{"id":2382,"date":"2024-01-22T13:24:03","date_gmt":"2024-01-22T13:24:03","guid":{"rendered":"https:\/\/esenyurtgazetesi.com\/?p=2382"},"modified":"2024-01-22T13:24:03","modified_gmt":"2024-01-22T13:24:03","slug":"kalca-protezi-ile-agrisiz-yuruyus","status":"publish","type":"post","link":"https:\/\/esenyurtgazetesi.com\/index.php\/2024\/01\/22\/kalca-protezi-ile-agrisiz-yuruyus\/","title":{"rendered":"Kal\u00e7a protezi ile &#8216;a\u011fr\u0131s\u0131z&#8217; y\u00fcr\u00fcy\u00fc\u015f!"},"content":{"rendered":"<p>En b\u00fcy\u00fck eklem dokular\u0131m\u0131zdan biri olan kal\u00e7a eklemi, v\u00fccudumuzun uyum i\u00e7inde hareket etmesinde \u00f6nemli bir rol \u00fcstleniyor; t\u00fcm y\u00fck\u00fcm\u00fcz\u00fc ta\u015f\u0131yor, rahat\u00e7a y\u00fcr\u00fcmemizi ve oturup kalkmam\u0131z\u0131 sa\u011fl\u0131yor. Bu g\u00f6revini \u00f6yle ba\u015far\u0131yla s\u00fcrd\u00fcr\u00fcyor ki bir g\u00fcn a\u011fr\u0131lar nedeniyle oturup kalkamaz, y\u00fcr\u00fcyemez, hatta yard\u0131m almadan giyinemez hale gelinceye dek k\u0131ymetini \u00e7o\u011fu zaman anlam\u0131yoruz. S\u0131kl\u0131kla kire\u00e7lenme, k\u0131r\u0131k &#8211; \u00e7\u0131k\u0131k durumlar\u0131 ve romatizmal hastal\u0131klar gibi sa\u011fl\u0131k sorunlar\u0131nda rastlanan bu yak\u0131nmalar ki\u015finin g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 sekteye u\u011fratabiliyor. \u00a0Ya\u015fam kalitesini ciddi boyutlarda etkileyen bu sorunlar \u2018kal\u00e7a protezi ameliyat\u0131\u2019 ile giderilebiliyor. Ameliyat sonras\u0131nda kal\u00e7a b\u00f6lgesinde olu\u015fan a\u011fr\u0131lar ge\u00e7erken, aksama, bacaklarda k\u0131sal\u0131k veya topallama problemlerine de \u00e7\u00f6z\u00fcm sa\u011flanabiliyor.\u00a0<strong>Ac\u0131badem Dr. \u015einasi Can (Kad\u0131k\u00f6y) Hastanesi Ortopedi ve Travmatoloji Uzman\u0131 Do\u00e7. Dr. Mirza Zafer Da\u011fta\u015f,\u00a0<\/strong>kal\u00e7a protezi ameliyat\u0131n\u0131n hastalar\u0131n a\u011fr\u0131s\u0131z ve \u00f6zg\u00fcrce hareket edebilmelerine imkan sa\u011flad\u0131\u011f\u0131na i\u015faret ederek,<strong>\u00a0<\/strong>\u201cHastalar\u0131m\u0131z bize kas\u0131k a\u011fr\u0131s\u0131, y\u00fcr\u00fcmede zorluk, aksama veya topallama \u015fikayetleri ile ba\u015fvuruyorlar. \u015eiddetli a\u011fr\u0131 ve y\u00fcr\u00fcrken ya\u015fad\u0131klar\u0131 zorluklardan dolay\u0131 fiziksel aktivitelerinin olduk\u00e7a k\u0131s\u0131tland\u0131\u011f\u0131ndan yak\u0131n\u0131yorlar. Kal\u00e7a protezi hastalar\u0131n a\u011fr\u0131s\u0131z ve \u00f6zg\u00fcrce hareket etmelerini sa\u011flayan bir y\u00f6ntem. Kal\u00e7a proteziyle birlikte a\u011fr\u0131lar\u0131 ge\u00e7en hastalar\u0131m\u0131z g\u00fcnl\u00fck ya\u015famlar\u0131na sorunsuz devam ederken, diledikleri planlar\u0131n\u0131 da ger\u00e7ekle\u015ftirme \u015fans\u0131n\u0131 yakal\u0131yorlar\u201d diyor.\u00a0<strong>\u00a0Ortopedi ve Travmatoloji Uzman\u0131<\/strong>\u00a0<strong>Do\u00e7. Dr. Mirza Zafer Da\u011fta\u015f,\u00a0<\/strong>kal\u00e7a protezi ameliyat\u0131 hakk\u0131nda en \u00e7ok merak edilenleri yan\u0131tlad\u0131; \u00f6nemli \u00f6neriler ve uyar\u0131larda bulundu.\u00a0<\/p>\n<ul>\n<li><strong>Kal\u00e7a protezi ne zaman g\u00fcndeme geliyor?