{"id":306,"date":"2019-08-22T12:23:28","date_gmt":"2019-08-22T12:23:28","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?post_type=portfolio&#038;p=306"},"modified":"2021-05-19T19:46:58","modified_gmt":"2021-05-19T19:46:58","slug":"sinir-hastaliklari","status":"publish","type":"portfolio","link":"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/sinir-hastaliklari\/","title":{"rendered":"Sinir Hastal\u0131klar\u0131"},"content":{"rendered":"<h2 id=\"Sinir_S\u0131k\u0131\u015fmas\u0131\" class=\"anchor-title\"><strong>Sinir S\u0131k\u0131\u015fmas\u0131<\/strong><\/h2>\n<h3><strong>Sinir S\u0131k\u0131\u015fmas\u0131 Nedir?<\/strong><\/h3>\n<p>Sinir s\u0131k\u0131\u015fmas\u0131, v\u00fccudumuzdaki k\u0131k\u0131rdak, kas vb. dokulardan kaynaklanan fazla bask\u0131 olu\u015fmas\u0131 sonucunda meydana gelmektedir. El, kol, bacak ve ayaklar\u0131n hareketleri yap\u0131labilmesini sa\u011flamaktad\u0131r. Ancak, bask\u0131ya u\u011frayan sinirlerde s\u0131k\u0131\u015fma ya\u015fanmaktad\u0131r.<\/p>\n<p><img class=\"alignnone wp-image-2891 size-full\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Sinir-S\u0131k\u0131\u015fmas\u0131.jpg\" alt=\"Sinir S\u0131k\u0131\u015fmas\u0131\" width=\"810\" height=\"458\" \/><\/p>\n<h3><strong>Sinir S\u0131k\u0131\u015fmas\u0131n\u0131n Nedenleri<\/strong><\/h3>\n<ul>\n<li>Kaza sonucu darbeye maruz kalma,<\/li>\n<li>Oturma, hareket ve yatma pozisyonlar\u0131ndaki ani hareketler ya da bozukluklar sonucu,<\/li>\n<li>F\u0131t\u0131k gibi hastal\u0131kla beraber ortaya \u00e7\u0131kabilir,<\/li>\n<li>A\u015f\u0131r\u0131 kiloluluk ya da \u015fiddetli eklem a\u011fr\u0131lar\u0131na neden olan romatizma esnas\u0131nda,<\/li>\n<li>Omurili\u011fin hasara u\u011framas\u0131,<\/li>\n<li>Ruh hastal\u0131klar\u0131n\u0131n artmas\u0131,<\/li>\n<li>Baz\u0131 ki\u015filerde genetik yatk\u0131nl\u0131ktan \u00f6t\u00fcr\u00fc sinir s\u0131k\u0131\u015fmas\u0131 ya\u015fan\u0131r.<\/li>\n<\/ul>\n<h3><strong>Sinir S\u0131k\u0131\u015fmas\u0131 Belirtileri<\/strong><\/h3>\n<ul>\n<li>Sinirin s\u0131k\u0131\u015ft\u0131\u011f\u0131 b\u00f6lgede olan uyu\u015fma ve hissizlik<\/li>\n<li>Sinirin s\u0131k\u0131\u015ft\u0131\u011f\u0131 b\u00f6lgede yanma hissi, a\u011fr\u0131lar<\/li>\n<li>Kar\u0131ncalanma ve i\u011fne gibi batma hissi<\/li>\n<li>Sinirin s\u0131k\u0131\u015ft\u0131\u011f\u0131 yerde kaslar\u0131n g\u00fc\u00e7s\u00fcz olmas\u0131<\/li>\n<li>Kaslarda se\u011firme<\/li>\n<li>Kaslarda yorgunluk<\/li>\n<li>Sinirin s\u0131k\u0131\u015ft\u0131\u011f\u0131 b\u00f6lgede yumu\u015fak his<\/li>\n<li>Fazla veya normalden az terleme<\/li>\n<li>Sert ve g\u00fcn ge\u00e7tik\u00e7e artan bir a\u011fr\u0131<\/li>\n<li>El ve ayak k\u0131s\u0131mlar\u0131nda hareketlerde zorluk ya\u015fama<\/li>\n<li>S\u0131cak ve so\u011fuk havalardan daha da fazla etkilenme<\/li>\n<li>Sinir s\u0131k\u0131\u015fmas\u0131nda \u015fiddetli ani tepkilerden sinirin s\u0131k\u0131\u015ft\u0131\u011f\u0131 yerde a\u011fr\u0131<\/li>\n<li>Bel ve bacak k\u0131sm\u0131nda olu\u015fan sinir s\u0131k\u0131\u015fmalar\u0131nda \u00f6zellikle y\u00fcr\u00fcrken ve \u00f6zellikle merdiven \u00e7\u0131karken olan a\u011fr\u0131lar<\/li>\n<\/ul>\n<h3><strong>Tedavisi<\/strong><\/h3>\n<p>S\u0131k\u0131\u015fm\u0131\u015f sinirin tedavisi yeri ve nedeni ile ilgilidir. Etkilenen b\u00f6lgenin dinlenmesi, \u00f6zellikle tekrarlayan faaliyetlerden kaynaklanan yaralanmalar durumunda \u00e7ok etkilidir. Fiziksel tedavi, s\u0131k\u0131\u015fm\u0131\u015f bir sinirin boyun veya bel \u00e7evresi sorunlar\u0131ndan kaynakland\u0131\u011f\u0131 zaman s\u0131kl\u0131kla yararl\u0131d\u0131r. Egzersizler s\u0131rt veya orta kaslar\u0131 g\u00fc\u00e7lendirebilir ve bir sinir k\u00f6k\u00fc \u00fczerindeki bask\u0131y\u0131 azaltabilir veya ortadan kald\u0131rabilir.