![\"\"](\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/images\/haberler\/24-09\/21\/prof-dr-ramazan-ayvalli-2024-09-21t143120039-1726918981.jpg\" "\\"\\"")
<\/p>\nT\u0131rnak d\u00fc\u015fmesi olarak da bilinen “Onikoliz” t\u0131rna\u011f\u0131n t\u0131rnak yata\u011f\u0131ndan ayr\u0131lmas\u0131d\u0131r. T\u0131rna\u011fa darbe almaktan t\u0131rnak mantar\u0131na kadar \u00e7e\u015fitli nedenlerden dolay\u0131 t\u0131rnak d\u00fc\u015fmesi g\u00f6r\u00fclebiliyor. El t\u0131rna\u011f\u0131n\u0131n yeniden \u00e7\u0131kmas\u0131 4-6 s\u00fcrerken, ayak t\u0131rnaklar\u0131 ise 8-12 ay i\u00e7inde tekrar \u00e7\u0131k\u0131p uzayabiliyor.<\/p>\n
Onikoliz (t\u0131rnak dü\u015fmesi), travma veya yaralanmaya ba\u011fl\u0131 oldu\u011funda genellikle tek t\u0131rnak dü\u015fer ve dü\u015fen t\u0131rnak zamanla kendili\u011finden iyile\u015fir, uzar. Ancak bunun d\u0131\u015f\u0131nda birden fazla t\u0131rnakta da dü\u015fme meydana gelebiliyor.<\/p>\n
Nail Disorders’da 2019 y\u0131l\u0131nda “Sistemik Bozukluklarda T\u0131rnaklar” adl\u0131 çal\u0131\u015fmaya göre sedef hastal\u0131\u011f\u0131, hipotiroidizm, demir eksikli\u011fi anemisi, sar\u0131 t\u0131rnak sendromu, \u015feker hastal\u0131\u011f\u0131, akci\u011fer kanseri, vampir hastal\u0131\u011f\u0131, bron\u015fektazi, gebelik, ba\u011f dokusu hastal\u0131klar\u0131, frengi, periferik damar hastal\u0131\u011f\u0131, cüzzam hastal\u0131\u011f\u0131, sinir iltihab\u0131, kronik böbrek hastal\u0131\u011f\u0131, ilaçlar\u0131n yan etkileri (psoralenler, sitostatikler ve tetrasiklinler içeren ilaçlar) ve C vitamini eksikli\u011fi t\u0131rnakta dü\u015fmeye yol açabiliyor.<\/p>\n
<\/p>\n
T\u0131rnak dü\u015fmesi ço\u011fu zaman t\u0131rna\u011f\u0131n darbe almas\u0131 yahut t\u0131rnak mantar\u0131na ba\u011fl\u0131 ortaya ç\u0131k\u0131yor.<\/p>\n
T\u0131rnak dü\u015fmesinin di\u011fer yayg\u0131n nedenleri \u015funlard\u0131r:<\/p>\n
YARALANMA (TRAVMA)<\/strong><\/p>\n T\u0131rnak dü\u015fmesinin en s\u0131k kar\u015f\u0131la\u015f\u0131lan nedeni t\u0131rna\u011f\u0131n travmaya u\u011framas\u0131.<\/p>\n T\u0131rna\u011f\u0131 bir yere çarpmak, t\u0131rna\u011f\u0131n üzerine bir \u015fey dü\u015fmesi gibi yaralanma ve travmaya ba\u011fl\u0131 olarak t\u0131rnak pla\u011f\u0131 hasar görüp t\u0131rnakta dü\u015fme meydana gelebiliyor.<\/p>\n TIRNAK MANTARI<\/strong><\/p>\n T\u0131rnak dü\u015fmesinin bir di\u011fer yayg\u0131n nedeni de t\u0131rnak mantar\u0131.<\/p>\n T\u0131rnak mantar\u0131na “dermatofit” ad\u0131 verilen mantarlar neden oluyor. Amerikan Dermatoloji Akademisi (American Academy of Dermatology)t\u0131rnak mantar\u0131n\u0131n t\u0131rna\u011f\u0131n bir k\u0131sm\u0131nda sararma, beyazla\u015fma, kahverengile\u015fme, t\u0131rnakta kal\u0131nla\u015fma, k\u0131r\u0131lma gibi belirtilere yol açabildi\u011fini söylüyor.<\/p>\n Tedavide oral mantar önleyici ilaçlar, t\u0131rnak cilas\u0131 ve lazer gibi tedaviler kullan\u0131labiliyor.<\/p>\n Journal of the European Academy of Dermatology and Venereology’de 2020 Eylül ay\u0131nda yer alan çal\u0131\u015fmaya göre t\u0131rnak mantar\u0131nda oral antifungal ilaçlar topikal antifungallardan daha etkili ve tedavi süreleri topikal tedavilere göre nazaran daha k\u0131sa sürüyor.<\/p>\n K\u0130MYASAL REAKS\u0130YON<\/strong><\/p>\n Oje, parlat\u0131c\u0131, oje ç\u0131kar\u0131c\u0131 ve takma t\u0131rnaklardaki kimyasallar da t\u0131rnak pla\u011f\u0131n\u0131 olumsuz etkileyip t\u0131rna\u011f\u0131n dü\u015fmesini tetikleyebiliyor.