![](\"https:\/\/prizrenpost.com\/tr\/wp-content\/uploads\/2026\/05\/1830-5-1.jpg\")
<\/p>\n<\/p>\n
Finli ara\u015ft\u0131rmac\u0131lar, osteoartritte menisk\u00fcs\u00fcn k\u0131smen \u00e7\u0131kar\u0131lmas\u0131n\u0131n \u00e7o\u011fu zaman uzun vadeli bir iyile\u015fme sa\u011flamad\u0131\u011f\u0131n\u0131, ancak bir\u00e7ok durumda konservatif alternatiflerin daha iyi sonu\u00e7lar verdi\u011fini buldu.<\/p>\n
Diz osteoartritinde s\u0131kl\u0131kla kullan\u0131lan operasyon olan menisk\u00fcs\u00fcn artroskopik olarak k\u0131smen \u00e7\u0131kar\u0131lmas\u0131, hastalara beklenen fayday\u0131 sa\u011flamayabilir. Yeni bir ara\u015ft\u0131rmaya g\u00f6re, bu m\u00fcdahale dizinin uzun vadedeki sa\u011fl\u0131\u011f\u0131n\u0131 daha da k\u00f6t\u00fcle\u015ftirebilir.<\/p>\n
Finlandiya’daki ara\u015ft\u0131rmac\u0131lar ne sonuca vard\u0131?<\/p>\n
Finlandiya’dan ara\u015ft\u0131rmac\u0131lar \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131n\u0131 The New England Journal of Medicine’de yay\u0131nlad\u0131lar ve menisk\u00fcs\u00fcn hasarl\u0131 k\u0131sm\u0131 \u00f6n\u00fcm\u00fczdeki on y\u0131l i\u00e7inde al\u0131nan hastalar\u0131n, \u00e7\u0131kar\u0131lmadan “sahte” ameliyat ge\u00e7iren ki\u015filere k\u0131yasla daha k\u00f6t\u00fc sonu\u00e7lara sahip oldu\u011funu belirttiler. k\u0131k\u0131rdak.<\/p>\n
Kontrol grubundaki kat\u0131l\u0131mc\u0131lar, menisektomi ge\u00e7iren ki\u015filere k\u0131yasla daha az diz a\u011fr\u0131s\u0131na, daha iyi hareket kabiliyetine ve osteoartritin daha yava\u015f ilerlemesine sahipti.<\/p>\n
Menisk\u00fcs, dizde bulunan ve uyluk kemi\u011fi ile k\u0131k\u0131rdak aras\u0131nda bir amortis\u00f6r g\u00f6revi g\u00f6ren sert, elastik, C \u015feklinde bir k\u0131k\u0131rdakt\u0131r. Dizin ani b\u00fck\u00fclmesi sonucu menisk\u00fcs y\u0131rt\u0131\u011f\u0131 meydana gelebilir, ancak hasar daha \u00e7ok y\u0131llar i\u00e7inde geli\u015fir.<\/p>\n
Ya\u015fl\u0131 ki\u015filerde menisk\u00fcs hasar\u0131 s\u0131kl\u0131kla osteoartritle birlikte ortaya \u00e7\u0131kar. Diz artriti olan ki\u015filerin \u00e7o\u011funda menisk\u00fcste de de\u011fi\u015fiklikler g\u00f6r\u00fcl\u00fcrken, menisk\u00fcs hasar\u0131 olan ki\u015filerin bir\u00e7o\u011funda da osteoartrit g\u00f6r\u00fcl\u00fcr.<\/p>\n
Menisk\u00fcs ger\u00e7ekten a\u011fr\u0131n\u0131n ana nedeni midir?<\/p>\n
Y\u0131llarca diz a\u011fr\u0131s\u0131n\u0131n ana kayna\u011f\u0131n\u0131n menisk\u00fcs hasar\u0131 oldu\u011funa inan\u0131lm\u0131\u015ft\u0131r. Ancak g\u00fcn\u00fcm\u00fcz\u00fcn uzmanlar\u0131 durumun bu kadar basit olmad\u0131\u011f\u0131n\u0131 tahmin ediyor.<\/p>\n
Cedars-Sinai T\u0131p Merkezi’nden ortopedi cerrah\u0131 ve spor hekimli\u011fi uzman\u0131 Dr. Klint Sope, daha \u00f6nce doktorlar\u0131n genellikle artritin neden oldu\u011fu a\u011fr\u0131y\u0131 menisk\u00fcsle ili\u015fkili a\u011fr\u0131dan ay\u0131rmad\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
