{"id":68,"date":"2023-03-06T09:47:48","date_gmt":"2023-03-06T09:47:48","guid":{"rendered":"https:\/\/saglikdanisma.net\/fatih\/agri-kesiciler-akut-bel-agrisi-icin-kullanilabilir\/"},"modified":"2023-03-06T09:47:48","modified_gmt":"2023-03-06T09:47:48","slug":"agri-kesiciler-akut-bel-agrisi-icin-kullanilabilir","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/fatih\/agri-kesiciler-akut-bel-agrisi-icin-kullanilabilir\/","title":{"rendered":"A\u011fr\u0131 Kesiciler Akut Bel A\u011fr\u0131s\u0131 i\u00e7in Kullan\u0131labilir"},"content":{"rendered":"

Akut bel a\u011fr\u0131s\u0131 neden oldu\u011fu sosyoekonomik y\u00fck a\u00e7\u0131s\u0131ndan sadece T\u00fcrkiye’de de\u011fil, d\u00fcnya \u00e7ap\u0131nda yayg\u0131n bir problem. \u0130nsan\u0131n g\u00fcnl\u00fck hayat\u0131n\u0131 k\u0131s\u0131tlamas\u0131n\u0131n yan\u0131nda ciddi i\u015f g\u00fcc\u00fc kay\u0131plar\u0131na neden olan bel a\u011fr\u0131lar\u0131n\u0131n basit (uyu\u015fturucu veya steroid i\u00e7ermeyen, NSAI: non-steroid anti enflamatuar) a\u011fr\u0131 kesicilerle tedavi edilip edilemeyece\u011fi ile ilgili g\u00fcncel bir ara\u015ft\u0131rma yay\u0131nland\u0131.<\/p>\n

\u00c7al\u0131\u015fma Hakk\u0131nda <\/h2>\n

\u00c7al\u0131\u015fma RWTH \u00dcniversite Hastanesi (Aachen, Almanya)’nden MD Alice Baroncini ve meslekta\u015flar\u0131 <\/em><\/strong>taraf\u0131ndan pubMed<\/a>, Scopus ve Web of Science verilerinin geriye d\u00f6n\u00fck incelenmesiyle yap\u0131ld\u0131 ve sonu\u00e7lar\u0131 Journal of Orthopedic Research<\/strong>‘te 23.02.2023 tarihinde yay\u0131nland\u0131. (Full text)<\/p>\n

\u00c7al\u0131\u015fman\u0131n amac\u0131:<\/strong> Akut bel a\u011fr\u0131lar\u0131nda farmakolojik y\u00f6netiminin (ila\u00e7 kullan\u0131m\u0131n\u0131n) a\u011fr\u0131 ve sakatl\u0131\u011f\u0131 etkili bir \u015fekilde azalt\u0131p azaltamayaca\u011f\u0131n\u0131 ara\u015ft\u0131rmak ve hangi ila\u00e7lar\u0131n en y\u00fcksek etkinlik g\u00f6sterdi\u011fini belirlemek<\/p>\n

\u00c7al\u0131\u015fma Kriterleri: <\/strong>\u00c7al\u0131\u015fma i\u00e7in sadece 12 haftadan k\u0131sa s\u00fcren “lomber omurga” a\u011fr\u0131lar\u0131 \u00fczerine yap\u0131lan tedaviler \u00fczerine yap\u0131lan \u00f6nceki \u00e7al\u0131\u015fmalar\u0131 ele al\u0131nm\u0131\u015f. \u00c7al\u0131\u015fmalar aras\u0131ndan 18 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck hastalar ile opioid kullan\u0131lanlar \u00e7\u0131kart\u0131larak de\u011ferlendirme yap\u0131lm\u0131\u015f. Bu kriterleri kar\u015f\u0131layan 18 \u00e7al\u0131\u015fmadaki 3478 hasta de\u011ferlendirilmi\u015f oluyor. <\/p>\n

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\u00c7al\u0131\u015fma Sonucu: <\/strong>Akut bel a\u011fr\u0131s\u0131 olanlarda a\u011fr\u0131 kesiciler (NSAI) ve kas gev\u015feticiler yakla\u015f\u0131k bir hafta kullan\u0131lmas\u0131n\u0131n a\u011fr\u0131y\u0131 ve sakatl\u0131\u011f\u0131 azaltt\u0131\u011f\u0131 tespit edilmi\u015f. Ayr\u0131ca Parasetamol (Asetaminofen)’in akut bel a\u011fr\u0131lar\u0131nda tek ba\u015f\u0131na kullan\u0131ld\u0131\u011f\u0131nda \u00f6nemli bir iyile\u015fme sa\u011flamad\u0131\u011f\u0131 ancak NSAI ila\u00e7larla kombine edildi\u011finde NSAI ila\u00e7lara g\u00f6re daha iyi etki etti\u011fi ortaya konmu\u015f.<\/p>\n

