{"id":9627,"date":"2024-09-18T10:09:32","date_gmt":"2024-09-18T07:09:32","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=9627"},"modified":"2025-09-04T21:34:37","modified_gmt":"2025-09-04T18:34:37","slug":"plasture-de-sange-epidural","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/","title":{"rendered":"Plasture de s\u00e2nge epidural"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Plasturele de s\u00e2nge epidural este o procedur\u0103 utilizat\u0103 pentru tratarea cefaleei post-punc\u021bie lombar\u0103, cauzat\u0103 de scurgerea lichidului cefalorahidian. Interven\u021bia const\u0103 \u00een injectarea de s\u00e2nge propriu \u00een spa\u021biul epidural.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aceast\u0103 metod\u0103 determin\u0103 \u00eenchiderea defectului meningeal \u0219i restabilirea presiunii normale a lichidului cefalorahidian. Efectul este rapid, cu ameliorare semnificativ\u0103 a durerii.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Procedura se efectueaz\u0103 sub ghidaj imagistic \u0219i necesit\u0103 doar anestezie local\u0103. Riscurile sunt minime, iar recuperarea este aproape imediat\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Indica\u021biile includ cefaleea sever\u0103 post-spinal\u0103 care nu r\u0103spunde la tratamente conservatoare. Plasturele de s\u00e2nge reprezint\u0103 solu\u021bia standard pentru aceast\u0103 complica\u021bie.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>Titlu medical<\/strong><\/td>\n<td><strong>Plasture de s\u00e2nge epidural<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>Zone afectate<\/strong><\/td>\n<td>Canalul spinal (zona \u00een care se g\u0103se\u0219te lichidul cefalorahidian)<\/td>\n<\/tr>\n<tr>\n<td><strong>Cauze<\/strong><\/td>\n<td>Scurgeri de lichid cefalorahidian (LCR); se dezvolt\u0103 de regul\u0103 dup\u0103 o ponc\u021bie lombar\u0103 sau anestezie epidural\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Simptome<\/strong><\/td>\n<td>Dureri de cap severe (\u00een special c\u00e2nd pacientul se ridic\u0103), grea\u021b\u0103, v\u0103rs\u0103turi, rigiditate a g\u00e2tului, probleme de auz<\/td>\n<\/tr>\n<tr>\n<td><strong>Metode de diagnostic<\/strong><\/td>\n<td>Evaluare clinic\u0103 (durerea de cap postural\u0103 dup\u0103 ponc\u021bie lombar\u0103), imagistic\u0103 prin RMN (poate eviden\u021bia scurgerile de LCR)<\/td>\n<\/tr>\n<tr>\n<td><strong>Metode de tratament<\/strong><\/td>\n<td>Plasture de s\u00e2nge epidural: s\u00e2ngele propriu al pacientului este injectat \u00een spa\u021biul epidural pentru a opri scurgerile \u0219i a echilibra presiunea<\/td>\n<\/tr>\n<tr>\n<td><strong>Complica\u021bii posibile<\/strong><\/td>\n<td>Infec\u021bii, leziuni nervoase, durere, s\u00e2ngerare, recuren\u021ba durerii de cap, simptome radiculare<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u0103suri de prevenire<\/strong><\/td>\n<td>Aplicarea tehnicilor cu aten\u021bie \u00een timpul ponc\u021biei lombare \u0219i anesteziei epidurale, hidratare adecvat\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Timp de recuperare<\/strong><\/td>\n<td>De obicei, durerile de cap se amelioreaz\u0103 la c\u00e2teva ore sau zile dup\u0103 procedur\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_1777364484\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-88774510\">\n\n\n\t<div id=\"col-1776133505\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#1c58ef;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-513818855\">\n\n\n\t<div id=\"col-85402211\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1155098052\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1020\" height=\"1020\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-1024x1024.webp\" class=\"attachment-large