{"id":1128,"date":"2022-12-11T15:19:59","date_gmt":"2022-12-11T12:19:59","guid":{"rendered":"https:\/\/eczbilgipaylasim.com\/?p=1128"},"modified":"2022-12-12T14:38:09","modified_gmt":"2022-12-12T11:38:09","slug":"scabies","status":"publish","type":"post","link":"https:\/\/eczbilgipaylasim.com\/?p=1128","title":{"rendered":"SCAB\u0130ES"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Toplu ya\u015fam yerlerinin, yoksullu\u011fun, pandeminin ve do\u011fal felaketlerin oldu\u011fu ve ba\u015flad\u0131\u011f\u0131 d\u00f6nemlerde scabies gibi bula\u015f\u0131c\u0131 rahats\u0131zl\u0131klar\u0131n de ba\u015f g\u00f6sterece\u011fi veya hortlayaca\u011f\u0131 ger\u00e7e\u011fi g\u00f6zden \u00e7ok uzak da tutulmamal\u0131d\u0131r!&nbsp; Hele hele do\u011fan\u0131n art\u0131k \u00e7\u0131\u011fl\u0131k atarcas\u0131na insano\u011flunu uyard\u0131\u011f\u0131 \u015fu d\u00f6nemlerde.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sarcoptes scabiei denen di\u015fi akar\u0131n sebep oldu\u011fu ve hayat d\u00f6ng\u00fcs\u00fcn\u00fc sadece insan derisinde tamamlayan bu hastal\u0131k hi\u00e7 de hafife al\u0131nmamal\u0131d\u0131r. \u00d6ncelikle bula\u015f\u0131c\u0131 ve insan derisinin nispeten ince ve s\u0131cak olan yerlerini konak olarak se\u00e7iyor. Yani kulak arkas\u0131, koltuk alt\u0131, genital b\u00f6lge, kollar ve bacaklar \u00f6ncelikli.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130nat\u00e7\u0131 ve diren\u00e7 kazanan bir rahats\u0131zl\u0131k oldu\u011fu i\u00e7in de tedavisi uzun ve me\u015fakkatli olabiliyor maalesef, \u00fcstelik \u00e7abuk bula\u015fabiliyor. Tedavide kulland\u0131\u011f\u0131m\u0131z ajanlar \u00e7e\u015fitlilik ve toksisite de\u011ferleri oldu\u011fu i\u00e7in de hasta profili son derece \u00f6nem arz etmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rne\u011fin bir bebek veya laktasyon d\u00f6nemindeki bir kad\u0131n ile yeti\u015fkin bir hasta i\u00e7in haz\u0131rlayaca\u011f\u0131m\u0131z ila\u00e7 ayn\u0131 olmayabilir. Yine geriatri hastas\u0131n\u0131n cilt yap\u0131s\u0131 olduk\u00e7a hassas oldu\u011fu i\u00e7in bu durumu g\u00f6z \u00f6n\u00fcnde bulundurarak haz\u0131rlamam\u0131z gerekiyor ilac\u0131. \u0130\u015fte tam da bu noktada majistralin \u00f6nemini vurgulayabilir ve daha iyi anlayabiliriz. Majistral ila\u00e7 ki\u015fiye \u00f6zg\u00fc haz\u0131rland\u0131\u011f\u0131 i\u00e7in hasta uyuncu ve ba\u015far\u0131 oran\u0131 daha y\u00fcksek olmaktad\u0131r. Bu ger\u00e7e\u011fi pandemiyle beraber ge\u00e7ti\u011fimiz son 3-4 y\u0131l i\u00e7erisinde bir kez daha ve daha g\u00fc\u00e7l\u00fc bir \u015fekilde g\u00f6rd\u00fck. \u00dcstelik bu sorun sadece \u00fclkemizi de\u011fil t\u00fcm d\u00fcnyay\u0131 tehdit etmektedir. \u015eayet insanl\u0131k akl\u0131n\u0131 ba\u015f\u0131na al\u0131p; h\u0131zl\u0131 ve bilin\u00e7siz \u00e7o\u011falma, mevcut kaynaklar\u0131 bilin\u00e7sizce kullanma, k\u00fcresel \u0131s\u0131nma gibi sorunlara \u00e7\u00f6z\u00fcp