{"id":304,"date":"2019-08-22T13:24:33","date_gmt":"2019-08-22T13:24:33","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?post_type=portfolio&#038;p=304"},"modified":"2021-05-21T12:34:04","modified_gmt":"2021-05-21T12:34:04","slug":"eklem-hastaliklari","status":"publish","type":"portfolio","link":"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/eklem-hastaliklari\/","title":{"rendered":"Eklem Hastal\u0131klar\u0131"},"content":{"rendered":"<h1 id=\"Romatizma\" class=\"anchor-title\"><strong>Romatizma<\/strong><\/h1>\n<h3><strong>Romatizma Nedir?<\/strong><\/h3>\n<p>Romatizma, kelime olarak Yunanca &#8220;akma&#8221; anlam\u0131na gelen &#8220;Rheuma&#8221; kelimesinden t\u00fcremi\u015ftir. Romatizma, otoimm\u00fcn sistemindeki bozukluktan kaynaklanan d\u00fczinelerce hastal\u0131\u011f\u0131 tan\u0131mlamak i\u00e7in kullan\u0131lan genel bir terimdir. Romatizmal hastal\u0131klar genel olarak eklemlerde, kaslarda organlar\u0131 birbirine ba\u011flayan ya da destekleyen dokularda g\u00f6r\u00fclse de v\u00fccudun herhangi bir b\u00f6l\u00fcm\u00fcnde de meydana gelme olas\u0131l\u0131\u011f\u0131 mevcuttur.<\/p>\n<p><img class=\"alignnone wp-image-3054\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Romatizma.jpg\" alt=\"Romatizma\" width=\"684\" height=\"285\" \/><\/p>\n<h3><strong>Romatizma Neden Olur?<\/strong><\/h3>\n<p>Bu hastal\u0131klar, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin mikroplar, bakteriler ya da vir\u00fcslere sald\u0131rmak yerine sa\u011fl\u0131kl\u0131 dokulara sald\u0131rmas\u0131ndan dolay\u0131 ortaya \u00e7\u0131kar. Gut hastal\u0131\u011f\u0131nda da g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi \u00fcrik asit kristalleri (idrar kristalleri) de <a href=\"https:\/\/www.memorial.com.tr\/saglik-rehberleri\/romatizma-belirtileri\/\" target=\"_blank\" rel=\"noopener noreferrer\">romatizma<\/a>l rahats\u0131zl\u0131klara sebep olabilir.<\/p>\n<p>Ana romatizma tiplerini anlamak ve neden kaynakland\u0131\u011f\u0131n\u0131 bilmek hem olu\u015fumunu engelleyebilmek hem de tedavi i\u00e7in \u00f6nemlidir.<\/p>\n<h3><strong>Romatizma Belirtileri<\/strong><\/h3>\n<p><img class=\" wp-image-3058\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/romatizmaa.jpg\" alt=\"Romatizma\" width=\"355\" height=\"635\" \/><\/p>\n<p><strong>Romatizma belirtileri \u015funlar\u0131 i\u00e7erir;<\/strong><\/p>\n<ul>\n<li>Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc,<\/li>\n<li>Kas a\u011fr\u0131s\u0131,<\/li>\n<li>S\u0131rt ve bel a\u011fr\u0131s\u0131,<\/li>\n<li>Ciltte d\u00f6k\u00fcnt\u00fcler,<\/li>\n<li>T\u0131rnak de\u011fi\u015fiklikleri,<\/li>\n<li>Deri sertli\u011fi,<\/li>\n<li>G\u00f6zya\u015f\u0131 azalmas\u0131,<\/li>\n<li>A\u011f\u0131z kurulu\u011fu,<\/li>\n<li>G\u00f6zlerde k\u0131zar\u0131kl\u0131k,<\/li>\n<li>G\u00f6rmede ani azalma ve kay\u0131p,<\/li>\n<li>Uzun s\u00fcreli y\u00fcksek ate\u015f,<\/li>\n<li>Parmaklarda renk solmas\u0131,<\/li>\n<li>Solunum sistemi ile ilgili belirtiler (Nefes darl\u0131\u011f\u0131, kuru \u00f6ks\u00fcr\u00fck, kanl\u0131 balgam vb.).<\/li>\n<\/ul>\n<p><strong>Ayn\u0131 zamanda;<\/strong><\/p>\n<ul>\n<li>Sindirim sistemi \u015fikayetleri,<\/li>\n<li>B\u00f6brek fonksiyonlar\u0131nda azalma,<\/li>\n<li>N\u00f6rolojik belirtiler (Fel\u00e7, bilin\u00e7 de\u011fi\u015fiklikleri vb.)