Manuel tedavinin masaj ile ilgisi olmad\u0131\u011f\u0131n\u0131 ve elle tedavinin klasik bir t\u0131p tedavisi oldu\u011funu belirten Fizik Tedavi ve Rehabilitasyon Uzman\u0131 Dr. Ali \u015eahabettino\u011flu, omurga f\u0131t\u0131\u011f\u0131 sorunu ya\u015fayan hastalar\u0131n y\u00fczde 98\u2019inin ameliyats\u0131z y\u00f6ntemlerle tedavi edilebilece\u011fini s\u00f6yledi.<\/p>\n
Arkadan ve \u00f6nden bak\u0131ld\u0131\u011f\u0131nda d\u00fcz bir \u00e7izgi gibi g\u00f6r\u00fcnen omurgan\u0131n, yandan bak\u0131ld\u0131\u011f\u0131nda boyun, s\u0131rt, bel ve kal\u00e7a b\u00f6lgesinde 4 do\u011fal fizyolojik e\u011frili\u011fe sahip oldu\u011funu ifade eden Fizik Tedavi ve Rehabilitasyon Uzman\u0131 Dr. Ali \u015eahabettino\u011flu, omurgadaki pek \u00e7ok olas\u0131 sorunun da bu b\u00f6lgelerde ortaya \u00e7\u0131kt\u0131\u011f\u0131na dikkat \u00e7ekti. Toplamda 33 omur bulunmas\u0131na ra\u011fmen hareketli 24 omurun oldu\u011funu s\u00f6yleyen \u015eahabettino\u011flu, \u201cBu hareketli 24 omur aras\u0131ndaki 23 adet intervertebral disk sayesinde omurgam\u0131z hareket eder ve \u00fczerine binen y\u00fcklerin \u00e7e\u015fitli y\u00f6nlere ayn\u0131 kuvvetle da\u011f\u0131lmas\u0131n\u0131 sa\u011flar. Bel omurlar\u0131, harekete katk\u0131s\u0131 ve y\u00fck ta\u015f\u0131ma \u00f6zelli\u011finin yan\u0131nda omurgan\u0131n di\u011fer k\u0131s\u0131mlar\u0131 gibi omurilik ve sinir k\u00f6klerine koruyuculuk g\u00f6revi yapar. Bel omurlar\u0131n\u0131n i\u00e7erisinden bacaklar\u0131n kas kontrol\u00fcn\u00fc sa\u011flayan, bacaklar\u0131n duyusunu ta\u015f\u0131yan ve idrar, gaita ve seks\u00fcel fonksiyonlar\u0131n kontrol\u00fcn\u00fc sa\u011flayan sinirler ge\u00e7er\u201d dedi.<\/p>\n
Belde yer alan omur, disk ve yumu\u015fak dokularda geli\u015fen herhangi bir olay\u0131n bel a\u011fr\u0131s\u0131na neden olabilece\u011fini ifade eden Dr. \u015eahabettino\u011flu, \u201cBel a\u011fr\u0131lar\u0131n\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu kaslarda, ba\u011f dokusunda veya eklemlerdeki ufak hasarlanmalar ile olu\u015fur. K\u00f6t\u00fc ve hatal\u0131 v\u00fccut duru\u015f \u015fekli, bir baca\u011f\u0131n k\u0131sal\u0131\u011f\u0131, stres gibi psikolojik fakt\u00f6rler ile bel f\u0131t\u0131klar\u0131, disk dokusunun y\u0131pranmas\u0131, bel kaymas\u0131, bel omurga kanal\u0131n\u0131n daralmas\u0131 gibi rahats\u0131zl\u0131klar bel a\u011fr\u0131s\u0131 yapabilir. Bunlar\u0131n d\u0131\u015f\u0131nda t\u00fcm\u00f6r, enfeksiyon, incinme, kemik erimesine ba\u011fl\u0131 \u00e7\u00f6kmeler de bel a\u011fr\u0131s\u0131na yol a\u00e7abilmektedir. Hastan\u0131n bel a\u011fr\u0131s\u0131 nedenleri ara\u015ft\u0131r\u0131l\u0131rken, \u00f6yk\u00fcs\u00fc iyi al\u0131n\u0131p, detayl\u0131 muayenesi yap\u0131ld\u0131ktan sonra belirlenen \u00f6n tan\u0131 do\u011frultusunda tetkiklerinin yap\u0131lmas\u0131 gerekir. Muayene ve