{"id":1041,"date":"2010-04-26T09:59:52","date_gmt":"2010-04-26T10:59:52","guid":{"rendered":"https:\/\/turanuslu.net\/?p=1041"},"modified":"2021-06-12T09:02:21","modified_gmt":"2021-06-12T09:02:21","slug":"trigeminal-nevralji-tgn","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/de\/trigeminal-nevralji-tgn\/","title":{"rendered":"Trigeminusneuralgie (TGN)"},"content":{"rendered":"

TR\u0130GEM\u0130NAL NEVRALJ\u0130 (TGN)<\/h3>\n

\"\"Trigeminal sinir sensorial (duyusal) ve motor bir sinirdir<\/strong>. \u00dc\u00e7 dal\u0131 vard\u0131r. Oftalmik dal\u0131 al\u0131n, kornean\u0131n \u00fcst yar\u0131s\u0131, ka\u015flar\u0131 innerve eder. Maxillar dal kornean\u0131n alt yar\u0131s\u0131n\u0131, elmac\u0131k kemikleri ve maxiller sin\u00fcsleri innerve eder. Mandibular dal ise alt \u00e7enenin sinirlerini olu\u015fturur.<\/p>\n

Trigeminal sinir \u00e7i\u011fneme<\/strong> kaslar\u0131n\u0131n (masseter, temporal, pterigoid) sinirleridir. TGN, tipik olarak 50 ya\u015f\u0131n \u00fczerindeki hastalarda \u015fim\u015fek \u00e7akar gibi, saniyeler ve dakikalar s\u00fcren a\u011fr\u0131 yapar. En s\u0131k 2. ve 3. dal\u0131 birlikte, daha az olarak 2. dal\u0131 ve en az 1. dalda tutulma olur. A\u011fr\u0131 % 95 tek tarafl\u0131d\u0131r. 40 ya\u015f\u0131n alt\u0131nda nadirdir. Bu durumda multipl skleroz (MS) gibi n\u00f6rodejeneratif hastal\u0131klar hastal\u0131klar, yada t\u00fcmor d\u00fc\u015f\u00fcn\u00fclmelidir. Bilateral tutulum varsa MS akla gelmelidir.<\/p>\n

\u00c7i\u011fnemek, dokunmak, t\u0131ra\u015f olmak, r\u00fczgara maruz kalmak a\u011fr\u0131y\u0131 tetikler. TGN k\u00fcme tipi ba\u015f a\u011fr\u0131s\u0131 ile kar\u0131\u015fabilir, k\u00fcme ba\u015f a\u011fr\u0131s\u0131nda g\u00f6z kapa\u011f\u0131nda d\u00fc\u015fme, burun nezlesi ve g\u00f6z ya\u015farmas\u0131 vard\u0131r. 1-3 saat kadar s\u00fcrer. TGN nin tedavisi zordur. Tedricen artt\u0131r\u0131lan 600-1200 mg\u2019a kadar \u00e7\u0131k\u0131lan karpamazepin, 150-400 mg lamotrigon, 1600-3600 mg gabapentin etkili olabilir. Ayr\u0131ca, valproik asit, fenition verilebilir. Trigeminal sinir da\u011f\u0131l\u0131m sahas\u0131na botox yap\u0131labilir. Botox enjeksiyonu hastalar\u0131n %50-70&#39;inde etkilidir. Cerrahi olarak sinir ve bu sinire bask\u0131 yapt\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen sinir aras\u0131na yast\u0131k\u00e7\u0131k konulabilir. Ayr\u0131ca alkol, fenol ya da radyofrekans ile sinir harabiyeti olu\u015fturulabilir. Ancak bu tedavilerin yan etkileri daha fazlad\u0131r.<\/p>\n

 <\/p>\n

 <\/p>\n

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

TR\u0130GEM\u0130NAL NEVRALJ\u0130 (TGN) Trigeminal sinir sensorial (duyusal) ve motor bir […]<\/p>\n","protected":false},"author":1,"featured_media":2515,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[888,552],"tags":[962,963,964,965],"class_list":["post-1041","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agri","category-bas-agrilari","tag-trigeminal-nevralji","tag-trigeminal-nevralji-bitkisel-tedavi","tag-trigeminal-nevralji-nedir","tag-trigeminal-nevralji-tedavi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/triminal-nevralji.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/1041","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/comments?post=1041"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/1041\/revisions"}],"predecessor-version":[{"id":10446,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/1041\/revisions\/10446"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media\/2515"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media?parent=1041"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/categories?post=1041"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/tags?post=1041"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}