{"id":210,"date":"2009-08-26T17:11:19","date_gmt":"2009-08-26T18:11:19","guid":{"rendered":"https:\/\/turanuslu.net\/?p=210"},"modified":"2022-01-13T17:22:31","modified_gmt":"2022-01-13T17:22:31","slug":"ulnar-sinir-sikismasi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/ulnar-sinir-sikismasi\/","title":{"rendered":"Ulnar Sinir S\u0131k\u0131\u015fmas\u0131"},"content":{"rendered":"<h1>Ulnar Sinir S\u0131k\u0131\u015fmas\u0131<\/h1>\n<p style=\"text-align: justify;\">Dirse\u011finizi bir yere \u00e7arpt\u0131\u011f\u0131n\u0131zda t\u00fcm kolunuza yay\u0131lan bir elektriksel ak\u0131m yada a\u011fr\u0131 hissetti\u011finizde ulnar sinirinizi hissetmi\u015f olursunuz. Ancak zaman zaman ulnar sinirin olu\u015fturdu\u011fu bu tablo kal\u0131c\u0131 olabildi\u011fi gibi ,elin parmaklar\u0131n\u0131 ve el bile\u011fini rahats\u0131z eden bir tablo olu\u015fturabilir. Ulnar sinir t\u00fcm kol boyunca uzan\u0131r ve dirse\u011fi ,el bile\u011fini ge\u00e7erek sonlan\u0131r. Elin k\u00fc\u00e7\u00fck parma\u011f\u0131 ve y\u00fcz\u00fck parma\u011f\u0131n\u0131n his duyusundan ,elin parmaklar\u0131n\u0131n hareketinin bir b\u00f6l\u00fcm\u00fcnden sorumludur. Dirse\u011fin i\u00e7 yan\u0131ndan mevcut olan eliniz ile de hissedebilece\u011finiz bir t\u00fcnelden ge\u00e7er. Dirse\u011fin alm\u0131\u015f oldu\u011fu bir travmadan ulnar sinir etkilenecek olursa (dirsek k\u0131r\u0131klar\u0131 sonras\u0131 gibi) sinirde geli\u015fen \u00f6deme ba\u011fl\u0131 olarak sinir bu t\u00fcnel i\u00e7erisinde s\u0131k\u0131\u015f\u0131r. Bu tabloya kubital t\u00fcnel sendromu yada ulnar sinir s\u0131k\u0131\u015fma sendromu ad\u0131 verilir.<br \/>\n<!--more--><br \/>\n<img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27420%27%20height%3D%27250%27%20viewBox%3D%270%200%20420%20250%27%3E%3Crect%20width%3D%27420%27%20height%3D%27250%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/ulnarsinir\/ulnar1.jpg\" alt=\"\" width=\"420\" height=\"250\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\">Bu durumun uzamas\u0131 sonras\u0131nda sinirin \u00fczerinde yer alan koruyucu myelin tabakas\u0131 el bile\u011fi ve dirse\u011fin hareketleri sonras\u0131nda s\u00fcrt\u00fcnmeye ba\u011fl\u0131 olarak a\u015f\u0131nabilir. Bu sinir de kal\u0131c\u0131 bir hasar olu\u015fma ihtimali demektir. Burada elin kaslar\u0131nda zay\u0131flama kavanoz a\u00e7ma gibi hareketlerde zorlanma gibi \u015fikayetler ortaya \u00e7\u0131kar. Problem dirse\u011fi ilgilendiren bir patolojiden kaynaklansa da esas \u015fikayetler sinirin etkili oldu\u011fu alan olan elde ve parmaklarda ortaya \u00e7\u0131kar. Hem motor hem his duyusu ile ilgili sorunlar ya\u015fan\u0131r.<\/div>\n<ul style=\"text-align: justify;\">\n<li>Dirse\u011fin i\u00e7 k\u0131sm\u0131nda olu\u015fan gerginlik hissi<\/li>\n<li>\u00d6zellikle geceleri olu\u015fan elin k\u00fc\u00e7\u00fck ve y\u00fcz\u00fck parma\u011f\u0131nda uyu\u015fma hissi<\/li>\n<li>Araba kullanma veya telefonla konu\u015fma gibi dirse\u011fin uzun s\u00fcre katl\u0131 pozisyonda kalmas\u0131 sonras\u0131nda uyu\u015fman\u0131n olu\u015fmas\u0131<\/li>\n<li>M\u00fczikal bir instruman\u0131 kullan\u0131rken yada elin parmaklar\u0131n\u0131 ilgilendiren bir i\u015f yapmada g\u00fc\u00e7l\u00fck<\/li>\n<li>Kavrama yada ay\u0131klama i\u015fleminde g\u00fc\u00e7s\u00fczl\u00fck hissi<\/li>\n<li>T\u00fcm kolun i\u00e7 y\u00fcz\u00fcnde a\u011fr\u0131 hissetme gibi \u015fikayetler olu\u015fabilir.