Asl\u0131nda \u00e7o\u011fumuz g\u00fcndelik hayat\u0131m\u0131zda m\u00fcmk\u00fcn oldu\u011funca ila\u00e7 kullanmamay\u0131 tercih etsek de bu \u00e7al\u0131\u015fma sonucuna g\u00f6re ya\u015fam konforumuzu sa\u011flamak ve bir tak\u0131m sakatl\u0131klar\u0131n \u00f6n\u00fcne ge\u00e7ebilmek i\u00e7in en az\u0131ndan bel a\u011fr\u0131lar\u0131nda a\u011fr\u0131 kesicilerin faydal\u0131 olabilece\u011fini anl\u0131yoruz.<\/p>\n

\u00c7al\u0131\u015fmada maalesef geni\u015f bir ila\u00e7 kitlesini ifade eden NSAI ila\u00e7lar\u0131n\u0131n s\u0131n\u0131flar\u0131 aras\u0131nda ayr\u0131m yap\u0131lmam\u0131\u015ft\u0131r. Hangi NSAI ilac\u0131n di\u011ferine g\u00f6re daha iyi oldu\u011fu belirtilmemi\u015ftir. Tedavi protokollerinin bir alt analizi yap\u0131lmam\u0131\u015ft\u0131r. Dolay\u0131s\u0131yla tedavi s\u00fcre\u00e7leri ve tercih edilmesi gereken NSAI ila\u00e7 hakk\u0131nda yeterince bilgi verilmemi\u015ftir.<\/p>\n<\/div>\n

\n
\n

S\u0131k Kullan\u0131lan NSAI \u0130la\u00e7lar<\/h4>\n
Asetil Salisilik Asit<\/strong>
(Aspirin, Ecopirin\u2026)<\/em>
Diklofenak Na\/P <\/strong>
(Dikloron, Diclomec, Voltaren\u2026)<\/em>
\u0130burpofen<\/strong>
(Dolven, Majezik, Advil, \u0130buramin, Nurofen\u2026)<\/em>
Flurbiprofen<\/strong>
(Majezik\u2026)<\/em>
Ketoprofen <\/strong>
(Arveles, Dexday, Dexaljin\u2026)<\/em>
Piroksikam<\/strong> (<\/em>
Felden, Cycladol\u2026)<\/em>
Naproksen<\/strong>
(Apranax, Naprosyn\u2026)<\/em><\/div>\n<\/div>\n<\/div>\n<\/div>\n

Bel A\u011fr\u0131s\u0131 i\u00e7in \u0130la\u00e7 Kullanmak \u015eart m\u0131?<\/h2>\n

Bel a\u011fr\u0131s\u0131 bir \u00e7ok nedenden kaynaklanabilir. \u00d6ncelikle bel a\u011fr\u0131lar\u0131n\u0131n neden kaynaklanm\u0131\u015f olabilece\u011fini ortaya koymak gerekir. Bunun i\u00e7in doktor muayenesi \u015fartt\u0131r. Doktorunuz sizi detayl\u0131 olarak muayene ettikten sonra olu\u015facak kanaatle tedavinizi \u00f6nerecektir. <\/p>\n

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\n
\n

Bel A\u011fr\u0131s\u0131 Nedenleri:<\/h4>\n
Kas spazm\u0131
Bel f\u0131t\u0131\u011f\u0131
Skolyoz
Eklem Hastal\u0131klar\u0131
Romatizma
B\u00f6brek ta\u015f\u0131
\u0130drar yolu enfeksiyonu
Mide barsak Problemleri
Osteoporoz
Enfeksiy\u00f6z
Neoplastik
Psikolojik<\/div>\n<\/div>\n<\/div>\n
\n

Bel a\u011fr\u0131s\u0131n\u0131n nedeni kas iskelet sisteminden kaynaklan\u0131yorsa o b\u00f6lgenin kaslar\u0131n\u0131n gev\u015fetilmesi akut a\u011fr\u0131y\u0131 alacak ve hastan\u0131n rahatlamas\u0131na neden olacakt\u0131r. Bunun i\u00e7in a\u011fr\u0131 kesiciler, s\u0131cak\/so\u011fuk uygulamalar ve basit egzersizler yap\u0131labilir.<\/p>\n

T\u00fcm bunlara ek olarak Geleneksel ve Tamamlay\u0131c\u0131 T\u0131p Uygulamalar\u0131 aras\u0131ndan ba\u015fta Akupunktur olmak \u00fczere kuru veya ya\u015f (hacamat) kupa uygulamalar\u0131, ozon tedavisi ve s\u00fcl\u00fckle tedavi de bel b\u00f6lgesi kaslar\u0131n gev\u015femesini, yenilenmesini ve g\u00fc\u00e7lenmesine yard\u0131mc\u0131 olarak tedaviye katk\u0131 sa\u011flar.<\/p>\n

