{"id":283,"date":"2026-09-18T20:22:16","date_gmt":"2026-09-18T20:22:16","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=283"},"modified":"2026-09-18T20:22:16","modified_gmt":"2026-09-18T20:22:16","slug":"torakal-disk-fitigi-tedavisi-hangi-asamada-hangi-tedavi-yapilir","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=283","title":{"rendered":"Torakal Disk F\u0131t\u0131\u011f\u0131 Tedavisi: Hangi A\u015famada Hangi Tedavi Yap\u0131l\u0131r?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Torakal b\u00f6lge, boyun ile bel aras\u0131ndaki s\u0131rt omurlar\u0131ndan olu\u015fur. Bu b\u00f6lgede g\u00f6r\u00fclen disk f\u0131t\u0131klar\u0131, bel ve boyun f\u0131t\u0131klar\u0131na g\u00f6re daha nadirdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Torakal disk f\u0131t\u0131\u011f\u0131 bazen yaln\u0131zca s\u0131rt a\u011fr\u0131s\u0131na neden olurken, baz\u0131 hastalarda <strong>g\u00f6\u011f\u00fcs \u00e7evresine, kaburgalara veya kar\u0131n b\u00f6lgesine do\u011fru yay\u0131lan a\u011fr\u0131<\/strong> olu\u015fturabilir. Daha ileri durumlarda omurili\u011fe bas\u0131 yaparak bacaklarda g\u00fc\u00e7s\u00fczl\u00fck, uyu\u015fma, y\u00fcr\u00fcme ve denge problemlerine yol a\u00e7abilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle torakal disk f\u0131t\u0131\u011f\u0131nda tedavi planlan\u0131rken yaln\u0131zca MR g\u00f6r\u00fcnt\u00fcs\u00fcne de\u011fil, <strong>hastan\u0131n \u015fik\u00e2yetlerine ve \u00f6zellikle n\u00f6rolojik muayenesine<\/strong> dikkat edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Her torakal disk f\u0131t\u0131\u011f\u0131 ameliyat gerektirmez. Ancak omurilik bas\u0131s\u0131 ve n\u00f6rolojik bulgular s\u00f6z konusu oldu\u011funda de\u011ferlendirme \u00e7ok daha dikkatli yap\u0131lmal\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>Torakal Disk F\u0131t\u0131\u011f\u0131nda Tedavi A\u015famalar\u0131 Nelerdir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastan\u0131n durumuna g\u00f6re genel olarak \u015fu tedavi se\u00e7enekleri de\u011ferlendirilebilir:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. A\u015fama \u2192 \u0130la\u00e7, hareket ve egzersiz<\/strong><br><strong>2. A\u015fama \u2192 Fizik tedavi ve rehabilitasyon<\/strong><br><strong>3. A\u015fama \u2192 Giri\u015fimsel a\u011fr\u0131 tedavileri<\/strong><br><strong>4. A\u015fama \u2192 Se\u00e7ilmi\u015f hastalarda ileri giri\u015fimsel y\u00f6ntemler<\/strong><br><strong>5. A\u015fama \u2192 Omurilik bas\u0131s\u0131 veya gerekli di\u011fer durumlarda cerrahi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u015famalar her hastada ayn\u0131 s\u0131rayla uygulanmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle torakal b\u00f6lgede <strong>omurilik bas\u0131s\u0131 olup olmad\u0131\u011f\u0131<\/strong>, tedavi se\u00e7iminde \u00f6nemli bir belirleyicidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. A\u015fama: Yeni Ba\u015flayan Torakal B\u00f6lge A\u011fr\u0131s\u0131nda \u0130lk Tedavi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Torakal disk problemi bulunan hastada ciddi n\u00f6rolojik bulgu yoksa ve a\u011fr\u0131 yeni ba\u015flam\u0131\u015fsa \u00e7o\u011fu zaman \u00f6ncelikle konservatif tedaviler de\u011ferlendirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bunlar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uygun ila\u00e7 tedavisi<\/li>\n\n\n\n<li>G\u00fcnl\u00fck hareketlili\u011fin korunmas\u0131<\/li>\n\n\n\n<li>Post\u00fcr ve ergonominin d\u00fczenlenmesi<\/li>\n\n\n\n<li>Uygun egzersiz program\u0131<\/li>\n\n\n\n<li>Fizik tedavi ve rehabilitasyon<\/li>\n\n\n\n<li>S\u0131rt ve g\u00f6vde kaslar\u0131n\u0131n g\u00fc\u00e7lendirilmesi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak g\u00f6\u011f\u00fcs veya kar\u0131n b\u00f6lgesine yay\u0131lan a\u011fr\u0131n\u0131n her zaman omurgadan kaynaklanmad\u0131\u011f\u0131 