{"id":11756,"date":"2021-08-27T15:30:41","date_gmt":"2021-08-27T12:30:41","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=11756"},"modified":"2021-08-27T15:30:41","modified_gmt":"2021-08-27T12:30:41","slug":"norovirus-nedir-nasil-teshis-edilir","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/","title":{"rendered":"Norovir\u00fcs nedir? Nas\u0131l te\u015fhis edilir?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69e9f10f1974c\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69e9f10f1974c\"  aria-label=\"A\u00e7\/Kapat\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Norovirus_nedir\" >Norovir\u00fcs nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Norovirus_belirtileri_nelerdir\" >Norovir\u00fcs belirtileri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Norovirus_nasil_teshis_edilir\" >Norovir\u00fcs nas\u0131l te\u015fhis edilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Ailelerin_dikkat_etmesi_gerekenler_nelerdir\" >Ailelerin dikkat etmesi gerekenler nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Peki_cocuklarimizi_norovirusten_koruyabilir_miyiz\" >Peki \u00e7ocuklar\u0131m\u0131z\u0131 norovir\u00fcs&#8217;ten koruyabilir miyiz?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Norovirus_kaptik_ve_evde_nasil_sivi_verecegiz\" >Norovir\u00fcs kapt\u0131k ve evde nas\u0131l s\u0131v\u0131 verece\u011fiz?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Sivi_aliyoruz_peki_gidayi_nasil_verelim\" >S\u0131v\u0131 al\u0131yoruz, peki g\u0131day\u0131 nas\u0131l verelim?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/annebebekkulubu.com\/blog\/norovirus-nedir-nasil-teshis-edilir\/#Norovirus_asi_calismalari\" >Norovir\u00fcs a\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131<\/a><\/li><\/ul><\/nav><\/div>\n<p>Yaz mevsimi boyunca bir \u00e7ok kez norovir\u00fcs hastal\u0131\u011f\u0131n\u0131 duymu\u015fsunuzdur? Mide bulant\u0131s\u0131, kusma, ishal gibi belirtileri olan norovir\u00fcs \u00f6zellikle \u00e7ocuklarda yayg\u0131n olmas\u0131 sebebiyle nas\u0131l tedavi edilir, norovir\u00fcs a\u015f\u0131s\u0131 var m\u0131d\u0131r gibi sorular\u0131 ak\u0131llara getirdi. <strong>C\u0327ocuk Sag\u0306l\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Ahmet Ery\u0131lmaz\u00a0<\/strong>norovir\u00fcs ile ilgili merak edilenleri ve ailelerin dikkat etmesi gerekenleri <strong>Anne Bebek Kulub\u00fc<\/strong> i\u00e7in yazd\u0131.<\/p>\n<p><strong>Norovir\u00fcs<\/strong>, son d\u00f6nemde T\u00fcrkiye\u2019deki ve t\u00fcm d\u00fcnyadaki kusma ishallerle seyreden, mide ve ba\u011f\u0131rsaklar\u0131n iltihab\u0131 da diyebilece\u011fimiz, akut gastroenterit vakalar\u0131n\u0131n ba\u015fl\u0131ca sebeplerinden biridir. Genellikle yurt-d\u0131\u015f\u0131nda <strong>&#8220;stomach flu&#8221;<\/strong> yani <strong>mide gribi<\/strong> olarak da adland\u0131r\u0131lmaktad\u0131r.<\/p>\n<p>Norovir\u00fcs t\u00fcm ya\u015f gruplar\u0131nda hastal\u0131k olu\u015fturabilse de, daha \u00e7ok gen\u00e7 \u00e7ocuklarda bir hastal\u0131k etkeni olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. Bir\u00e7ok \u00fclkenin ulusal a\u015f\u0131lama takvimine rotavir\u00fcs\u00fc dahil etmesi ile norovir\u00fcs bir nevi rotavir\u00fcs\u00fcn \u00e7ocukluk-\u00e7a\u011f\u0131 gastroenteritlerin ba\u015fl\u0131ca nedeni konusundaki taht\u0131n\u0131 devralmaktad\u0131r.