{"id":459,"date":"2009-08-26T11:28:59","date_gmt":"2009-08-26T12:28:59","guid":{"rendered":"https:\/\/turanuslu.net\/?p=459"},"modified":"2022-01-14T09:59:22","modified_gmt":"2022-01-14T09:59:22","slug":"parkinson-hastaliginda-rehabilitasyon","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/parkinson-hastaliginda-rehabilitasyon\/","title":{"rendered":"Parkinson Hastal\u0131\u011f\u0131nda Rehabilitasyon"},"content":{"rendered":"<h2>Parkinson Hastal\u0131\u011f\u0131nda Rehabilitasyon<\/h2>\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%27337%27%20height%3D%27387%27%20viewBox%3D%270%200%20337%20387%27%3E%3Crect%20width%3D%27337%27%20height%3D%27387%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/romatizmal\/parkinson.gif\" alt=\"\" width=\"337\" height=\"387\" border=\"0\" \/><\/p>\n<p style=\"text-align: justify;\"><!--more--><\/p>\n<div style=\"text-align: justify;\">Rehabilitasyon, hastal\u0131k sonras\u0131 olu\u015fan \u00f6zr\u00fc ortadan kald\u0131rmak veya m\u00fcmk\u00fcn olan en az d\u00fczeye indirmek, ki\u015finin evinde, i\u015finde ve sosyal ya\u015fant\u0131s\u0131nda kendine ve topluma faydal\u0131 olabilmesi uygulanan t\u0131bbi, fiziksel, psikososyal ve mesleki yakla\u015f\u0131mlar s\u00fcrecidir. En \u00f6nemli hedef hasta ki\u015finin toplumsal hayata yeniden d\u00f6nd\u00fcr\u00fclmesidir. Parkinson hastal\u0131\u011f\u0131nda g\u00f6zlenen en \u00f6nemli bulgular, kas ve eklemlerde sertlik (rijidite), v\u00fccut pozisyonunun \u00f6ne do\u011fru e\u011filmesi, hareketlerin yava\u015flamas\u0131 ve ellerde titremedir. Bu bulgular, hastalarda hareket ve y\u00fcr\u00fcme g\u00fc\u00e7l\u00fc\u011f\u00fc, ince el becerilerine y\u00f6nelik aktivitelerde zorluk, s\u0131k d\u00fc\u015fmeler, uyku bozuklu\u011fu, yayg\u0131n a\u011fr\u0131lar, konu\u015fma, yutma ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fc gibi pek \u00e7ok sorunu da beraberinde getirir.<\/div>\n<div style=\"text-align: justify;\">Sonu\u00e7ta en \u00f6nemli tehlike ki\u015finin g\u00fcnl\u00fck ya\u015fant\u0131s\u0131nda bir ba\u015fka ki\u015finin yard\u0131m\u0131na ihtiya\u00e7 duymas\u0131, yani fonksiyonel ba\u011f\u0131ms\u0131zl\u0131kta kay\u0131pt\u0131r. Bu nedenle ya\u015fam kalitesinde \u00f6nemli \u00f6l\u00e7\u00fcde bozulmaya neden olan hastal\u0131klar\u0131n ba\u015f\u0131nda say\u0131lan parkinson hastal\u0131\u011f\u0131n\u0131n tedavisinde, fizyoterapi ve rehabilitasyon yakla\u015f\u0131mlar\u0131, normal fonksiyonun ve ba\u011f\u0131ms\u0131zl\u0131\u011f\u0131n devam ettirilmesi amac\u0131yla di\u011fer t\u0131bbi tedavilerin yan\u0131nda \u00f6nemli bir yer tutmaktad\u0131r. Hastal\u0131\u011f\u0131n bulgular\u0131 \u00e7e\u015fitlilik g\u00f6sterdi\u011fi i\u00e7in rehabilitasyon yakla\u015f\u0131mlar\u0131, uzman hekimler, hem\u015fire, fizyoterapist, konu\u015fma terapisti, psikolog gibi i\u00e7inde pek \u00e7ok