\u00c7ocuk felci<\/strong>, poliomiyelit (poliomyelitis) veya polio isimleri ile bilinen hastal\u0131k; poliovirus ad\u0131 verilen bir vir\u00fcs taraf\u0131ndan meydana getirilir ve sinirler ve kaslar da dahil olmak \u00fczere t\u00fcm v\u00fccudu etkileyebilir. \u015eiddetli hastal\u0131k durumunda s\u00fcrekli fel\u00e7 veya \u00f6l\u00fcm meydana gelebilir. Polio bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Hastal\u0131k etkeni vir\u00fcs\u00fcn bula\u015fmas\u0131 hastal\u0131kl\u0131 ki\u015fiye do\u011frudan temasla, hastan\u0131n a\u011f\u0131z ve burnundan \u00e7\u0131kan s\u0131v\u0131larla veya hastal\u0131kl\u0131 ki\u015finin vir\u00fcs i\u00e7eren at\u0131klar\u0131 ile temasla olabilir. Vir\u00fcs a\u011f\u0131z veya burun yolu ile sa\u011flam ki\u015finin v\u00fccuduna girer, bo\u011fazda veya sindirim sisteminde yerle\u015ferek \u00e7o\u011fal\u0131r ve kan ve lenf damarlar\u0131 arac\u0131l\u0131\u011f\u0131 ile v\u00fccuda yay\u0131l\u0131r. Hastal\u0131\u011f\u0131n kulu\u00e7ka s\u00fcresi ortalama 7-14 g\u00fcnd\u00fcr (5-35 g\u00fcn aras\u0131). * polio a\u015f\u0131s\u0131n\u0131n yap\u0131lmamas\u0131 \u00c7ocuk felci d\u00fcnya \u00e7ap\u0131nda g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Ancak a\u015f\u0131lamaya yeterli \u00f6zen g\u00f6steren \u00fclkelerde nadiren g\u00f6r\u00fclebilir. Yaz ve sonbahar aylar\u0131nda daha s\u0131kt\u0131r. K\u0131zlarda daha s\u0131k g\u00f6r\u00fclmekle birlikte fel\u00e7ler erkek \u00e7ocuklarda daha s\u0131k g\u00f6zlenir. Salg\u0131nlar a\u015f\u0131laman\u0131n yap\u0131lmad\u0131\u011f\u0131 b\u00f6lgelerde g\u00f6r\u00fcl\u00fcr.<\/p>\n Korunma<\/strong> Polio vir\u00fcs\u00fc al\u0131nd\u0131ktan sonra geli\u015febilecek hastal\u0131klar 3 temel grupta incelenebilir: polio belirtileri olu\u015fmayan hastal\u0131k, felce sebep olmayan hastal\u0131k ve fel\u00e7 geli\u015fen hastal\u0131k. Hastalar\u0131n %95\u2032inde polio belirtileri geli\u015fmeyen hastal\u0131k meydana gelir ve fark edilmeden atlat\u0131l\u0131r. Di\u011fer iki grupta merkezi sinir sistemi etkilenir. Polio belirtileri geli\u015fmeyen hastal\u0131k atlat\u0131ld\u0131ktan sonra di\u011fer grup hastal\u0131klar ortaya \u00e7\u0131kabilir.<\/p>\n 1- Polio belirtileri olu\u015fmayan hastal\u0131k (abortif polio) A\u015fa\u011f\u0131daki belirti olabilir veya belirtiler 72 saat ve alt\u0131nda ortadan kaybolabilir.<\/p>\n * hafif ate\u015f 2- Felce sebep olmayan polio (nonparalitik) A\u015fa\u011f\u0131daki \u015fikayetler 1-2 hafta s\u00fcrebilir<\/p>\n * orta dereceli ate\u015f 3- Fel\u00e7 geli\u015fen polio (paralitik)<\/p>\n * di\u011fer belirtilerden 5-7 g\u00fcn \u00f6nce ate\u015f g\u00f6r\u00fcl\u00fcr Testler<\/strong> Sonu\u00e7<\/strong> Polio sonucunda; akci\u011fer \u00f6demi, \u015fok, fel\u00e7, aspirasyon pn\u00f6monisi, hipertansiyon, idrar yolu enfeksiyonlar\u0131, b\u00f6brek ta\u015flar\u0131, paralitik ileus (barsak hareketlerinin ortadan kalkmas\u0131), kalp kas\u0131 iltihab\u0131 (miyokardit) geli\u015febilir.<\/p>","protected":false},"excerpt":{"rendered":" \u00c7ocuk Felci \u00c7ocuk felci, poliomiyelit (poliomyelitis) veya polio isimleri ile […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[224],"tags":[239,240,241,242],"class_list":["post-375","post","type-post","status-publish","format-standard","hentry","category-normal-disi-cocuklar","tag-cocuk-felci","tag-cocuk-felci-tedavisi","tag-felc","tag-felc-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/comments?post=375"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/375\/revisions"}],"predecessor-version":[{"id":10798,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/375\/revisions\/10798"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nRiskli durumlar<\/p>\n
