{"id":10002,"date":"2026-09-11T10:00:00","date_gmt":"2026-09-11T07:00:00","guid":{"rendered":"https:\/\/onkolojiagri.com.tr\/?p=10002"},"modified":"2026-09-11T10:00:00","modified_gmt":"2026-09-11T07:00:00","slug":"torakal-sirt-fitigi-tedavisinde-asamalar","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=10002","title":{"rendered":"S\u0131rt F\u0131t\u0131\u011f\u0131nda N\u00f6rolojik Muayene Neden Bu Kadar \u00d6nemli?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Torakal b\u00f6lge \u2014 boyun ile bel aras\u0131ndaki s\u0131rt omurlar\u0131 \u2014 f\u0131t\u0131k a\u00e7\u0131s\u0131ndan en az sorun \u00e7\u0131karan b\u00f6lgedir. Buradaki disk f\u0131t\u0131klar\u0131 bel ve boyuna g\u00f6re \u00e7ok daha nadirdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama bir fark\u0131 vard\u0131r: <strong>omurilik bu b\u00f6lgede diske daha yak\u0131nd\u0131r.<\/strong> Bu y\u00fczden de\u011ferlendirme daha dikkatli yap\u0131l\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hangi \u015fik\u00e2yetleri yapar?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bazen yaln\u0131zca s\u0131rt a\u011fr\u0131s\u0131. Baz\u0131 hastalarda g\u00f6\u011f\u00fcs \u00e7evresine, kaburgalara veya kar\u0131n b\u00f6lgesine yay\u0131lan a\u011fr\u0131.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha ileri durumlarda omurili\u011fe bas\u0131 yaparak <strong>bacaklarda g\u00fc\u00e7s\u00fczl\u00fck, uyu\u015fma, y\u00fcr\u00fcme ve denge problemlerine<\/strong> yol a\u00e7abilir. Bu bulgular ciddiye al\u0131nmas\u0131 gereken i\u015faretlerdir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u00d6nce d\u0131\u015flanmas\u0131 gerekenler<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00f6\u011f\u00fcs veya kar\u0131n b\u00f6lgesine yay\u0131lan a\u011fr\u0131 her zaman omurgadan gelmez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Yeni ba\u015flayan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131, terleme veya kalp-damar sistemiyle ili\u015fkili ba\u015fka belirtiler varsa \u00f6ncelikle bu nedenler d\u0131\u015flanmal\u0131d\u0131r.<\/strong> Bu, s\u0131rt a\u011fr\u0131s\u0131 de\u011ferlendirmesinin ilk ad\u0131m\u0131d\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tedavi basamaklar\u0131<\/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 giri\u015fimsel y\u00f6ntemler<\/li>\n<li>Omurilik bas\u0131s\u0131 veya gerekli di\u011fer durumlarda cerrahi<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Bu b\u00f6lgede <strong>omurilik bas\u0131s\u0131 olup olmad\u0131\u011f\u0131<\/strong> tedavi se\u00e7iminin en \u00f6nemli belirleyicisidir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. Basamak<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ciddi n\u00f6rolojik bulgu yoksa ve a\u011fr\u0131 yeni ba\u015flam\u0131\u015fsa: uygun ila\u00e7 tedavisi, g\u00fcnl\u00fck hareketlili\u011fin korunmas\u0131, duru\u015f ve ergonomi d\u00fczenlemesi, egzersiz program\u0131, fizik tedavi, s\u0131rt ve g\u00f6vde kaslar\u0131n\u0131n g\u00fc\u00e7lendirilmesi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. Basamak: a\u011fr\u0131n\u0131n kayna\u011f\u0131 yeniden sorgulan\u0131r<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ameliyats\u0131z tedavilere ra\u011fmen s\u0131rt a\u011fr\u0131s\u0131 s\u00fcr\u00fcyorsa, do\u011frudan bir sonraki i\u015fleme ge\u00e7ilmez \u2014 <strong>\u00f6nce a\u011fr\u0131n\u0131n kayna\u011f\u0131 yeniden de\u011ferlendirilir<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7\u00fcnk\u00fc bu b\u00f6lgede a\u011fr\u0131 yaln\u0131zca disk f\u0131t\u0131\u011f\u0131ndan kaynaklanmayabilir: kaslar, faset eklemler, kaburga-omurga eklemleri ve di\u011fer omurga yap\u0131lar\u0131 da a\u011fr\u0131 yapar.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. Basamak: giri\u015fimsel tedaviler<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131n\u0131n kayna\u011f\u0131na g\u00f6re se\u00e7ilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Torakal epidural enjeksiyonlar<\/li>\n<li>Selektif sinir k\u00f6k\u00fc enjeksiyonlar\u0131<\/li>\n<li>Faset eklem enjeksiyonlar\u0131<\/li>\n<li>Medial dal bloklar\u0131<\/li>\n<li>Uygun hastalarda radyofrekans uygulamalar\u0131<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">MR&#8217;da f\u0131t\u0131k g\u00f6r\u00fclmesi<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tek ba\u015f\u0131na tedavi veya ameliyat karar\u0131 anlam\u0131na gelmez; baz\u0131 disk f\u0131t\u0131klar\u0131 hi\u00e7bir \u015fik\u00e2yet yapmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Karar \u00fc\u00e7 \u015feyin birlikte de\u011ferlendirilmesiyle verilir: <strong>MR bulgusu, hastan\u0131n a\u011fr\u0131s\u0131 ve n\u00f6rolojik muayene.<\/strong> Bu b\u00f6lgede ayr\u0131ca f\u0131t\u0131\u011f\u0131n omurili\u011fe ne kadar yakla\u015ft\u0131\u011f\u0131 \u00f6nem ta\u015f\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Torakal disk f\u0131t\u0131\u011f\u0131 nadirdir ama omurili\u011fe yak\u0131nl\u0131\u011f\u0131 nedeniyle dikkat gerektirir. Tedavi basamaklar\u0131 ve g\u00f6\u011fse yay\u0131lan a\u011fr\u0131da d\u0131\u015flanmas\u0131 gerekenler.<\/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":[7,33,18,32],"class_list":["post-10002","post","type-post","status-publish","format-standard","hentry","category-omurga-ve-disk-tedavileri","tag-epidural-enjeksiyon","tag-faset-eklem","tag-radyofrekans","tag-torakal-bolge"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/10002","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=10002"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/10002\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}