sa\u011fl\u0131k eleman\u0131n\u0131n bulundu\u011fu geni\u015f bir ekip \u00e7al\u0131\u015fmas\u0131n\u0131 gerektirir. Rehabilitasyonun birinci basama\u011f\u0131n\u0131 hasta ve ailesinin en erken d\u00f6nemde hastal\u0131\u011f\u0131n bulgular\u0131, ila\u00e7 tedavisi ve genel tedavi prensipleri konusunda bilgilendirilmesi olu\u015fturur. Evde d\u00fc\u015fmelerin \u00f6nlenmesi, beslenme, kilo kontrol\u00fc, transferler, egzersiz tedavisi gibi konularda aile e\u011fitiminin sa\u011flanmas\u0131 ve gerekli d\u00fczenlemeler konusunda \u00f6nerilerde bulunulmal\u0131d\u0131r. Bir di\u011fer a\u015fama fizyoterapi yakla\u015f\u0131mlar\u0131d\u0131r.<\/div>\n<div style=\"text-align: justify;\">Fizyoterapistin planlay\u0131p uygulayaca\u011f\u0131 egzersiz tedavisi, s\u0131cak uygulamalar ve gev\u015feme teknikleriyle, kaslarda meydana gelen sertlikler azalt\u0131lmaya, esneklik korunmaya \u00e7al\u0131\u015f\u0131l\u0131r, b\u00f6ylece hareket kolayl\u0131\u011f\u0131 sa\u011flan\u0131r. G\u00f6\u011f\u00fcs fizyoterapisi ve solunum egzersizleri ile solunum a\u00e7\u0131s\u0131ndan g\u00f6zlenebilecek problemlerin \u00f6n\u00fcne ge\u00e7ilir, yorgunlukla m\u00fccadele edilebilir. Etkili bir denge e\u011fitimi s\u0131k d\u00fc\u015fmelerle m\u00fccadelenin ba\u015f\u0131nda yer almaktad\u0131r. Hastan\u0131n yatak i\u00e7i, ev ve d\u0131\u015far\u0131daki hareketlerinde kolayla\u015ft\u0131r\u0131c\u0131 teknikler ve emniyetli y\u00fcr\u00fcy\u00fc\u015f hasta ve ailesine \u00f6\u011fretilir.<\/div>\n<div style=\"text-align: justify;\">Y\u00fcr\u00fcme, bisiklete binme ve dans<\/div>\n<div style=\"text-align: justify;\">Yeni tan\u0131 konmu\u015f hastalarda hen\u00fcz kal\u0131c\u0131 sorunlar olu\u015fmad\u0131\u011f\u0131ndan daha \u00e7ok koordinasyon, denge ve fiziksel uygunluk \u00fczerinde durulabilir. Y\u00fcr\u00fcme, bisiklete binme, dans veya grup egzersizleri, fonksiyonelli\u011fin geli\u015fimi kadar sosyalizasyonun geli\u015fimi a\u00e7\u0131s\u0131ndan da \u00f6nemlidir. Parkinson rehabilitasyonunun en \u00f6nemli ad\u0131mlar\u0131ndan biri ise i\u015f ve u\u011fra\u015f\u0131 tedavisidir. \u0130nce el becerilerine y\u00f6nelik aktiviteler, yaz\u0131 yazma e\u011fitimi, y\u00fcr\u00fcmeye yard\u0131mc\u0131 ara\u00e7 ve gerecin se\u00e7imi ve e\u011fitimi, ev i\u00e7i \u00e7evresel d\u00fczenlemeler ile g\u00fcnl\u00fck ya\u015fam\u0131 kolayla\u015ft\u0131r\u0131c\u0131 cihazlarla hastalar\u0131n fonksiyonelli\u011fi artt\u0131r\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Mesleki rehabilitasyon ise hastan\u0131n mevcut i\u015f kapasitesinin de\u011ferlendirilip, i\u015fe geri d\u00f6n\u00fc\u015f i\u00e7in gerekli stratejilerin kuvvetlendirilmesi ve i\u015fyerinde kolayla\u015ft\u0131r\u0131c\u0131 uygulamalar\u0131 i\u00e7erir.