{"id":8564,"date":"2019-07-24T10:39:03","date_gmt":"2019-07-24T11:39:03","guid":{"rendered":"https:\/\/turanuslu.net\/?p=8564"},"modified":"2025-01-07T20:11:33","modified_gmt":"2025-01-07T20:11:33","slug":"perthes-hastaligi-kalca-eklemi-osteokondriti-perthes-calve-legs-hastaligi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/de\/perthes-hastaligi-kalca-eklemi-osteokondriti-perthes-calve-legs-hastaligi\/","title":{"rendered":"Perthes Hastal\u0131\u011f\u0131 (Kal\u00e7a Eklemi Osteokondriti , Perthes -Calve &#8211; Legs Hastal\u0131\u011f\u0131)"},"content":{"rendered":"<h1>Perthes Hastal\u0131\u011f\u0131 (Kal\u00e7a Eklemi Osteokondriti, Perthes-Calve-Legg Hastal\u0131\u011f\u0131)<\/h1>\n<p><strong>Perthes Hastal\u0131\u011f\u0131<\/strong>, b\u00fcy\u00fcme d\u00f6neminde g\u00f6r\u00fclen, kal\u00e7a ekleminin femur (uyluk kemi\u011fi) ba\u015f\u0131nda dola\u015f\u0131m bozuklu\u011funa ba\u011fl\u0131 olarak beslenme yetersizli\u011fiyle ortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r. Bu durum, femur ba\u015f\u0131n\u0131n erimesine ve ilerleyen d\u00f6nemlerde yozla\u015fmas\u0131na neden olabilir. Kal\u00e7a eklemi iki kemikten olu\u015fur: femur ve asetabulum (kal\u00e7a eklemi yuvas\u0131). Perthes hastal\u0131\u011f\u0131nda yaln\u0131zca femur ba\u015f\u0131 etkilenirken, asetabulum genellikle hastal\u0131ktan etkilenmez.<\/p>\n<p>Dola\u015f\u0131m bozuklu\u011fu ge\u00e7ici bir durumdur. Ancak, femur ba\u015f\u0131nda k\u00fc\u00e7\u00fclme, erime ve \u015fekil bozuklu\u011fu ile sonu\u00e7lanabilir. Perthes hastal\u0131\u011f\u0131n\u0131n nedeni tam olarak bilinmemektedir ancak b\u00fcy\u00fcme hormonu ile ili\u015fkili oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Erkek \u00e7ocuklar\u0131nda, k\u0131zlara oranla 4-5 kat daha s\u0131k g\u00f6r\u00fcl\u00fcr ve s\u0131kl\u0131kla 6-8 ya\u015flar\u0131 aras\u0131nda ortaya \u00e7\u0131kar. Genellikle tek tarafl\u0131d\u0131r ancak %10 oran\u0131nda her iki kal\u00e7a da etkilenebilir.<\/p>\n<h2>Perthes Hastal\u0131\u011f\u0131n\u0131n Belirtileri<\/h2>\n<p>Hastal\u0131\u011f\u0131n belirtileri genellikle belirgin olmayabilir. \u00c7o\u011fu hasta, ba\u015flang\u0131\u00e7ta hafif a\u011fr\u0131lar\u0131 \u00f6nemsemez. Belirtiler \u015fu \u015fekilde s\u0131ralanabilir:<\/p>\n<ul>\n<li>Zaman zaman ortaya \u00e7\u0131kan kal\u00e7a ve diz a\u011fr\u0131s\u0131<\/li>\n<li>Kal\u00e7a hareketlerinde a\u011fr\u0131 ve k\u0131s\u0131tl\u0131l\u0131k<\/li>\n<li>Topallama (\u00f6zellikle oyun veya spor sonras\u0131 artar)<\/li>\n<li>Uzun s\u00fcre \u015fikayeti olanlarda kas zay\u0131fl\u0131\u011f\u0131<\/li>\n<\/ul>\n<p>Hastalar, sabahlar\u0131 normal y\u00fcr\u00fcyebilirken g\u00fcn\u00fcn ilerleyen saatlerinde topallama fark edilir hale gelebilir. Fiziksel aktivite genellikle belirtileri art\u0131r\u0131r.<\/p>\n<h2>Perthes Hastal\u0131\u011f\u0131 Nas\u0131l Te\u015fhis Edilir?<\/h2>\n<p>Te\u015fhis y\u00f6ntemleri aras\u0131nda \u015funlar bulunur:<\/p>\n<ul>\n<li>Aile g\u00f6zlemleri ve fizik muayene bulgular\u0131<\/li>\n<li>R\u00f6ntgen (erken d\u00f6nemde belirti vermeyebilir ancak uzman de\u011ferlendirmesi \u00f6nemlidir)<\/li>\n<li>MR (kesin te\u015fhis i\u00e7in kullan\u0131labilir ancak pahal\u0131 bir y\u00f6ntemdir)<\/li>\n<li>Sintigrafi (fazla radyasyon i\u00e7erir, bu nedenle s\u0131n\u0131rl\u0131 kullan\u0131l\u0131r)<\/li>\n<\/ul>\n<p>Hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 ya\u015f\u0131 te\u015fhis a\u00e7\u0131s\u0131ndan \u00f6nemlidir. 8 ya\u015f alt\u0131ndaki hastalarda iyile\u015fme \u015fans\u0131 daha y\u00fcksektir.