{"id":4342,"date":"2026-10-22T16:15:06","date_gmt":"2026-10-22T13:15:06","guid":{"rendered":"https:\/\/www.sonerduzguner.com\/?p=4342"},"modified":"2026-10-22T16:15:06","modified_gmt":"2026-10-22T13:15:06","slug":"%d8%a8%d8%b1%d9%8a%d9%81%d9%8a%d9%86%d8%a7%d8%b1-20-%d9%84%d9%82%d8%a7%d8%ad-%d8%a7%d9%84%d9%85%d9%83%d9%88%d8%b1%d8%a7%d8%aa-%d8%a7%d9%84%d8%b1%d8%a6%d9%88%d9%8a%d8%a9","status":"publish","type":"post","link":"https:\/\/www.sonerduzguner.com\/ar\/%d8%a8%d8%b1%d9%8a%d9%81%d9%8a%d9%86%d8%a7%d8%b1-20-%d9%84%d9%82%d8%a7%d8%ad-%d8%a7%d9%84%d9%85%d9%83%d9%88%d8%b1%d8%a7%d8%aa-%d8%a7%d9%84%d8%b1%d8%a6%d9%88%d9%8a%d8%a9\/","title":{"rendered":"\u0644\u0642\u0627\u062d \u0628\u0631\u064a\u0641\u064a\u0646\u0627\u0631 20: \u0644\u0645\u0646 \u064a\u064f\u0639\u0637\u0649 \u0644\u0642\u0627\u062d \u0627\u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0631\u0626\u0648\u064a \u0648\u0643\u0645 \u0639\u062f\u062f \u062c\u0631\u0639\u0627\u062a\u0647\u061f"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div      class=\"vc_row wpb_row section vc_row-fluid \" style=' padding-bottom:40px; text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element \">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<style>.bxs-kb{font-size:16px;line-height:1.7;color:#4c4c4c}.bxs-kb h2{margin:44px 0 16px;font-size:26px;line-height:1.3;scroll-margin-top:110px}.bxs-kb .bxs-meta{font-size:14px;color:#6b7c78;margin:10px 0 0}.bxs-kb .bxs-lead{font-size:17px}.bxs-kb .bxs-box{background:#f3faf8;border:1px solid #d6ece6;border-radius:14px;padding:22px 26px;margin:24px 0}.bxs-kb .bxs-box h2{margin-top:0}.bxs-kb .bxs-facts{list-style:none;margin:0;padding:0}.bxs-kb .bxs-facts li{margin:0;padding:12px 0;border-bottom:1px solid #d6ece6}.bxs-kb .bxs-facts li:last-child{border-bottom:0;padding-bottom:0}.bxs-kb .bxs-facts strong{color:#1f6f5f;margin-inline-end:6px}.bxs-kb .bxs-toc{display:grid;grid-template-columns:repeat(auto-fill,minmax(300px,1fr));grid-auto-rows:1fr;gap:10px;margin:0;padding:0;list-style:none}.bxs-kb .bxs-toc li{margin:0;display:flex}.bxs-kb .bxs-toc a{flex:1;display:flex;gap:12px;align-items:center;padding:12px 16px;border:1px solid #e3e8e7;border-radius:10px;text-decoration:none;color:#3d4a47;background:#fff;line-height:1.4;transition:border-color .2s}.bxs-kb .bxs-toc a:hover{border-color:#1f6f5f}.bxs-kb .bxs-toc span{flex:0 0 48px;font-size:13px;font-weight:600;color:#1f6f5f;white-space:nowrap}.bxs-kb details{border:1px solid #e3e8e7;border-radius:12px;margin:0 0 10px;background:#fff}.bxs-kb details[open]{border-color:#bfe0d7}.bxs-kb summary{cursor:pointer;list-style:none;padding-block:14px;padding-inline:18px 46px;position:relative}.bxs-kb summary::-webkit-details-marker{display:none}.bxs-kb summary::after{content:\"+\";position:absolute;inset-inline-end:18px;top:50%;transform:translateY(-50%);font-size:22px;color:#1f6f5f;line-height:1}.bxs-kb details[open] summary::after{content:\"\\2212\"}.bxs-kb summary h3{display:inline;margin:0;font-size:17px;line-height:1.45;font-weight:600;color:#2f3b38}.bxs-kb .bxs-q-no{color:#1f6f5f;margin-inline-end:6px}.bxs-kb .bxs-a{padding:0 18px 14px}.bxs-kb .bxs-a p{margin:0 0 10px}.bxs-kb .bxs-ref{font-size:11px;color:#7d8c89;white-space:nowrap}.bxs-kb .bxs-cta{background:#eef8f4;border:1px solid #cfe9df;border-radius:14px;padding:26px 