{"id":502,"date":"2021-07-05T22:31:52","date_gmt":"2021-07-05T19:31:52","guid":{"rendered":"https:\/\/serdarcatav.com\/?page_id=502"},"modified":"2021-07-05T22:34:26","modified_gmt":"2021-07-05T19:34:26","slug":"genicular-sinir-blogu-ve-ablasyonu","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ru\/bel-bacak-ve-diz-agrilari\/genicular-sinir-blogu-ve-ablasyonu\/","title":{"rendered":"Genicular Sinir Blo\u011fu ve Ablasyonu"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"502\" class=\"elementor elementor-502\">\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\">Genicular Sinir Blo\u011fu ve Ablasyonu<\/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\">Genicular Sinir Blo\u011fu ve Ablasyonu<\/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\">Genicular Sinir Blo\u011fu ve Ablasyonu<\/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\">Diz, v\u00fccudun a\u011f\u0131rl\u0131k ta\u015f\u0131yan ana eklemlerinden birisi oldu\u011fundan , hayat\u0131m\u0131z boyunca \u00e7ok fazla a\u015f\u0131nma ve y\u0131pranmaya maruz kal\u0131r. Yaralanmalar, hastal\u0131klar ve ya\u015flanman\u0131n etkileri sonucunda<span class=\"Apple-converted-space\">\u00a0 <\/span>ortaya \u00e7\u0131kan durum<span class=\"Apple-converted-space\">\u00a0 <\/span>\u00f6nemli diz a\u011fr\u0131s\u0131na neden olur.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Kronik diz a\u011fr\u0131s\u0131 \u00e7eken herkes bunun i\u015f hayat\u0131 , zindelik ve g\u00fcnl\u00fck i\u015fler \u00fczerinde ne kadar b\u00fcy\u00fck bir etkisi oldu\u011funu bilir. \u0130leri derecede diz artriti olan ki\u015filerde a\u011fr\u0131, otururken veya uzan\u0131rken bile genellikle devam eder.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Diz ekleminde osteoartrit ilerledik\u00e7e a\u011fr\u0131 ve diz sertli\u011fi dayan\u0131lmaz hale gelebilir. Kilo kayb\u0131 gibi ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri ba\u015flang\u0131\u00e7ta rahatlama sa\u011flayabilir, ancak artrit ilerledik\u00e7e a\u011fr\u0131 her zaman geri d\u00f6ner. Bu durumda<span class=\"Apple-converted-space\">\u00a0 <\/span>en sonunda ila\u00e7 tedavisi<span class=\"Apple-converted-space\">\u00a0 <\/span>gibi geleneksel tedavilere yan\u0131t vermeyebilir duruma da gelir. Bu noktada, bir\u00e7ok hasta diz protezi yapt\u0131rmak zorunda kal\u0131r.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Bununla birlikte, bir\u00e7ok hasta <span class=\"Apple-converted-space\">\u00a0 <\/span>\u00e7oklu hastal\u0131klar\u0131 veya ameliyat olmay\u0131 istememeleri<span class=\"Apple-converted-space\">\u00a0 <\/span>nedeniyle<span class=\"Apple-converted-space\">\u00a0 <\/span>genicular sinir blo\u011fu ve<span class=\"Apple-converted-space\">\u00a0 <\/span>ablasyonu gibi daha yeni ve geli\u015fmi\u015f cerrahi olmayan tedavi se\u00e7eneklerini se\u00e7ebiliyorlar.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Genicular sinir blo\u011fu ve ablasyonu kronik diz a\u011fr\u0131s\u0131 \u00e7eken hastalarda bu b\u00f6lgenin a\u011fr\u0131 duyusunu ta\u015f\u0131yan sinirleri bloke ederek<span class=\"Apple-converted-space\">\u00a0 <\/span>diz a\u011fr\u0131s\u0131n\u0131n hafifletilmesi ve ayn\u0131 zamanda i\u015flevselli\u011finin<span class=\"Apple-converted-space\">\u00a0 <\/span>k\u0131smen de olsa geri<span class=\"Apple-converted-space\">\u00a0 <\/span>kazand\u0131r\u0131lmas\u0131 i\u00e7in yap\u0131lan bir i\u015flemdir.