{"id":331,"date":"2009-08-26T09:55:21","date_gmt":"2009-08-26T10:55:21","guid":{"rendered":"https:\/\/turanuslu.net\/?p=331"},"modified":"2021-03-20T09:12:27","modified_gmt":"2021-03-20T09:12:27","slug":"kalca-kireclenmesi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/kalca-kireclenmesi\/","title":{"rendered":"\u0627\u0644\u062a\u0647\u0627\u0628 \u0645\u0641\u0635\u0644 \u0627\u0644\u0648\u0631\u0643"},"content":{"rendered":"<h1>\u0627\u0644\u062a\u0647\u0627\u0628 \u0645\u0641\u0635\u0644 \u0627\u0644\u0648\u0631\u0643<\/h1>\n<p><img decoding=\"async\" class=\"lazyload alignleft wp-image-8554 size-medium\" src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-300x300.jpg\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-300x300.jpg\" alt=\"kal\u00e7a kire\u00e7lenmesi , kal\u00e7a kire\u00e7lenmesi tedavisi ,kal\u00e7a kire\u00e7lenmesi belirtileri ,kal\u00e7a kire\u00e7lenmesi tedavisi ,kal\u00e7a kire\u00e7lenmesi fizik tedavi\" width=\"300\" height=\"300\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27300%27%20viewBox%3D%270%200%20300%20300%27%3E%3Crect%20width%3D%27300%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-66x66.jpg 66w, https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-150x150.jpg 150w, https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-200x200.jpg 200w, https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-300x300.jpg 300w, https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi-400x400.jpg 400w, https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kalca-kireclenmesi.jpg 600w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Kal\u00e7a kire\u00e7lenmesi en s\u0131k rastlanan kal\u00e7a a\u011fr\u0131s\u0131 sebebidir. Daha \u00e7ok orta ve ileri ya\u015flarda g\u00f6r\u00fcl\u00fcr. Ba\u015flang\u0131\u00e7ta kal\u00e7a hareketlerinde tutukluk, a\u011fr\u0131 ve topallama olur. Hastal\u0131k ilerledik\u00e7e kal\u00e7a deformasyona ba\u015flar. Topallama daha belirginle\u015fir o taraf bacak k\u0131salm\u0131\u015f gibi hissedilir. Y\u00fcr\u00fcrken \u00f6zellikle merdiven inip \u00e7\u0131kmak iyice zorla\u015f\u0131r. Kal\u00e7a kire\u00e7lenmesi \u00e7o\u011funlukla tek tarafl\u0131d\u0131r. Ancak bir taraftaki kal\u00e7an\u0131n bozulmas\u0131, bir s\u00fcre sonra di\u011fer kal\u00e7ay\u0131 da etkileyebilir.<\/p>\n<p>Kal\u00e7a kire\u00e7lenmesinin tedavisi cerrahidir. Ancak cerrahi m\u00fcdahale i\u00e7in, hasta bekleyebildi\u011fi kadar bekletilmelidir. Erken d\u00f6nemde antiromatizmal ila\u00e7lar, kas gev\u015feticiler verilir. Kapl\u0131ca tedavisi kal\u00e7a \u00e7evresinde kas spazm\u0131n\u0131 \u00e7\u00f6zerek hastay\u0131 rahatlat\u0131r. A\u011f\u0131rl\u0131k ta\u015f\u0131yan di\u011fer eklemlerde oldu\u011fu gibi kal\u00e7a ekleminde de artroz (kire\u00e7lenme ) olduk\u00e7a s\u0131k g\u00f6r\u00fcl\u00fcr. Kal\u00e7a artrozunun ilk belirtisi kal\u00e7a ekleminde bir rahats\u0131zl\u0131k ve tutukluk olmas\u0131d\u0131r.