\u00c7al\u0131\u015fman\u0131n lideri, Helsinki \u00dcniversitesi’nden Dr. Teppo J\u00e4rvinen, t\u0131bb\u0131n belki de y\u0131llard\u0131r bu soruna \u00e7\u00f6z\u00fcm bulmad\u0131\u011f\u0131n\u0131 g\u00f6steren kan\u0131tlar\u0131n giderek artt\u0131\u011f\u0131n\u0131 vurgulad\u0131. sorunun ger\u00e7ek nedeni.<\/p>\n
Ona g\u00f6re menisk\u00fcs hasar\u0131 g\u00f6r\u00fcnt\u00fclemede s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcyor ancak a\u011fr\u0131n\u0131n tek veya ana nedeni gibi g\u00f6r\u00fcnm\u00fcyor. Menisk\u00fcsteki de\u011fi\u015fikliklerin orta ya\u015fl\u0131 ve ya\u015fl\u0131 ki\u015filerde, hatta hi\u00e7bir semptomu olmayanlarda bile \u00e7ok s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ekliyor. Bu nedenle rahats\u0131zl\u0131ktan yaln\u0131zca menisk\u00fcs\u00fcn sorumlu olmas\u0131 pek olas\u0131 de\u011fildir.<\/p>\n
Uzmanlar v\u00fccuttaki karma\u015f\u0131k kronik inflamasyon s\u00fcre\u00e7lerinin de \u00f6nemli bir rol oynad\u0131\u011f\u0131na inan\u0131yor. Telegrafi’nin haberine g\u00f6re, bug\u00fcn sitokinler, interl\u00f6kinler ve TNF-alfa proteini gibi \u00e7e\u015fitli inflamatuar arac\u0131lar\u0131n osteoartritte a\u011fr\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131 ve devam etmesini etkileyebildi\u011fi biliniyor.<\/p>\n
Menisk\u00fcs ameliyat\u0131n\u0131n alternatifleri nelerdir?<\/p>\n
Doktorlar, ameliyat\u0131n her zaman ilk \u00e7\u00f6z\u00fcm veya en iyi \u00e7\u00f6z\u00fcm olmad\u0131\u011f\u0131n\u0131 vurguluyor. \u00c7o\u011fu durumda, dizine iyile\u015fmesi i\u00e7in zaman tan\u0131nmal\u0131 ve tedavide konservatif y\u00f6ntemlere odaklan\u0131lmal\u0131d\u0131r.<\/p>\n
Bu, antiinflamatuar ila\u00e7lar\u0131n kullan\u0131m\u0131, fizik tedavi, dinlenme, diz so\u011futma ve uyarlanm\u0131\u015f fiziksel aktivite anlam\u0131na gelir. Hareketlili\u011fi korurken eklemdeki y\u00fck\u00fc hafifletti\u011fi i\u00e7in bisiklete binme s\u0131kl\u0131kla tavsiye edilir.<\/p>\n
Kortikosteroidler, hyaluronik asit veya trombosit a\u00e7\u0131s\u0131ndan zengin kan plazmas\u0131 kullanan PRP tedavisi gibi enjekte edilebilir tedaviler de baz\u0131 hastalarda yard\u0131mc\u0131 olabilir.<\/p>\n
Dr. Sope, h\u00e2l\u00e2 menisektomi yapt\u0131\u011f\u0131n\u0131, ancak yaln\u0131zca \u00e7ok spesifik vakalarda, menisk\u00fcs\u00fcn yerinden \u00e7\u0131kt\u0131\u011f\u0131 ve ek sorunlara neden oldu\u011fu ve di\u011fer tedavi y\u00f6ntemlerinin ba\u015far\u0131s\u0131z oldu\u011fu durumlarda \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor. \u0130lerlemi\u015f osteoartritte total diz protezi, menisk\u00fcs\u00fcn al\u0131nmas\u0131ndan daha ak\u0131lc\u0131 bir \u00e7\u00f6z\u00fcm olabilir.<\/p>\n
Uzmanlar, akut travmatik diz yaralanmalar\u0131nda, \u00f6zellikle menisk\u00fcs\u00fcn korunmas\u0131 veya yeniden yap\u0131land\u0131r\u0131lmas\u0131n\u0131n gerekli oldu\u011fu durumlarda, cerrahi tedavinin \u00f6nemli bir rol oynamaya devam etti\u011fini vurguluyor.<\/p>\n
