{"id":461,"date":"2009-08-26T11:29:49","date_gmt":"2009-08-26T12:29:49","guid":{"rendered":"https:\/\/turanuslu.net\/?p=461"},"modified":"2022-01-14T09:57:56","modified_gmt":"2022-01-14T09:57:56","slug":"hemofili-rehabilitasyonu","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/hemofili-rehabilitasyonu\/","title":{"rendered":"Hemofili Rehabilitasyonu"},"content":{"rendered":"<h2>Hemofili Rehabilitasyonu<\/h2>\n<div style=\"text-align: justify;\">Hemofili tedavisinde 1970\u2019lerden beri ekip \u00e7al\u0131\u015fmas\u0131 anlay\u0131\u015f\u0131 a\u011f\u0131rl\u0131k kazanm\u0131\u015ft\u0131r. Bu ekip hematolog, fiziatrist, fizyoterapist, ortopedist, hem\u015fire, di\u015f hekimi, psikolog ve sosyal hizmet uzman\u0131ndan olu\u015fmaktad\u0131r.<\/div>\n<div style=\"text-align: justify;\">Hemofilik hastalar, tekrarlayan kanamalar sonucunda ortaya \u00e7\u0131kabilen \u00e7e\u015fitli kas-iskelet sistemi sorunlar\u0131 ile kar\u015f\u0131 kar\u015f\u0131ya kalmaktad\u0131rlar. Bu nedenle, kas-iskelet sistemi sorunlar\u0131n\u0131n de\u011ferlendirilmesi, \u00f6nlenmesi ve tedavisinde rehabilitasyonun b\u00fcy\u00fck \u00f6nemi vard\u0131r. Uygun t\u0131bbi tedavi ve egzersiz program\u0131 ile bu sorunlar\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n \u00f6nlemek ya da g\u00fcnl\u00fck fonksiyonlar\u0131 engellemeyecek d\u00fczeyde kalmas\u0131n\u0131 sa\u011flamak olas\u0131d\u0131r.<\/div>\n<p style=\"text-align: justify;\"><!--more--><br \/>\n<strong>AKUT D\u00d6NEM TEDAV\u0130S\u0130<\/strong><\/p>\n<div style=\"text-align: justify;\">Bu d\u00f6nemde ana ama\u00e7, eklem hareketlili\u011fini ve kas g\u00fcc\u00fcn\u00fc azaltmadan, olabildi\u011fince k\u0131sa s\u00fcrede kanaman\u0131n geri d\u00f6n\u00fc\u015f\u00fcn\u00fc sa\u011flamakt\u0131r. Bu d\u00f6nemdeki tedavi fakt\u00f6r replasman\u0131, istirahat, ortez, so\u011fuk uygulama ve egzersizlerden olu\u015fur.<\/div>\n<ul style=\"text-align: justify;\">\n<li><strong>Fakt\u00f6r replasman\u0131 :<\/strong> Hematoloji uzman\u0131 denetiminde uygulan\u0131r.<\/li>\n<li><strong>\u0130stirahat ve ortez :<\/strong> \u00d6nemsiz d\u00fczeydeki eklem kanamalar\u0131nda istirahat gerekli olmayabilir; ancak, elastik bandaj ya da basit ortezler rahatlat\u0131c\u0131 olabilir. B\u00fcy\u00fck kanamalarda ise istirahat ortezlerinin kullan\u0131lmas\u0131 yerinde olur. \u0130stirahat s\u0131ras\u0131nda eklemin b\u00fck\u00fck kalmas\u0131na olabildi\u011fince izin verilmemeli, dizlerin alt\u0131na yast\u0131k konmamal\u0131d\u0131r. \u0130stirahat s\u00fcresi iyi ayarlanmal\u0131d\u0131r. Hasta \u00e7abuk aya\u011fa kalkt\u0131\u011f\u0131nda kanaman\u0131n gerilemesi gecikebilir ya da yeniden kanama olabilir; ancak bunun yan\u0131s\u0131ra uzun s\u00fcre hareketsizli\u011fin de eklem hareketlili\u011finde bozulmaya neden olabilece\u011fi ak\u0131ldan \u00e7\u0131kar\u0131lmamal\u0131d\u0131r.<\/li>\n<li><strong>So\u011fuk uygulama : <\/strong>Kanaman\u0131n oldu\u011fu eklem b\u00f6lgesine hi\u00e7 zaman yitirmeden so\u011fuk uygulamaya ba\u015flanmal\u0131d\u0131r. Bu uygulama, a\u011fr\u0131y\u0131 azaltaca\u011f\u0131 gibi, kan\u0131n geri emilmesini de h\u0131zland\u0131racak ve tedavi s\u00fcresini k\u0131saltacakt\u0131r. Bu \u015fekilde, hareketsizli\u011fe ba\u011fl\u0131 yan etkiler \u00f6nemli derecede azalacakt\u0131r.<\/li>\n<li>So\u011fuk uygulama buzlukta tutulan haz\u0131r so\u011fuk paketlerle yap\u0131labilece\u011fi gibi, havlular\u0131 \u0131slak olarak buzlukta bekletmek yoluyla ya da i\u00e7ine k\u00fc\u00e7\u00fck buz par\u00e7alar\u0131 ve su doldurulmu\u015f bir torbay\u0131 bezle sararak da yap\u0131labilir.<\/li>\n<li>So\u011fuk uygulaman\u0131n eklemin t\u00fcm\u00fcn\u00fc kapsayacak \u015fekilde yap\u0131lmas\u0131 gerekti\u011fi unutulmamal\u0131d\u0131r. Uygulama 10-15 dakikal\u0131k s\u00fcrelerle g\u00fcn boyunca 2-3 saatte bir ya da kanamal\u0131 b\u00f6lgenin s\u0131cakl\u0131\u011f\u0131 artt\u0131k\u00e7a yinelenmelidir.<\/li>\n<li>Akut kanamal\u0131 b\u00f6lgeye hi\u00e7bir \u015fekilde s\u0131cak uygulama yap\u0131lmamal\u0131d\u0131r.