Eskişehir ve Ankara'da görevli Kulak Burun Boğaz uzmanlarından oluşan 3 kişilik ekibin yaptığı araştırmada, yeni tip koronavirüse (Covid-19) yol açan viral enfeksiyonun, dil, yanak ve damakta yaralar oluşturduğu belirlendi.
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Eskişehir ve Ankara'da görevli Kulak Burun Boğaz uzmanlarından oluşan 3 kişilik ekibin yaptığı araştırmada, yeni tip koronavirüse (Covid-19) yol açan viral enfeksiyonun, dil, yanak ve damakta yaralar oluşturduğu belirlendi.
Covid-19'un ağız ve burun yoluyla bulaşmasından yola çıkan Doç. Dr. Vural Fidan, Dr. Handan Koyuncu ile Uzm. Dr. Yaşar Okan Akın tarafından çalışma başlatıldı.
"Covid-19 Pozitif Hastalarda Ağız Lezyonu" adlı çalışma, yaş ortalaması 49 olan 49'u erkek, 25'i kadın 74 koronavirüs hastası üzerinde yürütüldü.
Bu kişilerden 23'ünün dillerinde, 20'sinin yanaklarında, 11'inin diş etlerinde, 4'ünün ise damaklarında "aft, eritem ve liken" gibi yaralara rastlandı. Diğer 16 hastada ise ağız lezyonu görülmedi. Araştırmanın sonuçları, uluslararası A sınıfı hakemli Amerikan "Otolarengoloji (American Journal of Otolaryngology)" dergisinde yayımlandı.
"Hastalığın ağızda bir iz bırakabileceğinden yola çıktık" Çalışmanın yürütücüsü Doç. Dr. Vural Fidan yaptığı açıklamada, Kovid-19 virüsünün ağız ve burun bölgesinden vücuda girdiğini anımsatarak, branşları gereği kulak, burun ve boğaz bölgesine yoğunlaştıkları bir çalışma başlattıklarını söyledi.
Covid-19'un hem taşıyıcı hem de enfekte grupta erken dönemde tanınması ve buna yönelik tedaviye başlanmasının önemine değinen Fidan, şöyle devam etti:
"Kovid-19 viral bir hastalık. Viral hastalıkların birçoğunda olduğu gibi bu hastalığın da giriş bölgesi olan ağızda bir iz bırakabileceğinden yola çıktık.
Kan ve sürüntü değerlerinde mutlaka Kovid-19 pozitif teşhisi konulan 70'den fazla hastayı değerlendirdiğimiz bu çalışmada, söz konusu kişilerin yarısından fazlasında ağız bölgesinde lezyonların bulunduğunu görüntüledik.
Hastaların ağız bölgesinde 'aft' ve 'liken' dediğimiz farklı bulgular vardı. Bunların neticesinde hastaların asemptomatik yani farklı herhangi bir bulgusu olmadan da bu hastalıkla ilintisi olabileceğini gösterdik."
Fidan, önceki farklı yayınlarda hastaların sadece koku ya da tat almama gibi problemlerinin sonucu Covid-19 pozitif teşhisi konulduğunu gördüklerini dile getirerek, Covid-19 ile ilgili bilgilerinin henüz yeni olduğunu aktardı.
Ağız lezyonlarına ilişkin de Kovid-19 hastalığından şüphelenilmesi gereken vakalar olduğunu vurgulayan Fidan, şunları kaydetti: "Kovid-19 pozitif teşhisi konulmasına neden olan yaraların, ağız içinde özellikle yanak, damak ve dil bölgesinde daha fazla olduğunu gördük. Çalışmamızdaki Kovid-19 hastalarının yüzde 78'inde oral lezyona rastlandığını tespit ettik. Beyazımsı, kısmen kenarlarında kırmızımsı röfleler oluşturan yaralar şeklinde gözlemledik. Bu yaraları görmek Kovid-19 teşhisini yüzde 100 koydurmuyor ama şüphelenmemiz gerekiyor. Bu yaraların, Kulak Burun Boğaz Kliniği hekimleri tarafından değerlendirilerek uygun görülen kişilerde Kovid-19 testlerinin yapılması ve ayrıca tanıya gidilmesi gerekiyor."