{"id":158,"date":"2026-09-16T18:45:08","date_gmt":"2026-09-16T18:45:08","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=158"},"modified":"2026-09-16T18:45:08","modified_gmt":"2026-09-16T18:45:08","slug":"nokta-atisi-sinir-koku-tedavisi-nedir","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=158","title":{"rendered":"Nokta At\u0131\u015f\u0131 Sinir K\u00f6k\u00fc Tedavisi Nedir?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Boyun, S\u0131rt ve Bel F\u0131t\u0131\u011f\u0131nda Transforaminal Epidural Enjeksiyon<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda <strong>\u201cnokta at\u0131\u015f\u0131 tedavisi\u201d<\/strong> olarak bilinen uygulama, \u00f6zellikle omurgadaki f\u0131t\u0131k veya di\u011fer yap\u0131sal problemlere ba\u011fl\u0131 olarak sinir k\u00f6k\u00fc \u00e7evresinde olu\u015fan <strong>a\u011fr\u0131, tahri\u015f ve iltihab\u0131n azalt\u0131lmas\u0131<\/strong> amac\u0131yla yap\u0131lan hedefe y\u00f6nelik enjeksiyon tedavisidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0131bbi olarak bu i\u015flem \u00e7o\u011funlukla <strong>transforaminal epidural steroid enjeksiyonu (TFESI)<\/strong> olarak adland\u0131r\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cNokta at\u0131\u015f\u0131\u201d denmesinin nedeni, ilac\u0131n geli\u015fig\u00fczel bir b\u00f6lgeye verilmemesi; <strong>a\u011fr\u0131ya neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen sinir k\u00f6k\u00fcn\u00fcn \u00e7evresine<\/strong>, r\u00f6ntgen g\u00f6r\u00fcnt\u00fcleme (skopi) e\u015fli\u011finde hedeflenerek uygulanmas\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu tedavi yaln\u0131zca bel b\u00f6lgesinde yap\u0131lmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Boyun b\u00f6lgesindeki sinir k\u00f6klerine<\/strong><\/li>\n\n\n\n<li><strong>S\u0131rt b\u00f6lgesindeki sinir k\u00f6klerine<\/strong><\/li>\n\n\n\n<li><strong>Bel b\u00f6lgesindeki sinir k\u00f6klerine<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">y\u00f6nelik transforaminal enjeksiyonlar 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>Nokta At\u0131\u015f\u0131 Tedavisi Hangi Hastal\u0131klarda Kullan\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nokta at\u0131\u015f\u0131 sinir k\u00f6k\u00fc enjeksiyonu en s\u0131k, <strong>f\u0131t\u0131k veya omurgadaki daralmaya ba\u011fl\u0131 sinir k\u00f6k\u00fc a\u011fr\u0131lar\u0131nda<\/strong> de\u011ferlendirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Omurlar aras\u0131ndaki disk d\u0131\u015far\u0131 do\u011fru ta\u015farak sinir k\u00f6k\u00fcne temas edebilir veya bask\u0131 olu\u015fturabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sinirin yaln\u0131zca mekanik olarak etkilenmesi de\u011fil, \u00e7evresinde olu\u015fan <strong>iltihabi reaksiyon ve tahri\u015f<\/strong> de a\u011fr\u0131ya neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u011fr\u0131 sinirin izledi\u011fi b\u00f6lge boyunca yay\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yanma<\/li>\n\n\n\n<li>Elektrik \u00e7arpmas\u0131<\/li>\n\n\n\n<li>Batma<\/li>\n\n\n\n<li>Uyu\u015fma<\/li>\n\n\n\n<li>Kar\u0131ncalanma<\/li>\n\n\n\n<li>\u015eiddetli, yay\u0131lan a\u011fr\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u015feklinde hissedilebilir.