{"id":9703,"date":"2026-09-06T10:00:00","date_gmt":"2026-09-06T07:00:00","guid":{"rendered":"https:\/\/onkolojiagri.com.tr\/?p=9703"},"modified":"2026-09-06T10:00:00","modified_gmt":"2026-09-06T07:00:00","slug":"epidural-ve-intratekal-norolitik-blok","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=9703","title":{"rendered":"\u0130la\u00e7lar Yetmedi\u011finde: N\u00f6rolitik Bloklar"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Bu y\u00f6ntemler <strong>ilk se\u00e7enek de\u011fildir<\/strong> ve \u00f6yle sunulmamal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6nce 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 gelir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Epidural n\u00f6rolitik blok<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Omurga kanal\u0131nda sinirlerin bulundu\u011fu b\u00f6lgeye \u00f6zel ila\u00e7lar verilerek a\u011fr\u0131 sinyallerinin uzun s\u00fcreli azalt\u0131lmas\u0131 ama\u00e7lan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sade bir anlat\u0131mla: omurga \u00e7evresindeki a\u011fr\u0131 sinyallerini ta\u015f\u0131yan sinirlerin kontroll\u00fc olarak etkisizle\u015ftirilmesi.<\/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 hastalarda de\u011ferlendirilir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0130ntratekal n\u00f6rolitik blok<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Omurilik s\u0131v\u0131s\u0131n\u0131n bulundu\u011fu b\u00f6lgeye n\u00f6rolitik ila\u00e7 verilerek a\u011fr\u0131 ileten sinirlerin daha uzun s\u00fcreli etkisizle\u015ftirilmesi hedeflenir.<\/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\">\u00c7ok \u015fiddetli, tedavisi zor ve ileri evre kanser a\u011fr\u0131s\u0131 bulunan se\u00e7ilmi\u015f hastalarda g\u00fcndeme gelir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0130kisi aras\u0131ndaki fark<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Epidural:<\/strong> sinirlerin bulundu\u011fu omurga \u00e7evresindeki alana uygulan\u0131r<\/li>\n<li><strong>\u0130ntratekal:<\/strong> omurilik s\u0131v\u0131s\u0131n\u0131n bulundu\u011fu alana uygulan\u0131r<\/li>\n<\/ul>\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\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ne zaman d\u00fc\u015f\u00fcn\u00fcl\u00fcr?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c7ok \u015fiddetli kanser a\u011fr\u0131s\u0131<\/li>\n<li>\u0130la\u00e7lara ra\u011fmen devam eden a\u011fr\u0131<\/li>\n<li>Y\u00fcksek doz a\u011fr\u0131 kesici ihtiyac\u0131<\/li>\n<li>A\u011fr\u0131 kesicilerin ciddi yan etkileri<\/li>\n<li>Kanserin sinirlere veya omurga \u00e7evresine yay\u0131lmas\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Kanser a\u011fr\u0131s\u0131 hastalar\u0131n \u00e7o\u011funda ila\u00e7 tedavileriyle kontrol edilebilir. N\u00f6rolitik i\u015flemler, <strong>az say\u0131da ve se\u00e7ilmi\u015f hastada<\/strong> ek bir se\u00e7enektir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">&#8220;Sinir yakma&#8221; m\u0131?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda n\u00f6rolitik i\u015flemler bazen b\u00f6yle an\u0131l\u0131r. Ama\u00e7, a\u011fr\u0131 ta\u015f\u0131yan sinir yollar\u0131n\u0131n iletimini <strong>kontroll\u00fc bi\u00e7imde<\/strong> azaltmakt\u0131r. \u0130\u015flem planlan\u0131rken beklenen fayda ve olas\u0131 riskler hastaya ayr\u0131nt\u0131l\u0131 olarak anlat\u0131l\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130leri evre kanser a\u011fr\u0131s\u0131nda ila\u00e7lar yetersiz kald\u0131\u011f\u0131nda epidural veya intratekal n\u00f6rolitik blok de\u011ferlendirilebilir. \u0130kisi aras\u0131ndaki fark ve hasta se\u00e7imi.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[7,10,11,14],"class_list":["post-9703","post","type-post","status-publish","format-standard","hentry","category-girisimsel-kanser-tedavileri","tag-epidural-enjeksiyon","tag-intratekal-pompa","tag-kanser-agrisi","tag-norolitik-blok"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/9703","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=9703"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/9703\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}