{"id":331,"date":"2024-09-26T11:44:31","date_gmt":"2024-09-26T11:44:31","guid":{"rendered":"https:\/\/saatall.com\/?p=331"},"modified":"2025-07-09T12:53:06","modified_gmt":"2025-07-09T12:53:06","slug":"uyuz-ve-bit-tedavisi","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/uyuz-ve-bit-tedavisi\/","title":{"rendered":"Uyuz Ve Bit Tedavisi"},"content":{"rendered":"

UYUZ VE B\u0130T PARAZ\u0130T HASTALIKLARI<\/strong><\/h4>\n
Ge\u00e7mi\u015f tarihten bug\u00fcn\u00fcm\u00fcze kadar gelen ve toplu salg\u0131nlara sebep olabilen bu iki parazitlik hastal\u0131k, temel olarak hijyen bozuklu\u011funun h\u00fck\u00fcm s\u00fcrd\u00fc\u011f\u00fc sava\u015flar, k\u0131tl\u0131k veya su kaynaklar\u0131na eri\u015fimin olmad\u0131\u011f\u0131 d\u00f6nemlerde b\u00fcy\u00fck bir problem halini alm\u0131\u015ft\u0131r.<\/div>\n
G\u00fcn\u00fcm\u00fczde de sadece sava\u015flar\u0131n h\u00fck\u00fcm s\u00fcrd\u00fc\u011f\u00fc veya su kaynaklar\u0131na eri\u015fimin k\u0131s\u0131tl\u0131 oldu\u011fu toplumlarda de\u011fil; geli\u015fmi\u015f toplumlarda da cinsel yolla bula\u015fan hastal\u0131klar\u0131n art\u0131\u015f\u0131 ve \u2018homeless\u2019 yani evsiz bireylerin varl\u0131\u011f\u0131 nedeniyle pek de az\u0131msanmayacak d\u00fczeyde devam ediyor.<\/div>\n
\u015eimdi gelin bu etkenlere ve yapt\u0131klar\u0131 hastal\u0131\u011fa daha yak\u0131ndan bakal\u0131m:<\/div>\n

UYUZ NED\u0130R?<\/strong><\/h4>\n
Uyuz; Sarcoptes scabiei, Hominis ad\u0131 verilen, g\u00f6zle g\u00f6r\u00fclmeyen\u00a0d\u0131\u015f parazitin etken oldu\u011fu \u00e7ok bula\u015f\u0131c\u0131 ve ka\u015f\u0131nt\u0131l\u0131 bir hastal\u0131kt\u0131r.<\/div>\n

UYUZ NASIL BULA\u015eIR?<\/strong><\/h4>\n
\u0130nsanlarda hastal\u0131k yapan parazitin di\u015fi parazitleridir. \u0130lk bula\u015f d\u00f6neminde bireyin \u015fikayet vermesi\u00a0g\u00fcnler veya aylar alabilir. Ama, ikinci kez bula\u015f durumunda 24-48 saat i\u00e7inde klinik belirtiler ortaya \u00e7\u0131kar. Bundan dolay\u0131 pozitif aile ka\u015f\u0131nt\u0131s\u0131 anamnezi baz\u0131 bireylerde ge\u00e7 ortaya \u00e7\u0131kabilir. \u015eikayetsiz ta\u015f\u0131y\u0131c\u0131lar\u00a0nadir de\u011fildir.\u00a0<\/u><\/strong>Bu nedenle ka\u015f\u0131nt\u0131s\u0131z bireyler de yani t\u00fcm temasl\u0131lar\u0131n tedavi almas\u0131 gereklidir.<\/div>\n
\u0130nsan derisi d\u0131\u015f\u0131nda normal ko\u015fullar alt\u0131nda ancak 2-3 g\u00fcn ya\u015fayabilirler. Deride a\u00e7t\u0131\u011f\u0131 t\u00fcnellerde ya\u015fayan bu parazit say\u0131s\u0131, \u00f6zellikle ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f kimselerde\u00a0binlerce ve milyonlarca olabilmektedir ve d\u0131\u015f \u00e7evrede 1 haftaya kadar ya\u015fayabilirler.<\/div>\n
Bula\u015fma yak\u0131n ki\u015fisel temasla olur. \u00d6zellikle, insan derisini yatak hararetinde terk ederler. Uyuzlu bir kimse aile bireylerine kolayca hastal\u0131\u011f\u0131 bula\u015ft\u0131r\u0131r. Paraziti ta\u015f\u0131yan \u00e7ama\u015f\u0131r, \u00e7ar\u015faf ve di\u011fer e\u015fyalar\u0131n ortak kullan\u0131lmas\u0131 bir bula\u015fma \u015feklidir.<\/div>\n

