{"id":7005,"date":"2020-05-02T12:01:53","date_gmt":"2020-05-02T09:01:53","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=7005"},"modified":"2020-05-02T13:05:31","modified_gmt":"2020-05-02T10:05:31","slug":"kawasaki-hastaligi-nedir-covid-19-ile-baglantisi-var-mi","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/kawasaki-hastaligi-nedir-covid-19-ile-baglantisi-var-mi\/","title":{"rendered":"Kawasaki hastal\u0131\u011f\u0131 nedir? COVID-19 ile ba\u011flant\u0131s\u0131 var m\u0131?"},"content":{"rendered":"<p><b>Kawasaki hastal\u0131\u011f\u0131 nedir, nas\u0131l anla\u015f\u0131l\u0131r?\u00a0 Bebek ve \u00e7ocuklarda kawasaki hastal\u0131\u011fu belirtileri nedir? Kawasaki hastal\u0131\u011f\u0131n\u0131n koronavir\u00fcsle ili\u015fkisi var m\u0131? \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. D\u00fcndar Yayk\u0131ran, kawasaki hastal\u0131\u011f\u0131 ile ilgili merak edilenleri yazd\u0131&#8230;<\/b><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Kawasaki hastal\u0131\u011f\u0131 nedir, kimleri etkiliyor?\u00a0<\/strong><br \/>\nKawasaki\u00a0hastal\u0131\u011f\u0131, ilk olarak 1967 y\u0131l\u0131nda, Japon \u00e7ocuk hekimi Tomisaku Kawasaki taraf\u0131ndan tan\u0131mlanm\u0131\u015f olan bir \u00e7ocukluk \u00e7a\u011f\u0131 vask\u00fclitidir. Vask\u00fclit sade anlat\u0131mla damar iltihaplanmas\u0131 olarak tarif edilebilir. Kawasaki hastal\u0131\u011f\u0131 en s\u0131k 6 ay ile 5 ya\u015f aras\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fcl\u00fcr.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kawasaki hastal\u0131\u011f\u0131 v\u00fccuttaki orta \u00e7apl\u0131 arteri tutar. Bunlardan en \u00f6nemlisi kalbi besleyen koroner arterdir. Zaman\u0131nda yap\u0131lan tedavi ile koroner arter ve kalp etkilenmesi olmadan ve herhangi bir ba\u015fka hasar b\u0131rakmadan, tedaviden birka\u00e7 g\u00fcn sonra iyile\u015fen bir hastal\u0131kt\u0131r. Ancak zaman\u0131nda tedavi edilmeyen hastalar\u0131n %25\u2019inde koroner arter hastal\u0131\u011f\u0131 meydana gelir. Bu nedenle erken tan\u0131 ve tedavinin zaman\u0131nda ve uygun bi\u00e7imde yap\u0131lmas\u0131 \u00f6nem ta\u015f\u0131maktad\u0131r.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Geli\u015fmi\u015f \u00fclkelerde edinsel kalp hastal\u0131\u011f\u0131n\u0131n en s\u0131k sebebidir. Hastal\u0131k en s\u0131k Japonya, Amerika Birle\u015fik Devletleri ve Uzakdo\u011fu \u00fclkelerinde g\u00f6r\u00fcl\u00fcr. \u00dclkemizde ise g\u00f6receli olarak daha az s\u0131kl\u0131kta g\u00f6r\u00fclmektedir. \u00dclkemizde Henoch-Schonlein purpuras\u0131ndan (HSP) sonra ikinci s\u0131kl\u0131kta g\u00f6r\u00fclen \u00e7ocukluk \u00e7a\u011f\u0131 vask\u00fclitidir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00dclkemizde k\u0131\u015f ve ilkbahar aylar\u0131nda daha s\u0131k g\u00f6r\u00fcl\u00fcr. Hastal\u0131\u011f\u0131n ortalama g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k olarak, Japonya\u2019da 100.000\u2019de 240, Amerika\u2019da ise 100.000\u2019de 17, \u0130ngiltere\u2019de ise 100.000\u2019de 8\u2019dir.<\/span><\/p>\n<p><b><\/b><b>Kawasaki hastal\u0131\u011f\u0131n\u0131n sebepleri neler ve hastal\u0131k nas\u0131l olu\u015fur?