<\/li>\n<li>Kalp ve dola\u015f\u0131m sisteminde ya\u015fanan olumsuzluklar (Damarlarda p\u0131ht\u0131 olu\u015fumu, nab\u0131z kayb\u0131 vb.) da romatizmal hastal\u0131klar\u0131n\u0131n belirtilerindendir.<\/li>\n<\/ul>\n<h3><strong>Romatizma Nas\u0131l Te\u015fhis Edilir?<\/strong><\/h3>\n<p>Iltihapl\u0131 romatizman\u0131n te\u015fhisi biraz zor olabilir. Klinik bulgular\u0131 do\u011frulamak i\u00e7in doktorunuzun bir \u00e7ok test sonucuna ayn\u0131 anda bakmas\u0131 gerekecektir.<\/p>\n<p>\u0130lk \u00f6nce doktorunuz belirtilerinizi ve t\u0131bbi ge\u00e7mi\u015finizi soracakt\u0131r. Ayr\u0131ca, eklemlerinizi fiziksel olarak inceleyecektir. Fiziksel muayenede eklemlerde k\u0131zar\u0131kl\u0131k, \u015fi\u015flik olup olmad\u0131\u011f\u0131na bak\u0131l\u0131r. Kas kuvveti test edilir, hassasiyet olup olmad\u0131\u011f\u0131na bak\u0131l\u0131r. S\u0131cakl\u0131k ve a\u015f\u0131r\u0131 hassasiyet olup olmad\u0131\u011f\u0131 kontrol edilir.<\/p>\n<h3><strong>Romatizma Tedavisi <\/strong><\/h3>\n<p>Romatizman\u0131n kesin bir tedavisi olmamakla birlikte tedavi ile genelde semptomlar\u0131 bast\u0131rmak ve hastal\u0131\u011f\u0131n ilerleyerek di\u011fer organlara zarar vermesini engellemek hedeflenir. Romatizmal hastal\u0131klar\u0131 tedavi etmek i\u00e7in \u00e7e\u015fitli ila\u00e7 tipleri re\u00e7ete edilir. Baz\u0131 ila\u00e7lar sadece a\u011fr\u0131 ve inflamasyon gibi semptomlar\u0131 tedavi ederken di\u011ferleri hastal\u0131\u011f\u0131n seyrini de\u011fi\u015ftirebilir. Romatizma tedavisinde kortizon \u00e7ok s\u0131k kullan\u0131lan, kimi zaman hayat kurtar\u0131c\u0131 bir ila\u00e7t\u0131r. Romatizma ila\u00e7lar\u0131n\u0131n mutlaka doktor kontrol\u00fcnde kullan\u0131l\u0131p, doktor kontrol\u00fcnde b\u0131rak\u0131lmas\u0131 gerekir.<\/p>\n<p>Egzersiz de romatizma hastal\u0131klar\u0131na \u00e7ok iyi gelmektedir. Hareketleri s\u0131n\u0131rlanm\u0131\u015f eklem ve omurgan\u0131n esnekli\u011fine kavu\u015fmas\u0131 i\u00e7in, kas a\u011fr\u0131lar\u0131nda spazm\u0131n \u00e7\u00f6z\u00fclmesi i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n<p>https:\/\/turkeyistanbulmedical.com\/tr\/Medical-department\/kemik-hastaliklari\/<\/p>\n<h2 id=\"Romatoid_Artrit\" class=\"anchor-title\"><strong>Romatoid Artrit<\/strong><\/h2>\n<h3><strong>Romatoid Artrit Nedir?<\/strong><\/h3>\n<p>Romatoid artrit eklem iltihab\u0131n\u0131n s\u0131k g\u00f6r\u00fclen formudur ve eklemlerin i\u00e7indeki zarda (sinoviyumda) ve\/veya di\u011fer i\u00e7 organlarda iltihaba yol a\u00e7ar. Eklem hatt\u0131 kal\u0131nla\u015f\u0131r ve eklemde \u0131s\u0131 art\u0131\u015f\u0131, \u015fi\u015fme ve a\u011fr\u0131ya yol a\u00e7abilir. Romatoid artrit y\u0131llarca devam eder yani kronik bir hastal\u0131kt\u0131r. V\u00fccutta de\u011fi\u015fik pek \u00e7ok eklemi etkiler. K\u0131k\u0131rdak, kemik ve eklem yap\u0131lar\u0131na zarar verir.