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{"id":69,"date":"2012-04-29T18:58:40","date_gmt":"2012-04-29T15:58:40","guid":{"rendered":"http:\/\/www.etlikasm.com\/?page_id=69"},"modified":"2012-04-29T19:00:22","modified_gmt":"2012-04-29T16:00:22","slug":"bebek-izlem","status":"publish","type":"page","link":"https:\/\/etlikasm.com\/index.php\/bebek-izlem\/","title":{"rendered":"Bebek \u0130zlem"},"content":{"rendered":"<p><span style=\"color: #ff0000;\"><strong>YEN\u0130DO\u011eAN TARAMA TESTLER\u0130<\/strong><\/span><\/p>\n<p><strong>Koruyucu sa\u011fl\u0131k hizmetlerinin en \u00f6nemli par\u00e7as\u0131n\u0131 taramalar olu\u015fturur. Tarama testlerinin en yayg\u0131n bir \u015fekilde uyguland\u0131\u011f\u0131 d\u00f6nem yenido\u011fan d\u00f6nemidir Metabolik hastal\u0131\u011f\u0131n bulgu vermeden ve geriye d\u00f6n\u00fc\u015f\u00fcms\u00fcz zararlar olu\u015fturmadan te\u015fhisini koymak temel ama\u00e7t\u0131r. Taramada kullan\u0131lan testler ile tan\u0131 ama\u00e7l\u0131 testler aras\u0131ndaki farkl\u0131l\u0131k vard\u0131r. Tarama testi sa\u011fl\u0131kla ilgili bir sorun olabilece\u011fi konusunda uyar\u0131r. Tek ba\u015f\u0131na kesin olarak hastal\u0131\u011f\u0131n oldu\u011funu s\u00f6yleyemez. \u015e\u00fcphe edilen durumlarda kesin tan\u0131 koydurucu testler yap\u0131lmal\u0131d\u0131r.<\/strong><br \/>\n<strong>G\u00fcn\u00fcm\u00fczde tarama program\u0131na al\u0131nmas\u0131 gerekli iki hastal\u0131k vard\u0131r:<\/strong><\/p>\n<p><span style=\"color: #ff0000;\"><strong>Birincisi<\/strong><strong>\u00a0<\/strong><\/span><strong>fenilketon\u00fcri hastal\u0131\u011f\u0131d\u0131r. Yenido\u011fan bebeklerde g\u00f6r\u00fclen fenilketon\u00fcri hastal\u0131\u011f\u0131 tedavi edilebilir zeka geriliklerinin en \u00f6nemli nedeni olup erken konulan te\u015fhi\u015f ile \u00f6nlenebilmektedir. Fenilketon\u00fcri, yenido\u011fan bebeklerin karaci\u011ferindeki fenilalanin hidroksilaz enzim eksikli\u011fi sonucu ortaya \u00e7\u0131kan do\u011fumsal metabolik bir hastal\u0131kt\u0131r. Do\u011fumda normal olan bebekte beslenmeyi takiben metabolize olamayan ve biriken fenilalanin ve art\u0131klar\u0131 giderek beyin dokusuna toksik etki g\u00f6sterir. Zeka gerili\u011fi be\u015f ve alt\u0131nc\u0131 aylar\u0131ndan sonra belirgin hale gelir. Tedavisi fenilalaninden k\u0131s\u0131tl\u0131 diyettir. Tedavi iyi ve yeterli s\u00fcrede uyguland\u0131\u011f\u0131 zaman \u00e7ocuk beklenen zeka potansiyeline ula\u015f\u0131r. Bunu ba\u015farabilmek i\u00e7in erken tan\u0131 \u00f6nemlidir.<\/strong><\/p>\n<p><span style=\"color: #ff0000;\"><strong>\u0130kincisi<\/strong><\/span><strong>\u00a0<\/strong><strong>tiroid bezinin yoklu\u011fu veya az \u00e7al\u0131\u015fmas\u0131 sonucunda olu\u015fan do\u011fumsal hipotiroididir. \u00d6nlenebilir zeka gerili\u011finin \u00f6nemli nedenlerinden bir di\u011feridir. Erken tan\u0131 ile hormon tedavisi verilerek zeka gerili\u011fi \u00f6nlenebilir.<\/strong><br \/>\n<strong>Sa\u011fl\u0131kl\u0131 zaman\u0131nda do\u011fmu\u015f bebeklerde kan \u00f6rne\u011fi ilk 7 g\u00fcn i\u00e7inde olmal\u0131d\u0131r. E\u011fer ilk \u00f6rnek ilk 24 saat i\u00e7inde al\u0131nd\u0131 ise, bebek 1-2 haftal\u0131k olunca yeni bir \u00f6rnek al\u0131narak metabolit birikimi ile giden metabolik hastal\u0131klar i\u00e7in yeniden test edilmelidir.<\/strong><br \/>\n<strong>Metabolik tarama ama\u00e7l\u0131 kan \u00f6rne\u011fi al\u0131nmas\u0131 i\u00e7in en ideal zaman bebe\u011fin proteinli besinler almaya ba\u015flamas\u0131ndan 24 saat sonras\u0131, ilk 72 saatlik s\u00fcredir. Metabolik tarama ama\u00e7l\u0131 kan \u00f6rne\u011fi \u00f6zel filte ka\u011f\u0131tlar\u0131na al\u0131n\u0131r. Bu ka\u011f\u0131tlar\u0131n \u00fczerine hasta ile ilgili t\u00fcm bilgiler, adres ve telefon eksiksiz olarak yaz\u0131l\u0131r. Sonu\u00e7lar iki veya \u00fc\u00e7 hafta i\u00e7inde belli olur. Kan \u00f6rne\u011fi yetersiz ise veya \u015f\u00fcpheli ise yeni \u00f6rnek istenir.