<\/span><\/h2>\nHer zaman s\u00f6yledi\u011fimiz gibi, t\u0131pta en iyi tedavi koruyucu hekimliktir, yani sorunun hi\u00e7 ortaya \u00e7\u0131kmamas\u0131n\u0131 sa\u011flamakt\u0131r. Kemik kaymas\u0131n\u0131 \u00f6nlemek, hem cerrahi ekibin hem de bizzat hastan\u0131n omuz omuza verece\u011fi bir m\u00fccadeleyle m\u00fcmk\u00fcnd\u00fcr. Bu bir ekip oyunudur ve en \u00f6nemli oyuncu sizsiniz.<\/p>\n
\u00d6nleme, daha siz ameliyattayken ba\u015flar. Modern kalp cerrahisi yakla\u015f\u0131m\u0131, “herkese ayn\u0131” y\u00f6ntem yerine, “ki\u015fiye \u00f6zel” bir kapatma tekni\u011fi uygulamay\u0131 hedefler. Cerrah\u0131n\u0131z, daha \u00f6nce bahsetti\u011fimiz obezite, diyabet, KOAH gibi risk fakt\u00f6rlerinizi de\u011ferlendirerek sizin bu komplikasyon i\u00e7in y\u00fcksek risk grubunda olup olmad\u0131\u011f\u0131n\u0131za karar verir. E\u011fer y\u00fcksek riskli bir hastaysan\u0131z, standart tel y\u00f6ntemleri yerine, ameliyat\u0131n en ba\u015f\u0131nda daha sa\u011flam bir kapatma tekni\u011fi olan titanyum plak ve vida sistemlerini proaktif olarak kullanabilir. Yani bir sorun \u00e7\u0131kmas\u0131n\u0131 beklemek yerine, sorunun \u00e7\u0131kmas\u0131n\u0131 en ba\u015f\u0131ndan engellemi\u015f olur.<\/p>\n
Sizin rol\u00fcn\u00fcz ise ameliyattan \u00e7\u0131kar \u00e7\u0131kmaz ba\u015flar. Yara bak\u0131m\u0131na \u00f6zen g\u00f6stermek ve en \u00f6nemlisi, hareket konusunda eskimi\u015f, yanl\u0131\u015f inan\u0131\u015flar\u0131 bir kenara b\u0131rak\u0131p modern ve kan\u0131ta dayal\u0131 \u00f6nerilere uymak, yapabilece\u011finiz en b\u00fcy\u00fck katk\u0131d\u0131r.<\/p>\n
\u00d6nleme konusunda size d\u00fc\u015fen \u00f6nemli g\u00f6revler ve modern iyile\u015fme prensipleri \u015funlard\u0131r:<\/p>\n
Yara Bak\u0131m\u0131: Kesi yerinizi temiz ve kuru tutun. Doktorunuzun \u00f6nerdi\u011fi \u015fekilde nazik\u00e7e y\u0131kay\u0131p ovalamadan kurulay\u0131n. Her g\u00fcn yaran\u0131z\u0131 kontrol edin ve en ufak bir k\u0131zar\u0131kl\u0131k, ak\u0131nt\u0131 veya a\u00e7\u0131lma fark ederseniz hemen ekibinize haber verin.<\/p>\n
Eski Yasaklar\u0131 Unutun: Y\u0131llarca kalp ameliyat\u0131 olan hastalara “kollar\u0131n\u0131 omuz hizas\u0131ndan yukar\u0131 kald\u0131rma”, “5 kilodan a\u011f\u0131r ta\u015f\u0131ma” gibi kat\u0131 kurallar listesi verildi. Ancak bilimsel \u00e7al\u0131\u015fmalar bu yasaklar\u0131n bir faydas\u0131 olmad\u0131\u011f\u0131n\u0131, aksine hastalar\u0131n hareket etmekten korkmas\u0131na, kaslar\u0131n\u0131n zay\u0131flamas\u0131na ve iyile\u015fmelerinin yava\u015flamas\u0131na neden oldu\u011funu g\u00f6stermi\u015ftir.<\/p>\n
“Hareketini T\u00fcp\u00fcn \u0130\u00e7inde Tut” Kural\u0131: Modern yakla\u015f\u0131m yasaklamak yerine “nas\u0131l g\u00fcvenli hareket edece\u011finizi” \u00f6\u011fretmektir. V\u00fccudunuzu saran hayali bir silindir veya t\u00fcp d\u00fc\u015f\u00fcn\u00fcn. Y\u00fck gerektiren bir i\u015f yaparken (\u00f6rne\u011fin yerden bir \u015fey al\u0131rken veya sandalyeden kalkarken), \u00fcst kollar\u0131n\u0131z\u0131 bu hayali t\u00fcp\u00fcn i\u00e7inde, yani v\u00fccudunuza yak\u0131n tutmaya \u00e7al\u0131\u015f\u0131n. Bu basit teknik, kollar\u0131 yanlara a\u00e7arak yap\u0131lan hareketlerin aksine, g\u00f6\u011f\u00fcs kemi\u011fine binen yan stresi en aza indirir.<\/p>\n