HASTALI\u011eIN BEL\u0130RT\u0130LER\u0130 NELERD\u0130R?<\/strong><\/h4>\n
Uyuz bula\u015f\u0131 olan ailede, \u00f6zellikle geceleri terleme ve s\u0131cakl\u0131k ile artan yo\u011fun ka\u015f\u0131nt\u0131 anamnezi \u00e7ok \u00f6nemli bir klinik belirtidir. \u00d6zellikle bebeklerde ya da ya\u015fl\u0131 bak\u0131m deste\u011fi alan bireylerde ka\u015f\u0131nt\u0131 \u015fikayetini ifade edemeyebilir. Huzursuzluk, uyumama gibi davran\u0131\u015f de\u011fi\u015fiklikleri bu konuda uyar\u0131c\u0131d\u0131r.<\/div>\n

UYUZ PARAZ\u0130T\u0130 HANG\u0130 V\u00dcCUT B\u00d6LGELER\u0130N\u0130 TUTAR?<\/strong><\/h4>\n
Tutulum alanlar\u0131; g\u00f6bek ve \u00e7evresi, meme ba\u015f\u0131 ve \u00e7evresi, el parmak aralar\u0131, k\u0131vr\u0131mlar, bilekler, dirsekler, kol altlar\u0131, ku\u015fak yerinin t\u00fcm\u00fc boyunca, kal\u00e7a, erkeklerde \u00f6zellikle genital b\u00f6lgelerde lokalize olur. \u00c7ocuklar ve ya\u015fl\u0131 bireylerde ayr\u0131ca, kulaklar, sa\u00e7l\u0131 deri, y\u00fcz, avu\u00e7 i\u00e7i ve ayak taban\u0131 da tutulabilir.<\/div>\n

UYUZ TANISI NASIL KONUR?<\/strong><\/h4>\n
Dermatoloji hekimleri taraf\u0131ndan yap\u0131lan dermoskopik muayene veya deriden al\u0131nan kaz\u0131nt\u0131n\u0131n mikroskobik de\u011ferlendirilmesi ile kolayl\u0131kla yap\u0131labilir.<\/div>\n

TEDAV\u0130 VE TEDAV\u0130 BA\u015eARISINI ARTTIRAN \u00d6NER\u0130LER<\/strong><\/h4>\n
Tedavide; Permetrin\u00a0%5 krem, %1 benzyl benzoat,\u00a0S\u00fclf\u00fcrl\u00fc merhemler,\u00a0\u0130vermektin (hap veya krem tarz\u0131nda) tedaviler kullan\u0131lmaktad\u0131r.<\/div>\n
<\/div>\n
Tedavi plan\u0131; bireyin ya\u015f\u0131, cinsiyeti, gebelik\/emzirme d\u00f6nemi ve e\u015flik hastal\u0131klar\u0131na g\u00f6re ayarlanmal\u0131d\u0131r. Tedavinin yan\u0131 s\u0131ra a\u015fa\u011f\u0131da yazan hususlara dikkat edilmesi, tedavinin ve hatta b\u00fcy\u00fck bir salg\u0131n boyutunu alabilecek uyuz parazitinin ortadan kald\u0131r\u0131lmas\u0131n\u0131 sa\u011flayacakt\u0131r:<\/div>\n
    \n
  • Uyuz tedavisinde kural olarak ayn\u0131 evi payla\u015fan ki\u015filer semptomsuz bile olsa yani \u015fikayeti olmasa bile ta\u015f\u0131y\u0131c\u0131 olabileceklerinden, hasta bireylerle e\u015f zamanl\u0131 tedavi\u00a0<\/em>edilmelidir.<\/li>\n
  • Deride t\u00fcnellerde bulunan bir parazit oldu\u011fu i\u00e7in krem tarz\u0131ndaki topikal tedaviler \u00f6ncesi mutlaka keseleme yap\u0131lmal\u0131d\u0131r.<\/li>\n
  • Y\u00fcz hari\u00e7 boyun b\u00f6lgesinden a\u015fa\u011f\u0131 t\u00fcm v\u00fccut b\u00f6lgesine uygulama yap\u0131lmal\u0131d\u0131r.<\/li>\n
  • Son 1 hafta-10 g\u00fcn kullan\u0131lan k\u0131yafet ve nevresim tak\u0131mlar\u0131 y\u0131kanmal\u0131 Y\u0131kanamayacak \u00f6zellikte olanlar \u00fct\u00fclenmelidir.<\/li>\n
  • Y\u0131kama veya \u00fct\u00fclemeye uygun \u00f6zellikte olmayanlar a\u011fz\u0131 po\u015fet i\u00e7erisinde 1 hafta balkon gibi so\u011fuk bir alanda bekletilmelidir.<\/li>\n
  • Ba\u015far\u0131l\u0131 tedaviye ra\u011fmen 6 haftaya kadar uzayan ka\u015f\u0131nt\u0131 tablosu olabilir. Bizler buna uyuz sonras\u0131 ka\u015f\u0131nt\u0131 diyoruz. Ka\u015f\u0131nt\u0131 de\u011ferlendirmenizde azalma varsa bekleyiniz.<\/li>\n<\/ul>\n
    Deride a\u00e7t\u0131klar\u0131 t\u00fcnellerde mevcut olan parazit materyallerinin at\u0131l\u0131m\u0131n\u0131n uzun s\u00fcrmesi kaynakl\u0131 bu tablo meydana gelmektedir.<\/div>\n

