\u00d6zdemir, AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, ki\u015filerde kemik k\u0131r\u0131klar\u0131n\u0131n mevsimsel de\u011fi\u015fiklik g\u00f6sterebildi\u011fini anlatt\u0131.<\/p>\n
D\u00fcnyada ve T\u00fcrkiye’de her y\u0131l ciddi oranda k\u0131r\u0131k vakalar\u0131yla kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131na i\u015faret eden \u00d6zdemir, “\u00c7ocuk k\u0131r\u0131klar\u0131n\u0131 yaz\u0131n daha \u00e7ok g\u00f6r\u00fcrken, k\u0131\u015f mevsiminde d\u00fc\u015fme kaynakl\u0131 k\u0131r\u0131klar ve \u00f6zellikle ya\u015fl\u0131 k\u0131r\u0131klar\u0131n\u0131n daha \u00e7ok artt\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcyoruz. K\u0131r\u0131klar, asl\u0131nda say\u0131 itibar\u0131yla halk sa\u011fl\u0131\u011f\u0131 sorunu olu\u015fturacak d\u00fczeyde y\u00fcksek oranda. Sonras\u0131nda da \u00f6nemli bir morbidite (hastal\u0131k) ve mortalite (\u00f6l\u00fcm) sebebi olabiliyorlar.” bilgisini payla\u015ft\u0131.<\/p>\n
Ya\u015fl\u0131larda daha \u00e7ok kal\u00e7a k\u0131r\u0131klar\u0131n\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131, ayr\u0131ca el bile\u011fi, omuz ve dirsek k\u0131r\u0131klar\u0131n\u0131n da s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc vurgulayan \u00d6zdemir, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
“ABD’de y\u0131lda 800 bine yak\u0131n kal\u00e7a k\u0131r\u0131\u011f\u0131 tedavisi yap\u0131ld\u0131\u011f\u0131 bildiriliyor. N\u00fcfusa oranlad\u0131\u011f\u0131m\u0131zda \u00fclkemizde de y\u0131lda yakla\u015f\u0131k 150-200 bin aras\u0131nda kal\u00e7a k\u0131r\u0131\u011f\u0131 tedavisi yap\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yleyebiliriz, bu olduk\u00e7a y\u00fcksek bir oran. Kal\u00e7a k\u0131r\u0131klar\u0131 hastalarda \u00f6nemli problemlere yol a\u00e7\u0131yor. Ameliyatla tedavi edilmeleri nedeniyle hem tedavi maliyetleri art\u0131yor hem de hastalar\u0131n ciddi bir b\u00f6l\u00fcm\u00fc ba\u011f\u0131ms\u0131z y\u00fcr\u00fcme yeteneklerini kaybediyor ve maalesef \u00f6nemli bir oranda hasta, her t\u00fcrl\u00fc tedaviye ra\u011fmen, iyile\u015femeyerek ilk 1 y\u0131l i\u00e7inde kaybediliyor.”<\/p>\n
Do\u00e7. Dr. \u00d6zdemir, kal\u00e7a k\u0131r\u0131klar\u0131n\u0131n her ya\u015fta g\u00f6r\u00fclebildi\u011fini ancak ya\u015fland\u0131k\u00e7a riskin artt\u0131\u011f\u0131n\u0131 vurgulayarak, “Ki\u015filer 65 ya\u015f\u0131n\u0131 ge\u00e7tikten sonra, her 10 y\u0131lda bir artan riskle kal\u00e7a k\u0131r\u0131klar\u0131 daha \u00e7ok g\u00f6r\u00fcl\u00fcyor. Bunun sebebi temelde kemik erimesi. Kemik erimesi kal\u00e7a k\u0131r\u0131\u011f\u0131 riskini olduk\u00e7a art\u0131r\u0131yor.” diye konu\u015ftu.