{"id":659,"date":"2021-07-11T00:29:34","date_gmt":"2021-07-10T21:29:34","guid":{"rendered":"http:\/\/serdarcatav.com\/?page_id=659"},"modified":"2021-07-11T00:31:59","modified_gmt":"2021-07-10T21:31:59","slug":"omuz-kol-agrilari","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/ru\/agrilarimiz\/omuz-kol-agrilari\/","title":{"rendered":"Omuz &#8211; Kol A\u011fr\u0131lar\u0131"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"659\" class=\"elementor elementor-659\">\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\">Omuz - Kol A\u011fr\u0131lar\u0131\n<\/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\/hastaliklar\/\">\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\">Hastal\u0131klar<\/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\">Omuz - Kol A\u011fr\u0131lar\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\">Omuz - Kol A\u011fr\u0131lar\u0131<\/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\"><b>Omuz Anatomisi ve Omuz A\u011fr\u0131s\u0131<\/b><\/span><\/p><p class=\"p2\"><span class=\"s1\">Omuz anatomisi, yap\u0131s\u0131nda bulunan k\u00f6pr\u00fcc\u00fck kemi\u011fi, k\u00fcrek kemi\u011fi ve kol kemi\u011fi ile bunlar\u0131n etraf\u0131n\u0131 saran yumu\u015fak dokulardan olu\u015fur. Yumu\u015fak dokulardan kaps\u00fcl, ligament, tendon, bursa ya da kas gibi yap\u0131lar zedelendi\u011fi zaman omuzda birtak\u0131m a\u011fr\u0131lar g\u00f6r\u00fcl\u00fcr. Omuzda eklem yap\u0131s\u0131 olduk\u00e7a hareketli oldu\u011fundan omuz a\u011fr\u0131lar\u0131 \u00e7ok s\u0131k ya\u015fan\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Omuz a\u011fr\u0131lar\u0131 bir\u00e7ok nedenden kaynaklanabilir. Bunlar\u0131n bir k\u0131sm\u0131 omuz ekleminden kaynakland\u0131\u011f\u0131 gibi bir k\u0131sm\u0131 da omza yans\u0131yan a\u011fr\u0131lar olabilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>A) Omuz Ekleminden Kaynaklanan A\u011fr\u0131lar: <\/b>Omuz ekleminin a\u015f\u0131r\u0131 kullan\u0131m\u0131ndan kaynaklanan a\u011fr\u0131lar\u0131n\u0131 5 gruba ay\u0131rarak inceleyebiliriz.<\/span><\/p><p class=\"p2\"><span class=\"s1\">-\u0130mpingement (s\u0131k\u0131\u015fma) sendromlar\u0131<\/span><\/p><p class=\"p2\"><span class=\"s1\">-Donuk Omuz<\/span><\/p><p class=\"p2\"><span class=\"s1\">-Omuz Eklemi Artriti<\/span><\/p><p class=\"p2\"><span class=\"s1\">-Subakromial Bursit<\/span><\/p><p class=\"p2\"><span class=\"s1\">-Biseps Tendiniti ve Y\u0131rt\u0131\u011f\u0131<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>1.\u0130mpingement (s\u0131k\u0131\u015fma) Sendromlar\u0131: <\/b>Omuzda yer alan rotator cuff kaslar\u0131 omuz hareketlerinde olduk\u00e7a \u00f6nemli bir yere sahiptir. Supraspinatus, infraspinatus, teres min\u00f6r ve subscapularis kaslar\u0131n\u0131n olu\u015fturdu\u011fu rotatar cuff yap\u0131s\u0131, omuz ekleminin stabilizasyonunu sa\u011flayan \u00f6nemli olu\u015fumlard\u0131r. Bu olu\u015fum kola; abd\u00fcksiyon, abd\u00fcksiyon, i\u00e7 ve d\u0131\u015f rotasyon yapt\u0131r\u0131r. \u0130mpingement sendromlar\u0131 rotatar cuff kaslar\u0131n\u0131n fonksiyonunu yerine getirememesi sonucunda olu\u015fur. Omuz a\u011fr\u0131lar\u0131 