    B\u0130T HASTALIKLARI<\/strong><\/h4>\n
    Parazit etkeni; Pediculus\u00a0humanus\u00a0capitis (ba\u015f biti), corporis (v\u00fccut biti) ve\u00a0Pthirus Pubis (kas\u0131k biti)\u2019tir.<\/div>\n
    Bit etkeni; ba\u015f ve v\u00fccut biti,\u00a0<\/strong>a\u00e7\u0131k veya koyu k\u00fcl renginde bir parazittir. Yeti\u015fkin di\u015fi bitin ya\u015fam s\u00fcresi yakla\u015f\u0131k 25-30 g\u00fcn olup, g\u00fcnde 5-10 yumurta yumurtlar. Kan olmadan konak d\u0131\u015f\u0131nda yakla\u015f\u0131k 24 saat ya\u015far. Yumurtalar 10 g\u00fcn daha canl\u0131l\u0131klar\u0131n\u0131 korur. Yumurtalar k\u0131l k\u00f6k\u00fcnden 1 cm kadar uzakl\u0131ktan k\u0131la s\u0131k\u0131ca yap\u0131\u015f\u0131kt\u0131r. Yumurtalar g\u00f6zle g\u00f6r\u00fclebilecek boyda (1 mm), oval gri renkte veya damla bi\u00e7imdedir. Bunlara halk aras\u0131nda\u00a0sirke<\/em>\u00a0ad\u0131 verilir.\u00a0Bit yakla\u015f\u0131k 7-9 g\u00fcnde yumurtadan \u00e7\u0131kar ve bir haftada yeti\u015fkin hale ge\u00e7erek yumurtlamaya ba\u015flar. Bit genellikle az say\u0131da bulunur. Hastalar\u0131n %60\u2019\u0131nda 10 biti ge\u00e7mez.<\/div>\n
    Kas\u0131k biti ise; yenge\u00e7 gibi bir parazittir. Sadece kas\u0131klar de\u011fil, k\u0131l ta\u015f\u0131yan di\u011fer v\u00fccut b\u00f6lgelerinde (b\u0131y\u0131k, sakal, kirpik, ka\u015f, kol alt\u0131) de bulunabilir. Yumurtalar\u0131 10 g\u00fcn canl\u0131 kal\u0131r. Bu bitler dayan\u0131ks\u0131z olup, v\u00fccut d\u0131\u015f\u0131nda oda \u0131s\u0131s\u0131nda \u00fc\u00e7 g\u00fcn i\u00e7inde \u00f6l\u00fcrler. Yeti\u015fkin di\u015fi bitin ya\u015fam s\u00fcresi 25 g\u00fcn olup g\u00fcnde \u00fc\u00e7 yumurta yaparlar.<\/div>\n