<\/p>\n \u0130LAÇLARIN YAN ETK\u0130LER<\/strong><\/p>\n Kemoterapi ilaçlar\u0131, steroid olmayan antiinflamatuar ilaçlar (NSAID’ler), psoralenler ve oral retinoidler (A vitamini türevleri) yan etki olarak t\u0131rnak dü\u015fmesi yapabiliyor.<\/p>\n TIRNAKTA SEDEF HASTALI\u011eI<\/strong><\/p>\n T\u0131rnaklarda sedef hastal\u0131\u011f\u0131 da t\u0131rnak dokusunda de\u011fi\u015fiklik yaparak t\u0131rnak dü\u015fmesine neden olabiliyor.<\/p>\n Annals of Medicine’da 2022 Aral\u0131k’da geçen “Yayg\u0131n t\u0131rnak hastal\u0131klar\u0131n\u0131n optimal tan\u0131s\u0131 ve tedavisi” adl\u0131 makalede sedef hastal\u0131\u011f\u0131n\u0131n t\u0131rnakta dü\u015fme yapabilece\u011fi, tedavide topikal steroidler ve D vitamini kullan\u0131labilece\u011fi yer ald\u0131.<\/p>\n DEM\u0130R EKS\u0130KL\u0130\u011e\u0130<\/strong><\/p>\n Demir eksikli\u011fi vücutta yeteri miktarda demir bulunmad\u0131\u011f\u0131nda ortaya ç\u0131k\u0131yor ve kans\u0131zl\u0131\u011fa neden olabiliyor.<\/p>\n Demir eksikli\u011fi de birden çok t\u0131rnakta dü\u015fmeyi tetikleyebiliyor.<\/p>\n KALITSAL D\u0130STAL ON\u0130KOL\u0130Z<\/strong><\/p>\n Nadir durumlarda kal\u0131tsal distal onikoliz adl\u0131 genetik bir bozukluk da t\u0131rnak dü\u015fmesine yol açabiliyor.<\/p>\n Indian Journal of Dermatology’de Temmuz-A\u011fustos 2021’de geçen çal\u0131\u015fmada kal\u0131tsal distal onikolizin tedavisinin di\u011fer onikoliz vakalar\u0131ndan daha zor oldu\u011fu ve bilinen etkili bir tedavisi olmad\u0131\u011f\u0131 yer ald\u0131.<\/p>\n H\u0130PERT\u0130RO\u0130D\u0130ZM<\/strong><\/p>\n Tiroid bezi boyunda bulunan kelebek \u015feklinde organd\u0131r.<\/p>\n Hipertiroidizm, troid bezinin yüksek miktarda tiroid hormonu üretmesiyle meydana geliyor.<\/p>\n Bu sa\u011fl\u0131k sorunu da t\u0131rnakta dü\u015fmeye yol açabiliyor.<\/p>\n KANSER<\/strong><\/p>\n Case Reports in Dermatology’de Mart 2024’de yay\u0131nlanan çal\u0131\u015fmaya göre t\u0131rnak dü\u015fmesi, nadiren melanom (cilt kanseri) veya skuamöz hücreli karsinomun bir belirtisi olarak ortaya ç\u0131kabiliyor.<\/p>\n Kanser olas\u0131l\u0131\u011f\u0131n\u0131 de\u011ferlendirmek için t\u0131rnak biyopsisi gerekebilir.<\/p>\n MAN\u0130KÜR<\/strong><\/p>\n Journal of the European Academy of Dermatology and Venereology’de 2015 May\u0131s’de geçen makaleye göre manikür yapt\u0131rmak da t\u0131rnak dü\u015fmesini tetikleyebiliyor.<\/p>\n T\u0131rnak dü\u015fmesi genellikle a\u011fr\u0131ya neden olmaz ancak t\u0131rna\u011f\u0131n dü\u015ftü\u011fü bölgede bazen iltihap meydana gelebiliyor. T\u0131rnak dü\u015fmesi \u015fu belirtilere yol açabiliyor:<\/p>\n T\u0131rna\u011f\u0131n t\u0131rnak yata\u011f\u0131ndan ayr\u0131lan k\u0131sm\u0131 beyaz veya sar\u0131ms\u0131 renk iken t\u0131rna\u011f\u0131n geri kalan k\u0131sm\u0131 sa\u011fl\u0131kl\u0131 ve pembe renkte gözükebiliyor.<\/p>\n T\u0131rnak yüzeyinde çukurluk, çöküntü.<\/p>\n T\u0131rna\u011f\u0131n dü\u015ftü\u011fü k\u0131sm\u0131n alt\u0131ndaki ciltte kal\u0131nla\u015fma<\/p>\n T\u0131rnak dü\u015ftükten sonra t\u0131rnak dü\u015fen parma\u011f\u0131 10-15 dakika so\u011fuk suya tutmal\u0131. Ard\u0131ndan antibiyotikli krem sürüp yap\u0131\u015fmayacak \u015fekilde sarg\u0131 beziyle sar\u0131lmal\u0131.<\/p>\n Evet, dü\u015fen t\u0131rnak tekrar ç\u0131kar. El t\u0131rnaklar\u0131n\u0131n yeniden ç\u0131kmas\u0131 dört ila alt\u0131 ay sürerken, ayak t\u0131rnaklar\u0131 ise sekiz ila on iki ayda yeniden ç\u0131kacakt\u0131r.