i\u00e7erisinde en s\u0131k g\u00f6r\u00fclen tiplerdir. Her ya\u015ftan insanlar\u0131 etkileyebildi\u011fi gibi olu\u015fan omuz a\u011fr\u0131lar\u0131 da son derece inat\u00e7\u0131 tarzda olabilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>a) Rotatar Cuff Tendiniti: <\/b>Rotatar cuff yap\u0131s\u0131nda yer alan kaslar\u0131n tendonlar\u0131ndaki inflamasyondur. Daha \u00e7ok a\u011f\u0131r bir \u015feyi atma veya f\u0131rlatma yapan ki\u015filerde g\u00f6r\u00fcl\u00fcr. Ani hareketler yapan bu ki\u015filerde tendinit sinsi bir ilerleme g\u00f6sterir. A\u011fr\u0131 \u00f6yle bir boyuta gelir ki zamanla ki\u015fi zamanla kolunun \u00fczerine yatamaz. Kolun t\u00fcm hareketlerinin k\u0131s\u0131tland\u0131\u011f\u0131 bu hastal\u0131kta a\u011fr\u0131l\u0131 kavis belirtisi pozitiftir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p2\"><span class=\"s1\">Rotatar cuff kaslar\u0131n\u0131n inflamasyonunda ilk etapta istirahat ve nonsteroid antiinflamatuar ila\u00e7 kullan\u0131m\u0131 olduk\u00e7a fayda sa\u011flar. Birka\u00e7 hafta sonra d\u00fczelme olmad\u0131\u011f\u0131 takdirde hastan\u0131n fizyoterapi tedavisi almas\u0131 sa\u011flan\u0131r. Derin \u0131s\u0131t\u0131c\u0131lar ile sa\u011flanan bu fizyoterapi tedavisi de i\u015fe yaramazsa mutlaka b\u00f6lgeye lokal kortizon (Steroid) enjeksiyon tedavisi uygulamak gerekir. Ancak burada ikiden fazla enjeksiyon yapmamak ve iki enjeksiyon aras\u0131ndaki s\u00fcreyi en az 3 haftayla s\u0131n\u0131rlamak unutulmamal\u0131d\u0131r. Akut d\u00f6nemi tamamlad\u0131ktan sonra birtak\u0131m egzersizler ile rotatar cuff kaslar\u0131n\u0131 kuvvetli hale getirmek son derece faydal\u0131 olacakt\u0131r. Subakromial dekompresyon uygulamas\u0131 kronik vakalarda denenebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>b) Kalsifik Tendinit: <\/b>Genellikle 4.dekaddan sonra g\u00f6r\u00fclen bu tendon inflamasyonunda birtak\u0131m kalsifikasyonlar g\u00f6r\u00fcl\u00fcr. Rotatar cuff kaslar\u0131n\u0131n tendonlar\u0131 inflame haldedir ve etraf\u0131nda daha \u00e7ok kalsiyum ta\u015flar\u0131 birikir. Kalsifikasyonlar artt\u0131k\u00e7a a\u011fr\u0131 \u015fiddeti de artacakt\u0131r. Ataklar\u0131n s\u0131kl\u0131\u011f\u0131 artacak ve s\u00fcresi de bazen aylar\u0131 bulacakt\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Tedavide istirahat ve so\u011fuk kompresyon uygulamas\u0131 fayda sa\u011flar. \u0130lerleyen vakalara fizyoterapi eklemek son derece faydal\u0131d\u0131r. Olay kronikle\u015ftik\u00e7e kontroll\u00fc kortizon enjeksiyonu yap\u0131labilir. Fakat dikkatli olunmal\u0131d\u0131r. \u00d6zensiz yap\u0131lan kortizonlar rotatar cuff b\u00f6lgesinin kat\u0131la\u015fmas\u0131na ve oradaki ba\u011flar\u0131n kopmas\u0131na neden olabilir. Hareketler k\u0131s\u0131tlanaca\u011f\u0131 i\u00e7in hastalara omuz ask\u0131lar\u0131 tavsiye edilebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>c) Subakromial S\u0131k\u0131\u015fma Sendromu: <\/b>Paz\u0131 kemi\u011finin ba\u015f\u0131 ile k\u00fcrek kemi\u011finin akromion b\u00f6lgesi aras\u0131nda, rotatar cuff kaslar\u0131n\u0131n zay\u0131fl\u0131\u011f\u0131 ve eklem b\u00f6lgelerinin kire\u00e7lenmesi