bulmazsa e\u011fer bu problemler daha da b\u00fcy\u00fcy\u00fcp katlanarak \u00f6n\u00fcm\u00fcze gelecektir. Her \u015feyden \u00f6nemlisi do\u011faya sayg\u0131 duymal\u0131y\u0131z, mevcut kaynaklar sadece bize ait de\u011fil, bizimle birlikte hayvanlar ve bitkiler ve di\u011fer canl\u0131lar bu do\u011fan\u0131n bir par\u00e7as\u0131 ve birlikte ya\u015famay\u0131 \u00f6\u011frenmeliyiz. Mevcut kaynaklar\u0131 geri d\u00f6n\u00fc\u015f\u00fcm\u00fc olacak \u015fekilde kullanmal\u0131y\u0131z. Bu bahsetti\u011fim her \u015fey ger\u00e7ekten birbiriyle ba\u011flant\u0131l\u0131.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gelelim bu hastal\u0131\u011f\u0131n tedavisine; K\u00fcr tedavisi uygulan\u0131r.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Her k\u00fcr 3 g\u00fcn \u00fcst t\u00fcm v\u00fccuda ayn\u0131 saatte s\u00fcr\u00fcp,&nbsp; 4. g\u00fcn banyo yapmay\u0131 gerektirir<\/li>\n\n\n\n<li>Maksimum 3 k\u00fcr uygulanabilir. (2. Ve 3. k\u00fcre gerek olup olmad\u0131\u011f\u0131na doktor veya eczac\u0131 karar verir, ilk k\u00fcrde genelde v\u00fccudun&nbsp; % 70-80 oran\u0131nda temizlenmesini bekleriz.) kalan yumurtalar\u0131n kulu\u00e7ka s\u00fcresi g\u00f6z \u00f6n\u00fcnde bulundurularak di\u011fer k\u00fcrler takip edilebilir.<\/li>\n\n\n\n<li>K\u00fcrler aras\u0131na 4-5 g\u00fcn ara verilip bu s\u00fcre zarf\u0131nda v\u00fccut nemlendirilmelidir.<\/li>\n\n\n\n<li>Tedaviye ba\u015flamadan \u00f6nce banyoda hafif bir kese yapt\u0131rmakta fayda var sonras\u0131nda ilaca ba\u015flan\u0131r.<\/li>\n\n\n\n<li>\u0130\u015flem kulak arakas\u0131ndan ba\u015flan\u0131p a\u015fa\u011f\u0131ya do\u011fru t\u00fcm v\u00fccuda ince bir \u015fekilde s\u00fcr\u00fclmelidir. Mukozaya ve sa\u00e7l\u0131 deriye s\u00fcr\u00fclmez. Sa\u00e7l\u0131 deriye daha \u00e7ok katran veya k\u00fck\u00fcrt i\u00e7eren sabunlar veya losyon \u015feklindeki \u00fcr\u00fcnler tercih edilir.<\/li>\n\n\n\n<li>Tedavi s\u00fcresince 3 g\u00fcn boyunca elbiselerin de\u011fi\u015ftirilmemesi 4. g\u00fcn banyodan sonra bu elbiselerin b\u00fcy\u00fck, siyah ve a\u011fz\u0131 s\u0131k\u0131ca kapal\u0131 bir po\u015fette ayr\u0131, uzakta tutulmal\u0131 ve 72 saat boyunca da a\u00e7\u0131lmamal\u0131d\u0131r.<\/li>\n\n\n\n<li>Unutulmamal\u0131d\u0131r ki ba\u015far\u0131l\u0131 bir tedavinin sonucunda bile ka\u015f\u0131nt\u0131lar bir aya kadar giderek azalacak bir \u015fekilde devam edebilir. Bu durum majistral ila\u00e7la \u00f6ld\u00fcrd\u00fc\u011f\u00fcm\u00fcz veya uzakla\u015ft\u0131rd\u0131\u011f\u0131m\u0131z mikroorganizmalar\u0131n art\u0131klar\u0131 ve yumurtalar\u0131ndan kaynaklanmaktad\u0131r.<\/li>\n\n\n\n<li>Bununla beraber evdeki ortamlarda da; evi havaland\u0131rmak, \u00e7ama\u015f\u0131rlar\u0131 y\u00fcksek s\u0131cakl\u0131klarda y\u0131kamak(70 C ve \u00fcst\u00fc), yine gerekiyorsa \u00e7ama\u015f\u0131rlar\u0131 \u00fct\u00fclemek, gerekirse akar spreyi kullanmak, ki\u015fisel e\u015fyalar\u0131 ortak kullanmamak gibi tedbirler al\u0131nabilir. Bu hastal\u0131\u011f\u0131n tedavisinde hastan\u0131n tedaviye harfiyen uymas\u0131, i\u015fbirli\u011fi ve uyuncu son derece \u00f6nemlidir.