{"id":1605,"date":"2022-12-25T16:24:57","date_gmt":"2022-12-25T16:24:57","guid":{"rendered":"https:\/\/fonexmedya.com\/?p=1605"},"modified":"2022-12-25T16:24:58","modified_gmt":"2022-12-25T16:24:58","slug":"soru-cevap-5-acil-servis-doktoruna-covid-grip-ve-rsv-tripledemik-hakkinda-soru-sorduk","status":"publish","type":"post","link":"https:\/\/fonexmedya.com\/?p=1605","title":{"rendered":"Soru-Cevap: 5 Acil Servis Doktoruna COVID, Grip ve RSV &#8216;Tripledemik&#8217; Hakk\u0131nda Soru Sorduk"},"content":{"rendered":"<h2 id=\"article-subheading_1-0\" class=\"comp type-title--md article-subheading\">\u0130\u015fte ABD&#8217;nin d\u00f6rt bir yan\u0131ndan acil t\u0131p doktorlar\u0131n\u0131n son zamanlarda g\u00f6rd\u00fckleri.<\/h2>\n<p id=\"mntl-sc-block_1-0-1\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span>2022 y\u0131l\u0131 sona ererken, Amerika Birle\u015fik Devletleri solunum yolu vir\u00fcs\u00fc mevsiminin sanc\u0131lar\u0131 i\u00e7inde, RSV ve grip Kas\u0131m ay\u0131 sonlar\u0131nda beklenmedik \u015fekilde y\u00fcksek seviyelerde zirveye ula\u015ft\u0131 ve COVID vakalar\u0131 \u015fimdi tekrar artmaya ba\u015flad\u0131.<\/span><span class=\"mntl-inline-citation mntl-dynamic-tooltip--trigger\" data-id=\"#citation-3\">1<\/span><span class=\"mntl-inline-citation mntl-dynamic-tooltip--trigger\" data-id=\"#citation-2\">2<\/span><span class=\"mntl-inline-citation mntl-dynamic-tooltip--trigger\" data-id=\"#citation-1\">3<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-2\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-3\" class=\"comp mntl-sc-block mntl-sc-block-html\">A\u015f\u0131 durumlar\u0131n\u0131n, \u00f6nleme \u00f6nlemlerinin yayg\u0131nl\u0131\u011f\u0131n\u0131n ve ABD&#8217;deki di\u011fer fakt\u00f6rlerin yamal\u0131 \u00e7al\u0131\u015fmas\u0131, solunum vir\u00fcs\u00fc mevsiminin bir ki\u015finin ya\u015fad\u0131\u011f\u0131 yere ba\u011fl\u0131 olarak farkl\u0131 g\u00f6r\u00fcnd\u00fc\u011f\u00fc anlam\u0131na gelir.<\/p>\n<div id=\"mntl-sc-block_1-0-4\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-5\" class=\"comp mntl-sc-block mntl-sc-block-html\">Bu ayn\u0131 zamanda, s\u0131kl\u0131kla ciddi RSV, COVID veya grip vakalar\u0131 olan ki\u015fileri te\u015fhis eden, tedavi eden ve izleyen acil servislerin son haftalardaki dalgalanmay\u0131 y\u00f6neten farkl\u0131 deneyimler ya\u015fad\u0131\u011f\u0131 anlam\u0131na gelir.<\/p>\n<div id=\"mntl-sc-block_1-0-6\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-7\" class=\"comp mntl-sc-block mntl-sc-block-html\">ABD&#8217;nin d\u00f6rt bir yan\u0131ndan be\u015f acil t\u0131p doktorundan (Florida, New York, Washington, Michigan ve Kuzey Carolina) bu y\u0131l solunum vir\u00fcs\u00fc mevsimiyle ba\u015fa \u00e7\u0131kman\u0131n nas\u0131l bir \u015fey oldu\u011fu, hasta ak\u0131n\u0131n\u0131 nas\u0131l ele ald\u0131klar\u0131 ve \u00f6n\u00fcm\u00fczdeki birka\u00e7 hafta i\u00e7inde ne g\u00f6rmeyi bekledikleri hakk\u0131nda daha fazla bilgi payla\u015fmalar\u0131n\u0131 istedik.<\/p>\n<div id=\"mntl-sc-block_1-0-8\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\">\n<div id=\"mntl-native-fluid_2-0\" class=\"comp mntl-native-fluid mntl-native\" data-right-rail-index=\"2\"><\/div>\n<\/div>\n<ul id=\"mntl-sc-block_1-0-9\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>Chris Griggs, MD,\u00a0Atrium Health Carolinas T\u0131p Merkezi&#8217;nde acil t\u0131p yard\u0131mc\u0131 do\u00e7entidir.