{"id":1648,"date":"2020-05-01T16:03:59","date_gmt":"2020-05-01T13:03:59","guid":{"rendered":"https:\/\/marx-21.net\/?p=1648"},"modified":"2020-05-01T16:03:59","modified_gmt":"2020-05-01T13:03:59","slug":"her-sey-degisecek","status":"publish","type":"post","link":"https:\/\/marx-21.net\/?p=1648","title":{"rendered":"Her \u015fey de\u011fi\u015fecek"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"567\" src=\"https:\/\/marx-21.net\/wp-content\/uploads\/2020\/05\/italya_2020-05-01_15-57-35-1024x567.png\" alt=\"\" class=\"wp-image-1649\" srcset=\"https:\/\/marx-21.net\/wp-content\/uploads\/2020\/05\/italya_2020-05-01_15-57-35-1024x567.png 1024w, https:\/\/marx-21.net\/wp-content\/uploads\/2020\/05\/italya_2020-05-01_15-57-35-300x166.png 300w, https:\/\/marx-21.net\/wp-content\/uploads\/2020\/05\/italya_2020-05-01_15-57-35-768x425.png 768w, https:\/\/marx-21.net\/wp-content\/uploads\/2020\/05\/italya_2020-05-01_15-57-35.png 1231w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><em>Britanya&#8217;da yay\u0131mlanan Socialist Review dergisinin koronavir\u00fcs salg\u0131n\u0131 s\u0131ras\u0131nda \u0130talya\u2019da bulunan Sicilyal\u0131 doktor Giovanna Moretti ile yapt\u0131\u011f\u0131 r\u00f6portaj.<\/em><\/p>\n\n\n\n<p><strong>\u0130talya\u2019y\u0131 bir aydan daha uzun s\u00fcredir sarsan bu trajedi hakk\u0131nda neler s\u00f6yleyebilirsiniz?<\/strong><\/p>\n\n\n\n<p>Bu r\u00f6portaj\u0131 yapt\u0131\u011f\u0131m\u0131z s\u0131rada Kuzey \u0130talya\u2019daki Lombardy\u2019de yakla\u015f\u0131k 35 bin pozitif vaka var; Bergamo \u015fehri an k\u00f6t\u00fc durumda olan yer. Fakat vir\u00fcs Liguria ve Emilia Romagna\u2019ya da yay\u0131ld\u0131.<\/p>\n\n\n\n<p>\u0130talya\u2019da vir\u00fcs\u00fcn en fazla bula\u015ft\u0131\u011f\u0131 yer olan Bergamo\u2019da tabutlar askeri kamyonlarla ta\u015f\u0131n\u0131yor. Y\u00fcrek da\u011flay\u0131c\u0131 g\u00f6r\u00fcnt\u00fcler var. Bazen hastalar aile \u00fcyeleriyle videolu g\u00f6r\u00fc\u015fme yapsalar da yaln\u0131z \u00f6l\u00fcyorlar.<\/p>\n\n\n\n<p>Yakla\u015f\u0131k 4 bin ki\u015fi \u00f6ld\u00fc ve maalesef \u00f6l\u00fcmlerin pik noktas\u0131na daha ula\u015fmad\u0131k, \u00e7\u00fcnk\u00fc hastal\u0131\u011f\u0131n bula\u015fma d\u00fczeyinin de pik noktas\u0131na ula\u015f\u0131lm\u0131\u015f de\u011fil. \u015eu anda elimizde olan veriler birbiriyle uyu\u015fmuyor; veriler homojen olmad\u0131\u011f\u0131 gibi herkese test de uygulanm\u0131yor.<\/p>\n\n\n\n<p>E\u011fer bu dalga dinmezse sa\u011fl\u0131k sistemi (benzerinin ancak do\u011fal bir felakette g\u00f6rebilece\u011fimiz) bir \u00e7\u00f6k\u00fc\u015fe do\u011fru ilerleyebilir.<\/p>\n\n\n\n<p>\u0130talya\u2019daki en iyi sa\u011fl\u0131k sistemlerinden birine sahip olan Lombardy\u2019deki yo\u011fun bak\u0131ma ihtiya\u00e7 duyanlar\u0131n y\u00fcksek say\u0131lar\u0131na bak\u0131nca oradaki sistemin \u00e7\u00f6kmeye ba\u015flad\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcyoruz. Bunun nedeni pek \u00e7ok ciddi vakan\u0131n ayn\u0131 anda hastanelere yatm\u0131\u015f olmas\u0131d\u0131r.<\/p>\n\n\n\n<p>Bunun ya\u015fanmas\u0131n\u0131n farkl\u0131 farkl\u0131 nedenleri var. \u015eubat boyunca ve Mart\u2019\u0131n ilk g\u00fcnlerinde vir\u00fcs\u00fcn yay\u0131lmas\u0131na izin verildi. O g\u00fcnlerde insanlar normal ya\u015famlar\u0131na devam ettiler; i\u015fe ve okula gittiler, al\u0131\u015f-veri\u015f yapt\u0131lar, toplu ta\u015f\u0131ma ara\u00e7lar\u0131n\u0131 kulland\u0131lar vs.