28px;margin:40px 0 24px}.bxs-kb .bxs-cta h2{color:#1f6f5f !important;margin-top:0}.bxs-kb .bxs-cta p{color:#3d4a47}.bxs-kb .bxs-cta a.bxs-btn{display:inline-block;background:#25d366;color:#fff !important;padding:12px 22px;border-radius:10px;text-decoration:none;font-weight:600;margin:6px 0 12px}.bxs-kb .bxs-src{font-size:14px}.bxs-kb .bxs-src ol{padding-inline-start:20px}.bxs-kb h2,.bxs-kb h3,.bxs-kb summary h3{letter-spacing:0 !important}html[dir=rtl] .bxs-kb,html[dir=rtl] .bxs-kb *{text-align:right}.container_inner.default_template_holder{padding-top:28px !important}@media (max-width:768px){.container_inner.default_template_holder{padding-top:8px !important}}.bxs-kb h3{margin:26px 0 10px;font-size:20px;line-height:1.4}.bxs-kb ul{margin:0 0 16px;padding-inline-start:22px}.bxs-kb ul li{margin:0 0 6px}<\/style>\n<div class=\"bxs-kb\">\n<p class=\"bxs-lead\">Prevenar 20, pn\u00f6mokok bakterisinin 20 farkl\u0131 tipine kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k olu\u015fturmak amac\u0131yla geli\u015ftirilen konjuge bir a\u015f\u0131d\u0131r. Halk aras\u0131nda \u201czat\u00fcrre a\u015f\u0131s\u0131\u201d olarak bilinse de pn\u00f6mokoklar\u0131n neden olabilece\u011fi ciddi enfeksiyonlar yaln\u0131zca akci\u011ferlerle s\u0131n\u0131rl\u0131 de\u011fildir. Bu yaz\u0131da a\u015f\u0131n\u0131n kapsam\u0131n\u0131, kimlerde de\u011ferlendirilmesi gerekti\u011fini ve \u00f6nceki a\u015f\u0131lar\u0131n uygulama plan\u0131n\u0131 nas\u0131l etkiledi\u011fini anlat\u0131yorum.<\/p>\n<p>\u201cHer y\u0131l grip a\u015f\u0131s\u0131 oluyorum; ayr\u0131ca zat\u00fcrre a\u015f\u0131s\u0131na ihtiyac\u0131m var m\u0131?\u201d sorusunun yan\u0131t\u0131, ki\u015finin ya\u015f\u0131 ve sa\u011fl\u0131k durumuyla birlikte de\u011ferlendirilir. Grip ve pn\u00f6mokok a\u015f\u0131lar\u0131 farkl\u0131 mikroplar\u0131 hedefler. Birinin yap\u0131lm\u0131\u015f olmas\u0131, di\u011ferine duyulan ihtiyac\u0131 ortadan kald\u0131rmaz.<\/p>\n<p class=\"bxs-meta\">Randevu ve bilgi WhatsApp <a href=\"https:\/\/wa.me\/905454405545\" target=\"_blank\" rel=\"noopener\">+90 545 440 55 45<\/a><\/p>\n<h2 id=\"bxs-pnomokok-nedir-hangi-hastaliklara-neden-olur\"><span class=\"ez-toc-section\" id=\"Pnomokok_nedir_hangi_hastaliklara_neden_olur\"><\/span>Pn\u00f6mokok nedir, hangi hastal\u0131klara neden olur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pn\u00f6mokok, bilimsel ad\u0131yla Streptococcus pneumoniae, farkl\u0131 organlarda enfeksiyona yol a\u00e7abilen bir bakteridir. Zat\u00fcrre d\u0131\u015f\u0131nda menenjit, kan dola\u015f\u0131m\u0131 enfeksiyonu ve orta kulak iltihab\u0131 gibi hastal\u0131klara da neden olabilir.<\/p>\n<p>Bakteri, solunum yolu salg\u0131lar\u0131yla yak\u0131n temas \u00fczerinden yay\u0131labilir. Enfeksiyonun seyri; ya\u015fa, ba\u011f\u0131\u015f\u0131kl\u0131k sistemine ve e\u015flik eden hastal\u0131klara g\u00f6re de\u011fi\u015fir. \u00d6zellikle risk grubundaki ki\u015filerde hastanede tedavi gerektiren a\u011f\u0131r tablolar geli\u015febilir.<\/p>\n<p>Pn\u00f6mokok enfeksiyonlar\u0131 antibiyotiklerle tedavi edilebilir; ancak baz\u0131 bakterilerin antibiyotiklere diren\u00e7li olmas\u0131 tedaviyi zorla\u015ft\u0131rabilir. Bu nedenle uygun ki\u015filerde hastal\u0131k geli\u015fmeden \u00f6nce korunma \u00f6nem ta\u015f\u0131r.