{"id":305,"date":"2021-07-05T00:27:21","date_gmt":"2021-07-04T21:27:21","guid":{"rendered":"http:\/\/serdarcatav.com\/?page_id=305"},"modified":"2021-07-05T00:28:50","modified_gmt":"2021-07-04T21:28:50","slug":"karpal-tunel-sendromu","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ru\/bas-boyun-ve-ust-ekstemite-agrilari\/karpal-tunel-sendromu\/","title":{"rendered":"Karpal T\u00fcnel Sendromu"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"305\" class=\"elementor elementor-305\">\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\">Karpal T\u00fcnel Sendromu<\/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\">Karpal T\u00fcnel Sendromu<\/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\">Karpal T\u00fcnel Sendromu<\/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\">Karpal t\u00fcnel sendromu, bilekteki median sinirin s\u0131k\u0131\u015fmas\u0131na neden olan t\u0131bbi bir durumdur. Median sinir ve birka\u00e7 tendon (parmaklar\u0131m\u0131z\u0131 ve bile\u011fimizi esnetmemizi sa\u011flayan fleks\u00f6r tendonlar), koldan ele karpal t\u00fcnel ad\u0131 verilen k\u00fc\u00e7\u00fck bir bo\u015fluktan ge\u00e7erek ula\u015f\u0131r. Median<span class=\"Apple-converted-space\">\u00a0 <\/span>sinir, ba\u015fparma\u011f\u0131n avu\u00e7 i\u00e7i taraf\u0131ndaki hissini, i\u015faret parma\u011f\u0131n\u0131, orta parma\u011f\u0131 ve y\u00fcz\u00fck parma\u011f\u0131n\u0131n yar\u0131s\u0131n\u0131 kontrol eder.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Median sinirin s\u0131k\u0131\u015fmas\u0131 bilek ve elde uyu\u015fma, kar\u0131ncalanma ve g\u00fc\u00e7s\u00fczl\u00fc\u011fe yol a\u00e7abilir. Karpal t\u00fcnel ba\u015fparmak, i\u015faret ve orta parmakta elektrik \u00e7arpmas\u0131 hissi yaratabilir. A\u011fr\u0131 ayr\u0131ca koldan omuza do\u011fru veya dirsek ile bilek aras\u0131nda da hissedilebilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Karpal t\u00fcnel hastalar\u0131 geceleri uykudan uyand\u0131rabilecek a\u011fr\u0131lar\u0131 doktorlar\u0131na \u015fikayet edebilirler. Bir\u00e7ok insan bilekleriyle k\u0131vr\u0131lm\u0131\u015f pozisyonda uyudu\u011fundan, bu gece a\u011fr\u0131s\u0131na yol a\u00e7an median<span class=\"Apple-converted-space\">\u00a0 <\/span>sinirin s\u0131k\u0131\u015fmas\u0131na neden olabilir. Karpal t\u00fcnel semptomlar\u0131 da g\u00fcn i\u00e7inde, \u00f6zellikle ellerinde bir \u015feyler tutarken (telefon, kitap, aletler veya s\u00fcr\u00fc\u015f gibi) ortaya \u00e7\u0131kabilir ve genellikle elleri &#8220;sallayarak &#8221; veya<span class=\"Apple-converted-space\">\u00a0 <\/span>hareket ettirerek rahatlat\u0131labilir. Bu karpal t\u00fcnel semptomlar\u0131 zamanla yava\u015f yava\u015f sabit hale gelebilir ve bir \u015feyleri daha s\u0131k b\u0131rakmak gibi ek sorunlara neden olabilir. Ciddi vakalarda, ba\u015fparma\u011f\u0131n taban\u0131ndaki kaslar zay\u0131flar.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><span class=\"s1\"><b><span class=\"Apple-converted-space\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/b><\/span><\/p><p class=\"p3\"><span class=\"s1\"><b>Karpal T\u00fcnel Risk Fakt\u00f6rleri:<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">Karpal t\u00fcnel a\u011fr\u0131s\u0131 tedavi edilmezse, karpal t\u00fcnel sendromu median sinire ve inerve etti\u011fi kaslara zarar verebilir. Karpal t\u00fcnel sendromuna yakalanmada rol oynayabilecek \u00e7e\u015fitli fakt\u00f6rler vard\u0131r.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Kad\u0131nlar karpal t\u00fcnel sendromuna daha yatk\u0131nd\u0131r, \u00e7\u00fcnk\u00fc karpal t\u00fcnelleri genellikle erkeklere g\u00f6re daha k\u00fc\u00e7\u00fckt\u00fcr.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Diyabet ve alkolizm gibi kronik hastal\u0131klar median sinir hasar\u0131 riskinizi art\u0131r\u0131r. Romatoid artrit veya enfeksiyonlar gibi enflamatuar durumlar da karpal t\u00fcnel b\u00f6lgesinde iltihaplanmaya neden olarak median sinir \u00fczerinde bask\u0131ya neden olabilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\"><span class=\"Apple-converted-space\">\u00a0\u00a0 \u00a0 \u00a0 <\/span>Gebelik, obezite, menopoz ve tiroid rahats\u0131zl\u0131klar\u0131 s\u0131v\u0131 tutulmas\u0131ndan kaynaklanan artan bas\u0131n\u00e7 nedeniyle median sinirleriniz \u00fczerindeki bask\u0131y\u0131 art\u0131rabilir. Bu karpal t\u00fcnel sendromu riskinizi art\u0131r\u0131r. Genellikle gebelikte karpal t\u00fcnel sendromu genellikle bebek do\u011fum yapt\u0131ktan sonra d\u00fczelir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Median<span class=\"Apple-converted-space\">\u00a0 <\/span>sinir tahri\u015fi ve hasar\u0131nda i\u015f fakt\u00f6rleri de rol oynayabilir. Bilgisayarda uzun s\u00fcreli \u00e7al\u0131\u015fma buna \u00f6rnek olarak verilebilir. Titre\u015fimli aletlerle s\u0131k \u00e7al\u0131\u015fan veya \u00e7al\u0131\u015fmalar\u0131 s\u0131ras\u0131nda bilekte tekrarlayan esneme olan bireyler de karpal t\u00fcnel sendromuna yakalanma riskiyle kar\u015f\u0131 kar\u015f\u0131ya kalabilirler.