size-large\" alt=\"Medic specialist \u00een Radiologie Interven\u021bional\u0103 \u0219i Neuroradiologie\" 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class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-181017630\" class=\"text\">\n\t\t\n\n<p><strong>Prof. Dr. \u00d6zg\u00fcr KILI\u00c7KESMEZ<br \/><\/strong><span style=\"font-size: 65%;\"><em>Radiologie Interven\u021bional\u0103 \/ Neuroradiologie Interven\u021bional\u0103<\/em><\/span><\/p>\n\t\t\n<style>\n#text-181017630 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-181017630 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez de\u021bine Certificatul de Competen\u021b\u0103 \u00een Radiologie din Turcia, Certificatul de Competen\u021b\u0103 \u00een Radiologie Interven\u021bional\u0103 din Turcia, Certificarea pentru tratamentul accidentului vascular cerebral \u0219i Certificatul European de Radiologie Interven\u021bional\u0103 (EBIR). \u00cen cariera sa academic\u0103, a c\u00e2\u0219tigat Premiul I Siemens pentru Radiologie \u00een 2008.<\/p>\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" 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class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#Ce_este_Plasture_de_sange_epidural\" >Ce este Plasture de s\u00e2nge epidural?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#Cand_se_aplica_si_cand_nu_se_aplica\" >C\u00e2nd se aplic\u0103 \u0219i c\u00e2nd nu se aplic\u0103?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#Care_este_procesul_de_pregatire_pentru_Plasture_de_sange_epidural\" >Care este procesul de preg\u0103tire pentru Plasture de s\u00e2nge epidural?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#Cum_se_realizeaza_procedura_de_Plasture_de_sange_epidural\" >Cum se realizeaz\u0103 procedura de Plasture de s\u00e2nge epidural?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#Care_sunt_complicatiile_posibile\" >Care sunt complica\u021biile posibile?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#De_ce_este_importanta_Plasture_de_sange_epidural\" >De ce este important\u0103 Plasture de s\u00e2nge epidural?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/plasture-de-sange-epidural\/#Intrebari_frecvente\" >\u00centreb\u0103ri frecvente<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Ce_este_Plasture_de_sange_epidural\"><\/span>Ce este Plasture de s\u00e2nge epidural?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Plasture de s\u00e2nge epidural este o metod\u0103 utilizat\u0103 pentru a opri scurgerile de lichid cefalorahidian. Aceste scurgeri devin deosebit de intense atunci c\u00e2nd pacientul se afl\u0103 \u00een picioare, iar la ridicarea din pozi\u021bia culcat\u0103, scade presiunea LCR-ului, cauz\u00e2nd dureri de cap severe \u0219i dureri de g\u00e2t. Ca urmare, fluxul sanguin cerebral este afectat. Aceast\u0103 procedur\u0103 se aplic\u0103 \u00een cazurile de dureri de cap post-dural ponc\u021bie.<\/p>\n<p>Factorii de risc principali includ:<\/p>\n<ul>\n<li aria-level=\"1\">M\u0103rimea acului<\/li>\n<li aria-level=\"1\">V\u00e2rsta sub 60 de ani<\/li>\n<li aria-level=\"1\">Sexul feminin<\/li>\n<\/ul>\n<p>Durerea de cap apare, de obicei, la 24-48 de ore dup\u0103 procedur\u0103 \u0219i se caracterizeaz\u0103 prin:<\/p>\n<ul>\n<li aria-level=\"1\">Durere concentrat\u0103 \u00een zona frontal\u0103 \u0219i occipital\u0103<\/li>\n<li aria-level=\"1\">O durere asem\u0103n\u0103toare cu o \u201e\u00eencuiere\u201d<\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482336\/\" target=\"_blank\" rel=\"noopener\">Simptome craniene, cum ar fi pierderea auzului \u0219i vederea \u00eence\u021bo\u0219at\u0103<\/a><\/li>\n<\/ul>\n<p>Op\u021biunile de tratament includ repausul la pat, analgezicele, AINS-urile \u0219i hidratarea, dar acestea ofer\u0103 doar o ameliorare temporar\u0103. Plasture de s\u00e2nge epidural este considerat\u0103 o solu\u021bie definitiv\u0103, cu o rat\u0103 de succes de aproximativ 85%, care poate fi crescut\u0103 p\u00e2n\u0103 la 90% prin repetarea procedurii, dac\u0103 este necesar. \u00cen cazuri rare, c\u00e2nd EKY nu reu\u0219e\u0219te, poate fi necesar\u0103 embolizarea sau interven\u021bia chirurgical\u0103.