&nbsp;<sup class=\"bxs-ref\">[1]<\/sup><\/p>\n<h2 id=\"bxs-prevenar-20-asisi-nedir\"><span class=\"ez-toc-section\" id=\"Prevenar_20_asisi_nedir\"><\/span>Prevenar 20 a\u015f\u0131s\u0131 nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prevenar 20\u2019nin ad\u0131ndaki say\u0131, a\u015f\u0131n\u0131n hedefledi\u011fi 20 farkl\u0131 pn\u00f6mokok serotipini ifade eder. Serotip, ayn\u0131 bakterinin farkl\u0131 kaps\u00fcl \u00f6zelliklerine sahip alt tiplerini tan\u0131mlar.<\/p>\n<p>A\u015f\u0131 canl\u0131 bakteri i\u00e7ermez. Bakterinin kaps\u00fcl\u00fcndeki \u015feker yap\u0131lar\u0131n\u0131n bir ta\u015f\u0131y\u0131c\u0131 proteine ba\u011fland\u0131\u011f\u0131 \u201ckonjuge\u201d teknolojiyle haz\u0131rlan\u0131r. Bu yap\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin hedefleri tan\u0131mas\u0131na yard\u0131mc\u0131 olur.<\/p>\n<p>A\u015f\u0131n\u0131n kapsam\u0131n\u0131n geni\u015f olmas\u0131 de\u011ferlidir; ancak \u201cb\u00fct\u00fcn zat\u00fcrreleri \u00f6nler\u201d anlam\u0131na gelmez. Zat\u00fcrreye farkl\u0131 bakteriler ve vir\u00fcsler de neden olabilir.&nbsp;<sup class=\"bxs-ref\">[2]<\/sup><\/p>\n<h2 id=\"bxs-prevenar-20-asisi-kimlere-onerilir\"><span class=\"ez-toc-section\" id=\"Prevenar_20_asisi_kimlere_onerilir\"><\/span>Prevenar 20 a\u015f\u0131s\u0131 kimlere \u00f6nerilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pn\u00f6mokok a\u015f\u0131s\u0131 de\u011ferlendirmesinde ileri ya\u015f \u00f6nemli bir etkendir. Bunun yan\u0131nda daha gen\u00e7 ya\u015flarda da baz\u0131 sa\u011fl\u0131k sorunlar\u0131 riski art\u0131rabilir.<\/p>\n<p>A\u015f\u0131 gereksiniminin \u00f6zellikle de\u011ferlendirilmesi gereken durumlar \u015funlard\u0131r:<\/p>\n<ul>\n<li>Kronik kalp veya akci\u011fer hastal\u0131\u011f\u0131<\/li>\n<li>Diyabet<\/li>\n<li>Kronik b\u00f6brek veya karaci\u011fer hastal\u0131\u011f\u0131<\/li>\n<li>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan hastal\u0131klar ve tedaviler<\/li>\n<li>Dala\u011f\u0131n al\u0131nm\u0131\u015f olmas\u0131 veya yeterli \u00e7al\u0131\u015fmamas\u0131<\/li>\n<li>Beyin-omurilik s\u0131v\u0131s\u0131 ka\u00e7a\u011f\u0131 ya da koklear implant<\/li>\n<li>Sigara kullan\u0131m\u0131<\/li>\n<\/ul>\n<p>Bu liste, herkes i\u00e7in ayn\u0131 doz \u015femas\u0131n\u0131n uygulanaca\u011f\u0131 anlam\u0131na gelmez. A\u015f\u0131 se\u00e7imi ve zamanlamas\u0131 \u00f6nceki dozlarla birlikte de\u011ferlendirilir.&nbsp;<sup class=\"bxs-ref\">[3]<\/sup><\/p>\n<h2 id=\"bxs-zaturre-asisi-yalnizca-65-yasindan-sonra-mi-yapilir\"><span class=\"ez-toc-section\" id=\"Zaturre_asisi_yalnizca_65_yasindan_sonra_mi_yapilir\"><\/span>Zat\u00fcrre a\u015f\u0131s\u0131 yaln\u0131zca 65 ya\u015f\u0131ndan sonra m\u0131 yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hay\u0131r. Pn\u00f6mokok a\u015f\u0131s\u0131n\u0131 yaln\u0131zca 65 ya\u015f \u00fczeriyle ili\u015fkilendirmek, daha gen\u00e7 risk gruplar\u0131n\u0131n g\u00f6zden ka\u00e7mas\u0131na neden olabilir.<\/p>\n<p>G\u00fcncel CDC \u00f6nerileri, daha \u00f6nce konjuge pn\u00f6mokok a\u015f\u0131s\u0131 yap\u0131lmam\u0131\u015f veya ge\u00e7mi\u015fi bilinmeyen 50 ya\u015f ve \u00fczerindeki yeti\u015fkinleri de kapsar. Bunun ABD\u2019ye ait bir \u00f6neri oldu\u011fu unutulmamal\u0131d\u0131r. T\u00fcrkiye\u2019de uygulama karar\u0131, yerel rehberler ve kullan\u0131lan \u00fcr\u00fcn\u00fcn g\u00fcncel ruhsat bilgisi do\u011frultusunda verilmelidir.