unutulmamal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle 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 ilgili t\u0131bbi nedenler 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>MR&#8217;da Torakal Disk F\u0131t\u0131\u011f\u0131 G\u00f6r\u00fclmesi Ne Anlama Gelir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MR&#8217;da torakal disk protr\u00fczyonu veya hernisi g\u00f6r\u00fclmesi tek ba\u015f\u0131na tedavi veya ameliyat karar\u0131 anlam\u0131na gelmez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 disk f\u0131t\u0131klar\u0131 herhangi bir \u015fik\u00e2yete neden olmayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>MR bulgusu + hastan\u0131n a\u011fr\u0131s\u0131 + n\u00f6rolojik muayene<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">birlikte de\u011ferlendirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle torakal b\u00f6lgede f\u0131t\u0131\u011f\u0131n <strong>omurili\u011fe ne kadar yakla\u015ft\u0131\u011f\u0131 veya bas\u0131 olu\u015fturup olu\u015fturmad\u0131\u011f\u0131<\/strong> \u00f6nem ta\u015f\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>2. A\u015fama: A\u011fr\u0131 Devam Ediyorsa<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Konservatif tedavilere ra\u011fmen s\u0131rt a\u011fr\u0131s\u0131 devam ediyorsa \u00f6ncelikle a\u011fr\u0131n\u0131n kayna\u011f\u0131 yeniden de\u011ferlendirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7\u00fcnk\u00fc torakal b\u00f6lgede a\u011fr\u0131 yaln\u0131zca disk f\u0131t\u0131\u011f\u0131ndan kaynaklanmayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kas ve eklem kaynakl\u0131 a\u011fr\u0131lar, faset eklemler, kostovertebral eklemler ve di\u011fer omurga yap\u0131lar\u0131 da a\u011fr\u0131ya neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle tedavi, a\u011fr\u0131n\u0131n kayna\u011f\u0131na g\u00f6re planlanmal\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>3. A\u015fama: Torakal B\u00f6lgede Giri\u015fimsel A\u011fr\u0131 Tedavileri<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda giri\u015fimsel a\u011fr\u0131 tedavileri, \u00f6zellikle konservatif tedavilere ra\u011fmen devam eden a\u011fr\u0131n\u0131n kontrol\u00fcnde de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Torakal b\u00f6lgede kullan\u0131labilecek giri\u015fimsel y\u00f6ntemler aras\u0131nda hastan\u0131n a\u011fr\u0131 kayna\u011f\u0131na g\u00f6re:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Torakal epidural enjeksiyonlar<\/li>\n\n\n\n<li>Selektif sinir k\u00f6k\u00fc enjeksiyonlar\u0131<\/li>\n\n\n\n<li>Faset eklem enjeksiyonlar\u0131<\/li>\n\n\n\n<li>Medial dal bloklar\u0131<\/li>\n\n\n\n<li>Uygun hastalarda radyofrekans uygulamalar\u0131<\/li>\n\n\n\n<li>Baz\u0131 se\u00e7ilmi\u015f disk kaynakl\u0131 a\u011fr\u0131larda ileri giri\u015fimsel y\u00f6ntemler<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">bulunabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak bu y\u00f6ntemlerin tamam\u0131 her torakal disk f\u0131t\u0131\u011f\u0131 hastas\u0131na uygulanmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00d6nemli olan MR&#8217;da f\u0131t\u0131k g\u00f6r\u00fclmesi de\u011fil, a\u011fr\u0131n\u0131n ger\u00e7ekten hangi yap\u0131dan kaynakland\u0131\u011f\u0131n\u0131n belirlenmesidir.<\/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>Torakal \u201cNokta At\u0131\u015f\u0131\u201d Tedavisi<\/strong> <strong>Nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Torakal b\u00f6lgede baz\u0131 hastalarda g\u00f6r\u00fcnt\u00fcleme e\u015fli\u011finde epidural veya sinir k\u00f6k\u00fc \u00e7evresine y\u00f6nelik enjeksiyonlar uygulanabilir. <strong>Dorsal root ganglion rft yani sinir k\u00f6k\u00fc radyofrekansla uyar\u0131 tedavisi<\/strong> ile beraber uygulanmas\u0131 etkiyi art\u0131rabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7, sinir k\u00f6k\u00fc \u00e7evresindeki