{"id":10368,"date":"2022-02-13T11:14:17","date_gmt":"2022-02-13T08:14:17","guid":{"rendered":"https:\/\/ihm.com.tr\/?p=10368"},"modified":"2022-02-13T11:14:17","modified_gmt":"2022-02-13T08:14:17","slug":"80inci-kez-pozitif-cikti","status":"publish","type":"post","link":"https:\/\/www.ihm.tr\/tr-int\/istanbul\/80inci-kez-pozitif-cikti\/10368\/","title":{"rendered":"80&#8217;inci kez pozitif \u00e7\u0131kt\u0131"},"content":{"rendered":"<p>En son 9 \u015eubat&#8217;ta tekrar kontrol i\u00e7in test yap\u0131ld\u0131\u011f\u0131n\u0131 ve hem varyant hem de PCR pozitifli\u011fine bak\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yleyen Kayasan, varyant belirlenemedi\u011fini ama PCR&#8217;\u0131n\u0131n 80&#8217;nci kez pozitif \u00e7\u0131kt\u0131\u011f\u0131n\u0131 s\u00f6yleyerek, &#8220;14 ayd\u0131r temass\u0131z kart gibiyim, sanal bir hayat ya\u015f\u0131yorum. Sevdiklerimle internetten g\u00f6r\u00fcnt\u00fcl\u00fc g\u00f6r\u00fc\u015febiliyorum&#8221; dedi. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavir\u00fcs Bilim Kurulu \u00dcyesi Prof. Dr. Serap \u015eim\u015fek Yavuz ise ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanm\u0131\u015f bu tip konaklar\u0131n \u00e7ok \u00f6zel vakalar oldu\u011funu belirterek bu hastan\u0131n s\u00fcrecinin \u00e7ok uzun s\u00fcrd\u00fc\u011f\u00fcn\u00fc ve literat\u00fcrde de bu t\u00fcrden vakalara \u00e7ok rastlanmad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Prof. Dr. Yavuz, Omicron varyant\u0131n\u0131n da bu \u015fekilde ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanm\u0131\u015f bir konaktan ortaya \u00e7\u0131km\u0131\u015f olabilece\u011fi teorisini de hat\u0131rlatarak &#8220;Bu hasta da o nedenle s\u00fcrekli takip alt\u0131nda&#8221; diye konu\u015ftu.  <\/p>\n<p>\u0130stanbul&#8217;da ya\u015fayan 3 \u00e7ocuk babas\u0131 56 ya\u015f\u0131ndaki Muzaffer Kayasan, bundan 3 y\u0131l \u00f6nce l\u00f6semi nedeniyle \u0130stanbul T\u0131p Fak\u00fcltesi&#8217;nde kemik ili\u011fi nakli oldu. Tedavisi nedeniyle s\u00fcrekli ba\u011f\u0131\u015f\u0131kl\u0131k bask\u0131lay\u0131c\u0131 ila\u00e7lar kullanmak zorunda kalan Kayasan, 2020 y\u0131l\u0131n\u0131n Kas\u0131m ay\u0131nda bu kez de koronavir\u00fcse yakaland\u0131. Hastal\u0131\u011f\u0131 atlatan ancak PCR testi 14 ayd\u0131r bir t\u00fcrl\u00fc negatife d\u00f6nmeyen Kayasan&#8217;\u0131n durumu, doktorlar\u0131 taraf\u0131ndan da yak\u0131ndan izleniyor. Kayasan, varyant a\u00e7\u0131s\u0131ndan da s\u00fcrekli takip alt\u0131nda tutuldu\u011funu s\u00f6yleyerek &#8220;En son ay\u0131n 9&#8217;unda test yapt\u0131rd\u0131m. \u0130ki tane test yapt\u0131lar, birisi varyant testi, di\u011feri normal Kovid testiydi. Varyant yok ama PCR testim hala pozitif.  