{"id":796,"date":"2021-07-12T10:14:28","date_gmt":"2021-07-12T07:14:28","guid":{"rendered":"https:\/\/serdarcatav.com\/?page_id=796"},"modified":"2021-07-12T10:16:23","modified_gmt":"2021-07-12T07:16:23","slug":"epidural-steroid-enjeksiyonlari","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ar\/bas-boyun-ve-ust-ekstemite-agrilari\/epidural-steroid-enjeksiyonlari\/","title":{"rendered":"Epidural Steroid Enjeksiyonlar\u0131 (ES\u0130)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"796\" class=\"elementor elementor-796\">\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 Steroid Enjeksiyonlar\u0131<\/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=\"https:\/\/serdarcatav.com\/omuz-agrilari\/\">\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\">Omuz 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 Steroid Enjeksiyonlar\u0131<\/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 Steroid Enjeksiyonlar\u0131 (ES\u0130)<\/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\">Epidural steroid enjeksiyonlar\u0131 (ES\u0130), sinir k\u00f6k\u00fc s\u0131k\u0131\u015fmas\u0131n\u0131n neden oldu\u011fu inflamasyon ve a\u011fr\u0131y\u0131 azaltmaya yard\u0131mc\u0131 olmak i\u00e7in yap\u0131lan minimal invaziv bir i\u015flemdir. Sinir kompresyonlar\u0131na f\u0131t\u0131kla\u015fm\u0131\u015f diskler, kemiksi \u00e7\u0131k\u0131nt\u0131lar veya spinal stenoz neden olur. Buda radik\u00fclopati olarak adland\u0131r\u0131lan sinir hatt\u0131 <span class=\"Apple-converted-space\">\u00a0 <\/span>boyunca a\u011fr\u0131, uyu\u015fma veya kuvvetsizlik<span class=\"Apple-converted-space\">\u00a0 <\/span>\u015feklindeki <span class=\"Apple-converted-space\">\u00a0 <\/span>belirtilerin ortaya \u00e7\u0131kmas\u0131na neden olur. Tedavi edilmezse bu<span class=\"Apple-converted-space\">\u00a0 <\/span>semptomlar g\u00fcnler hatta y\u0131llar s\u00fcrebilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Epidural steroid enjeksiyonunun amac\u0131, sinir k\u00f6k\u00fc boyunca inflamasyonu azaltmaya yard\u0131mc\u0131 olarak semptomlar\u0131 tedavi etmektir. Epidural b\u00f6lgeye uygulanan ila\u00e7 , triamsinolon, deksametazon gibi bir kortikosteroid ve lidokain gibi bir lokal anestezik<span class=\"Apple-converted-space\">\u00a0 <\/span>madde i\u00e7erir. \u0130la\u00e7 epidural bo\u015fluk ad\u0131 verilen<span class=\"Apple-converted-space\">\u00a0 <\/span>omurga kemi\u011fi ve spinal sinirin<span class=\"Apple-converted-space\">\u00a0 <\/span>koruyucu tabakas\u0131 aras\u0131ndaki ya\u011f dolu b\u00f6lgeye enjekte edilir. Bu enjeksiyonlar a\u011fr\u0131y\u0131 azaltmak i\u00e7in yap\u0131lmaktad\u0131r. B\u00f6ylelikle<span class=\"Apple-converted-space\">\u00a0 <\/span>normal aktivite ve fizik tedavi program\u0131 devam ettirilebilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Epidural Steroid enjeksiyonlar\u0131 yap\u0131lan b\u00f6lgeye veya uygulanma \u015fekline<span class=\"Apple-converted-space\">\u00a0 <\/span>g\u00f6re de\u011fi\u015fik \u015fekilde s\u0131n\u0131fland\u0131r\u0131l\u0131rlar. Epidural Steroidleri enjeksiyonun<span class=\"Apple-converted-space\">\u00a0 <\/span>yap\u0131ld\u0131klar\u0131 b\u00f6lgeye<span class=\"Apple-converted-space\">\u00a0 <\/span>g\u00f6re;<\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\">Boyun b\u00f6lgesine<span class=\"Apple-converted-space\">\u00a0 <\/span>yap\u0131l\u0131rsa <b>servikal epidural enjeksiyonlar<\/b><span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><li class=\"li1\"><span class=\"s1\">S\u0131rt b\u00f6lgesine yap\u0131l\u0131rsa <b>torasik epidural steroid enjeksiyonlar<\/b><\/span><\/li><li class=\"li1\"><span class=\"s1\">Bel b\u00f6lgesine yap\u0131l\u0131rsa<span class=\"Apple-converted-space\">\u00a0 <\/span><b>lomber epidural<span class=\"Apple-converted-space\">\u00a0 <\/span>steroid enjeksiyonlar<\/b><\/span><\/li><li class=\"li1\"><span class=\"s1\">Kuyruk