V\u00fccudun g\u00fcnl\u00fck aktiviteleri s\u0131ras\u0131nda fazla g\u00fcce maruz kalmas\u0131ndan kaynakl\u0131 olu\u015fan k\u0131r\u0131klard\u0131r. Fiziksel aktiviteler kas-iskelet sistemini olu\u015fturan dokularda zedelenmelere veya yaralanmalara neden olabilir. \u00c7o\u011fu stres k\u0131r\u0131\u011f\u0131, t\u00fcm v\u00fccudun a\u011f\u0131rl\u0131\u011f\u0131n\u0131 ta\u015f\u0131yan ayak ve alt bacak kemiklerinde meydana gelir. Normalde tam k\u0131r\u0131k olu\u015fturacak g\u00fc\u00e7ten daha az g\u00fc\u00e7teki mekanik y\u00fcklenmelere ba\u011fl\u0131 olu\u015fan k\u0131r\u0131klard\u0131r. Yetmezlik k\u0131r\u0131klar\u0131 ve yorgunluk k\u0131r\u0131klar\u0131 olmak \u00fczere iki alt tipi bulunur. <\/p>\n\n\n\n
Yeni Y\u00fczy\u0131l \u00dcniversitesi Gaziosmanpa\u015fa Hastanesi Fizik Tedavi ve Rehabilitasyon b\u00f6l\u00fcm\u00fcnden, Dr. \u00d6\u011fr. \u00dcyesi Saime Demirci ‘stres k\u0131r\u0131klar\u0131\u2019 hakk\u0131nda bilgiler verdi.<\/p>\n\n\n\n
Yorgunluk k\u0131r\u0131klar\u0131 al\u0131\u015f\u0131lmad\u0131k mekanik y\u00fcklenmeye ba\u011fl\u0131 sa\u011fl\u0131kl\u0131 kemiklerde s\u0131kl\u0131kla alt ekstremitelerde (bacaklarda ve ayaklarda) g\u00f6r\u00fcl\u00fcrler. ‘Genellikle a\u015f\u0131r\u0131 fizik aktivitelere al\u0131\u015f\u0131k olmayanlar, spor ve di\u011fer fizik aktivitelere ba\u015flay\u0131nca ; askerlerde, \u00f6zellikle e\u011fitime yeni ba\u015flayanlarda; atletlerde; bale ve dans \u00e7al\u0131\u015fanlarda s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcr. <\/p>\n\n\n\n
Yetmezlik k\u0131r\u0131klar\u0131, direnci azalm\u0131\u015f anormal kemik yap\u0131s\u0131na normal ya da travmatik y\u00fcklenme sonucunda geli\u015firler. Bu kemik elastikiyeti ve mineral i\u00e7eri\u011finde bozukluk oldu\u011fu durumlarda g\u00f6r\u00fcl\u00fcr. \u00c7e\u015fitli risk fakt\u00f6rleri bulunmakla birlikte ileri ya\u015ftaki, osteoporotik hastalarda daha s\u0131kt\u0131r. Genellikle pelvis ve \u00e7evresinde g\u00f6r\u00fcl\u00fcr. Romatoid artrit, metabolik kemik hastal\u0131\u011f\u0131, n\u00f6rolojik bozukluklar, radyoterapi, total kal\u00e7a protezi, kortikosteroid tedavisi, y\u00fcksek doz flor\u00fcr tedavisi ve bisfosfonat tedavisi di\u011fer risk fakt\u00f6rleridir. Kaslar normalde mekanik g\u00fcc\u00fcn bir k\u0131sm\u0131n\u0131 emerek yap\u0131\u015f\u0131k olduklar\u0131 kemik \u00fczerine koruyucu bir etki sa\u011flarlar. Ya\u015flanmayla birlikte geli\u015fen kas erimesi ile belirgin sarkopenide bu koruyucu etki kaybolur. Bu nedenle ya\u015fl\u0131 ve postmenopozal osteoporozlu kad\u0131nlar yetmezlik k\u0131r\u0131klar\u0131 i\u00e7in en riskli gruptur. Bu k\u0131r\u0131klar tipik olarak omurgada (kompresyon k\u0131r\u0131klar\u0131) \u015feklinde g\u00f6r\u00fcl\u00fcr. Yetmezlik k\u0131r\u0131klar\u0131 daha \u00e7ok postmenopozal osteoporotik kad\u0131nlarda g\u00f6r\u00fclmekle birlikte nadiren gen\u00e7 kad\u0131nlarda gebelik d\u00f6neminde ya da gebelik sonras\u0131 d\u00f6nemde de g\u00f6r\u00fclebilmektedir. Kemikler hamilelik, do\u011fum ve postpartum d\u00f6nemde baz\u0131 de\u011fi\u015fikliklere maruz kal\u0131r; hem hormonal fakt\u00f6rler hem de mekanik stresler kad\u0131n v\u00fccudunu etkiler. Artan relaksin seviyeleri, a\u015f\u0131r\u0131 kilo al\u0131m\u0131, bel e\u011frili\u011finin artmas\u0131, pelvik ba\u011flar\u0131n zay\u0131fl\u0131\u011f\u0131, artan prolaktin seviyesinden kaynaklanan osteopeni ve hamilelik osteoporozu pelvik k\u0131r\u0131klar\u0131n geli\u015fimine katk\u0131da bulunabilir. Postpartum d\u00f6nemde g\u00f6r\u00fclen kal\u00e7a ve bel a\u011fr\u0131lar\u0131n\u0131n ay\u0131r\u0131c\u0131 tan\u0131s\u0131nda mutlaka pelvik yetmezlik k\u0131r\u0131klar\u0131 da d\u00fc\u015f\u00fcn\u00fclmelidir.<\/p>\n\n\n\n
