Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji AD \u00f6\u011fretim \u00fcyesi Prof. Dr. O\u011fuz Re\u015fat Sipahi, kemirgenler yoluyla bula\u015fan ve ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilen Hantavir\u00fcslere kar\u015f\u0131 vatanda\u015flar\u0131 uyararak, \u00f6zellikle hijyen ve do\u011fru temizlik y\u00f6ntemlerinin hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131na dikkat \u00e7ekti. Prof. Dr. Sipahi, \u201cKemirgen at\u0131klar\u0131n\u0131 kuru s\u00fcp\u00fcrmeyin; maske kullan\u0131n, \u0131slat\u0131p dezenfekte ederek temizleyin\u201d dedi.<\/p>\n
Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji AD \u00f6\u011fretim \u00fcyesi ve Ba\u015fhekim Yard\u0131mc\u0131s\u0131 Prof. Dr. O\u011fuz Re\u015fat Sipahi, kemirgenler arac\u0131l\u0131\u011f\u0131yla insanlara bula\u015fabilen Hantavir\u00fcsler hakk\u0131nda kapsaml\u0131 bir bilgilendirme yapt\u0131. Prof. Dr. Sipahi, hastal\u0131\u011f\u0131n T\u00fcrkiye’deki seyri ve korunma y\u00f6ntemleri konusunda \u00f6nemli uyar\u0131larda bulundu.<\/p>\n
Hantavir\u00fcs\u00fcn yap\u0131s\u0131 ve semptomlar\u0131 hakk\u0131nda teknik detaylar payla\u015fan Prof. Dr. Sipahi, \u201cHantavir\u00fcsler, Bunyaviricetes s\u0131n\u0131f\u0131ndan, Hantaviridae<\/em> ailesine ait RNA vir\u00fcsleridir. Bu vir\u00fcsler temel olarak ate\u015f, b\u00f6brek yetmezli\u011fi veya solunum yetmezli\u011fi gibi semptomlarla kendini g\u00f6steren \u00e7e\u015fitli alt tiplere sahiptir. Klinik tablo, vir\u00fcs\u00fcn t\u00fcr\u00fcne ve ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k durumuna g\u00f6re de\u011fi\u015fiklik g\u00f6sterebilir; baz\u0131 bireyler enfeksiyonu asemptomatik, yani hi\u00e7bir belirti g\u00f6stermeden atlat\u0131rken, baz\u0131lar\u0131 ise hafif vakalardan \u00f6l\u00fcme kadar varabilen a\u011f\u0131r tablolarla kar\u015f\u0131la\u015fabilir. D\u00fcnya genelinde yakla\u015f\u0131k 40 farkl\u0131 alt tipi bulunan Hantavir\u00fcslerin T\u00fcrkiye’de en s\u0131k g\u00f6r\u00fclen t\u00fcrleri \u2018Dobrava\u2019 ve \u2018Puumala\u2019 alt tipleridir\u201d dedi.<\/p>\n Kemirgen at\u0131klar\u0131 en b\u00fcy\u00fck risk kayna\u011f\u0131<\/strong><\/p>\n Vir\u00fcs\u00fcn bula\u015fma yollar\u0131na dikkat \u00e7eken Prof. Dr. Sipahi, korunma y\u00f6ntemleri konusunda \u00f6nemli bilgiler verdi. Prof. Dr. Sipahi, \u201cVir\u00fcs\u00fcn temel bula\u015f kayna\u011f\u0131 kemirgenler, \u00f6zellikle de farelerdir. Bu nedenle kemirgenlerin d\u0131\u015fk\u0131 ve idrar gibi at\u0131klar\u0131ndan uzak durulmas\u0131, hastal\u0131ktan korunmada en \u00f6nemli y\u00f6ntemdir. \u0130nsandan insana bula\u015f riski, Andes vir\u00fcs\u00fc gibi baz\u0131 \u00f6zel alt tiplerde rapor edilmi\u015f olsa da genel olarak bu risk olduk\u00e7a d\u00fc\u015f\u00fckt\u00fcr. Kemirgen d\u0131\u015fk\u0131s\u0131, idrar\u0131 veya yuva materyali bulunan alanlar kuru s\u00fcp\u00fcr\u00fclmemeli, elektrikli