{"id":149205,"date":"2024-01-06T00:34:01","date_gmt":"2024-01-05T21:34:01","guid":{"rendered":"https:\/\/epochtimestr.com\/?p=149205"},"modified":"2024-01-18T21:13:38","modified_gmt":"2024-01-18T18:13:38","slug":"itb-istanbulda-cok-ciddi-bir-yogun-bakim-krizi-yasaniyor","status":"publish","type":"post","link":"https:\/\/epochtimestr.com\/index.php\/itb-istanbulda-cok-ciddi-bir-yogun-bakim-krizi-yasaniyor","title":{"rendered":"\u0130TB: \u0130stanbul’da \u00c7ok Ciddi Bir Yo\u011fun Bak\u0131m Krizi Ya\u015fan\u0131yor!"},"content":{"rendered":"
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Foto\u011fraf:Pixabay- qimono<\/figcaption><\/figure><\/div>\n\n\n

\u0130stanbul Tabip Odas\u0131, Covid-19, influenza ve di\u011fer mevsimsel vir\u00fcsler nedeniyle vaka say\u0131lar\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 ve \u0130stanbul’daki bir\u00e7ok hastanede servislerin ve yo\u011fun bak\u0131mlar\u0131n doldu\u011funu bildirdi.<\/h2>\n\n\n\n

\u0130stanbul Tabip Odas\u0131 (\u0130TO), Ca\u011falo\u011flu\u2019nda Covid-19, influenza ve di\u011fer mevsimsel vir\u00fcsler nedeniyle hasta yo\u011funlu\u011funun ciddi \u015fekilde artt\u0131\u011f\u0131n\u0131 ve \u0130stanbul\u2019da bir\u00e7ok hastanede yo\u011fun bak\u0131m \u00fcnitelerinin doldu\u011funu bas\u0131n toplant\u0131s\u0131yla kamuoyu ile payla\u015ft\u0131. \u0130TO, yo\u011fun bak\u0131m yataklar\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 35\u2019inin \u00f6zel sekt\u00f6rde, y\u00fczde 15\u2019inin ise vak\u0131f \u00fcniversitelerinde olmas\u0131n\u0131n, yetersizli\u011fin nedenlerinden biri oldu\u011funa dikkat \u00e7ekti.<\/p>\n\n\n\n


Bas\u0131n toplant\u0131s\u0131nda konu\u015fan \u0130stanbul Tabip Odas\u0131 (\u0130TO) Y\u00f6netim Kurulu \u00dcyesi Dr. Esin Tuncay, acil servislerin son haftalardaki mevsimsel enfeksiyonlar ve Covid-19 nedeniyle t\u0131kand\u0131\u011f\u0131n\u0131, yo\u011fun bak\u0131mlarda ciddi bir kriz ya\u015fand\u0131\u011f\u0131n\u0131 belirtti. Toplant\u0131da, T\u00fcrk Yo\u011fun Bak\u0131m Derne\u011fi Federasyonu Ba\u015fkan\u0131 Prof. Dr. Tu\u011fhan Utku\u2019nun \u0130TO bas\u0131n birimine yapt\u0131\u011f\u0131 a\u00e7\u0131klamaya da yer verildi. Bas\u0131n a\u00e7\u0131klamas\u0131nda ;<\/p>\n\n\n\n

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“YATAKLAR DOLU, BEKLEYEN \u00c7OK SAYIDA HASTA VAR”<\/p>\n\n\n\n

”Son haftalarda \u00f6zellikle ciddi anlamda yo\u011fun bak\u0131m ba\u015fvurular\u0131nda art\u0131\u015f s\u00f6z konusu. T\u00fcrkiye\u2019de de ama a\u011f\u0131rl\u0131kl\u0131 olarak \u0130stanbul\u2019daki yo\u011fun bak\u0131mlarda g\u00f6revli arkada\u015flar\u0131m\u0131zla yapt\u0131\u011f\u0131m\u0131z g\u00f6r\u00fc\u015fmelerde hepsinin yataklar\u0131n\u0131n dolu oldu\u011funu ve ciddi bir bekleyen hasta say\u0131s\u0131 oldu\u011funu \u00f6\u011freniyoruz. Bunun a\u011f\u0131rl\u0131kl\u0131 olarak son birka\u00e7 haftada giderek artan farkl\u0131 kaynakl\u0131 viral enfeksiyonlardan oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz. Bu mevsimlerde talep art\u0131\u015f\u0131 hep s\u00f6z konusu olur ama bu seferki biraz fazla yo\u011fun oldu.<\/p>\n\n\n\n

