Boyun F\u0131t\u0131\u011f\u0131 ve Tedavisi: Boyunda 7 adet omur cismi bulunur. Yap\u0131lar\u0131 itibariyle bir \u00f6nceki b\u00f6l\u00fcmde anlat\u0131lan bel omurlar\u0131ndan tek farklar\u0131, daha k\u00fc\u00e7\u00fck olmalar\u0131d\u0131r.<\/p>\n
Her omurga aras\u0131nda yast\u0131k\u00e7\u0131k dedi\u011fimiz k\u0131k\u0131rdaklar mevcuttur. Bu k\u0131k\u0131rdak yap\u0131n\u0131n y\u0131rt\u0131larak, omurga i\u00e7inde seyreden omurilik veya kola da\u011f\u0131lan sinirlere bask\u0131 yapmas\u0131 donucu olu\u015fan hastal\u0131\u011fa boyun f\u0131t\u0131\u011f\u0131 denir. Hastada \u015fiddetli bir boyun a\u011fr\u0131s\u0131yla birlikte kola yay\u0131lan a\u011fr\u0131, uyu\u015fma mevcuttur.<\/p>\n
Zamanla y\u0131rt\u0131lan k\u0131k\u0131rdak sinirlere bask\u0131 yaparsa kolda kuvvetsizlik, e\u011fer omurili\u011fin kendisine de bas\u0131 yaparsa t\u00fcm v\u00fccutta hareket kusurlar\u0131 ortaya \u00e7\u0131kabilir. Hastal\u0131\u011f\u0131n \u00e7ok ileri d\u00f6nemlerinde yata\u011fa ba\u011f\u0131ml\u0131 hale gelen hastalara rastlan\u0131r.<\/p>\n
Kafa taban\u0131ndan itibaren 7 adet omur cisminden olu\u015fur. Her omur cisminin ortas\u0131nda , beynin devam\u0131 olan omurilik bulunur. V\u00fccudun \u00e7e\u015fitli yerlerinden beyine d\u00f6nen duyular veya beyinden v\u00fccuda da\u011f\u0131lan emirler omurilik i\u00e7inde seyreder.<\/p>\n
Boyun b\u00f6lgesinde her omur cismi hizas\u0131ndan \u00e7\u0131kan sinirlerde kola ve s\u0131rta yay\u0131larak, bu b\u00f6lgelerin duyu ve hareketini sa\u011flar.
\nOmurgalar aras\u0131 yast\u0131k\u00e7\u0131k dedi\u011fimiz disk dokusunun d\u0131\u015f k\u0131sm\u0131 (anulus fibrosus) ve i\u00e7 k\u0131sm\u0131 (nucleus pulposus ) bulunur.<\/p>\n
Jelatin k\u0131vam\u0131ndaki i\u00e7 k\u0131sm\u0131n , daha kuvvetli bir ba\u011f dokusundan olu\u015fan d\u0131\u015f k\u0131sm\u0131 y\u0131rtarak omurilik ve sinirlere bas\u0131 yapmas\u0131 sonucu boyun f\u0131t\u0131\u011f\u0131 ortaya \u00e7\u0131kar. Burada dikkat edilmesi gereken ve bel f\u0131t\u0131\u011f\u0131ndan ba\u015fl\u0131ca fark, sadece sinirlere de\u011fil omurili\u011fin kendisinede bask\u0131 olmas\u0131 sonucu v\u00fccudun tamam\u0131nda k\u0131smi veya tam kuvvetsizlik olu\u015fmas\u0131d\u0131r.<\/p>\n
Omurilik ilk bel omuru hizas\u0131nda sonland\u0131\u011f\u0131ndan ve alt bel omurlar\u0131 i\u00e7inde sadece aya\u011fa giden sinirler bulundu\u011fundan , bel f\u0131t\u0131\u011f\u0131nda belirli sinirin da\u011f\u0131ld\u0131\u011f\u0131 alanda fel\u00e7ler g\u00f6r\u00fcl\u00fcr.<\/p>\n
Boyun f\u0131t\u0131\u011f\u0131nda risk fakt\u00f6rleri
\n* Boyun omurlar\u0131 aras\u0131ndaki k\u0131k\u0131rda\u011f\u0131n dejenerasyon dedi\u011fimiz y\u0131pranmas\u0131
\n* Ani ve g\u00fc\u00e7l\u00fc boyun hareketleri. A\u011f\u0131r kald\u0131rmak, ani ters d\u00f6n\u00fc\u015fler.