sokumu b\u00f6lgesine yap\u0131l\u0131rsa<span class=\"Apple-converted-space\">\u00a0 <\/span><b>kaudal epidural steroid enjeksiyon<\/b> \u015feklinde s\u0131n\u0131fland\u0131rabiliriz<\/span><\/li><\/ul><p class=\"p1\"><span class=\"s1\">Enjeksiyonlar ayr\u0131ca epidural b\u00f6lgeye ula\u015fma \u015fekline g\u00f6rede s\u0131n\u0131fland\u0131r\u0131labilir;<\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\"><b>\u0130nterlaminar epidural steroid enjeksiyonunda<\/b> <span class=\"Apple-converted-space\">\u00a0 <\/span>epidural b\u00f6lgeye<span class=\"Apple-converted-space\">\u00a0 <\/span>laminalar aras\u0131ndan ge\u00e7erek ula\u015f\u0131l\u0131p enjeksiyon uygulan\u0131r. En yayg\u0131n kullan\u0131lan\u0131n<span class=\"Apple-converted-space\">\u00a0 <\/span>enjeksiyon \u015feklidir.<\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Transforaminal<span class=\"Apple-converted-space\">\u00a0 <\/span>epidural steroid enjeksiyonunda<\/b> i\u011fne<span class=\"Apple-converted-space\">\u00a0 <\/span>sinirin omurgadan \u00e7\u0131kt\u0131\u011f\u0131 transforaminal denilen b\u00f6lgedeki epidural b\u00f6lgeye ula\u015f\u0131larak<span class=\"Apple-converted-space\">\u00a0 <\/span>uygulan\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><\/ul><p class=\"p4\"><span class=\"s1\"><b>Neden yap\u0131l\u0131r ?<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">Bu steroid enjeksiyonlar\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>boyun, kol, s\u0131rt, bel a\u011fr\u0131s\u0131 veya siyatik olan hastalarda kullan\u0131l\u0131r. Bu tedavinin ciddi inflamatuar durumlar\u0131 olanlar i\u00e7in yararl\u0131 oldu\u011fu kan\u0131tlanm\u0131\u015ft\u0131r. A\u015fa\u011f\u0131daki ko\u015fullara sahip hastalar epidural steroid enjeksiyonlar\u0131 i\u00e7in adaylard\u0131r:<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\"><b>Spinal stenoz (Kanal Darl\u0131\u011f\u0131):<\/b> Spinal kanal ve sinir k\u00f6k kanal\u0131n\u0131n daralmas\u0131<\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Spondilolistezis (Bel Kaymas\u0131):<\/b> Omurlar aras\u0131nda<span class=\"Apple-converted-space\">\u00a0 <\/span>kayma olu\u015fursa , sinir k\u00f6klerini s\u0131k\u0131\u015ft\u0131rarak a\u011fr\u0131ya neden olur.<\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>F\u0131t\u0131kla\u015fm\u0131\u015f Disk:<\/b> Diskin i\u00e7indeki malzeme k\u0131k\u0131rda\u011f\u0131n zay\u0131f bir b\u00f6lgesinden \u00e7\u0131k\u0131nt\u0131 yapabilir veya y\u0131rt\u0131labilir ve spinal sinir ile temas edebilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Dejeneratif disk:<\/b> Disk alan\u0131n\u0131n \u00e7\u00f6kmesine veya kemiksi \u00e7\u0131k\u0131nt\u0131lar\u0131n b\u00fcy\u00fcmesine neden olan bir vertebral diskin par\u00e7alanmas\u0131 veya ya\u015flanmas\u0131.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><li class=\"li1\"><span class=\"s1\"><b>Siyatik:<\/b> A\u011fr\u0131n\u0131n kal\u00e7alara ve bacaklara girmesine neden olan sinirlerin s\u0131k\u0131\u015fmas\u0131d\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/li><\/ul><p class=\"p1\"><span class=\"s1\">Prosed\u00fcr\u00fc ger\u00e7ekle\u015ftirecek olan doktor, enjeksiyonlar i\u00e7in en iyi yakla\u015f\u0131m\u0131 planlamak i\u00e7in t\u0131bbi ge\u00e7mi\u015finizi ve \u00f6nceki g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131n\u0131z\u0131 g\u00f6zden ge\u00e7irir. Kan inceltici ila\u00e7lar alan hastalar (Coumadin, Plavix, vb.)