﻿{"id":1327953,"date":"2018-10-13T10:24:56","date_gmt":"2018-10-13T07:24:56","guid":{"rendered":"http:\/\/www.erzurumflas.com\/sporcularda-kasik-fitigina-dikkat\/"},"modified":"2018-10-13T10:25:05","modified_gmt":"2018-10-13T07:25:05","slug":"sporcularda-kasik-fitigina-dikkat","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=1327953","title":{"rendered":"Sporcularda kas\u0131k f\u0131t\u0131\u011f\u0131na dikkat"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2018\/10\/sporcularda-kasik-fitigina-dikkat_8d1619a.jpg\" width=\"600\">Doktor Hamdi Ko\u00e7er, kas\u0131k f\u0131t\u0131klar\u0131na sporcularda daha s\u0131k rastland\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n<p>\u00d6zellikle ikili m\u00fccadele gerektiren futbol benzeri sporlarda adale y\u0131rt\u0131lmas\u0131na ba\u011fl\u0131 direk f\u0131t\u0131klar\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Doktor Hamdi Ko\u00e7er, \u201cSporcularda g\u00f6r\u00fclen kas\u0131k f\u0131t\u0131klar\u0131 hem tan\u0131 hem tedavi a\u00e7\u0131s\u0131ndan baz\u0131 zorluklara sahiptir. Sporcu f\u0131t\u0131klar\u0131 \u015fi\u015fliktem \u00f6nce a\u011fr\u0131 ile ba\u015flayabilir. Sporcunun aktif spor imkan\u0131n\u0131 k\u0131s\u0131tlar. Ameliyat sonras\u0131 hastan\u0131n spora d\u00f6n\u00fc\u015f beklentisi ayr\u0131ca bir profesyonel bask\u0131 olu\u015fturur. Bu zorluklara ra\u011fmen do\u011fru tan\u0131 ve uygun tedavi ile sporcunun i\u015fine h\u0131zla geri d\u00f6nmesi m\u00fcmk\u00fcnd\u00fcr.\u201d dedi.<\/p>\n<p>Tan\u0131 hak\u0131nda bilgi veren Doktor Hamdi Ko\u00e7er, \u201cSporcu f\u0131t\u0131klar\u0131 di\u011fer f\u0131t\u0131klar gibi \u00f6nce kas\u0131kta \u015fi\u015flik ile ba\u015flamayabilir. Daha \u00e7ok nokta f\u0131t\u0131\u011f\u0131 \u015feklinde kas\u0131k a\u011fr\u0131s\u0131 ile ortaya \u00e7\u0131kar. Kas\u0131k a\u011fr\u0131lar\u0131 sporcularda sadece f\u0131t\u0131k nedeni ile olmaz. Kas\u0131k a\u011fr\u0131s\u0131 yapan di\u011fer nedenlerden ay\u0131rd etmek zaman zaman \u00e7ok zor olabilir.<\/p>\n<p>Sporcu f\u0131t\u0131klar\u0131nda tan\u0131 i\u00e7in ileri tetkikler s\u0131kl\u0131kla gerekir: ultrason ve hatta MR incelemsi ile b\u00f6lgeyi incelemek gerekebilir. Eldeki t\u00fcm tetkiklerin kullan\u0131lmas\u0131na ra\u011fmen tan\u0131 konamayan sporcular olabilir. Nadir de olsa laparosopik ameliyat ile tan\u0131n\u0131n teyit edili\u011fi durumlar ya\u015fanabilir.<\/p>\n<p>Kar\u0131n duvar\u0131n\u0131 olu\u015fturan adalelerde y\u0131rt\u0131k g\u00f6r\u00fclmesi ile direk f\u0131t\u0131k te\u015fhisi konur. Sporcularda direk f\u0131t\u0131klar daha fazla g\u00f6r\u00fcl\u00fcr.\u201d diye konu\u015ftu.