<\/p>\n Ya\u015fl\u0131lardaki kalp-damar hastal\u0131klar\u0131n\u0131n da kal\u00e7a k\u0131r\u0131\u011f\u0131 ameliyatlar\u0131n\u0131 zorla\u015ft\u0131rd\u0131\u011f\u0131n\u0131 anlatan \u00d6zdemir, ameliyat sonras\u0131 rehabilitasyon s\u00fcre\u00e7lerinin de s\u0131k\u0131nt\u0131l\u0131 oldu\u011funu s\u00f6yledi.<\/p>\n \u00d6zdemir, “Ya\u015fl\u0131larda kal\u00e7a k\u0131r\u0131\u011f\u0131 ameliyatlar\u0131n\u0131n riskleri olsa da ameliyat edilmemeleri daha ciddi problemler ortaya \u00e7\u0131kar\u0131yor. Bu nedenle hastalar\u0131n m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede ameliyat edilmeleri \u00f6nem ta\u015f\u0131yor. Kal\u00e7a k\u0131r\u0131\u011f\u0131 ya\u015fand\u0131ktan sonra ortalama ilk 24-48 saat i\u00e7erisinde hastalar\u0131n ameliyat edilmeleri laz\u0131m. Ard\u0131ndan da m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede y\u00fcr\u00fcmelerini sa\u011flamak hedefleniyor.” dedi.<\/p>\n Hastalar\u0131n ameliyat sonras\u0131 genellikle y\u00fcr\u00fcte\u00e7 veya koltuk de\u011fne\u011fi deste\u011fiyle y\u00fcr\u00fcd\u00fc\u011f\u00fcn\u00fc aktaran \u00d6zdemir, ya\u015fl\u0131l\u0131kta kal\u00e7a k\u0131r\u0131\u011f\u0131 gibi ciddi problemlerin \u00f6n\u00fcne ge\u00e7ebilmek i\u00e7in \u015fu \u00f6nerilerde bulundu:<\/p>\n “Kal\u00e7a k\u0131r\u0131klar\u0131nda en temel problem kemik erimesi. Kemik erimesinin engellenmesi, tan\u0131 koyuldu\u011funda da h\u0131zl\u0131ca tedavi edilmesi gerekir. Erken ya\u015ftan itibaren yeterli d\u00fczeyde kalsiyum al\u0131nmas\u0131 kemik erimesinin \u00f6nlenmesi a\u00e7\u0131s\u0131ndan \u00f6nem ta\u015f\u0131yor. \u00c7\u00fcnk\u00fc 20’li ya\u015flar\u0131n sonuna do\u011fru v\u00fccuttaki kalsiyum maksimum d\u00fczeye ula\u015f\u0131yor, ondan sonra tedrici bir kay\u0131p ba\u015fl\u0131yor. Bu kay\u0131p her 10 y\u0131lda artarak devam ediyor. \u00d6zellikle kad\u0131nlarda menopoz sonras\u0131nda daha da h\u0131zl\u0131 bir kay\u0131p g\u00f6r\u00fcl\u00fcyor.<\/p>\n Dolay\u0131s\u0131yla maksimum kalsiyum d\u00fczeyinin sa\u011flanmas\u0131, ki\u015filerin d\u00fczenli egzersiz yapmalar\u0131, g\u00fcn \u0131\u015f\u0131\u011f\u0131 almalar\u0131, obeziteden ve yanda\u015f birtak\u0131m hastal\u0131klardan korunmalar\u0131 gerekir. Kemik erimesi tespit edildi\u011finde de h\u0131zl\u0131ca tedavi yoluna gidilmeli ki k\u0131r\u0131k riski azals\u0131n.”