<span class=\"Apple-converted-space\">\u00a0 <\/span>i\u015flemden birka\u00e7 g\u00fcn \u00f6nce almay\u0131 b\u0131rakman\u0131z gerekir. Kan testleri yap\u0131larak p\u0131ht\u0131la\u015fma veya enfeksiyon kontrolleri yap\u0131l\u0131r. Ayr\u0131ca i\u015fleme 4-5 saatlik a\u00e7l\u0131kla gelmeniz istenebilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Prosed\u00fcr 15-45 dakika s\u00fcren g\u00fcn\u00fcbirlik bir i\u015flemdir. Prosed\u00fcr genellikle X-\u0131\u015f\u0131n\u0131 olan floroskopi kullan\u0131larak ayakta tedavi merkezinde yap\u0131l\u0131r. Hasta bir floroskopi masas\u0131nda yatt\u0131ktan sonra lokal anestezi, tedavi alan\u0131n\u0131 uyu\u015fturmak i\u00e7in kullan\u0131l\u0131r, bu nedenle prosed\u00fcr boyunca rahats\u0131zl\u0131k minimaldir. Hasta, doktora geri bildirim sa\u011flamak i\u00e7in minimal sedasyon uygulanarak enjeksiyon s\u0131ras\u0131nda uyan\u0131k ve fark\u0131nda kal\u0131r. \u0130\u015flem sonras\u0131nda 2-3 saat takip edilerek taburcu edilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Bir\u00e7ok hasta ESI&#8217;den <span class=\"Apple-converted-space\">\u00a0 <\/span>fayda sa\u011flar. Bazen tam etkiyi elde etmek i\u00e7in genellikle 1-4 hafta aral\u0131klarla bir ila iki enjeksiyon daha yap\u0131labilir. A\u011fr\u0131 kesici etkinlik s\u00fcresi<span class=\"Apple-converted-space\">\u00a0 <\/span>ki\u015fiye g\u00f6re de\u011fi\u015ferek aylar<span class=\"Apple-converted-space\">\u00a0 <\/span>veya y\u0131llar s\u00fcrebilir. Enjeksiyonlar, omurga kaslar\u0131n\u0131 g\u00fc\u00e7lendirmek ve gelecekteki a\u011fr\u0131 ataklar\u0131n\u0131 \u00f6nlemek i\u00e7in bir fizik tedavi ve\/veya ev egzersiz program\u0131 ile birlikte planlan\u0131r.<\/span><\/p><p class=\"p4\"><span class=\"s1\"><b>Epidural Steroid enjeksiyonlar\u0131 ile ilgili riskler<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">ES\u0130 prosed\u00fcrleri uzun y\u0131llard\u0131r uygulanmakta ve g\u00fcvenli ve etkili bir tedavi olarak kabul edilmektedir. Nadir olmas\u0131na ra\u011fmen, baz\u0131 hastalar ila\u00e7tan yan etkiler ya\u015farlar. Hastalar, d\u00fc\u015f\u00fck dereceli bir ate\u015fin e\u015flik edebilece\u011fi y\u00fcz ve g\u00f6\u011f\u00fcs\u00fcn k\u0131zarmas\u0131 olan bir \u201csteroid flush\u201d ya\u015fayabilir. Ayr\u0131ca<span class=\"Apple-converted-space\">\u00a0 <\/span>ge\u00e7ici s\u00fcreyle uyku sorunlar\u0131 , hiperglisemi, hipertansiyon ,v\u00fccutta \u00f6dem (ge\u00e7ici su tutma) ve<span class=\"Apple-converted-space\">\u00a0 <\/span>anksiyete ya\u015fayabilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Ciddi komplikasyonlar \u00e7ok nadirdir, ancak, kanama , enfeksiyon, sinir hasar\u0131 veya kontrast madde alerjisi gibi<span class=\"Apple-converted-space\">\u00a0 <\/span>durumlar\u0131 i\u00e7erebilir. Bu prosed\u00fcr floroskopik rehberlik ile ger\u00e7ekle\u015ftirildi\u011finde, risk en aza indirilir. Genel olarak, bu tip prosed\u00fcr ve enjeksiyon \u00e7o\u011fu hasta taraf\u0131ndan \u00e7ok iyi tolere edilir.<\/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 Steroid Enjeksiyonlar\u0131 Anasayfa Omuz A\u011fr\u0131lar\u0131 Epidural Steroid Enjeksiyonlar\u0131 Epidural Steroid Enjeksiyonlar\u0131 (ES\u0130) Epidural steroid enjeksiyonlar\u0131 (ES\u0130), sinir k\u00f6k\u00fc s\u0131k\u0131\u015fmas\u0131n\u0131n neden oldu\u011fu inflamasyon ve a\u011fr\u0131y\u0131 azaltmaya yard\u0131mc\u0131 olmak i\u00e7in yap\u0131lan minimal invaziv bir i\u015flemdir. Sinir kompresyonlar\u0131na f\u0131t\u0131kla\u015fm\u0131\u015f diskler, kemiksi \u00e7\u0131k\u0131nt\u0131lar veya spinal stenoz neden olur. Buda radik\u00fclopati olarak adland\u0131r\u0131lan sinir hatt\u0131 \u00a0 boyunca a\u011fr\u0131, uyu\u015fma [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":254,"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\/796"}],"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=796"}],"version-history":[{"count":10,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/796\/revisions"}],"predecessor-version":[{"id":807,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/796\/revisions\/807"}],"up":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/pages\/254"}],"wp:attachment":[{"href":"https:\/\/serdarcatav.com\/ar\/wp-json\/wp\/v2\/media?parent=796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}