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Yeni tip koronavirüs (2019-nCoV / SARS-CoV-2) enfeksiyonu sonucu oluşan COVID-19 hastalığı, ek hastalığı olmayan çocuk ve gençlerin aksine yaşlılarda ve ek hastalığı olan kişilerde daha ağır seyirli ve semptomatik yaşanmaktadır. Ancak fetusa geçiş yolları, yenidoğanlarda ve bebeklerde virüsün klinik seyri, laboratuvar değişiklikleri ve prognozu hakkında kanıt düzeyi yüksek yeterli bilgiler henüz yoktur. Salgınlar gibi olağanüstü koşullarda sağlığın korunmasında anne sütü ile beslenmenin önemi büyüktür. Özellikle enfeksiyonlardan korunmada anne sütünün antimikrobiyal, antienflamatuar ve immünomodülatör olumlu yönleri önem arz etmektedir. Anne sütü içeriğinde bulunan özellikle laktoferrin, lizozim, salgısal IgA, vb. diğer ajanlar ile doğal immünite oluşmaktadır. Şu anki bilimsel veriler çerçevesinde annede COVID-19 kanıtlanmış ve şüpheli enfeksiyon varlığında anne sütünün verilmesinde kesin bir engel görünmemektedir. Tüm Dünya’da yaşanan COVID-19 salgını sürecinde bebek sağlığı açısından birçok yararlı ve olumlu etkileri olan anne sütü ile beslenmeye gerekli hijyen ve izolasyon kurallarına uyularak, aydınlatılmış onam ile birlikte ailenin de görüşünün sürece dahil edilerek devam edilmesi önem arz etmektedir.
The new type of coronavirus (2019-nCoV/SARS-CoV-2) infection resulting from the COVID-19 disease, unlike children and adolescents with no additional disease, is more severe and symptomatic in the elderly and in the people with an additional disease. However, there is no sufficient information on the high level of evidence of the pathways of transition to the fetus, the clinical course of the virus in newborns and babies, laboratory changes and prognosis. The importance of nutrition with breast milk in the preservation of health in exceptional circumstances such as swelling is great. In the protection against infections, the positive anti-microbial, anti-inflammatory and immunomodulator aspects of mother milk are especially important. The mother’s milk contains especially lactopherine, lizoside, secretive IgA, etc. Natural immune with other agents. According to current scientific data, COVID-19 is proven in the mother and there is no clear obstacle to giving mother milk in the presence of suspicious infection. In the process of the COVID-19 epidemic throughout the world, it is important to keep the rules of hygiene and isolation necessary to feed with breast milk, which has many beneficial and positive effects on the baby’s health, and to keep the family’s opinion included with the process.
COVID-19 disease caused by a novel type coronavirus (2019-nCoV / SARS-CoV-2) infection is more severe and symptomatic in older people and people with an additional disease, unlike children and young people without additional disease. However, there is not yet sufficient evidence about the transition routes to the fetus, the clinical course of the virus, laboratory changes and prognosis in newborns and infants. Breastfeeding is of great importance in maintaining health in extraordinary conditions such as outbreaks. Especially, positive antimicrobial, anti-inflammatory and immunomodulatory aspects of breast milk are important in preventing infections. Natural immunity is formed with other agents, especially lactoferrin, lysozyme, secretive IgA, etc., contained in breast milk. Based on current scientific data, there is no clear obstacle in the delivery of breast milk in the presence of suspected or proven SARS-CoV-2 infection in the mother. During the COVID-19 pandemic throughout the world, it is important to continue breastfeeding, which has many beneficial and positive effects in terms of baby health, by following the necessary hygiene and isolation rules, along with obtaining the written informed consent from parents including the family's opinion.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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