{"id":1952,"date":"2018-05-18T11:22:30","date_gmt":"2018-05-18T08:22:30","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=1952"},"modified":"2018-05-18T11:22:30","modified_gmt":"2018-05-18T08:22:30","slug":"diyabet-hastalarinin-ayaklarinda-olumcul-risk","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/diyabet-hastalarinin-ayaklarinda-olumcul-risk\/","title":{"rendered":"Diyabet hastalar\u0131n\u0131n ayaklar\u0131nda \u00f6l\u00fcmc\u00fcl risk"},"content":{"rendered":"

Ortopedi ve Travmatoloji Uzman\u0131 Uzm. Dr. Abdullah \u015earlak<\/strong>, diyabet hastalar\u0131nda ortaya \u00e7\u0131kan kronik ayak yaralar\u0131n\u0131n tedavisinin \u00f6nemli oldu\u011funu vurgulad\u0131.<\/p>\n

\u201cKronik yara, ge\u00e7 ya da g\u00fc\u00e7 iyile\u015fen ya da iyile\u015fmeyen t\u00fcm yaralara verilen isimdir\u201d<\/strong> diyen Uzm. Dr. Abdullah \u015earlak, \u201cBir yara tedaviye ra\u011fmen 4-6 hafta i\u00e7inde iyile\u015fmiyorsa bu isimi al\u0131r. Altta yatan hastal\u0131klar diyabet, damar t\u0131kan\u0131kl\u0131\u011f\u0131, yatak bas\u0131 yaralar\u0131d\u0131r. E\u015flik eden fakt\u00f6rler ise obezite, sigara kullan\u0131m\u0131, genel durum bozuklu\u011fu, ileri ya\u015f, kanser ve kullan\u0131lan baz\u0131 ila\u00e7lard\u0131r. Ayr\u0131ca uygun olmayan ayakkab\u0131 ve ayak \u015fekil bozuklu\u011fu art\u0131r\u0131c\u0131 nedenlerdir\u201d diye konu\u015ftu.<\/p>\n

Ayaktaki k\u00fc\u00e7\u00fck k\u0131zar\u0131kl\u0131k bile \u00e7ok \u00f6nemli!<\/strong><\/p>\n

Diyabet hastalar\u0131nda ba\u015flayan k\u00fc\u00e7\u00fck bir k\u0131zar\u0131kl\u0131k ve yaran\u0131n \u00e7ok \u00f6nemli oldu\u011funu belirten Uzm. Dr. Abdullah \u015earlak, \u201cDokunun yeterince beslenmemesine ba\u011fl\u0131 olarak iyile\u015fmeyen b\u00f6lgeye ayr\u0131ca enfeksiyon yerle\u015fmesi sonucu yaran\u0131n tedavisi daha da g\u00fc\u00e7le\u015fir. Diyabet hastalar\u0131nda bacak sinirlerinin bozulmas\u0131 (n\u00f6ropati),<\/strong> damarlar\u0131n t\u0131kanmas\u0131 ve savunma sisteminin zay\u0131flamas\u0131 sonucu yaralar\u0131n iyile\u015fme sorunu artar. Diyabetik hastalarda ba\u015flayan k\u00fc\u00e7\u00fck bir k\u0131zar\u0131kl\u0131k, ba\u015flayan yara bile \u00e7ok \u00f6nemlidir. Dikkatli bir takip ve tedavi gerektirir. Bu durumdaki hastalar\u0131n \u00e7o\u011funda ayakta kronik yaralar olu\u015fur. Kronik yara olu\u015fan hastalar\u0131n yar\u0131s\u0131nda yeterli tedavi yap\u0131lmazsa amputasyona kadar ula\u015fan k\u00f6t\u00fc sonu\u00e7lar g\u00f6r\u00fcl\u00fcr\u201d uyar\u0131s\u0131nda bulundu.<\/p>\n

\u015eeker kontrol alt\u0131nda tutulmal\u0131<\/strong><\/p>\n

Uzm. Dr. Abdullah \u015earlak, diyabet hastalar\u0131n\u0131n, kronik yara olu\u015fmas\u0131ndan korunmak i\u00e7in almas\u0131 gereken \u00f6nlemleri de \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n

– \u015eekerini kontrol alt\u0131nda tutmalar\u0131 gerekir.<\/p>\n

– Bu hastalarda koruyucu his duygusu kaybolaca\u011f\u0131 i\u00e7in her g\u00fcn dikkatli ayaklar\u0131nda yara kontrol\u00fc yap\u0131lmal\u0131 (Ayna yard\u0131m\u0131 ve yak\u0131nlar\u0131n\u0131n yard\u0131m\u0131 ile)<\/p>\n

Ayaklar her g\u00fcn y\u0131kanmal\u0131, beyaz havlu ile kurulanmal\u0131!<\/strong><\/p>\n

– Her g\u00fcn ayak \u0131l\u0131k su ve sabunla y\u0131kan\u0131p, yumu\u015fak beyaz havlu ile kurulan\u0131p, yumu\u015fat\u0131c\u0131 krem ile bak\u0131m\u0131 yap\u0131lmas\u0131 gerekir. Havlunun beyaz olmas\u0131 ufak bir kanamay\u0131 fark ettirecektir.<\/p>\n