neticesinde subakromial s\u0131k\u0131\u015fma sendromu ya\u015fanabilir. Hayat\u0131n 2. ile 6. dekadlar\u0131 aras\u0131nda daha s\u0131k g\u00f6r\u00fclen bu sendromda tendonlarda \u00f6dem, inflamasyon ve y\u0131pranma vard\u0131r. Eklem hareket ettirilirken krepitasyon sesleri duyulabilir. Tedavide nonsteroid antiinflamatuar ila\u00e7, fizyoterapi, kortizon enjeksiyonu fayda sa\u011flamaktad\u0131r. \u0130leri vakalarda cerrahi tedavi y\u00f6ntemleri d\u00fc\u015f\u00fcn\u00fclebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>d) Rotatar Cuff Y\u0131rt\u0131\u011f\u0131: <\/b>Daha \u00e7ok 50 ya\u015f \u00fczerindeki ki\u015filerin omuzda a\u015f\u0131r\u0131 derecede abd\u00fcksiyon yapmalar\u0131 sonucunda rotatar cuff b\u00f6lgesinde y\u0131rt\u0131klar olu\u015fabilir. A\u011fr\u0131l\u0131 kavis ve kol d\u00fc\u015fme testi s\u0131kl\u0131kla pozitif \u00e7\u0131kan hastalarda tendinit tedavisi uygulanmaktad\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>2.Donuk Omuz: <\/b>Omzun hem pasif hem de aktif hareketlerinin k\u0131s\u0131tland\u0131\u011f\u0131 bu hastal\u0131k, genelde orta ya\u015f kad\u0131nlarda kolun a\u011fr\u0131 nedeni ile uzun s\u00fcre hareketsiz kald\u0131\u011f\u0131 durumlarda ortaya \u00e7\u0131kar. Pasif hareketlerin de k\u0131s\u0131tl\u0131 kalmas\u0131 donuk omzu, tendinit vakalar\u0131ndan ay\u0131rmaktad\u0131r. Eklem kaps\u00fcl\u00fc daral\u0131r ve eklem i\u00e7i yap\u0131\u015f\u0131kl\u0131k durumlar\u0131 zamanla artar. Hasta, gece uykudan uyan\u0131p pozisyon de\u011fi\u015ftirmeye ihtiya\u00e7 duyacak kadar a\u011fr\u0131 \u00e7eker. Donuk omuz hastal\u0131\u011f\u0131; diyabet, kalp krizi, akci\u011fer hastal\u0131klar\u0131, fel\u00e7, tiroit bezi rahats\u0131zl\u0131klar\u0131 ve baz\u0131 travmalara sekonder olarak geli\u015febilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Donuk omuz tedavisinde esas ama\u00e7 eklemi hareketsiz b\u0131rakmamaktad\u0131r. Zor olsa da birtak\u0131m anestezi y\u00f6ntemleri ile hareket sa\u011flanmal\u0131d\u0131r. Artroskopi uygulamas\u0131 ile eklem i\u00e7ine gerdirici ve eklem s\u0131v\u0131s\u0131- k\u0131k\u0131rdaklar\u0131n\u0131 yenileyen enjeksiyonlar yap\u0131labilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>3.Omuz Ekleminin Artriti: <\/b>Omuz eklemlerinin kalsifik kire\u00e7lenmeleridir. Romatoid artrit, daha \u00e7ok eli sevmekle birlikte omuzda da kendini g\u00f6sterebilir. Eklem hareketleri k\u0131s\u0131tlanmakta ve zaman zaman omuz ekleminde krepitasyon al\u0131nmaktad\u0131r. Hastal\u0131\u011fa ate\u015f de eklenirse septik artrit tablosu olu\u015facakt\u0131r. Radyolojik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinde eklem aral\u0131\u011f\u0131 daralm\u0131\u015ft\u0131r ve baz\u0131 y\u0131pranma bulgular\u0131 g\u00f6r\u00fclebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Tedavide lokal enjeksiyonlar, so\u011fuk uygulamalar, a\u011fr\u0131 kesiciler ve fizyoterapi y\u00f6ntemleri tercih edilebilir. Eklem i\u00e7ini bo\u015faltmaya y\u00f6nelik tedaviler de kronik vakalarda denenebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>B) Yans\u0131yan Omuz A\u011fr\u0131lar\u0131: <\/b>Kalp ve akci\u011fer hastal\u0131klar\u0131 omuzda yans\u0131yan a\u011fr\u0131lara yol a\u00e7abilir. Omuz eklemi ve kaslar\u0131n\u0131 tutan t\u00fcm\u00f6rler, \u00e7evre organ kanserlerinin metastazlar\u0131 omuzda a\u011fr\u0131lara neden olabilece\u011fi ak\u0131lda tutulmal\u0131d\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Boyun f\u0131t\u0131klar\u0131, torasik outlet sendromu, polimiyalji romatika, fibromiyalji ve bir\u00e7ok sistemik hastal\u0131klar da omuzda yans\u0131yan a\u011fr\u0131lara neden olabilir. Her birinin tedavisi altta yatan nedene y\u00f6nelik olmal\u0131d\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>Kol A\u011fr\u0131lar\u0131<\/b><\/span><\/p><p class=\"p1\"><span class=\"s2\"><br \/><\/span><span class=\"s1\">Kolda yer alan eklem ve kas tendonlar\u0131n\u0131n deformasyon ve inflamasyonunda hastalar birtak\u0131m a\u011fr\u0131larla kar\u015f\u0131 kar\u015f\u0131ya kalabilir. Bu hastal\u0131klardan en yayg\u0131n olarak g\u00f6r\u00fclenleri;<\/span><\/p><ul class=\"ul1\"><li class=\"li1\"><span class=\"s1\">Medial Epikondilit( Golf\u00e7\u00fc Dirse\u011fi)<\/span><\/li><li class=\"li1\"><span class=\"s1\">Lateral Epikondilit (Tenis\u00e7i Dirse\u011fi)<\/span><\/li><li class=\"li1\"><span class=\"s1\">Karpal T\u00fcnel Sendromu\u2019dur.<\/span><\/li><\/ul><p class=\"p2\"><span class=\"s1\"><b>Medial Epikondilit (Golf\u00e7\u00fc Dirse\u011fi): <\/b>Dirse\u011fin \u00f6n k\u0131sm\u0131nda, kolun b\u00fck\u00fclmesine yard\u0131mc\u0131 fleks\u00f6r kas gruplar\u0131n\u0131n inflamasyonu sonucu olu\u015fan bir t\u00fcr tendinittir. \u0130nflame alanda a\u011fr\u0131 ve hassasiyet olmas\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r. Medial epikondilit daha \u00e7ok 2. ve 4.dekadlar aras\u0131nda g\u00f6r\u00fclen, tekrarlayan hareketlerin su\u00e7land\u0131\u011f\u0131 bir hastal\u0131kt\u0131r. Golf, tenis ya da beyzbol oynayan insanlarda kollar\u0131n ve bileklerin a\u015f\u0131r\u0131 kullan\u0131m\u0131 sonucunda g\u00f6r\u00fcl\u00fcr.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Dirsek i\u00e7 k\u0131sm\u0131nda a\u011fr\u0131, sertlik, el bile\u011fi zay\u0131fl\u0131\u011f\u0131, y\u00fcz\u00fck ve k\u00fc\u00e7\u00fck parmakta uyu\u015fma-kar\u0131ncalanma, e\u015fyalar\u0131 toplarken ya da el s\u0131k\u0131\u015fma esnas\u0131nda zorlanma medial epikondilit riski ile kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fumuzun sinyallerini verebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Tedavide el bile\u011finin istirahati ve dirse\u011fe so\u011fuk uygulama son derece faydal\u0131d\u0131r. Epikondil band\u0131 kullanmak i\u015fe yarayacakt\u0131r. En h\u0131zl\u0131 tedavi y\u00f6ntemi lokal kortizon(Steroid) enjeksiyonudur. Son y\u0131llarda bir\u00e7ok tendinit vakas\u0131nda i\u015fe yarayan PRP (plateletten zengin plazma= platelete rich plasma) y\u00f6ntemi ba\u015far\u0131l\u0131 sonu\u00e7lar verebilir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>Lateral Epikondilit (Tenis\u00e7i Dirse\u011fi): <\/b>Medial epikondilitten farkl\u0131 olarak dirse\u011fin d\u0131\u015f k\u0131sm\u0131nda yer alan tendonlar\u0131n