{"id":1217,"date":"2024-04-30T01:12:07","date_gmt":"2024-04-29T22:12:07","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=1217"},"modified":"2024-04-30T01:12:07","modified_gmt":"2024-04-29T22:12:07","slug":"balon-kateter-kalpten-sonra-kulak-hastaliklarinin-tedavisinde","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/balon-kateter-kalpten-sonra-kulak-hastaliklarinin-tedavisinde\/","title":{"rendered":"Balon kateter kalpten sonra; kulak hastal\u0131klar\u0131n\u0131n tedavisinde"},"content":{"rendered":"
<\/figure>\n

BALON KATETER KALPTEN SONRA; KULAK HASTALIKLARININ TEDAV\u0130S\u0130NDE <\/strong><\/p>\n

G\u00fcn\u00fcm\u00fczde t\u0131pta mikro cerrahi ve endoskopik teknikleri geli\u015fmesi devrim kabul edilmektedir. Bu tekniklerle beraber bu yenilikler t\u0131pta pek \u00e7ok yeni y\u00f6ntemler ve bulu\u015flar\u0131n yap\u0131lmas\u0131n\u0131 sa\u011flam\u0131\u015ft\u0131r.<\/span><\/b><\/p>\n

Bu geli\u015fimlerden bir tanesi de t\u0131pta Balon kateter geli\u015fimidir t\u0131kal\u0131 kalp damarlar\u0131n\u0131n a\u00e7\u0131lmas\u0131n\u0131 sa\u011flayan bu y\u00f6ntem kulak burun bo\u011faz alan\u0131nda da g\u00fcn\u00fcm\u00fczde kullan\u0131lmaya ba\u015flam\u0131\u015ft\u0131r.<\/p>\n

Bu teknolojiyi son aylarda Avrupa\u2019da yayg\u0131nla\u015fm\u0131\u015ft\u0131r. Pek \u00e7ok kulak hastal\u0131\u011f\u0131n\u0131n ana sebebi olan Kulak kanal\u0131 olarak adland\u0131r\u0131lan \u00f6staki t\u00fcp\u00fcn\u00fcn t\u0131kan\u0131kl\u0131klar\u0131n a\u00e7\u0131lmas\u0131nda art\u0131k, balon kateter kullan\u0131lmakta t\u0131kanan kanal a\u00e7\u0131larak dilate edilmektedir. Bizlerde bu yeni y\u00f6ntemi kulak hastal\u0131klar\u0131n\u0131n tedavisinde kullanmaya ba\u015flad\u0131k.<\/p>\n

Kulak kanal\u0131 olarak adland\u0131r\u0131lan \u00f6staki t\u00fcp\u00fc veya kanal\u0131 burunun arka k\u0131sm\u0131 olan genizde (nasofarenks) yer al\u0131r. Bu kanal\u0131n di\u011fer ucu orta kulak ad\u0131 verilen kulak kemik\u00e7iklerinin de i\u00e7inde yer ald\u0131\u011f\u0131 bir bo\u015flu\u011fa a\u00e7\u0131l\u0131r. Bu kanal\u0131n \u00f6nemli fonksiyonu vard\u0131r. Bu kanal\u0131n t\u0131kanmas\u0131 veya \u00e7al\u0131\u015fmamas\u0131 durumunda ki\u015fide \u00e7ok ciddi kulak sorunlar\u0131 olu\u015fur. Normalde d\u0131\u015f hava ortam\u0131nda belirli bir atmosfer bas\u0131nc\u0131 vard\u0131r. \u00d6staki kanal\u0131ndan ge\u00e7en hava ile d\u0131\u015f kulak yolundan ge\u00e7en hava bas\u0131nc\u0131 kulak zar\u0131n\u0131n orta kulaktan ve d\u0131\u015f ortamdan e\u015fit olmas\u0131n\u0131 sa\u011flayarak zar\u0131 gergin tutar. Bu durumu bir davulun derisine benzetebiliriz. Davul derisi yeterince gergin olursa seste o derece iyi olacakt\u0131r. \u00d6staki kanal\u0131nda tek tarafl\u0131 bir t\u0131kan\u0131kl\u0131k olu\u015ftu\u011funda hava orta kula\u011fa yeterince gelmeyecektir. Bu havalanma bozuklu\u011funa ba\u011fl\u0131 \u00f6nce orta kulakta hava olmayacakt\u0131r. Buda bu b\u00f6lgede hava bas\u0131nc\u0131n\u0131n olmay\u0131\u015f\u0131 anlam\u0131na gelir. D\u0131\u015f kulak yolundan gelen hava ve bas\u0131nc\u0131 bu sefer kulak zar\u0131n\u0131n gerginli\u011finin bozulmas\u0131na ve i\u00e7eriye do\u011fru (Orta kulak yap\u0131lar\u0131na do\u011fru) \u00e7\u00f6kmesine neden olacakt\u0131r. \u0130\u015fte bu nokta da tedavi sa\u011flanmaz ise ki\u015fiyi ciddi i\u015fitme kay\u0131plar\u0131 ve m\u00fczmin kulak rahats\u0131zl\u0131klar\u0131 bekler. Bu kanal\u0131n \u00e7al\u0131\u015fmamas\u0131na ba\u011fl\u0131 orta kulakta s\u0131v\u0131 toplanmas\u0131 olabilir. Genellikle \u00e7ocuklarda geli\u015fen bu durum ila\u00e7 tedavileriyle d\u00fczelmez ise kulak zar\u0131na t\u00fcp tak\u0131lmas\u0131 i\u015flemine kadar gidebilir. Bunun d\u0131\u015f\u0131nda zarda ileri derecede \u00e7\u00f6kmeler sonucu Adeziv otit ad\u0131 verilen kulak zar\u0131n\u0131n ileri derecede \u00e7\u00f6kmesine ve ortakulak yap\u0131lar\u0131na yap\u0131\u015fmas\u0131na neden olarak, orta kulakta havan\u0131n kalmamas\u0131na ve i\u015fitme kay\u0131plar\u0131na neden olur. Ayr\u0131ca kronikle\u015fmi\u015f s\u00fcrekli kulak rahats\u0131zl\u0131klar\u0131, kulakta i\u015fitme kay\u0131plar\u0131n\u0131n neden olan pek \u00e7ok duruma \u00f6staki kanal t\u0131kan\u0131kl\u0131klar\u0131 neden olmaktad\u0131r.<\/p>\n