<\/li>\n<li>Brad Uren, MD,\u00a0Michigan \u00dcniversitesi T\u0131p Fak\u00fcltesi&#8217;nde acil t\u0131p klinik do\u00e7entidir.<\/li>\n<li>Christopher McStay, MD, MBA,\u00a0NewYork-Presbiteryen Columbia \u00dcniversitesi Irving T\u0131p Merkezi&#8217;nde acil t\u0131p b\u00f6l\u00fcm\u00fcnde klinik operasyonlardan sorumlu ba\u015fkan yard\u0131mc\u0131s\u0131d\u0131r.<\/li>\n<li>Carolyn Holland, MD,\u00a0Florida \u00dcniversitesi Sa\u011fl\u0131k Shands Hastanesi&#8217;nde acil t\u0131p do\u00e7enti ve pediatrik acil servisin t\u0131bbi direkt\u00f6r\u00fcd\u00fcr.<\/li>\n<li>Arvin Akhavan, MD,\u00a0Washington T\u0131p \u00dcniversitesi Harborview Acil Servisi&#8217;nde operasyonlardan sorumlu t\u0131bbi direkt\u00f6r yard\u0131mc\u0131s\u0131d\u0131r.<\/li>\n<\/ul>\n<div id=\"mntl-sc-block_1-0-10\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-11\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">Son haftalarda acil servisinizde \u00e7ok say\u0131da RSV, grip ve COVID g\u00f6rd\u00fcn\u00fcz m\u00fc?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-12\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Griggs:<\/strong>\u00a0Evet, son birka\u00e7 ay i\u00e7inde \u00e7ok say\u0131da viral hastal\u0131k g\u00f6rd\u00fcm. RSV&#8217;nin muhtemelen bir ay \u00f6nce y\u00fckseldi\u011fini kesinlikle g\u00f6rd\u00fck &#8211; bu \u00f6nemli \u00f6l\u00e7\u00fcde d\u00fc\u015f\u00fcyor. Grip son birka\u00e7 hafta i\u00e7inde \u00e7ok y\u00fcksekti ve belki biraz azald\u0131, ama yine de olduk\u00e7a y\u00fcksek. Ve COVID bir t\u00fcr durgunluk i\u00e7indeydi &#8211; Omicron&#8217;da oldu\u011fu gibi ge\u00e7mi\u015fte ya\u015fad\u0131\u011f\u0131m\u0131z ani art\u0131\u015flar kadar y\u00fcksek oldu\u011funu g\u00f6rmemi\u015ftim, ama kesinlikle tekrar y\u00fckselmeye ba\u015fl\u0131yor. Bunlar\u0131n hepsini s\u00fcrekli olarak kontrol ediyoruz, ancak \u00e7ok say\u0131da ba\u015fka vir\u00fcs de var.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-13\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-14\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Uren:<\/strong>\u00a0Me\u015fgul. Ve solunum yolu hastal\u0131\u011f\u0131 y\u00fck\u00fcn\u00fcn bu gerginli\u011fe katk\u0131da bulundu\u011funu s\u00f6yleyebilirim &#8211; mutlaka tamam\u0131 de\u011fil, ama i\u015fimizi yapmay\u0131 daha da yo\u011fun ve daha da zorla\u015ft\u0131ran bir \u015fey daha. Hala olduk\u00e7a fazla miktarda COVID g\u00f6r\u00fcyoruz, grip g\u00f6r\u00fcyoruz, RSV g\u00f6r\u00fcyoruz. \u0130nsanlar\u0131 hastaneye getiren t\u00fcm bu \u015feylerin pozitif vakalar\u0131n\u0131 do\u011frulad\u0131k. Bu te\u015fhislere sahip herkes hastaneye kabul edilmeyi gerektirmez, ancak \u00e7o\u011fu zaman tedaviye ihtiya\u00e7 duyarlar ve bu da bu kaynaklar\u0131 t\u00fcketir ve ER&#8217;yi daha da me\u015fgul eder.