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“YO\u011eUN BAKIM YATAKLARININ BE\u015eTE B\u0130R\u0130 \u0130STANBUL’DA”<\/p>\n\n\n\n

Covid-19 sonras\u0131 T\u00fcrkiye\u2019nin en gurur duydu\u011fu konulardan biri yo\u011fun bak\u0131m yatak performans\u0131yd\u0131. Ve ger\u00e7ekten say\u0131lara bak\u0131ld\u0131\u011f\u0131nda 100 bin ki\u015fi ba\u015f\u0131na 40 civar\u0131nda yatak d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc bakanl\u0131k kaynaklar\u0131ndan \u00f6\u011freniyoruz. Bu d\u00fcnyada \u015fu anda en y\u00fcksek say\u0131lardan biri. ABD veya Almanya\u2019daki 100 ki\u015fi ba\u015f\u0131nda d\u00fc\u015fen yatak say\u0131s\u0131n\u0131n \u00fczerinde bir say\u0131 bu. Bu tabi, \u0130stanbul gibi b\u00fcy\u00fck bir megapol a\u00e7\u0131s\u0131ndan de\u011ferlendirildi\u011fine; genel anlamda b\u00fct\u00fcn hastanelerin y\u00fczde 15 kadar\u0131n\u0131n \u0130stanbul\u2019da oldu\u011funu biliyoruz. T\u00fcrkiye \u00f6l\u00e7e\u011finde bak\u0131ld\u0131\u011f\u0131nda ve bu say\u0131n\u0131n yan\u0131 s\u0131ra hastane yatak say\u0131s\u0131na bak\u0131ld\u0131\u011f\u0131nda da yine y\u00fczde 18\u2019lik bir oran\u0131n \u0130stanbul\u2019da konu\u015fland\u0131\u011f\u0131n\u0131 biliyoruz. Yo\u011fun bak\u0131mlar i\u00e7in a\u00e7\u0131k\u00e7as\u0131 tam, keskin bir say\u0131 kaynaklarda bulam\u0131yor olsak da yine eri\u015fkin yo\u011fun bak\u0131m\u0131ndan bahsedersek, 32-36 bin oran\u0131nda de\u011fi\u015fen yatak say\u0131s\u0131 oldu\u011funu biliyoruz. Kabaca e\u011fer y\u00fczde 20\u2019si \u0130stanbul\u2019dad\u0131r sa\u011fl\u0131k hizmeti \u00fcreten hastane ve yatak say\u0131s\u0131 diye d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde yo\u011fun bak\u0131ma da bu oran yans\u0131t\u0131labilir. Yani neredeyse T\u00fcrkiye\u2019de var olan yo\u011fun bak\u0131m yataklar\u0131n\u0131n be\u015fte birinin a\u011f\u0131rl\u0131kl\u0131 olarak \u0130stanbul\u2019da oldu\u011funu s\u00f6yleyebiliriz.<\/p>\n\n\n\n

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Yine kabaca bir hesap yapma ihtiyac\u0131 duyarsak, yo\u011fun bak\u0131m say\u0131lar\u0131n\u0131n \u00f6nemli bir k\u0131sm\u0131n\u0131n, y\u00fczde 35\u2019lere varan k\u0131sm\u0131n\u0131n \u00f6zel sekt\u00f6rde, \u00f6zel sa\u011fl\u0131k hizmeti \u00fcreten hastanelerde, y\u00fczde 15\u2019i kadar\u0131n\u0131n – \u00e7ok yuvarlak say\u0131lar veriyorum- \u00fcniversite hastanelerinde, y\u00fczde 50\u2019yi a\u015fk\u0131n bir oran\u0131n da Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 hastanelerinde oldu\u011funu biliyoruz.<\/p>\n\n\n\n