\u00a0<\/strong><\/li>\n<\/ul>\n<p>Kal\u00e7a protezi; hasarl\u0131 kal\u00e7a ekleminin yerine kullan\u0131lan metalik, hareketli ve kal\u0131c\u0131 bir implant olarak tan\u0131mlan\u0131yor. Hastan\u0131n yapamad\u0131\u011f\u0131 ya da yaparken zorland\u0131\u011f\u0131 kal\u00e7a hareketlerini tekrar kazand\u0131ran, a\u011fr\u0131s\u0131z ve aksamadan y\u00fcr\u00fcmeyi sa\u011flayan kal\u00e7a protezine genellikle ileri ya\u015flarda g\u00f6r\u00fclen kire\u00e7lenme nedeniyle ba\u015fvuruluyor. Bunun d\u0131\u015f\u0131nda do\u011fumsal eklem problemleri ya\u015fayan hastalarda, kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131 ve b\u00fcy\u00fcme pla\u011f\u0131 kaymas\u0131 gibi \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131k sekellerinde, kaza ve d\u00fc\u015fme gibi travmalar sonras\u0131nda ortaya \u00e7\u0131kan eklem hasarlar\u0131nda, romatizmal hastal\u0131klarda, t\u00fcm\u00f6rler, ileri ya\u015f kal\u00e7a k\u0131r\u0131klar\u0131 ile kanlanma problemi sonras\u0131 kemik nekrozlar\u0131nda kal\u00e7a protezi tedavisi tercih ediliyor.<\/p>\n<ul>\n<li><strong>Protez i\u00e7in ya\u015f s\u0131n\u0131r\u0131 var m\u0131?\u00a0<\/strong><\/li>\n<\/ul>\n<p>Kal\u00e7a protezi 18 ya\u015f\u0131ndan b\u00fcy\u00fck olan her hastaya uygulanabiliyor. Do\u00e7. Dr. Mirza Zafer Da\u011fta\u015f, \u201cGeleneksel yakla\u015f\u0131mda, ihtiyac\u0131 olsa bile kal\u00e7a protezi ameliyat\u0131 i\u00e7in hastalar\u0131n en az 60 ya\u015f\u0131na ula\u015fmas\u0131 beklenirdi. Fakat modern yakla\u015f\u0131mda, \u00a0kemik geli\u015fimini tamamlayan, yani ortalama 18-19 ya\u015f\u0131ndan sonra, ihtiyac\u0131 olan her ya\u015f grubuna kal\u00e7a protezi tak\u0131labilir. Hastalar\u0131n en verimli olduklar\u0131 30 &#8211; 60 ya\u015f aras\u0131nda, hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 ve i\u015f g\u00fcc\u00fc kayb\u0131 \u00a0olu\u015fturabilen sorunlar\u0131 kal\u00e7a protezi ameliyat\u0131yla giderebiliyoruz\u201d diye konu\u015fuyor. \u00a0<\/p>\n<ul>\n<li><strong>Kal\u00e7a protezi kimler\u00a0i\u00e7in uygun de\u011fildir?<\/strong><\/li>\n<\/ul>\n<p>V\u00fccutlar\u0131nda enfeksiyon veya enfeksiyon \u015f\u00fcphesi olan ya da onkolojik tedavi alan hastalara kal\u00e7a protezi uygulanm\u0131yor. A\u011fr\u0131s\u0131z y\u00fcr\u00fcy\u00fc\u015fler hedeflendi\u011fi i\u00e7in yata\u011fa ba\u011f\u0131ml\u0131 hastalara da kal\u00e7a protezi ameliyat\u0131 \u00f6nerilmiyor. \u00a0<\/p>\n<ul>\n<li><strong>Kal\u00e7a protezinin \u00e7e\u015fitleri nelerdir?<\/strong><\/li>\n<\/ul>\n<p>Kal\u00e7a protezleri temel olarak \u2018yar\u0131m\u2019 ve \u2018total\u2019 olmak \u00fczere iki gruba ayr\u0131l\u0131yor. Kal\u00e7a k\u0131r\u0131klar\u0131nda yar\u0131m ya da total protez uygulan\u0131rken, kire\u00e7lenme varl\u0131\u011f\u0131nda total kal\u00e7a protezine ba\u015fvuruluyor. Total protezlerin de hasta \u00f6zeline g\u00f6re alt tipleri bulundu\u011fu i\u00e7in hastan\u0131n anatomisine en uygun protezi kullanmak, ameliyat\u0131n ba\u015far\u0131s\u0131n\u0131 artt\u0131r\u0131yor. \u00a0<\/p>\n<ul>\n<li><strong>Kal\u00e7a protezinin \u00f6mr\u00fc ne kadard\u0131r? \u00a0\u00a0<\/strong><\/li>\n<\/ul>\n<p>Kal\u00e7a protezinin \u00f6mr\u00fcn\u00fc hastan\u0131n ya\u015f\u0131 belirliyor. Kural\u0131na uygun yap\u0131lm\u0131\u015f olan total kal\u00e7a protezi, 40 ya\u015f \u00fcst\u00fc hastalarda ya\u015fam boyu sorun \u00e7\u0131karm\u0131yor. \u00c7ok erken ya\u015flarda uygulanan total kal\u00e7a protezlerinde y\u0131llar i\u00e7inde a\u011fr\u0131 ve yetmezlik olu\u015fursa protez yenisiyle de\u011fi\u015ftirilebiliyor.