SAMSUN (\u0130HA) \u2013 Plastik Rekonstr\u00fcktif ve Estetik Cerrahi Uzman\u0131 Opr. Dr. Fatih S\u00f6ylemez, parmakta kopan par\u00e7an\u0131n i\u00e7indeki h\u00fccrelerde kan dola\u015f\u0131m\u0131 olmad\u0131\u011f\u0131 i\u00e7in iki saat i\u00e7erisinde h\u00fccre \u00f6l\u00fcmlerinin ba\u015flad\u0131\u011f\u0131n\u0131 belirterek, \u201cBu nedenle ba\u015far\u0131l\u0131 bir sonu\u00e7 i\u00e7in ideali ortalama 2 saat i\u00e7inde ameliyat masas\u0131na al\u0131nmas\u0131d\u0131r. S\u00fcre ilerledik\u00e7e dokuda h\u00fccre \u00f6l\u00fcmleri att\u0131\u011f\u0131 i\u00e7in ba\u015far\u0131 \u015fans\u0131 azalmaktad\u0131r\u201d dedi.<\/p>\n
FBM Estetik T\u0131p Merkezi Plastik Rekonstr\u00fcktif ve Estetik Cerrahi Uzman\u0131 Opr. Dr. Fatih S\u00f6ylemez, parmak kopmalar\u0131nda zaman\u0131n \u00f6nemi hakk\u0131nda bilgi verdi. Parmak kopmas\u0131 vakalar\u0131nda ilk olarak tela\u015fa kap\u0131lmadan kopan par\u00e7alar\u0131n nemli bir havlu veya beze sar\u0131lmas\u0131 gerekti\u011fini ifade eden Opr. Dr. S\u00f6ylemez, \u201cParma\u011f\u0131n yara b\u00f6lgesine nemli bir havlu ile pansuman yap\u0131lmal\u0131d\u0131r. Bu arada hemen 112\u2019den acil yard\u0131m istenmeli ve parmak kopmas\u0131 oldu\u011fu bildirilmelidir. 112 ekibi taraf\u0131ndan veya kendi imkanlar\u0131yla bir hastane aciline ula\u015f\u0131lmal\u0131d\u0131r. Parmak kopmas\u0131nda, 112 sa\u011fl\u0131k ekibi hasta i\u00e7in uygun merkezlerle ba\u011flant\u0131y\u0131 sa\u011flar ve kopan par\u00e7an\u0131n hastayla birlikte bu merkeze ta\u015f\u0131nmas\u0131n\u0131 sa\u011flar. Uygun mikrocerrahi yapabilecek merkeze ula\u015fana kadar kopan par\u00e7a nemli bir gazl\u0131 beze sar\u0131lm\u0131\u015f halde, buza temas etmeden ancak serinli\u011finden faydalanacak \u015fekilde ta\u015f\u0131n\u0131r. Bu ta\u015f\u0131ma \u015fekli kopan par\u00e7an\u0131n birka\u00e7 saat oksijensizli\u011fe dayanmas\u0131n\u0131 sa\u011flar\u201d dedi.<\/p>\n
\u201cKopan par\u00e7a serin ortamda ta\u015f\u0131nmal\u0131\u201d<\/p>\n
Hastan\u0131n \u00f6ncelikle par\u00e7ay\u0131 temiz bez veya havluya sard\u0131ktan sonra bunu delik olmayan bir po\u015fetin i\u00e7ine yerle\u015ftirip po\u015fetin a\u011fz\u0131n\u0131 s\u0131k\u0131ca kapatmas\u0131 ve sonra bu etraf\u0131n\u0131 buz ak\u00fcleri ve buz k\u00fctleleri ile desteklemesi gerekti\u011fini kaydeden Opr. Dr. S\u00f6ylemez, \u201cBurada ama\u00e7 kopan par\u00e7an\u0131n serin ortamda ta\u015f\u0131nmas\u0131d\u0131r. Kopan par\u00e7a direk buza temas etmemeli. Par\u00e7a direk buzun i\u00e7ine veya buzlu suyun i\u00e7ine at\u0131lmamal\u0131d\u0131r. Direk buza temas da par\u00e7an\u0131n donmas\u0131na ve dokular\u0131n \u00f6lmesine sebep olur. Dokunun serin tutulmas\u0131, dokunun oksijen ihtiyac\u0131n\u0131 azalt\u0131p, kans\u0131z kald\u0131\u011f\u0131 birka\u00e7 saat i\u00e7inde doku \u00f6l\u00fcm\u00fcn\u00fc yava\u015flatmakt\u0131r. Daha sonra en yak\u0131n hastaneye ula\u015f\u0131lmal\u0131d\u0131r\u201d diye konu\u015ftu.<\/p>\n
\u201cS\u00fcre ilerledik\u00e7e \u015fans azal\u0131r\u201d<\/p>\n
