{"id":198,"date":"2026-09-18T19:01:16","date_gmt":"2026-09-18T19:01:16","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=198"},"modified":"2026-09-18T19:01:16","modified_gmt":"2026-09-18T19:01:16","slug":"zona-ve-postherpetik-nevralji-farki-tanisi-ve-tedavisi","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=198","title":{"rendered":"Zona ve Postherpetik Nevralji: Fark\u0131, Tan\u0131s\u0131 ve Tedavisi"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Zona<\/strong>, su\u00e7i\u00e7e\u011fine neden olan vir\u00fcs\u00fcn y\u0131llar sonra sinirlerde yeniden aktifle\u015fmesiyle ortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r. En tipik belirtisi, v\u00fccudun genellikle <strong>tek taraf\u0131nda \u015fiddetli a\u011fr\u0131 ve ard\u0131ndan ayn\u0131 b\u00f6lgede kabarc\u0131kl\u0131 d\u00f6k\u00fcnt\u00fclerin ortaya \u00e7\u0131kmas\u0131d\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona iyile\u015ftikten sonra a\u011fr\u0131n\u0131n devam etmesi ise <strong>postherpetik nevralji<\/strong> olarak adland\u0131r\u0131l\u0131r. Bu iki durum birbirine benzer g\u00f6r\u00fcnse de <strong>tan\u0131 ve tedavi yakla\u015f\u0131mlar\u0131 farkl\u0131d\u0131r.<\/strong> (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11683194\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMAGE005.webp\" alt=\"\" class=\"wp-image-202\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona a\u011fr\u0131s\u0131 ile postherpetik nevralji aras\u0131ndaki fark nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona a\u011fr\u0131s\u0131<\/strong>, hastal\u0131k aktifken ve ciltte d\u00f6k\u00fcnt\u00fcler varken ortaya \u00e7\u0131kan a\u011fr\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Postherpetik nevralji (PHN)<\/strong> ise zona d\u00f6k\u00fcnt\u00fcleri iyile\u015ftikten sonra ayn\u0131 sinir b\u00f6lgesinde devam eden a\u011fr\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda basit\u00e7e \u015f\u00f6yle anlat\u0131labilir:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona = vir\u00fcs\u00fcn aktif oldu\u011fu d\u00f6nem<\/strong><br><strong>Postherpetik nevralji = zona ge\u00e7tikten sonra sinirde kalan a\u011fr\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Postherpetik nevraljinin tan\u0131m\u0131 i\u00e7in en s\u0131k kullan\u0131lan \u00f6l\u00e7\u00fct, zona ba\u015flang\u0131c\u0131ndan veya d\u00f6k\u00fcnt\u00fclerin iyile\u015fmesinden sonra a\u011fr\u0131n\u0131n <strong>3 aydan uzun s\u00fcrmesidir<\/strong>. Literat\u00fcrde farkl\u0131 zaman tan\u0131mlar\u0131 bulunsa da 3 ay yayg\u0131n olarak kullan\u0131lmaktad\u0131r. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC13172166\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona a\u011fr\u0131s\u0131 nas\u0131l olur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona s\u0131ras\u0131nda a\u011fr\u0131 genellikle d\u00f6k\u00fcnt\u00fclerden \u00f6nce ba\u015flayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hasta b\u00f6lgede;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yanma,<\/li>\n\n\n\n<li>Batma,<\/li>\n\n\n\n<li>\u0130\u011fnelenme,<\/li>\n\n\n\n<li>Elektrik \u00e7arpmas\u0131,<\/li>\n\n\n\n<li>\u00c7ok \u015fiddetli hassasiyet<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">hissedebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bazen g\u00f6mle\u011fin veya yata\u011f\u0131n cilde de\u011fmesi bile ciddi a\u011fr\u0131 olu\u015fturabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha sonra genellikle v\u00fccudun bir taraf\u0131nda, belirli bir sinirin da\u011f\u0131ld\u0131\u011f\u0131 b\u00f6lgede <strong>k\u0131zar\u0131kl\u0131k ve i\u00e7i s\u0131v\u0131 dolu k\u00fc\u00e7\u00fck kabarc\u0131klar<\/strong> ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona d\u00f6k\u00fcnt\u00fclerinin tipik olarak v\u00fccudun bir taraf\u0131nda ve sinirin takip etti\u011fi \u015ferit \u015feklinde g\u00f6r\u00fclmesi tan\u0131da \u00f6nemli bir ipucudur.