G\u00fcven Hastanesi\u2019nden yap\u0131lan a\u00e7\u0131klamada g\u00f6r\u00fc\u015flerine yer verilen Uzm. Dr. Arzu G\u00f6kdemir Yanarda\u011f, kal\u0131c\u0131 oje uygulamalar\u0131 s\u0131ras\u0131nda t\u0131rnaklar\u0131n kimyasal maddelere maruz kald\u0131\u011f\u0131n\u0131 vurgulayarak, \u201cBu kimyasallar t\u0131rnak plakas\u0131n\u0131n \u00fczerinde bulunur ve t\u0131rnaklar\u0131n daha ince, k\u0131r\u0131lgan ve zay\u0131f olmas\u0131na yol a\u00e7abilir. Bu nedenle, s\u00fcrekli olarak kal\u0131c\u0131 oje kullanmak, t\u0131rnaklar\u0131n zay\u0131flamas\u0131na ve hatta k\u0131r\u0131lmas\u0131na neden olabilir\u201d ifadelerini kulland\u0131.\n
Yanarda\u011f, uygulama esnas\u0131nda ellerin ultraviyole \u0131\u015f\u0131n alt\u0131nda bekletilmesinin ise cildin UV \u0131\u015f\u0131nlar\u0131na maruz kalmas\u0131na neden oldu\u011funun alt\u0131n\u0131 \u00e7izerek, \u201cS\u00fcrekli olarak kal\u0131c\u0131 oje yapt\u0131ran ki\u015filer i\u00e7in bu durum bir cilt kanseri tetikleyicisi olabilir.\u201d de\u011ferlendirmesinde bulundu.\n
Yanl\u0131\u015f ve hijyenik olmayan ko\u015fullarda yap\u0131lan manik\u00fcr ve pedik\u00fcr i\u015flemlerinin t\u0131rnak sa\u011fl\u0131\u011f\u0131 \u00fczerindeki etkilerine dikkati \u00e7eken Yanarda\u011f, anemi, vitamin-mineral eksiklikleri, travma, ya\u015fl\u0131l\u0131k, hipotiroidizm, beslenme eksikli\u011fi, mantar enfeksiyonu, s\u0131k el y\u0131kamak, deterjan ve dezenfektana s\u0131k maruziyet, s\u0131k yap\u0131lan kal\u0131c\u0131 oje, protez t\u0131rnak, profesyonel ki\u015filerce yap\u0131lmayan travmatik manik\u00fcr-pedik\u00fcr i\u015flemlerinin t\u0131rnak yap\u0131s\u0131nda bozulmalara k\u0131r\u0131lmaya ve renk de\u011fi\u015fikliklerine neden olabilece\u011fini vurgulad\u0131.\nS\u0131k tekrarlayan vakalarda cerrahi y\u00f6ntemlere ba\u015fvurulabilir\n
T\u0131rnak mantar\u0131n\u0131n, t\u0131rnakta renk-\u015fekil de\u011fi\u015fikli\u011fi ve t\u0131rnak alt\u0131nda bo\u015fluk olu\u015fmas\u0131yla fark edilebilece\u011fini vurgulayan Yanarda\u011f, \u015funlar\u0131 kaydetti:\n
\u201cErken m\u00fcdahaleyle tamamen geri d\u00f6nd\u00fcr\u00fclebilir. T\u0131rnak yata\u011f\u0131n\u0131n kuru tutulmas\u0131 mantardan koruyucu bir \u00f6nlemdir. T\u0131rnak boyutu ile t\u0131rnak yata\u011f\u0131 geni\u015fli\u011fi oran\u0131nda dengesizlik, t\u0131rnaklar\u0131 s\u0131k\u0131\u015ft\u0131ran dar ayakkab\u0131lar ve \u00e7oraplar, t\u0131rnaklar\u0131 \u00e7ok k\u0131sa kesmek, ayak t\u0131rna\u011f\u0131n\u0131n yaralanmas\u0131 gibi nedenler ise t\u0131rnak batmas\u0131na neden olabilir.\n
T\u0131rnak batmas\u0131 tedavisi a\u015famalara g\u00f6re planlan\u0131r. \u0130lk a\u015famada uygulanan lokal tedavi, antibiyotikli kremlerle vakalar\u0131n y\u00fczde 60-70\u2019inde iyile\u015fme g\u00f6r\u00fcl\u00fcr. \u0130lk a\u015famay\u0131 atlatan hastalara t\u0131rnak batmas\u0131n\u0131n kronikle\u015fmemesi i\u00e7in t\u0131rnak bak\u0131m e\u011fitimi verilir. \u0130kinci a\u015famada hastaya g\u00f6re kremle birlikte sistemik tedavide uygulanabilir. \u00dc\u00e7\u00fcnc\u00fc a\u015famada olu\u015fan t\u0131rnak ve et aras\u0131nda gran\u00fclasyon dokusu denilen farkl\u0131 etli par\u00e7alar, kanayan, kuruyan ve kabuklanan alanlara m\u00fcdahale edilmesi gerekir. Elektro koter gibi cihazlarla etli k\u0131s\u0131m ortadan kald\u0131r\u0131l\u0131r. T\u0131rna\u011f\u0131n batan k\u0131sm\u0131n\u0131n kesilmesi ya da tel uygulamas\u0131 gibi farkl\u0131 tedaviler uygulanabilir. T\u0131rna\u011f\u0131n tamam\u0131n\u0131n al\u0131nmas\u0131 ve yeni gelen t\u0131rna\u011f\u0131n d\u00fczg\u00fcn olmas\u0131 da tedavi se\u00e7enekleri aras\u0131nda yer almaktad\u0131r. Bu tedavilere ra\u011fmen ge\u00e7meyen s\u0131k tekrarlayan vakalarda cerrahi y\u00f6ntemlere ba\u015fvurulabilir.\u201d\n\n","created_at":"2024-03-22T14:06:11.000000Z","updated_at":"2024-03-22T14:06:11.000000Z"}