<\/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 B\u00f6lgesinde Nokta At\u0131\u015f\u0131 Tedavisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel b\u00f6lgesindeki transforaminal enjeksiyon, halk aras\u0131nda en \u00e7ok bilinen <strong>\u201cbel f\u0131t\u0131\u011f\u0131 nokta at\u0131\u015f\u0131\u201d<\/strong> uygulamas\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel f\u0131t\u0131\u011f\u0131 sinir k\u00f6k\u00fcn\u00fc etkiledi\u011finde a\u011fr\u0131 belden kal\u00e7aya, baca\u011fa ve bazen aya\u011fa kadar yay\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu tablo halk aras\u0131nda s\u0131kl\u0131kla <strong>siyatik<\/strong> olarak ifade edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel b\u00f6lgesindeki nokta at\u0131\u015f\u0131 \u00f6zellikle:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bel f\u0131t\u0131\u011f\u0131na ba\u011fl\u0131 baca\u011fa yay\u0131lan a\u011fr\u0131<\/li>\n\n\n\n<li>Sinir k\u00f6k\u00fc tahri\u015fine ba\u011fl\u0131 siyatik<\/li>\n\n\n\n<li>Omurga kanal\u0131ndaki veya sinirin \u00e7\u0131kt\u0131\u011f\u0131 kanaldaki daralmaya ba\u011fl\u0131 radik\u00fcler a\u011fr\u0131<\/li>\n\n\n\n<li>Sinir k\u00f6k\u00fc \u00e7evresindeki inflamasyona ba\u011fl\u0131 a\u011fr\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">gibi durumlarda, uygun hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130la\u00e7, sinir k\u00f6k\u00fcn\u00fcn \u00e7evresine hedeflenerek uyguland\u0131\u011f\u0131ndan, tedavinin amac\u0131 <strong>sinir k\u00f6k\u00fc \u00e7evresindeki a\u011fr\u0131 ve iltihab\u0131 azaltmakt\u0131r.<\/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>Boyun B\u00f6lgesinde Nokta At\u0131\u015f\u0131 Tedavisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Transforaminal epidural enjeksiyon <strong>boyun b\u00f6lgesinde de uygulanabilir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun f\u0131t\u0131\u011f\u0131 veya boyun b\u00f6lgesindeki di\u011fer yap\u0131sal sorunlar sinir k\u00f6k\u00fcn\u00fc etkiledi\u011finde a\u011fr\u0131 boyundan omuza, kola ve bazen ele kadar yay\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun kaynakl\u0131 sinir a\u011fr\u0131s\u0131nda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boyun a\u011fr\u0131s\u0131<\/li>\n\n\n\n<li>Omuz a\u011fr\u0131s\u0131<\/li>\n\n\n\n<li>Kola yay\u0131lan a\u011fr\u0131<\/li>\n\n\n\n<li>Yanma<\/li>\n\n\n\n<li>Elektriklenme<\/li>\n\n\n\n<li>Uyu\u015fma<\/li>\n\n\n\n<li>Kar\u0131ncalanma<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda <strong>servikal transforaminal epidural enjeksiyon<\/strong>, a\u011fr\u0131ya neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen sinir k\u00f6k\u00fcn\u00fcn \u00e7evresine hedefli ila\u00e7 uygulamak amac\u0131yla kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun b\u00f6lgesinde \u00f6nemli damar ve sinir yap\u0131lar\u0131n\u0131n birbirine yak\u0131n olmas\u0131 nedeniyle bu b\u00f6lgedeki transforaminal enjeksiyonlarda <strong>hasta se\u00e7imi, kullan\u0131lan ila\u00e7lar\u0131n \u00f6zellikleri, g\u00f6r\u00fcnt\u00fcleme ve i\u015flem tekni\u011fi \u00f6zellikle \u00f6nemlidir.