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMAGE004.webp\" alt=\"\" class=\"wp-image-201\"\/><figcaption class=\"wp-element-caption\">zona<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Postherpetik nevralji nas\u0131l olur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona d\u00f6k\u00fcnt\u00fcleri iyile\u015fmesine ra\u011fmen a\u011fr\u0131 devam ediyorsa sinirlerde hasar geli\u015fmi\u015f olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u011fr\u0131 \u00e7o\u011funlukla:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Yanma, elektrik \u00e7arpmas\u0131, batma, i\u011fnelenme veya dokunmakla a\u015f\u0131r\u0131 hassasiyet<\/strong> \u015feklindedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rne\u011fin hasta, \u201cTi\u015f\u00f6rt\u00fcm tenime de\u011fdi\u011finde bile can\u0131m yan\u0131yor\u201d diyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durum <strong>dokunmaya kar\u015f\u0131 a\u015f\u0131r\u0131 a\u011fr\u0131 (allodini)<\/strong> olarak adland\u0131r\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Postherpetik nevralji aylarca, baz\u0131 hastalarda ise daha uzun s\u00fcre devam edebilir. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC13172166\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona ve postherpetik nevralji tan\u0131s\u0131 nas\u0131l konulur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7o\u011fu hastada tan\u0131 <strong>muayene ve hastan\u0131n anlatt\u0131\u011f\u0131 \u015fik\u00e2yetler<\/strong> ile konulur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Doktor \u00f6zellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00f6k\u00fcnt\u00fcn\u00fcn nerede ba\u015flad\u0131\u011f\u0131n\u0131,<\/li>\n\n\n\n<li>A\u011fr\u0131n\u0131n hangi b\u00f6lgede oldu\u011funu,<\/li>\n\n\n\n<li>A\u011fr\u0131n\u0131n yanma veya elektrik \u00e7arpmas\u0131 \u015feklinde olup olmad\u0131\u011f\u0131n\u0131,<\/li>\n\n\n\n<li>Dokunmakla a\u011fr\u0131n\u0131n art\u0131p artmad\u0131\u011f\u0131n\u0131,<\/li>\n\n\n\n<li>D\u00f6k\u00fcnt\u00fclerin tamamen iyile\u015fip iyile\u015fmedi\u011fini<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">de\u011ferlendirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona tipik d\u00f6k\u00fcnt\u00fclerle birlikteyse \u00e7o\u011fu zaman ek tetkik gerekmez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00f6k\u00fcnt\u00fc olmadan a\u011fr\u0131 ortaya \u00e7\u0131kmas\u0131 veya hastal\u0131\u011f\u0131n tipik olmamas\u0131 durumunda ise farkl\u0131 hastal\u0131klar\u0131n d\u0131\u015flanmas\u0131 gerekebilir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"490\" height=\"490\" src=\"https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMAGE003.webp\" alt=\"\" class=\"wp-image-200\" srcset=\"https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMAGE003.webp 490w, https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMAGE003-300x300.webp 300w, https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMAGE003-150x150.webp 150w\" sizes=\"auto, (max-width: 490px) 100vw, 490px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona tedavisinde en \u00f6nemli nokta: Erken ba\u015flamak<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona tedavisinde <strong>antiviral ila\u00e7lar\u0131n m\u00fcmk\u00fcn oldu\u011funca erken ba\u015flanmas\u0131<\/strong> \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131ndan sonraki <strong>ilk 72 saat i\u00e7inde<\/strong> antiviral tedavinin ba\u015flanmas\u0131 \u00f6nerilmektedir. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39364882\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Antiviral tedavi vir\u00fcs\u00fc ortadan kald\u0131rmak i\u00e7in de\u011fil, vir\u00fcs\u00fcn \u00e7o\u011falmas\u0131n\u0131 bask\u0131lamak ve hastal\u0131\u011f\u0131n s\u00fcresini ve komplikasyonlar\u0131n\u0131 azaltmak amac\u0131yla kullan\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 i\u00e7in ayr\u0131ca uygun a\u011fr\u0131 kesiciler ve gerekti\u011finde sinir a\u011fr\u0131s\u0131na y\u00f6nelik ila\u00e7lar 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>Postherpetik nevralji nas\u0131l tedavi edilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona ge\u00e7tikten sonra devam eden a\u011fr\u0131, normal bir a\u011fr\u0131 kesiciden farkl\u0131 olarak <strong>sinir a\u011fr\u0131s\u0131<\/strong> \u00f6zelli\u011fi ta\u015f\u0131yabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle tedavide;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gabapentin,<\/li>\n\n\n\n<li>Pregabalin,<\/li>\n\n\n\n<li>Baz\u0131 antidepresan grubu ila\u00e7lar,<\/li>\n\n\n\n<li>Lokal lidokain i\u00e7eren tedaviler,<\/li>\n\n\n\n<li>Uygun hastalarda kapsaisin i\u00e7eren tedaviler<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle ya\u015fl\u0131 ve \u00e7ok say\u0131da ila\u00e7 kullanan hastalarda <strong>cilde uygulanan lokal tedaviler<\/strong>, sistemik yan etkilerin daha az olmas\u0131 nedeniyle \u00f6nemli bir se\u00e7enek olabilir. