Dr. Suat G\u00fcnsel Girne \u00dcniversitesi Hastanesi Ortopedi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Ramadan \u00d6zmanevra, osteoporoz veya halk aras\u0131nda bilinen ad\u0131yla kemik erimesinin, d\u00fc\u015f\u00fck kemik k\u00fctlesi ve kemik mikro yap\u0131s\u0131n\u0131n bozulmas\u0131 sonucu kemiklerde k\u0131r\u0131k olas\u0131l\u0131\u011f\u0131n\u0131n artmas\u0131 ile karakterize bir rahats\u0131zl\u0131k oldu\u011funu a\u00e7\u0131klad\u0131.<\/p>\n
Dr. \u00d6\u011fr. \u00dcyesi Ramadan \u00d6zmanevra d\u00fcnyada yakla\u015f\u0131k 200 milyon osteoporoz hastas\u0131 oldu\u011funu ve her y\u0131l 1.5 milyon osteoporotik k\u0131r\u0131k vak\u2019as\u0131 tedavisi yap\u0131ld\u0131\u011f\u0131n\u0131 dile getirdi. Bu vak\u2019alar\u0131n yar\u0131s\u0131ndan fazlas\u0131n\u0131 omurga k\u0131r\u0131klar\u0131 olu\u015ftururken, bunu s\u0131ras\u0131yla kal\u00e7a ve el bile\u011fi k\u0131r\u0131klar\u0131n\u0131n takip etti\u011fini vurgulayan Ramadan \u00d6zmanevra, \u201cEl bile\u011fi k\u0131r\u0131klar\u0131 daha s\u0131k 50-60 ya\u015f aral\u0131\u011f\u0131nda, omurga k\u0131r\u0131klar\u0131 60-70, kal\u00e7a k\u0131r\u0131klar\u0131 ise 70-80 ya\u015f aral\u0131\u011f\u0131nda g\u00f6r\u00fclmektedir. Kad\u0131nlarda, erkeklere oranla 4 kat daha s\u0131k kar\u015f\u0131la\u015f\u0131lmaktad\u0131r\u201d dedi.<\/p>\n
\u201cTarama testi yap\u0131lmazsa hastal\u0131k gizlice ilerliyor\u201d<\/p>\n
Bu yayg\u0131n ve \u00f6nemli sorunla ilgili olarak toplumun fark\u0131ndal\u0131\u011f\u0131n\u0131 art\u0131rmak i\u00e7in t\u00fcm d\u00fcnyada 20 Ekim\u2019in \u201cD\u00fcnya Osteoporoz G\u00fcn\u00fc\u201d olarak kabul edildi\u011fini hat\u0131rlatan \u00d6zmanevra, osteoporozun kemiklerin daha hassas, g\u00f6zenekli, g\u00fc\u00e7s\u00fcz ve k\u0131r\u0131lgan olmas\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 belirtti. \u00d6zmanevra, genel olarak ileri ya\u015f hastal\u0131\u011f\u0131 olarak bilinmesine ra\u011fmen yetersiz beslenme, hareketsiz ya\u015fam ko\u015fullar\u0131, genetik hastal\u0131klar ve baz\u0131 hormonal bozukluklar sebebiyle erken ya\u015flarda da ortaya \u00e7\u0131kabilen bu rahats\u0131zl\u0131\u011f\u0131n k\u0131r\u0131k olu\u015fumuna ya da tarama testleri yap\u0131lana kadar bulgu vermeden ilerledi\u011finin alt\u0131n\u0131 \u00e7izdi. \u00d6zmanevra, hastal\u0131\u011f\u0131 erken saptaman\u0131n son derece \u00f6nemli oldu\u011funu ve genellikle cerrahi m\u00fcdahale gerektiren kal\u00e7a k\u0131r\u0131klar\u0131nda operasyonun, riskli komplikasyonlar geli\u015fmeden ivedilikle yap\u0131lmas\u0131n\u0131n \u00f6nemli oldu\u011funu ifade etti. Omurgada olu\u015fan k\u0131r\u0131klar\u0131n s\u0131rtta \u015fiddetli a\u011fr\u0131ya, kamburlu\u011fa ve boy k\u0131salmas\u0131na yol a\u00e7abildi\u011fini kaydeden \u00d6zmanevra, komplikasyon oran\u0131 normal k\u0131r\u0131klara g\u00f6re daha y\u00fcksek olan osteoporotik k\u0131r\u0131k tedavisine yakla\u015f\u0131m\u0131n farkl\u0131 oldu\u011funu ve kaynamama ya da implant yetmezli\u011finin daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc a\u00e7\u0131klad\u0131.<\/p>\n
