Eri\u015fkinlerin y\u00fczde 80\u2019inin, ya\u015famlar\u0131nda en az bir kez ciddi bir bel a\u011fr\u0131s\u0131 ata\u011f\u0131 ge\u00e7irdi\u011fini belirten Beyin ve Sinir Cerrahisi Uzman\u0131 Dr. Erhan Arslan, \u201cBu sorun da \u00e7o\u011funlukla yatakta dinlenme veya ila\u00e7 tedavisi ile \u00e7\u00f6z\u00fcl\u00fcr. Bel ve bacaklara vuran a\u011fr\u0131n\u0131n ise en \u00f6nemli sebebi bel f\u0131t\u0131\u011f\u0131d\u0131r\u201d dedi.<\/p>\n
Bir belde 5 omur ve aralar\u0131nda yast\u0131k\u00e7\u0131k g\u00f6revi g\u00f6ren diskler bulundu\u011funu kaydeden, \u00d6zel Hayat Hastanesi\u2019nden Beyin ve Sinir Cerrahisi Uzman\u0131 Dr. Erhan Arslan, “Sa\u011fl\u0131kl\u0131 bir disk omurgada t\u0131pk\u0131 araba amortis\u00f6r\u00fc gibi \u015fok emici olarak \u00e7al\u0131\u015f\u0131r. Disklerimiz omurgay\u0131 yer \u00e7ekimine kar\u015f\u0131 ve atlama, \u00e7ekme, itme gibi g\u00fc\u00e7l\u00fc hareketlerden korur. Yatma d\u0131\u015f\u0131ndaki t\u00fcm hareketlerde \u00f6zellikle ayakta ve uzun s\u00fcre oturmada, omurgam\u0131za ve disklere y\u00fckleniriz. F\u0131t\u0131kla\u015fma diskin merkezindeki \u00e7ekirdek d\u0131\u015far\u0131 do\u011fru bas\u0131n\u00e7 yapmaya ba\u015flad\u0131\u011f\u0131nda olu\u015fur. F\u0131t\u0131kla\u015fan disk bel a\u011fr\u0131s\u0131 olu\u015fturabilir veya omurilikten \u00e7\u0131kan sinir k\u00f6klerine bas\u0131 yap\u0131p bacak a\u011fr\u0131s\u0131na sebep olabilir\u201d diye konu\u015ftu.<\/p>\n
Bel ve bacak a\u011fr\u0131s\u0131 \u015fikayetiyle ba\u015fvuran hastalar\u0131 \u00f6ncelikle muayene ederek, gerekli laboratuvar ve radyolojik incelemeleri sonras\u0131nda hangi tedavi y\u00f6nteminin uygulanaca\u011f\u0131n\u0131n planland\u0131\u011f\u0131n\u0131 belirten Dr. Erhan Arslan, “Kuvvet kayb\u0131 olmayan, bel MR\u2019\u0131nda belirgin f\u0131t\u0131\u011f\u0131 olmayan hastalarda istirahat, ila\u00e7 tedavisi, fizik tedavi ve a\u011fr\u0131 tedavisine y\u00f6nelik giri\u015fimsel uygulamalar\u0131 i\u00e7eren tedaviler uygulan\u0131r. Cerrahi tedaviye karar vermemizde temel etkenler; yatak istirahati, ila\u00e7 tedavisi ve fizik tedaviye ra\u011fmen a\u011fr\u0131s\u0131 ge\u00e7meyen, sosyal ve i\u015f ya\u015fant\u0131s\u0131 etkileyen, bacak veya ayakta ciddi kuvvet kay\u0131plar\u0131 ortaya \u00e7\u0131kan hastalard\u0131r. Cerrahi giri\u015fimler bu g\u00fcn h\u0131zla geli\u015fmekte, mikrocerrahi ameliyatlar\u0131yla hasta k\u0131sa s\u00fcrede eski ya\u015fant\u0131s\u0131na d\u00f6nmektedir. Teknolojideki geli\u015fmelerle kulland\u0131\u011f\u0131m\u0131z mikroskoplarla, dokular\u0131 40 kat b\u00fcy\u00fcterek sinirlere bas\u0131 yapan f\u0131t\u0131kla\u015fm\u0131\u015f dokular mikrocerrahi y\u00f6ntemiyle tedavi edilmekte. Tedavisinde gecikilen vakalarda ise a\u011fr\u0131lar ve fel\u00e7ler kal\u0131c\u0131 olabilmektedir\u201d diye konu\u015ftu.<\/p>\n
