{"id":1366,"date":"2017-05-04T09:56:18","date_gmt":"2017-05-04T06:56:18","guid":{"rendered":"http:\/\/www.bulentsekerel.com\/?page_id=1366"},"modified":"2017-05-04T09:56:57","modified_gmt":"2017-05-04T06:56:57","slug":"alerjide-tani-izlem","status":"publish","type":"page","link":"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/","title":{"rendered":"Alerjide Tan\u0131 ve \u0130zlem"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_image-44177cb3a52f31695d9c5b2df999a238\">\n.avia-image-container.av-av_image-44177cb3a52f31695d9c5b2df999a238 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-av_image-44177cb3a52f31695d9c5b2df999a238 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-av_image-44177cb3a52f31695d9c5b2df999a238 av-styling- avia-align-center  avia-builder-el-0  el_before_av_heading  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image- avia-img-lazy-loading-not- avia_image ' src=\"https:\/\/bulentsekerel.com\/wp-content\/uploads\/2017\/05\/alerji-8-300x300.jpg\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-a029680185b44c190ae1a7af76695008\">\n#top .av-special-heading.av-av_heading-a029680185b44c190ae1a7af76695008{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-a029680185b44c190ae1a7af76695008 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-a029680185b44c190ae1a7af76695008 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-a029680185b44c190ae1a7af76695008 av-special-heading-h1  avia-builder-el-1  el_after_av_image  el_before_av_textblock '><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Alerjide Tan\u0131 ve \u0130zlem<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Alerji nedir? Anne \u00e7ocu\u011funda hangi belirtilere dikkat etmelidir?<\/strong><\/p>\n<p>V\u00fccudumuzun hem bakteri, vir\u00fcs, parazit gibi d\u0131\u015f d\u00fc\u015fmanlara hem de kanser gibi i\u00e7 d\u00fc\u015fmanlara kar\u015f\u0131 korunmas\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sistemi denen bir sistem ile sa\u011flanmaktad\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi, v\u00fccudumuz i\u00e7in zararl\u0131 bir etken ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda onlara kar\u015f\u0131 g\u00fc\u00e7l\u00fc tepkiler verir ve onlar\u0131 ortadan kald\u0131rarak bize zarar vermelerine engel olur. Bu tepkiler genelde v\u00fccudumuz i\u00e7in rahats\u0131zl\u0131k verici niteliktedir ve\u00a0 tepkinin ger\u00e7ekle\u015fti\u011fi b\u00f6lge veya sistemde yo\u011fun olarak hissedilir. Ayr\u0131ca v\u00fccut s\u0131cakl\u0131\u011f\u0131n\u0131n y\u00fckselmesi, k\u0131rg\u0131nl\u0131k ve i\u015ftahs\u0131zl\u0131k gibi genel belirtilerde bu yerel bulgulara e\u015flik edebilir.