Okullar\u0131n a\u00e7\u0131lmas\u0131n\u0131n ard\u0131ndan Kovid-19 a\u015f\u0131s\u0131n\u0131n 12 ya\u015fa kadar indirilmesiyle aileler de solu\u011fu hastanede ald\u0131. Ancak \u00e7ocu\u011funda alerji, l\u00f6semi gibi kronik hastal\u0131k olan anne-babalar konuyla ilgili endi\u015felenmeye ba\u015flad\u0131. Uzmanlar ise kronik hastal\u0131\u011f\u0131 olan \u00e7ocuklar\u0131n herhangi bir a\u015f\u0131y\u0131 olmas\u0131 gerekti\u011fini belirtirken, belli ila\u00e7 gruplar\u0131na alerjisi olan \u00e7ocuklar\u0131n hekimleri taraf\u0131ndan kapsaml\u0131 muayene edildikten sonra tam te\u015fekk\u00fcll\u00fc bir hastanede a\u015f\u0131lanmas\u0131 ve 30 dakika beklemeleri konusunda uyard\u0131.<\/p>\n
6 Eyl\u00fcl\u2019de ba\u015flayan y\u00fcz y\u00fcze e\u011fitimin ard\u0131ndan, a\u015f\u0131lanma hakk\u0131 da 12 ya\u015f kadar indirildi. Bir\u00e7ok ebeveyn \u00e7ocuklar\u0131 i\u00e7in a\u015f\u0131 randevusu al\u0131rken, alerji ve l\u00f6semi gibi ciddi kronik hastal\u0131\u011f\u0131 olan \u00e7ocuklar\u0131 i\u00e7in endi\u015fe duyan aileler teredd\u00fct ediyor.<\/p>\n
\u0130LA\u00c7 ALERJ\u0130S\u0130 END\u0130\u015eELEND\u0130R\u0130YOR<\/strong><\/p>\n \u00c7ocu\u011funun a\u015f\u0131 grubunda oldu\u011funu ancak alerjik rahats\u0131zl\u0131\u011f\u0131 oldu\u011funu dile getiren G\u00fclcan Sand\u0131k\u00e7\u0131, \u201c\u00c7ocu\u011fuma a\u015f\u0131 yapt\u0131rmay\u0131 pek d\u00fc\u015f\u00fcnm\u00fcyorum. \u00c7\u00fcnk\u00fc belli ila\u00e7lara alerjisi var. V\u00fccudu kabar\u0131yor, h\u0131r\u00e7\u0131n oluyor. \u015eu an ortada \u00e7ok k\u00f6t\u00fc bir hastal\u0131k da var. Ancak gerekirse yapt\u0131raca\u011f\u0131z\u201d diyerek endi\u015felendi\u011fini s\u00f6yledi.<\/p>\n 2020\u2019nin mart ay\u0131ndan beri bir\u00e7ok ki\u015finin hayat\u0131n\u0131 kaybetti\u011fini hat\u0131rlatan Asuman Demirci, okullar\u0131n da a\u00e7\u0131lmas\u0131yla o\u011fluna a\u015f\u0131 yapt\u0131raca\u011f\u0131n\u0131 s\u00f6yleyerek, \u201c17 ya\u015f\u0131ndaki k\u0131z\u0131ma yapt\u0131rd\u0131m. \u015eimdi o\u011fluma da a\u015f\u0131 yapt\u0131raca\u011f\u0131z. Ben de v\u00fccuduma yabanc\u0131 bir maddenin girmesini istemiyorum ama \u00f6zellikle bunca \u00f6l\u00fcm\u00fc g\u00f6rd\u00fckten sonra, insanlar gerekli oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyor. Ben de \u00f6yle oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum art\u0131k\u201d dedi.<\/p>\n C\u0130DD\u0130 ALERJ\u0130K REAKS\u0130YON G\u00d6R\u00dcLME ORANI 1 M\u0130LYONDA 4,7 VAKA<\/strong><\/p>\n Genel olarak bug\u00fcne kadar yap\u0131lan t\u00fcm a\u015f\u0131larla ilgili olarak ciddi alerjik reaksiyon g\u00f6r\u00fclme oran\u0131n\u0131n 1 milyon dozda 1 vaka olarak bildirildi\u011fini kaydeden Medipol Mega \u00dcniversite Hastanesi \u00c7ocuk Alerji ve \u0130mm\u00fcnoloji B\u00f6l\u00fcm\u00fc Do\u00e7. Dr. Hikmet Tekin Nacaro\u011flu, \u201cCovid a\u015f\u0131lar\u0131nda, ciddi alerjik reaksiyon g\u00f6r\u00fclme oran\u0131 1 milyonda 4,7 vaka olarak bildiriliyor. Ancak \u00e7ok k\u0131sa s\u00fcrede, daha geni\u015f kitlelere Covid a\u015f\u0131s\u0131 yap\u0131ld\u0131\u011f\u0131 i\u00e7in k\u00fcm\u00fclatif orana bakt\u0131\u011f\u0131m\u0131zda, \u00e7ocuk ya\u015f grubuna yapt\u0131\u011f\u0131m\u0131z a\u015f\u0131larla ayn\u0131 oranda alerjik oldu\u011funu g\u00f6r\u00fcyoruz\u201d diye konu\u015ftu.