{"id":156382,"date":"2019-05-13T12:15:33","date_gmt":"2019-05-13T09:15:33","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/yanlis-tirnak-kesimi-batmaya-yol-aciyor\/"},"modified":"2019-05-13T12:15:33","modified_gmt":"2019-05-13T09:15:33","slug":"yanlis-tirnak-kesimi-batmaya-yol-aciyor","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/yanlis-tirnak-kesimi-batmaya-yol-aciyor\/","title":{"rendered":"Yanl\u0131\u015f t\u0131rnak kesimi batmaya yol a\u00e7\u0131yor"},"content":{"rendered":"<p>Dermatoloji Uz. Dr. Ay\u015fenur Banu \u00c7a\u011flar, &#8220;T\u0131rnak batmas\u0131n\u0131n tedavisi batman\u0131n \u015fiddetine g\u00f6re belirlenir. A\u011fr\u0131, k\u0131zar\u0131kl\u0131k ve iltihaplanman\u0131n oldu\u011fu hafif ve orta \u015fiddetteki batmalarda pansuman, antibiyotikli kremler ve antibiyotik haplar \u00f6nerilmektedir&#8221; dedi.<\/p>\n<p>T\u0131rna\u011f\u0131n d\u0131\u015f k\u00f6\u015felerinin t\u0131rnak yan\u0131ndaki doku i\u00e7ine g\u00f6m\u00fclmesi ile ortaya \u00e7\u0131kan t\u0131rnak batmas\u0131, genelde ayak ba\u015fparma\u011f\u0131nda g\u00f6r\u00fcl\u00fcyor. T\u0131rnak batmas\u0131 ileri derecede olan hastalarda ayakkab\u0131 giymekte zorlanma, \u00e7oraplar\u0131n s\u0131k s\u0131k kirlenmesi, iltihap ve apse gibi sorunlar g\u00f6r\u00fclebiliyor. Erken evrede kendili\u011finden tedavi edilebilen hastal\u0131k, \u015fiddetli a\u011fr\u0131 ile kendini g\u00f6sterdi\u011finde, mutlaka bir uzmana ba\u015fvurulmas\u0131 \u00f6nem kazan\u0131yor. Memorial Antalya Hastanesi Dermatoloji B\u00f6l\u00fcm\u00fc Uz. Dr. Ay\u015fenur Banu \u00c7a\u011flar, t\u0131rnak batmas\u0131 ve tedavisi hakk\u0131nda bilgi verdi.<\/p>\n<p>T\u0131rnak batmas\u0131n\u0131n s\u0131kl\u0131kla ayak ba\u015fparmak t\u0131rna\u011f\u0131nda, t\u0131rna\u011f\u0131n d\u0131\u015f k\u00f6\u015felerinin t\u0131rnak yan\u0131ndaki yumu\u015fak doku i\u00e7erisine g\u00f6m\u00fclmesi \u015fekline ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 belirten \u00c7a\u011flar, &#8220;A\u011fr\u0131 k\u0131zar\u0131kl\u0131k, \u015fi\u015flik ve sonras\u0131nda iltihaplanma g\u00f6r\u00fclebilir. Ayak t\u0131rnaklar\u0131n\u0131n \u00e7ok k\u0131sa ve yuvarlanarak kesilmesi, dar u\u00e7lu ayakkab\u0131 giyilmesi, ayakta a\u015f\u0131r\u0131 terlemenin varl\u0131\u011f\u0131, obezite ve ayak ba\u015fparmak t\u0131rna\u011f\u0131na al\u0131nan darbeler t\u0131rnak batmas\u0131n\u0131 tetikleyebilir. T\u0131rnak batmas\u0131n\u0131n tedavisi batman\u0131n \u015fiddetine g\u00f6re belirlenir. A\u011fr\u0131, k\u0131zar\u0131kl\u0131k ve iltihaplanman\u0131n oldu\u011fu hafif ve orta \u015fiddetteki batmalarda pansuman, antibiyotikli kremler ve antibiyotik haplar \u00f6nerilmektedir. T\u0131rnak ile t\u0131rnak yata\u011f\u0131 aras\u0131nda batmay\u0131 engelleyebilecek bariyerler de tedavi uygulamalar\u0131 aras\u0131nda yer al\u0131r. Bu bariyer y\u00f6ntemler pamuk, di\u015f ipi ya da t\u0131rnak teli olabilir. A\u011fr\u0131 k\u0131zar\u0131kl\u0131k ve iltihaplanmaya ek olarak batan t\u0131rna\u011f\u0131n kenar\u0131nda yumu\u015fak doku b\u00fcy\u00fcmesinin meydana geldi\u011fi \u015fiddetli durumlar\u0131nda ise t\u0131rnak \u00e7ekimi gerekebilir&#8221; ifadelerindi kulland\u0131.