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-15\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-16\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. McStay:<\/strong>\u00a0\u015eimdi, bakt\u0131\u011f\u0131m\u0131z \u015fey, muhtemelen normalden biraz daha k\u00f6t\u00fc olan viral ve grip mevsimi. Bu y\u00fczden daha fazla say\u0131da grip vakas\u0131 g\u00f6r\u00fcyoruz, a\u011f\u0131rl\u0131kl\u0131 olarak \u00e7ocuklar\u0131 etkileyen daha fazla say\u0131da RSV vakas\u0131 g\u00f6r\u00fcyoruz ve \u015fimdi, bunlar\u0131n hepsi COVID&#8217;in bir arka plan\u0131na kar\u0131\u015ft\u0131. Bu y\u00fczden normalden biraz daha yo\u011fun hissettirdi\u011fini s\u00f6yleyebilirim. M\u00fccadele eden tesislerdeki bir\u00e7ok kurulu\u015fun etraf\u0131nda bir\u00e7ok alarmc\u0131 ba\u015fl\u0131k var. Genel olarak, e\u011filimlerin daha y\u00fcksek oldu\u011funu s\u00f6yleyebilirim. Ama biz ba\u015fa \u00e7\u0131k\u0131yoruz ve y\u00f6netiyoruz.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-17\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<div id=\"mntl-sc-block_1-0-18\" class=\"comp related-link shape-radius--medium mntl-sc-block healthdotcom-sc-block-featuredlink mntl-sc-block-featuredlink mntl-block\">\u00a0<span class=\"link__wrapper\">COVID, Grip veya RSV mi? \u0130\u015fte Sizi Neyin Hasta Etti\u011fini Ger\u00e7ekten Nas\u0131l Bilece\u011finiz<\/span><\/div>\n<div id=\"mntl-sc-block_1-0-19\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-20\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">COVID, grip ve RSV&#8217;nin yan\u0131 s\u0131ra, di\u011fer hastal\u0131klar i\u00e7in daha y\u00fcksek vaka say\u0131lar\u0131 fark ettiniz mi?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-21\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Griggs:<\/strong>\u00a0Rinovir\u00fcs tipik so\u011fuk alg\u0131nl\u0131\u011f\u0131 vir\u00fcs\u00fc olarak kabul edilir, ancak kesinlikle duyarl\u0131 hastalarda, \u00e7ocuklarda oldu\u011fu gibi, RSV&#8217;nin yapabilece\u011fi gibi bir bron\u015fiyolit&#8217;e neden olabilir. Bu y\u00fczden rinovir\u00fcs olan hastaneye yat\u0131r\u0131lmas\u0131 gereken \u00e7ocuklar g\u00f6rd\u00fck. \u0130simler bir sayfa kadar uzundur &#8211; orada bir\u00e7ok farkl\u0131 vir\u00fcs ve bir\u00e7ok farkl\u0131 isim vard\u0131r. Ama sadece genel olarak, solunum yolu vir\u00fcsleri veya ishale neden olanlar en \u00e7ok g\u00f6rd\u00fc\u011f\u00fcm \u015feydir. \u0130nsanlar v\u00fccut a\u011fr\u0131lar\u0131, burun ak\u0131nt\u0131s\u0131, bo\u011faz a\u011fr\u0131s\u0131, \u00f6ks\u00fcr\u00fck, bulant\u0131, kusma, ishal ile gelirler &#8211; bu grip olabilir, COVID olabilir veya vir\u00fcs\u00fcn v\u00fccudunuzla nas\u0131l etkile\u015fime girdi\u011fine ba\u011fl\u0131 olarak bu di\u011fer vir\u00fcslerden herhangi biri olabilir.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-22\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-23\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Uren:<\/strong>\u00a0Kesinlikle COVID veya grip i\u00e7in, bu enfeksiyonlar i\u00e7in kullanabilece\u011fimiz baz\u0131 \u00f6zel tedavilere sahip oldu\u011fumuz yerlerde, insanlar\u0131 bu spesifik hastal\u0131klar i\u00e7in test etmek mant\u0131kl\u0131d\u0131r. Bunun \u00f6tesinde, bir ki\u015finin \u00f6zellikle hangi vir\u00fcse sahip oldu\u011funu bilmek i\u00e7in genellikle \u00e7ok az de\u011fer vard\u0131r, \u00e7\u00fcnk\u00fc belirli bir tedaviniz yoksa, sadece o hastan\u0131n semptomlar\u0131n\u0131 tedavi edersiniz. Yani di\u011fer vir\u00fcsleri olan hastalar &#8211; gergedan [vir\u00fcs], entero [vir\u00fcs] veya adeno [vir\u00fcs] veya di\u011fer koronavir\u00fcs t\u00fcrleri &#8211; bunlar\u0131n hepsi so\u011fuk alg\u0131nl\u0131\u011f\u0131 gibi ortaya \u00e7\u0131kar. Birisi grip i\u00e7in test edilirse ve COVID i\u00e7in test edilirse ve bu testler negatifse, daha fazla test yararl\u0131 olmayabilir.