<\/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>S\u0131rt B\u00f6lgesinde Nokta At\u0131\u015f\u0131 Tedavisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha az bilinmesine ra\u011fmen transforaminal enjeksiyonlar <strong>s\u0131rt b\u00f6lgesindeki sinir k\u00f6k\u00fc a\u011fr\u0131lar\u0131nda da<\/strong> uygulanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u0131rt b\u00f6lgesindeki disk problemleri veya di\u011fer omurga hastal\u0131klar\u0131, sinir k\u00f6klerini etkileyerek g\u00f6\u011f\u00fcs kafesi veya kar\u0131n \u00e7evresine do\u011fru yay\u0131lan a\u011fr\u0131ya neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u011fr\u0131 bazen <strong>ku\u015fak \u015feklinde<\/strong> hissedilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastalarda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u0131rt a\u011fr\u0131s\u0131<\/li>\n\n\n\n<li>Kaburga boyunca yay\u0131lan a\u011fr\u0131<\/li>\n\n\n\n<li>G\u00f6\u011f\u00fcs kafesinin yan taraf\u0131nda a\u011fr\u0131<\/li>\n\n\n\n<li>Yanma<\/li>\n\n\n\n<li>Elektriklenme<\/li>\n\n\n\n<li>Uyu\u015fma<\/li>\n\n\n\n<li>Ciltte a\u015f\u0131r\u0131 hassasiyet<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda <strong>torakal transforaminal epidural enjeksiyon<\/strong>, a\u011fr\u0131ya neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen sinir k\u00f6k\u00fc \u00e7evresine hedefli ila\u00e7 uygulamak amac\u0131yla de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak g\u00f6\u011f\u00fcs veya kar\u0131n b\u00f6lgesine yay\u0131lan yeni bir a\u011fr\u0131n\u0131n her zaman omurgadan kaynaklanmad\u0131\u011f\u0131 unutulmamal\u0131d\u0131r. Kalp, akci\u011fer, damarlar ve kar\u0131n i\u00e7i organlarla ilgili \u00f6nemli hastal\u0131klar \u00f6ncelikle d\u0131\u015flanmal\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>Nokta At\u0131\u015f\u0131 Tedavisi Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem s\u0131ras\u0131nda hasta uygun pozisyonda yat\u0131r\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygulama b\u00f6lgesi steril olarak haz\u0131rlan\u0131r ve cilt lokal anestezi ile uyu\u015fturulur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha sonra ince bir i\u011fne, <strong>r\u00f6ntgen g\u00f6r\u00fcnt\u00fcleme (skopi) e\u015fli\u011finde<\/strong>, sinir k\u00f6k\u00fcn\u00fcn omurgadan \u00e7\u0131kt\u0131\u011f\u0131 b\u00f6lgeye do\u011fru ilerletilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u011fnenin do\u011fru yerde oldu\u011fu g\u00f6r\u00fcnt\u00fcleme ile kontrol edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun ila\u00e7 kombinasyonu, hedeflenen sinir k\u00f6k\u00fcn\u00fcn \u00e7evresine uygulan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flemin amac\u0131 ilac\u0131 <strong>a\u011fr\u0131ya neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen sinir k\u00f6k\u00fcn\u00fcn yak\u0131n\u0131na ula\u015ft\u0131rarak<\/strong>, o b\u00f6lgedeki inflamasyonu ve a\u011fr\u0131 mekanizmas\u0131n\u0131 azaltmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle i\u015flem halk aras\u0131nda <strong>\u201cnokta at\u0131\u015f\u0131\u201d<\/strong> olarak adland\u0131r\u0131l\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>Nokta At\u0131\u015f\u0131 Bel, Boyun ve S\u0131rt F\u0131t\u0131\u011f\u0131n\u0131 Yok Eder 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\">Nokta at\u0131\u015f\u0131 tedavisinin amac\u0131 f\u0131t\u0131kla\u015fm\u0131\u015f disk dokusunu fiziksel olarak ortadan kald\u0131rmak de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavinin temel amac\u0131:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sinir k\u00f6k\u00fc \u00e7evresindeki iltihab\u0131 azaltmak,<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>sinir kaynakl\u0131 a\u011fr\u0131y\u0131 kontrol etmek<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ve<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>hastan\u0131n hareket etmesini