<\/p>\n<p>\u00dclkemizde de rotavir\u00fcs a\u015f\u0131s\u0131n\u0131n \u00f6zel a\u015f\u0131lama takviminde olmas\u0131 ve uygulama say\u0131lar\u0131n\u0131n giderek artmas\u0131 ayn\u0131 durumun T\u00fcrkiye\u2019de de g\u00f6r\u00fclmesi ile sonu\u00e7lanmaktad\u0131r. Norovir\u00fcs nedeniyle t\u00fcm d\u00fcnyada y\u0131ll\u0131k 212000 \u00f6l\u00fcm meydana geldi\u011fi kabul edilmekte ve \u00f6l\u00fcmle sonu\u00e7lanan bu vakalar\u0131n yakla\u015f\u0131k %99\u2019unun ne yaz\u0131k ki geli\u015fmekte olan \u00fclkelerde oldu\u011fu g\u00f6zlenmektedir.<\/p>\n<p>T\u00fcrkiye&#8217;de \u00f6l\u00fcmler nadir olarak g\u00f6zlense de hastaneye yat\u0131\u015flar\u0131n bir\u00e7o\u011fundan sorumlu olabilece\u011fi kabul edilebilir.<\/p>\n<p>Burada &#8220;\u00c7ocuklardan norovir\u00fcs nedir? Nas\u0131l te\u015fhis edilir? Tedavisi nas\u0131l yap\u0131l\u0131r? Korunmak i\u00e7in neler yap\u0131labilir? Ailelerin dikkat etmesi gerekenler nelerdir?&#8221; ve yap\u0131m a\u015famas\u0131ndaki norovir\u00fcs a\u015f\u0131s\u0131ndan bahsedece\u011fim.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Norovirus_nedir\"><\/span><strong>Norovir\u00fcs nedir?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Norovir\u00fcsler gastroenterit etkeni olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. Amerika\u2019n\u0131n Ohio Eyaleti\u2019nde Norwalk b\u00f6lgesinde 1968 y\u0131l\u0131nda meydana gelen bir salg\u0131nda bir gaita \u00f6rne\u011finden elektron mikroskopu ile g\u00f6zlemlenen viral partik\u00fcller nedeniyle ilk olarak o b\u00f6lgenin ad\u0131 verilerek Norwalk vir\u00fcs ad\u0131n\u0131 alm\u0131\u015f, gastroenterite sebep oldu\u011fu g\u00f6sterilen ilk vir\u00fcs olarak tarihe ge\u00e7mi\u015ftir.<\/p>\n<p>Sonras\u0131nda di\u011fer Norwalk-benzeri vir\u00fcsler ke\u015ffedilmi\u015ftir. G\u00fcn\u00fcm\u00fczde Norovir\u00fcsler bu genetik s\u0131n\u0131fland\u0131rma i\u00e7erisinde yer almaktad\u0131r. K\u0131sacas\u0131 hepimizin daha \u00e7ok ad\u0131n\u0131 duydu\u011fu rotavir\u00fcs ve adenovir\u00fcs gibi ishal kusma ile seyreden gastroenterit etkenlerinden daha \u00f6nce bilinen ve gastroenterite sebep oldu\u011fu ke\u015ffedilmi\u015f olan bir vir\u00fcst\u00fcr diyebiliriz.<\/p>\n<figure id=\"attachment_11761\" aria-describedby=\"caption-attachment-11761\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-11761 size-full\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-38.jpg?resize=696%2C494&#038;ssl=1\" alt=\"Norovir\u00fcs belirtileri nelerdir?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-38.jpg?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-38.jpg?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-38.jpg?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-38.jpg?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-11761\" class=\"wp-caption-text\">Norovir\u00fcs belirtileri nelerdir?<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Norovirus_belirtileri_nelerdir\"><\/span><strong>Norovir\u00fcs belirtileri nelerdir?