Çocuklarda görülen yaz hastalıkları ve bu dönemde sık yaşanan kazalar

Yazın güneşli günlerinde, yeşil alanlarda ya da denizde geçirilen vakitler her ne kadar eğlenceli olsa da, dikkat edilmediği takdirde pek çok olumsuz durumu beraberinde getirebiliyor. Çocuk Sağlığı ve Hastalıkları Uzmanı Doç. Dr. Ercan Tutak, çocuklarda görülen yaz hastalıkları ve bu dönemde sık yaşanan kazalar hakkında bilgi verdi.

Anne babalar son dönemlerde kendilerini ve çocuklarını covid-19'dan korumak için pek çok önlem alıyor. Ancak bu mevsimde çocukları bekleyen tehlikeler arasında sadece corona virüs değil, yaz hastalıkları ve kazalar da bulunuyor. Çocuk Sağlığı ve Hastalıkları Uzmanı Doç. Dr. Ercan Tutak çocuklarda görülen yaz hastalıkları ve bu dönemde sık yaşanan kazalar hakkında bilgi verdi.

Ağızda kuruluk ve halsizlik güneş çarpmasını işaret ediyor

Tatilde çocuklar vakitlerinin önemli bir kısmını dışarıda geçirmektedir. Kimi zaman park kimi zaman da deniz kenarında ya da havuzda geçirilen bu sürenin ne kadar ve hangi saat aralığında olduğuna dikkat edilmelidir. Güneşin tam tepede olduğu ve yeryüzüne ışınların dik olarak geldiği öğle saatleri, güneş çarpması için en riskli zaman dilimidir. Özellikle bu saatlerde oyuna dalıp uzun süre güneşte kalınması sıvı kaybına neden olabilir. Güneş çarpmasından şüpheleniliyorsa bu belirtilere dikkat edilmelidir:

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-Ağızda kuruluk

-Halsizlik, bitkinlik, yorgunluk

-Baş ağrısı

-Baş dönmesi

-İleri evrelerde bayılma, şuur kaybı

Güneş çarpması varsa sıvı tüketimi artırılmalı

Riskin en fazla olduğu öğle saatlerinde evde kalmak ya da gölgede zaman geçirmek güneş çarpmasına karşı alınabilecek en önemli önlemlerdir. Ancak belirtileri gösteren çocuklar varsa hemen serin bir yerde istirahat etmesi sağlanmalıdır. Çocuklar, az az ve sık sık beslenmelidir. Sıvı tüketimi artırılmalı ve baş ağrısını ifade edebilen çocuklara parasetamol içerikli ağrı kesiciler verilmelidir. Ayrıca ılık suyla duş almak da faydalı olacaktır.

Hijyenik olmayan gıdalar sindirim sistemini bozabilir

Yaz aylarında su tüketiminin fazla olması nedeniyle midenin asit içeriği biraz seyrelir. Ağızdan iyi yıkanmamış yiyeceklerle alınan mikroplar da kolaylıkla bağırsaklara geçer. Bu durum bağırsaklarda çok sayıda mikrop oluşmasına neden olur ve bağırsak hareketlerini artırarak ishal ya da kusmaya yol açar. Alınan mikrobun türüne göre bazen kanlı ishal ve ateş de olabilir. Bu durumda vakit kaybetmeden doktora başvurulmalıdır. Hafif ishal tabloları evde tedavi edilebilir.

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İshale şeker, tuz ve karbonat karışımı iyi geliyor

Her türlü ishalde kaybedilen sıvı miktarı mutlaka yerine konulmalıdır. Bu süreçte bol su tüketimine dikkat edilmelidir. Bunun dışında şeker, tuz, karbonat ve su karışımı da doktora danışılarak hazırlanabilir. Kan içermeyen ishalin tedavisinde ağızdan azar azar, sık su alımı önemlidir. Kusma durumunda kaybedilen sıvı yerine damardan konulmaktadır. Bu nedenle doktora başvurulmalıdır. İshal durumunda ayrıca meyve suyu ve asitli içeceklerden uzak durulmalıdır.

