{"id":454,"date":"2021-07-05T22:07:04","date_gmt":"2021-07-05T19:07:04","guid":{"rendered":"https:\/\/serdarcatav.com\/?page_id=454"},"modified":"2021-07-05T22:07:31","modified_gmt":"2021-07-05T19:07:31","slug":"epidural-lizis","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ar\/bel-bacak-ve-diz-agrilari\/epidural-lizis\/","title":{"rendered":"Epidural Lizis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"454\" class=\"elementor elementor-454\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-75ba645 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75ba645\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a763b4\" data-id=\"8a763b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed56182 elementor-widget elementor-widget-heading\" data-id=\"ed56182\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Epidural Lizis<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f5470b elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"3f5470b\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/serdarcatav.com\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-home\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Anasayfa<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/serdarcatav.com\/agrilarimiz\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Epidural Lizis<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f5095d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f5095d6\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-082c98f\" data-id=\"082c98f\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c88e3c elementor-widget elementor-widget-heading\" data-id=\"1c88e3c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Epidural Lizis<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93e97d0 elementor-widget elementor-widget-text-editor\" data-id=\"93e97d0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p class=\"p1\"><span class=\"s1\">En yayg\u0131n olarak Racz<span class=\"Apple-converted-space\">\u00a0 <\/span>prosed\u00fcr\u00fc olarak bilinen Perk\u00fctan N\u00f6roplasti ve Adhezyolizis<span class=\"Apple-converted-space\">\u00a0 <\/span>(di\u011fer ad\u0131yla yap\u0131\u015f\u0131kl\u0131klar\u0131n yok edilmesi)<span class=\"Apple-converted-space\">\u00a0 <\/span>ilk defa <span class=\"Apple-converted-space\">\u00a0 <\/span>Dr. Gabor Racz taraf\u0131ndan uygulanmaya ba\u015fland\u0131. Racz prosed\u00fcr\u00fc <span class=\"Apple-converted-space\">\u00a0 <\/span>epidural alandaki <span class=\"Apple-converted-space\">\u00a0 <\/span>skar dokusuna ba\u011fl\u0131 yap\u0131\u015f\u0131kl\u0131klar\u0131 gidermek i\u00e7in uygulan\u0131r.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Bu i\u015flem en s\u0131k ba\u015far\u0131s\u0131z bel<span class=\"Apple-converted-space\">\u00a0 <\/span>cerrahisi sendromu (FBSS), spinal stenoz ve radik\u00fclopatisi olan hastalara yap\u0131l\u0131r. Ayr\u0131ca<span class=\"Apple-converted-space\">\u00a0 <\/span>f\u0131t\u0131kla\u015fm\u0131\u015f disklerin \u00f6n lateral epidural alanda olu\u015fturdu\u011fu skarlara ba\u011fl\u0131 a\u011fr\u0131l\u0131 durumlar\u0131n<span class=\"Apple-converted-space\">\u00a0 <\/span>tedavisinde de etkili olabilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Epidural b\u00f6lge<span class=\"Apple-converted-space\">\u00a0 <\/span>omurga kolonunun i\u00e7i ile omurilik \u00e7evresindeki koruyucu tabakalar aras\u0131ndaki<span class=\"Apple-converted-space\">\u00a0 <\/span>ince bir aland\u0131r. Epidural b\u00f6lge<span class=\"Apple-converted-space\">\u00a0 <\/span>i\u00e7inde <span class=\"Apple-converted-space\">\u00a0 <\/span>ya\u011f dokusunun yan\u0131 s\u0131ra kan damarlar\u0131 ve sinir k\u00f6kleri de bulunmaktad\u0131r. Epidural b\u00f6lgedeki skar dokusu tek ba\u015f\u0131na a\u011fr\u0131l\u0131 de\u011fildir. Ancak burada bulunan<span class=\"Apple-converted-space\">\u00a0 <\/span>sinirlere bask\u0131 uygulayarak, s\u0131k\u0131\u015ft\u0131rma yaparak, onlar\u0131n do\u011fal hareketlerini k\u0131s\u0131tlayarak<span class=\"Apple-converted-space\">\u00a0 <\/span>n\u00f6ropatik a\u011fr\u0131ya neden olur .