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Foto\u011fraf: \u0130TB<\/figcaption><\/figure><\/div>\n\n\n

“YO\u011eUNLU\u011eUN B\u0130R NEDEN\u0130 DE ARA B\u0130R\u0130M YOKLU\u011eU”<\/p>\n\n\n\n

Yani say\u0131lar \u00e7ok yeterli gibi dururken da\u011f\u0131l\u0131mda farkl\u0131l\u0131klar oldu\u011funu g\u00f6zetmek m\u00fcmk\u00fcn. Bu kadar yata\u011fa ra\u011fmen niye hala yo\u011fun bir yo\u011fun bak\u0131m yatak talebi var? sorusu \u00f6nemli burada. Evet, mevsimsel bir fakt\u00f6r var. Bu her zaman oldu\u011fundan biraz fazla g\u00f6z\u00fck\u00fcyor olabilir. Genelde gelen geri bildirimler bu y\u00f6nde. \u0130kinci \u00f6nemli bir konu, yo\u011fun bak\u0131m yataklar\u0131nda yine kabaca s\u00f6yleyebilece\u011fim y\u00fczde 20\u2019lere varan asl\u0131nda yo\u011fun bak\u0131mda yatmayacak kadar k\u00f6t\u00fc olan veya iyi olan diyebiliriz bu gruba, a\u011f\u0131rl\u0131kl\u0131 grubu son d\u00f6nem kanser hastalar\u0131n\u0131n olu\u015fturdu\u011fu bir grup hastam\u0131z var.<\/p>\n\n\n\n

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Ka\u00e7\u0131n\u0131lmaz olarak say\u0131lar\u0131n bu kadar belirgin fark etmesindeki temel neden T\u00fcrkiye\u2019de yo\u011fun bak\u0131m yatak say\u0131s\u0131 \u00e7ok ciddi g\u00f6z\u00fck\u00fcyor olsa da bizim ara birimlerimiz yok. Stepdown gibi, ara basamak gibi, hospice gibi palyatif gibi vs. Belki T\u00fcrkiye\u2019de bu tip yataklar\u0131n olu\u015fturulmas\u0131, dolays\u0131yla akut bak\u0131m yapmak zorunda olan yo\u011fun bak\u0131mlar\u0131n kronikle\u015fen bu grup hastay\u0131 devretmesi gereken bir alan yaratmak \u00e7\u00f6z\u00fcm yollar\u0131ndan biri olabilir.<\/p>\n\n\n\n

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Yine \u00f6nemli bir konu, bu sahadan birka\u00e7 hastaneden duydu\u011fumuz teyide muhta\u00e7 bir bilgi; y\u00fczde 35\u2019e varan \u00f6zel hastanelerde yo\u011fun bak\u0131m kapasitesinden bahsettik bu kapasitenin de giderek azald\u0131\u011f\u0131n\u0131 duyuyoruz. Yani hastaneler yo\u011fun bak\u0131m yataklar\u0131n\u0131 art\u0131k daha etkin kullanmaya, say\u0131s\u0131n\u0131 azaltmaya gidiyor da olabilir. Bu da asl\u0131nda Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131n\u0131n bize nesnel olarak vermesi gereken say\u0131lar\u0131n ba\u015f\u0131nda geliyor.<\/p>\n\n\n\n

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Ge\u00e7en hafta i\u00e7inde \u0130stanbul\u2019daki t\u00fcm hastanelerin yo\u011fun bak\u0131mlar\u0131 denetlendi ve bununla ilgili bir \u00e7al\u0131\u015fma yapt\u0131 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 yetkilileri. Burada bildirilen yatak say\u0131s\u0131, hasta say\u0131s\u0131 hastalar\u0131n yo\u011fun bak\u0131m seviyesiyle uyumlulu\u011fu gibi konular irdelendi. Yak\u0131n zamanda resmi a\u00e7\u0131klama bu anlamda yap\u0131lacakt\u0131r. Ama ger\u00e7ekten irili ufakl\u0131 t\u00fcm hastanelerde yo\u011fun bak\u0131mlar\u0131nda, acil servislerinde ve yatakl\u0131 servislerinde ciddi talep art\u0131\u015f\u0131 ve s\u0131k\u0131\u015f\u0131kl\u0131k oldu\u011funu biz de g\u00f6zlemliyoruz ve duyuyoruz.”<\/p>\n\n\n\n