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>\u0130shal ve\/veya kusma<\/strong> ile kar\u015f\u0131m\u0131za \u00e7\u0131kan Norovir\u00fcs enfeksiyonlar\u0131nda <strong>ishaller genellikle su gibi ve kans\u0131z d\u0131\u015fk\u0131lama ile karakterizedir<\/strong>,<strong> bazen bulant\u0131<\/strong>, ate\u015f ve kar\u0131n a\u011fr\u0131lar\u0131n\u0131n da e\u015flik etti\u011fi bir akut gastroenterit tablosu s\u00f6z konusudur. Geleneksel olarak <strong>d\u00fc\u015f\u00fck-dereceli ate\u015f,<\/strong> <strong>kas a\u011fr\u0131lar\u0131, k\u0131rg\u0131nl\u0131k, ba\u015f a\u011fr\u0131s\u0131<\/strong> ve <strong>\u00fc\u015f\u00fcme<\/strong> s\u0131kl\u0131kla g\u00f6zlenmektedir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Norovirus_nasil_teshis_edilir\"><\/span><strong>Norovir\u00fcs nas\u0131l te\u015fhis edilir?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Vir\u00fcs\u00fcn ink\u00fcbasyon\/kulu\u00e7ka s\u00fcresi tipik olarak 12-48 saattir ve klinik olarak hastan\u0131n \u015fikayetleri de 12-72 saat s\u00fcrmektedir. \u0130shali kusmas\u0131 olmayan \u00e7ocuklar ve eri\u015fkinlerde gaita ile norovir\u00fcs at\u0131l\u0131m\u0131 ara\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda %3-%10 oran\u0131nda asemptomatik norovir\u00fcs enfeksiyonu tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n<p>\u00c7o\u011fu enfeksiyonun tamamen iyile\u015fme ile sonu\u00e7lanmas\u0131na ra\u011fmen, \u00f6zellikle 5 ya\u015f alt\u0131 \u00e7ocuklarda, 65 ya\u015f \u00fcst\u00fc bireylerde ve imm\u00fcn\/ba\u011f\u0131\u015f\u0131kl\u0131k yetmezli\u011fi olanlarda hastaneye yat\u0131\u015flara hatta \u00f6l\u00fcmlere kadar ciddi sonu\u00e7lara yol a\u00e7abilmektedir.<\/p>\n<p>D\u00fcnya-\u00e7ap\u0131nda 5 ya\u015f alt\u0131 \u00e7ocuklarda norovir\u00fcs ile ili\u015fkili gastroenteitler \u00fczerine yap\u0131lm\u0131\u015f b\u00fcy\u00fck bir \u00e7al\u0131\u015fmada \u00e7ocuklardaki vakalar\u0131n yakla\u015f\u0131k %70\u2019inin 6-23 aylar aras\u0131nda oldu\u011fu, %15\u2019inden daha az\u0131n\u0131n ise 6 ay \u00f6ncesinde g\u00f6zlendi\u011fi bulunmu\u015ftur.<\/p>\n<p>Bu incelemede, 12 aydan k\u00fc\u00e7\u00fck \u00e7ocuklarda norovir\u00fcs\u00a0 hastal\u0131\u011f\u0131n\u0131n \u015fiddeti, t\u0131bbi yard\u0131m ve hastaneye yat\u0131\u015f gereklili\u011fi daha y\u00fcksektir. Norovir\u00fcs nedeniyle meydana gelen gastroenterit genellikle rotavir\u00fcs nedeniyle meydana gelen hastal\u0131ktan daha hafif seyretme e\u011filimindedir.<\/p>\n<p>Rotavir\u00fcs ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda ishal s\u00fcresi daha k\u0131sa s\u00fcrmekte, ishal ataklar\u0131, ate\u015f y\u00fcksekli\u011fi ve hastaneye yat\u0131\u015f s\u00fcreleri daha az olarak g\u00f6zlenmektedir. Bir tek kusma s\u00fcresi ve kusma ataklar\u0131n\u0131n say\u0131s\u0131 bilinmeyen bir nedenle, rotavir\u00fcse g\u00f6re daha fazla g\u00f6zlenmektedir.<\/p>\n<p>Norovir\u00fcs y\u00fcksek oranda bula\u015f\u0131c\u0131d\u0131r, ve 20 vir\u00fcs partik\u00fcl\u00fc kadar k\u00fc\u00e7\u00fck say\u0131da partik\u00fcl dahi bir ki\u015fiyi enfekte etmeye yetmektedir.