{"id":41084,"date":"2020-03-31T14:51:07","date_gmt":"2020-03-31T11:51:07","guid":{"rendered":"https:\/\/bilimvegelecek.com.tr\/?p=41084"},"modified":"2020-03-31T14:51:07","modified_gmt":"2020-03-31T11:51:07","slug":"koronavirus-kuresel-salgini-14-gun-karantina-yetmez-28-gun-lazim","status":"publish","type":"post","link":"https:\/\/bilimvegelecek.com.tr\/index.php\/2020\/03\/31\/koronavirus-kuresel-salgini-14-gun-karantina-yetmez-28-gun-lazim","title":{"rendered":"Koronavir\u00fcs k\u00fcresel salg\u0131n\u0131 | 14 g\u00fcn karantina yetmez, 28 g\u00fcn laz\u0131m"},"content":{"rendered":"

Koronavir\u00fcs\u00fcn yay\u0131lmas\u0131nda vir\u00fcs\u00fc ta\u015f\u0131d\u0131\u011f\u0131 halde semptom g\u00f6stermeden ge\u00e7irenlerin y\u0131k\u0131c\u0131 etkileri pek \u00e7ok ara\u015ft\u0131rma ve rapora konu oldu. Ancak bu tabloya yeni bir bile\u015fen daha eklendi: Hastal\u0131\u011f\u0131 atlatm\u0131\u015f olanlar.<\/p>\n

Amerikan G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Derne\u011fi\u2019nin dergisi American Journal of Respiratory and Critical Care Medicine<\/em>\u2019in son say\u0131s\u0131nda yay\u0131mlanan ilgili \u00e7al\u0131\u015fma koronavir\u00fcs\u00fcn bula\u015fma s\u00fcreci konusunda ne kadar dikkatli olmam\u0131z gerekti\u011fini bir kez daha g\u00f6steriyor. Buna g\u00f6re COVID-19\u2019u hafif semptomlarla atlatm\u0131\u015f ve “iyile\u015fti” kategorisine al\u0131nm\u0131\u015f hastalar\u0131n yar\u0131s\u0131nda vir\u00fcs varl\u0131\u011f\u0131n\u0131 sekiz g\u00fcne kadar korumaya devam ediyor. Bu da semptomlar\u0131n kaybolmas\u0131ndan sonraki yakla\u015f\u0131k bir haftal\u0131k s\u00fcrede de enfekte ki\u015finin hastal\u0131k bula\u015ft\u0131rma riski ta\u015f\u0131d\u0131\u011f\u0131 anlam\u0131na geliyor.<\/p>\n

\u00c7al\u0131\u015fmaya Pekin\u2019deki PLA Tedavi Merkezi ve Hastanesi\u2019nde 28 Ocak-9 \u015eubat tarihleri aras\u0131nda tedavi g\u00f6rm\u00fc\u015f ve taburcu edilmi\u015f 16 hasta dahil edilmi\u015f. Ara\u015ft\u0131rmac\u0131lar hastalar\u0131n COVID-19 testinden negatif \u00e7\u0131kt\u0131\u011f\u0131 ve iyile\u015ferek taburcu edildikleri tarihi izleyen g\u00fcnlerde bo\u011faz s\u00fcr\u00fcnt\u00fcs\u00fc almay\u0131 s\u00fcrd\u00fcrm\u00fc\u015fler. Sonu\u00e7lar \u00e7arp\u0131c\u0131\u2026<\/p>\n

