{"id":5767,"date":"2021-06-14T14:00:11","date_gmt":"2021-06-14T14:00:11","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=5767"},"modified":"2021-06-14T14:02:14","modified_gmt":"2021-06-14T14:02:14","slug":"kompartman-sendromu","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/kompartman-sendromu\/","title":{"rendered":"Kompartman Sendromu"},"content":{"rendered":"

Kompartman Sendromu<\/strong><\/h2>\n

Kompartman sendromu,<\/strong>\u00a0damar ve sinir i\u00e7eren kapal\u0131 bo\u015fluklarda ortam i\u00e7in bas\u0131nc\u0131n y\u00fckselmesiyle kas ve sinir dokular\u0131n\u0131n kanlanmas\u0131n\u0131n ve oksijenlenmesinin bozulmas\u0131yla seyreden klinik bir tablodur. Kompartman sendromuna yol a\u00e7abilecek \u00e7ok say\u0131da durum vard\u0131r. Kanamalar, vask\u00fcler yaralanma, kanama bozukluklar\u0131,yan\u0131klar, y\u0131lan sokmalar\u0131, enfeksiyon gibi kompartman i\u00e7eri\u011finin artmas\u0131 veya s\u0131k\u0131 bandaj, al\u00e7\u0131lar gibi kemik k\u0131r\u0131klar\u0131 tedavisinde kullan\u0131lan uygulamalar kompartman hacminin azalt\u0131lmas\u0131yla kompartman sendromu olu\u015fabilir.<\/p>\n

Kompartman sendromu akut veya kronik olarak ortaya \u00e7\u0131kabilir. Akut kompartman sendromu, kemik k\u0131r\u0131klar\u0131, s\u0131k\u0131 bandaj veya a\u00e7\u0131 uygulamalar\u0131ndan sonra olu\u015fur.<\/p>\n

Kompartman Sendromu<\/a> Tan\u0131s\u0131<\/h3>\n

 <\/p>\n

1) Parestezi ( Duyu Kusuru )\u00a0<\/strong><\/h4>\n

Uyu\u015fma, kar\u0131ncalanma gibi duysal bozukluklard\u0131r.<\/p>\n

 <\/p>\n

2) Pain ( A\u011fr\u0131 )<\/strong><\/h4>\n

Sinir harabiyetine ba\u011fl\u0131 olur. En erken belirtidir. Kompartman\u0131n \u00fczerine basmakla a\u011fr\u0131 \u015fiddeti artar.<\/p>\n

 <\/p>\n

3) Pallor ( Solukluk ) <\/strong><\/h4>\n

Bas\u0131n\u00e7tan dolay\u0131 dokunun beslenememesine ba\u011fl\u0131 olarak \u00e7\u0131kar.<\/p>\n

 <\/p>\n

4) Paralizi ( <\/strong>Kas Felci )<\/strong><\/h4>\n

Kaslar\u0131n kas\u0131lmas\u0131n\u0131n durmas\u0131. En son g\u00f6r\u00fclendir. Damarlar\u0131n bas\u0131 alt\u0131nda kal\u0131p kaslara yeteri kadar oksijen ve besin g\u00f6t\u00fcremedi\u011fi i\u00e7in olur.<\/p>\n

 <\/p>\n

5) Pulselessness ( Nab\u0131zs\u0131zl\u0131k )<\/strong><\/h4>\n

Etkilenen damar\u0131n distalinde( g\u00f6vdeye g\u00f6re uzak olan k\u0131sm\u0131 ) nab\u0131z al\u0131nmaz. Ama \u00e7ok objektif bir durum de\u011fildir.Di\u011fer belirtiler bizim i\u00e7in daha \u00f6nemlidir. Erken d\u00f6nemde al\u0131nmazsa arteryel (atardamar) yaralanmas\u0131 bulgusudur.<\/p>\n