inflamasyonu ve a\u011fr\u0131y\u0131 azaltmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle sinir k\u00f6k\u00fc irritasyonuna ba\u011fl\u0131 olarak <strong>kaburga boyunca ku\u015fak \u015feklinde yay\u0131lan a\u011fr\u0131<\/strong> bulunan uygun hastalarda giri\u015fimsel tedaviler de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu t\u00fcr a\u011fr\u0131lar bazen g\u00f6\u011f\u00fcs veya kar\u0131n b\u00f6lgesinde hissedildi\u011fi i\u00e7in hastalar a\u011fr\u0131n\u0131n kayna\u011f\u0131n\u0131 omurga ile ili\u015fkilendirmekte zorlanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Burada do\u011fru tan\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\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>4. A\u015fama: Torakal Disk Kaynakl\u0131 Kronik A\u011fr\u0131da \u0130leri Giri\u015fimler<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda a\u011fr\u0131n\u0131n disk kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durumda ileri giri\u015fimsel y\u00f6ntemler teorik olarak de\u011ferlendirilebilir; ancak torakal b\u00f6lgedeki anatomik yap\u0131lar\u0131n \u00f6zellikleri nedeniyle hasta se\u00e7imi \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Disk i\u00e7i veya disk \u00e7evresine y\u00f6nelik giri\u015fimlerin <strong>rutin olarak her torakal disk f\u0131t\u0131\u011f\u0131nda uygulanmas\u0131 do\u011fru de\u011fildir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle omurilik bas\u0131s\u0131 bulunan hastalarda yaln\u0131zca a\u011fr\u0131y\u0131 azaltmaya y\u00f6nelik bir i\u015flem planlamadan \u00f6nce n\u00f6rolojik ve cerrahi de\u011ferlendirme yap\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle torakal disk f\u0131t\u0131\u011f\u0131nda \u201ci\u011fneyle f\u0131t\u0131\u011f\u0131 yok etme\u201d gibi kesin ifadeler bilimsel a\u00e7\u0131dan do\u011fru de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DRG RFT ,SERV\u0130KAL EP\u0130DUROL\u0130Z\u0130S, \u0130NTRAD\u0130SKAL RFT , NUKLEOPLAST\u0130&nbsp; tedavilerden baz\u0131lar\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>Torakal Disk F\u0131t\u0131\u011f\u0131nda Giri\u015fimsel Tedavilerin Yeri<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Giri\u015fimsel a\u011fr\u0131 tedavilerinin amac\u0131 her zaman f\u0131t\u0131\u011f\u0131 ortadan kald\u0131rmak de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda hedef:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A\u011fr\u0131y\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\"><strong>Hareket kabiliyetini art\u0131rmak<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rehabilitasyona kat\u0131l\u0131m\u0131 kolayla\u015ft\u0131rmak<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ve hastan\u0131n ya\u015fam kalitesini y\u00fckseltmektir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle giri\u015fimsel tedaviler, uygun hastalarda <strong>ameliyat ile ila\u00e7 tedavisi aras\u0131nda \u00f6nemli bir tedavi se\u00e7ene\u011fi<\/strong> olu\u015fturabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak cerrahi gerektiren bir hastada giri\u015fimsel a\u011fr\u0131 tedavileriyle zaman kaybedilmemelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5. A\u015fama: Ne Zaman Cerrahi Tedavi Gerekebilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Torakal disk f\u0131t\u0131klar\u0131nda cerrahi karar\u0131 \u00f6zellikle <strong>omurilik bas\u0131s\u0131 ve n\u00f6rolojik bulgular<\/strong> a\u00e7\u0131s\u0131ndan de\u011ferlendirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015fa\u011f\u0131daki bulgular varsa beyin ve sinir cerrahisi veya omurga cerrahisi de\u011ferlendirmesi gerekir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bacaklarda g\u00fc\u00e7s\u00fczl\u00fck<\/li>\n\n\n\n<li>Y\u00fcr\u00fcme bozuklu\u011fu<\/li>\n\n\n\n<li>Denge kayb\u0131<\/li>\n\n\n\n<li>Bacaklarda belirgin uyu\u015fma