<\/p>\n<p>Bu rahats\u0131zl\u0131k ba\u015flang\u0131\u00e7ta sabahlar\u0131 uyanma ve yataktan kalkma ile ortaya \u00e7\u0131kar. A\u011fr\u0131 hareket ve eklem \u00fczerine y\u00fck bindirilmesi ile artar, istirahatta biraz rahatlar. Hastal\u0131k ilerledik\u00e7e a\u011fr\u0131 ve di\u011fer \u015fikayetler dinlenmekle de ge\u00e7mez olur. Hasta a\u011fr\u0131dan dolay\u0131 aktivitelerini azalt\u0131r. Eklem aral\u0131\u011f\u0131 iyice daral\u0131r. Kal\u00e7a hareketleri k\u0131s\u0131tlan\u0131r ve topallama olur. A\u011fr\u0131 bazen dizede vurabilir. Bu nedenle diz a\u011fr\u0131s\u0131 ile gelen hastalar mutlaka kal\u00e7a eklemi y\u00f6n\u00fcnden de de\u011ferlendirilmelidir.<\/p>\n<p>Ya\u015flanma, ailesel fakt\u00f6rler, \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131klar, kal\u00e7aya y\u00f6nelik cerrahi i\u015flemler, kal\u00e7a kire\u00e7lenmesi i\u00e7in en \u00f6nemli risk fakt\u00f6rleridir. Kal\u00e7ada osteartrit bir kez ba\u015flad\u0131 m\u0131 onu durdurmak ve geriye d\u00f6nd\u00fcrmek \u00e7o\u011fu kez m\u00fcmk\u00fcn de\u011fildir. D\u00fcz r\u00f6ntgen filmleri te\u015fhis i\u00e7in yeterlidir. E\u011fer erken d\u00f6nemde ise a\u011fr\u0131lar\u0131n\u0131z tahamm\u00fcl s\u0131n\u0131rlar\u0131 i\u00e7inde ise t\u0131bbi tedavi uygulamalar\u0131 yap\u0131l\u0131r.<\/p>\n<ul>\n<li>Kal\u00e7an\u0131n dinlendirilmesi (sa\u011flam tarafa baston)<\/li>\n<li>Kilo verilmesi<\/li>\n<li>Fizik tedavi, egzersiz, y\u00fczme, bisiklet<\/li>\n<li>Antiromatizmal ila\u00e7lar<\/li>\n<li>D\u00fczenli uyku (zaman zaman y\u00fcz\u00fcst\u00fc yatmak gerekir)<\/li>\n<li>Kapl\u0131ca tedavisi<\/li>\n<li>\u0130lerlemi\u015f vakalarda, hastan\u0131n ya\u015f\u0131 uygunsa t\u0131bbi olarak bir sak\u0131nca yoksa en iyi tedavi<\/li>\n<li>total kal\u00e7a protezidir. Protez sonras\u0131 iyi bir rehabilitasyon program\u0131 uygulanmal\u0131d\u0131r.<\/li>\n<\/ul>\n<h3>TOTAL KAL\u00c7A PROTEZ\u0130<\/h3>\n<p>Kal\u00e7adaki probleminiz hayat standart\u0131n\u0131z\u0131 istemedi\u011finiz kadar d\u00fc\u015f\u00fcrd\u00fcyse protez zaman\u0131n\u0131z geldi demektir. Buradan anla\u015f\u0131laca\u011f\u0131 gibi ameliyat zamanlamas\u0131na doktor de\u011fil hasta karar verir. En s\u0131k soru protez yap\u0131m ya\u015f\u0131 ve ne kadar \u00f6mr\u00fc oldu\u011fudur. Burada hastan\u0131n ki\u015fisel \u00f6zellikleri; ya\u015f, cinsiyet, a\u011f\u0131rl\u0131k ve hareket seviyesi belirleyicidir.<\/p>\n<p>\u0130yi ellerde yap\u0131lmas\u0131 \u015fart\u0131yla t\u00fcm hastalar\u0131n %98\u2019inde protez 10 y\u0131l dayan\u0131r. 65 ya\u015f \u00fczeri, kad\u0131n, 70 kg alt\u0131 ve az hareketli ki\u015filerde protezin \u00f6mr\u00fcn kalan k\u0131sm\u0131nda idare edebilece\u011fi s\u00f6ylenebilir. Genel olarak kal\u00e7a protezi iyi ellerde yap\u0131ld\u0131\u011f\u0131nda 20 y\u0131l civar\u0131nda tamamen a\u011fr\u0131s\u0131z ve kal\u00e7a fonksiyonlar\u0131n\u0131n tam oldu\u011fu bir ya\u015fam s\u00fcresi elde edilir.<\/p>\n<p>\u0644\u0627 \u062a\u0642\u0644 \u0623\u0647\u0645\u064a\u0629 \u063a\u0631\u0641\u0629 \u0627\u0644\u0639\u0645\u0644\u064a\u0627\u062a \u0648\u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0645\u0627 \u0628\u0639\u062f \u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u0623\u0647\u0645\u064a\u0629\u064b \u0639\u0646 \u0625\u062c\u0631\u0627\u0621 \u062c\u0631\u0627\u062d\u0629 \u0627\u0633\u062a\u0628\u062f\u0627\u0644 \u0645\u0641\u0635\u0644 \u0627\u0644\u0648\u0631\u0643 \u0628\u0623\u064a\u062f\u064a \u0645\u0627\u0647\u0631\u0629. \u0623\u0647\u0645 \u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0647\u0630\u0647 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0647\u0648 \u0627\u0644\u0639\u062f\u0648\u0649 \u0628\u0645\u0639\u062f\u0644 % 1-2 (\u0641\u064a \u0623\u0641\u0636\u0644 \u0638\u0631\u0648\u0641 \u063a\u0631\u0641\u0629 \u0627\u0644\u0639\u0645\u0644\u064a\u0627\u062a). \u0641\u064a \u062d\u0627\u0644 \u062a\u0637\u0648\u0631 \u0627\u0644\u0639\u062f\u0648\u0649\u060c \u0642\u062f \u064a\u0644\u0632\u0645 \u0625\u062c\u0631\u0627\u0621 \u0639\u0645\u0644\u064a\u0627\u062a \u062c\u0631\u0627\u062d\u064a\u0629 \u0625\u0636\u0627\u0641\u064a\u0629. \u0639\u0646\u062f\u0645\u0627 \u0646\u0642\u0648\u0644 \u0625\u0646 \u0638\u0631\u0648\u0641 \u063a\u0631\u0641\u0629 \u0627\u0644\u0639\u0645\u0644\u064a\u0627\u062a \u062c\u064a\u062f\u0629\u060c \u0641\u0625\u0646\u0646\u0627 \u0646\u0639\u0646\u064a \u063a\u0631\u0641 \u0639\u0645\u0644\u064a\u0627\u062a \u062a\u062a\u0645\u064a\u0632 \u0628\u0645\u0643\u0627\u0641\u062d\u0629 \u0639\u062f\u0648\u0649 \u0645\u0645\u062a\u0627\u0632\u0629 \u0648\u062a\u062f\u0641\u0642 \u0647\u0648\u0627\u0621 \u0635\u0641\u0627\u0626\u062d\u064a. \u064a\u0643\u0627\u062f \u064a\u0643\u0648\u0646 \u062e\u0637\u0631 \u0625\u0635\u0627\u0628\u0629 \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0627\u0644\u062f\u0645\u0648\u064a\u0629 \u0648\u0627\u0644\u0623\u0639\u0635\u0627\u0628 \u0645\u0646\u0639\u062f\u0645\u064b\u0627.<\/p>\n<p>\u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629\u060c \u064a\u064f\u0633\u062a\u0628\u062f\u0644 \u0633\u0637\u062d\u0627 \u0627\u0644\u0645\u0641\u0635\u0644 \u0628\u0645\u0643\u0648\u0646\u0627\u062a \u0628\u0644\u0627\u0633\u062a\u064a\u0643\u064a\u0629 \u0648\u0645\u0639\u062f\u0646\u064a\u0629. \u0647\u0646\u0627\u0643 \u0637\u0631\u064a\u0642\u062a\u0627\u0646 \u0644\u062a\u062b\u0628\u064a\u062a \u0627\u0644\u0623\u062c\u0632\u0627\u0621 \u0627\u0644\u0645\u0632\u0631\u0648\u0639\u0629 \u0641\u064a \u0645\u0643\u0627\u0646\u0647\u0627. \u0625\u062d\u062f\u0627\u0647\u0645\u0627 \u0627\u0644\u062a\u062b\u0628\u064a\u062a \u0628\u0645\u0627\u062f\u0629 \u0623\u0633\u0645\u0646\u062a\u064a\u0629 \u062a\u064f\u0633\u0645\u0649 \u0628\u0648\u0644\u064a\u0645\u064a\u062b\u0627\u0643\u0631\u064a\u0644\u0627\u062a. \u0648\u0627\u0644\u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u0623\u062e\u0631\u0649 \u0647\u064a \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u0637\u0631\u0627\u0641 \u0627\u0635\u0637\u0646\u0627\u0639\u064a\u0629 \u062a\u062a\u0643\u0648\u0646 \u0645\u0646 \u0623\u062c\u0632\u0627\u0621 \u0645\u064f\u062c\u0647\u0632\u0629 \u062e\u0635\u064a\u0635\u064b\u0627 \u062a\u0646\u062f\u0645\u062c \u0645\u0639 \u0627\u0644\u0639\u0638\u0645 \u0628\u0645\u0627 \u064a\u062a\u0648\u0627\u0641\u0642 \u0645\u0639 \u0646\u0645\u0648\u0647. \u062a\u062d\u062a\u0648\u064a \u0628\u0639\u0636 \u0627\u0644\u063a\u0631\u0633\u0627\u062a \u0627\u0644\u062e\u0627\u0644\u064a\u0629 \u0645\u0646 \u0627\u0644\u0623\u0633\u0645\u0646\u062a \u0623\u064a\u0636\u064b\u0627 \u0639\u0644\u0649 \u0645\u0648\u0627\u062f \u0646\u0634\u0637\u0629 \u0628\u064a\u0648\u0644\u0648\u062c\u064a\u064b\u0627 \u0639\u0644\u0649 \u0623\u0633\u0637\u062d\u0647\u0627 \u062a\u064f\u0645\u0643\u0651\u0646 \u0645\u0646 \u062a\u0643\u0648\u064a\u0646 \u0639\u0638\u0645 \u062c\u062f\u064a\u062f. \u062a\u064f\u0641\u0636\u0644 \u0627\u0644\u0623\u0637\u0631\u0627\u0641 \u0627\u0644\u0627\u0635\u0637\u0646\u0627\u0639\u064a\u0629 \u0627\u0644\u062e\u0627\u0644\u064a\u0629 \u0645\u0646 \u0627\u0644\u0623\u0633\u0645\u0646\u062a \u0627\u0644\u064a\u0648\u0645\u060c \u0628\u0627\u0633\u062a\u062b\u0646\u0627\u0621 \u0643\u0628\u0627\u0631 \u0627\u0644\u0633\u0646 \u0648\u0645\u0631\u0636\u0649 \u0647\u0634\u0627\u0634\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u0627\u0644\u0645\u062a\u0642\u062f\u0645\u064a\u0646. (\u0639\u0644\u0649 \u0639\u0643\u0633 \u0627\u0644\u0631\u0643\u0628\u0629)\u060c \u064a\u062c\u0628 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0639\u0643\u0627\u0632\u0627\u062a \u0644\u0641\u062a\u0631\u0629 \u0632\u0645\u0646\u064a\u0629 \u0645\u062d\u062f\u062f\u0629 \u0628\u0639\u062f \u062a\u0631\u0643\u064a\u0628 \u0627\u0644\u0637\u0631\u0641 \u0627\u0644\u0627\u0635\u0637\u0646\u0627\u0639\u064a \u0627\u0644\u062e\u0627\u0644\u064a \u0645\u0646 \u0627\u0644\u0623\u0633\u0645\u0646\u062a.<\/p>\n<p>Hastalar\u0131n operasyonun ertesi g\u00fcn\u00fc y\u00fcr\u00fcmelerine, 2. g\u00fcn tuvalete oturmalar\u0131na izin verilir. Diki\u015fler ortalama 15 g\u00fcnde al\u0131n\u0131r ve sonras\u0131nda banyoya izin verilir. Hasta operasyonun ertesi g\u00fcn\u00fcnden itibaren kal\u00e7a ve diz b\u00fckme ve adele g\u00fc\u00e7lendirme eksersizlerine ba\u015flan\u0131r. Bu egzersizler kal\u00e7a fonksiyonlar\u0131n\u0131n tamamen kazan\u0131lmas\u0131na kadar devam eder. Genellikle 6. haftada t\u00fcm kal\u00e7a fonksiyonlar\u0131 geri d\u00f6ner. Kal\u00e7ada protezin varl\u0131\u011f\u0131n\u0131 hastalar 3-6 ay hissedebilirlerse de y\u00fcr\u00fcme ilk haftadan sonra a\u011fr\u0131s\u0131zd\u0131r.<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/channel\/UC-EH3FtNo45g8-ja6zGzfTA\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"lazyload wp-image-2466 size-full alignleft\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\" alt=\"\" width=\"300\" height=\"150\" \/><\/a><a href=\"http:\/\/turanuslu.net\/ar\/randevu\/\"><img decoding=\"async\" class=\"lazyload alignleft wp-image-2465 size-full\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg\" alt=\"\" width=\"300\" height=\"150\" \/><\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Kal\u00e7a Kire\u00e7lenmesi Kal\u00e7a kire\u00e7lenmesi en s\u0131k rastlanan kal\u00e7a a\u011fr\u0131s\u0131 sebebidir. [&hellip;]<\/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":[176],"tags":[180,182,183,184,185],"class_list":["post-331","post","type-post","status-publish","format-standard","hentry","category-kalca-agrilari","tag-kalca-agrilari","tag-kalca-agrisi","tag-kalca-ameliyati","tag-kalca-kireclenmesi","tag-kalca-kireclenmesi-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/331","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=331"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/331\/revisions"}],"predecessor-version":[{"id":10351,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/331\/revisions\/10351"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}