{"id":4175,"date":"2024-12-12T15:54:28","date_gmt":"2024-12-12T12:54:28","guid":{"rendered":"https:\/\/docdrmuratkaya.com.tr\/?p=4175"},"modified":"2026-04-15T13:50:01","modified_gmt":"2026-04-15T10:50:01","slug":"kohler-hastaligi-tedavisi","status":"publish","type":"post","link":"https:\/\/docdrmuratkaya.com.tr\/en\/kohler-hastaligi-tedavisi\/","title":{"rendered":"K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi"},"content":{"rendered":"<p data-block-id=\"cd3bbd47-9a00-439f-98a9-c7ef770ed82d\" data-pm-slice=\"1 1 []\">K\u00f6hler hastal\u0131\u011f\u0131, genellikle \u00e7ocukluk d\u00f6neminde g\u00f6r\u00fcl\u00fcr. Ayak tarak kemi\u011fi (navik\u00fcler kemik) b\u00f6lgesinde kemik erimesi ile karakterize edilen bir rahats\u0131zl\u0131kt\u0131r. Hastal\u0131k, navik\u00fcler kemi\u011fin kan dola\u015f\u0131m\u0131ndaki bozulmadan kaynaklan\u0131r. <strong>K\u00f6hler hastal\u0131\u011f\u0131 tedavisi<\/strong>, semptomlar\u0131 hafifletir ve iyile\u015fme s\u00fcrecini h\u0131zland\u0131r\u0131r.<\/p>\n<h2 data-block-id=\"549e83a1-538a-4411-a805-fbe3d8f69c2c\">Cerrahi K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi Y\u00f6ntemleri<\/h2>\n<p><img decoding=\"async\" class=\"wp-image-4178 alignleft\" src=\"https:\/\/docdrmuratkaya.com.tr\/wp-content\/uploads\/2024\/12\/kohler-hastaligi-tedavisi-2.jpg\" alt=\"K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi\" width=\"372\" height=\"223\" title=\"\" srcset=\"https:\/\/docdrmuratkaya.com.tr\/wp-content\/uploads\/2024\/12\/kohler-hastaligi-tedavisi-2.jpg 1000w, https:\/\/docdrmuratkaya.com.tr\/wp-content\/uploads\/2024\/12\/kohler-hastaligi-tedavisi-2-18x12.jpg 18w\" sizes=\"(max-width: 372px) 100vw, 372px\" \/><\/p>\n<p data-block-id=\"033e886f-6fa1-4f32-8d6c-4b8de8b21efd\">\u00c7ocuklarda navik\u00fcler kemi\u011fin kan dola\u015f\u0131m\u0131ndaki bozulma sonucu olu\u015fur. Hastal\u0131\u011f\u0131n erken evrelerinde konservatif tedavi yeterli olabilir. Ancak baz\u0131 a\u011f\u0131r vakalarda cerrahi m\u00fcdahale gereklidir. Cerrahi tedavi, semptomlar\u0131n azalt\u0131lmas\u0131 ve kemikteki deformitelerin d\u00fczeltilmesi i\u00e7in yap\u0131l\u0131r.<\/p>\n<p data-block-id=\"80589ae6-4a78-449a-916b-e24d6dcc5e7f\">Dekompresyon cerrahisi, navik\u00fcler kemik \u00fczerindeki bask\u0131y\u0131 azalt\u0131r. Bu i\u015flemle kemi\u011fin etraf\u0131ndaki bask\u0131 ortadan kald\u0131r\u0131l\u0131r. Kan ak\u0131\u015f\u0131 iyile\u015fir ve kemi\u011fin yeniden yap\u0131lanmas\u0131 desteklenir. Konservatif tedaviyle birlikte iyile\u015fmeyi h\u0131zland\u0131r\u0131r.<\/p>\n<p data-block-id=\"ab904b51-7368-4844-9c27-636746e3bb3c\">Osteotomi, kemikteki \u015fekil bozukluklar\u0131n\u0131 d\u00fczeltir. Navik\u00fcler kemikte olu\u015fan deformiteler bu y\u00f6ntemle d\u00fczeltilir. Kemik yeniden \u015fekillendirilir ve aya\u011f\u0131n yap\u0131sal b\u00fct\u00fcnl\u00fc\u011f\u00fc sa\u011flan\u0131r. Hareket kabiliyeti iyile\u015fir.