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cand_se_aplica_si_cand_nu_se_aplica\"><\/span>C\u00e2nd se aplic\u0103 \u0219i c\u00e2nd nu se aplic\u0103?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Plasture de s\u00e2nge epidural este deosebit de important\u0103 \u00een cazurile \u00een care durerile de cap post-dural ponc\u021bie nu se amelioreaz\u0103 cu metodele conservatoare, cum ar fi repausul \u0219i tratamentul medicamentos. Totu\u0219i, nu se recomand\u0103 \u00een urm\u0103toarele situa\u021bii:<\/p>\n<ul>\n<li aria-level=\"1\">Pacien\u021bii care urmeaz\u0103 tratament anticoagulant<\/li>\n<li aria-level=\"1\">Prezen\u021ba unei infec\u021bii \u00een zona de injectare<\/li>\n<li aria-level=\"1\">Pacien\u021bii care nu \u00ee\u0219i dau consim\u021b\u0103m\u00e2ntul sau nu colaboreaz\u0103<\/li>\n<\/ul>\n<p>Aceste condi\u021bii \u00eempiedic\u0103 aplicarea EKY. Cooperarea dintre pacient \u0219i medic este esen\u021bial\u0103 pentru succesul tratamentului.<\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_1377688929\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1658205818\">\n\n\n\t<div id=\"col-1347880759\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-1800600498\">\n\n\n\t<div id=\"col-291380340\" class=\"col whatsapp-alani hide-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1115158042\" class=\"text\">\n\t\t\n\n<p><a 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0px;margin:0px 0px 0px 0px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row\"  id=\"row-622124346\">\n\n\n\t<div id=\"col-303191196\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8836-o1\" lang=\"tr-TR\" dir=\"ltr\" data-wpcf7-id=\"8836\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ro\/wp-json\/wp\/v2\/posts\/9627#wpcf7-f8836-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"8836\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8836-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" 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class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-303191196 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1008228554\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2827775106\" class=\"text\">\n\t\t\n\n<p>*V\u0103 recomand\u0103m s\u0103 completa\u021bi toate c\u00e2mpurile pentru a primi cel mai bun r\u0103spuns posibil.<\/p>\n\t\t\n<style>\n#text-2827775106 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-2827775106 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1008228554 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-824309868 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-824309868 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1347880759 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-1347880759 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1377688929 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Care_este_procesul_de_pregatire_pentru_Plasture_de_sange_epidural\"><\/span>Care este procesul de preg\u0103tire pentru Plasture de s\u00e2nge epidural?