\/strong><\/em> D\u00f6k\u00fcnt\u00fc k\u0131rm\u0131z\u0131 lekelerden olu\u015fur.<\/p>\n Bunlar\u0131n baz\u0131lar\u0131 hafif kabar\u0131kt\u0131r. \u0130lk \u00f6nce y\u00fczde g\u00f6r\u00fcl\u00fcrler.<\/p>\n Birka\u00e7 g\u00fcn sonra d\u00f6k\u00fcnt\u00fc kollardan ba\u015flamak \u00fczere v\u00fccudun di\u011fer b\u00f6l\u00fcmlerine yay\u0131l\u0131r. Ate\u015f birden bire y\u00fckselir. \u00d6yle ki 40-41 dereceyi bulabilir.<\/p>\n D\u00f6k\u00fcnt\u00fcler \u00f6nce y\u00fcz\u00fc, en son da bacak ve ayaklar\u0131 terk eder.<\/p>\n Bula\u015fma evresi:<\/strong><\/em> K\u0131zam\u0131k olan ki\u015fi vir\u00fcs\u00fc 8 g\u00fcn boyunca bula\u015ft\u0131r\u0131r.<\/p>\n D\u00f6k\u00fcnt\u00fcler ba\u015flamadan \u00f6nceki 4 g\u00fcn ve d\u00f6k\u00fcnt\u00fcler ba\u015flad\u0131ktan sonraki 4 g\u00fcn bula\u015fma evresidir.<\/p>\n K\u0131zam\u0131k vir\u00fcs\u00fc ta\u015f\u0131yan \u00e7ocuk bir ortamda \u00f6ks\u00fcrd\u00fc\u011f\u00fcnde, hap\u015f\u0131rd\u0131\u011f\u0131nda ya da konu\u015ftu\u011funda enfekte olmu\u015f damlac\u0131klar havaya sa\u00e7\u0131l\u0131r.<\/p>\n Ortamdaki di\u011fer \u00e7ocuklar bu damlac\u0131klar\u0131 soluyabilir ve b\u00f6ylece hastal\u0131k ba\u015fka bir ki\u015fiye bula\u015fm\u0131\u015f olabilir.<\/p>\n D\u00fcnyan\u0131n en sayg\u0131n t\u0131p kurulu\u015flar\u0131ndan Mayo Klinik<\/a> verilerine g\u00f6re, k\u0131zam\u0131k ciddiye al\u0131nmas\u0131 ve takip edilmesi gereken bir hastal\u0131kt\u0131r.<\/p>\n A\u015f\u0131 uygulamas\u0131 sayesinde t\u00fcm d\u00fcnyada \u00f6l\u00fcm oranlar\u0131 d\u00fc\u015fm\u00fc\u015f olsa da k\u0131zam\u0131k y\u0131lda 100.000\u2019den fazla ki\u015finin \u00f6l\u00fcm\u00fcne yol a\u00e7ar.<\/p>\n Ve bu ki\u015filerin \u00e7o\u011funu 5 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklar olu\u015fturur.<\/p>\n K\u0131zam\u0131k belirtilerini fark etti\u011finiz anda \u00e7ocu\u011funuzu mutlaka bir doktora g\u00f6t\u00fcr\u00fcn. En uygun tedaviyi doktorunuz \u00f6nerecektir.<\/p>\n Genellikle evde tedavi verilir.<\/p>\n \u00c7ocu\u011fun mutlaka dinlenmesini sa\u011flay\u0131n.<\/p>\n Bula\u015f\u0131c\u0131 olmas\u0131 neden\u0130yle k\u0131zam\u0131k olan \u00e7ocu\u011funuzu ba\u015fkalar\u0131yla g\u00f6r\u00fc\u015ft\u00fcrmey\u0130n.<\/p><\/blockquote>\n Bol bol su i\u00e7mesini sa\u011flay\u0131n.<\/p>\n Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 y\u00fckselten sa\u011fl\u0131kl\u0131 yiyecekler yemesine destek olun.<\/p>\n K\u0131zam\u0131k hastal\u0131\u011f\u0131ndan korunman\u0131n en etkin yolu a\u015f\u0131 yapt\u0131rmakt\u0131r.<\/p>\n K\u0131zam\u0131k a\u015f\u0131s\u0131 \u00e7ocukluk d\u00f6nemi a\u015f\u0131 takviminde KKK (k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak) a\u015f\u0131s\u0131 olarak yer al\u0131r.<\/p>\n Mayo Klinik<\/a> uzmanlar\u0131na g\u00f6re k\u0131zam\u0131\u011f\u0131n risk fakt\u00f6rleri \u015f\u00f6yledir:<\/p>\n \u2022 A\u015f\u0131 yapt\u0131rmam\u0131\u015f olmak<\/p>\n \u2022 K\u0131zam\u0131k hastal\u0131k oranlar\u0131n\u0131n yo\u011fun oldu\u011fu \u00fclkelere seyahat etmek<\/p>\n \u2022 A vitamini eksikli\u011fi<\/p>\n <\/p>\n Kabakulak, kabakulak vir\u00fcs\u00fcn\u00fcn neden oldu\u011fu bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r.<\/p>\n Kulaklar\u0131n yak\u0131n\u0131ndaki t\u00fck\u00fcr\u00fck bezlerinin \u015fi\u015fmesine yol a\u00e7ar.<\/p>\n B\u00f6ylece yanaklar \u015fi\u015fer, \u00e7ene hassasla\u015f\u0131r.<\/p>\n Kabakulak her ya\u015fta \u00e7ocu\u011fu ve yeti\u015fkinleri etkileyebilir.<\/p>\n Kabakulak belirtisi g\u00f6steren ki\u015filerin mutlaka doktora ba\u015fvurmas\u0131 gerekir.<\/p>\n Kabakulak olan baz\u0131 ki\u015filer hastal\u0131\u011fa dair hi\u00e7bir belirti ta\u015f\u0131mayabilir ya da belirtiler \u00e7ok hafif olabilir.<\/p>\n Hastal\u0131k belirtileri genellikle vir\u00fcs\u00fcn bula\u015fmas\u0131ndan 2-3 hafta sonra ortaya \u00e7\u0131kar.<\/p>\n Kabakula\u011f\u0131n ba\u015fl\u0131ca belirtisi avurtlar\u0131n da \u015fi\u015fmesine yol a\u00e7an \u015fi\u015fkin t\u00fck\u00fcr\u00fck bezleridir.<\/p>\n Di\u011fer belirtiler \u015f\u00f6yledir:<\/strong> <\/em><\/p>\n \u2022 Y\u00fcz\u00fcn her iki taraf\u0131ndaki ya da tek taraftaki \u015fi\u015fkin t\u00fck\u00fcr\u00fck bezlerinde olu\u015fan a\u011fr\u0131<\/p>\n \u2022 Yutkunurken ya da \u00e7i\u011fnerken ac\u0131<\/p>\n \u2022 Ate\u015f<\/p>\n \u2022 Ba\u015f a\u011fr\u0131s\u0131<\/p>\n \u2022 Kas a\u011fr\u0131lar\u0131<\/p>\n \u2022 G\u00fc\u00e7s\u00fczl\u00fck ve halsizlik<\/p>\n \u2022 \u0130\u015ftah kayb\u0131<\/p>\n Kabakulak vir\u00fcs\u00fc alm\u0131\u015f ki\u015filerle temas, hastal\u0131\u011f\u0131n bula\u015fmas\u0131na sebep olabilir.<\/p>\n Vir\u00fcs\u00fc alm\u0131\u015f ki\u015filer \u00f6ks\u00fcrd\u00fc\u011f\u00fcnde veya hap\u015f\u0131rd\u0131\u011f\u0131nda ya da konu\u015ftu\u011funda bo\u011faz, burun ve a\u011f\u0131zlar\u0131ndan \u00e7\u0131kan t\u00fck\u00fcr\u00fck ya da salg\u0131lar\u0131n damlac\u0131klar\u0131 havaya kar\u0131\u015fabilir.<\/p>\n Bu damlac\u0131klar di\u011fer ki\u015filerle bulu\u015ftu\u011funda vir\u00fcs\u00fcn bula\u015fmas\u0131 ger\u00e7ekle\u015fmi\u015f olur.<\/p>\n Ayr\u0131ca e\u015fyalar\u0131n \u00fczerine gelen damlac\u0131klar da belli bir s\u00fcre canl\u0131 kald\u0131\u011f\u0131 i\u00e7in bu e\u015fyalarla temas vir\u00fcs\u00fcn bula\u015fmas\u0131na yol a\u00e7ar.<\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a> verilerine g\u00f6re duyarl\u0131 bir toplumda bir kabakulak vakas\u0131 yakla\u015f\u0131k 4-7<\/strong> ki\u015fiye bu hastal\u0131\u011f\u0131 bula\u015ft\u0131rabilir.<\/p>\n <\/p>\n Bir kabakulak hastas\u0131 t\u00fck\u00fcr\u00fck bezler\u0130n\u0130n \u015f\u0130\u015fmes\u0130nden \u00f6ncek\u0130 ve sonrak\u0130 5 g\u00fcn boyunca hastal\u0131\u011f\u0131 yaymaya devam eder.<\/p><\/blockquote>\n <\/p>\n Kabakulak tedavisinin esas\u0131n\u0131 destek tedavisi olu\u015fturur.<\/p>\n Hasta dinlenmeli, bol su i\u00e7melidir.<\/p>\n Herhangi bir komplikasyon durumunda mutlaka doktorla ileti\u015fime ge\u00e7ilmelidir.<\/p>\n Hasta belirtilerin ba\u015flamas\u0131ndan itibaren evden \u00e7\u0131kmamal\u0131; sa\u011fl\u0131kl\u0131 ki\u015filerle k\u0131s\u0131tl\u0131 ve dikkatli ileti\u015fim i\u00e7inde olmal\u0131d\u0131r.<\/p>\n Kabakulak genellikle 1-2 hafta i\u00e7inde iyile\u015fen bir hastal\u0131kt\u0131r. Ancak gerekli \u00f6nlemler al\u0131nmad\u0131\u011f\u0131nda ciddi durumlara da yol a\u00e7abilir.<\/p>\n Kabakulaktan korunman\u0131n tek yolu a\u015f\u0131d\u0131r.