{"id":3903,"date":"2026-10-12T11:22:40","date_gmt":"2026-10-12T10:22:40","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/wells-dvt-skoru-hesaplama\/"},"modified":"2026-10-12T11:22:40","modified_gmt":"2026-10-12T10:22:40","slug":"wells-dvt-skoru-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/wells-dvt-skoru-hesaplama\/","title":{"rendered":"DVT i\u00e7in Wells Skoru Hesaplama Arac\u0131"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Derin ven trombozunun test \u00f6ncesi olas\u0131l\u0131\u011f\u0131n\u0131 de\u011ferlendirin<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3903\" data-favorite-title=\"DVT i\u00e7in Wells Skoru\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/wells-dvt-skoru-hesaplama\/\" data-favorite-excerpt=\"Wells skoru ile derin ven trombozunun (DVT) test \u00f6ncesi olas\u0131l\u0131\u011f\u0131n\u0131 tahmin edin. Ge\u00e7erli klinik bulgular\u0131 i\u015faretleyin ve an\u0131nda d\u00fc\u015f\u00fck, orta veya y\u00fcksek risk kategorinizi g\u00f6r\u00fcn.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/wells-dvt-skoru-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3903\" data-post=\"3903\"><fieldset class=\"fieldset-input is-2\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"is-single field\" id=\"input-1\"><span class=\"font-semibold\">Klinik belirti ve bulgular<\/span><\/div><div class=\"field is-checkbox is-single\" id=\"input-2\"><input type=\"checkbox\" id=\"field-2\" value=\"1\" checked=\"checked\"\/><label for=\"field-2\">Derin ven sistemi boyunca lokalize palpasyon hassasiyeti<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-3\"><input type=\"checkbox\" id=\"field-3\" value=\"1\" checked=\"checked\"\/><label for=\"field-3\">Baca\u011f\u0131n tamam\u0131nda \u015fi\u015flik<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-4\"><input type=\"checkbox\" id=\"field-4\" value=\"1\"\/><label for=\"field-4\">Bir bald\u0131rda di\u011fer baca\u011fa g\u00f6re en az 3 cm fazla \u015fi\u015flik<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-5\"><input type=\"checkbox\" id=\"field-5\" value=\"1\"\/><label for=\"field-5\">Yaln\u0131zca semptomatik bacakta g\u00f6r\u00fclen \u00e7ukur b\u0131rakan \u00f6dem<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-6\"><input type=\"checkbox\" id=\"field-6\" value=\"1\"\/><label for=\"field-6\">Kolateral (varis olmayan) y\u00fczeyel venler<\/label><\/div><div class=\"is-single field\" id=\"input-7\"><span class=\"font-semibold\">Risk fakt\u00f6rleri ve \u00f6yk\u00fc<\/span><\/div><div class=\"field is-checkbox is-single\" id=\"input-8\"><input type=\"checkbox\" id=\"field-8\" value=\"1\"\/><label for=\"field-8\">Aktif kanser<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-9\"><input type=\"checkbox\" id=\"field-9\" value=\"1\"\/><label for=\"field-9\">Paralizi, parezi veya yak\u0131n tarihli bacak al\u00e7\u0131s\u0131<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-10\"><input