<\/div>\n<div style=\"text-align: justify;\">M\u00fczik e\u015fli\u011finde grup tedavileri<\/div>\n<div style=\"text-align: justify;\">Konu\u015fma tedavisi ile ses, solunum kontrol\u00fc, \u015fiddet ve h\u0131z kontrol\u00fc \u00fczerinde odaklan\u0131l\u0131r. Ayna kar\u015f\u0131s\u0131nda mimik ve dil kaslar\u0131na y\u00f6nelik egzersizleri i\u00e7erir. \u00c7i\u011fneme ve yutma fonksiyonu geli\u015ftirilmeye \u00e7al\u0131\u015f\u0131l\u0131r.<\/div>\n<div style=\"text-align: justify;\">Parkinsonlu hastan\u0131n seks\u00fcalite, hobiler, s\u00fcr\u00fcc\u00fcl\u00fck, sosyal ya\u015fam gibi her t\u00fcrl\u00fc psikososyal ihtiya\u00e7lar\u0131na dan\u0131\u015fmanl\u0131k yap\u0131lmal\u0131d\u0131r. M\u00fczik e\u015fli\u011finde yap\u0131lan grup tedavilerinin sosyalizasyonun geli\u015ftirilmesi ve motivasyonun artt\u0131r\u0131lmas\u0131na katk\u0131s\u0131 b\u00fcy\u00fckt\u00fcr. Fizyoterapistlerden parkinsonlu hasta ve ailelerine birka\u00e7 pratik \u00f6neri:<\/div>\n<ul style=\"text-align: justify;\">\n<li>Sabahlar\u0131 yataktan kalkmadan \u00f6nce kol, bacak ve g\u00f6vdenize esneme hareketleri uygulay\u0131n.<\/li>\n<li>Y\u00fcr\u00fcme s\u0131ras\u0131nda &#8221;donma&#8221; meydana geliyorsa hastan\u0131n ad\u0131m atmas\u0131n\u0131 kolayla\u015ft\u0131rmak amac\u0131yla bir aya\u011f\u0131n\u0131z\u0131 hastan\u0131n aya\u011f\u0131n\u0131n \u00f6n\u00fcne yerle\u015ftirin ve \u00fczerinden atlamas\u0131n\u0131 isteyin. Bu i\u015flem i\u00e7in ters &#8221;L&#8221; \u015feklindeki bastonlardan da faydalanabilirsiniz.<\/li>\n<li>Evde d\u00fc\u015fmeye neden olabilecek hal\u0131, kilim, e\u015fik veya d\u00fczensiz e\u015fyalar\u0131 kald\u0131r\u0131n.<\/li>\n<li>Ev i\u00e7inde y\u00fcr\u00fcy\u00fc\u015f s\u0131ras\u0131nda yere birbirine paralel \u00e7izilmi\u015f \u00e7izgilerden yararlan\u0131n. Ad\u0131m atman\u0131n kolayla\u015ft\u0131\u011f\u0131n\u0131 g\u00f6receksiniz.<\/li>\n<li>Egzersizleri ve y\u00fcr\u00fcy\u00fc\u015f\u00fc m\u00fczik e\u015fli\u011finde yap\u0131n. Bu, ritim ve hareket duygusunu geli\u015ftirecektir. Sa\u011fl\u0131kl\u0131 g\u00fcnler dile\u011fiyle..<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Yrd. Do\u00e7. Fizyoterapist Sibel Aksu<\/p>","protected":false},"excerpt":{"rendered":"<p>Parkinson Hastal\u0131\u011f\u0131nda Rehabilitasyon<\/p>","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":[383,384,385,386,387],"class_list":["post-459","post","type-post","status-publish","format-standard","hentry","category-rehabilitasyon","tag-parkinson","tag-parkinson-hastaligi","tag-parkinson-nedir","tag-parkinson-tedavisi","tag-rehabilitasyon"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/459","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=459"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/459\/revisions"}],"predecessor-version":[{"id":10767,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/459\/revisions\/10767"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}