Her \u015feyin l\u00f6semi ile ilgili oldu\u011funu s\u00f6yl\u00fcyor doktorlar\u0131m. L\u00f6semi hastal\u0131\u011f\u0131ndan dolay\u0131 bu s\u0131k\u0131nt\u0131lar\u0131 bu zorluklar\u0131 ya\u015fad\u0131\u011f\u0131m s\u00f6yleniyor. Daha \u00f6nce kemik ili\u011fi nakli oldu\u011fumda, ikinci senesinde \u00e7ok iyiydim. Ot bi\u00e7iyordum, bah\u00e7emde \u00e7apa yap\u0131yordum. \u0130lik naklimi \u0130stanbul \u00dcniversitesi \u00c7apa T\u0131p Fak\u00fcltesi&#8217;nde ger\u00e7ekle\u015ftirdiler. Ge\u00e7en sene nefes darl\u0131\u011f\u0131 ile belirtilerim ba\u015flad\u0131. Mide bulant\u0131s\u0131, yemek yiyememe ile k\u00f6t\u00fcle\u015fince test yapt\u0131lar. Kovid oldu\u011fumu \u00f6\u011frendim. Bu sefer de Kovid&#8217;den dolay\u0131 hastaneye yatt\u0131m&#8221; dedi.<\/p>\n<p><strong>&#8220;KOV\u0130D&#8217;\u0130M AMA ASLINDA DE\u011e\u0130L\u0130M&#8221;<\/strong><\/p>\n<p>14 ayd\u0131r hastanede ve evinde karantina alt\u0131nda oldu\u011funu kaydeden Kayasan, &#8220;L\u00f6semi oldu\u011fum i\u00e7in ba\u011f\u0131\u015f\u0131kl\u0131k sistemimin \u00e7ok zay\u0131f oldu\u011funu ve bu nedenle testimin pozitif \u00e7\u0131kt\u0131\u011f\u0131n\u0131, ama asl\u0131nda Kovid olmad\u0131\u011f\u0131m\u0131 s\u00f6yl\u00fcyorlar. Yani Kovid&#8217;im ama de\u011filim. &#8216;(Vir\u00fcs\u00fcn) partik\u00fcllerini ta\u015f\u0131yorsunuz, onun i\u00e7in de test pozitif \u00e7\u0131k\u0131yor&#8217; diyorlar. O\u011flum, k\u0131z\u0131m, torunum gelirse, \u00e7ocuklara bir zarar veririm korkusuyla onlarla sadece WhatsApp&#8217;tan internet \u00fczerinden g\u00f6r\u00fcnt\u00fcl\u00fc g\u00f6r\u00fc\u015febiliyorum. Psikolojik olarak insan \u00e7ok y\u0131pran\u0131yor. S\u00fcrekli bug\u00fcn m\u00fc \u00f6lece\u011fim, yar\u0131n m\u0131 \u00f6lece\u011fim diye d\u00fc\u015f\u00fcn\u00fcyorum&#8221; dedi.<\/p>\n<p><strong>&#8220;TEMASSIZ KART G\u0130B\u0130 OLDUM, SANAL B\u0130R HAYAT YA\u015eIYORUM&#8221;<\/strong><\/p>\n<p>Hastanede yatarken, kanser hastalar\u0131n\u0131n bile iyile\u015fip gitti\u011fini, kendisinin bir t\u00fcrl\u00fc normale d\u00f6nemedi\u011fini s\u00f6yleyen Kayasan, s\u00f6zlerini \u015f\u00f6yle noktalad\u0131: &#8220;Akci\u011fer kanseri hastas\u0131 geldi, adam iyile\u015fti gitti, Allah \u00f6m\u00fcr versin; l\u00f6semi hastas\u0131 geldi, iyile\u015fti gitti; kalp hastas\u0131 geldi, iyile\u015fti gitti. Ben 14 ayd\u0131r ya\u015f\u0131yorum ama iyile\u015femedim. Psikolojik olarak da bitmi\u015f durumday\u0131m. Beynim art\u0131k her g\u00fcn bana &#8216;Muzaffer bug\u00fcn \u00f6leceksin&#8217; diyor. Her g\u00fcn bir kere daha \u00f6l\u00fcyorum. Bir hastaya dersin ki 1 sene \u00f6mr\u00fcn var, ona g\u00f6re derim ki tamam \u015funu yapay\u0131m, bunu yapay\u0131m. Ama \u00f6yle bir durum da yok. Korona bitsin, negatife d\u00f6neyim, ilk i\u015fim torunlar\u0131ma \u00e7ocuklar\u0131ma, e\u015fime sar\u0131labilmek olacak. Doyas\u0131ya oyun oynamak istiyorum torunlar\u0131mla. Temass\u0131z kart gibi oldum, sanal bir hayat ya\u015f\u0131yorum 14 ayd\u0131r. Varyant de\u011filmi\u015fim ama ben Laz varyant\u0131y\u0131m.