Kopan par\u00e7an\u0131n i\u00e7indeki h\u00fccrelerde kan dola\u015f\u0131m\u0131 olmad\u0131\u011f\u0131 i\u00e7in iki saat i\u00e7inde h\u00fccre \u00f6l\u00fcmlerinin ba\u015flad\u0131\u011f\u0131 bilgisini veren Opr. Dr. S\u00f6ylemez, \u201cBu nedenle ba\u015far\u0131l\u0131 bir sonu\u00e7 i\u00e7in ideali ortalama 2 saat i\u00e7inde ameliyat masas\u0131na al\u0131nmas\u0131d\u0131r. S\u00fcre ilerledik\u00e7e dokuda h\u00fccre \u00f6l\u00fcmleri att\u0131\u011f\u0131 i\u00e7in ba\u015far\u0131 \u015fans\u0131 azalmaktad\u0131r. Parmak ucu kopmalar\u0131nda parmak dokusunun oksijensizli\u011fe tahamm\u00fcl s\u00fcresi daha uzun oldu\u011fundan gecikmi\u015f vakalarda dahi replantasyon (parmak dikimi) denenmelidir\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cParmak \u00e7al\u0131\u015fmas\u0131n\u0131 etkileyen en \u00f6nemli unsur eklemlerin ne kadar hasar g\u00f6rd\u00fc\u011f\u00fcd\u00fcr\u201d<\/p>\n
Parmak dikimi s\u0131ras\u0131nda kemi\u011fin, tendonlar\u0131n, sinirlerin, damarlar\u0131n uygun \u015fekilde onar\u0131ld\u0131\u011f\u0131 i\u00e7in uygun zamandaki yeterli fizik tedavi ile parma\u011f\u0131n normal olarak \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 aktaran Opr. Dr. S\u00f6ylemez, \u201cBurada parmak \u00e7al\u0131\u015fmas\u0131n\u0131 etkileyen en \u00f6nemli unsur eklemlerin ne kadar hasar g\u00f6rd\u00fc\u011f\u00fc konusudur. Eklemi hasar g\u00f6rmemi\u015f hastalarda, fizik tedaviyle son derece y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar al\u0131nmaktad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
PLAST\u0130K REKONSTR\u00dcKT\u0130F VE ESTET\u0130K CERRAH\u0130 UZMANI OPR. DR. FAT\u0130H S\u00d6YLEMEZ, PARMAKTA KOPAN PAR\u00c7ANIN \u0130\u00c7\u0130NDEK\u0130 H\u00dcCRELERDE KAN DOLA\u015eIMI OLMADI\u011eI \u0130\u00c7\u0130N \u0130K\u0130 SAAT \u0130\u00c7ER\u0130S\u0130NDE H\u00dcCRE \u00d6L\u00dcMLER\u0130N\u0130N BA\u015eLADI\u011eINI BEL\u0130RTEREK, \u201cBU NEDENLE BA\u015eARILI B\u0130R SONU\u00c7 \u0130\u00c7\u0130N \u0130DEAL\u0130 ORTALAMA 2 SAAT \u0130\u00c7\u0130NDE AMEL\u0130YAT MASASINA ALINMASIDIR. S\u00dcRE \u0130LERLED\u0130K\u00c7E DOKUDA H\u00dcCRE \u00d6L\u00dcMLER\u0130 ATTI\u011eI \u0130\u00c7\u0130N BA\u015eARI \u015eANSI AZALMAKTADIR\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":156225,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[105,37,36065,332,4466,902],"class_list":["post-156224","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cok","tag-ilk","tag-kopmalarinda","tag-onemli","tag-parmak","tag-saat"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/parmak-kopmalarinda-ilk-2-saat-cok-onemli_1460f7c.jpg?fit=1000%2C711","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-EDK","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156224","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=156224"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156224\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/156225"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=156224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=156224"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=156224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}