Tan\u0131da ilk basamak direkt radyografidir. Tan\u0131da radyoloji her zaman g\u00fcvenilir olmayabilir. Klinik \u015f\u00fcphe varl\u0131\u011f\u0131nda erken d\u00f6nemde grafide bulgu olmasa bile kemik sintigrafisi, manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRG) gibi ileri g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri istenmelidir. Tan\u0131 konulmas\u0131 zor olan, s\u0131kl\u0131kla g\u00f6zden ka\u00e7abilen stres k\u0131r\u0131klar\u0131n\u0131n do\u011fru tan\u0131 ve tedavisi i\u00e7in klinik \u015f\u00fcphe \u00f6nem ta\u015f\u0131maktad\u0131r. Bununla birlikte stres k\u0131r\u0131klar\u0131 baz\u0131 iyi ve k\u00f6t\u00fc huylu patolojilerle de kar\u0131\u015fabilece\u011fi i\u00e7in dikkatli bir klinik de\u011ferlendirme ve ay\u0131r\u0131c\u0131 tan\u0131 yap\u0131lmas\u0131 \u015fartt\u0131r.<\/p>\n\n\n\n
Stres k\u0131r\u0131\u011f\u0131 tan\u0131s\u0131 konduktan sonra tedavinin birinci a\u015famas\u0131nda lokal fizyoterapi, medikal tedavi ve buz tatbiki uygulan\u0131r. Tedavide as\u0131l ilke istirahattir. \u0130stirahat s\u00fcresi; hastaya, k\u0131r\u0131\u011f\u0131n yerine ve derecesine, tan\u0131dan \u00f6nce ge\u00e7en s\u00fcreye g\u00f6re de\u011fi\u015fir. Sonras\u0131nda yava\u015f yava\u015f normal a\u011f\u0131rl\u0131k verilir, a\u015f\u0131r\u0131 aktivite \u00f6nerilir. Bisiklet, y\u00fczme ve su i\u00e7i egzersizler \u00f6nerilir. \u0130kinci a\u015famada, a\u011fr\u0131n\u0131n ge\u00e7mesinden 10-l4 g\u00fcn sonra yava\u015f yava\u015f spora ba\u015flan\u0131r. \u0130yile\u015fmenin en \u00f6nemli belirtisi a\u011fr\u0131n\u0131n olmamas\u0131d\u0131r. Stres k\u0131r\u0131klar\u0131n\u0131n \u00e7o\u011funda konservatif tedavi ile ba\u015far\u0131l\u0131 sonu\u00e7 elde edilir. E\u011fer erken tan\u0131 konmazsa ve tedavi edilmezse a\u011fr\u0131lar uzun s\u00fcre devam eder. Stres k\u0131r\u0131klar\u0131n\u0131n tedavisinde sadece yaralanman\u0131n iyile\u015fmesine de\u011fil, ayn\u0131 zamanda yeni olaylar\u0131n \u00f6nlenmesine de odaklan\u0131lmal\u0131d\u0131r. Stres k\u0131r\u0131klar\u0131n\u0131n \u00f6nlenmesinde uygun ayakkab\u0131 ve zeminin \u00f6nemi b\u00fcy\u00fckt\u00fcr. \u015eok absorbe edici \u00f6zelli\u011fi olan ayakkab\u0131lar giyilmesi ve beton, asfalt gibi \u00e7ok sert zeminlerde ko\u015fulmamas\u0131 \u00f6nerilir. D\u00fc\u015fmeyi \u00f6nlemeye y\u00f6nelik y\u00fcr\u00fcme e\u011fitimi, davran\u0131\u015f modifikasyonu, egzersiz s\u0131n\u0131flar\u0131 veya multidisipliner bir program yard\u0131mc\u0131 olabilir.<\/p>\n","protected":false},"excerpt":{"rendered":"
V\u00fccudun g\u00fcnl\u00fck aktiviteleri s\u0131ras\u0131nda fazla g\u00fcce maruz kalmas\u0131ndan kaynakl\u0131 olu\u015fan k\u0131r\u0131klard\u0131r. Fiziksel aktiviteler kas-iskelet sistemini olu\u015fturan dokularda zedelenmelere veya yaralanmalara neden olabilir. \u00c7o\u011fu stres k\u0131r\u0131\u011f\u0131, t\u00fcm v\u00fccudun a\u011f\u0131rl\u0131\u011f\u0131n\u0131 ta\u015f\u0131yan ayak ve alt bacak kemiklerinde meydana gelir. Normalde tam k\u0131r\u0131k olu\u015fturacak g\u00fc\u00e7ten daha az g\u00fc\u00e7teki mekanik y\u00fcklenmelere ba\u011fl\u0131 olu\u015fan k\u0131r\u0131klard\u0131r. Yetmezlik k\u0131r\u0131klar\u0131 ve yorgunluk k\u0131r\u0131klar\u0131 olmak \u00fczere […]<\/p>\n","protected":false},"author":1,"featured_media":1232,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,9],"tags":[969,1448,2349,2701],"class_list":["post-1231","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel","category-saglik","tag-fizik-tedavi-ve-rehabilitasyon","tag-kontrolsuz-spor","tag-stres-kirigi","tag-yeni-yuzyil-universitesi"],"_links":{"self":[{"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/posts\/1231","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/comments?post=1231"}],"version-history":[{"count":1,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/posts\/1231\/revisions"}],"predecessor-version":[{"id":1233,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/posts\/1231\/revisions\/1233"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/media\/1232"}],"wp:attachment":[{"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/media?parent=1231"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/categories?post=1231"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haber.kocaalibilisim.com\/index.php\/wp-json\/wp\/v2\/tags?post=1231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}