A\u011fr\u0131n\u0131z Sizin Rehberinizdir: V\u00fccudunuzu dinleyin. E\u011fer bir hareket size keskin bir a\u011fr\u0131 veya \u00e7ekilme hissi veriyorsa, o hareketi yapmay\u0131n veya yap\u0131\u015f \u015feklinizi de\u011fi\u015ftirin. Ama\u00e7 a\u011fr\u0131s\u0131z bir aral\u0131kta fonksiyonel olmakt\u0131r.<\/p>\n
Yast\u0131k Deste\u011fi: \u00d6ks\u00fcrmeniz, hap\u015f\u0131rman\u0131z veya g\u00fclmeniz gerekti\u011finde, g\u00f6\u011fs\u00fcn\u00fcze s\u0131k\u0131ca bir yast\u0131k bast\u0131r\u0131n. Bu basit hareket, olu\u015fan i\u00e7 bas\u0131nc\u0131 emerek g\u00f6\u011f\u00fcs kemi\u011finize binen y\u00fck\u00fc inan\u0131lmaz derecede azaltan bir d\u0131\u015f destek sa\u011flar.<\/p>\n
Destekleyici Korse: \u00d6zellikle obezite gibi y\u00fcksek risk fakt\u00f6rleri ta\u015f\u0131yan hastalarda, ameliyattan sonraki ilk 6-8 hafta boyunca \u00f6zel olarak tasarlanm\u0131\u015f bir g\u00f6\u011f\u00fcs korsesi kullanman\u0131n, kemik kaymas\u0131 ve enfeksiyon riskini anlaml\u0131 \u00f6l\u00e7\u00fcde azaltt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir.<\/p>\n
<\/span>A\u00e7\u0131k Kalp Ameliyat\u0131 Sonras\u0131 Kaburga A\u011fr\u0131s\u0131 Neden Olur?<\/span><\/h2>\nA\u00e7\u0131k kalp ameliyat\u0131 s\u0131ras\u0131nda g\u00f6\u011f\u00fcs kemi\u011fi (sternum) ortadan kesilerek a\u00e7\u0131ld\u0131\u011f\u0131 i\u00e7in \u00e7evredeki kaslar, sinirler ve kaburgalar etkilenir. Ameliyat sonras\u0131 iyile\u015fme s\u00fcrecinde bu b\u00f6lgedeki dokular\u0131n onar\u0131m\u0131 s\u0131ras\u0131nda kaburga \u00e7evresinde a\u011fr\u0131 hissedilmesi yayg\u0131nd\u0131r. \u00d6zellikle \u00f6ks\u00fcrme, derin nefes alma veya ani hareketlerde bu a\u011fr\u0131lar artabilir. Genellikle birka\u00e7 hafta i\u00e7inde azal\u0131r, ancak \u015fiddetli veya uzun s\u00fcren a\u011fr\u0131larda hekime ba\u015fvurulmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
Kalp ameliyat\u0131 sonras\u0131 kemik kaymas\u0131, sternotomi ile a\u00e7\u0131lan g\u00f6\u011f\u00fcs kemi\u011finin iyile\u015fme s\u00fcrecinde d\u00fczg\u00fcn kaynamamas\u0131 veya sabitleme tellerinin yerinden oynamas\u0131yla ortaya \u00e7\u0131kar. Bu durum g\u00f6\u011f\u00fcs \u00f6n duvar\u0131nda a\u011fr\u0131, \u00e7\u0131t\u0131rt\u0131 hissi ve bazen belirgin \u015fekil bozuklu\u011fu ile kendini g\u00f6sterir. Kemik kaymas\u0131n\u0131n ba\u015fl\u0131ca nedenleri aras\u0131nda ameliyat sonras\u0131 erken d\u00f6nemde a\u011f\u0131r kald\u0131rma, ani g\u00f6vde hareketleri, \u00f6ks\u00fcr\u00fck krizleri, yara yeri […]\n","protected":false},"author":7,"featured_media":9582,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[],"class_list":["post-11081","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/comments?post=11081"}],"version-history":[{"count":3,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11081\/revisions"}],"predecessor-version":[{"id":13228,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11081\/revisions\/13228"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/9582"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=11081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=11081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=11081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}