{"id":96,"date":"2009-08-26T15:56:13","date_gmt":"2009-08-26T16:56:13","guid":{"rendered":"https:\/\/turanuslu.net\/?p=96"},"modified":"2021-03-20T08:58:02","modified_gmt":"2021-03-20T08:58:02","slug":"basarisiz-bel-cerrahisi-sendromu","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/basarisiz-bel-cerrahisi-sendromu\/","title":{"rendered":"Ba\u015far\u0131s\u0131z Bel Cerrahisi Sendromu"},"content":{"rendered":"

Ba\u015far\u0131s\u0131z Bel Cerrahisi Sendromu<\/h3>\n

Ba\u015far\u0131s\u0131z Bel Cerrahisi Sendromu \u0627\u0646\u0632\u0644\u0627\u0642 \u063a\u0636\u0631\u0648\u0641\u064a \u0642\u0637\u0646\u064a<\/strong> ameliyat\u0131ndan sonra devam eden a\u011fr\u0131lar , Bel f\u0131t\u0131\u011f\u0131 ve bele y\u00f6nelik cerrahi m\u00fcdahalelerden sonra bir\u00e7ok hastada \u00e7e\u015fitli sebeplere ba\u011fl\u0131 olarak a\u011fr\u0131lar olu\u015fmaktad\u0131r. Bu duruma ba\u015far\u0131s\u0131z bel cerrahisi sendromu ya da yetersiz bel cerrahisi sendromu ad\u0131 verilir.<\/p>\n

Sebepleri nelerdir?<\/h3>\n

Tekrarlayan bel f\u0131t\u0131\u011f\u0131<\/strong> ve yara iyile\u015fmesinden kaynaklanan hipertrofik nedbe dokusu (yara iyile\u015fmesinden kaynaklanan sert ve sinirleri s\u0131k\u0131\u015ft\u0131ran bir doku) bel f\u0131t\u0131\u011f\u0131 ameliyatlar\u0131ndan sonra \u00f6r\u00fclen bel a\u011fr\u0131s\u0131 ve bacak a\u011fr\u0131s\u0131 (siyatalji) sebeplerinin en \u00f6nemlileridir. Bir y\u0131ldan uzun s\u00fcren a\u011fr\u0131lar yara iyile\u015fmesine ba\u011fl\u0131 nedbe dokusuna, ani ba\u015flayan bel ve bacak a\u011fr\u0131lar\u0131 ise tekrarlayan bel f\u0131t\u0131\u011f\u0131na ba\u011flan\u0131r.<\/p>\n

Ba\u015far\u0131s\u0131z bel cerrahisi<\/strong> sendromu (BBCS) bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131 ge\u00e7iren hastalar\u0131n % 10-40 \u0131nda g\u00f6r\u00fcl\u00fcr. BBCS tedaviye diren\u00e7li a\u011fr\u0131ya ve fonksiyon kayb\u0131na yol a\u00e7ar. Operasyon b\u00f6lgesinde omurili\u011fi \u00e7evreleyen zarlardaki yap\u0131\u015f\u0131kl\u0131klar ve b\u00fcz\u00fc\u015fmeler (epidural yap\u0131\u015f\u0131kl\u0131k ve nedbe ) bel f\u0131t\u0131\u011f\u0131<\/strong> ve di\u011fer bel operasyonlar\u0131ndan sonra s\u0131k g\u00f6r\u00fcl\u00fcr. Epidural yap\u0131\u015f\u0131kl\u0131k ve skarlar\u0131 g\u00f6r\u00fcnt\u00fclemek zor olabilir bu hastal\u0131klar ancak ila\u00e7l\u0131 MR ve tomografi ya da myelografi ile g\u00f6r\u00fcnt\u00fclenebilir.<\/p>\n

BBCS\u2019dan ka\u00e7\u0131nmak i\u00e7in bel operasyonuna karar verirken hastan\u0131n her y\u00f6nden de\u011ferlendirilmesi (ruhsal durum, kas yap\u0131s\u0131, kilo, kronik hastal\u0131klar, meslek, f\u0131t\u0131k seviyesi ve\/veya seviyeleri, olay\u0131n kroniklili\u011fi vs) gerekir. BBCS\u2019dan sonra ikinci bir cerrahi m\u00fcdahaleden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. \u0130kinci bir cerrahi m\u00fcdahaleden sonra hastalar\u0131n %20 si d\u00fczelir, %20 si k\u00f6t\u00fcle\u015fir, %60 \u0131 ayn\u0131 kal\u0131r. Hasta se\u00e7imine \u00f6zen g\u00f6sterilirse iyi olma oran\u0131 artar. Bel omurgas\u0131na y\u00f6nelik 4. operasyonu ge\u00e7iren hastalarda ise iyile\u015fme oran\u0131 %5, k\u00f6t\u00fcle\u015fme oran\u0131 ise %50 dir.<\/p>\n

