\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Ortopedi ve Travmatoloji Uzman\u0131 Prof. Dr. Murat Demiro\u011flu, halluks valgusun nedenleri ile erken tan\u0131 ve do\u011fru tedavinin \u00f6nemi hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n
Halluks valgus estetikten \u00f6te, ilerleyici bir ayak hastal\u0131\u011f\u0131!<\/strong><\/p>\n Halk aras\u0131nda \u2018bunyon\u2019 olarak da bilinen, ayak ba\u015fparma\u011f\u0131nda olu\u015fan \u00e7\u0131k\u0131nt\u0131 olan halluks valgusun, yaln\u0131zca estetik bir problem olmad\u0131\u011f\u0131n\u0131 aktaran Prof. Dr. Murat Demiro\u011flu, \u201c\u0130lerleyen d\u00f6nemlerde a\u011fr\u0131ya, y\u00fcr\u00fcme bozuklu\u011funa ve di\u011fer ayak parmaklar\u0131nda \u015fekil bozukluklar\u0131na yol a\u00e7abilen bu rahats\u0131zl\u0131k, ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde etkileyebilir.\u201d dedi.<\/p>\n Halluks valgusun, ayak ba\u015fparma\u011f\u0131n\u0131n tarak kemi\u011fiyle birle\u015fti\u011fi eklemde olu\u015fan a\u00e7\u0131sal bozukluk sonucu ba\u015fparma\u011f\u0131n di\u011fer parmaklara do\u011fru y\u00f6nelmesiyle ortaya \u00e7\u0131kan bir deformite oldu\u011funu kaydeden\u00a0Prof. Dr. Demiro\u011flu, \u201cZamanla eklem yap\u0131s\u0131nda de\u011fi\u015fiklikler geli\u015fir ve ba\u015fparma\u011f\u0131n i\u00e7 k\u0131sm\u0131nda belirgin bir kemik \u00e7\u0131k\u0131nt\u0131s\u0131 olu\u015fur. Hastal\u0131\u011f\u0131n ilk d\u00f6nemlerinde estetik kayg\u0131lar \u00f6n planda olsa da s\u00fcre\u00e7 ilerledik\u00e7e y\u00fck da\u011f\u0131l\u0131m\u0131 bozulur. Bunun sonucunda ayakta a\u011fr\u0131, nas\u0131r olu\u015fumu, eklem kire\u00e7lenmesi ve ikinci ya da \u00fc\u00e7\u00fcnc\u00fc parmaklarda \u015fekil bozukluklar\u0131 geli\u015febilir. \u0130leri evrelerde ba\u015fparmak di\u011fer parmaklar\u0131n alt\u0131na veya \u00fczerine ge\u00e7ebilir ve y\u00fcr\u00fcmek giderek zorla\u015fabilir.\u201d \u015feklinde konu\u015ftu.<\/p>\n Gece a\u011fr\u0131s\u0131 ve b\u00fcy\u00fcyen \u00e7\u0131k\u0131nt\u0131, halluks valgusta uzman de\u011ferlendirmesi gerektirir!<\/strong><\/p>\n Ba\u015fparmak \u00e7\u0131k\u0131nt\u0131s\u0131n\u0131n hafif ve a\u011fr\u0131s\u0131z olmas\u0131 durumunda d\u00fczenli takibin yeterli olabilece\u011fine de\u011finen\u00a0Prof. Dr. Murat Demiro\u011flu, \u201cAncak \u00e7\u0131k\u0131nt\u0131n\u0131n giderek b\u00fcy\u00fcmesi, a\u011fr\u0131n\u0131n ba\u015flamas\u0131 veya artmas\u0131, b\u00f6lgede k\u0131zar\u0131kl\u0131k olu\u015fmas\u0131, parmaktaki e\u011frili\u011fin ilerlemesi, \u00f6zellikle gece ortaya \u00e7\u0131kan a\u011fr\u0131lar\u0131n g\u00f6r\u00fclmesi durumlar\u0131nda mutlaka ortopedi uzman\u0131na ba\u015fvurulmal\u0131.\u201d dedi.