{"id":45,"date":"2009-08-26T15:29:21","date_gmt":"2009-08-26T16:29:21","guid":{"rendered":"https:\/\/turanuslu.net\/?p=45"},"modified":"2022-01-14T08:06:09","modified_gmt":"2022-01-14T08:06:09","slug":"cene-eklemi-agrisi-temporomandibuler-agri-sendromu","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/de\/cene-eklemi-agrisi-temporomandibuler-agri-sendromu\/","title":{"rendered":"\u00c7ene Eklemi A\u011fr\u0131s\u0131 (Temporomandib\u00fcler A\u011fr\u0131 Sendromu)"},"content":{"rendered":"

\u00c7ene Eklemi A\u011fr\u0131s\u0131 (Temporomandib\u00fcler A\u011fr\u0131 Sendromu)<\/h2>\n

\u00c7ene eklemine temporomandib\u00fcler (TME) eklem diyoruz. TME eklem makara \u015feklinde hareket eder ve ayn\u0131 zamanda kayma hareketi yapar. Bu eklem ayn\u0131 zamanda menisk\u00fcs\u00fc bulunan bir eklemdir. Temporomandib\u00fcler eklem a\u011fr\u0131s\u0131 s\u0131k kar\u015f\u0131la\u015f\u0131lan bir hastal\u0131kt\u0131r ve tedavisi olduk\u00e7a kar\u0131\u015f\u0131kt\u0131r.
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Temporomandib\u00fcler eklem a\u011fr\u0131s\u0131; yemek yerken, konu\u015furken, \u00e7ene a\u00e7\u0131l\u0131p kapand\u0131\u011f\u0131nda, \u015fakaklarda, \u00e7enenin yanlar\u0131nda a\u011fr\u0131 olmas\u0131d\u0131r. Bu hastalar ayn\u0131 zamanda sinirli ve s\u0131k s\u0131k ba\u015f a\u011fr\u0131s\u0131 \u00e7eken hastalard\u0131r. Daha s\u0131k gen\u00e7 insanlarda g\u00f6r\u00fclen bir hastal\u0131k olan temporomandib\u00fcler eklem a\u011fr\u0131s\u0131; di\u015f a\u011fr\u0131lar\u0131, ba\u015f ve boyun a\u011fr\u0131lar\u0131ndan sonra ba\u015f ve boyun b\u00f6lgesini en s\u0131k etkileyen hastal\u0131klardan biridir.<\/div>\n

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Temporomandib\u00fcler eklem, kom\u015fu yap\u0131lardaki bozukluklardan etkilenebilece\u011fi gibi, sistemik romatizmal hastal\u0131klardan da etkilenebilir. Sistemik sebepler kaps\u00fcl i\u00e7i yap\u0131lar\u0131 bozarken, yerel fakt\u00f6rler kaps\u00fcl d\u0131\u015f\u0131nda sorun olu\u015fturur. Bu nedenle tedavisi bazen \u00e7ok zor olabilen temporomandib\u00fcler a\u011fr\u0131 sendromunda rahats\u0131zl\u0131\u011f\u0131n kayna\u011f\u0131n\u0131n iyi bilinmesi ve buna y\u00f6nelik tedavi uygulanmas\u0131 gerekir. TME a\u011fr\u0131s\u0131 tedavisinde; romatolog, \u00e7ene cerrah\u0131, di\u015f hekimi, psikiatrist, ortopedist, KBB uzman\u0131, fiziksel t\u0131p ve rehabilitasyon uzman\u0131 birlikte rol al\u0131rlar.<\/div>\n

