{"id":289,"date":"2026-09-18T20:27:29","date_gmt":"2026-09-18T20:27:29","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=289"},"modified":"2026-09-18T20:27:29","modified_gmt":"2026-09-18T20:27:29","slug":"epidural-norolitik-blok-ve-intratekal-norolitik-blok","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=289","title":{"rendered":"Epidural N\u00f6rolitik Blok ve \u0130ntratekal N\u00f6rolitik Blok"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Epidural n\u00f6rolitik blok<\/strong> ve <strong>intratekal n\u00f6rolitik blok<\/strong>, \u00f6zellikle <strong>ileri evre kanser hastalar\u0131nda ila\u00e7larla yeterince kontrol alt\u0131na al\u0131namayan \u015fiddetli a\u011fr\u0131lar\u0131n<\/strong> tedavisinde kullan\u0131labilen giri\u015fimsel a\u011fr\u0131 tedavileridir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu y\u00f6ntemler rutin a\u011fr\u0131 tedavilerinin yerine ilk se\u00e7enek olarak kullan\u0131lmaz. \u00d6ncelikle kanserin kendisine y\u00f6nelik tedavi, uygun a\u011fr\u0131 kesiciler ve yard\u0131mc\u0131 ila\u00e7lar de\u011ferlendirilir. A\u011fr\u0131 buna ra\u011fmen kontrol edilemiyorsa, se\u00e7ilmi\u015f hastalarda sinirlerin a\u011fr\u0131 iletimini uzun s\u00fcreli azaltmaya y\u00f6nelik n\u00f6rolitik i\u015flemler g\u00fcndeme gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural n\u00f6rolitik blok nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural n\u00f6rolitik blok<\/strong>, omurga kanal\u0131nda sinirlerin bulundu\u011fu b\u00f6lgeye \u00f6zel ila\u00e7lar verilerek <strong>a\u011fr\u0131 sinyallerinin uzun s\u00fcreli azalt\u0131lmas\u0131n\u0131<\/strong> ama\u00e7layan bir tedavidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda bunu k\u0131saca:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cOmurga \u00e7evresindeki a\u011fr\u0131 sinyallerini ta\u015f\u0131yan sinirlerin kontroll\u00fc olarak etkisizle\u015ftirilmesi\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u015feklinde anlatabiliriz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle kanserin omurga veya \u00e7evresindeki sinirlere bask\u0131 yapt\u0131\u011f\u0131 ve \u015fiddetli a\u011fr\u0131ya neden oldu\u011fu baz\u0131 hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130ntratekal n\u00f6rolitik blok nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130ntratekal n\u00f6rolitik blok<\/strong>, omurilik s\u0131v\u0131s\u0131n\u0131n bulundu\u011fu b\u00f6lgeye n\u00f6rolitik ila\u00e7 verilerek a\u011fr\u0131 ileten sinirlerin <strong>daha uzun s\u00fcreli olarak etkisizle\u015ftirilmesini<\/strong> ama\u00e7layan daha ileri bir giri\u015fimsel a\u011fr\u0131 tedavisidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem, omurilik ve sinirlerin bulundu\u011fu b\u00f6lgeye \u00e7ok yak\u0131n ger\u00e7ekle\u015ftirildi\u011fi i\u00e7in <strong>\u00f6zel deneyim ve dikkat gerektirir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130ntratekal n\u00f6roliz, \u00f6zellikle <strong>\u00e7ok \u015fiddetli, tedavisi zor ve ileri evre kanser a\u011fr\u0131s\u0131<\/strong> bulunan se\u00e7ilmi\u015f hastalarda g\u00fcndeme gelebilir. Literat\u00fcrde n\u00f6rolitik tedaviler, diren\u00e7li kanser a\u011fr\u0131s\u0131nda kullan\u0131lan giri\u015fimsel y\u00f6ntemler aras\u0131nda yer almaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural ve intratekal n\u00f6rolitik blok aras\u0131ndaki fark nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Basit\u00e7e \u015f\u00f6yle anlat\u0131labilir:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural n\u00f6rolitik blok:<\/strong><br>Sinirlerin bulundu\u011fu omurga \u00e7evresindeki alana uygulan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130ntratekal n\u00f6rolitik blok:<\/strong><br>Omurilik s\u0131v\u0131s\u0131n\u0131n bulundu\u011fu alana uygulan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130ntratekal uygulama sinirlere \u00e7ok daha yak\u0131n oldu\u011fu i\u00e7in <strong>daha se\u00e7ici hastalarda ve deneyimli ekipler taraf\u0131ndan<\/strong> yap\u0131lmas\u0131 gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kanser a\u011fr\u0131s\u0131nda ne zaman d\u00fc\u015f\u00fcn\u00fcl\u00fcr?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu i\u015flemler genellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c7ok \u015fiddetli kanser a\u011fr\u0131s\u0131,<\/li>\n\n\n\n<li>\u0130la\u00e7lara ra\u011fmen devam eden a\u011fr\u0131,<\/li>\n\n\n\n<li>Y\u00fcksek doz a\u011fr\u0131 kesici ihtiyac\u0131,<\/li>\n\n\n\n<li>A\u011fr\u0131 kesicilerin ciddi yan etkileri,<\/li>\n\n\n\n<li>Kanserin sinirlere veya omurga \u00e7evresine yay\u0131lmas\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">gibi durumlarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc, kanser a\u011fr\u0131s\u0131n\u0131n \u00e7o\u011fu hastada ila\u00e7 tedavileriyle kontrol edilebildi\u011fini; ancak <strong>az say\u0131da, se\u00e7ilmi\u015f hastada n\u00f6rolitik ve di\u011fer giri\u015fimsel sinir tedavilerinin ek bir se\u00e7enek olabilece\u011fini<\/strong> belirtmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cSinir