    B\u0130T PARAZ\u0130T\u0130NDE BULA\u015eMA NASIL OLUR?<\/strong><\/h4>\n
    Ba\u015f biti, 3 tip aras\u0131nda en s\u0131k g\u00f6r\u00fclenidir. Okul \u00e7a\u011f\u0131 \u00e7ocuklar\u0131nda ve kad\u0131nlarda s\u0131k g\u00f6r\u00fcl\u00fcr. Direkt temas (kafa kafaya) veya \u015fapka, atk\u0131, f\u0131r\u00e7a, tarak ve yast\u0131k k\u0131l\u0131f\u0131 gibi e\u015fyalarla bitin kendisi veya yumurtalar\u0131 bula\u015fabilir. Soyunma ve tarama s\u0131ras\u0131nda 1 m uza\u011fa gidebilir.<\/div>\n
    Kas\u0131k biti bula\u015fmas\u0131 genellikle cinsel ili\u015fkiyle olur. Seyrek olarak \u00e7ama\u015f\u0131rda, yatak tak\u0131mlar\u0131nda, tuvalette, d\u00f6k\u00fclen k\u0131llar yoluyla bula\u015fma g\u00f6r\u00fclebilir. Di\u011fer cinsel yolla bula\u015fan hastal\u0131klar e\u015flik edebilir<\/div>\n

    B\u0130T PARAZ\u0130T\u0130 HANG\u0130 BEL\u0130RT\u0130LERE SEBEP OLUR?<\/strong><\/h4>\n
    Sa\u00e7 biti; temizli\u011fe uymayan uzun sa\u00e7l\u0131 kimselerde, en fazla ense, kulak arkalar\u0131 b\u00f6lgelerinde yerle\u015fir. Bitlerin kan emmeleri s\u0131ras\u0131ndaki deriden i\u00e7eri giren t\u00fck\u00fcr\u00fckleri \u015fiddetli bir ka\u015f\u0131nt\u0131 uyar\u0131r. Yo\u011fun ka\u015f\u0131nt\u0131 ilk bula\u015ftan 2-6 hafta sonra, daha sonraki temaslarda 24-48 saat sonra ba\u015flar. Zaman zaman hastalarda d\u00fc\u015f\u00fck derecede ate\u015f, lenf bezlerinde \u015fi\u015fme ve bakteriyel enfeksiyon olabilir.<\/div>\n
    V\u00fccut bitleri;\u00a0g\u00f6vde de nadiren bulunur. Genellikle elbiselerin b\u00fckl\u00fcm yerlerindeki diki\u015f yerlerinde bulunur, yumurtalar\u0131n\u0131 da buralara b\u0131rak\u0131rlar, ipliklere yap\u0131\u015f\u0131k olarak durur. \u00c7ok az bir k\u0131sm\u0131 v\u00fccut t\u00fcylerine yap\u0131\u015f\u0131k olarak bulunur. En s\u0131k tutulan b\u00f6lgeler s\u0131rt, boyun, omuzlar ve bel b\u00f6lgesidir. \u015eiddetli ka\u015f\u0131nt\u0131 vard\u0131r. Deride ilk belirtiler pembe nokta \u015feklinde ka\u015f\u0131nt\u0131l\u0131 noktalard\u0131r. Ka\u015f\u0131maya ba\u011fl\u0131 t\u0131rnak izleri geli\u015fir.<\/div>\n
    Kas\u0131k bitlerinde; \u00f6ncesinde bitin \u0131s\u0131rmas\u0131 hissedilmez, ancak sonradan bir ka\u015f\u0131nt\u0131 olu\u015fur ve bu suretle fark\u0131na var\u0131l\u0131r, bitler deri rengindedir. Bitlerin as\u0131l yerleri kas\u0131k k\u0131llar\u0131d\u0131r. Bitler k\u0131l diplerine a\u011f\u0131zlar\u0131yla s\u0131k\u0131ca tutunmu\u015f olup, siyah bir nokta gibi g\u00f6r\u00fcn\u00fcrler. Bitlerin \u0131s\u0131rd\u0131\u011f\u0131 alanlarda mavi benekler ortaya \u00e7\u0131kar ki bu lekeler kas\u0131k biti i\u00e7in karakteristiktir.<\/div>\n

    NASIL TANI KONULUR?<\/strong><\/h4>\n
    Tan\u0131 sirke ve bitin g\u00f6sterilmesi ile konur. Ba\u015fta birdenbire ka\u015f\u0131nma ba\u015flayan her vakada bitlenme d\u00fc\u015f\u00fcn\u00fclmelidir. Sa\u00e7lara, k\u0131llara s\u0131k\u0131ca yap\u0131\u015f\u0131k olan veya elbise diki\u015f yerlerinde gri renkli oval sirkeler ve bitin g\u00f6r\u00fclmesi ile konur. Sirkeleri sa\u00e7taki kepekten ay\u0131rmak laz\u0131md\u0131r. Sa\u00e7lara dokununca kepeklerin d\u00fc\u015fmesi, sirkelerin yap\u0131\u015f\u0131k kalmalar\u0131, ay\u0131r\u0131c\u0131 tan\u0131da \u00f6nemli olmaktad\u0131r.<\/div>\n