<\/p>\n<p>Karpal t\u00fcnel sendromu vakalar\u0131 i\u00e7in, bilek splinti ya da tokmak s\u0131kl\u0131kla kullan\u0131l\u0131r. Ulnar nevropati veya yayg\u0131n peroneal n\u00f6ropati vakalar\u0131nda, en iyi sonuca ula\u015fmak i\u00e7in v\u00fccut pozisyonlar\u0131n\u0131 de\u011fi\u015ftirmeyi \u00f6\u011frenmek gerekebilir.<\/p>\n<p>Kilo kayb\u0131 bir\u00e7ok s\u0131k\u0131\u015fm\u0131\u015f sinir t\u00fcr\u00fc i\u00e7in fayda sa\u011flayabilir.<\/p>\n<p>\u0130la\u00e7, splint, fizik tedavi veya enjeksiyona yan\u0131t vermedi\u011finde sinir \u00fczerindeki bas\u0131nc\u0131 serbest b\u0131rakmak i\u00e7in ameliyat gerekli olabilir. Ameliyat\u0131n spesifik t\u00fcr\u00fc, ilgili sinire ba\u011fl\u0131d\u0131r. Bununla birlikte, ameliyat\u0131n amac\u0131, etkilenen sinir \u00fczerindeki bask\u0131y\u0131 ortadan kald\u0131rmak veya hafifletmek i\u00e7in ayn\u0131d\u0131r.<\/p>\n<h2 id=\"Dirsekte_Sinir_S\u0131k\u0131\u015fmas\u0131_Kubital_T\u00fcnel_Tendromu\" class=\"anchor-title\"><strong>Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131 (Kubital T\u00fcnel Tendromu)<\/strong><\/h2>\n<h3><strong>Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131 Nedir?<\/strong><\/h3>\n<p>Kubital t\u00fcnel sendromu, ulnar sinirin dirse\u011fi ge\u00e7ti\u011fi yerde s\u0131k\u0131\u015fmaya u\u011framas\u0131 ile ortaya \u00e7\u0131kan bir rahats\u0131zl\u0131kt\u0131r.<\/p>\n<p>Ulnar sinir, omurgan\u0131zdan elinizdeki baz\u0131 kaslar\u0131 \u00e7al\u0131\u015ft\u0131rmakta, k\u00fc\u00e7\u00fck ve y\u00fcz\u00fck parma\u011f\u0131n\u0131zda his duyusunun olmas\u0131n\u0131 sa\u011flamaktad\u0131r. Sinir kola inerken, dirsekte medial epikondil ad\u0131 verilen kemik \u00e7\u0131k\u0131nt\u0131l\u0131 bir b\u00f6lgede \u00f6ne ge\u00e7er. Bu noktada y\u00fczeye olduk\u00e7a yak\u0131nla\u015f\u0131r. Bu alana ani bir dokunu\u015fla, s\u0131kl\u0131kla ulnar sinirin ge\u00e7ici iritasyonunu ya\u015fayabilirsiniz.<\/p>\n<p>A\u011fr\u0131ya neden olabilir ve elinize kar\u0131ncalanmaya neden olabilir, bu y\u00fczden bu alan genellikle &#8220;komik kemik&#8221; olarak bilinir.<\/p>\n<p><img class=\"alignnone wp-image-2895 size-full\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/dirsekte-sinir-s\u0131k\u0131\u015fmas\u0131.jpg\" alt=\"Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131 (Kubital T\u00fcnel Tendromu)\" width=\"545\" height=\"302\" \/><\/p>\n<h3><strong>Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131n\u0131n Semptomlar\u0131 Neler?<\/strong><\/h3>\n<p>A\u015fa\u011f\u0131dakilerden bir veya daha fazlas\u0131n\u0131 ya\u015fayabilirsiniz.<\/p>\n<ul>\n<li>Dirsek ve el \u00e7evresinde a\u011fr\u0131.<\/li>\n<li>K\u00fc\u00e7\u00fck parmak ve y\u00fcz\u00fck parmakta kar\u0131ncalanma ve duyu kayb\u0131.<\/li>\n<li>Eldeki baz\u0131 kaslarda zay\u0131flama.<\/li>\n<li>K\u00fc\u00e7\u00fck ve y\u00fcz\u00fck parmaklar\u0131n\u0131 d\u00fczeltememek.<\/li>\n<li>Daha az kavrama g\u00fcc\u00fc.<\/li>\n<li>\u0130yi koordinasyon zorlu\u011fu.<\/li>\n<\/ul>\n<h3><strong>Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131n\u0131n Sebepleri Neler?