Belirtileri nelerdir?<\/h3>\n

BBCS da bel a\u011fr\u0131s\u0131<\/strong> ve siyatalji artar, \u00e7ok hafif fiziksel aktivite bile a\u011fr\u0131lara yol a\u00e7ar, egzersiz tolerans\u0131 azal\u0131r. Gece kramplar\u0131, ayaklarda ve bacaklarda uyu\u015fma<\/strong> ve kar\u0131ncalanmalar olur. %10 kadar\u0131nda idrar yapma problemleri olabilir. Hastalar\u0131n bir k\u0131sm\u0131nda hafif bir ate\u015f ya da ate\u015f basmalar\u0131 olabilir. Ameliyattan hemen sonra hastalar\u0131n hala a\u011fr\u0131s\u0131 devam ediyorsa; ya sinirlere bask\u0131 yapan f\u0131t\u0131k tamamen al\u0131namam\u0131\u015ft\u0131r ya da yanl\u0131\u015f seviyeden ameliyat yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n

6 aydan sonra ba\u015flayan a\u011fr\u0131da tekrarlayan f\u0131t\u0131k, ameliyattan 1-6 ay sonra ba\u015flayan a\u011fr\u0131da araknoidit (omurilik zarlar\u0131nda iltihap) ve enfeksiyon d\u00fc\u015f\u00fcn\u00fclmelidir. Bacak a\u011fr\u0131s\u0131 \u00f6n planda ise f\u0131t\u0131k ve omurilik kanal\u0131 daralmas\u0131, bel a\u011fr\u0131s\u0131<\/strong> \u00f6n planda ise instabilite d\u00fc\u015f\u00fcn\u00fcl\u00fcr. T\u00fcm\u00f6r durumunda hastada ate\u015f, zay\u0131flama<\/strong>, gece a\u011fr\u0131lar\u0131 gibi belirtiler olur. \u0130nstabiliteyi de\u011ferlendirmek i\u00e7in a\u011f\u0131rl\u0131k alt\u0131nda r\u00f6ntgen \u00e7ektirilmeli, t\u00fcm\u00f6r \u015f\u00fcphesi i\u00e7in sintigrafi \u00e7ektirilmelidir.<\/p>\n

BBCS da tedavi<\/h3>\n

Bu hastalar\u0131n \u00e7o\u011fu bir rehabilitasyon hastas\u0131<\/strong> olarak kabul edilmelidir. BBCS nin tedavisi olduk\u00e7a zordur. A\u011fr\u0131n\u0131n sebebine g\u00f6re tedavi yap\u0131lmal\u0131d\u0131r. \u0130nstabilite varsa spinal f\u00fczyon ameliyat\u0131 yap\u0131lmal\u0131d\u0131r. Tekrarlayan bel f\u0131t\u0131\u011f\u0131nda egzersiz, fizik tedavi, epidural steroid ve gerekirse cerrahi tedavi uygulan\u0131r.<\/p>\n

Spinal stenozda laminektomi ameliyat\u0131 yap\u0131l\u0131r. Epidural skar (nedbe) dokusu varsa epidural steroid, fizik tedavi,<\/strong> egzersiz programlar\u0131 uygulanmal\u0131d\u0131r ancak tedavi kolay de\u011fildir. Araknoidit durumlar\u0131nda, epidural tedavi, TENS, bel korseleri, antidepresan ila\u00e7lar ve egzersiz yapt\u0131r\u0131l\u0131r.<\/p>\n

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

Ba\u015far\u0131s\u0131z Bel Cerrahisi Sendromu Ba\u015far\u0131s\u0131z Bel Cerrahisi Sendromu Bel F\u0131t\u0131\u011f\u0131 […]<\/p>\n","protected":false},"author":1,"featured_media":2613,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190],"tags":[643,644,112,645,646,387],"class_list":["post-96","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","tag-ameliyat-sonrasi","tag-basarisiz-bel-cerrahisi-sendromu","tag-bel-agrisi","tag-bel-cerrahisi","tag-fitik-ameliyati","tag-rehabilitasyon"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/basarisiz-bel-cerrahi-sorunlari.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/96","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=96"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/96\/revisions"}],"predecessor-version":[{"id":10070,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/96\/revisions\/10070"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media\/2613"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=96"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=96"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=96"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}