{"id":1328,"date":"2025-01-05T11:04:19","date_gmt":"2025-01-05T11:04:19","guid":{"rendered":"https:\/\/dremrekaraagac.com\/?p=1328"},"modified":"2025-01-12T13:35:34","modified_gmt":"2025-01-12T13:35:34","slug":"atopik-dermatit","status":"publish","type":"post","link":"https:\/\/dremrekaraagac.com\/?p=1328","title":{"rendered":"Atopik Dermatit Re\u00e7etesi"},"content":{"rendered":"

Atopik dermatit \u00e7ocukluk \u00e7a\u011f\u0131nda s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz bir alerjik deri hastal\u0131\u011f\u0131d\u0131r. Hastal\u0131\u011f\u0131n en \u00f6nemli tedavisi nemlendiricilerdir. Daha sonra lokal steroid kremler kullan\u0131l\u0131r. Hastal\u0131\u011f\u0131n \u015fiddetine g\u00f6re tedavi basamak basamak art\u0131r\u0131l\u0131r ve en az potent olan kortikosteroidten ba\u015flan\u0131r. Her ne kadar lokal tedaviler sistemik dola\u015f\u0131ma ge\u00e7medi\u011fi d\u00fc\u015f\u00fcn\u00fclse de ya\u015f k\u00fc\u00e7\u00fcld\u00fck\u00e7e deriden emilip sistemik dola\u015f\u0131ma ge\u00e7me oran\u0131 artmakta. Bu nedenle kortikosteroidler dikkatle kullan\u0131lmal\u0131d\u0131r.<\/p>\n

TEDAV\u0130:<\/span> Nemlendirici + lokal steroid + lokal antibiyotik + skatrizan (doku yenilenme h\u0131z\u0131n\u0131 art\u0131c\u0131)<\/p>\n

Steroidler ince tabaka halinde lezyonu \u00f6rtecek kadar s\u00fcr\u00fcl\u00fcr, bol ve kal\u0131n tabaka s\u00fcr\u00fclmez<\/p>\n

Lokal Kortikosteroid Se\u00e7enekleri (En hafiften en a\u011f\u0131ra); 2×1 10 g\u00fcn\u00fc ge\u00e7meyin<\/span><\/p>\n

    \n
  1. Basamak:<\/span> Hidrokortizon<\/span> Krem –>\u0130nfantlarda tm v\u00fccut i\u00e7in b\u00fcy\u00fck \u00e7ocuklarda y\u00fcz i\u00e7in kullan\u0131l\u0131r<\/li>\n
  2. Basamak:<\/span> Prednikarbat<\/span> Krem–>Hafif formlarda g\u00f6vdedeki lezyonlar i\u00e7in ilk tercih ba\u015flayabilirsiniz.<\/li>\n
  3. Basamak:<\/span> Metilprednizolon<\/span> Krem–>A\u011f\u0131r formlarda y\u00fcz i\u00e7in hafif formlarda g\u00f6vde i\u00e7in tercih edilir<\/li>\n
  4. Basamak:<\/span> Flutikazon<\/span> Krem–>A\u011f\u0131r formlarda tercih edilir.<\/li>\n
  5. Basamak:<\/span> Mometazon<\/span> Krem–>A\u011f\u0131r formlarda fulitikazona yan\u0131t al\u0131nmazsa kullan\u0131l\u0131r. K\u00fc\u00e7\u00fck \u00e7ocuklara ba\u015flamay\u0131n.<\/li>\n
  6. Basamak:<\/span> Klobetazol<\/span> Krem–>Tecr\u00fcbeniz az ise Pediatrist veya \u00c7ocuk Alerji Uzman\u0131na dan\u0131\u015fmadan re\u00e7ete etmeyin<\/li>\n
  7. Basamak:<\/span> Betametazon<\/span> Krem –>Tecr\u00fcbeniz az ise Pediatrist veya \u00c7ocuk Alerji Uzman\u0131na dan\u0131\u015fmadan re\u00e7ete etmeyin<\/li>\n
  8. G\u00f6z \u00c7evresi \u0130\u00e7in:<\/span> Hidrokortizon G\u00f6z Merhemi<\/span> –>G\u00f6z i\u00e7in kullan\u0131lan steroid krem. G\u00f6z \u00e7evresi lezyonlarda g\u00f6ze ka\u00e7ma ihtimali nedeniyle, g\u00f6ze ka\u00e7sa da problem olmaz.<\/li>\n<\/ol>\n