&nbsp;<sup class=\"bxs-ref\">[4]<\/sup><\/p>\n<h2 id=\"bxs-prevenar-20-asisi-kac-doz-uygulanir\"><span class=\"ez-toc-section\" id=\"Prevenar_20_asisi_kac_doz_uygulanir\"><\/span>Prevenar 20 a\u015f\u0131s\u0131 ka\u00e7 doz uygulan\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Yeti\u015fkinlerde Prevenar 20 genellikle kas i\u00e7ine tek doz uygulan\u0131r. \u00c7ocuklarda ise doz say\u0131s\u0131 ya\u015fa ve \u00f6nceki pn\u00f6mokok a\u015f\u0131lar\u0131na g\u00f6re de\u011fi\u015fir.<\/p>\n<p>Avrupa \u00fcr\u00fcn bilgisinde erken bebeklik d\u00f6neminde ba\u015flanan rutin seri d\u00f6rt dozdan olu\u015fur. Daha b\u00fcy\u00fck \u00e7ocuklarda eksik a\u015f\u0131lar\u0131n tamamlanmas\u0131 farkl\u0131 \u015fekilde planlanabilir. Bu nedenle yeti\u015fkinler i\u00e7in kullan\u0131lan \u201ctek doz\u201d bilgisi b\u00fct\u00fcn ya\u015f gruplar\u0131na genellenmemelidir.&nbsp;<sup class=\"bxs-ref\">[5]<\/sup><\/p>\n<h2 id=\"bxs-daha-once-zaturre-asisi-olanlar-prevenar-20-yaptirabilir-mi\"><span class=\"ez-toc-section\" id=\"Daha_once_zaturre_asisi_olanlar_Prevenar_20_yaptirabilir_mi\"><\/span>Daha \u00f6nce zat\u00fcrre a\u015f\u0131s\u0131 olanlar Prevenar 20 yapt\u0131rabilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Baz\u0131 ki\u015filerde \u00f6nceki pn\u00f6mokok a\u015f\u0131lar\u0131ndan sonra Prevenar 20 d\u00fc\u015f\u00fcn\u00fclebilir. Ancak karar i\u00e7in eski a\u015f\u0131n\u0131n ad\u0131n\u0131 ve uygulama tarihini bilmek gerekir.<\/p>\n<p>\u201cBirka\u00e7 y\u0131l \u00f6nce zat\u00fcrre a\u015f\u0131s\u0131 oldum\u201d bilgisi tek ba\u015f\u0131na yeterli de\u011fildir. Prevenar 13, di\u011fer konjuge a\u015f\u0131lar ve PPSV23 farkl\u0131 a\u015f\u0131lard\u0131r; sonraki dozun gereklili\u011fi ve bekleme s\u00fcresi ayn\u0131 olmayabilir.<\/p>\n<p>PCV20 sonras\u0131nda standart yeti\u015fkin \u015femalar\u0131nda genellikle ayr\u0131ca PPSV23 gerekmez. K\u00f6k h\u00fccre nakli gibi \u00f6zel durumlarda ise ayr\u0131 protokoller s\u00f6z konusu olabilir.&nbsp;<sup class=\"bxs-ref\">[4]<\/sup><\/p>\n<h2 id=\"bxs-prevenar-20-asisinin-koruyuculugu-nasil-degerlendirilir\"><span class=\"ez-toc-section\" id=\"Prevenar_20_asisinin_koruyuculugu_nasil_degerlendirilir\"><\/span>Prevenar 20 a\u015f\u0131s\u0131n\u0131n koruyuculu\u011fu nas\u0131l de\u011ferlendirilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prevenar 20 \u00e7al\u0131\u015fmalar\u0131, a\u015f\u0131n\u0131n hedefledi\u011fi serotiplere kar\u015f\u0131 olu\u015fturdu\u011fu ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131n\u0131 de\u011ferlendirmi\u015ftir. Bu veriler, a\u015f\u0131n\u0131n ruhsatland\u0131r\u0131lmas\u0131n\u0131n temelini olu\u015fturur.<\/p>\n<p>Ancak herkese uygulanabilecek tek bir \u201czat\u00fcrreden korunma y\u00fczdesi\u201d vermek do\u011fru olmaz. Koruma, hastal\u0131\u011fa neden olan serotipe ve ki\u015finin \u00f6zelliklerine g\u00f6re de\u011fi\u015febilir. A\u015f\u0131 hakk\u0131nda do\u011fru beklenti, kapsad\u0131\u011f\u0131 pn\u00f6mokok tiplerine ba\u011fl\u0131 hastal\u0131k riskini azaltmas\u0131d\u0131r.