kolayla\u015ft\u0131rmakt\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda a\u011fr\u0131n\u0131n azalmas\u0131, v\u00fccudun kendi iyile\u015fme s\u00fcrecinin devam etmesine zaman kazand\u0131rabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle enjeksiyon, uygun hastalarda f\u0131t\u0131k tedavisinin bir par\u00e7as\u0131 olarak kullan\u0131labilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta At\u0131\u015f\u0131 Kimlere Yap\u0131labilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Transforaminal enjeksiyon \u00f6zellikle:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boyundan kola yay\u0131lan sinir a\u011fr\u0131s\u0131<\/li>\n\n\n\n<li>S\u0131rttan g\u00f6\u011f\u00fcs veya kar\u0131n \u00e7evresine yay\u0131lan sinir a\u011fr\u0131s\u0131<\/li>\n\n\n\n<li>Belden baca\u011fa yay\u0131lan siyatik a\u011fr\u0131s\u0131<\/li>\n\n\n\n<li>F\u0131t\u0131\u011fa ba\u011fl\u0131 sinir k\u00f6k\u00fc tahri\u015fi<\/li>\n\n\n\n<li>Sinirin ge\u00e7ti\u011fi kanallardaki daralmaya ba\u011fl\u0131 radik\u00fcler a\u011fr\u0131<\/li>\n\n\n\n<li>\u0130la\u00e7 ve di\u011fer ameliyats\u0131z tedavilere ra\u011fmen devam eden uygun a\u011fr\u0131lar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">i\u00e7in de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Burada en \u00f6nemli nokta, <strong>hastan\u0131n \u015fik\u00e2yetleri ile MR ve muayene bulgular\u0131n\u0131n birbirini desteklemesidir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sadece MR&#8217;da f\u0131t\u0131k g\u00f6r\u00fclmesi, mutlaka nokta at\u0131\u015f\u0131 yap\u0131lmas\u0131 gerekti\u011fi anlam\u0131na gelmez.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta At\u0131\u015f\u0131 Ne Zaman Uygun De\u011fildir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel, boyun veya s\u0131rt f\u0131t\u0131\u011f\u0131 bulunan bir hastada ciddi veya ilerleyen <strong>kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc<\/strong>, idrar veya d\u0131\u015fk\u0131 kontrol\u00fcnde bozulma ya da makat-genital b\u00f6lge \u00e7evresinde belirgin uyu\u015fma gibi \u00f6nemli sinir bulgular\u0131 varsa enjeksiyonla zaman kaybetmeden acil cerrahi de\u011ferlendirme gerekebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ayr\u0131ca aktif enfeksiyon, ciddi kanama riski veya baz\u0131 \u00f6zel sa\u011fl\u0131k sorunlar\u0131 bulunan hastalarda i\u015flem uygun olmayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle i\u015flem \u00f6ncesinde hastan\u0131n ayr\u0131nt\u0131l\u0131 de\u011ferlendirilmesi gerekir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta At\u0131\u015f\u0131 ile Normal Bel \u0130\u011fnesi Ayn\u0131 m\u0131d\u0131r?<\/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\">Nokta at\u0131\u015f\u0131 tedavisinde ama\u00e7 belirli bir sinir k\u00f6k\u00fcn\u00fc hedeflemektir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u011fnenin konumu <strong>skopi ile kontrol edilir<\/strong> ve ila\u00e7 hedeflenen sinir k\u00f6k\u00fcn\u00fcn \u00e7evresine uygulan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle geli\u015fig\u00fczel yap\u0131lan bir a\u011fr\u0131 kesici i\u011fneden farkl\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>Nokta At\u0131\u015f\u0131 A\u011fr\u0131l\u0131 m\u0131d\u0131r?