{"id":156,"date":"2026-09-16T18:43:29","date_gmt":"2026-09-16T18:43:29","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=156"},"modified":"2026-09-16T18:43:29","modified_gmt":"2026-09-16T18:43:29","slug":"nukleoplasti-nedir","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=156","title":{"rendered":"N\u00fckleoplasti Nedir?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Boyun, S\u0131rt ve Bel F\u0131t\u0131\u011f\u0131nda N\u00fckleoplasti Tedavisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti<\/strong>, boyun, s\u0131rt ve bel omurlar\u0131 aras\u0131ndaki baz\u0131 disk f\u0131t\u0131klar\u0131n\u0131n tedavisinde kullan\u0131labilen, <strong>ciltte k\u00fc\u00e7\u00fck bir giri\u015fle uygulanan giri\u015fimsel bir tedavi y\u00f6ntemidir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplastide ama\u00e7, \u00f6zel bir i\u011fne ile diskin i\u00e7erisine ula\u015farak diskin i\u00e7indeki bas\u0131nc\u0131 ve a\u011fr\u0131ya neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen disk dokusunun bir b\u00f6l\u00fcm\u00fcn\u00fc azaltmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle <strong>diskin d\u0131\u015f k\u0131sm\u0131n\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc b\u00fcy\u00fck \u00f6l\u00e7\u00fcde korudu\u011fu, s\u0131n\u0131rl\u0131 ve d\u0131\u015far\u0131 tamamen ta\u015fmam\u0131\u015f f\u0131t\u0131klarda<\/strong>, uygun hastalarda tedavi se\u00e7eneklerinden biri olarak de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti; boyun, s\u0131rt ve bel b\u00f6lgesinde farkl\u0131 anatomik \u00f6zellikler nedeniyle farkl\u0131 tekniklerle uygulanabilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun, S\u0131rt ve Bel F\u0131t\u0131\u011f\u0131 Nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Omurlar\u0131n aras\u0131nda, omurgan\u0131n hareket etmesini ve y\u00fcklerin ta\u015f\u0131nmas\u0131n\u0131 sa\u011flayan diskler bulunur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Diskin d\u0131\u015f k\u0131sm\u0131nda olu\u015fan zay\u0131fl\u0131k veya y\u0131rt\u0131lma sonucunda i\u00e7 b\u00f6l\u00fcm\u00fcndeki dokunun d\u0131\u015far\u0131 do\u011fru ta\u015fmas\u0131na <strong>disk f\u0131t\u0131\u011f\u0131<\/strong> denir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">F\u0131t\u0131\u011f\u0131n bulundu\u011fu b\u00f6lgeye g\u00f6re farkl\u0131 \u015fik\u00e2yetler ortaya \u00e7\u0131kabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun f\u0131t\u0131\u011f\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun f\u0131t\u0131\u011f\u0131;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boyun a\u011fr\u0131s\u0131,<\/li>\n\n\n\n<li>Omuz ve k\u00fcrek kemi\u011fi \u00e7evresinde a\u011fr\u0131,<\/li>\n\n\n\n<li>Kola yay\u0131lan a\u011fr\u0131,<\/li>\n\n\n\n<li>El veya kolda uyu\u015fma ve kar\u0131ncalanma<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">gibi \u015fik\u00e2yetlere neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>S\u0131rt f\u0131t\u0131\u011f\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u0131rt b\u00f6lgesindeki disk f\u0131t\u0131klar\u0131 daha nadir g\u00f6r\u00fcl\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u0131rt ve g\u00f6\u011f\u00fcs \u00e7evresinde a\u011fr\u0131ya, baz\u0131 durumlarda sinir k\u00f6k\u00fc etkilenmesine ba\u011fl\u0131 farkl\u0131 \u015fik\u00e2yetlere neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bel f\u0131t\u0131\u011f\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel f\u0131t\u0131\u011f\u0131;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bel a\u011fr\u0131s\u0131,<\/li>\n\n\n\n<li>Kal\u00e7a a\u011fr\u0131s\u0131,<\/li>\n\n\n\n<li>Baca\u011fa yay\u0131lan a\u011fr\u0131,<\/li>\n\n\n\n<li>Bacakta uyu\u015fma ve kar\u0131ncalanma<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">gibi \u015fik\u00e2yetlere yol a\u00e7abilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak MR&#8217;da f\u0131t\u0131k g\u00f6r\u00fclmesi, \u015fik\u00e2yetlerin mutlaka bu f\u0131t\u0131ktan kaynakland\u0131\u011f\u0131 anlam\u0131na gelmez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hastan\u0131n \u015fik\u00e2yetleri, muayene bulgular\u0131 ve MR g\u00f6r\u00fcnt\u00fcleri birlikte de\u011ferlendirilmelidir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti s\u0131ras\u0131nda i\u015flem yap\u0131lacak b\u00f6lge uyu\u015fturulur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>R\u00f6ntgen g\u00f6r\u00fcnt\u00fcleme (skopi) e\u015fli\u011finde<\/strong>, \u00f6zel ve ince bir i\u011fne hedeflenen diskin i\u00e7erisine kontroll\u00fc \u015fekilde ilerletilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u011fnenin do\u011fru konumda oldu\u011fu g\u00f6r\u00fcnt\u00fcleme ile kontrol edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha sonra i\u011fnenin ucundaki \u00f6zel sistem kullan\u0131larak diskin i\u00e7erisindeki s\u0131n\u0131rl\u0131 miktardaki doku etkilenir veya azalt\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7, disk i\u00e7erisindeki bas\u0131nc\u0131 azaltmak ve uygun hastalarda f\u0131t\u0131\u011f\u0131n sinir \u00fczerindeki etkisini hafifletmektir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Koblation n\u00fckleoplasti<\/strong> olarak adland\u0131r\u0131lan uygulamalarda, d\u00fc\u015f\u00fck s\u0131cakl\u0131kl\u0131 plazma enerjisi kullan\u0131larak disk dokusunun kontroll\u00fc \u015fekilde azalt\u0131lmas\u0131 sa\u011flanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flemin temel \u00f6zelli\u011fi, a\u00e7\u0131k ameliyatta oldu\u011fu gibi geni\u015f bir cerrahi kesi yap\u0131lmamas\u0131d\u0131r.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun N\u00fckleoplastisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikal n\u00fckleoplasti<\/strong>, boyun omurlar\u0131 aras\u0131ndaki baz\u0131 s\u0131n\u0131rl\u0131 disk f\u0131t\u0131klar\u0131n\u0131n tedavisinde de\u011ferlendirilebilen bir giri\u015fimsel tedavidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle diskin d\u0131\u015f k\u0131sm\u0131n\u0131n b\u00fcy\u00fck \u00f6l\u00e7\u00fcde korundu\u011fu ve f\u0131t\u0131\u011f\u0131n tamamen d\u0131\u015far\u0131 \u00e7\u0131kmad\u0131\u011f\u0131 uygun hastalarda d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun b\u00f6lgesinde omurilik, sinirler ve \u00f6nemli damar yap\u0131lar\u0131 bulundu\u011fundan i\u015flem \u00f6ncesinde ayr\u0131nt\u0131l\u0131 de\u011ferlendirme yap\u0131lmas\u0131 \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00fcy\u00fck ve tamamen d\u0131\u015far\u0131 \u00e7\u0131km\u0131\u015f disk par\u00e7alar\u0131nda veya belirgin omurilik bas\u0131s\u0131nda n\u00fckleoplasti uygun olmayabilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>S\u0131rt N\u00fckleoplastisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Torakal n\u00fckleoplasti<\/strong>, s\u0131rt b\u00f6lgesindeki disk f\u0131t\u0131klar\u0131nda, uygun ve dikkatle se\u00e7ilmi\u015f hastalarda de\u011ferlendirilebilen bir giri\u015fimsel tedavidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u0131rt b\u00f6lgesindeki disk f\u0131t\u0131klar\u0131 boyun ve bel f\u0131t\u0131klar\u0131na g\u00f6re daha az g\u00f6r\u00fcl\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle s\u0131rt a\u011fr\u0131s\u0131 bulunan bir hastada \u00f6ncelikle a\u011fr\u0131n\u0131n ger\u00e7ekten diskten kaynaklan\u0131p kaynaklanmad\u0131\u011f\u0131n\u0131n belirlenmesi gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u0131rt b\u00f6lgesinde omurilik ve akci\u011ferler gibi \u00f6nemli anatomik yap\u0131lar\u0131n yak\u0131nl\u0131\u011f\u0131 nedeniyle i\u015flem \u00f6ncesi g\u00f6r\u00fcnt\u00fclerin ayr\u0131nt\u0131l\u0131 \u015fekilde de\u011ferlendirilmesi \u00f6zellikle \u00f6nemlidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bel