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Maalesef 1967\u2019den beri aradan ge\u00e7en y\u0131llara ra\u011fmen Kawasaki Hastal\u0131\u011f\u0131n\u0131n sebepleri ve nas\u0131l olu\u015ftu\u011fu tam olarak ayd\u0131nlat\u0131lamam\u0131\u015ft\u0131r. Baz\u0131 \u0131rklarda (Japonlarda \u00e7ok s\u0131k. Japonya d\u0131\u015f\u0131nda ya\u015fayan Japonlarda da s\u0131k g\u00f6r\u00fcl\u00fcyor.) s\u0131k g\u00f6r\u00fclmesi, karde\u015flerde hastal\u0131k g\u00f6r\u00fclme riskinin y\u00fcksek olmas\u0131 nedeniyle genetik yatk\u0131nl\u0131\u011f\u0131n \u00f6nemli oldu\u011fu ve baz\u0131 gen b\u00f6lgelerinin (8p23-p22 kromozomunda FAM167A-BLK b\u00f6lgesi) Kawasaki Hastal\u0131\u011f\u0131 ile ili\u015fkili oldu\u011fu tespit edilmi\u015ftir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hastal\u0131\u011f\u0131n olu\u015f mekanizmas\u0131 ile ilgili kabul edilen g\u00f6r\u00fc\u015f \u015f\u00f6yledir: Genetik olarak hastal\u0131\u011fa yatk\u0131n \u00e7ocukta ba\u011f\u0131\u015f\u0131kl\u0131k sistemi h\u00fccreleri bir tak\u0131m nedenlerle aktive olur. Ancak bu aktivasyon normalden \u00e7ok daha \u015fiddetlidir. Normalde v\u00fccuda d\u0131\u015far\u0131dan mikrop veya yabanc\u0131 antijen girdi\u011finde ba\u011f\u0131\u015f\u0131kl\u0131k sistemi h\u00fccreleri aktive olur, v\u00fccuda giren mikroplar\u0131 ve yabanc\u0131 antijenleri temizler veya kontrol alt\u0131na al\u0131r sonra tekrar sakinle\u015fir normal haline d\u00f6ner. Kawasaki Hastal\u0131\u011f\u0131nda ise normalde v\u00fccudu korumas\u0131 gereken ba\u011f\u0131\u015f\u0131kl\u0131k sistemi h\u00fccreleri v\u00fccudun damar h\u00fccrelerine sald\u0131r\u0131r ve tahrip eder.<\/span><\/p>\n<p><b>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini tetikleyen nedenler:<\/b><\/p>\n<ul>\n<li><b>Enfeksiyon etkenleri:<\/b><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Koronavir\u00fcsler<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Parvovir\u00fcs<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Propriobakterium aknes\n<p><\/span><\/li>\n<li><b>S\u00fcperantijenler:\u00a0<\/b><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Streptokoksik toksinler<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stafilokoksik toksinler<\/span><\/li>\n<li><b>\u00c7evresel de\u011fi\u015fiklikler<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Burada bahsi ge\u00e7en koronavir\u00fcsler COV\u0130D-19 harici, \u00f6nceden var olan ve \u00e7ocuklarda basit \u00fcst solunum yolu enfeksiyonu yapt\u0131\u011f\u0131 bilinen koronavir\u00fcslerdir. COV\u0130D-19 vir\u00fcs\u00fcn\u00fcn Kawasaki hastal\u0131\u011f\u0131ndaki etkisi hen\u00fcz bilinmiyor. COV\u0130D-19 vir\u00fcs\u00fc, Kawasaki Hastal\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan normal koronovir\u00fcslere g\u00f6re daha m\u0131 riskli? Bu soruya hen\u00fcz evet veya hay\u0131r \u015feklinde bir cevap vermek m\u00fcmk\u00fcn de\u011fil.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hastal\u0131\u011f\u0131n olu\u015f mekanizmas\u0131n\u0131 daha anla\u015f\u0131r \u015fekilde anlatmak gerekirse; \u00e7ocuk, mikroplara ba\u011fl\u0131 (vir\u00fcs veya bakteri) basit bir \u00fcst solunum yolu enfeksiyonu ge\u00e7iriyor. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bu mikrobu yok etmek i\u00e7in asker h\u00fccrelerinin say\u0131s\u0131n\u0131 \u00e7o\u011falt\u0131yor ve onlar\u0131 aktive ediyor. Ancak bu asker h\u00fccreleri kontrolden \u00e7\u0131k\u0131yor ve damar h\u00fccrelerine sald\u0131r\u0131yor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nedeni tam olarak bilemiyoruz ancak neyse ki, Kawasaki Hastal\u0131\u011f\u0131 tekrar etme olas\u0131l\u0131\u011f\u0131 \u00e7ok d\u00fc\u015f\u00fck. Ayr\u0131ca Kawasaki hastal\u0131\u011f\u0131 bula\u015f\u0131c\u0131 de\u011fildir.