{"id":3312,"date":"2019-01-05T21:31:19","date_gmt":"2019-01-05T18:31:19","guid":{"rendered":"https:\/\/www.erdemyorukoglu.com\/tr\/?page_id=3312"},"modified":"2025-08-16T16:47:50","modified_gmt":"2025-08-16T13:47:50","slug":"diz-ve-ayak-bilegi-agrilari","status":"publish","type":"page","link":"https:\/\/www.erdemyorukoglu.com\/tr\/tedaviler\/diz-ve-ayak-bilegi-agrilari\/","title":{"rendered":"D\u0130Z ve AYAK B\u0130LE\u011e\u0130 A\u011eRILARI"},"content":{"rendered":"
[vc_row full_width=”stretch_row” curly_padding=”content-padding-none”][vc_column curly_padding=”content-padding”][vc_column_text]\n

D\u0130Z ve AYAK B\u0130LE\u011e\u0130 A\u011eRILARI<\/h1>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row curly_padding=”content-padding-xs”][vc_column width=”1\/2″][vc_single_image image=”3321″ img_size=”large” style=”img-frame-large” css_animation=”none”][vc_column_text]Diz ve ayak bilek a\u011fr\u0131lar\u0131n\u0131n bir \u00e7ok t\u0131bbi sebebi olabilmekte fakat daha \u00e7ok takip etti\u011fimiz hastalardan edindi\u011fimiz bilgilere g\u00f6re hareketsiz bir ya\u015fam ve bunun sonucunda olu\u015fan a\u015f\u0131r\u0131 kilolarda diz ve ayak bile\u011fine binen y\u00fck\u00fc art\u0131rarak bu b\u00f6lgelerde dejeneratif de\u011fi\u015fiklikler yapmakta ve a\u011fr\u0131 ile kendini g\u00f6sterebilmektedir.<\/p>\n

En \u00e7ok g\u00f6r\u00fclen diz a\u011fr\u0131s\u0131 nedeni ‘zorlama ve burkulmalar’ (%42). Bunlardan sonra osteoartrit (%34) g\u00f6r\u00fcl\u00fcyor. Bunu men\u00fcsk\u00fcs yaralanmalar\u0131 (%9), kollateral (%7) ve \u00e7apraz ba\u011f yaralanmalar\u0131 takip ediyor.<\/p>\n

Zorlama ve Burkulmalar<\/strong><\/h3>\n

V\u00fccudumuzdaki kaslar\u0131n ve eklem yap\u0131lar\u0131n\u0131n hareketleri a\u00e7\u0131s\u0131ndan belli bir fizyolojik kapasiteleri vard\u0131r ve bu kapasitelerinin \u00fczerine \u00e7\u0131kan hareketler veya bu kapasitelerinin \u00fczerine \u00e7\u0131k\u0131lmas\u0131na neden olan\u00a0fazla\u00a0\u00a0kilolu olma, ya\u015fl\u0131l\u0131k gibi durumlar bu yap\u0131larda afak yaralanmalara yada enflamatuar proseslerin olu\u015fmas\u0131na neden olabilir. Bu\u00a0yaralanmalar eklem ve kas hareketlerinde k\u0131s\u0131tl\u0131l\u0131k ve a\u011fr\u0131l\u0131\u00a0hareketlili\u011fe neden olabilir.[\/vc_column_text][\/vc_column][vc_column width=”1\/2″][vc_single_image image=”3320″ img_size=”large” style=”img-frame-large” css_animation=”none”][vc_column_text]\n