veya his de\u011fi\u015fikli\u011fi<\/li>\n\n\n\n<li>\u0130lerleyen n\u00f6rolojik bulgular<\/li>\n\n\n\n<li>Omurilik bas\u0131s\u0131na ba\u011fl\u0131 miyelopati bulgular\u0131<\/li>\n\n\n\n<li>\u0130drar veya d\u0131\u015fk\u0131 fonksiyonlar\u0131nda yeni geli\u015fen ciddi bozukluklar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durumlarda yaln\u0131zca a\u011fr\u0131 tedavisine odaklanmak do\u011fru 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>Torakal Disk F\u0131t\u0131\u011f\u0131nda Omurilik Bas\u0131s\u0131 Neden \u00d6nemlidir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun ve bel b\u00f6lgesindeki baz\u0131 disk f\u0131t\u0131klar\u0131ndan farkl\u0131 olarak torakal b\u00f6lgede omurilik kanal i\u00e7erisinde bulunur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle torakal disk f\u0131t\u0131\u011f\u0131n\u0131n omurili\u011fe bas\u0131 yapmas\u0131 halinde <strong>miyelopati<\/strong>, yani omurilik fonksiyonlar\u0131n\u0131n etkilenmesi ortaya \u00e7\u0131kabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastada ba\u015flang\u0131\u00e7ta yaln\u0131zca s\u0131rt veya g\u00f6\u011f\u00fcs \u00e7evresinde a\u011fr\u0131 bulunabilir. Daha sonra bacaklarda sertlik, g\u00fc\u00e7s\u00fczl\u00fck, y\u00fcr\u00fcme veya denge problemleri geli\u015febilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle n\u00f6rolojik bulgular\u0131n ortaya \u00e7\u0131kmas\u0131 veya ilerlemesi \u00f6nemsenmelidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Torakal Disk F\u0131t\u0131\u011f\u0131nda Hangi Tedavi, Hangi Durumda?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>Hastan\u0131n durumu<\/strong><\/td><td><strong>De\u011ferlendirilebilecek yakla\u015f\u0131m<\/strong><\/td><\/tr><\/thead><tbody><tr><td>Yeni ba\u015flayan hafif s\u0131rt a\u011fr\u0131s\u0131<\/td><td>\u0130la\u00e7 + hareket + egzersiz<\/td><\/tr><tr><td>Kas ve eklem kaynakl\u0131 a\u011fr\u0131<\/td><td>Fizik tedavi + rehabilitasyon<\/td><\/tr><tr><td>Sinir boyunca yay\u0131lan a\u011fr\u0131<\/td><td>Uygun hastada giri\u015fimsel tedavi<\/td><\/tr><tr><td>Kaburga \u00e7evresine yay\u0131lan radik\u00fcler a\u011fr\u0131<\/td><td>Uygun hastada epidural\/sinir k\u00f6k\u00fc enjeksiyonu<\/td><\/tr><tr><td>Faset veya eklem kaynakl\u0131 a\u011fr\u0131<\/td><td>Tan\u0131sal enjeksiyonlar, uygun hastada radyofrekans<\/td><\/tr><tr><td>Kronik ve se\u00e7ilmi\u015f disk kaynakl\u0131 a\u011fr\u0131<\/td><td>\u0130leri giri\u015fimsel y\u00f6ntemler de\u011ferlendirilebilir<\/td><\/tr><tr><td>Omurilik bas\u0131s\u0131<\/td><td>Cerrahi de\u011ferlendirme<\/td><\/tr><tr><td>\u0130lerleyen n\u00f6rolojik kay\u0131p<\/td><td>Cerrahi de\u011ferlendirme \u00f6n plandad\u0131r<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Torakal Disk F\u0131t\u0131\u011f\u0131 Ameliyats\u0131z Tedavi Edilebilir mi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Evet. Her torakal disk f\u0131t\u0131\u011f\u0131 ameliyat gerektirmez.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00f6rolojik kay\u0131p bulunmayan ve ciddi omurilik bas\u0131s\u0131 olmayan uygun hastalarda konservatif tedaviler ve gerekti\u011finde giri\u015fimsel a\u011fr\u0131 tedavileri de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak torakal b\u00f6lgede omurilik bas\u0131s\u0131 varsa tedavi yakla\u015f\u0131m\u0131 farkl\u0131la\u015f\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle <strong>\u201cameliyats\u0131z tedavi\u201d hedefi, cerrahi gerektiren hastalarda cerrahinin yerine ge\u00e7irilmemelidir.