Ancak, en yayg\u0131n dejeneratif yaralanmalar ve kronik a\u011fr\u0131larda, uzun vadeli sonu\u00e7lar, alternatif yakla\u015f\u0131mlar\u0131n s\u0131kl\u0131kla daha iyi sonu\u00e7lar verdi\u011fini g\u00f6steriyor. <\/p>\n
“Sahte” operasyon neden iyile\u015fme sa\u011flad\u0131?<\/p>\n
Kontrol grubundaki kat\u0131l\u0131mc\u0131lara i\u015flem s\u0131ras\u0131nda yine de tan\u0131sal artroskopi yap\u0131lmas\u0131 ilgin\u00e7tir. Bu ameliyat s\u0131ras\u0131nda, eklemin k\u0131zarmas\u0131 ve kameran\u0131n daha net bir g\u00f6r\u00fcnt\u00fc elde etmesi i\u00e7in dize fizyolojik sol\u00fcsyon enjekte edilir.<\/p>\n
Dr. Sope’a g\u00f6re, eklemin bu \u015fekilde y\u0131kanmas\u0131 a\u011fr\u0131n\u0131n azalmas\u0131n\u0131 etkilemi\u015f olabilir, \u00e7\u00fcnk\u00fc semptomlar\u0131n ortaya \u00e7\u0131kmas\u0131na katk\u0131da bulunan iltihapl\u0131 maddelerin bir k\u0131sm\u0131n\u0131 ortadan kald\u0131rm\u0131\u015f olabilir.<\/p>\n
Bu nedenle baz\u0131 uzmanlar “sahte” ameliyat\u0131n tamamen etkisiz olmayabilece\u011fini tahmin ediyor, ancak prosed\u00fcr\u00fcn kendisi durumu biraz rahatlatm\u0131\u015f olabilir. hastalar.<\/p>\n
Kaynak: prizrenpost<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" Finli ara\u015ft\u0131rmac\u0131lar, osteoartritte menisk\u00fcs\u00fcn k\u0131smen \u00e7\u0131kar\u0131lmas\u0131n\u0131n \u00e7o\u011fu zaman uzun vadeli bir iyile\u015fme sa\u011flamad\u0131\u011f\u0131n\u0131, ancak bir\u00e7ok durumda konservatif alternatiflerin daha iyi sonu\u00e7lar verdi\u011fini buldu. Diz osteoartritinde s\u0131kl\u0131kla kullan\u0131lan operasyon olan menisk\u00fcs\u00fcn artroskopik olarak k\u0131smen \u00e7\u0131kar\u0131lmas\u0131, hastalara beklenen fayday\u0131 sa\u011flamayabilir. Yeni bir ara\u015ft\u0131rmaya g\u00f6re, bu m\u00fcdahale dizinin uzun vadedeki sa\u011fl\u0131\u011f\u0131n\u0131 daha da k\u00f6t\u00fcle\u015ftirebilir. Finlandiya’daki ara\u015ft\u0131rmac\u0131lar ne sonuca […]<\/p>\n","protected":false},"author":1,"featured_media":49106,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-49105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"views":4,"_links":{"self":[{"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/posts\/49105","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/comments?post=49105"}],"version-history":[{"count":1,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/posts\/49105\/revisions"}],"predecessor-version":[{"id":49107,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/posts\/49105\/revisions\/49107"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/media\/49106"}],"wp:attachment":[{"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/media?parent=49105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/categories?post=49105"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/prizrenpost.com\/tr\/wp-json\/wp\/v2\/tags?post=49105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}