<\/p>\n<p data-block-id=\"35bff3bd-bec0-4a03-af9a-a642879f4f61\">Baz\u0131 durumlarda kemik grefti uygulan\u0131r. Hasarl\u0131 navik\u00fcler kemi\u011fi g\u00fc\u00e7lendirmek i\u00e7in greft kullan\u0131l\u0131r. Hastan\u0131n kemi\u011fi ya da sentetik materyal kullan\u0131l\u0131r. Kemik daha sa\u011flam ve sa\u011fl\u0131kl\u0131 bir yap\u0131ya kavu\u015fur.<\/p>\n<p data-block-id=\"6cd37b28-6854-41fc-833a-c5dc1bf707b9\">\u0130leri ve nadir vakalarda eklem birle\u015ftirme i\u015flemi yap\u0131labilir. Bu i\u015flem, navik\u00fcler kemikle kom\u015fu kemikler aras\u0131ndaki eklemi sabitler. A\u011fr\u0131y\u0131 azalt\u0131r ve aya\u011f\u0131n stabilitesini art\u0131r\u0131r. Ancak hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131na neden olabilir. Son \u00e7are olarak uygulan\u0131r. Cerrahi tedavi sonras\u0131 fizyoterapi \u00f6nemlidir. Ayr\u0131ca ayak koruyucu \u00f6nlemler al\u0131nmal\u0131d\u0131r.<\/p>\n<h3 data-block-id=\"ad896f62-769e-4d98-a4c9-b9f3f4f53e0f\">Cerrahi Olmayan K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi Y\u00f6ntemleri<\/h3>\n<p>\u00c7ocuklarda navik\u00fcler kemi\u011fin kan dola\u015f\u0131m\u0131ndaki bozulma sonucu olu\u015fur. <strong>K\u00f6hler hastal\u0131\u011f\u0131 tedavisi<\/strong> i\u00e7in \u00e7o\u011fu zaman cerrahi m\u00fcdahaleye gerek kalmaz. Cerrahi olmayan tedavi y\u00f6ntemleri ile hastal\u0131\u011f\u0131n semptomlar\u0131 hafifletilir. \u0130yile\u015fme s\u00fcreci desteklenir. Bu y\u00f6ntemler, kemi\u011fin dinlenmesini sa\u011flamak ve a\u011fr\u0131y\u0131 kontrol alt\u0131na almak i\u00e7in uygulan\u0131r.<\/p>\n<p data-block-id=\"d8810236-5285-46b5-8b61-dc1ae5990440\">Hastal\u0131\u011f\u0131n tedavisinde en \u00f6nemli ad\u0131m aya\u011f\u0131n dinlendirilmesidir. Fiziksel aktivitelerin k\u0131s\u0131tlanmas\u0131 kemik \u00fczerindeki bask\u0131y\u0131 azalt\u0131r. \u00c7ocu\u011fun a\u011fr\u0131 hissetti\u011fi d\u00f6nemlerde ko\u015fma ve z\u0131plama gibi aktivitelerden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n<p data-block-id=\"fe3f12fc-fdcc-4bf8-8dc0-f300345c5861\">Al\u00e7\u0131 veya atel uygulamas\u0131, aya\u011f\u0131n hareketsiz kalmas\u0131n\u0131 sa\u011flar. Bu sayede kemi\u011fin iyile\u015fmesi h\u0131zlan\u0131r. Al\u00e7\u0131 veya atel kullan\u0131labilir. Bu s\u00fcre\u00e7te kemi\u011fe binen y\u00fck azal\u0131r ve a\u011fr\u0131 kontrol alt\u0131na al\u0131n\u0131r.<\/p>\n<p data-block-id=\"890e1280-ddfb-4b96-a7a6-173f1a9d3212\">Aya\u011fa \u00f6zel ortopedik ayakkab\u0131lar veya destekleyici tabanl\u0131klar kullan\u0131labilir. Bu malzemeler, aya\u011f\u0131n yap\u0131s\u0131n\u0131 destekler ve kemi\u011fe binen bask\u0131y\u0131 azalt\u0131r. B\u00f6ylece a\u011fr\u0131 hafifler. \u0130yile\u015fme s\u00fcreci desteklenir.<\/p>\n<p data-block-id=\"af71f80b-8c01-40a8-8d01-0df23c1bf67c\">A\u011fr\u0131y\u0131 ve \u015fi\u015fli\u011fi azaltmak i\u00e7in so\u011fuk kompres yap\u0131labilir. G\u00fcn i\u00e7inde buz torbas\u0131 uygulanabilir. Bu y\u00f6ntem, iltihab\u0131 ve rahats\u0131zl\u0131\u011f\u0131 hafifletir. Doktor tavsiyesiyle ibuprofen veya parasetamol gibi a\u011fr\u0131 kesiciler kullan\u0131labilir. Bu ila\u00e7lar, a\u011fr\u0131y\u0131 ve iltihab\u0131 azaltarak \u00e7ocu\u011fun daha rahat hareket etmesini sa\u011flar.