Uzm. Dr. Tacettin Mirzao\u011flu, kal\u00e7a a\u011fr\u0131s\u0131 olan \u2018Ankilozan spondilit\u2019 hastal\u0131\u011f\u0131n\u0131 bel f\u0131t\u0131\u011f\u0131ndan ay\u0131ran \u00f6zellikler ve tedavileri hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n
Ankilozan spondilit hastal\u0131\u011f\u0131n\u0131n, kad\u0131nlara oranla erkeklerde yakla\u015f\u0131k 3 kat daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve genellikle 20\u2019li ya\u015flardan sonra ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 belirten Memorial Diyarbak\u0131r Hastanesi Fizik Tedavi ve Rehabilitasyon B\u00f6l\u00fcm\u00fcnden Uzm. Dr. Tacettin Mirzao\u011flu, hastalara do\u011fru ve yeterli tedavi uygulanmad\u0131\u011f\u0131 takdirde sorunun ilerlemeye devam etti\u011fini ve a\u011fr\u0131n\u0131n da giderek art\u0131\u015f g\u00f6sterdi\u011fini s\u00f6yledi. Bel k\u0131sm\u0131nda belirgin bir a\u011fr\u0131 olmaks\u0131z\u0131n kal\u00e7an\u0131n bazen tek bazen de iki taraf\u0131nda ortaya \u00e7\u0131kan ankilozan spondilit hastal\u0131\u011f\u0131n\u0131n, bel f\u0131t\u0131\u011f\u0131ndaki a\u011fr\u0131dan farkl\u0131 olarak dinlenme ile azalma g\u00f6stermedi\u011fini aksine artt\u0131\u011f\u0131n\u0131 aktaran Uzm. Dr. Mirzao\u011flu, \u201c\u00d6zellikle 40 ya\u015f \u00f6ncesi hastalarda, sabahlar\u0131 uyand\u0131ktan ya da uzun istirahatten sonra belde 1 saatten fazla s\u00fcren tutulma varsa ve bu tutulma egzersizle azal\u0131yorsa, hastan\u0131n bir fizik tedavi ve rehabilitasyon uzman\u0131na ba\u015fvurmas\u0131 \u00f6nemlidir. Tedavide temel ama\u00e7 a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131, v\u00fccut pozisyonunun ve eklem hareketlili\u011finin korunmas\u0131d\u0131r. Ba\u015far\u0131 \u015fans\u0131n\u0131n artmas\u0131 i\u00e7in de egzersizlerin, fizik tedavinin ve ila\u00e7 tedavisinin birlikte uygulanmas\u0131 gerekir. S\u00fcrekli ve d\u00fczenli yap\u0131lan egzersizlerle omurga hareketlerinin korunmas\u0131 ama\u00e7lan\u0131r. \u0130la\u00e7 tedavisinde klasik ila\u00e7lar ve yeni geli\u015ftirilen biyolojik ila\u00e7lar kullan\u0131l\u0131r. Klasik ila\u00e7lar\u0131n ba\u015f\u0131nda iltihap mekanizmas\u0131n\u0131 bask\u0131layan a\u011fr\u0131 kesiciler \u00f6n plandad\u0131r. Bu ila\u00e7lar a\u011fr\u0131 gidermeye ve hastalar\u0131n sabah rahat bir \u015fekilde uyanmalar\u0131na katk\u0131 sunmaktad\u0131r\u201d dedi.<\/p>\n
\u201cTedavi plan\u0131na dikkatle uyulmal\u0131”<\/p>\n
Hastal\u0131\u011f\u0131n tan\u0131s\u0131n\u0131n gecikmesi ya da do\u011fru tedavi se\u00e7eneklerinin uygulanmamas\u0131 durumunda hastan\u0131n omurgas\u0131nda kamburla\u015fman\u0131n olu\u015fabilece\u011fine dikkat \u00e7eken Uz. Dr. Mirzao\u011flu, \u015f\u00f6yle devam etti:<\/p>\n
\u201cBu durum estetik olmayan bir g\u00f6r\u00fcn\u00fcm\u00fcn yan\u0131 s\u0131ra hastan\u0131n g\u00fcnl\u00fck ya\u015fam aktivitelerini yerine getirirken zorlanmas\u0131na ve ya\u015fam kalitesinin olumsuz etkilenmesine yol a\u00e7ar. Bu nedenle doktor \u00f6nerisi ile ila\u00e7lar\u0131n d\u00fczenli olarak kullan\u0131lmas\u0131 ve egzersizlere re rutin d\u00fczende devam edilmesi ile bir\u00e7ok sorunun \u00f6n\u00fcne ge\u00e7ilmi\u015f olur. Akci\u011fer kapasitesinin art\u0131r\u0131lmas\u0131 i\u00e7in, t\u00fcm hareketler solunum egzersizleriyle birlikte yap\u0131lmal\u0131d\u0131r. Yatak rahats\u0131z etmeyecek kadar sert, g\u00f6m\u00fclmeyecek kadar yumu\u015fak ve yast\u0131k kal\u0131nl\u0131\u011f\u0131 boyun bo\u015flu\u011funu dolduracak \u015fekilde olmal\u0131d\u0131r. Farkl\u0131 \u0131s\u0131 uygulamalar\u0131, a\u011fr\u0131 ve sertli\u011fin azalt\u0131lmas\u0131nda etkilidir. Hareket yeteneklerinin daha da azalmas\u0131na neden olaca\u011f\u0131ndan korse kullan\u0131lmamas\u0131 \u00f6nerilir. D\u00fczenli beslenilmeli ve her hastal\u0131\u011f\u0131n tetikleyicisi olan sigaradan uzak durulmal\u0131d\u0131r. Uzun s\u00fcre ayni pozisyonda kalmamaya ve v\u00fccudun s\u00fcrekli dik pozisyonda tutmaya \u00f6zen g\u00f6sterilmelidir. Hasta, g\u00fcnde 20 dakika s\u0131rt \u00fcst\u00fc ya da y\u00fcz\u00fckoyun d\u00fcz bir \u015fekilde yat\u0131lmal\u0131d\u0131r. Bacaklar karna \u00e7ekili \u015fekilde yatmaktan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MEMOR\u0130AL D\u0130YARBAKIR HASTANES\u0130 F\u0130Z\u0130K TEDAV\u0130 VE REHAB\u0130L\u0130TASYON B\u00d6L\u00dcM\u00dc\u2019NDEN UZ. DR. TACETT\u0130N M\u0130RZAO\u011eLU, KAL\u00c7A A\u011eRISI OLAN \u2018ANK\u0130LOZAN SPOND\u0130L\u0130T\u2019 HASTALI\u011eINI BEL FITI\u011eINDAN AYIRAN \u00d6ZELL\u0130KLER VE TEDAV\u0130LER\u0130 HAKKINDA A\u00c7IKLAMALARDA BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":201128,"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":[15872,9423,1440,50639,11269],"class_list":["post-201127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gecmeyen","tag-agrilarina","tag-dikkat","tag-dinlenmeyle","tag-kalca"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/dinlenmeyle-gecmeyen-kalca-agrilarina-dikkat_c6ec2e0.jpg?fit=847%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-QjZ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/201127","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=201127"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/201127\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/201128"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=201127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=201127"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=201127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}