Bordetella pertussis<\/em> adl\u0131 bakterinin neden oldu\u011fu bo\u011fmaca, 20. y\u00fczy\u0131l\u0131n en s\u0131k rastlanan ve \u00f6nemli \u00f6l\u00fcm nedeni olan \u00e7ocukluk hastal\u0131klar\u0131ndan biridir. Bo\u011fmaca a\u015f\u0131s\u0131n\u0131n geli\u015ftirilmesi ve yayg\u0131n \u015fekilde uygulanmas\u0131n\u0131n ard\u0131ndan s\u0131kl\u0131\u011f\u0131 %75 azalmakla birlikte, bo\u011fmaca d\u00fcnya \u00e7ap\u0131nda \u00f6nemli bir \u00e7ocukluk \u00e7a\u011f\u0131 sorunu olmaya devam etmektedir. D\u00fcnya \u00e7ap\u0131nda 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda her y\u0131l 24 milyon yeni bo\u011fmaca olgusu g\u00f6r\u00fclebilmekte ve 160.700 \u00f6l\u00fcme yol a\u00e7maktad\u0131r.<\/p><\/blockquote>\n

Hap\u015f\u0131rma, hafif ate\u015f, burun ak\u0131nt\u0131s\u0131, hafif \u00f6ks\u00fcr\u00fck gibi so\u011fuk alg\u0131nl\u0131\u011f\u0131 bulgular\u0131yla ba\u015flayan bo\u011fmacada \u00f6ks\u00fcr\u00fck giderek artar ve bo\u011fulur tarzda, a\u011f\u0131r \u00f6ks\u00fcr\u00fck n\u00f6betleri olu\u015fur. N\u00f6bet sonunda derin nefes alma ile \u0131sl\u0131k benzeri bir ses duyulacakt\u0131r. Ayr\u0131ca \u00f6ks\u00fcr\u00fck n\u00f6betine morarma ve kusma e\u015flik edebilir. Bo\u011fmacan\u0131n birinci s\u0131kl\u0131ktaki \u00f6l\u00fcm nedeni ikincil olarak geli\u015fen zat\u00fcrredir. Ancak orta kulak iltihab\u0131, kilo kayb\u0131 ve beyin hasar\u0131 da olu\u015fabilir.<\/p>\n

Bo\u011fmacaya ba\u011fl\u0131 \u00f6l\u00fcmlerin \u00e7o\u011funlu\u011fu, 3 ayl\u0131k ve daha k\u00fc\u00e7\u00fck bebeklerde ortaya \u00e7\u0131kar. Bebeklerde bo\u011fmaca a\u015f\u0131s\u0131 2 aydan \u00f6nce yap\u0131lmad\u0131\u011f\u0131ndan, yenido\u011fanlar ciddi bir risk alt\u0131ndad\u0131r. A\u015f\u0131lama Uygulamalar\u0131 Dan\u0131\u015fma Kurulu 2013 y\u0131l\u0131ndan bu yana t\u00fcm gebeliklerde, daha \u00f6nceki tetanoz, difteri ve bo\u011fmaca a\u015f\u0131lama \u00f6yk\u00fcs\u00fcnden ba\u011f\u0131ms\u0131z olarak bu a\u015f\u0131lar\u0131n tekrar yap\u0131lmas\u0131n\u0131 \u00f6nermektedir. Gebelikte en y\u00fcksek d\u00fczeyde anne ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131 ve yenido\u011fana pasif ba\u011f\u0131\u015f\u0131kl\u0131k ge\u00e7i\u015fi sa\u011flamak i\u00e7in Tdap a\u015f\u0131s\u0131n\u0131n 27-36. haftalar aras\u0131nda yap\u0131lmas\u0131 \u00f6nerilir. Ancak Tdap a\u015f\u0131s\u0131 yaralanma veya bo\u011fmaca salg\u0131nlar\u0131 gibi durumlar s\u00f6z konusu ise t\u00fcm gebelik s\u00fcresince g\u00fcvenle uygulanabilir. Gebe kad\u0131nlara inaktif vir\u00fcs veya bakteri ya da toksoid a\u015f\u0131s\u0131 yap\u0131lmas\u0131n\u0131n bebe\u011fe olumsuz etkileri bulunmaz ve bu uygulaman\u0131n g\u00fcvenlidir. Tdap\u2019\u0131n 2. \u00fc\u00e7 ay\u0131n sonu ya da 3. \u00fc\u00e7 ay\u0131n ba\u015f\u0131nda uygulanmas\u0131 yenido\u011fan bo\u011fmacas\u0131na kar\u015f\u0131 y\u00fcksek derecede etkilidir. Ayr\u0131ca, annenin a\u015f\u0131lanmas\u0131n\u0131n tam olarak koruma sa\u011flamad\u0131\u011f\u0131 durumlarda bile gebelikte anneleri Tdap a\u015f\u0131s\u0131 olan bebekler bo\u011fmacay\u0131 anlaml\u0131 derecede daha hafif ge\u00e7irir.<\/p>\n