<\/strong><\/h3>\n<p>Kubital t\u00fcnel sendromunun bir\u00e7ok nedeni vard\u0131r ancak her zaman ulnar sinirin s\u0131k\u0131\u015fmas\u0131 veya tahri\u015finden kaynaklanmaktad\u0131r. Ya\u015f ilerledik\u00e7e sinirlerimiz daha duyarl\u0131 hale gelir. Irritasyonun s\u0131kl\u0131kla belirli bir faaliyete ba\u011fl\u0131 oldu\u011fu ortaya \u00e7\u0131kar\u0131lm\u0131\u015ft\u0131r. Uzun bir s\u00fcre zarf\u0131nda, ulnar siniri tekrar tekrar rahats\u0131z eder.<\/p>\n<p>Bunun \u00f6rnekleri \u015f\u00f6yledir:<\/p>\n<ul>\n<li>Dirse\u011finizi uzun s\u00fcre katlamak.<\/li>\n<li>Dirse\u011finizi katlayarak uyudu\u011funuzda sinir dokusunun gerilmesine neden olur.<\/li>\n<li>Uzun s\u00fcreler boyunca, boya yapma, gitar \u00e7alma gibi dirseklerinizi tekrar tekrar e\u011fip d\u00fczle\u015ftirme.<\/li>\n<li>Dirse\u011fin \u00e7evresinde yumu\u015fak doku kal\u0131nla\u015fmas\u0131.<\/li>\n<li>Dirsek \u00e7evresi kemiklerde b\u00fcy\u00fcme.<\/li>\n<li>Siniri s\u0131k\u0131\u015ft\u0131ran bir darbe.<\/li>\n<li>Dirse\u011fin hareketleri s\u0131ras\u0131nda sinirin altta yatan kemi\u011fe s\u00fcrtmesi.<\/li>\n<li>Eklem deformitesi (artritik de\u011fi\u015fiklikler veya k\u0131r\u0131klar dahil).<\/li>\n<\/ul>\n<h3><strong>Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131n\u0131n \u00d6nlemi ve Tedavisi Nelerdir?<\/strong><\/h3>\n<p>Elinizi yast\u0131\u011f\u0131n alt\u0131na yerle\u015ftirmeden.<\/p>\n<p>Tekrarlayan dirsek e\u011filme ve d\u00fczle\u015ftirmeyi i\u00e7eren faaliyetlerden ka\u00e7\u0131n\u0131n.<\/p>\n<p>Kollar\u0131n\u0131z\u0131 \u00f6n\u00fcn\u00fczde ba\u011flayacak \u015fekilde uzun s\u00fcre boyunca ge\u00e7irmeyin.<\/p>\n<p>Ulnar sinire do\u011frudan bask\u0131 olu\u015fturan aktivitelerden ka\u00e7\u0131n\u0131n.<\/p>\n<p>\u00d6rne\u011fin telefonunuzdayken dirse\u011finize yaslanm\u0131\u015fken, s\u00fcr\u00fc\u015f esnas\u0131nda dirse\u011finizi ara\u00e7 kol dayama yerine oturtun.<\/p>\n<p>Semptomlar\u0131n\u0131z geceleri k\u00f6t\u00fcle\u015firse, ateller kullan\u0131labilir. Bu, sinir \u00fczerindeki gerginli\u011fi azaltmak i\u00e7in en iyi konumda tutmak i\u00e7in tasarlanm\u0131\u015ft\u0131r. Bazen sinir \u00fczerindeki direkt bas\u0131nc\u0131 azaltmak i\u00e7in bir dirsek pedi tak\u0131labilir.<\/p>\n<p>Belirtileriniz yukar\u0131daki tedavilerle daha iyi gitmezse, ulnar sinir \u00fczerindeki bas\u0131y\u0131 gecikmeden ortadan kald\u0131rmak i\u00e7in ve cerrahi se\u00e7enekleri tart\u0131\u015fmak i\u00e7in bir el cerrah\u0131na y\u00f6nlendirilebilirsiniz.<\/p>\n<h2 id=\"Bel_F\u0131t\u0131\u011f\u0131_Lomber_Disk_Hernisi\" class=\"anchor-title\"><strong>Bel F\u0131t\u0131\u011f\u0131 (Lomber Disk Hernisi) <\/strong><\/h2>\n<h3><strong>Bel F\u0131t\u0131\u011f\u0131 Neden Olur?<\/strong><\/h3>\n<p>Bel f\u0131t\u0131\u011f\u0131 a\u011fr\u0131s\u0131, omurga sinirinin iltihab\u0131ndan ve f\u0131t\u0131\u011f\u0131n sinire bask\u0131 yapmas\u0131ndan kaynaklan\u0131r. Siyatik, s\u0131kl\u0131kla bel f\u0131t\u0131\u011f\u0131 ili\u015fkili bir semptomdur. Siyatik sinirine destek olan bir veya birka\u00e7 sinir \u00fczerindeki bas\u0131n\u00e7, kal\u00e7adan baca\u011fa ve bazen aya\u011fa kadar uzanan a\u011fr\u0131, yanma, kar\u0131ncalanma ve hissizle\u015fmeye neden olabilir. Hap\u015f\u0131rma, \u00f6ks\u00fcrme veya e\u011filme genellikle a\u011fr\u0131y\u0131 artt\u0131r\u0131r. Genellikle bir taraf (sol veya sa\u011f) etkilenir.