&nbsp;<sup class=\"bxs-ref\">[2]<\/sup><\/p>\n<h2 id=\"bxs-prevenar-20-asisinin-yan-etkileri-nelerdir\"><span class=\"ez-toc-section\" id=\"Prevenar_20_asisinin_yan_etkileri_nelerdir\"><\/span>Prevenar 20 a\u015f\u0131s\u0131n\u0131n yan etkileri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En s\u0131k bildirilen yan etkiler enjeksiyon yerinde a\u011fr\u0131, kas a\u011fr\u0131s\u0131, yorgunluk ve ba\u015f a\u011fr\u0131s\u0131d\u0131r. \u00c7ocuklarda huzursuzluk, i\u015ftah azalmas\u0131 ve uyku d\u00fczeninde de\u011fi\u015fiklik de g\u00f6r\u00fclebilir.<\/p>\n<p>\u00d6nceki bir a\u015f\u0131 dozundan sonra ciddi alerjik reaksiyon ya\u015fanm\u0131\u015fsa bu bilgi uygulama \u00f6ncesinde mutlaka payla\u015f\u0131lmal\u0131d\u0131r. Yan etki olmamas\u0131 a\u015f\u0131n\u0131n etkisiz oldu\u011fu, belirgin yan etki olmas\u0131 da daha fazla koruma sa\u011flad\u0131\u011f\u0131 anlam\u0131na gelmez.&nbsp;<sup class=\"bxs-ref\">[5]<\/sup><\/p>\n<h2 id=\"bxs-prevenar-20-hakkinda-sik-sorulan-sorular\"><span class=\"ez-toc-section\" id=\"Prevenar_20_hakkinda_sik_sorulan_sorular\"><\/span>Prevenar 20 hakk\u0131nda s\u0131k sorulan sorular<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<details>\n<summary>\n<h3><span class=\"bxs-q-no\">1.<\/span>Prevenar 20 a\u015f\u0131s\u0131 her y\u0131l tekrarlan\u0131r m\u0131?<\/h3>\n<\/summary>\n<div class=\"bxs-a\">\n<p>Hay\u0131r. Grip a\u015f\u0131s\u0131 gibi y\u0131ll\u0131k uygulanmaz. Tekrar veya ek doz gereksinimi, ki\u015finin \u00f6zel durumu ve g\u00fcncel \u00f6neriler \u00fczerinden belirlenir.<\/p>\n<\/div>\n<\/details>\n<details>\n<summary>\n<h3><span class=\"bxs-q-no\">2.<\/span>Prevenar 20 b\u00fct\u00fcn zat\u00fcrre t\u00fcrlerinden korur mu?<\/h3>\n<\/summary>\n<div class=\"bxs-a\">\n<p>Hay\u0131r. A\u015f\u0131n\u0131n i\u00e7erdi\u011fi pn\u00f6mokok tiplerine kar\u015f\u0131 koruma hedeflenir. Di\u011fer mikroplar\u0131n neden oldu\u011fu zat\u00fcrreler yine geli\u015febilir.<\/p>\n<\/div>\n<\/details>\n<details>\n<summary>\n<h3><span class=\"bxs-q-no\">3.<\/span>Daha \u00f6nce zat\u00fcrre ge\u00e7irmek a\u015f\u0131 ihtiyac\u0131n\u0131 ortadan kald\u0131r\u0131r m\u0131?<\/h3>\n<\/summary>\n<div class=\"bxs-a\">\n<p>Hay\u0131r. Ge\u00e7irilmi\u015f zat\u00fcrrenin nedeni her zaman pn\u00f6mokok olmayabilir; pn\u00f6mokok hastal\u0131\u011f\u0131 da birden fazla kez ge\u00e7irilebilir. A\u015f\u0131 gereksinimi, ya\u015f ve risk durumuna g\u00f6re de\u011ferlendirilir.&nbsp;<sup class=\"bxs-ref\">[1]<\/sup><\/p>\n<\/div>\n<\/details>\n<div class=\"bxs-cta\">\n<h2 id=\"bxs-randevu-ve-bilgi\"><span class=\"ez-toc-section\" id=\"Istanbulda_Prevenar_20_asisi_degerlendirmesi\"><\/span>\u0130stanbul\u2019da Prevenar 20 a\u015f\u0131s\u0131 de\u011ferlendirmesi<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pn\u00f6mokok a\u015f\u0131s\u0131 planlan\u0131rken \u00f6nceki a\u015f\u0131 kay\u0131tlar\u0131n\u0131z, kronik hastal\u0131klar\u0131n\u0131z ve kulland\u0131\u011f\u0131n\u0131z ila\u00e7lar birlikte incelenmelidir. Bu bilgiler, uygun a\u015f\u0131y\u0131 do\u011fru zamanda uygulamak a\u00e7\u0131s\u0131ndan \u00f6nemlidir.<\/p>\n<p>A\u015f\u0131 se\u00e7eneklerini <a href=\"\/istanbul-asi-merkezi\/\">\u0130stanbul A\u015f\u0131 Merkezi sayfam\u0131zda<\/a> inceleyebilirsiniz. Kendiniz veya aileniz i\u00e7in pn\u00f6mokok a\u015f\u0131s\u0131 gereksinimini birlikte de\u011ferlendirelim.