\u00a0Bula\u015f genellikle ki\u015fiden ki\u015fiye temas yoluyla, kusma ile havaya sa\u00e7\u0131lan partik\u00fcllerin al\u0131m\u0131 veya enfekte\/kontamine \u00e7evresel y\u00fczeyler, cans\u0131z nesneler yoluyla indirekt maruziyet yoluyla ger\u00e7ekle\u015fmektedir.<\/p>\n<figure id=\"attachment_11762\" aria-describedby=\"caption-attachment-11762\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-11762\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-39.jpg?resize=696%2C494&#038;ssl=1\" alt=\"Ailelerin dikkat etmesi gerekenler nelerdir?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-39.jpg?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-39.jpg?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-39.jpg?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-39.jpg?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-11762\" class=\"wp-caption-text\">Ailelerin dikkat etmesi gerekenler nelerdir?<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Ailelerin_dikkat_etmesi_gerekenler_nelerdir\"><\/span><strong>Ailelerin dikkat etmesi gerekenler nelerdir?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Okullar, bak\u0131m merkezleri, seyahat gemileri gibi insanlar\u0131n yak\u0131n temas halinde oldu\u011fu yerlerde h\u0131zla yay\u0131labilme ihtimali olan norovir\u00fcs\u00fc, kontamine olmu\u015f bir y\u00fczeye, objeye temas edip, sonras\u0131nda elimizi a\u011fz\u0131m\u0131za g\u00f6t\u00fcrerek veya yine haz\u0131rlanma esnas\u0131nda kontamine olmu\u015f bir besini veya ortak bardak kullan\u0131larak kontamine olan i\u00e7ece\u011fi t\u00fcketerek kapabilmekteyiz.<\/p>\n<p>Norovir\u00fcs, do\u011frudan besinler veya enfekte yemekhane \u00e7al\u0131\u015fan\u0131 gibi nedenlerle kontaminasyon sonras\u0131, g\u0131da kaynakl\u0131 hastal\u0131klar\u0131n ba\u015fl\u0131ca bilinen nedenlerindendir. Norovir\u00fcs salg\u0131nlar\u0131nda genelde bahsi ge\u00e7en besinler, ye\u015fil yaprakl\u0131 sebzeler, taze meyveler, ve kabuklu deniz \u00fcr\u00fcnleridir, ancak ham servis edilen veya pi\u015firildikten sonra temas edilen her besinin kontamine olabilece\u011fi kabul edilmelidir. Su yoluyla bula\u015f daha nadirdir, ancak i\u00e7me sular\u0131 veya e\u011flence ama\u00e7l\u0131 kullan\u0131lan sular klorlanmad\u0131\u011f\u0131nda bula\u015f m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<p>Hasta 2-5 g\u00fcn boyunca \u00f6ncelikle gaitas\u0131 ile vir\u00fcs\u00fc atmaktad\u0131r, ama kusmu\u011funda da vir\u00fcse rastlanabilmektedir.<\/p>\n<figure id=\"attachment_11759\" aria-describedby=\"caption-attachment-11759\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-11759\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-36.jpg?resize=696%2C494&#038;ssl=1\" alt=\"\u00c7ocuklarda norovir\u00fcs salg\u0131n\u0131 belirtileri nelerdir?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-36.jpg?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-36.jpg?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-36.jpg?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-36.jpg?