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Eski 07-20-2011, 12:24 PM
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Standart arbon Hastal ve Mcadelesi

arbon Hastal
arbon, Anthracis basili tarafindan yol ailan arbon bakteriyel (zoonotic) bir hastaliktir. arbon, kei, koyun, sr, at ve geyik de dahil olmak zere evcil ve vahsi hayvanlarda grlr.

Hastaligin deri stnde grlen sekli hastalikli hayvanlarin ty, yn, deri, et, kan veya diski ile temas kurulmasiyla veya kemik gbresi veya yemi gibi islenmis rnlerden bulasabilir. Enfeksiyon, derideki siyrik ve iziklerden, yaralardan, sporlarin solunmasiyla, yetersiz pisirilmis hastalikli et veya yemekle veya sineklerden bulasir. Sporlar ok dayaniklidir ve yillarca toprakta ve suda canli kalabilirler. Degisken dnemlerde gnes isigina direnlidirler.

arbonun Belirtileri ve Etkileri Nedir?
1-7 gnlk bir kuluka dneminden sonra, sarbonun gstergeleri derece derecedir.
Olasi belirtiler syledir;Ates, keyifsizlik, halsizlik, ksrk veya siddetli, soluk alma rahatsizligi ile takip edilen hafif ggs rahatsizligi. Bu hafif belirtiler ok abuka solunum rahatsizligina ve 2-4 gn iinde nefes alma zorlugu ve bitkinlik de dahil olmak zere bir dizi daha siddetli belirtilerle takip edilen travmaya dnsebilir. lm genellikle solunum glgnn baslamasindan sonra 24 saat iinde gereklesir.
arbonun Klinik bulgulari nelerdir?

arbon deri cigerler ve sindirim sisteminin akut bakteriyel bir enfeksiyonudur. Enfeksiyon, en ok deri araciligi ile bulasir. Hastaligin deri veya ciltte grlen sekli, en ok enfeksiyonlu canli hayvanlarla veya hastalikli hayvansal rnlerle alisan insanlarin ellerinde veya kollarinin n taraflarinda grlr ve bu durum insanlarda grlen sarbon vakalarinin %95'ini olusturur. ncelikle derinin kabarmasi ile belirir ve daha sonra enfeksiyonun oldugu yerler sivi dolu kabarciklara dnsr. Dokunun zerinde olusan yara kabugu kmr kadar siyah olabilir, bu yzden hastaliga kmrn Yunancasi olan Anthrax denmektedir. Tedavi ile hastaligin deride grlen sekline yakalanan insanlar arasinda lm vakalarinin orani %1'in altina dsmektedir. Tedavi edilmemis solunum yolu ile bulasan veya bagirsaklarda grlen sarbonda lm orani %90'in zerindedir. arbonun solunum yoluyla bulasmis sekli sporlarin (reme organlari) solunmasi ile bulasir ve daha ok hastalikli hayvan derisi, yn ve krknn islenmesi ile ugrasan isilerde grlr. Dogal sartlar altinda, sarbonun solunum yoluyla bulasan sekline son derece nadiren rastlanir ve ABD'de 20. yzyilda sadece 18 vaka rapor edilmistir.

arbon Hastalnn Tedavisi nasildir ?
Maymunlarla yapilan testler, virse maruz kalindiktan bir gn sonra baslayan antibiyotik tedavisinin, zellikle aktif asilama ile birlestiginde lme karsi belirgin bir koruma sagladigini gsterdi. Penisilin, doxycycline ve ciproflaxin hastaligin ogu zararlarina karsi etkilidir. Penisilin dogal olarak ortaya ikan sarbon iin en iyi ilatir. Eger tedavi edilmezse, solunum yoluyla alinan sarbon ldrcdr.

Yillik takviyelerle 18 ayi askin bir sre etkili olan 6 doz serisinden olusan bir asi bulunmaktadir. Bu asi deri yoluyla bulasan sarbondan koruma amali olarak bilinmesinin yani sira solunum yoluyla alinan sporlara karsi da etkili olduguna inanilmaktadir.

Etkili bir arindirma iin kirlenmis nesneler 30 dakika veya daha fazla sreyle suda kaynatilabilir ve bilinen antiseptikler kullanilabilir. Klor, sporlari (reme organlari) ve bitkisel hcreleri yok etmede etkilidir. Unutmayiniz ki, sarbon sporlari (reme organlari) dayaniklidir. Saatlerce gnes isigina dayanabilir ve yillarca toprak ve suda hayatta kalabilir.
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