{"id":995,"date":"2010-04-26T09:42:09","date_gmt":"2010-04-26T10:42:09","guid":{"rendered":"https:\/\/turanuslu.net\/?p=995"},"modified":"2021-12-23T10:13:17","modified_gmt":"2021-12-23T10:13:17","slug":"postherpetik-nevralji-phn-herpes-sonrasi-sinir-agrisi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/postherpetik-nevralji-phn-herpes-sonrasi-sinir-agrisi\/","title":{"rendered":"Posherpetik Nevralji(PHN) (Herpes Sonras\u0131 Sinir a\u011fr\u0131s\u0131)"},"content":{"rendered":"<h3>Posherpetik Nevralji(PHN) (Herpes Sonras\u0131 Sinir a\u011fr\u0131s\u0131)<\/h3>\n<p><strong>Postherpetik nevralji (herpes sonras\u0131 sinir a\u011fr\u0131s\u0131)<\/strong> akut herpes zoster enfeksiyonundan sonra g\u00f6r\u00fclen bir a\u011fr\u0131 sendromudur. Hastalar\u0131n \u00e7o\u011funda herpes zoster (zona) tedavi ile ya da tedavisiz ge\u00e7er. Zona ge\u00e7iren insanlarda, deri lezyonu ge\u00e7tikten sonra a\u011fr\u0131 1\u20136 ay ya da daha fazla s\u00fcr\u00fcyorsa bu a\u011fr\u0131ya postherpetik nevralji (PHN) ad\u0131 verilir. Zona ge\u00e7irenlerin, <strong>40 ya\u015f\u0131n alt\u0131ndaki ki\u015filerde<\/strong>\u00a0 %20, 60 ya\u015f\u0131n \u00fczerindeki ki\u015filerde % 20\u201350\u2019 sinde PHN g\u00f6r\u00fcl\u00fcr.\u00a0<strong> Posherpetik Nevralji(PHN) (Herpes Sonras\u0131 Sinir a\u011fr\u0131s\u0131)<\/strong> en zor a\u011fr\u0131 sendromlar\u0131ndan biridir. Hastay\u0131 o kadar rahats\u0131z eder ki; intihar\u0131 bile d\u00fc\u015f\u00fcnen hastalar vard\u0131r..<\/p>\n<p>PHN, zona enfeksiyonu ge\u00e7tikten sonra ba\u015flar. \u015eiddetli a\u011fr\u0131yla birlikte uyu\u015fukluk, i\u015ftahs\u0131zl\u0131k, kab\u0131zl\u0131k, cinsel isteksizlik gibi kronik a\u011fr\u0131ya e\u015flik eden belirtiler vard\u0131r. A\u011fr\u0131 herpes zoster a\u011fr\u0131s\u0131na benzer. Yan\u0131c\u0131, s\u0131zlay\u0131c\u0131 ve zorlay\u0131c\u0131 bir a\u011fr\u0131d\u0131r.<\/p>\n<p>PHN; spinal a\u011fr\u0131 sendromlar\u0131, tietze sendromu, <strong>kalp krizi,<\/strong> g\u00f6\u011f\u00fcs duvar\u0131ndan kaynaklanan a\u011fr\u0131lar ile kar\u0131\u015fabilir. Ancak hastan\u0131n daha \u00f6nce zona ge\u00e7irmi\u015f olmas\u0131 ay\u0131r\u0131c\u0131 tan\u0131da \u00f6nemlidir.<\/p>\n<p>PHN\u2019de a\u011fr\u0131n\u0131n mekanizmas\u0131 ile ilgili bir \u00e7ok g\u00f6r\u00fc\u015f ileri s\u00fcr\u00fclm\u00fc\u015fse de tam bir mutabakata var\u0131lm\u0131\u015f de\u011fildir.<\/p>\n<p><strong>Tedavisi:<\/strong><\/p>\n<p>PHN\u2019 nin tedavisinde antiepileptik ila\u00e7lar, baklofen, antiviral ila\u00e7lar, klorprotoksin, antidepresanlar kullan\u0131lm\u0131\u015f ancak \u00e7o\u011funda ba\u015far\u0131l\u0131 olunamam\u0131\u015ft\u0131r.<\/p>\n<p>TENS %20 hastada fayda sa\u011flar, akupunkturun \u00e7ok az hastada yarar\u0131 oldu\u011fu g\u00f6zlenmi\u015ftir. Hipnoz a\u011fr\u0131 \u015fiddetini k\u0131smen azaltabilir. So\u011fuk uygulaman\u0131n yarar\u0131 vard\u0131r.<\/p>\n<p>60 ya\u015f\u0131n alt\u0131ndakilerde tedaviye cevap iyidir. En az %20 hastada tekrarlama riski vard\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>Posherpetik Nevralji(PHN) (Herpes Sonras\u0131 Sinir a\u011fr\u0131s\u0131) Postherpetik nevralji (herpes sonras\u0131 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2521,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[888,501],"tags":[889,890,891],"class_list":["post-995","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agri","category-sirt-agrilari","tag-posherpetik-nevralji","tag-posherpetik-nevralji-ne-demek","tag-posherpetik-nevralji-tedavisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/Posherpetik-Nevralji.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/995","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=995"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/995\/revisions"}],"predecessor-version":[{"id":10122,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/995\/revisions\/10122"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media\/2521"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=995"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=995"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=995"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}