{"id":464,"date":"2021-07-05T22:10:15","date_gmt":"2021-07-05T19:10:15","guid":{"rendered":"https:\/\/serdarcatav.com\/?page_id=464"},"modified":"2021-07-05T22:11:37","modified_gmt":"2021-07-05T19:11:37","slug":"sempatik-blok","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ar\/bel-bacak-ve-diz-agrilari\/sempatik-blok\/","title":{"rendered":"Sempatik Blok"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"464\" class=\"elementor elementor-464\">\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\">Sempatik Blok<\/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\">Sempatik Blok<\/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\">Lomber (BEL) Sempatik Sinir Blo\u011fu\n<\/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\">Lomber sempatik blo\u011fu, kompleks b\u00f6lgesel a\u011fr\u0131 sendromu, refleks sempatik distrofi, damar yetersizli\u011fi ve zona gibi durumlar\u0131n neden oldu\u011fu kronik bacak ve ayak a\u011fr\u0131lar\u0131n\u0131 hafifletmeye yard\u0131mc\u0131 olabilecek bir blok \u00e7e\u015fididir. \u0130la\u00e7lar sempatik sinirler olarak adland\u0131r\u0131lan<span class=\"Apple-converted-space\">\u00a0 <\/span>omurgan\u0131n her iki taraf\u0131nda bulunan<span class=\"Apple-converted-space\">\u00a0 <\/span>bir gangliyon zincirine uygulan\u0131r. Ama\u00e7, normal aktivitelere ve fizik tedaviye devam edebilmeniz i\u00e7in a\u011fr\u0131y\u0131 azaltmakt\u0131r.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Sempatik sinirler, &#8220;sava\u015f ya da ka\u00e7&#8221; olarak tepkimizi kontrol eden otonom sinir sisteminin bir par\u00e7as\u0131d\u0131r .<span class=\"Apple-converted-space\">\u00a0 <\/span>Kalp at\u0131\u015f h\u0131z\u0131n\u0131, terlemeyi ve kan bas\u0131nc\u0131y\u0131 art\u0131r\u0131rken perifere<span class=\"Apple-converted-space\">\u00a0 <\/span>giden<span class=\"Apple-converted-space\">\u00a0 <\/span>kan ak\u0131m\u0131n\u0131 azalt\u0131rlar. Bazen bu sinirler bir yaralanmadan sonra a\u011fr\u0131 iletmeye ba\u015flayabilirler.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Bu minimal invaziv i\u015flem s\u0131ras\u0131nda, bir lokal anestezik madde (lidokain veya bupivakain) ve kortikosteroid (betametazon, triamsinolon veya deksametazon) <span class=\"Apple-converted-space\">\u00a0 <\/span>bu bel b\u00f6lgesindeki sempatik sinirlere enjekte edilebilir. \u0130la\u00e7lar L2, L3 ve L4 omurlar\u0131na biti\u015fik<span class=\"Apple-converted-space\">\u00a0 <\/span>olan sempatik<span class=\"Apple-converted-space\">\u00a0 <\/span>sinir gangliyonlar\u0131na<span class=\"Apple-converted-space\">\u00a0 <\/span>uygulan\u0131r. Lomber sempatik blo\u011fu tan\u0131sal ve tedavi edici olabilir<\/span><\/p><p class=\"p1\"><span class=\"s1\"><span class=\"Apple-converted-space\">\u00a0\u00a0 <\/span>A\u015fa\u011f\u0131daki<span class=\"Apple-converted-space\">\u00a0 <\/span>kronik a\u011fr\u0131lardan birisi<span class=\"Apple-converted-space\">\u00a0 <\/span>varsa sempatik<span class=\"Apple-converted-space\">\u00a0 <\/span>sinir blo\u011fundan yararlanabilirsiniz:<\/span><\/p><ol class=\"ol1\"><li class=\"li1\"><span class=\"s1\">Kompleks b\u00f6lgesel a\u011fr\u0131 sendromu Tip 1 (Refleks sempatik distrofi)<\/span><\/li><li class=\"li1\"><span class=\"s1\">Kompleks b\u00f6lgesel a\u011fr\u0131 sendromu Tip 2<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><li class=\"li1\"><span class=\"s1\">Bacaklardaki<span class=\"Apple-converted-space\">\u00a0 <\/span>damar t\u0131kan\u0131kl\u0131\u011f\u0131ndan kaynaklanan iskemik a\u011fr\u0131<\/span><\/li><li class=\"li1\"><span class=\"s1\">Hayalet uzuv a\u011fr\u0131s\u0131 (Fantom sendromu)<\/span><\/li><li class=\"li1\"><span class=\"s1\">Bacaklarda herpes zoster enfeksiyonu (Zona)<\/span><\/li><li class=\"li1\"><span class=\"s1\">Bacaklarda a\u011fr\u0131l\u0131 diyabetik n\u00f6ropati (ila\u00e7larla rahatlamaz ise)<\/span><\/li><\/ol><p class=\"p1\"><span class=\"s1\">\u00d6ncelikle , enjeksiyonuzda<span class=\"Apple-converted-space\">\u00a0 <\/span>en iyi yakla\u015f\u0131m\u0131 planlamak i\u00e7in t\u0131bbi ge\u00e7mi\u015finiz ve g\u00f6r\u00fcnt\u00fclemeniz g\u00f6zden ge\u00e7irilecektir. Kan