<\/p>\n<p>Romatoid artrit nedeni hen\u00fcz bilinmiyor ve hastal\u0131k ki\u015fiden ki\u015fiye farkl\u0131l\u0131k g\u00f6steriyor. \u00c7ocuklar\u0131 ve ya\u015fl\u0131lar\u0131 kapsayacak \u015fekilde herkesi etkileyebilir. Buna ra\u011fmen hastal\u0131k genellikle gen\u00e7 ve orta ya\u015f d\u00f6neminde ba\u015flar. Romatoid artritli hastalar aras\u0131nda, kad\u0131n erkek oran\u0131 3\/1&#8217;dir. Hastalar\u0131n 2\/3&#8242; \u00fc kad\u0131nd\u0131r. Hastal\u0131k t\u00fcm \u0131rklarda ve d\u00fcnyan\u0131n her k\u0131sm\u0131nda g\u00f6r\u00fclebilir.<\/p>\n<p><img class=\"alignnone size-full wp-image-3062\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/rheumatoid-arthritis-hands.jpeg\" alt=\"Romatoid Artrit\" width=\"600\" height=\"456\" \/><\/p>\n<h3><strong>Romatoid Artrit Neden Olur?<\/strong><\/h3>\n<p>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi yani savunma sistemi d\u00fczg\u00fcn \u00e7al\u0131\u015ft\u0131\u011f\u0131nda v\u00fccut savunmas\u0131 bakteri, vir\u00fcs ve di\u011fer yabanc\u0131 h\u00fccrelere kar\u015f\u0131 sava\u015f\u0131r. Romatoid artritde ba\u011f\u0131\u015f\u0131kl\u0131k sistemi d\u00fczg\u00fcn \u00e7al\u0131\u015fmaz ve v\u00fccut kendi eklemleri ve di\u011fer organlar\u0131na sald\u0131r\u0131r. Romatoid artritde iltihap h\u00fccrelere (beyaz kan h\u00fccreleri yani akyuvarlar) kandan eklem dokular\u0131na do\u011fru hareket eder ve eklemlere sald\u0131r\u0131rlar. Eklem s\u0131v\u0131s\u0131 artar ve eklemde \u015fi\u015flik meydana gelir. Eklem dokusundaki iltihap h\u00fccreleri eklemi etkileyip hasara neden olur.<\/p>\n<h3><strong>Enfeksiyonlar Romatoid Artrite Sebep Olabilir Mi?<\/strong><\/h3>\n<p>Pek \u00e7ok bilim adam\u0131 ve doktor Romatoid artritin enfeksiyondan tetiklendi\u011fine inan\u0131r. Fakat \u015fimdilik bunun bir kan\u0131t\u0131 yok. Romatoid artrit bula\u015f\u0131c\u0131 de\u011fildir. Ge\u00e7irilmi\u015f bir enfeksiyon RA&#8217;in ba\u015flamas\u0131na sebep olabilir.<\/p>\n<p><strong>Genlerin Rol\u00fc:<\/strong><\/p>\n<p>Romatoid artrit anneden veya babadan \u00e7ocuklara ge\u00e7mez. Bunun yerine Romatoid artrit geli\u015fmesine yatk\u0131nl\u0131k yaratan genler \u00e7ocuklara ge\u00e7ebilir. \u00c7ocuklarda RA hastal\u0131\u011f\u0131na kar\u015f\u0131 bir yatk\u0131nl\u0131k geli\u015fir.<\/p>\n<h3><strong>Romatoid Artiritin Belirtileri Nelerdir?<\/strong><\/h3>\n<ul>\n<li>\u00d6zellikle sabahlar\u0131 olmak \u00fczere eklemde a\u011fr\u0131 ve sertlik<\/li>\n<li>Eklemlerde \u015fi\u015fme, k\u0131zarma ve \u0131s\u0131 art\u0131\u015f\u0131<\/li>\n<li>Eklemde \u015fekil bozuklu\u011fu<\/li>\n<li>Hafif ate\u015f, bitkinlik<\/li>\n<li>\u0130\u015ftahs\u0131zl\u0131k<\/li>\n<li>Kans\u0131zl\u0131k<\/li>\n<li>Cilt alt\u0131nda k\u00fc\u00e7\u00fck yumrular en s\u0131k g\u00f6zlenen belirtileri aras\u0131nda yer almaktad\u0131r.<\/li>\n<\/ul>\n<h3><strong>Romatoid Artrit Tan\u0131s\u0131 Nas\u0131l Konur?<\/strong><\/h3>\n<p>Hastal\u0131kta geri d\u00f6n\u00fc\u015f\u00fcm\u00fc olmayan eklem hasar\u0131 ve i\u00e7 organ tutulumu olu\u015fabilece\u011fi i\u00e7in erken tan\u0131 ve tedavi \u00e7ok \u00f6nemlidir.<\/p>\n<p>Eklem \u015fi\u015fli\u011fi \u015fikayeti olan hastalar\u0131n iltihapl\u0131 eklem romatizmas\u0131 \u015f\u00fcphesiyle mutlaka bir hekime ba\u015fvurmas\u0131 gerekir.<\/p>\n<p>Hastal\u0131\u011f\u0131n tan\u0131s\u0131n\u0131n konulmas\u0131 ve tedavinin d\u00fczenlenmesinde uluslar aras\u0131 kabul g\u00f6rm\u00fc\u015f kriterler mevcuttur.