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-24\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-25\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">Genel olarak konu\u015fursak, acil servisinizde daha fazla a\u015f\u0131lanmam\u0131\u015f hasta g\u00f6r\u00fcyor musunuz?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-26\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Hollanda:<\/strong>\u00a0Sadece anekdot olarak &#8211; bu bilimsel bir \u00e7al\u0131\u015fma de\u011fil &#8211; ama bana \u00f6yle geliyor ki, bak\u0131m i\u00e7in acil servise gelen [insanlar\u0131n] \u00e7o\u011funlu\u011fu a\u015f\u0131lanmam\u0131\u015ft\u0131. Bence bu, bu y\u0131lki [grip] a\u015f\u0131s\u0131n\u0131n, a\u015f\u0131lar\u0131 tasarlayan insanlar taraf\u0131ndan iyi bir tahmin oldu\u011fu ger\u00e7e\u011fini yans\u0131t\u0131yor [&#8230;] ve a\u015f\u0131lanan hastalanan insanlar, gripten yedi ila 14 g\u00fcnl\u00fck tipik olarak daha uzun s\u00fcren hastal\u0131klar\u0131n\u0131 ge\u00e7iren a\u015f\u0131lanmam\u0131\u015f insanlar\u0131n aksine, \u00e7ok k\u0131sa bir hastal\u0131\u011fa (birka\u00e7 g\u00fcn) sahipti.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-27\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-28\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Uren:<\/strong>\u00a0Grip ve COVID i\u00e7in hem a\u015f\u0131lanm\u0131\u015f hem de a\u015f\u0131lanmam\u0131\u015f insanlar\u0131n bu enfeksiyonlarla geldi\u011fini g\u00f6r\u00fcyoruz. \u00c7o\u011fu zaman, a\u015f\u0131lanmad\u0131klar\u0131nda muhtemelen etkileri daha g\u00fc\u00e7l\u00fc hisseden insanlar\u0131 g\u00f6rece\u011fiz, \u00e7\u00fcnk\u00fc genellikle a\u015f\u0131lama ge\u00e7mi\u015fini &#8211; \u00f6zellikle de tarihteki COVID i\u00e7in &#8211; e\u011fer birisi bu semptomlarla ortaya \u00e7\u0131kt\u0131ysa. Size \u00e7ok daha fazlas\u0131n\u0131 g\u00f6rd\u00fc\u011f\u00fcm\u00fcz\u00fc kesin olarak s\u00f6yleyebilece\u011fimi bilmiyorum. Ay\u0131rt etmek zor gibi g\u00f6r\u00fcn\u00fcyor. Benim tecr\u00fcbelerime bile \u00f6yle geliyor.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-29\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<div id=\"mntl-sc-block_1-0-30\" class=\"comp related-link shape-radius--medium mntl-sc-block healthdotcom-sc-block-featuredlink mntl-sc-block-featuredlink mntl-block\">\u00a0<span class=\"link__wrapper\">Tatil Toplant\u0131lar\u0131 S\u0131ras\u0131nda Misafirlerinizi (ve Kendinizi) Sa\u011fl\u0131kl\u0131 Tutmak \u0130\u00e7in 7 \u0130pucu<\/span><\/div>\n<div id=\"mntl-sc-block_1-0-31\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-32\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">Solunum yolu hastal\u0131klar\u0131ndaki art\u0131\u015f acil servisinizi zorlad\u0131 m\u0131?