<\/p>\n<p>Bel f\u0131t\u0131\u011f\u0131 \u00e7o\u011fu zaman, kademeli, ya\u015flanma ile ili\u015fkili y\u0131pranma ve disk dejenerasyonu ad\u0131 verilen deformasyondur. Ya\u015fland\u0131k\u00e7a, omurilik diskleriniz su i\u00e7eri\u011finin bir k\u0131sm\u0131n\u0131 kaybeder. Bu onlar\u0131 daha az esnek ve daha k\u00fc\u00e7\u00fck bir gerilme veya b\u00fck\u00fclme ile y\u0131rtmaya daha e\u011filimli yapar.<\/p>\n<p>Nadiren, bir d\u00fc\u015fme veya s\u0131rta al\u0131nan bir darbe gibi travmatik bir olay f\u0131t\u0131k bir diske neden olabilir.<\/p>\n<p><img class=\"alignnone size-full wp-image-2899\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Bel-F\u0131t\u0131\u011f\u0131-Lomber-Disk-Hernisi-1.jpg\" alt=\"Dirsekte Sinir S\u0131k\u0131\u015fmas\u0131 (Kubital T\u00fcnel Tendromu)\" width=\"714\" height=\"446\" \/><\/p>\n<h3><strong>Bel F\u0131t\u0131\u011f\u0131 Belirtileri<\/strong><\/h3>\n<ul>\n<li>S\u0131rt ve kal\u00e7adaki hafif olarak ba\u015flayan a\u011fr\u0131 giderek artar<\/li>\n<li>Artan a\u011fr\u0131 zamanla yayg\u0131n uyu\u015fukluk ve g\u00fc\u00e7 kayb\u0131na neden olur<\/li>\n<li>A\u011fr\u0131 hastaya \u00e7ok ac\u0131 verebilir ve g\u00fcndelik i\u015flerini yapmas\u0131n\u0131 zorla\u015ft\u0131r\u0131r<\/li>\n<li>Olgular\u0131n \u00e7o\u011funlu\u011funda, a\u011fr\u0131 6 hafta i\u00e7inde azal\u0131r<\/li>\n<li>Baz\u0131 hastalarda a\u011fr\u0131 kronik ve \/ veya zay\u0131f d\u00fc\u015f\u00fcr\u00fcc\u00fc hale gelebilir<\/li>\n<li>F\u0131t\u0131\u011f\u0131n olu\u015ftu\u011fu disk bir sinire bask\u0131 yap\u0131yorsa, bu sinir boyunca yay\u0131lan \u015fiddetli bir a\u011fr\u0131 olabilir. Bu duruma siyatik de denir ve siyatik bel f\u0131t\u0131\u011f\u0131nda en s\u0131k g\u00f6r\u00fclen belirtidir.<\/li>\n<\/ul>\n<h3><strong>Bel F\u0131t\u0131\u011f\u0131 A\u011fr\u0131s\u0131n\u0131n \u00d6zellikleri<\/strong><\/h3>\n<p><strong>Bacak a\u011fr\u0131s\u0131:<\/strong> Bel a\u011fr\u0131s\u0131ndan daha k\u00f6t\u00fcd\u00fcr. A\u011fr\u0131, baca\u011f\u0131n arkas\u0131ndaki b\u00fcy\u00fck siyatik siniri yolu boyunca yay\u0131l\u0131rsa, siyatik veya radik\u00fclopati olarak adland\u0131r\u0131l\u0131r.<\/p>\n<p><strong>Sinir a\u011fr\u0131s\u0131:<\/strong> En dikkat \u00e7ekici semptomlardan biri de bacaklarda olu\u015fan ve yanma, keski ac\u0131, elektrik \u00e7arpmas\u0131, veya batma \u015feklinde olan sinir a\u011fr\u0131lar\u0131d\u0131r.<\/p>\n<p><strong>Belirtilerin de\u011fi\u015fken yerleri:<\/strong> F\u0131t\u0131\u011f\u0131n yeri ve derecesi gibi de\u011fi\u015fkenlere ba\u011fl\u0131 olarak belirtiler bel, bald\u0131r, \u00f6n veya arka bacak, kal\u00e7a, ayak ve \/ veya ayak parmaklar\u0131nda g\u00f6r\u00fclebilir ve tipik olarak v\u00fccudun bir taraf\u0131n\u0131 etkiler.<\/p>\n<p><strong>N\u00f6rolojik belirtiler:<\/strong> Bacakta, ayak ve \/ veya ayak parmaklar\u0131nda uyu\u015fukluk, i\u011fne batma hissi, g\u00fc\u00e7s\u00fczl\u00fck ve \/ veya kar\u0131ncalanma ya\u015fanabilir.<\/p>\n<p><strong>D\u00fc\u015f\u00fck ayak:<\/strong> Bel f\u0131t\u0131\u011f\u0131ndan kaynaklanan n\u00f6rolojik belirtiler aras\u0131nda, y\u00fcr\u00fcrken ya da ayak parmaklar\u0131n\u0131n \u00fcst\u00fcnde duruken baca\u011f\u0131 yukar\u0131 kald\u0131rma zorlu\u011fu g\u00f6r\u00fclebilir.<\/p>\n<p><strong>Bel a\u011fr\u0131s\u0131:<\/strong> Bel a\u011fr\u0131s\u0131 sabit veya zonklama \u015feklinde tan\u0131mlanabilir ve belinizi b\u00fckmekte zorlanabilirsiniz. E\u011fer f\u0131t\u0131kla\u015fm\u0131\u015f disk bel kas\u0131 spazm\u0131na neden oluyorsa, a\u011fr\u0131y\u0131 sakinle\u015ftirmek i\u00e7in bir ya da iki g\u00fcn dinlenmek gerekebilir.