{"id":479,"date":"2021-07-05T22:16:56","date_gmt":"2021-07-05T19:16:56","guid":{"rendered":"https:\/\/serdarcatav.com\/?page_id=479"},"modified":"2021-07-12T12:24:30","modified_gmt":"2021-07-12T09:24:30","slug":"priformis","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ar\/bel-bacak-ve-diz-agrilari\/priformis\/","title":{"rendered":"Priformis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"479\" class=\"elementor elementor-479\">\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\">Priformis<\/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\">Priformis<\/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\">Priformis<\/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\">Siyatik a\u011fr\u0131s\u0131, kal\u00e7ada ba\u015flayan ve bir veya iki bacaktan <span class=\"Apple-converted-space\">\u00a0 <\/span>ayaklara kadar<span class=\"Apple-converted-space\">\u00a0 <\/span>inen;<span class=\"Apple-converted-space\">\u00a0 <\/span>a\u011fr\u0131, uyu\u015fma ve kar\u0131ncalanmaya neden olabilen<span class=\"Apple-converted-space\">\u00a0 <\/span>bir a\u011fr\u0131 tipidir. Siyatik a\u011fr\u0131s\u0131 genellikle bel b\u00f6lgesindeki sinirlere bask\u0131 veya tahri\u015fden kaynaklan\u0131r. Bu sinirler \u00fczerinde bask\u0131ya neden olan durumlardan biride piriformis sendromudur.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Piriformis kas\u0131, kal\u00e7an\u0131n derinliklerinde (gluteus<span class=\"Apple-converted-space\">\u00a0 <\/span>maximus&#8217;un arkas\u0131nda) bulunan k\u00fc\u00e7\u00fck bir kast\u0131r. Alt omurgadan (sakrumdan) ba\u015flar ve<span class=\"Apple-converted-space\">\u00a0 <\/span>femurun (uyluk kemi\u011fi) \u00fcst y\u00fczeyine ba\u011flan\u0131r. Kal\u00e7an\u0131n d\u00f6nmesine, baca\u011f\u0131n ve aya\u011f\u0131n d\u0131\u015fa do\u011fru d\u00f6nmesine yard\u0131mc\u0131 olur.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Piriformis sendromu, kal\u00e7a b\u00f6lgesinde bulunan piriformis kas\u0131n\u0131n spazm\u0131 ve kal\u00e7a a\u011fr\u0131s\u0131na neden oldu\u011fu durumdur. Piriformis kas\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>yak\u0131ndaki siyatik siniri s\u0131k\u0131\u015ft\u0131r\u0131r ve baca\u011f\u0131n arkas\u0131nda ve ayakta <span class=\"Apple-converted-space\">\u00a0 <\/span>(siyatik a\u011fr\u0131ya benzer) <span class=\"Apple-converted-space\">\u00a0 <\/span>a\u011fr\u0131, uyu\u015fma ve kar\u0131ncalanmaya neden olabilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>Piriformis sendromunun belirtileri<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">Siyatik<span class=\"Apple-converted-space\">\u00a0 <\/span>a\u011fr\u0131s\u0131 piriformis sendromunun ana semptomudur. Piriformis sendromunun di\u011fer baz\u0131 yayg\u0131n belirtileri \u015funlard\u0131r:<\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\">Kal\u00e7a ekleminin hareket aral\u0131\u011f\u0131nda azalma<\/span><\/li><li class=\"li1\"><span class=\"s1\">Kal\u00e7ada donuk bir a\u011fr\u0131 ve hassasiyet<\/span><\/li><li class=\"li1\"><span class=\"s1\">Merdivenlerden inerken veya e\u011fimli yerde y\u00fcr\u00fcrken a\u011fr\u0131<\/span><\/li><li class=\"li1\"><span class=\"s1\">A\u011fr\u0131n\u0131n oturmakla daha da \u015fiddetlenmesi<\/span><\/li><li class=\"li1\"><span class=\"s1\">Aktivite ile k\u00f6t\u00fcle\u015fen<span class=\"Apple-converted-space\">\u00a0 <\/span>a\u011fr\u0131 vard\u0131r<\/span><\/li><\/ul><p class=\"p1\"><span class=\"s1\">Ciddi piriformis sendromu vakalar\u0131nda, kal\u00e7alar\u0131n\u0131zdaki ve bacaklar\u0131n\u0131zdaki a\u011fr\u0131 o kadar \u015fiddetli olabilir ki<span class=\"Apple-converted-space\">\u00a0 <\/span>bilgisayar ba\u015f\u0131nda oturmak, herhangi bir s\u00fcre araba kullanmak veya ev i\u015fleri yapmak gibi temel, g\u00fcnl\u00fck g\u00f6revleri yerine getiremeyebilirsiniz.