<\/p>\n<p>Tan\u0131n\u0131n konulurken hastan\u0131n klinik bulgular\u0131, kan tetkikleri ve radyolojik bulgular\u0131 g\u00f6z \u00f6n\u00fcnde bulundurulur. Tan\u0131 kriterlerini kar\u015f\u0131layan hastalara m\u00fcmk\u00fcn olan en erken zamanda tedavi ba\u015flanmal\u0131d\u0131r.<\/p>\n<h3><strong>Romatoid Artrit Tedavisi<\/strong><\/h3>\n<p>Tedavi hastal\u0131\u011f\u0131n \u015fiddetine g\u00f6re d\u00fczenlenir.<\/p>\n<p>Tedavide ama\u00e7 hastan\u0131n \u015fikayetlerinin azalt\u0131lmas\u0131, eklem hasar\u0131n\u0131n \u00f6nlenmesidir. Hastan\u0131n tedavisi ba\u015fland\u0131ktan sonra d\u00fczenli olarak klinik ve laboratuar bulgular\u0131yla takip edilmelidir.<\/p>\n<p>Hastal\u0131\u011f\u0131n durumuna g\u00f6re ila\u00e7 tedavisinde d\u00fczenlemeler yap\u0131lmal\u0131, tedavi mutlaka hekim taraf\u0131ndan ba\u015flanmal\u0131 ve kesilmelidir. \u0130la\u00e7 tedavisine ek olarak hastal\u0131\u011f\u0131n evresi, hastan\u0131n genel durumu, eklem tutulumunun yayg\u0131nl\u0131\u011f\u0131na g\u00f6re fizik tedavi ajanlar\u0131 tedaviye eklenebilir.<\/p>\n<p>Hastal\u0131k ve hastan\u0131n durumuna uygun bireysel egzersiz tedavisi d\u00fczenlenmelidir.<\/p>\n<h2 id=\"Osteoartrit_Kire\u00e7lenme\" class=\"anchor-title\"><strong>Osteoartrit (Kire\u00e7lenme) <\/strong><\/h2>\n<h3><strong>Osteoartrit (Kire\u00e7lenme) Nedir? <\/strong><\/h3>\n<p>Dejeneratif eklem hastal\u0131\u011f\u0131 olan osteoartrit halk aras\u0131nda kire\u00e7lenme olarak bilinmektedir. 50 ya\u015f \u00fczerindeki ki\u015filerde en s\u0131k g\u00f6r\u00fclen eklem hastal\u0131\u011f\u0131d\u0131r. Osteoartrit v\u00fccuttaki herhangi bir eklemi etkileyebilir. En s\u0131k etkiledi\u011fi eklemler eller, kal\u00e7a, diz ve omurgad\u0131r.<\/p>\n<p>Osteoartritte eklem k\u0131k\u0131rdak yap\u0131s\u0131nda bozulma olu\u015fur. Bunun sonucu olarak eklem k\u0131k\u0131rda\u011f\u0131n\u0131n alt\u0131ndaki kemik dokusunda de\u011fi\u015fiklikler meydana gelir. Kemikteki b\u00fcy\u00fcmeler ve eklem kenar\u0131ndaki \u00e7\u0131k\u0131nt\u0131lar eklemlerin normal yap\u0131s\u0131n\u0131 bozarak, hareketlerde k\u0131s\u0131tlanmaya ve a\u011fr\u0131ya neden olur.<\/p>\n<p><img class=\"alignnone size-full wp-image-3066\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Osteoartrit-Kire\u00e7lenme-1.jpg\" alt=\"Osteoartrit (Kire\u00e7lenme)\" width=\"1080\" height=\"675\" \/><\/p>\n<h3><strong>Osteoartrit Neden Olu\u015fur?<\/strong><\/h3>\n<p>Baz\u0131 eklemlerin neden daha \u00e7ok etkilendi\u011fi kesin bilinmemektedir. Ancak osteoartrit geli\u015fme riskini art\u0131racak baz\u0131 fakt\u00f6rler vard\u0131r. Bunlar:<\/p>\n<p><strong>Ya\u015f:<\/strong> osteoartrit orta ve ileri ya\u015f\u0131n hastal\u0131\u011f\u0131d\u0131r. 40 ya\u015f\u0131ndan \u00f6nce g\u00f6r\u00fclmesi nadirdir. Ya\u015flanma ile eklem k\u0131k\u0131rda\u011f\u0131nda de\u011fi\u015fiklikler olu\u015fur buna ba\u011fl\u0131 olarak dayan\u0131kl\u0131l\u0131\u011f\u0131 azal\u0131r. Bu nedenle ya\u015f ilerledik\u00e7e osteoartrit g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artar. Cinsiyet: Kad\u0131nlarda osteoartrit geli\u015fme ihtimali daha y\u00fcksektir, ancak bunun nedeni bilinmemektedir.