{"id":957,"date":"2010-04-26T08:42:50","date_gmt":"2010-04-26T09:42:50","guid":{"rendered":"https:\/\/turanuslu.net\/?p=957"},"modified":"2021-03-20T08:58:05","modified_gmt":"2021-03-20T08:58:05","slug":"adheziv-kapsulit-omuz-periartriti-donuk-omuz","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/adheziv-kapsulit-omuz-periartriti-donuk-omuz\/","title":{"rendered":"ADHEZ\u0130V KAPS\u00dcL\u0130T (OMUZ PER\u0130ARTR\u0130T\u0130, DONUK OMUZ)"},"content":{"rendered":"

ADHEZ\u0130V KAPS\u00dcL\u0130T (OMUZ PER\u0130ARTR\u0130T\u0130, DONUK OMUZ)<\/h1>\n

Donuk Omuz Adheziv kaps\u00fclit, a\u011fr\u0131 ile ba\u015flayan ve giderek omuz ekleminin b\u00fct\u00fcn y\u00f6nlere olan aktif ve pasif hareketlerinde k\u0131s\u0131tl\u0131l\u0131\u011f\u0131na yol a\u00e7an bir sendromdur. Sa\u011fl\u0131kl\u0131 insanlar\u0131n % 2-3 \u00fcnde g\u00f6r\u00fcld\u00fc\u011f\u00fc bildirilmektedir. 40 ya\u015f\u0131n alt\u0131nda nadir g\u00f6r\u00fcl\u00fcr. Yumu\u015fak doku sertli\u011fine ba\u011fl\u0131 olarak hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 geli\u015fir. Omuz periartriti, donuk omuz, skapulohumeral periartrit, Duplay periartriti olarak da isimlendirilmi\u015ftir. Birincil adheziv kaps\u00fclit bir sebep olmaks\u0131z\u0131n ani ba\u015flayan eklem hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 ile ortaya \u00e7\u0131kar.<\/p>\n

\u0130kincil olarak ise baz\u0131 zemin haz\u0131rlay\u0131c\u0131 fakt\u00f6rleri takiben veya baz\u0131 hastal\u0131klarla birlikte olu\u015fur. Rotator kaf (omuzu d\u00f6nd\u00fcr\u00fcc\u00fc kaslar) y\u0131rt\u0131klar\u0131, omuz travmalar\u0131, yumu\u015fak doku travmalar\u0131, uzam\u0131\u015f hareketsizlik gibi sebeplerin yan\u0131s\u0131ra, diyabetes mellitus, hipertiroidi, akci\u011fer hastal\u0131klar\u0131, myokard infart\u00fcs\u00fc, servikal omurga lezyonlar\u0131, fel\u00e7 gibi hastal\u0131klarda g\u00f6r\u00fclebilir. Diyabetik hastalarda donuk omuz s\u0131kl\u0131\u011f\u0131 %10-20 oran\u0131nda, ins\u00fcline ba\u011f\u0131ml\u0131 diyabetik hastalarda ise %36 oran\u0131nda g\u00f6r\u00fclmektedir.<\/p>\n

Donuk Omuz Fizik muayenede omuz eklemi hareketlerinde k\u0131s\u0131tl\u0131l\u0131k ve hassasiyet bulunur. Omuz eklem k\u0131s\u0131tl\u0131l\u0131\u011f\u0131na ba\u011fl\u0131 olarak normal skapulotorasik oran bozulur. Ay\u0131r\u0131c\u0131 tan\u0131da artrografi de\u011ferlidir. Hastal\u0131\u011f\u0131n seyri 3 evreye ayr\u0131l\u0131r.<\/p>\n

Evre 1-<\/strong> A\u011fr\u0131l\u0131 faz: A\u011fr\u0131n\u0131n \u015fiddetli oldu\u011fu ve omuz hareketlerinde k\u0131s\u0131tl\u0131l\u0131\u011f\u0131n yava\u015f yava\u015f ba\u015flad\u0131\u011f\u0131 evredir. \u0130stirahatte ve gece a\u011fr\u0131 artar. Kas spazm\u0131 geli\u015fir ve bu faz\u0131n sonuna do\u011fru hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 belirginle\u015fir. Yakla\u015f\u0131k olarak 3-8 ay s\u00fcrer.<\/p>\n

Evre 2<\/strong>– Yap\u0131\u015fma faz\u0131: A\u011fr\u0131 bu fazda azal\u0131r, ancak eklem hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 giderek artar. 4-6 ay s\u00fcrer.<\/p>\n

Evre 3<\/strong>– \u00c7\u00f6z\u00fclme faz\u0131: A\u011fr\u0131 azal\u0131r, eklem hareketleri yava\u015f ve dereceli bir \u015fekilde d\u00fczelmeye ba\u015flar. B\u00fct\u00fcn hastal\u0131k d\u00f6nemi 1-3 y\u0131l s\u00fcrebilir. Donuk omuzda tedavinin amac\u0131 a\u011fr\u0131n\u0131n kontrol\u00fc ve eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n kazan\u0131lmas\u0131d\u0131r. Nonsteroid antiinflamatuvar ila\u00e7lar, analjezikler, \u0131s\u0131 modaliteleri ve TENS kullan\u0131labilir. Eklem kaps\u00fcl\u00fc kontrakt\u00fcr\u00fcn\u00fc gidermek i\u00e7in pasif germe egzersizleri uygulan\u0131r. Codman egzersizleri, eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n kazan\u0131lmas\u0131nda kullan\u0131lan egzersizlerdir.<\/p>\n

Egzersiz s\u0131ras\u0131nda eklemin a\u015f\u0131r\u0131 zorlanmas\u0131 inflamasyon cevab\u0131n\u0131 artt\u0131raca\u011f\u0131ndan sak\u0131ncal\u0131d\u0131r. Lokal steroid enjeksiyonu uygulamas\u0131, kaps\u00fcler distansiyon, anestezi alt\u0131nda man\u00fcplasyon uygulanan di\u011fer y\u00f6ntemlerdir. Konservatif tedaviye 12-16 haftal\u0131k bir s\u00fcrede cevap al\u0131namazsa ve ilerleme saptan\u0131rsa cerrahi tedavi se\u00e7ilir. Artroskopik gev\u015fetme son zamanlarda en s\u0131k uygulanan tekniktir.<\/p>\n

\"\"<\/a>\"\"<\/a><\/p>","protected":false},"excerpt":{"rendered":"

ADHEZ\u0130V KAPS\u00dcL\u0130T (OMUZ PER\u0130ARTR\u0130T\u0130, DONUK OMUZ) Donuk Omuz Adheziv kaps\u00fclit, […]<\/p>\n","protected":false},"author":1,"featured_media":8573,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[314],"tags":[319,875,876,877,878,879],"class_list":["post-957","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-omuz-agrilari","tag-donuk-omuz","tag-donuk-omuz-egzersiz","tag-donuk-omuz-eksi","tag-donuk-omuz-fizik-tedavi","tag-donuk-omuz-nedir","tag-donuk-omuz-tedavi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/donuk-omuz.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/957","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/comments?post=957"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/957\/revisions"}],"predecessor-version":[{"id":10112,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/957\/revisions\/10112"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/8573"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=957"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=957"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}