\u00d6nceden \u00f6staki kanal\u0131ndaki bu t\u0131kan\u0131kl\u0131klar\u0131n (Obstr\u00fcktif t\u00fcp disfonksiyonu ) kulak rahats\u0131zl\u0131klar\u0131n\u0131n ana nedeni olabilece\u011fini biliyorduk. Ve bu duruma ba\u011fl\u0131 geli\u015fen veya ilerlemi\u015f olan hastal\u0131klarda ila\u00e7 tedavileri veya hastal\u0131klar\u0131n durumuna g\u00f6re de\u011fi\u015fik tedaviler uyguluyorduk. <\/p>\n

Son birka\u00e7 aya kadar, \u0130la\u00e7 tedavisinin d\u0131\u015f\u0131nda \u00f6staki kanal\u0131n\u0131 a\u00e7\u0131c\u0131 bir tedavi \u015feklimiz yoktu. \u0130la\u00e7 tedavileri dahi yeterli olamad\u0131\u011f\u0131 durumlar s\u0131kl\u0131kla ya\u015fanmaktayd\u0131. Bu gibi durumlarda ila\u00e7 tedavilerinin s\u00fcrelerini uzat\u0131yor ve yo\u011fun ila\u00e7 tedavileri yapmak zorunda kal\u0131yorduk. Bazen de bu kanaldaki sorun ge\u00e7ici kalk\u0131yordu. Sorun s\u0131k s\u0131k tekrar ediyordu. \u00d6rnekle; \u00e7ocuklar\u0131n s\u0131k s\u0131k kulak iltihab\u0131 ge\u00e7irmesi gibi.<\/p>\n

Hangi kulak hastal\u0131klar\u0131nda balon dilatasyon yap\u0131l\u0131r:<\/strong><\/p>\n

Tekrarlayan orta kulak iltihaplar\u0131 ( kulak zar\u0131 perforasyonlar\u0131, kolestatomlar, gibi)<\/strong><\/p>\n

Kulak zar\u0131nda ileri derecede \u00e7\u00f6kmeler (atelektazi)<\/strong><\/p>\n

Orta kulakta s\u0131v\u0131 toplanmas\u0131 ve bu durumun kronik hale gelmesi<\/strong><\/p>\n

Kurallara uygun yap\u0131lan Kulak zar\u0131 ameliyatlar\u0131na ra\u011fmen, ameliyat sonras\u0131 ba\u015far\u0131s\u0131zl\u0131klarda.<\/strong><\/p>\n

U\u00e7ak yolculuklar\u0131nda s\u0131k s\u0131k ya\u015fanan kulak t\u0131kan\u0131kl\u0131klar\u0131nda<\/strong><\/p>\n

