![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/bel-sagligi-ihmale-gelmez_b5c6e93.jpg\")
Beyin ve Sinir Cerrahisi Uzman\u0131 Opr. Dr. Naki Kele\u015f, g\u00fcnl\u00fck ya\u015fant\u0131y\u0131 olumsuz etkileyen bel a\u011fr\u0131lar\u0131n\u0131n ihmale gelemeyece\u011fini, \u2018ge\u00e7er\u2019 diye beklenen bu a\u011fr\u0131lar\u0131n ciddi sa\u011fl\u0131k problemlerine yol a\u00e7abilece\u011fini s\u00f6yledi.<\/p>\n
Ev ve i\u015f hayat\u0131nda yap\u0131lan ani hareketler ya da kald\u0131r\u0131lan a\u011f\u0131r e\u015fyalar belde ciddi hasarlar b\u0131rakmakta hatta f\u0131t\u0131\u011fa varan sa\u011fl\u0131k problemlerine yol a\u00e7makta. Bazen ge\u00e7er diye beklenen bel a\u011fr\u0131lar\u0131 tedavi edilmedi\u011fi takdirde hastan\u0131n g\u00fcnl\u00fck ya\u015fant\u0131s\u0131n\u0131 da olumsuz etkilemekte. Samsun B\u00fcy\u00fck Anadolu Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Opr. Dr. Naki Kele\u015f, bel sa\u011fl\u0131\u011f\u0131n\u0131n ihmale gelmeyece\u011fini belirterek bel f\u0131t\u0131\u011f\u0131 ve tedavisi hakk\u0131nda bilgiler verdi.<\/p>\n
Bel f\u0131t\u0131\u011f\u0131 olan her hastan\u0131n ameliyat olmas\u0131 gerekmedi\u011fini, \u00e7o\u011fu hastan\u0131n dinlenme, fizik tedavi uygulamalar\u0131 gibi cerrahi olmayan se\u00e7eneklerle bel f\u0131t\u0131\u011f\u0131n\u0131 hafifletebilece\u011fini belirten Samsun B\u00fcy\u00fck Anadolu Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Opr. Dr. Naki Kele\u015f, “Ancak sinirlerde bas\u0131ya ba\u011fl\u0131 bacaklarda g\u00fc\u00e7s\u00fczl\u00fck ya da istemli idrar yapamama, omurgada anormal hareketlilikler varsa cerrahi giri\u015fim mutlaka gereklidir. Kuvvet kayb\u0131 gibi n\u00f6rolojik bulgular olmamas\u0131na ra\u011fmen uzun s\u00fcren a\u011fr\u0131lar hastalar\u0131n ya\u015fam kalitesini etkiliyorsa cerrahi giri\u015fim ka\u00e7\u0131n\u0131lmazd\u0131r\u201d dedi.<\/p>\n
Cerrahinin amac\u0131n\u0131n, f\u0131t\u0131kla\u015fm\u0131\u015f bir diskin, a\u011fr\u0131 ve g\u00fc\u00e7s\u00fczl\u00fck belirtilerine neden olacak \u015fekilde sinirler \u00fczerine bask\u0131 yapmas\u0131n\u0131 ve rahats\u0131zl\u0131k vermesini durdurmak oldu\u011funu belirten Opr. Dr. Naki Kele\u015f, bel f\u0131t\u0131\u011f\u0131 ve tedavisi hakk\u0131nda bilgi verdi. Kele\u015f, \u201cBel f\u0131t\u0131\u011f\u0131n\u0131n en \u00f6nemli belirtisi bel ve bacakta ba\u015flayan a\u011fr\u0131lard\u0131r. A\u011fr\u0131 hafif, orta veya \u015fiddetli olabilir. Bel f\u0131t\u0131\u011f\u0131 a\u011fr\u0131s\u0131, belden ba\u015flay\u0131p bir elektrik ak\u0131m\u0131 gibi kesintisiz baca\u011fa yay\u0131l\u0131r. Uyu\u015fman\u0131n da e\u015flik etti\u011fi bu a\u011fr\u0131 genellikle tek tarafl\u0131d\u0131r ancak taraf de\u011fi\u015ftirdi\u011fi veya iki tarafta da hissedildi\u011fi g\u00f6r\u00fclebilir. Bazen hastalar yaln\u0131zca bacak a\u011fr\u0131s\u0131 ile gelir. Hap\u015f\u0131rma, uzun s\u00fcreli oturma, \u00f6ne e\u011filme, a\u011fr\u0131y\u0131 artt\u0131rabilir. \u0130leri vakalarda bacak kaslar\u0131nda erime, incelme, bacakta \u00fc\u015f\u00fcme olabilir, idrar ka\u00e7\u0131rma da g\u00f6r\u00fclebilir. Bu durumda hasta acilen ameliyata sevk edilmelidir\u201d diye konu\u015ftu.<\/p>\n
Bel f\u0131t\u0131\u011f\u0131n\u0131n cerrahi y\u00f6ntemleri hakk\u0131nda da a\u00e7\u0131klamalarda bulunan Kele\u015f, “A\u00e7\u0131k diskektomi ameliyat\u0131 yara yerinin b\u00fcy\u00fck olmas\u0131 nedeniyle ameliyat sonras\u0131 d\u00f6nemin a\u011fr\u0131l\u0131 ge\u00e7mesi, sinir yaralanmas\u0131 ve di\u011fer komplikasyonlar\u0131n ortaya \u00e7\u0131kabilmesinin y\u00fcksek olmas\u0131 nedeniyle pek tercih edilmemektedir.<\/p>\n
