{"id":106692,"date":"2023-06-29T09:51:03","date_gmt":"2023-06-29T09:51:03","guid":{"rendered":"https:\/\/haberulus.net\/?p=106692"},"modified":"2023-06-29T09:51:03","modified_gmt":"2023-06-29T09:51:03","slug":"covid-19-sonrasi-artis-gosterdi-bu-belirtilere-dikkat","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=106692","title":{"rendered":"Covid-19 sonras\u0131 art\u0131\u015f g\u00f6sterdi, bu belirtilere dikkat!"},"content":{"rendered":"

Samsun Ondokuz May\u0131s \u00dcniversitesi (OM\u00dc) Ortopedi ve Travmatoloji Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Dr. \u0130smail B\u00fcy\u00fckceran, kemik dokusunu besleyen kan damarlar\u0131n\u0131n \u00e7e\u015fitli nedenlerle hasar g\u00f6rmesi sonucu kemi\u011fin canl\u0131l\u0131\u011f\u0131n\u0131 yitirmesi olarak bilinen avask\u00fcler nekroz hastal\u0131\u011f\u0131nda Covid-19 d\u00f6nemi sonras\u0131nda art\u0131\u015f ya\u015fand\u0131\u011f\u0131n\u0131 g\u00f6zlemlediklerini s\u00f6yledi.<\/p>\n

Covid-19 tedavilerinde kullan\u0131lan kortizonlar sonras\u0131nda art\u0131\u015fa ge\u00e7en avask\u00fcler nekroz hastal\u0131\u011f\u0131nda ya\u015f aral\u0131\u011f\u0131n\u0131n da d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc belirten Dr. B\u00fcy\u00fckceran, \u201cHastal\u0131\u011f\u0131n ilk evreleri istirahatle tedavi edilebiliyorken, ilerleyen evrelerde k\u00f6k h\u00fccre tedavileri, yeniden canland\u0131rma ya da protez tedavisi uygulamak zorunda kalabiliyoruz\u201d dedi.<\/p>\n

EVRELEME S\u0130STEM\u0130YLE BEL\u0130RLEN\u0130YOR<\/strong><\/p>\n

Avask\u00fcler nekroz hastal\u0131\u011f\u0131n\u0131n \u015fiddetini ve ciddiyetini evreleme sistemiyle belirlediklerini ifade eden Dr. \u00d6\u011fr. \u00dcyesi B\u00fcy\u00fckceran, \u015funlar\u0131 s\u00f6yledi:<\/p>\n

\u2013 Hastal\u0131k, kemik dokusunu besleyen kan damarlar\u0131n\u0131n \u00e7e\u015fitli nedenlerle hasar g\u00f6rmesi sonucu kemi\u011fin beslenmesinde olu\u015fan bozukluklar ve buna ba\u011fl\u0131 olarak kemi\u011fin canl\u0131l\u0131\u011f\u0131n\u0131 yitirmesi durumudur. En \u00e7ok kal\u00e7a eklemini etkilemekle birlikte, omuz, diz gibi di\u011fer eklemlerimiz de etkilenebilir. Normalde g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u0131lda 200 bin vaka civar\u0131ndad\u0131r. Ancak Covid-19 sonras\u0131 bunun g\u00f6r\u00fclme oran\u0131 \u00e7ok fazla artt\u0131.<\/p>\n

\"\"<\/p>\n

Samsun Ondokuz May\u0131s \u00dcniversitesi Ortopedi ve Travmatoloji Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Dr. \u0130smail B\u00fcy\u00fckceran<\/p>\n<\/div>\n

\u2013 \u00d6zellikle Covid-19 d\u00f6neminde tedavi i\u00e7in verdi\u011fimiz y\u00fcksek doz kortizonlar\u0131n bu durumda etkili oldu\u011funu biliyoruz. \u00d6ncelik ya\u015fam oldu\u011fu i\u00e7in ya\u015fam\u0131 korumaya \u00e7al\u0131\u015ft\u0131k. Vatanda\u015flar\u0131m\u0131z, kal\u00e7an\u0131n i\u00e7 taraf\u0131ndan kas\u0131\u011fa do\u011fru yay\u0131lan, y\u00fcr\u00fcmekle artan ve istirahatle azalan a\u011fr\u0131larla ba\u015fvurdular. Bu hastalarda yap\u0131lan tetkiklerde evreleme sistemi kullan\u0131larak \u015fiddetini belirliyoruz.<\/p>\n

\u2013 Evre 1 ve 2\u2019de istirahat ve y\u00fckten kurtarmayla hastalar\u0131m\u0131z\u0131n kal\u00e7a ve eklem b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc koruyabiliyoruz, ancak ileri evrelerde k\u00f6k h\u00fccre tedavileri, ya\u011f h\u00fccrelerinden elde edilen k\u00f6k h\u00fccrelerle onar\u0131mlar, kor dekompresyon dedi\u011fimiz yeniden canland\u0131rma i\u015flemleri uygulayabiliyoruz.<\/p>\n

EKLEM A\u011eRISI OLAN HASTALARA UYARI<\/strong><\/p>\n

Covid \u00f6ncesi d\u00f6nemde hastal\u0131\u011f\u0131n ileri ya\u015flarda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Dr. \u00d6\u011fr. \u00dcyesi B\u00fcy\u00fckceran, \u201cCovid \u00f6ncesinde ya\u015f aral\u0131\u011f\u0131 ilerideydi. Hastam\u0131z\u0131n ge\u00e7irilmi\u015f ya da bilinen bir kronik hastal\u0131\u011f\u0131 varsa, bildi\u011fi bir kortizon kullan\u0131m\u0131 veya romatolojik bir hastal\u0131\u011f\u0131 varsa daha erken ya\u015flarda g\u00f6rebiliyoruz. Ancak bunlar yoksa ve hasta tamamen sa\u011fl\u0131kl\u0131ysa daha ileri ya\u015flarda g\u00f6rebiliyorduk. Covid bu ya\u015f aral\u0131\u011f\u0131n\u0131 ger\u00e7ekten \u00e7ok erkene ald\u0131. 20\u2019li ya\u015flarda avask\u00fcler nekrozle kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z hastalar\u0131m\u0131z da var, ayr\u0131ca erken ya\u015flarda protez uygulamak zorunda kald\u0131\u011f\u0131m\u0131z hastalar\u0131m\u0131z da oldu\u201d ifadelerini kulland\u0131. (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr. \u0130smail B\u00fcy\u00fckceran, Covid-19 tedavisi i\u00e7in kullan\u0131lan kortizon sonras\u0131 ‘Avask\u00fcler Nekroz’ hastal\u0131\u011f\u0131n\u0131n art\u0131\u015f g\u00f6sterdi\u011fini ve g\u00f6r\u00fclme ya\u015f\u0131n\u0131n da d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n","protected":false},"author":1,"featured_media":106693,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[1224,12980,159,12981,556],"class_list":["post-106692","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-covid","tag-evre","tag-hasta","tag-kor","tag-yas"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/106692","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=106692"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/106692\/revisions"}],"predecessor-version":[{"id":106694,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/106692\/revisions\/106694"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/106693"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=106692"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=106692"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=106692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}