Perthes hastal\u0131\u011f\u0131<\/strong> b\u00fcy\u00fcme d\u00f6neminde olu\u015fan ve kal\u00e7a ekleminin femur (uyluk kemi\u011fi) ba\u015f\u0131nda dola\u015f\u0131m\u0131n bozulmas\u0131na ba\u011fl\u0131 beslenme bozuklu\u011fu yapan zamanla kal\u00e7a eklemini olu\u015fturan kemiklerden femur ba\u015f\u0131n\u0131n erime ve ileri d\u00f6nemlerde femur ba\u015f\u0131n\u0131n yozla\u015fmas\u0131na yol a\u00e7an bir hastal\u0131kt\u0131r. BEL\u0130RT\u0130LER NELERD\u0130R?<\/strong> * Diz a\u011fr\u0131s\u0131 NASIL TE\u015eH\u0130S ED\u0130L\u0130R?<\/strong><\/p>\n * Ailenin g\u00f6zlemi ve muayene bulgular\u0131 Hastal\u0131\u011f\u0131n ba\u015flama ya\u015f\u0131 \u00f6nemlidir genellikle 8 ya\u015f alt\u0131nda g\u00f6r\u00fclenlerde d\u00fczelme \u015fans\u0131 daha fazlad\u0131r. Hastal\u0131\u011f\u0131n 4 d\u00f6nemi vard\u0131r.<\/p>\n * 1. d\u00f6nemde: kal\u00e7a ekleminde s\u0131v\u0131 art\u0131\u015f\u0131 vard\u0131r Ancak d\u00fczelme olsa bile bazen kal\u00e7a ekleminde deformite olur ve ileriki d\u00f6nemlerde kal\u00e7a kire\u00e7lenmesine zemin haz\u0131rlar. B\u00fct\u00fcn hastalar bu d\u00f6nemlerin hepsini s\u0131rayla ge\u00e7irirler. Hastal\u0131k s\u00fcreci birka\u00e7 aydan birka\u00e7 y\u0131la kadar de\u011fi\u015fir. En \u00f6nemli olay hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 ya\u015f\u0131d\u0131r. Ne kadar erken ba\u015flarsa sonu\u00e7 o kadar iyidir. Genellikle 7 ya\u015f alt\u0131nda ba\u015flayanlar\u0131n d\u00fczelme miktar\u0131 daha fazlad\u0131r.<\/p>\n Tedaviyi etkileyen fakt\u00f6rler;<\/strong><\/p>\n * hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 ya\u015f\u0131 Hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 ya\u015f\u0131n\u0131 ve kal\u00e7an\u0131n tutulum miktar\u0131n\u0131 de\u011fi\u015ftirme \u015fans\u0131 yoktur fakat kas spazm\u0131n\u0131 azaltarak kal\u00e7a eklemi yerinde tutulabilir. Kal\u00e7a ekleminin geli\u015fmesi iki kemi\u011fin uyum i\u00e7inde i\u00e7 i\u00e7e olmas\u0131 sayesinde olur.<\/p>","protected":false},"excerpt":{"rendered":" Perthes Hastal\u0131\u011f\u0131 Perthes hastal\u0131\u011f\u0131 b\u00fcy\u00fcme d\u00f6neminde olu\u015fan ve kal\u00e7a ekleminin […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[713],"tags":[26,182,731,732,733],"class_list":["post-172","post","type-post","status-publish","format-standard","hentry","category-cocuklarda-agrili-sendromlar","tag-diz-agrisi","tag-kalca-agrisi","tag-pertres-hastaligi","tag-pertres-hastaligi-tedavisi","tag-topallama"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/comments?post=172"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/172\/revisions"}],"predecessor-version":[{"id":10689,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/172\/revisions\/10689"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nDola\u015f\u0131m bozuklu\u011fu ge\u00e7ici bir durumdur. Kal\u00e7a eklemi iki kemikten olu\u015fur femur ve asetabulum (kal\u00e7a eklemi yuvas\u0131). Perthes hastal\u0131\u011f\u0131 femur (uyluk kemi\u011fi) ba\u015f\u0131n\u0131n hastal\u0131\u011f\u0131d\u0131r asetabulum etkilenmemi\u015ftir. Perthes hastal\u0131\u011f\u0131nda femur ba\u015f\u0131nda dola\u015f\u0131m bozuklu\u011funa ba\u011fl\u0131 erime, k\u00fc\u00e7\u00fclme, \u015fekil bozuklu\u011fu olur.
