Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesi Fizik Tedavi ve Rehabilitasyon Klini\u011fi Koordinat\u00f6r\u00fc Prof. Dr. Evrim Co\u015fkun, deprem sonras\u0131 \u00e7e\u015fitli hastanelerde uzuvlar\u0131 kesilmek zorunda kal\u0131nan hastalar\u0131n hen\u00fcz yara tedavilerinin devam etti\u011fini, \u00e7ok say\u0131da vatanda\u015f i\u00e7in protez ihtiyac\u0131n\u0131n 2-3 ay sonra ortaya \u00e7\u0131kmaya ba\u015flayaca\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
\u201cB\u0130ZE \u00c7OK B\u00dcY\u00dcK \u0130\u015eLER D\u00dc\u015eECEK\u201d<\/strong><\/p>\n Prof. Dr. Co\u015fkun, uzuv kay\u0131plar\u0131 sonras\u0131 uygulanan protezlerin \u00f6yle gidip marketten al\u0131nabilecek standart cihazlar olmad\u0131\u011f\u0131na dikkat \u00e7ekerek ki\u015fiye \u00f6zel \u00f6l\u00e7\u00fc ve ihtiya\u00e7lara g\u00f6re yap\u0131ld\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n Baz\u0131 protez fiyatlar\u0131n\u0131n y\u00fcz binlerce TL\u2019yi bulabildi\u011fi de g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda ortaya \u00e7\u0131kacak bu denli b\u00fcy\u00fck bir ihtiya\u00e7ta sadece SGK geri \u00f6deme sistemiyle bu s\u00fcrecin atlat\u0131lamayabilece\u011fini dile getiren Prof. Dr. Co\u015fkun, \u201cFizik tedavi ve rehabilitasyon klinikleri olarak depremin ilk g\u00fcnlerinden sonraki s\u00fcre\u00e7te \u00e7ok uzun bir zaman bize \u00e7ok b\u00fcy\u00fck i\u015fler d\u00fc\u015fecek. Deprem yaral\u0131lar\u0131nda k\u0131r\u0131klar, kafa travmalar\u0131, omurga k\u0131r\u0131klar\u0131na ba\u011fl\u0131 parapleji (omurilik felci), tetraplejiler (kol ve bacaklarda hareket kayb\u0131) olabiliyor ya da uzuv ezilmeleri sonras\u0131 ortaya \u00e7\u0131kan amp\u00fctasyonlarla kar\u015f\u0131la\u015fabiliyoruz. Bunun tedavisi de ilk cerrahi m\u00fcdahaleler yap\u0131ld\u0131ktan sonra, esas biz fizik tedavi kliniklerine d\u00fc\u015f\u00fcyor\u201d dedi.<\/p>\n \u015eu an depremzedeler a\u00e7\u0131s\u0131ndan ilk olarak bar\u0131nma, yeme i\u00e7me ve g\u00fcvenli ya\u015fam alan\u0131 sorunlar\u0131n\u0131n \u00f6n planda oldu\u011funu ancak kronik yani uzun vadeli d\u00f6nemde yaral\u0131lar a\u00e7\u0131s\u0131ndan ortez ve protez ihtiya\u00e7lar\u0131n\u0131n \u00f6ne \u00e7\u0131kaca\u011f\u0131n\u0131 ifade eden Prof. Dr. Co\u015fkun, \u201cOrtez, ki\u015finin v\u00fccut par\u00e7as\u0131 varken o v\u00fccut par\u00e7as\u0131na yani koluna baca\u011f\u0131na destek olacak cihazlara diyoruz. Ama ki\u015finin kolu veya baca\u011f\u0131 amp\u00fctasyonla kaybedilmi\u015fse bunun yerine protez uygulanmas\u0131 gerekiyor. Amp\u00fcte hastalarda ilk cerrahi m\u00fcdahale yap\u0131ld\u0131ktan sonra yara bak\u0131m\u0131 ile iyile\u015ftikten sonra bu uzuvlar\u0131 proteze haz\u0131rlama s\u00fcrecine giriyoruz. \u0130lk planda eklemleri koruma ve kas g\u00fc\u00e7lendirme a\u015famas\u0131n\u0131 ge\u00e7iriyoruz. Daha sonra protez uygulamas\u0131 s\u00f6z konusu oluyor\u201d diye konu\u015ftu.<\/p>\n \u201cHOLD\u0130NGLER\u0130N EL\u0130N\u0130 TA\u015eIN ALTINA KOYMASI GEREKECEK\u201d<\/strong><\/p>\n Protezlerin de \u00f6yle gidip marketten al\u0131nabilecek bir \u015fey olmad\u0131\u011f\u0131n\u0131 vurgulayan Prof. Dr. Co\u015fkun, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n \u201cBunlar \u00f6yle xs, medium large ya da 36-38 beden gibi standart bulabilece\u011finiz \u00fcr\u00fcnler de\u011fil. Ki\u015fiye \u00f6zel \u00f6l\u00e7\u00fc al\u0131n\u0131p, ki\u015finin ihtiya\u00e7lar\u0131na y\u00f6nelik ya\u015f\u0131na, mesle\u011fine, beklentisine, sosyal hayat\u0131na y\u00f6nelik yap\u0131lmas\u0131 gereken cihazlard\u0131r. O kadar farkl\u0131 bir yelpazede protez ve orteze ihtiya\u00e7 olacak ki bunlar\u0131n mutlaka ki\u015finin ihtiya\u00e7lar\u0131na g\u00f6re