{"id":3815,"date":"2025-01-06T14:33:24","date_gmt":"2025-01-06T11:33:24","guid":{"rendered":"https:\/\/www.egemtv.com\/?p=3815"},"modified":"2025-01-06T14:33:28","modified_gmt":"2025-01-06T11:33:28","slug":"tuberkulozda-erken-tani-ve-duzenli-tedavi-onemli","status":"publish","type":"post","link":"https:\/\/www.egemtv.com\/?p=3815","title":{"rendered":"T\u00fcberk\u00fclozda erken tan\u0131 ve d\u00fczenli tedavi \u00f6nemli"},"content":{"rendered":"<p>Denizli \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc Verem Sava\u015f Dispanseri T\u00fcberk\u00fcloz \u0130l Koordinat\u00f6r\u00fc Dr. H.Bet\u00fcl Abd\u00fclo\u011flu, 05-11 Ocak 78. Verem E\u011fitimi ve Fark\u0131ndal\u0131k Haftas\u0131 dolay\u0131s\u0131yla yapt\u0131\u011f\u0131 a\u00e7\u0131klamada t\u00fcberk\u00fcloz (verem) hastal\u0131\u011f\u0131nda erken tan\u0131, do\u011fru ve d\u00fczenli tedavi ile iyile\u015fmenin m\u00fcmk\u00fcn oldu\u011funu belirtti.<\/p>\n<p>T\u00fcberk\u00fclozun, mycobacterium tuberculosis isimli bakterinin solunum yollar\u0131ndan v\u00fccuda girmesi ile \u00f6zellikle akci\u011ferlerde yayg\u0131n iltihap geli\u015fmesine neden olan, halk aras\u0131nda verem hastal\u0131\u011f\u0131 olarak da bilinen bula\u015f\u0131c\u0131 bir enfeksiyon hastal\u0131\u011f\u0131 oldu\u011funu belirten T\u00fcberk\u00fcloz \u0130l Koordinat\u00f6r\u00fc Dr. H.Bet\u00fcl Abd\u00fclo\u011flu, hastal\u0131k hakk\u0131nda \u015fu bilgileri verdi: \u201cT\u00fcberk\u00fcloz, bula\u015f\u0131c\u0131 bir enfeksiyon hastal\u0131\u011f\u0131 olmas\u0131 ve g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 nedeniyle, k\u00fcresel m\u00fccadele gerektiren \u00f6nemli halk sa\u011fl\u0131\u011f\u0131 sorunlar\u0131 aras\u0131nda bulunmaktad\u0131r. Bu nedenle \u00dclkemizde \u2018Verem E\u011fitimi ve Fark\u0131ndal\u0131k Haftas\u0131\u2019 etkinlikleri 1947 y\u0131l\u0131ndan itibaren her y\u0131l, ocak ay\u0131n\u0131n ilk pazar g\u00fcn\u00fcn\u00fc izleyen hafta boyunca d\u00fczenlenmektedir. Aktif akci\u011fer ya da g\u0131rtlak veremi bulunan hastalar t\u00fcberk\u00fcloz mikrobunun kayna\u011f\u0131d\u0131r. Hasta ki\u015filerin konu\u015fma, \u00f6ks\u00fcrme ya da hap\u015f\u0131rma yoluyla ortama yayd\u0131klar\u0131 damlac\u0131klar i\u00e7indeki mikroplar\u0131n bu ortama giren sa\u011fl\u0131kl\u0131 ki\u015filerin solunum yoluyla almas\u0131yla t\u00fcberk\u00fcloz enfeksiyonu geli\u015fir. T\u00fcberk\u00fcloz enfeksiyonu, t\u00fcberk\u00fcloz basilinin v\u00fccutta sessiz oldu\u011fu; hastal\u0131k \u015fikayetlerinin bulunmad\u0131\u011f\u0131, hastal\u0131\u011f\u0131n klinik, laboratuvar ve radyolojik belirtilerin g\u00f6r\u00fclmedi\u011fi durumdur. T\u00fcberk\u00fcloz enfeksiyonu olan ki\u015filerin yakla\u015f\u0131k %10\u2019unda, ya\u015famlar\u0131n\u0131n bir d\u00f6neminde t\u00fcberk\u00fcloz hastal\u0131\u011f\u0131 geli\u015febilir. T\u00fcberk\u00fcloz hastal\u0131\u011f\u0131, t\u00fcberk\u00fclozla