{"id":12206,"date":"2021-10-19T17:05:32","date_gmt":"2021-10-19T14:05:32","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=12206"},"modified":"2021-10-27T17:34:31","modified_gmt":"2021-10-27T14:34:31","slug":"cocukluk-cagi-asilari-nelerdir","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/cocukluk-cagi-asilari-nelerdir\/","title":{"rendered":"\u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 nelerdir?"},"content":{"rendered":"<p>Bebeklik ve \u00e7ocukluk d\u00f6neminde yap\u0131lan a\u015f\u0131lar hakk\u0131nda bilgi sahibi misiniz? Hangi ay ve y\u0131lda hangi a\u015f\u0131lar yap\u0131l\u0131yor biliyor musunuz? \u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 hangi hastal\u0131klardan korur. <strong>\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman Doktor Mehmet Soner Sarma\u015f\u0131k<\/strong>, \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 ile ilgili merak edilenleri <strong>Anne Bebek Kul\u00fcb\u00fc<\/strong> okuyucular\u0131 i\u00e7in yazd\u0131.<\/p>\n<figure id=\"attachment_12208\" aria-describedby=\"caption-attachment-12208\" style=\"width: 1364px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12208\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?resize=696%2C526&#038;ssl=1\" alt=\"\u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 nelerdir?\" width=\"696\" height=\"526\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?w=1364&amp;ssl=1 1364w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?resize=300%2C227&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?resize=1024%2C774&amp;ssl=1 1024w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?resize=768%2C581&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?resize=696%2C526&amp;ssl=1 696w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/asi.png?resize=1068%2C807&amp;ssl=1 1068w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12208\" class=\"wp-caption-text\">\u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 nelerdir?<\/figcaption><\/figure>\n<p>\u2981 Sa\u011fl\u0131k bakanl\u0131\u011f\u0131 a\u015f\u0131 takviminde de g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fczere g\u00fcn\u00fcm\u00fczde \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131n\u0131n \u00e7o\u011fu sa\u011fl\u0131k bakanl\u0131\u011f\u0131 taraf\u0131ndan kar\u015f\u0131lanmakta, aile sa\u011fl\u0131\u011f\u0131 merkezleri, aile hekimlikleri ve hastanelerde \u00fccretsiz olarak yap\u0131lmaktad\u0131r.<\/p>\n<p>\u2981 Do\u011fumda yap\u0131lan ilk a\u015f\u0131 Hepatit B a\u015f\u0131s\u0131d\u0131r , 1. ve 6. aylarda tekrar dozlar\u0131 yap\u0131l\u0131r. Hepatit B kan ve v\u00fccut s\u0131v\u0131lar\u0131yla bula\u015fabilen ve kronikle\u015fme riski olan bir hastal\u0131kt\u0131r ve kronikle\u015fme sonras\u0131 karaci\u011fer kanserine neden olabilmektedir. Hepatit B a\u015f\u0131s\u0131 sonras\u0131 ate\u015f g\u00f6zlenmemektedir.<\/p>\n<p>\u2981 2. ayda koldan, deri i\u00e7ine BCG (verem) a\u015f\u0131s\u0131 yap\u0131lmaktad\u0131r. G\u00fcn\u00fcm\u00fczde diren\u00e7li tipleriyle verem hala ciddi bir problemdir ve sadece akci\u011fer problemlerine de\u011fil menenjit, kemik enfeksiyonu gibi tablolara da neden olabilmektedir. \u00d6zellikle akci\u011fer d\u0131\u015f\u0131 yay\u0131l\u0131mlar\u0131 \u00f6nlemede a\u015f\u0131n\u0131n \u00f6nemi b\u00fcy\u00fckt\u00fcr. Deri i\u00e7ine yap\u0131lan BCG a\u015f\u0131s\u0131 sonras\u0131 1,5-2 ay i\u00e7inde, yava\u015f geli\u015fen bir reaksiyon ile kolda k\u0131zar\u0131kl\u0131k ve \u015fi\u015flik g\u00f6zlenmektedir, ve bazen ak\u0131nt\u0131 g\u00f6zlenebilmektedir..