suland\u0131r\u0131c\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>ila\u00e7 (warfarin, rivaroxaban vb.) kullanan hastalar\u0131n i\u015flemden birka\u00e7 g\u00fcn \u00f6nce almay\u0131 b\u0131rakmalar\u0131 gerekebilir. Enfeksiyon, gebelik<span class=\"Apple-converted-space\">\u00a0 <\/span>veya kanama probleminiz varsa i\u015flem yap\u0131lmamal\u0131d\u0131r. Glokomlu, diabetli, ve hipertansiyon hastal\u0131\u011f\u0131 olan hastalar\u0131n i\u015flem sonras\u0131 yak\u0131n takibi \u00f6nemlidir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Enjeksiyon genellikle floroskopi e\u015fli\u011finde<span class=\"Apple-converted-space\">\u00a0 <\/span>yap\u0131lan g\u00fcn\u00fcbirlik bir i\u015flemdir.Hasta i\u015flem biittikten 3 saat sonra taburcu edilir. Hasta <span class=\"Apple-converted-space\">\u00a0 <\/span>floroskopi (X-ray) masas\u0131na y\u00fcz\u00fcst\u00fc uzand\u0131ktan sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>midazolam gibi d\u00fc\u015f\u00fck dozda sakinle\u015ftirici ila\u00e7 verilir. Bel b\u00f6lgesi antiseptik sol\u00fcsyonla temizlendikten sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>cildi uyu\u015fturmak i\u00e7in lokal anestezik enjekte edilir. Floroskop, hekimin i\u011fne hareketini bir monit\u00f6rde ger\u00e7ek zamanl\u0131 olarak izlemesini sa\u011flar .\u0130\u015flemde<span class=\"Apple-converted-space\">\u00a0 <\/span>floroskopik (x-\u0131\u015f\u0131n\u0131) rehberli\u011fi<span class=\"Apple-converted-space\">\u00a0 <\/span>alt\u0131nda i\u011fne lomber sempatik gangliyona do\u011fru y\u00f6nlendirilir. \u0130\u011fnenin do\u011fru yerle\u015fimde oldu\u011funu sa\u011flamak i\u00e7in kontrast boya enjekte edilir. \u0130\u011fnenin do\u011fru yerle\u015fimi konfirme edildikten sonra , ila\u00e7 enjekte edilir, i\u011fne \u00e7\u0131kar\u0131larak i\u015flem sonland\u0131r\u0131lm\u0131\u015f olur.<\/span><\/p><p class=\"p1\"><span class=\"s1\">\u0130\u015flemden sonra etkilenen bacakta s\u0131cakl\u0131k veya dolgunluk<span class=\"Apple-converted-space\">\u00a0 <\/span>hissedebirsiniz. Ayr\u0131ca uzuvda ge\u00e7ici bir uyu\u015fma veya zay\u0131fl\u0131k<span class=\"Apple-converted-space\">\u00a0 <\/span>kuvvet kayb\u0131 olabilir . Rahat\u00e7a<span class=\"Apple-converted-space\">\u00a0 <\/span>y\u00fcr\u00fcyebildi\u011finizde taburcu olabilirsiniz.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Bel sempatik sinir blo\u011fu , en az komplikasyon riski olan nispeten g\u00fcvenli bir i\u015flemdir. Bel sempatik blo\u011funun riskleri aras\u0131nda kanama, enfeksiyon, alerjik reaksiyon, sinir hasar\u0131, fel\u00e7, kan bas\u0131nc\u0131nda d\u00fc\u015f\u00fc\u015f, anestezik toksisite, hemat\u00fcri (idrarda kan), uyu\u015fma, halsizlik gibi yan etkileri bulunur.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Bir\u00e7ok hasta i\u015flemden yarar g\u00f6r\u00fcr. Genellikle, hastalarda uzun s\u00fcreli sonu\u00e7lar elde etmek i\u00e7in birka\u00e7<span class=\"Apple-converted-space\">\u00a0 <\/span>kez lomber sempatik blo\u011fu gerekebilir. \u0130\u015flemlerin zamanlamas\u0131 tedavi sonu\u00e7lar\u0131na g\u00f6re belirlenir.<\/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>Sempatik Blok Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Sempatik Blok Lomber (BEL) Sempatik Sinir Blo\u011fu Lomber sempatik blo\u011fu, kompleks b\u00f6lgesel a\u011fr\u0131 sendromu, refleks sempatik distrofi, damar yetersizli\u011fi ve zona gibi durumlar\u0131n neden oldu\u011fu kronik bacak ve ayak a\u011fr\u0131lar\u0131n\u0131 hafifletmeye yard\u0131mc\u0131 olabilecek bir blok \u00e7e\u015fididir. \u0130la\u00e7lar sempatik sinirler olarak adland\u0131r\u0131lan\u00a0 omurgan\u0131n her iki taraf\u0131nda bulunan\u00a0 [&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\/464"}],"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=464"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/464\/revisions"}],"predecessor-version":[{"id":468,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/464\/revisions\/468"}],"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=464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}