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Piriformis sendromunun kesin nedenleri bilinmemektedir. \u015e\u00fcpheli nedenler \u015funlard\u0131r:<\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\">Piriformis kas\u0131ndaki kas spazm\u0131,<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><li class=\"li1\"><span class=\"s1\">Piriformis kas\u0131n\u0131n kendisinde tahri\u015f ve \u015fi\u015fme<\/span><\/li><li class=\"li1\"><span class=\"s1\">Sakroiliak eklem veya kal\u00e7a eklemi gibi yak\u0131ndaki bir yap\u0131n\u0131n tahri\u015fi<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><li class=\"li1\"><span class=\"s1\">Piriformis kas b\u00f6lgesinde kanama.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><\/ul><p class=\"p2\"><span class=\"s1\"><b>Piriformis sendromu tan\u0131s\u0131<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">\u00d6ncelikli<span class=\"Apple-converted-space\">\u00a0 <\/span>olarak<span class=\"Apple-converted-space\">\u00a0 <\/span>t\u0131bbi ge\u00e7mi\u015finizin, semptomlar\u0131n\u0131z\u0131n g\u00f6zden ge\u00e7irilmesi gereklidir. Muayenenizin ayr\u0131nt\u0131l\u0131 olarak yap\u0131larak hangi pozisyonlar\u0131n a\u011fr\u0131ya neden oldu\u011funu belirlemek gerekir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">A\u011fr\u0131n\u0131z\u0131n di\u011fer nedenlerini d\u0131\u015flamak i\u00e7in baz\u0131 g\u00f6r\u00fcnt\u00fcleme testleri de gerekli olabilir. Manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRI) ve bilgisayarl\u0131 tomografi (BT) piriformis kas\u0131n\u0131n geni\u015flemesini ortaya \u00e7\u0131karabilse de, bu g\u00f6r\u00fcnt\u00fcleme teknolojileri disk ve vertebral patolojik durumlar\u0131 d\u0131\u015flamakta en faydal\u0131d\u0131r. Lomber omurgan\u0131n tan\u0131sal g\u00f6r\u00fcnt\u00fclemesi; disk herniasyonu, artrit, k\u0131r\u0131klar ve patolojik kitleleri d\u0131\u015flamak i\u00e7in gereklidir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Elektrodiagnostik test, piriformisi di\u011fer ko\u015fullardan ay\u0131rt etmede faydal\u0131d\u0131r. Lomber b\u00f6lgedeki sinir s\u0131k\u0131\u015fmalar\u0131na genellikle EMG anormallikleri, kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc, distal ve proksimal olarak kaslar\u0131n atrofisi e\u015flik ederken, piriformis sendromda tipik olarak sadece distal kaslarda zay\u0131fl\u0131k ve atrofi sergiler. Ayr\u0131ca piriformis kas\u0131n\u0131n ultrasonu durumu te\u015fhis etmede yard\u0131mc\u0131 olabilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>Piriformis sendromu tedavisi<\/b><\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\"><b>Hareket egzersizleri aral\u0131\u011f\u0131<\/b>: Bir fizyoterapist ve chiropraktor, kaslar\u0131 germek ve spazm\u0131 azaltmak i\u00e7in \u00f6zelle\u015ftirilmi\u015f bir germe ve hareket aral\u0131\u011f\u0131 egzersizleri program\u0131 geli\u015ftirebilir.<\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Derin Masaj: <\/b>Kalifiye bir uzman taraf\u0131ndan yap\u0131lan derin masaj terapisinin (manuel serbest b\u0131rakma), b\u00f6lgeye kan ak\u0131\u015f\u0131n\u0131 art\u0131rarak ve kas spazm\u0131n\u0131 azaltarak iyile\u015fmeyi artt\u0131rd\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir.<\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Buz ve \u0131s\u0131 tedavisi<\/b>: Evde rahats\u0131zl\u0131\u011f\u0131 hafifletmenin basit bir yolu, a\u011fr\u0131l\u0131 b\u00f6lgeye cilde so\u011fuk kompres veya \u0131s\u0131tma yast\u0131\u011f\u0131 uygulamakt\u0131r. A\u011fr\u0131n\u0131n ba\u015flang\u0131c\u0131nda, rahat bir pozisyonda yat\u0131n ve a\u011fr\u0131l\u0131 b\u00f6lgeye yakla\u015f\u0131k 20 dakika boyunca bir buz paketi yerle\u015ftirin. Her 2-4 saatte bir tekrarlay\u0131n.