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Procesul de preg\u0103tire pentru EKY este riguros \u0219i implic\u0103 pa\u0219i esen\u021biali. \u00cenainte de procedur\u0103, pacientul este informat detaliat \u0219i semneaz\u0103 un formular de consim\u021b\u0103m\u00e2nt. Ulterior, pacientul este pozi\u021bionat corespunz\u0103tor, de obicei \u00een pozi\u021bie lateral\u0103 sau \u0219ez\u00e2nd. Dac\u0103 pacientul st\u0103, uneori simptomele pot fi intensificate, motiv pentru care confortul s\u0103u este monitorizat constant. Toate materialele folosite sunt preg\u0103tite \u00een condi\u021bii sterile. Echipamentul necesar include:<\/p>\n<ul>\n<li aria-level=\"1\">Un kit epidural standard<\/li>\n<li aria-level=\"1\">Pliante sterile \u0219i alte materiale de sterilizare<\/li>\n<\/ul>\n<p>Dup\u0103 accesul \u00een zona epidural\u0103 (verific\u00e2ndu-se cu aten\u021bie pozi\u021bionarea acului), se recolteaz\u0103 s\u00e2nge din bra\u021b, care este injectat lent \u00een spa\u021biul epidural.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cum_se_realizeaza_procedura_de_Plasture_de_sange_epidural\"><\/span>Cum se realizeaz\u0103 procedura de Plasture de s\u00e2nge epidural?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Procedura de Plasture de s\u00e2nge epidural urmeaz\u0103 pa\u0219i specifici. Ini\u021bial, se identific\u0103 spa\u021biul epidural, folosind metoda de pierdere a rezisten\u021bei cu aer sau salin\u0103. \u00cen cazuri complexe, se poate folosi C-armul sau ghidajul cu ultrason. Dup\u0103 plasarea acului epidural, pacientul ofer\u0103 aproximativ 20 mL de s\u00e2nge, care este injectat lent \u00een spa\u021biul epidural:<\/p>\n<ul>\n<li aria-level=\"1\">Durata injec\u021biei: 30-60 de secunde<\/li>\n<li aria-level=\"1\">Cantitatea de s\u00e2nge utilizat\u0103: de obicei 20 mL<\/li>\n<\/ul>\n<p>Pe parcursul procedurii, pacientul poate sim\u021bi disconfort sau dureri sub form\u0103 de crampe. Totu\u0219i, tratamentul produce, \u00een general, rezultate satisf\u0103c\u0103toare. Uneori, volumul de s\u00e2nge injectat poate fi redus; chiar \u0219i astfel, volume mai mici pot fi eficiente \u00een ameliorarea durerii de cap. Studiile arat\u0103 c\u0103 \u0219i cantit\u0103\u021bi reduse de s\u00e2nge autolog pot produce rezultate bune.<\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section dark\" id=\"section_1956595989\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n\t<div id=\"gap-221299717\" class=\"gap-element clearfix hide-for-medium\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-221299717 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1904183242\">\r\n\r\n\n\t<div id=\"col-105438450\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1613399804\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contacteaz\u0103-l acum pe Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez pentru informa\u021bii detaliate \u0219i pentru a programa o consulta\u021bie!<\/strong><\/div>\r\n\t\t\n<style>\n#text-1613399804 {\n  font-size: 1.25rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-1613399804 {\n    font-size: 1.15rem;\n  }\n}\n@media (min-width:850px) {\n  #text-1613399804 {\n    font-size: 1.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-105438450 > .col-inner {\n  padding: 20px 0px 0px 0px;\n  margin: 0px 0px -10px 0px;\n}\n@media (min-width:550px) {\n  #col-105438450 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-857178214\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&#038;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&#038;type=phone_number&#038;app_absent=0\" target=\"_blank\" class=\"button alert is-small box-shadow-5\" rel=\"noopener\" style=\"border-radius:10px;padding:5px 20px 5px 20px;\">\n\t\t<span>Contact prin Whatsapp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-857178214 > .col-inner {\n  padding: 20px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1956595989 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #396cf0;\n}\n<\/style>\n\t<\/section>\n\t\r\n\t<div id=\"gap-421980276\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-421980276 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Care_sunt_complicatiile_posibile\"><\/span>Care sunt complica\u021biile posibile?