{"id":81,"date":"2024-04-01T15:28:59","date_gmt":"2024-04-01T15:28:59","guid":{"rendered":"http:\/\/www.mehmetmufitorak.com\/?p=81"},"modified":"2024-05-06T21:10:46","modified_gmt":"2024-05-06T21:10:46","slug":"perthes-hastaligi","status":"publish","type":"post","link":"https:\/\/www.mehmetmufitorak.com\/index.php\/2024\/04\/01\/perthes-hastaligi\/","title":{"rendered":"Perthes Hastal\u0131\u011f\u0131 Nedir?"},"content":{"rendered":"\n<p><strong>Perthes hastal\u0131\u011f\u0131<\/strong>, uyluk (<em>femur<\/em>) kemi\u011finin kal\u00e7a eklemini yapan ba\u015f k\u0131sm\u0131nda kan dola\u015f\u0131m\u0131n\u0131n bozulmas\u0131na ba\u011fl\u0131 olarak geli\u015fen bir hastal\u0131kt\u0131r. Uyluk kemi\u011finin k\u00fcreye benzer yuvarlak ba\u015f k\u0131sm\u0131 kemi\u011fi canl\u0131l\u0131\u011f\u0131n\u0131 yitirir. Etkilenen damar\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ba\u011fl\u0131 olarak femur ba\u015f\u0131n\u0131n etkilenen k\u0131sm\u0131n\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc de\u011fi\u015fir. Femur kemi\u011finin canl\u0131l\u0131\u011f\u0131n\u0131n yitirmi\u015f olan ba\u015f k\u0131sm\u0131 zamanla yumu\u015far ve deforme olur. Deformasyon s\u00fcrecinde v\u00fccut bu \u00f6l\u00fc kemik b\u00f6lgesini ortadan kald\u0131r\u0131p yeni sa\u011fl\u0131kl\u0131 kemik olu\u015fturur (iyile\u015fme s\u00fcrecini ba\u015flat\u0131r). Y\u0131llar s\u00fcren\u00a0iyile\u015fme s\u00fcrecinin sonunda kemik dokusu tamamen iyile\u015fir. \u00a0<\/p>\n\n\n\n<p>S\u0131kl\u0131kla 4-8 ya\u015flar\u0131nda geli\u015fen perthes hastal\u0131\u011f\u0131n\u0131n kesin sebebi bilinmemektedir. Ailesinde perthes olan \u00e7ocuklarda rastlanma ihtialinin fazla olmas\u0131 genetik yatk\u0131nl\u0131\u011fa i\u015faret eder. Hiperaktif \u00e7ocuklarda hastal\u0131k s\u0131kl\u0131\u011f\u0131 artm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p><strong>Tan\u0131:<\/strong> Hastal\u0131\u011f\u0131n ilk bulgusu kal\u00e7a a\u011fr\u0131s\u0131d\u0131r. Diz a\u011fr\u0131s\u0131, topallama gibi \u015fikayetler ile ba\u015fvuran hastalar da vard\u0131r. \u00c7ekilen r\u00f6ntgen tan\u0131 i\u00e7in yeterlidir. Hastal\u0131\u011f\u0131n erken evresinde r\u00f6ntgen tamamen normal olabilir. Uygulanan basit tedaviler ile kal\u00e7a a\u011fr\u0131s\u0131n\u0131n devam etmesi halinde ek g\u00f6r\u00fcnt\u00fcleme yap\u0131larak tan\u0131 konulabilir.<\/p>\n\n\n\n<p><strong>Tedavi:<\/strong> <\/p>\n\n\n\n<p>Tedavi se\u00e7enekleri periyodik takipten kemik cerrahi tedavisine kadar de\u011fi\u015fir. Hangi tedavinin uygulanaca\u011f\u0131na se\u00e7iminde hastan\u0131n ya\u015f\u0131, hastal\u0131\u011f\u0131n a\u011f\u0131rl\u0131\u011f\u0131 ve seyrine g\u00f6re karar verilir. 6 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklar i\u00e7in takip etmek genellikle yeterli olmaktad\u0131r. Hastan\u0131n y\u00fcr\u00fcmesi k\u0131s\u0131tlanmaz ancak sportif aktivitelerde d\u00fczenleme yap\u0131l\u0131r. Takipte kal\u00e7a hareketlerinin bozulmas\u0131 ve radyolojik de\u011ferlendirmede k\u00f6t\u00fcle\u015fme g\u00f6r\u00fclmesi durumunda ilave tedaviler g\u00fcndeme gelmektedir.<\/p>\n\n\n\n<p>6 ya\u015f \u00fcst\u00fc \u00e7ocuklarda tedavide cerrahi uygulama gereklili\u011fi artar.<\/p>\n\n\n\n<p>Takip ve tedavi s\u00fcrecinde kal\u00e7a ekleminin hareketlerinin a\u00e7\u0131k olmas\u0131 ve gerekirse fizik tedavi ile desteklenmesi \u00e7ok \u00f6nemlidir. Tedavinin amac\u0131 hastal\u0131k s\u00fcrecini tamamlad\u0131\u011f\u0131nda femur ba\u015f\u0131 \u015feklinin yuvarlakl\u0131\u011f\u0131n\u0131 korumas\u0131d\u0131r. Aktif hastal\u0131k s\u00fcrecinde kal\u00e7a hareketlerinin korunmas\u0131 bu amaca y\u00f6neliktir. Hareketlerin k\u0131s\u0131tlanmas\u0131 veya radyolojik bozulman\u0131n olu\u015fmas\u0131 durumunda kal\u00e7a yuvas\u0131n\u0131n (<em>asetabulum<\/em>), femur ba\u015f\u0131 i\u00e7in k\u0131lavuz olu\u015fturacak \u015fekilde konumland\u0131r\u0131lmas\u0131 gereklidir. Bunu kemik ameliyatlar\u0131 ile ger\u00e7ekle\u015ftirmek m\u00fcmk\u00fcnd\u00fcr.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Perthes hastal\u0131\u011f\u0131, uyluk (femur) kemi\u011finin kal\u00e7a eklemini yapan ba\u015f k\u0131sm\u0131nda kan dola\u015f\u0131m\u0131n\u0131n bozulmas\u0131na ba\u011fl\u0131 olarak geli\u015fen bir hastal\u0131kt\u0131r. Uyluk kemi\u011finin k\u00fcreye benzer yuvarlak ba\u015f k\u0131sm\u0131 kemi\u011fi canl\u0131l\u0131\u011f\u0131n\u0131 yitirir. Etkilenen damar\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ba\u011fl\u0131 olarak femur ba\u015f\u0131n\u0131n etkilenen k\u0131sm\u0131n\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc de\u011fi\u015fir. Femur kemi\u011finin canl\u0131l\u0131\u011f\u0131n\u0131n yitirmi\u015f olan ba\u015f k\u0131sm\u0131 zamanla yumu\u015far ve deforme olur. Deformasyon s\u00fcrecinde v\u00fccut bu [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/81"}],"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=81"}],"version-history":[{"count":3,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/81\/revisions"}],"predecessor-version":[{"id":186,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/81\/revisions\/186"}],"wp:attachment":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/media?parent=81"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/categories?post=81"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/tags?post=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}