<br \/>\n<img decoding=\"async\" class=\"alignnone size-full wp-image-7014\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=696%2C806&#038;ssl=1\" alt=\"\" width=\"696\" height=\"806\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?w=1080&amp;ssl=1 1080w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=259%2C300&amp;ssl=1 259w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=885%2C1024&amp;ssl=1 885w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=768%2C889&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=696%2C806&amp;ssl=1 696w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=1068%2C1236&amp;ssl=1 1068w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2020\/05\/kawasaki-belirtileri.jpg?resize=363%2C420&amp;ssl=1 363w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><b>Kawasaki Hastal\u0131\u011f\u0131n\u0131n belirtileri:<\/b><b><br \/>\n<\/b><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Ate\u015f:<\/strong> En az 5 g\u00fcnd\u00fcr devam eden, antibiyotiklere ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fclere yan\u0131ts\u0131z, s\u00fcrekli y\u00fcksek olan ve 39 dereceyi ge\u00e7en ate\u015f. En \u00f6nemli belirti ate\u015ftir. Bir \u00e7ocukta ate\u015f yoksa veya ate\u015f antibiyotik ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler ile 72 saat i\u00e7in kontrol alt\u0131na al\u0131nd\u0131ysa, o \u00e7ocukta Kawasaki Hastal\u0131\u011f\u0131 yoktur.<\/span><\/li>\n<li style=\"font-weight: 400;\"><strong>\u00c7ocuk \u00e7ok halsiz ve bitkindir.<\/strong><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>G\u00f6zlerde ak\u0131nt\u0131<\/strong> olmadan, g\u00f6zlerde k\u0131zar\u0131kl\u0131k ve kanlanma olur.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>A\u011f\u0131z ve dudakta \u00e7atlaklar<\/strong> vard\u0131r. A\u011f\u0131z i\u00e7inde aft ve yaralar bulunabilir.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Boyundaki lenf bezelerinde \u015fi\u015flik<\/strong> olur. (genelde tek tarafl\u0131 olur.)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>El ve ayaklarda parmak u\u00e7lar\u0131nda belirgin \u015fi\u015flik<\/strong>, k\u0131zar\u0131kl\u0131k ve a\u011fr\u0131 olabilir.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">G\u00f6vdeye ve kol bacaklara yerle\u015fen k\u0131zam\u0131\u011fa benzeyen d\u00f6k\u00fcnt\u00fc vard\u0131r.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>BCG (verem) a\u015f\u0131s\u0131n\u0131n oldu\u011fu yerde k\u0131zar\u0131kl\u0131k<\/strong> olabilir.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Parlak k\u0131rm\u0131z\u0131 \u00e7ilek g\u00f6r\u00fcn\u00fcm\u00fcnde bir dil<\/strong> olur.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><b><br \/>\n<\/b><b>Kawasaki hastal\u0131\u011f\u0131n\u0131n klinik seyri:<\/b><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Hastal\u0131\u011f\u0131n klinik olarak 3 evresi vard\u0131r:<\/strong><\/span><\/p>\n<p><b>Akut d\u00f6nem:<\/b><span style=\"font-weight: 400;\"> \u0130lk 1-2 haftal\u0131k d\u00f6nemdir. Bu d\u00f6nemde ate\u015f ve di\u011fer tan\u0131sal bulgular vard\u0131r. Ancak hen\u00fcz kalp etkilenmemi\u015ftir, ekokardiyografide koroner anevrizmas\u0131 genellikle g\u00f6zlenmez.