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Foto\u011fraf: \u0130TB<\/figcaption><\/figure><\/div>\n\n\n

\u0130STANBUL\u2019DA \u00c7OK C\u0130DD\u0130 B\u0130R YO\u011eUN BAKIM KR\u0130Z\u0130 YA\u015eANIYOR!
YANLI\u015e HALK SA\u011eLI\u011eI POL\u0130T\u0130KALARININ BEDEL\u0130 HALKIN SA\u011eLI\u011eIYLA \u00d6DEN\u0130YOR!<\/p>\n\n\n\n

Prof. Dr. Tu\u011fhan Utku\u2019nun a\u00e7\u0131klamas\u0131n\u0131n ard\u0131ndan \u0130TO Y\u00f6netim Kurulu \u00dcyesi Dr. Ay\u015fen Yavru taraf\u0131ndan bas\u0131n a\u00e7\u0131klamas\u0131 okundu. A\u00e7\u0131klamada \u015fu ifadeler yer ald\u0131:<\/p>\n\n\n\n

K\u0131\u015f mevsimiyle birlikte artan viral \/ bakteriyel enfeksiyonlara ba\u011fl\u0131 olgular sa\u011fl\u0131k sistemi ve yo\u011fun bak\u0131m \u00fcnitelerinde krize yol a\u00e7t\u0131.<\/p>\n\n\n\n

Prof. Dr. \u00d6zg\u00fcr Karc\u0131o\u011flu, acil servislerde g\u00f6rev yapan bir\u00e7ok meslekta\u015flar\u0131m\u0131zdan ald\u0131\u011f\u0131 bilgilerle ba\u015fvuran hasta say\u0131s\u0131nda Eyl\u00fcl-Kas\u0131m d\u00f6nemine g\u00f6re Aral\u0131k ay\u0131nda yakla\u015f\u0131k % 50 art\u0131\u015f oldu\u011fu do\u011frultusunda bilgi vermi\u015ftir. En dikkat \u00e7ekici art\u0131\u015f hi\u00e7bir aciliyeti olmayan ye\u015fil alan ba\u015fvurular\u0131nda g\u00f6r\u00fclmektedir.<\/p>\n\n\n\n

As\u0131l sorun ise acil, yatmas\u0131 gereken hastalara yatak ve \u00f6zellikle yo\u011fun bak\u0131m yata\u011f\u0131 bulman\u0131n son derece g\u00fc\u00e7 hatta olanaks\u0131z hale gelmi\u015f olmas\u0131d\u0131r.<\/p>\n\n\n\n

Alanda \u00e7al\u0131\u015fan hekimler taraf\u0131ndan acil servislerde muayene kuyruklar\u0131n\u0131n uzad\u0131\u011f\u0131, acil giri\u015fim gerektiren k\u0131rm\u0131z\u0131 alan hastalar\u0131 i\u00e7in sedye kalmad\u0131\u011f\u0131, baz\u0131 hastalar\u0131n yo\u011fun bak\u0131m yata\u011f\u0131 a\u00e7\u0131lmas\u0131 i\u00e7in g\u00fcnlerce sedye \u00fczerinde bekledi\u011fi \u00e7aresizlikle ifade edilmektedir.<\/p>\n\n\n\n

Mevsim gere\u011fi enfeksiyonlar\u0131n art\u0131\u015f\u0131 yan\u0131 s\u0131ra acil servislerdeki y\u0131\u011f\u0131lman\u0131n \u00f6nemli bir nedeni poliklinik randevusu bulamayan halk\u0131n acillere ak\u0131n etmesidir. Bu y\u0131\u011f\u0131lma beraberinde \u015fiddete de zemin haz\u0131rlamaktad\u0131r.<\/p>\n\n\n\n