<\/p>\n<p><a class=\"bxs-btn\" href=\"https:\/\/wa.me\/905454405545\" target=\"_blank\" rel=\"noopener\">WhatsApp ile yaz\u0131n: +90 545 440 55 45<\/a><\/p>\n<p>Hafta i\u00e7i 08.00\u201317.00 \u2022 Cumartesi 09.00\u201314.00 \u2022 Pazar kapal\u0131<\/p>\n<p>Lotus Ni\u015fanta\u015f\u0131 Ofisleri, A giri\u015fi, 5. kat, No: 82 \u2022 Halaskargazi Cad. No: 38-66, \u015ei\u015fli, \u0130stanbul<\/p>\n<\/div>\n<div class=\"bxs-src\">\n<h2 id=\"bxs-kaynaklar\"><span class=\"ez-toc-section\" id=\"Kaynaklar\"><\/span>Kaynaklar<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bu yaz\u0131daki t\u0131bbi bilgiler a\u015fa\u011f\u0131daki kaynaklara dayan\u0131r. Ki\u015fisel a\u015f\u0131 plan\u0131 her zaman doktor de\u011ferlendirmesiyle belirlenir.<\/p>\n<ol>\n<li><a href=\"https:\/\/www.cdc.gov\/pneumococcal\/about\/index.html\" target=\"_blank\" rel=\"noopener nofollow\">CDC \u2014 Pn\u00f6mokok hastal\u0131klar\u0131<\/a><\/li>\n<li><a href=\"https:\/\/www.ema.europa.eu\/en\/medicines\/human\/EPAR\/prevenar-20\" target=\"_blank\" rel=\"noopener nofollow\">EMA \u2014 Prevenar 20<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/pneumococcal\/hcp\/vaccine-recommendations\/risk-indications.html\" target=\"_blank\" rel=\"noopener nofollow\">CDC \u2014 Risk durumlar\u0131na g\u00f6re pn\u00f6mokok a\u015f\u0131lamas\u0131<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/pneumococcal\/hcp\/vaccine-recommendations\/index.html\" target=\"_blank\" rel=\"noopener nofollow\">CDC \u2014 Pn\u00f6mokok a\u015f\u0131 \u00f6nerileri<\/a><\/li>\n<li><a href=\"https:\/\/www.ema.europa.eu\/en\/documents\/product-information\/prevenar-20-epar-product-information_en.pdf\" target=\"_blank\" rel=\"noopener nofollow\">EMA \u2014 Prevenar 20 \u00fcr\u00fcn bilgisi<\/a><\/li>\n<\/ol>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t<\/div><\/div><\/div><\/div><\/div><\/div><div      class=\"vc_row wpb_row section vc_row-fluid \" style=' text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"blog-detay wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><\/div><\/div><div      class=\"vc_row wpb_row section vc_row-fluid  sizi-arayalim vc_custom_1748634241618\" style=' text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div      class=\"vc_row wpb_row section vc_row-fluid vc_inner \" style=' text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1746548174605\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element \">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div style=\"color: #4c4c4c; font-size: 30px; line-height: 35px; font-style: normal; font-weight: bold; letter-spacing: -1px; text-transform: none;\"><span style=\"color: #ffffff;\">Sizi Arayal\u0131m<\/span><\/div>\n\n\t\t<\/div>\n\t<\/div><div class=\"vc_empty_space\"  style=\"height: 15px\" >\n\t<span class=\"vc_empty_space_inner\">\n\t\t<span class=\"empty_space_image\"  ><\/span>\n\t<\/span>\n<\/div>\n\t<div class=\"wpb_text_column wpb_content_element \">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"color: #ffffff;\">Dan\u0131\u015fmak istedi\u011finiz konularla ilgili h\u0131zl\u0131ca size ula\u015fal\u0131m.