Mikrodiskektomi, disk cerrahisi i\u00e7in \u00f6nemli ve standart bir y\u00f6ntemdir. Daha k\u00fc\u00e7\u00fck kesi at\u0131l\u0131r ve kan kayb\u0131 olduk\u00e7a azd\u0131r. Ayn\u0131 zamanda hasta daha k\u0131sa s\u00fcrede taburcu edilir. Hasta ameliyat sonras\u0131 daha \u00e7abuk g\u00fcnl\u00fck ve i\u015f ya\u015fama adapte olur, ancak bu baz\u0131 hastalarda de\u011fi\u015fim g\u00f6sterebilir. Bel egzersiz program\u0131na ise ameliyattan 30 g\u00fcn sonra ba\u015flanabilir. Bu ameliyat\u0131n %98\u2019inde ba\u015far\u0131l\u0131 klinik sonu\u00e7 vard\u0131r. N\u00fckleoplasti (buharla\u015ft\u0131rma ve b\u00fcz\u00fc\u015ft\u00fcrme) tam patlamam\u0131\u015f disklere uygun bir y\u00f6ntemdir. Kom\u015fu dokulara zarar vermeden f\u0131t\u0131kla\u015fm\u0131\u015f diskin buharla\u015ft\u0131rma ve b\u00fcz\u00fc\u015ft\u00fcrme ilkesine dayan\u0131r. Disk materyalini azalt\u0131lmakta ve sonu\u00e7 olarak disk bas\u0131s\u0131n\u0131 ortadan kald\u0131r\u0131lmaktad\u0131r. Son derece s\u0131n\u0131rl\u0131 bir kullan\u0131m alan\u0131 vard\u0131r. Ancak uygun hastalarda kullan\u0131ld\u0131\u011f\u0131nda faydas\u0131 tart\u0131\u015f\u0131lmaz bir ger\u00e7ektir. Nuklepolasti uygulanan hastalarda y\u00fczde 50-60 iyile\u015fme beklenmektedir. Lazer disk dekompresyonu n\u00fckleoplastiye benzer. N\u00fckleoplastiden daha az etkili. Tam patlamam\u0131\u015f disklere uygundur. Bu disklerin b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fc ila\u00e7 tedavisi ile zaten d\u00fczelmektedir. Endoskopik diskektomi her hastaya uygun olmamas\u0131 nedeniyle pek tercih edilmemektedir\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cTIBB\u0130 OLMAYAN UYGULAMALARDAN KA\u00c7ININ\u201d<\/p>\n
T\u0131bbi olmayan uygulamalardan ka\u00e7\u0131n\u0131lmas\u0131 gerekti\u011fini ifade eden Opr. Dr. Naki Kele\u015f, \u201cT\u00fcm ara\u015ft\u0131rmalar g\u00f6stermi\u015ftir ki 3-6 aydan daha k\u0131sa s\u00fcrede tedavi olan hastalarda hi\u00e7bir problem kalmam\u0131\u015f, aksine uzun y\u0131llar ameliyattan korkup bilin\u00e7sizce her t\u00fcrl\u00fc y\u00f6ntemleri deneyen hastalar\u0131nda i\u00e7inden \u00e7\u0131k\u0131lmayan ba\u015far\u0131s\u0131z bir bel cerrahisine aday hastalar olmu\u015ftur. Bel ve bacak a\u011fr\u0131lar\u0131n\u0131z varsa herhangi bir y\u00f6ntem uygulanmadan \u00f6nce a\u011fr\u0131lar\u0131n\u0131zla ilgili doktorunuzla konu\u015fup m\u00fcmk\u00fcn olan t\u00fcm tedavi olas\u0131l\u0131klar\u0131n\u0131 de\u011ferlendirmelisiniz\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
BEY\u0130N VE S\u0130N\u0130R CERRAH\u0130S\u0130 UZMANI OPR. DR. NAK\u0130 KELE\u015e, G\u00dcNL\u00dcK YA\u015eANTIYI OLUMSUZ ETK\u0130LEYEN BEL A\u011eRILARININ \u0130HMALE GELEMEYECE\u011e\u0130N\u0130, \u2018GE\u00c7ER\u2019 D\u0130YE BEKLENEN BU A\u011eRILARIN C\u0130DD\u0130 SA\u011eLIK PROBLEMLER\u0130NE YOL A\u00c7AB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[12768,36969,36968,12907],"class_list":["post-213835","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bel","tag-gelmez","tag-ihmale","tag-sagligi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/213835","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=213835"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/213835\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=213835"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=213835"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=213835"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}