\n* Ba\u015f \u00f6ne e\u011fik olarak uzun s\u00fcreli \u00e7al\u0131\u015fma: Masa ba\u015f\u0131 i\u015fleri.
\n* \u00d6zellikle emniyet kemeri takmadan araba kullananlarda ani fren yap\u0131lmas\u0131 veya trafik kazas\u0131.
\n* Ge\u00e7irilmi\u015f boyun travmas\u0131, spor yaralanmalar\u0131.
\n* Osteoporoz.<\/p>\n
* Fibromyositis<\/strong>: S\u0131k tekrarlayan boyun ve bel adelelerinin spazm\u0131d\u0131r. Halk aras\u0131nda adele romatizmas\u0131 olarak bilinir. Boyun f\u0131t\u0131\u011f\u0131n\u0131n tan\u0131s\u0131nda kullan\u0131lan y\u00f6ntemler Bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 alan hasta a\u015fa\u011f\u0131daki klinik durumdan herhangi birinde olabilir. Evre 1-2 de \u00f6ncelikle ila\u00e7 tedavisi, boyunluk kullan\u0131m\u0131, fizik tedavi denenir. Bu d\u00f6nemde hastal\u0131\u011f\u0131n iyile\u015fmesi, bu tedavilerle y\u0131rt\u0131lan disk dokusunun i\u00e7eri\u011findeki su miktar\u0131n\u0131n istirahat ve ila\u00e7larla azalt\u0131lmas\u0131na y\u00f6neliktir. Bu s\u00fcre 1 ay i\u00e7inde ger\u00e7ekle\u015fmelidir. Bir ay\u0131 ge\u00e7en konservatif tedaviye ra\u011fmen d\u00fczelmeyen hastalar, cerrahi tedaviye adayd\u0131r. \u0639\u0644\u0627\u062c \u0641\u062a\u0642 \u0627\u0644\u0639\u0646\u0642<\/p>\n Boyun f\u0131t\u0131\u011f\u0131n\u0131n cerrahi tedavisi, servikal mikrodiskektomi * Ameliyata ba\u011fl\u0131 doku hasar\u0131n\u0131n,kan kayb\u0131n\u0131n ve enfeksiyon riskinin en az olmas\u0131. * Hastan\u0131n mevcut \u015fikayet ve bulgular\u0131n\u0131n \u00e7ekilen MR ile uyumlu olmas\u0131. Boyun F\u0131t\u0131\u011f\u0131 ve Tedavisi: Ameliyat Genel anestezi alt\u0131nda, boynun \u00f6n y\u00fcz\u00fc, tercihen sa\u011f taraftan uygulan\u0131r. Omurga \u00f6n y\u00fcz\u00fcne varan cerrah, skopi kontrol\u00fcyle istenilen omurga mesafesine ula\u015f\u0131r. Bu andan itibaren mikroskop kullanarak iki omurga aras\u0131ndaki k\u0131k\u0131rda\u011f\u0131 temizlemeye ba\u015flar. En sonunda, sinire veya omurili\u011fe bas\u0131 yapan y\u0131rt\u0131lm\u0131\u015f k\u0131k\u0131rdak k\u0131s\u0131mda al\u0131narak, bas\u0131 kald\u0131r\u0131l\u0131r.. \u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0639\u0635\u0628\u064a \u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0639\u0638\u0627\u0645 \u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0645\u0633\u0646\u064a\u0646 Boyun F\u0131t\u0131\u011f\u0131 ve Tedavisi Boyun F\u0131t\u0131\u011f\u0131 ve Tedavisi: Boyunda 7 adet omur cismi bulunur. Yap\u0131lar\u0131 itibariyle bir \u00f6nceki b\u00f6l\u00fcmde anlat\u0131lan bel omurlar\u0131ndan tek farklar\u0131, daha k\u00fc\u00e7\u00fck olmalar\u0131d\u0131r. Her omurga aras\u0131nda yast\u0131k\u00e7\u0131k dedi\u011fimiz k\u0131k\u0131rdaklar mevcuttur. Bu k\u0131k\u0131rdak yap\u0131n\u0131n y\u0131rt\u0131larak, omurga i\u00e7inde seyreden omurilik veya kola da\u011f\u0131lan sinirlere bask\u0131 yapmas\u0131 donucu olu\u015fan hastal\u0131\u011fa boyun f\u0131t\u0131\u011f\u0131 denir. Hastada … <\/p>\n
\n* \u0130mpigman<\/strong> Hastal\u0131\u011f\u0131: Omuz ekleminin sertle\u015fmesi ve kola yay\u0131lan \u00e7ok \u015fiddetli a\u011fr\u0131yla seyreder. Hastal\u0131k \u00f6zellikle geceleri daha \u015fiddetli a\u011fr\u0131 yapar.