Osteoporoz d\u00f6nemleri 50-70 ve 70 ya\u015f \u00fczeri olmak \u00fczere ikiye ayr\u0131l\u0131yor<\/p>\n
\u00d6zmanevra, g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 fazla olan bu metabolik kemik hastal\u0131\u011f\u0131n\u0131n, postmenapozal ve senil (ya\u015fl\u0131l\u0131\u011fa ba\u011fl\u0131) olarak adland\u0131r\u0131lan iki tipi bulundu\u011funu s\u00f6yledi. \u00d6zmanevra, postmenapozal tipin 50 ile 70 ya\u015f aras\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve s\u0131kl\u0131kla radius alt ucu (distal radius) ve omurga (vertebra) k\u0131r\u0131klar\u0131na rastland\u0131\u011f\u0131n\u0131 ifade ederken Senil tipin ise 70 ya\u015f \u00fczerindeki ki\u015filerde kal\u00e7a k\u0131r\u0131\u011f\u0131 ile birlikte kar\u015f\u0131m\u0131za \u00e7\u0131kt\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
Tek bir sebebi yok, \u00f6nlem almak \u015fart<\/p>\n
\u00d6zmanevra, osteoporoz geli\u015fimine yol a\u00e7an i\u00e7in risk fakt\u00f6rlerini; hareketsizlik, a\u015f\u0131r\u0131 spor, a\u015f\u0131r\u0131 zay\u0131fl\u0131k, d\u00fc\u015f\u00fck kalsiyum al\u0131m\u0131, depresyon, sigara, alkol, yetersiz beslenme, ileri ya\u015f, cinsiyet (kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcl\u00fcyor), aile \u00f6yk\u00fcs\u00fc, eski k\u0131r\u0131klar, uzun s\u00fcre kortizon kullan\u0131m\u0131, romatoid artrit, D vitamini yetmezli\u011fi ve baz\u0131 hormonal bozukluklar olarak s\u0131ralad\u0131.<\/p>\n
\u201cNe \u00e7ok az ne de a\u015f\u0131r\u0131 spor yap\u0131lmal\u0131\u201d<\/p>\n
Fiziksel aktivitenin az olmas\u0131n\u0131n osteoporoz i\u00e7in en \u00f6nemli risk fakt\u00f6r\u00fc oldu\u011funu ifade eden \u00d6zmanevra, bu hastalar\u0131n bir ka\u00e7 ay i\u00e7inde kemik k\u00fctlelerinin yakla\u015f\u0131k %30\u2019unu kaybetti\u011fini ve eski d\u00fczeye ula\u015fabilmelerinin zaman alabildi\u011fini s\u00f6yledi. A\u015f\u0131r\u0131 sporun ise \u00f6strojen d\u00fczeyinde azalmaya sebep olarak k\u0131r\u0131k riskini artt\u0131rabildi\u011fini dile getiren \u00d6zmanevra, diyet yap\u0131ld\u0131\u011f\u0131nda ise vitamin ve mineral takviyesi ile d\u00fczenli egzersizin kas ve kemikleri g\u00fc\u00e7lendirmek i\u00e7in gerekti\u011fini vurgulad\u0131.<\/p>\n
\u201c\u00c7ocukluk d\u00f6neminde yeterli kalsiyum al\u0131m\u0131 \u00e7ok \u00f6nemli\u201d<\/p>\n
\u00c7ocukluk ve yeti\u015fme d\u00f6neminde kalsiyum al\u0131m\u0131 ne kadar \u00e7ok olursa ya\u015flanma ile ortaya \u00e7\u0131kacak k\u0131r\u0131k riskinin de azalaca\u011f\u0131n\u0131 s\u00f6yleyen Ortopedi Uzman\u0131 \u00d6zmanevra, sigara i\u00e7menin de osteoporoz riskini iki kat artt\u0131rd\u0131\u011f\u0131n\u0131n, kemik yap\u0131c\u0131 h\u00fccreleri i\u015f yapamaz duruma getirip, kemik kan dola\u015f\u0131m\u0131n\u0131 da azaltt\u0131\u011f\u0131n\u0131n ve besinlerle al\u0131nan kalsiyumun kemik koruyucu etkisini d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fcn\u00fcn alt\u0131n\u0131 \u00e7izdi.<\/p>\n
