{"id":175515,"date":"2019-06-29T11:02:01","date_gmt":"2019-06-29T08:02:01","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/parmak-kopmasinda-ilk-2-saat-onemli\/"},"modified":"2019-06-29T11:02:01","modified_gmt":"2019-06-29T08:02:01","slug":"parmak-kopmasinda-ilk-2-saat-onemli","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/parmak-kopmasinda-ilk-2-saat-onemli\/","title":{"rendered":"Parmak kopmas\u0131nda ilk 2 saat \u00f6nemli"},"content":{"rendered":"<p>\u0130\u015f kazalar\u0131 sonras\u0131 tecr\u00fcbeli bir sa\u011fl\u0131k ekibinin ger\u00e7ekle\u015ftirece\u011fi mikro cerrahi, kazazedenin k\u0131sa s\u00fcrede hayata d\u00f6nmesini sa\u011flayabiliyor. Mikro Cerrahi Uzman\u0131 Op. Dr. Murat Kaan S\u00f6zer, \u201c\u0130lk 2 saatte operasyon \u00f6nerilirken kopan uzvu ta\u015f\u0131mak da ba\u015far\u0131da \u00f6nemli bir etken\u201d dedi.<\/p>\n<p>\u0130\u015f kazalar\u0131, mikro el cerrahisinde en b\u00fcy\u00fck y\u00fczdeye sahip vaka olarak biliniyor. \u0130yi bir tan\u0131-tedavi-rehabilitasyon s\u00fcreciyle kopan parma\u011f\u0131n yerine dikilmesi gibi vakalarda zamanlaman\u0131n hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 s\u00f6yleyen VM Medical Park Bursa Hastanesi Estetik, Rekonstr\u00fcktif, Plastik ve Mikro Cerrahi Uzman\u0131 Op. Dr. Murat Kaan S\u00f6zer, \u201c\u00c7ok ezilmi\u015f bir elde hemen cerrahi i\u015flem yapmayabilirsiniz. \u0130la\u00e7larla destekleyip belli saatler sonras\u0131nda cerrahi yap\u0131labiliyor. Tabii ki hastan\u0131n tansiyon, kalp, \u015feker gibi rahats\u0131zl\u0131klar\u0131 da olabilir. Bunlar\u0131n da de\u011ferlendirmeye al\u0131n\u0131p ameliyat karar\u0131n\u0131n al\u0131nmas\u0131 gerekir. \u0130lk 2 saatte yap\u0131lan ameliyatlar\u0131n ba\u015far\u0131 oran\u0131 \u00e7ok y\u00fcksektir. K\u0131smi kopmalarda par\u00e7a yoksa rekonstr\u00fcktif cerrahi y\u00f6ntemlerle, hastan\u0131n v\u00fccudunun ba\u015fka bir yerinden onu tamaml\u0131yoruz. Asla k\u0131saltma yoluna gitmeyiz. Tam kopmalar oldu\u011fu zaman, parmak eksikli\u011fi oldu\u011funda o parma\u011f\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc sa\u011flamak ilk amac\u0131m\u0131z. Daha sonra di\u011fer fonksiyonlar\u0131 sa\u011flayacak ameliyatlar\u0131 da yap\u0131yoruz\u201d diye konu\u015ftu.<\/p>\n<p>Kopan uzuv nas\u0131l ta\u015f\u0131nmal\u0131?<\/p>\n<p>Op. Dr. Murat Kaan S\u00f6zer, kopan parma\u011f\u0131n ta\u015f\u0131nmas\u0131 ve iyile\u015fme s\u00fcreciyle ilgili de \u015funlar\u0131 s\u00f6yledi: Kopan uzvu al\u0131p temiz bir havluya, beze 1-2 kat kal\u0131nl\u0131kta sard\u0131ktan sonra buza temas etmeyecek \u015fekilde buzlar\u0131n oldu\u011fu bir torban\u0131n i\u00e7ine koymak, en m\u00fckemmel y\u00f6ntemdir. Buzla temas oldu\u011fu zaman kopan par\u00e7an\u0131n i\u00e7indeki kan, dokular aras\u0131 s\u0131v\u0131 kristalle\u015fir ve b\u00f6ylece \u00e7\u00fcr\u00fcme ba\u015flar. \u0130mk\u00e2n varsa nitrojen tank\u0131na da konulabilir. \u0130lk 2 saatte kopan uzuv getirildi\u011finde ba\u015far\u0131 oran\u0131 \u00e7ok y\u00fcksek olur. Ama 6 saate kadar yapt\u0131\u011f\u0131m\u0131z vakalar da var. Kopan uzvun suya konulmas\u0131 da yanl\u0131\u015f. Ancak revirde izotonik dedi\u011fimiz s\u0131v\u0131lar varsa onlara bilgili personelce konulabilir. Bir parmak koptu\u011fu zaman damarlar\u0131, kemikleri ve kiri\u015fleri var. Bazen kiri\u015fler tam iyile\u015febiliyor ama kemik tam iyile\u015femeyebiliyor. Bunu beklemeniz ya da ikinci bir operasyona alman\u0131z gerekebiliyor. Her \u015fey yolunda giderse 1 ayda iyile\u015fme sa\u011flan\u0131r. 1 ay sonras\u0131nda fizik tedavi s\u00fcreci olur. Bu t\u00fcr hastalara 2 ayl\u0131k bir heyet raporu d\u00fczenleriz. 2 aydan \u00f6nce i\u015fe ba\u015flayamazlar.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130\u015e KAZALARI SONRASI TECR\u00dcBEL\u0130 B\u0130R SA\u011eLIK EK\u0130B\u0130N\u0130N GER\u00c7EKLE\u015eT\u0130RECE\u011e\u0130 M\u0130KRO CERRAH\u0130, KAZAZEDEN\u0130N KISA S\u00dcREDE HAYATA D\u00d6NMES\u0130N\u0130 SA\u011eLAYAB\u0130L\u0130YOR. M\u0130KRO CERRAH\u0130 UZMANI OP. DR. MURAT KAAN S\u00d6ZER, \u201c\u0130LK 2 SAATTE OPERASYON \u00d6NER\u0130L\u0130RKEN KOPAN UZVU TA\u015eIMAK DA BA\u015eARIDA \u00d6NEML\u0130 B\u0130R ETKEN\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[37,42774,332,4466,902],"class_list":["post-175515","post","type-post","status-publish","format-standard","hentry","category-genel","tag-ilk","tag-kopmasinda","tag-onemli","tag-parmak","tag-saat"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-JET","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/175515","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=175515"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/175515\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=175515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=175515"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=175515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}