<\/p>\n<p><strong>Ani a\u011fr\u0131:<\/strong> F\u0131t\u0131kla\u015fm\u0131\u015f disk a\u011fr\u0131s\u0131 genellikle \u00e7ok h\u0131zl\u0131 geli\u015fir ve bazen a\u011fr\u0131y\u0131 tetikleyen belirgin bir hareket veya olay bulunamayabilir.<\/p>\n<h3><strong>Bel F\u0131t\u0131\u011f\u0131 Nas\u0131l Te\u015fhis Edilir?<\/strong><\/h3>\n<p>Bel f\u0131t\u0131\u011f\u0131n\u0131z olup olmad\u0131\u011f\u0131n\u0131 belirlemek i\u00e7in, doktorunuz \u00f6ncelikle t\u0131bbi ge\u00e7mi\u015finizi eksiksiz olarak \u00f6\u011frenmek ister. Te\u015fhise yard\u0131mc\u0131 olarak fizik muayene yapar ve gerekli g\u00f6r\u00fcrse do\u011frulamak ad\u0131na manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRI) taramas\u0131 isteyebilir.<\/p>\n<p><strong>T\u0131bbi Ge\u00e7mi\u015f ve Fizik Muayenesi:<\/strong> Belirtilerinizi ve t\u0131bbi ge\u00e7mi\u015finiz hakk\u0131nda konu\u015ftuktan sonra, doktorunuz omurgan\u0131z\u0131 inceler.<\/p>\n<p><strong>N\u00f6rolojik muayene:<\/strong> Fiziksel muayene, zay\u0131fl\u0131k veya duyu kayb\u0131 olup olmad\u0131\u011f\u0131n\u0131 tespit edebilmek i\u00e7in n\u00f6rolojik bir muayene i\u00e7ermelidir. Kas zay\u0131fl\u0131\u011f\u0131n\u0131 test etmek i\u00e7in, doktorunuz topuk ve ayak parmaklar\u0131n\u0131z \u00fczerinde y\u00fcr\u00fcmenizi ister. Kal\u00e7a, ayak bile\u011fi ve ayak parmaklar\u0131n\u0131z muayene edilmelidir.<\/p>\n<p><strong>D\u00fcz bacak kald\u0131rma (SLR) testi:<\/strong> Bu muayene, 35 ya\u015f\u0131n alt\u0131ndaki hastalarda bel f\u0131t\u0131\u011f\u0131n\u0131n do\u011fru te\u015fhisinde \u00e7ok yard\u0131mc\u0131 olur. Bu testte s\u0131rt \u00fcst\u00fc yatars\u0131n\u0131z ve doktorunuz a\u011fr\u0131yan baca\u011f\u0131n\u0131z\u0131 diziniz d\u00fcz duracak \u015fekilde yukar\u0131 kald\u0131r\u0131r. Bacak ve dizinizin alt\u0131nda a\u011fr\u0131 hissederseniz, bu durum bel f\u0131t\u0131\u011f\u0131n\u0131z var demektir.<\/p>\n<p><strong>G\u00f6r\u00fcnt\u00fcleme Testleri:<\/strong> Bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131n\u0131 do\u011frulamaya yard\u0131mc\u0131 olmak i\u00e7in doktorunuz bir manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRI) taramas\u0131 \u00f6nerebilir. Bu tarama, diskler gibi yumu\u015fak dokular\u0131n net g\u00f6r\u00fcnt\u00fclerini almay\u0131 sa\u011flar.<\/p>\n<h3><strong>Bel F\u0131t\u0131\u011f\u0131 Tedavisi<\/strong><\/h3>\n<p>Her bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 konulan hastan\u0131n cerrahi yoldan tedavi edilmesine gerek yoktur. Bir hastan\u0131n cerrahi olarak tedavi edilip edilmeyece\u011fine karar verilmesi i\u00e7in birka\u00e7 duruma dikkat edilmesi gereklidir.<\/p>\n<p>Bu durumlardan ilki, a\u011fr\u0131s\u0131n\u0131n tipidir. Beline, kal\u00e7as\u0131na veya baca\u011f\u0131na vuran a\u011fr\u0131. Bu, bel f\u0131t\u0131\u011f\u0131n\u0131n en \u00f6nemli belirtisidir. \u0130kincisi, hastan\u0131n muayenesi. E\u011fer hastan\u0131n muayenesinde duyu, refleks veya kuvvet kay\u0131plar\u0131 gibi bir durum rastlan\u0131rsa bu hastalar cerrahi m\u00fcdahaleye aday hastalard\u0131r; \u00e7\u00fcnk\u00fc n\u00f6rolojik olarak geli\u015fen kay\u0131plar\u0131n kal\u0131c\u0131l\u0131\u011fa d\u00f6n\u00fc\u015fmesi ihtimali vard\u0131r. E\u011fer hastalarda bu bulgular saptanmaz ve tek \u015fikayet a\u011fr\u0131 olursa, bu hastalara cerrahi tedaviler