<\/p>\n T\u0131rnak dü\u015fmesi tedavisinde ilk ad\u0131m, t\u0131rna\u011f\u0131n t\u0131rnak yata\u011f\u0131ndan ayr\u0131lmas\u0131na neyin sebep oldu\u011funu belirlemektir.<\/p>\n T\u0131rnak dü\u015fmesinin tedavisi nedenine göre \u015fu \u015fekilde yap\u0131labilir:<\/p>\n T\u0131rnak dü\u015fmesi genellikle a\u011fr\u0131ya neden olmaz. Ancak t\u0131rnak dü\u015fmesi yaralanma ve mantar hastal\u0131\u011f\u0131na ba\u011fl\u0131 geli\u015ftiyse a\u011fr\u0131 ve ac\u0131 yapabiliyor.<\/p>\n","protected":false},"excerpt":{"rendered":" T\u0131rnak d\u00fc\u015fmesi olarak da bilinen “Onikoliz” t\u0131rna\u011f\u0131n t\u0131rnak yata\u011f\u0131ndan ayr\u0131lmas\u0131d\u0131r. T\u0131rna\u011fa darbe almaktan t\u0131rnak mantar\u0131na kadar \u00e7e\u015fitli nedenlerden dolay\u0131 t\u0131rnak d\u00fc\u015fmesi g\u00f6r\u00fclebiliyor. El t\u0131rna\u011f\u0131n\u0131n yeniden \u00e7\u0131kmas\u0131 4-6 s\u00fcrerken, ayak t\u0131rnaklar\u0131 ise 8-12 ay i\u00e7inde tekrar \u00e7\u0131k\u0131p uzayabiliyor. Onikoliz (t\u0131rnak dü\u015fmesi), travma veya yaralanmaya ba\u011fl\u0131 oldu\u011funda genellikle tek t\u0131rnak dü\u015fer ve dü\u015fen t\u0131rnak zamanla kendili\u011finden iyile\u015fir, […]<\/p>\n","protected":false},"author":30,"featured_media":85891,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1991],"tags":[56814,3909,56813,56815,33610],"class_list":["post-85892","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-onikoliz","tag-tirnak-bakimi","tag-tirnak-dusmesi","tag-tirnak-hastaliklari","tag-tirnak-sagligi"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/85892"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=85892"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/85892\/revisions"}],"predecessor-version":[{"id":85893,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/85892\/revisions\/85893"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/85891"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=85892"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=85892"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=85892"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"\"](\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/images\/haberler\/24-09\/21\/prof-dr-ramazan-ayvalli-2024-09-21t143300601.jpg\" "\\"\\"")
<\/p>\n![\"\"](\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/images\/haberler\/24-09\/21\/prof-dr-ramazan-ayvalli-2024-09-21t144356280-1726919076.jpg\" "\\"\\"")
<\/p>\n![\"\"](\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/images\/haberler\/24-09\/21\/prof-dr-ramazan-ayvalli-2024-09-21t144548692.jpg\" "\\"\\"")
<\/p>\nTIRNAK DÜ\u015eMES\u0130 (ON\u0130KOL\u0130Z) BEL\u0130RT\u0130LER\u0130<\/strong><\/h3>\n
![\"\"](\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/images\/haberler\/24-09\/21\/prof-dr-ramazan-ayvalli-2024-09-21t144833712.jpg\" "\\"\\"")
<\/p>\nTIRNAK DÜ\u015eMES\u0130 \u0130Ç\u0130N NE YAPMALI?<\/strong><\/h3>\n
DÜ\u015eEN TIRNAK TEKRAR ÇIKAR MI?<\/strong><\/h3>\n
![\"\"](\"https:\/\/www.tgrthaber.com\/mavikadin\/wp-content\/images\/haberler\/24-09\/21\/prof-dr-ramazan-ayvalli-2024-09-21t144727080.jpg\" "\\"\\"")
<\/p>\nTIRNAK DÜ\u015eMES\u0130 NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/strong><\/h3>\n
\n
TIRNAK DÜ\u015eMES\u0130 ACITIR MI, A\u011eRI YAPAR MI?<\/strong><\/h3>\n