ilgili klinik belirtilerin ortaya \u00e7\u0131kt\u0131\u011f\u0131 durumdur. HIV\/AIDS ,Diabetes mellitus, kronik b\u00f6brek yetmezli\u011fi, baz\u0131 kanserler, ila\u00e7 ve alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, t\u00fct\u00fcn kullan\u0131m\u0131 ve silikozis de v\u00fccut direncini d\u00fc\u015f\u00fcrerek t\u00fcberk\u00fcloz hastal\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131na zemin haz\u0131rlayabilir. T\u00fcberk\u00fcloz hastal\u0131\u011f\u0131 en \u00e7ok akci\u011ferlerde g\u00f6r\u00fclmekle birlikte (%60-70) ,t\u00fcm doku ve organlar\u0131 tutabilir. Hastal\u0131\u011f\u0131n en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc di\u011fer organ ve dokular; plevra, lenf bezleri, kemikler, b\u00f6brekler ve beyin zar\u0131d\u0131r\u201d dedi.<\/p>\n<p>T\u00fcberk\u00fcloz Tedavisi 6-9 Ay S\u00fcrmekte Olup D\u00fczenli Tedaviyle Tamamen \u0130yile\u015fir<br \/>\n<br \/>T\u00fcberk\u00fcloz hastal\u0131\u011f\u0131n\u0131n belirtilerini \u00f6ks\u00fcr\u00fck, balgam, kanl\u0131 balgam (hemoptizi), g\u00f6\u011f\u00fcs-s\u0131rt-yan a\u011fr\u0131s\u0131 halsizlik, i\u015ftahs\u0131zl\u0131k, kilo kayb\u0131, ate\u015f ve gece terlemesi olarak s\u0131ralayan Dr. H.Bet\u00fcl Abd\u00fclo\u011flu, erken tan\u0131 ve d\u00fczenli tedavinin bu hastal\u0131kta \u00e7ok \u00f6nemli oldu\u011funu dile getirdi. Abd\u00fclo\u011flu: \u201cK\u00fc\u00e7\u00fck \u00e7ocuklarda kilo almada duraklama, b\u00fcy\u00fcme veya geli\u015fme gerili\u011fi olabilir. Di\u011fer organlar\u0131 tutan akci\u011fer d\u0131\u015f\u0131 t\u00fcberk\u00fcloz hastal\u0131\u011f\u0131nda ilgili organa ait belirtiler g\u00f6r\u00fclebilir. \u00d6rne\u011fin kemik ve eklem t\u00fcberk\u00fclozunda kal\u00e7a, diz veya omurgada \u015fi\u015flik, a\u011fr\u0131, ak\u0131nt\u0131; larinks t\u00fcberk\u00fclozunda ses k\u0131s\u0131kl\u0131\u011f\u0131, lenf bezi t\u00fcberk\u00fclozunda lenf bezi b\u00fcy\u00fcmesi, ak\u0131nt\u0131, b\u00f6brek t\u00fcberk\u00fclozunda idrarda kan, iltihap yapabilir. Baz\u0131 hastalarda; \u00f6zellikle ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanm\u0131\u015f ve ya\u015fl\u0131 hastalarda yak\u0131nma olmayabilir. \u0130ki-\u00fc\u00e7 haftadan uzun s\u00fcren ve non-spesifik antibiyotik tedavisi alm\u0131\u015f olmas\u0131na ra\u011fmen klinik yan\u0131t al\u0131namayan \u00f6ks\u00fcr\u00fck varl\u0131\u011f\u0131nda t\u00fcberk\u00fcloz hastal\u0131\u011f\u0131ndan \u015f\u00fcphelenmek gerekir. T\u00fcberk\u00fcloz Hastal\u0131\u011f\u0131n kesin tan\u0131s\u0131, balgamda t\u00fcberk\u00fcloz basilinin g\u00f6r\u00fclmesi ile konulur. Basilin mikroskopta g\u00f6r\u00fclmesi ya da k\u00fclt\u00fcrde \u00fcremesi gereklidir. T\u00fcberk\u00fclin deri testi (TDT)\u2019nin pozitif olmas\u0131 v\u00fccutta basil oldu\u011funu g\u00f6sterir. Bu durum t\u00fcberk\u00fcloz enfeksiyonu veya t\u00fcberk\u00fcloz hastal\u0131\u011f\u0131n\u0131 