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-33\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Hollanda:<\/strong>\u00a0Bu y\u0131l, pediatrik acil servisimizde, a\u00e7\u0131ld\u0131\u011f\u0131m\u0131zdan bu yana, \u00f6nceki y\u0131llardan daha fazla hastam\u0131z olaca\u011f\u0131na inan\u0131yorum. Kuzey Orta Florida&#8217;da pediatrik yatan hastalar\u0131 hastaneye kabul eden birka\u00e7 hastaneden biriyiz. Hem acil serviste hem de katlarda o kadar y\u00fcksek n\u00fcfus say\u0131mlar\u0131 yapt\u0131k ki, hastaneye kabul edilen hastalar anlam\u0131na gelen yat\u0131l\u0131 \u00e7al\u0131\u015fanlar\u0131m\u0131z oldu, ancak \u00fcst katta onlar i\u00e7in yer yok, bu da pediatrik acil servisimizde son derece nadirdir.<\/span><span class=\"mntl-inline-citation mntl-dynamic-tooltip--trigger\" data-id=\"#citation-4\">4<\/span><span>\u00a0Ayr\u0131ca [di\u011fer] hastanelerden yap\u0131lan transferleri de reddetmek zorunda kald\u0131k \u00e7\u00fcnk\u00fc bu hastalara bakma kapasitemiz yok.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-34\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-35\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Griggs:<\/strong>\u00a0Evet, acil servis hacimlerimizin ve yatan hasta yatak kapasitemizin son birka\u00e7 ay i\u00e7inde farkl\u0131 zamanlarda zorland\u0131\u011f\u0131n\u0131 s\u00f6yleyebilirim. Burada Charlotte&#8217;ta bizi k\u0131racak bir \u015fey g\u00f6rd\u00fc\u011f\u00fcm\u00fcz\u00fc sanm\u0131yorum, ancak kesinlikle \u00fclkenin di\u011fer b\u00f6lgelerinde daha fazla kriz seviyesinde olduklar\u0131na dair raporlar var.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-36\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-37\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Akhavan:<\/strong>\u00a0Genel olarak, hastane sistemlerinin, \u00f6zellikle Washington eyaletinde, ancak \u00fclke genelinde kapasite a\u00e7\u0131s\u0131ndan her zaman olduk\u00e7a gergin oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. Bu nedenle, herhangi bir vaka t\u00fcr\u00fcnde herhangi bir art\u0131\u015f\u0131m\u0131z oldu\u011funda &#8211; bu sezon COVID veya grip ve RSV olsun &#8211; sistemi zorlar. Hasta say\u0131s\u0131nda her hafif bir art\u0131\u015f oldu\u011funda, her \u015feyi yava\u015flat\u0131r. \u00d6zellikle bunun gibi bula\u015f\u0131c\u0131 hastal\u0131klar\u0131 olan hastalarda, onlar\u0131 sadece herkesle birlikte bir odaya koyamay\u0131z &#8211; di\u011fer hastalar\u0131 g\u00fcvende tutmak, di\u011fer hastalar\u0131n grip, COVID-19 ve RSV&#8217;ye yakalanmas\u0131n\u0131 \u00f6nlemek istiyoruz.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-38\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-39\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. McStay:<\/strong>\u00a0Ger\u00e7ek \u015fu ki, bunun \u00e7o\u011fu \u00f6ng\u00f6r\u00fclebilir. Y\u0131l\u0131n bu d\u00f6neminde, acil servisler ulusal olarak pediatrik, yeti\u015fkin ve ya\u015fl\u0131 pop\u00fclasyonlarda viral hastal\u0131klar\u0131n say\u0131s\u0131nda bir art\u0131\u015f g\u00f6r\u00fcyor ve \u00e7o\u011fu acil servis bunu bekliyor ve planl\u0131yor. Bu nedenle, kurulu\u015flar\u0131n aya\u011fa kalkmalar\u0131 veya bu bireylere farkl\u0131 \u015fekillerde bakt\u0131\u011f\u0131m\u0131z alanlar yaratmalar\u0131 gerekebilir. Tamamen \u00f6ng\u00f6r\u00fclebilir. Ve daha da \u00f6nemlisi, grip veya RSV veya bu \u00fcst solunum yolu ve viral hastal\u0131klar\u0131n herhangi bir t\u00fcr\u00fcne yakalanan bir\u00e7ok insan, bir\u00e7o\u011fu gayet iyi. Demek istedi\u011fim, hastaneler ve acil servisler bu t\u00fcr hasta pop\u00fclasyonuna bakmak i\u00e7in sistemler kuruyor ve genellikle bunu olduk\u00e7a iyi yap\u0131yoruz.