<\/p>\n \u00d6zellikle ya\u015fl\u0131larda d\u00fc\u015fme kaynakl\u0131 k\u0131r\u0131klara kar\u015f\u0131 al\u0131nabilecek \u00f6nlemler oldu\u011funun alt\u0131n\u0131 \u00e7izen \u00d6zdemir, “Ya\u015fl\u0131larda d\u00fc\u015fme riskini azaltmak i\u00e7in evde veya ya\u015fan\u0131lan \u00e7evrede tedbirler almakta fayda var. Evde kablolar\u0131n y\u00fcr\u00fcme alan\u0131ndan uzakla\u015ft\u0131r\u0131lmas\u0131, hal\u0131lar\u0131n alt\u0131nda ve \u0131slak zeminlerde kaymaz \u00f6rt\u00fclerin kullan\u0131lmas\u0131, kap\u0131 e\u015fiklerinin kald\u0131r\u0131lmas\u0131 gibi \u00f6nlemler al\u0131nabilir.” ifadesini kulland\u0131.<\/p>\n Do\u00e7. Dr. \u00d6zdemir, ileri ya\u015flardaki bireylere ayr\u0131ca buzlu, karl\u0131 havalarda mecbur kalmad\u0131k\u00e7a d\u0131\u015far\u0131 \u00e7\u0131kmamalar\u0131n\u0131, d\u0131\u015far\u0131 \u00e7\u0131kacaklarsa da kayma \u00f6nleyici taban \u00f6zelli\u011fi olan ayakkab\u0131lar\u0131 tercih etmelerini \u00f6nerdi.<\/p>\n D\u00fc\u015fme an\u0131nda bile ki\u015finin kendini m\u00fcmk\u00fcn oldu\u011funca koruyabilece\u011fi y\u00f6ntemler bulundu\u011funu anlatan \u00d6zdemir, \u015funlar\u0131 kaydetti:<\/p>\n “Karl\u0131, buzlu, kaygan yerlerde yava\u015f, acele etmeden, ufak ad\u0131mlarla y\u00fcr\u00fcmek \u00f6nemli. \u00d6zellikle \u00e7e\u015fitli rahats\u0131zl\u0131klar\u0131 nedeniyle denge problemi olan ki\u015filer u\u00e7 k\u0131s\u0131mlar\u0131 kayma \u00f6nleyici aparatlarla desteklenmi\u015f bastonlar\u0131 kullanabilir. Kayma an\u0131nda ise yaralanmay\u0131 azalt\u0131c\u0131 \u015fekilde, kafa ve kal\u00e7a b\u00f6lgesini yere vurmaktan ka\u00e7\u0131narak, iki kolu a\u00e7arak d\u00fc\u015fmeye \u00e7abalamak k\u0131r\u0131klara kar\u015f\u0131 bir tedbir olabilir.”<\/p>\n Bilkent \u015eehir Hastanesi b\u00fcnyesinde ge\u00e7en y\u0131l 19 binden fazla k\u0131r\u0131k ameliyat\u0131 yap\u0131ld\u0131\u011f\u0131n\u0131 ancak baz\u0131 hastalar\u0131n birden fazla ameliyata al\u0131nd\u0131\u011f\u0131n\u0131 da s\u00f6zlerine ekleyen \u00d6zdemir, ge\u00e7en y\u0131l 800’den fazla kal\u00e7a k\u0131r\u0131\u011f\u0131 ameliyatlar\u0131 yap\u0131ld\u0131\u011f\u0131n\u0131 bildirdi.<\/p>\n![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/009_2023%2F01_2023%2F23_Aralik%2F33%2F20231213_2_61665484_95819933.jpg\"\/)
Foto\u011fraf: Mehmet Futsi\/AA<\/em><\/p>\n65’inden sonra kal\u00e7a k\u0131r\u0131\u011f\u0131 riski art\u0131yor<\/h3>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/009_2023%2F01_2023%2F23_Aralik%2F33%2F20231213_2_61665484_95819934.jpg\"\/)
<\/p>\n“Kal\u00e7a k\u0131r\u0131klar\u0131nda en temel problem kemik erimesi”<\/h3>\n
Ya\u015fl\u0131lar i\u00e7in evde d\u00fc\u015fme riskini azaltan \u00f6nlemler al\u0131n<\/h3>\n
“Karl\u0131, buzlu yerlerde ufak ad\u0131mlarla y\u00fcr\u00fcy\u00fcn”<\/h3>\n