<\/p>\n Kabakulak a\u015f\u0131s\u0131 \u00e7ocukluk d\u00f6nemi a\u015f\u0131 takviminde KKK (k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak) a\u015f\u0131s\u0131 olarak yer al\u0131r.<\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a>\u2019na g\u00f6re kabakulaktan korunmak \u00f6nemlidir \u00e7\u00fcnk\u00fc testis iltihab\u0131 gibi ciddi tablolara yol a\u00e7abilir (ergenlik sonras\u0131 kabakulak ge\u00e7iren her 5 erkekten birinde testis iltihab\u0131 geli\u015febilir).<\/p>\n Nadir g\u00f6r\u00fclen di\u011fer ciddi durumlar ise beyin iltihab\u0131, menenjit, pankreas iltihab\u0131, yumurtal\u0131k iltihab\u0131, ge\u00e7ici ve kal\u0131c\u0131 i\u015fitme azl\u0131\u011f\u0131 ve \u00e7ok nadir de i\u015fitme kayb\u0131d\u0131r.<\/p>\n <\/p>\n K\u0131zam\u0131k\u00e7\u0131k akut, bula\u015f\u0131c\u0131 bir viral enfeksiyondur.<\/p>\n V\u00fccutta d\u00f6k\u00fcnt\u00fcler ve ate\u015f gibi belirtilerle k\u0131zam\u0131k hastal\u0131\u011f\u0131na benzer, ancak daha hafiftir. Hastal\u0131k k\u00fc\u00e7\u00fck \u00e7ocuklarda kayda de\u011fer herhangi bir belirti g\u00f6stermeden hafif seyredebilir. K\u0131zam\u0131k\u00e7\u0131k hastal\u0131\u011f\u0131n\u0131n kulu\u00e7ka d\u00f6nemi genellikle 14 g\u00fcnd\u00fcr.<\/p>\n Belirtiler ortaya \u00e7\u0131kt\u0131ktan sonraki 1-5 g\u00fcn i\u00e7inde ortadan kaybolur.<\/p>\n \u2022 Hafif ate\u015f (38-39 derece ya da alt\u0131)<\/p>\n \u2022 Ba\u015f a\u011fr\u0131s\u0131<\/p>\n \u2022 Burun ak\u0131nt\u0131s\u0131 ya da burun t\u0131kan\u0131kl\u0131\u011f\u0131<\/p>\n \u2022 K\u0131rm\u0131z\u0131, iltihapl\u0131 g\u00f6zler<\/p>\n \u2022 Hassas lenf nod\u00fclleri (daha \u00e7ok ense k\u00f6k\u00fcnde ve kulaklar\u0131n arkas\u0131nda)<\/p>\n \u2022 Y\u00fczde ba\u015flay\u0131p ard\u0131ndan g\u00f6vde, kollar ve bacaklara yay\u0131lan pembe bir d\u00f6k\u00fcnt\u00fc<\/p>\n K\u0131zam\u0131k\u00e7\u0131k (Rubella) vir\u00fcs\u00fc insandan insana bula\u015f\u0131r.<\/p>\n Enfekte bir ki\u015fi \u00f6ks\u00fcrd\u00fc\u011f\u00fcnde ya da hap\u015f\u0131rd\u0131\u011f\u0131nda havaya kar\u0131\u015fan damlac\u0131klar ba\u015fka bir ki\u015finin solunum yoluyla enfekte olmas\u0131na yol a\u00e7abilir.<\/p>\n Hamile bir kad\u0131n kan yoluyla do\u011fmam\u0131\u015f \u00e7ocu\u011funa k\u0131zam\u0131k\u00e7\u0131k bula\u015ft\u0131rabilir.<\/p>\n K\u0131zam\u0131k\u00e7\u0131k olan bir ki\u015finin bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131 d\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kmadan yakla\u015f\u0131k bir hafta \u00f6nce ba\u015flar, d\u00f6k\u00fcnt\u00fcler ba\u015flad\u0131ktan sonra bir hafta daha devam eder.<\/p>\n K\u0131zam\u0131k\u00e7\u0131\u011f\u0131n fazla b\u0130r bel\u0130rt\u0130 g\u00f6stermeden seyrett\u0130\u011f\u0130 k\u00fc\u00e7\u00fck \u00e7ocuklar, hastal\u0131\u011f\u0131 h\u0131zla etrafa yayarlar.<\/p><\/blockquote>\n \u00c7ocuk k\u0131zam\u0131k\u00e7\u0131k olduysa bol bol dinlenmesi, s\u0131v\u0131 almas\u0131 ve ba\u015fkalar\u0131yla g\u00f6r\u00fc\u015fmemesi sa\u011flanmal\u0131d\u0131r.<\/p>\n Doktorlar genellikle vir\u00fcs\u00fcn belirtilerine y\u00f6nelik olarak destek tedaviler sunar.<\/p>\n K\u0131zam\u0131k\u00e7\u0131k i\u00e7in al\u0131nabilecek en etkili \u00f6nlem a\u015f\u0131d\u0131r.<\/p>\n K\u0131zam\u0131k\u00e7\u0131k a\u015f\u0131s\u0131 \u00e7ocukluk d\u00f6nemi a\u015f\u0131 takviminde KKK (k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak) \u015feklinde bulunur.<\/p>\n <\/p>\n K\u0131z\u0131l, A grubu streptokok bakterisinin neden oldu\u011fu bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r.<\/p>\n Beta mikrobunun neden oldu\u011fu enfeksiyonun d\u00f6k\u00fcnt\u00fcl\u00fc formu olarak da tan\u0131mlanabilir.<\/p>\n D\u00f6k\u00fcnt\u00fcye her zaman bo\u011faz a\u011fr\u0131s\u0131 ve y\u00fcksek ate\u015f e\u015flik eder.<\/p>\n \u00c7ocu\u011funuzda a\u015fa\u011f\u0131daki belirtileri g\u00f6rd\u00fc\u011f\u00fcn\u00fczde mutlaka bir doktora dan\u0131\u015f\u0131n.<\/p>\n \u2022 K\u0131rm\u0131z\u0131 d\u00f6k\u00fcnt\u00fc:<\/strong> D\u00f6k\u00fcnt\u00fclerin g\u00f6r\u00fcn\u00fcm\u00fc g\u00fcne\u015f yan\u0131\u011f\u0131 ya da z\u0131mpara ka\u011f\u0131d\u0131 gibidir.<\/p>\n Y\u00fczde veya boyunda ba\u015flar; ard\u0131ndan g\u00f6vde, kollar ve bacaklara ge\u00e7er.<\/p>\n Rengi k\u0131rm\u0131z\u0131ya d\u00f6nen cilde bask\u0131 uyguland\u0131\u011f\u0131nda o b\u00f6lgenin rengi solukla\u015f\u0131r.<\/p>\n \u2022 K\u0131rm\u0131z\u0131 hatlar:<\/strong> Kas\u0131k, koltukalt\u0131, dirsek, diz ve boyun di\u011fer b\u00f6lgelere g\u00f6re daha k\u0131rm\u0131z\u0131d\u0131r.<\/p>\n \u2022 K\u0131rm\u0131z\u0131 y\u00fcz:<\/strong> Y\u00fcz k\u0131zar\u0131r, a\u011f\u0131z \u00e7evresi solgundur.<\/p>\n \u2022 \u00c7ilek dil:<\/strong> \u00c7ocu\u011fun dili k\u0131rm\u0131z\u0131 ve yer yer kabar\u0131kt\u0131r.<\/p>\n Dil genellikle hastal\u0131\u011f\u0131n ilk evresinde beyaz bir tabakayla kapl\u0131d\u0131r.<\/p>\n Y\u00fcz ve dildeki d\u00f6k\u00fcnt\u00fc ile k\u0131rm\u0131z\u0131l\u0131k yakla\u015f\u0131k bir hafta s\u00fcrer. Bu belirtiler yok oldu\u011funda, d\u00f6k\u00fcnt\u00fcn\u00fcn etkiledi\u011fi cilt, solukla\u015f\u0131r.<\/p>\n \u2022 Ate\u015f:<\/strong> Genellikle \u00fc\u015f\u00fcmeyle beraber gelen 38 derece ve \u00fcst\u00fc ate\u015f g\u00f6r\u00fcl\u00fcr.<\/p>\n \u2022 Bo\u011faz a\u011fr\u0131s\u0131:<\/strong> K\u0131rm\u0131z\u0131 ve a\u011fr\u0131l\u0131 bo\u011faz hastal\u0131\u011f\u0131n en \u00f6nemli belirtilerindendir. Bazen bo\u011fazda beyaz ya da sar\u0131ya d\u00f6nen benekler olu\u015fur.<\/p>\n \u2022 Yutkunmada zorluk<\/p>\n \u2022 Boyundaki salg\u0131 bezlerinde dokunmaya kar\u015f\u0131 hassasiyet<\/p>\n \u2022 Mide bulant\u0131s\u0131 ya da kusma<\/p>\n \u2022 Ba\u015f a\u011fr\u0131s\u0131<\/p>\n K\u0131z\u0131l hastal\u0131\u011f\u0131, enfekte ki\u015fi \u00f6ks\u00fcrd\u00fc\u011f\u00fcnde ya da hap\u015f\u0131rd\u0131\u011f\u0131nda ortaya \u00e7\u0131kan damlac\u0131klar yoluyla ki\u015fiden ki\u015fiye bula\u015f\u0131r.<\/p>\n K\u0131z\u0131l hastal\u0131\u011f\u0131n\u0131n kulu\u00e7ka evres\u0130, genell\u0130kle 2-4 g\u00fcn aras\u0131ndad\u0131r.<\/p><\/blockquote>\n Mayo Klinik<\/a> uzmanlar\u0131na g\u00f6re en \u00e7ok 5-15 ya\u015f grubu \u00e7ocuklarda g\u00f6r\u00fcl\u00fcr.<\/p>\n K\u0131z\u0131l hastal\u0131\u011f\u0131n\u0131n belirtileri olu\u015ftu\u011funda \u00e7ocu\u011funuzu mutlaka doktora g\u00f6t\u00fcr\u00fcn.<\/p>\n Ve doktorunuzun verece\u011fi tedaviyi mutlaka d\u00fczenli uygulay\u0131n.