VENÖZ ÜLSERDE FİZYOTERAPİ

Yıl 2018, Cilt: 1 Sayı: 2, 36 - 55, 28.09.2018

Elif Duygu Özlem Çınar Özdemir

Öz

Kronik venöz
hastalıklar telenjiektaziden venöz ülsere (VÜ) kadar geniş bir yelpaze içeren
hastalık grubudur. Kronik venöz hastalıkların etyolojisinde ambulatuar
hipertansiyon,  yüzeyel ve derin venleri
birbirine bağlayan perforan venlerdeki yetmezlik, valvüler reflü, kanın geri
kaçışı, baldır kas pompası zayıflıkları yaygındır. Venöz hipertansiyonla
başlayan ve genetik yatkınlığın hazırlayıcı olduğu kompleks hücresel olayların
en son noktası olan yara açılma durumudur. Kronik VÜ’ler 4-6 haftadan daha
fazla süre açık kalan yaralardır ve batı ülkelerinde ve dünya çapında genel
popülasyonun %1.5’ini, yaşlıların ise %5’ini etkileyen önemli bir hastalıktır.
En sık görülen alt ekstremite ülseridir ve arteriyel, nöropatik, diyabetik
ülserler de dahil tüm ülserasyonların %70’ini oluşturur VÜ fizyoterapi ve
rehabilitasyonunda kompresyon başta olmak üzere, elektrik stimülasyonu, ultrason,
manyetik alan tedavisi, balneoterapi gibi fizik tedavi modaliteleri
kullanılmaktadır. Kronik ve tekrarlayıcı doğasından dolayı VÜ’ler ciddi sağlık
bakımı yüküne sebep olmaktadır. Dolayısı ile hasta eğitimi oldukça önem
taşımaktadır. Bu derlemede VÜ oluşum nedenleri, risk faktörleri, değerlendirme
ve tedavi uygulamaları tartışılmaktadır.

Anahtar Kelimeler

: Venöz ülser, Kompresyon, Fizyoterapi

Kaynakça

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