{"id":437,"date":"2009-08-26T11:12:52","date_gmt":"2009-08-26T12:12:52","guid":{"rendered":"https:\/\/turanuslu.net\/?p=437"},"modified":"2022-01-16T21:08:14","modified_gmt":"2022-01-16T21:08:14","slug":"torasik-cikis-sendromu","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/torasik-cikis-sendromu\/","title":{"rendered":"Torasik \u00c7\u0131k\u0131\u015f Sendromu"},"content":{"rendered":"
\n

Torasik \u00c7\u0131k\u0131\u015f Sendromu<\/h2>\n

Torasik \u00e7\u0131k\u0131\u015f sendromu (T\u00c7S); omuz, kollar ve elleri etkileyen bir hastal\u0131kt\u0131r. Bu hastal\u0131k hem hastalar, hemde doktorlar i\u00e7in olduk\u00e7a kar\u0131\u015f\u0131k bir durumdur. Omuz, kol ve el a\u011fr\u0131lar\u0131 olan bir insanda T\u00c7S te\u015fhisi koymak ve bunu ispat etmek olduk\u00e7a zordur. Te\u015fhis genellikle omuz, kol ve ellerde a\u011fr\u0131 yapan di\u011fer hastal\u0131klar\u0131n olmad\u0131\u011f\u0131na karar verildikten sonra konulur.<\/p>\n

<\/p>\n<\/div>\n

Anatomy <\/strong>
\n\"\"<\/p>\n

Boynun yan taraf\u0131ndan \u00e7\u0131k\u0131p kol ve ellere do\u011fru yol alan damar ve sinirler, boyundan ayr\u0131ld\u0131ktan sonra k\u00f6pr\u00fcc\u00fck kemi\u011fi (klavikula), birinci kaburga ve iki boyun kas\u0131n\u0131n olu\u015fturdu\u011fu (skalen kaslar) dar bir alandan ge\u00e7erler. Bu dar alana torasik \u00e7\u0131k\u0131\u015f ad\u0131 verilir. Boyunda iki omur aras\u0131ndan \u00e7\u0131kan sinirler \u00e7\u0131kt\u0131ktan hemen sonra birbirleriyle birle\u015ferek ve tekrar ayr\u0131larak a\u011flar olu\u015ftururlar ve omuz \u00e7evresine dallar verdikten sonra kola giden 3 ana siniri olu\u015ftururlar. Bu sinirler; radial sinir (el s\u0131rt\u0131, kolun yan\u0131, ba\u015f parmak), median sinir (ba\u015f parmak, 2.ve3. parmak ve 4. parma\u011f\u0131n yar\u0131s\u0131) ve ulnar sinirdir (ser\u00e7e parmak, 4. parma\u011f\u0131n yar\u0131s\u0131, kolun i\u00e7 taraf\u0131). T\u00c7S da her \u00fc\u00e7 sinir etkilenmekle birlikte daha \u00e7ok kolun i\u00e7 yan\u0131ndan k\u00fc\u00e7\u00fck parmak, y\u00fcz\u00fck parma\u011f\u0131n\u0131n yar\u0131s\u0131n\u0131n hissiyat\u0131n\u0131 ve parmaklar aras\u0131ndaki kaslar\u0131n sinirlerini sa\u011flayan ulnar sinir etkilenir. T\u00c7S ayr\u0131ca kola giden atardamarlar\u0131 ve toplardamarlar\u0131 da etkiler, buna ba\u011fl\u0131 olarak ellerde \u015fi\u015fmeler ve \u00fc\u015f\u00fcme olabilir.<\/strong><\/div>\n

\"\"
\nSebepleri <\/strong><\/p>\n

Torasik \u00e7\u0131k\u0131\u015fta omuz, kol ve ellere giden sinir ve damarlar\u0131 s\u0131k\u0131\u015ft\u0131ran bir\u00e7ok ihtimal vard\u0131r. Fazla bir kaburgan\u0131n olmas\u0131, yada 7.boyun omurlar\u0131n\u0131n yan \u00e7\u0131k\u0131nt\u0131lar\u0131n\u0131n gere\u011finden uzun olmas\u0131, k\u00f6pr\u00fcc\u00fck kemi\u011finde iyile\u015fmi\u015f k\u0131r\u0131klar, boyun kaslar\u0131nda yaralanmalar veya spazm vs gibi sebepler, en s\u0131k rastlanan sebeplerdir. Ayr\u0131ca d\u00fc\u015f\u00fck omuz, uzun s\u00fcre a\u011f\u0131r y\u00fck ta\u015f\u0131ma, omuz seviyesinin \u00fczerinde yap\u0131lan fiziksel aktiviteler, kamburluk di\u011fer \u00f6nemli sebeplerdir.<\/strong><\/div>\n