d\u0131\u015f\u0131nda fizik tedavi veya di\u011fer tedavi y\u00f6ntemlerinin uygulanmas\u0131 m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<h2 id=\"Sinir_Tedavisinde_Kullan\u0131lan_Cerrahi_Uygulamalar\" class=\"anchor-title\"><strong>Sinir Tedavisinde Kullan\u0131lan Cerrahi Uygulamalar<\/strong><\/h2>\n<p><a href=\"https:\/\/www.romatem.com\/sinir-sikismasi\/\" target=\"_blank\" rel=\"noopener noreferrer\">Sinir s\u0131k\u0131\u015fmas\u0131<\/a>nda fizik tedavi ve ila\u00e7 tedavisi sonu\u00e7 vermezse, bu noktada cerrahi uygulamalar g\u00fcndeme gelir. Sinir s\u0131k\u0131\u015fmas\u0131 nedeniyle hastalar\u0131n ameliyat edilmesi nadiren g\u00f6r\u00fclebilse de doktorlar\u0131n da ameliyat\u0131 son se\u00e7enek olarak g\u00f6rd\u00fckleri s\u00f6ylenebilir. Hasta e\u011fer geceleri uyuyamayacak, nesneleri kavrayamayacak, b\u00f6lgesel i\u015flevlerini yerine getiremeyecek durumdaysa ve a\u011fr\u0131lar\u0131n s\u0131kl\u0131\u011f\u0131yla birlikte \u015fiddeti de giderek art\u0131yorsa, bu noktada kesinlikle cerrahi uygulamalar devreye girer. Sinir s\u0131k\u0131\u015fmas\u0131n\u0131n meydana geldi\u011fi b\u00f6lge net bir \u015fekilde tespit edildikten sonra kapal\u0131 y\u00f6ntemle sinir s\u0131k\u0131\u015fmas\u0131 ameliyat\u0131 yap\u0131l\u0131r. E\u011fer hastan\u0131n durumu a\u011f\u0131rsa, kapal\u0131 y\u00f6ntemden vazge\u00e7ilip, a\u00e7\u0131k ameliyat ger\u00e7ekle\u015febilir. Hasta ameliyat s\u0131ras\u0131nda bay\u0131lt\u0131lmaz ve ameliyat b\u00f6lgesel uyu\u015fturma ile ger\u00e7ekle\u015fir. E\u011fer sinir s\u0131k\u0131\u015fmas\u0131 ileri safhada ise b\u00f6lgedeki sinirler aras\u0131nda yeni bir ba\u011f olu\u015fturulup, bask\u0131n\u0131n azalt\u0131lmas\u0131 veya tamamen ortadan kalkmas\u0131 sa\u011flanabilir.<\/p>\n<h3><strong>El Cerrahisi ve Mikro Cerrahi<\/strong><\/h3>\n<p>Hayat\u0131 ellerimizi kullanarak kuruyor, idame ettiriyoruz. Hayat\u0131m\u0131z\u0131n kurgulanmas\u0131nda v\u00fccudumuzdaki en \u00f6nemli organlardan ellerimizin, olu\u015fabilecek yaralanmalar\u0131n\u0131n tedavisi.<\/p>\n<p>\u0130nsan v\u00fccudunda b\u00fct\u00fcn anatomik yap\u0131lar (damar, kiri\u015f, sinir, kemik) birbiri ile \u00e7ok yak\u0131n olarak bulunur. Bu bak\u0131mdan herhangi bir yaralanma an\u0131nda bu yap\u0131lar\u0131n bir\u00e7o\u011fu etkilenebilir. Bu bak\u0131mdan art\u0131k t\u00fcm d\u00fcnyada el ve \u00fcst ekstremitenin her t\u00fcrl\u00fc yaralanmas\u0131 ve hastal\u0131klar\u0131n\u0131n tedavisi ile u\u011fra\u015fan ortopedi, mikrocerrahi, rekonstr\u00fcktif cerrahi e\u011fitimi alm\u0131\u015f olan doktorlar ile bu t\u00fcr ameliyatlar yap\u0131lmaktad\u0131r.<\/p>\n<h3><strong>El ve Mikrocerrahi Nedir?<\/strong><\/h3>\n<p><strong>El cerrahisi,<\/strong>\u00a0 elden boyun k\u00f6k\u00fcne kadar olan (el bile\u011fi, \u00f6nkol ve kol) ve \u00fcst ekstremite olarak tan\u0131mlanan k\u0131s\u0131m i\u00e7inde her t\u00fcrl\u00fc hastal\u0131\u011f\u0131 mikrocerrahi gibi yard\u0131mc\u0131 teknikleri de kullanarak tedavi eden t\u0131p dal\u0131d\u0131r.