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-40\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-41\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">Bu hastal\u0131k dalgas\u0131 s\u0131ras\u0131nda ki\u015fisel olarak nas\u0131l hissediyorsunuz?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-42\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Hollanda:<\/strong>\u00a0S\u00fcrekli lobiye bakarken hala odalardaki t\u00fcm hastalarla ilgileniyorum ve \u015fu anda dikkat edilmesi gereken biri varsa, tan\u0131mlamaya \u00e7al\u0131\u015f\u0131yorum, \u00e7\u00fcnk\u00fc geri d\u00f6n\u00fcp beni g\u00f6rmeleri i\u00e7in bir alan\u0131m olmas\u0131 saatler s\u00fcrebilir. Ve bence pediatride hepimiz i\u00e7in stres, biliyorsunuz, pediatriye giriyoruz \u00e7\u00fcnk\u00fc \u00e7ocuklara bakmak istiyoruz. [&#8230;] Bu hepimiz i\u00e7in biraz cesaret k\u0131r\u0131c\u0131 bir duygu oldu.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-43\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-44\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Akhavan:<\/strong>\u00a0Bence \u015fu anda t\u0131p, \u00f6zellikle pandemi sonras\u0131 d\u00f6nemde \u00e7al\u0131\u015fmak i\u00e7in olduk\u00e7a zor bir yer. Cevaplamas\u0131 zor bir soru. Burada harika bir i\u015f \u00e7\u0131kard\u0131\u011f\u0131m\u0131z\u0131 hissediyorum. Burada \u00e7al\u0131\u015fan herkesle ve her \u015feyi nas\u0131l ele ald\u0131klar\u0131yla ger\u00e7ekten gurur duyuyorum. Ama kesinlikle zorla\u015f\u0131yor [&#8230;] Di\u011fer hastalar\u0131m\u0131z\u0131 koruyabilmemiz i\u00e7in kendimizi korumak i\u00e7in ekstra \u00f6nlemler almal\u0131y\u0131z. Ve bu y\u00fczden zorla\u015f\u0131yor, ama biz burada ele al\u0131yoruz.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-45\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<div id=\"mntl-sc-block_1-0-46\" class=\"comp related-link shape-radius--medium mntl-sc-block healthdotcom-sc-block-featuredlink mntl-sc-block-featuredlink mntl-block\">\u00a0<span class=\"link__wrapper\">CDC, Bu Y\u0131lki Grip A\u015f\u0131s\u0131n\u0131n &#8216;\u0130yi Bir E\u015fle\u015fme&#8217; Oldu\u011funu S\u00f6yl\u00fcyor &#8211; Ancak Vakalar ve Hastaneye Yat\u0131\u015flar Artmaya Devam Ediyor<\/span><\/div>\n<div id=\"mntl-sc-block_1-0-47\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-48\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">Tatilden sonra durumun daha da k\u00f6t\u00fcye gidebilece\u011finden endi\u015fe duyuyor musunuz?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-49\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Hollanda:<\/strong>\u00a0Asl\u0131nda, okuldan tatil tatilinden bu yana sadece son birka\u00e7 g\u00fcnde, hacimlerimizde bir d\u00fc\u015f\u00fc\u015f oldu. Ve bunun \u00e7ocuklar\u0131n evde ve ebeveynlerin evde oldu\u011fu ger\u00e7e\u011fiyle ilgili oldu\u011funu ve mikroplar\u0131n k\u00fc\u00e7\u00fck insanlar aras\u0131nda daha az yay\u0131ld\u0131\u011f\u0131n\u0131 umuyorum.