\u00a0<\/p>\n Halluks valgusun geli\u015fiminde genetik yatk\u0131nl\u0131\u011f\u0131n \u00f6nemli rol oynad\u0131\u011f\u0131n\u0131 ifade eden\u00a0Prof. Dr. Demiro\u011flu, \u201cAilesinde halluks valgus bulunan, ba\u011f dokusu gev\u015fekli\u011fi veya d\u00fcz tabanl\u0131k gibi \u00f6zelliklere sahip ki\u015filerde dar burunlu ve y\u00fcksek topuklu ayakkab\u0131lar deformitenin ortaya \u00e7\u0131kmas\u0131n\u0131 veya daha h\u0131zl\u0131 ilerlemesini kolayla\u015ft\u0131rabilir. Genetik yatk\u0131nl\u0131\u011f\u0131 olmayan ki\u015filerde ise yaln\u0131zca dar ayakkab\u0131 kullan\u0131m\u0131 \u00e7o\u011fu zaman hastal\u0131\u011f\u0131n tek nedeni de\u011fildir. Buna ra\u011fmen uzmanlar, \u00f6n k\u0131sm\u0131 geni\u015f ve aya\u011f\u0131n do\u011fal hareketine izin veren ayakkab\u0131lar\u0131n tercih edilmesini \u00f6neriyor.\u201d a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/p>\n Orta ve ileri derecedeki halluks valgusta atel ve benzeri \u00fcr\u00fcnler cerrahinin yerini tutamaz!\u00a0<\/strong><\/p>\n Sosyal medyada s\u0131k\u00e7a g\u00f6r\u00fclen ve internet \u00fczerinden sat\u0131lan atellerin ger\u00e7ekten i\u015fe yaray\u0131p yaramad\u0131\u011f\u0131 hakk\u0131nda bilgi veren\u00a0Prof. Dr. Murat Demiro\u011flu, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cParmak ay\u0131r\u0131c\u0131 silikonlar, gece atelleri, bantlama y\u00f6ntemleri ve fizyoterapi gibi konservatif tedaviler \u00f6zellikle erken d\u00f6nemde a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131na yard\u0131mc\u0131 olabilir. Ancak bu y\u00f6ntemler olu\u015fmu\u015f kemik deformitesini d\u00fczeltemez. Bu \u00fcr\u00fcnlerin amac\u0131 hastal\u0131\u011f\u0131n ilerlemesini yava\u015flatmak ve hastan\u0131n \u015fik\u00e2yetlerini hafifletmektir. Orta ve ileri derecedeki deformitelerde cerrahinin yerini tutmalar\u0131 m\u00fcmk\u00fcn de\u011fildir.\u201d<\/p>\n Ne kadar erken evrede ameliyat edilirse estetik ve fonksiyonel sonu\u00e7lar da o kadar ba\u015far\u0131l\u0131 olur!<\/strong><\/p>\n Hafif dereceli, a\u011fr\u0131s\u0131 az olan vakalarda ameliyats\u0131z y\u00f6ntemlerle hastan\u0131n konforunun art\u0131r\u0131labilece\u011fini dile getiren Prof. Dr. Murat Demiro\u011flu, \u201cDeformitenin ilerlemesi yava\u015flat\u0131labilir. Ancak belirgin a\u00e7\u0131sal bozukluk olu\u015fmu\u015f orta ve ileri evre halluks valgusta kal\u0131c\u0131 d\u00fczeltme sa\u011flayan tek tedavi cerrahidir.\u201d dedi.<\/p>\n Cerrahinin temel amac\u0131n\u0131n hem a\u011fr\u0131y\u0131 gidermek hem de aya\u011f\u0131n anatomik dizilimini m\u00fcmk\u00fcn oldu\u011funca normale yakla\u015ft\u0131rmak oldu\u011funa i\u015faret eden\u00a0Prof. Dr. Demiro\u011flu, \u201cHastal\u0131k ne kadar erken evrede ameliyat edilirse estetik ve fonksiyonel sonu\u00e7lar da o kadar ba\u015far\u0131l\u0131 olur. \u00c7ok ileri vakalarda tamamen normal g\u00f6r\u00fcn\u00fcm elde edilemese bile ameliyat \u00f6ncesine g\u00f6re belirgin d\u00fczelme sa\u011flan\u0131r. Ameliyat\u0131n ard\u0131ndan hastalar erken d\u00f6nemde aya\u011fa kald\u0131r\u0131lsa da ilk g\u00fcnlerde aya\u011f\u0131n a\u015fa\u011f\u0131 sark\u0131t\u0131lmas\u0131 ve tam y\u00fck verilmesi \u00f6nerilmez. Yakla\u015f\u0131k iki hafta boyunca \u00f6dem nedeniyle y\u00fcr\u00fcy\u00fc\u015fte zorlanma g\u00f6r\u00fclebilir. Otomatik vites ara\u00e7 kullanan ve sol aya\u011f\u0131ndan ameliyat olan hastalar