\u00a0 Oysa ba\u011f\u0131\u015f\u0131kl\u0131k sistemi, v\u00fccudumuz i\u00e7in zararl\u0131 olmayan yabanc\u0131 bir etken ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda tepkileri \u00e7ok daha \u00f6l\u00e7\u00fcl\u00fcd\u00fcr ve bunlar ki\u015fiye rahats\u0131zl\u0131k vermez. Bu kapsamda alerji, v\u00fccudumuz i\u00e7in zararl\u0131 olmayan yabanc\u0131 bir maddeye kar\u015f\u0131 gere\u011finden fazla a\u015f\u0131r\u0131 tepkiler verilmesi ve dolay\u0131s\u0131 ile rahats\u0131zl\u0131k durumunun olu\u015fmas\u0131 olarak tan\u0131mlanabilir. Bir di\u011fer ifadeyle alerji, yayg\u0131n kan\u0131n\u0131n aksine, ba\u011f\u0131\u015f\u0131kl\u0131k sistemindeki bir yetersizlikten de\u011fil, aksine, zararl\u0131 olmayan bir yabanc\u0131 maddeye kar\u015f\u0131 verilen a\u015f\u0131r\u0131 tepkiden ileri gelir. Alerjik b\u00fcnye ise ba\u011f\u0131\u015f\u0131kl\u0131k sistemimizin bu hatal\u0131 tutum ve davran\u0131\u015fa sahip olmas\u0131 olarak tan\u0131mlanabilir.<\/p>\n<p>Alerjik hastal\u0131k belirtileri \u00e7ok farkl\u0131 \u015fekillerde ortaya \u00e7\u0131kar. \u00c7\u00fcnk\u00fc alerjik reaksiyonda de\u011fi\u015fik organ ve sistemler farkl\u0131 derecelerde etkilenebilir. Etkilenen organ veya sisteme ait bulgular reaksiyonun \u015fiddetine g\u00f6re de\u011fi\u015fiklik g\u00f6stermekle birlikte bunlar alerjen maruziyeti ortadan kalkt\u0131\u011f\u0131nda kaybolma e\u011filimindedir. Bu yak\u0131nmalar, cilt etkilendi\u011finde d\u00f6k\u00fcnt\u00fc, k\u0131zar\u0131kl\u0131k, kabar\u0131kl\u0131k, \u015fi\u015flik ve ka\u015f\u0131nt\u0131 ile seyrederken sindirim sistemi etkilendi\u011finde bulant\u0131, kusma, gaz sanc\u0131s\u0131, kab\u0131zl\u0131k ve ishal \u015feklindedir. Solunum sistemi etkilenmesi durumunda uzun s\u00fcren ve gece art\u0131\u015f g\u00f6steren \u00f6ks\u00fcr\u00fck, g\u00f6\u011f\u00fcsten gelen h\u0131r\u0131lt\u0131, h\u0131\u015f\u0131lt\u0131, nefes darl\u0131\u011f\u0131, burun ak\u0131nt\u0131s\u0131 ve t\u0131kan\u0131kl\u0131\u011f\u0131, aks\u0131r\u0131k, tekrarlayan orta kulak ve sin\u00fczit sorunlar\u0131 \u015feklinde ortaya \u00e7\u0131kar. Dola\u015f\u0131m sistemi etkilenmesi ise, do\u011frusu hi\u00e7 ho\u015fumuza gitmeyen bir durumdur, ve ani geli\u015fen solukluk, tansiyon d\u00fc\u015fmesi ve \u00e7arp\u0131nt\u0131 \u015feklinde ger\u00e7ekle\u015fir. Bazen birden fazla sistemin etkilenmesine ba\u011fl\u0131 olarak bu yak\u0131nmalar\u0131n \u00e7o\u011fu ve hatta t\u00fcm\u00fc birden g\u00f6r\u00fclebilir.<\/p>\n<p><strong>Hangi durumda hangi uzman hekime ba\u015fvurulmal\u0131d\u0131r?<\/strong><\/p>\n<p>\u00d6ncelikle s\u00f6ylemem gerekir ki rutin olarak her \u00e7ocu\u011fun bir alerji uzman\u0131na ba\u015fvurmas\u0131na ve alerji i\u00e7in test edilmesine gerek yoktur. Ama alerjik hastal\u0131klar toplumda en yayg\u0131n g\u00f6r\u00fclen sorunlard\u0131r ve yakla\u015f\u0131k \u00e7ocuklar\u0131n 1\/4 ile 1\/3&#8217;\u00fcn\u00fcn alerjik oldu\u011fu bilinmektedir. Bu yak\u0131nmalar\u0131n neler olabilece\u011fine az \u00f6nce de\u011finmi\u015ftim. Ebeveynlerin, \u00e7ocuklar\u0131nda standart tedavilere yan\u0131t vermeyen veya yan\u0131t verse de tekrarlama \u00f6zelli\u011fi g\u00f6steren yak\u0131nmalar varl\u0131\u011f\u0131nda alerjiden \u015f\u00fcphelenmeleri ve bir alerji uzman\u0131n\u0131n g\u00f6r\u00fc\u015f\u00fcn\u00fc almalar\u0131 yerinde olacakt\u0131r.