<\/p>\n<p><img class=\"alignnone size-full wp-image-2903\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Hand-surgery.jpg\" alt=\"Hand surgery\" width=\"1100\" height=\"734\" \/><\/p>\n<p><strong>Mikrocerrahi,<\/strong> operasyon mikroskopu veya \u00f6zel g\u00f6zl\u00fckler kullanarak ameliyat sahas\u0131n\u0131n b\u00fcy\u00fct\u00fclmesi sayesinde uygulanan cerrahi tekniktir. Bu sayede normalde \u00e7\u0131plak g\u00f6zle zor g\u00f6r\u00fclebilen sinir, damar gibi yap\u0131lardaki problemlerin cerrahi olarak tedavisi m\u00fcmk\u00fcn olmaktad\u0131r. Mikrocerrahi damar ve sinir onar\u0131mlar\u0131nda, v\u00fccudun bir b\u00f6lgesinden ba\u015fka bir b\u00f6lgesine yap\u0131lan damarl\u0131 doku nakillerinde kullan\u0131labilir. G\u00fcnl\u00fck ya\u015fam\u0131m\u0131zda h\u0131zla art\u0131\u015f g\u00f6steren i\u015f kazas\u0131, trafik kazas\u0131, cam kesisi, d\u00fc\u015fmeler veya benzeri kazalar sonucu yaralanm\u0131\u015f uzuvlar\u0131n tamiri, kopan par\u00e7alar\u0131n dikilebilmesi mikrocerrahi y\u00f6ntemlerle m\u00fcmk\u00fcn olabilmektedir.<\/p>\n<p><img class=\"alignnone size-full wp-image-2907\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/mikrocerrahi.jpg\" alt=\"mikrocerrahi\" width=\"700\" height=\"255\" \/><\/p>\n<h3><strong>El Cerrahisinin \u0130lgi Alanlar\u0131<\/strong><\/h3>\n<ul>\n<li>\u0130\u015f kazalar\u0131; damar, sinir, tendon ve kemik yaralanmalar\u0131<\/li>\n<li>Elin, el parmaklar\u0131n\u0131n ve \u00fcst ekstremitenin k\u0131smi veya tam kopmalar\u0131<\/li>\n<li>Ev , trafik ve spor kazalar\u0131; el ve elbile\u011fini i\u00e7ine alan k\u0131r\u0131klar, tendon ve ba\u011f yaralanmalar\u0131<\/li>\n<li>Ba\u011f ve tendon zorlanmas\u0131 sonucu olu\u015fan(Tetik parmak, dequarvein tenosinoviti vb) sorunlar<\/li>\n<li>Do\u011fumsal anomaliler ve sonradan olu\u015fmu\u015f \u015fekil bozukluklar\u0131<\/li>\n<li>Romatizmal hastal\u0131klar ve buna ba\u011fl\u0131 \u015fekil bozukluklar\u0131<\/li>\n<li>T\u00fcm\u00f6rler<\/li>\n<li>Her ya\u015ftaki beyin felci, omurilik yaralanmalar\u0131 sonras\u0131 geli\u015fen el-dirsek-omuz fonksiyon bozukluklar\u0131n\u0131n iyile\u015ftirilmesi<\/li>\n<li>Boyun k\u00f6k\u00fc ve v\u00fcc\u00fcdun di\u011fer b\u00f6lgelerinin\u00a0 sinir yaralanmalar\u0131<\/li>\n<li>Sinir s\u0131k\u0131\u015fmalar\u0131 (karpal t\u00fcnel,kubital t\u00fcnel vb)<\/li>\n<li>Bilgisayar \u00f6n\u00fc ve meslekle ili\u015fkili a\u015f\u0131r\u0131 kullan\u0131m hastal\u0131klar\u0131d\u0131r.<\/li>\n<\/ul>\n<h3><strong>Mikro Cerrahinin \u0130lgi Alanlar\u0131<\/strong><\/h3>\n<p>Burada s\u0131ralanan endikasyonlar mutlak veya relatif endikasyonlar olarak iki ayr\u0131 kategoride de\u011ferlendirilebilir:<\/p>\n<p>Replantasyon veya Revask\u00fclarizasyon i\u00e7in \u201cmutlak\u201d endikasyonlar:<\/p>\n<ul>\n<li>Ba\u015fparmak amputasyonlar\u0131<\/li>\n<li>Birden fazla parmak amputasyonu<\/li>\n<li>Bilek veya avu\u00e7 i\u00e7inden ge\u00e7en amputasyonlar<\/li>\n<li>\u00c7ocuk ya\u015f grubundaki amputasyonlar<\/li>\n<li>Genel motivasyonu fazla ve ak\u0131l, zek\u00e2, kavrama seviyesi y\u00fcksek hastalar<\/li>\n<\/ul>\n<p>Replantasyon veya Revask\u00fclarizasyon i\u00e7in \u201czorunlu olmayan\u201d endikasyonlar:<\/p>\n<ul>\n<li>Distal falanks seviyesinden amputasyonlar<\/li>\n<li>Ezik ya da av\u00fclsiyon yaralanmas\u0131 ile beraber olan amputasyonlar<\/li>\n<li>Ba\u015fparmak haricindeki tek parmak amputasyonlar\u0131<\/li>\n<li>\u0130leri ya\u015f dirsek \u00fcst\u00fc seviyeden amp\u00fctasyonlar<\/li>\n<li>Bel F\u0131t\u0131\u011f\u0131 (Lomber Disk Hernisi)<\/li>\n<\/ul>\n<h3><strong>Kapal\u0131 Endoskopik Bel F\u0131t\u0131\u011f\u0131 Ameliyat\u0131 (KEBFA) <\/strong><\/h3>\n<p>Kapal\u0131 Endoskopik Bel F\u0131t\u0131\u011f\u0131 Ameliyat\u0131na (KEBFA) ayn\u0131 zamanda \u201cArtroskopik bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131\u201d ad\u0131 da