{"id":250,"date":"2009-08-26T09:15:14","date_gmt":"2009-08-26T10:15:14","guid":{"rendered":"https:\/\/turanuslu.net\/?p=250"},"modified":"2022-01-19T09:25:21","modified_gmt":"2022-01-19T09:25:21","slug":"elde-sinir-sikismasi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/elde-sinir-sikismasi\/","title":{"rendered":"Elde Sinir S\u0131k\u0131\u015fmas\u0131 (Karpal T\u00fcnel Sendromu – KTS)"},"content":{"rendered":"

Elde Sinir S\u0131k\u0131\u015fmas\u0131<\/h1>\n

\"elde<\/p>\n

KTS nedir?<\/h3>\n
Elde Sinir S\u0131k\u0131\u015fmas\u0131 ,El Bile\u011fi Kanal\u0131nda Sinir S\u0131k\u0131\u015fmas\u0131 Boyun b\u00f6lgesinden \u00e7\u0131k\u0131p kol ve elin sinirlendirilmesini sa\u011flayan \u00fc\u00e7 kol sinirinden biri olan median sinirin ( di\u011ferleri; ulnar sinir ser\u00e7e parma\u011f\u0131 ve y\u00fcz\u00fck parma\u011f\u0131n\u0131n yar\u0131s\u0131, radial sinir el s\u0131rt\u0131) el bile\u011finde dar bir kanalda s\u0131k\u0131\u015fmas\u0131na karpal t\u00fcnel sendromu ( KTS) denilir.<\/div>\n

Sebepleri nelerdir?<\/span><\/h3>\n

El b\u00f6lgesindeki tendonlardaki kal\u0131nla\u015fmalar, gebeli\u011fe ba\u011fl\u0131 su ve tuz tutulmas\u0131, el bile\u011finin tekrarlayan hareketleri, iltihapl\u0131 romatizmalar, KTS’ nin en \u00f6nemli sebepleridir. El b\u00f6lgesindeki iyile\u015fmi\u015f k\u0131r\u0131klar, ve tiroid bezinin az \u00e7al\u0131\u015fmas\u0131 ve amiloidoz KTS’nun di\u011fer sebepleridir. Boyun b\u00f6lgesindeki f\u0131t\u0131k, kire\u00e7lenme, eklem iltihaplar\u0131, KTS ‘a benzer belirtilere yol a\u00e7abilir.<\/p>\n

What are the symptoms?<\/span><\/h3>\n

Elde Sinir S\u0131k\u0131\u015fmas\u0131 Daha \u00e7ok orta ve ileri ya\u015flardaki kad\u0131nlarda g\u00f6r\u00fcl\u00fcr. Elin ba\u015f parma\u011f\u0131nda, i\u015faret parma\u011f\u0131nda, orta parmakta ve y\u00fcz\u00fck parma\u011f\u0131n\u0131n yar\u0131s\u0131nda a\u011fr\u0131 olur. A\u011fr\u0131 genellikle yan\u0131c\u0131d\u0131r, geceleri daha \u015fiddetlidir. Hasta a\u011fr\u0131dan dolay\u0131 ellerini s\u0131k s\u0131k sallar. Tek veya her iki elde g\u00f6r\u00fclebilir.<\/p>\n

Sa\u011f elde daha belirgindir. Daktilo, bilgisayar kullanmak, yaz\u0131 yazmak, eli\u015fi yapmak, gibi fiziksel aktiviteler hastan\u0131n a\u011fr\u0131s\u0131n\u0131 artt\u0131r\u0131r. A\u011fr\u0131lar geceleri daha rahats\u0131z edicidir. E\u011fer sinirdeki zedelenme \u00e7ok fazla ise \u015fikayetler g\u00fcn boyu s\u00fcrer. El ayas\u0131 ve parmaklarda uyu\u015fma, kar\u0131ncalanma, ve kuvvet kayb\u0131 olabilir. Diki\u015f dikme, yaz\u0131 yazma, yerden ince bir \u015fey alma gibi hassas aktivitelerde zorluk \u00e7ekilebilir.<\/p>\n

Nas\u0131l te\u015fhis edilir?<\/span><\/h3>\n

Hastan\u0131n ifadeleri, hekimin yapaca\u011f\u0131 ayr\u0131nt\u0131l\u0131 muayene te\u015fhise b\u00fcy\u00fck \u00f6l\u00e7\u00fcde yard\u0131mc\u0131 olur. Boyun b\u00f6lgesi muayenesi de ihmal edilmemelidir. Kesin te\u015fhis sinir iletim h\u0131zlar\u0131 \u00f6l\u00e7\u00fcmleri ile yap\u0131l\u0131r ( EMG ). Hastal\u0131\u011f\u0131n derecesini belirlemek i\u00e7in de EMG gereklidir.<\/p>\n

Treatment<\/strong><\/h3>\n

El bile\u011fi tekrarlayan hareketlerden ve zorlanmalardan korunmal\u0131d\u0131r. Gece kullan\u0131lacak istirahat splintleri \u015fikayetleri azaltmakta ve hastal\u0131\u011f\u0131n ilerlemesini b\u00fcy\u00fck \u00f6l\u00e7\u00fcde engellemektedir. V\u00fccutta su ve tuz tutulmas\u0131n\u0131 \u00f6nleyici ila\u00e7lar, a\u011fr\u0131 kesiciler, anti-romatizmal pomatlar kullan\u0131labilir. Karpal t\u00fcnele ince enjekt\u00f6rlerle yap\u0131lacak steroid enjeksiyonlar\u0131 semptomlar\u0131 iyile\u015ftirebilir.<\/p>\n

El ve parmaklarda kuvvetsizlik, belirgin his kusuru, uykuya engel olacak \u015fiddette gece a\u011fr\u0131lar\u0131 varsa cerrahi tedavi yap\u0131lmal\u0131d\u0131r. Cerrahinin amac\u0131 median sinir \u00fczere olan bas\u0131nc\u0131 ortadan kald\u0131rmakt\u0131r. Operasyon sonucunda a\u011fr\u0131 ve fonksiyon kayb\u0131 d\u00fczelir. Operasyon lokal anestezi ile yap\u0131labilir.<\/p>\n

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

Elde Sinir S\u0131k\u0131\u015fmas\u0131 KTS nedir? Elde Sinir S\u0131k\u0131\u015fmas\u0131 ,El Bile\u011fi […]<\/p>\n","protected":false},"author":1,"featured_media":8295,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[37],"tags":[38,39,40,41,42,43,44],"class_list":["post-250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-el-ve-el-bilegi-agrilari","tag-bilek-agrisi","tag-bilek-agrisi-tedavisi","tag-el-bilegi-kanalinda-sinir-sikismasi","tag-elde-sinir-sikismasi","tag-elde-sinir-sikismasi-tedavisi","tag-karpal-tunel-sendromu","tag-kts"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/elde-sinir-sikismasi.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/250","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=250"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/250\/revisions"}],"predecessor-version":[{"id":10038,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/250\/revisions\/10038"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/8295"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=250"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=250"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}