<\/p>\n<p><strong>Kal\u0131t\u0131msal fakt\u00f6rler:<\/strong> K\u0131k\u0131rdak i\u00e7eri\u011findeki maddeler kal\u0131t\u0131msal olarak belirlenmektedir. Bu nedenle de \u00f6zellikle el osteoartritinde kal\u0131t\u0131msal fakt\u00f6rlerin rol oynad\u0131\u011f\u0131 art\u0131k bilinmektedir.<\/p>\n<p><strong>Y\u0131pranma ve a\u015f\u0131nma (mekanik fakt\u00f6rler):<\/strong> Y\u0131llar i\u00e7inde olu\u015fan tekrarlay\u0131c\u0131 k\u00fc\u00e7\u00fck travmalar eklemin y\u00fck ta\u015f\u0131ma yetene\u011fini bozmakta ve k\u0131k\u0131rdak y\u0131k\u0131m\u0131na neden olarak osteoartrite yol a\u00e7maktad\u0131r.<\/p>\n<p><strong>Kemik ve eklemi etkileyen di\u011fer hastal\u0131klar:<\/strong> Gut, Romatoid artrit, diabetik n\u00f6ropati, paget hastal\u0131\u011f\u0131, septik artrit ve do\u011fu\u015ftan kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131 gibi hastal\u0131klar osteoartrit geli\u015fme riskini art\u0131r\u0131rlar.<\/p>\n<h3><strong>Belirtileri Nelerdir?<\/strong><\/h3>\n<p>Osteoartrit belirtileri genellikle yava\u015f geli\u015fir ve herhangi bir zamanda \u015fiddetlenebilir. Bu belirtiler \u015funlard\u0131r:<\/p>\n<p><strong>A\u011fr\u0131;<\/strong> en s\u0131k \u015fikayettir. Ba\u015flang\u0131\u00e7ta hareket s\u0131ras\u0131nda ya da g\u00fcn\u00fcn ilerleyen saatlerinde a\u011fr\u0131 olu\u015fur ve dinleme ile rahatlama olur. Eklem k\u0131k\u0131rda\u011f\u0131ndaki bozukluklar ve a\u015f\u0131nma ilerledik\u00e7e istirahat s\u0131ras\u0131nda da a\u011fr\u0131 g\u00f6r\u00fclebilir.<\/p>\n<p><strong>Tutukluk;<\/strong> sabahlar\u0131 veya uzun s\u00fcren hareketsizlikten sonra ortaya \u00e7\u0131kar. Olduk\u00e7a k\u0131sa s\u00fcrer, nadiren 15 dakikan\u0131n \u00fczerine \u00e7\u0131kar.<\/p>\n<p><strong>Eklem hareketlerinde k\u0131s\u0131tlanma;<\/strong> hastal\u0131\u011f\u0131n ileri d\u00f6nemlerinde g\u00f6r\u00fclebilir ve ki\u015finin g\u00fcnl\u00fck ya\u015fam i\u015flevlerini aksatacak d\u00fczeylere ula\u015fabilir. Kemik \u00e7\u0131k\u0131nt\u0131lara ba\u011fl\u0131 olarak eklem \u015fi\u015f gibi g\u00f6r\u00fclebilir. Olduk\u00e7a nadir olmakla birlikte deformiteler (\u015fekil bozukluklar\u0131) g\u00f6r\u00fclebilir.<\/p>\n<h3><strong>Osteoartrit Te\u015fhisi Nas\u0131l Konulur? <\/strong><\/h3>\n<p>Eklemlerde a\u011fr\u0131, tutukluk ve \u015fi\u015fli\u011fi olan hastalar mutlaka doktora ba\u015fvurmal\u0131d\u0131r.<\/p>\n<p>Doktorunuz \u015fikayetlerinizin kesin nedenini belirlemek i\u00e7in baz\u0131 incelemeler isteyebilir :<\/p>\n<ul>\n<li><strong>Direkt radyografi (R\u00f6ntgen filmi):<\/strong> Eklem r\u00f6ntgen filmlerinin \u00e7ekilmesi osteoartrit tan\u0131s\u0131n\u0131 koyarken yard\u0131mc\u0131 olur. Ancak, r\u00f6ntgen filmlerinde osteoartrite ait bulgular\u0131n olmas\u0131 o eklemde yak\u0131nmalar\u0131n olaca\u011f\u0131 anlam\u0131na gelmeyece\u011fi gibi yak\u0131nmalar\u0131n hangi \u015fiddette oldu\u011funu da g\u00f6stermez.<\/li>\n<li><strong>Kan testleri:<\/strong> Osteoartrit tan\u0131s\u0131n\u0131 koyduran bir kan testi yoktur ancak baz\u0131lar\u0131 osteoartriti di\u011fer romatizmal hastal\u0131klardan ay\u0131rt etmede yard\u0131mc\u0131 olurlar.