{"id":6849,"date":"2026-03-17T12:25:27","date_gmt":"2026-03-17T09:25:27","guid":{"rendered":"https:\/\/dmdwarrior.com\/?p=6849"},"modified":"2026-03-19T10:20:30","modified_gmt":"2026-03-19T07:20:30","slug":"vaccinations-in-duchenne-muscular-dystrophy","status":"publish","type":"post","link":"https:\/\/dmdwarrior.com\/tr\/vaccinations-in-duchenne-muscular-dystrophy\/","title":{"rendered":"Duchenne Kas Distrofisinde A\u015f\u0131lar: Hastalar ve Aileler \u0130\u00e7in Temel Koruma"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisi (DMD) hastalar\u0131nda a\u015f\u0131lar, ciddi komplikasyonlara yol a\u00e7abilen \u00f6nlenebilir enfeksiyonlardan korunmada \u00e7ok \u00f6nemli bir rol oynar.<\/strong> Duchenne kas distrofisi, iskelet, solunum ve kalp kaslar\u0131n\u0131 etkileyen kas dejenerasyonu ile karakterize ilerleyici bir genetik hastal\u0131kt\u0131r. DMD&#039;de solunum kaslar\u0131 giderek zay\u0131flad\u0131\u011f\u0131 i\u00e7in, grip, zat\u00fcrre ve COVID-19 gibi enfeksiyonlar genel pop\u00fclasyona g\u00f6re \u00e7ok daha h\u0131zl\u0131 bir \u015fekilde ya\u015fam\u0131 tehdit edici hale gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisi i\u00e7in g\u00fcncel a\u015f\u0131 takvimine uymak, ciddi enfeksiyonlar, hastaneye yat\u0131\u015flar ve solunum komplikasyonlar\u0131 riskini azaltmaya yard\u0131mc\u0131 olur.<\/strong> Duchenne kas distrofisi olan bir\u00e7ok ki\u015fi ayr\u0131ca uzun s\u00fcreli kortikosteroid tedavisi de almaktad\u0131r; bu durum, \u00f6zellikle canl\u0131 a\u015f\u0131lar olmak \u00fczere baz\u0131 a\u015f\u0131lar\u0131n nas\u0131l uygulanmas\u0131 gerekti\u011fini etkileyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu k\u0131lavuzda, Duchenne hastalar\u0131n\u0131n hangi a\u015f\u0131lar\u0131 yapt\u0131rmas\u0131 gerekti\u011fini, bu a\u015f\u0131lar\u0131n neden \u00f6nemli oldu\u011funu ve kortikosteroid tedavisi uygulanan ailelerin a\u015f\u0131 g\u00fcvenli\u011fi hakk\u0131nda bilmesi gerekenleri a\u00e7\u0131kl\u0131yoruz.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>\u0130\u00e7indekiler<\/h2><nav><ul><li><a href=\"#why-vaccines-are-important-for-duchenne-patients\">Duchenne Hastalar\u0131 \u0130\u00e7in A\u015f\u0131lar Neden \u00d6nemli?<\/a><\/li><li><a href=\"#understanding-vaccine-types\">A\u015f\u0131 T\u00fcrlerini Anlamak<\/a><ul><li><a href=\"#inactivated-non-live-vaccines\">\u0130naktif (Canl\u0131 Olmayan) A\u015f\u0131lar<\/a><\/li><li><a href=\"#live-attenuated-vaccines\">Canl\u0131 Zay\u0131flat\u0131lm\u0131\u015f A\u015f\u0131lar<\/a><\/li><\/ul><\/li><li><a href=\"#live-vaccines-and-steroid-therapy-considerations\">Canl\u0131 A\u015f\u0131lar ve Steroid Tedavisi Hakk\u0131nda Dikkat Edilmesi Gerekenler<\/a><ul><li><a href=\"#low-dose-steroids\">D\u00fc\u015f\u00fck Doz Steroidler<\/a><\/li><li><a href=\"#high-dose-steroids\">Y\u00fcksek Doz Steroidler<\/a><\/li><li><a href=\"#adults-and-older-children\">Yeti\u015fkinler ve Daha B\u00fcy\u00fck \u00c7ocuklar<\/a><\/li><li><a href=\"#intermittent-steroid-dosing\">Aral\u0131kl\u0131 Steroid Dozlamas\u0131<\/a><\/li><li><a href=\"#vamorolone-agamree\">Vamorolone (Agamree)<\/a><\/li><\/ul><\/li><li><a href=\"#recommended-vaccines-for-duchenne-muscular-dystrophy\">DMD Hastal\u0131\u011f\u0131 Olan \u00c7ocuklar \u0130\u00e7in \u00d6nerilen A\u015f\u0131lar<\/a><\/li><li><a href=\"#influenza-and-pneumococcal-vaccines\">Grip ve Pn\u00f6mokok A\u015f\u0131lar\u0131<\/a><ul><li><a href=\"#influenza-vaccine\">Grip A\u015f\u0131s\u0131<\/a><ul><li><a href=\"#key-recommendations\">Ba\u015fl\u0131ca \u00d6neriler<\/a><\/li><\/ul><\/li><li><a href=\"#pneumococcal-vaccines\">Pn\u00f6mokok A\u015f\u0131lar\u0131<\/a><\/li><\/ul><\/li><li><a href=\"#covid-19-vaccination-in-dmd\">DMD&#039;de COVID-19 A\u015f\u0131s\u0131<\/a><\/li><li><a href=\"#other-recommended-vaccinations\">Di\u011fer \u00d6nerilen A\u015f\u0131lar<\/a><ul><li><a href=\"#tdap-vaccine\">Tdap A\u015f\u0131s\u0131 (yeti\u015fkinler i\u00e7in tetanoz, difteri, bo\u011fmaca a\u015f\u0131s\u0131)<\/a><\/li><li><a href=\"#hepatitis-b-vaccine\">Hepatit B A\u015f\u0131s\u0131<\/a><\/li><li><a href=\"#inactivated-polio-vaccine\">\u0130naktif Polio A\u015f\u0131s\u0131<\/a><\/li><li><a href=\"#meningococcal-vaccine\">Meningokok A\u015f\u0131s\u0131<\/a><\/li><li><a href=\"#hpv-vaccine\">HPV A\u015f\u0131s\u0131<\/a><\/li><\/ul><\/li><li><a href=\"#vaccination-schedule-for-duchenne-muscular-dystrophy\">Duchenne Kas Distrofisi A\u015f\u0131 Takvimi<\/a><\/li><li><a href=\"#practical-tips-for-families\">Aileler \u0130\u00e7in Pratik \u0130pu\u00e7lar\u0131<\/a><\/li><li><a href=\"#frequently-asked-questions-faq\">S\u0131k\u00e7a Sorulan Sorular (SSS)<\/a><ul><li><a href=\"#faq-question-1773667195434\">Duchenne hastalar\u0131na rutin \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 yap\u0131lmal\u0131 m\u0131?