{"id":2690,"date":"2019-07-08T12:31:56","date_gmt":"2019-07-08T13:31:56","guid":{"rendered":"https:\/\/turanuslu.net\/?p=2690"},"modified":"2021-06-14T13:58:48","modified_gmt":"2021-06-14T13:58:48","slug":"omurganin-yaslanmasi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/omurganin-yaslanmasi\/","title":{"rendered":"Aging of the Spine"},"content":{"rendered":"

Aging of the Spine<\/h3>\n

\"Omurgan\u0131nOmurgan\u0131n Ya\u015flanmas\u0131 T\u00fcm organ ve dokularda oldu\u011fu gibi ya\u015flanma s\u00fcreci omurgay\u0131 da etkiler. Omurgada<\/strong> ya\u015flanmayla birlikte bir\u00e7ok olumsuz de\u011fi\u015fiklikler olur. Bu olumsuzluklar\u0131 yava\u015flatmak ve k\u0131smen ortadan kald\u0131rmak m\u00fcmk\u00fcnd\u00fcr ancak tamamen ortadan kald\u0131rmak m\u00fcmk\u00fcn de\u011fildir. Ya\u015flanmaya ba\u011fl\u0131 omurga dejenerasyonu ve yozla\u015fmas\u0131 baz\u0131 insanlarda daha erken ba\u015flar ve daha h\u0131zl\u0131 ilerler. Yine baz\u0131 insanlarda omurgan\u0131n farkl\u0131 k\u0131s\u0131mlar\u0131nda ya\u015flanma ve dejenerasyon<\/strong> h\u0131z\u0131 farkl\u0131d\u0131r.<\/p>\n

Bozulma derecesi ki\u015fiden ki\u015fiye b\u00fcy\u00fck farkl\u0131l\u0131klar g\u00f6stermektedir. Burada genetik<\/strong> fakt\u00f6rlerin, duru\u015f bozukluklar\u0131n\u0131n, sporun, mesle\u011fin<\/strong>, mesleki zorlanmalar\u0131n, v\u00fccut yap\u0131s\u0131n\u0131n<\/strong>, obezitenin, ge\u00e7irilmi\u015f travma ve cerrahi m\u00fcdahalelerin rol\u00fc vard\u0131r. Omurgada ya\u015flanmaya ba\u011fl\u0131 ilk de\u011fi\u015fiklikler boyun b\u00f6lgesinden ba\u015flar, daha sonra bel etkilenir, s\u0131rt omurgas\u0131ndaki de\u011fi\u015fiklikler daha ge\u00e7 ve daha yava\u015f olur.<\/p>\n

Omurlar aras\u0131nda bulunan intervertebral diskin ya\u015flanmas\u0131<\/h3>\n

\u0130ntervertebral disk (omurlar aras\u0131ndaki k\u0131k\u0131rdak yast\u0131k\u00e7\u0131k) ya\u015flanma ve dejenerasyon s\u00fcrecinden en erken ve en fazla etkilenen spinal yap\u0131lardan biridir. Normalde disklerin besleyici damarlar\u0131 yoktur, daha \u00e7ok v\u00fccut hareketleri ve dinlenme esnas\u0131nda \u00e7evresinden s\u0131v\u0131 emerek beslenir.<\/p>\n

Benzer \u015fekilde, v\u00fccut hareketleri diskteki at\u0131k maddelerin d\u0131\u015far\u0131 at\u0131lmas\u0131n\u0131 sa\u011flayarak diskin sa\u011fl\u0131kl\u0131 kalmas\u0131na yard\u0131mc\u0131 olur. Disk i\u00e7ine besleyici s\u0131v\u0131n\u0131n girmesi ve diskin d\u0131\u015f\u0131na metabolik at\u0131klar\u0131n \u00e7\u0131kar\u0131lmas\u0131 diski g\u00fc\u00e7l\u00fc ve sa\u011fl\u0131kl\u0131 tutan \u015feydir.<\/p>\n

\u0130nsanlar ya\u015fland\u0131k\u00e7a diskte bulunan yap\u0131lar daha fibrotik ve sert hale gelir. Bu fibrozis ve sertle\u015fme diskin etraf\u0131ndan s\u0131v\u0131 emme ve bas\u0131n\u00e7 alt\u0131nda kald\u0131\u011f\u0131 zaman bu s\u0131v\u0131y\u0131 verme kabiliyetini azalt\u0131r. Bu durumda zararl\u0131 maddeler ortamdan yeterince uzakla\u015ft\u0131r\u0131lamaz ve ayn\u0131 \u015fekilde besleyici maddeler disk i\u00e7ine giremez. Omurga y\u00f6n\u00fcnden uzun s\u00fcre bask\u0131ya maruz kalan, omurgas\u0131n\u0131n herhangi bir yerinde bir disk hastal\u0131\u011f\u0131<\/strong> olanlarda ve omurga sa\u011fl\u0131\u011f\u0131na dikkat etmeyen ki\u015filerde omurgan\u0131n a\u015f\u0131nmas\u0131, y\u0131pranmas\u0131 s\u00fcreci h\u0131zlan\u0131r.<\/p>\n

Diskteki bu dehidratasyon (su kayb\u0131) d\u00fcz r\u00f6ntgen filmlerinde disk aral\u0131\u011f\u0131nda azalma ve iki kom\u015fu omurun birbirine yakla\u015fmas\u0131 olarak g\u00f6r\u00fcl\u00fcr. Bu durumu lasti\u011finin i\u00e7indeki havan\u0131n azald\u0131\u011f\u0131 bir otomobil tekerine benzetebiliriz. Havas\u0131 inmi\u015f bir otomobil lasti\u011fi nas\u0131l arc\u0131n sa\u011fl\u0131kl\u0131 y\u00fcr\u00fcmesini bozarsa i\u00e7erdi\u011fi s\u0131v\u0131 miktar\u0131 azalan diskte omurgan\u0131n sa\u011fl\u0131kl\u0131 hareket etmesini zorla\u015ft\u0131r\u0131r.<\/p>\n

