{"id":10001,"date":"2026-09-10T10:00:00","date_gmt":"2026-09-10T07:00:00","guid":{"rendered":"https:\/\/onkolojiagri.com.tr\/?p=10001"},"modified":"2026-09-10T10:00:00","modified_gmt":"2026-09-10T07:00:00","slug":"boyun-fitigi-tedavisinde-asamalar","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=10001","title":{"rendered":"Boyun F\u0131t\u0131\u011f\u0131nda Her Hasta Ameliyat Olmaz"},"content":{"rendered":"\n

Her boyun f\u0131t\u0131\u011f\u0131 ayn\u0131 \u015fik\u00e2yeti yapmaz. Baz\u0131 ki\u015filerde yaln\u0131zca boyun ve omuz a\u011fr\u0131s\u0131 olur; baz\u0131lar\u0131nda a\u011fr\u0131 kola ve ele kadar iner. \u0130leri durumlarda sinir bas\u0131s\u0131na ba\u011fl\u0131 uyu\u015fma, his kayb\u0131 veya kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc<\/strong> g\u00f6r\u00fcl\u00fcr.<\/p>\n\n\n\n

Bu y\u00fczden boyun f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 alan her hastan\u0131n ameliyat olmas\u0131 gerekmez.<\/p>\n\n\n\n

Karar neye g\u00f6re veriliyor?<\/h2>\n\n\n\n

F\u0131t\u0131\u011f\u0131n seviyesine ve \u015fekline, sinir veya omurili\u011fe bas\u0131 olup olmad\u0131\u011f\u0131na, \u015fik\u00e2yetlere ve n\u00f6rolojik muayeneye g\u00f6re.<\/p>\n\n\n\n

Basamaklar \u015f\u00f6yledir:<\/p>\n\n\n\n

    \n
  1. \u0130la\u00e7, hareket ve egzersiz<\/li>\n
  2. Fizik tedavi ve rehabilitasyon<\/li>\n
  3. Giri\u015fimsel a\u011fr\u0131 tedavileri<\/li>\n
  4. Se\u00e7ilmi\u015f hastalarda ileri giri\u015fimsel y\u00f6ntemler<\/li>\n
  5. Gerekli hastalarda cerrahi<\/li>\n<\/ol>\n\n\n\n

    1. Basamak<\/h2>\n\n\n\n

    A\u011fr\u0131 yeni ba\u015flam\u0131\u015fsa ve belirgin n\u00f6rolojik kay\u0131p yoksa ameliyats\u0131z tedavi de\u011ferlendirilir: uygun ila\u00e7lar, g\u00fcnl\u00fck aktivitelerin s\u00fcrd\u00fcr\u00fclmesi, boyun ve omuz egzersizleri, fizik tedavi, duru\u015f ve ergonomi d\u00fczenlemeleri.<\/p>\n\n\n\n

    Boynu s\u00fcrekli korumaya \u00e7al\u0131\u015fmak her zaman faydal\u0131 de\u011fildir.<\/strong> Hastalar\u0131n bir k\u0131sm\u0131 boyunlu\u011fa sar\u0131l\u0131p hareketi tamamen kesiyor; bu \u00e7o\u011fu zaman i\u015fe yaram\u0131yor. Duruma uygun kontroll\u00fc hareket tedavinin par\u00e7as\u0131d\u0131r.<\/p>\n\n\n\n

    2. Basamak: kola yay\u0131lan a\u011fr\u0131<\/h2>\n\n\n\n

    Boyun f\u0131t\u0131\u011f\u0131 bir sinir k\u00f6k\u00fcn\u00fc etkiledi\u011finde a\u011fr\u0131 boyundan omuza, kola ve bazen ele yay\u0131l\u0131r. Bu tabloya servikal radik\u00fclopati<\/strong> denir.<\/p>\n\n\n\n

      \n
    • Kola yay\u0131lan elektrik \u00e7arpmas\u0131 tarz\u0131nda a\u011fr\u0131<\/li>\n
    • Yanma, uyu\u015fma, kar\u0131ncalanma<\/li>\n
    • Belirli parmaklara yay\u0131lan a\u011fr\u0131 veya his de\u011fi\u015fikli\u011fi<\/li>\n<\/ul>\n\n\n\n

      \u0130la\u00e7 ve fizik tedaviye ra\u011fmen \u015fiddetli kol a\u011fr\u0131s\u0131 s\u00fcren, ancak acil cerrahi gerektiren n\u00f6rolojik bulgusu olmayan hastalarda giri\u015fimsel tedaviler g\u00fcndeme gelir.<\/p>\n\n\n\n

      3. Basamak: “nokta at\u0131\u015f\u0131” tedavi<\/h2>\n\n\n\n

      Boyunda bu adla an\u0131lan y\u00f6ntemlerden biri servikal epidural steroid enjeksiyonudur<\/strong>. G\u00f6r\u00fcnt\u00fcleme e\u015fli\u011finde ila\u00e7, sinir k\u00f6k\u00fc \u00e7evresindeki epidural alana uygulan\u0131r.<\/p>\n\n\n\n

      Ama\u00e7 sinir \u00e7evresindeki iltihab\u0131 azaltmak, kola yay\u0131lan a\u011fr\u0131y\u0131 hafifletmek ve hareket kabiliyetini art\u0131rmakt\u0131r.<\/p>\n\n\n\n

      \u00d6nemli ayr\u0131nt\u0131: epidural enjeksiyon boyun f\u0131t\u0131\u011f\u0131n\u0131 mekanik olarak ortadan kald\u0131rmaz.<\/strong><\/p>\n\n\n\n

      MR’da C5-6 f\u0131t\u0131\u011f\u0131 g\u00f6r\u00fclmesi ne demek?<\/h2>\n\n\n\n

      Tek ba\u015f\u0131na tedavi karar\u0131 vermek i\u00e7in yeterli de\u011fildir.<\/p>\n\n\n\n

      Baz\u0131 ki\u015filerde MR’da disk problemleri bulunmas\u0131na ra\u011fmen hi\u00e7bir \u015fik\u00e2yet olmaz. G\u00f6r\u00fcnt\u00fc, \u015fik\u00e2yetler ve muayene bulgular\u0131yla birlikte de\u011ferlendirilmelidir.<\/p>\n\n\n\n

      Boyun b\u00f6lgesinde omurilik, sinirler ve \u00f6nemli damarlar birbirine yak\u0131n oldu\u011fu i\u00e7in i\u015flem \u00f6ncesi de\u011ferlendirme ayr\u0131 bir dikkat gerektirir.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Boyun f\u0131t\u0131\u011f\u0131 tedavisinde ila\u00e7 ve egzersizden giri\u015fimsel y\u00f6ntemlere uzanan basamakl\u0131 yakla\u015f\u0131m. Kola yay\u0131lan a\u011fr\u0131, servikal radik\u00fclopati ve hasta se\u00e7imi.<\/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":[31,7,18,28],"class_list":["post-10001","post","type-post","status-publish","format-standard","hentry","category-omurga-ve-disk-tedavileri","tag-boyun-fitigi","tag-epidural-enjeksiyon","tag-radyofrekans","tag-transforaminal-blokaj"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/10001","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=10001"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/10001\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}