<\/a><\/li><li><a href=\"#faq-question-1773667203502\">Canl\u0131 a\u015f\u0131lar Duchenne hastalar\u0131 i\u00e7in g\u00fcvenli midir?<\/a><\/li><li><a href=\"#faq-question-1773667210831\">Grip a\u015f\u0131s\u0131 Duchenne hastalar\u0131 i\u00e7in neden bu kadar \u00f6nemli?<\/a><\/li><li><a href=\"#faq-question-1773667216144\">Duchenne kas distrofisi hastalar\u0131 COVID-19 a\u015f\u0131s\u0131 olabilir mi?<\/a><\/li><li><a href=\"#faq-question-1773667224290\">Aile \u00fcyeleri a\u015f\u0131lanmal\u0131 m\u0131?<\/a><\/li><\/ul><\/li><li><a href=\"#final-thoughts\">Son D\u00fc\u015f\u00fcnceler<\/a><\/li><li><a href=\"#sources-and-scientific-references\">Kaynaklar ve Bilimsel Referanslar<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"why-vaccines-are-important-for-duchenne-patients\">Duchenne Hastalar\u0131 \u0130\u00e7in A\u015f\u0131lar Neden \u00d6nemli?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi ile ya\u015fayan \u00e7ocuklar ve yeti\u015fkinler, solunum yolu enfeksiyonlar\u0131ndan kaynaklanan komplikasyonlara kar\u015f\u0131 \u00f6zellikle savunmas\u0131zd\u0131r. Diyafram ve di\u011fer solunum kaslar\u0131n\u0131n giderek zay\u0131flamas\u0131, v\u00fccudun mukusu temizlemesini ve enfeksiyonlarla sava\u015fmas\u0131n\u0131 zorla\u015ft\u0131r\u0131r. Daha Fazlas\u0131n\u0131 Ke\u015ffedin: <a href=\"https:\/\/dmdwarrior.com\/tr\/respiratory-health-care-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Duchenne Hastal\u0131\u011f\u0131nda Akci\u011fer Kaslar\u0131n\u0131n Korunmas\u0131<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi olan ki\u015filerde solunum yolu hastal\u0131klar\u0131 geli\u015fti\u011finde \u015fu belirtiler g\u00f6r\u00fclebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u015eiddetli \u00fcst solunum yolu semptomlar\u0131<\/li>\n\n\n\n<li>Solunum yolu salg\u0131lar\u0131n\u0131n temizlenmesinde zorluk<\/li>\n\n\n\n<li>Azalm\u0131\u015f oksijen seviyeleri<\/li>\n\n\n\n<li>\u0130kincil bakteriyel enfeksiyonlar<\/li>\n\n\n\n<li>Zat\u00fcrre ve hastaneye yat\u0131\u015f riskinde art\u0131\u015f<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A\u015f\u0131, bu enfeksiyonlar\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131 \u00f6nlemeye yard\u0131mc\u0131 olur.<\/strong> A\u015f\u0131lar hastal\u0131\u011f\u0131 tamamen \u00f6nlemese bile, genellikle hastal\u0131\u011f\u0131n \u015fiddetini azalt\u0131r, iyile\u015fme s\u00fcresini k\u0131salt\u0131r ve komplikasyon riskini d\u00fc\u015f\u00fcr\u00fcr. Daha fazla bilgi edinin: <a href=\"https:\/\/dmdwarrior.com\/tr\/infection-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">DMD Hastal\u0131\u011f\u0131nda Enfeksiyon<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenlerle, Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri (CDC), Amerikan Pediatri Akademisi (AAP) ve n\u00f6rom\u00fcsk\u00fcler uzmanlar da dahil olmak \u00fczere b\u00fcy\u00fck sa\u011fl\u0131k kurulu\u015flar\u0131, Duchenne kas distrofisi olan ki\u015filerin rutin a\u015f\u0131lama takvimlerine g\u00f6re tam olarak a\u015f\u0131lanm\u0131\u015f olmalar\u0131n\u0131 \u015fiddetle tavsiye etmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hastan\u0131n etraf\u0131nda koruyucu bir ortam (s\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131) olu\u015fturmak i\u00e7in aile \u00fcyeleri ve bak\u0131c\u0131lar da a\u015f\u0131lar\u0131n\u0131 yapt\u0131rmal\u0131d\u0131r.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"understanding-vaccine-types\">A\u015f\u0131 T\u00fcrlerini Anlamak<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015f\u0131lar, ba\u011f\u0131\u015f\u0131kl\u0131k sistemini zararl\u0131 patojenleri tan\u0131maya ve maruz kal\u0131nd\u0131\u011f\u0131nda h\u0131zl\u0131 bir \u015fekilde yan\u0131t vermeye te\u015fvik eder. Yayg\u0131n olarak kullan\u0131lan iki ana a\u015f\u0131 t\u00fcr\u00fc vard\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"inactivated-non-live-vaccines\">\u0130naktif (Canl\u0131 Olmayan) A\u015f\u0131lar<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130naktive a\u015f\u0131lar, vir\u00fcs veya bakterinin \u00f6ld\u00fcr\u00fclm\u00fc\u015f bir versiyonunu veya patojenin yaln\u0131zca belirli k\u0131s\u0131mlar\u0131n\u0131 i\u00e7erir. Bu a\u015f\u0131lar, koruma sa\u011flad\u0131klar\u0131 hastal\u0131\u011fa neden olamazlar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yayg\u0131n t\u00fcrler \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alt birim a\u015f\u0131lar\u0131<\/strong> \u2013 bir patojenin par\u00e7alar\u0131n\u0131 i\u00e7erir<\/li>\n\n\n\n<li><strong>Konjuge a\u015f\u0131lar<\/strong> \u2013 Ba\u011f\u0131\u015f\u0131kl\u0131k tepkisini iyile\u015ftirmek i\u00e7in patojen bile\u015fenlerini proteinlerle birle\u015ftirir<\/li>\n\n\n\n<li><strong>Toksoid a\u015f\u0131lar\u0131<\/strong> \u2013 etkisizle\u015ftirilmi\u015f toksinler kullan\u0131r<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisi olan ki\u015filer i\u00e7in, g\u00fcnl\u00fck kortikosteroid kullanan hastalar da dahil olmak \u00fczere, inaktif a\u015f\u0131lar g\u00fcvenlidir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rnekler \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Grip a\u015f\u0131s\u0131<\/li>\n\n\n\n<li>Pn\u00f6mokok a\u015f\u0131lar\u0131<\/li>\n\n\n\n<li>Tdap (yeti\u015fkin tetanoz, difteri, bo\u011fmaca a\u015f\u0131s\u0131)<\/li>\n\n\n\n<li>Hepatit B<\/li>\n\n\n\n<li>HPV<\/li>\n\n\n\n<li>\u0130naktif \u00e7ocuk felci a\u015f\u0131s\u0131<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"live-attenuated-vaccines\">Canl\u0131 Zay\u0131flat\u0131lm\u0131\u015f A\u015f\u0131lar<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Canl\u0131 zay\u0131flat\u0131lm\u0131\u015f a\u015f\u0131lar, vir\u00fcslerin veya bakterilerin zay\u0131flat\u0131lm\u0131\u015f versiyonlar\u0131n\u0131 i\u00e7erir. Bu a\u015f\u0131lar genellikle g\u00fc\u00e7l\u00fc ve uzun s\u00fcreli ba\u011f\u0131\u015f\u0131kl\u0131k sa\u011flar.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131flam\u0131\u015f ki\u015filerde (y\u00fcksek doz steroid kullanan baz\u0131 bireyler de dahil olmak \u00fczere) canl\u0131 a\u015f\u0131lar risk olu\u015fturabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Canl\u0131 a\u015f\u0131 \u00f6rnekleri \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MMR (K\u0131zam\u0131k, Kabakulak, K\u0131zam\u0131k\u00e7\u0131k)<\/li>\n\n\n\n<li>Su\u00e7i\u00e7e\u011fi (Varicella)<\/li>\n\n\n\n<li>Burun spreyi grip a\u015f\u0131s\u0131 (Duchenne veya Becker kas distrofisi olan ki\u015filer, steroid kullan\u0131p kullanmad\u0131klar\u0131na bak\u0131lmaks\u0131z\u0131n bu a\u015f\u0131dan ka\u00e7\u0131nmal\u0131d\u0131r.)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne hastalar\u0131 i\u00e7in, \u00f6zellikle steroid tedavisi s\u00f6z konusu oldu\u011funda, canl\u0131 a\u015f\u0131lar dikkatle de\u011ferlendirilmelidir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"live-vaccines-and-steroid-therapy-considerations\">Canl\u0131 A\u015f\u0131lar ve Steroid Tedavisi Hakk\u0131nda Dikkat Edilmesi Gerekenler<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisinde kas dejenerasyonunu yava\u015flatmak ve fonksiyonu korumak i\u00e7in genellikle uzun s\u00fcreli kortikosteroid tedavisi kullan\u0131l\u0131r. Ancak steroidler ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu nedenle, steroid dozuna ba\u011fl\u0131 olarak canl\u0131 zay\u0131flat\u0131lm\u0131\u015f a\u015f\u0131lar\u0131n uygulanmas\u0131ndan ka\u00e7\u0131n\u0131lmas\u0131 veya ertelenmesi gerekebilir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CDC&#039;den gelen k\u0131lavuz \u015fu hususlar\u0131 belirtiyor:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"low-dose-steroids\">D\u00fc\u015f\u00fck Doz Steroidler<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hastalar \u015fu miktardan daha az tedavi g\u00f6r\u00fcyor:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>&lt;2 mg\/kg\/g\u00fcn prednizon veya<\/strong><\/li>\n\n\n\n<li><strong>&lt;2,4 mg\/kg\/g\u00fcn deflazakort (Emflaza)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Genellikle ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanm\u0131\u015f olarak kabul edilmezler ve gerekirse canl\u0131 a\u015f\u0131lar yap\u0131labilir. Ancak her \u015feyden \u00f6nce, mutlaka doktorunuza dan\u0131\u015f\u0131n.