Piknik alanlarında kene riski yüksek

Yaz aylarında kene tehlikesine karşı önlem alınması çok önemlidir. Özellikle piknik alanlarında geçirilen bir hafta sonunun ardından cilde siyah bir noktanın yapıştığı görülüyorsa mutlaka doktora gidilmelidir. Cilde baş kısmını gömen kene buradan emdiği kanla beslenerek giderek büyür. Kene ısırmasında en korkulan hastalık "Kırım Kongo Kanamalı" ateş hastalığıdır. Ancak her kene bu mikrobu taşımaz. Türkiye'de özellikle iç Anadolu ve Karadeniz'in iç kısımları Tokat yöresi hastalık taşıyan kenelerin yaşadıkları bölgelerdir.

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Kenenin çıkarılması için sağlık merkezine gidilmeli

Kene vücutta görüldüğünde bir sağlık merkezine başvurulmalıdır. Bu konuda tecrübeli bir uzman tarafından kenenin çıkarılması önemlidir. Ayrıca kan sayımı yapılarak; ateş, ishal, halsizlik gibi herhangi bir belirti varsa değerlendirilmelidir. Akrep, yılan sokması artık pek sık karşılaşılan durumlar olmasa da, zehirli olup olmadığının ayırt edilmesi açısından doktora gidilmelidir.

Kıyafetlere leylak yağı içeren solüsyonlar sürün

Karınca, pire, tahtakurusu, sivrisinek sokma ve ısırmalarında ise önceden önlem alınmalıdır. Özellikle bu tür haşeratın bol olduğu bir yere gidilecekse kovucu olarak leylak yağı eczanelerden temin edilebilir. Bu yağ mümkünse dışarı çıkılmadan önce çocukların elbiselerine sürülmelidir. Alınan tedbire rağmen ısırılma gerçekleştiyse antihistaminik adı verilen kaşıntı önleyici bir şurup ve lokal sürülecek bir kaşıntı giderici merhem çocuğu rahatlatacaktır.

Çarpmalara buzla müdahale edilmeli

Çocukların en sık düşme ve çarpmaya maruz kaldıkları ikinci dönem, emekleme ve özelikle de yeni yürümeye başladıkları süreçtir. Ev ortamı yeni yeni emekleyen ve yürümeye başlayan çocuğa göre ayarlanmalı, alçakta yer alan elektrik prizleri çocuk kilitleri ile kapatılmalı, etrafta yer alan sivri- kesici eşyalar ortadan kaldırılmalıdır. Ufak tefek çarpmalar sonucunda oluşan morluklar için buz uygulaması cilt altı kanamanın toplanmasını ve yayılmamasını sağlar, ağrıyı alır. Kanamalı bir yara varsa üzerine bir tampon koyup doktora başvurmalıdır.

Havuz yerine deniz tercih edin

Çocukların havuza girmesi özellikle son dönemlerde coronavirüs tehlikesi nedeniyle önerilmeyebilmektedir. Buna karşın temizliğinden emin olunan denizler tercih edilebilir.

Ancak suya girilen saatlere ve denizde geçirilen süreye dikkat edilmelidir. Güneş ışınlarının dik geldiği vakitlerde denize gidilmemeli, dışarı çıkılmadan en az 15 dakika önce önce çocuklar için uygun olun güneş koruyucular cilde sürülmeli ve denize her girip çıkıldığında yenilenmelidir. Ayrıca şapka ve gözlük gibi fiziksel koruyuculardan da destek alınmalıdır.

Tatile çıkmadan bir ilkyardım çantası hazırlayın

Tatilde hem çocuğunuzun keyfinin kaçmaması hem de oluşabilecek her türlü kaza ya da hastalığa karşı önceden önlem alınmasında fayda vardır. Bunun için tatile özel bir ilkyardım çantası hazırlanabilir. Bu çantada özellikle şunlar olmalıdır:

-Güneş yanıklarından korumak için yüksek koruyucu faktör içeren bir güneş kremi.

-Ateşli bir hastalığa karşı parasetamol içeren bir ateş düşürücü şurup ve fitil.

-Böcek sinek sokmalarına karşı sinek kovucu solüsyon, antihistaminik.

-Mide–bağırsak enfeksiyonlarına karşı kusma giderici bir fitil.

-İshal durumunda koruyucu prebiyotik içeren bir toz veya damla.

-Bazı travmalarda bölgenin üzerine konulması için buz paketi.

-Açık ve kanamalı yaralarda doktora gidene kadar kullanılabilecek steril gazlı bez.

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