Osteoartrit<\/strong><\/h3>\n

Osteoartrit (OA) bilinen en eski romatolojik hastal\u0131kt\u0131r. Osteoartritin radyolojik bulgular\u0131na, 65 ya\u015f\u0131n \u00fczerindeki ki\u015filerin \u00e7o\u011funda, 75 ya\u015f \u00fczerindekilerin ise %80’inde rastlan\u0131r. S\u0131ras\u0131yla en s\u0131k dizler, eller ve kal\u00e7alar tutulur. \u0130ngiltere’de yap\u0131lan bir \u00e7al\u0131\u015fmada, \u00e7al\u0131\u015fan erkeklerin %2.8’inin, kad\u0131nlar\u0131n ise %1.3’\u00fcn\u00fcn osteoartrit ile ilgili sorunlar nedeniyle emekli olmak zorunda kald\u0131klar\u0131 ve y\u0131lda 4-7 milyon i\u015f g\u00fcn\u00fcn\u00fcn ise OA veya birlikte oldu\u011fu durumlar sebebiyle kaybedildi\u011fi g\u00f6sterilmi\u015ftir. Osteoartrit patogenezinde genetik yatk\u0131nl\u0131k, travma, inflamasyon, biyokimyasal, metabolik, \u00e7evresel etkenler ve biyomekanik etkenlerin varl\u0131\u011f\u0131ndan s\u00f6z edilmektedir. OA’li hastalar en s\u0131k olarak, eklemlerde kat\u0131l\u0131k, instabilite ve fonksiyon kayb\u0131ndan yak\u0131nmaktad\u0131rlar. Toplumsal sa\u011fl\u0131k taramalar\u0131nda OA’in \u00f6nemli bir sa\u011fl\u0131kk sorunu olarak, uzun s\u00fcreli \u00f6z\u00fcrl\u00fcl\u00fck nedeni oldu\u011fu g\u00f6r\u00fclmektedir. Diz osteoartriti, sandalyeye oturup-kalkma, merdiven \u00e7\u0131kma, \u00e7\u00f6melme, aya\u011fa kalkma ve y\u00fcr\u00fcme gibi aktivitelerde sorun yaratt\u0131\u011f\u0131 i\u00e7in k\u0131smi engelili\u011fe yol a\u00e7ar. Osteoartritte, olu\u015fmu\u015f olan yap\u0131sal de\u011fi\u015fiklikleri geri d\u00f6nd\u00fcren ve hastal\u0131\u011fa k\u00fcr eden bir tedavi olmamas\u0131na kar\u015f\u0131n hastaya y\u00f6nelik olarak planlanan tedavi ile hastan\u0131n a\u011fr\u0131lar\u0131 giderilebilir, eklem fonksiyonlar\u0131 d\u00fczeltilebilir veya korunabilir ve fonksiyonel kay\u0131plar\u0131 s\u0131n\u0131rlabilir. Osteoartritte tedavinin ama\u00e7lar\u0131 a\u011fr\u0131n\u0131nn ve di\u011fer semptomlar\u0131n kontrol\u00fc, fonksiyonlar\u0131n iyile\u015ftirilmesi, hayat kalitesinin artt\u0131r\u0131lmas\u0131 ve m\u00fcmk\u00fcnse tedaviye ba\u011fl\u0131 yan etkilerin azalt\u0131lmas\u0131 \u015feklinde \u00f6zetlenebilir.[\/vc_column_text][\/vc_column][\/vc_row][vc_row curly_padding=”content-padding-xs”][vc_column width=”1\/2″][vc_single_image image=”3314″ img_size=”large” style=”img-frame-large” css_animation=”none”][vc_column_text]\n

Menisk\u00fcs<\/strong><\/h3>\n

Men\u00fcsk\u00fcsler tibia kemi\u011finin \u00fcst\u00fcne yerle\u015fmi\u015f, bikonkav fibrokartilaj disk yap\u0131s\u0131ndad\u0131r. Kesitleri yar\u0131may bi\u00e7iminde olan menisk\u00fcsler\u0131n en d\u0131\u015f k\u0131s\u0131mlar\u0131 kal\u0131n ve konveks olup \u0130\u00e7e do\u011fru \u00fc\u00e7gen bi\u00e7iminde uzan\u0131r. Men\u00fcsk\u00fcsler oturduklar\u0131 kemi\u011fe \u00f6n ve arka iki \u00fc\u00e7 veya boynuzla tutunurlar. Medialde olana i\u00e7 menisk\u00fcs, lateralde olana d\u0131\u015f menisk\u00fcs olarak isimlendirilir. D\u0131\u015f menisk\u00fcs daha kal\u0131nd\u0131r ve boynuzlar\u0131 birbirine daha yak\u0131n yap\u0131 \u015farak tama yak\u0131n bir daire olu\u015f tururlar.<\/p>\n

