{"id":1783,"date":"2020-10-09T10:02:38","date_gmt":"2020-10-09T10:02:38","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=1783"},"modified":"2023-01-30T10:01:19","modified_gmt":"2023-01-30T10:01:19","slug":"tirnak-hastaliklari","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/tirnak-hastaliklari\/","title":{"rendered":"T\u0131rnak Hastal\u0131klar\u0131"},"content":{"rendered":"

T\u0131rnak Hastal\u0131klar\u0131<\/strong><\/h2>\n

T\u0131rnak Hastal\u0131klar\u0131:<\/strong> T\u0131rnak, parmak u\u00e7lar\u0131m\u0131z\u0131n d\u0131\u015f y\u00fczeyinde bulunan ve tutmay\u0131 kolayla\u015ft\u0131ran bir epidermis olu\u015fumudur. T\u0131rnak<\/a> dikd\u00f6rtgen \u015feklindedir ve d\u0131\u015far\u0131 do\u011fru konvekstir. Sert ve yar\u0131 saydam yap\u0131dad\u0131r. 0.5\u00ac0.7 mm kal\u0131nl\u0131\u011f\u0131nda 100-150 korneosit katman\u0131ndan olu\u015fmu\u015ftur.<\/p>\n

T\u0131rnak, t\u0131rnak yata\u011f\u0131 \u00fczerinde uzar. T\u0131rnak \u00fczerindeki yar\u0131m ay seklinde olan a\u00e7\u0131k renkli alana \u201clunula\u201d denilir. Sa\u011fl\u0131kl\u0131 bir ki\u015fide t\u0131rnaklar haftada 0.9 mm uzar. Her elin ve her parma\u011f\u0131n uzama h\u0131zlar\u0131 farkl\u0131d\u0131r. Psoriasis(Sedef) gibi hastal\u0131klarda h\u0131zl\u0131, liken planus (Deri hastal\u0131\u011f\u0131) da yava\u015f uzad\u0131\u011f\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n

T\u0131rnak Hastal\u0131klar\u0131 \u00c7e\u015fitleri Nelerdir?<\/strong><\/h3>\n

Ka\u015f\u0131k T\u0131rnak (Koilonychia)<\/strong><\/h4>\n

\"Spoon<\/p>\n

T\u0131rnak konkav \u015fekliyle bir ka\u015f\u0131\u011f\u0131 and\u0131r\u0131r. T\u0131rna\u011f\u0131n incelmesine neden olan sebepler mevcuttur. \u00c7ocuklar\u0131n ayak parmaklar\u0131nda g\u00f6r\u00fclebilir genellikle ya\u015fla d\u00fczelir. \u0130leri ya\u015flarda g\u00f6r\u00fclen formu geri d\u00f6n\u00fc\u015f\u00fcms\u00fczd\u00fcr.<\/p>\n

Sistemik nedenlerden \u00e7ok, lokal nedenler daha s\u0131kt\u0131r. Erken \u00e7ocukluk d\u00f6neminde normal olarak g\u00f6r\u00fclebilir.<\/p>\n

Do\u011fumsal:<\/u><\/strong> Trikotiodistrofi, ektodermal displazi, t\u0131rnak patella sendromu, akromegali, koroner bozukluklar gibi nedenlerden olabilir.<\/p>\n

Kerpeten (Pincer) T\u0131rnak<\/strong><\/a><\/h4>\n

\"Pincer<\/p>\n

T\u0131rna\u011f\u0131n konveksitesi iyice artm\u0131\u015ft\u0131r t\u0131rnak kendi i\u00e7inde d\u00f6ner rulo halini al\u0131r, s\u0131kl\u0131kla t\u0131rnak kenarlar\u0131 daralm\u0131\u015f t\u0131rnak yata\u011f\u0131na batar. Beta bloker ila\u00e7lar, sedef hastal\u0131\u011f\u0131, dar ayakkab\u0131, kemik t\u00fcm\u00f6rleri subungual eksositoz, osteoartrit, mantarenfeksiyonu, yumu\u015fak doku t\u00fcm\u00f6rleri d\u0131\u015f\u0131nda \u00f6zellikle b\u00fct\u00fcn parmaklarda birden g\u00f6r\u00fclen genetik nedenler olabilir. Tekrarlayan enfeksiyonlara neden olmas\u0131, ayakkab\u0131 vurmas\u0131 ve a\u011fr\u0131 en \u00f6nemli \u015fikayetlerdir.<\/p>\n