<\/p>\n<p>\u2981 BCG yan\u0131nda 2. ayda , daha sonra 4-6 ve 18. aylarda 5&#8217;li karma (PENTAX\u0130M) a\u015f\u0131s\u0131 kas i\u00e7ine yap\u0131lmaktad\u0131r. Bu a\u015f\u0131 difteri, bo\u011fmaca, tetanoz, inaktif \u00e7ocuk felci ve menenjit etkeni olan H.influenza&#8217;ya kar\u015f\u0131 etkilidir. Ayr\u0131ca 6. ve 18. aylarda \u00e7ocuk felci aktif hali a\u011f\u0131z yoluyla uygulanmaktad\u0131r. Bu a\u015f\u0131dan sonraki 2 g\u00fcn ate\u015f g\u00f6r\u00fclebilmektedir.<\/p>\n<p>\u2981 2-4 ve 12. aylarda konjuge pn\u00f6mokok (PREVENAR 13) a\u015f\u0131s\u0131 kas i\u00e7ine yap\u0131lmaktad\u0131r. Halk aras\u0131nda zat\u00fcrre a\u015f\u0131s\u0131 olarak bilinen bu a\u015f\u0131 pn\u00f6mokok bakteri tiplerine kar\u015f\u0131 yap\u0131lmakta ve bu bakteri zat\u00fcrre d\u0131\u015f\u0131nda sepsis tablosu, menenjit ve orta kulak enfeksiyonu gibi geni\u015f spektrumda hastal\u0131klara neden olmaktad\u0131r.<\/p>\n<p>\u2981 12. ayda zat\u00fcrre a\u015f\u0131s\u0131 ile birlikte su \u00e7i\u00e7e\u011fi ve halk aras\u0131nda 3&#8217;l\u00fc karma olarak bilinen k\u0131zam\u0131k-k\u0131zam\u0131k\u00e7\u0131k-kabakulak a\u015f\u0131lar\u0131 cilt alt\u0131na yap\u0131lmaktad\u0131r. Eskiden 9. ayda yap\u0131lan k\u0131zam\u0131k a\u015f\u0131s\u0131 g\u00fcn\u00fcm\u00fczde tekrar ara doz olarak a\u015f\u0131 takviminde bulunmaktad\u0131r. Bu a\u015f\u0131lar canl\u0131 a\u015f\u0131 oldu\u011fu i\u00e7in baz\u0131 klinik durumlarda (ba\u011f\u0131\u015f\u0131kl\u0131k sistemi eksiklikleri veya ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 zay\u0131flatan ila\u00e7lar\u0131n kullan\u0131m\u0131 gibi) yap\u0131lmas\u0131 \u00f6nerilmemektedir. Bu canl\u0131 a\u015f\u0131lardan sonra 4-10 g\u00fcn i\u00e7inde a\u015f\u0131ya ba\u011fl\u0131 ate\u015f g\u00f6zlenebilmektedir.<\/p>\n<p>\u2981 Karma a\u015f\u0131 ile birlikte 18. ayda ve 24. ayda 6 ay arayla 2 doz olarak Hepatit A a\u015f\u0131s\u0131 kas i\u00e7ine yap\u0131lmaktad\u0131r. Hepatit A a\u011f\u0131z yoluyla bula\u015fan bir enfeksiyondur ve geli\u015fmemi\u015f ve geli\u015fmekte olan \u00fclkelerde s\u0131k g\u00f6r\u00fclmektedir. Kronikle\u015fme tablosu g\u00f6r\u00fclmese de akut karaci\u011fer yetmezli\u011fi gibi \u00f6l\u00fcmc\u00fcl bir tabloya yol a\u00e7abilmektedir.<\/p>\n<p>\u2981 Eskiden ilkokul 1. s\u0131n\u0131fta yap\u0131lan KKK ve karma a\u015f\u0131lar\u0131n terar dozlar\u0131, 2020 y\u0131l\u0131ndan itibaren 4 ya\u015fa al\u0131nm\u0131\u015f ve 48 ay\u0131 dolduran t\u00fcm \u00e7ocuklara yap\u0131lmaktad\u0131r.<\/p>\n<p>\u2981 Hen\u00fcz bakanl\u0131k a\u015f\u0131 takvimi kapsam\u0131nda olmayan, halk aras\u0131nda \u00f6zel a\u015f\u0131 olarak adland\u0131r\u0131lan a\u015f\u0131lardan birisi rota vir\u00fcs a\u015f\u0131d\u0131r. Rotavir\u00fcs ilk 3 ya\u015fta ishalin en \u00f6nemi etkenidir, \u015fiddetli ishal ve kusma tablosuna yol a\u00e7makta, s\u0131v\u0131 kayb\u0131 nedeniyle serum ihtiyac\u0131 olmakta hastane yat\u0131\u015f\u0131 gerekebilmektedir. \u00dclkemizde 2 farkl\u0131 tip rota vir\u00fcs a\u015f\u0131s\u0131 bulunmakta biri 2 (ROTAR\u0130X), di\u011feri 3 (ROTATEQ) doz olarak a\u011f\u0131zdan uygulanmaktad\u0131r. 2. aydan itibaren yap\u0131labilen rotavir\u00fcs a\u015f\u0131s\u0131n\u0131n ilk dozunun en ge\u00e7 16. haftada yap\u0131lmas\u0131 gerekmektedir. Hekiminizin de \u00f6nerisine g\u00f6re yap\u0131lmas\u0131 gereken \u00f6nemli bir a\u015f\u0131d\u0131r.