<\/p>\n<p>Doktor Hamdi Ko\u00e7er, konu\u015fmas\u0131n\u0131 \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n<p>\u201cB\u00fct\u00fcn kas\u0131k f\u0131t\u0131klar\u0131n\u0131 yama ile onarmak gerekir. Yamay\u0131 f\u0131t\u0131\u011f\u0131n oldu\u011fu yere iki y\u00f6ntemle yerle\u015ftirmek m\u00fcmk\u00fcnd\u00fcr: A\u00e7\u0131k ve kapal\u0131 (laparoskopik) y\u00f6ntem. A\u00e7\u0131k y\u00f6ntemde yakla\u015f\u0131k 10 cm uzunlu\u011funda tek bir kesi yap\u0131l\u0131rken, kapal\u0131 y\u00f6ntem 3 k\u00fc\u00e7\u00fck delikten ger\u00e7ekle\u015ftirilir. Her iki y\u00f6ntemden sonra da hasta ayn\u0131 g\u00fcn taburcu olabilir ancak kapal\u0131 ameliyattan sonra spora d\u00f6nmek \u00e7ok daha k\u0131sa s\u00fcrede m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<p>Laparoskopik ameliyatlar\u0131n en fazla avantaj sa\u011flad\u0131\u011f\u0131 hastalar sporculard\u0131r. Bu y\u00f6ntemle yap\u0131lan bir ameliyattan 2-3 hafta sonra antremanlara geri d\u00f6nebilir. Buna kar\u015f\u0131l\u0131k a\u00e7\u0131k ameliyat sonras\u0131 bu s\u00fcre \u00e7ok daha uzun s\u00fcrebilir.<\/p>\n<p>Sporcularda ameliyat haz\u0131rl\u0131\u011f\u0131 ile ilgili en zor k\u0131s\u0131m kesin tan\u0131n\u0131n belgelenmesidir. Sadece a\u011fr\u0131 ile seyreden k\u00fc\u00e7\u00fck adale y\u0131rt\u0131klar\u0131n\u0131n pubis iltihaplar\u0131 veya ba\u015fka yumu\u015fak doku zedelenmesindne ay\u0131rd edilmesi i\u00e7in genellikle ileri tetkik y\u00f6ntemleri gerekir.<\/p>\n<p>Tan\u0131 sonras\u0131 ameliyata karar verildikten sonra, ameliyat g\u00fcn\u00fc direk hastaneye gelip yat\u0131\u015f yap\u0131lmas\u0131 yeterlidir. Anestezi muayenesi ve standart tetkikleri takiben ameliyat ger\u00e7ekle\u015ftirilebilir.<\/p>\n<p>Sporcular\u0131n ameliyat sonras\u0131 beklentisi do\u011fal olarak en k\u0131sa s\u00fcre i\u00e7inde spora geri d\u00f6nmektir. Kapal\u0131 ameliyatlardan sonra bu s\u00fcre daha k\u0131sad\u0131r. Sporcunun yapt\u0131\u011f\u0131 spora g\u00f6re de\u011fi\u015fmekle beraber 2-3 hafta i\u00e7inde antrenmanlara ba\u015flanabilir. M\u00fcsabakalara geri d\u00f6n\u00fc\u015f s\u00fcresi m\u00fccadeleci sporlarda biraz daha uzun zaman alabilir. Kesin s\u00fcreler i\u00e7in ameliyat\u0131n\u0131z\u0131 yapacak hekim ile ameliyat \u00f6ncesi ve sonras\u0131 konu\u015fup bilgi alman\u0131z\u0131 \u00f6neririz.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DOKTOR HAMD\u0130 KO\u00c7ER<\/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":[4992,35263,12723,53097],"class_list":["post-1327953","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-dikkat","tag-fitigina","tag-kasik","tag-sporcularda"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1327953","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=1327953"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1327953\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1327953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1327953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1327953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}