de\u011ferlendirilip yap\u0131lmas\u0131 gerekiyor. Ki\u015finin ihtiyac\u0131n\u0131n ne alt\u0131nda, ne de \u00e7ok \u00fcst\u00fcnde olmal\u0131. Beklentinin \u00e7ok \u00fczerinde bir amp\u00fctasyon seviyesine gitmi\u015f hastalar\u0131m\u0131z var. SGK bunun hepsini kar\u015f\u0131layamayabilir ya da SGK\u2019n\u0131n kar\u015f\u0131lad\u0131\u011f\u0131 standart sistem, her hastan\u0131n ihtiyac\u0131na y\u00f6nelik olmayabilir. Bazen ki\u015finin ihtiyac\u0131 bu standard\u0131n \u00e7ok \u00fcst\u00fcnde olabiliyor. Bu durumlarda mutlaka sivil toplum kurulu\u015flar\u0131, belli holdinglerin ve yard\u0131mla\u015fma kurulu\u015flar\u0131n\u0131n elini ta\u015f\u0131n alt\u0131na koymas\u0131 gerekecek.\u201d<\/p>\n \u201cYARA \u0130Y\u0130LE\u015eMES\u0130 SA\u011eLANDIKTAN SONRA\u2026\u201d<\/strong><\/p>\n \u015eu anda amp\u00fctasyon cerrahilerinin \u00e7o\u011funun hen\u00fcz yeni yap\u0131ld\u0131\u011f\u0131n\u0131, yara iyile\u015fmesi sa\u011fland\u0131ktan sonra g\u00fcd\u00fck haz\u0131rlama (uzuvdan geriye kalan k\u0131sm\u0131n rehabilitasyonu) a\u015famas\u0131na ge\u00e7ilece\u011fini kaydeden Prof. Dr. Co\u015fkun, \u015fu uyar\u0131larda bulunarak s\u00f6zlerini noktalad\u0131:<\/p>\n \u201cG\u00fcd\u00fc\u011f\u00fcn amp\u00fctasyon ve protez kullan\u0131m\u0131na uygun bir hale getirilmi\u015f olmas\u0131 gerekiyor. \u015eu anda hen\u00fcz o a\u015famalarday\u0131z. G\u00fcd\u00fc\u011f\u00fcn haz\u0131rlanmas\u0131 ve protez kullan\u0131m\u0131na ge\u00e7ilmesi i\u00e7in 1 ila 3 aydan \u00f6nce ba\u015flayam\u0131yoruz. \u00c7\u00fcnk\u00fc bu hastalarda (\u00e7o\u011funda acil cerrahi yap\u0131ld\u0131\u011f\u0131 i\u00e7in) hem yara yerinde enfeksiyon olma ihtimali y\u00fcksek, hem de travmatik bir amp\u00fctasyon oldu\u011fu i\u00e7in onun haz\u0131rlanmas\u0131 gerekiyor. Ayr\u0131ca \u00e7o\u011fu yaral\u0131m\u0131zda sadece amp\u00fctasyon de\u011fil, ki\u015finin b\u00f6brek problemleri, kafa travmalar\u0131, ba\u015fka sa\u011fl\u0131k problemleri oldu\u011fu i\u00e7in biraz daha vakit al\u0131yor. Ama biz, bu s\u00fcreci de beklemeden bir an \u00f6nce aksiyon almak zorunday\u0131z. Sivil toplum kurulu\u015flar\u0131 ve baz\u0131 holdinglere bu anlamda yava\u015f yava\u015f ba\u015fvurular\u0131m\u0131z ba\u015flad\u0131. Gerek Fiziksel T\u0131p ve Rehabilitasyon Derne\u011fi, gerekse ortez-protez teknisyenlerinin oldu\u011fu platformlarda bu konuda yap\u0131labileceklerin \u00fczerinde fikir al\u0131\u015fveri\u015flerinde bulunuyoruz.\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":" Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesi Fizik Tedavi ve Rehabilitasyon Klini\u011fi Koordinat\u00f6r\u00fc Prof. Dr. Evrim Co\u015fkun depremde meydana gelen ezilme yaralanmalar\u0131 nedeniyle \u00f6n\u00fcm\u00fczdeki aylarda \u00e7ok ciddi miktarda protez ihtiyac\u0131 do\u011faca\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n","protected":false},"author":1,"featured_media":75488,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[10855,5981,2398,2691,2136],"class_list":["post-75487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-amputasyon","tag-ihtiyac","tag-kisinin","tag-protez","tag-yara"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/75487","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=75487"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/75487\/revisions"}],"predecessor-version":[{"id":75489,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/75487\/revisions\/75489"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/75488"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=75487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=75487"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=75487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}