<\/p>\n KORUYUCU MADDELERE KAR\u015eI ALERJ\u0130K REAKS\u0130YON<\/strong><\/p>\n Alerjik hastal\u0131\u011f\u0131 olan \u00e7ocuklarda g\u00f6r\u00fclen yan etkilerle ilgili bilgi veren Do\u00e7. Dr. Nacaro\u011flu, \u201cA\u015f\u0131larla ilgili yan etkileri de\u011ferlendirdi\u011fimizde, her zaman a\u015f\u0131n\u0131n i\u00e7eri\u011fine ya da antijenik yap\u0131s\u0131na de\u011fil; a\u015f\u0131 i\u00e7erisinde kullan\u0131lan birtak\u0131m proteinlere ya da a\u015f\u0131da kullan\u0131lan birtak\u0131m koruyucu maddelere kar\u015f\u0131 alerjik reaksiyonlar bildiriliyor. \u00d6zellikle Pfizer\/BioNTech ile ilgili olarak, i\u00e7erisinde bulunan polietilen glikol ya da polisorbat 80 diye adland\u0131r\u0131lan maddelerin alerji yapt\u0131\u011f\u0131n\u0131 biliyoruz. Asl\u0131nda alerjik ast\u0131m, alerjik bron\u015fit, saman nezlesi gibi hastalar\u0131m\u0131z i\u00e7in Covid a\u015f\u0131s\u0131 i\u00e7in bir risk bulunmamakta. Di\u011fer \u00e7ocuklarla benzer \u015fekilde a\u015f\u0131lar\u0131n\u0131 yapt\u0131rabiliyorlar. Deri alerjisi, besin alerjisi, alerjik egzamas\u0131, polen, k\u00fcf, hayvan t\u00fcylerine alerjisi olan hastalar\u0131m\u0131z da a\u015f\u0131lar\u0131n\u0131 rutin programa yapt\u0131rabiliyor. Bizim alerjen imm\u00fcnoterapi diye adland\u0131rd\u0131\u011f\u0131m\u0131z, alerji a\u015f\u0131s\u0131 yapt\u0131\u011f\u0131m\u0131z hastalar\u0131m\u0131z da Covid-19 a\u015f\u0131lar\u0131n\u0131 olabilirler\u201d ifadelerini kulland\u0131.<\/p>\n \u0130LA\u00c7LARA ALERJ\u0130S\u0130 OLAN \u00c7OCUKLARA D\u0130KKAT<\/strong><\/p>\n Belli ila\u00e7 gruplar\u0131na alerjisi olan \u00e7ocuklar\u0131n muayene edilerek a\u015f\u0131lanmas\u0131 gerekti\u011fini belirten Do\u00e7. Dr. Nacaro\u011flu, aileleri \u015f\u00f6yle uyard\u0131:<\/p>\n \u201cPenisilin, a\u011fr\u0131 kesici gibi belirli ila\u00e7 gruplar\u0131na alerjisi olan hastalar ve ila\u00e7larla ilgili a\u011f\u0131r reaksiyon \u00f6yk\u00fcs\u00fc olmayan hastalar\u0131m\u0131z da a\u015f\u0131lar\u0131n\u0131 yapt\u0131rabilirler. Ancak \u00e7oklu ila\u00e7 alerjisi varsa veya ila\u00e7larla ilgili anafilaksi gibi a\u011f\u0131r reaksiyon \u00f6yk\u00fcs\u00fc olan bir hastan\u0131n a\u015f\u0131lanmadan \u00f6nce mutlaka hekimine ba\u015fvurmas\u0131 gerekir.\u201d<\/p>\n A\u015f\u0131larla ilgili \u00e7al\u0131\u015fmalar\u0131n, yan etkilerin a\u015f\u0131dan sonraki ilk 15-30 dakika aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fcn ortaya konuldu\u011funu aktaran Do\u00e7. Dr. Nacaro\u011flu \u201cKronik hastal\u0131\u011f\u0131 olan \u00e7ocuklar\u0131n, acil m\u00fcdahale imkanlar\u0131 olan tam donan\u0131ml\u0131 bir hastanede a\u015f\u0131lar\u0131 yap\u0131ld\u0131ktan sonra en az 30 dakika bekletilmesi gerekiyor. Hi\u00e7bir alerjik \u00e7ocu\u011fumuz, \u2018alerjim var\u2019 diye a\u015f\u0131lanmaktan \u00e7ekinmesin. Takip eden hekimine dan\u0131\u015farak, \u00f6neriler do\u011frultusunda a\u015f\u0131lar\u0131n\u0131 yapt\u0131rs\u0131n. \u0130ngiltere\u2019de yap\u0131lan son bilimsel \u00e7al\u0131\u015fmaya g\u00f6re \u00f6zellikle Covid-19 a\u015f\u0131s\u0131ndan sonra alerjik reaksiyon nedeniyle kaybedilen herhangi bir \u00e7ocuk vaka bildirilmedi\u201d diye konu\u015ftu.