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-11759\" class=\"wp-caption-text\">\u00c7ocuklarda norovir\u00fcs salg\u0131n\u0131 belirtileri nelerdir?<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Peki_cocuklarimizi_norovirusten_koruyabilir_miyiz\"><\/span><strong>Peki \u00e7ocuklar\u0131m\u0131z\u0131 norovir\u00fcs&#8217;ten koruyabilir miyiz?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>E\u011fer, \u00f6ncelikle bir norovir\u00fcs salg\u0131n\u0131 s\u00f6z konusuysa, \u00e7ocuklar\u0131m\u0131z\u0131 tamamen korumak m\u00fcmk\u00fcn olamayabilir. Ancak baz\u0131 basit ad\u0131mlarla bu riski minimuma indirebiliriz. Peki bunlar nelerdir?<\/p>\n<p><strong>El<\/strong> <strong>hijyeni<\/strong> <strong>prati\u011fi:<\/strong> \u00c7ocu\u011funuzu, \u00f6zellikle tuvalet sonras\u0131 ve yemek \u00f6ncesi ellerini s\u0131k s\u0131k y\u0131kamas\u0131 konusunda cesaretlendirelim<\/p>\n<p><strong>Ellerin<\/strong> <strong>a\u011f\u0131zdan<\/strong> <strong>\u00e7\u0131kar\u0131lmas\u0131: <\/strong>T\u0131rnak yemek, kalemleri \u00e7i\u011fnemek gibi herhangi bir obje veya ellerin a\u011fza g\u00f6t\u00fcr\u00fcld\u00fc\u011f\u00fc eylemlerden uzak durulmas\u0131 konusunda dikkat edelim<\/p>\n<p><strong>Dezenfeksiyon:<\/strong> Kap\u0131 kollar\u0131n\u0131, tuvaletleri, lavabolar\u0131 veya evdeki di\u011fer s\u0131k kullan\u0131lan y\u00fczeyleri temiz tutal\u0131m. Klor bazl\u0131 a\u011fart\u0131c\u0131 sol\u00fcsyonlar\u00a0\u00a0 ve mendiller norovir\u00fcs\u00fc \u00f6ld\u00fcrmede gayet etkilidir. Temasl\u0131 k\u0131yafetler, \u00e7ar\u015faflar ve doldurulmu\u015f oyuncaklar\u0131 y\u0131kamam\u0131z, karde\u015fler aras\u0131ndaki bula\u015f riskini de azaltacakt\u0131r.<\/p>\n<p><strong>Yemek haz\u0131rlarken dikkat: <\/strong>G\u0131dalar\u0131 iyicene bir y\u0131kay\u0131p, pi\u015firelim ve hastayken yemek haz\u0131rlamayal\u0131m<\/p>\n<p><strong>Bez de\u011fi\u015ftirirken dikkat: <\/strong>E\u011fer bebe\u011finizde norovir\u00fcs varsa, bez de\u011fi\u015ftirirken eldiven giymeyi d\u00fc\u015f\u00fcnebilirsiniz. Kirli bezi po\u015fete koyup, po\u015feti ba\u011flamal\u0131, ve bez de\u011fi\u015ftirme i\u015fleminin ger\u00e7ekle\u015fti\u011fi alan\u0131 s\u0131k olarak silmeli veya y\u0131kamal\u0131y\u0131z.<\/p>\n<p><strong>Hasta \u00e7ocu\u011fun evde kalmas\u0131<\/strong> E\u011fer \u00e7ocu\u011fumuz norovir\u00fcs kapt\u0131ysa, bula\u015ft\u0131r\u0131c\u0131l\u0131k s\u00fcrecinde, \u00e7ocu\u011fumuzu s\u0131n\u0131f arkada\u015flar\u0131n\u0131 riske atmamak i\u00e7in okula g\u00f6ndermeyelim<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Norovirus_kaptik_ve_evde_nasil_sivi_verecegiz\"><\/span><strong>Norovir\u00fcs kapt\u0131k ve evde nas\u0131l s\u0131v\u0131 verece\u011fiz?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sevgili anneler, e\u011fer \u00e7ocu\u011funuz kusuyorsa, ORS gibi s\u0131v\u0131lar vermeyi denemeden \u00f6nce, ilk yar\u0131m saat midesinin dinlenmesine izin verin, sonras\u0131nda her defas\u0131nda bir \u00e7ay barda\u011f\u0131 bir yudum gibi k\u00fc\u00e7\u00fck oranlarda s\u0131v\u0131 ile ba\u015flay\u0131n, her 5-10 dakikada bir giderek miktar\u0131 artt\u0131rarak \u00e7ocu\u011funuzun tolere edebilece\u011fi miktara \u00e7\u0131kal\u0131m..