{"id":59250,"date":"2015-08-22T22:38:19","date_gmt":"2015-08-22T22:38:19","guid":{"rendered":"https:\/\/saglikdanisma.net\/fatih\/cocugunuzun-skolyoz-olup-olmadigini-nasil-anlarsiniz\/"},"modified":"2015-08-22T22:38:19","modified_gmt":"2015-08-22T22:38:19","slug":"cocugunuzun-skolyoz-olup-olmadigini-nasil-anlarsiniz","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/fatih\/cocugunuzun-skolyoz-olup-olmadigini-nasil-anlarsiniz\/","title":{"rendered":"\u00c7ocu\u011funuzun skolyoz olup olmad\u0131\u011f\u0131n\u0131 nas\u0131l anlars\u0131n\u0131z?"},"content":{"rendered":"

\u00c7ocuklarda 10 ya\u015f\u0131ndan \u00f6nce g\u00f6r\u00fclen skolyoz (omurga e\u011frili\u011fi)<\/strong>, a\u011fr\u0131 ve solunum problemi gibi bir\u00e7ok sorunu beraberinde getiriyor. \u00c7ocuk ya\u015fta g\u00f6r\u00fclen skolyozun belirtileri \u00e7ok kolay anla\u015f\u0131l\u0131r. Bunun i\u00e7in\u00a0ebeveynler \u00e7ocuklar\u0131n\u0131n anatomik yap\u0131s\u0131n\u0131 s\u0131k s\u0131k incelemeliler.<\/p>\n

K\u00fc\u00e7\u00fck ya\u015fta ba\u015flayan skolyoz, fiziksel geli\u015fime ba\u011fl\u0131 olarak h\u0131zla ilerliyor. Dikkatli ebeveynler, \u00e7ocuklar\u0131n\u0131n skolyoz olup olmad\u0131\u011f\u0131n\u0131 kolayca anlayarak erken ya\u015fta sorunun \u00e7\u00f6z\u00fclmesini sa\u011flayabiliyor.<\/p>\n

S\u0131rttaki gamzeler skolyoz belirtisi olabilir<\/strong><\/p>\n

\u00c7ocu\u011funuzun s\u0131rt\u0131nda t\u00fcylenme art\u0131\u015f\u0131, renk de\u011fi\u015fimleri ve gamzeler skolyoz belirtisi olabilir. Bu belirtilerle birlikte denge problemleri ya\u015fan\u0131yor ya da \u00e7ocu\u011funuz \u00f6ne e\u011fildi\u011finde s\u0131rt \u00e7\u0131k\u0131nt\u0131lar\u0131 olu\u015fuyorsa skolyoz olabilir.<\/p>\n

Birbirine e\u015fit olmayan omuzlara dikkat<\/strong><\/p>\n

\u00c7ocu\u011funuzun omuz hizas\u0131 birbirine e\u015fit de\u011filse, bel ya da kal\u00e7alarda yan bir duru\u015f varsa ve bacaklarda g\u00f6vdeye g\u00f6re orant\u0131s\u0131z bir k\u0131sal\u0131k bulunuyorsa, en k\u0131sa zamanda bir uzmana ba\u015fvurulmas\u0131 gerekiyor.<\/p>\n

K\u00fc\u00e7\u00fck ya\u015fta ortaya \u00e7\u0131kan skolyozun sebepleri nelerdir?<\/h4>\n
    \n
  • Sebebi bilinmeyen (idiyopatik) skolyoz olabilir.<\/li>\n
  • Konjenital (Do\u011fumsal) skolyoz erken ya\u015flarda belirtilerini g\u00f6sterir ve h\u0131zla ilerler.<\/li>\n
  • Di\u011fer nedenler ise kas ve sinir hastal\u0131klar\u0131na (n\u00f6romusk\u00fcler) ve metabolik hastal\u0131klara (mukopolisakkaridoz vb), ba\u011f dokusu hastal\u0131klar\u0131na (osteogenesis imperfekta vb.) ba\u011fl\u0131 skolyozlard\u0131r.<\/li>\n<\/ul>\n

    K\u00fc\u00e7\u00fck ya\u015fta ba\u015flayan skolyoz neden \u00e7ok \u00f6nemli?<\/h4>\n

    K\u00fc\u00e7\u00fck ya\u015fta ba\u015flayan skolyozda iki \u00f6nemli sorun ile kar\u015f\u0131la\u015f\u0131labilir.<\/p>\n