Menisk\u00fcsler hareketlidirler ve bacak d\u00fcz pozisyonda tutuldu\u011funda \u00f6nde, b\u00fck\u00fcld\u00fc\u011f\u00fcnde ise arkaya do\u011fru kayma hareketi yaparlar. Menisk\u00fcs yap\u0131s\u0131ndaki elastik lifler, \u00f6n ve arka boynuzdaki s\u0131k\u0131 yap\u0131\u015fma yerleri ile her hareket sonras\u0131nda kendi anatomik konumlar\u0131na rahatl\u0131kla d\u00f6nebilirler. Bu \u015fekilde birbiri ile uyumsuz olan iki kemik aras\u0131nda s\u00fcrekli \u015fekilde hareket ederek, ili\u015fkilerini devam\u0131n\u0131 ger\u00e7ekle\u015ftirirler.<\/p>\n

Menisk\u00fcslerin g\u00f6revleri i\u00e7erisinde en \u00f6nemli b\u00f6l\u00fcm\u00fcn\u00fc y\u00fck iletimi olu\u015fturur. Yap\u0131lan biomekanik \u00e7al\u0131\u015fmalar bu k\u0131k\u0131rdaklar\u0131n yukar\u0131dan veya a\u015fa\u011f\u0131dan gelen y\u00fcklenmeleri %40-90’a varan oranlarda kar\u015f\u0131 tarafa iletti\u011fini g\u00f6stermi\u015ftir. Menisk\u00fcsler \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 zaman temas alan\u0131 b\u00fcy\u00fck oranda azalmaktad\u0131r, bu da gelecekteki olumsuzluklara zemin haz\u0131rlanmaktad\u0131r. Bu bilgilerin \u00f6\u011frenilmesi menisk\u00fcslerin korunulmas\u0131 i\u00e7in daha \u00e7ok nedene sahip oldu\u011fumuzu g\u00f6stermi\u015flerdir. G\u00fcn\u00fcm\u00fczde menisk\u00fcslere y\u00f6nelik olarak daha s\u0131n\u0131rl\u0131 giri\u015fimler yap\u0131lmas\u0131 burdan kaynaklanmaktad\u0131r. Ge\u00e7mi\u015fte en ufak bir problemin de rahatl\u0131kla \u00e7\u0131kart\u0131larak feda edilen menisk\u00fcsler, art\u0131k dizin en sayg\u0131n sakinleri olarak kabul edilmektedir.[\/vc_column_text][\/vc_column][vc_column width=”1\/2″][vc_single_image image=”3315″ img_size=”large” style=”img-frame-large” css_animation=”none”][vc_column_text]\n

<\/h3>\n

Menisk\u00fcslerde y\u0131rt\u0131klar dizin normalden fazla i\u00e7e veya d\u0131\u015fa d\u00f6nme zorlanmalar\u0131 ile hareketlerinin engellenmesi s\u0131ras\u0131nda olu\u015fur. Y\u0131rt\u0131k olu\u015fmas\u0131na en yayg\u0131n \u00f6rnekler futbolla ilgili olarak verilebilir. \u00c7\u00fcnk\u00fc futbolcular ma\u00e7 veya antrenmanlarda normal ya\u015famdan daha fazla y\u00fcklenmelerle kar\u015f\u0131la\u015f\u0131rlar. Futbolcunun kramponlu ayakkab\u0131 ile aya\u011f\u0131 yerde sabit tutarken, hafif b\u00fck\u00fcl\u00fc diz \u00fczerinde pas verir veya topa vurur. Ayak sabit dururken diz \u00fczerinde kontrols\u00fcz veya anormal d\u00f6nme ile menisk\u00fcsler a\u015f\u0131r\u0131 y\u00fck alt\u0131nda kal\u0131rlar. E\u011fer yeterli adele g\u00fcc\u00fc, bu y\u00fcklenmeleri kar\u015f\u0131layamazsa y\u0131rt\u0131k olu\u015fmas\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r. Bu y\u00fczden kontakt sporlardaki menisk\u00fcs y\u0131rt\u0131klar\u0131 genelde hafif b\u00fck\u00fcl\u00fc diz \u00fczerinde, eklemin a\u015f\u0131r\u0131 bi\u00e7imde d\u00f6nmeye zorlanmas\u0131 ile geli\u015fir. Sakatl\u0131k yaralanman\u0131n \u015fiddeti ve s\u00fcresiyle do\u011fru orant\u0131l\u0131 olarak olu\u015fur. Zaman i\u00e7erisinde al\u0131nan \u00f6nlemlere ve g\u00fc\u00e7l\u00fc adele yap\u0131s\u0131yla korunma bu sakatlanma azalma ile sonu\u00e7lanmas\u0131 beklenmektedir. Ancak futbolda artan h\u0131z ve g\u00fc\u00e7 ilkesi yaralanma oran\u0131n\u0131 azalmamas\u0131na yol a\u00e7m\u0131\u015ft\u0131r.<\/p>\n