<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sivi_aliyoruz_peki_gidayi_nasil_verelim\"><\/span><strong>S\u0131v\u0131 al\u0131yoruz, peki g\u0131day\u0131 nas\u0131l verelim?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Unutmayal\u0131m, g\u0131day\u0131 da yava\u015f yava\u015f verece\u011fiz. \u00c7ocu\u011funuz art\u0131k s\u0131v\u0131 t\u00fcketebiliyorsa, acele etmeden art\u0131k g\u0131da da ekleyebilece\u011fiz demektir. Muz, pirin\u00e7, elma p\u00fcresi gibi ya\u011fs\u0131z dietler ile ba\u015flayal\u0131m.<\/p>\n<p>\u00d6zetle, Norovir\u00fcs \u00fclkemizde ve t\u00fcm d\u00fcnyada akut gastroenteritin ba\u015fl\u0131ca nedenlerindendir, ve g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 \u00e7ocuklarda di\u011fer ya\u015f gruplar\u0131ndan daha fazlad\u0131r. \u00d6rne\u011fin, Amerika Birle\u015fik Devletlerinde, t\u0131bbi olarak m\u00fcdahale ve hastaneye yat\u0131\u015f ile sonu\u00e7lanan \u00e7ocuk hasta oranlar\u0131 olarak y\u0131ll\u0131k 4,2 milyon \u00e7ocu\u011fun etkilendi\u011fi tahmin edilmektedir.<\/p>\n<p>Amerika Birle\u015fik Devletleri gibi \u00fclkelerde norovir\u00fcs nedeniyle \u00f6l\u00fcmler nadir g\u00f6r\u00fclse de, norovir\u00fcs, geli\u015fmekte olan \u00fclkelerde \u00e7ocukluk-\u00e7a\u011f\u0131 ishallleri nedeniyle \u00f6l\u00fcm\u00fcn ba\u015fl\u0131ca sebeplerindendir.<\/p>\n<p>\u0130shal nedeniyle ger\u00e7ekle\u015fen dehidrate kalma durumunun erkenden de\u011ferlendirilmesi ve \u00f6l\u00fcm dahil, olas\u0131 komplikasyonlar\u0131n \u00f6nlenmesi ama\u00e7l\u0131 uygun tedavinin erkenden ba\u015flan\u0131lmas\u0131 \u00f6nerilmektedir. Norovir\u00fcs salg\u0131nlar\u0131 el hijyenine \u00f6nem verilerek, hasta ki\u015filerin izolasyonu ve \u00e7evresel fakt\u00f6rlerin minimize edilmesi ile kontrol alt\u0131na al\u0131nmal\u0131d\u0131r.<\/p>\n<figure id=\"attachment_11758\" aria-describedby=\"caption-attachment-11758\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-11758\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-35.jpg?resize=696%2C494&#038;ssl=1\" alt=\"Norovir\u00fcs a\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131 ne durumda\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-35.jpg?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-35.jpg?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-35.jpg?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-35.jpg?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-11758\" class=\"wp-caption-text\">Norovir\u00fcs a\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131 ne durumda<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Norovirus_asi_calismalari\"><\/span><strong>Norovir\u00fcs a\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131 <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Norovir\u00fcse kar\u015f\u0131 ba\u011f\u0131\u015f\u0131klanma, a\u015f\u0131 \u00e7al\u0131\u015fmalar\u0131 devam etmektedir. Enfeksiyon sonras\u0131 kazan\u0131lm\u0131\u015f olan ba\u011f\u0131\u015f\u0131kl\u0131k s\u0131n\u0131rl\u0131 s\u00fcre devam etmekte, birka\u00e7 haftadan-2 y\u0131la kadar bir s\u00fcre s\u00fcrmektedir.