<\/li>\n<li><strong>Eklem s\u0131v\u0131s\u0131n\u0131n incelenmesi:<\/strong> \u00d6zellikle eklem \u015fi\u015fli\u011fi olan hastalarda eklem s\u0131v\u0131s\u0131n\u0131n incelenmesi osteoartritin ba\u015fka hastal\u0131klardan ay\u0131r\u0131m\u0131nda gerekli ve faydal\u0131 olabilir.<\/li>\n<\/ul>\n<p><img class=\"alignnone size-full wp-image-3070\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/osteoarthritis-treatments.jpg\" alt=\"Osteoartrit (Kire\u00e7lenme)\" width=\"500\" height=\"285\" \/><\/p>\n<h3><strong>Osteoartit Nas\u0131l Tedavi Edilir?<\/strong><\/h3>\n<p>Tedavi, hastal\u0131\u011f\u0131n evresi ve \u015fiddetine uygun bir \u015fekilde planlan\u0131r. Osteoartrit tedavisinde ama\u00e7;<\/p>\n<ul>\n<li>Hastan\u0131n a\u011fr\u0131s\u0131n\u0131n giderilmesi<\/li>\n<li>Hareketlerdeki k\u0131s\u0131tlanman\u0131n ve g\u00fcnl\u00fck ya\u015fam aktivitelerindeki zorluklar\u0131n giderilmesi,<\/li>\n<li>Hastal\u0131\u011f\u0131n ilerlemesinin engellenmesi.<\/li>\n<\/ul>\n<p>Tedavide ilk basamak hastan\u0131n e\u011fitimidir. Hasta \u00f6ncelikle hastal\u0131\u011f\u0131 konusunda bilin\u00e7lendirilmelidir. A\u011f\u0131r egzersizlerden ve zedelenmi\u015f eklemin a\u015f\u0131r\u0131 kullan\u0131lmas\u0131ndan sak\u0131n\u0131lmal\u0131d\u0131r. Kilo verilmesi ile a\u015f\u0131r\u0131 y\u00fck ta\u015f\u0131yan eklemlerde osteoartrite ba\u011fl\u0131 \u015fikayetler azal\u0131r.<\/p>\n<p><strong>D\u00fczenli egzersiz:<\/strong> Eklemi \u00e7evreleyen kaslar g\u00fc\u00e7lendirilir. B\u00f6ylece ekleme binen y\u00fck\u00fcn azalt\u0131lmas\u0131 sa\u011flanm\u0131\u015f olur. Ancak uygulanacak egzersiz program\u0131n\u0131n mutlaka hekiminiz taraf\u0131ndan d\u00fczenlenmesi gerekir.<\/p>\n<p><strong>Fizik tedavi uygulamalar\u0131:<\/strong> Doktorunuzun \u00f6nerisiyle etkilenen ekleme s\u0131cak ya da so\u011fuk uygulamalar\u0131, a\u011fr\u0131 kesici ak\u0131m tedavileri ve derin \u0131s\u0131t\u0131c\u0131 tedaviler uygulanabilir.<\/p>\n<p><strong>\u0130la\u00e7 tedavisi:<\/strong> Osteoartritte a\u011fr\u0131 kesici ve iltihap da\u011f\u0131t\u0131c\u0131 ila\u00e7lar hastal\u0131\u011f\u0131n belirli d\u00f6nemlerinde doktor kontrol\u00fc alt\u0131nda kullan\u0131lmaktad\u0131r. K\u0131k\u0131rda\u011f\u0131 g\u00fc\u00e7lendiren ila\u00e7lar\u0131n kullan\u0131m\u0131 da son y\u0131llarda artmaktad\u0131r.<\/p>\n<p><strong>Eklem i\u00e7i enjeksiyon:<\/strong> uzman hekiminizin \u00f6nermesi halinde eklem \u015fi\u015fli\u011finin oldu\u011fu d\u00f6nemlerde eklem i\u00e7ine kortizon enjeksiyonu yap\u0131labilir. Bunun yan\u0131 s\u0131ra eklem i\u00e7ine eklem kayganl\u0131\u011f\u0131n\u0131 artt\u0131ran ila\u00e7lar enjekte edilebilir.<\/p>\n<h2 id=\"Gut_Hastal\u0131\u011f\u0131\" class=\"anchor-title\"><strong>Gut Hastal\u0131\u011f\u0131 <\/strong><\/h2>\n<h3><strong>Gut Hastal\u0131\u011f\u0131 Nedir?<\/strong><\/h3>\n<p>Eklemde aniden geli\u015fen gut hastal\u0131\u011f\u0131, a\u011fr\u0131, k\u0131zar\u0131kl\u0131k, \u015fi\u015flik ve hassasiyetle karakterize, mikrobik olmayan bir eklem iltihab\u0131d\u0131r. S\u0131kl\u0131kla aya\u011f\u0131n ba\u015fparma\u011f\u0131nda ba\u015flar. Ancak, diz, ayak bile\u011fi, dirsek, el parma\u011f\u0131 eklemleri de etkilenebilir. Erkeklerde daha s\u0131k g\u00f6r\u00fclen gut hastal\u0131\u011f\u0131, kad\u0131nlarda menopozla birlikte g\u00f6r\u00fclebilir. \u00c7o\u011funlukla metabolik sendromun bir par\u00e7as\u0131 olan gut hastal\u0131\u011f\u0131, kolesterol, trigliserit y\u00fcksekli\u011fi (hiperlipidemi), y\u00fcksek tansiyon, aterosklerotik kalp hastal\u0131\u011f\u0131, diyabetes mellitus, obezite gibi rahats\u0131zl\u0131klarla birlikte g\u00f6r\u00fcl\u00fcr.