Do\u011fru duru\u015f tekniklerinin \u00f6\u011frenilmesi ve g\u00fcnl\u00fck ya\u015famda al\u0131\u015fkanl\u0131k haline getirilmesi de \u00f6nemlidir.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Akut bel a\u011fr\u0131s\u0131 neden oldu\u011fu sosyoekonomik y\u00fck a\u00e7\u0131s\u0131ndan sadece T\u00fcrkiye’de de\u011fil, d\u00fcnya \u00e7ap\u0131nda yayg\u0131n bir problem. \u0130nsan\u0131n g\u00fcnl\u00fck hayat\u0131n\u0131 k\u0131s\u0131tlamas\u0131n\u0131n yan\u0131nda ciddi i\u015f g\u00fcc\u00fc kay\u0131plar\u0131na neden olan bel a\u011fr\u0131lar\u0131n\u0131n basit (uyu\u015fturucu veya steroid i\u00e7ermeyen, NSAI: non-steroid anti enflamatuar) a\u011fr\u0131 kesicilerle tedavi edilip edilemeyece\u011fi ile ilgili g\u00fcncel bir ara\u015ft\u0131rma yay\u0131nland\u0131. \u00c7al\u0131\u015fma Hakk\u0131nda \u00c7al\u0131\u015fma RWTH \u00dcniversite Hastanesi (Aachen, Almanya)’nden MD Alice Baroncini ve meslekta\u015flar\u0131 taraf\u0131ndan pubMed, Scopus ve Web of Science verilerinin geriye d\u00f6n\u00fck incelenmesiyle yap\u0131ld\u0131 ve sonu\u00e7lar\u0131 Journal of Orthopedic Research‘te 23.02.2023 tarihinde yay\u0131nland\u0131. (Full text) \u00c7al\u0131\u015fman\u0131n amac\u0131: Akut bel a\u011fr\u0131lar\u0131nda farmakolojik y\u00f6netiminin (ila\u00e7 kullan\u0131m\u0131n\u0131n) a\u011fr\u0131 ve sakatl\u0131\u011f\u0131 etkili bir \u015fekilde azalt\u0131p azaltamayaca\u011f\u0131n\u0131 ara\u015ft\u0131rmak ve hangi ila\u00e7lar\u0131n en y\u00fcksek etkinlik g\u00f6sterdi\u011fini belirlemek \u00c7al\u0131\u015fma Kriterleri: \u00c7al\u0131\u015fma i\u00e7in sadece 12 haftadan k\u0131sa s\u00fcren “lomber omurga” a\u011fr\u0131lar\u0131 \u00fczerine yap\u0131lan tedaviler \u00fczerine yap\u0131lan \u00f6nceki \u00e7al\u0131\u015fmalar\u0131 ele al\u0131nm\u0131\u015f. \u00c7al\u0131\u015fmalar aras\u0131ndan 18 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck hastalar ile opioid kullan\u0131lanlar \u00e7\u0131kart\u0131larak de\u011ferlendirme yap\u0131lm\u0131\u015f. Bu kriterleri kar\u015f\u0131layan 18 \u00e7al\u0131\u015fmadaki 3478 hasta de\u011ferlendirilmi\u015f oluyor. \u00c7al\u0131\u015fma Sonucu: Akut bel a\u011fr\u0131s\u0131 olanlarda a\u011fr\u0131 kesiciler (NSAI) ve kas gev\u015feticiler yakla\u015f\u0131k bir hafta kullan\u0131lmas\u0131n\u0131n a\u011fr\u0131y\u0131 ve sakatl\u0131\u011f\u0131 azaltt\u0131\u011f\u0131 tespit edilmi\u015f. Ayr\u0131ca Parasetamol (Asetaminofen)’in akut bel a\u011fr\u0131lar\u0131nda tek ba\u015f\u0131na kullan\u0131ld\u0131\u011f\u0131nda \u00f6nemli bir iyile\u015fme sa\u011flamad\u0131\u011f\u0131 ancak NSAI ila\u00e7larla kombine edildi\u011finde NSAI ila\u00e7lara g\u00f6re daha iyi etki etti\u011fi ortaya konmu\u015f. Asl\u0131nda \u00e7o\u011fumuz g\u00fcndelik hayat\u0131m\u0131zda m\u00fcmk\u00fcn oldu\u011funca ila\u00e7 kullanmamay\u0131 tercih etsek de bu \u00e7al\u0131\u015fma sonucuna g\u00f6re ya\u015fam konforumuzu sa\u011flamak ve bir tak\u0131m sakatl\u0131klar\u0131n \u00f6n\u00fcne ge\u00e7ebilmek