{"id":335,"date":"2009-08-26T09:57:01","date_gmt":"2009-08-26T10:57:01","guid":{"rendered":"https:\/\/turanuslu.net\/?p=335"},"modified":"2021-03-20T08:58:00","modified_gmt":"2021-03-20T08:58:00","slug":"kuyruk-sokumu-agrisi-koksigodini","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/kuyruk-sokumu-agrisi-koksigodini\/","title":{"rendered":"\u0623\u0644\u0645 \u0639\u0638\u0645 \u0627\u0644\u0630\u0646\u0628 (\u0623\u0644\u0645 \u0627\u0644\u0639\u0635\u0639\u0635)"},"content":{"rendered":"<h3>\u0623\u0644\u0645 \u0639\u0638\u0645 \u0627\u0644\u0630\u0646\u0628 (\u0623\u0644\u0645 \u0627\u0644\u0639\u0635\u0639\u0635)<\/h3>\n<h3>OMURGA<\/h3>\n<p>Koksiks omurgan\u0131n sakrumdan, sonra en alt ucunda bulunan k\u0131sm\u0131d\u0131r. Sakrumla eklem yapar. Kuyruk sokumu ad\u0131 da verilen koksiks 4 k\u00fc\u00e7\u00fck omurdan olu\u015fur. Bu k\u00fc\u00e7\u00fck kemikler ayr\u0131 veya kaynam\u0131\u015f olabilir. T\u00fcm\u00fc birden koksiksi (kuyruk sokumunu) olu\u015fturur. \u00c7e\u015fitli kaslar, tendonler ve ligamanlar bu kemi\u011fe yap\u0131\u015f\u0131r. Koksiks ayn\u0131 zamanda otururken v\u00fccudu destekler. Kuyruk sokumu a\u011fr\u0131s\u0131 s\u0131k kar\u015f\u0131la\u015f\u0131lan ve tedavisi zor olan bir hastal\u0131kt\u0131r.<\/p>\n<p>Hafif vakalar olmakla birlikte bazen hastan\u0131n hayat kalitesini ileri derecede bozabilir. T\u0131bbi olarak koksigodini ya da koksidini olarak tarif edilen bu duruma asl\u0131nda bir dizi hastal\u0131k sebep olabilmektedir. Koksigodini, kad\u0131nlarda erkeklere g\u00f6re 5 kat daha fazla ortaya \u00e7\u0131kmaktad\u0131r.<\/p>\n<h3>Kuyruk Sokumu A\u011fr\u0131s\u0131 Nedenleri<\/h3>\n<p><strong>Koksigodini<\/strong>; ge\u00e7mi\u015fte ge\u00e7irilen oturarak d\u00fc\u015fme sonucu olu\u015fan travmalar, sert zemine uzun s\u00fcre oturma, a\u015f\u0131r\u0131 zay\u0131f olma, do\u011fum s\u0131ras\u0131nda koksiks kemi\u011finin k\u0131r\u0131lmas\u0131 ya da zedelenmesi, lokal t\u00fcm\u00f6rler, bel f\u0131t\u0131\u011f\u0131 ve di\u011fer bilinmeyen sebeblerden dolay\u0131 ortaya \u00e7\u0131kmaktad\u0131r. \u00d6zellikle zay\u0131f kad\u0131nlarda oturarak d\u00fc\u015fme sebebi ile ciltalt\u0131 destek dokusu az oldu\u011fu i\u00e7in koksiks kemi\u011fi yer ile temas ederek daha zedelenmekte hatta k\u0131r\u0131labilmektedir.<\/p>\n<p>Do\u011fu\u015ftan <strong>kuyruk sokumu kemi\u011fi<\/strong> a\u015f\u0131r\u0131 e\u011fimli olan ki\u015filerde de koksigodini \u015fikayeti daha fazla ortaya \u00e7\u0131kmaktad\u0131r. Kuyruk sokumu a\u011fr\u0131s\u0131 \u015fikayeti olan hastalar \u00f6zellikle uzun s\u00fcre oturarak ve ayakta durarak \u00e7al\u0131\u015fan ki\u015filerdir. Sert sandalye \u00fczerinde uzun s\u00fcre oturmak a\u011fr\u0131y\u0131 ortaya \u00e7\u0131karabilir. Kuyruk sokumu a\u011fr\u0131lar\u0131 anksiyeteli ve depresyonlu ki\u015filerde daha s\u0131k g\u00f6r\u00fcl\u00fcr. Gebelik d\u00f6nemi koksigodini (kuyruk sokumu a\u011fr\u0131s\u0131) nin s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc bir d\u00f6nemdir.<\/p>\n<ul>\n<li>Koksigodini tan\u0131s\u0131 i\u00e7in a\u011fr\u0131n\u0131n en az iki ay devam etmesi gerekir. Koksigodininin en \u00f6nemli sonucu a\u011fr\u0131d\u0131r;<\/li>\n<li><strong>Oturma esnas\u0131nda<\/strong><\/li>\n<li>Oturma pozisyonundan aya\u011fa kalkarken<\/li>\n<li>B\u00fcy\u00fck abdest yaparken<\/li>\n<li><strong>Cinsel ili\u015fki<\/strong> esnas\u0131nda<\/li>\n<li><strong>Adet d\u00f6nemlerinde<\/strong> genellikle kuyruk sokumu ve \u00e7evresinde, bazen de bacaklara yay\u0131lan a\u011fr\u0131 olur.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Koksiks a\u011fr\u0131s\u0131<\/strong> sebebiyle hekime ba\u015fvuran hastalarda mutlaka di\u011fer sebepler ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Kad\u0131n \u00fcreme organlar\u0131, ba\u011f\u0131rsak sistemi ve idrar yolu hastal\u0131klar\u0131, t\u00fcm\u00f6rler ve enfeksiyonlar koksiks kemi\u011fi a\u011fr\u0131s\u0131 olarak ortaya \u00e7\u0131kabilir. Bu nedenle kuyruk sokumu a\u011fr\u0131s\u0131 \u00e7eken hastalarda bu b\u00f6lgeden kaynaklanabilecek hastal\u0131klar\u0131n ayr\u0131nt\u0131l\u0131 de\u011ferlendirilmesi yap\u0131lmal\u0131d\u0131r. Koksiks kemi\u011fi patolojilerini g\u00f6stermek i\u00e7in en iyi y\u00f6ntemler d\u00fcz r\u00f6ntgen, MR ve nadiren kemik sintigrafisidir.