\nHastal\u0131\u011f\u0131n sebebiyle ilgili pek \u00e7ok teori ortaya at\u0131lm\u0131\u015ft\u0131r: enfeksiyon, eklemde s\u0131v\u0131 art\u0131\u015f\u0131, travma ve do\u011fumsal anomaliler. Hastal\u0131\u011f\u0131n sebebi tam olarak bilinmemekle beraber v\u00fccuttaki b\u00fcy\u00fcme hormonunu bu olaya yol a\u00e7t\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir. Erkek \u00e7ocuklar\u0131nda k\u0131zlara oranla 4-5 kat daha fazla g\u00f6r\u00fcl\u00fcr. Hastal\u0131\u011f\u0131n ba\u015flama ya\u015f\u0131 3-12 ya\u015flard\u0131r fakat s\u0131kl\u0131kla 6-8 ya\u015flar\u0131nda g\u00f6r\u00fcl\u00fcr. Genellikle tek kal\u00e7ada tutulum vard\u0131r. % 10 oran\u0131nda her iki tarafl\u0131d\u0131r.<\/p>\n
\nHastan\u0131n \u015fikayetleri her zaman \u00e7ok belirgin de\u011fildir. \u0130lk \u015fikayetler zaman zaman olan kal\u00e7a ve diz a\u011fr\u0131s\u0131d\u0131r. A\u011fr\u0131 \u015fiddetli de\u011fildir ve birka\u00e7 ay \u00f6nemsenmeden devam edebilir. Kal\u00e7a hareketleri zor yap\u0131l\u0131r ve a\u011fr\u0131l\u0131d\u0131r. Spor veya oyun sonras\u0131nda a\u011fr\u0131 ve topallama artar. Sabahlar\u0131 normal y\u00fcr\u00fcyen \u00e7ocuk ak\u015famlar\u0131 topallamaya ba\u015flar. Doktora ilk m\u00fcracaat genellikle topallaman\u0131n fark edilmesinden 1-2 hafta sonra olur. \u00c7ocuk o baca\u011f\u0131n\u0131 di\u011ferine g\u00f6re k\u0131salm\u0131\u015f hisseder. Fiziksel aktivite belirtileri art\u0131r\u0131r.<\/p>\n
\n* Kal\u00e7a hareketlerinde a\u011fr\u0131 ve k\u0131s\u0131tl\u0131l\u0131k
\n* Topallama
\n* Uzun s\u00fcre \u015fikayeti olanlarda kas zay\u0131fl\u0131\u011f\u0131<\/p>\n
\n* R\u00f6ntgen (ilk d\u00f6nemde belirti vermez), kaliteli ve uzman de\u011ferlendirmeli
\n* MR, te\u015fhis koydurucu ancak pahal\u0131d\u0131r
\n* Sintigrafi, fazla miktarda radyasyon al\u0131n\u0131r<\/p>\n
\n* 2. d\u00f6nemde: k\u0131k\u0131rdakta yumu\u015fama ve zedelenme
\n* 3. d\u00f6nemde: kal\u00e7a eklemi b\u00fcy\u00fcme \u00e7ekirde\u011finde erime, k\u00fc\u00e7\u00fclme
\n* 4. d\u00f6nemde: d\u00fczelme, rejenerasyon (yeniden yap\u0131lanma)<\/p>\n
\n* erken te\u015fhis
\n* hastal\u0131\u011f\u0131n kal\u00e7a eklemini tutma oran\u0131 ve \u015fiddeti
\n* femur ba\u015f\u0131n\u0131n asetabulumdan ta\u015f\u0131p ta\u015fmamas\u0131
\n* kal\u00e7a hareketlerinde k\u0131s\u0131tl\u0131l\u0131k olup olmamas\u0131<\/p>\n