{"id":258,"date":"2009-08-26T09:19:08","date_gmt":"2009-08-26T10:19:08","guid":{"rendered":"https:\/\/turanuslu.net\/?p=258"},"modified":"2022-01-18T10:41:49","modified_gmt":"2022-01-18T10:41:49","slug":"de-quarvain-hastaligi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/de-quarvain-hastaligi\/","title":{"rendered":"De Quarvain Hastal\u0131\u011f\u0131"},"content":{"rendered":"

De Quarvain Hastal\u0131\u011f\u0131<\/h2>\n

El bile\u011fi ve \u00f6n kolun ba\u015f parmak k\u00f6k\u00fcne yay\u0131lan a\u011fr\u0131 ve \u015fi\u015flikle kendini g\u00f6steren bir tendon ve tendon k\u0131l\u0131f\u0131 iltihab\u0131d\u0131r. Ba\u015f parma\u011f\u0131 hareket ettiren, onu di\u011fer parmaklardan uzakla\u015ft\u0131ran (abduktor pollisis longus) ve geriye do\u011fru b\u00fcken (ekstans\u00f6r pollisis brevis) kaslar\u0131n\u0131n tendonlar\u0131n\u0131n iltihaplanmas\u0131d\u0131r. \u00c7ok s\u0131k rastlanan ve kolay te\u015fhis edilen bir hastal\u0131kt\u0131r. Tendonla tendon k\u0131l\u0131f\u0131 aras\u0131nda d\u00fczensizlik ve \u015fi\u015fme olur bunun sonucunda tendonla tendon k\u0131l\u0131f\u0131 aras\u0131ndaki kayganl\u0131k azal\u0131r.
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Sebepleri nelerdir ?<\/strong><\/p>\n

Kavrama, s\u0131k\u0131\u015ft\u0131rma, s\u0131kma, burkma, daktilo yazma gibi tekrarlayan aktiviteler, bu iki kasa ait tendonun ge\u00e7tikleri kanalda s\u0131k\u0131\u015fmas\u0131na sebep olurlar. Bu hareketler tendon ve tendon k\u0131l\u0131flar\u0131nda y\u0131pranma, yozla\u015fma, ve enflamasyona yola\u00e7arlar. Tendon \u00e7evresindeki sinovial dokuda iltihaplanma ve buna ba\u011fl\u0131 olarak \u015fi\u015flik olu\u015fur. B\u00f6ylelikle tendonun k\u0131l\u0131f\u0131 i\u00e7inde kaymas\u0131 ve hareket etmesi zorla\u015f\u0131r. Romatoid artrit ve gut gibi baz\u0131 iltihapl\u0131 romatizmalar\u0131n ba\u015flang\u0131c\u0131nda veya seyri esnas\u0131nda da benzer belirtiler olu\u015fabilir.<\/div>\n

Belirtileri nelerdir ? <\/strong>
\n\"\"\"\"<\/p>\n

\u00d6n kolun ba\u015f parmak taraf\u0131nda huzursuzluk ve a\u011fr\u0131 ilk belirtidir. A\u011fr\u0131 el bile\u011fine ve ba\u015f parma\u011fa do\u011fru yay\u0131labilir. Ba\u015f parma\u011f\u0131n hareketleri esnas\u0131nda bu b\u00f6lgede bir s\u00fcrt\u00fcnme sesi duyulabilir. \u0130lerlemi\u015f ve a\u011f\u0131r vakalarda bu b\u00f6lgede \u015fi\u015flik ve s\u0131cakl\u0131k olabilir. Bu b\u00f6lge basmakla a\u011fr\u0131l\u0131d\u0131r.<\/div>\n
Ba\u015f parmak avu\u00e7 i\u00e7inde s\u0131k\u0131\u015ft\u0131r\u0131l\u0131p, el a\u011fr\u0131n\u0131n oldu\u011fu taraf\u0131n tersine zorlan\u0131rsa \u015fiddetli a\u011fr\u0131 olur.<\/div>\n

Tedavi ve tekrarlar\u0131 \u00f6nleme <\/strong><\/p>\n

Bu b\u00f6lgeye lokal anestezik+kortizon enjeksiyonlar\u0131 yap\u0131lmas\u0131 hastalar\u0131n \u00e7o\u011funda rahatlama sa\u011flar. Enjeksiyondan sonra mutlaka istirahat splinti verilmelidir. B\u00fct\u00fcn bu tedbirlere ra\u011fmen iyile\u015fmeyen hastalarda ortopedik cerrahi giri\u015fim yap\u0131labilir.<\/div>\n
Tekrarlayan hareketlerden ka\u00e7\u0131nmak ve bu m\u00fcmk\u00fcn de\u011filse elin olabildi\u011fince n\u00f6tral pozisyonda tutulmas\u0131 tekrarlar\u0131 \u00f6nlemek i\u00e7in gereklidir. Ayr\u0131ca splintlerle elin dinlendirilmesi gerekir.<\/div>\n

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De Quarvain Hastal\u0131\u011f\u0131 El bile\u011fi ve \u00f6n kolun ba\u015f parmak […]<\/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":[37],"tags":[33,38,55,56,57,58],"class_list":["post-258","post","type-post","status-publish","format-standard","hentry","category-el-ve-el-bilegi-agrilari","tag-bilek-agrilari","tag-bilek-agrisi","tag-de-quarvain-egzersizleri","tag-de-quarvain-hastaligi","tag-de-quarvain-nedir","tag-de-quarvain-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/258","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=258"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/258\/revisions"}],"predecessor-version":[{"id":10844,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/258\/revisions\/10844"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}