{"id":10000,"date":"2026-09-09T10:00:00","date_gmt":"2026-09-09T07:00:00","guid":{"rendered":"https:\/\/onkolojiagri.com.tr\/?p=10000"},"modified":"2026-09-09T10:00:00","modified_gmt":"2026-09-09T07:00:00","slug":"bel-fitigi-tedavisinde-asamalar","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=10000","title":{"rendered":"Bel F\u0131t\u0131\u011f\u0131nda Ameliyata Gitmeden \u00d6nce Hangi Basamaklar Var?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">MR sonucunda &#8220;bel f\u0131t\u0131\u011f\u0131&#8221; yazd\u0131\u011f\u0131n\u0131 g\u00f6ren \u00e7o\u011fu hastan\u0131n ilk d\u00fc\u015f\u00fcncesi ameliyatt\u0131r. Oysa do\u011fru soru bu de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do\u011fru soru \u015fudur: <strong>&#8220;MR&#8217;da f\u0131t\u0131k var m\u0131?&#8221; de\u011fil, &#8220;Bu f\u0131t\u0131k hastada neye neden oluyor?&#8221;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavi se\u00e7imi f\u0131t\u0131\u011f\u0131n yerine, sinire bask\u0131 yap\u0131p yapmad\u0131\u011f\u0131na, a\u011fr\u0131n\u0131n \u015fiddetine, n\u00f6rolojik muayeneye ve g\u00fcnl\u00fck ya\u015fam\u0131n ne kadar etkilendi\u011fine g\u00f6re belirlenir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Be\u015f basamak<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u0130la\u00e7, hareket ve egzersiz<\/li>\n<li>Fizik tedavi ve rehabilitasyon<\/li>\n<li>Giri\u015fimsel a\u011fr\u0131 tedavileri<\/li>\n<li>Se\u00e7ilmi\u015f hastalarda ileri perk\u00fctan i\u015flemler<\/li>\n<li>Gerekli hastalarda cerrahi<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Bu basamaklar her hastada s\u0131rayla uygulanmak zorunda de\u011fildir. Bulgulara g\u00f6re baz\u0131lar\u0131 atlanabilir veya daha erken g\u00fcndeme gelebilir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. Basamak: yeni ba\u015flayan a\u011fr\u0131<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 yeni ba\u015flam\u0131\u015fsa ve ciddi n\u00f6rolojik bulgu yoksa \u00f6nce ameliyats\u0131z tedaviler de\u011ferlendirilir: uygun ila\u00e7lar, g\u00fcnl\u00fck hareketlili\u011fin korunmas\u0131, egzersiz, fizik tedavi, bel ve g\u00f6vde kaslar\u0131n\u0131n g\u00fc\u00e7lendirilmesi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Burada s\u0131k yap\u0131lan hata uzun s\u00fcre yatakta kalmakt\u0131r.<\/strong> Kontroll\u00fc hareket ve egzersiz, iyile\u015fme s\u00fcrecinin par\u00e7as\u0131d\u0131r \u2014 a\u011fr\u0131dan korkup hareketsiz kalmak s\u00fcreci uzat\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. Basamak: baca\u011fa yay\u0131lan a\u011fr\u0131 s\u00fcr\u00fcyorsa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130lk tedavilere ra\u011fmen belden kal\u00e7aya, baca\u011fa veya aya\u011fa yay\u0131lan \u015fiddetli a\u011fr\u0131 devam ediyorsa giri\u015fimsel tedaviler g\u00fcndeme gelir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda <strong>&#8220;nokta at\u0131\u015f\u0131&#8221;<\/strong> denen y\u00f6ntemlerden biri transforaminal epidural steroid enjeksiyonudur. G\u00f6r\u00fcnt\u00fcleme e\u015fli\u011finde, a\u011fr\u0131ya neden olan sinir k\u00f6k\u00fcn\u00fcn \u00e7evresine ila\u00e7 uygulan\u0131r. Uygun hastalarda sinir k\u00f6k\u00fc radyofrekans\u0131 ile birlikte uygulanmas\u0131 etkiyi art\u0131rabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7 sinir \u00e7evresindeki iltihab\u0131 azaltmak, baca\u011fa yay\u0131lan a\u011fr\u0131y\u0131 hafifletmek ve hareketi kolayla\u015ft\u0131rmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu i\u015flem f\u0131t\u0131\u011f\u0131 mekanik olarak ortadan kald\u0131rmaz.