Veli ÇITIŞLI, Şule ONUR, Muhammet Fatih SARI

Literatür Eşliğinde Koksidinia

Koksidinia koksikste veya kuyruk sokumu kemiğinde ağrı demektir. Kuyruk sokumu kemiği guguk kuşunun cuckoo gagasına benzetilerek adını yunanca karşılığı olan coccyx'ten almıştır. Dynia bilindiği üzere kronik ağrı demektir. Oturur durumda düşme sonucu koksikste kırık, çıkık olması yada doğum zorlamasıyla veya artroz sonucu koksiksin ucu öne veya yana doğru yer değiştirir ve mobil hale gelir. Koksiks bölgesinde görülen rahatsız edici bu ağrılı klinik tabloya Koksidinia adı verilir. Hasta oturduğu zaman koksiksin ucunun hareketi sonucu şiddetli ağrı ortaya çıkar. Tanı genellikle öykü ile ve anorektoskopinin negatif olması ile konur. Rektal tuşe sırasında koksiksin palpasyonunda ağrılı olduğu saptanırsa koksidinia tanısı kuvvetle muhtemeldir. Taze kırıklarda 3 hafta kadar yatak istirahati uygulanır. Daha sonra sıcak oturma banyoları önerilir. Konservatif tedavinin başarı şansı yüksektir. Ayrıca koksidinia tedavisinde kriyoterapi, termoterapi,TENS gibi fiziksel yöntemler de kullanılır. Hastalar sert zeminlere oturmamalı ve sünger simit şeklinde yastık üzerine oturmalıdır. Ağrıyı azaltmak için analjezik, non-steroid antienflamatuvar ve myorelaksan ilaçlar verilmelidir. Koksiks üzerine enjeksiyonlar ile ağrı tedavisi denenebilir.. Konservatif tedavinin başarısız ise ve hastanın günlük yaşamının zorlaştığı durumlarda koksektomi yapılır.

Anahtar Kelimeler:

Koksidinia, koksektomi, koksigeal ağrı

Coccydynia The Light Of Literature

Coccydynia is pain in the area of the coccyx, or tailbone. The coccyx is a small, curved, V-shaped bone at the bottom of the spine. The diagnosis of coccydynia was based on clinical history, local of pain, and response to previous diagnostic ve therapeutic procedures. In sitting position from falling coccyx fracture, dislocation, or arthrosis is a result of forced labor or the tip of coccyx, and mobile becomes displaced forward or sideways. A result of the movement of the patient severe pain occurs when seated on the tip of coccyx. sitz baths. Conservative treatment, the chances of success are high. Also in the treatment of coccydynia used physical methods such as cryotherapy, thermotherapy and TENS. Patients sit in the company and sponge donut-shaped pillow rest on hard surfaces.Analgesic, to reduce pain, non-steroidal anti-inflammatory drugs, and should be given myorelaksan.Coccyx pain treatment injections can be tried on. If conservative treatment fails and the patient's daily life difficult situations is coccygectomy.

Keywords:

coccydynia, coccygectomy, coccygeal pain,

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