\n* Sinir Tuzaklanmalar\u0131<\/strong>: Omurilikten \u00e7\u0131karak da\u011f\u0131lan sinirlerin kolda belli noktalarda s\u0131k\u0131\u015fmas\u0131d\u0131r. En iyi bilineni El-Bilek Kanal\u0131 Hastal\u0131\u011f\u0131 olup, orta ya\u015f\u0131 ge\u00e7mi\u015f \u00f6zellikle kad\u0131nlarda veya bilek kuvveti gerektiren herkeste geceleri kolun tamam\u0131na yay\u0131lan a\u011fr\u0131 ve uyu\u015fmalard\u0131r. Boyun f\u0131t\u0131\u011f\u0131 ile birlikte olursa \u00e7ift tuzaklanma denir ve her ikisininde ayn\u0131 anda tedavisi gerekir. Sinir tuzaklanmalar\u0131 hakk\u0131nda bir sonraki konuda ayr\u0131nt\u0131l\u0131 bilgi verilmi\u015ftir.
\n* Tenosinovit<\/strong>: Koldaki adelelerin k\u0131l\u0131f\u0131n\u0131n zorlama veya romatizmal sebeplerle \u015fi\u015fmesi sonucu ortaya \u00e7\u0131kar. B\u00f6lgesel a\u011fr\u0131larla seyreder .<\/p>\n
\nKlinik muayene, Servikal MR, Servikal BT, EMG. Klinik muayene ve Servikal MR mutlaka yap\u0131lmal\u0131d\u0131r. EMG sinir tuzaklanmalar\u0131n\u0131 ay\u0131rmada gerekirse kullan\u0131l\u0131r.
\nBoyun f\u0131t\u0131\u011f\u0131n\u0131n evrelemesi<\/p>\n
\n1-\u015eiddetli boyun a\u011fr\u0131s\u0131 ve veya kola vuran a\u011fr\u0131.
\n2-Orta d\u00fczeyde s\u0131k tekrarlayan a\u011fr\u0131lar.
\n3-A\u011fr\u0131yla birlikte kolda kuvvetsizlik veya uyu\u015fma gibi sinir hasar\u0131 bulgular\u0131.
\n4-A\u011fr\u0131yla birlikte kollar ve ayaklarda kuvvetsizlik ve uyu\u015fma.
\n5-Kollar ve ayaklarda giderek artan g\u00fc\u00e7 kayb\u0131 ve uyu\u015fma, a\u011fr\u0131 \u00f6n planda olmayabilir (Tekrarlayan boyun f\u0131t\u0131\u011f\u0131 ataklar\u0131n\u0131 takiben omurilik kanal\u0131nda kire\u00e7lenmeye ba\u011fl\u0131 daralma).<\/p>\nEvrelemeye y\u00f6nelik tedavi prensipleri<\/h3>\n
\n\u00c7e\u015fitli tip boyunluklar\u0131n hepsinin amac\u0131:
\nBa\u015f\u0131n boyun omurlar\u0131na olan bas\u0131nc\u0131n\u0131 azaltmak ve boynu hareketsiz tutarak istirahat ve iyile\u015fmeyi sa\u011flamakt\u0131r. Evre 3-4-5 de omurilik ve sinir dokusundaki hasar artmadan cerrahi tedavi uygulanmal\u0131d\u0131r. Sinir dokusundaki ileri derece hasarlar cerrahi tedaviyle d\u00fczeltilemez. Bu sebeple uyu\u015fma , \u0634\u0644\u0644 \u062c\u0632\u0626\u064a<\/a> gibi bulgular saptan\u0131rsa erken d\u00f6nemde ameliyat ba\u015far\u0131 sa\u011flar.<\/p>\n
\nCerrahi tedavinin amac\u0131, omurilik ve sinir dokusuna olan bas\u0131y\u0131 kald\u0131rmakt\u0131r. B\u00f6ylece hastan\u0131n, a\u011fr\u0131s\u0131n\u0131n ge\u00e7mesi, uyu\u015fma-kuvvetsizlik gibi bulgulardan kurtulmas\u0131 sa\u011flan\u0131r. Uygun zamanda ve tecr\u00fcbeli ellerde yap\u0131lan bu giri\u015fimler \u00e7ok iyi sonu\u00e7 verir. Bu g\u00fcn i\u00e7in kullan\u0131lan yegane y\u00f6ntem servikal mikrodiskektomidir. Baz\u0131 hastalarda, mikrodiskektomiyle beraber, \u00e7\u0131kart\u0131lan k\u0131k\u0131rda\u011f\u0131n yerine v\u00fccuttan al\u0131nan bir kemik veya sentetik protezlerde uygulan\u0131r.<\/p>\nServikal mikrodiskektominin avantajlar\u0131:<\/h3>\n
\n* Mikroskop alt\u0131nda y\u0131rt\u0131lan k\u0131k\u0131rda\u011f\u0131n tam olarak \u00e7\u0131kart\u0131labilmesi.
