Bacaklarda a\u011fr\u0131, uyu\u015fma ve idrar ka\u00e7\u0131rma omurilik kanal darl\u0131\u011f\u0131n\u0131n habercisi olabilece\u011fini aktaran Beyin ve Sinir Cerrahisi Uzman\u0131 Op. Dr. Ey\u00fcp Baykara, omurilik kanal darl\u0131\u011f\u0131 hakk\u0131nda \u00f6nemli bilgiler verdi.<\/p>\n
Omurilik kanal darl\u0131\u011f\u0131 hakk\u0131nda a\u00e7\u0131klama yapan Medicana Bah\u00e7elievler Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Op. Dr. Ey\u00fcp Baykara, omurilik kanal darl\u0131\u011f\u0131 en basit tabirle omurga kanal\u0131 i\u00e7erisinde ilerleyen omurili\u011fin, s\u0131kl\u0131kla bel ve boyun b\u00f6lgesinde, daha az s\u0131kl\u0131kta ise s\u0131rt b\u00f6lgesinde kanal \u00e7ap\u0131n\u0131n daralmas\u0131na ba\u011fl\u0131 s\u0131k\u0131\u015fma oldu\u011funu aktard\u0131.<\/p>\n
Dr. Baykara, “Omurilik kanal\u0131n\u0131 olu\u015fturan yap\u0131lar, flavum dedi\u011fimiz sar\u0131 ba\u011f dokusu, faset dedi\u011fimiz iki omurgay\u0131 birbirine ba\u011flayan eklemler ve lamina diye isimlendirdi\u011fimiz kemik yap\u0131lar\u0131d\u0131r. Genellikle ya\u015fa ba\u011fl\u0131 omurga kemiklerindeki kire\u00e7lenmeler ve belirtilen anatomik yap\u0131lar\u0131n daral\u0131p omurili\u011fi ve omurilikten \u00e7\u0131kan sinir k\u00f6klerini s\u0131k\u0131\u015ft\u0131rmas\u0131 hastalardaki \u015fikayetlerin nedenleridir” dedi.<\/p>\n
“Y\u00fcr\u00fcme bozuklu\u011fu ile ba\u015flayabilir”<\/p>\n
Bel b\u00f6lgesindeki omurilik kanal darl\u0131\u011f\u0131ndaki \u015fikayet ve belirtilere de\u011finen Op. Dr. Baykara, “Bel a\u011fr\u0131s\u0131, tek veya her iki bacakta a\u011fr\u0131 ve uyu\u015fma, belirli bir mesafe y\u00fcr\u00fcd\u00fckten sonra bacaklarda a\u011fr\u0131, uyu\u015fma, kas\u0131lma ve kramplar, daha ileri d\u00fczey darl\u0131klarda bacaklarda g\u00fc\u00e7 kayb\u0131, idrar ve b\u00fcy\u00fck abdest tutamama gibi belirti ve bulgular g\u00f6r\u00fcl\u00fcr. Boyun b\u00f6lgesindeki darl\u0131klarda \u015fikayet ve belirtiler, daha az s\u0131kl\u0131kla olmak \u00fczere boyun a\u011fr\u0131s\u0131, tek veya her iki kolda a\u011fr\u0131 ve uyu\u015fma, kollarda veya ellerde g\u00fc\u00e7 kayb\u0131, kollarda kas\u0131lma ve kramplar, ileri d\u00fczey darl\u0131klarda kollarda kas g\u00fcc\u00fcnde azalma, y\u00fcr\u00fcme bozuklu\u011fu veya y\u00fcr\u00fcrken sendeleme gibi \u015fikayetler g\u00f6r\u00fcl\u00fcr” \u015feklinde konu\u015ftu.<\/p>\n
Omurilik kanal darl\u0131\u011f\u0131 te\u015fhisi hastan\u0131n fizik muayene bulgular\u0131 ve yard\u0131mc\u0131 g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleriyle konulabilece\u011fini ifade eden Op. Dr. Baykara, \u015fu konulara dikkat \u00e7ekti: “Manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRG) ile bel boyun veya s\u0131rt b\u00f6lgesindeki omurilik ve omurilik kanal \u00e7ap\u0131 net olarak g\u00f6r\u00fcl\u00fcr. MRG d\u0131\u015f\u0131nda omurilik kanal\u0131ndaki ve sinir k\u00f6klerinin \u00e7\u0131kt\u0131\u011f\u0131 yerlerdeki kire\u00e7lemeler bilgisayarl\u0131 tomografi (BT) ile de\u011ferlendirilir. Hafif ve orta d\u00fczey daralmalarda ila\u00e7 tedavisi, fizik tedavi uygulamalar\u0131, kaslar\u0131 kuvvetlendirici egzersizler, eklem i\u00e7i enjeksiyonlardan hastalar fayda g\u00f6rebilir. Fakat ileri d\u00fczey daralmalarda cerrahi m\u00fcdahale gereklidir”.<\/p>\n