<\/strong> <\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"high-dose-steroids\">Y\u00fcksek Doz Steroidler<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hastalara uygulanan tedavi:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u22652 mg\/kg\/g\u00fcn prednizon veya<\/strong><\/li>\n\n\n\n<li><strong>\u22652,4 mg\/kg\/g\u00fcn deflazakort<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanm\u0131\u015f olarak kabul edilebilirler ve genellikle canl\u0131 a\u015f\u0131lardan ka\u00e7\u0131nmal\u0131d\u0131rlar.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Devam\u0131n\u0131 oku: <a href=\"https:\/\/www.cdc.gov\/vaccines\/hcp\/imz-best-practices\/contraindications-precautions.html\" target=\"_blank\" rel=\"noreferrer noopener\">Kontrendikasyonlar ve \u00d6nlemler<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"adults-and-older-children\">Yeti\u015fkinler ve Daha B\u00fcy\u00fck \u00c7ocuklar<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eunlar\u0131 yapan ki\u015filer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u226520 mg\/g\u00fcn prednizon<\/strong>, veya<\/li>\n\n\n\n<li><strong>\u226524 mg\/g\u00fcn deflazakort<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Steroid dozlar\u0131 ge\u00e7ici olarak azalt\u0131lmad\u0131\u011f\u0131 s\u00fcrece, canl\u0131 a\u015f\u0131lardan genellikle ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Canl\u0131 a\u015f\u0131 gerekiyorsa, hekimler a\u015f\u0131lamadan bir ay \u00f6nce ve bir ay sonra steroid dozlar\u0131n\u0131n d\u00fc\u015f\u00fcr\u00fclmesini \u00f6nerebilir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"intermittent-steroid-dosing\">Aral\u0131kl\u0131 Steroid Dozlamas\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Aral\u0131kl\u0131 steroid tedavisi alan hastalar (\u00f6rne\u011fin hafta sonu dozlamas\u0131 veya g\u00fcn a\u015f\u0131r\u0131 uygulama rejimleri) genellikle ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanm\u0131\u015f olarak kabul edilmezler; bu da gerekti\u011finde canl\u0131 a\u015f\u0131lar\u0131n uygulanabilece\u011fi anlam\u0131na gelir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"vamorolone-agamree\">Vamorolone (Agamree)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Vamorolonun ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131lay\u0131c\u0131 etkileri halen ara\u015ft\u0131r\u0131lmakta oldu\u011fundan, aileler canl\u0131 a\u015f\u0131 uygulamadan \u00f6nce n\u00f6rom\u00fcsk\u00fcler uzmanlara dan\u0131\u015fmal\u0131d\u0131r.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"recommended-vaccines-for-duchenne-muscular-dystrophy\">DMD Hastal\u0131\u011f\u0131 Olan \u00c7ocuklar \u0130\u00e7in \u00d6nerilen A\u015f\u0131lar<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-1024x576.jpg\" alt=\"Duchenne Kas Distrofisi (DMD) i\u00e7in \u00d6nerilen A\u015f\u0131lar\" class=\"wp-image-6860\" title=\"\" srcset=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-1024x576.jpg 1024w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-300x169.jpg 300w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-768x432.jpg 768w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-1536x864.jpg 1536w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-18x10.jpg 18w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-747x420.jpg 747w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-150x84.jpg 150w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-696x392.jpg 696w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1-1068x601.jpg 1068w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/03\/Vaccinations-in-Duchenne-1.jpg 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6nerilen a\u015f\u0131lama takvimine uyulmas\u0131, Duchenne kas distrofisi olan bireyleri ciddi enfeksiyonlardan korumaya yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A\u015fa\u011f\u0131da Duchenne hastalar\u0131 i\u00e7in \u00f6nerilen en \u00f6nemli a\u015f\u0131lar yer almaktad\u0131r.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"influenza-and-pneumococcal-vaccines\">Grip ve Pn\u00f6mokok A\u015f\u0131lar\u0131<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"influenza-vaccine\">Grip A\u015f\u0131s\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Y\u0131ll\u0131k grip a\u015f\u0131s\u0131, Duchenne kas distrofisi olan bireyler i\u00e7in en \u00f6nemli a\u015f\u0131lardan biridir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Grip enfeksiyonu, solunum kaslar\u0131n\u0131n zay\u0131flamas\u0131 nedeniyle ciddi solunum komplikasyonlar\u0131na yol a\u00e7abilir.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"key-recommendations\">Ba\u015fl\u0131ca \u00d6neriler<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Duchenne kas distrofisi hastalar\u0131n\u0131n t\u00fcm\u00fc her y\u0131l grip a\u015f\u0131s\u0131 yapt\u0131rmal\u0131d\u0131r.