<\/li>\n<\/ul>\n<div style=\"text-align: justify;\">Bunlardan herhangi biri mevcut ise doktorunuza ba\u015fvurun,erken tan\u0131 kolay tedavi se\u00e7eneklerini getirecektir.<\/div>\n<div style=\"text-align: justify;\">Hastal\u0131\u011f\u0131n tan\u0131s\u0131 koymada mevcut bir\u00e7ok y\u00f6ntem mevcuttur. Hastadan al\u0131nan bilgi bunlar\u0131n en \u00f6nemlisidir. Dirsek ile ilgili ge\u00e7irilmi\u015f bir sorununuz varsa doktorunuz sizden \u00e7e\u015fitli r\u00f6ntgenler istiyebilir. Ayr\u0131ca elin, elbile\u011finin kaslar\u0131n\u0131n ve sinirlerinin elektriksel yan\u0131t\u0131n\u0131 g\u00f6rmek \u00fczere EMG istenebilir.<\/div>\n<ul style=\"text-align: justify;\">\n<li>Dirse\u011finin \u00fczerine d\u00fc\u015fenler<\/li>\n<li>Dirsek hareketi ile ilgili i\u015flerde \u00e7al\u0131\u015fanlar (sekreterler, \u015f\u00f6f\u00f6rler gibi)<\/li>\n<li>Diabetikler<\/li>\n<li>Artrit problemi olanlar veya troid problemi olanlar<\/li>\n<li>Alkolikler risk alt\u0131nda olan ki\u015filerdir.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<div>Cerrahi olmayan tedavi se\u00e7enekleri<\/div>\n<p>&nbsp;<\/p>\n<ul style=\"text-align: justify;\">\n<li>Dirse\u011fi olabildi\u011fince d\u00fcz tutarak sinirin s\u0131k\u0131\u015fmas\u0131n\u0131 engellemek,<\/li>\n<li>G\u00f6g\u00fcs \u00fczerinde kollar\u0131n \u00e7aprazla\u015fmas\u0131n\u0131 engellemek,<\/li>\n<li>S\u0131k telefon g\u00f6r\u00fc\u015fmeleri yap\u0131yorsan\u0131z dirse\u011fi kullanmayaca\u011f\u0131n\u0131z bir sistem olu\u015fturmak (megafonla konu\u015fmak gibi)<\/li>\n<li>\u00c7al\u0131\u015fma masan\u0131z\u0131 ayarlayarak dirse\u011fin k\u0131r\u0131lm\u0131\u015f pozisyonda kalmas\u0131n\u0131 engellemek,<\/li>\n<li>Geceleri kullanaca\u011f\u0131n\u0131z,kolun pozisyonunu ayarlayan ateller,<\/li>\n<li>Spor esnas\u0131nda dirse\u011fi koruyan dirsekliklerin kullan\u0131m\u0131<\/li>\n<li>Kortikosteroid enjeksiyonu (\u00f6demi azaltmak \u00fczere)<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<div>Cerrahi tedavi<\/div>\n<p>&nbsp;<\/p>\n<div style=\"text-align: justify;\">E\u011fer konservatif tedavi ile kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc ortadan kald\u0131r\u0131lam\u0131yorsa yada a\u011fr\u0131 \u015fikayetleri s\u00fcr\u00fcyorsa ileri tetkikler yap\u0131larak cerrahi tedavi planlanmal\u0131d\u0131r. Cerrahi de bir\u00e7ok y\u00f6ntem mevcuttur, ancak en s\u0131k olarak anterior submuscular transpozisyon ad\u0131 verilen sinirin ge\u00e7ti\u011fi kemik t\u00fcnelin arkas\u0131ndan \u00f6n\u00fcne al\u0131nmas\u0131 olarak tarif edilebilecek i\u015flem uygulan\u0131r. Cerrahi tedaviden sonra rehabilitasyon planlanarak elin g\u00fcc\u00fcn\u00fcn tekrar kazan\u0131lmas\u0131 sa\u011flan\u0131r.<\/div>","protected":false},"excerpt":{"rendered":"<p>Ulnar Sinir S\u0131k\u0131\u015fmas\u0131 Dirse\u011finizi bir yere \u00e7arpt\u0131\u011f\u0131n\u0131zda t\u00fcm kolunuza yay\u0131lan [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[50],"tags":[823,110,838,839,840],"class_list":["post-210","post","type-post","status-publish","format-standard","hentry","category-dirsek-agrilari","tag-dirsek-agrilari","tag-dirsek-agrisi","tag-ulnar","tag-ulnar-sinir-sikismasi","tag-ulnar-sinir-sikismasi-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/210","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=210"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/210\/revisions"}],"predecessor-version":[{"id":10676,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/210\/revisions\/10676"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}