B\u00fcy\u00fcme k\u0131k\u0131rdaklar\u0131 \u00e7ocuk iskeletinde kemiklerin boyuna uzamas\u0131n\u0131 sa\u011flayan b\u00f6lgelerdir. Uzun kemiklerin alt ve \u00fcst ucuna yak\u0131n b\u00f6lgede yer al\u0131rlar. \u00c7ocukluk ve gen\u00e7 ergenlik \u00e7a\u011f\u0131nda da uzun kemiklerin her iki u\u00e7 b\u00f6lgeleri\u00a0k\u0131k\u0131rdak yap\u0131da olduklar\u0131 i\u00e7in mekanik olarak daha zay\u0131f yap\u0131dad\u0131rlar. Olas\u0131 travmadan daha kolay etkilenirler. Bu b\u00f6lgelerin aktiviteleri ve kemikle\u015fme d\u00fczeyleri b\u00fcy\u00fcme ile ili\u015fkili olarak ya\u015fla de\u011fi\u015fir. Ergenlik d\u00f6neminde, b\u00fcy\u00fcme k\u0131k\u0131rdaklar\u0131 kemi\u011fe \u00f6zel olacak \u015fekilde, de\u011fi\u015fik zamanlarda aktivitesini tamamlar ve kemik b\u00fcy\u00fcmesi tamamlan\u0131r, k\u0131k\u0131rdak yap\u0131 tamamen kemikle\u015fir ve iskelet eri\u015fkin iskeletine d\u00f6n\u00fc\u015f\u00fcr. B\u00fcy\u00fcme k\u0131z \u00e7ocuklarda 14-16, erkek \u00e7ocuklarda 16-18 ya\u015flar aras\u0131nda tamamlan\u0131r.<\/p>\n\n\n\n
B\u00fcy\u00fcme k\u0131k\u0131rdaklar\u0131ndaki bozukluklar kal\u0131tsal veya edinsel (s\u0131kl\u0131kla travmaya ba\u011fl\u0131) olarak ortaya \u00e7\u0131kar. Kal\u0131tsal boy k\u0131sal\u0131klar\u0131 uzun kemiklerin t\u00fcm\u00fcn\u00fc ya da bir uzuv katman\u0131n\u0131 etkileyebilir, de\u011fi\u015fkendir alt ve \u00fcst uzun kemiklerde orant\u0131l\u0131 ya da orant\u0131s\u0131z k\u0131sal\u0131\u011fa neden olabilir. Bu ki\u015filerin eri\u015fkin ya\u015ftaki boy uzunluklar\u0131 toplum ve anne- baba boy ortalamas\u0131na g\u00f6re k\u0131sa boydan c\u00fcceli\u011fe kadar de\u011fi\u015fken a\u011f\u0131rl\u0131ktad\u0131r.<\/p>\n\n\n\n
Edinsel b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131 bozukluklar\u0131 genellikle tek kemi\u011fi olumsuz etkiler ve tek v\u00fccut b\u00f6lgesinde k\u0131sal\u0131\u011fa veya deformiteye sebep olurlar. B\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131n etkilendi\u011fi ya\u015f ile ili\u015fkili olarak olas\u0131 patolojinin ilerlemesi beklenir. \u00c7ocu\u011fun ilk etkilenme ya\u015f\u0131 ne kadar k\u00fc\u00e7\u00fck ise eri\u015fkin ya\u015fta g\u00f6r\u00fclecek kusur da o kadar fazla olacakt\u0131r.<\/p>\n\n\n\n
Kemi\u011fin b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131 b\u00f6lgesinde metabolik aktivite fazlad\u0131r ve k\u0131r\u0131k iyile\u015fmesi h\u0131zl\u0131d\u0131r. K\u0131r\u0131klar\u0131n \u00e7ok b\u00fcy\u00fck k\u0131sm\u0131nda sorunsuz iyile\u015fme olur ve b\u00fcy\u00fcme kusuru geli\u015fmez. Ekleme yak\u0131n b\u00f6lgede olu\u015ftu\u011fu i\u00e7in eklemi ve b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131 birlikte etkileyen k\u0131r\u0131klar b\u00fcy\u00fcme kusuru a\u00e7\u0131s\u0131ndan risklidir. Ayr\u0131ca y\u00fcksek enerjili travmaya ba\u011fl\u0131 (trafik kazas\u0131, y\u00fcksekten d\u00fc\u015fme gibi) k\u0131r\u0131klar da b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131nda kal\u0131c\u0131 hasar olu\u015fturabilir.<\/p>\n\n\n\n
