{"id":9605,"date":"2026-09-06T10:00:00","date_gmt":"2026-09-06T07:00:00","guid":{"rendered":"https:\/\/onkolojiagri.com.tr\/?p=9605"},"modified":"2026-09-06T10:00:00","modified_gmt":"2026-09-06T07:00:00","slug":"disk-kaynakli-bel-agrisinda-rami-communicans","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=9605","title":{"rendered":"Disk Kaynakl\u0131 Bel A\u011fr\u0131s\u0131nda Rami Communicans"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Bel omurlar\u0131 aras\u0131ndaki disklerden gelen a\u011fr\u0131 sinyallerinin bir b\u00f6l\u00fcm\u00fc, omurga \u00e7evresindeki k\u00fc\u00e7\u00fck sinir dallar\u0131 \u00fczerinden ta\u015f\u0131n\u0131r. Bunlardan birinin ad\u0131 <strong>rami communicans<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu tedavide hedef, diskten gelen a\u011fr\u0131 sinyallerinin ta\u015f\u0131nmas\u0131nda rol oynad\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen bu sinir yoludur.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u00d6nce tan\u0131sal blok<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun pozisyonda yat\u0131r\u0131l\u0131rs\u0131n\u0131z, b\u00f6lge uyu\u015fturulur. <strong>Skopi e\u015fli\u011finde<\/strong> \u00f6zel bir i\u011fne rami communicans sinir dal\u0131n\u0131n bulundu\u011fu b\u00f6lgeye ilerletilir ve lokal anestezik uygulan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu i\u015flem hem tan\u0131sal hem de tedaviye yol g\u00f6sterici niteliktedir. A\u011fr\u0131da <strong>belirgin ve tekrarlanabilir<\/strong> bir azalma olmas\u0131, a\u011fr\u0131n\u0131n bu sinir yoluyla ili\u015fkili olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcr\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Tekrarlanabilir&#8221; kelimesi \u00f6nemlidir: tek bir seferlik yan\u0131t yan\u0131lt\u0131c\u0131 olabilir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sonra radyofrekans<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tan\u0131sal bloktan belirgin fayda g\u00f6ren se\u00e7ilmi\u015f hastalarda, rami communicans \u00fczerine radyofrekans uygulanabilir. Radyofrekans enerjisiyle sinirin a\u011fr\u0131 iletimini azaltmak ama\u00e7lan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu i\u015flem bel f\u0131t\u0131\u011f\u0131n\u0131 veya diski tedavi etmez.<\/strong> Ama\u00e7, diskten kaynakland\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen a\u011fr\u0131n\u0131n sinirler \u00fczerinden iletilmesini azaltmakt\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hangi hastalarda?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uzun s\u00fcredir devam eden bel a\u011fr\u0131s\u0131<\/li>\n<li>Disk kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen kronik bel a\u011fr\u0131s\u0131<\/li>\n<li>\u0130la\u00e7 ve fizik tedaviye ra\u011fmen s\u00fcren a\u011fr\u0131<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ama bel a\u011fr\u0131s\u0131n\u0131n nedeni her zaman disk de\u011fildir<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Faset eklemler, sakroiliak eklem, sinir s\u0131k\u0131\u015fmas\u0131 ve kas kaynakl\u0131 sorunlar da bel a\u011fr\u0131s\u0131na yol a\u00e7ar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle yaln\u0131zca MR&#8217;da disk y\u0131pranmas\u0131 veya f\u0131t\u0131k g\u00f6r\u00fclmesi bu i\u015flem i\u00e7in <strong>yeterli bir gerek\u00e7e de\u011fildir<\/strong>. Her bel f\u0131t\u0131\u011f\u0131 hastas\u0131na uygulanmaz.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rami communicans blo\u011fu ve radyofrekans, disk kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen kronik bel a\u011fr\u0131s\u0131nda de\u011ferlendirilir. \u00d6nce tan\u0131sal blok, sonra se\u00e7ilmi\u015f hastalarda RF.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[33,18,20],"class_list":["post-9605","post","type-post","status-publish","format-standard","hentry","category-omurga-ve-disk-tedavileri","tag-faset-eklem","tag-radyofrekans","tag-skopi-esliginde"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/9605","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=9605"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/9605\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}