Sahipsiz, takibi olmayan ve a\u015f\u0131s\u0131z k\u00f6pek, kedi veya vah\u015fi hayvanlar taraf\u0131ndan \u0131s\u0131r\u0131lma ve t\u0131rmalanma \u00f6l\u00fcmc\u00fcl “kuduz” hastal\u0131\u011f\u0131 riskini de beraberinde getiriyor. Bu riskten korunman\u0131n tek yolu ise m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede a\u015f\u0131lanma.<\/p>\n
Ancak bir\u00e7ok ki\u015fi b\u00f6yle bir \u0131s\u0131r\u0131lma ya da t\u0131rmalanma durumunda sa\u011fl\u0131k kurulu\u015flar\u0131na ba\u015fvurmakta gecikebiliyor. Oysa ilk 24 saat i\u00e7erisinde yap\u0131lan ve ilk dozun verildi\u011fi g\u00fcn\u00fc takip eden s\u00fcre\u00e7te do\u011fru periyotta uygulanan toplam 4 dozluk kuduz a\u015f\u0131s\u0131, hastal\u0131k riskine kar\u015f\u0131 y\u00fczde 100 koruma sa\u011fl\u0131yor.<\/p>\n
Kuduz hastal\u0131\u011f\u0131, bula\u015fma ve korunma yollar\u0131na ili\u015fkin AA muhabirine bilgi veren Do\u00e7. Dr. S\u00f6nmezer, kuduzun hayvanlardan insanlara bula\u015fan bir hastal\u0131k oldu\u011funa dikkati \u00e7ekti.<\/p>\n
“\u00d6l\u00fcmc\u00fcl ama a\u015f\u0131 ile \u00f6nlenebilen bir hastal\u0131k”<\/h3>\n
S\u00f6nmezer, “Kuduz, \u00f6zellikle vah\u015fi kedi, k\u00f6pek \u0131s\u0131rmalar\u0131, ormanlarda ya\u015fayan vah\u015fi hayvanlar\u0131n \u0131s\u0131rmalar\u0131yla bula\u015f\u0131yor. ‘Rabies’ isimli vir\u00fcs kaynakl\u0131 ve ne yaz\u0131k ki bula\u015ft\u0131\u011f\u0131nda y\u00fczde 100 \u00f6l\u00fcmc\u00fcl seyrediyor. Fakat \u015fansl\u0131 oldu\u011fumuz k\u0131s\u0131m, y\u00fczde 100 \u00f6l\u00fcmc\u00fcl olmas\u0131na kar\u015f\u0131n a\u015f\u0131 ile \u00f6nlenebilen bir hastal\u0131k.” diye konu\u015ftu.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/4f62407a-abf2-4464-9690-b6acbca575b5\/07_2024%2F8_HAZIRAN%2F20240613_2_64306245_101963979.jpg\"\/)
<\/p>\n
Kuduz a\u015f\u0131s\u0131n\u0131n \u0131s\u0131r\u0131lma veya t\u0131rmalanma sonras\u0131 uygulanmas\u0131n\u0131n hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131, bu sayede kuduzun belirtiler ortaya \u00e7\u0131kmadan atlat\u0131labildi\u011fini dile getiren S\u00f6nmezer, \u0131s\u0131r\u0131lma sebebiyle sa\u011fl\u0131k kurulu\u015flar\u0131na ba\u015fvuran ki\u015filerin risk durumlar\u0131n\u0131n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Kuduz Saha Rehberi Y\u00f6nergesi do\u011frultusunda de\u011ferlendirildi\u011fini bildirdi.<\/p>\n
“Sahipli, g\u00f6zlemlenebilir, a\u015f\u0131l\u0131 hayvanlar riskli de\u011fil”<\/h3>\n
Do\u00e7. Dr. S\u00f6nmezer, bu \u00e7er\u00e7evede, vah\u015fi k\u00f6pek, kedi veya farkl\u0131 hayvan \u0131s\u0131rmalar\u0131n\u0131n en \u00fcst seviyede riskli temas olarak tan\u0131mland\u0131\u011f\u0131n\u0131, bu \u015fekilde sa\u011fl\u0131k kurulu\u015flar\u0131na ba\u015fvuran ki\u015filerin h\u0131zla tedavisine ba\u015fland\u0131\u011f\u0131n\u0131 belirterek s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
“Bir hayvan taraf\u0131ndan derinin yalanmas\u0131, dokunulmas\u0131 riskli bir temas de\u011fil. Burada en \u00f6nemlisi, sahipli, g\u00f6zlemlenebilir, a\u015f\u0131l\u0131 bir hayvan taraf\u0131ndan \u0131s\u0131r\u0131lmak kuduz riskinin s\u0131f\u0131r oldu\u011fu anlam\u0131na geliyor. B\u00f6yle bir \u0131s\u0131r\u0131lmada hayvan\u0131n a\u015f\u0131 karnesi ve rabies a\u015f\u0131s\u0131n\u0131 oldu\u011fu belirlendi\u011finde ki\u015fiye bir uygulama yapmam\u0131za gerek kalm\u0131yor. Sadece yaran\u0131n bak\u0131m\u0131 ile ilgili \u00f6nerilerde bulunuyoruz.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/4f62407a-abf2-4464-9690-b6acbca575b5\/07_2024%2F8_HAZIRAN%2F20240613_2_64306245_101963976.jpg\"\/)
<\/p>\n