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div><div class=\"vc_empty_space\"  style=\"height: 15px\" >\n\t<span class=\"vc_empty_space_inner\">\n\t\t<span class=\"empty_space_image\"  ><\/span>\n\t<\/span>\n<\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1517-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1517\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ar\/wp-json\/wp\/v2\/posts\/4342#wpcf7-f1517-o1\" method=\"post\" class=\"wpcf7-form init cf7_custom_style_1\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1517\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1517-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"mobil-full-form\"  style=\"width:70%; margin-bottom:10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phonetext-184\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-phonetext wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-phonetext\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefon\" value=\"\" type=\"text\" name=\"phonetext-184\" \/><input type=\"hidden\" name=\"phonetext-184-country-code\" class=\"wpcf7-phonetext-country-code\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"mobil-full-form\"  style=\"width:27%; margin:0 auto;\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"G\u00f6nder\" \/>\n\t<\/p>\n<\/div>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"current-page-url\" value=\"\" type=\"hidden\" name=\"current-page-url\" \/><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div      class=\"vc_row wpb_row section vc_row-fluid  vc_custom_1747683896913\" style=' text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div      class=\"vc_row wpb_row section vc_row-fluid vc_inner  detay-info\" style=' text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-2\"><div class=\"vc_column-inner vc_custom_1746548174605\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_single_image wpb_content_element vc_align_left\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t\t<div class=\"vc_single_image-wrapper   vc_box_border_grey\"><img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.sonerduzguner.com\/wp-content\/uploads\/2025\/04\/blog-image-2.jpg\" class=\"vc_single_image-img attachment-thumbnail\" alt=\"\" title=\"blog-image-2\" srcset=\"https:\/\/www.sonerduzguner.com\/wp-content\/uploads\/2025\/04\/blog-image-2.jpg 150w, https:\/\/www.sonerduzguner.com\/wp-content\/uploads\/2025\/04\/blog-image-2-12x12.jpg 12w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/div>\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"  style=\"height: 15px\" >\n\t<span class=\"vc_empty_space_inner\">\n\t\t<span class=\"empty_space_image\"  ><\/span>\n\t<\/span>\n<\/div><span class='q_social_icon_holder normal_social' ><a itemprop='url' href='#' target='_self'><i class=\"qode_icon_font_awesome fa fa-facebook fa-lg simple_social\" style=\"\" ><\/i><\/a><\/span><span class='q_social_icon_holder normal_social' ><a itemprop='url' href='#' target='_self'><i class=\"qode_icon_font_awesome fa fa-instagram fa-lg simple_social\" style=\"\" ><\/i><\/a><\/span><span class='q_social_icon_holder normal_social' ><a itemprop='url' href='#' target='_self'><i class=\"qode_icon_font_awesome fa fa-twitter fa-lg simple_social\" style=\"\" ><\/i><\/a><\/span><span class='q_social_icon_holder normal_social' ><a itemprop='url' href='#' target='_self'><i class=\"qode_icon_font_awesome fa fa-youtube fa-lg simple_social\" style=\"\" ><\/i><\/a><\/span><\/div><\/div><\/div><div class=\"blog-detay-bg wpb_column vc_column_container vc_col-sm-10 