<\/span><\/p>\n<p><b>Subakut d\u00f6nem: <\/b><span style=\"font-weight: 400;\">2 ile 4 hafta aras\u0131 15 g\u00fcnl\u00fck d\u00f6nemdir. Ate\u015f, d\u00f6k\u00fcnt\u00fc, lenf bezlerindeki \u015fi\u015flik d\u00fczelince ba\u015flar. Parmaklarda soyulmalar ve trombositoz (kandaki p\u0131ht\u0131la\u015fma h\u00fccrelerinin \u00e7ok artmas\u0131) geli\u015fir, koroner arter lezyonlar\u0131n\u0131n en s\u0131k geli\u015fti\u011fi ve ani \u00f6l\u00fcm riskinin en fazla oldu\u011fu evredir. Bu evrede miyokardit, koroner arter geni\u015flemesi, koroner arter anevrizmas\u0131 ve kalp ritim bozukluklar\u0131 gibi kalp rahats\u0131zl\u0131klar\u0131 olur.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0130yile\u015fme d\u00f6nemi: 4. haftadan sonraki iyile\u015fme d\u00f6nemi, her \u015feyin normale d\u00f6nmesi 6-8 hafta s\u00fcrer.<\/span><\/p>\n<p><b><br \/>\n<\/b><b>Kawasaki hastal\u0131\u011f\u0131 tan\u0131s\u0131:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Kawasaki hastal\u0131\u011f\u0131n\u0131n tan\u0131s\u0131 i\u00e7in \u00f6zg\u00fcn bir test yoktur. Kawasaki hastal\u0131\u011f\u0131 tan\u0131s\u0131 i\u00e7in kriterler vard\u0131r.<br \/>\n<img decoding=\"async\" class=\"size-full wp-image-3334 alignnone\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/11\/hasta-cocuk.jpg?resize=626%2C417&#038;ssl=1\" alt=\"\" width=\"626\" height=\"417\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/11\/hasta-cocuk.jpg?w=626&amp;ssl=1 626w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/11\/hasta-cocuk.jpg?resize=300%2C200&amp;ssl=1 300w\" sizes=\"(max-width: 626px) 100vw, 626px\" data-recalc-dims=\"1\" \/><\/span><\/p>\n<p><b><\/b><b>Kawasaki hastal\u0131\u011f\u0131 klasik tan\u0131 kriterleri:<\/b><\/p>\n<p><b>Ate\u015f:<\/b><span style=\"font-weight: 400;\"> Olmazsa olmaz kriterdir. Ate\u015f olmadan Kawasaki hastal\u0131\u011f\u0131 tan\u0131s\u0131 konulamaz. S\u00f6z\u00fc edilen ate\u015f; 39 derece \u00fczerinde, 5 g\u00fcnden uzun s\u00fcren, antibiyotiklere ve ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fclere yan\u0131ts\u0131z ate\u015ftir.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>El ve ayaklarda de\u011fi\u015fiklikler:<\/strong> Akut d\u00f6nemde el ayas\u0131, ayak taban\u0131nda, \u00f6dem. Subakut fazda (2. ve 3. haftalarda), el ve ayak parmaklar\u0131nda soyulma,<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Dudak ve a\u011f\u0131z i\u00e7i mukozas\u0131nda de\u011fi\u015fiklikler:<\/strong> Eritemat\u00f6z ve \u00e7atlam\u0131\u015f dudaklar, \u00e7ilek dili g\u00f6r\u00fcn\u00fcm\u00fc<\/span><\/p>\n<p><strong>Her iki g\u00f6zde konjunktivit<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Boyun lenf bezlerinde \u015fi\u015flik<\/strong> (genellikle tek tarafl\u0131 1.5 cm \u00e7ap\u0131ndan b\u00fcy\u00fck),<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>D\u00f6k\u00fcnt\u00fc:<\/strong> G\u00f6vdeye ve kol bacaklara yerle\u015fen k\u0131zam\u0131\u011fa benzeyen d\u00f6k\u00fcnt\u00fc<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Be\u015f g\u00fcn ya da uzun s\u00fcren ate\u015fe ilave olarak 5 temel bulgudan 4 tanesinin olmas\u0131 Kawasaki hastal\u0131\u011f\u0131 tan\u0131s\u0131 koydurur.<\/span><\/p>\n<p><b><\/b><b>\u0130nkomplet Kawasaki tan\u0131 kriterleri:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Be\u015f g\u00fcnden uzun s\u00fcren ate\u015f varl\u0131\u011f\u0131nda tan\u0131 kriterlerinden 2 ya da 3 kriter sa\u011fland\u0131\u011f\u0131 durumda CRP&gt; 30 mg\/L ve\/veya sedim &gt; 40 mm\/saat ise a\u015fa\u011f\u0131daki laboratuvar bulgular\u0131ndan 3 ve \u00fczerini sa\u011flayanlar inkomplet Kawasaki hastal\u0131\u011f\u0131 al\u0131rlar.