{"id":248,"date":"2022-10-25T19:13:17","date_gmt":"2022-10-25T19:13:17","guid":{"rendered":"http:\/\/www.erbaakarayakaasm.com\/?p=248"},"modified":"2022-11-23T11:21:02","modified_gmt":"2022-11-23T11:21:02","slug":"el-ayak-ve-agiz-hastaligi-nedir","status":"publish","type":"post","link":"http:\/\/www.erbaakarayakaasm.com\/?p=248","title":{"rendered":"El, Ayak ve A\u011f\u0131z Hastal\u0131\u011f\u0131 Nedir"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-249 aligncenter\" src=\"http:\/\/www.erbaakarayakaasm.com\/wp-content\/uploads\/2017\/10\/24489-300x180.jpg\" alt=\"\" width=\"300\" height=\"180\" srcset=\"http:\/\/www.erbaakarayakaasm.com\/wp-content\/uploads\/2017\/10\/24489-300x180.jpg 300w, http:\/\/www.erbaakarayakaasm.com\/wp-content\/uploads\/2017\/10\/24489.jpg 620w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>Semptom ve bulgular;<\/strong><\/p>\n<p>El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 \u00f6zellikle 5 ya\u015f alt\u0131 \u00e7ocuklarda g\u00f6r\u00fclen olduk\u00e7a bula\u015f\u0131c\u0131 bir viral hastal\u0131kt\u0131r. Nadiren daha b\u00fcy\u00fck \u00e7ocuklarda ve yeti\u015fkinlerde de hastal\u0131k g\u00f6r\u00fclebilmektedir. Ate\u015f, bo\u011faz a\u011fr\u0131s\u0131, i\u015ftahs\u0131zl\u0131k, halsizlik bulgular\u0131 ile birlikte a\u011f\u0131z i\u00e7erisinde ve a\u011f\u0131z \u00e7evresinde, avu\u00e7 i\u00e7i ve ayak taban\u0131nda g\u00f6r\u00fclen d\u00f6k\u00fcnt\u00fcler ile karakterize bir klinik tablodur. D\u00f6k\u00fcnt\u00fcler k\u0131rm\u0131z\u0131, yuvarlak lezyonlar \u015feklinde olabildi\u011fi gibi bazen i\u00e7i s\u0131v\u0131 dolu vezik\u00fcller \u015feklinde de g\u00f6r\u00fclebilmektedir. El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 \u00e7o\u011funlukla kendi kendini s\u0131n\u0131rlayan, a\u011f\u0131r hastal\u0131k tablosuna neden olmayan bir viral hastal\u0131kt\u0131r. Hastalar 7 ile 10 g\u00fcn i\u00e7erisinde geli\u015fen t\u00fcm bulgular\u0131n kaybolmas\u0131 ile tamamen iyile\u015fir. Olduk\u00e7a nadir bir komplikasyon olarak viral veya aseptik menenjit klini\u011fine neden olabilmektedir.<\/p>\n<p><strong>Hastal\u0131\u011f\u0131n etkenleri ve tan\u0131s\u0131;<\/strong><\/p>\n<p>El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 etkenleri enterovir\u00fcs genusu i\u00e7erisinde yer alan coxsackievirus, echovirus ve enteroviruslerdir. Coxsackievirus A16 ve Enterovirus 71 el, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 en s\u0131k g\u00f6r\u00fclen subtipleridir. El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 her y\u0131l \u00f6zellikle ilkbahar ile sonbahar ba\u015f\u0131 aras\u0131nda g\u00f6r\u00fclmektedir. &nbsp;Hastal\u0131\u011f\u0131n tan\u0131s\u0131 t\u00fcm d\u00fcnyada yayg\u0131n olarak hastan\u0131n ya\u015f\u0131, klinik bulgular\u0131, d\u00f6k\u00fcnt\u00fclerin \u00f6zellikleri ve d\u00f6k\u00fcnt\u00fclerin b\u00f6lgesel da\u011f\u0131l\u0131m\u0131 ile klinik olarak konulmaktad\u0131r. Bununla birlikte beklenenden daha fazla vaka g\u00f6r\u00fclmesi veya hastal\u0131\u011f\u0131n olduk\u00e7a nadir g\u00f6r\u00fclen aseptik menenjit gibi komplikasyonlar\u0131ndan \u015f\u00fcphe edilmesi durumunda, t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de nazofarengeal \u00f6rnekler, d\u00f6k\u00fcnt\u00fc i\u00e7erisindeki s\u0131v\u0131 ve gayta \u00f6rneklerinden hastal\u0131\u011f\u0131n laboratuvar tan\u0131s\u0131 yap\u0131labilmektedir.<\/p>\n<p><strong>Hastal\u0131k yay\u0131l\u0131m\u0131 ve \u00f6nlenmesi;<\/strong><\/p>\n<p>Vir\u00fcs enfekte ki\u015filerin nazofarengeal sekresyonlar\u0131, vezik\u00fcler d\u00f6k\u00fcnt\u00fc i\u00e7erisindeki s\u0131v\u0131da ve gaytada bulunur. Solunum yolu, fekal-oral ve temas ile enfekte ki\u015filerden duyarl\u0131 ki\u015filere yay\u0131l\u0131m g\u00f6steren olduk\u00e7a bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Genellikle hastal\u0131\u011f\u0131n ilk haftas\u0131nda bula\u015f oran\u0131 en y\u00fcksektir. M\u00fcmk\u00fcn ise hasta olan ki\u015finin semptomatik d\u00f6nemde yay\u0131l\u0131m\u0131 \u00f6nlemek i\u00e7in evinde kalmas\u0131, duyarl\u0131 ki\u015filer ile temas etmemesi \u00f6nerilmektedir. Duyarl\u0131 ki\u015filerin bula\u015f\u0131 \u00f6nlemek i\u00e7in su ve sabunla s\u0131k s\u0131k el y\u0131kamalar\u0131, s\u0131k temas edilen y\u00fczeyleri uygun \u015fekilde dezenfekte etmeleri, temas ile kontamine olan objeleri, oyuncaklar\u0131 uygun \u015fekilde dezenfekte etmeleri, ortak \u00e7atal, ka\u015f\u0131k kullan\u0131m\u0131ndan ve yak\u0131n temastan (sar\u0131lma, tokala\u015fma) ka\u00e7\u0131nmalar\u0131 gerekmektedir.