<\/strong><\/li>\n\n\n\n<li>\u0130naktif oldu\u011fu i\u00e7in enjeksiyon yoluyla uygulanan grip a\u015f\u0131s\u0131 \u00f6nerilir.<\/li>\n\n\n\n<li><strong>Burun spreyi a\u015f\u0131s\u0131, canl\u0131 zay\u0131flat\u0131lm\u0131\u015f bir a\u015f\u0131 oldu\u011fu i\u00e7in kullan\u0131lmamal\u0131d\u0131r.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Grip a\u015f\u0131s\u0131 enfeksiyonu tamamen \u00f6nlemese bile, genellikle hastal\u0131\u011f\u0131n \u015fiddetini ve hastaneye yat\u0131\u015f riskini azalt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisi olan bireyi korumak i\u00e7in aile \u00fcyelerinin de her y\u0131l grip a\u015f\u0131s\u0131 yapt\u0131rmalar\u0131 gerekmektedir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"pneumococcal-vaccines\">Pn\u00f6mokok A\u015f\u0131lar\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Pn\u00f6mokok bakterileri a\u015fa\u011f\u0131dakiler gibi ciddi enfeksiyonlara neden olabilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Akci\u011fer iltihaplanmas\u0131<\/li>\n\n\n\n<li>Kan dola\u015f\u0131m\u0131 enfeksiyonlar\u0131<\/li>\n\n\n\n<li>Menenjit<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne hastalar\u0131 solunum yolu komplikasyonlar\u0131na daha yatk\u0131n olduklar\u0131ndan, pn\u00f6mokok a\u015f\u0131s\u0131 \u015fiddetle tavsiye edilir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha fazla bilgi edin: <a href=\"https:\/\/www.cdc.gov\/pneumococcal\/hcp\/vaccine-recommendations\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">Pn\u00f6mokok A\u015f\u0131s\u0131 \u00d6nerileri<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00fcncel \u00f6neriler \u015funlar\u0131 i\u00e7erebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Erken \u00e7ocukluk d\u00f6neminde PCV13 veya PCV15<\/strong><\/li>\n\n\n\n<li><strong>PCV20 veya PPSV23 ile takip a\u015f\u0131s\u0131<\/strong><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Prevnar13 (PCV13) a\u015f\u0131s\u0131 2010 y\u0131l\u0131nda \u00e7ocuklarda, 2011 y\u0131l\u0131nda ise yeti\u015fkinlerde kullan\u0131lmak \u00fczere piyasaya s\u00fcr\u00fcld\u00fc.<\/strong> PCV13, \u00e7ocuklarda ve yeti\u015fkinlerde en ciddi hastal\u0131\u011fa neden olan 13 \u00e7e\u015fit pn\u00f6mokok bakterisine kar\u015f\u0131 koruma sa\u011flar. PCV13, \u00f6nceki pn\u00f6mokok a\u015f\u0131s\u0131 olan PCV7&#039;nin yerini alm\u0131\u015ft\u0131r.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vaxneuvance (PCV15) 2021 y\u0131l\u0131nda yeti\u015fkinlerde, 2022 y\u0131l\u0131nda ise \u00e7ocuklarda kullan\u0131lmak \u00fczere piyasaya s\u00fcr\u00fclecektir.<\/strong> PCV15, yeti\u015fkinlerde s\u0131kl\u0131kla ciddi hastal\u0131klara neden olan 15 \u00e7e\u015fit pn\u00f6mokok bakterisine kar\u015f\u0131 koruma sa\u011flar.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Prevnar20 (PCV20) a\u015f\u0131s\u0131, 6 haftal\u0131k ve daha b\u00fcy\u00fck ki\u015filerde kullan\u0131lmak \u00fczere 2023 y\u0131l\u0131nda piyasaya s\u00fcr\u00fcld\u00fc.<\/strong> PCV20, yeti\u015fkinlerde s\u0131kl\u0131kla ciddi hastal\u0131klara neden olan 20 \u00e7e\u015fit pn\u00f6mokok bakterisine kar\u015f\u0131 koruma sa\u011flar.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>FDA, 1983 y\u0131l\u0131nda Pneumovax 23 (PPSV23) a\u015f\u0131s\u0131n\u0131 onaylad\u0131.<\/strong> Bu a\u015f\u0131, 23 \u00e7e\u015fit pn\u00f6mokok bakterisinin neden oldu\u011fu ciddi enfeksiyonlara kar\u015f\u0131 korunmaya yard\u0131mc\u0131 olur.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Devam\u0131n\u0131 oku: <a href=\"https:\/\/www.cdc.gov\/vaccine-safety\/vaccines\/pneumococcal.html\" target=\"_blank\" rel=\"noreferrer noopener\">Pn\u00f6mokok A\u015f\u0131s\u0131 G\u00fcvenli\u011fi<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u015f\u0131lar bakteriyel zat\u00fcrreye ve di\u011fer pn\u00f6mokok hastal\u0131klar\u0131na kar\u015f\u0131 uzun s\u00fcreli koruma sa\u011flar.