type=\"checkbox\" id=\"field-10\" value=\"1\"\/><label for=\"field-10\">3+ g\u00fcn yata\u011fa ba\u011f\u0131ml\u0131 kalma veya son 12 hafta i\u00e7inde major cerrahi<\/label><\/div><div class=\"field is-checkbox is-single\" id=\"input-11\"><input type=\"checkbox\" id=\"field-11\" value=\"1\"\/><label for=\"field-11\">Daha \u00f6nce belgelenmi\u015f DVT<\/label><\/div><div class=\"is-single field\" id=\"input-12\"><span class=\"font-semibold\">Ay\u0131r\u0131c\u0131 tan\u0131<\/span><\/div><div class=\"field is-checkbox is-single\" id=\"input-13\"><input type=\"checkbox\" id=\"field-13\" value=\"-2\"\/><label for=\"field-13\">Alternatif tan\u0131 en az DVT kadar olas\u0131<\/label><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3903\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> Wells DVT Sonucunuz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Wells DVT skoru<\/span><span class=\"result-term\">skor<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>Test \u00f6ncesi olas\u0131l\u0131k kategorisi<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-3\"><span class=\"field-title\"><span>Bu ne anlama gelir?<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"3903\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>DVT i\u00e7in Wells Skoru Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\\[ S \\;=\\; \\sum_{i=1}^{9} c_i \\;-\\; 2 \\cdot D \\\\[6pt] c_i = \\begin{cases} 1 &amp; \\text{kriter } i \\text{ mevcutsa} \\\\ 0 &amp; \\text{kriter } i \\text{ yoksa} \\end{cases} \\qquad D = \\begin{cases} 1 &amp; \\text{alternatif tan\u0131 en az DVT kadar olas\u0131ysa} \\\\ 0 &amp; \\text{aksi h\u00e2lde} \\end{cases} \\]<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(S\\) \u2014 toplam Wells DVT skoru<\/li>\n<li>\\(c_i\\) \u2014 dokuz klinik bulgudan her biri (derin ven sistemi boyunca hassasiyet, t\u00fcm baca\u011f\u0131n \u015fi\u015fmesi, bald\u0131r \u00e7evresinde \u2265 3 cm art\u0131\u015f, \u00e7ukurla\u015fan \u00f6dem, kollateral y\u00fczeysel damarlar, aktif kanser, fel\u00e7 ya da yeni bald\u0131r al\u00e7\u0131lu\u011fu, 3 g\u00fcn veya daha uzun yata\u011fa ba\u011f\u0131ml\u0131l\u0131k ya da son 12 haftada b\u00fcy\u00fck cerrahi, daha \u00f6nce tan\u0131mlanm\u0131\u015f DVT)<\/li>\n<li>\\(D\\) \u2014 bir alternatif tan\u0131 belirtileri DVT en az kadar iyi a\u00e7\u0131kl\u0131yorsa 2 puan d\u00fc\u015f\u00fcr\u00fcr<\/li>\n<\/ul>\n<p>Skor, klinik bulgular\u0131 bir test \u00f6ncesi olas\u0131l\u0131k kategorisine d\u00f6n\u00fc\u015ft\u00fcr\u00fcr: \\(S \\le 0\\) d\u00fc\u015f\u00fck, \\(1 \\le S \\le 2\\) orta ve \\(S \\ge 3\\) y\u00fcksek DVT olas\u0131l\u0131\u011f\u0131 anlam\u0131na gelir.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>DVT i\u00e7in Wells Skoru \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<p>{example}<\/p>\n<p><strong>\u00d6rnek:<\/strong> 62 ya\u015f\u0131ndaki hasta a\u011fr\u0131l\u0131 ve \u015fi\u015fmi\u015f sa\u011f bacakla ba\u015fvuruyor. Muayenede derin ven sistemi boyunca lokalize hassasiyet var ve t\u00fcm bacak belirgin \u015fekilde \u015fi\u015f g\u00f6r\u00fcn\u00fcmde; ba\u015fka hi\u00e7bir kriter ge\u00e7erli de\u011fil ve daha olas\u0131 kabul edilen bir alternatif tan\u0131 da yok.