N\u00fckleoplastisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lomber n\u00fckleoplasti<\/strong>, bel b\u00f6lgesindeki baz\u0131 s\u0131n\u0131rl\u0131 disk f\u0131t\u0131klar\u0131n\u0131n tedavisinde kullan\u0131labilen giri\u015fimsel bir y\u00f6ntemdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle diskin d\u0131\u015f k\u0131sm\u0131n\u0131n tamamen bozulmad\u0131\u011f\u0131 ve f\u0131t\u0131\u011f\u0131n s\u0131n\u0131rl\u0131 oldu\u011fu hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel f\u0131t\u0131\u011f\u0131 nedeniyle bacak a\u011fr\u0131s\u0131 bulunan hastalarda \u00f6ncelikle sinir \u00fczerindeki bask\u0131n\u0131n derecesi de\u011ferlendirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Belirgin sinir bas\u0131s\u0131, ilerleyici g\u00fc\u00e7 kayb\u0131 veya cerrahi gerektiren ba\u015fka bir durum varsa n\u00fckleoplasti yerine farkl\u0131 tedaviler, gerekti\u011finde cerrahi tedavi g\u00fcndeme gelebilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti Kimlere Yap\u0131labilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti <strong>her boyun, s\u0131rt veya bel f\u0131t\u0131\u011f\u0131 hastas\u0131 i\u00e7in uygun de\u011fildir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boyun, s\u0131rt veya bel a\u011fr\u0131s\u0131 ve\/veya kola-baca\u011fa yay\u0131lan a\u011fr\u0131s\u0131 uzun s\u00fcredir devam eden,<\/li>\n\n\n\n<li>\u0130la\u00e7, egzersiz ve fizik tedavi gibi ameliyats\u0131z tedavilere yeterli yan\u0131t vermeyen,<\/li>\n\n\n\n<li>MR g\u00f6r\u00fcnt\u00fclerinde <strong>s\u0131n\u0131rl\u0131 ve d\u0131\u015far\u0131 tamamen ta\u015fmam\u0131\u015f bir disk f\u0131t\u0131\u011f\u0131<\/strong> bulunan,<\/li>\n\n\n\n<li>\u015eik\u00e2yetleri ile MR bulgular\u0131 birbiriyle uyumlu olan,<\/li>\n\n\n\n<li>Acil cerrahi gerektiren ciddi sinir veya omurilik bas\u0131s\u0131 bulunmayan<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>se\u00e7ilmi\u015f hastalarda<\/strong> n\u00fckleoplasti de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do\u011fru hasta se\u00e7imi tedavinin en \u00f6nemli a\u015famalar\u0131ndan biridir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Her Boyun, S\u0131rt veya Bel F\u0131t\u0131\u011f\u0131 N\u00fckleoplasti ile Tedavi Edilir mi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hay\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti hakk\u0131nda bilinmesi gereken en \u00f6nemli noktalardan biri budur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00fcy\u00fck disk f\u0131t\u0131klar\u0131,<\/li>\n\n\n\n<li>Tamamen d\u0131\u015far\u0131 \u00e7\u0131km\u0131\u015f disk par\u00e7alar\u0131,<\/li>\n\n\n\n<li>Kopmu\u015f veya serbestle\u015fmi\u015f disk par\u00e7alar\u0131,<\/li>\n\n\n\n<li>Belirgin omurilik bas\u0131s\u0131,<\/li>\n\n\n\n<li>\u0130leri sinir bas\u0131s\u0131,<\/li>\n\n\n\n<li>\u0130lerleyen g\u00fc\u00e7 kayb\u0131,<\/li>\n\n\n\n<li>Acil cerrahi gerektiren durumlar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">n\u00fckleoplasti i\u00e7in uygun olmayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle tedavi karar\u0131 yaln\u0131zca MR g\u00f6r\u00fcnt\u00fcs\u00fcne bak\u0131larak verilmemelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hastan\u0131n \u015fik\u00e2yetleri, fizik ve n\u00f6rolojik muayenesi ile MR g\u00f6r\u00fcnt\u00fcleri birlikte de\u011ferlendirilmelidir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti F\u0131t\u0131\u011f\u0131 Yok Eder mi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplastinin amac\u0131 f\u0131t\u0131\u011f\u0131 tamamen ortadan kald\u0131rmak de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavide, diskin i\u00e7erisindeki bas\u0131nc\u0131n azalt\u0131lmas\u0131 ve uygun hastalarda f\u0131t\u0131\u011f\u0131n sinir \u00fczerindeki etkisinin hafifletilmesi ama\u00e7lan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle hastaya <strong>\u201cf\u0131t\u0131\u011f\u0131 tamamen yok eden bir i\u015flem\u201d<\/strong> \u015feklinde anlat\u0131lmas\u0131 do\u011fru de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti, uygun hastalarda a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131na y\u00f6nelik bir tedavidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti Ameliyat\u0131n Yerine Ge\u00e7er mi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Her zaman de\u011fil.