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Ortopedi ve Travmatoloji Uzman\u0131 Op. Dr. Artun Ayd\u0131n, kad\u0131nlar\u0131n ayaklar\u0131nda erkeklere g\u00f6re 9 kat daha fazla g\u00f6r\u00fclen ve ayak ba\u015fparma\u011f\u0131ndaki a\u011fr\u0131yla, \u00e7arp\u0131kl\u0131kla ortaya \u00e7\u0131kan Halluks Valgus hastal\u0131\u011f\u0131n\u0131n \u00f6nemine dikkat \u00e7ekti.<\/p>\n
\u00d6zel G\u00f6zde \u0130zmir Hastanesi doktorlar\u0131ndan Ortopedi ve Travmatoloji Uzman\u0131 Op. Dr. Artun Ayd\u0131n, daha \u00e7ok kad\u0131nlar\u0131n ayaklar\u0131nda g\u00f6r\u00fclen Halluks Valgus hastal\u0131\u011f\u0131 ve tedavisiyle ilgili bilgiler verdi. Hastal\u0131\u011f\u0131n 30 ve 40\u2019l\u0131 ya\u015flardan sonra artan oranda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc anlatan Dr. Ayd\u0131n, Halluks Valgus hastal\u0131\u011f\u0131n\u0131n ayak ba\u015fparma\u011f\u0131nda \u00e7arp\u0131kl\u0131k, \u00e7\u0131k\u0131nt\u0131 ve a\u011fr\u0131yla g\u00f6r\u00fclen bir hastal\u0131k oldu\u011funu s\u00f6yledi. Ayd\u0131n, hastal\u0131\u011f\u0131n zaman i\u00e7erisinde ilerledi\u011fine dikkat \u00e7ekerek, “Bu rahats\u0131zl\u0131kta kemik \u00e7\u0131k\u0131nt\u0131, tarak kemi\u011finin parmakla eklem yapt\u0131\u011f\u0131 b\u00f6lgede i\u00e7 k\u0131sm\u0131nda kemikte olan b\u00fcy\u00fcmedir. \u0130stirahatle \u00e7\u0131k\u0131nt\u0131 her ne kadar k\u00fc\u00e7\u00fclse de, \u00e7\u0131k\u0131nt\u0131n\u0131n \u00f6nemli bir k\u0131sm\u0131 kemik yap\u0131s\u0131nda oldu\u011fundan tamamen kaybolmamaktad\u0131r. Bir\u00e7ok hastada dar, \u00f6n k\u0131sm\u0131 sivri ayakkab\u0131lar\u0131n uzun s\u00fcre giyilmesinin hastal\u0131\u011fa yol a\u00e7t\u0131\u011f\u0131n\u0131n ileri s\u00fcr\u00fcl\u00fcr. Do\u011fal olarak bu hastal\u0131k, kad\u0131nlarda erkeklerden 9 kat daha s\u0131k g\u00f6r\u00fclmektedir. Baz\u0131 Halluks Valgus olgular\u0131nda ise hastal\u0131k, ayakkab\u0131 giyim tarz\u0131ndan ba\u011f\u0131ms\u0131z olarak geli\u015febilmektedir. Bu hastalar\u0131n 3\u2019te 2 sinde ailede Halluks Valgus olan birey ya da bireyler mevcuttur\u201d diye konu\u015ftu.<\/p>\n
\u0130LER\u0130 OLGULARDA AMEL\u0130YAT \u015eART<\/p>\n
Halluks Valgus hastal\u0131\u011f\u0131n\u0131n tan\u0131s\u0131 hakk\u0131nda da a\u00e7\u0131klamalarda bulunan Dr. Ayd\u0131n, “Tan\u0131, aya\u011f\u0131n g\u00f6r\u00fcnt\u00fcs\u00fcyle koyulsa da, mutlaka basarak \u00f6n-arka ve yan radyografiler g\u00f6r\u00fclmelidir. Bu \u015fekilde incelenen hastada, Halluks Valgus hastal\u0131\u011f\u0131na neden olan kemik dizilim bozuklu\u011fu yeri saptanarak ona uygun tedavi se\u00e7imi yap\u0131lmal\u0131d\u0131r. Burada do\u011fru karar vermek sonradan deformitenin tekrarlamas\u0131n\u0131 engellemek i\u00e7in \u00e7ok \u00f6nemlidir” dedi.<\/p>\n
Halluks Valgus hastal\u0131\u011f\u0131nda tedavinin m\u00fcmk\u00fcn oldu\u011funu anlatan Ayd\u0131n \u015f\u00f6yle konu\u015ftu:<\/p>\n
“\u0130lk yakla\u015f\u0131mda, hastan\u0131n aya\u011f\u0131n\u0131n rahat edece\u011fi ayakkab\u0131 kullan\u0131m\u0131 gelmektedir. Ayakkab\u0131lar yeterli geni\u015flikte olmal\u0131, \u00f6n tarafa do\u011fru sivrile\u015fme g\u00f6stermemelidir. Parmak aras\u0131 makara ya da Halluks Valgus gece atellerinin de ayak ba\u015fparmaktaki a\u011fr\u0131y\u0131 azaltmaya katk\u0131s\u0131 mevcuttur. Bu atel ve ortezlerin maalesef \u00e7arp\u0131kl\u0131\u011f\u0131n d\u00fczelmesi ya da ilerlememesine katk\u0131s\u0131 bulunmamaktad\u0131r. Halluks Valgusta ameliyats\u0131z tedavi ile \u00e7arp\u0131kl\u0131kta d\u00fczelme sa\u011flanamamaktad\u0131r. Ameliyats\u0131z tedavi y\u00f6ntemlerine ra\u011fmen a\u011fr\u0131s\u0131 devam eden ve ileri deformiteli hastalarda cerrahi tedaviye ba\u015fvurulur. Cerrahi tedavi ile ba\u015fparma\u011f\u0131n d\u00fczeltilmesi m\u00fcmk\u00fcnd\u00fcr. Halluks Valgus hastal\u0131\u011f\u0131nda muayene ve radyolojik bulgulara g\u00f6re uygun olan cerrahi tedaviyle olduk\u00e7a tatminkar sonu\u00e7lar al\u0131nabilmektedir. Uygun operasyon se\u00e7imi ve geli\u015fmi\u015f cerrahi teknikler sayesinde, tekrarlama neredeyse hi\u00e7 g\u00f6r\u00fclmemektedir.”