<\/p>\n Antibiyotik tedavisi hastal\u0131\u011f\u0131n riskini \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r.<\/p>\n Hastal\u0131k tedavi edilmezse ciddi komplikasyonlar olu\u015fabilir.<\/p>\n K\u0131z\u0131l hastal\u0131\u011f\u0131n\u0131n bir a\u015f\u0131s\u0131 yoktur.<\/p>\n K\u0131z\u0131l hastal\u0131\u011f\u0131ndan korunmak i\u00e7in al\u0131nabilecek \u00f6nlemler di\u011fer t\u00fcm enfeksiyonlarla ayn\u0131, standart \u00f6nlemlerdir:<\/p>\n \u2022 El y\u0131kamak:<\/strong> \u00c7ocu\u011funuza enfeksiyon riskine kar\u015f\u0131 ellerini en az 20 saniye s\u00fcreyle sabunla nas\u0131l y\u0131kamas\u0131 gerekti\u011fini mutlaka \u00f6\u011fretin.<\/p>\n \u2022 Ki\u015fisel e\u015fyalar\u0131 payla\u015fmamak:<\/strong> \u00c7ocu\u011funuza su barda\u011f\u0131n\u0131, yemek yedi\u011fi \u00e7atal, ka\u015f\u0131k ve b\u0131\u00e7a\u011f\u0131n\u0131 payla\u015fmamay\u0131 \u00f6\u011fretin.<\/p>\n \u2022 A\u011fz\u0131n\u0131 ve burnunu kapatmak:<\/strong> \u00c7ocu\u011funuza \u00f6ks\u00fcr\u00fcrken ya da hap\u015f\u0131r\u0131rken a\u011fz\u0131n\u0131 ve burnunu kapatmas\u0131n\u0131 \u00f6\u011fretin.<\/p>\n Bu \u015fekilde olas\u0131 bakteri ve vir\u00fcslerin bula\u015fmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmi\u015f olur.<\/p>\n <\/p>\n El, ayak, a\u011f\u0131z hastal\u0131\u011f\u0131 T\u00fcrkiye Cumhuriyeti Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a> verilerine g\u00f6re genellikle 2-10 ya\u015f aras\u0131ndaki \u00e7ocuklar\u0131, \u00f6zellikle de 5 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklar\u0131 etkileyen bula\u015f\u0131c\u0131 bir viral hastal\u0131kt\u0131r.<\/p>\n Hastal\u0131k bazen yeti\u015fkinlerde de g\u00f6r\u00fcl\u00fcr.<\/p>\n El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131na enterovir\u00fcs cinsi vir\u00fcsler neden olur.<\/p>\n Hastal\u0131k en s\u0131k enterovir\u00fcs 71 veya koksaki vir\u00fcs A grup 16 ile meydana gelir.<\/p>\n Bakanl\u0131\u011f\u0131n sitesinde yer alan bilgiye g\u00f6re hastal\u0131k s\u0131kl\u0131kla yaz ve sonbahar aylar\u0131nda g\u00f6r\u00fcl\u00fcr.<\/p>\n El, ayak, a\u011f\u0131z hastal\u0131\u011f\u0131nda a\u015fa\u011f\u0131daki belirtilerden tamam\u0131 da g\u00f6r\u00fclebilir, birka\u00e7\u0131 da.<\/p>\n L\u00fctfen her ko\u015fulda tan\u0131 ve destek i\u00e7in doktorunuza dan\u0131\u015f\u0131n.<\/p>\n \u2022 Hafif ate\u015f (38-39 derece)<\/p>\n \u2022 Bo\u011faz a\u011fr\u0131s\u0131<\/p>\n \u2022 \u0130\u015ftah kayb\u0131<\/p>\n \u2022 Hafif halsizlik<\/p>\n \u2022 Kimi zaman kar\u0131n a\u011fr\u0131s\u0131 ve \u00f6ks\u00fcr\u00fck<\/p>\n \u2022 A\u011f\u0131zda herpanjina ad\u0131 verilen a\u011fr\u0131l\u0131, i\u00e7i su dolu d\u00f6k\u00fcnt\u00fcler<\/p>\n \u2022 Ayak taban\u0131 ve ellerde \u00f6nce k\u00fc\u00e7\u00fck k\u0131rm\u0131z\u0131 noktalar olarak ba\u015flayan sonra i\u00e7i su dolu kabarc\u0131klara d\u00f6n\u00fc\u015fen d\u00f6k\u00fcnt\u00fcler<\/p>\n \u2022 Bazen dizlerde, dirseklerde, kal\u00e7ada ve genital b\u00f6lgede de d\u00f6k\u00fcnt\u00fc olabilir.<\/p>\n El ve ayaklardaki d\u00f6k\u00fcnt\u00fcler genellikle 5-7 g\u00fcn i\u00e7inde kendili\u011finden ge\u00e7er.<\/p>\n K\u00fc\u00e7\u00fck \u00e7ocuklar i\u00e7in en zorlay\u0131c\u0131 olan a\u011f\u0131zdaki yaralard\u0131r.<\/p>\n \u00c7ocuk yemek yemekte ve su i\u00e7mekte zorluk ya\u015far.<\/p>\n El, ayak, a\u011f\u0131z hastal\u0131\u011f\u0131 solunum yoluyla, t\u00fck\u00fcr\u00fckle, yak\u0131n temasla ve d\u0131\u015fk\u0131yla bula\u015fabilir.<\/p>\n Yaz\u0131n \u00f6zellikle havuz suyundan bula\u015fma tehlikesi vard\u0131r.<\/p>\n Yo\u011funla\u015fan vir\u00fcslerle hastal\u0131k salg\u0131na d\u00f6n\u00fc\u015fme riski ta\u015f\u0131r.<\/p>\n El, ayak, a\u011f\u0131z hastal\u0131\u011f\u0131nda tedavi hastan\u0131n durumuna ve \u015fikayetlerine g\u00f6re olu\u015fturulur.<\/p>\n Hastal\u0131\u011f\u0131n a\u015f\u0131s\u0131 olmad\u0131\u011f\u0131 gibi belli bir ila\u00e7 tedavisi de yoktur.<\/p>\n Bu hastal\u0131\u011fa kar\u015f\u0131 al\u0131nabilecek en \u00f6nemli \u00f6nlem hijyen kurallar\u0131na uymakt\u0131r:<\/p>\n \u2022 Eller, \u00f6zellikle tuvalet kullan\u0131m\u0131 sonras\u0131, bez de\u011fi\u015ftirdikten sonra, yemek haz\u0131rlamadan ve yemekten \u00f6nce mutlaka su ve sabunla y\u0131kanmal\u0131d\u0131r.<\/p>\n \u2022 Hasta ki\u015filerle temastan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n \u2022 Ortak bardak, tabak, \u00e7atal, ka\u015f\u0131k, b\u0131\u00e7ak kullan\u0131m\u0131 olmamal\u0131d\u0131r.<\/p>\n \u2022 \u00c7ocu\u011fun oyuncaklar\u0131 s\u0131k aral\u0131klarla temizlenmelidir.<\/p>\n \u2022 Ortak ya\u015fam alanlar\u0131 s\u0131k s\u0131k havaland\u0131r\u0131lmal\u0131 ve temizli\u011fine dikkat edilmelidir.<\/p>\n \u2022 Okul ve kre\u015flerde ortam y\u00fczeylerinin g\u00fcnl\u00fck temizli\u011fi sa\u011flanmal\u0131d\u0131r.<\/p>\n \u2022 \u00c7ocuklar hijyen kurallar\u0131 hakk\u0131nda bilgilendirilmeleri, el y\u0131kamak konusunda desteklenmelidir.<\/p>\n Su\u00e7i\u00e7e\u011fi, varisella zorter vir\u00fcs\u00fcn\u00fcn (VZV) neden oldu\u011fu \u00e7ok bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Genellikle d\u00f6k\u00fcnt\u00fclere ate\u015f e\u015flik eder.<\/p>\n <\/p>\n Su\u00e7i\u00e7e\u011fi, t\u00fcm d\u00fcnyada oldu\u011fu g\u0130b\u0130 \u00fclkemizde de yayg\u0131n olarak daha \u00e7ok k\u0131\u015f ve \u0130lkbahar aylar\u0131nda g\u00f6r\u00fcl\u00fcr.<\/p><\/blockquote>\n <\/p>\n Genellikle 1-9 ya\u015f aras\u0131n\u0131 etkiler. Ancak eri\u015fkinlerde de hastal\u0131k olu\u015fabilir.<\/p>\n Su\u00e7i\u00e7e\u011finde d\u00f6k\u00fcnt\u00fcler genellikle vir\u00fcsle temastan 14-16 g\u00fcn sonra ortaya \u00e7\u0131kar.<\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a>\u2019n\u0131n verilerine g\u00f6re hastal\u0131\u011f\u0131n belirtileri ve seyri \u015f\u00f6yledir:<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fcler ba\u015flamadan 1-2 g\u00fcn \u00f6nce ate\u015f, halsizlik, i\u015ftahs\u0131zl\u0131k, ba\u015f a\u011fr\u0131s\u0131 ve bazen hafif kar\u0131n a\u011fr\u0131s\u0131 g\u00f6r\u00fclebilir.<\/p>\n \u2022 Ciltte ka\u015f\u0131nt\u0131l\u0131 k\u0131zar\u0131kl\u0131klar olarak ba\u015flayan d\u00f6k\u00fcnt\u00fcler hafif kabar\u0131r ve i\u00e7i s\u0131v\u0131 dolu kabarc\u0131klar halini al\u0131r.<\/p>\n \u2022 Kabuklanma 24-48 saat sonra ba\u015flar.<\/p>\n \u2022 \u0130lk olu\u015fan d\u00f6k\u00fcnt\u00fcler kabuklanmaya ba\u015flarken yakla\u015f\u0131k 5-7 g\u00fcne kadar yeni d\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kar.