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"covid-19-vaccination-in-dmd\">DMD&#039;de COVID-19 A\u015f\u0131s\u0131<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">COVID-19, solunum, kalp ve iskelet kaslar\u0131n\u0131 etkiledi\u011fi i\u00e7in Duchenne kas distrofisi olan bireylerde ciddi komplikasyonlara yol a\u00e7abilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">COVID-19 a\u015f\u0131s\u0131, a\u015fa\u011f\u0131daki riskleri \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A\u011f\u0131r hastal\u0131k<\/li>\n\n\n\n<li>Hastaneye yat\u0131\u015f<\/li>\n\n\n\n<li>Solunum yetmezli\u011fi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u0131p kurulu\u015flar\u0131, Duchenne kas distrofisi olan ki\u015filerin uygun olduklar\u0131nda COVID-19 a\u015f\u0131s\u0131 ve takviye dozlar\u0131n\u0131 yapt\u0131rmalar\u0131n\u0131 \u00f6nermektedir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Devam\u0131n\u0131 oku: <a href=\"https:\/\/www.parentprojectmd.org\/covid-19-vaccination-duchenne-how-the-new-adenovirus-based-vaccine-is-different\/\" target=\"_blank\" rel=\"noreferrer noopener\">COVID-19 A\u015f\u0131s\u0131 ve Duchenne<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maruz kalma riskini en aza indirmek i\u00e7in aile \u00fcyeleri ve bak\u0131c\u0131lar da a\u015f\u0131lanmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Aileler, tedavi zamanlamas\u0131 ve uygunluk ko\u015fullar\u0131n\u0131 n\u00f6rom\u00fcsk\u00fcler uzmanlar\u0131yla veya birinci basamak sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131yla g\u00f6r\u00fc\u015fmelidir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"other-recommended-vaccinations\">Di\u011fer \u00d6nerilen A\u015f\u0131lar<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisi olan bireyler i\u00e7in ciddi enfeksiyonlara kar\u015f\u0131 koruma sa\u011flad\u0131klar\u0131 i\u00e7in \u00e7e\u015fitli rutin a\u015f\u0131lar da \u00f6nerilmektedir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bunlar aras\u0131nda \u015funlar yer almaktad\u0131r:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tdap-vaccine\">Tdap A\u015f\u0131s\u0131 (yeti\u015fkinler i\u00e7in tetanoz, difteri, bo\u011fmaca a\u015f\u0131s\u0131)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eunlara kar\u015f\u0131 koruma sa\u011flar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tetanos<\/li>\n\n\n\n<li>Difteri<\/li>\n\n\n\n<li>Bo\u011fmaca (pertussis)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Tdap a\u015f\u0131s\u0131 takviyesinin 10 y\u0131lda bir yap\u0131lmas\u0131 \u00f6nerilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"hepatitis-b-vaccine\">Hepatit B A\u015f\u0131s\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hepatit B vir\u00fcs\u00fcn\u00fcn neden oldu\u011fu karaci\u011fer enfeksiyonuna kar\u015f\u0131 koruma sa\u011flar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u015f\u0131 genellikle \u00e7ocukluk d\u00f6neminde yap\u0131l\u0131r, ancak daha \u00f6nce a\u015f\u0131lanmam\u0131\u015f yeti\u015fkinler i\u00e7in de \u00f6nerilebilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"inactivated-polio-vaccine\">\u0130naktif Polio A\u015f\u0131s\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ocuk felci a\u015f\u0131s\u0131, \u00e7ocuk felci vir\u00fcs\u00fc enfeksiyonuna kar\u015f\u0131 \u00f6m\u00fcr boyu koruma sa\u011flamak i\u00e7in \u00f6nemlidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"meningococcal-vaccine\">Meningokok A\u015f\u0131s\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Meningite ve kan dola\u015f\u0131m\u0131 enfeksiyonlar\u0131na neden olabilen menenkok bakterilerine kar\u015f\u0131 koruma sa\u011flar.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"hpv-vaccine\">HPV A\u015f\u0131s\u0131<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130nsan papillomavir\u00fcs\u00fc a\u015f\u0131s\u0131, HPV enfeksiyonuyla ili\u015fkili kanserlerin \u00f6nlenmesine yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Genellikle ergenler ve gen\u00e7 yeti\u015fkinler i\u00e7in \u00f6nerilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"vaccination-schedule-for-duchenne-muscular-dystrophy\">Duchenne Kas Distrofisi A\u015f\u0131 Takvimi<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi i\u00e7in a\u015f\u0131lama takvimi, genel olarak genel n\u00fcfus i\u00e7in \u00f6nerilen rutin a\u015f\u0131lama takvimini takip eder; ancak canl\u0131 a\u015f\u0131lar ve steroid tedavisi ile ilgili \u00f6zel hususlar dikkate al\u0131nmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ba\u015fl\u0131ca \u00f6neriler \u015funlard\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u00fcmk\u00fcnse uzun s\u00fcreli kortikosteroid tedavisine ba\u015flamadan \u00f6nce \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131n\u0131 tamamlamak.