{"id":262,"date":"2021-07-05T00:11:04","date_gmt":"2021-07-04T21:11:04","guid":{"rendered":"http:\/\/serdarcatav.com\/?page_id=262"},"modified":"2021-07-05T00:13:34","modified_gmt":"2021-07-04T21:13:34","slug":"sphenopalatine-ganglion-blogu-spg","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ru\/bas-boyun-ve-ust-ekstemite-agrilari\/sphenopalatine-ganglion-blogu-spg\/","title":{"rendered":"Sphenopalatine Ganglion Blo\u011fu (SPG)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"262\" class=\"elementor elementor-262\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ea2fb0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ea2fb0\" 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-eb32662\" data-id=\"eb32662\" 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-acd9deb elementor-widget elementor-widget-heading\" data-id=\"acd9deb\" 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\">Sphenopalatine Ganglion Blo\u011fu<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-080e949 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"080e949\" 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\">Sphenopalatine Ganglion Blo\u011fu<\/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-4798e02 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4798e02\" 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-6e7f2c4\" data-id=\"6e7f2c4\" 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-7801f6a elementor-widget elementor-widget-heading\" data-id=\"7801f6a\" 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\">Sphenopalatine Ganglion Blo\u011fu<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f7dcafc elementor-widget elementor-widget-text-editor\" data-id=\"f7dcafc\" 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\">Sphenopalatine ganglion (SPG)<span class=\"Apple-converted-space\">\u00a0 <\/span>bloklar\u0131 uzun zamandan beri ba\u015f a\u011fr\u0131s\u0131n\u0131n tedavisinde kullan\u0131lmaktad\u0131r. SPG blo\u011fu k\u00fcme ba\u015f a\u011fr\u0131s\u0131, migren, trigeminal nevralji gibi primer ba\u015f a\u011fr\u0131s\u0131nda ba\u015far\u0131l\u0131 \u015fekilde uygulanmaktad\u0131r. Sphenopalatine ganglion (SPG), hem duyusal hem de otonom liflere sahip ekstrakraniyal bir parasempatik gangliondur. Migren ve di\u011fer primer ba\u015f a\u011fr\u0131s\u0131 bozukluklar\u0131nda s\u0131kll\u0131kla g\u00f6r\u00fclen<span class=\"Apple-converted-space\">\u00a0 <\/span>mide bulant\u0131s\u0131, lakrimasyon, burun t\u0131kan\u0131kl\u0131\u011f\u0131 gibi<span class=\"Apple-converted-space\">\u00a0 <\/span>yayg\u0131n<span class=\"Apple-converted-space\">\u00a0 <\/span>semptomlar\u0131n<span class=\"Apple-converted-space\">\u00a0 <\/span>parasempatik sinir aktivasyonundan kaynakland\u0131\u011f\u0131 bilinmektedir. Bu y\u00fczden , kraniyal ve y\u00fcz yap\u0131lar\u0131na b\u00fcy\u00fck parasempatik \u00e7\u0131k\u0131\u015f\u0131 olan SPG&#8217;yi bloke etmek, bu bozukluklarda g\u00f6r\u00fclen a\u011fr\u0131 ve otonom \u00f6zelliklerin giderilmesine yard\u0131mc\u0131 olmaktad\u0131r.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Prosed\u00fcr hasta i\u015fbirli\u011fini gerektirir; bu nedenle lokal anestezi ve hafif sedasyon alt\u0131nda yap\u0131l\u0131r. Hasta<span class=\"Apple-converted-space\">\u00a0 <\/span>s\u0131rt\u00fcst\u00fc yat\u0131r\u0131l\u0131p i\u015flem b\u00f6lgesi i\u00e7in gerekli antisepsi<span class=\"Apple-converted-space\">\u00a0 <\/span>uyguland\u0131ktan sonra C kollu floroskopi k\u0131lavuzlu\u011funda, y\u00fcz\u00fcn lateral floroskopik g\u00f6r\u00fcn\u00fcm\u00fc, mandibular ramiyi \u00fcst \u00fcste bindirerek elde edilir. %1 lidokain ile zigomatik kemerin a\u015fa\u011f\u0131s\u0131ndan ve mandibulan\u0131n \u00f6n k\u0131sm\u0131ndan<span class=\"Apple-converted-space\">\u00a0 <\/span>cilt anestezisi olu\u015fturulur.