<\/p>\n<p><strong>Hastal\u0131\u011f\u0131n tedavisi;<\/strong><\/p>\n<p>El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131ndan korunmada etkinli\u011fi ve g\u00fcvenilirli\u011fi kan\u0131tlanm\u0131\u015f bir a\u015f\u0131 yoktur ve tedavisi i\u00e7in \u00f6zel bir ila\u00e7ta bulunmamaktad\u0131r. \u00c7o\u011funlukla hastal\u0131\u011f\u0131n hafif semptomlar ile seyretmesi ve kendi kendine d\u00fczelmesi g\u00f6zlenmektedir. Bununla birlikte gereken hastalarda, mevcut semptomlar\u0131 hafifletmek i\u00e7in a\u011fr\u0131 kesici ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fclerin kullan\u0131m\u0131, bo\u011faz a\u011fr\u0131s\u0131n\u0131 azaltmak i\u00e7in gargara ve spreylerin kullan\u0131m\u0131 \u00f6nerilmektedir. Yeterli s\u0131v\u0131 ve beslenme deste\u011fi alamayan \u00e7ocuklarda gerekli s\u0131v\u0131 ve beslenme deste\u011fi yap\u0131lmal\u0131d\u0131r.<\/p>\n<p><strong>&nbsp;D\u00fcnyada ve \u00fclkemizde g\u00fcncel durum;<\/strong><\/p>\n<p>\u00c7in, Japonya, Malezya ve Tayvan gibi uzak do\u011fu \u00fclkelerinde hastal\u0131k endemik (vaka insidans\u0131 &gt; 10 her 10 000 ki\u015fi i\u00e7in) olarak g\u00f6r\u00fclmektedir. Ve bu \u00fclkelerde D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc zorunlu vaka bildirim prosed\u00fcr\u00fc uygulamaktad\u0131r. Di\u011fer Avrupa \u00fclkelerinde oldu\u011fu gibi \u00fclkemizde de hastal\u0131k \u00f6zellikle ilkbahar ile sonbahar ba\u015f\u0131 aras\u0131nda g\u00f6r\u00fclmekte, vaka insidans\u0131 10 000 de 1\u2019in alt\u0131nda ger\u00e7ekle\u015fmektedir. \u00dclkemizde di\u011fer Avrupa \u00fclkeleri gibi hastal\u0131\u011f\u0131n endemik g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fclkeler kapsam\u0131nda de\u011fildir ve aktif vaka bildirimi yap\u0131lmamaktad\u0131r. Bununla birlikte \u00fclkemizde ge\u00e7mi\u015f y\u0131llar ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, bu y\u0131lki mevsimsel ge\u00e7i\u015f d\u00f6neminde baz\u0131 b\u00f6lgelerde vaka art\u0131\u015flar\u0131 g\u00f6zlenmektedir.&nbsp; Belirgin vaka art\u0131\u015f\u0131 bildirilen Antalya ilimizde Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 1 Temmuz 2017 tarihinden itibaren hastal\u0131k bildirimini takibe alm\u0131\u015f, bu mevsimsel d\u00f6nemde beklendi\u011fi \u00fczere vaka insidans\u0131n\u0131 10 000 de 1\u2019in alt\u0131nda olarak tespit etmi\u015ftir. Antalya ilinden se\u00e7ilen 25 vakan\u0131n klinik \u00f6rnekleri molek\u00fcler tan\u0131mlama i\u00e7in de\u011ferlendirildi ve 18 hastada molek\u00fcler y\u00f6ntemler ile vir\u00fcs varl\u0131\u011f\u0131 tespit edildi. \u0130leri h\u00fccre k\u00fclt\u00fcr\u00fc ve subtip tan\u0131mlamas\u0131 ile 16 hastada Coxsackievirus A6 iki hastada Echovirus 25 subtipleri tespit edildi.<\/p>\n<p>&nbsp;<\/p>\n<p>Kaynak:&nbsp;http:\/\/www.thsk.gov.tr\/guncel\/haberler\/5-haberler\/el,-ayak-ve-agiz-hastaligi.html<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Semptom ve bulgular; El, ayak ve a\u011f\u0131z hastal\u0131\u011f\u0131 \u00f6zellikle 5 ya\u015f alt\u0131 \u00e7ocuklarda g\u00f6r\u00fclen olduk\u00e7a bula\u015f\u0131c\u0131 bir viral hastal\u0131kt\u0131r. Nadiren daha b\u00fcy\u00fck \u00e7ocuklarda ve yeti\u015fkinlerde de hastal\u0131k g\u00f6r\u00fclebilmektedir. Ate\u015f,&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":250,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,6],"tags":[],"class_list":["post-248","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-duyurular","category-egitimler"],"_links":{"self":[{"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/posts\/248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=248"}],"version-history":[{"count":2,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/posts\/248\/revisions"}],"predecessor-version":[{"id":419,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/posts\/248\/revisions\/419"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=\/wp\/v2\/media\/250"}],"wp:attachment":[{"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=248"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=248"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.erbaakarayakaasm.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}