<\/p>\n<p data-block-id=\"c1727802-fe79-4798-9314-1f6373bae918\">Fizyoterapi, ayak kaslar\u0131n\u0131 g\u00fc\u00e7lendirmeye yard\u0131mc\u0131 olur. Esnekli\u011fi art\u0131rmak i\u00e7in de uygulanabilir. \u00d6zellikle iyile\u015fme s\u00fcrecinde yap\u0131lan egzersizler, aya\u011f\u0131n normal fonksiyonuna kavu\u015fmas\u0131na yard\u0131mc\u0131 olur.^Cerrahi olmayan bu y\u00f6ntemlerle K\u00f6hler hastal\u0131\u011f\u0131 genellikle birka\u00e7 ay i\u00e7inde iyile\u015fir. D\u00fczenli doktor takibi, iyile\u015fme s\u00fcrecinde olduk\u00e7a \u00f6nemlidir.<\/p>\n<h3 data-block-id=\"0dd1cc11-b5dc-4196-9350-0848ae198d14\">K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi Sonras\u0131 \u0130yile\u015fme S\u00fcreci<\/h3>\n<p><img decoding=\"async\" class=\"wp-image-4177 alignright\" src=\"https:\/\/docdrmuratkaya.com.tr\/wp-content\/uploads\/2024\/12\/kohler-hastaligi-tedavisi-3.jpg\" alt=\"K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi\" width=\"372\" height=\"223\" title=\"\" srcset=\"https:\/\/docdrmuratkaya.com.tr\/wp-content\/uploads\/2024\/12\/kohler-hastaligi-tedavisi-3.jpg 1000w, https:\/\/docdrmuratkaya.com.tr\/wp-content\/uploads\/2024\/12\/kohler-hastaligi-tedavisi-3-18x12.jpg 18w\" sizes=\"(max-width: 372px) 100vw, 372px\" \/><\/p>\n<p data-block-id=\"e9532e38-f38b-4737-9ad5-f5b2be86b401\">K\u00f6hler hastal\u0131\u011f\u0131, \u00e7ocuklarda ayak tarak kemi\u011fi olan navik\u00fcler kemi\u011fin kan dola\u015f\u0131m\u0131nda bozulma ile ortaya \u00e7\u0131kar. <strong>K\u00f6hler hastal\u0131\u011f\u0131 tedavisi<\/strong> s\u00fcreci tamamland\u0131ktan sonra iyile\u015fme s\u00fcreci olduk\u00e7a \u00f6nemlidir.<\/p>\n<p data-block-id=\"2a3984ff-f016-43f1-908d-0bdfda677ab6\">\u0130yile\u015fmenin sa\u011fl\u0131kl\u0131 ilerlemesi i\u00e7in uygun \u00f6nlemler al\u0131nmal\u0131d\u0131r. Doktorun \u00f6nerilerine dikkat edilmelidir. Hastal\u0131\u011f\u0131n tamamen iyile\u015fmesi genellikle birka\u00e7 ay ile bir y\u0131l aras\u0131nda s\u00fcrebilir.<\/p>\n<p data-block-id=\"58c033a4-44af-460f-a9f7-053988f688e0\">Tedavi sonras\u0131 s\u00fcre\u00e7te aya\u011f\u0131n y\u00fckten korunmas\u0131 \u00f6nemlidir. \u00c7ocuk, ko\u015fma, z\u0131plama ve uzun y\u00fcr\u00fcy\u00fc\u015f gibi kemik \u00fczerinde bask\u0131 olu\u015fturacak aktivitelerden ka\u00e7\u0131nmal\u0131d\u0131r. \u0130yile\u015fme s\u00fcrecinde a\u015famal\u0131 olarak hafif aktivitelere ge\u00e7ilmelidir. \u00c7ocu\u011fun a\u011fr\u0131s\u0131z hareket edebilmesi iyile\u015fmenin iyi ilerledi\u011finin bir g\u00f6stergesidir.<\/p>\n<p data-block-id=\"23c70a33-6776-4c60-bb93-a98bd8d28b8d\">\u0130yile\u015fme s\u00fcrecinde fizyoterapi \u00f6nemli bir rol oynar. Fiziksel terapi, aya\u011f\u0131n g\u00fc\u00e7lenmesini ve esnekli\u011fini art\u0131rmay\u0131 hedefler. Denge egzersizleri, kemi\u011fin sa\u011fl\u0131\u011f\u0131n\u0131 destekler. Hareket kabiliyetini art\u0131ran egzersizler ise \u00e7evresindeki kaslar\u0131 g\u00fc\u00e7lendirir. D\u00fczenli yap\u0131lan egzersizler, \u00e7ocu\u011fun normal g\u00fcnl\u00fck aktivitelerine daha h\u0131zl\u0131 d\u00f6nmesine yard\u0131mc\u0131 olur.