D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc, bir\u00e7ok \u00fclkede gebelik 3. \u00fc\u00e7 ay\u0131nda uygulanan Tdap a\u015f\u0131s\u0131n\u0131n g\u00fcvenli oldu\u011funu ve bebeklerin bo\u011fmacadan korunmas\u0131nda y\u00fcksek etkililik sa\u011flad\u0131\u011f\u0131n\u0131 belirtmektedir. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc, bu y\u00f6ntemin k\u00fc\u00e7\u00fck bebeklerin korunmas\u0131nda ulusal a\u015f\u0131 programlar\u0131nda bebek bo\u011fmaca a\u015f\u0131lamas\u0131na ek olarak anne adaylar\u0131na Tdap a\u015f\u0131s\u0131 uygulamas\u0131na da yer verilmesini \u00f6nerir.<\/p>\n

Sonu\u00e7 olarak, uluslararas\u0131 kaynaklarda difteri<\/em>, tetanoz<\/em>, bo\u011fmaca<\/em> (Tdap) ve grip<\/em> a\u015f\u0131lar\u0131n\u0131n gebelik s\u0131ras\u0131nda rutin olarak uygulanmas\u0131 \u00f6nerilir. \u00dclkemizde t\u00fcm gebelere a\u015f\u0131lanma durumlar\u0131na uygun olarak eri\u015fkin tip tetanoz ve difteri a\u015f\u0131s\u0131 (Td) uygulanmaktad\u0131r. Geli\u015fmi\u015f \u00fclkelerde rutinde uygulanan Td dozlar\u0131ndan en az birisinin Tdap olmas\u0131 \u00f6nerilir. Sonu\u00e7 olarak; anne aday\u0131 Td takvimini tamamlasa bile gebeli\u011fin tercihen 27-36. haftas\u0131nda Tdap uygulanmas\u0131 \u00f6nerilir, bu d\u00f6neme denk gelen Td dozu Tdap olarak uygulanabilir. Daha \u00f6nce bo\u011fmaca a\u015f\u0131s\u0131 yap\u0131lm\u0131\u015f veya hastal\u0131k ge\u00e7irilmi\u015f olsa bile bo\u011fmaca ya\u015fam boyu ba\u011f\u0131\u015f\u0131kl\u0131k b\u0131rakmad\u0131\u011f\u0131ndan her gebelikte bir doz Tdap yap\u0131lmas\u0131 \u00f6nerilir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Bordetella pertussis adl\u0131 bakterinin neden oldu\u011fu bo\u011fmaca, 20. y\u00fczy\u0131l\u0131n en s\u0131k rastlanan ve \u00f6nemli \u00f6l\u00fcm nedeni olan \u00e7ocukluk hastal\u0131klar\u0131ndan biridir. Bo\u011fmaca a\u015f\u0131s\u0131n\u0131n geli\u015ftirilmesi ve yayg\u0131n \u015fekilde uygulanmas\u0131n\u0131n ard\u0131ndan s\u0131kl\u0131\u011f\u0131 %75 azalmakla birlikte, bo\u011fmaca d\u00fcnya \u00e7ap\u0131nda \u00f6nemli bir \u00e7ocukluk \u00e7a\u011f\u0131 sorunu olmaya devam etmektedir. D\u00fcnya \u00e7ap\u0131nda 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda her y\u0131l 24 milyon yeni bo\u011fmaca […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[37],"tags":[],"yoast_head":"\n