Daha sonra diske kom\u015fu omur b\u00f6lgelerinde skleroz (kemi\u011fin beyazla\u015fmas\u0131), kemik k\u00f6\u015felerinde kemiksi \u00e7\u0131k\u0131nt\u0131lar g\u00f6r\u00fcl\u00fcr. Diskin i\u00e7indeki s\u0131v\u0131 miktar\u0131 azald\u0131k\u00e7a disk balonla\u015f\u0131r ve \u015fi\u015fkinle\u015fir (bulging). Diskteki \u015fi\u015fkinle\u015fme \u00e7ok fazla olursa sinirlere bask\u0131 yapar. Omurlar aras\u0131nda bulunan disklerde ya\u015flanmaya ba\u011fl\u0131 de\u011fi\u015fiklikler (osteoartrit, spondiloz) artt\u0131k\u00e7a omurgan\u0131n biyomekani\u011fi bozulur, y\u00fck da\u011f\u0131l\u0131m\u0131 ve omurgan\u0131n sa\u011fl\u0131kl\u0131 \u00e7al\u0131\u015fma \u015fekli bozulur. Bu biyomekanik bozukluklar tedavi edilmezse dejeneratif s\u00fcre\u00e7 daha da h\u0131zlan\u0131r.<\/p>\n

Disk dejenerasyonlar\u0131 ile birlikte omurgada a\u015f\u0131nmalar, yeni kemik olu\u015fumlar\u0131 (osteofitler), omurgan\u0131n arkas\u0131nda bulunan faset eklemlerinde dejenerasyonlar, artrotik (kire\u00e7lenmeler) de\u011fi\u015fiklikler g\u00f6r\u00fcl\u00fcr.<\/p>\n

Faset eklem ve omur de\u011fi\u015fiklikleri<\/h3>\n

Omur kenarlar\u0131nda ve faset eklemlerinde kalsiyum \u00e7\u00f6kmelerine ba\u011fl\u0131 kemiksi \u00e7\u0131k\u0131nt\u0131lar olur. Kalsiyum ligamentlere de \u00e7\u00f6ker. Kalsifiye olmu\u015f ligamenler ve kemik kenarlar\u0131ndaki kemiksi \u00e7\u0131k\u0131nt\u0131lar disk dejenerasyonlar\u0131 ile birle\u015fince omurgan\u0131n esnekli\u011fi, dayan\u0131kl\u0131l\u0131\u011f\u0131, y\u00fck ta\u015f\u0131ma kapasitesi ileri derecede k\u0131s\u0131tlan\u0131r. Bu durumdaki omurga de\u011fi\u015fiklikleri d\u00fcz r\u00f6ntgen filmlerinde olduk\u00e7a iyi g\u00f6r\u00fcl\u00fcr. Bu artritik de\u011fi\u015fiklikler boyun, s\u0131rt ve bel b\u00f6lgesinde hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, a\u011fr\u0131 \u015feklinde tezah\u00fcr eder.<\/p>\n

Bo de\u011fi\u015fiklikler omurgan\u0131n tamam\u0131n\u0131 ya da bir k\u0131sm\u0131n\u0131 etkileyebilir. Bu de\u011fi\u015fiklikler sinir k\u00f6klerini s\u0131k\u0131\u015ft\u0131rarak kollara ve bacaklara vuran radik\u00fcler (yay\u0131l\u0131c\u0131) a\u011fr\u0131lara sebep olabilir. Birka\u00e7 seviyede ba\u015flayan dejeneratif s\u00fcre\u00e7 \u00f6nlem al\u0131nmazsa, ya da \u00f6nlem al\u0131nsa bile kartopu gibi b\u00fct\u00fcn omurgaya yay\u0131labilir.<\/p>\n

Paraverebral kaslara yap\u0131lacak \u0130MS uygulamalar\u0131, ligament hasar\u0131 varsa proloterapi uygulamalar\u0131, \u00f6zel omurga destek sistemleri, masaj, termal terapiler, traksiyon ve spinal dekompresyon tedavileri, inversiyon uygulamalar\u0131, y\u00fczme, y\u00fcr\u00fcy\u00fc\u015f, pilates gibi aerobik egzersizler, spinal mobiliteyi art\u0131rmaya y\u00f6nelik egzersizler, omurgay\u0131 zorlamayacak bir ya\u015fam tarz\u0131 spinal ya\u015flanmay\u0131 k\u0131smende olsa geriye \u00e7evirebilir<\/p>\n

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

Omurgan\u0131n Ya\u015flanmas\u0131 Omurgan\u0131n Ya\u015flanmas\u0131 T\u00fcm organ ve dokularda oldu\u011fu gibi […]<\/p>\n","protected":false},"author":1,"featured_media":2692,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190],"tags":[112,1336,1337,1341,1342],"class_list":["post-2690","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","tag-bel-agrisi","tag-omurga-agrilari","tag-omurga-agrilari-tedavisi","tag-omurganin-tedavisi","tag-omurganin-yaslanmasi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/omurganin-yaslanmasi.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2690","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=2690"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2690\/revisions"}],"predecessor-version":[{"id":10499,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2690\/revisions\/10499"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/2692"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=2690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=2690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=2690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}