<\/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>Torakal Disk F\u0131t\u0131\u011f\u0131nda \u201cEn \u0130yi Tedavi\u201d Hangisidir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tek bir tedavi y\u00f6ntemi b\u00fct\u00fcn hastalar i\u00e7in do\u011fru de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir hastada yaln\u0131zca egzersiz ve rehabilitasyon yeterli olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ba\u015fka bir hastada kaburga boyunca yay\u0131lan sinir a\u011fr\u0131s\u0131 nedeniyle giri\u015fimsel enjeksiyon tedavisi d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir ba\u015fka hastada ise omurilik bas\u0131s\u0131 ve n\u00f6rolojik bulgular nedeniyle cerrahi tedavi daha uygun olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle tedavinin temel prensibi:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do\u011fru tan\u0131 \u2192 do\u011fru hasta se\u00e7imi \u2192 uygun tedavi \u2192 d\u00fczenli takip<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u015feklindedir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Torakal disk f\u0131t\u0131\u011f\u0131, boyun ve bel f\u0131t\u0131\u011f\u0131na g\u00f6re daha nadir g\u00f6r\u00fcl\u00fcr ve tedavi plan\u0131nda \u00f6zel de\u011ferlendirme gerektirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastan\u0131n yaln\u0131zca MR g\u00f6r\u00fcnt\u00fcs\u00fcne bakarak tedavi karar\u0131 verilmemelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A\u011fr\u0131n\u0131n karakteri, n\u00f6rolojik muayene, f\u0131t\u0131\u011f\u0131n omurilik ve sinir yap\u0131lar\u0131yla ili\u015fkisi ve hastan\u0131n g\u00fcnl\u00fck ya\u015fam\u0131ndaki etkisi birlikte de\u011ferlendirilmelidir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda ila\u00e7, egzersiz ve fizik tedaviye ek olarak <strong>giri\u015fimsel a\u011fr\u0131 tedavileri<\/strong>, a\u011fr\u0131n\u0131n kontrol edilmesinde ve rehabilitasyon s\u00fcrecinin desteklenmesinde \u00f6nemli bir se\u00e7enek olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak omurilik bas\u0131s\u0131 veya ilerleyen n\u00f6rolojik bulgular bulunan hastalarda \u00f6ncelik, gecikmeden uygun cerrahi de\u011ferlendirmedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Torakal disk f\u0131t\u0131\u011f\u0131nda ama\u00e7 yaln\u0131zca MR&#8217;daki f\u0131t\u0131\u011f\u0131 tedavi etmek de\u011fil; a\u011fr\u0131y\u0131 kontrol etmek, n\u00f6rolojik fonksiyonlar\u0131 korumak ve hastan\u0131n ya\u015fam kalitesini en g\u00fcvenli \u015fekilde art\u0131rmakt\u0131r.<\/strong><br><a href=\"https:\/\/onkolojiagri.com.tr\/hakkinda\/\" data-type=\"page\" data-id=\"43\">Dr. Erkan TEY\u0130N<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Torakal b\u00f6lge, boyun ile bel aras\u0131ndaki s\u0131rt omurlar\u0131ndan olu\u015fur. Bu b\u00f6lgede g\u00f6r\u00fclen disk f\u0131t\u0131klar\u0131, bel ve boyun f\u0131t\u0131klar\u0131na g\u00f6re daha nadirdir. Torakal disk f\u0131t\u0131\u011f\u0131 bazen yaln\u0131zca s\u0131rt a\u011fr\u0131s\u0131na neden olurken, baz\u0131 hastalarda g\u00f6\u011f\u00fcs \u00e7evresine, kaburgalara veya kar\u0131n b\u00f6lgesine do\u011fru yay\u0131lan a\u011fr\u0131 olu\u015fturabilir. Daha ileri durumlarda omurili\u011fe bas\u0131 yaparak bacaklarda g\u00fc\u00e7s\u00fczl\u00fck, uyu\u015fma, y\u00fcr\u00fcme ve denge problemlerine &#8230; <a title=\"Torakal Disk F\u0131t\u0131\u011f\u0131 Tedavisi: Hangi A\u015famada Hangi Tedavi Yap\u0131l\u0131r?\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=283\" aria-label=\"Torakal Disk F\u0131t\u0131\u011f\u0131 Tedavisi: Hangi A\u015famada Hangi Tedavi Yap\u0131l\u0131r? 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":[121,108,141],"tags":[67,120,27,123,31,70],"class_list":["post-283","post","type-post","status-publish","format-standard","hentry","category-bel-ve-boyun","category-omurga","category-tedavi-yontemleri","tag-agri-tedavisi","tag-bel-agrisi","tag-bel-fitigi","tag-boyun-agrisi","tag-boyun-fitigi","tag-girisimsel-tedaviler"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/283","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=283"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/283\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}