Belirtileri<\/strong><\/p>\n

Bir veya iki kolda (\u00f6zellikle sa\u011f kol, el) a\u011fr\u0131, kuvvetsizlik, uyu\u015fma, kar\u0131ncalanma, \u015fi\u015fme, yorulma, ve \u00fc\u015f\u00fcme s\u0131k rastlanan \u015fikayetlerdir. Bu belirtilerin tamam\u0131 boyun f\u0131t\u0131\u011f\u0131 ve kire\u00e7lenmeleri, karpal t\u00fcnel sendromu, omuzdaki tendinit ve bursitlerle ayn\u0131 belirtilerdir.<\/strong><\/div>\n

Te\u015fhis<\/strong><\/p>\n

Te\u015fhis hastan\u0131n ifadelerine ve muayene bulgular\u0131na g\u00f6re konulur. d\u00fcz r\u00f6ntgen baz\u0131 sebepleri g\u00f6sterebilir. EMG, MR, dopler ultrasonografi gibi ileri tetkik metotlar\u0131ndan yararlan\u0131labilir.<\/strong><\/div>\n

\u00d6nleme ve tedavi<\/strong><\/p>\n

T\u00c7S n\u0131n esas tedavisini omuz \u00e7evresi ve boyun \u00e7evresi kaslar\u0131na y\u00f6nelik egzersizler olu\u015fturur. \u0130yi bir duru\u015f e\u011fitimi ve dengeli kas yap\u0131s\u0131 torasik \u00e7\u0131k\u0131\u015f\u0131 geni\u015fleterek bask\u0131lar\u0131 en aza indirir.<\/strong><\/div>\n

A\u011f\u0131rl\u0131k ta\u015f\u0131ma, itme, \u00e7ekme zararl\u0131d\u0131r.<\/strong><\/p>\n

Stres kas spazm\u0131na yola\u00e7arak torasik \u00e7\u0131k\u0131\u015f\u0131 daralt\u0131r. Boynu \u00e7evirerek arkaya bakmak zararl\u0131d\u0131r.<\/strong><\/div>\n

 <\/p>\n

Uzun s\u00fcreli omuz seviyesinin \u00fczerinde \u00e7al\u0131\u015fmak zararl\u0131d\u0131r.<\/strong><\/div>\n

 <\/p>\n

Hasta omuzda a\u011f\u0131r \u00e7antalar ta\u015f\u0131mamal\u0131d\u0131r.<\/strong><\/div>\n

 <\/p>\n

Omuz elavat\u00f6rleri ( kald\u0131r\u0131c\u0131 kaslar\u0131) g\u00fc\u00e7lendirilmelidir.<\/strong><\/div>\n

 <\/p>\n

\u0130ri g\u00f6\u011f\u00fcsl\u00fc kad\u0131nlarda uygun s\u00fctyen giyilmeli yada g\u00f6\u011f\u00fcsler plastik olarak k\u00fc\u00e7\u00fclt\u00fclmelidir.<\/strong><\/div>\n

 <\/p>\n

Fazladan bir kaburga varsa cerrahi olarak \u00e7\u0131kar\u0131labilir. Fizik tedavi ve rehabilitasyon omuz \u00e7evresindeki ve boyun kaslar\u0131n\u0131 gev\u015fetir ve bu kaslardaki spazm\u0131 giderir.<\/strong><\/div>\n

 <\/p>\n

Boyun ve omuz koruma prensiplerine dikkat edilmelidir.<\/strong><\/div>\n

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

Torasik \u00c7\u0131k\u0131\u015f Sendromu Torasik \u00e7\u0131k\u0131\u015f sendromu (T\u00c7S); omuz, kollar ve […]<\/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":[314],"tags":[335,336,337,338],"class_list":["post-437","post","type-post","status-publish","format-standard","hentry","category-omuz-agrilari","tag-tcs","tag-torasik","tag-torasik-cikis-sendromu","tag-torasik-cikis-sendromu-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/437","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=437"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/437\/revisions"}],"predecessor-version":[{"id":10775,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/437\/revisions\/10775"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=437"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=437"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}