yakma\u201d i\u015flemi midir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda n\u00f6rolitik i\u015flemler bazen <strong>\u201csinir yakma\u201d<\/strong> \u015feklinde ifade edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak burada ama\u00e7 b\u00fct\u00fcn sinirleri yok etmek de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ama\u00e7, a\u011fr\u0131n\u0131n iletilmesinde rol oynayan belirli sinirlerin a\u011fr\u0131 ta\u015f\u0131ma \u00f6zelli\u011fini kontroll\u00fc ve uzun s\u00fcreli olarak azaltmakt\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00f6rolizde kullan\u0131lan y\u00f6nteme g\u00f6re farkl\u0131 ila\u00e7lar veya teknikler kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00f6rolitik blok a\u011fr\u0131y\u0131 tamamen ge\u00e7irir mi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Her hastada tamamen a\u011fr\u0131s\u0131zl\u0131k sa\u011flamaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kanser a\u011fr\u0131s\u0131 ayn\u0131 anda <strong>kemiklerden, i\u00e7 organlardan, sinirlerden veya birden fazla b\u00f6lgeden<\/strong> kaynaklanabilir. Bu nedenle bir sinir blo\u011fu a\u011fr\u0131n\u0131n yaln\u0131zca belirli bir b\u00f6l\u00fcm\u00fcn\u00fc azaltabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7 \u00e7o\u011fu zaman a\u011fr\u0131y\u0131 tamamen ortadan kald\u0131rmaktan \u00e7ok <strong>hastan\u0131n daha rahat uyumas\u0131n\u0131, hareket etmesini ve g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 s\u00fcrd\u00fcrebilmesini sa\u011flamakt\u0131r.<\/strong> WHO da kanser a\u011fr\u0131s\u0131 tedavisindeki temel hedefi kabul edilebilir bir ya\u015fam kalitesi sa\u011flayacak d\u00fczeyde a\u011fr\u0131 kontrol\u00fc olarak tan\u0131mlamaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Riskleri var m\u0131?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Evet. \u00d6zellikle epidural ve intratekal n\u00f6rolitik i\u015flemler, sinir sistemine yak\u0131n uyguland\u0131klar\u0131 i\u00e7in deneyim gerektiren i\u015flemlerdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kanama, enfeksiyon, sinir hasar\u0131, duyu veya hareket de\u011fi\u015fiklikleri ve kullan\u0131lan ilaca ba\u011fl\u0131 komplikasyonlar g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle <strong>ayr\u0131nt\u0131l\u0131 hasta de\u011ferlendirmesi, uygun g\u00f6r\u00fcnt\u00fcleme ve deneyimli bir a\u011fr\u0131 tedavisi ekibi<\/strong> \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>K\u0131saca<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural ve intratekal n\u00f6rolitik bloklar<\/strong>, \u00f6zellikle ileri evre kanser hastalar\u0131nda ila\u00e7larla yeterince kontrol edilemeyen \u015fiddetli a\u011fr\u0131lar\u0131n azalt\u0131lmas\u0131 amac\u0131yla kullan\u0131lan ileri giri\u015fimsel a\u011fr\u0131 tedavileridir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Epidural n\u00f6roliz<\/strong>, omurga \u00e7evresindeki sinirlerin bulundu\u011fu b\u00f6lgeyi; <strong>intratekal n\u00f6roliz<\/strong> ise omurilik s\u0131v\u0131s\u0131n\u0131n bulundu\u011fu b\u00f6lgeyi hedefler.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Her iki y\u00f6ntem de <strong>rutin olarak herkese uygulanmaz<\/strong>. Hastan\u0131n a\u011fr\u0131s\u0131n\u0131n kayna\u011f\u0131, kanserin yay\u0131l\u0131m\u0131, kullan\u0131lan ila\u00e7lar, ya\u015fam beklentisi ve tedavinin sa\u011flayaca\u011f\u0131 yarar birlikte de\u011ferlendirilerek karar verilir<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/onkolojiagri.com.tr\/hakkinda\/\" data-type=\"page\" data-id=\"43\">Dr. Erkan TEY\u0130N<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Epidural n\u00f6rolitik blok ve intratekal n\u00f6rolitik blok, \u00f6zellikle ileri evre kanser hastalar\u0131nda ila\u00e7larla yeterince kontrol alt\u0131na al\u0131namayan \u015fiddetli a\u011fr\u0131lar\u0131n tedavisinde kullan\u0131labilen giri\u015fimsel a\u011fr\u0131 tedavileridir. Bu y\u00f6ntemler rutin a\u011fr\u0131 tedavilerinin yerine ilk se\u00e7enek olarak kullan\u0131lmaz. \u00d6ncelikle kanserin kendisine y\u00f6nelik tedavi, uygun a\u011fr\u0131 kesiciler ve yard\u0131mc\u0131 ila\u00e7lar de\u011ferlendirilir. A\u011fr\u0131 buna ra\u011fmen kontrol edilemiyorsa, se\u00e7ilmi\u015f hastalarda sinirlerin a\u011fr\u0131 &#8230; <a title=\"Epidural N\u00f6rolitik Blok ve \u0130ntratekal N\u00f6rolitik Blok\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=289\" aria-label=\"Epidural N\u00f6rolitik Blok ve \u0130ntratekal N\u00f6rolitik Blok 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":[182,141],"tags":[67,187,7,70,188,181],"class_list":["post-289","post","type-post","status-publish","format-standard","hentry","category-kanser-agrisi","category-tedavi-yontemleri","tag-agri-tedavisi","tag-epidural","tag-epidural-enjeksiyon","tag-girisimsel-tedaviler","tag-intratekal","tag-kanser-agrilari"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/289","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=289"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/289\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}