<\/p>\n\n\n\n<p>Genellikle hafif bir enfeksiyona veya ate\u015f, \u00f6ks\u00fcr\u00fck ve bo\u011faz a\u011fr\u0131s\u0131 gibi \u00f6zg\u00fcn olmayan semptomlara yol a\u00e7an vir\u00fcs, hi\u00e7bir semptom ya da en fazla hafif semptomlar g\u00f6steren ki\u015filer (\u00f6rne\u011fin \u00e7ocuklar) taraf\u0131ndan b\u00fcy\u00fck bir h\u0131zla yay\u0131ld\u0131. Ayr\u0131ca vir\u00fcs\u00fc kapan ki\u015filerin aile hekimlerine veya acil servislere gitmesi de bunda etkili oldu.<\/p>\n\n\n\n<p>Sosyal mesafe tedbirleri ba\u015flang\u0131\u00e7ta \u201cgev\u015fek\u00e7e\u201d uyguland\u0131; sonras\u0131nda ciddile\u015ftirildi.<\/p>\n\n\n\n<p>Covid-19 daha \u00f6nce bilinmiyordu, fakat art\u0131k onun kulu\u00e7ka d\u00f6neminin birka\u00e7 g\u00fcn ile iki hafta aras\u0131nda oldu\u011funu biliyoruz. Ancak \u00c7in\u2019de yap\u0131lan baz\u0131 ara\u015ft\u0131rmalar bu s\u00fcrenin 21 g\u00fcne kadar uzad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Az say\u0131da ikili interstisyel pn\u00f6moni rahats\u0131zl\u0131\u011f\u0131na sahip hasta var; bunlar daha \u015fiddetli ate\u015f, nefes alma g\u00fc\u00e7l\u00fc\u011f\u00fc, \u00fc\u015f\u00fcme ve devaml\u0131 \u00f6ks\u00fcr\u00fck gibi semptomlar g\u00f6steriyor. Bunlar\u0131n tedavi alt\u0131na al\u0131nmas\u0131 ve ilerlemi\u015f vakalar\u0131n solunum cihazlar\u0131na ba\u011flanmas\u0131 \u015fart.<\/p>\n\n\n\n<p>Tedavi uzun s\u00fcr\u00fcyor. Bu hastal\u0131ktan dolay\u0131 yo\u011fun bak\u0131ma yatan hastalar\u0131n tedavisi, genel olarak normal zat\u00fcrre y\u00fcz\u00fcnden yatanlara g\u00f6re \u00fc\u00e7 kat uzun s\u00fcr\u00fcyor. Ciddi solunum g\u00fc\u00e7l\u00fc\u011f\u00fcne ve organ yetmezli\u011fine maruz kalan hastalar \u00f6l\u00fcyor.<\/p>\n\n\n\n<p>Durum o kadar vahim ki e \u00e7ok etkilenen b\u00f6lgelerde yo\u011fun bak\u0131ma yard\u0131m etmeleri i\u00e7in devlet emekli doktorlara, yeni mezunlara ve acil servis uzman\u0131 olmayanlara i\u015fba\u015f\u0131 yapt\u0131rd\u0131.<\/p>\n\n\n\n<p>B\u00fcy\u00fck \u015fehirlerde ciddi problemler ortaya \u00e7\u0131kabilir; e\u011fer vir\u00fcs Milan, Roma ve Napoli\u2019de yay\u0131l\u0131rsa neler olabilir?<\/p>\n\n\n\n<p>Ben hem bir anne hem de bir doktorum. Her ne kadar Covid-19\u2019la m\u00fccadelenin \u00f6n saflar\u0131nda olmasam da i\u015ften sonra eve geldi\u011fimde o\u011fluma uzaktan selam verip banyoya giriyor, 40 dakika du\u015fun alt\u0131nda kal\u0131yorum. Sonra o\u011flumun yan\u0131na gidiyorum.<\/p>\n\n\n\n<p>Sosyal ya\u015fam\u0131m\u0131z tamamen de\u011fi\u015fti. Aile \u00fcyelerimiz, dostlar\u0131m\u0131z ve kom\u015fular\u0131m\u0131zla g\u00f6r\u00fc\u015fm\u00fcyoruz. \u0130\u015fyerinde \u015fakala\u015fma yok; herkes endi\u015feli ve teyakkuz halinde. \u015eehirler bombo\u015f ve insan\u0131 sa\u011f\u0131r eden bir sessizlik h\u00fck\u00fcm s\u00fcr\u00fcyor.<\/p>\n\n\n\n<p>Al\u0131\u015f-veri\u015flerde kuyruklar olu\u015fuyor. Herkes birbirine ku\u015fkuyla bak\u0131yor ve uzaktan birka\u00e7 kelime (\u015fa\u015fk\u0131nl\u0131k dolu veya teskin etmeye d\u00f6n\u00fck) konu\u015fuluyor.<\/p>\n\n\n\n<p>Sicilya\u2019daki tedbirlerin i\u015fe yaray\u0131p yaramad\u0131\u011f\u0131n\u0131 bilmiyorum. Burada vaka say\u0131s\u0131 g\u00f6rece az: 55\u2019i yo\u011fun bak\u0131mda olmak \u00fczere toplam 275 ki\u015fi hastanede tedavi g\u00f6r\u00fcyor, 321 ki\u015fi izolasyonda, 26 ki\u015fi iyile\u015fti ve 8 ki\u015fi \u00f6ld\u00fc.<\/p>\n\n\n\n<p>Ancak Sicilya\u2019da Lombardy\u2019deki kadar iyi bir sa\u011fl\u0131k sistemi yok. Ana problem daha fazla yo\u011fun bak\u0131m yata\u011f\u0131na ihtiyac\u0131m\u0131z\u0131n olu\u015fu. Umar\u0131m bunlar\u0131 hi\u00e7 kullanmak zorunda kalmay\u0131z, ama ihtiya\u00e7 halinde haz\u0131r olmalar\u0131 gerek.