<\/li>\n\n\n\n<li><strong>Y\u0131ll\u0131k grip a\u015f\u0131s\u0131 yapt\u0131rmak<\/strong><\/li>\n\n\n\n<li>Pn\u00f6mokok a\u015f\u0131s\u0131 konusunda g\u00fcncel kalmak<\/li>\n\n\n\n<li><strong>COVID-19 a\u015f\u0131s\u0131 ve takviye dozlar\u0131n\u0131 almak<\/strong><\/li>\n\n\n\n<li>Yeti\u015fkinlik boyunca d\u00fczenli a\u015f\u0131lama programlar\u0131na devam etmek.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Hastalar\u0131n n\u00f6rom\u00fcsk\u00fcler muayenelerine gelirken a\u015f\u0131 kay\u0131tlar\u0131n\u0131 yanlar\u0131nda getirmeleri gerekmektedir, b\u00f6ylece doktorlar \u00f6nerilen t\u00fcm a\u015f\u0131lar\u0131n g\u00fcncel oldu\u011fundan emin olabilirler.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"practical-tips-for-families\">Aileler \u0130\u00e7in Pratik \u0130pu\u00e7lar\u0131<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi olan bir \u00e7ocu\u011fa bakan aileler, a\u015fa\u011f\u0131daki stratejileri izleyerek korumay\u0131 art\u0131rabilirler:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A\u015f\u0131 kay\u0131tlar\u0131n\u0131z\u0131 eksiksiz tutun.<\/strong><\/li>\n\n\n\n<li>A\u015f\u0131 kay\u0131tlar\u0131n\u0131 t\u00fcm sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131yla payla\u015f\u0131n.<\/li>\n\n\n\n<li><strong>Aile \u00fcyelerinin ve bak\u0131c\u0131lar\u0131n a\u015f\u0131lar\u0131n\u0131n yap\u0131ld\u0131\u011f\u0131ndan emin olun.<\/strong><\/li>\n\n\n\n<li>Canl\u0131 a\u015f\u0131 yapt\u0131rmadan \u00f6nce n\u00f6rom\u00fcsk\u00fcler hastal\u0131klar konusunda uzmanlara dan\u0131\u015f\u0131n.<\/li>\n\n\n\n<li><strong>G\u00fcncel a\u015f\u0131 y\u00f6nergeleri hakk\u0131nda bilgi sahibi olun.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisinde ciddi enfeksiyonlar\u0131 \u00f6nlemenin en etkili yollar\u0131ndan biri a\u015f\u0131lamad\u0131r.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"frequently-asked-questions-faq\">S\u0131k\u00e7a Sorulan Sorular (SSS)<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1773667195434\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne hastalar\u0131na rutin \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131 yap\u0131lmal\u0131 m\u0131?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Evet. Duchenne kas distrofisi olan bireyler i\u00e7in rutin \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131n\u0131n \u00e7o\u011fu \u00f6nerilmektedir. <strong>\u0130naktif a\u015f\u0131lar, kortikosteroid kullan\u0131rken bile g\u00fcvenlidir.<\/strong><\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773667203502\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Canl\u0131 a\u015f\u0131lar Duchenne hastalar\u0131 i\u00e7in g\u00fcvenli midir?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Canl\u0131 a\u015f\u0131lar baz\u0131 Duchenne hastalar\u0131 i\u00e7in g\u00fcvenli olabilir, ancak steroid dozu ve ba\u011f\u0131\u015f\u0131kl\u0131k durumu dikkate al\u0131narak de\u011ferlendirme gerektirir. <strong>Hekimler canl\u0131 a\u015f\u0131lar\u0131n uygulanmas\u0131ndan ka\u00e7\u0131nmay\u0131 veya a\u015f\u0131y\u0131 ertelemeyi \u00f6nerebilirler.<\/strong><\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773667210831\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Grip a\u015f\u0131s\u0131 Duchenne hastalar\u0131 i\u00e7in neden bu kadar \u00f6nemli?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Grip enfeksiyonu, Duchenne kas distrofisi olan ki\u015filerde solunum kaslar\u0131n\u0131n zay\u0131flamas\u0131 nedeniyle ciddi solunum komplikasyonlar\u0131na yol a\u00e7abilir. <strong>Y\u0131ll\u0131k a\u015f\u0131lama riski \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r.<\/strong><\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773667216144\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Duchenne kas distrofisi hastalar\u0131 COVID-19 a\u015f\u0131s\u0131 olabilir mi?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p><strong>Evet.<\/strong> Duchenne kas distrofisi hastalar\u0131n\u0131n solunum yolu enfeksiyonlar\u0131ndan kaynaklanan ciddi komplikasyon riskinin y\u00fcksek olmas\u0131 nedeniyle COVID-19 a\u015f\u0131s\u0131 \u015fiddetle tavsiye edilmektedir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773667224290\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Aile \u00fcyeleri a\u015f\u0131lanmal\u0131 m\u0131?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p><strong>Evet.<\/strong> Ev halk\u0131n\u0131n a\u015f\u0131lanmas\u0131, Duchenne hastas\u0131n\u0131 bula\u015f\u0131c\u0131 hastal\u0131klara maruz kalmaktan korumaya yard\u0131mc\u0131 olur.