{"id":42283,"date":"2023-02-16T11:47:48","date_gmt":"2023-02-16T08:47:48","guid":{"rendered":"https:\/\/emlaktuel.com\/?p=42283"},"modified":"2023-02-16T11:47:48","modified_gmt":"2023-02-16T08:47:48","slug":"deprem-sonrasi-olusan-crush-sendromu-ne-anlama-geliyor","status":"publish","type":"post","link":"https:\/\/emlaktuel.com\/?p=42283","title":{"rendered":"Deprem sonras\u0131 olu\u015fan Crush sendromu ne anlama geliyor?"},"content":{"rendered":"

Deprem sonras\u0131 olu\u015fan Crush sendromu ne anlama geliyor?<\/strong><\/p>\n

Tedavide \u00f6ncelik damar yolu a\u00e7arak serum uygulamak olmal\u0131\u2026<\/strong><\/p>\n

Deprem gibi do\u011fal afetlerde ki\u015finin ezilme bi\u00e7iminde yaralanmas\u0131, uzun s\u00fcreli s\u0131k\u0131\u015fmas\u0131 ve hareketsizlik sonucunda olu\u015fan doku zedelenmesi ve kas nekrozu \u201cCrush sendromu\u201d olarak tan\u0131mlan\u0131yor. Depremde yaralanmalar\u0131n y\u00fczde 2-3\u2019\u00fcnde Crush sendromunun g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten uzmanlar, afetlerde meydana gelen \u00f6l\u00fcmlerde ikinci en s\u0131k nedeninin bu sendrom oldu\u011funu ifade ediyor. Crush sendromu g\u00f6r\u00fclen ki\u015fide sonras\u0131nda kurtar\u0131lma \u00f6l\u00fcm\u00fc g\u00f6zlemlenebildi\u011finin alt\u0131n\u0131 \u00e7izen Dahiliye Uzman\u0131 Dr. Ayhan Levent, sendromun tedavisinde \u00f6nceli\u011fin en k\u0131sa s\u00fcrede damar yolu a\u00e7\u0131larak 1 lt\/saat h\u0131zla izotonik sodyum klor\u00fcr (NaCl) ile serum tedavisine ba\u015flamak oldu\u011funu vurguluyor.  <\/strong><\/p>\n

\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Dahiliye Uzman\u0131 Yrd. Do\u00e7. Dr. Ayhan Levent, depremlerde enkaz alt\u0131nda kal\u0131nd\u0131\u011f\u0131nda v\u00fccudun ezilmesi olarak tan\u0131mlanan Crush sendromuna ili\u015fkin bilgi verdi, son derece \u00f6nemli tavsiyelerde bulundu.<\/p>\n

 <\/p>\n

Depremlerde Crush sendromu olu\u015fuyor<\/strong><\/p>\n

 <\/strong><\/p>\n

Crush\u2019\u0131n kelime olarak \u2018ezilme\u2019 anlam\u0131na geldi\u011fini belirten Dahiliye Uzman\u0131 Dr. Ayhan Levent, \u201cCrush sendromu; depremler, i\u015f ve trafik kazalar\u0131ndaki darbeler, \u00e7\u0131\u011f d\u00fc\u015fmesi ile kar kitlesinin alt\u0131nda kalma gibi afetlerde ki\u015finin ezilme bi\u00e7iminde yaralanmas\u0131, uzun s\u00fcreli s\u0131k\u0131\u015fmas\u0131 ve hareketsizlik sonucunda ortaya \u00e7\u0131kan belirgin doku zedelenmesi ve kas nekrozuna yol a\u00e7an durum olarak tan\u0131mlan\u0131yor\u201d dedi.<\/p>\n

 <\/p>\n

Potasyum y\u00fcksekli\u011fi \u00f6l\u00fcmc\u00fcl aritmilere yol a\u00e7\u0131yor<\/strong><\/h2>\n

 <\/p>\n

Dr. Ayhan Levent, kas dokusunun uzun s\u00fcreli bas\u0131nca maruz kalmas\u0131 sonucu Crush sendromu olu\u015ftu\u011funu s\u00f6yledi ve s\u00f6zlerine \u015f\u00f6yle devam etti: <\/p>\n

 <\/p>\n

\u201cDepremde enkaz alt\u0131nda kalan bedenin \u00fczerinde fazla miktarda a\u011f\u0131rl\u0131k olu\u015fur. Depremzede \u00e7\u0131kar\u0131l\u0131nca bas\u0131n\u00e7 alt\u0131ndaki b\u00f6lgeler serbestleyip kan ak\u0131\u015f\u0131 ba\u015flar. Normalde kasta bulunan potasyum, miyoglobin, fosfat, kreatin kinaz, laktat dehidrogenaz, AST, ALT ve \u00fcrik asit hasarl\u0131 kas dokudan kan dola\u015f\u0131m\u0131na ge\u00e7er. Kanda seviyeleri y\u00fckselen bu maddeler toksik ve \u00f6l\u00fcmc\u00fcl komplikasyonlara sebep olabilir. Bu komplikasyonlar; akut b\u00f6brek yetmezli\u011fi, kalp yetmezli\u011fi, hiperpotasemi, hipovolemik \u015fok, solunum yetmezli\u011fi, enfeksiyonlar, kompartman sendromu, kanama gibi dahili ve cerrahi komplikasyonlar\u0131 i\u00e7erir. \u00d6zellikle kanda potasyum y\u00fcksekli\u011fi \u00f6l\u00fcmc\u00fcl aritmilere sebep oluyor. Bu \u00f6l\u00fcmc\u00fcl ritimlerden dolay\u0131 enkaz alt\u0131nda iyi durumda olan ki\u015fi kurtar\u0131ld\u0131ktan<\/p>\n","protected":false},"excerpt":{"rendered":"

Deprem sonras\u0131 olu\u015fan Crush sendromu ne anlama geliyor? Tedavide \u00f6ncelik damar yolu a\u00e7arak serum uygulamak olmal\u0131\u2026 Deprem gibi do\u011fal afetlerde ki\u015finin ezilme bi\u00e7iminde yaralanmas\u0131, uzun s\u00fcreli s\u0131k\u0131\u015fmas\u0131 ve hareketsizlik sonucunda olu\u015fan doku zedelenmesi ve kas nekrozu \u201cCrush sendromu\u201d olarak tan\u0131mlan\u0131yor. Depremde yaralanmalar\u0131n y\u00fczde 2-3\u2019\u00fcnde Crush sendromunun g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten uzmanlar, afetlerde meydana gelen \u00f6l\u00fcmlerde ikinci en […]<\/p>\n","protected":false},"author":1,"featured_media":42152,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[26],"tags":[],"_links":{"self":[{"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/posts\/42283"}],"collection":[{"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=42283"}],"version-history":[{"count":1,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/posts\/42283\/revisions"}],"predecessor-version":[{"id":42284,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/posts\/42283\/revisions\/42284"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=\/wp\/v2\/media\/42152"}],"wp:attachment":[{"href":"https:\/\/emlaktuel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emlaktuel.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}