\u201cAlkol kullan\u0131m\u0131 hem erkek hem de kad\u0131n i\u00e7in osteoporozu tetikliyor\u201d<\/p>\n
\u00d6zmanevra, ayn\u0131 \u015fekilde alkol\u00fcn kalsiyumu d\u00fczenleyen hormonlar\u0131 etkileyerek kemik yap\u0131m\u0131n\u0131 azaltt\u0131\u011f\u0131n\u0131 ve osteoporoza zemin haz\u0131rlad\u0131\u011f\u0131n\u0131 ve kad\u0131nlarda erken menopozun erkeklerde ise testosteron yetersizli\u011finin osteoporoza neden oldu\u011funu a\u00e7\u0131klad\u0131. \u00d6zmanevra, osteoporoz olu\u015ftuktan sonra hem sa\u011fl\u0131kla hem de \u00e7evreyle ilgili fakt\u00f6rlerin (kas zay\u0131fl\u0131\u011f\u0131, denge ve koordinasyon bozuklu\u011fu, ba\u015f d\u00f6nmesi, k\u0131sa s\u00fcreli bayg\u0131nl\u0131k ataklar\u0131, bilin\u00e7 kayb\u0131 vb.) k\u0131r\u0131k riskini beraberinde getirdi\u011fini vurgulad\u0131.<\/p>\n
Erken te\u015fhis, tedaviden daha \u00f6nemli<\/p>\n
\u00d6zmanevra, erken te\u015fhisin hayat kurtar\u0131c\u0131 bir i\u015fleve sahip oldu\u011funu belirterek, \u201cOsteoporoz olu\u015ftuktan sonra tedavi etmekten \u00e7ok; geli\u015fmesini \u00f6nlemek temel ama\u00e7t\u0131r. Erken te\u015fhis i\u00e7in \u00f6zellikle 50 ya\u015f\u0131n\u0131 ge\u00e7en kad\u0131nlar\u0131n osteoporoz taramas\u0131ndan ge\u00e7mesi \u00f6nem arz etmektedir. Bu tarama, kemik mineral yo\u011funlu\u011funun \u00f6l\u00e7\u00fcm\u00fc, baz\u0131 kan tetkikleri ve gerekirse radyolojik tetkikleri i\u00e7ermekte ve k\u0131sa s\u00fcrede tan\u0131 konulabilmektedir\u201c ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
DR. SUAT G\u00dcNSEL G\u0130RNE \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 ORTOPED\u0130 UZMANI DR. \u00d6\u011eR. \u00dcYES\u0130 RAMADAN \u00d6ZMANEVRA, OSTEOPOROZ VEYA HALK ARASINDA B\u0130L\u0130NEN ADIYLA KEM\u0130K ER\u0130MES\u0130N\u0130N, D\u00dc\u015e\u00dcK KEM\u0130K K\u00dcTLES\u0130 VE KEM\u0130K M\u0130KRO YAPISININ BOZULMASI SONUCU KEM\u0130KLERDE KIRIK OLASILI\u011eININ ARTMASI \u0130LE KARAKTER\u0130ZE B\u0130R RAHATSIZLIK OLDU\u011eUNU A\u00c7IKLADI.<\/p>\n","protected":false},"author":1,"featured_media":218331,"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":[55252,30937,13734,38538,5895,4022],"class_list":["post-218330","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-adayisiniz","tag-alinmazsa","tag-gerekli","tag-onlemler","tag-osteoporoz","tag-potansiyel"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/gerekli-onlemler-alinmazsa-potansiyel-osteoporoz-adayisiniz_b1fa285.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-UNs","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/218330","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=218330"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/218330\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/218331"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=218330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=218330"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=218330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}