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Anemi (hastan\u0131n ya\u015f\u0131na g\u00f6re de\u011ferlendirilmi\u015f)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Trombositoz ( &gt; 450.000\/mm\u00b3 yedinci g\u00fcnden sonra)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Albumin &lt; 3 g\/dL<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Alanin aminotransferaz (ALT) y\u00fcksekli\u011fi<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">L\u00f6kosit say\u0131s\u0131 (WBC) &gt; 15.000\/mm\u00b3<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0130drarda l\u00f6kosit &gt; 10\/ (mikroskopta b\u00fcy\u00fck b\u00fcy\u00fctme ile her sahada)<\/span><\/li>\n<\/ol>\n<p><b>Kawasaki hastal\u0131\u011f\u0131n\u0131n tedavisi<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Kawasaki hastal\u0131\u011f\u0131 hastanede yat\u0131r\u0131larak tedavi edilir. Kawasaki hastal\u0131\u011f\u0131n\u0131n temel tedavisi IVIG (intraven\u00f6z gammaglobulin) ve aspirindir. IVIG tedavisine diren\u00e7li olgularda kortikosteroidler etkin olarak kullan\u0131labilmektedir. Tedavi \u00f6zellikle ilk 10 g\u00fcnde verilirse daha etkili olmaktad\u0131r. Tedavi edilen hastalarda koroner arter hastal\u0131\u011f\u0131 geli\u015fimi oran\u0131 %3-5\u2019lere kadar d\u00fc\u015fer, tedavi edilmeyenlerde ise %25\u2019dir.\u00a0<\/span><\/p>\n<p><b>KAWASAK\u0130 HASTALI\u011eININ COVID-19 \u0130LE BA\u011eLANTISI VAR MI?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u0130lk kez Aral\u0131k 2019\u2019da \u00c7in\u2019de ortaya \u00e7\u0131kan, yeni tip koronavir\u00fcs bilinen ad\u0131yla COVID-19 t\u00fcm d\u00fcnyay\u0131 esir alm\u0131\u015f durumda. COVID-19\u2019un \u00e7ocuklarda nadir g\u00f6r\u00fcld\u00fc\u011f\u00fc ve g\u00f6r\u00fcld\u00fc\u011f\u00fcnde de \u00e7ok b\u00fcy\u00fck oranda hafif seyirli oldu\u011fu biliniyor. Ancak son d\u00f6nemlerde Avrupa \u00fclkelerinde ve Amerika\u2019da \u00e7ocuklarda Kawasaki hastal\u0131\u011f\u0131n\u0131n s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131 bildirilmektedir. \u0130ngiltere\u2019de \u00e7ocuklarda g\u00f6r\u00fclen Kawasaki hastal\u0131\u011f\u0131 say\u0131s\u0131, normalde g\u00f6r\u00fclen say\u0131n\u0131n 6 kat\u0131na ula\u015fm\u0131\u015f oldu\u011fu bildirildi. \u0130ngiltere, \u0130talya, \u0130spanya, ABD, \u0130svi\u00e7re, Bel\u00e7ika ve Fransa&#8217;n\u0131n da yer ald\u0131\u011f\u0131 bir dizi ba\u015fka \u00fclkede \u015fu ana kadar bilinen Kawasaki hastal\u0131\u011f\u0131na yakalanan say\u0131s\u0131 100&#8217;\u00fc a\u015ft\u0131.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00dclkelerde ortalama olarak 15 ile 20 aras\u0131nda Kawasaki hastal\u0131\u011f\u0131na yakalanm\u0131\u015f \u00e7ocuk hasta bulunuyor.\u00a0 Bu \u00e7ocuklardan bir k\u0131sm\u0131n\u0131n COVID-19 testi pozitif, bir k\u0131sm\u0131n\u0131n ise negatif \u00e7\u0131kt\u0131.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc&#8217;ndeki COVID-19 teknik y\u00f6neticisi Dr. Maria Van Kerkhove<\/strong> son d\u00f6nemde Avrupa \u00fclkelerinde ve ABD\u2019de \u00e7ocuk \u00f6l\u00fcmlerine yol a\u00e7an koronavir\u00fcs ba\u011flant\u0131l\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen Kawasaki hastal\u0131\u011f\u0131 benzeri sendromu mercek alt\u0131na ald\u0131klar\u0131n\u0131 s\u00f6yledi.