i\u015faret edebilir. T\u00fcberk\u00fcloz, bildirimi zorunlu bir hastal\u0131kt\u0131r. Tan\u0131 konulan t\u00fcm t\u00fcberk\u00fcloz hastalar\u0131n\u0131n verem sava\u015f\u0131 dispanserinde kay\u0131t alt\u0131na al\u0131nmas\u0131 gereklidir. T\u00fcberk\u00fcloz tedavisi 6-9 ay s\u00fcrmekte olup d\u00fczenli tedaviyle tamamen iyile\u015fir. Tedavide kullan\u0131lan b\u00fct\u00fcn ila\u00e7lar, ilgili sa\u011fl\u0131k kurulu\u015flar\u0131 taraf\u0131ndan \u00fccretsiz verilir. \u0130la\u00e7lar\u0131n d\u00fczenli ve yeterli s\u00fcre kullan\u0131lmas\u0131 tedavinin ba\u015far\u0131s\u0131 i\u00e7in olduk\u00e7a \u00f6nemlidir. Hastan\u0131n, tercihen bir sa\u011fl\u0131k personelinin g\u00f6zetiminde ila\u00e7lar\u0131n\u0131 almas\u0131 \u015feklinde uygulanan \u2018do\u011frudan g\u00f6zetimli tedavi (DGT)\u2019 d\u00fczenli ila\u00e7 kullan\u0131lmas\u0131 i\u00e7in en uygun yoldur. T\u00fcrkiye genelinde 2023 y\u0131l\u0131 verem hastal\u0131\u011f\u0131 insidans\u0131 y\u00fcz binde 11, Denizli\u2019de ise 2023 y\u0131l\u0131 insidans\u0131 y\u00fcz binde 7,7 olup Denizli\u2019de 2023 y\u0131l\u0131nda Verem Sava\u015f Dispanserinde 90 hasta ve 2024 y\u0131l\u0131nda da 87 yeni t\u00fcberk\u00fcloz hastas\u0131 belirlendi\u201d diye konu\u015ftu.<br \/>\n<br \/><img fetchpriority=\"high\" decoding=\"async\" width=\"1280\" height=\"995\" src=\"https:\/\/www.egemtv.com\/wp-content\/uploads\/2025\/01\/tuberkulozda-erken-tani-ve-duzenli-tedavi-onemli_0ac6f4d6d781.jpg\" class=\"attachment-full size-full not-transparent\" alt=\"\" data-has-transparency=\"false\" data-dominant-color=\"897a6f\" style=\"--dominant-color: #897a6f\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Denizli \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc Verem Sava\u015f Dispanseri T\u00fcberk\u00fcloz \u0130l Koordinat\u00f6r\u00fc Dr. H.Bet\u00fcl Abd\u00fclo\u011flu, 05-11 Ocak 78. Verem E\u011fitimi ve Fark\u0131ndal\u0131k Haftas\u0131 dolay\u0131s\u0131yla yapt\u0131\u011f\u0131 a\u00e7\u0131klamada t\u00fcberk\u00fcloz (verem) hastal\u0131\u011f\u0131nda erken tan\u0131, do\u011fru ve d\u00fczenli tedavi ile iyile\u015fmenin m\u00fcmk\u00fcn oldu\u011funu belirtti. T\u00fcberk\u00fclozun, mycobacterium tuberculosis isimli bakterinin solunum yollar\u0131ndan v\u00fccuda girmesi ile \u00f6zellikle akci\u011ferlerde yayg\u0131n iltihap geli\u015fmesine neden olan,&#8230;<\/p>\n","protected":false},"author":1,"featured_media":3816,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-3815","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/3815","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3815"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/3815\/revisions"}],"predecessor-version":[{"id":3818,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/3815\/revisions\/3818"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/3816"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}