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Foto\u011fraf: \u0130TB<\/figcaption><\/figure><\/div>\n\n\n

Salg\u0131nlar ve enfeksiyonlarla ilk m\u00fccadele yeri birinci basamak sa\u011fl\u0131k kurumlar\u0131d\u0131r. Birinci basama\u011f\u0131n hedeflenenin \u00fczerinde bir n\u00fcfusa hizmet vermek zorunda b\u0131rak\u0131lmas\u0131, b\u00f6lge tabanl\u0131 olmamas\u0131, sevk zincirinin olmay\u0131\u015f\u0131 ne kadar \u00f6zveriyle \u00e7al\u0131\u015f\u0131lsa da salg\u0131n d\u00f6nemlerinde buralar\u0131n etkin bir bi\u00e7imde kullan\u0131m\u0131na engel te\u015fkil etmektedir.<\/p>\n\n\n\n

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Sa\u011fl\u0131k hizmetlerindeki aksakl\u0131klar, pandemi zaman\u0131n\u0131 aratmayacak kadar dolan yo\u011fun bak\u0131mlar, yo\u011fun bak\u0131m yata\u011f\u0131 bekleyen hastalar, bu hastalar\u0131 tedavi etmek ve uygun merkez bulmak i\u00e7in \u00e7\u0131rp\u0131nan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ya\u015fad\u0131\u011f\u0131 g\u00fc\u00e7l\u00fcklerle kendini g\u00f6stermektedir.<\/p>\n\n\n\n

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\u0130stanbul\u2019da yo\u011fun bak\u0131m yatak say\u0131s\u0131 g\u00f6rece yeterli olsa da \u00f6zellikle Covid, \u0130nfluenza ve RSV enfeksiyonlar\u0131n\u0131n bir \u00f6nceki y\u0131l\u0131n ayn\u0131 d\u00f6nemine g\u00f6re iki kata yak\u0131n artm\u0131\u015f olmas\u0131, etkilenen ya\u015fl\u0131 n\u00fcfusun yo\u011fun bak\u0131ma gereksinim g\u00f6stermesi ile mevcut yo\u011fun bak\u0131m yatak say\u0131s\u0131 ihtiyac\u0131 kar\u015f\u0131lamakta yetersiz kalmaktad\u0131r.<\/p>\n\n\n\n

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Hastal\u0131klar\u0131n artmas\u0131 yan\u0131nda yo\u011fun bak\u0131m yataklar\u0131n\u0131n yanl\u0131\u015f kullan\u0131m\u0131 da bug\u00fcn ya\u015fanan durumu haz\u0131rlayan nedenlerdendir. Uzun y\u0131llard\u0131r, genel durumu bozuk a\u011f\u0131zdan beslenemeyen 80 ya\u015f \u00fcst\u00fc ve son d\u00f6nem kanser hastalar\u0131 yo\u011fun bak\u0131mlarda takip edilmek zorunda kal\u0131nmaktad\u0131r. Evde bak\u0131m, palyatif bak\u0131m, ara yo\u011fun bak\u0131m gibi kavramlar\u0131n geli\u015fmemi\u015f olmas\u0131, bu merkezlerin kurulmas\u0131 i\u00e7in yeterince kaynak ayr\u0131lmamas\u0131 yo\u011fun bak\u0131m yataklar\u0131n\u0131n verimli kullan\u0131m\u0131n\u0131 engellemektedir.<\/p>\n\n\n\n

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Foto\u011fraf: \u0130TB<\/figcaption><\/figure><\/div>\n\n\n

Sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm politikalar\u0131 ile do\u011frudan ili\u015fkili bir ba\u015fka \u00f6nemli etken \u00f6zel hastanelerin yo\u011fun bak\u0131m yataklar\u0131ndan maddi imk\u00e2n\u0131 olmayan hastalar\u0131n yararlanam\u0131yor olmas\u0131d\u0131r. \u00c7\u00fcnk\u00fc yo\u011fun bak\u0131m yataklar\u0131n\u0131n yakla\u015f\u0131k % 35\u2019i \u00f6zel sekt\u00f6rde, %15 kadar\u0131, b\u00fcy\u00fck k\u0131sm\u0131 zaten paral\u0131 vak\u0131f \u00fcniversiteleri olan \u00fcniversite hastanelerindedir. Toplam yo\u011fun bak\u0131m yata\u011f\u0131n\u0131n ancak %50 si kamu hastanelerinde bulunmaktad\u0131r. Bu tablo sa\u011fl\u0131\u011f\u0131n ticarile\u015fmesinin vahim sonu\u00e7lar\u0131n\u0131 yeterince a\u00e7\u0131kl\u0131kla ortaya koymaktad\u0131r.<\/p>\n\n\n\n