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Karpal t\u00fcnel sendromunuz olup olmad\u0131\u011f\u0131n\u0131 te\u015fhis etmek i\u00e7in doktorunuz fiziksel bir muayene yapacak ve sa\u011fl\u0131\u011f\u0131n\u0131z ve g\u00fcnl\u00fck rutininizin yan\u0131 s\u0131ra bile\u011finizdeki a\u011fr\u0131ya yol a\u00e7m\u0131\u015f olabilecek son aktiviteleri sorgulayacakt\u0131r. Median<span class=\"Apple-converted-space\">\u00a0 <\/span>sinirinizin d\u00fczg\u00fcn \u00e7al\u0131\u015f\u0131p \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131 g\u00f6rmek ve semptomlar\u0131n\u0131za katk\u0131da bulunabilecek herhangi bir sa\u011fl\u0131k sorununu kontrol etmek i\u00e7in karpal t\u00fcnel klini\u011fi doktorunuz taraf\u0131ndan kan testleri ve sinir testi gibi baz\u0131 testler yap\u0131labilir.<\/span><\/p><p class=\"p1\"><span class=\"s1\"><b>Karpal T\u00fcnel A\u011fr\u0131 Y\u00f6netimi ve Tedavi Se\u00e7enekleri<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">Karpal t\u00fcnel a\u011fr\u0131s\u0131 belirtileriniz hafifse, karpal t\u00fcnel sendromunu evde tedavi edebilirsiniz. Karpal t\u00fcnel a\u011fr\u0131s\u0131 y\u00f6netimi i\u00e7in uyu\u015fma ve a\u011fr\u0131ya neden olan aktivitelerden ka\u00e7\u0131nmay\u0131 deneyin ve aktiviteler aras\u0131nda bile\u011finizi dinlendirin. Bile\u011finizi her saat veya iki saatte bir 10-15 dakika buzlay\u0131n. Geceleri ve m\u00fcmk\u00fcnse g\u00fcn boyunca bilek ateli takmak, bile\u011finizi n\u00f6tr bir pozisyonda tutmaya yard\u0131mc\u0131 olacak ve median sinirinizden bask\u0131y\u0131 alacakt\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p1\"><span class=\"s1\">Daha ileri semptomlar i\u00e7in ultrasonla karpal t\u00fcnel steroid enjeksiyonu uygulanarak hasta rahatlat\u0131labilir. Hastalar\u0131n<span class=\"Apple-converted-space\">\u00a0 <\/span>kolu supin pozisyona al\u0131n\u0131p bilekler sert d\u00fcz bir y\u00fczeye dayand\u0131r\u0131ld\u0131ktan sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>parmaklar yar\u0131 kapal\u0131 \u015fekilde tutulur. Enjeksiyon b\u00f6lgesinde gerekli antiseptik temizleme sa\u011fland\u0131ktan sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>ilk olarak usg ile<span class=\"Apple-converted-space\">\u00a0 <\/span>yer kaplayan lezyonlar\u0131 veya anatomik varyantlar\u0131 d\u0131\u015flamak i\u00e7in inceleme yap\u0131l\u0131r. Sonras\u0131nda , karpal t\u00fcneli proksimal (pisiform, scaphoid) ve distal olarak (trapezyum ve hamat) s\u0131n\u0131rlayan kemikli yap\u0131lar incelenir. Ultrasound ile<span class=\"Apple-converted-space\">\u00a0 <\/span>enine karpal ligament kemerli bir hiperekoik \u015ferit olarak tan\u0131mland\u0131ktan sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>median<span class=\"Apple-converted-space\">\u00a0 <\/span>sinir tan\u0131mlan\u0131r. Median sinir yak\u0131n\u0131na<span class=\"Apple-converted-space\">\u00a0 <\/span>%1 lidokain<span class=\"Apple-converted-space\">\u00a0 <\/span>ve<span class=\"Apple-converted-space\">\u00a0 <\/span>40 mg triamsinolon kar\u0131\u015f\u0131m\u0131<span class=\"Apple-converted-space\">\u00a0 <\/span>ile enjeksiyon<span class=\"Apple-converted-space\">\u00a0 <\/span>uygulanarak i\u015fleme son verilir.<\/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>Karpal T\u00fcnel Sendromu Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Karpal T\u00fcnel Sendromu Karpal T\u00fcnel Sendromu Karpal t\u00fcnel sendromu, bilekteki median sinirin s\u0131k\u0131\u015fmas\u0131na neden olan t\u0131bbi bir durumdur. Median sinir ve birka\u00e7 tendon (parmaklar\u0131m\u0131z\u0131 ve bile\u011fimizi esnetmemizi sa\u011flayan fleks\u00f6r tendonlar), koldan ele karpal t\u00fcnel ad\u0131 verilen k\u00fc\u00e7\u00fck bir bo\u015fluktan ge\u00e7erek ula\u015f\u0131r. Median\u00a0 sinir, ba\u015fparma\u011f\u0131n avu\u00e7 [&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\/ru\/wp-json\/wp\/v2\/pages\/305"}],"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=305"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/305\/revisions"}],"predecessor-version":[{"id":309,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/305\/revisions\/309"}],"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=305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}