{"id":357,"date":"2012-06-30T12:21:47","date_gmt":"2012-06-30T09:21:47","guid":{"rendered":"http:\/\/www.hvtd.org\/?p=357"},"modified":"2012-06-30T12:21:47","modified_gmt":"2012-06-30T09:21:47","slug":"seyahat-ishalleri","status":"publish","type":"post","link":"https:\/\/www.hvtd.org\/?p=357","title":{"rendered":"Seyahat \u0130shalleri"},"content":{"rendered":"

\"\"<\/a>Geli\u015fmi\u015f bat\u0131 \u00fclkelerinden Afrika, Latin Amerika, Asya ve Ortado\u011fu \u00fclkelerine seyahat eden insanlar\u0131n %50-60\u2032\u0131nda birka\u00e7 g\u00fcn i\u00e7inde ishal (gastroenterit) ba\u015flayabilir. Travelers\u2019 Diarrhea <\/em>olarak bilinen bu hastal\u0131kta, g\u00fcnde 5-6 kez tuvalete \u00e7\u0131kma zorunlulu\u011fu yaratan, sulu, muk\u00fcsl\u00fc ve kanl\u0131 ishal, ba\u011f\u0131rsak kramplar\u0131 ve ate\u015f olabilir. \u00c7o\u011fu olgular 3-4 g\u00fcnde kendili\u011finden d\u00fczelir. Bu bir \u00e7e\u015fit besin zehirlenmesi olup, \u00e7o\u011funlukla toksik veya mikrobik ajanlar\u0131n g\u0131da ve i\u00e7ecekler yoluyla al\u0131nmas\u0131ndan kaynaklan\u0131r. Soyulmadan yenilen meyveler, salata gibi \u00e7i\u011f sebzeler, iyi pi\u015fmemi\u015f et ve deniz mahsulleri, dondurma gibi s\u00fct \u00fcr\u00fcnleri, \u00e7e\u015fme sular\u0131 ve bu sulardan yap\u0131lm\u0131\u015f buzlar, bakteri ve vir\u00fcslerin bula\u015fma yoludur. Bakterilerin %70\u2032i Enterotoxigenic E.Coli\u2019dir; bunun d\u0131\u015f\u0131nda Shigelle, Salmonella, Rotavirus, Norwalk virus ve Giardia Lamblia gibi parazitler de ishal yapabilir. \u00c7ocuk, gen\u00e7 ve ya\u015fl\u0131lar, diyabetikler, koliti ve imm\u00fcn sistem hastal\u0131\u011f\u0131 olanlar, mide asidini bloke eden ila\u00e7lar\u0131 (Famotidin, Cimetidin, Omeprazol, Nexium)<\/em> kullananlarda ishal daha \u00e7ok g\u00f6r\u00fcl\u00fcr.<\/p>\n

Bu rahats\u0131zl\u0131k ironik olarak, Aztek Kral\u0131 Montezuma\u2019n\u0131n haks\u0131z yere (hainlikle su\u00e7lan\u0131p halk\u0131 taraf\u0131ndan ta\u015f ve oklarla) \u00f6ld\u00fcr\u00fclmesine atfen \u2018Montezuma\u2019n\u0131n L\u00e2neti\u2019 <\/em>olarak isimlendirilmi\u015ftir. Meksika\u2019da \u2018Turista<\/em>\u2018, Hindistan\u2019da \u2018Delhi Belly<\/em>\u2018, Uzak do\u011fuda \u2018Hong Kong Dog<\/em>\u2018 olarak bilinen bu hastal\u0131k her y\u0131l 10 milyondan fazla insan\u0131 \u00e7e\u015fitli d\u00fczeylerde rahats\u0131z etmekte; neyse ki %90\u2032\u0131 bir haftada, %98\u2032i en ge\u00e7 bir ayda d\u00fczelmektedir.<\/p>\n

Sadece u\u00e7ak yolcular\u0131 de\u011fil, u\u00e7u\u015f ekipleri de bu hastal\u0131\u011fa yakalanabilir; u\u00e7u\u015f programlar\u0131 alt\u00fcst olabilir; bu hastal\u0131k devam ederken g\u00f6rev yaz\u0131lan pilotlar\u0131n u\u00e7u\u015fta inkapasitasyon olas\u0131l\u0131\u011f\u0131 vard\u0131r\u2026 U\u00e7u\u015f ekiplerinin egzotik b\u00f6lgelerde konaklad\u0131klar\u0131 zaman \u00f6nlem olarak hijyene daha fazla \u00f6zen g\u00f6stermeleri, sokakta sat\u0131lan g\u0131dalardan yememeleri, \u00f6zellikle pilotlar\u0131n restoranlarda farkl\u0131 m\u00f6n\u00fcler almalar\u0131 gerekir.<\/p>\n

Tedavide, zehirledi\u011finden ku\u015fkulan\u0131lan g\u0131dalardan uzak durulmas\u0131 ve v\u00fccudun su kayb\u0131n\u0131n tel\u00e2fisi i\u00e7in s\u0131v\u0131 g\u0131dalar al\u0131nmas\u0131 \u00f6nceliklidir. Ba\u011f\u0131rsak hareketleri artt\u0131\u011f\u0131 i\u00e7in s\u0131kl\u0131kla tuvalete \u00e7\u0131kmak zorunda kalan, kramplar\u0131 ve ate\u015fi olan ki\u015filere Ciproflexin, Bizmut, Lomotil, Imodium<\/em> gibi ila\u00e7lar verilebilir. Bu s\u00fcre\u00e7te u\u00e7u\u015f kesilir; hatt\u00e2 ishal bitimini takiben 24 saat u\u00e7malar\u0131na izin verilmez. \u00c7\u00fcnk\u00fc hem kullan\u0131lmakta olan ila\u00e7lar\u0131n yan etkileri, hem de ishalin tekrar ba\u015flamas\u0131 olas\u0131l\u0131\u011f\u0131 vard\u0131r.<\/p>\n

Haz\u0131rlayan<\/strong>:<\/strong> Dr. Muzaffer \u00c7eting\u00fc\u00e7<\/p>\n","protected":false},"excerpt":{"rendered":"

Geli\u015fmi\u015f bat\u0131 \u00fclkelerinden Afrika, Latin Amerika, Asya ve Ortado\u011fu \u00fclkelerine seyahat eden insanlar\u0131n %50-60\u2032\u0131nda birka\u00e7 g\u00fcn i\u00e7inde ishal (gastroenterit) ba\u015flayabilir. Travelers\u2019 Diarrhea olarak bilinen bu hastal\u0131kta, g\u00fcnde 5-6 kez tuvalete \u00e7\u0131kma zorunlulu\u011fu yaratan, sulu, muk\u00fcsl\u00fc ve kanl\u0131 ishal, ba\u011f\u0131rsak kramplar\u0131 ve ate\u015f olabilir. \u00c7o\u011fu olgular 3-4 g\u00fcnde kendili\u011finden d\u00fczelir. Bu bir \u00e7e\u015fit besin zehirlenmesi olup, \u00e7o\u011funlukla toksik veya mikrobik ajanlar\u0131n […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-357","post","type-post","status-publish","format-standard","hentry","category-bulten"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=357"}],"version-history":[{"count":1,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/357\/revisions"}],"predecessor-version":[{"id":359,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/357\/revisions\/359"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}