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Meslekta\u015flar\u0131m\u0131zdan ald\u0131\u011f\u0131m\u0131z yan\u0131tlar durumu a\u015fa\u011f\u0131daki bi\u00e7imde \u00f6zetlemektedir:<\/p>\n\n\n\n

\u2713 Yo\u011fun bak\u0131m yatak doluluk oran\u0131 % 100\u2019e yak\u0131n ve ya\u015f ortalamas\u0131 80\u2019dir,
\u00fc Yat\u0131\u015flar genel olarak pn\u00f6moni, viral-bakteriyel enfeksiyon olup, \u00e7o\u011funda b\u00f6brek yetmezli\u011fi e\u015flik etmektedir,
\u2713 Uzun y\u0131llard\u0131r genel durumu bozuk, a\u011f\u0131zdan g\u0131da alamayan, 80 ya\u015f \u00fcst\u00fc, bir k\u0131sm\u0131 evde bak\u0131m hastas\u0131, ya da son d\u00f6nem kanser hastalar\u0131n\u0131 yat\u0131rmak zorunda kal\u0131yoruz.<\/p>\n\n\n\n

Sonu\u00e7 olarak grip, Covid, RSV \u00fc\u00e7l\u00fc salg\u0131n\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc bu g\u00fcnlerde; sa\u011fl\u0131k kurulu\u015flar\u0131nda ve toplu ta\u015f\u0131mada maske kullan\u0131lmas\u0131, hastalar\u0131n izolasyonu, basamakl\u0131 sa\u011fl\u0131k hizmetinin tesis edilmesi ve yo\u011fun bak\u0131m yataklar\u0131n\u0131n yanl\u0131\u015f kullan\u0131m\u0131n\u0131n \u00f6nlenmesi i\u00e7in sa\u011fl\u0131k bakanl\u0131\u011f\u0131n\u0131 g\u00f6reve \u00e7a\u011f\u0131r\u0131yoruz.”<\/p>\n\n\n\n

https:\/\/x.com\/istabip\/status\/1743250496171774298?s=20<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\u0130stanbul Tabip Odas\u0131, Covid-19, influenza ve di\u011fer mevsimsel vir\u00fcsler nedeniyle vaka say\u0131lar\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 ve \u0130stanbul’daki bir\u00e7ok hastanede servislerin ve yo\u011fun bak\u0131mlar\u0131n doldu\u011funu bildirdi. \u0130stanbul Tabip Odas\u0131 (\u0130TO), Ca\u011falo\u011flu\u2019nda Covid-19, influenza ve di\u011fer mevsimsel vir\u00fcsler nedeniyle hasta yo\u011funlu\u011funun ciddi \u015fekilde artt\u0131\u011f\u0131n\u0131 ve \u0130stanbul\u2019da bir\u00e7ok hastanede yo\u011fun bak\u0131m \u00fcnitelerinin doldu\u011funu bas\u0131n toplant\u0131s\u0131yla kamuoyu ile payla\u015ft\u0131. \u0130TO, yo\u011fun […]<\/p>\n","protected":false},"author":12791,"featured_media":149206,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"\u0130stanbul'da yo\u011fun bak\u0131mkrizi ya\u015fan\u0131yor","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":"","_yoast_wpseo_focuskw_text_input":""},"categories":[1,8138,6909,37],"tags":[],"yoast_head":"\n\u0130TB: \u0130stanbul'da \u00c7ok Ciddi Bir Yo\u011fun Bak\u0131m Krizi Ya\u015fan\u0131yor! 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