&#8221;<\/p>\n<p><strong>&#8220;BU VAKALAR \u00c7OK \u00d6ZEL KONAKLAR&#8221;<\/strong><\/p>\n<p>Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanan hastalarda, uzam\u0131\u015f Kovid pozitifliklerin g\u00f6r\u00fclebilece\u011fini kaydeden Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Bilim Kurulu \u00dcyesi ve \u0130stanbul T\u0131p Fak\u00fcltesi Mikrobiyoloji ve Enfeksiyon Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc&#8217;nden Prof. Dr. Serap \u015eim\u015fek Yavuz, 14 ayl\u0131k pozitiflik durumunun literat\u00fcrde de \u00e7ok nadir rastlanan bir durum oldu\u011funu belirterek &#8220;Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131layan ila\u00e7lar kulland\u0131\u011f\u0131 i\u00e7in bu grup hastalarda uzam\u0131\u015f PCR pozitifli\u011fi olabiliyor. \u00d6zel konak \u00e7\u00fcnk\u00fc bunlar. Bu hastam\u0131zda da biraz daha uzun bir zaman s\u00f6z konusu. Ger\u00e7ekten s\u00fcre \u00e7ok uzun, d\u00fcnya literat\u00fcr\u00fcnde de b\u00f6yle \u00e7ok vaka yok. \u00d6zel konaklarda \u00e7ok farkl\u0131 durumlar s\u00f6z konusu olabilir. Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n ne kadar bask\u0131land\u0131\u011f\u0131 ile ilgili. Mesela v\u00fccudun antikor \u00fcretme kapasitesi yoksa, \u00e7ok uzun s\u00fcrebiliyor ger\u00e7ekten pozitiflik durumu&#8221; dedi.<\/p>\n<p><strong>&#8220;BU KONAKLAR YEN\u0130 B\u0130R VARYANT \u0130HT\u0130MAL\u0130NE KAR\u015eI DA TAK\u0130P ED\u0130L\u0130R&#8221;<\/strong><\/p>\n<p>Bu durumunun nedenlerinin hen\u00fcz bilim d\u00fcnyas\u0131 taraf\u0131ndan da ara\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131 vurgulayan Prof. Dr. Yavuz, yan\u0131t\u0131n hen\u00fcz \u00e7ok net olmad\u0131\u011f\u0131n\u0131 ama \u00e7e\u015fitli teroiler \u00fczerinde duruldu\u011funu s\u00f6yledi. Prof. Dr. Yavuz, &#8220;Bir\u00e7ok hipotez var bu konuda. \u00d6rne\u011fin v\u00fccudun belli b\u00f6l\u00fcmlerinde, \u00f6zellikle ba\u011f\u0131\u015f\u0131kl\u0131k h\u00fccrelerinin ula\u015famad\u0131\u011f\u0131 b\u00f6l\u00fcmlerde, vir\u00fcs\u00fcn gizli kalabildi\u011fi ya da insanlar\u0131n baz\u0131 h\u00fccrelerinin i\u00e7inde vir\u00fcs\u00fcn yerle\u015febildi\u011fi gibi hipotezler var. Bunlar \u00fczerinde \u00e7al\u0131\u015fmalar var. Ama esas sorun burada, hastan\u0131n altta yatan ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131 bask\u0131layan durumunun olmas\u0131. Bu tarz hastalarda vir\u00fcs\u00fcn s\u00fcrekli v\u00fccutta kalmas\u0131 ve bunda da s\u00fcrekli ba\u015far\u0131l\u0131 olabilmesi, v\u00fccudun olu\u015fturdu\u011fu belli antikorlardan ka\u00e7abilme \u00f6zelli\u011fi kazanabilmesi vs, bunlar s\u0131k\u0131nt\u0131 olabiliyor. Hat\u0131rlarsan\u0131z Omicron da ilk