Yaralanma sonras\u0131nda \u00e7ekilen r\u00f6ntgen ve tomografi g\u00f6r\u00fcnt\u00fclemesi b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131n etkilenip etkilenmedi\u011finin anla\u015f\u0131lmas\u0131 i\u00e7in genellikle yeterli de\u011fildir. \u00d6te yandan MRI bu b\u00f6lgelerin incelenmesi i\u00e7in etkin bir y\u00f6ntemdir ancak inceleme ile b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131n etkilenmi\u015f oldu\u011fu tespit edilse bile, baz\u0131 durumlarda bu yaralanman\u0131n tam iyile\u015fmeyece\u011fi ve b\u00fcy\u00fcme kusuruna sebep olaca\u011f\u0131 kesin olarak ifade edilemez. Bu nedenle b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131 yaralanmas\u0131n\u0131n b\u00fcy\u00fcme kusuru a\u00e7\u0131s\u0131ndan takip edilmesi ve olas\u0131 kusurlar\u0131n uygun \u015fekilde tedavi edilmesi \u00f6nemlidir.<\/p>\n\n\n\n
Yer de\u011fi\u015ftirmi\u015f k\u0131r\u0131klarda d\u00fczeltme i\u015flemi anestezi alt\u0131nda ve nazik manevralar ile yap\u0131lmal\u0131 ve tekrar yer de\u011fi\u015ftirme a\u00e7\u0131s\u0131ndan yak\u0131n takip edilmelidir.<\/p>\n\n\n\n
B\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131 k\u0131r\u0131klar\u0131n\u0131n bir k\u0131sm\u0131, k\u0131r\u0131\u011f\u0131n etkiledi\u011fi b\u00f6lge, hastan\u0131n ya\u015f\u0131 ve k\u0131r\u0131\u011f\u0131n \u00f6zelli\u011fi dikkate al\u0131narak cerrahi y\u00f6ntemle tedavi edilir.<\/p>\n\n\n\n
K\u0131r\u0131k sonras\u0131 olu\u015fan b\u00fcy\u00fcme kusurunda b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131n tamam\u0131 etkilenmi\u015fse kolda veya bacakta k\u0131sal\u0131k olu\u015facakt\u0131r. E\u011fer b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131 k\u0131smen etkilenmi\u015f ise kolda veya bacakta e\u011frilik olu\u015facakt\u0131r. Hastan\u0131n ya\u015f\u0131 ve kalan b\u00fcy\u00fcme potansiyeli ile birlikte olu\u015fan kusurun b\u00fcy\u00fcme tamamlan\u0131nca hastada olu\u015fturabilece\u011fi k\u0131s\u0131tl\u0131l\u0131k de\u011ferlendirilerek tedavi y\u00f6netilir.<\/p>\n\n\n\n
Deformitesi olmayan ancak k\u0131sal\u0131\u011f\u0131 olan hastalara eksternal fiksat\u00f6r yard\u0131m\u0131 ile kemik uzatma ameliyat\u0131 planlan\u0131r.<\/p>\n\n\n\n
Deformitesi (a\u00e7\u0131sal kusur) s\u00f6z konusu ise d\u00fczeltici osteotomi(kemi\u011fi keserek d\u00fczeltme) yap\u0131l\u0131r. Ayr\u0131ca deformitenin tekrarlanmamas\u0131 i\u00e7in hasarl\u0131 b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131 b\u00f6lgesine \u00f6nleyici cerrahi giri\u015fimler yap\u0131labilir.<\/p>\n","protected":false},"excerpt":{"rendered":"
B\u00fcy\u00fcme k\u0131k\u0131rdaklar\u0131 \u00e7ocuk iskeletinde kemiklerin boyuna uzamas\u0131n\u0131 sa\u011flayan b\u00f6lgelerdir. Uzun kemiklerin alt ve \u00fcst ucuna yak\u0131n b\u00f6lgede yer al\u0131rlar. \u00c7ocukluk ve gen\u00e7 ergenlik \u00e7a\u011f\u0131nda da uzun kemiklerin her iki u\u00e7 b\u00f6lgeleri\u00a0k\u0131k\u0131rdak yap\u0131da olduklar\u0131 i\u00e7in mekanik olarak daha zay\u0131f yap\u0131dad\u0131rlar. Olas\u0131 travmadan daha kolay etkilenirler. Bu b\u00f6lgelerin aktiviteleri ve kemikle\u015fme d\u00fczeyleri b\u00fcy\u00fcme ile ili\u015fkili olarak ya\u015fla […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/100"}],"collection":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/comments?post=100"}],"version-history":[{"count":3,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/100\/revisions"}],"predecessor-version":[{"id":152,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/100\/revisions\/152"}],"wp:attachment":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/media?parent=100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/categories?post=100"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/tags?post=100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}