Kas \u0130skelet Sistemi Hastal\u0131klar\u0131<\/strong> (K\u0130SH) geli\u015fmi\u015f ve geli\u015fmekte olan \u00fclkelerde en \u00f6nemli i\u015fle ilgili sa\u011fl\u0131k sorunlar\u0131 aras\u0131ndad\u0131r. Bu hastal\u0131klar ki\u015fiye \u0131zd\u0131rap vererek, g\u00fcnl\u00fck ya\u015fam ve i\u015f ortam\u0131nda fonksiyonlar\u0131 k\u0131s\u0131tla-yarak ya\u015fam kalitesini olumsuz etkiler. Tekrarlamal\u0131 hareket hastal\u0131klar\u0131 (repetitive motion disorders) tekrarlamal\u0131 gerilim yaralanmalar\u0131 (repetition strain injuries) veya i\u015fe ba\u011fl\u0131 a\u015f\u0131r\u0131 kullan\u0131m yaralanmalar\u0131 (occupational overuse injuries) diye de adland\u0131ralan TBH end\u00fcstride ve sa\u011fl\u0131k bak\u0131m sekt\u00f6r\u00fcnde son y\u0131llarda gittik\u00e7e artan \u00f6nem kazanmaktad\u0131r. ABD\u2019de t\u00fcm i\u015f\u00e7i tazminat taleplerinin %50\u2019inden fazlas\u0131 bu hastal\u0131klar i\u00e7in yap\u0131lmaktad\u0131r.<\/p>\n \u00c7e\u015fitli cross-sectional epidemiolojik \u00e7al\u0131\u015fmalarda tekrarlamal\u0131 ve zorlay\u0131c\u0131 hareketler yaparak \u00e7al\u0131\u015fanlarda BTH\u2019n\u0131n insidans\u0131nda artma g\u00f6sterilmi\u015ftir. Bu hastal\u0131klar\u0131n olu\u015fumunda tek bir etkenden ziyade bir\u00e7ok fakt\u00f6r birlikte rol oynamaktad\u0131r. Tekrarlamal\u0131, zorlay\u0131c\u0131 hareketler, k\u00f6t\u00fc post\u00fcr, vibrasyon, ergonomik uygunsuzluk , i\u015f yeri memnuniyetsizli\u011fi, a\u015f\u0131r\u0131 ve ayn\u0131 pozisyonda i\u015f y\u00fck\u00fc en \u00f6nemli i\u015f ile ilgili risk fakt\u00f6rleridir.<\/p>\n SIK G\u00d6R\u00dcLEN \u0130\u015eE BA\u011eLI YAYGIN BTH<\/strong><\/p>\n * El bile\u011fi ve \u00f6n kolda tendinit ve tenosinovit Bu hastal\u0131klar aras\u0131nda en fazla \u00e7al\u0131\u015fma karpal t\u00fcnel sendromu konusunda yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n BTH \u0130\u00c7\u0130N Y\u00dcKSEK R\u0130SKL\u0130 GRUPLAR<\/strong><\/p>\n * Montaj i\u015flerinde \u00e7al\u0131\u015fanlar DE\u011eERLEND\u0130RME<\/strong> \u00c7al\u0131\u015fan\u0131n i\u015fini sevmesi ve alg\u0131lamas\u0131n\u0131n yaralanma, iyile\u015fme ve i\u015fe d\u00f6nmeyi \u00f6nemli derecede etkiledi\u011fi g\u00f6z \u00f6n\u00fcnde tutulur.<\/p>\n \u00c7al\u0131\u015fan\u0131n ya\u015fam \u015fekli, gelecekle ilgili planlar\u0131 de\u011ferlendirilir.<\/p>\n \u0130yile\u015fmeyi etkileyebilecek birlikte bulunabilen di\u011fer hastal\u0131klar, psikolojik durum, ila\u00e7 alkol, sigara kullan\u0131m\u0131 de\u011ferlendirilir.<\/p>\n Dikkatli bir fizik muayene ile genel sa\u011fl\u0131k ve n\u00f6romuskuloskletal sistem de\u011ferlendirilir. Hareket a\u00e7\u0131kl\u0131\u011f\u0131, lokal duyarl\u0131l\u0131k, kas g\u00fcc\u00fc, refleksler ve duyuya bak\u0131l\u0131r.<\/p>\n Tan\u0131y\u0131 do\u011frulamak i\u00e7in direkt radyolojik tetkik, CT, MRI, labrotuvar testleri veya elektrodiagnostik testler gerekebilir. Bu testlerin spesifik indikasyonlar i\u00e7in kullan\u0131lmas\u0131 ve a\u015f\u0131r\u0131 kullan\u0131mlar\u0131ndan sak\u0131n\u0131lmas\u0131 uygun olur.