inflamasyonudur. Ekstans\u00f6r kapri radialis brevis kas\u0131n\u0131n germe ve kavrama hareketleri ile a\u015f\u0131r\u0131 zorlanmas\u0131 a\u011fr\u0131ya sebep olacakt\u0131r. A\u015f\u0131r\u0131 kullan\u0131m ve travmaya ba\u011fl\u0131 olu\u015fan bu hastal\u0131k daha \u00e7ok tenis oynayan sporcularda g\u00f6r\u00fclmektedir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Hastalar\u0131n hekime as\u0131l ba\u015fvuru nedenleri lateral epikondilde a\u011fr\u0131 hissetmeleridir. A\u011fr\u0131 fiziksel aktivite ile ba\u015flar ve dirsekten ele do\u011fru bir yay\u0131l\u0131m g\u00f6sterir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Tedavide aktivite azalt\u0131lmas\u0131, a\u011fr\u0131 kesiciler, brace takmak, fizyoterapi, kortizon enjeksiyonu, artroskopik ve cerrahi y\u00f6ntemleri vakan\u0131n durumuna g\u00f6re tercih edilmelidir.<\/span><\/p><p class=\"p2\"><span class=\"s1\"><b>Karpal T\u00fcnel Sendromu: <\/b>El bile\u011finde karpal t\u00fcnel alan\u0131ndan ge\u00e7en median sinirin s\u0131k\u0131\u015fmas\u0131 ile olu\u015fan klinik bir tablodur. Median sinir; ba\u015f parmak, i\u015faret parma\u011f\u0131, orta ve y\u00fcz\u00fck parma\u011f\u0131 innervasyonundan sorumlu oldu\u011fu i\u00e7in sinirin karpal t\u00fcnelde s\u0131k\u0131\u015fmas\u0131 elde halsizlik, uyu\u015fukluk ve kar\u0131ncalanmaya neden olacakt\u0131r. El kaslar\u0131nda zamanla zay\u0131fl\u0131k ortaya \u00e7\u0131kar ve elbise d\u00fc\u011fmeleri iliklenemez.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p2\"><span class=\"s1\">Tedavi bilekte ya\u015fanan a\u011fr\u0131 ve kar\u0131ncalanma durumlar\u0131n\u0131n \u015fiddetine g\u00f6re de\u011fi\u015fkenlik g\u00f6stermektedir. A\u011fr\u0131 kesici ve inflamasyon giderici ila\u00e7lar kullan\u0131labilir. Bile\u011fe tak\u0131lan istirahat bileklikleri ve di\u011fer tedavi y\u00f6ntemleri i\u015fe yaramazsa cerrahi y\u00f6ntemle median sinirin rahatlat\u0131lmas\u0131 sa\u011flan\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>Omuz &#8211; Kol A\u011fr\u0131lar\u0131 Anasayfa Hastal\u0131klar Omuz &#8211; Kol A\u011fr\u0131lar\u0131 Omuz &#8211; Kol A\u011fr\u0131lar\u0131 Omuz Anatomisi ve Omuz A\u011fr\u0131s\u0131 Omuz anatomisi, yap\u0131s\u0131nda bulunan k\u00f6pr\u00fcc\u00fck kemi\u011fi, k\u00fcrek kemi\u011fi ve kol kemi\u011fi ile bunlar\u0131n etraf\u0131n\u0131 saran yumu\u015fak dokulardan olu\u015fur. Yumu\u015fak dokulardan kaps\u00fcl, ligament, tendon, bursa ya da kas gibi yap\u0131lar zedelendi\u011fi zaman omuzda birtak\u0131m a\u011fr\u0131lar g\u00f6r\u00fcl\u00fcr. Omuzda [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":610,"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\/659"}],"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=659"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/659\/revisions"}],"predecessor-version":[{"id":663,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/659\/revisions\/663"}],"up":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/pages\/610"}],"wp:attachment":[{"href":"https:\/\/serdarcatav.com\/ru\/wp-json\/wp\/v2\/media?parent=659"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}