{"id":3486,"date":"2020-12-27T16:25:31","date_gmt":"2020-12-27T13:25:31","guid":{"rendered":"https:\/\/www.klimik.org.tr\/koronavirus\/?p=3486"},"modified":"2020-12-29T16:26:26","modified_gmt":"2020-12-29T13:26:26","slug":"prof-dr-alpay-azap-covid-19-ilaclariyla-ilgili-merak-edilenleri-acikladi","status":"publish","type":"post","link":"https:\/\/www.klimik.org.tr\/koronavirus\/prof-dr-alpay-azap-covid-19-ilaclariyla-ilgili-merak-edilenleri-acikladi\/","title":{"rendered":"Prof. Dr. Alpay Azap COVID-19 \u0130la\u00e7lar\u0131yla \u0130lgili Merak Edilenleri A\u00e7\u0131klad\u0131"},"content":{"rendered":"

\"\"T\u00fcrk Klinik Mikrobiyoloji ve \u0130nfeksiyon Hastal\u0131klar\u0131 Derne\u011fi (KL\u0130M\u0130K) Ba\u015fkan\u0131 ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavirus Bilim Kurulu \u00dcyesi Prof. Dr. Alpay Azap, COVID-19 hastalar\u0131n\u0131n tedavisinde kullan\u0131lan ila\u00e7larla ilgili \u00e7arp\u0131c\u0131 a\u00e7\u0131klamalarda bulundu. Azap, sosyal medyada s\u0131k\u00e7a g\u00fcndeme gelen konuya ili\u015fkin dile getirilmeyen ger\u00e7ekleri tek tek a\u00e7\u0131klad\u0131. Azap, tedavide kullan\u0131lan ila\u00e7lar\u0131n kalp krizine yol a\u00e7t\u0131\u011f\u0131 iddias\u0131n\u0131n do\u011fru olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/strong><\/p>\n

\u00c7in’in Wuhan kentinde Aral\u0131k 2019’da ortaya \u00e7\u0131kmas\u0131n\u0131n ard\u0131ndan k\u00fcresel \u00e7apl\u0131 \u00f6l\u00fcmc\u00fcl bir pandemiye d\u00f6n\u00fc\u015fen COVID-19 ile m\u00fccadele h\u0131z kesmeden s\u00fcr\u00fcyor. S\u00fcre\u00e7 i\u00e7erisinde geli\u015ftirilen ve yak\u0131n tarihte T\u00fcrkiye dahil bir\u00e7ok \u00fclkede uygulanmaya ba\u015flayacak COVID-19 a\u015f\u0131lar\u0131, salg\u0131n\u0131n sona ermesinde umut \u0131\u015f\u0131\u011f\u0131 olarak g\u00f6r\u00fcl\u00fcyor.<\/p>\n

\u00d6te yandan, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n haz\u0131rlad\u0131\u011f\u0131 rehber do\u011frultusunda hastalara uygulanan COVID-19 tedavi protokol\u00fc kapsam\u0131nda bu s\u00fcreci evde ge\u00e7irecek ki\u015filere ila\u00e7 temin edilerek, tedaviye eri\u015fimleri sa\u011flan\u0131yor.<\/p>\n

Fakat bu ila\u00e7lar\u0131n baz\u0131lar\u0131n\u0131n hastalarda a\u011f\u0131r yan etkilere yol a\u00e7t\u0131\u011f\u0131 iddias\u0131 sosyal medya platformlar\u0131nda s\u0131k s\u0131k g\u00fcndeme geliyor.\u00a0<\/strong><\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavirus Bilim Kurulu \u00dcyesi ve T\u00fcrk Klinik Mikrobiyoloji ve \u0130nfeksiyon Hastal\u0131klar\u0131 Derne\u011fi (KL\u0130M\u0130K) Ba\u015fkan\u0131 Prof. Dr. Alpay Azap, COVID-19 hastalar\u0131n\u0131n tedavisinde kullan\u0131lan ila\u00e7lara ili\u015fkin sorular\u0131 \u015f\u00f6yle yan\u0131tlad\u0131:<\/p>\n

COVID-19’a kar\u015f\u0131 y\u00fczde 100 etkili bir ila\u00e7 var m\u0131?<\/strong><\/p>\n

Ne yaz\u0131k ki hen\u00fcz bu virusa kar\u015f\u0131 elimizde y\u00fczde 100 etki g\u00f6steren bir ila\u00e7 yok. Bug\u00fcne kadar hep ba\u015fka viruslar ya da ba\u015fka hastal\u0131klar i\u00e7in geli\u015ftirilen ila\u00e7lar tedavide kullan\u0131lmaya \u00e7al\u0131\u015f\u0131ld\u0131. Bunlar\u0131n baz\u0131lar\u0131 laboratuvar ortam\u0131nda virusa etki de g\u00f6sterdi.<\/p>\n

Ancak hastalarda kullan\u0131ld\u0131klar\u0131nda laboratuvardaki kadar etkili olmad\u0131lar.<\/p>\n

D\u00fcnyada ve T\u00fcrkiye’de tedavide kullan\u0131lan ila\u00e7lar ayn\u0131 m\u0131? Farkl\u0131l\u0131klar varsa sebepleri nelerdir?<\/strong><\/p>\n