<\/p>\n De\u011ferlendirme tamamland\u0131ktan sonra hastaya a\u00e7\u0131k ve anla\u015f\u0131l\u0131r \u015fekilde hastal\u0131\u011f\u0131 anlat\u0131l\u0131r ve tedavi ve i\u015fe d\u00f6n\u00fc\u015f plan\u0131 yap\u0131l\u0131r.<\/p>\n TEDAV\u0130 YAKLA\u015eIMLARI<\/strong> BTH\u2019l\u0131 \u00e7al\u0131\u015fan\u0131n rehabilitasyonunda ama\u00e7 semptomlar\u0131 kontrol alt\u0131na alarak kronikle\u015fmeyi \u00f6nlemek ve m\u00fcmk\u00fcn oldu\u011funca erken \u00fcretken ve aktif i\u015f ya\u015fam\u0131na d\u00f6nmeyi sa\u011flamakt\u0131r. \u0130\u015ften uzak kald\u0131k\u00e7a i\u015fe d\u00f6n\u00fc\u015f\u00fcn g\u00fc\u00e7le\u015fti\u011fi, bir s\u00fcre sonra ise, m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 g\u00f6z \u00f6n\u00fcnde bulundurul-mal\u0131d\u0131r. Erken i\u015fe d\u00f6n\u00fc\u015f, fiziksel ve mental uyumuda iyile\u015ftirmektedir.<\/p>\n Akut d\u00f6nemde RICE tedavi yakla\u015f\u0131m\u0131 (rest, ice, compression, elevation) \u00f6nerilir. A\u011fr\u0131 ve di\u011fer semptomlar\u0131n kontrol\u00fcnde ila\u00e7, fizik tedavi modalitelerinin, splintlerin kullan\u0131m\u0131 olduk\u00e7a yararl\u0131d\u0131r.<\/p>\n EK 1:<\/strong> \u0130\u015f yeri analizi, i\u015f organizasyonu ile ergonomik modifikasyonlar\u0131n sa\u011flanmas\u0131 sonras\u0131 m\u00fcmk\u00fcnse eski i\u015fe d\u00f6n\u00fc\u015f sa\u011flanmal\u0131d\u0131r. Genellikle i\u015fe d\u00f6n\u00fc\u015f \u00f6ncesi, hatta erken giri\u015fim d\u00f6neminden itibaren hafifletilmi\u015f veya modifiye edilmi\u015f i\u015fe d\u00f6n\u00fc\u015f \u00f6nerilir. Bir\u00e7ok i\u015fverenin olumlu yakla\u015fma-mas\u0131na ra\u011fmen, hafifletilmi\u015f modifiye i\u015f olana\u011f\u0131n\u0131n sa\u011flanmas\u0131n\u0131n maliyet etkinli\u011fi g\u00f6sterilmi\u015ftir.<\/p>\n Kronikle\u015fmi\u015f BTH\u2019l\u0131 \u00e7al\u0131\u015fana multidisipliner rehabilitasyon yakla\u015f\u0131m\u0131 ekip \u00e7al\u0131\u015fmas\u0131n\u0131 gerektirir. Bir koordinat\u00f6r\u00fcn y\u00f6netiminde doktor, fizyoterapist, i\u015fle ilgili terapist, psikolog, ergonomist, i\u015fveren, sigortac\u0131 ve gerekti\u011finde avukat\u0131n kat\u0131l\u0131m\u0131 ile olu\u015fan ekip kendi i\u00e7inde ve hasta, ailesi ile yak\u0131n ileti\u015fim ve i\u015fbirli\u011fi i\u00e7inde \u00e7al\u0131\u015f\u0131r. Kronikle\u015fmi\u015f hastaya yakla\u015f\u0131mda work conditioning, work hardening programlar\u0131 \u00f6nemli rol oynamaktad\u0131r. Olduk\u00e7a pahal\u0131 olan bu programlar\u0131n etkinli\u011fi konusunda kontrol gruplu ve uzun d\u00f6nem izlemeli, yeterince \u00e7al\u0131\u015fma yap\u0131lmam\u0131\u015f olmas\u0131na ra\u011fmen iyi se\u00e7ilmi\u015f uygun hastalarda i\u015fe d\u00f6n\u00fc\u015f oran\u0131 %80-85 olarak verilmektedir.<\/p>\n BTH\u2019l\u0131 \u00e7al\u0131\u015fana rehabilitasyon ve multidisipliner yakla\u015f\u0131mlarda e\u011fitim \u00f6nemli yer tutmaktad\u0131r. E\u011fitim programlar\u0131n\u0131n ba\u015fl\u0131ca kompo-nentleri tekrar yaralanmay\u0131 \u00f6nlemek i\u00e7in v\u00fccudun ve ekstremitenin uygun kullan\u0131m\u0131n\u0131n \u00f6\u011fretilmesi, i\u015f planlanmas\u0131, ergonomik iyile\u015ftirme \u00f6nerileri yap\u0131lmas\u0131, relaksasyon ve stres y\u00f6netiminin sa\u011flanmas\u0131 ve sa\u011fl\u0131kl\u0131 ya\u015fam stilinin benimsetilmesidir.