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Menisküs ve Kıkırdak Aşınması

  • 25 Mart 2017
  • 3.128 kez görüntülendi.
Menisküs ve Kıkırdak Aşınması

Vücut ağırlığının üstlenilmesinde ve neredeyse gündelik hayatta her harekette aktif olarak kullanılan bölgelerden biri diz kısmıdır. Yürürken, koşarken, zıplarken hatta sabit dururken dahi diz eklemi aktif haldedir.

Diz yapısı gereği kompleks haldedir. İç ve dış tarafta 2 adet menisküs adı verilen disk bulunur. Menisküsün başlıca görevi; vücut ağırlığının dizlere eşit oranda dağılmasını sağlamaktır. Halk arasında rahatsızlık olarak bilinen menisküs aslında bir sağlık sorunu değil, dizde önemli işleve sahip disk yapısıdır. Bilinenin aksine rahatsızlık olan menisküs yırtığıdır. Dizde aniden yapılan bir hareket, dizin birden bire dönmesi ve ters harekette bulunulması gibi durumlarda oluşabilmektedir.

Menisküsün yanı sıra kıkırdak da diz bölgesinde bulunan önemli yapılardan biridir. Kemiklerin birbirleriyle sürtünmesini önleyen kıkırdakta aşınma ve yıpranma meydana gelebilir. Yaşlılarda daha fazla görülen kıkırdak aşımasının başlıca nedenleri içerikte anlatılmaktadır.

Kıkırdak Aşınması Nedenleri Nelerdir?

  • Dizlere fazla miktarda yük binmesi(aşırı kilo veya ağır yük kaldırılması neticesinde..),
  • Yapılan ağır fiziksel aktivite esnasında dizin fazla zorlanması, zedelenmesi. Özellikle sporcularda ve ağır işlerde çalışan işçilerde sık rastlanır.
  • Artrit: Eklemlerde oluşan iltihabi bir vakadır. En bilindik belirtileri eklem ağrısı, şişlik  ve eklemde sertleşmedir.
  • Karpal Tünel Sendromu

Kıkırdak aşınmasındaki nedenlerle hemen hemen aynı etkenler, menisküs yırtıklarına da yol açmaktadır. Dize haddinden fazla ağırlık binmesi ve dizin ters bir şekilde hareket ettirilmesi akabinde menisküs yapısında zedelenme/yırtılma oluşabilir. Menisküs yırtığı olup olmadığı aşağıdaki belirtilerle anlaşılabilir;

  • Yırtığın oluştuğu bölgede ağrı ve şişlik,
  • Hareket halindeyken dizde şiddetli ağrılar hissedilir. Özellikle ayağa kalkarken, çömelirken vs.
  • Yırtığın çok şiddetli olması akabinde dizde kilitlenme meydana gelebilir. Dizde kilitlenmeden kastedilen; dizin tam olarak bükülememesi durumudur.

Ağır bir fiziksel darbeden veya ters bir hareketten sonra dizde ağrı ve şişkinlik söz konusuysa, menisküs yırtığı ve kıkırdak aşınması oluşmuş olabilir. Ağrının altında yatan nedenin doğru tahlili ve nedene yönelik tedavi için muhakkak uzman doktora başvurulması tavsiye edilir.

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