s\u00fcp\u00fcrgeyle temizlenmemeli ve toz kald\u0131r\u0131lmamal\u0131d\u0131r. Temizlik \u00f6ncesinde alan havaland\u0131r\u0131lmal\u0131; eldiven ve maske kullan\u0131lmal\u0131d\u0131r. At\u0131klar, dezenfektanla \u0131slat\u0131ld\u0131ktan sonra temizlenmelidir. Ev tipi \u00e7ama\u015f\u0131r suyu ile dezenfektan haz\u0131rlanacaksa, 1 \u00f6l\u00e7\u00fc \u00e7ama\u015f\u0131r suyu 9 \u00f6l\u00e7\u00fc suyla kar\u0131\u015ft\u0131r\u0131lmal\u0131d\u0131r. \u00d6rne\u011fin bir bardak \u00e7ama\u015f\u0131r suyuna dokuz bardak su eklenebilir. Bu kar\u0131\u015f\u0131m taze haz\u0131rlanmal\u0131, kemirgen at\u0131klar\u0131n\u0131n bulundu\u011fu alan tamamen \u0131slat\u0131lmal\u0131 ve birka\u00e7 dakika bekletildikten sonra at\u0131klar ka\u011f\u0131t havlu veya bezle dikkatlice toplanmal\u0131d\u0131r. Toplanan at\u0131klar ile temizlikte kullan\u0131lan ka\u011f\u0131t havlu veya bezler plastik bir po\u015fete konulmal\u0131, po\u015fetin a\u011fz\u0131 s\u0131k\u0131ca kapat\u0131larak \u00e7\u00f6pe at\u0131lmal\u0131d\u0131r. \u00c7ama\u015f\u0131r suyu kesinlikle ba\u015fka temizlik \u00fcr\u00fcnleriyle kar\u0131\u015ft\u0131r\u0131lmamal\u0131d\u0131r. \u0130\u015flem sonras\u0131 eller sabun ve suyla y\u0131kanmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc vir\u00fcs, at\u0131klar\u0131n tozlanmas\u0131yla havaya kar\u0131\u015fan aerosoller vas\u0131tas\u0131yla \u00a0solunum yoluyla bula\u015fmaktad\u0131r\u201d diye konu\u015ftu.<\/p>\n Tedavi s\u00fcre\u00e7leri ve a\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131<\/strong><\/p>\n Hastal\u0131\u011f\u0131n tedavisi ve a\u015f\u0131lanma s\u00fcre\u00e7lerine de de\u011finen Prof. Dr. Sipahi, \u201cHantavir\u00fcs enfeksiyonu i\u00e7in \u015fu an d\u00fcnya genelinde veya Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131m\u0131zca onaylanm\u0131\u015f \u00f6zg\u00fcn bir ila\u00e7 tedavisi bulunmamaktad\u0131r. Ancak ribavirin, favipiravir, baz\u0131 steroidler gibi antiviral ve destekleyici ila\u00e7lar tedavi s\u00fcre\u00e7lerinde kullan\u0131labildi\u011fi bildirilmi\u015ftir. Tedavideki en kritik nokta, \u00f6zellikle b\u00f6brek ve akci\u011fer yetmezli\u011fi geli\u015fen akut d\u00f6nemde hastaya uygulanan destek tedavisidir. Hastan\u0131n bu s\u00fcreci destek tedavi ile sa\u011f atlatmas\u0131 sa\u011flanabilirse, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi toparlanarak vir\u00fcs\u00fc yenebilmektedir\u201d diye konu\u015ftu.<\/p>\n A\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131 hakk\u0131nda da bilgi veren Prof. Dr. Sipahi, belirli hantavir\u00fcs t\u00fcrlerine kar\u015f\u0131 \u00c7in ve G\u00fcney Kore’de kullan\u0131lan ve \u00fc\u00e7 doz ile yakla\u015f\u0131k y\u00fczde 75 civar\u0131nda koruyuculuk sa\u011flayan a\u015f\u0131lar\u0131n mevcut oldu\u011funu, ayr\u0131ca DNA ve mRNA tabanl\u0131 a\u015f\u0131lar \u00fczerindeki \u00e7al\u0131\u015fmalar\u0131n devam etti\u011fini, T\u00fcrkiye\u2019de rutin uygulamada kullan\u0131lan bir hantavir\u00fcs a\u015f\u0131s\u0131 bulunmamakta oldu\u011funu belirti.