Tedavide t\u0131rna\u011f\u0131n yumu\u015famas\u0131n\u0131 sa\u011flayan \u00fcre i\u00e7eren maddeler verilebilir. Tedrici olarak d\u00fczelten baz\u0131 yayl\u0131 aparatlar kullanabilir. T\u0131rnak tamamen \u00e7\u0131kmayacak \u015fekilde koterize edilerek \u00e7ekilebilir. Bazen t\u0131rnak yata\u011f\u0131 cerrahi olarak d\u00fczeltilerek t\u0131rna\u011f\u0131n d\u00fczg\u00fcn \u00e7\u0131kmas\u0131 sa\u011flanabilir.<\/p>\n

 <\/p>\n

Raket T\u0131rnak (Brachyonychia)<\/strong><\/h4>\n

\"Brachyonychia\"<\/p>\n

El ba\u015fparma\u011f\u0131n\u0131n en u\u00e7 kemi\u011fi ( distal falanks) normale g\u00f6re daha geni\u015f ve k\u0131sad\u0131r.Bu nedenle t\u0131rnak yata\u011f\u0131 da \u00e7ok k\u0131sad\u0131r. Genellikle bir hastal\u0131kla ilgili de\u011fildir. Kad\u0131nlarda daha s\u0131k g\u00f6r\u00fclen kal\u0131tsal bir durumdur.<\/p>\n

 <\/p>\n

T\u0131rnak Mantar\u0131 (Onikomikoz)<\/strong><\/a><\/h4>\n

\"Onikomikoz\"<\/p>\n

T\u0131rnak mantar enfeksiyonu, esas olarak dermatofid ad\u0131 verilen organizmalar taraf\u0131ndan olu\u015fturulur.<\/p>\n

T\u0131rnak yata\u011f\u0131n\u0131 ve pla\u011f\u0131n\u0131 tutan bir enfeksiyondur. T\u00fcm t\u0131rnak hastal\u0131\u011f\u0131n\u0131n yakla\u015f\u0131k %50\u2019sini olu\u015fturur.<\/p>\n

 <\/p>\n

Onikogrifozis (Onychogryphosis)<\/strong><\/h4>\n

\"Onikogrifozis\"<\/p>\n

T\u0131rna\u011f\u0131n d\u0131\u015f k\u0131s\u0131mlar, t\u0131rnak yata\u011f\u0131nda d\u00f6ner ve kal\u0131nla\u015f\u0131r, kabala\u015f\u0131r, sertle\u015fir.Bu nedenle pen\u00e7e t\u0131rnak ad\u0131n\u0131 al\u0131r. Boynuz veya gaga \u015feklinde olabilir.<\/p>\n

En s\u0131k olarak ayak ba\u015fparma\u011f\u0131nda ortaya \u00e7\u0131kan bu problem. Ya\u015fl\u0131larda \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr. Hasta genellikle kabul etmese de genellikle hastan\u0131n t\u0131rna\u011f\u0131n\u0131 kesememesi \u00f6nemli bir fakt\u00f6rd\u00fcr.<\/p>\n

Dola\u015f\u0131m bozuklu\u011fu halluks valgus gibi anatomik bozuklu\u011fu olanlarda, keratinizasyon bozuklu\u011fu olanlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr. Kronik travmalara ba\u011fl\u0131 ve tamamen idyopatik olabilir.<\/p>\n