<\/p>\n<p><strong>Alerji te\u015fhisinde kullan\u0131lan test ve y\u00f6ntemler nas\u0131l uygulan\u0131r?<\/strong><\/p>\n<p>Alerji tan\u0131s\u0131n\u0131 koymada uzun y\u0131llar cilt testleri ve kan testlerinden yararland\u0131k ve hala daha yararlan\u0131yoruz. Bu testlerden cilt testleri \u00e7ok ucuz, pratik, h\u0131zl\u0131, basit ve g\u00fcvenilirdirler. Kan testleri ise nispeten daha pahal\u0131 ve daha fazla zaman alan testler. Genelde her ikisi de hastaya fazla s\u0131k\u0131nt\u0131 vermeyen tetkiklerdir. Ama bug\u00fcn bu testlerin yan\u0131nda \u00f6zelle\u015fmi\u015f test ve y\u00f6ntemlerden \u00f6zellikle alerjen ile hastay\u0131 kar\u015f\u0131la\u015ft\u0131rma uygulamalar\u0131ndan \u00e7ok daha fazla yararlan\u0131yoruz.\u00a0 \u00c7\u00fcnk\u00fc cilt ve kan testleri pozitif olmas\u0131na kar\u015f\u0131n hastan\u0131n alerjeni tolere etti\u011fini veya testler negatif oldu\u011fu halde hastan\u0131n alerjeni tolere etmeyebilece\u011fini biliyoruz. Bu uygulamada hastay\u0131 giderek artan dozlarda o alerjene maruz b\u0131rak\u0131p vucudun verdi\u011fi tepkileri \u00e7ok yak\u0131ndan takip ediyor ve ortaya \u00e7\u0131kacak alerjik reaksiyonu erkenden ve \u015fiddetli olmadan d\u00f6k\u00fcmante edebiliyoruz. B\u00f6ylece hastalar\u0131m\u0131z\u0131n hayatlar\u0131n\u0131 bir kabusa \u00e7eviren k\u0131s\u0131tlamalar\u0131 azaltabiliyor ve sorunlar\u0131n ger\u00e7ek nedenini bularak hayat kalitesini art\u0131rabiliyoruz. Ancak bu kar\u015f\u0131la\u015ft\u0131rma testlerini, sahip olduklar\u0131 riskler nedeniyle, \u00f6zelle\u015fmi\u015f, deneyimli, yetkin ve donan\u0131ml\u0131 merkezlerde yap\u0131lmas\u0131 gerekiyor.<\/p>\n<p><strong>Anafilaksi nedir? Anafilaksi acil eylem plan\u0131 nas\u0131l haz\u0131rlanmal\u0131d\u0131r?<\/strong><\/p>\n<p>Anafilaksi ani geli\u015fen ve ya\u015fam\u0131 tehdit edebilen ciddi bir alerjik reaksiyondur. \u00c7o\u011funlukla v\u00fccudun b\u00fct\u00fcn\u00fcn\u00fc etkileyen bir tepkime s\u00f6z konusudur ve acil t\u0131bbi m\u00fcdahale gerektirir. D\u00f6k\u00fcnt\u00fc, y\u00fcz ve dudaklarda \u015fi\u015flik, \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131l\u0131 solunum, nefes darl\u0131\u011f\u0131, h\u0131zl\u0131 nab\u0131z, tansiyon d\u00fc\u015fmesi, bilin\u00e7 kayb\u0131, kar\u0131nda kramplar s\u0131k g\u00f6r\u00fclen bulgular\u0131d\u0131r. En s\u0131k nedeni besin ve ila\u00e7 alerjileri ve de ar\u0131 sokmalar\u0131d\u0131r.