i\u00e7in en az\u0131ndan bel a\u011fr\u0131lar\u0131nda a\u011fr\u0131 kesicilerin faydal\u0131 olabilece\u011fini anl\u0131yoruz. \u00c7al\u0131\u015fmada maalesef geni\u015f bir ila\u00e7 kitlesini ifade eden NSAI ila\u00e7lar\u0131n\u0131n s\u0131n\u0131flar\u0131 aras\u0131nda ayr\u0131m yap\u0131lmam\u0131\u015ft\u0131r. Hangi NSAI ilac\u0131n di\u011ferine g\u00f6re daha iyi oldu\u011fu belirtilmemi\u015ftir. Tedavi protokollerinin bir alt analizi yap\u0131lmam\u0131\u015ft\u0131r. Dolay\u0131s\u0131yla tedavi s\u00fcre\u00e7leri ve tercih edilmesi gereken NSAI ila\u00e7 hakk\u0131nda yeterince bilgi verilmemi\u015ftir. S\u0131k Kullan\u0131lan NSAI \u0130la\u00e7lar Asetil Salisilik Asit (Aspirin, Ecopirin\u2026)Diklofenak Na\/P (Dikloron, Diclomec, Voltaren\u2026)\u0130burpofen (Dolven, Majezik, Advil, \u0130buramin, Nurofen\u2026)Flurbiprofen (Majezik\u2026)Ketoprofen (Arveles, Dexday, Dexaljin\u2026)Piroksikam (Felden, Cycladol\u2026)Naproksen (Apranax, Naprosyn\u2026) Bel A\u011fr\u0131s\u0131 i\u00e7in \u0130la\u00e7 Kullanmak \u015eart m\u0131? Bel a\u011fr\u0131s\u0131 bir \u00e7ok nedenden kaynaklanabilir. \u00d6ncelikle bel a\u011fr\u0131lar\u0131n\u0131n neden kaynaklanm\u0131\u015f olabilece\u011fini ortaya koymak gerekir. Bunun i\u00e7in doktor muayenesi \u015fartt\u0131r. Doktorunuz sizi detayl\u0131 olarak muayene ettikten sonra olu\u015facak kanaatle tedavinizi \u00f6nerecektir. Bel A\u011fr\u0131s\u0131 Nedenleri: Kas spazm\u0131Bel f\u0131t\u0131\u011f\u0131SkolyozEklem Hastal\u0131klar\u0131RomatizmaB\u00f6brek ta\u015f\u0131\u0130drar yolu enfeksiyonuMide barsak ProblemleriOsteoporozEnfeksiy\u00f6zNeoplastikPsikolojik Bel a\u011fr\u0131s\u0131n\u0131n nedeni kas iskelet sisteminden kaynaklan\u0131yorsa o b\u00f6lgenin kaslar\u0131n\u0131n gev\u015fetilmesi akut a\u011fr\u0131y\u0131 alacak ve hastan\u0131n rahatlamas\u0131na neden olacakt\u0131r. Bunun i\u00e7in a\u011fr\u0131 kesiciler, s\u0131cak\/so\u011fuk uygulamalar ve basit egzersizler yap\u0131labilir. T\u00fcm bunlara ek olarak Geleneksel ve Tamamlay\u0131c\u0131 T\u0131p Uygulamalar\u0131 aras\u0131ndan ba\u015fta Akupunktur olmak \u00fczere kuru veya ya\u015f (hacamat) kupa uygulamalar\u0131, ozon tedavisi ve s\u00fcl\u00fckle tedavi de bel b\u00f6lgesi kaslar\u0131n gev\u015femesini, yenilenmesini ve g\u00fc\u00e7lenmesine yard\u0131mc\u0131 olarak tedaviye katk\u0131 sa\u011flar. Do\u011fru duru\u015f tekniklerinin \u00f6\u011frenilmesi ve g\u00fcnl\u00fck ya\u015famda al\u0131\u015fkanl\u0131k haline getirilmesi de \u00f6nemlidir.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[712],"tags":[90,91,103,261,417,498],"class_list":["post-68","post","type-post","status-publish","format-standard","hentry","category-saglikli-yasam","tag-bel-agrisi","tag-bel-fitigi","tag-bilimsel-calisma","tag-hacamat","tag-kupa","tag-ozon"],"yoast_head":"\nA\u011fr\u0131 Kesiciler Akut Bel A\u011fr\u0131s\u0131nda Etkili mi?<\/title>\n<meta name=\"description\" content=\"A\u011fr\u0131 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