{"id":1001,"date":"2010-04-26T09:47:57","date_gmt":"2010-04-26T10:47:57","guid":{"rendered":"https:\/\/turanuslu.net\/?p=1001"},"modified":"2021-03-20T09:47:44","modified_gmt":"2021-03-20T09:47:44","slug":"agrinin-siniflandirilmasi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/agrinin-siniflandirilmasi\/","title":{"rendered":"A\u011fr\u0131n\u0131n S\u0131n\u0131fland\u0131r\u0131lmas\u0131"},"content":{"rendered":"

A\u011fr\u0131n\u0131n S\u0131n\u0131fland\u0131r\u0131lmas\u0131<\/h2>\n

A\u011fr\u0131n\u0131n s\u00fcreye g\u00f6re, olu\u015fum mekanizmalar\u0131na ve kaynakland\u0131\u011f\u0131 b\u00f6lgeye g\u00f6re s\u0131n\u0131flamas\u0131 yap\u0131labilir.<\/p>\n

1)Zamansal zeminde a\u011fr\u0131:<\/h2>\n

a) akut<\/p>\n

b) kronik a\u011fr\u0131 olarak 2 ana kategoriye ayr\u0131l\u0131r.<\/p>\n

Akut a\u011fr\u0131<\/strong> \u00e7o\u011funlukla yap\u0131sal bir hasar\u0131 takiben ortaya \u00e7\u0131kan, sebebin kaybolmas\u0131 ile yava\u015f\u00e7a kaybolan a\u011fr\u0131lard\u0131r.<\/p>\n

Kronik a\u011fr\u0131lar<\/strong> akut a\u011fr\u0131lar gibi ba\u015flang\u0131\u00e7ta yap\u0131sal bir hasarla ba\u015flayan ancak daha sonra bayinsel mekanizmalardaki kendili\u011finden aktivite art\u0131\u015flar\u0131 ile komplike olan, s\u00fcresi 6 aydan uzun<\/em><\/strong> a\u011fr\u0131lard\u0131r. Kronik a\u011fr\u0131lar 4 ana kategoriye ayr\u0131labilir:<\/p>\n

a) Klinik olarak tan\u0131s\u0131 konamam\u0131\u015f t\u0131bbi bir hastal\u0131kla birlikte,<\/p>\n

b) Periferik veya santral sinir sistemi hastal\u0131klar\u0131 ile birlikte (n\u00f6rojenik veya n\u00f6ropatik a\u011fr\u0131),<\/p>\n

c) Psikiatrik hastal\u0131klarla birlikte<\/p>\n

d) Sebebi ayd\u0131nlat\u0131lam\u0131yan kronik a\u011fr\u0131lar.<\/p>\n

Tan\u0131s\u0131 konamam\u0131\u015f bir hastal\u0131kla birlikte bulunan kronik a\u011fr\u0131lar\u0131n nedeni s\u0131kl\u0131kla sinir sonlanmalar\u0131n\u0131 veya periferik bir sinir g\u00f6vdesini irrite eden yap\u0131sal de\u011fi\u015fikliklerdir. Nosiseptif tipte a\u011fr\u0131lard\u0131r. Kanserler bu t\u00fcr a\u011fr\u0131lar\u0131n en s\u0131k nedenidir. Kanserle ilgili hastal\u0131\u011f\u0131n hen\u00fcz tan\u0131s\u0131 konmadan kemik metastazlar\u0131, peritoneal, retroperitonel dokulara veya akci\u011fere yay\u0131lmalar, brakial ve lumbosakral pleksus etkilenmeleri ile kronik a\u011fr\u0131l\u0131 bir sendroma neden olabilir. Nedeni ayd\u0131nlat\u0131lam\u0131yan kronik a\u011fr\u0131lar, klinisyeni zor durumda b\u0131rakan a\u011fr\u0131lard\u0131r. Bu tip hastalarda psikiatrik nedenler ve n\u00f6ropatik nedenler d\u0131\u015flanm\u0131\u015f olmal\u0131d\u0131r ve hekim taraf\u0131ndan belirli aral\u0131klarla sebebin ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in g\u00f6r\u00fclmelidir. Bu hastalarda a\u011fr\u0131n\u0131n yerle\u015fim b\u00f6lgesiyle ilgili olarak mediasten, akci\u011fer, retrofaringeal, retroperitoneal, paravertebral b\u00f6lgeler, uterus, testis, prostat a\u00e7\u0131s\u0131ndan tarama ve incelemeler yap\u0131lmal\u0131d\u0131r.<\/p>\n

2) Mekanizmalar\u0131na g\u00f6re a\u011fr\u0131:<\/h2>\n
a)Nosiseptif a\u011fr\u0131,<\/h5>\n

b)N\u00f6ropatik a\u011fr\u0131,<\/p>\n

c)Deafferantasyon a\u011fr\u0131s\u0131,<\/p>\n

d)Psikosomatik veya psikojen a\u011fr\u0131lar olarak s\u0131n\u0131fland\u0131r\u0131labilir.<\/p>\n

Nosiseptif a\u011fr\u0131<\/strong> periferik nosisept\u00f6rlerin deri, kas, ba\u011f dokusu gibi alanlarda genellikle bire lezyonun tetikledi\u011fi yukar\u0131da anlat\u0131lm\u0131\u015f olan nosiseptif mekanizmalar\u0131n i\u015fledi\u011fi a\u011fr\u0131lard\u0131r.<\/p>\n