<\/p>\n<p>Anafilaksi \u00f6l\u00fcmle sonu\u00e7lanabilece\u011finden erken ve h\u0131zl\u0131 bir m\u00fcdahale gerektirir. Reaksiyon \u00e7o\u011funlukla alerjenle kar\u015f\u0131la\u015fmadan sonraki k\u0131sa s\u00fcre i\u00e7inde ortaya \u00e7\u0131kar ve genelde ne kadar erken ba\u015flarsa o oranda daha \u015fiddetli seyreder.\u00a0 Ar\u0131 alerjisinde oldu\u011fu gibi hastan\u0131n alerjenle kar\u015f\u0131la\u015fmas\u0131n\u0131n b\u00fct\u00fcn\u00fcyle \u00f6nlenemeyece\u011fi durumlarda, hasta ve ailelerine, anafilaksi geli\u015fmesi durumunda ne yapacaklar\u0131n\u0131 \u00f6\u011fretiyor ve yap\u0131lacaklar\u0131 yaz\u0131l\u0131 bir bi\u00e7imde ellerine veriyoruz. Bu y\u00f6nergeye, anafilaksi acil eylem plan\u0131 diyoruz. B\u00f6ylece hastan\u0131n bir acil servise ula\u015ft\u0131r\u0131lana kadar kaybedece\u011fi zaman diliminde hem tedaviye ba\u015flan\u0131lmas\u0131n\u0131 sa\u011fl\u0131yoruz hem de hastan\u0131n acil servise sa\u011f olarak ula\u015fmas\u0131n\u0131 m\u00fcmk\u00fcn k\u0131l\u0131yoruz.<\/p>\n<p><strong>Besin alerjisi nedir? Genel alerjen besinler hangileridir?<\/strong><\/p>\n<p>Besinlerin baz\u0131lar\u0131 v\u00fccuttaki ba\u011f\u0131\u015f\u0131kl\u0131k sistemi taraf\u0131ndan tehlikeli d\u00fc\u015fman olarak alg\u0131lan\u0131rsa, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi d\u00fc\u015fman olarak alg\u0131lanan besini ortadan kald\u0131rmak, tehlikesiz hale getirmek i\u00e7in \u015fiddetli ve abart\u0131l\u0131 tepkiler verir. Bu durum v\u00fccudumuz i\u00e7in rahats\u0131zl\u0131k vericidir. Bu reaksiyonda ba\u015fta histamin olmak \u00fczere \u00e7e\u015fitli kimyasal maddeler ve de\u011fi\u015fik h\u00fccreler rol al\u0131rlar. Genellikle besin reaksiyonlar\u0131 besin al\u0131nd\u0131ktan dakikalar-saatler i\u00e7inde ortaya \u00e7\u0131kar ve\u00a0deri, sindirim ve solunum-dola\u015f\u0131m sistemi gibi de\u011fi\u015fik organlarda kendini g\u00f6sterir. Bazen bu reaksiyonlar \u00e7ok \u015fiddetli ve h\u0131zl\u0131 olup v\u00fccudun birden fazla sisteminde belirti verebilirler. Hatta \u00f6l\u00fcme dek g\u00f6t\u00fcrebilirler ki bu tip reaksiyonlara anafilaksi ad\u0131 verilir.<\/p>\n<p>Teorik olarak her besinin alerjik reaksiyonlara neden olmas\u0131 m\u00fcmk\u00fcnse de besin alerjilerinin \u00e7o\u011fundan belli ba\u015fl\u0131 besinler sorumludur. Bunlar s\u00fct, yumurta, kuruyemi\u015fler (f\u0131nd\u0131k, ceviz, yer f\u0131st\u0131\u011f\u0131, antep f\u0131st\u0131\u011f\u0131, ay \u00e7ekirde\u011fi gibi), bal\u0131k ve kabuklu deniz hayvanlar\u0131, mercimek, susam, bu\u011fday ve soyad\u0131r.\u00a0 Bu besinler t\u00fcm d\u00fcnyada en s\u0131k alerjiye neden olan g\u0131dalar ise de \u00fclkelerin ve y\u00f6relerin beslenme al\u0131\u015fkanl\u0131klar\u0131na g\u00f6re g\u00f6r\u00fclme s\u0131kl\u0131klar\u0131nda farkl\u0131l\u0131klar olabilmektedir. \u00d6rne\u011fin ABD ve \u0130ngiltere de en s\u0131k alerjiye neden olan kuruyemi\u015f yer f\u0131st\u0131\u011f\u0131 iken \u00fclkemizde f\u0131nd\u0131k ve cevizdir.