<\/p>\n<p>Norovir\u00fcs gastroenteritinden hastan\u0131n \u015fikayetleri do\u011frultusunda \u015f\u00fcphelenildi\u011finde, tan\u0131y\u0131 do\u011frulamak ama\u00e7l\u0131 hastan\u0131n gaita \u00f6rneklerinin laboratuvar testlerine ba\u015fvururuz<\/p>\n<p>Laboratuvar testleri yoluyla tan\u0131ya gidilmesi yak\u0131n zamanda d\u00fcnya \u00e7ap\u0131nda kolay eri\u015filebilir bir y\u00f6ntem halini alm\u0131\u015ft\u0131r. Bir\u00e7ok Laboratuvar y\u00f6ntemi ile viral, bakteriyel ve parazitik etkenler ayn\u0131 anda birka\u00e7 saat i\u00e7erisinde belirlenebilmektedir. Test ama\u00e7l\u0131 kullan\u0131lan malzemeler ve cihazlar pahal\u0131 olabilmektedir, ancak elde edilen sonu\u00e7lar hastalar\u0131n uygun tedavileri almas\u0131 ve hastal\u0131\u011f\u0131n y\u00f6netimi i\u00e7in \u00f6nem arz etmektedir.<\/p>\n<p>Norovir\u00fcs\u00fcn neden oldu\u011fu gastroenteritlerin de\u011ferlendirilmesi ve tedavisi di\u011fer vir\u00fcslerle meydana gelen gastroenteritlerden pek de farkl\u0131 de\u011fildir. \u0130shalin tedavisi, kaybedilen s\u0131v\u0131n\u0131n yerine konmas\u0131na ve uygun besin al\u0131m\u0131na odaklan\u0131larak, genellikle evde ba\u015flar. Buna k\u0131sacas\u0131 kaybedileni yerine koyma tedavisi diyebiliriz.<\/p>\n<p>K\u00fc\u00e7\u00fck ya\u015ftaki (\u00f6rne\u011fin &lt;6 ayl\u0131k veya v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131 &lt;8 kg olan) \u00e7ocuklarda, premat\u00fcre do\u011fum \u00f6yk\u00fcs\u00fc, kronik t\u0131bbi durumlar\u0131 veya e\u015fzamanl\u0131 ba\u015fka hastal\u0131klar\u0131 olan, ate\u015f, kanl\u0131 d\u0131\u015fk\u0131lama, s\u0131k ve bol miktarda d\u0131\u015fk\u0131lama, inat\u00e7\u0131 kusma, bilin\u00e7te de\u011fi\u015fiklik durumlar\u0131nda, s\u0131v\u0131s\u0131z kald\u0131\u011f\u0131ndan \u015f\u00fcpheleniliyorsa, veya evde uygulanan kaybedileni yerine koyma tedavisine iyi cevap al\u0131nam\u0131yorsa t\u0131bbi olarak de\u011ferlendirilmesi gerekir.<\/p>\n<p>Hastanede de\u011ferlendirilme esnas\u0131nda, hastan\u0131n \u00f6yk\u00fcs\u00fc al\u0131narak ve fizik muayene ile dehidratasyonun derecesi ve tart\u0131 kayb\u0131 de\u011ferlendirilir<\/p>\n<p>Tedavi dehidratasyon derecesine g\u00f6re belirlenir; tekrar hidrate (rehidrate) etmek\u00a0 ve idamesini sa\u011flamak \u015feklinde iki fazda ger\u00e7ekle\u015ftirilir.<\/p>\n<p>Rehidrasyon faz\u0131 tedavinin ilk 3-4 saati i\u00e7erisinde kaybedilen s\u0131v\u0131n\u0131n yerine konulmas\u0131 hedefi ile ger\u00e7ekle\u015ftirilir. \u0130dame faz\u0131 hastan\u0131n ya\u015f\u0131na uygun beslenmesinin tekrar normale d\u00f6nmesine odakl\u0131 ger\u00e7ekle\u015ftirilir.<\/p>\n<p>Emzirilen bebeklerin emzirilmesine tedavi s\u00fcresince devam edilmelidir. \u0130lk olarak Banglade\u015f ve Hindistan\u2019daki kolera salg\u0131nlar\u0131nda kullan\u0131m\u0131 \u00fczerine bir\u00e7ok \u00e7al\u0131\u015fma yap\u0131lm\u0131\u015f olan oral-rehidrasyon s\u0131v\u0131lar\u0131 (ORS) rehidrasyon tedavisinin ba\u015fl\u0131ca dayana\u011f\u0131 olmal\u0131d\u0131r.