<\/p>\n \u2022 Ayn\u0131 b\u00f6lgede farkl\u0131 evrelerdeki d\u00f6k\u00fcnt\u00fclerin bir arada g\u00f6r\u00fclmesi su\u00e7i\u00e7e\u011fi hastal\u0131\u011f\u0131n\u0131n tipik \u00f6zelli\u011fidir.<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fcler sa\u00e7l\u0131 deriden ba\u015flayarak y\u00fcz ve g\u00f6vdeye do\u011fru yay\u0131l\u0131r.<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fcler ilk g\u00fcnlerde daha yo\u011fun olmak \u00fczere 7. g\u00fcne kadar devam eder.<\/p>\n \u2022 Su\u00e7i\u00e7e\u011fi hastal\u0131\u011f\u0131n\u0131n \u015fiddeti ya\u015fla birlikte artar.<\/p>\n Tek bula\u015fma yolu enfekte olmu\u015f ki\u015fiyle temast\u0131r.<\/p>\n Solunum yoluyla ya da derideki kabarc\u0131klar\u0131n i\u00e7inde yer alan s\u0131v\u0131yla temas sonucu hastal\u0131k ba\u015fkas\u0131na bula\u015fabilir.<\/p>\n Hastal\u0131\u011f\u0131n bula\u015f\u0131c\u0131l\u0131\u011f\u0131 d\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kmadan 1-2 g\u00fcn \u00f6nce ba\u015flar ve t\u00fcm d\u00f6k\u00fcnt\u00fcler kabuklanana kadar devam eder.<\/p>\n Su\u00e7i\u00e7e\u011finin tedavisinde \u015fu yollar izlenir:<\/p>\n \u2022 Hastaya bulgulara g\u00f6re tedavi \u00f6nerilir. Ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc, ka\u015f\u0131nt\u0131 giderici ila\u00e7lar hastan\u0131n genel sa\u011fl\u0131k durumuna ve hastal\u0131\u011f\u0131n seyrine g\u00f6re doktor taraf\u0131ndan re\u00e7etelendirilir.<\/p>\n \u2022 Derideki ka\u015f\u0131nt\u0131y\u0131 \u00f6nlemek i\u00e7in hastaya g\u00fcnl\u00fck banyo \u00f6nerilir.<\/p>\n Su\u00e7i\u00e7e\u011fi i\u00e7in al\u0131nabilecek en \u00f6nemli \u00f6nlem a\u015f\u0131d\u0131r.<\/p>\n Enfekte olmu\u015f ki\u015filerden uzak durmak gerekir.<\/p>\n T\u00fcm bula\u015f\u0131c\u0131 hastal\u0131klarda oldu\u011fu gibi el y\u0131kamak, ki\u015fisel hijyene dikkat etmek \u00f6nemlidir.<\/p>\n <\/p>\n Enfekte olmu\u015f \u00e7ocuklar hastal\u0131k tam ge\u00e7meden okula g\u00f6nder\u0130lmez.<\/p>\n <\/p><\/blockquote>\n \u00c7ocu\u011fa ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131 g\u00fc\u00e7lendirecek, sindirimi kolay besinler \u00f6nerilir.<\/p>\n <\/p>\n Krup hastal\u0131\u011f\u0131 enfeksiyon kaynakl\u0131 bir \u00fcst solunum yolu hastal\u0131\u011f\u0131d\u0131r.<\/p>\n Nefes borusu ve ses tellerindeki \u00f6dem sonucu solunum yolu t\u0131kan\u0131r, ses kal\u0131nla\u015f\u0131r ve \u00e7ocukta \u00f6zellikle geceleri artan havlama benzeri bir \u00f6ks\u00fcr\u00fck olu\u015fur.<\/p>\n \u00c7ocuk solunum yapmakta g\u00fc\u00e7l\u00fck ge\u00e7er. Solunum s\u0131kl\u0131\u011f\u0131 artar.<\/p><\/blockquote>\n Krup halk aras\u0131nda yalanc\u0131 ku\u015fpalaz\u0131, yalanc\u0131 difteri veya akut larenjit olarak da bilinir.<\/p>\n En s\u0131k 6 ay-3 ya\u015f aras\u0131ndaki k\u00fc\u00e7\u00fck \u00e7ocuklarda g\u00f6r\u00fcl\u00fcr. Daha b\u00fcy\u00fck \u00e7ocuklar da krup olabilir.<\/p>\n Krup hastal\u0131\u011f\u0131 tipik bir so\u011fuk alg\u0131nl\u0131\u011f\u0131 gibi ba\u015flar. \u0130ltihaplanma ve \u00f6ks\u00fcr\u00fck belli bir seviyeye ula\u015ft\u0131\u011f\u0131nda \u00e7ocukta \u015fu belirtiler g\u00f6r\u00fcl\u00fcr:<\/p>\n \u2022 Havlama benzeri bir \u00f6ks\u00fcr\u00fck. Giderek k\u00f6t\u00fcle\u015fen \u00f6ks\u00fcr\u00fck nedeniyle \u00e7ocuk kayg\u0131l\u0131 hale gelir. \u00d6ks\u00fcr\u00fc\u011fe a\u011flama e\u015flik edebilir.<\/p>\n \u2022 Ate\u015f<\/p>\n \u2022 Ses k\u0131s\u0131kl\u0131\u011f\u0131<\/p>\n \u2022 Solunumda g\u00fc\u00e7l\u00fck<\/p>\n \u2022 Sesli nefes alma<\/p>\n \u2022 Yutkunmada zorluk<\/p>\n \u2022 Burun ve a\u011f\u0131z \u00e7evresinde mavi ya da griye d\u00f6nen renklenme<\/p>\n Krup belirtileri geceleri daha k\u00f6t\u00fc olur.<\/p>\n Hastal\u0131k genellikle 3-5 g\u00fcn s\u00fcrer.<\/p>\n \u00d6ks\u00fcr\u00fc\u011f\u00fcn birka\u00e7 hafta devam etmesi m\u00fcmk\u00fcnd\u00fcr.<\/p>\n Krup hastal\u0131\u011f\u0131 vir\u00fcs kaynakl\u0131d\u0131r.<\/p>\n Hasta ki\u015finin \u00f6ks\u00fcrmesi veya hap\u015f\u0131rmas\u0131yla havaya kar\u0131\u015fan damlac\u0131klar ya da do\u011frudan temasla bula\u015f\u0131r.<\/p>\n Krup acil t\u0131bbi yard\u0131m gerektiren bir hastal\u0131kt\u0131r.<\/p>\n Antibiyotik tedavisi gerektirmez.<\/p>\n Genellikle doktorlar ilk etapta \u00f6dem azalt\u0131c\u0131 bir tedaviyle \u00e7ocu\u011fu rahatlatmaya \u00e7al\u0131\u015f\u0131r.<\/p>\n Tedaviye \u00e7ocu\u011fun durumuna ve hastal\u0131\u011f\u0131n seyrine \u00f6zel \u015fekilde doktor kontrol\u00fcnde devam edilmelidir.<\/p>\n Aileler bu hastal\u0131k kar\u015f\u0131s\u0131nda ne gibi \u00f6nlemler alabilir ve hastal\u0131k durumunda neler yapabilir?<\/p>\n \u2022 \u00c7ocuklara s\u0131k s\u0131k sabunla el y\u0131kama al\u0131\u015fkanl\u0131\u011f\u0131 kazand\u0131rmak her t\u00fcrl\u00fc bula\u015f\u0131c\u0131 hastal\u0131k a\u00e7\u0131s\u0131ndan \u00f6nemli.<\/p>\n \u2022 \u00c7ocu\u011funuz hap\u015f\u0131rd\u0131\u011f\u0131nda ya da \u00f6ks\u00fcrd\u00fc\u011f\u00fcnde a\u011fz\u0131n\u0131 dirsek i\u00e7ine do\u011fru kapatmay\u0131 ya da mendil kullanmay\u0131 bilmeli.<\/p>\n \u2022 Kapal\u0131 ortamlar s\u00fcrekli havaland\u0131r\u0131lmal\u0131. Hava \u00e7ok so\u011fuk dahi olsa 10-15 dakika pencere a\u00e7\u0131p i\u00e7eri temiz havan\u0131n girmesi sa\u011flanmal\u0131.<\/p>\n \u2022 Kuru hava \u00f6ks\u00fcr\u00fc\u011f\u00fc tetikleyebilece\u011fi i\u00e7in ortam\u0131n havas\u0131 bir nem cihaz\u0131yla nemlendirilmeli.<\/p>\n \u2022 \u00c7ocuk dinlenmeye te\u015fvik edilmeli.<\/p>\n \u2022 Bol s\u0131v\u0131 t\u00fcketimi \u00e7ok \u00f6nemli.<\/p>\n \u2022 \u00c7ocu\u011fun konforu hastal\u0131\u011f\u0131n belirtileri nedeniyle bozulaca\u011f\u0131ndan huysuz olmas\u0131 olas\u0131d\u0131r. Bu durumda ebeveynlerin sakin kal\u0131p \u00e7ocu\u011fa destek olmas\u0131 gerekir.<\/p>\n <\/p>\n Be\u015finci hastal\u0131k, parvovir\u00fcs B19\u2019un sebep oldu\u011fu d\u00f6k\u00fcnt\u00fcl\u00fc ve bula\u015f\u0131c\u0131 bir enfeksiyondur.<\/p>\n D\u00f6k\u00fcnt\u00fclerin yanakta olu\u015fturdu\u011fu g\u00f6r\u00fcnt\u00fc nedeniyle \u201ctokatlanm\u0131\u015f yanak sendromu\u201d olarak da bilinir.<\/p>\n Genellikle 5-15 ya\u015f aras\u0131ndaki \u00e7ocuklar aras\u0131nda yayg\u0131nd\u0131r.<\/p>\n Be\u015finci hastal\u0131k ad\u0131n\u0131, \u00e7ocuklar aras\u0131ndaki yayg\u0131n d\u00f6k\u00fcnt\u00fcl\u00fc hastal\u0131klar s\u0131ralamas\u0131nda 5. s\u0131rada geldi\u011fi i\u00e7in al\u0131r.<\/p>\n Bir \u00e7ocuk parvovir\u00fcs B19\u2019a maruz kald\u0131ktan sonra 14 g\u00fcn i\u00e7inde hastalan\u0131r.