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B\u00f6yle bir rahats\u0131zl\u0131\u011f\u0131 olan ki\u015filerde g\u00f6r\u00fclen belirtiler; \u00e7ene hareketleri s\u0131ras\u0131nda ve sert lokmalar\u0131 \u00e7i\u011fnerken artan k\u00fcnt bir a\u011fr\u0131, \u00e7enede k\u0131t\u0131rt\u0131, bazen a\u00e7\u0131ld\u0131\u011f\u0131nda \u00e7enenin a\u011fr\u0131l\u0131 tarafa do\u011fru kaymas\u0131, a\u00e7\u0131l\u0131p kapan\u0131rken tak\u0131lmas\u0131 ve tutukluk, bu ki\u015filerin uyurken di\u015flerini fazla s\u0131kmalar\u0131, di\u015flerini birbirine s\u00fcrtmeleri ve t\u0131rnaklar\u0131n\u0131 yeme, \u00e7ene etlerini, dudaklar\u0131n\u0131 \u0131s\u0131rma gibi al\u0131\u015fkanl\u0131klar g\u00f6ze \u00e7arpabilir. Ya\u015fam bi\u00e7imlerinde ve doktorun hastada ald\u0131\u011f\u0131 \u00f6yk\u00fcde de \u00f6zellikler olabilir. A\u015f\u0131r\u0131 endi\u015felilik, depresyon, uyku bozuklu\u011fu ve strese ba\u011fl\u0131 ba\u015f a\u011fr\u0131lar\u0131 bunlardan baz\u0131lar\u0131d\u0131r.<\/div>\n
E\u011fer, di\u015flerden do\u011fan bir sebep yoksa ve gerekli, incelemeler yap\u0131ld\u0131ktan sonra TM eklem i\u00e7indeki menisk\u00fcs ile ilgili bir patoloji bulunamam\u0131\u015fsa, yukar\u0131daki al\u0131\u015fkanl\u0131klar ve ekleme s\u00fcrekli darbe veren travmalar nedeni ile eklem i\u00e7i yap\u0131larda bir zedelenme olabilir. Uykuda ve stres durumunda s\u00fcrekli di\u015flerin s\u0131k\u0131lmas\u0131, \u00e7ene etraf\u0131ndaki \u00e7i\u011fneme kaslar\u0131nda kas\u0131lmaya sebep olup a\u011fr\u0131ya yol a\u00e7abilir.<\/div>\n

Tedavide ana prensipler \u015funlard\u0131r <\/strong><\/p>\n

    \n
  • A\u011f\u0131zda ve di\u015flerde bir enfeksiyon olup olmad\u0131\u011f\u0131ndan emin olmak,<\/li>\n
  • \u00c7ene a\u011fr\u0131s\u0131na neden olabilecek mekanik sebepleri saptamak (di\u015f g\u0131c\u0131rdatmak, \u00e7i\u011fneme kaslar\u0131nda spazm vb.)<\/li>\n
  • A\u011fr\u0131lara neden olabilecek romatizmal hastal\u0131klar\u0131 ara\u015ft\u0131rmak (RA, JRA)<\/li>\n
  • Geceleri hasta di\u015flerini s\u0131k\u0131yor yada g\u0131c\u0131rdat\u0131yorsa di\u015fler aras\u0131na \u0131s\u0131rmak i\u00e7in \u00f6zel yap\u0131lm\u0131\u015f bir gere\u00e7 koymak.<\/li>\n
  • Hastaya, gerekiyorsa kas gev\u015fetici ve\/veya antidepresan, anksiyolitik ila\u00e7lar vermek.<\/li>\n
  • Gerekirse temporomandib\u00fcler eklem i\u00e7ine, \u00f6zel bir y\u00f6ntemle lokal anestetik ve kortizon ve\/veya bazen de hyalur\u00fcnik asit kar\u0131\u015f\u0131m\u0131 olan ila\u00e7lar\u0131n enjeksiyonunu yapmak<\/li>\n
  • Ayr\u0131ca ekleme derin ve y\u00fczeysel \u0131s\u0131t\u0131c\u0131lar, izometrik \u00e7ene egzersizleri verilebilir.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"

    \u00c7ene Eklemi A\u011fr\u0131s\u0131 (Temporomandib\u00fcler A\u011fr\u0131 Sendromu) \u00c7ene eklemine temporomandib\u00fcler (TME) […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[552],"tags":[565,566,567,568],"class_list":["post-45","post","type-post","status-publish","format-standard","hentry","category-bas-agrilari","tag-cene-eklemi-agrilari","tag-cene-eklemi-agrisi","tag-cene-eklemi-agrisi-tedavisi","tag-temporomandibuler-agri-sendromu"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/45","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=45"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/45\/revisions"}],"predecessor-version":[{"id":10726,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/45\/revisions\/10726"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media?parent=45"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/categories?post=45"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/tags?post=45"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}