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Diz eklemi; femoral,<span class=\"Apple-converted-space\">\u00a0 <\/span>peroneal, safen, tibial ve obturator sinirler dahil olmak \u00fczere \u00e7e\u015fitli sinirlerin eklem dallar\u0131 taraf\u0131ndan innerve edilir. Diz ekleminin etraf\u0131ndaki bu dallar genicular sinirler olarak bilinir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>Genicular Sinir Blo\u011fu Kimlere Uygulanabilir<\/b><\/span><\/p><p class=\"p1\"><span class=\"s1\">* Osteoartrite sekonder kronik diz a\u011fr\u0131s\u0131 olan hastalar<\/span><\/p><p class=\"p1\"><span class=\"s1\">* Ba\u015far\u0131s\u0131z diz protezi olan hastalar<\/span><\/p><p class=\"p1\"><span class=\"s1\">* Diz protezi i\u00e7in uygun olmayan hastalar<\/span><\/p><p class=\"p1\"><span class=\"s1\">* Ameliyattan ka\u00e7\u0131nmak isteyen hastalar<\/span><\/p><p class=\"p1\"><span class=\"s1\">Bu i\u015flemin kronik diz a\u011fr\u0131s\u0131nda faydal\u0131 olup olmayaca\u011f\u0131n\u0131 anlamak i\u00e7in ilk \u00f6nce<span class=\"Apple-converted-space\">\u00a0 <\/span>tan\u0131sal genicular sinir blo\u011fu uygulan\u0131r. Bu enjeksiyonlar floroskopi e\u015fli\u011finde hastan\u0131n genicular sinirinin superior lateral (SL), superior medial (SM) ve inferior medial (IM) dallar\u0131n etraf\u0131na az miktarda lokal anestezi (1-2 ml)<span class=\"Apple-converted-space\">\u00a0 <\/span>lidokain veya bupivakain enjekte edilerek uygulan\u0131r. Bu i\u015flemden sonra 24 saat i\u00e7inde diz a\u011fr\u0131s\u0131nda en az %50 azalma varsa i\u015flem ba\u015far\u0131l\u0131 olacak demektir<span class=\"Apple-converted-space\">\u00a0 <\/span>ve hastaya daha uzun s\u00fcreli bir yan\u0131t i\u00e7in genicular sinirlerin radyofrekans ablasyon tedavisi uygulan\u0131r .Bu i\u015flemde ayn\u0131 genicular sinir blokaj\u0131 i\u015flemi gibi olmas\u0131na ra\u011fmen burada genicular sinirler <span class=\"Apple-converted-space\">\u00a0 <\/span>daha uzun etki elde etmek i\u00e7in (8 ay-1 y\u0131l)<span class=\"Apple-converted-space\">\u00a0 <\/span>lokal anestezik yerine<span class=\"Apple-converted-space\">\u00a0 <\/span>radyofrekans i\u011fneleriyle bloke edilmektedirler.<\/span><\/p><p class=\"p1\"><span class=\"s1\">Komplikasyonlar\u0131 son derece nadir olan<span class=\"Apple-converted-space\">\u00a0 <\/span>ve sedasyon alt\u0131nda uygulanan bu i\u015flem<span class=\"Apple-converted-space\">\u00a0 <\/span>g\u00fcn\u00fcbirliktir ve genellikle 10 ila 15 dakika s\u00fcrer. Hastalar 2 saat dinlendirildikten sonra evlerine g\u00f6nderilirler.<\/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>Genicular Sinir Blo\u011fu ve Ablasyonu Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Genicular Sinir Blo\u011fu ve Ablasyonu Genicular Sinir Blo\u011fu ve Ablasyonu Diz, v\u00fccudun a\u011f\u0131rl\u0131k ta\u015f\u0131yan ana eklemlerinden birisi oldu\u011fundan , hayat\u0131m\u0131z boyunca \u00e7ok fazla a\u015f\u0131nma ve y\u0131pranmaya maruz kal\u0131r. Yaralanmalar, hastal\u0131klar ve ya\u015flanman\u0131n etkileri sonucunda\u00a0 ortaya \u00e7\u0131kan durum\u00a0 \u00f6nemli diz a\u011fr\u0131s\u0131na neden olur. Kronik [&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\/ru\/wp-json\/wp\/v2\/pages\/502"}],"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=502"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/502\/revisions"}],"predecessor-version":[{"id":506,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/502\/revisions\/506"}],"up":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/345"}],"wp:attachment":[{"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/media?parent=502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}