Ortopedi ve Travmatoloji Uzman\u0131 Prof. Dr. M. Naz\u0131m Karalezli, ayak bile\u011fi burkulmalar\u0131nda “k\u0131r\u0131k yok” denilerek tedavinin ihmal edilmesinin kronik instabiliteye yol a\u00e7abilece\u011fini belirterek, ilk 3 haftal\u0131k do\u011fru tedavinin \u00e7ok \u00f6nemli oldu\u011funu s\u00f6yledi.<\/p>\n
Prof. Dr. Karalezli,ayak bile\u011fi burkulmalar\u0131n\u0131n basit bir sakatl\u0131k olarak g\u00f6r\u00fclmemesi gerekti\u011fini vurgulad\u0131. Burkulman\u0131n genellikle aya\u011f\u0131n i\u00e7e do\u011fru ani d\u00f6nmesi sonucu ba\u011flar\u0131n esnemesi ya da y\u0131rt\u0131lmas\u0131yla meydana geldi\u011fini belirten Karalezli, en s\u0131k d\u0131\u015f yan ba\u011flar\u0131n (ATFL) hasar g\u00f6rd\u00fc\u011f\u00fcn\u00fc ifade etti.<\/p>\n
Burkulma an\u0131nda \u015fiddetli a\u011fr\u0131 ve k\u0131sa s\u00fcrede geli\u015fen \u015fi\u015fli\u011fin \u00f6nemli belirtiler oldu\u011funu dile getiren Karalezli, 24 saat i\u00e7inde topu\u011fa ve parmaklara do\u011fru yay\u0131lan morarman\u0131n ise i\u00e7 kanamaya i\u015faret edebilece\u011fini kaydederek, \u00fczerine basamama ve bo\u015fluk hissinin de ciddi yaralanma g\u00f6stergesi oldu\u011funa dikkat \u00e7ekti.<\/p>\n
“K\u0131r\u0131k yok demek, hasar yok demek de\u011fildir”
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Hastalar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcn\u00fcn r\u00f6ntgende k\u0131r\u0131k \u00e7\u0131kmamas\u0131 \u00fczerine tedaviyi yar\u0131da b\u0131rakt\u0131\u011f\u0131n\u0131 belirten Karalezli, as\u0131l tehlikenin burada ba\u015flad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Y\u0131rt\u0131lan ba\u011f\u0131n s\u0131k\u0131 \u015fekilde iyile\u015fmesi i\u00e7in en az 3 hafta destekleyici ortez ya da atel kullan\u0131lmas\u0131 gerekti\u011fini ifade eden Karalezli, desteksiz erken y\u00fck vermenin ba\u011flar\u0131n gev\u015fek iyile\u015fmesine ve kronik a\u011fr\u0131ya yol a\u00e7abilece\u011fini belirtti. Ba\u011flar\u0131n sadece kemikleri tutmad\u0131\u011f\u0131n\u0131, ayn\u0131 zamanda beynin aya\u011f\u0131n konumunu alg\u0131lamas\u0131n\u0131 sa\u011flayan sinir u\u00e7lar\u0131n\u0131 da i\u00e7erdi\u011fini aktaran Karalezli, uygun fizik tedavi yap\u0131lmad\u0131\u011f\u0131nda denge kayb\u0131n\u0131n kal\u0131c\u0131 hale gelebilece\u011fini vurgulad\u0131.<\/p>\n
“\u0130lk 48 saat kritik”
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Burkulmalarda ilk 48 saatin \u00f6nemine dikkat \u00e7eken Karalezli, RICE prensibinin uygulanmas\u0131 gerekti\u011fini s\u00f6yledi. \u0130stirahat, buz uygulamas\u0131, elastik bandajla kompresyon ve aya\u011f\u0131n kalp seviyesinden yukar\u0131da tutulmas\u0131n\u0131n \u015fi\u015fli\u011fi ve hasar\u0131 azaltaca\u011f\u0131n\u0131 kaydetti. Modern tedavinin fonksiyonel y\u00f6ntemlerle yap\u0131ld\u0131\u011f\u0131n\u0131 belirten Karalezli, aya\u011f\u0131n sa\u011fa-sola d\u00f6nmesini engelleyen ancak hareketine izin veren \u00f6zel bilekliklerin 3-6 hafta kullan\u0131lmas\u0131n\u0131n \u00f6nerildi\u011fini ifade etti. Denge egzersizleriyle derin duyunun yeniden kazand\u0131r\u0131lmas\u0131n\u0131n \u015fart oldu\u011funu dile getirdi.<\/p>\n
“Cerrahi nadiren gerekli”
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Taze burkulmalarda ameliyat\u0131n neredeyse hi\u00e7 gerekmedi\u011fini belirten Karalezli, ancak kronik instabilite geli\u015fen, d\u00fcz yolda y\u00fcr\u00fcrken dahi aya\u011f\u0131 d\u00f6nen ya da eklem i\u00e7inde k\u0131k\u0131rdak hasar\u0131 bulunan hastalarda cerrahi m\u00fcdahalenin g\u00fcndeme gelebilece\u011fini s\u00f6yledi. Halk aras\u0131nda yayg\u0131n olan “k\u0131r\u0131k\u00e7\u0131ya \u00e7ektirme” uygulamas\u0131n\u0131n son derece riskli oldu\u011funu vurgulayan Karalezli, bu t\u00fcr m\u00fcdahalelerin mevcut hasar\u0131 art\u0131rabilece\u011fini belirtti. Spora d\u00f6n\u00fc\u015f s\u00fcresinin yaralanman\u0131n derecesine g\u00f6re de\u011fi\u015fti\u011fini kaydeden Karalezli, “A\u011fr\u0131s\u0131z \u015fekilde tek ayak \u00fczerinde z\u0131playabiliyorsan\u0131z spora haz\u0131rs\u0131n\u0131z demektir. Basit burkulmalarda 2-3 hafta, ciddi y\u0131rt\u0131klarda ise 6-8 haftay\u0131 bulabilir” dedi.<\/p>\n
Karalezli, “Ayak bile\u011fi burkulmas\u0131n\u0131 hafife almay\u0131n. \u0130lk 3 haftada kullanaca\u011f\u0131n\u0131z basit bir bileklik, sizi \u00f6m\u00fcr boyu s\u00fcrebilecek bir sorundan kurtarabilir” ifadelerini kulland\u0131.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Ortopedi ve Travmatoloji Uzman\u0131 Prof. Dr. M. Naz\u0131m Karalezli, ayak bile\u011fi burkulmalar\u0131nda “k\u0131r\u0131k yok” denilerek tedavinin ihmal edilmesinin kronik instabiliteye yol a\u00e7abilece\u011fini belirterek, ilk 3 haftal\u0131k do\u011fru tedavinin \u00e7ok \u00f6nemli oldu\u011funu s\u00f6yledi. Prof. Dr. Karalezli,ayak bile\u011fi burkulmalar\u0131n\u0131n basit bir sakatl\u0131k olarak g\u00f6r\u00fclmemesi gerekti\u011fini vurgulad\u0131. Burkulman\u0131n genellikle aya\u011f\u0131n i\u00e7e do\u011fru ani d\u00f6nmesi sonucu ba\u011flar\u0131n esnemesi ya…<\/p>\n","protected":false},"author":1,"featured_media":90583,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-90582","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\/90582","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=90582"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/90582\/revisions"}],"predecessor-version":[{"id":90584,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/90582\/revisions\/90584"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/90583"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=90582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=90582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=90582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}