\n* polio salg\u0131n\u0131 olan b\u00f6lgeye yolculuk yapmak
\n* hamilelik
\n* \u00e7ok ya\u015fl\u0131 veya bebek olmak
\n* a\u011f\u0131z, burun veya bo\u011fazda yaralanma meydana gelmesi (di\u015f tedavisi, bademciklerin al\u0131nmas\u0131)
\n* vir\u00fcs\u00fc ald\u0131ktan sonra ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bozacak anormal bir stres meydana gelmesi (duygusal veya fiziksel)<\/p>\n
\nBelirtiler<\/strong><\/p>\n
\n* ba\u015f a\u011fr\u0131s\u0131
\n* genel bir rahats\u0131zl\u0131k hissi
\n* bo\u011fazda yanma –
\n* zda k\u0131zar\u0131kl\u0131k
\n* kusma<\/p>\n
\n* ba\u015f a\u011fr\u0131s\u0131
\n* boyun sertli\u011fi (ense sertli\u011fi)
\n* ense a\u011fr\u0131s\u0131 (boyun a\u011fr\u0131s\u0131)
\n* kusma
\n* ishal
\n* a\u015f\u0131r\u0131 yorgunluk, halsizlik
\n* huzursuzluk
\n* s\u0131rt, kol, bacak, boyun ve kar\u0131nda a\u011fr\u0131 ve sertle\u015fme
\n* herhangi bir b\u00f6lgede kas spazmlar\u0131 ve hassasiyet
\n* ciltte k\u0131zar\u0131kl\u0131klar<\/p>\n
\n* ba\u015f a\u011fr\u0131s\u0131
\n* s\u0131rt ve ense sertli\u011fi
\n* kas zay\u0131fl\u0131\u011f\u0131 (simetrik de\u011fildir) geli\u015fir ve felce do\u011fru ilerler
\n* fel\u00e7, omurili\u011fin tutuldu\u011fu yere g\u00f6re de\u011fi\u015fiklik g\u00f6sterir.
\n* baz\u0131 b\u00f6lgelerde dokunma hissinde de\u011fi\u015fiklik
\n* dokunmakla baz\u0131 yerler a\u011fr\u0131r\/ac\u0131r
\n* idrar yapma zorlu\u011fu
\n* kab\u0131zl\u0131k
\n* kar\u0131nda \u015fi\u015flik hissi
\n* yutma zorlu\u011fu
\n* kas a\u011fr\u0131lar\u0131
\n* \u00f6zellikle s\u0131rt ve boyunda kas spazmlar\u0131 ve kas\u0131lmalar\u0131
\n* \u011f\u0131zdan salya (s\u0131v\u0131) gelmesi
\n* solunum g\u00fc\u00e7l\u00fc\u011f\u00fc
\n* duyusal kontrol g\u00fc\u00e7le\u015fir
\n* Babinski refleksi pozitif hale ge\u00e7er<\/p>\n
\nMuayene ile beyin zarlar\u0131n\u0131n etkilendi\u011fine dair bulgular saptanabilir. Bo\u011faz \u00e7alkant\u0131 sular\u0131nda, gaitada ve beyin omurilik s\u0131v\u0131s\u0131nda (BOS) yap\u0131lacak analizlerle vir\u00fcs\u00fcn varl\u0131\u011f\u0131 saptanabilir. Beyin omurilik s\u0131v\u0131s\u0131 (BOS) analizi normal olabilir veya bas\u0131nc\u0131nda, protein ve beyaz k\u00fcre miktar\u0131nda hafif art\u0131\u015f saptanabilir.
\n
\nTreatment<\/strong>
\nEnfeksiyon ge\u00e7irilirken, tedavinin amac\u0131 \u015fikayetleri kontrol alt\u0131nda tutabilmektir. \u015eiddetli hastalarda \u00f6zel uygulamalar gerekebilir (solunum deste\u011fi gibi). \u015eikayetlere ve \u015fikayetlerin \u015fiddetine g\u00f6re tedavi y\u00f6ntemi de\u011fi\u015fir, ancak ama\u00e7 \u015fikayetlerin giderilmesidir. Aktivite sadece kas zay\u0131fl\u0131\u011f\u0131 d\u00f6neminde ve ge\u00e7ici olarak k\u0131s\u0131tlan\u0131r. Kas a\u011fr\u0131lar\u0131 i\u00e7in \u0131s\u0131 uygulanabilir. Kaslar\u0131n g\u00fc\u00e7lendirilmesi amac\u0131 ile destek uygulamalar\u0131 ve tedaviler denenebilir.<\/p>\n
\nBeyin ve omurili\u011fin tutulmad\u0131\u011f\u0131 durumlarda hastal\u0131\u011f\u0131n tamamen d\u00fczelme ihtimali %90\u2032\u0131n \u00fczerindedir. Beyin veya omurili\u011fin tutulmas\u0131 acil bir durumdur ve fel\u00e7 veya \u00f6l\u00fcmle sonu\u00e7lanabilir. \u00d6l\u00fcmler genelde solunum g\u00fc\u00e7l\u00fc\u011f\u00fcnden meydana gelir. Fel\u00e7, \u00f6l\u00fcmden daha s\u0131k olarak g\u00f6zlenir.<\/p>\n