verilmektedir. Ameliyat prensipleri diz artroskopisiyle ayn\u0131d\u0131r. KEBFA <a href=\"https:\/\/tr.wikipedia.org\/wiki\/Bel_f%C4%B1t%C4%B1%C4%9F%C4%B1\" target=\"_blank\" rel=\"noopener noreferrer\">bel f\u0131t\u0131\u011f\u0131<\/a> nedeniyle ameliyat olmas\u0131 gereken t\u00fcm hastalara uygulanabilir. Ameliyat iki farkl\u0131 teknikle yap\u0131lmaktad\u0131r. Ameliyat\u0131n uygulanabilmesi i\u00e7in \u00f6zel endoskopik cerrahi aletler ve uygulayacak cerrah\u0131n bu konuda e\u011fitimli ve uluslararas\u0131 sertifika sahibi olmas\u0131 gereklidir.<\/p>\n<h3><strong>Hangi Hastalara Uygulanabilir?<\/strong><\/h3>\n<p>KEBFA bel f\u0131t\u0131\u011f\u0131 nedeniyle ameliyat olmas\u0131 gereken t\u00fcm hastalara uygulanabilir. Ancak bel f\u0131t\u0131\u011f\u0131n\u0131n yan\u0131 s\u0131ra hastada bel omurlar\u0131n\u0131n kaymas\u0131, kanal darl\u0131\u011f\u0131 gibi ilave durumlar var ve bunlar\u0131n da d\u00fczeltilmesi gerekiyorsa o zaman KEBFA yerine mikrocerrahi yap\u0131lmas\u0131 gereklidir. Her ya\u015f grubuna uygulanabilir. \u00d6zellikle ya\u015fl\u0131 ve diyabet, hipertansiyon gibi yanda\u015f hastal\u0131\u011f\u0131 olan hastalarda ameliyat sonras\u0131 iyile\u015fme s\u00fcresinin \u00e7ok k\u0131sa olmas\u0131 b\u00fcy\u00fck avantaj sa\u011flamaktad\u0131r.<\/p>\n<p>Mikrocerrahi sonras\u0131 n\u00fcks geli\u015fen hastalarda ikinci ameliyatlarda ameliyat b\u00f6lgesindeki yap\u0131\u015f\u0131kl\u0131klar nedeniyle komplikasyon riski y\u00fcksektir. KEBFA ise n\u00fcks nedeniyle ikinci kez ameliyat olmas\u0131 gereken t\u00fcm hastalarda g\u00fcvenle uygulanabilir.<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"dKpslIPW5f\"><p><a href=\"https:\/\/turkeyistanbulmedical.com\/tr\/el-sendromlari-ve-cerrahi-tedavileri\/\">El Sendromlar\u0131 ve \u00a0Cerrahi Tedavileri<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;El Sendromlar\u0131 ve \u00a0Cerrahi Tedavileri&#8221; &#8212; Turkey Istanbul Medical\" src=\"https:\/\/turkeyistanbulmedical.com\/tr\/el-sendromlari-ve-cerrahi-tedavileri\/embed\/#?secret=dKpslIPW5f\" data-secret=\"dKpslIPW5f\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sinir S\u0131k\u0131\u015fmas\u0131 Sinir S\u0131k\u0131\u015fmas\u0131 Nedir? Sinir s\u0131k\u0131\u015fmas\u0131, v\u00fccudumuzdaki k\u0131k\u0131rdak, kas vb. dokulardan kaynaklanan fazla bask\u0131 olu\u015fmas\u0131 sonucunda meydana gelmektedir. El, kol, bacak ve ayaklar\u0131n hareketleri yap\u0131labilmesini sa\u011flamaktad\u0131r. Ancak, bask\u0131ya u\u011frayan sinirlerde s\u0131k\u0131\u015fma ya\u015fanmaktad\u0131r. Sinir S\u0131k\u0131\u015fmas\u0131n\u0131n Nedenleri Kaza sonucu darbeye maruz kalma, Oturma, hareket ve yatma pozisyonlar\u0131ndaki ani hareketler ya da bozukluklar sonucu, F\u0131t\u0131k gibi hastal\u0131kla [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":185,"comment_status":"open","ping_status":"closed","template":"","meta":[],"portfolio_category":[418],"portfolio_tag":[458,455,456,457,375],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v18.4.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sinir Hastal\u0131klar\u0131 - Turkey Istanbul Medical - Sinir S\u0131k\u0131\u015fmalara ve Sebepleri<\/title>\n<meta name=\"description\" content=\"Sinir s\u0131k\u0131\u015fmas\u0131, v\u00fccudumuzdaki k\u0131k\u0131rdak, kas vb. dokulardan kaynaklanan fazla bask\u0131 olu\u015fmas\u0131 sonucunda meydana gelmektedir. 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