<\/p>\n<p><strong>\u0130nek s\u00fct\u00fc alerjisi ve laktoz intolerans\u0131 aras\u0131ndaki fark nedir?<\/strong><\/p>\n<p>Hem inek s\u00fct\u00fc alerjisinde hem de laktoz intolerans\u0131nda inek s\u00fct\u00fc i\u00e7eren g\u0131dalar\u0131n hasta taraf\u0131ndan tolere edilmesinde sorun vard\u0131r. Her iki durumda da inek s\u00fct\u00fc t\u00fcketildi\u011finde yak\u0131nmalar ortaya \u00e7\u0131kar. Ancak yak\u0131nmalar\u0131n ortaya \u00e7\u0131kmas\u0131 farkl\u0131 mekanizmalar \u00fczerinden olmaktad\u0131r. \u0130nek s\u00fct\u00fc alerjisinde ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin o besine a\u015f\u0131r\u0131 ve abart\u0131l\u0131 bir tepki vermesi sonucu olu\u015fmaktad\u0131r. Laktoz intolerans\u0131nda ise olu\u015fan reaksiyonda ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bir rol almaz ve yak\u0131nmalardan inek s\u00fct\u00fc i\u00e7eri\u011finde bulunan laktoz isimli \u015fekerin sindirilmemesi sorumludur. Laktoz intolerans\u0131nda yak\u0131nmalar sindirim sitemine ait iken inek s\u00fct\u00fc alerjisinde yak\u0131nmalar sindirim sistemi ile s\u0131n\u0131rl\u0131 kalmayabilir. Yak\u0131nmalar\u0131n boyutu ve yayg\u0131nl\u0131\u011f\u0131 g\u00f6zden ka\u00e7t\u0131\u011f\u0131nda ve de te\u015fhis gerekli tetkikler ile do\u011frulat\u0131lmad\u0131\u011f\u0131nda birbirleri ile kar\u0131\u015fabilirler. Oysa hastadaki reaksiyonun nedeninin do\u011fru anla\u015f\u0131lmas\u0131, uygun tedavi ve izlem i\u00e7in \u00e7ok gereklidir.\u00a0Sonu\u00e7 olarak besinlerle olu\u015fan her istenmeyen reaksiyon besin alerjisi demek de\u011fildir. Bu nedenle hekimler birbirine genel olarak \u00e7ok benzeyen bu farkl\u0131 reaksiyonlar\u0131 birbirlerinden ay\u0131rt etmek durumundad\u0131rlar.<\/p>\n<p><strong>Besin alerjisinde eliminasyon diyeti nas\u0131l uygulan\u0131r, beslenme g\u00fcnl\u00fc\u011f\u00fc nas\u0131l tutulur?<\/strong><\/p>\n<p>Baz\u0131 besin alerjilerinde kan ve deri testleri ile duyarl\u0131 olunan besin saptanabilinirken kimi alerjilerde, farkl\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sitem mekanizmalar\u0131 s\u00f6z konusu oldu\u011fundan, alerji testleri yard\u0131mc\u0131 olmazlar. Bu nedenle hastalara besin eliminasyon diyeti ve veya besin g\u00fcnl\u00fckleri tutturularak reaksiyonun nas\u0131l ve ne zaman ortaya \u00e7\u0131kt\u0131\u011f\u0131 ve de sorunun hangi besinden ileri geldi\u011fi anla\u015f\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Besin eliminasyon diyetinde hasta \u00e7o\u011funlukla temel g\u0131dalardan olu\u015fan bir diyete konur ve ad\u0131m ad\u0131m k\u0131s\u0131tlanan besinler a\u00e7\u0131larak reaksiyonun hangi besin diyete al\u0131nd\u0131\u011f\u0131nda olu\u015ftu\u011fu anla\u015f\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Bu d\u00f6nemde hasta hem yediklerini