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-50\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-51\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. McStay:<\/strong>\u00a0Bir t\u00fcr \u015faka olarak, viral hastal\u0131klar ve COVID s\u00f6z konusu oldu\u011funda tahmin oyunundan \u00e7\u0131kt\u0131m &#8211; bunun \u00f6ng\u00f6r\u00fclemeyen bir do\u011fas\u0131 var. Kesinlikle \u015e\u00fckran G\u00fcn\u00fc&#8217;nden sonra, ulusal olarak, vaka say\u0131lar\u0131na vb. Dayanarak viral hastal\u0131klarda bir art\u0131\u015f g\u00f6rd\u00fck gibi g\u00f6r\u00fcn\u00fcyor. Bu do\u011frudan \u015e\u00fckran G\u00fcn\u00fc seyahati ve insanlar\u0131n bir araya gelmesiyle mi ilgili? Yoksa bu konuyla ilgili de\u011fil mi? Bunu bilmek \u00e7ok zor. Bu tatil sezonuna girmeyi, Noel i\u00e7in seyahat eden insanlar\u0131 vb. D\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fczde, mutlaka beni ilgilendirmiyor. RSV oranlar\u0131n\u0131n d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc g\u00f6r\u00fcyoruz, grip oranlar\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcyoruz. Ancak bu rakamlar ve bu e\u011filimler \u015fehirlere ve b\u00f6lgelere \u00e7ok \u00f6zg\u00fcd\u00fcr. Ve bu y\u00fczden ulusal tahminlerde bulunmak veya ger\u00e7ekten anlaml\u0131 tahminlerde bulunmak zor.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-52\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-53\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Uren:<\/strong>\u00a0\u015eu anda acil servislerde g\u00f6rd\u00fc\u011f\u00fcm\u00fcz rakamlarda biraz plato g\u00f6rd\u00fc\u011f\u00fcm\u00fcz konusunda iyimser oldu\u011fumu s\u00f6yleyebilirim. Bununla birlikte, bunu insanlar tatil i\u00e7in bir araya gelirse &#8211; ve k\u0131\u015f\u0131n daha so\u011fuk havalar\u0131n hareket etti\u011fini g\u00f6rmeyi bekliyoruz ve insanlar daha s\u0131k i\u00e7eri ve birlikte s\u00fcr\u00fclecekler &#8211; bununla i\u015fimizin bitmedi\u011fine inan\u0131yorum.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-54\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<h2 id=\"mntl-sc-block_1-0-55\" class=\"comp mntl-sc-block healthdotcom-sc-block-heading mntl-sc-block-heading\"><span class=\"mntl-sc-block-heading__text\">\u0130nsanlar\u0131n g\u00fcvende kalmak i\u00e7in yapabilecekleri veya hatta durumu d\u00fczeltmeye yard\u0131mc\u0131 olabilecek bir \u015fey var m\u0131?<\/span><\/h2>\n<p id=\"mntl-sc-block_1-0-56\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. McStay:<\/strong>\u00a0Her zaman &#8216;Seyahat etmeli miyim, ailemi g\u00f6rmek i\u00e7in eve gitmeli miyim, ne yapmal\u0131y\u0131m?&#8217; gibi sorular al\u0131yorum. Ve bence hala bu temel \u015feylerin \u00e7o\u011funa geliyor: Hastaysan\u0131z, evde kal\u0131n. Daha riskli ortamlardaysan\u0131z &#8211; New York ve di\u011fer b\u00fcy\u00fck \u015fehirler &#8211; tekrar maske takmay\u0131 d\u00fc\u015f\u00fcnmeniz i\u00e7in \u00f6neriler var, \u00e7\u00fcnk\u00fc orada viral hastal\u0131k prevalans\u0131 y\u00fcksek. Ve sonra, hastal\u0131k i\u00e7in bir a\u015f\u0131 varsa [&#8230;] onu takip etmeyi d\u00fc\u015f\u00fcnmelisiniz.