{"id":18280,"date":"2023-11-11T12:15:25","date_gmt":"2023-11-11T12:15:25","guid":{"rendered":"https:\/\/kibrisdakik.com\/index.php\/2023\/11\/11\/omurga-kiriklarina-cimentolu-tedavi\/"},"modified":"2023-11-11T12:15:25","modified_gmt":"2023-11-11T12:15:25","slug":"omurga-kiriklarina-cimentolu-tedavi","status":"publish","type":"post","link":"https:\/\/kibrisdakik.com\/?p=18280","title":{"rendered":"Omurga k\u0131r\u0131klar\u0131na \u00e7imentolu tedavi"},"content":{"rendered":"

<\/p>\n

Trafik kazas\u0131, y\u00fcksekten d\u00fc\u015fme ya da kemik erimesi\u2026 Omurgada pek \u00e7ok sebeple k\u0131r\u0131klar meydana gelebiliyor. \u0130nsan v\u00fccudunu ayakta tutan omurgada meydana gelen her k\u0131r\u0131k b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. \u00c7\u00fcnk\u00fc zaman\u0131nda ve uygun bir bi\u00e7imde tedavi edilemeyen k\u0131r\u0131klar kal\u0131c\u0131 hasarlara neden oluyor.<\/p>\n

Omurgada meydana gelen k\u0131r\u0131klar\u0131 iyile\u015ftirmek i\u00e7in g\u00fcn\u00fcm\u00fczde pek \u00e7ok y\u00f6ntem bulunuyor. Hastan\u0131n ya\u015f\u0131na, k\u0131r\u0131\u011f\u0131n bi\u00e7imine ve yerine g\u00f6re tedavi s\u00fcreci \u015fekilleniyor. Kimi k\u0131r\u0131klar korse yard\u0131m\u0131yla zaman i\u00e7erisinde kendili\u011finden iyile\u015firken kiminde ise operasyon ka\u00e7\u0131n\u0131lmaz oluyor.<\/p>\n

Son y\u0131llarda uzun ve zorlu bir iyile\u015fme s\u00fcrecine sebep olan a\u00e7\u0131k cerrahi yerine “\u00e7imentolama” y\u00f6ntemi tercih ediliyor. Bu y\u00f6ntem hastalara pek \u00e7ok avantaj sa\u011fl\u0131yor. Omurga k\u0131r\u0131klar\u0131n\u0131n tedavisinde uygulanan \u00e7imentolama y\u00f6ntemiyle ilgili merak edilenleri Marmara \u00dcniversitesi Pendik E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Beyin ve Sinir Cerrahisi Hastal\u0131klar\u0131 Klini\u011fi \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. Yahya G\u00fcven\u00e7\u2019le konu\u015ftuk.<\/p>\n

Tedavi y\u00f6ntemi k\u0131r\u0131\u011f\u0131n seviyesiyle belirleniyor<\/strong><\/p>\n

Omurga k\u0131r\u0131klar\u0131na \u00e7imentolama olarak bilinen y\u00f6ntem birden fazla \u015fekilde yap\u0131l\u0131yor. Her ne kadar halk aras\u0131nda “\u00e7imentolama y\u00f6ntemi” olarak bilinse de t\u0131bbi literat\u00fcrde vertebroplasti ve kifoplasti y\u00f6ntemleri olarak adland\u0131r\u0131l\u0131yor. Omurga k\u0131r\u0131klar\u0131na \u00e7imentolama y\u00f6ntemi \u00f6zellikle son y\u0131llarda yayg\u0131nla\u015ft\u0131. Dr. G\u00fcven\u00e7, bunun nedenini \u015f\u00f6yle a\u00e7\u0131kl\u0131yor:<\/p>\n

\u201cSon y\u0131llarda a\u00e7\u0131k cerrahilerin yerini minimal invaziv cerrahi denilen daha k\u00fc\u00e7\u00fck kesilerle ameliyat yapma y\u00f6ntemleri almaya ba\u015flad\u0131. Teknoloji ilerledik\u00e7e kapal\u0131 y\u00f6ntemler daha \u00e7ok kullan\u0131lmaya ba\u015fland\u0131.\u201d<\/p>\n

Omurga k\u0131r\u0131klar\u0131n\u0131n pek \u00e7ok \u00e7e\u015fidi bulunuyor. Tedavi y\u00f6ntemi de k\u0131r\u0131\u011f\u0131n yerine, verdi\u011fi zarara ve derecesine g\u00f6re de\u011fi\u015fiyor. Do\u00e7. Dr. G\u00fcven\u00e7, k\u0131r\u0131k \u00e7e\u015fitlerine g\u00f6re izledikleri yolu \u015f\u00f6yle anlat\u0131yor:<\/p>\n

