{"id":2674,"date":"2019-07-08T08:26:07","date_gmt":"2019-07-08T09:26:07","guid":{"rendered":"https:\/\/turanuslu.net\/?p=2674"},"modified":"2021-03-20T08:58:16","modified_gmt":"2021-03-20T08:58:16","slug":"siyatik-siyatalji-yayilici-radikulopatik-bel-agrilari","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/siyatik-siyatalji-yayilici-radikulopatik-bel-agrilari\/","title":{"rendered":"Sciatica, Sciatalgia, Radiating (Radiculopathic) Low Back Pain"},"content":{"rendered":"<h3>Sciatica, Sciatalgia, Radiating (Radiculopathic) Low Back Pain<\/h3>\n<p><strong>Siyatik Bel A\u011fr\u0131lar\u0131<\/strong> Bel b\u00f6lgesindeki omurlarda, kaslarda, ba\u011flarda herhangi bir sorun ve bu soruna ba\u011fl\u0131 a\u011fr\u0131lar varsa; bu a\u011fr\u0131lar kal\u00e7alara, uylu\u011fa, baca\u011fa, hatta ayak ucuna kadar yay\u0131l\u0131r, bu a\u011fr\u0131 genellikle tek tarafl\u0131 olmakla birlikte iki tarafl\u0131 da olabilir. <strong>Belden baca\u011fa yay\u0131lan a\u011fr\u0131lara<\/strong> siyatik siniri olu\u015fturan sinir k\u00f6klerine bask\u0131 oldu\u011fu i\u00e7in siyatik a\u011fr\u0131s\u0131, siyatalji, lomber radik\u00fclopati gibi isimler verilir.<\/p>\n<p>Ancak e\u011fer bel b\u00f6lgesindeki omurlar\u0131n\u0131zda herhangi bir sorun varsa bu bir \u015fekilde ayak \u00fc\u00e7lar\u0131n\u0131za kadar a\u011fr\u0131 hissetmenize yola\u00e7ar. Bunun sebebi belden k\u00f6k alan bir sinirinizin t\u00fcm alt ekstremitel boyunca ilerleyerek ayakta sonlan\u0131yor olmas\u0131d\u0131r. Siyatik Bel A\u011fr\u0131lar\u0131\u00a0 Bel kaynakl\u0131 bir problemden dolay\u0131 belden baca\u011fa vuran t\u00fcm a\u011fr\u0131lara lomber radikulopati denir. Ayn\u0131 \u015fekilde boyundan kollara vuran a\u011fr\u0131lar da servikal radik\u00fclopati ad\u0131n\u0131 al\u0131r. Bu tip a\u011fr\u0131lara siyatik nevralji, siyatik gibi adlar da verilir.<\/p>\n<h3>Belde sinir k\u00f6klerine bask\u0131 yapabilecek olan bir\u00e7ok sebep vard\u0131r:<\/h3>\n<ul>\n<li><strong>Bel f\u0131t\u0131\u011f\u0131<\/strong>: Burada diskler aras\u0131nda bulunan jelatinoz k\u0131vam\u0131nda ki materyalin (nucleus pulpozus, g\u00f6revi y\u00fck da\u011f\u0131l\u0131m\u0131n\u0131 sa\u011flamakt\u0131r) diskin d\u0131\u015f y\u00fczeyindeki tabakadan (annulus fibrozis) d\u0131\u015far\u0131 do\u011fru ta\u015fmas\u0131 s\u00f6z konusudur. Ta\u015fan disk materyali<\/li>\n<li><strong>Spinal stenoz (omurilik kanal darl\u0131\u011f\u0131)<\/strong>: Bazen omurlar aras\u0131ndaki sinirlerin \u00e7\u0131kt\u0131\u011f\u0131 mesafe ya da omurga ortas\u0131ndan ge\u00e7en omurilik kanal\u0131 daralarak buradan ge\u00e7en sinirlerin s\u0131k\u0131\u015fmas\u0131na sebep olur.<\/li>\n<li><strong>Dejeneratif disk hastal\u0131\u011f\u0131 (bel kire\u00e7lenmesi)<\/strong>: Ya\u015flanma ile beraber disklerin su i\u00e7eri\u011findeki azalma ve buna ba\u011fl\u0131 olarak geli\u015fen kimyasal de\u011fi\u015fiklikler omurlar\u0131n yap\u0131s\u0131nda bozulma ile sonu\u00e7lan\u0131r. Omurlar aras\u0131nda bulunan diskin su i\u00e7eri\u011fi azal\u0131r, disk sertle\u015fir, anulustaki y\u0131rt\u0131klardan disk materyal\u0131 bulunmas\u0131 gereken yerin d\u0131\u015f\u0131na sinir k\u00f6klerine do\u011fru ta\u015far.<\/li>\n<li>Bu durumda diskin \u015fok emme ve omurgaya gelen y\u00fck\u00fc kar\u015f\u0131lanmas\u0131 g\u00f6revi inkitaya u\u011frar. Omur etraf\u0131ndaki ba\u011flar gev\u015fer, instabilite geli\u015fir. Bu bozulma sonucu sinirlerin \u00fczerinde bask\u0131 olur.<\/li>\n<li><strong>Bel kaymas\u0131 (spondilolistezis)<\/strong>: Omurgay\u0131 olu\u015fturan omur kemikleri birbirleri \u00fczerinde bir d\u00fczen i\u00e7erisinde dizilirler. Normalde omurlar\u0131n \u00f6n ve arka kenarlar\u0131, bir alt ve bir \u00fcst omurun kenarlar\u0131 ile ayn\u0131 hizadad\u0131r. Omurlar birbirlerine \u00f6n k\u0131s\u0131mda diskler arka k\u0131s\u0131mda faset eklemler yard\u0131m\u0131 ile ba\u011flan\u0131r.