\n* Ameliyat sonras\u0131 a\u011fr\u0131 ve hareket k\u0131s\u0131tlamas\u0131n\u0131n olmamas\u0131.
\n* Hastan\u0131n k\u0131sa s\u00fcrede evine ve i\u015fine d\u00f6nebilmesi.<\/p>\nBoyun f\u0131t\u0131\u011f\u0131 ameliyat\u0131nda pozitif fakt\u00f6rler<\/h3>\n
\n* Omurilik veya sinir dokusunda kal\u0131c\u0131 hasar olu\u015fmadan cerrahi m\u00fcdahale zamanlamas\u0131.
\n* Diabet, hipertansiyon, sigara kullan\u0131m\u0131 gibi risk fakt\u00f6rlerinin olmamas\u0131.
\n* Ameliyattan sekonder kazan\u00e7 dedi\u011fimiz , psikolojik<\/a> beklentiler olmamas\u0131.
\n* Ameliyat \u00f6ncesi ve sonras\u0131 tedavi prensiplerinin hekim-hasta ili\u015fkisi \u00e7er\u00e7evesinde , g\u00fcvene dayal\u0131 olarak anla\u015f\u0131lmas\u0131.
\n* Cerrah\u0131n konu hakk\u0131ndaki tecr\u00fcbesi, gerekti\u011finde servikal f\u00fczyon dedi\u011fimiz kemik veya protez<\/a> uygulamas\u0131n\u0131 ayn\u0131 seansta yapabilmesi.<\/p>\n
\nBu andan itibaren kemik veya protez<\/a> greft kullan\u0131m\u0131 y\u0131rt\u0131lan k\u0131k\u0131rda\u011f\u0131n omurgada yapt\u0131\u011f\u0131 hasara ba\u011fl\u0131 olarak uygulan\u0131r. Yumu\u015fak f\u0131t\u0131k dedi\u011fimiz ve omurgada kire\u00e7lenmelere yol a\u00e7mam\u0131\u015f boyun f\u0131t\u0131\u011f\u0131nda bu i\u015flem gerekli de\u011fildir. Omurgada kire\u00e7lenme yapm\u0131\u015f boyun f\u0131t\u0131klar\u0131nda f\u00fczyon dedi\u011fimiz protez<\/a> uygulamas\u0131n\u0131n yap\u0131lmas\u0131 gerekir.