<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong><span style=\"color: #ff0000;\">Di\u011fer Tarama Testleri<\/span><\/strong><br \/>\n<strong>\u0130\u015fitme taramas\u0131 ve g\u00f6rme her yenido\u011fan bebe\u011fe uygulanmas\u0131 gereken bir taramad\u0131r. Bebe\u011fin g\u00f6zlerinin \u0131\u015f\u0131k veya objeye fikse olup takip etmesi ile g\u00f6rme taramas\u0131 yap\u0131l\u0131r. Premat\u00fcr do\u011fum \u00f6yk\u00fcs\u00fc, ailede \u00e7ocukluk \u00e7a\u011f\u0131 g\u00f6rme problemlerinin olmas\u0131 bebe\u011fin ayr\u0131nt\u0131l\u0131 tetkiklerle taranmas\u0131n\u0131 gerektirir.<\/strong><\/p>\n<p><strong>\u00a0<\/strong><br \/>\n<strong>Ayr\u0131ca yenido\u011fan d\u00f6neminde geli\u015fimsel kal\u00e7a displazisi, konjenital kalp hastal\u0131klar\u0131, hiposfadias, inmemi\u015f testis, yar\u0131k damak, dudak gibi hastal\u0131klar da fizik muayene ile taranabilir.<\/strong><br \/>\n<strong>Do\u011fu\u015ftan kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131nda ise son zamanlarda ultrasonografi kullan\u0131lmaktad\u0131r ve 4-6 aya kadar kal\u00e7a anormalliklerini tan\u0131mlamada duyarl\u0131d\u0131r.<\/strong><br \/>\n<strong>\u00a0Do\u011fu\u015ftan kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131 i\u00e7in yenido\u011fanlar taburcu olmadan \u00f6nce muayene edilip birinci ayda kal\u00e7a USG ile taranmal\u0131d\u0131r.<\/strong><\/p>\n<p><span style=\"color: #ff0000;\"><strong>Aile Sa\u011fl\u0131\u011f\u0131 Merkezinde \u0130zlem<\/strong><\/span><\/p>\n<p><strong>Bebek anne s\u00fct\u00fc almaya ba\u015flad\u0131ktan sonra en ge\u00e7 bir hafta, on g\u00fcn i\u00e7inde n\u00fcfus kayd\u0131 yapt\u0131r\u0131larak aile hekimine getirilmelidir. Aile hekimli\u011finde \u00a0topuk kan\u0131 al\u0131n\u0131r ve tarama testlerini sorgular. Yap\u0131lmayanlar varsa yap\u0131lmas\u0131 gerekenleri anlat\u0131r. Ayr\u0131ca ayl\u0131k olarak rutin kontrollere \u00e7a\u011f\u0131rmak i\u00e7in randevu planlamas\u0131 yap\u0131l\u0131r. A\u015f\u0131lar ve izlemler bir ya\u015f\u0131na kadar \u00e7ok \u00f6nemlidir.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>YEN\u0130DO\u011eAN TARAMA TESTLER\u0130 Koruyucu sa\u011fl\u0131k hizmetlerinin en \u00f6nemli par\u00e7as\u0131n\u0131 taramalar olu\u015fturur. Tarama testlerinin en yayg\u0131n bir \u015fekilde uyguland\u0131\u011f\u0131 d\u00f6nem yenido\u011fan d\u00f6nemidir Metabolik hastal\u0131\u011f\u0131n bulgu vermeden ve geriye d\u00f6n\u00fc\u015f\u00fcms\u00fcz zararlar olu\u015fturmadan te\u015fhisini koymak temel ama\u00e7t\u0131r. Taramada kullan\u0131lan testler ile tan\u0131 ama\u00e7l\u0131 testler aras\u0131ndaki farkl\u0131l\u0131k vard\u0131r. Tarama testi sa\u011fl\u0131kla ilgili bir sorun olabilece\u011fi konusunda uyar\u0131r. Tek ba\u015f\u0131na [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-69","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/pages\/69","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/comments?post=69"}],"version-history":[{"count":3,"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/pages\/69\/revisions"}],"predecessor-version":[{"id":72,"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/pages\/69\/revisions\/72"}],"wp:attachment":[{"href":"https:\/\/etlikasm.com\/index.php\/wp-json\/wp\/v2\/media?parent=69"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}