<\/p>\n Be\u015finci hastal\u0131k belirtileri genellikle orta \u015fiddette seyreder.<\/p>\n \u2022 Ate\u015f<\/p>\n \u2022 Burun ak\u0131nt\u0131s\u0131<\/p>\n \u2022 Ba\u015f a\u011fr\u0131s\u0131<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fc<\/p>\n Y\u00fcz\u00fcn yanak b\u00f6lges\u0130nde olu\u015fan k\u0131zar\u0131kl\u0131k \u015fekl\u0130ndeki d\u00f6k\u00fcnt\u00fc, be\u015f\u0130nc\u0130 hastal\u0131\u011f\u0131n en b\u0130l\u0130nen belirt\u0130s\u0130d\u0130r.<\/p><\/blockquote>\n <\/p>\n Yanaklarda tokatlanm\u0131\u015f gibi bir g\u00f6r\u00fcnt\u00fc olur.<\/p>\n D\u00f6k\u00fcnt\u00fcler daha sonra g\u00f6\u011f\u00fcs, s\u0131rt, kal\u00e7a, kol ve bacaklara yay\u0131l\u0131r.<\/p>\n Kimi zaman bu d\u00f6k\u00fcnt\u00fcler ka\u015f\u0131nt\u0131 yapabilir. Yakla\u015f\u0131k bir hafta i\u00e7inde hi\u00e7bir iz b\u0131rakmadan kaybolur.<\/p>\n Ate\u015f her \u00e7ocukta g\u00f6r\u00fclmez. Baz\u0131 \u00e7ocuklarda da d\u00f6k\u00fcnt\u00fcl\u00fc d\u00f6nemden \u00f6nce ba\u015flayan ve devam eden ate\u015f, 38.5 derecenin \u00fcst\u00fcne \u00e7\u0131kmaz.<\/p>\n Be\u015finci hastal\u0131\u011f\u0131 yol a\u00e7an parvovir\u00fcs B19, di\u011fer t\u00fcm viral enfeksiyonlarda oldu\u011fu gibi solunum yoluyla ya da do\u011frudan temas ile bula\u015f\u0131r.<\/p>\n Enfekte ki\u015finin t\u00fck\u00fcr\u00fck, balgam, mukus gibi solunum salg\u0131lar\u0131 hap\u015f\u0131rd\u0131\u011f\u0131nda ya da \u00f6ks\u00fcrd\u00fc\u011f\u00fcnde bulundu\u011fu ortama damlac\u0131klar halinde yay\u0131l\u0131r.<\/p>\n Kulu\u00e7ka evresi 14 g\u00fcnd\u00fcr.<\/strong><\/p>\n Amerikan Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri<\/a>\u2019nin (CDC) verdi\u011fi bilgiye g\u00f6re hastal\u0131\u011f\u0131n en bula\u015f\u0131c\u0131 oldu\u011fu d\u00f6nem, enfekte ki\u015finin sadece basit so\u011fuk alg\u0131nl\u0131\u011f\u0131 belirtileri g\u00f6sterdi\u011fi d\u00f6k\u00fcnt\u00fc \u00f6ncesi d\u00f6nemdir.<\/p>\n D\u00f6k\u00fcnt\u00fcler ortaya \u00e7\u0131kt\u0131ktan sonra bula\u015f\u0131c\u0131l\u0131k oran\u0131 azal\u0131r. Ancak ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 zay\u0131f \u00e7ocuklar\u0131n vir\u00fcs\u00fc bula\u015ft\u0131rma s\u00fcresi daha uzundur.<\/p>\n \u00c7ocuk, bir kere parvovir\u00fcs B19 ald\u0131ktan ve iyile\u015ftikten sonra genellikle bu vir\u00fcse kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k geli\u015ftirmi\u015f olur.<\/p>\n Hastal\u0131k bir vir\u00fcs nedeniyle olu\u015ftu\u011fu i\u00e7in tedavisinde antibiyotik kullan\u0131lmaz. Genellikle hastan\u0131n \u015fikayet ve belirtilerine y\u00f6nelik bir tedavi program\u0131 \u00e7\u0131kart\u0131l\u0131r. \u00d6rne\u011fin d\u00f6k\u00fcnt\u00fcler \u00e7ok ka\u015f\u0131nt\u0131l\u0131ysa ve \u00e7ocuk \u00e7ok zorlan\u0131yorsa onu rahatlatmaya y\u00f6nelik bir tedavi uygulan\u0131r.<\/p>\n Be\u015finci hastal\u0131k te\u015fhisi alm\u0131\u015f \u00e7ocuklar\u0131n hastal\u0131\u011f\u0131 yaymamak i\u00e7in evde dinlenmeleri ve di\u011fer ki\u015filerle temas etmemeleri gerekir.<\/p>\n Be\u015finci hastal\u0131\u011f\u0131n bula\u015fmas\u0131n\u0131 engellemek, vir\u00fcsle enfekte olanlar\u0131n hastal\u0131k belirtileri g\u00f6stermeden \u00f6nce hastal\u0131\u011f\u0131 yaymalar\u0131 nedeniyle zordur.<\/p>\n Ancak t\u00fcm hastal\u0131klardan korunmak i\u00e7in al\u0131nabilecek en \u00f6nemli \u00f6nlem, ki\u015fisel hijyene dikkat etmektir.<\/p>\n \u2022 Eller s\u0131k s\u0131k en az 20 saniye s\u00fcreyle su ve sabunla y\u0131kanmal\u0131.<\/p>\n \u2022 Ellerin y\u00fcze g\u00f6t\u00fcr\u00fclmemesine dikkat etmeli.<\/p>\n \u2022 Enfekte olmu\u015f ki\u015filerle temastan ka\u00e7\u0131n\u0131lmal\u0131, bu gibi durumlarda maske kullan\u0131lmal\u0131.<\/p>\n <\/p>\n Alt\u0131nc\u0131 hastal\u0131k herpes grubu vir\u00fcslerin neden oldu\u011fu d\u00f6k\u00fcnt\u00fcl\u00fc hastal\u0131kt\u0131r.<\/p>\n Roseola<\/strong> olarak da bilinir.<\/p>\n En tan\u0131mlay\u0131c\u0131 \u00f6zelli\u011fi birden bire ortaya \u00e7\u0131kan y\u00fcksek ate\u015f ve onu takip eden d\u00f6k\u00fcnt\u00fcd\u00fcr.<\/p>\n Genellikle 6 ay ile 2 ya\u015f aras\u0131ndaki k\u00fc\u00e7\u00fck \u00e7ocuklar\u0131 etkiler.<\/p>\n 4 ya\u015f\u0131ndan sonra \u00e7ok nadir g\u00f6r\u00fcl\u00fcr.<\/p>\n Bula\u015f\u0131c\u0131d\u0131r.<\/p>\n Kulu\u00e7ka evresi yakla\u015f\u0131k 14 g\u00fcnd\u00fcr.<\/strong><\/p>\n <\/p>\n Alt\u0131nc\u0131 hastal\u0131k genellikle hafif bir \u00fcst solunum yolu enfeksiyonuyla ortaya \u00e7\u0131kar.<\/p>\n Bunu y\u00fcksek ate\u015f takip eder. Bu s\u00fcre\u00e7te,<\/p>\n \u2022 Burun ak\u0131nt\u0131s\u0131<\/p>\n \u2022 Bo\u011faz a\u011fr\u0131s\u0131<\/p>\n \u2022 Hafif \u00f6ks\u00fcr\u00fck<\/p>\n \u2022 Huysuzluk<\/p>\n \u2022 \u0130\u015ftah kayb\u0131<\/p>\n \u2022 39 derecenin \u00fcst\u00fcnde ate\u015f<\/p>\n \u2022 Salg\u0131 bezlerinde \u015fi\u015flik g\u00f6r\u00fcl\u00fcr.<\/p>\n Y\u00fcksek ate\u015f 3-7 g\u00fcn s\u00fcrebilir.<\/p>\n Ate\u015f bitti\u011finde \u00e7ocu\u011fun bedeninde d\u00f6k\u00fcnt\u00fc ortaya \u00e7\u0131kar.<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fcler \u00e7ocu\u011fun g\u00f6vdesinde ba\u015flar, ard\u0131nda boyun, y\u00fcz, kollar ve bacaklara yay\u0131labilir.<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fcler k\u00fc\u00e7\u00fck pembe lekeler \u015feklindedir.<\/p>\n \u2022 Dokunuldu\u011funda soluk renk al\u0131rlar.<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fclerin \u00e7evresinde beyaz hale bulunur.<\/p>\n \u2022 D\u00f6k\u00fcnt\u00fcler en ge\u00e7 2-3 g\u00fcn i\u00e7inde kaybolur.<\/p>\n Alt\u0131nc\u0131 hastal\u0131k hasta \u00e7ocu\u011fun solunum salg\u0131lar\u0131 ve t\u00fck\u00fcr\u00fc\u011f\u00fcn\u00fcn ba\u015fka bir \u00e7ocu\u011fa temas etmesiyle bula\u015f\u0131r.<\/p>\n \u00d6rne\u011fin Roseola enfeksiyonu ge\u00e7iren bir \u00e7ocu\u011fun su i\u00e7ti\u011fi barda\u011f\u0131 ba\u015fka bir \u00e7ocuk kullan\u0131rsa, hastal\u0131k sa\u011fl\u0131kl\u0131 \u00e7ocu\u011fa bula\u015f\u0131r.<\/p>\n Alt\u0131nc\u0131 hastal\u0131k alamet\u0130 far\u0130kas\u0131 olan d\u00f6k\u00fcnt\u00fc ortaya \u00e7\u0131kmadan \u00f6nce de bula\u015f\u0131c\u0131d\u0131r. Hasta \u00e7ocuk sadece ate\u015f\u0130 oldu\u011funda da hastal\u0131\u011f\u0131 yayar.<\/p><\/blockquote>\n Hastal\u0131\u011f\u0131n kulu\u00e7ka evresi 14 g\u00fcnd\u00fcr.<\/strong><\/p>\n Alt\u0131nc\u0131 hastal\u0131k; k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, su \u00e7i\u00e7e\u011fi gibi h\u0131zla yay\u0131l\u0131p salg\u0131nlara neden olan di\u011fer \u00e7ocukluk \u00e7a\u011f\u0131 viral hastal\u0131klar\u0131ndan farkl\u0131 olarak nadiren topluluk \u00e7ap\u0131nda salg\u0131nlarla sonu\u00e7lan\u0131r.