      \n
    1. Skolyozun ilerlemesini belirleyen en \u00f6nemli fakt\u00f6r \u00e7ocu\u011fun fiziksel geli\u015fimi<\/strong>dir. \u00c7ocu\u011fun b\u00fcy\u00fcme h\u0131z\u0131 ile skolyozun ilerlemesi do\u011fru orant\u0131l\u0131d\u0131r. Bu t\u00fcr omurga e\u011friliklerin bir di\u011fer tedavi y\u00f6ntemi olan korse tedavisi ile kontrol\u00fc zor olabilir. Bu gibi nedenlerle k\u00fc\u00e7\u00fck ya\u015ftaki hastalar i\u00e7in, skolyoz ameliyat\u0131n\u0131n gereklili\u011fi ergenlere g\u00f6re daha y\u00fcksektir.<\/li>\n
    2. \u0130kinci farkl\u0131l\u0131k ise; k\u00fc\u00e7\u00fck ya\u015f skolyozunun cerrahi tedavisinde omurgan\u0131n b\u00fcy\u00fcmesi ve hareketinin durdurulmas\u0131 anlam\u0131na gelen f\u00fczyon cerrahisinin uygulanmas\u0131n\u0131n yarataca\u011f\u0131 olumsuzluklar<\/strong>d\u0131r.<\/li>\n<\/ol>\n

      Skolyozun Derecelendirilmesi ve Tedavisi<\/h4>\n

      Omurga r\u00f6ntgen filmlerinde \u00f6nden bak\u0131ld\u0131\u011f\u0131nda 10 derecenin \u00fczerinde<\/strong>ki e\u011frilikler skolyoz olarak de\u011ferlendirilmektedir.<\/p>\n

        \n
      • 10 ile 20 derece aras\u0131 e\u011frilikler hafif, <\/strong><\/li>\n
      • 20- 40 derece aras\u0131 e\u011frilikler orta, <\/strong><\/li>\n
      • 40 derecenin \u00fczerindeki e\u011frilikler ise ileri<\/strong> d\u00fczey skolyoz olarak tan\u0131mlanmaktad\u0131r.<\/li>\n<\/ul>\n

        Skolyozun te\u015fhis edilmesinin ard\u0131ndan 4-6 ay arayla yap\u0131lan kontrollerle ilerleme olup olmad\u0131\u011f\u0131, varsa bu ilerlemenin h\u0131z\u0131 belirlenmektedir. Skolyoz hastal\u0131\u011f\u0131nda kullan\u0131lacak tedavi y\u00f6ntemine, e\u011filmenin ilerleme riski dikkate al\u0131narak karar verilmektedir.<\/p>\n

        \n\u0130zlem ve s\u00fcrekli takip, korse uygulamalar\u0131, egzersizler ve \u00f6zel rehabilitasyon uygulamalar\u0131d\u0131r. \u0130lerlemenin h\u0131zl\u0131 oldu\u011fu ve bu tedavi y\u00f6ntemlerinin yetersiz kald\u0131\u011f\u0131 vakalarda ise cerrahi m\u00fcdahale gerekebilmektedir.
        \n\u00c7ocuklarda korse y\u00f6ntemi ile yap\u0131lan tedavi omurga e\u011frili\u011fini durduramazsa, omurgaya yerle\u015ftirilen vida ve \u00e7ubuk sistemleri ile f\u00fczyon i\u015flemi uygulamadan e\u011frilik d\u00fczeltilmeye \u00e7al\u0131\u015f\u0131l\u0131r. Bu tedavi y\u00f6nteminin ad\u0131na “uzat\u0131labilen \u00e7ubuklar sistemi” denir.<\/p>\n

        Ancak omurgadaki b\u00fcy\u00fcme devam edecektir. Bu durumun olu\u015fturdu\u011fu olumsuzluklar\u0131 ortadan kald\u0131rabilmek i\u00e7in d\u00fczenli olarak (6 ayda bir) yap\u0131lan skolyoz ameliyatlar\u0131yla omurgadaki \u00e7ubuklar\u0131n uzat\u0131larak b\u00fcy\u00fcmeyle olu\u015fan e\u011frili\u011fin d\u00fczeltilmesinde yard\u0131mc\u0131 rol oynar.Daha yeni sistemlerde ise \u00e7ubuklar manyetik uzaktan kumanda cihaz\u0131 kullan\u0131larak 2-3 ayda bir poliklinik \u015fartlar\u0131nda ameliyats\u0131z ve a\u011fr\u0131s\u0131z bir \u015fekilde uzat\u0131labilmektedir.<\/p>\n

