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Op.Dr. Kerem B\u0131kmaz, masa ba\u015f\u0131 \u00e7al\u0131\u015fanlar i\u00e7in uyar\u0131larda bulundu.<\/p>\nOp.Dr. Kerem B\u0131kmaz, masa ba\u015f\u0131 \u00e7al\u0131\u015fanlar i\u00e7in uyar\u0131larda bulundu.<\/p>\n
INCA Klinik N\u00f6ro\u015firurji Uzman\u0131 Op.Dr. Kerem B\u0131kmaz, \u201cEl hastal\u0131klar\u0131 i\u00e7inde en s\u0131k kar\u015f\u0131la\u015f\u0131lan Karpal T\u00fcnel Sendromu \u00f6zellikle masa ba\u015f\u0131 \u00e7al\u0131\u015fanlar\u0131n\u0131n hayat\u0131n\u0131 kabusa \u00e7evirebiliyor. Karpal T\u00fcnel Sendromu medyan sinir \u00fczerindeki bant\u0131n kal\u0131nla\u015fmas\u0131 ve tekrarlay\u0131c\u0131 hareketlerin kombinasyonu neticesinde bilekte sinirin enflamasyonu sonucu ortaya \u00e7\u0131kar. \u00d6zellikle 40-60 ya\u015flar\u0131ndaki kad\u0131nlarda, piyanistler, kuaf\u00f6rler, bilgisayar operat\u00f6rleri, bankac\u0131lar, di\u015f\u00e7iler, heykelt\u0131ra\u015flar, ev han\u0131mlar\u0131 gibi ellerini a\u015f\u0131r\u0131 kullanan meslek gruplar\u0131nda s\u0131kl\u0131kla izlenir. T\u00fcm meslek gruplar\u0131 ile ba\u011flant\u0131l\u0131 hastal\u0131klar ve yaralanmalar i\u00e7erisinde, i\u015f g\u00fcc\u00fc kayb\u0131na en fazla yol a\u00e7an durumdur\u201d dedi.<\/p>\n
Karpal T\u00fcnel Sendromu hastal\u0131\u011f\u0131n\u0131n belirtilerinin ilk olarak ellerde ve bileklerde uyu\u015fuklukla ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Op.Dr. B\u0131kmaz, \u201cYan\u0131c\u0131 bir a\u011fr\u0131 veya kar\u0131ncalanma, \u015fikayetleriniz \u00f6zellikle geceleri daha belirgin olmas\u0131, nesneleleri d\u00fc\u015f\u00fcrmeden elle tutmakta g\u00fc\u00e7l\u00fck m\u00fc \u00e7ekmek ve bilgisayar klavyesi ya da faresini kullanmak gibi tekrarlay\u0131c\u0131 el hareketlerini tekrarlarken olu\u015fan a\u011fr\u0131. Hamilelik, \u015feker hastal\u0131\u011f\u0131, tiroid hastal\u0131klar\u0131, menopoz, bilekte k\u0131r\u0131lan yada yerinden kayan kemikler ve a\u015f\u0131r\u0131 \u015fi\u015fmanl\u0131k hastal\u0131\u011f\u0131n g\u00f6r\u00fclme oran\u0131n\u0131 artt\u0131r\u0131r. Eller ile cisimlerin s\u0131k ve \u015fiddetli \u015fekilde tutulmas\u0131, bile\u011fin b\u00fck\u00fclmesi ve artrit benzer \u015fekilde g\u00f6r\u00fclme oranlar\u0131n\u0131 artt\u0131r\u0131r. Bu \u015fikayetlerin ilk ortaya \u00e7\u0131kmas\u0131n\u0131n ard\u0131ndan tedavi i\u00e7in zaman kaybetmeden ba\u015fvurmak olduk\u00e7a \u00f6nemlidir. Ba\u015fvurmak i\u00e7in a\u011fr\u0131n\u0131n a\u015f\u0131r\u0131 artmas\u0131n\u0131, tahamm\u00fcl s\u0131n\u0131rlar\u0131n\u0131 a\u015fmas\u0131n\u0131 beklemeyin. Cerrahi d\u0131\u015f\u0131 konservatif tedavinin as\u0131l amac\u0131 medyan sinir \u00fczerinde tekrarlayan yaralanmalar\u0131 bitirmek ya da azaltmakt\u0131r. Bu ama\u00e7la sinir \u00fczerindeki bask\u0131y\u0131 ortadan kald\u0131rmak i\u00e7in bir bileklik ile bilek hareketleri k\u0131s\u0131tlanabilir. E\u011fer bu i\u015fe yaramaz ise \u00f6demi azaltmak i\u00e7in enflamasyon giderici ila\u00e7lar yaz\u0131labilir veya bile\u011fe kortizon enjeksiyonlar\u0131 yap\u0131labilir. A\u011fr\u0131lar\u0131 azaltmaya y\u00f6nelik bir tak\u0131m \u00f6zel el ve bilek egzersizleri \u00f6nerilebilir\u201d diye konu\u015ftu.<\/p>\n
E\u011fer hastalar istirahat, rehabilitasyon veya di\u011fer cerrahi d\u0131\u015f\u0131 tedaviler ile a\u011fr\u0131lar\u0131ndan kurtulamaz iseler median sinir \u00fczerindeki bask\u0131y\u0131 ortadan kald\u0131rmak i\u00e7in farkl\u0131 cerrahi tekniklerin uygulanabildi\u011fini kaydeden Op.Dr. B\u0131kmaz, \u201cEn s\u0131k uygulanan teknik karpal tunel serbestle\u015ftirilmesi denilen ve a\u00e7\u0131k ya da endoskobik y\u00f6ntemler ile uygulanabilen y\u00f6ntemdir. A\u00e7\u0131k cerrahide bilek b\u00f6lgesine bir kesi yap\u0131larak median sinir \u00fczerine bas\u0131 olu\u015fturan bant kesilerek sinir serbestle\u015ftirilir. Endoskobik y\u00f6ntemde ise