<\/li>\n<li>Bu dizilimin dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131 artt\u0131ran bir\u00e7ok ba\u011f yap\u0131s\u0131 da kemikler aras\u0131nda k\u00f6pr\u00fc olu\u015fturur. Bel kaymas\u0131 olarak bilinen hastal\u0131kta bir omur di\u011ferinin \u00fczerinde genellikle \u00f6ne do\u011fru yer de\u011fi\u015ftirir. Bu kayma olay\u0131 sonucunda, omurgan\u0131n i\u00e7inden ge\u00e7en omurili\u011fi ya da genellikle sinirleri s\u0131k\u0131\u015ft\u0131r\u0131r ve her iki bacakta a\u011fr\u0131, uyu\u015fukluk ve yanma gibi \u015fik\u00e2yetler meydana gelir.<\/li>\n<li>Nadir de olsa t\u00fcm\u00f6r, enfeksiyon gibi daha ciddi hastal\u0131klar siyati sinir a\u011fr\u0131s\u0131 yapabilir.<\/li>\n<li>Omurgan\u0131z\u0131 detayl\u0131 incelemek \u00fczere r\u00f6ntgenler, bilgisayarl\u0131 tomografi, manyetik rezonans g\u00f6r\u00fcnt\u00fcleme tetkikleri sebebi ortaya \u00e7\u0131kar\u0131r. Sinir hasar\u0131n\u0131 de\u011ferlendirmek i\u00e7in EMG yap\u0131labilir.<\/li>\n<\/ul>\n<h3>Yay\u0131l\u0131c\u0131 Bel A\u011fr\u0131lar\u0131 Tedavisi<\/h3>\n<p><strong>Dinlenme<\/strong>: Belin dinlenmesini sa\u011flamak \u00fczere birka\u00e7 g\u00fcn veya hafta korse tak\u0131labilir. Ancak uzun s\u00fcreli korse kullan\u0131lmas\u0131 bel problemlerinin temel tedavi prensiplerinden adale g\u00fc\u00e7lendirme prensibine ters oldu\u011fu ve adaleleri zay\u0131flatt\u0131\u011f\u0131 i\u00e7in uzun s\u00fcreli kullan\u0131lmamal\u0131d\u0131r. Aks bozuklu\u011fu varsa aks\u0131 d\u00fczeltici \u00f6zel aparatlar verilir,<\/p>\n<p><strong>Medication<\/strong>: A\u011fr\u0131 kesici ve b\u00f6lgesel \u00f6demi geri \u00e7ekecek ila\u00e7 kullan\u0131m\u0131 s\u0131kt\u0131r. Sinir bas\u0131s\u0131 fazla ise kortizon kullan\u0131m\u0131 h\u0131zl\u0131 bir iyile\u015fme sa\u011flar. Ancak kortizon kullan\u0131m\u0131na ve \u015fekline doktorunuzun karar vermesi \u00f6nemlidir.<\/p>\n<p><strong>Physiotherapy<\/strong>: \u0130sometrik ve germe egzersizleri, s\u0131cak so\u011fuk uygulamalar\u0131, elektrik stimulasyon tedavileri uygulan\u0131r. Uzun s\u00fcreli iyi sonu\u00e7lar i\u00e7in uygun hareketlerle boyunu g\u00fc\u00e7lendirmek hayati \u00f6neme sahiptir.<\/p>\n<ul>\n<li><strong>Akupunktur<\/strong>, \u0130MS, paravertebral trigger point enjeksiyonlar\u0131 yap\u0131labilir, ligament hasar\u0131ndan \u015f\u00fcpheleniliyorsa proloterapi uygulanabilir.<\/li>\n<li>Uygun ortopedik yast\u0131klar \u00f6nerilebilir.<\/li>\n<li>Tedavi cevap vermeyen vakalarda ya da \u00e7ok b\u00fcy\u00fck disk ta\u015fmalar\u0131 varsa cerrahi tedavi de g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r.<\/li>\n<\/ul>\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\/en\/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>Siyatik , Siyatalji , Yay\u0131l\u0131c\u0131 (Radik\u00fclopatik) Bel A\u011fr\u0131lar\u0131 Siyatik Bel [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2675,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190],"tags":[1218,1332,1333,1334,1335],"class_list":["post-2674","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","tag-bel-agrilari-tedavisi","tag-radikulopatik-bel-agrilari","tag-siyatalji-bel-agrilari","tag-siyatik-bel-agrilari","tag-yayilici-bel-agrilari"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/radiku\u0308loatik-bel-agrilari.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2674","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=2674"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2674\/revisions"}],"predecessor-version":[{"id":10220,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2674\/revisions\/10220"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/2675"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=2674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=2674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=2674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}