Ya\u015f ortalamas\u0131 35.5 olan hastalar\u0131n yar\u0131s\u0131, semptomlar\u0131n \u015fiddetiyle do\u011fru orant\u0131l\u0131 olarak, semptomlar \u00e7\u00f6z\u00fcld\u00fckten ve vir\u00fcs tespit testi negatif \u00e7\u0131kt\u0131ktan sonraki 1 ila 8 g\u00fcn boyunca vir\u00fcs\u00fc ta\u015f\u0131maya devam etmi\u015fler. G\u00f6zlem \u00e7al\u0131\u015fmas\u0131na dahil edilen 16 hastan\u0131n sergiledi\u011fi semptomlar, medyada s\u0131k\u00e7a telaffuz edilenlerden farkl\u0131 de\u011fil: Ate\u015f, \u00f6ks\u00fcr\u00fck, bo\u011faz a\u011fr\u0131s\u0131 ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fc. Enfekte olmalar\u0131ndan semptomlar\u0131n ortaya \u00e7\u0131k\u0131\u015f\u0131na kadarki kulu\u00e7ka s\u00fcresi, bir hasta hari\u00e7 t\u00fcm\u00fcnde 5 g\u00fcn, semptomlar\u0131n devam etme s\u00fcresi ise 8 g\u00fcn olarak bildirilmi\u015f. \u00c7al\u0131\u015fmada az say\u0131da hastaya bak\u0131lm\u0131\u015f olmas\u0131 bir zay\u0131f nokta; dolay\u0131s\u0131yla ya\u015fl\u0131larda veya ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanm\u0131\u015f olanlarda ne gibi sonu\u00e7lar elde edilece\u011fini anlamak i\u00e7in daha fazla ve kapsaml\u0131 \u00e7abaya ihtiya\u00e7 var. Fakat mevcut incelemeden \u00e7\u0131kar\u0131lacak sonucu makalenin yazarlar\u0131ndan Lixin Xie\u2019den dinleyelim:<\/p>\n

\u201cHastal\u0131\u011f\u0131 hafif semptomlarla atlat\u0131yor ve ba\u015fkalar\u0131na bula\u015ft\u0131rmamak i\u00e7in evden \u00e7\u0131km\u0131yorsan\u0131z, karantina s\u00fcrenize, iyile\u015ftikten sonra iki hafta daha eklemeniz gerekiyor.\u201d<\/em><\/p>\n

Bir mesaj da sa\u011fl\u0131k\u00e7\u0131lara:<\/p>\n

\u201cCOVID-19 hastalar\u0131 semptomlar iyile\u015ftikten sonra da bula\u015ft\u0131rma riski ta\u015f\u0131yor. Dolay\u0131s\u0131yla asemptomatik\/yeni iyile\u015fmi\u015f hastalara semptomatik hastalar kadar dikkatle yakla\u015fmak gerekiyor.\u201d<\/em><\/p>\n

Kaynak: <\/strong>De Chang ve ark., \u201cTime Kinetics of Viral Clearance and Resolution of Symptoms in Novel Coronavirus Infection\u201d, American Journal of Respiratory and Critical Care Medicine, 23 Mart 2020, https:\/\/doi.org\/10.1164\/rccm.202003-0524LE.<\/p>\n","protected":false},"excerpt":{"rendered":"

Koronavir\u00fcs\u00fcn yay\u0131lmas\u0131nda vir\u00fcs\u00fc ta\u015f\u0131d\u0131\u011f\u0131 halde semptom g\u00f6stermeden ge\u00e7irenlerin y\u0131k\u0131c\u0131 etkileri pek \u00e7ok ara\u015ft\u0131rma ve rapora konu oldu. Ancak bu tabloya yeni bir bile\u015fen daha eklendi: Hastal\u0131\u011f\u0131 atlatm\u0131\u015f olanlar. Amerikan G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Derne\u011fi\u2019nin dergisi American Journal of Respiratory and Critical Care Medicine\u2019in son say\u0131s\u0131nda yay\u0131mlanan ilgili \u00e7al\u0131\u015fma koronavir\u00fcs\u00fcn bula\u015fma s\u00fcreci konusunda ne kadar dikkatli olmam\u0131z gerekti\u011fini […]<\/p>\n","protected":false},"author":184,"featured_media":41089,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[19],"tags":[5948,5848,5765],"class_list":["post-41084","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bilim-gundemi","tag-bulas-suresi","tag-covid-19","tag-karantina"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t