<\/p>\n Di\u011fer t\u00fcm viral hastal\u0131klarda oldu\u011fu gibi alt\u0131nc\u0131 hastal\u0131kta da antibiyotik tedavisi uygulanmaz.<\/p>\n A\u015f\u0131s\u0131 yoktur.<\/p>\n Alt\u0131nc\u0131 hastal\u0131k belirtileriyle doktora ba\u015fvuran \u00e7ocuklarda uygulanan tedavi daha \u00e7ok \u00e7ocu\u011fu rahatlatmaya y\u00f6neliktir.<\/p>\n \u00c7ocuk i\u00e7in evde yap\u0131labilecekler ise \u015f\u00f6yledir:<\/p>\n \u2022 Bol bol dinlenme<\/p>\n \u2022 S\u0131v\u0131 al\u0131m\u0131<\/p>\n \u2022 Ortam\u0131n havas\u0131n\u0131 nemli tutmak<\/p>\n \u2022 Ate\u015fi d\u00fc\u015f\u00fcrmeye y\u00f6nelik uygulamalar (\u00e7ocu\u011fu \u00e7ok giydirmemek, ba\u015f\u0131na nemli bez koymak, \u0131l\u0131k banyo gibi)<\/p>\n <\/p>\n \u00c7ocu\u011fu alt\u0131nc\u0131 hastal\u0131ktan korumak i\u00e7in al\u0131nabilecek \u00f6nlemler t\u0131pk\u0131 di\u011fer viral enfeksiyonlarda oldu\u011fu gibidir.<\/p>\n Ki\u015fisel hijyene dikkat edilmeli.<\/p>\n \u00c7ocu\u011fun elleri s\u0131k s\u0131k su ve sabunla y\u0131kanmal\u0131.<\/p>\n M\u00fcmk\u00fcnse ve fark\u0131ndaysan\u0131z enfeksiyon \u015f\u00fcphesi ta\u015f\u0131yan ki\u015filerle ayn\u0131 ortam\u0131 payla\u015fmamaya dikkat edilmeli.<\/p>\n Bo\u011fmaca y\u00fcksek oranda bula\u015f\u0131c\u0131 bir solunum yolu hastal\u0131\u011f\u0131d\u0131r.<\/p>\n Her ya\u015ftaki duyarl\u0131 bireyi etkiler.<\/p>\n \u00d6zellikle \u00e7ocukluk \u00e7a\u011f\u0131nda ve 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda a\u011f\u0131r seyreder.<\/p>\n En tipik belirtisi bo\u011fulurcas\u0131na ger\u00e7ekle\u015fen \u00f6ks\u00fcr\u00fck n\u00f6betleridir.<\/p>\n Bo\u011fmaca bula\u015ft\u0131ktan sonra yakla\u015f\u0131k 7 ila 10 g\u00fcn i\u00e7inde belirtiler kendini g\u00f6stermeye ba\u015flar. Bazen bu s\u00fcre biraz daha uzun olabilir.<\/p>\n Belirtiler ba\u015flang\u0131\u00e7ta hafiftir ve so\u011f\u0131k alg\u0131nl\u0131\u011f\u0131n\u0131 and\u0131r\u0131r:<\/p>\n \u2022 Burun ak\u0131nt\u0131s\u0131<\/p>\n \u2022 Burun t\u0131kan\u0131kl\u0131\u011f\u0131<\/p>\n \u2022 K\u0131rm\u0131z\u0131, sulanan g\u00f6zler<\/p>\n \u2022 Ate\u015f<\/p>\n \u2022 \u00d6ks\u00fcr\u00fck<\/p>\n Yakla\u015f\u0131k 1 ya da 2 hafta sonra belirtiler artar.<\/p>\n Solunum sistemindeki kal\u0131n mukus tabakas\u0131 \u015fiddetli \u00f6ks\u00fcr\u00fc\u011fe neden olur.<\/p>\n Bu \u00f6ks\u00fcr\u00fck n\u00f6betleri;<\/p>\n \u2022 Kusmaya<\/p>\n \u2022 Y\u00fcz\u00fcn k\u0131zarmas\u0131na ya da morarmas\u0131na,<\/p>\n \u2022 A\u015f\u0131r\u0131 yorgunlu\u011fa,<\/p>\n \u2022 Sesli nefes almaya neden olabilir.<\/p>\n Bo\u011fmacan\u0131n nedeni Bordetella pertussis<\/em> bakterisidir ve bu bakteri solunum yoluyla al\u0131n\u0131r.<\/p>\n \u00c7ok bula\u015f\u0131c\u0131d\u0131r.<\/p>\n Bo\u011fazda yerle\u015fir.<\/p>\n Kulu\u00e7ka evresi 7-10 g\u00fcnd\u00fcr.<\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a> verilerine g\u00f6re bo\u011fmaca hastal\u0131\u011f\u0131 t\u00fcm d\u00fcnyada yayg\u0131n g\u00f6r\u00fcl\u00fcr ve 3-4 y\u0131lda bir salg\u0131nlara yol a\u00e7ar.<\/p>\n Bu nedenle \u00e7ocuklar a\u00e7\u0131s\u0131ndan ciddi bir halk sa\u011fl\u0131\u011f\u0131 sorunu yarat\u0131r.<\/p>\n 1 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck ve hen\u00fcz a\u015f\u0131lar\u0131 tamamlanmam\u0131\u015f \u00e7ocuklarda c\u0130dd\u0130 kompl\u0130kasyonlar a\u00e7\u0131s\u0131ndan y\u00fcksek r\u0130sk olu\u015fturur.<\/p><\/blockquote>\n <\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131<\/a>\u2019n\u0131n sitesinde verilen bilgiye g\u00f6re 6 aydan k\u00fc\u00e7\u00fck bebeklerin mutlaka hastanede tedavi g\u00f6rmesi gerekir.<\/p>\n Bakteri enfeksiyonu oldu\u011fu i\u00e7in antibiyotik tedavisi uygulan\u0131r.<\/p>\n K\u00fc\u00e7\u00fck bebeklerde solunum ve beslenme sorunlar\u0131yla hastal\u0131k a\u011f\u0131r bir tablo olu\u015fturabilir.<\/p>\n Doktorlar \u00f6ks\u00fcr\u00fck n\u00f6betlerini hafifletmeye y\u00f6nelik tedavi uygulayabilir.<\/p>\n Daha b\u00fcy\u00fck \u00e7ocuklar ve yeti\u015fkinlerin tedavisi genellikle evde doktorun \u00f6nerdi\u011fi re\u00e7eteyle ve \u00e7ocu\u011fu izole ederek ger\u00e7ekle\u015fir.<\/p>\n Bol bol dinlenme sa\u011flayarak, ortam havas\u0131n\u0131n temiz olmas\u0131na dikkat ederek, s\u0131v\u0131 al\u0131m\u0131n\u0131 destekleyerek evdeki tedavi s\u00fcrecine devam edilmesi gerekir.<\/p>\n Bo\u011fmacadan korunman\u0131n tek yolu a\u015f\u0131d\u0131r.<\/p>\n Bo\u011fmaca a\u015f\u0131s\u0131 5\u2019li karma a\u015f\u0131 (DaBT-\u0130PA-Hib) \u015feklinde 2, 4, 6. ve 18. ayda uygulan\u0131r.<\/p>\n Hijyen t\u00fcm hastal\u0131klarda oldu\u011fu gibi bo\u011fmacada da en etkin korunma y\u00f6ntemini olu\u015fturur.<\/p>\n <\/p>\n Kawasaki Sendromu olarak da bilinir.<\/p>\n Genellikle 5 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklar\u0131 etkileyen nadir bir hastal\u0131kt\u0131r.<\/p>\n Kalbe kan pompalayan koroner arter damarlar da dah\u0130l olmak \u00fczere orta b\u00fcy\u00fckl\u00fcktek\u0130 damarlar\u0131n \u00e7eperler\u0130nde \u0130lt\u0130haplanmaya neden olur.<\/p><\/blockquote>\n Bu hastal\u0131k ilk kez 1967 y\u0131l\u0131nda Japonya\u2019da, \u00e7ocuk doktoru Tomisaku Kawasaki taraf\u0131ndan tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n Tedavi edilmedi\u011fi zaman \u00e7ocuklarda uzun s\u00fcreli kalp rahats\u0131zl\u0131klar\u0131na yol a\u00e7abilir. Kan damarlar\u0131 ve kalp kas\u0131 iltihab\u0131 ile kalp kapak\u00e7\u0131\u011f\u0131 sorunlar\u0131 bunlar aras\u0131ndad\u0131r.<\/p>\n Erken tedavi uzun vadeli sorunlar\u0131n olu\u015fmas\u0131n\u0131 engeller.<\/p>\n Kawasaki hastal\u0131\u011f\u0131n\u0131n nedeni tam olarak bilinmez.<\/p>\n Hastal\u0131\u011f\u0131n herhangi bir bula\u015f\u0131c\u0131l\u0131\u011f\u0131 yoktur.<\/p>\n Genetik yatk\u0131nl\u0131\u011f\u0131n yan\u0131 s\u0131ra \u00e7evresel fakt\u00f6rler ile bakteri ve vir\u00fcslerin de hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kmas\u0131nda rol oynayabilece\u011fi d\u00fc\u015f\u00fcn\u00fcl\u00fcr. Ancak bu bilgiler hen\u00fcz kan\u0131tlanm\u0131\u015f de\u011fildir.<\/p>\n Mayo Klinik<\/a> uzmanlar\u0131 Kawasaki\u2019nin risk fakt\u00f6rlerini \u015f\u00f6yle belirtir:<\/p>\n \u2022 Ya\u015f:<\/strong> En \u00e7ok 5 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklar risk alt\u0131ndad\u0131r.<\/p>\n \u2022 Cinsiyet:<\/strong> Erkek \u00e7ocuklarda Kawasaki hastal\u0131\u011f\u0131 g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 biraz daha y\u00fcksektir.