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti baz\u0131 uygun hastalarda a\u00e7\u0131k cerrahiye alternatif olarak de\u011ferlendirilebilen daha k\u00fc\u00e7\u00fck giri\u015fimli bir tedavi y\u00f6ntemidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak her f\u0131t\u0131kta ameliyat\u0131n alternatifi de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rne\u011fin ciddi sinir veya omurilik bas\u0131s\u0131, ilerleyen g\u00fc\u00e7 kayb\u0131 veya b\u00fcy\u00fck ve d\u0131\u015far\u0131 ta\u015fm\u0131\u015f bir f\u0131t\u0131k varsa cerrahi tedavi daha uygun olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Buna kar\u015f\u0131l\u0131k s\u0131n\u0131rl\u0131, d\u0131\u015far\u0131 tamamen ta\u015fmam\u0131\u015f disk f\u0131t\u0131\u011f\u0131 bulunan ve ameliyats\u0131z tedavilere ra\u011fmen \u015fik\u00e2yetleri devam eden baz\u0131 hastalarda n\u00fckleoplasti de\u011ferlendirilebilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti Sonras\u0131nda Ne Beklenir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplastinin temel amac\u0131 <strong>boyun, s\u0131rt veya bel b\u00f6lgesindeki a\u011fr\u0131n\u0131n ve uygun hastalarda kola veya baca\u011fa yay\u0131lan a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131d\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131n\u0131n azalmas\u0131yla birlikte;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hareket etmek,<\/li>\n\n\n\n<li>G\u00fcnl\u00fck aktiviteleri s\u00fcrd\u00fcrmek,<\/li>\n\n\n\n<li>Egzersiz yapmak,<\/li>\n\n\n\n<li>\u0130\u015f ve sosyal ya\u015fama d\u00f6nmek<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">kolayla\u015fabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavinin uzun d\u00f6nem ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan doktorun \u00f6nerdi\u011fi egzersizlerin yap\u0131lmas\u0131, do\u011fru duru\u015f al\u0131\u015fkanl\u0131klar\u0131n\u0131n kazan\u0131lmas\u0131 ve gerekli durumlarda fizik tedavinin uygulanmas\u0131 \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak her hastada ayn\u0131 sonucu elde etmek m\u00fcmk\u00fcn de\u011fildir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplastinin Riskleri Nelerdir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti ciltte k\u00fc\u00e7\u00fck bir giri\u015fle uygulanmas\u0131na ra\u011fmen tamamen risksiz de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nadir de olsa;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Enfeksiyon,<\/li>\n\n\n\n<li>Disk iltihab\u0131,<\/li>\n\n\n\n<li>Kanama,<\/li>\n\n\n\n<li>Sinir yaralanmas\u0131,<\/li>\n\n\n\n<li>\u00c7evredeki yap\u0131lar\u0131n zarar g\u00f6rmesi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">gibi komplikasyonlar ortaya \u00e7\u0131kabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Riskler, i\u015flemin uyguland\u0131\u011f\u0131 b\u00f6lgeye g\u00f6re de\u011fi\u015febilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle boyun ve s\u0131rt b\u00f6lgesinde omurilik ve di\u011fer \u00f6nemli anatomik yap\u0131lar\u0131n yak\u0131nl\u0131\u011f\u0131 nedeniyle <strong>i\u015flemin uygun g\u00f6r\u00fcnt\u00fcleme e\u015fli\u011finde ve deneyimli bir ekip taraf\u0131ndan yap\u0131lmas\u0131 \u00f6nemlidir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem \u00f6ncesinde hastan\u0131n kulland\u0131\u011f\u0131 ila\u00e7lar, \u00f6zellikle kan suland\u0131r\u0131c\u0131 ila\u00e7lar ve mevcut hastal\u0131klar\u0131 de\u011ferlendirilmelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun, S\u0131rt