tetkiklerin incelenmesi sonucunda bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 alan hastalar\u0131n y\u00fczde 98\u2019i ameliyats\u0131z y\u00f6ntemlerle tedavi olabilmektedir. Bel f\u0131t\u0131\u011f\u0131 olan hastalar\u0131n ancak y\u00fczde 1-2\u2019lik k\u0131sm\u0131 cerrahi tedaviyi gerektirmektedir ki bunlar ayaklarda ilerleyen g\u00fc\u00e7 kayb\u0131, idrar-b\u00fcy\u00fck abdest ka\u00e7\u0131rma veya konservatif (ameliyats\u0131z) tedavilere cevap vermeyip rahats\u0131zl\u0131\u011f\u0131 ilerleyen vakalard\u0131r\u201d diye konu\u015ftu.<\/p>\n
Hastalar\u0131na uygulad\u0131\u011f\u0131 ameliyats\u0131z tedavi y\u00f6ntemlerinden biri olan manuel (elle) fizik tedavide herhangi bir ila\u00e7 kullan\u0131m\u0131na genellikle ihtiya\u00e7 duyulmad\u0131\u011f\u0131n\u0131 s\u00f6zlerine ekleyen Dr. \u015eahabettino\u011flu, \u201cAyr\u0131ca baz\u0131 hastalarda y\u00fcksek tansiyon, kalp-akci\u011fer veya \u015feker hastal\u0131\u011f\u0131n\u0131n da birlikte olabilmesi, baz\u0131 aletli fizik tedavilerin uygulanmas\u0131n\u0131n engellemektedir. Manuel tedavide ise genellikle bu hastal\u0131klar\u0131n bir engel olu\u015fturmamas\u0131 da \u00f6nemli di\u011fer bir avantajd\u0131r. Manuel tedavinin masaj ile ilgisi yoktur. Klasik bir t\u0131p tedavisidir. Tedavi sonras\u0131 hastal\u0131\u011f\u0131n tekrar\u0131n\u0131 \u00f6nlemek i\u00e7in hastan\u0131n fazla kilolar\u0131ndan kurtulmas\u0131, varsa sigara i\u00e7meyi b\u0131rakmas\u0131, bel, s\u0131rt ve kar\u0131n kaslar\u0131na y\u00f6nelik egzersizlerini d\u00fczenli ve s\u00fcrekli yapmas\u0131, yanl\u0131\u015f duru\u015f, oturma ve yatma pozisyonlar\u0131n\u0131 d\u00fczeltmesi \u00f6nemlidir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
F\u0130Z\u0130K TEDAV\u0130 VE REHAB\u0130L\u0130TASYON UZMANI DR. AL\u0130 \u015eAHABETT\u0130NO\u011eLU, OMURGA FITI\u011eI SORUNU YA\u015eAYAN HASTALARIN Y\u00dcZDE 98\u2019\u0130N\u0130N AMEL\u0130YATSIZ Y\u00d6NTEMLERLE TEDAV\u0130 ED\u0130LEB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":192979,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[10674,46266,12422,26168],"class_list":["post-192978","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dokunus","tag-elle","tag-omurga","tag-sorunlarina"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/omurga-sorunlarina-elle-dokunus_339c4d8.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Ocy","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/192978","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=192978"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/192978\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/192979"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=192978"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=192978"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=192978"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}