vc_col-has-fill\"><div class=\"vc_column-inner vc_custom_1746549654715\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element \">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h4>Op. Dr. Soner D\u00dcZG\u00dcNER<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"wpb_text_column wpb_content_element  blog-detay-unvan\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131<\/p>\n\n\t\t<\/div>\n\t<\/div><div class=\"vc_empty_space\"  style=\"height: 5px\" >\n\t<span class=\"vc_empty_space_inner\">\n\t\t<span class=\"empty_space_image\"  ><\/span>\n\t<\/span>\n<\/div>\n\t<div class=\"wpb_text_column wpb_content_element  blog-detay-unvan-desc\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Op. Dr. Soner D\u00fczg\u00fcner: T\u00fcp bebek, kad\u0131n sa\u011fl\u0131\u011f\u0131, infertilite, jinekolojik cerrahi ve gebelik takibi gibi alanlarda tan\u0131, tedavi sunmaktad\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div><div class=\"vc_empty_space\"  style=\"height: 15px\" >\n\t<span class=\"vc_empty_space_inner\">\n\t\t<span class=\"empty_space_image\"  ><\/span>\n\t<\/span>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Prevenar 20, pn\u00f6mokok bakterisinin 20 farkl\u0131 tipine kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k olu\u015fturmak amac\u0131yla geli\u015ftirilen konjuge bir a\u015f\u0131d\u0131r. Halk aras\u0131nda \u201czat\u00fcrre a\u015f\u0131s\u0131\u201d olarak bilinse de pn\u00f6mokoklar\u0131n neden olabilece\u011fi ciddi enfeksiyonlar yaln\u0131zca akci\u011ferlerle s\u0131n\u0131rl\u0131 de\u011fildir. Bu yaz\u0131da a\u015f\u0131n\u0131n kapsam\u0131n\u0131, kimlerde de\u011ferlendirilmesi gerekti\u011fini ve \u00f6nceki a\u015f\u0131lar\u0131n uygulama plan\u0131n\u0131 nas\u0131l etkiledi\u011fini anlat\u0131yorum. \u201cHer y\u0131l grip a\u015f\u0131s\u0131 oluyorum; ayr\u0131ca zat\u00fcrre a\u015f\u0131s\u0131na ihtiyac\u0131m var m\u0131?\u201d sorusunun yan\u0131t\u0131, ki\u015finin ya\u015f\u0131 ve sa\u011fl\u0131k durumuyla birlikte de\u011ferlendirilir. Grip ve pn\u00f6mokok a\u015f\u0131lar\u0131 farkl\u0131 mikroplar\u0131 hedefler. Birinin yap\u0131lm\u0131\u015f olmas\u0131, di\u011ferine duyulan ihtiyac\u0131 ortadan kald\u0131rmaz. Randevu ve bilgi WhatsApp +90 545 440 55 45 Pn\u00f6mokok nedir, hangi hastal\u0131klara neden olur? Pn\u00f6mokok, bilimsel ad\u0131yla Streptococcus...","protected":false},"author":1,"featured_media":4357,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-4342","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-asilar"],"_links":{"self":[{"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/posts\/4342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/comments?post=4342"}],"version-history":[{"count":3,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/posts\/4342\/revisions"}],"predecessor-version":[{"id":4362,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/posts\/4342\/revisions\/4362"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/media\/4357"}],"wp:attachment":[{"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/media?parent=4342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/categories?post=4342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ar\/wp-json\/wp\/v2\/tags?post=4342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}