N\u00f6ropatik a\u011fr\u0131lar<\/strong> periferik veya santral sinir sistemi yap\u0131lar\u0131ndaki bir lezyonla ili\u015fkili olarak ortaya \u00e7\u0131kan a\u011fr\u0131lard\u0131r. N\u00f6ropatik a\u011fr\u0131da allodini, hiperestezi, dizestezi, hiperaljezi gibi anormal a\u011fr\u0131l\u0131 fenomenler g\u00f6r\u00fclebilir. N\u00f6rojenik a\u011fr\u0131lar en s\u0131k periferik polin\u00f6ropati veya monon\u00f6ropatiler, tuzak n\u00f6ropatileri, sinir travmalar\u0131, herpes zoster enfeksiyonlar\u0131 sonras\u0131 g\u00f6r\u00fclmektedir.<\/p>\n

Deafferantasyon a\u011fr\u0131lar\u0131<\/strong> n\u00f6rojenik a\u011fr\u0131lar grubuna girebilecek ancak mekanizmas\u0131n\u0131n \u00f6zelli\u011fi nedeni ile ayr\u0131 ele al\u0131nabilen bir tablodur. Somatosensoriyel uyar\u0131lar\u0131n santral sinir sistemine ula\u015fmas\u0131nda kesinti sonucu ortaya \u00e7\u0131kar. Periferik sinir kesisi, spinal, med\u00fcller, pontin ve talamik d\u00fczeydeki lezyonlar ile meydana gelebilmektedir. Talamik kanama veya infarktlarda g\u00f6r\u00fclen talamik a\u011fr\u0131 sendromu (Dejerine- Roussy Sendromu) buna bir \u00f6rnektir.<\/p>\n

Psikosomatik a\u011fr\u0131<\/strong> depresyon veya kronik anksiyeteli durumlarda g\u00f6r\u00fclen a\u011fr\u0131ya neden olacak yap\u0131sal lezyonun bulunmad\u0131\u011f\u0131 bir gruptur.<\/p>\n

3) Kaynakland\u0131\u011f\u0131 b\u00f6lgeye g\u00f6re a\u011fr\u0131:<\/h2>\n

a)Somatik a\u011fr\u0131,<\/p>\n

b)Visseral a\u011fr\u0131<\/p>\n

c)Sempatik a\u011fr\u0131 olarak 3 ba\u015fl\u0131k alt\u0131nda toplanabilir.<\/p>\n

Somatik a\u011fr\u0131 periferik sinirlerden kaynaklanan, ani ba\u015flang\u0131\u00e7l\u0131, iyi lokalize edilebilen bir a\u011fr\u0131d\u0131r. Visseral a\u011fr\u0131lar yava\u015f ba\u015flang\u0131\u00e7l\u0131, k\u00fcnt, yeri iyi lokalize edilemeyen i\u00e7 organlara ait a\u011fr\u0131lard\u0131r. Kolik veya kramp tarz\u0131nda olabilir. Ba\u015fka v\u00fccut alanlar\u0131na yans\u0131yan a\u011fr\u0131 olarak g\u00f6r\u00fclebilir. Kalp a\u011fr\u0131s\u0131 sol omuz ve T1 duysal alan\u0131nda hissedilir ve yans\u0131yan a\u011fr\u0131n\u0131n bir \u00f6rne\u011fidir.<\/p>\n

Sempatik a\u011fr\u0131, lokalize bir b\u00f6lgede sempatik aktivitenin art\u0131\u015f\u0131 ile birliktedir. Sempatik aktivite de\u011fi\u015fikli\u011fi ile etkilenen alanda k\u0131zar\u0131kl\u0131k, \u015fi\u015flik, kas, kemik ve konnektif dokularda uzun s\u00fcre\u00e7te atrofiler g\u00f6r\u00fcl\u00fcr. Refleks sempatik distrofiler ve kozalji bu tip a\u011fr\u0131n\u0131n prototip \u00f6rnekleridir
\n\"\"<\/a><\/p>\n

Our Other Fields of Activity<\/p>\n

Elderly Care Home<\/a> , Residential Nursing Home and Nursing Home <\/a>, Physical Therapy and Rehabilitation Center<\/a><\/span><\/p>\n

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

A\u011fr\u0131n\u0131n S\u0131n\u0131fland\u0131r\u0131lmas\u0131 A\u011fr\u0131n\u0131n s\u00fcreye g\u00f6re, olu\u015fum mekanizmalar\u0131na ve kaynakland\u0131\u011f\u0131 b\u00f6lgeye […]<\/p>\n","protected":false},"author":1,"featured_media":2480,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[888],"tags":[898,899,900,901],"class_list":["post-1001","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agri","tag-agrinin-siniflandirilmasi","tag-akut-agri","tag-kronik-agrilar","tag-somatik-agri"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/nic\u0327in-ims-turan-uslu.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/1001","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/comments?post=1001"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/1001\/revisions"}],"predecessor-version":[{"id":10388,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/1001\/revisions\/10388"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/2480"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=1001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=1001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=1001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}