Akupunktur tedavisi ile diz ve ayak bilek a\u011fr\u0131lar\u0131nda olumlu sonu\u00e7lar al\u0131nmaktad\u0131r. Tedavi s\u00fcrecinde e\u011fer hastan\u0131n fazla kilolar\u0131 mevcutsa kilo kontrol\u00fcn\u00fcde sa\u011flamak tedavinin seyrini olumlu olarak etkileyecektir. \u00c7\u00fcnk\u00fc fala kilolar \u00f6zellikle eklem b\u00f6lgelerinde fazlaca hissedilir ve o b\u00f6lgenin iyile\u015fme s\u00fcrecini k\u00f6t\u00fc y\u00f6nde etkiler.\u00a0Akupunktur seanslar\u0131\u00a0tedavinin ba\u015flang\u0131\u00e7 d\u00f6nemlerinde haftada\u00a0bir kez olmak \u00fczere toplam\u00a010-15 seans uygulanmal\u0131d\u0131r. Tedavi s\u00fcreci tamamland\u0131ktan sonra belli d\u00f6nemlerde ve rahats\u0131zl\u0131\u011f\u0131n tekrarlad\u0131\u011f\u0131 zamanlarda hat\u0131rlat\u0131c\u0131 seanslar uygulanmal\u0131d\u0131r.[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row full_width=”stretch_row” curly_padding=”content-padding-none”][vc_column curly_padding=”content-padding”][vc_column_text] D\u0130Z ve AYAK B\u0130LE\u011e\u0130 A\u011eRILARI [\/vc_column_text][\/vc_column][\/vc_row][vc_row curly_padding=”content-padding-xs”][vc_column width=”1\/2″][vc_single_image image=”3321″ img_size=”large” style=”img-frame-large” css_animation=”none”][vc_column_text]Diz ve ayak bilek a\u011fr\u0131lar\u0131n\u0131n bir \u00e7ok t\u0131bbi sebebi olabilmekte fakat daha \u00e7ok takip etti\u011fimiz hastalardan edindi\u011fimiz bilgilere g\u00f6re hareketsiz bir ya\u015fam ve bunun sonucunda olu\u015fan a\u015f\u0131r\u0131 kilolarda diz ve ayak bile\u011fine binen y\u00fck\u00fc art\u0131rarak bu b\u00f6lgelerde dejeneratif de\u011fi\u015fiklikler yapmakta ve a\u011fr\u0131 ile kendini g\u00f6sterebilmektedir. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2995,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-3312","page","type-page","status-publish","hentry"],"yoast_head":"\nD\u0130Z ve AYAK B\u0130LE\u011e\u0130 A\u011eRILARID\u0130Z ve AYAK B\u0130LE\u011e\u0130 A\u011eRILARID\u0130Z ve AYAK B\u0130LE\u011e\u0130 A\u011eRILARI<\/title>\n<meta name=\"description\" content=\"Diz ve ayak bilek a\u011fr\u0131lar\u0131n\u0131n bir \u00e7ok t\u0131bbi sebebi olabilmekte fakat daha \u00e7ok takip etti\u011fimiz hastalardan edindi\u011fimiz bilgilere g\u00f6re hareketsiz bir ya\u015fam ve bunun sonucunda olu\u015fan a\u015f\u0131r\u0131 kilolarda diz ve ayak bile\u011fine binen y\u00fck\u00fc art\u0131rarak bu b\u00f6lgelerde dejeneratif de\u011fi\u015fiklikler yapmakta ve a\u011fr\u0131 ile kendini g\u00f6sterebilmektedir.\" \/>\n<meta name=\"robots\" content=\"index, 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