ortaya \u00e7\u0131kt\u0131\u011f\u0131nda, farkl\u0131 senaryolar vard\u0131 ve bunlardan biri de aynen bu konakta oldu\u011fu gibi, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanm\u0131\u015f bir konakta uzun s\u00fcren viral pozitiflik nedeniyle vir\u00fcs\u00fcn \u00e7ok fazla mutasyon ge\u00e7irmi\u015f olabilece\u011fi \u015feklindeydi. Bu vakan\u0131n da zaten o y\u00f6nde takipleri yap\u0131l\u0131yor&#8221; diye konu\u015ftu.<\/p>\n<p><strong>&#8220;BULA\u015eTIRMA \u0130HT\u0130MAL\u0130 \u00c7OK D\u00dc\u015e\u00dcK&#8221;<\/strong><\/p>\n<p>Uzam\u0131\u015f Kovid pozitifliklerinde bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131n b\u00fcy\u00fck orandan beklenmedi\u011fini kaydeden Prof. Dr. Yavuz, baz\u0131 riskli durumlar i\u00e7in ekstra \u00f6nlemler al\u0131nmas\u0131n\u0131n tercih edildi\u011fini s\u00f6yleyerek s\u00f6zlerini \u015f\u00f6yle noktalad\u0131: &#8220;B\u00fcy\u00fck oranda bula\u015f\u0131c\u0131l\u0131k beklenmiyor bu tip hastalarda. Ama mesela b\u00f6yle bir hastan\u0131n diyelim ki \u00e7al\u0131\u015f\u0131yorsa ya\u015fl\u0131 bak\u0131m evi gibi risk yaratabilece\u011fi bir ortamda \u00e7al\u0131\u015fmas\u0131 tercih edilmez. Yapt\u0131\u011f\u0131 i\u015fin durumuna g\u00f6re a\u015f\u0131r\u0131 \u00f6nlemler al\u0131nabilir. Ama normal ko\u015fullar alt\u0131nda i\u015fine d\u00f6nmesi i\u00e7in vir\u00fcs\u00fcn temizlendi\u011fi ya da RNA&#8217;n\u0131n negatifle\u015fti\u011finin g\u00f6sterilmesi gerekmiyor, \u015fu anda T\u00fcrkiye&#8217;deki yasal \u00e7er\u00e7eve de bu \u015fekilde zaten.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u00f6semi nedeniyle birka\u00e7 y\u0131l \u00f6nce kemik ili\u011fi nakli ge\u00e7iren ve 14 ay \u00f6nce de Kovid&#8217;e yakalanan 56 ya\u015f\u0131ndaki Muzaffer Kayasan&#8217;\u0131n PCR \u00e7ilesi bitmiyor.<\/p>\n","protected":false},"author":6,"featured_media":10370,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[628,73,2403,2402,1625],"class_list":["post-10368","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-istanbul","tag-kovid-19","tag-manset","tag-muzaffer-kayasan","tag-pcr","tag-test"],"_links":{"self":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/10368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/comments?post=10368"}],"version-history":[{"count":1,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/10368\/revisions"}],"predecessor-version":[{"id":10371,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/10368\/revisions\/10371"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media\/10370"}],"wp:attachment":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media?parent=10368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/categories?post=10368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/tags?post=10368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}