<\/span><\/p><p class=\"p3\"><span class=\"s1\"><b>\u0130\u015flem Nas\u0131l Uygulan\u0131r<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">\u00d6zel olarak tasarlanm\u0131\u015f<span class=\"Apple-converted-space\">\u00a0 <\/span>bir i\u011fne ve Racz \u00ae kateter sedasyon alt\u0131nda hastan\u0131n epidural b\u00f6lgesinde skar dokusunun bulundu\u011fu alana floroskopik g\u00f6r\u00fcnt\u00fcleme yard\u0131m\u0131yla<span class=\"Apple-converted-space\">\u00a0 <\/span>y\u00f6nlendirilir. Skar dokusunun bulundu\u011fu yer kontrast madde ile do\u011fruland\u0131ktan sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>hyaluronidaz ad\u0131 verilen \u00f6zel bir ila\u00e7 enjekte edilir ve Racz kateterinin mekanik kuvvetleriyle birlikte skar dokusu par\u00e7alan\u0131r. Son olarak<span class=\"Apple-converted-space\">\u00a0 <\/span>buradaki inflamasyonu azaltmak ve<span class=\"Apple-converted-space\">\u00a0 <\/span>a\u011fr\u0131y\u0131 kesmek amac\u0131yla<span class=\"Apple-converted-space\">\u00a0 <\/span>steroidler ve lokal anesteziklerin bir kar\u0131\u015f\u0131m\u0131 enjekte edilir. B\u00f6ylelikle<span class=\"Apple-converted-space\">\u00a0 <\/span>bu i\u015flemle k\u0131s\u0131tlay\u0131c\u0131 skar dokusu par\u00e7alanarak \u00e7\u00f6z\u00fcnmesi sa\u011flan\u0131r ve buda<span class=\"Apple-converted-space\">\u00a0 <\/span>sinir k\u00f6klerinin serbest kalmas\u0131n\u0131 sa\u011flayarak<span class=\"Apple-converted-space\">\u00a0 <\/span>n\u00f6ropatik a\u011fr\u0131y\u0131 tedavi eder.<\/span><\/p><p class=\"p1\"><span class=\"s1\">\u00c7o\u011fu durumda bu i\u015flem g\u00fcn\u00fcbirlik olarak yap\u0131labilir ve hasta ayn\u0131 g\u00fcn eve d\u00f6nebilir. A\u015f\u0131r\u0131 miktarda skar dokusu olan hastalar tamamlanm\u0131\u015f iki ila \u00fc\u00e7 enjeksiyona ihtiya\u00e7 g\u00f6sterebilirler. Hastalar i\u015flem tamamland\u0131ktan hemen sonra temel germe egzersizlerine<span class=\"Apple-converted-space\">\u00a0 <\/span>ba\u015flarlar.<\/span><\/p><p class=\"p1\"><span class=\"s1\">\u00c7o\u011fu hastada i\u015flemden sonraki birka\u00e7 g\u00fcn i\u00e7inde iyile\u015fme ba\u015flayacakt\u0131r. Baz\u0131 hastalar an\u0131nda rahatlama ya\u015fayacakt\u0131r; baz\u0131lar\u0131 i\u00e7in ise \u00f6l\u00e7\u00fclebilir iyile\u015ftirmeyi ger\u00e7ekle\u015ftirmek i\u00e7in birka\u00e7 hafta gerekebilir. \u00c7o\u011fu hasta kateter \u00e7\u0131kar\u0131ld\u0131ktan bir g\u00fcn sonra i\u015fe d\u00f6nebilir.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-988d742 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"988d742\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"http:\/\/serdarcatav.com\/iletisim\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Randevu Olu\u015ftur<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Epidural Lizis Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Epidural Lizis Epidural Lizis En yayg\u0131n olarak Racz\u00a0 prosed\u00fcr\u00fc olarak bilinen Perk\u00fctan N\u00f6roplasti ve Adhezyolizis\u00a0 (di\u011fer ad\u0131yla yap\u0131\u015f\u0131kl\u0131klar\u0131n yok edilmesi)\u00a0 ilk defa \u00a0 Dr. Gabor Racz taraf\u0131ndan uygulanmaya ba\u015fland\u0131. Racz prosed\u00fcr\u00fc \u00a0 epidural alandaki \u00a0 skar dokusuna ba\u011fl\u0131 yap\u0131\u015f\u0131kl\u0131klar\u0131 gidermek i\u00e7in uygulan\u0131r. Bu i\u015flem en s\u0131k [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":345,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":"","_joinchat":[]},"_links":{"self":[{"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/454"}],"collection":[{"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/comments?post=454"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/454\/revisions"}],"predecessor-version":[{"id":458,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/454\/revisions\/458"}],"up":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/345"}],"wp:attachment":[{"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/media?parent=454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}