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Her kemi\u011fin farkl\u0131 s\u00fcrelerde kaynad\u0131\u011f\u0131n\u0131 belirten T\u00fcrkiye Hastanesi Ortopedi ve Travmatoloji Uzman\u0131 Prof. Dr. Atilla Parmaks\u0131zo\u011flu, kemik k\u0131r\u0131\u011f\u0131n\u0131n tedavisi hakk\u0131nda merak edilen sorular\u0131 yan\u0131tlad\u0131.<\/p>\n
Prof. Dr. Parmaks\u0131zo\u011flu, bir kemik k\u0131r\u0131\u011f\u0131n\u0131n neden kaynamad\u0131\u011f\u0131n\u0131 s\u00f6yleyebilmek i\u00e7in genel kabul g\u00f6rm\u00fc\u015f bir tan\u0131m hen\u00fcz mevcut olmamas\u0131na ra\u011fmen her kemi\u011fin farkl\u0131 s\u00fcrelerde kaynad\u0131\u011f\u0131na dikkat \u00e7ekerek, \u201cE\u011fer bir k\u0131r\u0131k beklenen s\u00fcrede kaynamazsa bir kaynama gecikmesinden veya kaynamamadan bahsedilir. Beklenen kaynama s\u00fcresinin \u00fczerinden ortalama 2-3 aydan fazla ge\u00e7mesine ra\u011fmen, radyolojik bulgular k\u0131r\u0131kta klinik ilerleme sa\u011flanamad\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyorsa bu durum kaynamama veya kaynama gecikmesi olarak kabul edilir ve genel g\u00f6r\u00fc\u015f bu y\u00f6ndedir\u201d dedi.<\/p>\n
K\u0131r\u0131\u011f\u0131n kaynamamas\u0131na neden olan fakt\u00f6rler nelerdir<\/p>\n
Bir k\u0131r\u0131\u011f\u0131n kaynamamas\u0131na neden olan fakt\u00f6rler v\u00fccudun genelini ilgilendiren ki\u015fisel fakt\u00f6rler (sistemik) ve lokal etmenler olarak iki temel grupta incelenir diyen Prof. Dr. Parmaks\u0131zo\u011flu, \u201cSistemik olanlar\u0131n ba\u015fl\u0131calar\u0131; k\u00f6t\u00fc beslenme, diyabet, sigara ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, osteoporoz ve non-steroid anti-enflamatuar ila\u00e7lard\u0131r. Lokal etmenler ise; enfeksiyon, k\u0131r\u0131k b\u00f6lgesindeki dola\u015f\u0131m\u0131n bozulmas\u0131, prensiplere ayk\u0131r\u0131, uygun olmayan tedaviler ve yaralanman\u0131n \u015fiddeti olarak say\u0131labilir\u201d diye konu\u015ftu.<\/p>\n
K\u0131r\u0131\u011f\u0131n kaynamamas\u0131ndaki en \u00f6nemli klinik bulgu nedir<\/p>\n
\u201cK\u0131r\u0131\u011f\u0131n g\u00fcncel tan\u0131m\u0131 kemik b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fcn bozuldu\u011fu yumu\u015fak doku yaralanmas\u0131d\u0131r diyen Prof. Dr. Parmaks\u0131zo\u011flu, \u201cBu prensipten hareketle k\u0131r\u0131\u011f\u0131n kaynamas\u0131n\u0131 sa\u011flayacak olan fakt\u00f6rlerin ba\u015f\u0131nda k\u0131r\u0131k b\u00f6lgesinin kanlanmas\u0131 gelmektedir. K\u0131r\u0131k olurken kemikte ve yumu\u015fak dokudaki meydana gelen hasar k\u0131r\u0131k b\u00f6lgesindeki kanlanmay\u0131 ister istemez bir miktar bozacakt\u0131r. Zaten k\u0131r\u0131k olurken bozulmu\u015f olan kanlanmay\u0131 yap\u0131lan tedavilerle daha da bozmamak gerekir. Bu ama\u00e7la, g\u00fcncel tedavi prensibi olarak k\u0131r\u0131k b\u00f6lgesinden uzak, minimal invaziv cerrahi (kapal\u0131 red\u00fcksiyon) ve k\u0131r\u0131k tespit kurallar\u0131na uygun olacak \u015fekilde biyolojik y\u00f6ntemler kullan\u0131lmal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
Kaynamaman\u0131n en iyi tedavisi nedir<\/p>\n
\u201cKemik ilk k\u0131r\u0131ld\u0131\u011f\u0131nda dokuya sayg\u0131l\u0131 g\u00fcncel tedavi prensiplerine uyacak \u015fekilde tedavi etmektir\u201d diyen Dr. Parmaks\u0131zo\u011flu; \u00e7\u00fcnk\u00fc sebep ne olursa olsun kaynamayan veya kaynat\u0131lamayan kemik yoktur. Buna ra\u011fmen, \u015fayet herhangi bir kemikte kaynamama tespit edilirse \u00f6ncelikle kaynamaman\u0131n nedeni do\u011fru olarak ortaya konulmal\u0131d\u0131r. Sebep ortadan kald\u0131r\u0131lacak \u015fekilde g\u00fcncel tedavi prensiplerine uyarak t\u00fcm kaynamayan kemikler sorunsuz bir \u015fekilde kaynat\u0131labilir diye s\u00f6zlerini noktalad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
HER KEM\u0130\u011e\u0130N FARKLI S\u00dcRELERDE KAYNADI\u011eINI BEL\u0130RTEN T\u00dcRK\u0130YE HASTANES\u0130 ORTOPED\u0130 VE TRAVMATOLOJ\u0130 UZMANI PROF. DR. AT\u0130LLA PARMAKSIZO\u011eLU, KEM\u0130K KIRI\u011eININ TEDAV\u0130S\u0130 HAKKINDA MERAK ED\u0130LEN SORULARI YANITLADI.<\/p>\n","protected":false},"author":1,"featured_media":1554376,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[119286,26793,13851,15223,14964,14703],"class_list":["post-1554375","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","category-turkiye","tag-kaynamayan","tag-kemik","tag-olsun","tag-olursa","tag-sebep","tag-yoktur"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1554375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1554375"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1554375\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/1554376"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1554375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1554375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1554375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}