ve Bel N\u00fckleoplastisi Aras\u0131ndaki Fark<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>B\u00f6lge<\/strong><\/td><td><strong>T\u0131bbi ad\u0131<\/strong><\/td><td><strong>Tedavinin hedefi<\/strong><\/td><\/tr><\/thead><tbody><tr><td>Boyun<\/td><td>Servikal n\u00fckleoplasti<\/td><td>Uygun boyun disk f\u0131t\u0131klar\u0131nda disk dokusunu azaltmak<\/td><\/tr><tr><td>S\u0131rt<\/td><td>Torakal n\u00fckleoplasti<\/td><td>Uygun s\u0131rt disk f\u0131t\u0131klar\u0131nda disk dokusunu azaltmak<\/td><\/tr><tr><td>Bel<\/td><td>Lomber n\u00fckleoplasti<\/td><td>Uygun bel disk f\u0131t\u0131klar\u0131nda disk dokusunu azaltmak<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u00dc\u00e7 b\u00f6lgede de temel prensip benzerdir; ancak <strong>anatomik yap\u0131, f\u0131t\u0131\u011f\u0131n \u015fekli, sinir ve omurilikle ili\u015fkisi ve i\u015flemin teknik \u00f6zellikleri b\u00f6lgeye g\u00f6re farkl\u0131l\u0131k g\u00f6sterir.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00fckleoplasti Hakk\u0131nda \u00d6nemli Bilgi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun, s\u0131rt veya bel f\u0131t\u0131\u011f\u0131 olan her hastaya n\u00fckleoplasti uygulanmaz.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle s\u0131n\u0131rl\u0131 ve d\u0131\u015far\u0131 tamamen ta\u015fmam\u0131\u015f disk f\u0131t\u0131klar\u0131nda, di\u011fer tedavilerden yeterli fayda g\u00f6rmeyen ve cerrahi gerektiren belirgin sinir veya omurilik bas\u0131s\u0131 bulunmayan se\u00e7ilmi\u015f hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00fcy\u00fck, kopmu\u015f veya tamamen d\u0131\u015far\u0131 \u00e7\u0131km\u0131\u015f f\u0131t\u0131klarda ise farkl\u0131 tedavi se\u00e7eneklerinin de\u011ferlendirilmesi gerekebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00fckleoplasti karar\u0131 <strong>yaln\u0131zca MR g\u00f6r\u00fcnt\u00fcs\u00fcne g\u00f6re de\u011fil; hastan\u0131n \u015fik\u00e2yetleri, muayenesi ve MR bulgular\u0131 birlikte de\u011ferlendirilerek<\/strong> verilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do\u011fru tan\u0131, do\u011fru tedavinin ilk ad\u0131m\u0131d\u0131r.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Boyun, S\u0131rt ve Bel F\u0131t\u0131\u011f\u0131nda N\u00fckleoplasti Tedavisi N\u00fckleoplasti, boyun, s\u0131rt ve bel omurlar\u0131 aras\u0131ndaki baz\u0131 disk f\u0131t\u0131klar\u0131n\u0131n tedavisinde kullan\u0131labilen, ciltte k\u00fc\u00e7\u00fck bir giri\u015fle uygulanan giri\u015fimsel bir tedavi y\u00f6ntemidir. N\u00fckleoplastide ama\u00e7, \u00f6zel bir i\u011fne ile diskin i\u00e7erisine ula\u015farak diskin i\u00e7indeki bas\u0131nc\u0131 ve a\u011fr\u0131ya neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen disk dokusunun bir b\u00f6l\u00fcm\u00fcn\u00fc azaltmakt\u0131r. \u00d6zellikle diskin d\u0131\u015f k\u0131sm\u0131n\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc &#8230; <a title=\"N\u00fckleoplasti Nedir?\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=156\" aria-label=\"N\u00fckleoplasti Nedir? hakk\u0131nda daha fazlas\u0131n\u0131 okuyun\">Devam\u0131n\u0131 oku<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[121,78,140,108,141],"tags":[67,127,120,27,122,31,70,144,86,145],"class_list":["post-156","post","type-post","status-publish","format-standard","hentry","category-bel-ve-boyun","category-eklem-agrilari","category-girisimsel-tedaviler","category-omurga","category-tedavi-yontemleri","tag-agri-tedavisi","tag-bacakta-belirgin-guc-kaybi","tag-bel-agrisi","tag-bel-fitigi","tag-bel-ve-boyun","tag-boyun-fitigi","tag-girisimsel-tedaviler","tag-kalca-agrisi","tag-kalca-agrisi-tedavisi","tag-nukleoplasti"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/156","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=156"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/156\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}