<\/p>\n<p>Bir\u00e7ok ticari ORS form\u00fcl\u00fc piyasada mevcut olsa da, t\u00fcm\u00fcnde h\u0131zl\u0131ca rehidrasyonun ger\u00e7ekle\u015fmesi, elektrolit dengesizli\u011finin d\u00fczelmesi ve v\u00fccuda \u015feker deste\u011fine y\u00f6nelik belli oranlarda karbonhidrat, sodyum, potasyum, klor ve bikarbonat mevcuttur. (V\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n &lt;%3\u2019\u00fc kayb\u0131 olan) Minimal dehidrate olan veya hi\u00e7 dehidratasyonu (s\u0131v\u0131 kayb\u0131) olmayan \u00e7ocuklar ORS ile evde tedavi edilebilirken, hafif-orta dehidrate (%3-%9 tart\u0131 kayb\u0131 olan) \u00e7ocuklar ba\u015flang\u0131\u00e7ta, t\u0131bben g\u00f6zetim alt\u0131na al\u0131narak tedavi edilmelidir.<\/p>\n<p>A\u011f\u0131r dehidrate (tart\u0131 kayb\u0131 &gt;%9) \u00e7ocuklar ORS ile tedavi edilirken, oral s\u0131v\u0131 al\u0131m\u0131n\u0131 engelleyecek derecede a\u011f\u0131r kusmalar\u0131 olan vakalarda damar i\u00e7i s\u0131v\u0131 gereksinimi de olabilmektedir.<\/p>\n<p><span style=\"font-weight: 400;\"><strong>Norovir\u00fcs ile ilgili<\/strong>\u00a0dilerseniz forum sayfam\u0131zda tecr\u00fcbeli annelerimizden destek alabilirsiniz! Siz de akl\u0131n\u0131za tak\u0131lanlar\u0131, merak ettiklerinizi veya \u00f6\u011frenmek istediklerinizi bize <strong><a href=\"https:\/\/forum.annebebekkulubu.com\/\">Forum Anne Bebek Kul\u00fcb\u00fc<\/a><\/strong> \u00fczerinden yazabilirsiniz. <strong>Kad\u0131nlar olarak birlikte g\u00fc\u00e7l\u00fcy\u00fcz!<\/strong>\u00a0\u00a0\u00a0<\/span><\/p>\n<p><strong>Kaynaklar:<\/strong><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6814392\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6814392\/<\/a><\/p>\n<p>https:\/\/www.childrens.com\/health-wellness\/norovirus-in-children<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Yaz mevsimi boyunca bir \u00e7ok kez norovir\u00fcs hastal\u0131\u011f\u0131n\u0131 duymu\u015fsunuzdur? Mide bulant\u0131s\u0131, kusma, ishal gibi belirtileri olan norovir\u00fcs \u00f6zellikle \u00e7ocuklarda yayg\u0131n olmas\u0131 sebebiyle nas\u0131l tedavi edilir, norovir\u00fcs a\u015f\u0131s\u0131 var m\u0131d\u0131r gibi sorular\u0131 ak\u0131llara getirdi. C\u0327ocuk Sag\u0306l\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Ahmet Ery\u0131lmaz\u00a0norovir\u00fcs ile ilgili merak edilenleri ve ailelerin dikkat etmesi gerekenleri Anne Bebek Kulub\u00fc i\u00e7in yazd\u0131. [&hellip;]<\/p>\n","protected":false},"author":80,"featured_media":11760,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4,6,3,7],"tags":[],"class_list":{"0":"post-11756","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aile","8":"category-bebek","9":"category-cocuk","10":"category-saglik"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/08\/Adsiz-tasarim-37.jpg?fit=874%2C620&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/11756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=11756"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/11756\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/11760"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=11756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=11756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=11756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}