 <\/p>\n

6) Pressure ( Bas\u0131n\u00e7 )<\/strong><\/h4>\n

Kompartman sendromunun tan\u0131s\u0131nda da belirtti\u011fim gibi bas\u0131n art\u0131\u015f\u0131 olacakt\u0131r. Kapal\u0131 ortamlar\u0131n bas\u0131nc\u0131 0-10 mmHg d\u0131r. Bunun \u00fczerinde olmas\u0131 bas\u0131n\u00e7 y\u00fcksekli\u011finden s\u00f6z edilir.<\/p>\n

Kompartman sendromu tedavisinde yapaca\u011f\u0131m\u0131z ilk i\u015flem kompartman \u00e7evresindeki bas\u0131y\u0131 ortadan kald\u0131rmakt\u0131r. Al\u00e7\u0131 veya sarg\u0131 olmas\u0131 durumunda hemen gev\u015fetiriz ki geri d\u00f6n\u00fc\u015f\u00fcms\u00fcz bir duruma sebebiyet vermeyelim. Bunun yan\u0131nda etkilenen uzuv kalp seviyesinde tutulmal\u0131 ve buraya buz uygulanmal\u0131d\u0131r.<\/p>\n

Bas\u0131 \u00e7ok erken d\u00f6nemde ortadan kald\u0131r\u0131l\u0131rsa bas\u0131n\u00e7 alt\u0131ndaki yap\u0131lar olan kas, damar ve sinirler tekrar eski g\u00f6revlerini yerine getirirler. O y\u00fczden erken m\u00fcdahale \u00e7ok \u00f6nemlidir. As\u0131l tedavi yapaca\u011f\u0131m\u0131z cerrahi i\u015flemdir. Bunun i\u00e7in fasiyotomi dedi\u011fimiz i\u015flemi yapar\u0131z. Fasyotomi, kompartman etraf\u0131ndaki fasyan\u0131n (zar\u0131n) kesilmesi demektir. B\u00f6ylelikle kompartman i\u00e7i bas\u0131nc\u0131 azaltm\u0131\u015f oluruz.<\/p>\n

Kompartman sendromu<\/a> tedavide ge\u00e7 kal\u0131nd\u0131\u011f\u0131nda \u00e7e\u015fitli komplikasyonlara sebebiyet verebilir. Kas, sinir ve damar yaralanmalar\u0131, duyu azl\u0131\u011f\u0131 veya duyu alg\u0131s\u0131n\u0131n bozulmas\u0131, kemik veya di\u011fer doku enfeksiyonlar\u0131, kontrakt\u00fcrler vs. gibi komplikasyonlar\u0131 mevcuttur.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kompartman Sendromu Kompartman sendromu,\u00a0damar ve sinir i\u00e7eren kapal\u0131 bo\u015fluklarda ortam i\u00e7in bas\u0131nc\u0131n y\u00fckselmesiyle kas ve sinir dokular\u0131n\u0131n kanlanmas\u0131n\u0131n ve oksijenlenmesinin bozulmas\u0131yla seyreden klinik bir tablodur. Kompartman sendromuna yol a\u00e7abilecek \u00e7ok say\u0131da durum vard\u0131r. Kanamalar, vask\u00fcler yaralanma, kanama bozukluklar\u0131,yan\u0131klar, y\u0131lan sokmalar\u0131, enfeksiyon gibi kompartman i\u00e7eri\u011finin artmas\u0131 veya s\u0131k\u0131 bandaj, al\u00e7\u0131lar gibi kemik k\u0131r\u0131klar\u0131 tedavisinde kullan\u0131lan uygulamalar […]<\/p>\n","protected":false},"author":3,"featured_media":5755,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1215],"tags":[1239],"yoast_head":"\nKompartman Sendromu - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Kompartman sendromu,\u00a0damar ve sinir i\u00e7eren kapal\u0131 bo\u015fluklarda ortam i\u00e7in bas\u0131nc\u0131n y\u00fckselmesiyle kas ve sinir dokular\u0131n\u0131n kanlanmas\u0131n\u0131n ve\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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