<\/p>\n T\u00fcrkiye\u2019deki mevcut durum ve risk gruplar\u0131<\/strong><\/p>\n T\u00fcrkiye’deki riskli b\u00f6lgeler ve meslek gruplar\u0131 \u00fczerine yap\u0131lan ara\u015ft\u0131rmalardan bahseden Prof. Dr. Sipahi, \u201cT\u00fcrkiye’de, hastal\u0131k \u00f6zellikle Zonguldak ve Karadeniz B\u00f6lgesi\u2019nde g\u00f6r\u00fclebilmektedir. Buna kar\u015f\u0131 hem Karadeniz B\u00f6lgesi\u2019nde, hem de \u0130zmir ve \u00e7evresinde yap\u0131lan ara\u015ft\u0131rmalar, toplumun belirli bir kesiminin bu vir\u00fcsle daha \u00f6nce kar\u015f\u0131la\u015ft\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. \u00d6zellikle veterinerler, \u00e7ift\u00e7iler gibi risk gruplar\u0131nda, hemodiyaliz hastalar\u0131nda Hantavir\u00fcse kar\u015f\u0131 antikor pozitifli\u011fi yani ki\u015finin vir\u00fcsle daha \u00f6nce kar\u015f\u0131la\u015fm\u0131\u015f olma oran\u0131n\u0131n y\u00fczde 1-5 aras\u0131nda oldu\u011fu saptanm\u0131\u015ft\u0131r. Bu veriler, vir\u00fcs\u00fcn san\u0131landan daha yayg\u0131n olabilece\u011fini ancak vakalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funun muhtemelen belirtisiz veya hafif semptomlarla seyretti\u011fini ortaya koymaktad\u0131r. Mevcut durum ve al\u0131nan \u00f6nlemlerle Hantavir\u00fcs\u00fcn Covid-19 benzeri k\u00fcresel bir pandemiye yol a\u00e7mas\u0131n\u0131 beklemiyoruz\u201d dedi.<\/p>\n <\/p>\n \n \n \n \n \n \n \n","protected":false},"excerpt":{"rendered":" Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji AD \u00f6\u011fretim \u00fcyesi Prof. Dr. O\u011fuz Re\u015fat Sipahi, kemirgenler yoluyla bula\u015fan ve ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilen Hantavir\u00fcslere kar\u015f\u0131 vatanda\u015flar\u0131 uyararak,…<\/p>\n","protected":false},"author":2,"featured_media":35810,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[99,1,70,68],"tags":[],"class_list":["post-35809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-egitim","category-gncl","category-kampus","category-saglik"],"_links":{"self":[{"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/35809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/comments?post=35809"}],"version-history":[{"count":1,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/35809\/revisions"}],"predecessor-version":[{"id":35811,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/35809\/revisions\/35811"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/media\/35810"}],"wp:attachment":[{"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/media?parent=35809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/categories?post=35809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/egeajans.ege.edu.tr\/index.php\/wp-json\/wp\/v2\/tags?post=35809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}