Cerrahi tedavide hedef, a\u011fr\u0131 ve bacakta g\u00fc\u00e7s\u00fczl\u00fc\u011fe sebep olan f\u0131t\u0131kla\u015fm\u0131\u015f diskin sinire olan bas\u0131s\u0131n\u0131n ortadan kald\u0131r\u0131lmas\u0131 oldu\u011funu belirten Beyin ve Sinir Cerrahisi Uzman\u0131 Dr. Erhan Arslan, \u015f\u00f6yle devam etti:<\/p>\n
“Bel f\u0131t\u0131\u011f\u0131 olan hastada g\u00fcn\u00fcm\u00fczde mikrocerrahi tekni\u011fi ile mikrodiskektomi (kapal\u0131 ameliyat) ameliyat\u0131 \u00f6nerilir. Mikrodiskektomi operasyonunda, daha k\u00fc\u00e7\u00fck 1-2 santimetrelik cilt kesisi kullan\u0131larak hastan\u0131n ameliyat sonras\u0131 d\u00f6nemini daha rahat ve a\u011fr\u0131s\u0131z ge\u00e7irmesi sa\u011flan\u0131r. Hastalar ameliyattan 5 saat sonras\u0131nda aya\u011fa kald\u0131r\u0131larak, y\u00fcr\u00fcy\u00fc\u015f yapabilir ve tuvalet gereksinimi yard\u0131ms\u0131z g\u00f6rebilir. Ameliyattan 1 g\u00fcn sonra da hastaya egzersiz program\u0131na ba\u015flat\u0131larak, g\u00fcnde en az 1 saat tempolu y\u00fcr\u00fcy\u00fc\u015f \u00f6nerisiyle taburcu edilir. Cilt kesisi k\u00fc\u00e7\u00fck ve diki\u015fsiz oldu\u011fundan pansumana gerek duyulmadan hasta bir g\u00fcn sonra banyo yapabilir. Uygulad\u0131\u011f\u0131m\u0131z mikrodiskektomi kapal\u0131 ameliyat tekni\u011fi sayesinde hastalar ameliyat sonras\u0131 erken d\u00f6nemde i\u015flerine ve sosyal hayata d\u00f6nebilirler.”<\/p>\n","protected":false},"excerpt":{"rendered":"
ER\u0130\u015eK\u0130NLER\u0130N Y\u00dcZDE 80\u2019\u0130N\u0130N, YA\u015eAMLARINDA EN AZ B\u0130R KEZ C\u0130DD\u0130 B\u0130R BEL A\u011eRISI ATA\u011eI GE\u00c7\u0130RD\u0130\u011e\u0130N\u0130 BEL\u0130RTEN BEY\u0130N VE S\u0130N\u0130R\u0130 CERRAH\u0130S\u0130 UZMANI DR. ERHAN ARSLAN, \u201cBU SORUN DA \u00c7O\u011eUNLUKLA YATAKTA D\u0130NLENME VEYA \u0130LA\u00c7 TEDAV\u0130S\u0130 \u0130LE \u00c7\u00d6Z\u00dcL\u00dcR. BEL VE BACAKLARA VURAN A\u011eRININ \u0130SE EN \u00d6NEML\u0130 SEBEB\u0130 BEL FITI\u011eIDIR\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":212536,"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":[22686,6873,23220,53730,27526,8953],"class_list":["post-212535","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-agrilar","tag-gec","tag-kalici","tag-kalinan","tag-olabiliyor","tag-tedavisinde"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/tedavisinde-gec-kalinan-agrilar-kalici-olabiliyor_295a738.jpg?fit=703%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-ThZ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/212535","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=212535"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/212535\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/212536"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=212535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=212535"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=212535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}