<\/p>\n<p><img class=\"alignnone size-full wp-image-3074\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Gut-Hastal\u0131\u011f\u0131.jpg\" alt=\"Gut Hastal\u0131\u011f\u0131\" width=\"1000\" height=\"417\" \/><\/p>\n<h3><strong>Gut Hastal\u0131\u011f\u0131 Belirtileri<\/strong><\/h3>\n<p>Akut gut ata\u011f\u0131, genellikle gece yar\u0131s\u0131 veya sabaha do\u011fru, ayak ba\u015fparma\u011f\u0131nda veya tutulan eklemde \u015fiddetli a\u011fr\u0131, \u015fi\u015flik, k\u0131zar\u0131kl\u0131k, hassasiyet ve \u0131s\u0131 art\u0131\u015f\u0131yla ba\u015flar. Eklemdeki a\u011fr\u0131 ve hassasiyet o kadar \u015fiddetlidir ki; ki\u015fi \u00fczerine basamaz, hareket ettiremez, ayakkab\u0131 giyemez hatta yorgan\u0131n bile de\u011fmesini istemez. A\u011fr\u0131 ilk 12-24 saat i\u00e7inde daha da \u015fiddetlenir. Bazen o eklemde, daha azalmakla birlikte birka\u00e7 hafta daha rahats\u0131zl\u0131k hissi kalabilir.<\/p>\n<p><strong>Gut Nelere Neden Olur?<\/strong><\/p>\n<p><a href=\"https:\/\/tr.wikipedia.org\/wiki\/Gut\" target=\"_blank\" rel=\"noopener noreferrer\">Gut hastal\u0131\u011f\u0131<\/a> s\u0131kl\u0131kla ayak ba\u015fparma\u011f\u0131nda olu\u015fur. Ancak, diz, ayak bile\u011fi, dirsek, el parma\u011f\u0131 eklemleri de etkilenebilir. Tedavi edilme\u011fi takdirde daha ciddi durumlara neden olabilir. Tuttu\u011fu eklemlerde ve \u00e7evre dokularda (tendon, sinir bas\u0131s\u0131 gibi) hasara neden olur. Gut hastal\u0131\u011f\u0131 tekrarlayabilir. Bu durumda gut ataklar\u0131 y\u0131lda birka\u00e7 tekrarlar. \u0130leri gut hastal\u0131\u011f\u0131nda ise rahats\u0131zl\u0131k iyi tedavi edilmezse, \u00fcrat kristalleri cilt alt\u0131nda toplanarak tof\u00fcs denilen nod\u00fcllere neden olur. Bu nod\u00fcller s\u0131kl\u0131kla el ve ayak parmaklar\u0131, kulak sayvan\u0131, dirsek, a\u015fil tendonu ve ayak taban\u0131nda birikir. Tof\u00fcsler, genellikle a\u011fr\u0131s\u0131zd\u0131r; ancak bas\u0131 bulgusuna veya tendonlarda ve kemikte hasara neden olur. \u0130leri gutta b\u00f6brek ta\u015f\u0131 ve \u00fcrat nefropatisi (b\u00f6brek fonksiyonunda bozulma) g\u00f6r\u00fclebilir.<\/p>\n<h3><strong>Nas\u0131l Te\u015fhis Edilir?<\/strong><\/h3>\n<p>Gut tan\u0131s\u0131nda eklem s\u0131v\u0131s\u0131n\u0131n incelenirken polarize \u0131\u015f\u0131k mikroskobunda mono-sodyum \u00fcrat kristallerinin g\u00f6r\u00fclmesi \u00f6nemlidir. \u00dcrik asit kristalleri, i\u011fne ucu gibi iki ucu keskin yap\u0131daki kristaller \u015feklindedir; sar\u0131-ye\u015fil refle verir. Kan testleriyle \u00fcrik asit seviyelerine bak\u0131labilir, ancak gut tan\u0131s\u0131 koyulamaz. Atak s\u0131ras\u0131nda normal, hatta d\u00fc\u015f\u00fck bile olabilir. Eklem s\u0131v\u0131s\u0131nda l\u00f6kosit say\u0131s\u0131 da gut te\u015fhisinde yard\u0131mc\u0131d\u0131r.