“Hastaya uygun tedavi y\u00f6ntemi tercih edilir”<\/p>\n
Tedavi konusunda bilgi veren Op. Dr. Baykara, “Cerrahi m\u00fcdahalede ama\u00e7 omurilik kanal \u00e7ap\u0131n\u0131 daraltan yap\u0131lar\u0131 kald\u0131rarak omurili\u011fi ve \u00e7\u0131kan sinir k\u00f6klerini rahatlatmakt\u0131r. Se\u00e7ilecek teknik hastaya g\u00f6re karar verilir. E\u011fer faset eklem dedi\u011fimiz bel eklemleri a\u015f\u0131r\u0131 b\u00fcy\u00fcmemi\u015f ve korunabilecek durumdaysa kanal \u00e7ap\u0131 rahatlat\u0131l\u0131rken ayn\u0131 zamanda hastaya platin takma ihtiyac\u0131 olmamaktad\u0131r. Fakat kanal \u00e7ap\u0131 a\u015f\u0131r\u0131 dar, eklemleri a\u015f\u0131r\u0131 b\u00fcy\u00fcm\u00fc\u015f hastalarda cerrahi s\u0131ras\u0131nda fazla miktarda kemik, eklem ve ba\u011f dokusu \u00e7\u0131kar\u0131lmas\u0131 gerekti\u011finden dolay\u0131, beli sabitlemek amac\u0131yla platin kullanmak gerekmektedir. Hangi tekni\u011fin uygulanaca\u011f\u0131 hastaya g\u00f6re karar verilir ve hasta i\u00e7in en uygun ve en faydal\u0131 teknik tercih edilir. Boyun b\u00f6lgesindeki kanal darl\u0131\u011f\u0131nda boyun f\u0131t\u0131\u011f\u0131n\u0131n aksine \u00f6nden de\u011fil, arkadan giri\u015fim yap\u0131l\u0131r. Yine bel b\u00f6lgesindekine benzer \u015fekilde omurili\u011fi s\u0131k\u0131\u015ft\u0131ran yap\u0131lar kald\u0131r\u0131l\u0131r. Burada da platin takma ihtiyac\u0131 hastaya g\u00f6re karar verilir. Hasta i\u00e7in en do\u011fru y\u00f6ntem, hasta detayl\u0131 olarak de\u011ferlendirildikten sonra karar verilir\u2019\u2019 a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n","protected":false},"excerpt":{"rendered":"
BACAKLARDA A\u011eRI, UYU\u015eMA VE \u0130DRAR KA\u00c7IRMA OMUR\u0130L\u0130K KANAL DARLI\u011eININ HABERC\u0130S\u0130 OLAB\u0130LECE\u011e\u0130N\u0130 AKTARAN BEY\u0130N VE S\u0130N\u0130R CERRAH\u0130S\u0130 UZMANI OP. DR. EY\u00dcP BAYKARA, OMUR\u0130L\u0130K KANAL DARLI\u011eI HAKKINDA \u00d6NEML\u0130 B\u0130LG\u0130LER VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":181343,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[6259,32556,18158,16127,15186,7015,8418,5897,15637,44695],"class_list":["post-181342","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-agri","tag-bacaklarda","tag-darligi","tag-habercisi","tag-idrar","tag-kacirma","tag-kanal","tag-olabilir","tag-omurilik","tag-uyusma"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/bacaklarda-agri-uyusma-ve-idrar-kacirma-omurilik-kanal-darligi-habercisi-olabilir_7f04a7d.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-LaS","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/181342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=181342"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/181342\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/181343"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=181342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=181342"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=181342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}