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11683194\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130la\u00e7lar yeterli olmazsa ne yap\u0131labilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda postherpetik nevralji ila\u00e7lara ra\u011fmen devam eder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 g\u00fcnl\u00fck ya\u015fam\u0131 ciddi \u015fekilde etkiliyorsa <strong>giri\u015fimsel a\u011fr\u0131 tedavileri<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bunlar hastan\u0131n a\u011fr\u0131s\u0131n\u0131n bulundu\u011fu b\u00f6lgeye g\u00f6re se\u00e7ilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sinir k\u00f6k\u00fc radyofrekans tedavisi (DRG PRF)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle g\u00f6\u011f\u00fcs, s\u0131rt veya bel b\u00f6lgesindeki zona sonras\u0131 devam eden sinir a\u011fr\u0131lar\u0131nda, a\u011fr\u0131n\u0131n geldi\u011fi <strong>sinir k\u00f6k\u00fc (dorsal root ganglion &#8211; DRG)<\/strong> hedeflenebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pulsed radyofrekans (PRF)<\/strong>, sinire kontroll\u00fc enerji uygulanarak a\u011fr\u0131 sinyallerinin azalt\u0131lmas\u0131n\u0131 ama\u00e7lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00fcncel derlemelerde postherpetik nevraljide <strong>DRG&#8217;ye uygulanan PRF, giri\u015fimsel tedaviler aras\u0131nda en umut verici se\u00e7eneklerden biri<\/strong> olarak de\u011ferlendirilmektedir; ancak \u00e7al\u0131\u015fmalar\u0131n kan\u0131t kalitesi tamamen y\u00fcksek de\u011fildir. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11683194\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130nterkostal sinir blo\u011fu ve PRF<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 kaburga boyunca ilerliyorsa, a\u011fr\u0131dan sorumlu <strong>kaburga aras\u0131ndaki sinir (interkostal sinir)<\/strong> hedeflenebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6nce sinir blo\u011fu yap\u0131labilir. Uygun hastalarda daha uzun s\u00fcreli a\u011fr\u0131 kontrol\u00fc amac\u0131yla PRF de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural enjeksiyon<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle zona s\u0131ras\u0131nda veya se\u00e7ilmi\u015f postherpetik nevralji hastalar\u0131nda <strong>epidural lokal anestezik ve\/veya kortizon enjeksiyonu<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak kronik postherpetik nevraljide kan\u0131t d\u00fczeyi PRF&#8217;ye g\u00f6re daha d\u00fc\u015f\u00fckt\u00fcr. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11683194\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Y\u00fcz b\u00f6lgesinde zona sonras\u0131 a\u011fr\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona y\u00fcz b\u00f6lgesini tutmu\u015fsa a\u011fr\u0131dan sorumlu sinire g\u00f6re farkl\u0131 giri\u015fimsel tedaviler uygulanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rne\u011fin trigeminal sinirin belirli dallar\u0131n\u0131n etkilendi\u011fi hastalarda <strong>sinir blo\u011fu veya uygun hastalarda radyofrekans tedavileri<\/strong> 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>\u0130la\u00e7 tedavisine ra\u011fmen ge\u00e7meyen postherpetik nevraljide ileri tedaviler<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 uzun s\u00fcredir devam ediyor ve ila\u00e7lar ile giri\u015fimsel tedavilere ra\u011fmen hastan\u0131n ya\u015fam kalitesini ciddi \u015fekilde bozuyorsa daha ileri y\u00f6ntemler g\u00fcndeme gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bunlardan biri <strong>omurilik pili (spinal cord stimulation &#8211; SCS)<\/strong> tedavisidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00fcncel k\u0131lavuzlarda, ilk basamak ila\u00e7 tedavilerine ra\u011fmen devam eden orta-\u015fiddetli postherpetik nevraljide PRF, sinir bloklar\u0131 ve uygun hastalarda spinal kord stim\u00fclasyonu gibi se\u00e7enekler de\u011ferlendirilmektedir. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC13061597\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak bu y\u00f6ntemler <strong>her hastaya uygulanmaz<\/strong> ve a\u011fr\u0131n\u0131n bulundu\u011fu b\u00f6lge, s\u00fcresi, \u00f6nceki tedaviler ve hastan\u0131n genel durumu dikkate al\u0131n\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>Zona ge\u00e7tikten sonra a\u011fr\u0131 varsa ne zaman a\u011fr\u0131 uzman\u0131na ba\u015fvurulmal\u0131?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona d\u00f6k\u00fcnt\u00fcleri iyile\u015fmesine ra\u011fmen;<\/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>\u015eiddetli batma,<\/li>\n\n\n\n<li>Dokunmakla a\u015f\u0131r\u0131 a\u011fr\u0131,<\/li>\n\n\n\n<li>Gece uykudan uyand\u0131ran a\u011fr\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">devam ediyorsa <strong>postherpetik nevralji a\u00e7\u0131s\u0131ndan de\u011ferlendirme<\/strong> yap\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle a\u011fr\u0131 g\u00fcnl\u00fck ya\u015fam\u0131 bozuyorsa, a\u011fr\u0131 tedavisinin geciktirilmemesi \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>K\u0131saca<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Zona<\/strong>, vir\u00fcs\u00fcn sinirlerde yeniden aktifle\u015fmesiyle olu\u015fan ve genellikle tek tarafl\u0131 a\u011fr\u0131 ile d\u00f6k\u00fcnt\u00fcye neden olan bir hastal\u0131kt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Postherpetik nevralji ise zona d\u00f6k\u00fcnt\u00fcleri iyile\u015ftikten sonra ayn\u0131 b\u00f6lgede devam eden sinir a\u011fr\u0131s\u0131d\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zona d\u00f6neminde <strong>ilk 72 saat i\u00e7inde antiviral tedavi<\/strong> \u00f6nemlidir. Postherpetik nevraljide ise sinir a\u011fr\u0131s\u0131na y\u00f6nelik ila\u00e7lar, lokal tedaviler ve gerekti\u011finde giri\u015fimsel a\u011fr\u0131 tedavileri kullan\u0131l\u0131r. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39364882\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130la\u00e7lara ra\u011fmen devam eden a\u011fr\u0131larda <strong>DRG pulsed radyofrekans, interkostal sinir blo\u011fu\/PRF, uygun hastalarda epidural tedaviler ve ileri olgularda spinal kord stim\u00fclasyonu<\/strong> de\u011ferlendirilebilir. (<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11683194\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed Central (PMC)<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ama\u00e7 sadece a\u011fr\u0131y\u0131 bast\u0131rmak de\u011fil, hastan\u0131n yeniden uyuyabilmesini, hareket edebilmesini ve g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 s\u00fcrd\u00fcrebilmesini sa\u011flamakt\u0131r.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Zona, su\u00e7i\u00e7e\u011fine neden olan vir\u00fcs\u00fcn y\u0131llar sonra sinirlerde yeniden aktifle\u015fmesiyle ortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r. En tipik belirtisi, v\u00fccudun genellikle tek taraf\u0131nda \u015fiddetli a\u011fr\u0131 ve ard\u0131ndan ayn\u0131 b\u00f6lgede kabarc\u0131kl\u0131 d\u00f6k\u00fcnt\u00fclerin ortaya \u00e7\u0131kmas\u0131d\u0131r. Zona iyile\u015ftikten sonra a\u011fr\u0131n\u0131n devam etmesi ise postherpetik nevralji olarak adland\u0131r\u0131l\u0131r. Bu iki durum birbirine benzer g\u00f6r\u00fcnse de tan\u0131 ve tedavi yakla\u015f\u0131mlar\u0131 farkl\u0131d\u0131r. (PubMed &#8230; <a title=\"Zona ve Postherpetik Nevralji: Fark\u0131, Tan\u0131s\u0131 ve Tedavisi\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=198\" aria-label=\"Zona ve Postherpetik Nevralji: Fark\u0131, Tan\u0131s\u0131 ve Tedavisi 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":[140,141],"tags":[67,70,151,66,65],"class_list":["post-198","post","type-post","status-publish","format-standard","hentry","category-girisimsel-tedaviler","category-tedavi-yontemleri","tag-agri-tedavisi","tag-girisimsel-tedaviler","tag-phn","tag-postherpetik-nevralji","tag-zona"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/198","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=198"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/198\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=198"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=198"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}