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem \u00f6ncesinde uygulama b\u00f6lgesi lokal anestezi ile uyu\u015fturulur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u011fnenin ilerletilmesi s\u0131ras\u0131nda k\u0131sa s\u00fcreli bask\u0131 veya rahats\u0131zl\u0131k hissedilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda i\u015flem s\u0131ras\u0131nda daha \u00f6nce ya\u015fanan a\u011fr\u0131ya benzer k\u0131sa s\u00fcreli bir elektriklenme veya yay\u0131lan a\u011fr\u0131 hissi olu\u015fabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem genellikle k\u0131sa s\u00fcrer ve sonras\u0131nda hasta bir s\u00fcre g\u00f6zlem alt\u0131nda tutulur.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta At\u0131\u015f\u0131 Tedavisinin Riskleri Nelerdir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Her t\u0131bbi giri\u015fimde oldu\u011fu gibi transforaminal epidural enjeksiyonun da riskleri bulunmaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem sonras\u0131nda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Enjeksiyon b\u00f6lgesinde a\u011fr\u0131<\/li>\n\n\n\n<li>Ge\u00e7ici sinir irritasyonu<\/li>\n\n\n\n<li>Kanama<\/li>\n\n\n\n<li>Enfeksiyon<\/li>\n\n\n\n<li>Ge\u00e7ici uyu\u015fma veya g\u00fc\u00e7s\u00fczl\u00fck<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">gibi komplikasyonlar g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Steroid kullan\u0131m\u0131na ba\u011fl\u0131 olarak baz\u0131 hastalarda ge\u00e7ici <strong>kan \u015fekeri y\u00fckselmesi, y\u00fczde k\u0131zarma veya tansiyon de\u011fi\u015fiklikleri<\/strong> gibi yan etkiler g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle <strong>boyun ve s\u0131rt b\u00f6lgesinde<\/strong> \u00f6nemli damar ve sinir yap\u0131lar\u0131na yak\u0131n \u00e7al\u0131\u015f\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015flem tekni\u011fi ve ila\u00e7 se\u00e7imi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle i\u015flemin uygun g\u00f6r\u00fcnt\u00fcleme e\u015fli\u011finde ve bu konuda deneyimli bir hekim taraf\u0131ndan yap\u0131lmas\u0131 gerekir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta At\u0131\u015f\u0131 Ne Kadar S\u00fcre Etkili Olur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavinin etkisi ki\u015fiden ki\u015fiye de\u011fi\u015fir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda a\u011fr\u0131da k\u0131sa s\u00fcrede belirgin azalma g\u00f6r\u00fcl\u00fcrken, baz\u0131 hastalarda etki daha s\u0131n\u0131rl\u0131 veya ge\u00e7ici olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7 yaln\u0131zca a\u011fr\u0131y\u0131 bast\u0131rmak de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131n\u0131n azalmas\u0131yla hastan\u0131n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Daha rahat hareket etmesi<\/li>\n\n\n\n<li>Egzersiz yapabilmesi<\/li>\n\n\n\n<li>Fizik tedaviye kat\u0131labilmesi<\/li>\n\n\n\n<li>G\u00fcnl\u00fck ya\u015fam\u0131na daha rahat devam edebilmesi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">hedeflenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle nokta at\u0131\u015f\u0131 tedavisi gerekti\u011finde egzersiz, fizik tedavi, ila\u00e7 tedavisi ve di\u011fer uygun tedavilerle birlikte planlanabilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta At\u0131\u015f\u0131 m\u0131, Ameliyat m\u0131?