<\/p>","protected":false},"excerpt":{"rendered":" \u0130\u015fe Ba\u011fl\u0131 \u00dcst Esktremite Kas \u0130skelet Sistemi Hastal\u0131klar\u0131 Kas \u0130skelet […]<\/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":[678],"tags":[77,78,312,679,680],"class_list":["post-122","post","type-post","status-publish","format-standard","hentry","category-boyun-agrilari","tag-boyun-agrilari","tag-boyun-agrisi","tag-boyun-agrisi-tedavisi","tag-ise-bagli-kas-iskelet-sistemi-hastaliklari","tag-kas-iskelet-sistemi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/comments?post=122"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/122\/revisions"}],"predecessor-version":[{"id":10703,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/122\/revisions\/10703"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=122"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=122"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n\u00dcretim ve i\u015f g\u00fcn\u00fc kayb\u0131 ve tazminat talepleri nedeniyle ekonomiyi de olumsuz etkileyen K\u0130SH\u2019n\u0131n maliyeti olduk\u00e7a y\u00fcksektir. Erken tan\u0131 konup uygun giri\u015fimler ve tedavi yakla\u015f\u0131m-lar\u0131n\u0131n planlanabilmesi i\u00e7in hekimler semptomlar, bulgular, risk fakt\u00f6rleri konusunda bilgilendirilmelidir. \u0130\u015fe ba\u011fl\u0131 en s\u0131k K\u0130SH bel a\u011fr\u0131s\u0131 ve birikimli travma hastal\u0131klar\u0131 (BTH)\u2019d\u0131r.<\/p>\n
\n* Epikondilit
\n* Omuzda bursit ve rotator k\u0131l\u0131f tendiniti
\n* Karpal t\u00fcnel sendromu
\n* Ulnar sinir kompresyonu
\n* Miyofasial sendromlar
\n* El-kol vibrasyon sendromu
\n* Torasik outlet sendromu<\/p>\n
\n* G\u0131da haz\u0131rlama i\u015flerinde \u00e7al\u0131\u015fanlar
\n* Marketlerde \u00e7al\u0131\u015fanlar
\n* Hastanelerde \u00e7al\u0131\u015fanlar
\n* Bilgisayar operat\u00f6rleri
\n* M\u00fczisyenler
\n* Sporcular<\/p>\n
\nDe\u011ferlendirmeye detayl\u0131 \u00f6yk\u00fc al\u0131nmas\u0131 ile ba\u015flan\u0131r. \u0130\u015fyerinde yaralanma veya kaza an\u0131 ve fiziksel bulgular\u0131n i\u015fe ba\u011fl\u0131 yaralanma veya hastal\u0131kla ilgisi ve maruz kal\u0131nan risk fakt\u00f6rleri detayl\u0131 bir sorgulama ile de\u011ferlendirilir.<\/p>\n
\nBTH\u2019l\u0131 \u00e7al\u0131\u015fan i\u00e7in tedavi plan\u0131 ki\u015finin spesifik gereksinimlerine g\u00f6re yap\u0131l\u0131r. Baz\u0131 hastalar akut d\u00f6nemde tedavi yakla\u015f\u0131mlar\u0131na cevap vere-rek k\u0131sa s\u00fcrede i\u015fe d\u00f6ner. Bazen hastal\u0131k kronikle\u015ferek i\u015fe d\u00f6n\u00fc\u015f g\u00fc\u00e7le\u015fir. Belirli bir s\u00fcre i\u00e7inde konvansiyonal tedaviye cevap vermeyen hastalarda multidisipliner rehabilitasyon yakla\u015f\u0131m\u0131 uygundur.<\/p>\n
\nUzun s\u00fcreli istirahat ve immobilizasyonun kondisyonu bozarak sakatl\u0131\u011f\u0131 kolayla\u015ft\u0131rd\u0131\u011f\u0131 g\u00f6z \u00f6n\u00fcnde bulundurularak erken d\u00f6nemde \u00f6zel g\u00fc\u00e7lendirme ve fleksibilite egzersizlerine ba\u015flan\u0131r. Daha sonra t\u00fcm kas iskelet sistemine ve kardiyorespiratuvar end\u00fcrans\u0131 iyile\u015ftirmeye y\u00f6nelik egzersizler verilir.<\/p>\n