Mu\u011fla\u2019n\u0131n tan\u0131nm\u0131\u015f hekimlerinden Ortopedi ve Travmatoloji Uzman\u0131 Prof. Dr. M. Naz\u0131m Karalezli, halk aras\u0131nda \u2018Topuk Dikeni\u2019 olarak bilinen ve sabahlar\u0131 ilk ad\u0131mda \u015fiddetli a\u011fr\u0131yla kendini g\u00f6steren hastal\u0131k hakk\u0131nda kritik uyar\u0131larda bulundu.
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Pek \u00e7ok vatanda\u015f\u0131n sabah yataktan kalkt\u0131\u011f\u0131nda topu\u011funa \u00e7ivi bat\u0131yormu\u015f\u00e7as\u0131na hissetti\u011fi o keskin a\u011fr\u0131n\u0131n ard\u0131nda, asl\u0131nda taban zar\u0131ndaki bir zedelenme yat\u0131yor. Prof. Dr. M. Naz\u0131m Karalezli, \u2018Plantar Fasiit\u2019 ve buna ba\u011fl\u0131 geli\u015fen \u2018Topuk Dikeni\u2019 hakk\u0131nda do\u011fru bilinen yanl\u0131\u015flar\u0131 a\u00e7\u0131klad\u0131.
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“Diken sebep de\u011fil, sonu\u00e7tur”
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Ayak taban\u0131nda topuktan parmaklara uzanan \u2018Plantar Fasya\u2019 adl\u0131 zar\u0131n esnekli\u011fini kaybetmesiyle s\u00fcrecin ba\u015flad\u0131\u011f\u0131n\u0131 belirten Karalezli, “V\u00fccut, buradaki mikroskobik y\u0131rt\u0131klar\u0131 tamir etmek i\u00e7in kalsiyum y\u0131\u011far ve o b\u00f6lgede dikensi bir \u00e7\u0131k\u0131nt\u0131 olu\u015fur. Yani diken a\u011fr\u0131n\u0131n sebebi de\u011fil, v\u00fccudun kendini tamir etmeye \u00e7al\u0131\u015f\u0131rken ortaya \u00e7\u0131kard\u0131\u011f\u0131 bir sonu\u00e7tur” dedi.
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Hastal\u0131\u011f\u0131n en tipik belirtisinin sabah tutuklu\u011fu oldu\u011funu ifade eden Prof. Dr. Karalezli, hastalar\u0131n birka\u00e7 dakika y\u00fcr\u00fcd\u00fckten sonra bir \u2018a\u00e7\u0131lma hissi\u2019 ya\u015fad\u0131\u011f\u0131n\u0131 ancak g\u00fcn sonuna do\u011fru a\u011fr\u0131n\u0131n tekrar geri geldi\u011fini vurgulad\u0131. Yanl\u0131\u015f ayakkab\u0131 se\u00e7imi, a\u015f\u0131r\u0131 kilo ve sert zeminlerin bu tabloyu a\u011f\u0131rla\u015ft\u0131rd\u0131\u011f\u0131na dikkat \u00e7ekti.
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Prof. Dr. Karalezli, halk aras\u0131nda yayg\u0131n olan bir y\u00f6ntem hakk\u0131nda sert uyar\u0131larda bulundu:
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“Topu\u011fu sert yere vurarak dikeni k\u0131rmaya \u00e7al\u0131\u015fmak gibi \u00e7ok yanl\u0131\u015f inan\u0131\u015flar var. Sak\u0131n yapmay\u0131n! Bu y\u00f6ntem oradaki \u00f6demi ve y\u0131rt\u0131\u011f\u0131 art\u0131rarak iyile\u015fmeyi geciktirir. \u00c7\u00f6z\u00fcm \u2019k\u0131rmak\u2019 de\u011fil, o b\u00f6lgeyi yumu\u015fatmak ve esnetmektir”
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Ameliyats\u0131z tedavi m\u00fcmk\u00fcn m\u00fc?
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Hastal\u0131\u011f\u0131n y\u00fczde 99 oran\u0131nda ameliyata gerek kalmadan tedavi edilebildi\u011fini belirten Karalezli, iyile\u015fme s\u00fcrecinin anahtarlar\u0131n\u0131 \u015f\u00f6yle s\u0131ralad\u0131:
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Egzersiz: Aya\u011f\u0131n alt\u0131na buzlu su \u015fi\u015fesi koyup yuvarlamak veya havluyla germe yapmak.
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ESWT (\u015eok Dalga): Topu\u011fa d\u0131\u015far\u0131dan ses dalgalar\u0131 verilerek iyile\u015fmenin tetiklenmesi.
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Do\u011fru Terlik: Evde asla \u00e7\u0131plak ayakla sert zemine bas\u0131lmamal\u0131, mutlaka yumu\u015fak tabanl\u0131 terlik kullan\u0131lmal\u0131.
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Diken erir mi?
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Prof. Dr. Karalezli, en \u00e7ok merak edilen konuya da a\u00e7\u0131kl\u0131k getirdi: “Olu\u015fan kemik \u00e7\u0131k\u0131nt\u0131s\u0131 kendili\u011finden erimez. Ancak tedaviyle oradaki iltihap ge\u00e7ince a\u011fr\u0131 biter. Dikenin orada durmas\u0131n\u0131n hi\u00e7bir zarar\u0131 yoktur”
<\/p>\n","protected":false},"excerpt":{"rendered":"
Mu\u011fla\u2019n\u0131n tan\u0131nm\u0131\u015f hekimlerinden Ortopedi ve Travmatoloji Uzman\u0131 Prof. Dr. M. Naz\u0131m Karalezli, halk aras\u0131nda \u2018Topuk Dikeni\u2019 olarak bilinen ve sabahlar\u0131 ilk ad\u0131mda \u015fiddetli a\u011fr\u0131yla kendini g\u00f6steren hastal\u0131k hakk\u0131nda kritik uyar\u0131larda bulundu. Pek \u00e7ok vatanda\u015f\u0131n sabah yataktan kalkt\u0131\u011f\u0131nda topu\u011funa \u00e7ivi bat\u0131yormu\u015f\u00e7as\u0131na hissetti\u011fi o keskin a\u011fr\u0131n\u0131n ard\u0131nda, asl\u0131nda taban zar\u0131ndaki bir zedelenme yat\u0131yor. Prof. Dr. M. Naz\u0131m…<\/p>\n","protected":false},"author":1,"featured_media":86652,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-86651","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/86651","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=86651"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/86651\/revisions"}],"predecessor-version":[{"id":86653,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/86651\/revisions\/86653"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/86652"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=86651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=86651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=86651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}