{"id":1067,"date":"2010-04-26T10:06:53","date_gmt":"2010-04-26T11:06:53","guid":{"rendered":"https:\/\/turanuslu.net\/?p=1067"},"modified":"2021-03-20T09:48:40","modified_gmt":"2021-03-20T09:48:40","slug":"piriformis-sendromu","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/piriformis-sendromu\/","title":{"rendered":"Piriformis Sendromu"},"content":{"rendered":"

Piriformis Sendromu<\/h1>\n

\"Piriformis<\/p>\n

Piriformis Sendromu i Piriformis kas\u0131, kal\u00e7an\u0131n\u00a0 en \u00f6nemli d\u0131\u015f rotatorlar\u0131ndan (kal\u00e7ay\u0131 d\u0131\u015fa \u00e7eviren<\/strong> kaslar) biridir di\u011ferleri gemellus s\u00fcperior, gemellus inferior, obturator\u00a0 internus, obturator eksternus, quadratus femoris). S1<\/sub> ve S2 <\/sub>sinirleri taraf\u0131ndan innerve edilir. Piriformis kas\u0131nda spazm yada hipertrofiler sinir ve damarlar\u0131 s\u0131k\u0131\u015ft\u0131rabilir. Piriformis kas\u0131n\u0131n sakroiliak eklem (S\u0130E) ve siyatik sinirle \u00e7ok yak\u0131n kom\u015fulu\u011fu ve ili\u015fkisi vard\u0131r. Bazen siyatik sinirin, peroneal ve tibial dallar\u0131 piriform kas\u0131n i\u00e7inden ge\u00e7ebilir.<\/p>\n

Piriformis sendromunun g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 %6-25 aras\u0131nda de\u011fi\u015fir.<\/p>\n

Belirtileri<\/h3>\n

Bel a\u011fr\u0131s\u0131, kal\u00e7a a\u011fr\u0131s\u0131, uyluk a\u011fr\u0131s\u0131, baca\u011f\u0131n arkas\u0131na vuran a\u011fr\u0131 s\u0131k g\u00f6r\u00fcl\u00fcr. Bazen de siyataljiler olabilir. Sert zaminlere oturmakla a\u011fr\u0131 artar. Aya\u011fa kalkmak a\u011fr\u0131ya neden olabilir. Ayn\u0131 taraftaki ayakta d\u0131\u015fa d\u00f6nme olabilir. Kal\u00e7a i\u00e7 rotasyonda da iken alt ekstremitenin abduksiyonu (orta hattan uzakla\u015fma) k\u0131s\u0131tl\u0131d\u0131r. A\u011fr\u0131 daha \u00e7ok uylukta hissedilir. Siyatik sinir bas\u0131s\u0131 varsa baca\u011fa ve aya\u011fa vurur. Bu durumda radik\u00fclopati ile kar\u0131\u015fabilir. Pudendal sinir tutulumu varsa perine (cinsel organlar\u0131n bulundu\u011fu b\u00f6lge) a\u011fr\u0131 ve seks\u00fcel ili\u015fki esnas\u0131nda a\u011fr\u0131 olabilir.<\/p>\n

\u0627\u0644\u0623\u0633\u0628\u0627\u0628<\/h3>\n

Uyluklar \u00fczerine d\u00fc\u015fme, S\u0130E problemleri, bir sandalye yada klozette uzun s\u00fcreli oturma, bisiklete binme vs.. Ayr\u0131ca atletik inj\u00fcriler, S1<\/sub>, S2<\/sub> sinir lezyonlar\u0131 ve \u00e7e\u015fitli alt ekstremite problemleri\u00a0 piriformis sendromuna sebep olabilir.<\/p>\n

Muayene bulgular\u0131<\/h3>\n

D\u00fcz bacak kald\u0131rma (DBK) testi s\u0131kl\u0131kla pozitiftir. Kal\u00e7a, i\u00e7 ve d\u0131\u015f rotosyonda iken yap\u0131lan d\u00fcz bacak kald\u0131rma testi, ay\u0131r\u0131c\u0131 tan\u0131da yard\u0131mc\u0131d\u0131r. DBK testi d\u0131\u015f rotasyonda daha k\u0131s\u0131tl\u0131d\u0131r.<\/p>\n

Piriformis Sendromu Tedavi<\/h3>\n

Tedavisinde s\u0131cak uygulamalar, lokal enjeksiyonlar, \u0130MS,\u00a0 fizik tedavi ve egzersizler \u00f6nerilir. \u0130la\u00e7 olarak kas gev\u015fetici ve a\u011fr\u0131 kesiciler kullan\u0131l\u0131r.<\/p>\n

Di\u011fer Faaliyet Alanlar\u0131m\u0131z<\/p>\n

Ya\u015fl\u0131 Bak\u0131mevi<\/a> , Yat\u0131l\u0131 Bak\u0131mevi ve Huzurevi <\/a>, Fizik Tedavi ve Rehabilitasyon Merkezi<\/a><\/span><\/p>\n

\"\"<\/a>\"\"<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Piriformis Sendromu Piriformis Sendromu i Piriformis kas\u0131, kal\u00e7an\u0131n\u00a0 en \u00f6nemli […]<\/p>\n","protected":false},"author":1,"featured_media":2348,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190],"tags":[991,992,993],"class_list":["post-1067","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","tag-piriformis-sendromu","tag-piriformis-sendromu-bitkisel-tedavi","tag-piriformis-sendromu-tedavisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/piriformis-sendromu.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/1067","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/comments?post=1067"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/1067\/revisions"}],"predecessor-version":[{"id":10394,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/1067\/revisions\/10394"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media\/2348"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=1067"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=1067"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=1067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}