{"id":1047,"date":"2010-04-26T10:02:00","date_gmt":"2010-04-26T11:02:00","guid":{"rendered":"https:\/\/turanuslu.net\/?p=1047"},"modified":"2021-03-20T08:58:08","modified_gmt":"2021-03-20T08:58:08","slug":"sakroilyak-eklem-agrisi-ve-tedavisi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/de\/sakroilyak-eklem-agrisi-ve-tedavisi\/","title":{"rendered":"Sakroilyak Eklem A\u011fr\u0131s\u0131"},"content":{"rendered":"<h3>Sakroilyak Eklem A\u011fr\u0131s\u0131<\/h3>\n<p>Sakroiliyak eklem (S\u0130E) a\u011fr\u0131lar\u0131 <strong>bel a\u011fr\u0131s\u0131<\/strong> nedenlerindendir. S\u0130 eklem ilyum ve sakrumun kartilaj y\u00fczeyleri ile olu\u015fmu\u015f sinovyal bir eklemdir. Bu ekleme \u00f6nemli \u00f6l\u00e7\u00fcde a\u011f\u0131rl\u0131k y\u00fcklenir. Ligamanlar sayesinde a\u015f\u0131r\u0131 hareketi \u00f6nlenir ve stabilizasyonu sa\u011flan\u0131r. Sakroilyak Eklem A\u011fr\u0131s\u0131 innervasyonu l. ve 2. sakral sinirler ve s\u00fcperior gluteal sinirden (L4, L5 ve S1) sa\u011flanmaktad\u0131r. Ayr\u0131ca lumbosakral g\u00f6vdeden kaynaklanan sinirler taraf\u0131ndan da innerve edildi\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n<p>Bu yayg\u0131n sinir a\u011f\u0131 nedeni ile hastalarda SI eklemden kaynaklanan lokalize sorunlar\u0131n olmamas\u0131 imkans\u0131zd\u0131r. Bu nedenle a\u011fr\u0131 \u015fikayetleri bele, kal\u00e7aya, uylu\u011fa, hatta diz alt\u0131na ve bald\u0131rlara kadar yay\u0131labilir. S\u0130 eklem ve faset eklem \u015fikayetlerinin klini\u011fi \u00e7ok benzemektedir. Tedavi planlamas\u0131ndan \u00f6nce ay\u0131r\u0131c\u0131 tan\u0131 gerekir. Baz\u0131 \u00f6zel muayene teknikleri (Patrick testi, Gaenslen testi gibi) ve S\u0130 ekleme ait radyografik incelemeler ile S\u0130 ekleme ait bir patolojinin olup olmad\u0131\u011f\u0131 ortaya konulabilir.<\/p>\n<p>Klinik a\u00e7\u0131dan a\u011fr\u0131 \u015fikayetlerinin seyrindeki farkl\u0131l\u0131k da ay\u0131r\u0131c\u0131 tan\u0131da \u00f6nemlidir: Faset eklem sendromunda, hastalar sabah ortaya \u00e7\u0131kan a\u011fr\u0131 \u015fikayetlerinin g\u00fcn i\u00e7inde giderek artmas\u0131ndan \u015fikayet\u00e7i olurlar oysa S\u0130 eklem a\u011fr\u0131lar\u0131 sabahlar\u0131 \u00e7ok \u015fiddetli olup g\u00fcn\u00fcn ilerleyen saatlerinde azalmaktad\u0131r.<\/p>\n<p>Konservatif tedavi y\u00f6ntemleri ile cevap al\u0131namayan ve gerek diagnostik testler ile gerekse radyolojik g\u00f6r\u00fcnt\u00fcleme ile S\u0130 eklem patolojisi saptanan hastalarda S\u0130 eklem injeksiyonu indikasyonu vard\u0131r. S\u0130- ekleme steroid uygulanan ve\/veya diagnostik bloktan yarar g\u00f6ren hastalara RF ile denervasyon uygulamas\u0131 endikasyonu konabilir.<\/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\/de\/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>Sakroilyak Eklem A\u011fr\u0131s\u0131 Sakroiliyak eklem (S\u0130E) a\u011fr\u0131lar\u0131 bel a\u011fr\u0131s\u0131 nedenlerindendir. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2681,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190],"tags":[506,611,969,970,971,972],"class_list":["post-1047","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","tag-bel-agrilari","tag-bel-agrisi-tedavisi","tag-eklem-agrilari","tag-eklem-agrisi-tedavisi","tag-sakroilyak-eklem-agrisi","tag-sakroilyak-eklem-agrisi-tedavisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/sakroilyak-eklem-agiris.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/1047","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=1047"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/1047\/revisions"}],"predecessor-version":[{"id":10145,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/1047\/revisions\/10145"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media\/2681"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media?parent=1047"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/categories?post=1047"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/tags?post=1047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}