T\u0131p d\u00fcnyas\u0131n\u0131n son y\u0131llarda tedavi alan\u0131nda elindeki en b\u00fcy\u00fck kozlar\u0131ndan biri olan \u201ck\u00f6k h\u00fccre\u201d<\/b>bel a\u011fr\u0131s\u0131 \u00e7eken hastalar\u0131n da umudu oluyor. \u0130la\u00e7 ve fizik tedavisinden sonu\u00e7 alamayan hastalara uygulanan bu y\u00f6ntem bel a\u011fr\u0131s\u0131n\u0131n as\u0131l sorumlusu olan \u201cdisk dejenerasyonunu onarmas\u0131\u201d sayesinde hem a\u011fr\u0131n\u0131n t\u00fcm\u00fcyle ortadan kalkmas\u0131n\u0131 sa\u011fl\u0131yor, hem de ilerleyen zamanda a\u011fr\u0131n\u0131n yeniden tekrarlamas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7iyor. \u00dcstelik hastan\u0131n kendi k\u00f6k h\u00fccreleri kullan\u0131ld\u0131\u011f\u0131 i\u00e7in yan etkiler de g\u00f6r\u00fclm\u00fcyor.<\/p>\n
Bel a\u011fr\u0131s\u0131 tedavisinde yeni d\u00f6nem<\/b><\/p>\n
Toplumda her 100 eri\u015fkinden 60-80\u2019inde g\u00f6r\u00fclen bel a\u011fr\u0131s\u0131 i\u015f ve sosyal ya\u015fam\u0131 alt\u00fcst edebilecek kadar \u015fiddetli seyredebilen \u00f6nemli bir sa\u011fl\u0131k problemi. D\u00fcnyada ba\u015f a\u011fr\u0131s\u0131ndan sonra 2. s\u0131kl\u0131kta g\u00f6r\u00fclen bel a\u011fr\u0131s\u0131na bir\u00e7ok neden yol a\u00e7sa da, t\u00fcm etkenlerin alt\u0131nda omurlar aras\u0131ndaki \u201cdiskin dejenerasyonu\u201d<\/b> yat\u0131yor. Ancak bel a\u011fr\u0131s\u0131n\u0131n as\u0131l sorumlusu olan diskteki dejenerasyonu onarmaya y\u00f6nelik bir y\u00f6ntem olmad\u0131\u011f\u0131 i\u00e7in tedavinin ard\u0131ndan a\u011fr\u0131 tekrar n\u00fcks ederek hastan\u0131n ayn\u0131 problemleri yeniden ya\u015famas\u0131na neden olabiliyor. Sevindiren haber ise k\u00f6k h\u00fccre tedavisinin art\u0131k bel a\u011fr\u0131lar\u0131nda da uygulanabilmesi ve bu y\u00f6ntemden olduk\u00e7a ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nmas\u0131. Tedavinin etkili olmas\u0131ndaki en \u00f6nemli fakt\u00f6r ise; hastadan al\u0131nan k\u00f6k h\u00fccrelerin bel a\u011fr\u0131s\u0131n\u0131n as\u0131l sorumlusu olan disk dejenerasyonunu onarmalar\u0131, bir ba\u015fka deyi\u015fle sorunun as\u0131l kayna\u011f\u0131n\u0131 ortadan kald\u0131rmalar\u0131. Prof. Dr. S\u00fcleyman \u00d6zyal\u00e7\u0131n ile Do\u00e7. Dr. Kamer Dere<\/b> bu sayede a\u011fr\u0131n\u0131n t\u00fcm\u00fcyle ge\u00e7mesinin yan\u0131 s\u0131ra, ilerleyen zamanda tekrar geli\u015fme riskinin de \u00f6n\u00fcne ge\u00e7ildi\u011fine dikkat \u00e7ekiyorlar!<\/p>\n
\u0130lerleyen ya\u015f, travma, a\u015f\u0131r\u0131 kilo ve az hareket etmek gibi \u00e7e\u015fitli etkenler nedeniyle olu\u015fan disk dejenerasyonu omurlar aras\u0131nda s\u00fcspansiyon g\u00f6revi g\u00f6ren k\u0131k\u0131rda\u011f\u0131n y\u0131pranmas\u0131 anlam\u0131na geliyor. Disk dejenerasyonu nedeniyle diskteki canl\u0131 h\u00fccrelerin say\u0131s\u0131 azal\u0131yor, su oran\u0131 d\u00fc\u015f\u00fcyor, esneklik azal\u0131yor ve y\u0131rt\u0131lmalar olu\u015fuyor. Algoloji Uzman\u0131 Do\u00e7. Dr. Kamer Dere<\/b> bunlar\u0131n sonucunda da belde a\u011fr\u0131ya yol a\u00e7an omurga f\u0131t\u0131klar\u0131, faset eklem dejenerasyonu ve omurga kaymalar\u0131 gibi hastan\u0131n ya\u015fam kalitesini olduk\u00e7a d\u00fc\u015f\u00fcren problemler geli\u015fti\u011fini