    B\u0130T TEDAV\u0130S\u0130N\u0130 NASIL YAPALIM?<\/strong><\/h4>\n
    Bitlenmesi olan ki\u015filerle temasta olan herkes muayene edilip hasta ile tedavi edilmelidirler.<\/div>\n
    Hastalar\u0131n bit veya sirke bar\u0131nd\u0131rabilecek ki\u015fisel e\u015fyalar\u0131 ortak kullan\u0131lmamal\u0131d\u0131r. F\u0131r\u00e7a, tarak, \u015fapka, ba\u015f \u00f6rt\u00fcs\u00fc, yast\u0131k k\u0131l\u0131f\u0131, havlu gibi e\u015fyalar s\u0131cak suyla y\u0131kanmal\u0131, y\u0131kanamayacak e\u015fyalar kuru temizleme veya hafta a\u011fz\u0131 kapat\u0131lm\u0131\u015f plastik torbada bekletilerek bitler ve yumurtalar tamamen temizlenmelidir. Kilim, mobilya, d\u00f6\u015fek ve araba koltuklar\u0131 iyice vakumlanmal\u0131d\u0131r.<\/div>\n
    Sa\u00e7lar\u0131n t\u0131ra\u015f edilmesi mekanik temizleme y\u00f6ntemi olarak tedavide yard\u0131mc\u0131 olabilir. Fakat; kas\u0131k bitinde v\u00fccut k\u0131llar\u0131 t\u0131ra\u015f edilmesi zorunludur.<\/div>\n
    Sa\u00e7lar, s\u0131k di\u015fli bir tarakla taranarak mekanik temizlik ile desteklenmelidir.<\/div>\n
    Kirpiklerde bit tutulumu varsa, vazelin kal\u0131n bir tabaka \u015feklinde, g\u00fcnde iki kez, sekiz g\u00fcn s\u00fcreyle s\u00fcr\u00fcl\u00fcr ve sirkeler mekanik olarak temizlenir. Vazelin yerine %0.025\u2019lik fizostigmin g\u00f6z pomad\u0131, ucunda pamuk bulunan bir aplikat\u00f6rle uygulanabilir.<\/div>\n
    \u0130la\u00e7 olarak\u00a0Permetrin<\/strong>\u00a0ve benzerleri,\u00a0\u0130vermektin<\/strong>\u00a0i\u00e7erikli tedaviler kullan\u0131labilmektedir.<\/div>\n","protected":false},"excerpt":{"rendered":"

    UYUZ VE B\u0130T PARAZ\u0130T HASTALIKLARI Ge\u00e7mi\u015f tarihten bug\u00fcn\u00fcm\u00fcze kadar gelen ve toplu salg\u0131nlara sebep olabilen bu iki parazitlik hastal\u0131k, temel olarak hijyen bozuklu\u011funun h\u00fck\u00fcm s\u00fcrd\u00fc\u011f\u00fc sava\u015flar, k\u0131tl\u0131k veya su kaynaklar\u0131na eri\u015fimin olmad\u0131\u011f\u0131 d\u00f6nemlerde b\u00fcy\u00fck bir problem halini alm\u0131\u015ft\u0131r. G\u00fcn\u00fcm\u00fczde de sadece sava\u015flar\u0131n h\u00fck\u00fcm s\u00fcrd\u00fc\u011f\u00fc veya su kaynaklar\u0131na eri\u015fimin k\u0131s\u0131tl\u0131 oldu\u011fu toplumlarda de\u011fil; geli\u015fmi\u015f toplumlarda da […]<\/p>\n","protected":false},"author":1,"featured_media":332,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-331","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatolojik-tedaviler"],"yoast_head":"\nUyuz Ve Bit Tedavisi Ankara - Uzm.Dr. Fatma Erden<\/title>\n<meta name=\"description\" content=\"Uyuz ve bit tedavisi ile ka\u015f\u0131nt\u0131y\u0131 gidermeye son verin. 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