ayr\u0131nt\u0131l\u0131 olarak besin g\u00fcnl\u00fc\u011f\u00fcne i\u015flerken hem de olu\u015fan yak\u0131nmalar\u0131n zaman ve \u015fiddetlerini buraya not al\u0131r. Besin g\u00fcnl\u00fc\u011f\u00fc, besin eliminasyon diyeti yap\u0131lmadan da tutturulabilir. Ancak bu durumda sorumlu besini saptamak daha g\u00fc\u00e7 olmaktad\u0131r. Besin eliminasyon dietleri uygulanan ki\u015fiye b\u00fcy\u00fck s\u0131k\u0131nt\u0131 veren ve uzat\u0131ld\u0131\u011f\u0131nda beslenme yetersizli\u011fine neden olabilece\u011finden yetgin ve deneyimli uzmanlar g\u00f6zetiminde yap\u0131lmal\u0131d\u0131r.<\/p>\n<p>Besin alerjisinin hangi besinden ileri geldi\u011finde \u015f\u00fcphe olu\u015ftu\u011funda hastalara hekim g\u00f6zetiminde \u015f\u00fcphelenilen besinden giderek artan dozlarda yedirtme i\u015flemi (y\u00fckleme testi) yapt\u0131r\u0131labilir. Bu y\u00fckleme\/provokasyon i\u015flemi sonunda beklenen belirtilerin ortaya \u00e7\u0131kmas\u0131 tan\u0131y\u0131 kesinle\u015ftirir. Y\u00fckleme testi besin alerjisi tan\u0131s\u0131nda \u201calt\u0131n standart y\u00f6ntem\u201d olarak kabul edilir ve hangi hastaya ne zaman yap\u0131laca\u011f\u0131 hekim karar\u0131n\u0131 gerektirir. Besin alerji \u015f\u00fcphesi olan bir \u00e7ocu\u011fa, alerji uzman\u0131 taraf\u0131ndan de\u011ferlendirilinceye kadar, \u015f\u00fcphelenilen besinler verilmemelidir.<\/p>\n<p><strong>Alerji \u00e7ocuklara nas\u0131l anlat\u0131lmal\u0131d\u0131r?<\/strong><\/p>\n<p>Alerji, \u00e7ocuklara anlat\u0131labilir. \u00c7ocuklar, uygun ileti\u015fim teknikleri kullan\u0131l\u0131rsa, s\u00f6ylenen her \u015feyi anlayabilir ve uygulayabilirler. Anlama ve uygulama kapasitesi olarak yeti\u015fkinlerden a\u015fa\u011f\u0131 de\u011fildirler, ama farkl\u0131d\u0131rlar. Burada olmazsa olmaz g\u00fcven ili\u015fkisidir. \u00c7ocu\u011fun ebeveynine ve hekimine olan g\u00fcveni tam olmal\u0131d\u0131r. Bu g\u00fcvenin olu\u015fturulmas\u0131 kadar, olu\u015fmu\u015f g\u00fcvenin s\u00fcrd\u00fcr\u00fclmesi de b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. Ayn\u0131 \u015fekilde hekim ve ebeveynde \u00e7ocu\u011fa ya\u015f\u0131na uygun bi\u00e7imde g\u00fcvenmeli ve sorumluluk vermelidr. Alerjik olmak, alg\u0131da &#8220;eksik olmak&#8221; olarak de\u011fil &#8220;farkl\u0131 olmak&#8221; olarak oturtulmal\u0131d\u0131r. Uygun davran\u0131\u015f ve tutumlar\u0131 takdir edilirken, hatalar\u0131 ve eksik uygulamalar\u0131 konu\u015fulmal\u0131 ve sorumluluk alma becerileri ya\u015flar\u0131na uygun olacak \u015fekilde artt\u0131r\u0131lmal\u0131d\u0131r.\u00a0 Hatan\u0131n ya\u015fam\u0131n ayr\u0131lmaz bir par\u00e7as\u0131 oldu\u011fundan hareket edilmeli, hataya odaklanmaktan ziyade hatay\u0131 do\u011furan neden ve uygulamalar\u0131n d\u00fczeltilmesine odaklan\u0131lmal\u0131d\u0131r.