{"id":3143,"date":"2015-06-28T19:35:45","date_gmt":"2015-06-28T16:35:45","guid":{"rendered":"https:\/\/dentplus.com.tr\/V2\/?p=3143"},"modified":"2016-05-10T23:06:00","modified_gmt":"2016-05-10T20:06:00","slug":"cene-eklemi-ve-bas-agrisi","status":"publish","type":"post","link":"https:\/\/dentplus.com.tr\/V2\/cene-eklemi-ve-bas-agrisi\/","title":{"rendered":"\u00c7ene Eklemi ve Ba\u015f A\u011fr\u0131s\u0131"},"content":{"rendered":"

Sizde mi Di\u015f S\u0131k\u0131yorsunuz?<\/strong>
\n<\/strong>Di\u015f s\u0131kma ve g\u0131c\u0131rdatma, gece ve\/veya g\u00fcnd\u00fcz olu\u015fabilen istemsiz bir aktivitedir. Bu durum toplumda yeti\u015fkin bireylerin b\u00fcy\u00fck bir \u00e7o\u011funlu\u011funda g\u00f6zlemlenmekte ve genellikle \u00e7e\u015fitli olumsuz semptomlar ortaya \u00e7\u0131kmadan fark\u0131na var\u0131lamamaktad\u0131r. Hastay\u0131 hekime getiren durumlar aras\u0131nda di\u015flerde hassasiyet, a\u015f\u0131nma, sallanma ve k\u0131r\u0131lma, di\u015f sinirlerinde nekroz, \u00e7evre dokularda yaralanma, temporomandibular rahats\u0131zl\u0131klar, ba\u015f a\u011fr\u0131s\u0131 ve fonksiyon bozuklu\u011fu say\u0131labilmektedir. \u00c7ocuklarda g\u00f6zlemlenen di\u015f s\u0131kma ve g\u0131c\u0131rdatma ise, normal bir s\u00fcre\u00e7 olarak kabul edilerek de\u011ferlendirilir.<\/p>\n

Di\u015f S\u0131kma ve G\u0131c\u0131rdatman\u0131n Nedenleri<\/strong>\u2026
\nDi\u015f s\u0131kma ve g\u0131c\u0131rdatman\u0131n bir\u00e7ok nedeni vard\u0131r ve bu nedenler aras\u0131nda; stres ve ki\u015fisel \u00f6zellikler, uyku d\u00fczeni, uyku esnas\u0131ndaki solunum bozukluklar\u0131, travmatik yaralanmalar, merkezi sinir sistemi rahats\u0131zl\u0131klar\u0131, yasad\u0131\u015f\u0131 ila\u00e7 kullan\u0131m\u0131, ila\u00e7 tedavileri, alkol, kafein ve sigara kullan\u0131m\u0131 gibi fakt\u00f6rler say\u0131labilmektedir.<\/p>\n

TME<\/strong>, \u00e7ene ekleminin ve kaslar\u0131n\u0131n birlikte d\u00fczg\u00fcn \u00e7al\u0131\u015fmamas\u0131ndan kaynaklanan semptomlar\u0131 tan\u0131mlamak i\u00e7in kullan\u0131lan pop\u00fcler bir terimdir.<\/p>\n

TME<\/strong>, temporomandibular eklemin k\u0131saltmas\u0131d\u0131r ve \u00e7ene kemi\u011finin kafatas\u0131 ile yapt\u0131\u011f\u0131 eklemi tarif eder. \u00c7i\u011fneme kaslar,\u00e7i\u011fneme ve yutma gibi fonksyonlar\u0131 m\u00fcmk\u00fcn k\u0131lmak i\u00e7in, boyun ve s\u0131rt kaslar\u0131 ile birlikte \u00e7al\u0131\u015f\u0131r. T\u00fcm bu eklem ve kaslarda fonksyon bozuklu\u011fu oldu\u011funda bir tak\u0131m problemlere yol a\u00e7arlar.<\/p>\n

TME’\u0130N GEL\u0130\u015e\u0130M\u0130 NASILDIR?<\/strong><\/p>\n

D\u00fczg\u00fcn fonksyon g\u00f6sterebilmesi i\u00e7in kaslar\u0131n\u0131z\u0131n ve eklemlerinizin bir arada \u00e7al\u0131\u015fmas\u0131 gerekir. Bunlar\u0131n herhangi birindeki problem TME hastal\u0131\u011f\u0131na yol a\u00e7abilir. \u00d6rne\u011fin; stresin yol a\u00e7t\u0131\u011f\u0131 di\u015f g\u0131c\u0131rdatma ve di\u015f s\u0131kma, \u00e7ene kaslar\u0131nda a\u015f\u0131r\u0131 kas\u0131lmalara yol a\u00e7ar ve TME’e a\u015f\u0131r\u0131 bas\u0131n\u00e7 uygular. Travma ve artrit gibi hastal\u0131klar eklemde direkt hasara yol a\u00e7arlar yada kaslarda ve ligamanlarda y\u0131rt\u0131lmaya neden olabilirler. Sonu\u00e7 olarak “disk” denilen, eklem i\u00e7inde yast\u0131k vazifesi g\u00f6ren k\u0131k\u0131rdak yap\u0131n\u0131n yer de\u011fi\u015ftirmesine neden olabilirler.<\/p>\n