E\u011fer k\u0131r\u0131k sadece omurgan\u0131n g\u00f6vdesindeyse ve bu k\u0131r\u0131k ortalama y\u00fczde 30 ve daha \u00fcst\u00fc bir seviyedeyse bir sinire bask\u0131 yoksa tedavi edilmesi gerekebiliyor. Bu a\u015famadaki hastalara korse verilip kendi kendine iyile\u015fmesi bekleniyor. Ancak baz\u0131 hastalar korseden yeterince fayda g\u00f6remiyor. Omurga, korse tedavisine ra\u011fmen gittik\u00e7e \u00e7\u00f6k\u00fcyorsa a\u00e7\u0131k ameliyata gerek kalmadan vertebroplasti ve kifoplasiti denilen y\u00f6ntemleri uyguluyoruz.<\/p>\n

-Marmara \u00dcniversitesi Pendik E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Beyin ve Sinir Cerrahisi Hastal\u0131klar\u0131 Klini\u011fi \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. Yahya G\u00fcven\u00e7-<\/p>\n

\u00c7imentolama y\u00f6ntemi nas\u0131l uygulan\u0131yor?<\/strong><\/p>\n

Peki omurga k\u0131r\u0131klar\u0131na \u00e7imentolama y\u00f6ntemi nas\u0131l uygulan\u0131yor? \u201cBu i\u015flem hastaya sadece lokal anestezi verilerek yap\u0131l\u0131yor\u201d diyen Do\u00e7. Dr. G\u00fcven\u00e7 detaylar\u0131n\u0131 \u015f\u00f6yle anlat\u0131yor:<\/p>\n

\u201cYakla\u015f\u0131k 1 santimlik kesiden i\u011fneyle girerek k\u0131r\u0131k omurgaya do\u011fru ula\u015f\u0131yoruz. Floroskopi denilen bir cihazla o esnada omurgan\u0131n r\u00f6ntgenini \u00e7ekiyoruz. \u0130\u011fnenin girdi\u011fi yerden incecik bir t\u00fcp ge\u00e7iriyoruz. Sonra o t\u00fcple omurili\u011fe hi\u00e7 hasar vermeden k\u0131r\u0131k omurgan\u0131n i\u00e7erisine giriyoruz. Kifoplasti kataterinin balonunu, k\u0131r\u0131k omurgan\u0131n i\u00e7erisine ge\u00e7iriyoruz ve bir s\u0131v\u0131 vererek k\u0131r\u0131k omurgan\u0131n i\u00e7erisinde \u015fi\u015firiyoruz. B\u00f6ylece k\u0131r\u0131lan omurgaya tekrar y\u00fckseklik kazand\u0131r\u0131yoruz. Balon \u015fi\u015ftikten sonra oradan \u00e7\u0131kart\u0131yoruz. Daha sonra buraya yine ayn\u0131 t\u00fcp\u00fcn i\u00e7erisinden halk aras\u0131nda \u2018kemik \u00e7imento\u2019 denilen sement maddesini dolduruyoruz. Yakla\u015f\u0131k 5 ila 7 dakika aras\u0131nda sement donuyor ve sa\u011flam bir kemik k\u0131vam\u0131nda g\u00fc\u00e7 veriyor. \u0130stedi\u011fimiz hacimde dolduktan sonra t\u00fcp\u00fc oradan \u00e7\u0131kart\u0131yoruz. Tekrar g\u00f6r\u00fcnt\u00fcl\u00fcyoruz.\u201d<\/p>\n

A\u011fr\u0131lar\u0131 bloke ediyor<\/strong><\/p>\n

Y\u00f6ntem sayesinde v\u00fccudun ayakta kalmas\u0131n\u0131 sa\u011flayan omurgadaki \u00e7\u00f6kme durduruluyor. Ancak y\u00f6ntemin tek i\u015flevi bu de\u011fil. Di\u011fer i\u015flevini de Do\u00e7. Dr. G\u00fcven\u00e7\u2019ten \u00f6\u011freniyoruz:<\/p>\n

\u201cBu sement maddesi sertle\u015firken \u00e7evreye belli bir derecede \u0131s\u0131 yay\u0131yor. K\u0131r\u0131lan kemi\u011fin i\u00e7erisinde a\u011fr\u0131y\u0131 hissettiren mikro sinir u\u00e7lar\u0131 var. Bu mikro sinir u\u00e7lar\u0131 a\u011fr\u0131y\u0131 hissettiren u\u00e7lar. Bunlar kemik i\u00e7erisindeki hissiyat\u0131 sa\u011flayan, a\u011fr\u0131 duyusunu sa\u011flayan sinir u\u00e7lar\u0131. Kemik k\u0131r\u0131l\u0131nca bu sinir u\u00e7lar\u0131 da serbest olarak ortada kal\u0131yor ve s\u00fcrekli a\u011fr\u0131ya neden oluyor. Sement s\u0131v\u0131dan daha sert hale d\u00f6n\u00fc\u015f\u00fcrken orada bir blok haline gelerek a\u011fr\u0131n\u0131n hissedilmesi engelleniyor.\u201d<\/p>\n