Ancak vah\u015fi bir hayvan taraf\u0131ndan derinin en alt tabakas\u0131na kadar uzanan, derin \u0131s\u0131r\u0131klar en \u00fcst seviye risk demektir. B\u00f6yle bir durumda hem kuduz a\u015f\u0131s\u0131 hem de imm\u00fcnglob\u00fclin yap\u0131yoruz. Bu tedaviyle kuduza kar\u015f\u0131 y\u00fczde 100 koruyuculu\u011fu sa\u011flam\u0131\u015f oluyoruz.”<\/p>\n
“Ya\u015fad\u0131\u011f\u0131n\u0131z olay\u0131 hekimlere detayl\u0131 olarak anlat\u0131n”<\/h3>\n
Sahipsiz, ba\u015f\u0131bo\u015f bir k\u00f6pek veya kedi taraf\u0131ndan \u0131s\u0131r\u0131lan ki\u015filere ilk olarak “Bu \u00e7evrenizde ya\u015fayan, takip edilebilir bir hayvan m\u0131?” sorusunu y\u00f6nelttiklerini anlatan S\u00f6nmezer, takibi m\u00fcmk\u00fcn hayvanlar\u0131n 10 g\u00fcn s\u00fcresince g\u00f6zlemlenmesinin, herhangi bir nedenle \u00f6l\u00fcm olup olmad\u0131\u011f\u0131na dikkat edilmesinin \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
“Sokakta bilmedi\u011fi, s\u00fcrekli g\u00f6rmedi\u011fi, takip edilemeyen bir k\u00f6pek, kedi taraf\u0131ndan \u0131s\u0131r\u0131lan ki\u015filerde hemen a\u015f\u0131 ve imm\u00fcnglob\u00fclin uygulamas\u0131na ba\u015flanmas\u0131 gerekiyor.” diyen S\u00f6nmezer, \u0131s\u0131r\u0131lma durumunda yap\u0131lmas\u0131 gerekenlere ili\u015fkin \u015funlar\u0131 kaydetti:<\/p>\n
“Riskli oldu\u011funu d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcn\u00fcz, tekrar g\u00f6rme olas\u0131l\u0131\u011f\u0131n\u0131z olmayan kedi, k\u00f6pek veya vah\u015fi bir hayvan taraf\u0131ndan \u0131s\u0131r\u0131lma, t\u0131rmalanma durumunuzda yara b\u00f6lgesini tazyikli, sabunlu suyla y\u0131kay\u0131p, vakit kaybetmeden sa\u011fl\u0131k kurulu\u015funa ba\u015fvurun. Ya\u015fad\u0131\u011f\u0131n\u0131z olay\u0131 hekimlere detayl\u0131 olarak anlat\u0131n. Ki\u015finin ya\u015fad\u0131\u011f\u0131 olay\u0131 sa\u011fl\u0131k kurulu\u015funa \u00e7ok iyi, detayl\u0131 anlatmas\u0131 laz\u0131m. Is\u0131rma m\u0131 t\u0131rmalama m\u0131, lezyon nerede, \u0131s\u0131ran sahipli bir hayvan m\u0131 de\u011fil mi? T\u00fcm bu detay bilgiler hekimlerle payla\u015f\u0131lmal\u0131<\/p>\n
Hekimin risk de\u011ferlendirmesine g\u00f6re, kuduz a\u015f\u0131s\u0131n\u0131n ilk 24 saat i\u00e7erisinde uygulanmas\u0131 \u00e7ok \u00f6nemli. \u0130lk 24 saat i\u00e7inde uygulanan a\u015f\u0131 ile kuduza kar\u015f\u0131 koruyuculuk oran\u0131n\u0131 daha y\u00fcksek tutabiliyoruz. Ancak ki\u015filer ’24 saati ge\u00e7irdim art\u0131k bir \u015fey yap\u0131lamaz’ gibi de d\u00fc\u015f\u00fcnmesin, s\u00fcre ne olursa olsun mutlaka hekime ba\u015fvursunlar.”<\/p>\n
Tedavinin hemen ba\u015flamas\u0131 \u00e7ok \u00f6nemli<\/h3>\n
Kuduz a\u015f\u0131s\u0131 uygulamas\u0131nda zamanlaman\u0131n da \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 vurgulayan S\u00f6nmezer, “Is\u0131r\u0131lma ya\u015fayan ve risk kategorisinde de\u011ferlendirilen hastalara hemen a\u015f\u0131 ve imm\u00fcnglob\u00fclin uygulanmas\u0131 gerekiyor. Fakat bazen ki\u015filer \u00e7e\u015fitli nedenlerle hastaneye ba\u015fvurmakta gecikebiliyor. B\u00f6yle bir durumda da zamanlama ne olursa olsun tedaviyi uygulamaya ba\u015fl\u0131yoruz.” ifadesini kulland\u0131.<\/p>\n
Yerli kuduz a\u015f\u0131s\u0131 \u00e7al\u0131\u015fmalar\u0131<\/h3>\n
Yerli kuduz a\u015f\u0131s\u0131 \u00e7al\u0131\u015fmalar\u0131na da de\u011finen Do\u00e7. Dr. S\u00f6nmezer, “Yerli kuduz a\u015f\u0131s\u0131, \u00fclkemizde devreye girmesi beklenen bir a\u015f\u0131 aday\u0131. \u015eu anda \u00fclkemizde belirli hastanelerde farkl\u0131 olmak \u00fczere genelde Hindistan kaynakl\u0131 kuduz a\u015f\u0131lar\u0131 kullan\u0131l\u0131yor. Yerli kuduz a\u015f\u0131s\u0131, bu tedaviye daha h\u0131zl\u0131 ula\u015f\u0131lmas\u0131, a\u015f\u0131n\u0131n b\u00fct\u00fcn sa\u011fl\u0131k kurulu\u015flar\u0131nda daha kolay temin edilebilir olmas\u0131 a\u00e7\u0131s\u0131ndan olduk\u00e7a \u00f6nemli.” de\u011ferlendirmesini yapt\u0131.<\/p>\n