    Lokal Antibiyotik Se\u00e7enekleri; 3×1<\/span><\/p>\n

      \n
    1. Se\u00e7enek:<\/span> Mupirosin<\/span>–>MRSA etkinli\u011fi mevcut, benim cilt b\u00fct\u00fcnl\u00fc\u011f\u00fc bozulan her durumda ilk tercihim<\/li>\n
    2. Se\u00e7enek:<\/span> Tetrasiklin+Polymixin<\/span>–> Gram + Gram – ve baz\u0131 anareop g\u00fc\u00e7l\u00fc etkinlik, s\u0131k kullan\u0131lan bir di\u011fer ila\u00e7t\u0131r.<\/li>\n
    3. Se\u00e7enek:<\/span> Nitrofurazon<\/span>–>Gram + ve Gram – geni\u015f spektrumlu. Ayak, genital b\u00f6lge gibi gram negatif bakteri kolonizasyonu olabilecek yerlerde, yada \u0131s\u0131r\u0131k gibi d\u0131\u015fardan mikrop ta\u015f\u0131yacak penetran yaralarda tek ba\u015f\u0131na yada mupirosinle birlikte kullan\u0131m\u0131n\u0131 \u00f6neririm.<\/li>\n
    4. Se\u00e7enek:<\/span> Tetrasiklin+Polymixin<\/span>–> Gram + ve Gram – g\u00fc\u00e7l\u00fc etkinlik, s\u0131k kullan\u0131lan bir di\u011fer ila\u00e7t\u0131r.<\/li>\n
    5. Se\u00e7enek:<\/span> Basitrasin + Neomisin<\/span>–>\u00a0 Gram + ve Gram – g\u00fc\u00e7l\u00fc etkinlik, MRSA etkinli\u011fi az, s\u0131k kullan\u0131lan bir di\u011fer ila\u00e7t\u0131r.<\/li>\n
    6. Se\u00e7enek:<\/span> Fusidik asit<\/span>–>MRSA etkinli\u011fi az, esas Gram+ lere etkin, dar spektrumlu.<\/li>\n<\/ol>\n

      Skatrizan Se\u00e7enekleri;<\/span><\/p>\n

        \n
      1. Se\u00e7enek:<\/span> Triticum Vulgare<\/span>–>Doku yenilenme h\u0131z\u0131n\u0131 art\u0131ran ve antiseptik \u00f6zellikli yara bak\u0131mlar\u0131nda kulland\u0131\u011f\u0131m\u0131z g\u00fczel bir ila\u00e7t\u0131r.<\/li>\n
      2. Se\u00e7enek:<\/span>\u00a0Hamamelis virginiana<\/span>–> \u00d6zellikle bez dermatitlerinde s\u0131k kullan\u0131lan, doku yenilenme h\u0131z\u0131n\u0131 art\u0131ran ve antiseptik<\/li>\n
      3. Se\u00e7enek:<\/span> Hamamelis virginiana + \u00e7inko<\/span> –>En s\u0131k kulland\u0131\u011f\u0131m preparat. Yan\u0131k dahil doku tamirinin h\u0131zlanmas\u0131n\u0131 istedi\u011fimiz lezyonlarda kullanmaktay\u0131z.<\/li>\n<\/ol>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        Atopik dermatit \u00e7ocukluk \u00e7a\u011f\u0131nda s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz bir alerjik deri hastal\u0131\u011f\u0131d\u0131r. Hastal\u0131\u011f\u0131n en \u00f6nemli tedavisi nemlendiricilerdir. Daha sonra lokal steroid kremler kullan\u0131l\u0131r. Hastal\u0131\u011f\u0131n \u015fiddetine g\u00f6re tedavi basamak basamak art\u0131r\u0131l\u0131r ve en az potent olan kortikosteroidten ba\u015flan\u0131r. Her ne kadar lokal tedaviler sistemik dola\u015f\u0131ma ge\u00e7medi\u011fi d\u00fc\u015f\u00fcn\u00fclse de ya\u015f k\u00fc\u00e7\u00fcld\u00fck\u00e7e deriden emilip sistemik dola\u015f\u0131ma ge\u00e7me oran\u0131 artmakta. Bu… Daha fazlas\u0131n\u0131 oku »Atopik Dermatit Re\u00e7etesi<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1329,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":70,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[12,14],"tags":[],"class_list":["post-1328","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-receteler","category-saglik-profesyonelleri-icin"],"yoast_head":"\nAtopik Dermatit Re\u00e7etesi - Uzm. 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