<\/p>\n<p><em>Dikkat: Bu yaz\u0131 Dr B\u00fclent \u015eekerel taraf\u0131ndan haz\u0131rlanm\u0131\u015f olup kaynak g\u00f6sterilmeden kullan\u0131lamaz.<\/em><\/p>\n<p><em>Dikkat: Burada \u00e7ocukluk \u00e7a\u011f\u0131n\u0131n bir alerjik hastal\u0131\u011f\u0131 hakk\u0131nda Dr.B\u00fclent \u015eekerel taraf\u0131ndan size yard\u0131mc\u0131 olaca\u011f\u0131na inan\u0131larak derlenmi\u015f baz\u0131 bilgiler yer almaktad\u0131r. Bu nedenle bu bilgilerin, hekim olmayanlar taraf\u0131ndan tedavi amac\u0131yla kullan\u0131lmamalar\u0131 gerekir. L\u00fctfen daha ayr\u0131nt\u0131l\u0131 bilgi i\u00e7in hekiminize ba\u015fvurunuz.<\/em><\/p>\n<p>Milliyet Gazetesinde Say\u0131n Esra \u00d6Z&#8217;\u00fcn Dr.B.\u015eekerel ile yapt\u0131\u011f\u0131 r\u00f6portajdan al\u0131nm\u0131\u015ft\u0131r (Kas\u0131m.2015)<\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Alerjide Tan\u0131 ve \u0130zlem - Prof. Dr. B\u00fclent Enis \u015eekerel<\/title>\n<meta name=\"description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131, Alerji de Tan\u0131 ve \u0130zlem konulu yaz\u0131 ve daha fazlas\u0131 i\u00e7in siteyi ziyaret edin\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Alerjide Tan\u0131 ve \u0130zlem - Prof. Dr. B\u00fclent Enis \u015eekerel\" \/>\n<meta property=\"og:description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131, Alerji de Tan\u0131 ve \u0130zlem konulu yaz\u0131 ve daha fazlas\u0131 i\u00e7in siteyi ziyaret edin\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/\" \/>\n<meta property=\"og:site_name\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel\" \/>\n<meta property=\"article:modified_time\" content=\"2017-05-04T06:56:57+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data1\" content=\"10 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/\",\"url\":\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/\",\"name\":\"Alerjide Tan\u0131 ve \u0130zlem - Prof. Dr. B\u00fclent Enis \u015eekerel\",\"isPartOf\":{\"@id\":\"https:\/\/bulentsekerel.com\/#website\"},\"datePublished\":\"2017-05-04T06:56:18+00:00\",\"dateModified\":\"2017-05-04T06:56:57+00:00\",\"description\":\"Prof. Dr. B\u00fclent Enis \u015eekerel'in haz\u0131rlad\u0131\u011f\u0131, Alerji de Tan\u0131 ve \u0130zlem konulu yaz\u0131 ve daha fazlas\u0131 i\u00e7in siteyi ziyaret edin\",\"breadcrumb\":{\"@id\":\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/bulentsekerel.com\/index.php\/alerjide-tani-izlem\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Anasayfa\",\"item\":\"https:\/\/bulentsekerel.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Alerjide Tan\u0131 ve \u0130zlem\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/bulentsekerel.com\/#website\",\"url\":\"https:\/\/bulentsekerel.com\/\",\"name\":\"Prof. Dr. B\u00fclent Enis \u015eekerel\",\"description\":\"\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 &amp; 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