{"id":14090,"date":"2026-03-22T09:34:49","date_gmt":"2026-03-22T09:34:49","guid":{"rendered":"https:\/\/www.narkozsuzsunnet.com\/?p=14090"},"modified":"2026-03-22T09:35:31","modified_gmt":"2026-03-22T09:35:31","slug":"kremle-ve-igneyle-sunnet-uyusmasi-komplikasyonlari-nelerdir","status":"publish","type":"post","link":"https:\/\/www.narkozsuzsunnet.com\/index.php\/2026\/03\/22\/kremle-ve-igneyle-sunnet-uyusmasi-komplikasyonlari-nelerdir\/","title":{"rendered":"Kremle veya i\u011fneyle s\u00fcnnet uyu\u015fmas\u0131 s\u0131ras\u0131nda g\u00f6r\u00fcleblecek komplikasyonlar nelerdir ?"},"content":{"rendered":"\n<p>S\u00fcnnette kullan\u0131lan <strong>kremle (topikal) uyu\u015fturma<\/strong> ile <strong>i\u011fneyle (lokal anestezi)<\/strong> uyu\u015fturman\u0131n komplikasyonlar\u0131 farkl\u0131d\u0131r. Net bir kar\u015f\u0131la\u015ft\u0131rma yapay\u0131m:<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>\ud83d\udd39 1. Kremle uyu\u015fturma (topikal anestezi)<\/strong><\/p>\n\n\n\n<p>En s\u0131k kullan\u0131lan: EMLA krem<\/p>\n\n\n\n<p><strong>\u2714<\/strong><strong>\ufe0f Olas\u0131 komplikasyonlar<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Yetersiz uyu\u015fma korkusu . Art\u0131k yersizdir \u00e7\u00fcnk\u00fc yeni kremlerdeki prilokain sayesinde <\/strong>lidokainin etkisi daha derine ula\u015f\u0131r. Ve 3 saate kadar artan hissizlik etkisi jenerik ila\u00e7 prospekt\u00fcs\u00fcndede a\u00e7\u0131k\u00e7a belirtilmi\u015ftir<\/li>\n\n\n\n<li><strong>Cilt reaksiyonlar\u0131<\/strong><br>\u2192 K\u0131zar\u0131kl\u0131k, \u00f6zellikle \u00e7ok a\u00e7\u0131k tenli bebeklerde olur. Bu bebe\u011fin allerjik ve hassas bir b\u00fcnyeye sahip oldu\u011funu g\u00f6sterir. Ancak bu etki s\u0131n\u0131rl\u0131 kal\u0131r ve krem silinince kaybolur. Bu bebeklerde \u00f6zellikle lidokaini i\u011fne ile vermekten ka\u00e7\u0131nmak gerekir. \u00c7\u00fcnk\u00fc kremle geli\u015fen basit k\u0131zarma i\u011fneyle daha derine verilen lidokainin ciddi allerjik etkiler yapabilece\u011finin g\u00f6stergesidir<\/li>\n\n\n\n<li><strong>Ge\u00e7ici Methemoglobinemi (\u00e7ok nadir)<\/strong><br>\u2192 \u00d6zellikle bebeklerde, \u00e7ok a\u015f\u0131r\u0131 ve fazla(g\u00fcnlerce) kullan\u0131mda g\u00f6r\u00fclebilir s\u00fcnnet i\u00e7in kullan\u0131lan dozlar \u00e7ok az ,k\u0131sa s\u00fcreli ve ge\u00e7icidir. Bu y\u00fczden s\u00fcnnet olan bebeklerde g\u00f6rm\u00fcyoruz<\/li>\n\n\n\n<li><strong>Gecikmi\u015f etki \/ d\u00fczensiz uyu\u015fma <\/strong>asl\u0131nda bu durum i\u011fnedede m\u00fcmk\u00fcnd\u00fcr ve hekim deneyimi ve sabr\u0131yla yeterli bekleyerek bu komplikasyonun geli\u015fmesini \u00f6nler \u00a0<\/li>\n<\/ul>\n\n\n\n<p><strong>\u2714<\/strong><strong>\ufe0f Avantaj y\u00f6nl\u00fc risk durumu<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0130\u011fne olmad\u0131\u011f\u0131 i\u00e7in <strong>travma yok<\/strong><\/li>\n\n\n\n<li>Kanama, sinir hasar\u0131 gibi ciddi riskler <strong>\u00e7ok d\u00fc\u015f\u00fck<\/strong><\/li>\n\n\n\n<li>Ciddi allerji yada sistemik allerji geli\u015fme riski i\u011fneye oranla \u00e7ok d\u00fc\u015f\u00fck<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>\ud83d\udd39 2. \u0130\u011fne ile uyu\u015fturma (lokal anestezi \u2013 penis blok)<\/strong><\/p>\n\n\n\n<p>Genelde lidokain enjeksiyonu yap\u0131l\u0131r (\u00f6rn. lidokain)<\/p>\n\n\n\n<p><strong>\u2714<\/strong><strong>\ufe0f Olas\u0131 komplikasyonlar<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0130\u011fneye ba\u011fl\u0131 a\u011fr\u0131 ve korku<\/strong><\/li>\n\n\n\n<li><strong>Kanama \/ morarma (hematom)<\/strong><\/li>\n\n\n\n<li><strong>Enfeksiyon<\/strong><\/li>\n\n\n\n<li><strong>Yanl\u0131\u015f uygulamada damar i\u00e7ine ila\u00e7 gitmesi<\/strong><br>\u2192 \u00c7arp\u0131nt\u0131, ba\u015f d\u00f6nmesi gibi sistemik etkiler<\/li>\n\n\n\n<li><strong>Sinir hasar\u0131 (\u00e7ok nadir, deneyimsiz uygulamada)<\/strong><\/li>\n\n\n\n<li><strong>A\u015f\u0131r\u0131 dozda toksisite<\/strong> (\u00e7ok nadir ama \u00f6nemli)<\/li>\n\n\n\n<li><strong>Methemoglobinemi(mavibebek) <\/strong>bu risk kremden daha fazlad\u0131r<\/li>\n\n\n\n<li><strong>Yetersiz uyu\u015fma: <\/strong>\u00f6zellikle g6pd eksikli\u011finde,a\u015f\u0131r\u0131 ya\u011fl\u0131 \u00e7ocuklarda yeterli uyu\u015fmayabilir . bu durumda genellikle bir doz daha yap\u0131l\u0131r. Ancak yine uyu\u015fmazsa toksik doza ula\u015fmamak i\u00e7in i\u015fleme son verilmelidir.