<\/p>\n<p>\\[ S = \\underbrace{1}_{\\text{hassasiyet}} + \\underbrace{1}_{\\text{t\u00fcm bacak \u015fi\u015f}} = 2 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> Wells DVT skoru = <strong>2<\/strong> \u2014 <strong>orta<\/strong> test \u00f6ncesi olas\u0131l\u0131k (bu kategoride DVT g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 yakla\u015f\u0131k %17). Bu durumda genellikle D-dimer testi ya da kompresyon ultrasonu \u00f6nerilir. Basitle\u015ftirilmi\u015f iki d\u00fczeyli kurala g\u00f6re (skor \u2265 2) DVT <em>olas\u0131<\/em> kabul edilir ve bir sonraki ad\u0131m g\u00f6r\u00fcnt\u00fclemedir.<\/p>\n<p>{\/example}<\/p>\n\r\n<\/section>\n<h2>Hesaplama arac\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li>Hastan\u0131n belirtilerini ve \u00f6yk\u00fcs\u00fcn\u00fc g\u00f6zden ge\u00e7irin, ard\u0131ndan <strong>Klinik belirti ve bulgular<\/strong> alt\u0131nda mevcut olan her maddeyi i\u015faretleyin: derin ven sistemi boyunca lokalize hassasiyet, t\u00fcm baca\u011f\u0131n \u015fi\u015fmesi, bald\u0131r\u0131n di\u011fer baca\u011fa g\u00f6re en az 3 cm daha kal\u0131n olmas\u0131 (tibia t\u00fcberozitesinin 10 cm alt\u0131ndan \u00f6l\u00e7\u00fcl\u00fcr), yaln\u0131zca belirti veren bacakta s\u0131n\u0131rl\u0131 \u00e7ukurla\u015fan \u00f6dem ya da varis olmayan kollateral y\u00fczeysel damarlar.<\/li>\n<li><strong>Risk fakt\u00f6rleri ve \u00f6yk\u00fc<\/strong> alt\u0131nda ge\u00e7erli maddeleri i\u015faretleyin: aktif kanser (son 6 ayda tedavi veya palyatif bak\u0131m), fel\u00e7, parezi ya da yak\u0131n tarihte bald\u0131r al\u00e7\u0131s\u0131, 3 g\u00fcn veya daha uzun yata\u011fa ba\u011f\u0131ml\u0131l\u0131k ya da son 12 haftada b\u00fcy\u00fck cerrahi, ya da daha \u00f6nce tan\u0131mlanm\u0131\u015f DVT.<\/li>\n<li><strong>Ay\u0131r\u0131c\u0131 tan\u0131<\/strong> b\u00f6l\u00fcm\u00fcnde, <em>Bir alternatif tan\u0131 en az DVT kadar olas\u0131<\/em> se\u00e7ene\u011fini yaln\u0131zca bacak belirtilerini DVT en az kadar iyi a\u00e7\u0131klayan ba\u015fka bir hastal\u0131k varsa (\u00f6rne\u011fin sel\u00fclit, kas y\u0131rt\u0131\u011f\u0131 veya kalp yetmezli\u011fi) i\u015faretleyin. Bu se\u00e7enek 2 puan d\u00fc\u015f\u00fcr\u00fcr.<\/li>\n<li><strong>Wells DVT sonucunuzu<\/strong> okuyun: toplam skor, test \u00f6ncesi olas\u0131l\u0131k kategorisi (d\u00fc\u015f\u00fck \u2264 0, orta 1\u20132, y\u00fcksek \u2265 3), o kategoriye ili\u015fkin yakla\u015f\u0131k DVT g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ve \u00f6nerilen sonraki tan\u0131sal ad\u0131m.<\/li>\n<\/ol>\n<h2>DVT i\u00e7in Wells skoru nedir?