daha ufak bir kesi yap\u0131larak bir minyat\u00fcr kamera ile t\u00fcnel g\u00f6r\u00fcnt\u00fclenir ve bant kesilir. Karpal t\u00fcnel sendromundan korunmak, ellerimizin do\u011fru kullan\u0131m\u0131 ile ilgili baz\u0131 alt\u0131n \u00f6\u011f\u00fctler. El bile\u011finin uzun s\u00fcreli ve g\u00fc\u00e7l\u00fc \u015fekilde a\u015fa\u011f\u0131-yukar\u0131 hareketlerinden, gergin \u015fekilde parmaklarla bir \u015feyi tutmaktan (diki\u015f i\u011fnesi gibi), bile\u011fi ba\u015fparmak veya k\u00fc\u00e7\u00fck parma\u011fa do\u011fru b\u00fckme hareketinden ka\u00e7\u0131n, avu\u00e7 i\u00e7i yukar\u0131 bakacak \u015fekilde y\u00fck ta\u015f\u0131mamaya \u00f6zen g\u00f6ster, bile\u011fi s\u0131k\u0131 saran bantlardan (kol saati gibi) uzak dur, a\u015f\u0131r\u0131 so\u011fuk veya korunmas\u0131z vibrasyondan ka\u00e7\u0131n, telefon gibi s\u0131k kullan\u0131lan objeleri \u00e7al\u0131\u015fma sahan\u0131za olabildi\u011fince yakla\u015ft\u0131r. B\u00f6ylece a\u015f\u0131r\u0131 uzanmaktan ka\u00e7\u0131n. Araba s\u00fcrerken, e\u015fya ta\u015f\u0131rken direksiyonu \u00e7ok s\u0131k\u0131 tutma. M\u00fcmk\u00fcn oldu\u011funca eli dinlendir. Daktilo ya da keyboard kullan\u0131rken elleri her 15 dk da bir dinlendir. Boya f\u0131r\u00e7as\u0131, kalem, gazete, veya kitap t\u00fcr\u00fc cisimleri uzun s\u00fcre tutmaktan ka\u00e7\u0131n, eller kullan\u0131l\u0131rken v\u00fccudun genel post\u00fcr\u00fcde \u00e7ok \u00f6nemlidir. \u00c7al\u0131\u015fma alan\u0131n\u0131n y\u00fcksekli\u011fi, otururken ya da ayakta iken bileklerin notral ya da hemen hemen d\u00fcz pozisyonda kalmas\u0131na imkan tan\u0131yacak \u015fekilde d\u00fczenlenmelidir. \u00c7al\u0131\u015fma esnas\u0131nda omuzlar\u0131n yeteri kadar serbest, dirseklerin konforlu bir \u015fekilde yanlarda olmas\u0131na \u00f6zen g\u00f6sterilmelidir\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n
Oturma esnas\u0131nda s\u0131rt ve belin iyi desteklenmi\u015f \u015fekilde ayaklar\u0131n yere basmas\u0131 gerekti\u011fini belirten Op.Dr. B\u0131kmaz, \u201cOturulan sandalye her bireyin kendisine g\u00f6re ayarlanmal\u0131d\u0131r. El aletlerinin se\u00e7imi \u00f6nemlidir. El aletinin tutulan k\u0131sm\u0131 elinizin b\u00fcy\u00fckl\u00fc\u011f\u00fc ile orant\u0131l\u0131 olmal\u0131d\u0131r. Elinizi yo\u011fun \u015fekilde kullanman\u0131z\u0131 gerektiren yeni bir i\u015f \u00f6\u011frendi\u011finiz de, elinize bu yeni i\u015fe al\u0131\u015fmas\u0131 i\u00e7in zaman tan\u0131y\u0131n. Bu t\u0131pk\u0131 bir atletin bir yar\u0131\u015fa haz\u0131rlanmas\u0131na veya di\u011fer atletik yar\u0131\u015fmalara benzer. Ellerin istirahati i\u00e7in yeterli aral\u0131klarla molalar verilmelidir. E\u011fer eldiven giyiyorsan\u0131z ellere uygun \u00f6l\u00e7\u00fclerde olmal\u0131d\u0131r. \u00c7ok b\u00fcy\u00fck olursa objeyi tutmak i\u00e7in gerekli harcanacak g\u00fc\u00e7 daha fazla olacak, \u00e7ok s\u0131k\u0131 olursa elleri s\u0131k\u0131\u015ft\u0131racakt\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
INCA KL\u0130N\u0130K N\u00d6RO\u015e\u0130RURJ\u0130 UZMANI OP.DR. KEREM BIKMAZ, \u201cEL HASTALIKLARI \u0130\u00c7\u0130NDE EN SIK KAR\u015eILA\u015eILAN KARPAL T\u00dcNEL SENDROMU \u00d6ZELL\u0130KLE MASA BA\u015eI \u00c7ALI\u015eANLARININ HAYATINI KABUSA \u00c7EV\u0130REB\u0130L\u0130YOR” A\u00c7IKLAMASINI YAPTI.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[13888,7118,4992,3236],"class_list":["post-1326605","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-basi","tag-calisanlar","tag-dikkat","tag-masa"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1326605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1326605"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1326605\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1326605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1326605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1326605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}