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u2714<\/strong><strong>\ufe0f Avantaj y\u00f6nl\u00fc risk durumu<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>G\u00fc\u00e7l\u00fc uyu\u015fturma<\/strong> sa\u011flar<\/li>\n\n\n\n<li>\u0130\u015flem s\u0131ras\u0131nda a\u011fr\u0131 ihtimali d\u00fc\u015f\u00fckt\u00fcr<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>\ud83d\udd38 Kar\u015f\u0131la\u015ft\u0131rma (k\u0131sa ve net)<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>\u00d6zellik<\/strong><\/td><td><strong>Krem<\/strong><\/td><td><strong>\u0130\u011fne<\/strong><\/td><\/tr><\/thead><tbody><tr><td>Etki g\u00fcc\u00fc<\/td><td>Prilokain ve lidokain le Kuvvetli uyu\u015fma.<\/td><td>kuvetli uyu\u015fma<\/td><\/tr><tr><td>A\u011fr\u0131s\u0131zl\u0131k<\/td><td>Yeterli s\u00fcre bekleyince tam uyu\u015fma<\/td><td>Genelde tam<\/td><\/tr><tr><td>En s\u0131k sorun<\/td><td>Hafif k\u0131zarma<\/td><td>\u0130\u011fne a\u011fr\u0131s\u0131 ve \u00e7ocukta panik<\/td><\/tr><tr><td>Ciddi komplikasyon<\/td><td>\u00c7ok nadir<\/td><td>Nadir ama ciddi olabilir<\/td><\/tr><tr><td>G\u00fcvenilirlik<\/td><td>Deneyimli elde y\u00fcksek<\/td><td>Deneyimli elde y\u00fcksek<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>\ud83d\udd39 Genel de\u011ferlendirme<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Krem daha g\u00fcvenli s\u00fcnnet gibi k\u0131sa m\u00fcdahale i\u00e7in yeterli<\/strong><\/li>\n\n\n\n<li><strong>\u0130\u011fne daha etkili ama baz\u0131 \u00f6nemli riskleri var<\/strong><\/li>\n\n\n\n<li>Bu y\u00fczden bir\u00e7ok doktor:<br>\ud83d\udc49 \u00d6nce krem s\u00fcrer<br>\ud83d\udc49 Sonra i\u011fne yaparak a\u011fr\u0131y\u0131 minimuma indirir<\/li>\n\n\n\n<li>Ancak sadece kremle s\u00fcnnet art\u0131k yap\u0131labilmekte oldu\u011fundan.hekimlerde bu y\u00f6ntem \u00fczerinde uzmanla\u015fmaya ba\u015flad\u0131<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>S\u00fcnnette kullan\u0131lan kremle (topikal) uyu\u015fturma ile i\u011fneyle (lokal anestezi) uyu\u015fturman\u0131n komplikasyonlar\u0131 farkl\u0131d\u0131r. Net bir kar\u015f\u0131la\u015ft\u0131rma yapay\u0131m: \ud83d\udd39 1. Kremle uyu\u015fturma (topikal anestezi) En s\u0131k kullan\u0131lan: EMLA krem \u2714\ufe0f Olas\u0131 komplikasyonlar \u2714\ufe0f Avantaj y\u00f6nl\u00fc risk durumu \ud83d\udd39 2. \u0130\u011fne ile uyu\u015fturma (lokal anestezi \u2013 penis blok) Genelde lidokain enjeksiyonu yap\u0131l\u0131r (\u00f6rn. lidokain) \u2714\ufe0f Olas\u0131 komplikasyonlar \u2714\ufe0f [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-14090","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/posts\/14090","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/comments?post=14090"}],"version-history":[{"count":2,"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/posts\/14090\/revisions"}],"predecessor-version":[{"id":14092,"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/posts\/14090\/revisions\/14092"}],"wp:attachment":[{"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/media?parent=14090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/categories?post=14090"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.narkozsuzsunnet.com\/index.php\/wp-json\/wp\/v2\/tags?post=14090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}