<\/p>\n<p>Kuyruk Sokumu A\u011fr\u0131s\u0131 (Koksigodini) tedavisi \u00d6ncelikle hastalara 6-8 hafta s\u00fcre ile yumu\u015fak oturma simidi, oturma banyolar\u0131 ve antienflamatuvar ila\u00e7lar verilmelidir. \u00d6zel bir oturma \u015fekli ile koksikse binen y\u00fck azalt\u0131labilir. Koksiks \u00e7evresine kortizon enjeksiyonlar\u0131 yap\u0131labilir. <strong>Manuel tedavi<\/strong> ile koksiks mobilizasyonlar\u0131 baz\u0131 hastalarda i\u015fe yarayabilir. Gebeli\u011fe ba\u011fl\u0131 koksigodinilerde a\u011fr\u0131 do\u011fum sonras\u0131nda tedavisiz olarak ge\u00e7ebilir. Proloterapi enjeksiyonu ile koksiks \u00e7evresindeki ligamentler stabilize edilebilir.<\/p>\n<p>Proloterapi seans say\u0131s\u0131 hastan\u0131n cevab\u0131na g\u00f6re de\u011fi\u015fir. Koksiks kemi\u011fi \u00f6n\u00fcnde bulunan sinirlerin blokaj\u0131 baz\u0131 hastalarda i\u015fe yarayabilir (impar gangliyon blo\u011fu). \u00c7ok nadiren koksiks kemi\u011fi cerrahi olarak \u00e7\u0131kar\u0131labilir. Cerrahi m\u00fcdahale d\u00e2hil her t\u00fcrl\u00fc tedaviye ra\u011fmen a\u011fr\u0131s\u0131 devam eden hasta say\u0131s\u0131 olduk\u00e7a fazlad\u0131r.<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/channel\/UC-EH3FtNo45g8-ja6zGzfTA\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"lazyload wp-image-2466 size-full alignleft\" src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\" alt=\"\" width=\"500\" height=\"300\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27500%27%20height%3D%27300%27%20viewBox%3D%270%200%20500%20300%27%3E%3Crect%20width%3D%27500%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun-200x120.jpg 200w, https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun-300x180.jpg 300w, https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun-400x240.jpg 400w, https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg 500w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/a><a href=\"http:\/\/turanuslu.net\/ar\/randevu\/\"><img decoding=\"async\" class=\"lazyload alignleft wp-image-2465 size-full\" src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg\" alt=\"\" width=\"500\" height=\"300\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27500%27%20height%3D%27300%27%20viewBox%3D%270%200%20500%20300%27%3E%3Crect%20width%3D%27500%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin-200x120.jpg 200w, https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin-300x180.jpg 300w, https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin-400x240.jpg 400w, https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg 500w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Kuyruk Sokumu A\u011fr\u0131s\u0131 (Koksigodini) OMURGA Koksiks omurgan\u0131n sakrumdan, sonra en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2703,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190,176],"tags":[191,192,193],"class_list":["post-335","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","category-kalca-agrilari","tag-koksigodini","tag-kuyruk-sokumu-agrisi","tag-kuyruk-sokumu-agrisi-tedavisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/kuyruk-sokumu-agirisi.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/335","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=335"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/335\/revisions"}],"predecessor-version":[{"id":10046,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/335\/revisions\/10046"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media\/2703"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=335"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=335"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=335"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}