{"id":516,"date":"2009-08-26T12:24:21","date_gmt":"2009-08-26T13:24:21","guid":{"rendered":"https:\/\/turanuslu.net\/?p=516"},"modified":"2022-01-14T08:58:26","modified_gmt":"2022-01-14T08:58:26","slug":"skolyoz-omurganin-yana-egriligi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/de\/skolyoz-omurganin-yana-egriligi\/","title":{"rendered":"Skoliose (seitliche Verkr\u00fcmmung der Wirbels\u00e4ule)"},"content":{"rendered":"

Skoliose (seitliche Verkr\u00fcmmung der Wirbels\u00e4ule)<\/h2>\n

Omurgan\u0131n yanlara do\u011fru \u201cS\u201d veya \u201cC\u201d bi\u00e7iminde k\u0131vr\u0131lmas\u0131d\u0131r. Bunun sonucunda omurga d\u00f6ner ve bir omuz ve bir kal\u00e7a di\u011ferinden y\u00fcksek g\u00f6r\u00fcn\u00fcr. Genetik olanlar\u0131 varsa da genellikle \u00e7o\u011funun sebebi bilinmemektedir. (idiopatik skolyoz)<\/p>\n

\"\"<\/p>\n

<\/p>\n

Herhangi bir ya\u015fta olabilir. \u0130nfantil skolyoz 3 ya\u015f alt\u0131nda g\u00f6r\u00fcl\u00fcr. Genellikle do\u011fumsal yap\u0131 bozukluklar\u0131na, sinir ve adale hastal\u0131klar\u0131na ( muskuler distrofi, spastik fel\u00e7 gibi) , kazalara, enfeksiyon ve t\u00fcm\u00f6rlere ba\u011fl\u0131 olarak geli\u015febilir. Juvenil skoltoz 3-10 ya\u015flar\u0131 aras\u0131 g\u00f6r\u00fcl\u00fcr ve nadirdir. 10 ya\u015f sonras\u0131 g\u00f6r\u00fclen adolesan (bulu\u011f \u00e7a\u011f\u0131) skolyoz olarak adland\u0131r\u0131l\u0131r ve en s\u0131k g\u00f6r\u00fclen tipidir.<\/div>\n
Skolyoz b\u00fcy\u00fcmenin devam etti\u011fi bulu\u011f \u00e7a\u011f\u0131 boyunca h\u0131zl\u0131 bir ilerleme g\u00f6sterir. \u0130skelet geli\u015fiminin tamamlan\u0131p b\u00fcy\u00fcmenin durdu\u011fu ya\u015flarda ilerleme ileri e\u011frilikler hari\u00e7 durur. 50 derece \u00f6zelliklede 70 derece \u00fczeri e\u011frilikler eri\u015fkin ya\u015flarda olduk\u00e7a az olmas\u0131na kar\u015f\u0131 ilerleme g\u00f6sterirler.<\/div>\n
Skolyoz genellikle a\u011fr\u0131 yapmaz. Tedavi e\u011filmenin ilerlemesini engellemek, g\u00f6r\u00fcn\u00fcm bozuklu\u011funu gidermek, geli\u015febilecek solunum ve dola\u015f\u0131m problemlerini engellemek, omurgada geli\u015febilecek kire\u00e7lenmelerini engellemek amac\u0131yla yap\u0131l\u0131r.<\/div>\n

Tan\u0131<\/strong><\/p>\n

Doktor ve ailelerin skolyozu en kolay tan\u0131yabilmelerinin yolu \u00e7ocuklar\u0131n kollar\u0131n\u0131 a\u015fa\u011f\u0131 sark\u0131tarak \u00f6ne e\u011fildiklerinde s\u0131rtta ve \u00f6zellikle k\u00fcrek kemi\u011fi seviyesinde asimetrinin farkedilmesidir. Bu asimetrinin di\u011fer sebeplerinin( travma, kas tutulmas\u0131 gibi) olup olmad\u0131\u011f\u0131na da bak\u0131lmal\u0131d\u0131r.<\/div>\n
Tan\u0131 rontgen ile teyid edilir. Burada skolyozu tam de\u011ferlendirmek i\u00e7in ortor\u00f6ntgenogram denilen t\u00fcm omurgay\u0131 g\u00f6steren filmler kullan\u0131lmal\u0131d\u0131r. Bu filmlerde e\u011frili\u011fin b\u00f6lgesi ve derecesi de\u011ferlendirilir. \u0130lerleme riski olan vakalarda 3-6 ay aral\u0131klarla iskelet geli\u015fimi tamamlanana kadar rontgen tetkiki yinelenmelidir.<\/div>\n

Tedavi<\/strong><\/p>\n

    \n
  • G\u00f6zlem:<\/strong> 20 derecenin alt\u0131nda ve iskelet geli\u015fimi tamamlanmaya yak\u0131n hastalarda sadece g\u00f6zlem ve belirli aral\u0131klarla kontrol yeterlidir.<\/li>\n
  • Korse:<\/strong> Korsenin amac\u0131 e\u011fimin art\u0131\u015f\u0131n\u0131n engellenmeye \u00e7al\u0131\u015f\u0131lmas\u0131d\u0131r. Korse \u00f6zellikle e\u011fimin 30 derece civar\u0131nda oldu\u011fu ve b\u00fcy\u00fcmenin devam etti\u011fi \u00e7ocuklarda etkilidir. Korse etkisi 40 derece \u00fcst\u00fc e\u011friliklerde ve iskelet geli\u015fimi tamamlanmas\u0131na uzun y\u0131llar olan \u00e7ocuklarda azalmaya ba\u015flar.<\/li>\n
  • Cerrahi:<\/strong> E\u011fim 50 derece \u00fczerinde ve \u00e7ocuk hala b\u00fcy\u00fcyorsa cerrahi ka\u00e7\u0131n\u0131lmazd\u0131r. 50 derece \u00fczeri e\u011frilikler b\u00fcy\u00fcme sona erdikten sonra da olduk\u00e7a az olsa da artmaya devam eder. Bu sebeple ilerideki komplikasyonlar\u0131 \u00f6nlemek, g\u00f6r\u00fcnt\u00fc a\u00e7\u0131s\u0131ndan cerrahi se\u00e7ene\u011fi iyi de\u011ferlendirilmelidir.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"

    Skolyoz (Omurgan\u0131n yana e\u011frili\u011fi) Omurgan\u0131n yanlara do\u011fru \u201cS\u201d veya \u201cC\u201d […]<\/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":[501],"tags":[520,521,522,523],"class_list":["post-516","post","type-post","status-publish","format-standard","hentry","category-sirt-agrilari","tag-omurga-egriligi","tag-omurga-egriligi-tedavisi","tag-skolyoz","tag-skolyoz-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/516","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/comments?post=516"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/516\/revisions"}],"predecessor-version":[{"id":10743,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/516\/revisions\/10743"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media?parent=516"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/categories?post=516"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/tags?post=516"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}