<\/p>\n<h2>Perthes Hastal\u0131\u011f\u0131n\u0131n Evreleri<\/h2>\n<p>Hastal\u0131k genellikle d\u00f6rt d\u00f6nemde ilerler:<\/p>\n<ol>\n<li>Kal\u00e7a ekleminde s\u0131v\u0131 art\u0131\u015f\u0131<\/li>\n<li>K\u0131k\u0131rdakta yumu\u015fama ve zedelenme<\/li>\n<li>Femur ba\u015f\u0131nda erime, k\u00fc\u00e7\u00fclme ve \u015fekil bozuklu\u011fu<\/li>\n<li>D\u00fczelme ve rejenerasyon (yeniden yap\u0131lanma)<\/li>\n<\/ol>\n<p>D\u00fczelme s\u00fcreci tamamlanm\u0131\u015f olsa bile, baz\u0131 hastalarda kal\u00e7a ekleminde deformite kalabilir. Bu durum, ilerleyen y\u0131llarda kal\u00e7a kire\u00e7lenmesine zemin haz\u0131rlayabilir. Hastal\u0131k s\u00fcreci birka\u00e7 aydan birka\u00e7 y\u0131la kadar de\u011fi\u015febilir ve erken te\u015fhis b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\n<h2>Tedaviyi Etkileyen Fakt\u00f6rler<\/h2>\n<p>Perthes hastal\u0131\u011f\u0131n\u0131n tedavisini etkileyen fakt\u00f6rler \u015funlard\u0131r:<\/p>\n<ul>\n<li>Hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 ya\u015f\u0131<\/li>\n<li>Erken te\u015fhis<\/li>\n<li>Hastal\u0131\u011f\u0131n kal\u00e7a eklemini tutma oran\u0131 ve \u015fiddeti<\/li>\n<li>Femur ba\u015f\u0131n\u0131n asetabulumdan ta\u015f\u0131p ta\u015fmamas\u0131<\/li>\n<li>Kal\u00e7a hareketlerinde k\u0131s\u0131tl\u0131l\u0131k olup olmamas\u0131<\/li>\n<\/ul>\n<p>Erken te\u015fhis ve uygun tedavi ile kas spazm\u0131 azalt\u0131labilir ve kal\u00e7a eklemi desteklenebilir. Kal\u00e7a ekleminin sa\u011fl\u0131kl\u0131 geli\u015fimi, femur ba\u015f\u0131 ile asetabulumun uyum i\u00e7inde hareket etmesine ba\u011fl\u0131d\u0131r.<\/p>\n<h2>Kad\u0131k\u00f6y A\u011fr\u0131 Merkezi\u2019nde Perthes Hastal\u0131\u011f\u0131 Tedavisi<\/h2>\n<p>Kad\u0131k\u00f6y A\u011fr\u0131 Merkezi, Perthes hastal\u0131\u011f\u0131n\u0131n tan\u0131 ve tedavisinde uzman bir kadro ve modern tedavi y\u00f6ntemleriyle hizmet sunmaktad\u0131r. Tedavi planlar\u0131, hastal\u0131\u011f\u0131n evresine, hastan\u0131n ya\u015f\u0131na ve genel sa\u011fl\u0131k durumuna g\u00f6re \u00f6zelle\u015ftirilir.<\/p>\n<div>\n  <a href=\"https:\/\/www.youtube.com\/channel\/UC-EH3FtNo45g8-ja6zGzfTA\" target=\"_blank\" rel=\"noopener\"><br \/>\n    <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=\"YouTube Kanal\u0131m\u0131za Abone Olun\" width=\"300\" height=\"150\" \/><br \/>\n  <\/a><br \/>\n  <a href=\"http:\/\/turanuslu.net\/de\/randevu\/\"><br \/>\n    <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=\"Randevu Al\u0131n\" width=\"300\" height=\"150\" \/><br \/>\n  <\/a>\n<\/div>\n<p>Perthes hastal\u0131\u011f\u0131 hakk\u0131nda daha fazla bilgi almak ve tedavi se\u00e7eneklerini de\u011ferlendirmek i\u00e7in hemen <strong>90 530 343 7499<\/strong> numaral\u0131 telefondan Kad\u0131k\u00f6y A\u011fr\u0131 Merkezi ile ileti\u015fime ge\u00e7ebilir, <a href=\"http:\/\/turanuslu.net\/de\/randevu\/\">Turan Uslu\u2019dan randevu<\/a> alabilirsiniz. \u00c7ocu<\/p>","protected":false},"excerpt":{"rendered":"<p>Perthes Hastal\u0131\u011f\u0131 (Kal\u00e7a Eklemi Osteokondriti, Perthes-Calve-Legg Hastal\u0131\u011f\u0131) Perthes Hastal\u0131\u011f\u0131, b\u00fcy\u00fcme [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8460,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[176],"tags":[1581,1582,1583,1584,1585,1586],"class_list":["post-8564","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kalca-agrilari","tag-perthes-hastaligi","tag-perthes-hastaligi-fizik-tedavi","tag-perthes-hastaligi-nedenleri","tag-perthes-hastaligi-sebepleri","tag-perthes-hastaligi-tedavi","tag-perthes-hastaligi-teshisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/turan-uslu-sablon.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/8564","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=8564"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/8564\/revisions"}],"predecessor-version":[{"id":11081,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/8564\/revisions\/11081"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media\/8460"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media?parent=8564"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/categories?post=8564"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/tags?post=8564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}