<\/h2>\n<p>Derin ven trombozu, en s\u0131k bacakta g\u00f6r\u00fclen, derin damarlarda olu\u015fan bir p\u0131ht\u0131d\u0131r. Y\u0131lda kabaca 1.000 ki\u015fiden 1'ini etkiler ve p\u0131ht\u0131n\u0131n bir par\u00e7as\u0131 koparsa pulmoner emboliye yol a\u00e7abilir; bu y\u00fczden h\u0131zl\u0131 fark edilmesi \u00f6nemlidir. G\u00fc\u00e7l\u00fck \u015fu ki, \u015fi\u015flik, a\u011fr\u0131 ve k\u0131zar\u0131kl\u0131k gibi belirtiler \u00e7ok daha yayg\u0131n bir\u00e7ok hastal\u0131kta da g\u00f6r\u00fcl\u00fcr ve a\u011fr\u0131l\u0131 baca\u011f\u0131 olan her hastaya g\u00f6r\u00fcnt\u00fcleme yapmak ne pratiktir ne de gereklidir.<\/p>\n<p>Philip Stevens Wells ve arkada\u015flar\u0131 taraf\u0131ndan geli\u015ftirilen Wells skoru bu sorunu, klinik de\u011ferlendirmeyi basit bir puan say\u0131m\u0131na d\u00f6n\u00fc\u015ft\u00fcrerek \u00e7\u00f6zer. Dokuz bulgunun her biri 1 puan ekler, makul bir alternatif tan\u0131 ise 2 puan d\u00fc\u015f\u00fcr\u00fcr. Toplam puan, hastay\u0131 d\u00fc\u015f\u00fck, orta veya y\u00fcksek test \u00f6ncesi olas\u0131l\u0131k grubuna yerle\u015ftirir. Orijinal do\u011frulama \u00e7al\u0131\u015fmalar\u0131nda DVT, d\u00fc\u015f\u00fck olas\u0131l\u0131kl\u0131 hastalar\u0131n yakla\u015f\u0131k %5'inde, orta olas\u0131l\u0131kl\u0131 hastalar\u0131n %17'sinde ve y\u00fcksek olas\u0131l\u0131kl\u0131 hastalar\u0131n %53'\u00fcnde g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n<p>Kilit kelime <em>test \u00f6ncesi<\/em>: skor, herhangi bir test yap\u0131lmadan <em>\u00f6nce<\/em> DVT olas\u0131l\u0131\u011f\u0131n\u0131n ne kadar oldu\u011funu s\u00f6yler ve bu da hangi testin yap\u0131lmas\u0131 gerekti\u011fini belirler. D\u00fc\u015f\u00fck olas\u0131l\u0131k grubunda k\u0131lavuzlar genellikle DVT'nin, ultrason gerektirmeden negatif bir D-dimer testiyle d\u0131\u015flanmas\u0131na izin verir. Orta grupta D-dimer ya da kompresyon ultrasonu uygundur. Y\u00fcksek olas\u0131l\u0131k grubunda ise k\u0131lavuzlar do\u011frudan kompresyon ultrasonografisine ge\u00e7ilmesini \u00f6nerir; \u00e7\u00fcnk\u00fc tek ba\u015f\u0131na negatif D-dimer, tan\u0131y\u0131 d\u0131\u015flamak i\u00e7in yeterli kabul edilmez.<\/p>\n<p>Modern algoritmalar\u0131n \u00e7o\u011fu, kural\u0131n basitle\u015ftirilmi\u015f iki d\u00fczeyli s\u00fcr\u00fcm\u00fcn\u00fc de kullan\u0131r: 2 veya \u00fczeri skor DVT'yi <em>olas\u0131<\/em> s\u0131n\u0131fland\u0131r\u0131r (g\u00f6r\u00fcnt\u00fclemeye ge\u00e7ilir), 2'nin alt\u0131ndaki skor ise <em>olas\u0131 d\u0131\u015f\u0131<\/em> s\u0131n\u0131fland\u0131r\u0131r (D-dimer g\u00fcvenle d\u0131\u015flayabilir). Hesaplama arac\u0131, hangi yolu izliyorsan\u0131z onu kullanabilmeniz i\u00e7in sonu\u00e7ta her iki yorumu da g\u00f6sterir.<\/p>\n<h2>Varsay\u0131mlar, s\u0131n\u0131rl\u0131l\u0131klar ve pratik ipu\u00e7lar\u0131<\/h2>\n<ul>\n<li><strong>Klinik bir ara\u00e7t\u0131r, tan\u0131 de\u011fildir.<\/strong> Wells skoru yaln\u0131zca olas\u0131l\u0131\u011f\u0131 tahmin eder. Tek ba\u015f\u0131na DVT'yi do\u011frulayamaz veya d\u0131\u015flayamaz \u2014 kesin yan\u0131t i\u00e7in D-dimer testi, kompresyon ultrasonografisi ya da her ikisi gerekir.