belirtiyor. Algoloji Uzman\u0131 Prof. Dr. S\u00fcleyman \u00d6zyal\u00e7\u0131n<\/b> da bel a\u011fr\u0131s\u0131n\u0131n as\u0131l kayna\u011f\u0131 olan disk dejenerasyonunu onarmaya y\u00f6nelik bir tedavi y\u00f6ntemi olmad\u0131\u011f\u0131 i\u00e7in a\u011fr\u0131ya ge\u00e7ici \u00e7\u00f6z\u00fcm sa\u011fland\u0131\u011f\u0131n\u0131, bunun da \u00e7e\u015fitli problemleri beraberinde getirdi\u011fini belirterek s\u00f6zlerine \u015f\u00f6yle devam ediyor: \u201c\u00d6rne\u011fin f\u0131t\u0131k geli\u015fmi\u015fse ila\u00e7, fizik tedavi veya ameliyat gibi y\u00f6ntemlerle f\u0131t\u0131\u011f\u0131 tedavi ediyoruz. Ancak sorunun kayna\u011f\u0131 olan diskteki dejenerasyon devam etti\u011fi i\u00e7in zamanla f\u0131t\u0131k yeniden olu\u015fuyor, bunun sonucunda da a\u011fr\u0131 problemi n\u00fcks ediyor. Bel a\u011fr\u0131s\u0131 uzun soluklu bir tedavi gerektiriyor. Dolay\u0131s\u0131yla hem a\u011fr\u0131lara yeniden maruz kalmak, hem bu s\u00fcreci yeniden ya\u015famak hasta i\u00e7in y\u0131prat\u0131c\u0131 oluyor. Bunun aksine k\u00f6k h\u00fccreyle bel a\u011fr\u0131s\u0131n\u0131n as\u0131l sorumlusu olan disk dejenerasyonu onar\u0131ld\u0131\u011f\u0131 i\u00e7in a\u011fr\u0131n\u0131n ilerleyen zamanda yeniden geli\u015fme riski \u00f6nlenmi\u015f oluyor.\u201d<\/p>\n
Kal\u0131c\u0131 \u00e7\u00f6z\u00fcm sa\u011fl\u0131yor<\/b><\/p>\n
Tedavideki sorunlardan yola \u00e7\u0131kan t\u0131p d\u00fcnyas\u0131 disklerdeki doku onar\u0131m mekanizmalar\u0131n\u0131n daha iyi anla\u015f\u0131lmas\u0131 sayesinde son zamanlarda disk dejenerasyonun tamir edilmesine y\u00f6nelik yeni bir tedavi modeli geli\u015ftirdi. Bel a\u011fr\u0131s\u0131ndan yak\u0131nan hastalara umut olan bu y\u00f6ntemin ad\u0131; otolog k\u00f6k h\u00fccre transferi. ABD\u2019de bel a\u011fr\u0131s\u0131nda k\u00f6k h\u00fccre tedavisi \u00fczerine yap\u0131lan 1 y\u0131ll\u0131k takipli \u00e7al\u0131\u015fmada y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar al\u0131nd\u0131 ve al\u0131nmaya da devam ediyor. Bu \u00e7al\u0131\u015fman\u0131n sonucunda hastalarda a\u011fr\u0131 skorlar\u0131nda belirgin azalma g\u00f6r\u00fcl\u00fcrken, hayat kalitelerinde de yine belirgin y\u00fckselme saptand\u0131. Yap\u0131lan ara\u015ft\u0131rma hen\u00fcz yeni olsa da, al\u0131nan sonu\u00e7lar bu y\u00f6ntemin gelecekte uygun hastalarda tercih edilen y\u00f6ntem olaca\u011f\u0131n\u0131n ipu\u00e7lar\u0131n\u0131 veriyor. Al\u0131nan ba\u015far\u0131l\u0131 sonu\u00e7lar\u0131n ard\u0131ndan y\u00f6ntem T\u00fcrkiye\u2019de de 2017 y\u0131l\u0131n\u0131n ba\u015f\u0131ndan itibaren uygulanmaya ba\u015fland\u0131.<\/p>\n
K\u00f6k h\u00fccreler disk i\u00e7ine enjekte ediliyor<\/b><\/p>\n
Ameliyathanede, skopi denilen r\u00f6ntgen cihaz\u0131 e\u015fli\u011finde ger\u00e7ekle\u015ftirilen \u201ck\u00f6k h\u00fccre transplantasyonu\u201d tedavisinde h\u00fccrelerin say\u0131sal olarak en fazla bulunduklar\u0131 g\u00f6bek ya\u011flar\u0131ndan faydalan\u0131l\u0131yor. K\u00fc\u00e7\u00fck bir \u201cliposuction\u201d i\u015flemiyle g\u00f6bek b\u00f6lgesinden al\u0131nan ya\u011f h\u00fccreleri \u00f6zel i\u015flemlerden ge\u00e7irildikten sonra sorunlu diskin i\u00e7ine enjekte ediliyor. Algoloji Uzman\u0131 Prof. Dr. S\u00fcleyman \u00d6zyal\u00e7\u0131n i\u015flem sonras\u0131nda hastan\u0131n ayn\u0131 g\u00fcn taburcu oldu\u011funu ve 4. g\u00fcnden itibaren g\u00fcnl\u00fck hayat\u0131na d\u00f6nmeye ba\u015flad\u0131\u011f\u0131n\u0131 belirterek, \u201cK\u00f6k h\u00fccreler 6-8 hafta gibi bir s\u00fcre i\u00e7erisinde sorunlu disk i\u00e7erisinde yenilenme ve onar\u0131m sa\u011flayarak ann\u00fcler y\u0131rt\u0131klar\u0131 ile disk dejenerasyonunu b\u00fcy\u00fck oranda onar\u0131yorlar\u201d diyor. Bu tedavinin en b\u00fcy\u00fckavantaj\u0131 ise hastan\u0131n kendi h\u00fccrelerinin kullan\u0131lmas\u0131. V\u00fccuda yabanc\u0131 bir madde girmedi\u011fi i\u00e7in alerjik reaksiyon geli\u015fmiyor.\u201d<\/p>\n
Hangi durumlarda ba\u015fvuruluyor?<\/b><\/p>\n
Algoloji Uzman\u0131 Do\u00e7. Dr. Kamer Dere bu tedavinin ameliyat gerektiren durumlarda kesinlikle uygulanmamas\u0131 gerekti\u011fi uyar\u0131s\u0131nda bulunuyor. \u00c7\u00fcnk\u00fc ameliyat gerektiren hastalarda siniri bas\u0131 alt\u0131nda oldu\u011fu i\u00e7in ameliyatla bu sinir bas\u0131s\u0131n\u0131 bir an \u00f6nce ortadan kald\u0131rmak grekiyor. Bu nedenle di\u011fer tedavilerle zaman kaybedilmemesi gerekiyor. Do\u00e7. Dr. Kamer Dere bel a\u011fr\u0131s\u0131nda ila\u00e7 ve fizik tedaviden sonu\u00e7 al\u0131namad\u0131\u011f\u0131nda hastalara k\u00f6k h\u00fccre transferini \u00f6nerdiklerini belirterek bu y\u00f6ntem i\u00e7in uygun olan hastalar\u0131 sadece bel a\u011fr\u0131s\u0131 olan ve bel MR\u2019lar\u0131nda disk dejenerasyonu tespit edilen hastalar \u015feklinde tan\u0131ml\u0131yor.<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u0131p d\u00fcnyas\u0131n\u0131n son y\u0131llarda tedavi alan\u0131nda elindeki en b\u00fcy\u00fck kozlar\u0131ndan biri olan \u201ck\u00f6k h\u00fccre\u201dbel a\u011fr\u0131s\u0131 \u00e7eken hastalar\u0131n da umudu oluyor. \u0130la\u00e7 ve fizik tedavisinden sonu\u00e7 alamayan hastalara uygulanan bu y\u00f6ntem bel a\u011fr\u0131s\u0131n\u0131n as\u0131l sorumlusu olan \u201cdisk dejenerasyonunu onarmas\u0131\u201d sayesinde hem a\u011fr\u0131n\u0131n t\u00fcm\u00fcyle ortadan kalkmas\u0131n\u0131 sa\u011fl\u0131yor, hem de ilerleyen zamanda a\u011fr\u0131n\u0131n yeniden tekrarlamas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7iyor. \u00dcstelik […]<\/p>\n","protected":false},"author":80,"featured_media":1395,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[865,873,874,876,872,875],"class_list":{"0":"post-1396","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-bel-agrisi","9":"tag-bel-agrisi-nedenleri","10":"tag-bel-agrisi-tedavisi","11":"tag-doc-dr-kamer-dere","12":"tag-kok-hucre","13":"tag-prof-dr-suleyman-ozyalcin"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/04\/workplace-painful-entrepreneur-leg-white_1303-362.jpg?fit=626%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/1396","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=1396"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/1396\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/1395"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=1396"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=1396"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=1396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}