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-57\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-58\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Griggs:<\/strong>\u00a0Karma\u015f\u0131k bir t\u0131bbi ge\u00e7mi\u015fi olan bir ki\u015fiyseniz ve ast\u0131m gibi y\u00fcksek riskli \u00f6zelliklere sahipseniz veya ya\u015fl\u0131ysan\u0131z veya iki ya\u015f\u0131ndan k\u00fc\u00e7\u00fckseniz, bir hastal\u0131k s\u0131ras\u0131nda doktorunuzu daha erken g\u00f6rmeye \u00e7al\u0131\u015fmak yararl\u0131d\u0131r, \u00e7\u00fcnk\u00fc daha \u00f6nce kullanabilece\u011finiz tedaviler vard\u0131r. daha etkilidir. Yani kesinlikle, bu y\u00fcksek riskli n\u00fcfusun bir par\u00e7as\u0131ysan\u0131z, erken g\u00f6r\u00fcn\u00fcn.<\/span><\/p>\n<div id=\"mntl-sc-block_1-0-59\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_1-0-60\" class=\"comp mntl-sc-block mntl-sc-block-html\"><span><strong>Dr. Akhavan:<\/strong>\u00a0A\u015f\u0131 olun, halka a\u00e7\u0131k yerlerde maske tak\u0131n. Bence \u00f6zellikle seyahat \u2013 u\u00e7aklar, bunun gibi \u015feyler \u2013 kendinizi m\u00fcmk\u00fcn oldu\u011funca korumak i\u00e7in iyi yerlerdir, \u00f6zellikle de ailenizi g\u00f6r\u00fcyorsan\u0131z ve bir grup insan\u0131 g\u00f6r\u00fcyorsan\u0131z. Muhtemelen en \u00f6nemlisi: Hastaysan\u0131z, di\u011fer insanlar\u0131 hasta etmemek i\u00e7in ba\u015fkalar\u0131n\u0131n yan\u0131nda olmamaya \u00e7al\u0131\u015f\u0131n. Bunun zor oldu\u011funu biliyorum \u00e7\u00fcnk\u00fc pandemi sonras\u0131 herkes aileleriyle birlikte olmaktan ve bir \u015feyleri kutlamaktan heyecan duyuyor. Ama sadece ba\u015fka bir zamanda alaca\u011f\u0131m\u0131z normal \u00f6nlemler, onlar\u0131 almaya ve di\u011fer insanlara kar\u015f\u0131 d\u00fc\u015f\u00fcnceli olmaya devam edin.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130\u015fte ABD&#8217;nin d\u00f6rt bir yan\u0131ndan acil t\u0131p doktorlar\u0131n\u0131n son zamanlarda g\u00f6rd\u00fckleri. 2022 y\u0131l\u0131 sona ererken, Amerika Birle\u015fik Devletleri solunum yolu vir\u00fcs\u00fc mevsiminin sanc\u0131lar\u0131 i\u00e7inde, RSV ve grip Kas\u0131m ay\u0131 sonlar\u0131nda beklenmedik \u015fekilde y\u00fcksek seviyelerde zirveye ula\u015ft\u0131 ve COVID vakalar\u0131 \u015fimdi tekrar artmaya ba\u015flad\u0131.123 A\u015f\u0131 durumlar\u0131n\u0131n, \u00f6nleme \u00f6nlemlerinin yayg\u0131nl\u0131\u011f\u0131n\u0131n ve ABD&#8217;deki di\u011fer fakt\u00f6rlerin yamal\u0131 \u00e7al\u0131\u015fmas\u0131, solunum &hellip;<\/p>\n","protected":false},"author":1,"featured_media":1606,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[240],"tags":[],"class_list":["post-1605","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tir-saglik"],"_links":{"self":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts\/1605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1605"}],"version-history":[{"count":1,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts\/1605\/revisions"}],"predecessor-version":[{"id":1607,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts\/1605\/revisions\/1607"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/media\/1606"}],"wp:attachment":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}