Hastal\u0131k 2 hafta s\u00fcren 2 a\u015famal\u0131 bir hastal\u0131k. Birinci haftada farkl\u0131 tedavi yakla\u015f\u0131mlar\u0131 s\u00f6z konusuyken ikinci haftada her \u00fclkenin tedavide benzer bir yakla\u015f\u0131m\u0131 var. Bat\u0131 ve Kuzey Avrupa \u00fclkeleri ile Kuzey Amerika, virusun solunum h\u00fccrelerinde \u00e7o\u011fald\u0131\u011f\u0131 ancak belirtilerin hafif seyretti\u011fi, akci\u011fer hasar\u0131n\u0131n ya\u015fanmad\u0131\u011f\u0131 birinci evrede sadece ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc, a\u011fr\u0131 kesici gibi ila\u00e7lar kullan\u0131yor. Baz\u0131 \u00fclkeler bu evreyi \u00e7ok a\u011f\u0131r ge\u00e7irenler i\u00e7in Remdesivir adl\u0131 ilac\u0131 uyguluyor.<\/p>\n

Fakat D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc “Remdesivir’in faydal\u0131 oldu\u011funu g\u00f6steren kan\u0131tlar\u0131m\u0131z yok.” diyor.<\/p>\n

Bizde ve baz\u0131 ba\u015fka \u00fclkelerde favipiravir, arbidol gibi ila\u00e7lar virusa olas\u0131 etkileri nedeniyle birinci haftada ek olarak kullan\u0131l\u0131yor. \u00dclkeler aras\u0131ndaki bu farkl\u0131l\u0131k b\u00fcy\u00fck oranda hastal\u0131\u011f\u0131n yeni olmas\u0131ndan ve tedaviyle ilgili bilimsel \u00e7al\u0131\u015fmalar\u0131n \u00e7eli\u015fkili sonu\u00e7lar vermesinden kaynaklan\u0131yor. \u00c7eli\u015fkili sonu\u00e7lar\u0131n en \u00f6nemli sebebi ise \u00e7al\u0131\u015fmalara dahil edilen hastalar\u0131n ve \u00e7al\u0131\u015fma protokollerinin birbirlerinden farkl\u0131 olmas\u0131. Bu da uygulamada de\u011fi\u015fikliklere neden oluyor.<\/p>\n

\u0130kinci evre ise daha standart diyebiliriz. Neredeyse her \u00fclkede oksijen ve kortizon tedavisi, yan\u0131t al\u0131namayanlara ba\u011f\u0131\u015f\u0131kl\u0131k sistemini daha g\u00fc\u00e7l\u00fc bask\u0131layan ila\u00e7lar veriliyor. Akci\u011ferler g\u00f6revini yeterince yapamaz hale gelirse de makineyle destek veriliyor. Bu evrede ayr\u0131ca kan\u0131n p\u0131ht\u0131la\u015fmas\u0131n\u0131 ve damarlar\u0131n t\u0131kanmas\u0131n\u0131 engellemek i\u00e7in aspirin t\u00fcrevleri ve ba\u015fka kan suland\u0131r\u0131c\u0131lar da kullan\u0131l\u0131yor.<\/p>\n

R\u00f6portaj\u0131n Devam\u0131 \u0130\u00e7in T\u0131klay\u0131n\u0131z<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00fcrk Klinik Mikrobiyoloji ve \u0130nfeksiyon Hastal\u0131klar\u0131 Derne\u011fi (KL\u0130M\u0130K) Ba\u015fkan\u0131 ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavirus Bilim Kurulu \u00dcyesi Prof. Dr. Alpay Azap, COVID-19 hastalar\u0131n\u0131n tedavisinde kullan\u0131lan ila\u00e7larla ilgili \u00e7arp\u0131c\u0131 a\u00e7\u0131klamalarda bulundu. Azap, sosyal medyada s\u0131k\u00e7a g\u00fcndeme gelen konuya ili\u015fkin dile getirilmeyen ger\u00e7ekleri tek tek a\u00e7\u0131klad\u0131. Azap, tedavide kullan\u0131lan ila\u00e7lar\u0131n kalp krizine yol a\u00e7t\u0131\u011f\u0131 iddias\u0131n\u0131n do\u011fru olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi. \u00c7in’in Wuhan kentinde Aral\u0131k 2019’da ortaya \u00e7\u0131kmas\u0131n\u0131n ard\u0131ndan k\u00fcresel \u00e7apl\u0131 \u00f6l\u00fcmc\u00fcl bir pandemiye d\u00f6n\u00fc\u015fen COVID-19 ile m\u00fccadele h\u0131z kesmeden s\u00fcr\u00fcyor. S\u00fcre\u00e7 i\u00e7erisinde geli\u015ftirilen ve yak\u0131n tarihte T\u00fcrkiye dahil bir\u00e7ok \u00fclkede uygulanmaya ba\u015flayacak COVID-19 a\u015f\u0131lar\u0131, salg\u0131n\u0131n sona ermesinde umut \u0131\u015f\u0131\u011f\u0131 olarak g\u00f6r\u00fcl\u00fcyor. \u00d6te yandan, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n […]<\/p>\n","protected":false},"author":4,"featured_media":3487,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/3486"}],"collection":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/comments?post=3486"}],"version-history":[{"count":1,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/3486\/revisions"}],"predecessor-version":[{"id":3488,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/3486\/revisions\/3488"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media\/3487"}],"wp:attachment":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media?parent=3486"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/categories?post=3486"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/tags?post=3486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}