<\/p>\n<ul>\n<li><strong>Kal\u00e7a protezi ameliyat nas\u0131l yap\u0131l\u0131yor?<\/strong><\/li>\n<\/ul>\n<p>Kal\u00e7a protezi ameliyat\u0131n\u0131n genel veya spinal anestezi alt\u0131nda yap\u0131labilece\u011fini belirten Ortopedi ve Travmatoloji Uzman\u0131 Do\u00e7. Dr. Mirza Zafer Da\u011fta\u015f, ameliyat\u0131n detaylar\u0131n\u0131 \u015f\u00f6yle anlat\u0131yor: \u201cAmeliyat \u00f6ncesinde kan ve idrar tetkikleri yap\u0131l\u0131r. Hastalarda ameliyat \u00f6ncesinde enfeksiyon varl\u0131\u011f\u0131 mutlaka ekarte edilir. Hasarl\u0131 ekleme cerrahi olarak ula\u015f\u0131l\u0131p, hasarl\u0131 b\u00f6lgeler \u00e7\u0131kar\u0131l\u0131r. Gerekli \u00f6l\u00e7\u00fcmler yap\u0131l\u0131r ve a\u00e7\u0131lar hesaplan\u0131r. \u0130nsan anatomisine en uygun kal\u00e7a implantlar\u0131 se\u00e7ilip, yeni kal\u00e7a eklemi olu\u015fturulur. Hastalar ameliyat\u0131n ertesi g\u00fcn\u00fc yard\u0131mla veya yard\u0131ms\u0131z y\u00fcr\u00fcyebilir ve genellikle hastaneden \u00fc\u00e7 g\u00fcn sonra taburcu olurlar\u201d<\/p>\n<ul>\n<li><strong>Ameliyat sonras\u0131nda nelere dikkat etmek gerekiyor?\u00a0<\/strong><\/li>\n<\/ul>\n<p>Ameliyat sonras\u0131nda hastaya ilk bir ay \u00f6zenli ve kontroll\u00fc bir hayat \u00f6neriliyor.\u00a0\u00d6\u011fretilen egzersizleri yapmak ve yasakl\u0131 baz\u0131 hareketlerden ka\u00e7\u0131nmak d\u0131\u015f\u0131nda ciddi bir k\u0131s\u0131tlamaya gerek duyulmuyor. Dikkat edilmesi gereken en \u00f6nemli konunun hastan\u0131n ameliyat sonras\u0131 d\u00fc\u015fmemesi oldu\u011funu vurgulayan Do\u00e7. Dr. Mirza Zafer Da\u011fta\u015f,<strong>\u00a0<\/strong>\u00a0\u201cAya\u011f\u0131 kay\u0131p d\u00fcz zeminde d\u00fc\u015fme ya da merdivenden d\u00fc\u015fme gibi travmatik durumlarda, protezin kal\u00e7a ekleminden \u00e7\u0131kmas\u0131 ya da protez \u00e7evresindeki kemiklerde k\u0131r\u0131k s\u00f6z konusu olabilir. D\u00fc\u015fmeleri \u00f6nlemek i\u00e7in dikkatli olmak, aceleci davranmamak, kaygan ve \u0131\u015f\u0131kland\u0131rmas\u0131 k\u00f6t\u00fc olan ortamlardan uzak durmak gerekir\u201d diyor.\u00a0<\/p>\n<ul>\n<li><strong>Hastalar g\u00fcnl\u00fck ya\u015famlar\u0131na ne zaman d\u00f6nebiliyor?\u00a0<\/strong><\/li>\n<\/ul>\n<p>Hastalar ameliyat\u0131n ertesi g\u00fcn\u00fc \u00a0y\u00fcr\u00fcmeye ba\u015fl\u0131yor; tek ba\u015flar\u0131na yataklar\u0131ndan kalk\u0131p banyoya gidebiliyor. Ancak uzun y\u00fcr\u00fcy\u00fc\u015fler, toplu ta\u015f\u0131ma kullan\u0131m\u0131 veya tek ba\u015f\u0131na ara\u00e7 kullanmak i\u00e7in ameliyat\u0131n \u00fczerinden bir ay ge\u00e7mesini beklemek gerekiyor.