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"final-thoughts\">Son D\u00fc\u015f\u00fcnceler<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Duchenne kas distrofisi hastalar\u0131nda a\u015f\u0131lar hakk\u0131nda bilgi sahibi olmak, uzun vadeli sa\u011fl\u0131\u011f\u0131 korumak i\u00e7in \u00e7ok \u00f6nemlidir. \u00d6nlenmesi m\u00fcmk\u00fcn olan enfeksiyonlar, solunum kaslar\u0131 zay\u0131flam\u0131\u015f ki\u015filer i\u00e7in tehlikeli hale gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Duchenne kas distrofisi i\u00e7in \u00f6nerilen a\u015f\u0131lar\u0131 yapt\u0131rmak, ciddi komplikasyon ve hastaneye yat\u0131\u015f riskini azaltmaya yard\u0131mc\u0131 olur.<\/strong> Aileler s\u0131kl\u0131kla, \u00f6zellikle steroid tedavisi s\u00f6z konusu oldu\u011funda, Duchenne hastalar\u0131na hangi a\u015f\u0131lar\u0131n yap\u0131lmas\u0131 gerekti\u011fini soruyorlar. \u00c7o\u011fu rutin a\u015f\u0131 g\u00fcvenlidir ve \u015fiddetle tavsiye edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Y\u0131ll\u0131k grip ve pn\u00f6mokok a\u015f\u0131lar\u0131 \u00f6zellikle \u00f6nemlidir. COVID-19 a\u015f\u0131s\u0131 da hayati \u00f6neme sahip koruma sa\u011flar. <strong>Canl\u0131 a\u015f\u0131 yapt\u0131rmadan \u00f6nce mutlaka n\u00f6rom\u00fcsk\u00fcler hastal\u0131klar konusunda uzman bir hekime dan\u0131\u015f\u0131n.<\/strong> A\u015f\u0131 kay\u0131tlar\u0131n\u0131n g\u00fcncel tutulmas\u0131, koordineli bak\u0131m\u0131 destekler. Do\u011fru y\u00f6nlendirme ile a\u015f\u0131lama, Duchenne kas distrofisi olan ki\u015fileri korumada g\u00fc\u00e7l\u00fc bir ara\u00e7 olmaya devam etmektedir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sources-and-scientific-references\">Kaynaklar ve Bilimsel Referanslar<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri (CDC). A\u015f\u0131lama K\u0131lavuzlar\u0131.<\/li>\n\n\n\n<li>Amerikan Pediatri Akademisi (AAP). A\u015f\u0131 Takvimi.<\/li>\n\n\n\n<li>Birnkrant DJ ve di\u011ferleri. <strong>Duchenne kas distrofisinin te\u015fhisi ve tedavisi.<\/strong> <em>Lancet N\u00f6roloji<\/em>. 2018.<\/li>\n\n\n\n<li>Bushby K ve di\u011ferleri. <strong>DMD bak\u0131m\u0131yla ilgili hususlar.<\/strong> <em>Lancet N\u00f6roloji<\/em>. 2010.<\/li>\n\n\n\n<li>Kas Distrofisi Derne\u011fi (MDA). N\u00f6rom\u00fcsk\u00fcler bozukluklar i\u00e7in a\u015f\u0131lama \u00f6nerileri.<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Vaccinations in Duchenne muscular dystrophy (DMD) play a crucial role in protecting patients from preventable infections that can lead to severe complications. Duchenne muscular dystrophy is a progressive genetic disorder characterized by muscle degeneration affecting skeletal, respiratory, and cardiac muscles. Because respiratory muscles gradually weaken in DMD, infections such as influenza, pneumonia, and COVID-19 can [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6859,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[563],"tags":[549,548,379,545,551,546,550,547,543,544],"class_list":["post-6849","post","type-post","status-publish","format-standard","has-post-thumbnail","category-care-guidelines","tag-childhood-vaccination","tag-covid-19-vaccine","tag-dmd-care","tag-duchenne-vaccinations","tag-inactivated-vaccines","tag-influenza-vaccine","tag-live-vaccines","tag-pneumococcal-vaccine","tag-vaccinations","tag-vaccines"],"subtitle":"Duchenne kas distrofisi olan bireyler i\u00e7in enfeksiyonlar\u0131 \u00f6nlemek \u00e7ok \u00f6nemlidir. Duchenne kas distrofisinde a\u015f\u0131lar, hassas solunum ve kalp kaslar\u0131n\u0131 ciddi hastal\u0131klardan korumaya yard\u0131mc\u0131 olur. \u00d6nerilen a\u015f\u0131lar\u0131 anlamak, ailelerin bilin\u00e7li sa\u011fl\u0131k kararlar\u0131 almas\u0131na yard\u0131mc\u0131 olabilir.","_links":{"self":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts\/6849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/comments?post=6849"}],"version-history":[{"count":0,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/posts\/6849\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/media\/6859"}],"wp:attachment":[{"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/media?parent=6849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/categories?post=6849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dmdwarrior.com\/tr\/wp-json\/wp\/v2\/tags?post=6849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}