{"id":4702,"date":"2021-07-13T09:24:51","date_gmt":"2021-07-13T06:24:51","guid":{"rendered":"https:\/\/www.klimik.org.tr\/koronavirus\/?p=4702"},"modified":"2021-07-13T09:24:51","modified_gmt":"2021-07-13T06:24:51","slug":"solid-organ-nakli-uygulanmis-kisilere-covid-19-asisi-yapilabilir-mi","status":"publish","type":"post","link":"https:\/\/www.klimik.org.tr\/koronavirus\/solid-organ-nakli-uygulanmis-kisilere-covid-19-asisi-yapilabilir-mi\/","title":{"rendered":"Solid Organ Nakli Uygulanm\u0131\u015f  Ki\u015filere COVID-19 A\u015f\u0131s\u0131 Yap\u0131labilir mi?"},"content":{"rendered":"<p>Solid organ nakli yap\u0131lm\u0131\u015f ki\u015filerde COVID-19\u2019un a\u011f\u0131r seyretme riski y\u00fcksektir, bu nedenle a\u015f\u0131lanarak hastal\u0131ktan korunmalar\u0131 olduk\u00e7a \u00f6nemlidir. T\u00fcm solid organ nakli al\u0131c\u0131lar\u0131nda, \u00fclkemizde olan inaktive virus a\u015f\u0131s\u0131 veya mRNA a\u015f\u0131s\u0131 uygulanabilmektedir. Ancak bu ki\u015filer ba\u011f\u0131\u015f\u0131kl\u0131k sistemlerini zay\u0131flatan ila\u00e7lar da kulland\u0131klar\u0131 i\u00e7in, daha immunojen olan mRNA a\u015f\u0131lar\u0131n\u0131 tercih etmeleri \u00f6nerilir. Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 etkileyen ila\u00e7lar\u0131n kullan\u0131m\u0131 bu ki\u015filerde ayn\u0131 zamanda a\u015f\u0131ya yan\u0131t ve koruyuculuk oranlar\u0131n\u0131n da d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcne neden olabilece\u011finden, solid organ nakli al\u0131c\u0131lar\u0131 a\u015f\u0131land\u0131ktan sonra maske ve mesafe gibi ki\u015fisel koruyucu \u00f6nlemlere uymaya da devam etmelidir. Transplantasyondan sonra a\u015f\u0131lama i\u00e7in ideal zaman tam olarak bilinmemekle birlikte, hastal\u0131\u011f\u0131 edinme riskine ve koruyucu ba\u011f\u0131\u015f\u0131k yan\u0131t geli\u015ftirebilme olas\u0131l\u0131\u011f\u0131na g\u00f6re de\u011ferlendirme yap\u0131lmal\u0131d\u0131r. M\u00fcmk\u00fcn olan durumlarda, transplantasyondan sonra en erken 1. ayda, T veya B lenfositleri azaltan tedaviler (\u00f6rn. anti-timosit glob\u00fclin, rituksimab vb.) alan ki\u015filerde ise bu ajanlar\u0131n kullan\u0131m\u0131ndan en az 3 ay sonra a\u015f\u0131lama yap\u0131lmas\u0131 tercih edilmelidir.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-86125\" src=\"https:\/\/www.klimik.org.tr\/wp-content\/uploads\/2019\/12\/KLI\u0307MI\u0307K.logo_.jpg\" alt=\"\" width=\"500\" height=\"57\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Solid organ nakli yap\u0131lm\u0131\u015f ki\u015filerde COVID-19\u2019un a\u011f\u0131r seyretme riski y\u00fcksektir, bu nedenle a\u015f\u0131lanarak hastal\u0131ktan korunmalar\u0131 olduk\u00e7a \u00f6nemlidir. T\u00fcm solid organ nakli al\u0131c\u0131lar\u0131nda, \u00fclkemizde olan inaktive virus a\u015f\u0131s\u0131 veya mRNA a\u015f\u0131s\u0131 uygulanabilmektedir. Ancak bu ki\u015filer ba\u011f\u0131\u015f\u0131kl\u0131k sistemlerini zay\u0131flatan ila\u00e7lar da kulland\u0131klar\u0131 i\u00e7in, daha immunojen olan mRNA a\u015f\u0131lar\u0131n\u0131 tercih etmeleri \u00f6nerilir. Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 etkileyen ila\u00e7lar\u0131n kullan\u0131m\u0131 bu ki\u015filerde ayn\u0131 zamanda a\u015f\u0131ya yan\u0131t ve koruyuculuk oranlar\u0131n\u0131n da d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcne neden olabilece\u011finden, solid organ nakli al\u0131c\u0131lar\u0131 a\u015f\u0131land\u0131ktan sonra maske ve mesafe gibi ki\u015fisel koruyucu \u00f6nlemlere uymaya da devam etmelidir. Transplantasyondan sonra a\u015f\u0131lama i\u00e7in ideal zaman tam olarak bilinmemekle birlikte, hastal\u0131\u011f\u0131 edinme riskine ve koruyucu ba\u011f\u0131\u015f\u0131k yan\u0131t [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":4703,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/4702"}],"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=4702"}],"version-history":[{"count":1,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/4702\/revisions"}],"predecessor-version":[{"id":4704,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/4702\/revisions\/4704"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media\/4703"}],"wp:attachment":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media?parent=4702"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/categories?post=4702"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/tags?post=4702"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}