{"id":85,"date":"2024-04-01T15:29:40","date_gmt":"2024-04-01T15:29:40","guid":{"rendered":"http:\/\/www.mehmetmufitorak.com\/?p=85"},"modified":"2024-05-06T21:10:46","modified_gmt":"2024-05-06T21:10:46","slug":"dogumsal-carpik-ayak","status":"publish","type":"post","link":"https:\/\/www.mehmetmufitorak.com\/index.php\/2024\/04\/01\/dogumsal-carpik-ayak\/","title":{"rendered":"Do\u011fumsal \u00c7arp\u0131k Ayak"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">DO\u011eUMSAL \u00c7ARPIK AYAK <\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">(PES EK\u0130NOVARUS- PEV)<\/h2>\n\n\n\n<p>Yakla\u015f\u0131k 1000 canl\u0131 do\u011fumdan birinde ortaya \u00e7\u0131kan, erkek \u00e7ocuklarda daha s\u0131k g\u00f6r\u00fclen, bazen her iki aya\u011f\u0131 ekileyen do\u011fumsal bir deformitedir. Ayakta taban dahil t\u00fcm\u00fcyle i\u00e7e d\u00f6n\u00fckl\u00fck vard\u0131r. Deformitenin a\u011f\u0131rl\u0131\u011f\u0131 \u00e7ok hafiften tam d\u00f6n\u00fck ayak taban\u0131na kadar kadar de\u011fi\u015fken olabilir. Ayaktaki kemiklerde eklemler aras\u0131 ili\u015fkiler bozuktur. Ayr\u0131ca bald\u0131r kaslar\u0131 k\u0131sa ve gergindir. <\/p>\n\n\n\n<p><strong>TANI:<\/strong> Genellikle hamilelik d\u00f6neminde ultrasonografi takipleri esnas\u0131nda tan\u0131 konabilir. Yenido\u011fan bebekte ayaktaki \u015fekil bozuklu\u011fu \u00e7ok belirgindir ve tan\u0131 ivedilikle konur.<br><br><strong>TEDAV\u0130:<\/strong> Tedaviye zaman kaybetmeden ba\u015flanmal\u0131d\u0131r. PONSET\u0130 y\u00f6ntemi ile \u015fekil bozuklu\u011funa sebep olan kaslar ve ba\u011flar esnetilir ve al\u00e7\u0131lama yap\u0131l\u0131r. Ayaktaki bozukluk tek seferde d\u00fczeltilemez. Ayak kemikleri aras\u0131ndaki bozulmu\u015f ili\u015fkiler (\u00e7\u0131k\u0131klar) a\u015fama a\u015fama d\u00fczeltilir ve al\u00e7\u0131lama ile elde edilen d\u00fczeltme 1 hafta s\u00fcre ile korunur. Haftal\u0131k de\u011fi\u015ftirilen al\u00e7\u0131lar \u00f6ncesinde germe ile kademeli d\u00fczeltme uygulan\u0131r. Ortalama 4-6 al\u00e7\u0131lama yap\u0131larak d\u00fczeltme tamamlan\u0131r. Son al\u00e7\u0131 3 hafta s\u00fcre ile ayakta kalmal\u0131d\u0131r. AL\u00c7ILAR D\u0130Z \u00dcST\u00dc SEV\u0130YEDE OLMALIDIR. Al\u00e7\u0131 tedavisi ile d\u00fczeltilen ayak ORTEZ ile korumal\u0131d\u0131r. E\u011fer d\u00fczenli ortez kullan\u0131lmazsa hastal\u0131k y\u00fcksek oranda n\u00fcks eder. Ortez kullan\u0131m s\u00fcresi takip s\u0131ras\u0131nda takip eden hekim taraf\u0131ndan belirlenir. Ortez tedavisi sonland\u0131r\u0131ld\u0131ktan sonra hasta eri\u015fkin ya\u015fa gelene kadar takip edilir. \u00a0 <\/p>\n\n\n\n<p><strong>CERRAH\u0130 TEDAV\u0130:<\/strong> \u00a0 <\/p>\n\n\n\n<p><strong>A\u015fil gev\u015fetme:<\/strong> Seri al\u00e7\u0131lama ile ayak d\u00fczeltilir. 4. Veya 5. Al\u00e7\u0131dan sonra topuk pozisyonu ve a\u015fil tendonu k\u0131sal\u0131\u011f\u0131 de\u011ferlendirilir. E\u011fer A\u015fil tendonunda k\u0131sal\u0131k devam ediyorsa a\u015fil gev\u015fetmesi ve nihayi al\u00e7\u0131lama uygulan\u0131r. PEV\u2019li bebeklerin yakla\u015f\u0131k %90&#8217;\u0131 bu giri\u015fime ihtiya\u00e7 duyar.<\/p>\n\n\n\n<p> <strong>Tendon Transferi:\u00a0 <\/strong>\u00c7ocuk y\u00fcr\u00fcmeye ba\u015flad\u0131kta sonra kaslar\u0131n\u0131n anormal \u00e7ekmesine ba\u011fl\u0131 dinamik supinasyon deformitesi geli\u015febilir. Bu durumda Tendon transferi ameliyat\u0131 uygulanabilir. \u00a0 Aileyi kayg\u0131land\u0131ran bu ayak deformitesi al\u00e7\u0131lama ile ba\u015far\u0131l\u0131 olarak tedavi edilebilir. \u00d6zel ayakkab\u0131 kullan\u0131m\u0131 gerektirmeyen, esnek ayak elde edilir.<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>DO\u011eUMSAL \u00c7ARPIK AYAK (PES EK\u0130NOVARUS- PEV) Yakla\u015f\u0131k 1000 canl\u0131 do\u011fumdan birinde ortaya \u00e7\u0131kan, erkek \u00e7ocuklarda daha s\u0131k g\u00f6r\u00fclen, bazen her iki aya\u011f\u0131 ekileyen do\u011fumsal bir deformitedir. Ayakta taban dahil t\u00fcm\u00fcyle i\u00e7e d\u00f6n\u00fckl\u00fck vard\u0131r. Deformitenin a\u011f\u0131rl\u0131\u011f\u0131 \u00e7ok hafiften tam d\u00f6n\u00fck ayak taban\u0131na kadar kadar de\u011fi\u015fken olabilir. Ayaktaki kemiklerde eklemler aras\u0131 ili\u015fkiler bozuktur. Ayr\u0131ca bald\u0131r kaslar\u0131 k\u0131sa [&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\/85"}],"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=85"}],"version-history":[{"count":6,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/85\/revisions"}],"predecessor-version":[{"id":180,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/posts\/85\/revisions\/180"}],"wp:attachment":[{"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/media?parent=85"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/categories?post=85"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mehmetmufitorak.com\/index.php\/wp-json\/wp\/v2\/tags?post=85"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}