<\/p>\n<figure id=\"attachment_12211\" aria-describedby=\"caption-attachment-12211\" style=\"width: 559px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12211\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-63.png?resize=559%2C397&#038;ssl=1\" alt=\"\u00c7ocukluk d\u00f6neminden yap\u0131lan a\u015f\u0131lar \" width=\"559\" height=\"397\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-63.png?w=559&amp;ssl=1 559w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-63.png?resize=300%2C213&amp;ssl=1 300w\" sizes=\"(max-width: 559px) 100vw, 559px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12211\" class=\"wp-caption-text\">\u00c7ocukluk d\u00f6neminden yap\u0131lan a\u015f\u0131lar<\/figcaption><\/figure>\n<p>\u2981 Di\u011fer bir \u00f6zel a\u015f\u0131 menenjit a\u015f\u0131s\u0131 diye bilinen meningokok a\u015f\u0131s\u0131d\u0131r. Meningokok enfeksiyonlar\u0131 a\u011f\u0131r seyreden, menenjit d\u0131\u015f\u0131nda sepsis dedi\u011fimiz yayg\u0131n enfeksiyon tablosuna neden olan, hayat\u0131 tehdit eden enfeksiyonlard\u0131r. Ayr\u0131ca el ve ayaklarda dola\u015f\u0131m bozuklu\u011funa ba\u011fl\u0131 kay\u0131plara neden olabilmektedir. Meningokok bakterisinin farkl\u0131 alt gruplar\u0131 bulunmaktad\u0131r. Ve hastal\u0131klara neden etkenler y\u0131llar i\u00e7inde dalgalanmalarla birlikte de\u011fi\u015fiklikler g\u00f6stermektedir. \u00dclkemizde 2 grup meningokok a\u015f\u0131s\u0131 bulunmaktad\u0131r. B alt tipe kar\u015f\u0131 olan a\u015f\u0131 (Bexsero) ile A,C,Y,W alt gruplar\u0131n\u0131 i\u00e7eren (Nimenrix-MenActra-Menveo) a\u015f\u0131lar\u0131 g\u00fcn\u00fcm\u00fczde \u00fclkemizde bulunmaktad\u0131r. En s\u0131k kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z soru B i\u00e7in olan m\u0131 di\u011fer grup a\u015f\u0131lar m\u0131 yapt\u0131r\u0131lmal\u0131 oluyor. B ve A,C,Y,W alt gruplar\u0131n\u0131 ay\u0131rt etmeden iki gruba ait a\u015f\u0131lar\u0131n da yap\u0131lmas\u0131 uygun oland\u0131r. B\u00fct\u00fcn a\u015f\u0131lar 2. aydan itibaren yap\u0131labilmektedir. Yap\u0131lan a\u015f\u0131ya ve yap\u0131lma zaman\u0131na g\u00f6re dozlama yap\u0131lmaktad\u0131r. Hekiminizin \u00f6nerisi ile a\u015f\u0131 takvimine alarak planlama yapman\u0131z uygun olacakt\u0131r.<\/p>\n<p><a href=\"https:\/\/annebebekkulubu.com\/blog\/bebek\/yeni-anneler-icin-bebek-bakim-rehberi\/\"><strong>Anneler<\/strong><\/a>\u00a0burada bulu\u015fuyor! Siz de akl\u0131n\u0131za tak\u0131lanlar\u0131, merak ettiklerinizi veya \u00f6\u011frenmek istediklerinizi bize\u00a0<a href=\"https:\/\/forum.annebebekkulubu.com\/\"><strong>Forum Anne Bebek Kul\u00fcb\u00fc<\/strong>\u00a0<\/a>\u00fczerinden yazabilirsiniz. Kad\u0131nlar olarak birlikte g\u00fc\u00e7l\u00fcy\u00fcz!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bebeklik ve \u00e7ocukluk d\u00f6neminde yap\u0131lan a\u015f\u0131lar hakk\u0131nda bilgi sahibi misiniz? Hangi ay ve y\u0131lda hangi a\u015f\u0131lar yap\u0131l\u0131yor biliyor musunuz? \u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 hangi hastal\u0131klardan korur. \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman Doktor Mehmet Soner Sarma\u015f\u0131k, \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 ile ilgili merak edilenleri Anne Bebek Kul\u00fcb\u00fc okuyucular\u0131 i\u00e7in yazd\u0131. \u2981 Sa\u011fl\u0131k bakanl\u0131\u011f\u0131 a\u015f\u0131 takviminde de g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fczere [&hellip;]<\/p>\n","protected":false},"author":173,"featured_media":12212,"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":[6,3,7],"tags":[],"class_list":{"0":"post-12206","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-bebek","8":"category-cocuk","9":"category-saglik"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/10\/Adsiz-tasarim-62.png?fit=559%2C397&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/12206","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\/173"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=12206"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/12206\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/12212"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=12206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=12206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=12206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}