<\/span><\/p>\n<p><strong>\u0130ngiltere\u2019de <\/strong><span style=\"font-weight: 400;\"><strong>Ulusal Sa\u011fl\u0131k Hizmetleri (NHS) yapt\u0131\u011f\u0131 a\u00e7\u0131klamada doktorlara<\/strong>, bu d\u00f6nemde \u00e7ocuklarda g\u00f6r\u00fclme oran\u0131 artan Kawasaki hastal\u0131\u011f\u0131n\u0131n COVID-19 ile her t\u00fcrl\u00fc ba\u011flant\u0131s\u0131n\u0131 \u00e7ok <\/span><span style=\"font-weight: 400;\">dikkatle incelemeleri ve tedaviyi buna g\u00f6re h\u0131zl\u0131 bir \u015fekilde ger\u00e7ekle\u015ftirmeleri \u00e7a\u011fr\u0131s\u0131 yapt\u0131.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00dclkemizde de bu konuyla ilgili olarak <\/span><span style=\"font-weight: 400;\">Koronavir\u00fcs Bilim Kurulu \u00dcyesi ve \u00c7ocuk \u0130nfeksiyon Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Hasan Tezer a\u00e7\u0131klamada bulundu. Prof. Dr. Hasan Tezer; \u2018\u2019T\u00fcrkiye\u2019de de Kawasaki tan\u0131s\u0131 al\u0131p, COVID-19 (Sars-CoV2) pozitif olan \u00e7ocuk hastalar oldu. Koronavir\u00fcs tetiklemi\u015f olabilir mi, hen\u00fcz tam olarak bilmedi\u011fimiz bir konu, Kawasaki etiyolojisinde ama olabilir.\u201d Dedi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">K\u0131sacas\u0131 \u015fu ana kadar hi\u00e7bir kurumdan resmi olarak <strong>\u2018\u2019Kawasaki hastal\u0131\u011f\u0131 ile COVID-19 aras\u0131ndan bir ba\u011flant\u0131 var.\u2019\u2019 veya tam tersi \u2018\u2019Kawasaki hastal\u0131\u011f\u0131 ile COVID-19 aras\u0131ndan bir ba\u011flant\u0131 yok\u2019\u2019 \u015feklinde bir a\u00e7\u0131klama olmad\u0131.<\/strong><\/span><span style=\"font-weight: 400;\">Ki\u015fisel olarak, COVID-19\u2019un <strong>Kawasaki hastal\u0131\u011f\u0131<\/strong> ile ba\u011flant\u0131s\u0131n\u0131n di\u011fer coronavir\u00fcslere benzer \u015fekilde oldu\u011funu d\u00fc\u015f\u00fcnmekle birlikte, bu konunun bilimsel olarak ortaya konulabilmesi i\u00e7in biraz daha zamana ihtiya\u00e7 oldu\u011funu belirtmek isterim.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Herkese sa\u011fl\u0131kl\u0131 g\u00fcnler.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kawasaki hastal\u0131\u011f\u0131 nedir, nas\u0131l anla\u015f\u0131l\u0131r?\u00a0 Bebek ve \u00e7ocuklarda kawasaki hastal\u0131\u011fu belirtileri nedir? Kawasaki hastal\u0131\u011f\u0131n\u0131n koronavir\u00fcsle ili\u015fkisi var m\u0131? \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. D\u00fcndar Yayk\u0131ran, kawasaki hastal\u0131\u011f\u0131 ile ilgili merak edilenleri yazd\u0131&#8230; Kawasaki hastal\u0131\u011f\u0131 nedir, kimleri etkiliyor?\u00a0 Kawasaki\u00a0hastal\u0131\u011f\u0131, ilk olarak 1967 y\u0131l\u0131nda, Japon \u00e7ocuk hekimi Tomisaku Kawasaki taraf\u0131ndan tan\u0131mlanm\u0131\u015f olan bir \u00e7ocukluk \u00e7a\u011f\u0131 vask\u00fclitidir. [&hellip;]<\/p>\n","protected":false},"author":78,"featured_media":5445,"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":[7],"tags":[9680],"class_list":{"0":"post-7005","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-bebeklerde-kawasaki-hastaligi"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2019\/10\/cocuklarda-kis-hastaliklari.jpg?fit=626%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/7005","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\/78"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=7005"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/7005\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/5445"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=7005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=7005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=7005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}