ikinci haftadan itibaren k\u0131sa mesafelerde ara\u00e7 kullanabilir. Sa\u011f aya\u011f\u0131ndan ameliyat olanlar veya manuel vites kullananlar\u0131n ise g\u00fcvenli ara\u00e7 kullan\u0131m\u0131 i\u00e7in genellikle alt\u0131nc\u0131 haftay\u0131 beklemeleri \u00f6nerilir. R\u00f6ntgen kontrollerinde kemik kaynamas\u0131n\u0131n uygun g\u00f6r\u00fclmesiyle birlikte normal y\u00fcr\u00fcy\u00fc\u015f ve spor aktivitelerine kademeli olarak d\u00f6n\u00fc\u015f yap\u0131labilir.\u201d diye konu\u015ftu.<\/p>\n Halluks valgus yaln\u0131zca ba\u015fparma\u011f\u0131 de\u011fil, t\u00fcm y\u00fcr\u00fcme mekani\u011fini bozabiliyor!<\/strong><\/p>\n Halluks valgusun kad\u0131nlarda daha s\u0131k g\u00f6r\u00fclmesinin nedenlerine de\u011finen\u00a0Prof. Dr. Demiro\u011flu, \u201cY\u00fcksek topuklu ayakkab\u0131lar v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131 aya\u011f\u0131n \u00f6n k\u0131sm\u0131na aktararak ba\u015fparmak eklemine binen y\u00fck\u00fc art\u0131r\u0131r. \u00d6zellikle d\u00fcz tabanl\u0131k gibi ek risk fakt\u00f6rleri bulunan ki\u015filerde deformite daha h\u0131zl\u0131 ilerleyebilir. Bu nedenle topuk y\u00fcksekli\u011fi 2-3 santimetreyi ge\u00e7meyen ve \u00f6n k\u0131sm\u0131 geni\u015f ayakkab\u0131lar\u0131n tercih edilmesi \u00f6nerilir.\u201d dedi.<\/p>\n Halluks valgusun ilk d\u00f6nemlerinde a\u011fr\u0131n\u0131n her hastada g\u00f6r\u00fclmeyebilece\u011fine vurgu yapan\u00a0Prof. Dr. Demiro\u011flu, \u201cA\u011fr\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131nda eklem k\u0131k\u0131rda\u011f\u0131ndaki y\u0131pranma, yumu\u015fak dokulardaki gerilim ve aya\u011f\u0131n y\u00fck da\u011f\u0131l\u0131m\u0131ndaki bozulma etkili olur. Hastalar a\u011fr\u0131dan ka\u00e7\u0131nmak i\u00e7in aya\u011f\u0131n d\u0131\u015f kenar\u0131na basarak y\u00fcr\u00fcmeye ba\u015flayabilir. Bu durum zamanla farkl\u0131 b\u00f6lgelerde yeni sorunlara yol a\u00e7abilece\u011finden, belirtiler ilerlemeden uzman de\u011ferlendirmesi \u00f6nem ta\u015f\u0131r.\u201d diyerek s\u00f6zlerini tamamlad\u0131.<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" \u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Ortopedi ve Travmatoloji Uzman\u0131 Prof.<\/p>\n","protected":false},"author":1,"featured_media":131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-130","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/posts\/130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/comments?post=130"}],"version-history":[{"count":1,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/posts\/130\/revisions"}],"predecessor-version":[{"id":132,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/posts\/130\/revisions\/132"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/media\/131"}],"wp:attachment":[{"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/media?parent=130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/categories?post=130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/paparazzimagazin.com.tr\/wp-json\/wp\/v2\/tags?post=130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}