<\/p>\n \u2022 Etnik k\u00f6ken:<\/strong> Japonya ya da Kore gibi Uzakdo\u011fu \u00fclkelerinde daha \u00e7ok g\u00f6r\u00fcl\u00fcr.<\/p>\n Kawasaki hastal\u0131\u011f\u0131n\u0131n belirtileri genellikle 3 evrede ortaya \u00e7\u0131kar.<\/p>\n 1. evre \u2022 Genellikle 3 g\u00fcnden uzun s\u00fcren 39 derecenin \u00fcst\u00fcnde ate\u015f<\/p>\n \u2022 G\u00f6zlerde a\u015f\u0131r\u0131 k\u0131zar\u0131kl\u0131k (ak\u0131nt\u0131 olmadan)<\/p>\n \u2022 G\u00f6vdede ve genital b\u00f6lgede d\u00f6k\u00fcnt\u00fc<\/p>\n \u2022 Kurumu\u015f, \u00e7atlam\u0131\u015f, k\u0131rm\u0131z\u0131 dudaklar ve \u015fi\u015fmi\u015f, k\u0131rm\u0131z\u0131 dil<\/p>\n \u2022 Lenf bezlerinde \u015fi\u015fkinlik<\/p>\n \u2022 El ve ayaklarda \u015fi\u015flik ve k\u0131zar\u0131kl\u0131k<\/p>\n \u2022 Huysuzluk<\/p>\n 2. evre \u2022 Ellerde ve ayaklarda derinin soyulmas\u0131, \u00f6zellikle parmak u\u00e7lar\u0131nda ve genellikle b\u00fcy\u00fck tabakalar halinde<\/p>\n \u2022 Eklem a\u011fr\u0131s\u0131<\/p>\n \u2022 \u0130shal<\/p>\n \u2022 Kusma<\/p>\n \u2022 Kar\u0131n a\u011fr\u0131s\u0131<\/p>\n 3. evre \u00c7ocu\u011fun enerjisinin yerine gelmesi ve normale d\u00f6nmesi i\u00e7in 8 hafta gibi bir s\u00fcre gerekebilir.<\/p>\n \u00c7ocu\u011funuzun 3 g\u00fcnd\u00fcr d\u00fc\u015fmeyen y\u00fcksek ate\u015fi varsa, mutlaka doktorunuza ba\u015fvurun.<\/p>\n Kawasaki hastal\u0131\u011f\u0131n\u0131, belirtiler ortaya \u00e7\u0131kt\u0131ktan sonraki 10 g\u00fcn i\u00e7inde tedaviye ba\u015flamak uzun d\u00f6nemli hasarlar\u0131 \u00f6nlemek a\u00e7\u0131s\u0131ndan son derece \u00f6nemlidir.<\/p>\n Bu hastal\u0131\u011f\u0131n herhangi bir a\u015f\u0131s\u0131 yoktur.<\/p>\n Tedavide ilk hedef ate\u015fi, iltihab\u0131 d\u00fc\u015f\u00fcrmek ve kalpte hasar olu\u015fmas\u0131n\u0131 engellemektir.<\/p>\n \u0130leriye y\u00f6nelik komplikasyonlar a\u00e7\u0131s\u0131ndan \u00e7ocu\u011fun hastanede tedavi g\u00f6rmesi \u00f6nemlidir.<\/p>\n Kawasaki hastal\u0131\u011f\u0131n\u0131n nedenleri tam olarak bilinmez.<\/p>\n Kan\u0131tlanmam\u0131\u015f bilgilere g\u00f6re genetik yatk\u0131nl\u0131\u011f\u0131n, \u00e7evresel fakt\u00f6rlerin (fazla kimyasala maruz kalmak gibi) ya da bakteri ve vir\u00fcslerin etkili olabilece\u011fi d\u00fc\u015f\u00fcn\u00fcl\u00fcr.<\/p>\n Bu nedenle Kawasaki hastal\u0131\u011f\u0131ndan korunmak i\u00e7in belli bir y\u00f6ntem \u00f6nermek m\u00fcmk\u00fcn de\u011fildir.<\/p>\n Hep olmas\u0131 gerekti\u011fi gibi sa\u011fl\u0131kl\u0131 beslenme, uygun fiziksel egzersiz, yeterli uyku, sevgi ve \u00f6zen g\u00f6rmek, \u015fefkat, aile i\u00e7i sa\u011fl\u0131kl\u0131 ileti\u015fim \u00e7ocuklar\u0131n ba\u011f\u0131\u015f\u0131kl\u0131k sistemini g\u00fc\u00e7l\u00fc tutar.<\/p>\n \u00c7ocuk g\u00fc\u00e7l\u00fc ba\u011f\u0131\u015f\u0131kl\u0131k s\u0130stem\u0130yle hastal\u0131klarla daha \u0130y\u0130 m\u00fccadele eder.<\/p><\/blockquote>\n Ebeveyn olarak size \u00f6nerimiz Kawasaki hastal\u0131\u011f\u0131 belirtileri g\u00f6steren \u00e7ocu\u011funuzu doktora g\u00f6t\u00fcr\u00fcrken birtak\u0131m notlar alman\u0131z.<\/p>\n Bu doktora te\u015fhisinde yard\u0131mc\u0131 olman\u0131z ve kendinizi do\u011fru ifade etmeniz a\u00e7\u0131s\u0131ndan \u00f6nemli.<\/p>\n Doktor g\u00f6r\u00fc\u015fmesine giderken size yard\u0131mc\u0131 olabilecekler<\/p>\n \u2022 \u00c7ocu\u011funuzda son g\u00fcnlerde g\u00f6zlemledi\u011finiz t\u00fcm belirtileri yaz\u0131n. Fiziksel belirtilerin yan\u0131 s\u0131ra (ate\u015f, halsizlik, g\u00f6zlerde k\u0131zar\u0131kl\u0131k vs.) hal ve tav\u0131rlar\u0131ndaki g\u00f6zlemlerinizi de mutlaka not edin.<\/p>\n \u2022 \u00c7ocu\u011funuzun kulland\u0131\u011f\u0131 herhangi bir ila\u00e7 varsa mutlaka belirtin.<\/p>\n \u2022 Doktora sormak istedi\u011finiz, akl\u0131n\u0131za tak\u0131lan sorular\u0131 mutlaka defterinize not al\u0131n.<\/p>\n \u2022 M\u00fcmk\u00fcnse yan\u0131n\u0131zda bir yeti\u015fkin daha olsun.<\/p>\n <\/p>\n Reye sendromu beyin ve karaci\u011ferde hasara yol a\u00e7an, ender rastlanan ve ciddi bir sa\u011fl\u0131k sorunudur.<\/p>\n Reye sendromu yet\u0130\u015fk\u0130nlerde de olur ancak en \u00e7ok yak\u0131n zamanda gr\u0130p ve su\u00e7\u0130\u00e7e\u011f\u0130 g\u0130b\u0130 v\u0130ral enfeks\u0130yon atlatm\u0131\u015f \u00e7ocuk ve ergenlerde g\u00f6r\u00fcl\u00fcr.<\/p><\/blockquote>\n Erken te\u015fhis ve tedavi \u00e7ok \u00f6nemlidir.<\/p>\n Reye Sendromu riskini art\u0131rd\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnden viral enfeksiyonlarda \u00e7ocuklara ate\u015fi d\u00fc\u015f\u00fcrmek ve a\u011fr\u0131y\u0131 hafifletmek i\u00e7in aspirin vermek ciddi bir konudur.<\/p>\n Mayo Klinik<\/a> uzmanlar\u0131na g\u00f6re aspirin kullan\u0131m\u0131 3 ya\u015f\u0131ndan b\u00fcy\u00fck \u00e7ocuklarda onaylanm\u0131\u015f olsa da su\u00e7i\u00e7e\u011fi ve grip benzeri enfeksiyonlar atlatmakta olan \u00e7ocuk ve ergenlerin asla aspirin almamas\u0131 gerekir.<\/p>\n Reye sendromunun belirtileri grip ya da su\u00e7i\u00e7e\u011fi ya da ba\u015fka herhangi bir \u00fcst solunum yolu enfeksiyonu ba\u015flad\u0131ktan yakla\u015f\u0131k 3 ila 5 g\u00fcn sonra kendini g\u00f6sterir.<\/p>\n \u0130lk semptomlar: \u2022 \u0130shal<\/p>\n \u2022 H\u0131zl\u0131 solunum g\u00f6r\u00fclebilir.<\/p>\n Daha b\u00fcy\u00fck \u00e7ocuklarda ve ergenlerde,<\/p>\n \u2022 Kusma<\/p>\n \u2022 Beklenmedik uyku hali ve uyu\u015fukluk g\u00f6zlenebilir.<\/p>\n Di\u011fer belirtiler: \u2022 Sinirlilik, sald\u0131rganl\u0131k<\/p>\n \u2022 Kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131, oryantasyon bozuklu\u011fu ya da hal\u00fcsinasyonlar<\/p>\n \u2022 Bacaklarda ve kollarda g\u00fc\u00e7s\u00fczl\u00fck ya da paralize olma hali<\/p>\n \u2022 N\u00f6bet<\/p>\n \u2022 A\u015f\u0131r\u0131 uyu\u015fukluk<\/p>\n \u2022 Bilin\u00e7 kayb\u0131<\/p>\n Bu belirtiler acil t\u0131bbi m\u00fcdahaleyi gerektirir.<\/p>\n[cmtoc_table_of_contents]<\/code><\/p>\nK\u0131zam\u0131k Hastal\u0131\u011f\u0131 Nedir?<\/h2>\n
K\u0131zam\u0131k Hastal\u0131\u011f\u0131n\u0131n Belirtileri Nelerdir?<\/h4>\n
\n<\/strong>K\u0131zam\u0131k Hastal\u0131\u011f\u0131n\u0131n Evreleri Nelerdir?<\/h4>\n
\n<\/strong>K\u0131zam\u0131k Hastal\u0131\u011f\u0131 Nas\u0131l Bula\u015f\u0131r?<\/h4>\nK\u0131zam\u0131k Hastal\u0131\u011f\u0131 Nas\u0131l Tedavi Edilir?<\/h4>\n
K\u0131zam\u0131k Hastal\u0131\u011f\u0131ndan Korunman\u0131n Yollar\u0131<\/h4>\n
Kabakulak Nedir?<\/h2>\n
\n<\/strong>Kabakulak Belirtileri Nelerdir?<\/h4>\nKabakulak Nas\u0131l Bula\u015f\u0131r?