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Procedura de EKY poate avea complica\u021bii. Rata de e\u0219ec este de aproximativ 10%. \u00cen timpul procedurii, pot ap\u0103rea perfora\u021bii durale suplimentare care agraveaz\u0103 situa\u021bia. Alte complica\u021bii frecvente includ:<\/p>\n<ul>\n<li aria-level=\"1\">Durere de spate u\u0219oar\u0103 p\u00e2n\u0103 la moderat\u0103, care de obicei se amelioreaz\u0103 \u00een c\u00e2teva zile<\/li>\n<li aria-level=\"1\">Simptome de infec\u021bie la locul injec\u021biei, cum ar fi:\n<ul>\n<li aria-level=\"2\">Febr\u0103<\/li>\n<li aria-level=\"2\">Oboseal\u0103<\/li>\n<li aria-level=\"2\">Ro\u0219ea\u021b\u0103<\/li>\n<li aria-level=\"2\">Secre\u021bii<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>S\u00e2ngele injectat poate crea un mediu propice pentru infec\u021bii, necesit\u00e2nd evaluare \u0219i interven\u021bie medical\u0103 prompt\u0103. Este important ca pacien\u021bii s\u0103-\u0219i monitorizeze simptomele.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"De_ce_este_importanta_Plasture_de_sange_epidural\"><\/span>De ce este important\u0103 Plasture de s\u00e2nge epidural?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>EKY este crucial\u0103 pentru tratarea durerilor de cap post-dural ponc\u021bie, deoarece restabile\u0219te rapid presiunea normal\u0103 a LCR-ului \u0219i \u00eembun\u0103t\u0103\u021be\u0219te circula\u021bia cerebral\u0103. Astfel, nu numai c\u0103 reduce durerea, dar \u00eembun\u0103t\u0103\u021be\u0219te \u0219i calitatea vie\u021bii pacien\u021bilor. Utilizarea s\u00e2ngelui autolog minimizeaz\u0103 riscul de reac\u021bii alergice, iar natura minim invaziv\u0103 a procedurii o face o op\u021biune preferat\u0103 \u00eenainte de alte interven\u021bii riscante.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Intrebari_frecvente\"><\/span>\u00centreb\u0103ri frecvente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>\u00cen ce cazuri se efectueaz\u0103 un plasture de s\u00e2nge epidural?<\/strong><\/p>\n<p>EKY se efectueaz\u0103 \u00een principal pentru tratarea PDPH, care apare dup\u0103 o ponc\u021bie lombar\u0103 sau anestezie epidural\u0103, din cauza scurgerilor de LCR. Aproximativ 1,5% din procedurile epidurale duc la perfora\u021bii durale, iar \u00een 50% din aceste cazuri se dezvolt\u0103 PDPH. EKY este utilizat\u0103 \u0219i la pacien\u021bii cu hipotensiune intracranian\u0103 spontan\u0103 (SIH), unde scurgerile de LCR apar f\u0103r\u0103 interven\u021bii anterioare. Rata de succes \u00een tratarea PDPH variaz\u0103 \u00eentre 70% \u0219i 90%, iar \u00een SIH \u00eentre 52% \u0219i 87%. EKY poate fi, de asemenea, folosit\u0103 pentru a trata scurgerile de LCR dup\u0103 interven\u021biile chirurgicale ale m\u0103duvei spin\u0103rii, prin injectarea s\u00e2ngelui autolog, care formeaz\u0103 un cheag ce sigileaz\u0103 perfora\u021bia.<\/p>\n<p><strong>Care sunt tehnicile folosite \u00een timpul procedurii?<\/strong><\/p>\n<p>EKY implic\u0103 injectarea s\u00e2ngelui autolog \u00een spa\u021biul epidural pentru a opri scurgerile de LCR. Procedura se efectueaz\u0103 de obicei cu pacientul \u00een pozi\u021bie lateral\u0103 sau \u0219ez\u00e2nd, zona este dezinfectat\u0103, se administreaz\u0103 anestezie local\u0103, iar o ac\u0103 este introdus\u0103 \u00een spa\u021biul epidural, ghidat\u0103 de imagistic\u0103 (fluoroscopie). Se colecteaz\u0103 o cantitate de s\u00e2nge (10-20 mL, de obicei), care este injectat\u0103 lent \u00een spa\u021biul epidural, unde se formeaz\u0103 un cheag ce opre\u0219te scurgerile. Dup\u0103 procedur\u0103, se recomand\u0103 evitarea efortului intens timp de 24 de ore.