<\/p>\n<p data-block-id=\"4e13bcb2-3dca-4805-a0f4-7ad6b502907c\">\u0130yile\u015fme s\u00fcrecinde ortopedik ayakkab\u0131lar veya \u00f6zel tabanl\u0131klar kullan\u0131labilir. Bu destekler, aya\u011fa do\u011fru pozisyon verir ve kemik \u00fczerindeki bask\u0131y\u0131 azalt\u0131r. Ayr\u0131ca, ayak yap\u0131s\u0131n\u0131 koruyarak tekrarlayan rahats\u0131zl\u0131k riskini en aza indirir.<\/p>\n<p data-block-id=\"528063c3-9eff-4890-bc4d-aad9dd1cb991\">Tedavi sonras\u0131 s\u00fcre\u00e7te hafif a\u011fr\u0131lar g\u00f6r\u00fclebilir. Bu durumda doktorun \u00f6nerdi\u011fi a\u011fr\u0131 kesiciler kullan\u0131labilir. \u0130yile\u015fmenin seyrini izlemek i\u00e7in d\u00fczenli doktor kontrollerine devam edilmelidir. Kemik sa\u011fl\u0131\u011f\u0131n\u0131n do\u011fru ilerledi\u011finden emin olunmal\u0131d\u0131r.<\/p>\n<p data-block-id=\"3aae09d9-7cc3-496a-a43c-0f968400c1d7\">\u00c7o\u011fu \u00e7ocukta <strong>K\u00f6hler hastal\u0131\u011f\u0131 tedavisi<\/strong> sonras\u0131 tamamen iyile\u015fir. Kemik yeniden \u015fekillenir ve a\u011fr\u0131 kaybolur. Tam iyile\u015fme sa\u011fland\u0131ktan sonra \u00e7ocuk, normal aktivitelerine geri d\u00f6nebilir. Ancak, iyile\u015fme s\u00fcrecinde dikkatli olunmal\u0131d\u0131r. Ayr\u0131ca doktor tavsiyelerine uyulmal\u0131d\u0131r.<\/p>","protected":false},"excerpt":{"rendered":"<p>K\u00f6hler hastal\u0131\u011f\u0131, genellikle \u00e7ocukluk d\u00f6neminde g\u00f6r\u00fcl\u00fcr. Ayak tarak kemi\u011fi (navik\u00fcler kemik) b\u00f6lgesinde kemik erimesi ile karakterize edilen bir rahats\u0131zl\u0131kt\u0131r. Hastal\u0131k, navik\u00fcler kemi\u011fin kan dola\u015f\u0131m\u0131ndaki bozulmadan kaynaklan\u0131r. K\u00f6hler hastal\u0131\u011f\u0131 tedavisi, semptomlar\u0131 hafifletir ve iyile\u015fme s\u00fcrecini h\u0131zland\u0131r\u0131r. Cerrahi K\u00f6hler Hastal\u0131\u011f\u0131 Tedavisi Y\u00f6ntemleri \u00c7ocuklarda navik\u00fcler kemi\u011fin kan dola\u015f\u0131m\u0131ndaki bozulma sonucu olu\u015fur. Hastal\u0131\u011f\u0131n erken evrelerinde konservatif tedavi yeterli olabilir. [&hellip;]<\/p>","protected":false},"author":1,"featured_media":4176,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4175","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"_links":{"self":[{"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/posts\/4175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/comments?post=4175"}],"version-history":[{"count":1,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/posts\/4175\/revisions"}],"predecessor-version":[{"id":5566,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/posts\/4175\/revisions\/5566"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/media\/4176"}],"wp:attachment":[{"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/media?parent=4175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/categories?post=4175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/docdrmuratkaya.com.tr\/en\/wp-json\/wp\/v2\/tags?post=4175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}