<\/p>\n<p><img class=\"alignnone size-full wp-image-3078\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Gout-Treatment.jpg\" alt=\"Gut Hastal\u0131\u011f\u0131\" width=\"800\" height=\"600\" \/><\/p>\n<h3><strong>Gut Hastal\u0131\u011f\u0131 Tedavisi<\/strong><\/h3>\n<p>Gut tedavisi, atak ve atak d\u0131\u015f\u0131 tedaviler olmak \u00fczere iki a\u015famal\u0131d\u0131r. Tedavinin amac\u0131 gut ataklar\u0131n\u0131n ve komplikasyonlar\u0131n\u0131n \u00f6nlenmesidir. Kan, \u00fcrik asit seviyesini 6mg\/dL\u2019nin alt\u0131nda tutar.<\/p>\n<p>Akut gut artriti geli\u015fti\u011finde, a\u011fr\u0131 ve inflamasyonu gidermek i\u00e7in steroid olmayan a\u011fr\u0131 ve inflamasyon giderici ila\u00e7lar (naproksen, diklofenak, indometazin gibi tedaviler) mide koruyucusuyla verilmelidir. Altta yatan koroner problem veya b\u00f6brek fonksiyon bozuklu\u011fu gibi yanda\u015f hastal\u0131k durumlar\u0131nda, tercihen eklem i\u00e7ine kortikosteroid enjeksiyonu veya d\u00fc\u015f\u00fck-orta doz kortikosteroidin a\u011f\u0131zdan kullan\u0131m\u0131 tercih edilebilir.<\/p>\n<p>Gut komplikasyonlar\u0131 ve atak gelmesini \u00f6nlemek i\u00e7in \u00fcrik asit \u00fcretimini azaltan ila\u00e7lar kullan\u0131labilir.<\/p>\n<p>\u00dcrik asit at\u0131l\u0131m\u0131n\u0131 art\u0131ran ila\u00e7lar kullan\u0131l\u0131r. Ancak bu t\u00fcr ila\u00e7lar d\u00f6k\u00fcnt\u00fc, mide a\u011fr\u0131s\u0131 ve b\u00f6brek ta\u015f\u0131 gibi yan etkilere neden olabilir.<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"dWKYKrRmre\"><p><a href=\"https:\/\/turkeyistanbulmedical.com\/tr\/kirik-cikik-ve-burkulmalarda-ilk-yardim-kirik-nedir\/\">K\u0131r\u0131k-\u00c7\u0131k\u0131k Ve Burkulmalarda \u0130lk Yard\u0131m<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;K\u0131r\u0131k-\u00c7\u0131k\u0131k Ve Burkulmalarda \u0130lk Yard\u0131m&#8221; &#8212; Turkey Istanbul Medical\" src=\"https:\/\/turkeyistanbulmedical.com\/tr\/kirik-cikik-ve-burkulmalarda-ilk-yardim-kirik-nedir\/embed\/#?secret=dWKYKrRmre\" data-secret=\"dWKYKrRmre\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Romatizma Romatizma Nedir? Romatizma, kelime olarak Yunanca &#8220;akma&#8221; anlam\u0131na gelen &#8220;Rheuma&#8221; kelimesinden t\u00fcremi\u015ftir. Romatizma, otoimm\u00fcn sistemindeki bozukluktan kaynaklanan d\u00fczinelerce hastal\u0131\u011f\u0131 tan\u0131mlamak i\u00e7in kullan\u0131lan genel bir terimdir. Romatizmal hastal\u0131klar genel olarak eklemlerde, kaslarda organlar\u0131 birbirine ba\u011flayan ya da destekleyen dokularda g\u00f6r\u00fclse de v\u00fccudun herhangi bir b\u00f6l\u00fcm\u00fcnde de meydana gelme olas\u0131l\u0131\u011f\u0131 mevcuttur. Romatizma Neden Olur? Bu hastal\u0131klar, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":196,"comment_status":"open","ping_status":"closed","template":"","meta":[],"portfolio_category":[418],"portfolio_tag":[1116,445,1114,1113,1115,1112],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v18.4.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Eklem Hastal\u0131klar\u0131 - Turkey Istanbul Medical Romatizma Kire\u00e7lenme Gut<\/title>\n<meta name=\"description\" content=\"Romatizma, kelime olarak Yunanca &quot;akma&quot; anlam\u0131na gelen &quot;Rheuma&quot; kelimesinden t\u00fcremi\u015ftir. 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