<\/strong> F\u0131t\u0131\u011fa ba\u011fl\u0131 sinir tahri\u015finin olu\u015fturdu\u011fu a\u011fr\u0131y\u0131 azaltmay\u0131 hedefler.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. Basamak: a\u011fr\u0131 diskin kendisinden geliyorsa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda a\u011fr\u0131n\u0131n kayna\u011f\u0131 yaln\u0131zca sinir bas\u0131s\u0131 de\u011fildir. Diskin kendisi veya d\u0131\u015f k\u0131sm\u0131ndaki <strong>annulus<\/strong> da a\u011fr\u0131 kayna\u011f\u0131 olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durumda de\u011ferlendirilen y\u00f6ntemler:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0130ntradiskal radyofrekans<\/strong> \u2014 diskin i\u00e7ine i\u011fne yerle\u015ftirilerek kontroll\u00fc enerji uygulan\u0131r<\/li>\n<li><strong>Annuloplasti<\/strong> \u2014 diskin d\u0131\u015f k\u0131sm\u0131na y\u00f6nelik radyofrekans teknikleri<\/li>\n<li><strong>N\u00fckleoplasti<\/strong> \u2014 diskin i\u00e7 k\u0131sm\u0131ndaki dokuya perk\u00fctan m\u00fcdahale<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Her bel f\u0131t\u0131\u011f\u0131 bu y\u00f6ntemlere uygun de\u011fildir. F\u0131t\u0131\u011f\u0131n tipi, disk y\u00fcksekli\u011fi, sinir bas\u0131s\u0131n\u0131n \u00f6zellikleri ve klinik bulgular birlikte de\u011ferlendirilir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Kimlerde giri\u015fimsel tedavi daha \u00e7ok d\u00fc\u015f\u00fcn\u00fcl\u00fcr?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Baca\u011fa vuran siyatik a\u011fr\u0131s\u0131 olanlar<\/li>\n<li>\u0130la\u00e7 tedavisine ra\u011fmen a\u011fr\u0131s\u0131 s\u00fcren ve g\u00fcnl\u00fck ya\u015fam\u0131 etkilenenler<\/li>\n<li>Ciddi a\u011fr\u0131s\u0131 olan ama acil cerrahi gerekmeyen hastalar<\/li>\n<li>Disk kaynakl\u0131 kronik bel a\u011fr\u0131s\u0131 bulunanlar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">MR&#8217;da disk ta\u015fmas\u0131 g\u00f6r\u00fclmesi, a\u011fr\u0131n\u0131n sebebinin o oldu\u011funu g\u00f6stermez. G\u00f6r\u00fcnt\u00fc ile \u015fik\u00e2yetler ve muayene bulgular\u0131 <strong>birbiriyle uyumlu olmal\u0131d\u0131r<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 alan her hasta ameliyat olmaz. \u0130la\u00e7 ve egzersizden giri\u015fimsel tedavilere, cerrahiye kadar be\u015f basamakl\u0131 tedavi yakla\u015f\u0131m\u0131.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[27,30,29,19,28],"class_list":["post-10000","post","type-post","status-publish","format-standard","hentry","category-omurga-ve-disk-tedavileri","tag-bel-fitigi","tag-drg","tag-intradiskal-tedavi","tag-siyatik","tag-transforaminal-blokaj"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/10000","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10000"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/10000\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10000"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10000"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10000"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}