<\/p>\n A\u015eI HANG\u0130 HASTALARA YAPILMAMALI<\/strong><\/p>\n A\u015f\u0131n\u0131n hangi hastalarda uygulanamayaca\u011f\u0131 ile ilgili de bilgi veren Do\u00e7. Dr. Nacaro\u011flu, \u201c\u00d6zellikle ilk doz a\u015f\u0131dan sonra, ciddi alerjik reaksiyon diye adland\u0131rd\u0131\u011f\u0131m\u0131z anafilaksi geli\u015fiyorsa, yani 5-10 i\u00e7erisinde v\u00fccudunda k\u0131zar\u0131kl\u0131k, kabar\u0131kl\u0131k, d\u00f6k\u00fcnt\u00fc, nefes almada zorluk, kusma, halsizlik, bay\u0131lma gibi anafilaktik \u015fok ge\u00e7iren hastalar\u0131m\u0131za bir sonraki dozun yap\u0131lmamas\u0131 gerekir. \u00d6rne\u011fin polietilen glikol alerjisi olan bir hastam\u0131za, polietilen glikol i\u00e7eri\u011fi olan bir a\u015f\u0131n\u0131n yap\u0131lmamas\u0131 gerekir\u201d dedi.<\/p>\n L\u00d6SEM\u0130 TEDAV\u0130S\u0130 G\u00d6RENLER VE TEDAV\u0130S\u0130 B\u0130TENLER NE YAPMALI?<\/strong><\/p>\n \u00c7ocuklar\u0131 l\u00f6semi tedavisi g\u00f6ren veya tedavisi bitmi\u015f ailelerin de endi\u015fe duyabildi\u011fini, ancak a\u015f\u0131lanmalar\u0131nda hi\u00e7bir sak\u0131nca olmayaca\u011f\u0131n\u0131 s\u00f6yleyen \u00c7ocuk Hematoloji b\u00f6l\u00fcm\u00fcnden Prof. Dr. Murat Elli, \u201c\u00c7ocuklar\u0131 a\u015f\u0131layal\u0131m. Zaten tedavisi devam eden ve tedavisi bitmi\u015f t\u00fcm \u00e7ocuklar\u0131m\u0131z\u0131n a\u015f\u0131lanmas\u0131n\u0131 \u00f6neriyoruz. T\u00fcrkiye\u2019de Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, uzmanl\u0131k derneklerinden \u2018Sizin i\u00e7in altta yatan hastal\u0131k kavram\u0131 nedir\u2019 diye sordu. Bu kronik hastal\u0131klar bildirildi. 12 ya\u015f\u0131n \u00fczerinde olan, tedavisi bitmi\u015f veya tedavisi eden t\u00fcm \u00e7ocuklar\u0131n a\u015f\u0131lanmas\u0131n\u0131 istiyoruz. Tabii ki kemoterapi al\u0131rken immun sistem bask\u0131lanm\u0131\u015f oldu\u011fu i\u00e7in cevap da zay\u0131f olacakt\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k her ne kadar zay\u0131f da olsa, a\u015f\u0131lanmadan yanay\u0131z. \u00c7\u00fcnk\u00fc hi\u00e7bir a\u015f\u0131n\u0131n yan etkisi, hastal\u0131\u011f\u0131n etkileri kadar a\u011f\u0131r de\u011fildir\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":" Okullar\u0131n a\u00e7\u0131lmas\u0131n\u0131n ard\u0131ndan Kovid-19 a\u015f\u0131s\u0131n\u0131n 12 ya\u015fa kadar indirilmesiyle alerji ve kronik hastal\u0131\u011f\u0131 olan \u00e7ocuklar\u0131n ailelerini de endi\u015fe sard\u0131. Uzmanlar ise her \u00e7ocu\u011fun kovid a\u015f\u0131s\u0131 olmas\u0131, \u00f6zellikle ila\u00e7 alerjisi olan \u00e7ocuklar\u0131n tam te\u015fekk\u00fcll\u00fc bir hastanede kapsaml\u0131 bir muayenenin ard\u0131ndan a\u015f\u0131lanmas\u0131 gerekti\u011fi konusunda uyard\u0131.<\/p>\n","protected":false},"author":6,"featured_media":3571,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[283,189,628],"class_list":["post-3569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-asi","tag-cocuk","tag-kovid-19"],"_links":{"self":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/3569","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=3569"}],"version-history":[{"count":1,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/3569\/revisions"}],"predecessor-version":[{"id":3572,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/3569\/revisions\/3572"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media\/3571"}],"wp:attachment":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media?parent=3569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/categories?post=3569"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/tags?post=3569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}