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu iki tedavi birbirinin do\u011frudan alternatifi de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta at\u0131\u015f\u0131 tedavisi<\/strong>, uygun hastalarda sinir k\u00f6k\u00fc \u00e7evresindeki inflamasyonu ve a\u011fr\u0131y\u0131 azaltmay\u0131 ama\u00e7lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ameliyat ise<\/strong>, gerekli durumlarda sinir \u00fczerindeki mekanik bask\u0131y\u0131 ortadan kald\u0131rmay\u0131 ama\u00e7lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ciddi veya ilerleyen g\u00fc\u00e7 kayb\u0131, omurilik bas\u0131s\u0131 veya acil cerrahi gerektiren di\u011fer durumlarda enjeksiyon tedavisi uygun olmayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Karar; hastan\u0131n <strong>\u015fik\u00e2yetleri, n\u00f6rolojik muayenesi ve MR\/g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 birlikte de\u011ferlendirilerek<\/strong> verilmelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>K\u0131saca<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nokta at\u0131\u015f\u0131 tedavisi olarak bilinen transforaminal epidural enjeksiyon<\/strong>, omurgan\u0131n <strong>boyun, s\u0131rt ve bel b\u00f6lgelerinde<\/strong> sinir k\u00f6k\u00fc kaynakl\u0131 a\u011fr\u0131larda kullan\u0131lan hedefe y\u00f6nelik bir enjeksiyon tedavisidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun f\u0131t\u0131\u011f\u0131na ba\u011fl\u0131 kola yay\u0131lan a\u011fr\u0131da, s\u0131rt b\u00f6lgesindeki sinir k\u00f6k\u00fc kaynakl\u0131 g\u00f6\u011f\u00fcs veya kaburga \u00e7evresi a\u011fr\u0131lar\u0131nda ve bel f\u0131t\u0131\u011f\u0131na ba\u011fl\u0131 siyatikte uygun hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavinin amac\u0131 <strong>f\u0131t\u0131\u011f\u0131 ortadan kald\u0131rmak de\u011fil<\/strong>, sinir k\u00f6k\u00fc \u00e7evresindeki inflamasyonu ve a\u011fr\u0131y\u0131 azaltmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En \u00f6nemli a\u015fama, a\u011fr\u0131n\u0131n ger\u00e7ekten ilgili sinir k\u00f6k\u00fcnden kaynakland\u0131\u011f\u0131n\u0131n belirlenmesidir.<\/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 Transforaminal Epidural Enjeksiyon Halk aras\u0131nda \u201cnokta at\u0131\u015f\u0131 tedavisi\u201d olarak bilinen uygulama, \u00f6zellikle omurgadaki f\u0131t\u0131k veya di\u011fer yap\u0131sal problemlere ba\u011fl\u0131 olarak sinir k\u00f6k\u00fc \u00e7evresinde olu\u015fan a\u011fr\u0131, tahri\u015f ve iltihab\u0131n azalt\u0131lmas\u0131 amac\u0131yla yap\u0131lan hedefe y\u00f6nelik enjeksiyon tedavisidir. T\u0131bbi olarak bu i\u015flem \u00e7o\u011funlukla transforaminal epidural steroid enjeksiyonu (TFESI) olarak adland\u0131r\u0131l\u0131r. \u201cNokta at\u0131\u015f\u0131\u201d denmesinin &#8230; <a title=\"Nokta At\u0131\u015f\u0131 Sinir K\u00f6k\u00fc Tedavisi Nedir?\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=158\" aria-label=\"Nokta At\u0131\u015f\u0131 Sinir K\u00f6k\u00fc Tedavisi 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":[121,78,108,141],"tags":[67,120,27,123,31,146,44],"class_list":["post-158","post","type-post","status-publish","format-standard","hentry","category-bel-ve-boyun","category-eklem-agrilari","category-omurga","category-tedavi-yontemleri","tag-agri-tedavisi","tag-bel-agrisi","tag-bel-fitigi","tag-boyun-agrisi","tag-boyun-fitigi","tag-nokta-atisi-tedavisi","tag-tetik-nokta"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/158","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=158"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/158\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=158"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=158"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}