<\/li>\n<li><strong>Belirti veren hastalar i\u00e7in tasarlanm\u0131\u015ft\u0131r.<\/strong> Skor, bacakta DVT'yi d\u00fc\u015f\u00fcnd\u00fcren belirti veya bulgular\u0131 olan hastalarda do\u011frulanm\u0131\u015ft\u0131r. Belirtisiz ki\u015filer i\u00e7in bir tarama arac\u0131 de\u011fildir.<\/li>\n<li><strong>Bald\u0131r\u0131 do\u011fru \u00f6l\u00e7\u00fcn.<\/strong> 3 cm bald\u0131r \u015fi\u015fli\u011fi kriteri, tibia t\u00fcberozitesinin (diz kapa\u011f\u0131n\u0131n alt\u0131ndaki kemik \u00e7\u0131k\u0131nt\u0131) 10 cm alt\u0131ndan \u00f6l\u00e7\u00fclen farka i\u015faret eder; ayak bile\u011finden veya bald\u0131r\u0131n en geni\u015f yerinden de\u011fil.<\/li>\n<li><strong>Kollateral damarlar varis olmamal\u0131d\u0131r.<\/strong> Yaln\u0131zca yeni g\u00f6r\u00fclen ve varis olmayan y\u00fczeysel damarlar say\u0131l\u0131r; uzun s\u00fcredir mevcut varisli damarlar say\u0131lmaz.<\/li>\n<li><strong>Alternatif tan\u0131 maddesinde dikkatli olun.<\/strong> Skorun en \u00f6znel k\u0131sm\u0131 budur. Yaln\u0131zca ba\u015fka bir tan\u0131 belirtileri ger\u00e7ekten DVT kadar iyi a\u00e7\u0131kl\u0131yorsa i\u015faretlenmelidir \u2014 ba\u015fka bir hastal\u0131\u011f\u0131n olmas\u0131 m\u00fcmk\u00fcn oldu\u011fu i\u00e7in de\u011fil.<\/li>\n<li><strong>\u015e\u00fcphede kal\u0131rsan\u0131z test yap\u0131n.<\/strong> D\u00fc\u015f\u00fck skor riski azalt\u0131r ama s\u0131f\u0131rlamaz. D\u00fc\u015f\u00fck skora ra\u011fmen klinik \u015f\u00fcphe s\u00fcr\u00fcyorsa objektif test yap\u0131lmas\u0131 gerekir. Ani bacak \u015fi\u015fli\u011fi, a\u011fr\u0131 veya k\u0131zar\u0131kl\u0131k her zaman h\u0131zl\u0131 t\u0131bbi de\u011ferlendirmeyi hak eder.<\/li>\n<\/ul>\n<p>\u0130lgili di\u011fer klinik skorlama ara\u00e7lar\u0131 i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/cha2ds2-vasc-skoru\/\">CHA\u2082DS\u2082-VASc Skoru<\/a>, <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/\">Glasgow Koma Skalas\u0131<\/a> ve <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/framingham-kalp-hastaligi-riski\/\">Framingham Kalp Hastal\u0131\u011f\u0131 Riski<\/a> hesaplama ara\u00e7lar\u0131n\u0131 da faydal\u0131 bulabilirsiniz.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Wells skoru ile derin ven trombozunun (DVT) test \u00f6ncesi olas\u0131l\u0131\u011f\u0131n\u0131 tahmin edin. Ge\u00e7erli klinik bulgular\u0131 i\u015faretleyin ve an\u0131nda d\u00fc\u015f\u00fck, orta veya y\u00fcksek risk kategorinizi g\u00f6r\u00fcn.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-3903","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3903","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=3903"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3903\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3903"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3903"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}