ࡱ> [j*bjbj  pa!\pa!\  $$$$$H $m Tjjjj555]"%F95"555jj' 5jj5(tj^/s:@= 0m H,Y% Y%ttpY%5555555555m 5555Y%555555555 F :Bas1n Blteni Bilgi 0in: ENIGMA PR Dilara Fethan Gsm:0 535 2628226 HYPERLINK "mailto:dilara@enigma-pr.com"dilara@enigma-pr.com Dizimden 1t1rt1 Sesi Geliyor Diyenler Dikkat Hareketsiz ya_am1n getirdii en byk tehlikelerinden biri de obezite problemi. lkemizde gn getike artmaya devam eden bu probleme, yap1lan kontrolsz egzersiz ve yanl1_ beslenmede eklenince, ya_l1 gen denemeden birok hastal1k ortaya 1kabiliyor. Bu hastal1klardan biri de diz kirelenmesi. Uzmanlar, diz kirelenmesinin genellikle yzde 30 genetik etkenlerden kaynakland11, ancak kilo probleminin de kirelenmeye fazlas1yla etkisi olduunu sylyor. Kirelenme tedavisi iin ilk ad1m kilo vermek Diz eklem kirelenmesinde kilo vermenin tedavinin ilk ad1m1 olduunu syleyen Avrupa Ortopedi Cerrahisi hekimlerinden Ortopedi ve Travmatoloji Uzman1 Do. Dr. Serhat Mutlu, ki_inin vcut a1rl11n1n yzde 10 u kadar kilo vermesinin hem k1k1rdak harabiyetinin olu_mas1n1 engelleyeceini hem de menisksleri koruyaca1 konusunun alt1n1 izdi. Do. Dr. Serhat Mutlu,  Dizin iindeki yumu_ak dokulardaki bir k1k1rdak paras1ndaki menisks y1rt11, k1k1rda1 a_1nd1rabilir bu da kirelenmeye neden olur. Hastal1k her hastada farkl1 bir tedavi gerektirir. Her hasta kendi iinde deerlendirilmeli, ona gre doru tedavi uygulanmal1 dedi. Dizden ses geliyorsa dikkat Kirelenmenin belirtilerini genellikle ar1, eklemde hareket k1s1tl1l11, zaman zaman _i_me ataklar1 (alevlenme) dizden veya herhangi bir kirelenen eklemden ses gelmesi gibi s1n1fland1ran Do. Dr. Serhat Mutlu, bu belirtilerin ortaya 1kt11 durumlarda zaman kaybetmeden mutlaka bir uzmana dan1_1lmas1 gerektiini syledi. Diz kirelenmesinin olu_mas1nda tek bir etkenin olmad11n1 o sebeple <dfhnp  Ƕu^IA=A*A$hyh0JCJOJQJ^JaJh%jh%U)hyhB*CJOJQJ^JaJph,hyh5B*CJOJQJ^JaJph#hyh5CJOJQJ^JaJ\hyhB*CJOJPJQJRH^JaJehfH!hphq rwh hyhCJOJQJ^JaJhvCJOJQJ^JaJhZPh5CJOJQJ^J3jhZPhvv5CJ OJQJU^JmHnHuJh f V L: #h*j*$a$gd;>$a$gd$a$gdY$a$gdW6gd&N dgdZPgdZP f ^  T V X ^ ,04tµϵµ¨šϨϨ~qϨcVh.rfhGOJQJ^Jh.rfhPNS5OJQJ^Jh.rfh>OJQJ^Jh.rfh6Q5OJQJ^Jh.rfh5OJQJ^Jh.rfhe5OJQJ^Jh.rfh6QOJQJ^Jh.rfhxCtOJQJ^Jh.rfh4ZOJQJ^Jh.rfhPNSOJQJ^Jh.rfhW6OJQJ^Jh8wCh8wC5CJ(OJQJ^J h.rfh&N t:h"JL( 8 : !!!F"""X####:$f$% %,%̾ٱٱ٤̤zmh.rfh;>OJQJ^Jh.rfhxCtOJQJ^Jh.rfh5OJQJ^Jh.rfhOJQJ^JUh.rfhrOJQJ^Jh.rfhOROJQJ^Jh.rfh5OJQJ^Jh.rfhOJQJ^Jh.rfhGOJQJ^Jh.rfhPNSOJQJ^Jh.rfh~tOJQJ^J(tek bir tedavinin de olmad11n1 syleyen Do. Dr. Serhat Mutlu, yzde 30 genetik etkenler, hastan1n boyu ve kilosu gibi kriterlerin kirelenme oranlar1n1 etkilediini ve kirelenmenin kas yap1lar1n1n erkeklere gre daha zay1f olmas1 nedeni ile kad1nlarda daha s1k grldn syledi. Kirelenmeye neden olan etkenler neler? Kirelenmeye neden olan dier sebepleri ise _yle a1klad1;  Eklemi yanl1_ kullanma, devaml1 kronik bir travmaya maruz kalma, bilinsiz spor ya da hastan1n geirdii bir kaza (trafik kazas1, yksekten d_me) post travmatik kirelenmeye neden olabilir. Bazen de romatizmal hastal1klarda ya da e_itli kulland11 ilalara bal1 (kortizon vb.) bu tip etkenlerde eklemde harabiyeti neden olabiliyor dedi. ok hareketli olman1n da kireleme ya_amaya engel olmad11n1 syleyen Do. Dr. Serhat Mutlu, bilinli hareket etmenin eklemleri kaygan tutaca1n1 ve ar1y1 hafifleteceini syleyerek;  Diz evresinde birok kas grubu var, oradaki kaslar1n al1_mas1, kuvvetli olmas1 ok nemli. nk ekleme binen yk kas taraf1ndan payla_1ld11nda eklem rahatlar. Kas1n k1sal11 bile eklemde ciddi hareket k1s1tl1l11na neden olabileceinden, hastan1n kas1n1 nas1l doru kullanaca1n1, kas kuvvetinin ne kadar olmas1 gerektiini bilmesi a1s1ndan hasta mutlaka fizyoterapist yard1m1 almas1 iin ynlendirilmeli. Hastan1n tedavisinin yar1m kalmamas1 a1s1ndan bu olduka nemli. Biz sadece kemii tedavi etmiyoruz. Diz evresinde ciddi bir kas dokusu, damar ve sinir yap1s1 var. Bunlar1nda sal1kl1 olmas1 gerekir ki bir btn olarak bu eklem doru bir _ekilde al1_s1n dedi. ,%n%%%^&d&p'f*h*j* hm?h9MCJOJQJ^JaJh.rfheOJQJ^Jh.rfh;>OJQJ^Jh.rfh4%OJQJ^J 21h:po. 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