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Hafif b\u00fck\u00fclm\u00fc\u015f u\u00e7lu 22 veya 25-gauge<span class=\"Apple-converted-space\">\u00a0 <\/span>spinal<span class=\"Apple-converted-space\">\u00a0 <\/span>i\u011fne, lateral floroskopik rehberlik ile s\u00fcperomedial olarak yerle\u015ftirilir. Bu g\u00f6r\u00fcn\u00fcm, i\u011fneyi pterygopalatine fossa&#8217;ya do\u011fru ilerletirken kullan\u0131lan ana g\u00f6r\u00fcn\u00fcmd\u00fcr. \u0130\u011fnenin derinli\u011fini kontrol etmek ve burun duvar\u0131nda herhangi bir zarar olmas\u0131n\u0131 \u00f6nlemek i\u00e7in aral\u0131kl\u0131 olarak bir anteroposterior (AP) g\u00f6r\u00fcn\u00fcm\u00fc elde edilir. \u0130\u011fne ucu, AP g\u00f6r\u00fcn\u00fcm\u00fcnde g\u00f6sterilerek<span class=\"Apple-converted-space\">\u00a0 <\/span>ipsilateral burun duvar\u0131na hemen yanal olarak sonlanmal\u0131d\u0131r. Son i\u011fne konumland\u0131rmas\u0131n\u0131 takiben, intravask\u00fcler yay\u0131lmay\u0131 ekarte etmek ve kontrast maddeninin pterygopalatine fossa i\u00e7indeki yay\u0131lmas\u0131n\u0131 onaylamak i\u00e7in canl\u0131 floroskopik g\u00f6r\u00fcnt\u00fcleme alt\u0131na 0,2 mL kontrast madde<span class=\"Apple-converted-space\">\u00a0 <\/span>enjekte edilir. Yer do\u011fruland\u0131ktan sonra deksametazonlu veya deksametazonsuz % 1 lidokainden olu\u015fan 5ml ila\u00e7 kar\u0131\u015f\u0131m\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>yava\u015f\u00e7a<span class=\"Apple-converted-space\">\u00a0 <\/span>enjekte edilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Hastan\u0131n a\u011fr\u0131 d\u00fczeyinde azalmada ba\u015far\u0131 sa\u011flan\u0131rsa daha uzun etki elde etmek i\u00e7in<span class=\"Apple-converted-space\">\u00a0 \u00a0 <\/span>SPG<span class=\"Apple-converted-space\">\u00a0 <\/span>Radyofrekans ablasyon tekni\u011fi ile bloke edilerek de\u011ferli ve potansiyel olarak daha uzun \u00f6m\u00fcrl\u00fc bir ba\u015far\u0131 sa\u011flanmaktad\u0131r.<\/span><\/p><p class=\"p1\"><span class=\"s1\">\u0130\u015flem sonras\u0131nda nadiren baz\u0131 komplikasyonlar g\u00f6r\u00fclebilir. Bunlar burun kanamas\u0131, yanakta hematom, maksiller sinir ve arterde yaralanma , hipoestezi, diplopi (\u00e7ift g\u00f6rme),<span class=\"Apple-converted-space\">\u00a0 <\/span>enfeksiyon ve fasiyal sinir paralizisi geli\u015febilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">SPG blo\u011fu non-invazif ve<span class=\"Apple-converted-space\">\u00a0 <\/span>g\u00fcn\u00fcbirlik olarak<span class=\"Apple-converted-space\">\u00a0 <\/span>bir ameliyathanede floroskopi e\u015fli\u011finde yap\u0131lan bir i\u015flemdir. Hastalar i\u015flemden 3 saat sonra taburcu edilirler<\/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-42acf79 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"42acf79\" 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=\"#\">\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\">Get Appointment<\/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>Sphenopalatine Ganglion Blo\u011fu Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Sphenopalatine Ganglion Blo\u011fu Sphenopalatine Ganglion Blo\u011fu Sphenopalatine ganglion (SPG)\u00a0 bloklar\u0131 uzun zamandan beri ba\u015f a\u011fr\u0131s\u0131n\u0131n tedavisinde kullan\u0131lmaktad\u0131r. SPG blo\u011fu k\u00fcme ba\u015f a\u011fr\u0131s\u0131, migren, trigeminal nevralji gibi primer ba\u015f a\u011fr\u0131s\u0131nda ba\u015far\u0131l\u0131 \u015fekilde uygulanmaktad\u0131r. Sphenopalatine ganglion (SPG), hem duyusal hem de otonom liflere sahip ekstrakraniyal bir parasempatik [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":254,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_joinchat":[]},"_links":{"self":[{"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/262"}],"collection":[{"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/comments?post=262"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/262\/revisions"}],"predecessor-version":[{"id":266,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/262\/revisions\/266"}],"up":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/254"}],"wp:attachment":[{"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/media?parent=262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}