        “Uzat\u0131labilen \u00e7ubuklar sistemi” adl\u0131 tedavi y\u00f6nteminin ideal olarak ergenlik sonuna kadar y\u00fcr\u00fct\u00fclmesi gerekir. Ki\u015fideki b\u00fcy\u00fcmenin azald\u0131\u011f\u0131 veya durdu\u011fu zamana g\u00f6re f\u00fczyon i\u015flemine ge\u00e7ilebilir.\n<\/p>\n

        B\u00fcy\u00fcyen \u00e7ocuklarda g\u00f6r\u00fclen skolyoz tedavisinde uzat\u0131labilen \u00e7ubuklar sistemi her zaman uygun veya ba\u015far\u0131l\u0131 olmayabilir. Bu y\u00f6ntemin ba\u015far\u0131l\u0131 olmad\u0131\u011f\u0131 hastalarda e\u011frili\u011fin ilerlemesine izin vererek f\u00fczyonu ertelemek katastrofik sonu\u00e7lara neden olabilir. Bu durumda “k\u0131sa ve d\u00fczg\u00fcn bir omurga, uzun ve e\u011fri bir omurgaya” tercih edilir ve erken d\u00f6nemde ka\u00e7\u0131n\u0131lmaz olarak f\u00fczyon i\u015fleminin uygulanmas\u0131 zorunlu olabilir. Bunun d\u0131\u015f\u0131nda baz\u0131 durumlarda (\u00d6rn: Do\u011fumsal skolyoz ve hemivertebra varl\u0131\u011f\u0131nda) \u00e7ok k\u0131sa bir omurga b\u00f6lgesine f\u00fczyon uygulanmas\u0131 ile tamamen d\u00fczelebilecek skolyozlarda, uzun ve zahmetli b\u00fcy\u00fcyen \u00e7ubuklar yerine k\u0131sa f\u00fczyonu tercih edilebilir. Bu durumda f\u00fczyon ancak k\u0131s\u0131tl\u0131 bir alana yap\u0131laca\u011f\u0131 i\u00e7in omurga ve g\u00f6\u011f\u00fcs kafesinin b\u00fcy\u00fcmesini ciddi bir \u015fekilde etkileyemeyebilir. Baz\u0131 istisnai durumlarda ise “hibrid” y\u00f6ntem dedi\u011fimiz hem k\u0131sa segment f\u00fczyon hem de b\u00fcy\u00fcyen \u00e7ubuklar bir arada uygulanabilir.<\/p>\n

        \u00d6zet olarak k\u00fc\u00e7\u00fck \u00e7ocukluk d\u00f6neminde ortaya \u00e7\u0131kan skolyozda erken te\u015fhis \u00f6nemlidir ve \u00e7o\u011fu zaman erken cerrahi m\u00fcdahale gerekebilir. Erken cerrahi m\u00fcdahale, \u00e7o\u011fu zaman b\u00fcy\u00fcmenin devam\u0131na izin verecek y\u00f6ntemlerin uygulanmas\u0131d\u0131r. B\u00fcy\u00fcyen \u00e7ocuklarda tedavi zor ve zahmetlidir ancak erken te\u015fhis edilen vakalarda \u00e7o\u011fu zaman ba\u015far\u0131l\u0131d\u0131r.<\/p>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        \u00c7ocuklarda 10 ya\u015f\u0131ndan \u00f6nce g\u00f6r\u00fclen skolyoz (omurga e\u011frili\u011fi), a\u011fr\u0131 ve solunum problemi gibi bir\u00e7ok sorunu beraberinde getiriyor. \u00c7ocuk ya\u015fta g\u00f6r\u00fclen skolyozun belirtileri \u00e7ok kolay anla\u015f\u0131l\u0131r. Bunun i\u00e7in\u00a0ebeveynler \u00e7ocuklar\u0131n\u0131n anatomik yap\u0131s\u0131n\u0131 s\u0131k s\u0131k incelemeliler.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[712],"tags":[99,155,221,483,490,574],"class_list":["post-59250","post","type-post","status-publish","format-standard","hentry","category-saglikli-yasam","tag-beyin-cerrahisi","tag-cocuk-sagligi","tag-fizik-tedavi","tag-omurga-hastaliklari","tag-ortopedi","tag-skolyoz"],"yoast_head":"\n\u00c7ocuklarda Skolyoz Nas\u0131l Anla\u015f\u0131l\u0131r?<\/title>\n<meta name=\"description\" content=\"\u00c7ocu\u011funuzun skolyoz olup olmad\u0131\u011f\u0131n\u0131 nas\u0131l anlars\u0131n\u0131z? 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