– T\u0131rnaklar dikkatli ve d\u00fcz kesilmeli, lastiksiz pamuklu diki\u015fsiz \u00e7oraplar g\u00fcnl\u00fck de\u011fi\u015ftirilmeli.<\/p>\n

Yumu\u015fak ayakkab\u0131 giyilmeli<\/strong><\/p>\n

– Ayakkab\u0131lar\u0131 yumu\u015fak, yuvarlak ve kapal\u0131 burunlu, s\u0131kmayan modelde olmal\u0131. Parmak aras\u0131 terlik, y\u00fcksek topuklu, dar \u00f6n\u00fc a\u00e7\u0131k ayakkab\u0131 giyilmemelidir. Mutlaka \u00e7orapla (en az iki ayakkab\u0131 d\u00f6n\u00fc\u015f\u00fcml\u00fc) giyilmelidir.<\/p>\n

– Olu\u015fan nas\u0131r, t\u0131rnak bat\u0131\u011f\u0131, mantar hastal\u0131klar\u0131n\u0131 kendisi tedavi etmemeli, uzman hekim yard\u0131m\u0131 almal\u0131.<\/p>\n

– Kesinlikle \u00e7\u0131plak ayakla dola\u015f\u0131lmamal\u0131. Is\u0131t\u0131c\u0131lara, s\u0131cak su torbalar\u0131na temas etmemeli.<\/p>\n

Uzun y\u00fcr\u00fcy\u00fc\u015f ve uzun s\u00fcre oturma sak\u0131ncal\u0131<\/strong><\/p>\n

– Uzun s\u00fcre oturmalarda ayak yukar\u0131 kald\u0131r\u0131lmal\u0131d\u0131r (iki \u00fc\u00e7 saatte bir), istirahat ve egzersiz dengesi iyi sa\u011flanmal\u0131d\u0131r. (Uzun y\u00fcr\u00fcme ve uzun oturma s\u00fcreleri uygun de\u011fildir.)<\/p>\n

– Antibiyotikli kremler kontrols\u00fcz uygulanmamal\u0131. Kesinlikle flaster, yara band\u0131 ile kapatma yap\u0131lmamal\u0131d\u0131r.\u201d<\/p>\n

Kronik yara tedavisi hastanede yap\u0131lmal\u0131<\/strong><\/p>\n

Uzm. Dr. Abdullah \u015earlak, bu hastalarda yara olu\u015funca multidisipliner bir yakla\u015f\u0131mla tedavi edilmesi gerekti\u011fini vurgulayarak ilerleyen kronik yara hastalar\u0131n\u0131n tedavilerinin hastanede yatarak yap\u0131ld\u0131\u011f\u0131na dikkat \u00e7ekti. Uzm. Dr. Abdullah \u015earlak, \u201cBu kronik yara hastalar\u0131nda \u00f6ncelikle \u015feker d\u00fczeltilir, yara tedavisi yap\u0131l\u0131r. K\u00fclt\u00fcr sonucuna g\u00f6re antibiyoti\u011fe ba\u015flan\u0131r. Yara bak\u0131m\u0131nda g\u00fcnl\u00fck pansuman ve debritmana ek olarak vakum tedavisi, hiperbarik oksijen tedavisi gibi ek tedaviler uygulan\u0131r. Hastalar\u0131n damar yap\u0131s\u0131 gerekli tetkiklerle USG, BT, anjiyografi gibi giri\u015fimler yap\u0131l\u0131p ara\u015ft\u0131rmal\u0131d\u0131r. Bu konuda giri\u015fimsel radyolojik i\u015flem yap\u0131l\u0131r. Gerekirse damar cerrah\u0131 uzman\u0131 m\u00fcdahale eder. Daha sonra kontrol alt\u0131na al\u0131nan yara gerekirse greftler ile kapat\u0131l\u0131r. 5 y\u0131l i\u00e7inde %75 tekrar yaralar\u0131n olu\u015fma riski bulunmaktad\u0131r. Bu nedenle \u00e7ok s\u0131k\u0131 takip edilmeli\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ortopedi ve Travmatoloji Uzman\u0131 Uzm. Dr. Abdullah \u015earlak, diyabet hastalar\u0131nda ortaya \u00e7\u0131kan kronik ayak yaralar\u0131n\u0131n tedavisinin \u00f6nemli oldu\u011funu vurgulad\u0131. \u201cKronik yara, ge\u00e7 ya da g\u00fc\u00e7 iyile\u015fen ya da iyile\u015fmeyen t\u00fcm yaralara verilen isimdir\u201d diyen Uzm. Dr. Abdullah \u015earlak, \u201cBir yara tedaviye ra\u011fmen 4-6 hafta i\u00e7inde iyile\u015fmiyorsa bu isimi al\u0131r. Altta yatan hastal\u0131klar diyabet, damar t\u0131kan\u0131kl\u0131\u011f\u0131, […]<\/p>\n","protected":false},"author":80,"featured_media":1953,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[1408,1407,1409,1410,1411],"class_list":{"0":"post-1952","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-diyabet","9":"tag-diyabet-hastalari","10":"tag-diyabetik-ayak","11":"tag-ortopedi-ve-travmatoloji-uzmani","12":"tag-uzm-dr-abdullah-sarlak"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/05\/kadin-ayak-sagligi.jpg?fit=626%2C416&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/1952","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=1952"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/1952\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/1953"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=1952"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=1952"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=1952"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}