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27200%27%20height%3D%27150%27%20viewBox%3D%270%200%20200%20150%27%3E%3Crect%20width%3D%27200%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/hemofili\/h01.jpg\" alt=\"\" width=\"200\" height=\"150\" border=\"0\" \/> <img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27200%27%20height%3D%27150%27%20viewBox%3D%270%200%20200%20150%27%3E%3Crect%20width%3D%27200%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/hemofili\/h02.jpg\" alt=\"\" width=\"200\" height=\"150\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\"><strong>Egzersiz : <\/strong>Kanamal\u0131 b\u00f6lgenin istirahate al\u0131nmas\u0131, kanaman\u0131n gerilemesi i\u00e7in gereklidir. Ama, uzun s\u00fcreli istirahat kaslar\u0131n zay\u0131flamas\u0131na ve eklem hareketlili\u011finin azalmas\u0131na neden olur. Bu nedenle, kanamal\u0131 b\u00f6lgede akut d\u00f6nem egzersizleri uygulanmal\u0131d\u0131r. Bu egzersizler her seansta 10\u2019ar tane olmak \u00fczere, g\u00fcn i\u00e7inde s\u0131k s\u0131k tekrarlanmal\u0131d\u0131r. Kanaman\u0131n olmad\u0131\u011f\u0131 di\u011fer eklemlere ise kronik d\u00f6nem egzersizlerine devam edilmelidir<\/div>\n<table style=\"text-align: justify;\" border=\"1\">\n<tbody>\n<tr>\n<td width=\"110\"><img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27110%27%20height%3D%2782%27%20viewBox%3D%270%200%20110%2082%27%3E%3Crect%20width%3D%27110%27%20height%3D%2782%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/hemofili\/h03.jpg\" alt=\"\" width=\"110\" height=\"82\" border=\"0\" \/><\/td>\n<td width=\"70%\">Kanamal\u0131 dizde akut d\u00f6nem egzersizi<br \/>\nDizinizin alt\u0131na k\u00fc\u00e7\u00fck bir havluyu rulo yap\u0131p koyun. Dizinizi hareket ettirmeden, a\u015fa\u011f\u0131 do\u011fru bast\u0131rarak ruloyu s\u0131k\u0131\u015ft\u0131r\u0131n. Ayn\u0131 zamanda ayak bile\u011finizi y\u00fcz\u00fcn\u00fcze do\u011fru \u00e7ekin. Bu \u015fekilde 5 sn kal\u0131n. Daha sonra gev\u015feyin. 5 sn dinlendikten sonra hareketi tekrarlay\u0131n.<\/td>\n<\/tr>\n<tr>\n<td width=\"30%\"><img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2796%27%20height%3D%27120%27%20viewBox%3D%270%200%2096%20120%27%3E%3Crect%20width%3D%2796%27%20height%3D%27120%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/hemofili\/h04.jpg\" alt=\"\" width=\"96\" height=\"120\" border=\"0\" \/> <img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2796%27%20height%3D%27120%27%20viewBox%3D%270%200%2096%20120%27%3E%3Crect%20width%3D%2796%27%20height%3D%27120%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/hemofili\/h05.jpg\" alt=\"\" width=\"96\" height=\"120\" border=\"0\" \/><\/td>\n<td width=\"70%\">Kanamal\u0131 dizde akut d\u00f6nem egzersizi<br \/>\nDizinizin alt\u0131na k\u00fc\u00e7\u00fck bir havluyu rulo yap\u0131p koyun. Dizinizi hareket ettirmeden, a\u015fa\u011f\u0131 do\u011fru bast\u0131rarak ruloyu s\u0131k\u0131\u015ft\u0131r\u0131n. Ayn\u0131 zamanda ayak bile\u011finizi y\u00fcz\u00fcn\u00fcze do\u011fru \u00e7ekin. Bu \u015fekilde 5 sn kal\u0131n. Daha sonra gev\u015feyin. 5 sn dinlendikten sonra hareketi tekrarlay\u0131n.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>","protected":false},"excerpt":{"rendered":"<p>Hemofili Rehabilitasyonu Hemofili tedavisinde 1970\u2019lerden beri ekip \u00e7al\u0131\u015fmas\u0131 anlay\u0131\u015f\u0131 a\u011f\u0131rl\u0131k [&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":[368],"tags":[388,389,390,391,387],"class_list":["post-461","post","type-post","status-publish","format-standard","hentry","category-rehabilitasyon","tag-hemofili","tag-hemofili-egzersizleri","tag-hemofili-rehabilitasyonu","tag-hemofili-tedavisi","tag-rehabilitasyon"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/461","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=461"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/461\/revisions"}],"predecessor-version":[{"id":10766,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/461\/revisions\/10766"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}