\n<\/strong><\/h4>\nKabakulak Nas\u0131l Tedavi Edilir?<\/h4>\n
\n<\/strong>Kabakulaktan Korunman\u0131n Yollar\u0131
\n<\/strong><\/h4>\nK\u0131zam\u0131k\u00e7\u0131k Nedir?<\/h2>\n
\n4-5 g\u00fcnde kendili\u011finden ge\u00e7er.<\/p>\n
\nA\u015f\u0131 hastal\u0131ktan korunman\u0131n temel yoludur.<\/p>\nK\u0131zam\u0131k\u00e7\u0131k Belirtileri Nelerdir?<\/h4>\n
K\u0131zam\u0131k\u00e7\u0131k Nas\u0131l Bula\u015f\u0131r?<\/h4>\n
K\u0131zam\u0131k\u00e7\u0131k Nas\u0131l Tedavi Edilir?<\/h4>\n
K\u0131zam\u0131k\u00e7\u0131ktan Korunman\u0131n Yollar\u0131<\/h4>\n
K\u0131z\u0131l Hastal\u0131\u011f\u0131<\/h2>\n
\n<\/strong>K\u0131z\u0131l Hastal\u0131\u011f\u0131n\u0131n Belirtileri Nelerdir?<\/h4>\n
\n<\/strong>K\u0131z\u0131l Hastal\u0131\u011f\u0131 Nas\u0131l Bula\u015f\u0131r?
\n<\/strong><\/h4>\n
\n<\/strong>K\u0131z\u0131l Hastal\u0131\u011f\u0131 Nas\u0131l Tedavi Edilir?<\/h4>\n
\n<\/strong>K\u0131z\u0131l Hastal\u0131\u011f\u0131ndan Korunman\u0131n Yollar\u0131<\/h4>\n
\n\u00d6NEML\u0130 NOT:<\/strong> \u00c7ocu\u011funuz k\u0131z\u0131l hastal\u0131\u011f\u0131 ge\u00e7iriyorsa, yemek yerken kulland\u0131\u011f\u0131 e\u015fyalar\u0131 ve su barda\u011f\u0131n\u0131, hatta m\u00fcmk\u00fcnse oyuncaklar\u0131n\u0131 evdeki di\u011fer bireylerin e\u015fyalar\u0131ndan ayr\u0131 olacak \u015fekilde s\u0131cak sabunlu suda y\u0131kay\u0131n.<\/p>\nEl, Ayak, A\u011f\u0131z Hastal\u0131\u011f\u0131 Nedir?<\/h2>\n
\n<\/strong>El, Ayak, A\u011f\u0131z Hastal\u0131\u011f\u0131n\u0131n Belirtileri Nelerdir?
\n<\/strong><\/h4>\n
\n<\/strong>El, Ayak, A\u011f\u0131z Hastal\u0131\u011f\u0131 Nas\u0131l Bula\u015f\u0131r?<\/h4>\n
\n<\/strong>El, Ayak, A\u011f\u0131z Hastal\u0131\u011f\u0131 Nas\u0131l Tedavi Edilir?<\/h4>\n
\n<\/strong>El, Ayak, A\u011f\u0131z Hastal\u0131\u011f\u0131ndan Korunman\u0131n Yollar\u0131<\/h4>\nSu\u00e7i\u00e7e\u011fi Hastal\u0131\u011f\u0131 Nedir?<\/h2>\n
\nDeride yayg\u0131n ve ka\u015f\u0131nt\u0131l\u0131, i\u00e7i s\u0131v\u0131 dolu d\u00f6k\u00fcnt\u00fcler olu\u015fur.<\/p>\nSu\u00e7i\u00e7e\u011finin Belirtileri Nelerdir?<\/h4>\n
\n<\/strong>Su\u00e7i\u00e7e\u011fi Nas\u0131l Bula\u015f\u0131r?
\n<\/strong><\/h4>\nSu\u00e7i\u00e7e\u011fi Nas\u0131l Tedavi Edilir?
\n<\/strong><\/h4>\n
\n<\/strong>Su\u00e7i\u00e7e\u011finden Korunman\u0131n Yollar\u0131<\/h4>\nKrup Hastal\u0131\u011f\u0131 Nedir?<\/h2>\n
\n<\/strong>Krup Hastal\u0131\u011f\u0131n\u0131n Belirtileri Nelerdir?<\/h4>\nKrup Hastal\u0131\u011f\u0131 Nas\u0131l Bula\u015f\u0131r?<\/h4>\n
Krup Hastal\u0131\u011f\u0131 Nas\u0131l Tedavi Edilir?<\/h4>\n
\n<\/strong>Krup Hastal\u0131\u011f\u0131ndan Korunman\u0131n Yollar\u0131
\n<\/strong><\/h4>\nBe\u015finci Hastal\u0131k Nedir?<\/h2>\n
\n<\/strong>Be\u015finci Hastal\u0131k Belirtileri Nelerdir?
\n<\/strong><\/h4>\n
\n<\/strong>Be\u015finci Hastal\u0131k Nas\u0131l Bula\u015f\u0131r?
\n<\/strong><\/h4>\n
\n<\/strong>Be\u015finci Hastal\u0131k Nas\u0131l Tedavi Edilir?<\/h4>\n
\nA\u015f\u0131s\u0131 yoktur.<\/p>\n
\n<\/strong>Be\u015finci Hastal\u0131ktan Korunman\u0131n Yollar\u0131
\n<\/strong><\/h4>\nAlt\u0131nc\u0131 Hastal\u0131k Nedir?<\/h2>\n
Alt\u0131nc\u0131 Hastal\u0131\u011f\u0131n Belirtileri Nelerdir?<\/h4>\n
\n<\/strong>Alt\u0131nc\u0131 Hastal\u0131k Nas\u0131l Bula\u015f\u0131r?<\/h4>\nAlt\u0131nc\u0131 Hastal\u0131k Nas\u0131l Tedavi Edilir?<\/h4>\n
Alt\u0131nc\u0131 Hastal\u0131ktan Korunman\u0131n Yollar\u0131<\/h4>\n
Bo\u011fmaca Nedir?<\/h2>\n
\n<\/strong>Bo\u011fmacan\u0131n Belirtileri Nelerdir?<\/h4>\n
\n<\/strong>Bo\u011fmaca Nas\u0131l Bula\u015f\u0131r?<\/h4>\nBo\u011fmaca Nas\u0131l Tedavi Edilir?<\/h4>\n
\n<\/strong>Bo\u011fmacadan Korunman\u0131n Yollar\u0131<\/h4>\nKawasaki Hastal\u0131\u011f\u0131 nedir?<\/h2>\n
Kawasaki Hastal\u0131\u011f\u0131n\u0131n Nedeni Nedir?<\/h4>\n
Kawasaki Hastal\u0131\u011f\u0131n\u0131n Belirtileri Nelerdir?<\/h4>\n
\n<\/strong><\/em>
\n1. evrede belirtiler \u015funlard\u0131r:<\/p>\n
\n<\/strong><\/em>
\n2. evrede \u00e7ocu\u011funuzda a\u015fa\u011f\u0131daki belirtiler g\u00f6r\u00fclebilir:<\/p>\n
\n<\/strong><\/em>
\nKomplikasyon geli\u015fmedi\u011fi takdirde 3. evrede hastal\u0131\u011f\u0131n belirtileri yava\u015f yava\u015f kaybolur.<\/p>\nKawasaki Hastal\u0131\u011f\u0131n\u0131n Tedavisi Nedir?<\/h4>\n
Kawasaki Hastal\u0131\u011f\u0131ndan Korunman\u0131n Yollar\u0131<\/h4>\n
Reye Sendromu Nedir?<\/h2>\n
\n<\/strong>Reye Sendromu Belirtileri Nelerdir?<\/h4>\n
\n<\/strong><\/em>
\n2 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda,<\/p>\n
\n<\/strong>
\nSendrom ilerledik\u00e7e a\u015fa\u011f\u0131daki daha ciddi belirtiler ortaya \u00e7\u0131kmaya ba\u015flar:<\/p>\nReye Sendromunun Nedenleri Nelerdir?
\n<\/strong><\/h4>\n