Kulak t\u0131kan\u0131kl\u0131klar\u0131nda kula\u011f\u0131 hava bas\u0131nc\u0131 ile (valsalva) a\u00e7maya \u00e7al\u0131\u015f\u0131lmas\u0131na ra\u011fmen ba\u015far\u0131s\u0131z olma.<\/strong><\/p>\n

Kulakta bas\u0131n\u00e7 ve t\u0131kanma s\u0131k olan meslek gruplar\u0131; pilotlar, dalg\u0131\u00e7lar, y\u00fcksek irtifa veya deniz dibinde \u00e7al\u0131\u015fan i\u015f\u00e7iler<\/strong><\/p>\n

Yeni geli\u015fimlerden bir tanesi de t\u0131pta Balon kateter geli\u015fimidir<\/strong> t\u0131kal\u0131 kalp damarlar\u0131n\u0131n a\u00e7\u0131lmas\u0131n\u0131 sa\u011flayan bu y\u00f6ntem kulak burun bo\u011faz alan\u0131nda da g\u00fcn\u00fcm\u00fczde kullan\u0131lmaya ba\u015flam\u0131\u015ft\u0131r.<\/p>\n

Bu teknolojiyi son aylarda Avrupa\u2019da yayg\u0131nla\u015fm\u0131\u015ft\u0131r. Pek \u00e7ok kulak hastal\u0131\u011f\u0131n\u0131n ana sebebi olan Kulak kanal\u0131 olarak adland\u0131r\u0131lan \u00f6staki t\u00fcp\u00fcn\u00fcn t\u0131kan\u0131kl\u0131klar\u0131n a\u00e7\u0131lmas\u0131nda art\u0131k, balon kateter kullan\u0131lmakta t\u0131kanan kanal a\u00e7\u0131larak dilate edilmektedir. <\/p>\n

Avrupa\u2019da Prof.Dr. Holger Sudhoff taraf\u0131ndan geli\u015ftirilen bu y\u00f6ntemle, Binlerce sorunu olan hastada bu giri\u015fimler uygulanarak, \u00f6staki kanal\u0131 balon y\u00f6ntemiyle a\u00e7\u0131lm\u0131\u015ft\u0131r. Yap\u0131lan bilimsel \u00e7al\u0131\u015fmalarda kanal a\u00e7\u0131kl\u0131klar\u0131 ameliyat \u00f6ncesi ve sonras\u0131 ve ilerleyen aylarda test edilerek, bu y\u00f6ntemin ba\u015far\u0131s\u0131 kan\u0131tlanm\u0131\u015ft\u0131r. Yap\u0131lan \u00e7al\u0131\u015fmalarda ki\u015filerde hi\u00e7bir yan etki ile kar\u015f\u0131la\u015f\u0131lmam\u0131\u015ft\u0131r. Y\u00f6ntem genel anestezi alt\u0131nda yap\u0131lan, \u00e7ok k\u0131sa s\u00fcreli bir i\u015flemdir.<\/p>\n

Ki\u015filerde s\u0131k olu\u015fan kulak hastal\u0131klar\u0131n\u0131n tedavisinde yeni y\u00f6ntem olan kulak kanal\u0131 olan \u00f6staki kanal\u0131n\u0131n balon y\u00f6ntemiyle a\u00e7\u0131lmas\u0131n\u0131 yapmaya ba\u015flad\u0131k. Pek \u00e7ok Kulak hastal\u0131\u011f\u0131na neden olan kanal problemlerinin tedavisi, art\u0131k m\u00fcmk\u00fcn k\u0131lmaktad\u0131r. Unutmay\u0131n\u2026 Ge\u00e7 kalmak ileride ciddi kulak hastal\u0131klar\u0131na davetiye \u00e7\u0131kararak, kulak i\u015fitmesini bozar ve telafisi m\u00fcmk\u00fcn olmayan kronik kulak hastal\u0131klar\u0131na neden olabilir. <\/strong><\/p>\n

Op.Dr.Ahmet \u015eirin <\/strong><\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Balon kateter kalpten sonra; kulak hastal\u0131klar\u0131n\u0131n tedavisinde Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":1218,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[62,131,63,70,309],"class_list":["post-1217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-durum","tag-hava","tag-kulak","tag-sik","tag-yontem"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=1217"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1217\/revisions"}],"predecessor-version":[{"id":1220,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1217\/revisions\/1220"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/1218"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=1217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=1217"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=1217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}