 <\/p>\n

T\u0131rnakta Yatay \u00c7izgiler (Beau)<\/strong><\/h4>\n

\"Beau<\/p>\n

T\u0131rnaktaki bu yatay oluklar T\u0131rna\u011f\u0131n b\u00fcy\u00fcmesindeki bir aksamay\u0131 temsil eder. Derinli\u011fi ve geni\u015fli\u011fi durum hakk\u0131nda ipu\u00e7lar\u0131 verir. Operasyonlar, stres, alerjik hastal\u0131klar, ila\u00e7lar, k\u0131z\u0131l, k\u0131zam\u0131k, tif\u00fcs gibi enfeksiyonlar ve bazen de pellegra, SLE, p\u00fcst\u00fcler psoriasis gibi hastal\u0131klar ve travma bu \u00e7izgilerin sebebi olabilir.<\/p>\n

T\u0131rnaklarda Tabakalanma (Oniko\u015fizi)<\/strong><\/h4>\n

\"Onychochia\"<\/p>\n

T\u0131rnaklar\u0131n ucunun baklava hamuru gibi tabakalara ayr\u0131lmas\u0131d\u0131r. Baz\u0131 kan hastal\u0131klar\u0131nda (polisitemi), A\u0130DS hastal\u0131\u011f\u0131nda ve baz\u0131 pankreas hastal\u0131klar\u0131nda (glukagonoma) g\u00f6r\u00fcl\u00fcr. T\u0131rnaklar\u0131n s\u0131k s\u0131k \u0131slat\u0131l\u0131p kurumalar\u0131, oje, aseton, a\u015f\u0131r\u0131 manik\u00fcr ve travmalarla da olu\u015fur.<\/p>\n

T\u0131rnakta Beyaz Lekeler (L\u00f6koniki)<\/strong><\/h4>\n

\"L\u00f6koniki\"<\/p>\n

K\u0131smen veya t\u00fcm t\u0131rnakta, nokta veya \u00e7izgi \u015feklinde, do\u011fumda veya sonradan olabilir. T\u00fcberk\u00fcloz, nefrit, lenfoma, donuk yaralanmas\u0131, kanser metastazlar\u0131, tifo, siroz, c\u00fczam, \u00fclseratif kolit, t\u0131rnak yeme, kanser ilac\u0131 kullan\u0131m\u0131, sert manik\u00fcr nedeniyle g\u00f6r\u00fclebilir.<\/p>\n

Onikofaji (T\u0131rnak Yeme)<\/strong><\/h4>\n

\"Onikofaji\"<\/p>\n

T\u0131rnakla oynamak, \u0131s\u0131rmak ve t\u0131rnak dibindeki deriyi koparmakla karakterize bir durumdur. Psikolojik strese ba\u011fl\u0131 olarak s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n

Splinter Kanamalar<\/strong><\/h4>\n

\"Splinter<\/p>\n

T\u0131rnak yata\u011f\u0131nda, k\u0131ym\u0131k batm\u0131\u015f gibi 2\u00ac3mm lik uzunlamas\u0131na kanama \u00e7izgileridir. Tek bir parmaktaysa ya da \u00e7ok silik ise tipik bir bulgu de\u011fildir.<\/p>\n

En s\u0131k bakteriyel endokarditte (kalp zar\u0131 iltihab\u0131) g\u00f6r\u00fcl\u00fcr, Raynould hastal\u0131\u011f\u0131nda, Antifosfolipit sendromunda, Kollajen ve damarsal hastal\u0131klarda hipertansiyonlu hastalarda, romatizmal eklem iltihab\u0131nda ve mitral kapak darl\u0131\u011f\u0131 olan hastalarla beraber hemodializ hastalar\u0131nda ve sedef hastal\u0131\u011f\u0131nda, t\u0131rnak mantar\u0131nda, skorb\u00fctte, egzamada, pemfigusda da g\u00f6r\u00fclebilir.<\/p>\n

Genelde u\u00e7 k\u0131s\u0131mda g\u00f6r\u00fcl\u00fcr ama bir t\u0131rnak yata\u011f\u0131 t\u00fcm\u00f6r\u00fc olan onikomatriksoma\u2019da t\u0131rna\u011f\u0131n dip k\u0131sm\u0131nda hemoraji g\u00f6r\u00fcl\u00fcr.<\/p>\n