<\/p>\n<p><strong>Va disp\u0103rea complet durerea de cap dup\u0103 plasturele de s\u00e2nge?<\/strong><\/p>\n<p>EKY este eficient\u0103 \u00een tratarea PDPH, remediind complet durerea de cap la aproximativ 75% dintre pacien\u021bi \u0219i par\u021bial la 18%. O a doua aplicare poate cre\u0219te rata de succes p\u00e2n\u0103 la 93%. Succesul depinde de factori precum m\u0103rimea acului \u0219i momentul aplic\u0103rii; procedurile efectuate \u00een primele 4 zile pot avea rate de remisie mai sc\u0103zute. Efectele secundare includ, de obicei, dureri lombare \u0219i de g\u00e2t, iar complica\u021biile severe sunt rare.<\/p>\n<p><strong>Care sunt riscurile unui plasture de s\u00e2nge epidural?<\/strong><\/p>\n<p>De\u0219i EKY este, \u00een general, considerat\u0103 sigur\u0103, exist\u0103 riscuri poten\u021biale, cum ar fi durerile de spate (raportate \u00een aproximativ 35% din cazuri), durerile de g\u00e2t, paralizia facial\u0103 \u0219i sindromul lombar-vertebral. Complica\u021biile severe sunt rare, dar pot include infec\u021bii, s\u00e2nger\u0103ri, leziuni nervoase \u0219i, ocazional, deterior\u0103ri neurologice acute. Rata de succes a EKY \u00een tratarea PDPH este de aproximativ 85%, cu o rat\u0103 de e\u0219ec de circa 7%.<\/p>\n<p><strong>La ce ar trebui s\u0103 acorde aten\u021bie pacientul dup\u0103 procedur\u0103?<\/strong><\/p>\n<p>Dup\u0103 EKY, pacien\u021bii trebuie s\u0103 respecte anumite recomand\u0103ri pentru a facilita recuperarea. \u00cen primele 1-2 ore se recomand\u0103 repaus la pat (unele surse sugereaz\u0103 repaus de 4-6 ore), iar \u00een primele 24 de ore se evit\u0103 conducerea, ridicarea de greut\u0103\u021bi \u0219i activit\u0103\u021bile intense. Dup\u0103 24 de ore se poate face baie, \u00eens\u0103 se recomand\u0103 evitarea b\u0103ilor fierbin\u021bi, a saunelor \u0219i a jacuzzi-urilor timp de 3 zile. Aplicarea compreselor reci la locul injec\u021biei, timp de 10-20 minute la fiecare 1-2 ore, poate ajuta la ameliorarea durerii. Dac\u0103 apar dureri severe, amor\u021beal\u0103 sau semne de infec\u021bie, pacien\u021bii trebuie s\u0103 solicite asisten\u021b\u0103 medical\u0103 imediat\u0103.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Plasturele de s\u00e2nge epidural este o procedur\u0103 utilizat\u0103 pentru tratarea cefaleei post-punc\u021bie lombar\u0103, cauzat\u0103 de scurgerea lichidului cefalorahidian. Interven\u021bia const\u0103 \u00een injectarea de s\u00e2nge propriu \u00een spa\u021biul epidural. Aceast\u0103 metod\u0103 determin\u0103 \u00eenchiderea defectului meningeal \u0219i restabilirea presiunii normale a lichidului cefalorahidian. Efectul este rapid, cu ameliorare semnificativ\u0103 a durerii. Procedura se efectueaz\u0103 sub ghidaj imagistic [&#8230;]\n","protected":false},"author":2,"featured_media":9639,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[321],"tags":[],"class_list":["post-9627","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tratamente"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9627","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/comments?post=9627"}],"version-history":[{"count":2,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9627\/revisions"}],"predecessor-version":[{"id":12102,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9627\/revisions\/12102"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media\/9639"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media?parent=9627"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/categories?post=9627"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/tags?post=9627"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}