TME BULGULARI NELERD\u0130R?<\/strong><\/p>\n

Eklem hareketi esnas\u0131nda klik sesi, \u00e7\u0131t\u0131rt\u0131 sesi, eklem etraf\u0131nda a\u011fr\u0131, zay\u0131fl\u0131k, eklem kilitlenmesi ya da hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, \u0131s\u0131rmada ve \u0131s\u0131rma hissinde de\u011fi\u015fiklik gibi bulgular olabilir.
\nEklem hareketi esnas\u0131nda duyulan klik ya da \u00e7\u0131t\u0131rt\u0131 sesi, diskin yerinden kayd\u0131\u011f\u0131n\u0131n bir belirtisidir ve eklemin i\u00e7e ve d\u0131\u015fa oynad\u0131\u011f\u0131n\u0131 g\u00f6sterir. Bazen hastalar, \u00e7ene eklemi ile ilgili de\u011filmi\u015f gibi g\u00f6r\u00fcnen \u015fik\u00e2yetlerden yak\u0131n\u0131rlar. \u00d6rn; sin\u00fcs tipi ba\u015f a\u011fr\u0131lar\u0131, kulak a\u011fr\u0131s\u0131, ba\u015f d\u00f6nmesi, boyun ve ense a\u011fr\u0131s\u0131. Genellikle bu semptomlara neden olan \u015fey, uyku esnas\u0131nda ki\u015finin istemsiz olarak di\u015flerini s\u0131kmas\u0131 ya da g\u0131c\u0131rdatmas\u0131d\u0131r.<\/p>\n

TME NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/strong><\/p>\n

\u00d6ncelikli hedefler kas spazm\u0131n\u0131 ve eklem a\u011fr\u0131s\u0131n\u0131 ortadan kald\u0131rmakt\u0131r. Bunun i\u00e7in a\u011fr\u0131 kesiciler ve kas gev\u015fetici ila\u00e7lar kullan\u0131l\u0131r. Daha sonra kaslar\u0131 rahatlat\u0131c\u0131 splint dedi\u011fimiz \u00e7e\u015fitli apareyler uygulan\u0131r. Kas istirahat boyutuna al\u0131n\u0131r ve kaslar rahatlat\u0131l\u0131r. Bu tedaviyle hastan\u0131n kaslar\u0131n\u0131n uygun pozisyonununa ula\u015f\u0131l\u0131r ve ve hasta bir s\u00fcre de bu boyutta rahtalat\u0131larak tedavinin devaml\u0131l\u0131\u011f\u0131 sa\u011flan\u0131r. Baz\u0131 zamanlar da bu tedavi se\u00e7eneklerinin fayda etmedi\u011fi durumlar da olabilir i\u015fte bu durumlarda eklem i\u00e7ine steroidli ila\u00e7lar enjekte edilerek a\u011fr\u0131 ve enflamasyon azalt\u0131labilir.<\/p>\n

Dr.Fuat NOYUN\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/em><\/p>\n

\u00c7ene Y\u00fcz Protez Uzman\u0131<\/strong><\/em>
\n \u00a0<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Sizde mi Di\u015f S\u0131k\u0131yorsunuz? Di\u015f s\u0131kma ve g\u0131c\u0131rdatma, gece ve\/veya g\u00fcnd\u00fcz olu\u015fabilen istemsiz bir aktivitedir. Bu durum toplumda yeti\u015fkin bireylerin b\u00fcy\u00fck bir \u00e7o\u011funlu\u011funda g\u00f6zlemlenmekte ve genellikle \u00e7e\u015fitli olumsuz semptomlar ortaya \u00e7\u0131kmadan fark\u0131na var\u0131lamamaktad\u0131r. Hastay\u0131 hekime getiren durumlar aras\u0131nda di\u015flerde hassasiyet, a\u015f\u0131nma, sallanma ve k\u0131r\u0131lma, di\u015f sinirlerinde nekroz, \u00e7evre dokularda yaralanma, temporomandibular rahats\u0131zl\u0131klar, ba\u015f a\u011fr\u0131s\u0131 veLeer M\u00e1s<\/p>\n","protected":false},"author":1,"featured_media":3542,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[286,256,257,276,258,291,260],"tags":[277,332,254,264,369,367,461,265,370,262,368,440,450,253],"class_list":["post-3143","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cene-eklemi-rahatsizligi-bursa","category-cene-eklemi-rahatsizliklari","category-cene-rahatsizligi","category-dis-sikma","category-tme","category-tme-bursa","category-tme-hastaligi","tag-bruksizm","tag-cene","tag-cene-agrisi","tag-cene-eklem-agrisi","tag-cene-eklem-kaymasi-tedavisi","tag-cene-eklemi-cerrahisi","tag-cene-yuz-protez-uzmani-fuat-noyun","tag-cenede-agri","tag-cenede-eklem-bozuklugu-tedavisi","tag-cenede-ses","tag-temporomandibuler-eklem","tag-tme","tag-tme-bursa","tag-tme-hastaliklari"],"_links":{"self":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/3143","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/comments?post=3143"}],"version-history":[{"count":3,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/3143\/revisions"}],"predecessor-version":[{"id":3543,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/3143\/revisions\/3543"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media\/3542"}],"wp:attachment":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media?parent=3143"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/categories?post=3143"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/tags?post=3143"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}