\u0130\u015flem sonras\u0131 hasta taburcu ediliyor<\/strong><\/p>\n

Omurga k\u0131r\u0131\u011f\u0131n\u0131n tedavisinde kullan\u0131lan malzeme kimyasal bir madde olmas\u0131na ra\u011fmen biyolojik olarak insan v\u00fccuduyla uyumlu. Nitekim Do\u00e7. Dr. G\u00fcven\u00e7, bu maddenin bir benzerinin uzun y\u0131llad\u0131r di\u015f dolgusu i\u00e7in de kullan\u0131ld\u0131\u011f\u0131n\u0131 ifade ediyor.<\/p>\n

Omurga k\u0131r\u0131\u011f\u0131na \u00e7imentolama y\u00f6nteminin sundu\u011fu en \u00f6nemli avantaj \u015f\u00fcphesiz iyile\u015fme s\u00fcreci. \u0130\u015flem yakla\u015f\u0131k 15 ila 30 dakika s\u00fcr\u00fcyor. Omurgaya cilt \u00fczerinden girilen noktaya tek bir diki\u015f at\u0131l\u0131yor. Hasta uzun s\u00fcre yatm\u0131yor. Ayn\u0131 g\u00fcn aya\u011fa kald\u0131r\u0131larak birka\u00e7 saat i\u00e7inde evine g\u00f6nderiliyor.<\/p>\n

\u0130leri ya\u015ftakilere avantaj sa\u011fl\u0131yor<\/strong><\/p>\n

Bu y\u00f6ntem \u00e7ocuk hastalar hari\u00e7 her ya\u015f grubunda rahatl\u0131kla uygulanabiliyor. Ancak \u00f6zellikle ileri ya\u015ftaki hastalarda a\u00e7\u0131k cerrahi yerine bu y\u00f6ntemin tercih edilmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izen Do\u00e7. Dr. G\u00fcven\u00e7, sebebini \u015f\u00f6yle a\u00e7\u0131kl\u0131yor:<\/p>\n

\u201c80 ya\u015f \u00fczerinde \u00e7ok hastam\u0131z var. Bu hastalar\u0131n a\u00e7\u0131k ameliyat olmas\u0131 durumunda baz\u0131 komplikasyonlar\u0131n g\u00f6r\u00fclme ihtimali y\u00fckseliyor. Hasta bu i\u015fleme uygunsa a\u00e7\u0131k cerrahinin risklerinden ka\u00e7\u0131narak daha kolay aya\u011fa kalk\u0131yor. Orta ya\u015f grubunda ise bu i\u015flemin yap\u0131ld\u0131\u011f\u0131 hastalar yakla\u015f\u0131k 2-3 hafta i\u00e7erisinde hemen i\u015fine d\u00f6n\u00fcyor. A\u00e7\u0131k cerrahide ise bu yakla\u015f\u0131k 4 ila 8 haftay\u0131 buluyor.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Trafik kazas\u0131, y\u00fcksekten d\u00fc\u015fme ya da kemik erimesi\u2026 Omurgada pek \u00e7ok sebeple k\u0131r\u0131klar meydana gelebiliyor. \u0130nsan v\u00fccudunu ayakta tutan omurgada meydana gelen her k\u0131r\u0131k b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. \u00c7\u00fcnk\u00fc zaman\u0131nda ve uygun bir bi\u00e7imde tedavi edilemeyen k\u0131r\u0131klar kal\u0131c\u0131 hasarlara neden oluyor. Omurgada meydana gelen k\u0131r\u0131klar\u0131 iyile\u015ftirmek i\u00e7in g\u00fcn\u00fcm\u00fczde pek \u00e7ok y\u00f6ntem bulunuyor. Hastan\u0131n ya\u015f\u0131na, k\u0131r\u0131\u011f\u0131n bi\u00e7imine ve<\/p>\n","protected":false},"author":1,"featured_media":18281,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[],"class_list":["post-18280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-turkiye"],"yoast_head":"\nOmurga k\u0131r\u0131klar\u0131na \u00e7imentolu tedavi -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kibrisdakik.com\/?p=18280\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Omurga k\u0131r\u0131klar\u0131na \u00e7imentolu tedavi -\" \/>\n<meta property=\"og:description\" content=\"Trafik kazas\u0131, y\u00fcksekten d\u00fc\u015fme ya da kemik erimesi\u2026 Omurgada pek \u00e7ok sebeple k\u0131r\u0131klar meydana gelebiliyor. \u0130nsan v\u00fccudunu ayakta tutan omurgada meydana gelen her k\u0131r\u0131k b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. \u00c7\u00fcnk\u00fc zaman\u0131nda ve uygun bir bi\u00e7imde tedavi edilemeyen k\u0131r\u0131klar kal\u0131c\u0131 hasarlara neden oluyor. Omurgada meydana gelen k\u0131r\u0131klar\u0131 iyile\u015ftirmek i\u00e7in g\u00fcn\u00fcm\u00fczde pek \u00e7ok y\u00f6ntem bulunuyor. 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