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Scabies de ki\u015fisel bak\u0131m ve temizlik \u00e7ok \u00f6nemlidir, bula\u015f\u0131c\u0131 bir rahats\u0131zl\u0131k oldu\u011fu i\u00e7in te\u015fhis kondu\u011funda ev halk\u0131n\u0131n tamam\u0131n\u0131n tedbir almas\u0131 \u00f6nemlidir.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu rahats\u0131zl\u0131k y\u00fcz\u00fcnden bireylerin ciddi ka\u015f\u0131nt\u0131lar ya\u015fayabilir buna ba\u011fl\u0131 olarak uyku kaliteleri d\u00fc\u015febiliyor ve yine buna ba\u011fl\u0131 olarak mesleki, i\u015f performanslar\u0131 d\u00fc\u015febilmektedir. T\u00fcm bunlara ba\u011fl\u0131 olarak depresyon, toplumsak soyutlama ve sosyal izolasyon g\u00f6r\u00fclebilmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;Unutulmamal\u0131d\u0131r ki bu canl\u0131 sadece insan cildinde ya\u015fayabiliyor dolay\u0131s\u0131yla da uygun tedavi ile ba\u015f edilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Not: S\u00fcre\u00e7 ilk ba\u015flad\u0131\u011f\u0131nda majistral re\u00e7etelerimizin i\u00e7erikleri nispeten oranlar daha az, i\u00e7erik daha basitti ama pandemiyle beraber daha farkl\u0131 ajanlara ve daha y\u00fcksek oranlara ge\u00e7ildi. \u00d6rne\u011fin re\u00e7etelerde kulland\u0131\u011f\u0131m\u0131z k\u00fck\u00fcrt oranlar\u0131 y\u00fczde 10 civar\u0131ndayken, bug\u00fcn i\u00e7in y\u00fczde 20 hatta y\u00fczde 25 oran\u0131ndaki re\u00e7eteleri \u00f6n\u00fcm\u00fczde g\u00f6r\u00fcr olduk. Bu d\u00f6nem itibar\u0131yla yeni ajanlara ge\u00e7ildi. Bu k\u0131\u015f benzil benzoat i\u00e7eren re\u00e7ete \u00f6rnekleri fazlaca \u00e7\u0131kmaya ba\u015flad\u0131. Bu da demek oluyor ki mevcut mikroorganizma diren\u00e7 kazanmaya devam ediyor. Yani bir s\u00fcre sonra (ki tahminim bu s\u00fcre 3-4 y\u0131l olabilir, belki daha k\u0131sa) benzil benzoat i\u00e7eren re\u00e7eteler de yetersiz gelecektir. Kim bilir belki de ivermectin i\u00e7eren re\u00e7etelere ge\u00e7ilir.<\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\">ECZ.Eyy\u00fcp B\u00dcR<\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\">@eczeyy\u00fcpb\u00fcr <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Toplu ya\u015fam yerlerinin, yoksullu\u011fun, pandeminin ve do\u011fal felaketlerin oldu\u011fu ve ba\u015flad\u0131\u011f\u0131 d\u00f6nemlerde scabies gibi bula\u015f\u0131c\u0131 rahats\u0131zl\u0131klar\u0131n de ba\u015f g\u00f6sterece\u011fi veya<\/p>\n","protected":false},"author":207540709,"featured_media":1134,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[45541,729809121],"tags":[],"class_list":["post-1128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-duyurular","category-yazarlar"],"yoast_head":"<!-- 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