\nAmeliyat sonras\u0131 hasta 3 saat sonra aya\u011fa kald\u0131r\u0131l\u0131r, ak\u015fam\u00fczeri eve g\u00f6nderilir. 1-3 hafta aras\u0131 boyunluk takmas\u0131 gereken hasta, 10 g\u00fcn sonra i\u015fine d\u00f6nebilir.<\/p>\n\u062e\u062f\u0645\u0627\u062a \u0623\u062e\u0631\u0649 \u0645\u062b\u0644 \u0627\u0644\u0635\u062d\u0629 Eksen:<\/h4>\n
\nFel\u00e7 (\u0130nme – \u0634\u0644\u0644 \u0646\u0635\u0641\u064a<\/a>) Tedavisi
\nSa\u011f\/Sol Taraf \u0639\u0644\u0627\u062c \u0627\u0644\u0634\u0644\u0644<\/a>
\nBeyin Kanamas\u0131<\/a> Sonras\u0131 Rehabilitasyon
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0628\u0639\u062f \u0625\u0644\u0642\u0627\u0621 \u0627\u0644\u062c\u0644\u0637\u0629
\n\u0627\u0644\u0633\u0643\u062a\u0629 \u0627\u0644\u062f\u0645\u0627\u063a\u064a\u0629 \u0627\u0644\u062c\u0632\u0626\u064a\u0629<\/a> Tedavisi
\n\u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u0645\u062e \u0648\u0627\u0644\u062d\u0628\u0644 \u0627\u0644\u0634\u0648\u0643\u064a
\n\u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0633\u0631\u0637\u0627\u0646<\/a>
\n\u0639\u0644\u0627\u062c \u0628\u0627\u0631\u0643\u0646\u0633\u0648\u0646<\/a>
\n\u0645\u0631\u0636 \u0627\u0644\u062a\u0635\u0644\u0628 \u0627\u0644\u0645\u062a\u0639\u062f\u062f (MS) \u0627\u0644\u0639\u0644\u0627\u062c
\n\u0639\u0644\u0627\u062c \u0634\u0644\u0644 \u0627\u0644\u062d\u0628\u0644 \u0627\u0644\u0634\u0648\u0643\u064a
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u062a\u0631\u0646\u062d
\n\u062c\u0648\u0644\u064a\u0627\u0646 \u0628\u0627\u0631 \u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644
\n\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0647\u0646\u064a
\n\u0639\u0644\u0627\u062c \u0627\u0644\u0646\u0637\u0642
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0637\u0631\u064a\u062d \u0627\u0644\u0641\u0631\u0627\u0634
\n\u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0628\u0644\u0639<\/a>
\nNG’li PEG’li Hasta Rehabilitasyonu<\/p>\n
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0628\u0639\u062f \u0627\u0635\u0637\u0646\u0627\u0639 \u0627\u0644\u0648\u0631\u0643 \u0648\u0627\u0644\u0631\u0643\u0628\u0629
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0628\u0639\u062f \u0643\u0633\u0631 \u0639\u0638\u0645 \u0627\u0644\u0641\u062e\u0630 \u0648\u0627\u0644\u0648\u0631\u0643
\nAmeliyat – Cerrahi Sonras\u0131 Fizik Tedavi & Rehabilitasyon
\n\u0639\u0644\u0627\u062c \u0641\u062a\u0642 \u0627\u0644\u0641\u0642\u0631\u0627\u062a \u0627\u0644\u0642\u0637\u0646\u064a\u0629 \u0648\u0627\u0644\u0631\u0642\u0628\u0629
\n\u0639\u0644\u0627\u062c \u0641\u064a\u0628\u0631\u0648\u0645\u064a\u0627\u0644\u063a\u064a\u0627
\n(\u0639\u0644\u0627\u062c \u0627\u0644\u062a\u0643\u0644\u0633 (\u0647\u0634\u0627\u0634\u0629 \u0627\u0644\u0639\u0638\u0627\u0645
\n\u0639\u0644\u0627\u062c \u0627\u0644\u0631\u0648\u0645\u0627\u062a\u064a\u0632\u0645
\n\u0639\u0644\u0627\u062c \u0639\u0631\u0642 \u0627\u0644\u0646\u0633\u0627
\n\u0639\u0644\u0627\u062c \u0645\u062a\u0644\u0627\u0632\u0645\u0629 Priformis
\n\u0639\u0644\u0627\u062c \u0622\u0644\u0627\u0645 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0648 \u0627\u0644\u0623\u0644\u0645 \u0627\u0644\u0645\u0632\u0645\u0646
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0637\u0631\u064a\u062d \u0627\u0644\u0641\u0631\u0627\u0634<\/p>\n
\n\u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u062e\u0631\u0641
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0632\u0647\u0627\u064a\u0645\u0631
\n\u0639\u0644\u0627\u062c \u0627\u0644\u062e\u0648\u0641 \u0645\u0646 \u0633\u0642\u0648\u0637
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0645\u0634\u064a\u0629
\n\u0639\u0644\u0627\u062c \u0627\u0636\u0637\u0631\u0627\u0628 \u0627\u0644\u062a\u0648\u0627\u0632\u0646
\n(\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0648\u0642\u0627\u0626\u064a (\u0632\u064a\u0627\u062f\u0629 \u0642\u0648\u0629 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0645\u0634\u062a\u0631\u0643\u0629
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0645\u0639\u0631\u0641\u064a
\n\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0637\u0631\u064a\u062d \u0627\u0644\u0641\u0631\u0627\u0634<\/p>","protected":false},"excerpt":{"rendered":"