<\/p>\n<p>&#8220;Gerekti\u011finde t\u0131rnak \u00e7ekimi uygulan\u0131r&#8221;<\/p>\n<p>T\u0131rnak \u00e7ekimi s\u0131ras\u0131nda aktif enfeksiyon olmamas\u0131 gerekti\u011fini ve bu nedenle antibiyotik kullan\u0131labilece\u011fi durumlar oldu\u011funu an\u0131msatan \u00c7a\u011flar, &#8220;\u00c7ekim \u00f6ncesinde lokal anestezi uygulan\u0131r. B\u00f6ylece i\u015flem s\u0131ras\u0131nda herhangi bir a\u011fr\u0131 duyulmaz. \u00c7ekimde t\u00fcm t\u0131rnak pla\u011f\u0131n\u0131n \u00e7ekimi yerine batan k\u0131s\u0131mdaki t\u0131rnak pla\u011f\u0131 k\u0131smi olarak \u00e7\u0131kar\u0131l\u0131r. Batman\u0131n tekrarlamamas\u0131 amac\u0131yla \u00e7ekim uyguland\u0131ktan sonra batman\u0131n oldu\u011fu t\u0131rnak k\u00f6k\u00fcn\u00fcn tahrip edilmesi gerekir. Bu i\u015flemin yetersiz kald\u0131\u011f\u0131 durumlarda cerrahi ile batan k\u0131s\u0131mdaki t\u0131rnak k\u00f6k\u00fc \u00e7\u0131kar\u0131labilir. Uygun y\u00f6ntemler ile \u00e7ekim ve t\u0131rnak k\u00f6k tahribat\u0131 yap\u0131ld\u0131\u011f\u0131nda \u00e7ekim sonras\u0131nda batma b\u00fcy\u00fck oranda tekrarlamamaktad\u0131r. \u00c7ekim sonras\u0131nda \u00f6dem ve a\u011fr\u0131y\u0131 azaltmak amac\u0131yla 48 saat s\u00fcreyle ayak y\u00fcksekte tutulmal\u0131, a\u011fr\u0131 oldu\u011funda kanamay\u0131 art\u0131rma ihtimali olmayan a\u011fr\u0131 kesiciler kullan\u0131lmal\u0131, dar u\u00e7lu ayakkab\u0131lar giyilmemeli ve pansuman g\u00fcnl\u00fck olarak de\u011fi\u015ftirilmelidir. Ki\u015fi uzun s\u00fcre ayakta kalmamak ve dar ayakkab\u0131 giymemek kayd\u0131yla 2-3 g\u00fcn sonra normal ya\u015fant\u0131s\u0131na geri d\u00f6nebilir&#8221; diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>MEMOR\u0130AL ANTALYA HASTANES\u0130 DERMATOLOJ\u0130 B\u00d6L\u00dcM\u00dc UZ. DR. AY\u015eENUR BANU \u00c7A\u011eLAR, &#8220;TIRNAK BATMASININ TEDAV\u0130S\u0130 BATMANIN \u015e\u0130DDET\u0130NE G\u00d6RE BEL\u0130RLEN\u0130R. A\u011eRI, KIZARIKLIK VE \u0130LT\u0130HAPLANMANIN OLDU\u011eU HAF\u0130F VE ORTA \u015e\u0130DDETTEK\u0130 BATMALARDA PANSUMAN, ANT\u0130B\u0130YOT\u0130KL\u0130 KREMLER VE ANT\u0130B\u0130YOT\u0130K HAPLAR \u00d6NER\u0130LMEKTED\u0130R&#8221; DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":156383,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[1561,36158,4969,36157,14713,75],"class_list":["post-156382","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-aciyor","tag-batmaya","tag-kesimi","tag-tirnak","tag-yanlis","tag-yol"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/yanlis-tirnak-kesimi-batmaya-yol-aciyor_3708210.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-EGi","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156382","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=156382"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156382\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/156383"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=156382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=156382"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=156382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}