T\u0131rnak Batmas\u0131<\/strong><\/a><\/h4>\n

\"Ingrown<\/p>\n

 <\/p>\n

 <\/p>\n

T\u0131rnaklar normalde t\u0131rnak k\u00f6k\u00fcnde, deri alt\u0131nda bulunan germinal matriks denen k\u0131s\u0131mda olu\u015fturulur, t\u0131rnak yata\u011f\u0131 dedi\u011fimiz parma\u011f\u0131n \u00fcst k\u0131sm\u0131nda ileriye do\u011fru b\u00fcy\u00fcrler.<\/p>\n

Bazen t\u0131rnak u\u00e7 k\u0131s\u0131mlar\u0131 yan taraflardan deriye batar ve bir yabanc\u0131 cisim gibi reaksiyon ba\u015flat\u0131rlar, bazen ise t\u0131rnak yaln\u0131zca k\u00f6\u015felerde de\u011fil, t\u00fcm\u00fcyle t\u0131rnak yata\u011f\u0131na bat\u0131k hale gelebilir. Her iki durumda da ilk bulgular a\u011fr\u0131 ve \u015fi\u015fmedir.<\/p>\n

Batma b\u00f6lgesinde kanama olabilir veya enfeksiyon geli\u015fi iltihap geli\u015febilir. Ayakkab\u0131 giymek ve y\u00fcr\u00fcmek \u00e7ok zor olabilir. Tedavi edilmedi\u011finde ise iltihab\u0131n kemi\u011fe ilerlemesi (osteomyelit) ve sistemik enfeksiyonlar olu\u015fabilir.<\/p>\n

\u00d6zellikle diyabetik hastalarda bu t\u00fcr iltihaplanmalar parma\u011f\u0131n hatta ge\u00e7 tedavi ile birlikte aya\u011f\u0131n kaybedilmesi sebebi olabilir.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0131rnak Hastal\u0131klar\u0131 T\u0131rnak Hastal\u0131klar\u0131: T\u0131rnak, parmak u\u00e7lar\u0131m\u0131z\u0131n d\u0131\u015f y\u00fczeyinde bulunan ve tutmay\u0131 kolayla\u015ft\u0131ran bir epidermis olu\u015fumudur. T\u0131rnak dikd\u00f6rtgen \u015feklindedir ve d\u0131\u015far\u0131 do\u011fru konvekstir. Sert ve yar\u0131 saydam yap\u0131dad\u0131r. 0.5\u00ac0.7 mm kal\u0131nl\u0131\u011f\u0131nda 100-150 korneosit katman\u0131ndan olu\u015fmu\u015ftur. T\u0131rnak, t\u0131rnak yata\u011f\u0131 \u00fczerinde uzar. T\u0131rnak \u00fczerindeki yar\u0131m ay seklinde olan a\u00e7\u0131k renkli alana \u201clunula\u201d denilir. Sa\u011fl\u0131kl\u0131 bir ki\u015fide t\u0131rnaklar […]<\/p>\n","protected":false},"author":3,"featured_media":1581,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[818],"tags":[1706],"yoast_head":"\nT\u0131rnak Hastal\u0131klar\u0131 - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"T\u0131rnak Hastal\u0131klar\u0131\u00a0: T\u0131rnak, parmak u\u00e7lar\u0131m\u0131z\u0131n d\u0131\u015f y\u00fczeyinde bulunan ve tutmay\u0131 kolayla\u015ft\u0131ran bir epidermis olu\u015fumudur.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/tirnak-hastaliklari\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u0131rnak Hastal\u0131klar\u0131\" \/>\n<meta property=\"og:description\" content=\"T\u0131rnak Hastal\u0131klar\u0131\u00a0: T\u0131rnak, parmak u\u00e7lar\u0131m\u0131z\u0131n d\u0131\u015f y\u00fczeyinde bulunan ve tutmay\u0131 kolayla\u015ft\u0131ran bir epidermis olu\u015fumudur.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/tirnak-hastaliklari\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2020-10-09T10:02:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-30T10:01:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Nail.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"880\" \/>\n\t<meta property=\"og:image:height\" content=\"487\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - 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