<\/span><\/li><\/ul><p class=\"p5\"><span class=\"s1\"><b><span class=\"Apple-converted-space\">\u00a0\u00a0 \u00a0 \u00a0 <\/span><\/b><span class=\"Apple-converted-space\">\u00a0 <\/span>Hafif bir masaj\u0131 buzla birle\u015ftirmek daha yararl\u0131 olabilir. Y\u00fcz\u00fcst\u00fc uzan\u0131n ve birisinin a\u011fr\u0131l\u0131 b\u00f6lgeye b\u00fcy\u00fck bir buz k\u00fcp\u00fc ile hafif\u00e7e masaj yapmas\u0131n\u0131 isteyin. Belirli aktivitelere genellikle artan a\u011fr\u0131 e\u015flik ediyorsa, aktiviteden hemen sonra buz uygulamak iyi bir fikir olabilir.<\/span><\/p><p class=\"p5\"><span class=\"s1\"><span class=\"Apple-converted-space\">\u00a0\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Bazen so\u011fu\u011fu \u0131s\u0131 ile de\u011fi\u015ftirmenin yararl\u0131 oldu\u011funu d\u00fc\u015f\u00fcn\u00fclebilir. Bir \u0131s\u0131tma yast\u0131\u011f\u0131 kullan\u0131rsan\u0131z, a\u011fr\u0131l\u0131 b\u00f6lgeye 20 dakikaya kadar yerle\u015ftirin..<\/span><\/p><ul class=\"ul2\"><li class=\"li1\"><span class=\"s1\"><b>\u0130la\u00e7lar<\/b>: \u00c7o\u011fu a\u011fr\u0131 ata\u011f\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>bir t\u00fcr inflamasyon i\u00e7erdi\u011finden, ibuprofen veya naproksen gibi steroidal olmayan anti-enflamatuar ila\u00e7lar (NSA\u0130\u0130&#8217;lar) etkilenen b\u00f6lgedeki inflamasyonu azaltmaya yard\u0131mc\u0131 olur<\/span><\/li><\/ul><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\"><b>Piriformis enjeksiyonu<\/b>: Spazm\u0131 ve a\u011fr\u0131y\u0131 azaltmak i\u00e7in do\u011frudan piriformis kas\u0131na ultrasonografi e\u015fli\u011finde lokal anestezi ve kortikosteroid enjekte edilebilir. Bir enjeksiyonun amac\u0131 genellikle fizik tedavide ilerlemeyi sa\u011flamak i\u00e7in akut a\u011fr\u0131y\u0131 azaltmakt\u0131r.<\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Botox enjeksiyonu<\/b>: Anestezik \/ kortikosteroid enjeksiyonlar\u0131 ile tedaviye diren\u00e7li kal\u0131c\u0131 piriformis spazm\u0131 i\u00e7in, bir kas zay\u0131flat\u0131c\u0131 ajan olan botulinum toksini enjeksiyonu (\u00f6rne\u011fin Botox\u00ae) yararl\u0131 olabilir. Enjeksiyonun amac\u0131 kas\u0131n gev\u015femesine yard\u0131mc\u0131 olmak ve siyatik sinir \u00fczerindeki bask\u0131y\u0131 azaltmaya yard\u0131mc\u0131 olmakt\u0131r.<\/span><\/li><\/ul><p class=\"p6\"><span class=\"s1\">Her iki enjeksiyonun amac\u0131, hastan\u0131n germe ve fizik tedavi ile ilerlemesine yard\u0131mc\u0131 olmakt\u0131r, b\u00f6ylece enjeksiyonun etkisi \u00fczerinde oldu\u011funda kas gergin ve rahat kal\u0131r. <\/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>Priformis Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Priformis Priformis Siyatik a\u011fr\u0131s\u0131, kal\u00e7ada ba\u015flayan ve bir veya iki bacaktan \u00a0 ayaklara kadar\u00a0 inen;\u00a0 a\u011fr\u0131, uyu\u015fma ve kar\u0131ncalanmaya neden olabilen\u00a0 bir a\u011fr\u0131 tipidir. Siyatik a\u011fr\u0131s\u0131 genellikle bel b\u00f6lgesindeki sinirlere bask\u0131 veya tahri\u015fden kaynaklan\u0131r. Bu sinirler \u00fczerinde bask\u0131ya neden olan durumlardan biride piriformis sendromudur. Piriformis kas\u0131, kal\u00e7an\u0131n [&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\/479"}],"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=479"}],"version-history":[{"count":11,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/479\/revisions"}],"predecessor-version":[{"id":841,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/479\/revisions\/841"}],"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=479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}