<\/p>\n\n\n\n<p><strong>Neden \u0130talya\u2019da \u00e7ok fazla \u00f6l\u00fcm ger\u00e7ekle\u015fti?<\/strong><\/p>\n\n\n\n<p>Bunun nedeninin \u0130talyan n\u00fcfusunun g\u00f6receli ya\u015fl\u0131 olmas\u0131, iklim ko\u015fullar\u0131 ve Lombardy\u2019nin kirli havas\u0131 oldu\u011fu iddia ediliyor. Ancak bana g\u00f6re rakamlar ger\u00e7e\u011fi yans\u0131tm\u0131yor. T\u00fcm n\u00fcfus teste tabi tutulmad\u0131; sadece ciddi vakalar enfekte olmu\u015f kabul ediliyor.<\/p>\n\n\n\n<p>G. Kore ve \u00c7in\u2019de herkes test edildi; Almanya da bu yolda ilerliyor.<\/p>\n\n\n\n<p>Daha az \u00f6nemli olmamakla birlikte son olarak sa\u011fl\u0131k sistemi darmaduman edildi, son birka\u00e7 senedir ihtiya\u00e7 duydu\u011fu fonlar\u0131 alam\u0131yor.<\/p>\n\n\n\n<p><strong>Boris Johnson\u2019\u0131n koronavir\u00fcs kar\u015f\u0131s\u0131ndaki tutumu hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/strong><\/p>\n\n\n\n<p>\u201cS\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131\u201d laf\u0131n\u0131 duydu\u011fumda bunun standart bir \u0130ngiliz \u015fakas\u0131 oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcm. Fakat daha sonra bunun \u015faka olmad\u0131\u011f\u0131n\u0131 anlad\u0131m. \u0130nsanlar\u0131n \u201cnormal ya\u015fam\u201dlar\u0131na devam etmesi beni endi\u015felendiriyor.<\/p>\n\n\n\n<p>S\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 sadece a\u015f\u0131lar sayesinde geli\u015febilir; n\u00fcfusun b\u00fcy\u00fck bir k\u0131sm\u0131n\u0131n enfekte olmas\u0131n\u0131 bekleyerek de\u011fil. Bu i\u015fe yaramaz; \u00f6nde gelen imm\u00fcnologlar, enfeksiyon uzmanlar\u0131 ve epidemiyologlar bunu belirtiyor.<\/p>\n\n\n\n<p><strong>Trajedinin yan\u0131nda umut verici geli\u015fmeler de ya\u015fan\u0131yor mu?<\/strong><\/p>\n\n\n\n<p>S\u0131radan insanlar\u0131n g\u00f6sterdi\u011fi dayan\u0131\u015fma \u2013 umar\u0131m bu devam eder \u2013 ve Matteo Salvini ve onun tweetlerinin art\u0131k ortal\u0131kta g\u00f6r\u00fcnmemesi. Tek bir \u015fey kesin; kriz her \u015feyi de\u011fi\u015ftirdi.<\/p>\n\n\n\n<p>Her \u015fey farkl\u0131 olacak; umar\u0131m iyi y\u00f6nde olur bu de\u011fi\u015fim.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Britanya&#8217;da yay\u0131mlanan Socialist Review dergisinin koronavir\u00fcs salg\u0131n\u0131 s\u0131ras\u0131nda \u0130talya\u2019da bulunan Sicilyal\u0131 doktor Giovanna Moretti ile yapt\u0131\u011f\u0131 r\u00f6portaj. \u0130talya\u2019y\u0131 bir aydan daha uzun s\u00fcredir sarsan bu trajedi hakk\u0131nda neler s\u00f6yleyebilirsiniz? Bu [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1649,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[584,609,579],"class_list":["post-1648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-covid-19","tag-italya","tag-korona"],"_links":{"self":[{"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/posts\/1648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/marx-21.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1648"}],"version-history":[{"count":2,"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/posts\/1648\/revisions"}],"predecessor-version":[{"id":1651,"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/posts\/1648\/revisions\/1651"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/marx-21.net\/index.php?rest_route=\/wp\/v2\/media\/1649"}],"wp:attachment":[{"href":"https:\/\/marx-21.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/marx-21.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/marx-21.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}