\u00a0<\/p>\n<p>\u00a0<\/p>\n<p><strong>\u201c84 ya\u015f\u0131mday\u0131m, kimseye muhta\u00e7 olmadan y\u00fcr\u00fcyorum\u201d<\/strong><\/p>\n<p>Her ya\u015ftaki hastaya uygulanabilen kal\u00e7a protezi ameliyat\u0131yla sa\u011fl\u0131\u011f\u0131na kavu\u015fan hastalardan biri de kire\u00e7lenme sorunuyla y\u0131llarca y\u00fcr\u00fcmekte g\u00fc\u00e7l\u00fck \u00e7eken 84 ya\u015f\u0131ndaki\u00a0<strong>Nasuki Haluk Ergun<\/strong>. Tek ba\u015f\u0131na yataktan kalkman\u0131n, banyoya gitmenin, y\u00fcr\u00fcmenin ve ba\u011f\u0131ms\u0131z dola\u015fman\u0131n vazge\u00e7ilmez oldu\u011funu vurgulayan Nasuki Haluk Ergun, \u201cHayat\u0131m\u0131n sonuna kadar kimseye muhta\u00e7 olmadan ya\u015famak istiyorum. Ayr\u0131ca kal\u00e7a protezi ameliyat\u0131 sayesinde seyahate \u00e7\u0131kmak gibi t\u00fcm hayallerimi ger\u00e7ekle\u015ftirebiliyorum\u201d diyor.<\/p>\n<p>Ameliyattan \u00f6nce sol kal\u00e7as\u0131ndaki a\u011fr\u0131 nedeniyle rahat y\u00fcr\u00fcyemeyen, kendi ba\u015f\u0131na ayakkab\u0131 ve \u00e7orap giyerken zorluk ya\u015fayan Nasuki Haluk Ergun, \u201cAmeliyattan sonra yataktan kendi ba\u015f\u0131ma kalkt\u0131m ve \u00f6nce y\u00fcr\u00fcte\u00e7 yard\u0131m\u0131yla, sonra kimsenin deste\u011fi olmadan y\u00fcr\u00fcmeye ba\u015flad\u0131m. Kendi ba\u015f\u0131ma kalkt\u0131m, sandalyeye oturdum, y\u00fcr\u00fcd\u00fcm, hatta alafranga tuvalete bile gittim\u201d diye konu\u015fuyor.\u00a0<\/p>\n<p>Ergun\u2019un total kal\u00e7a protezi ameliyat\u0131n\u0131 ger\u00e7ekle\u015ftiren\u00a0<strong>Ortopedi ve Travmatoloji Uzman\u0131 Do\u00e7. Dr. Mirza Zafer Da\u011fta\u015f<\/strong>, hastan\u0131n ameliyat\u0131n ertesi g\u00fcn\u00fc hi\u00e7 destek olmadan kendi ba\u015f\u0131na hareket edebildi\u011fini belirterek, s\u00f6zlerine \u015f\u00f6yle devam ediyor: \u201cAmeliyat sonras\u0131nda hastam\u0131z kendi ba\u015f\u0131na kalkt\u0131, oturdu ve y\u00fcr\u00fcd\u00fc. Sadece kendi kaslar\u0131n\u0131 kulland\u0131\u011f\u0131 i\u00e7in kas kayb\u0131 ya\u015famad\u0131, hayati fonksiyonlar\u0131n\u0131 ger\u00e7ekle\u015ftirmek i\u00e7in art\u0131k kimseye ihtiya\u00e7 duymuyor\u201d\u00a0<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>En b\u00fcy\u00fck eklem dokular\u0131m\u0131zdan biri olan kal\u00e7a eklemi, v\u00fccudumuzun uyum i\u00e7inde hareket etmesinde \u00f6nemli bir rol \u00fcstleniyor; t\u00fcm y\u00fck\u00fcm\u00fcz\u00fc ta\u015f\u0131yor, rahat\u00e7a y\u00fcr\u00fcmemizi ve oturup kalkmam\u0131z\u0131 sa\u011fl\u0131yor.<\/p>\n","protected":false},"author":1,"featured_media":2383,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[23],"tags":[54,55,1064,1063,193],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/posts\/2382"}],"collection":[{"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/comments?post=2382"}],"version-history":[{"count":1,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/posts\/2382\/revisions"}],"predecessor-version":[{"id":2384,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/posts\/2382\/revisions\/2384"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/media\/2383"}],"wp:attachment":[{"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/media?parent=2382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/categories?post=2382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/esenyurtgazetesi.com\/index.php\/wp-json\/wp\/v2\/tags?post=2382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}