\u00c7ocukluk \u00e7a\u011f\u0131n\u0131n bu en s\u0131k g\u00f6r\u00fclen hastal\u0131\u011f\u0131n\u0131n halk aras\u0131nda en yayg\u0131n ifade edili\u015f \u015fekli \u201corta kulakta su toplanmas\u0131\u201dd\u0131r. \u00c7ocukluk \u00e7a\u011flar\u0131ndaki orta kulakta s\u0131v\u0131 birikmesi durumu KBB literat\u00fcr\u00fcnde en s\u0131k SOM (ser\u00f6z otitis media), ancak en do\u011fru \u015fekliyle EOM (ef\u00fczyonlu otitis media) olarak adland\u0131r\u0131l\u0131r. EOM kesin tedavisi yap\u0131labilen bir hastal\u0131kt\u0131r. \u00c7ocuklar\u0131n \u00f6nemli bir k\u0131sm\u0131nda hastal\u0131k kendili\u011finden dahi d\u00fczelebilir. Bir ay i\u00e7inde d\u00fczelme g\u00f6r\u00fclmemesi durumunda ila\u00e7 tedavileri denebilir. \u0130nat\u00e7\u0131 durumlarda ise cerrahi olarak kesin tedavisi yap\u0131labilir.<\/p>\n
ORTA KULA\u011eIN YAPISI<\/strong><\/p>\n Kulak zar\u0131 d\u0131\u015f kulak yolunun sonunda bulunur.Zar\u0131n \u00f6n y\u00fczeyi d\u0131\u015f kulak yolu, arka k\u0131sm\u0131 ise orta kulak bo\u015flu\u011fuyla kom\u015fudur. Zara \u00e7arpan ses dalgalar\u0131 zarla ba\u011flant\u0131l\u0131 olan \u00e7eki\u00e7 kemi\u011fini, daha sonra s\u0131ras\u0131yla \u00f6rs ve \u00f6zengi kemi\u011fini titre\u015ftirerek i\u00e7 kula\u011fa ula\u015f\u0131r. Orta kulakta yer alan ve birbiriyle ba\u011flant\u0131l\u0131 olan bu \u00e7eki\u00e7, \u00f6rs ve \u00f6zengi kemikleri, kemik\u00e7ik zinciri olarak bilinir. Ses enerjisinin en ideal \u015fekilde i\u00e7 kula\u011fa ula\u015fabilmesi sa\u011flam ve serbest\u00e7e titre\u015febilen bir kulak zar\u0131na ve kemik\u00e7ik zincire ihtiyac\u0131 vard\u0131r. Kulak zar\u0131 ve kemi\u00e7ik zinciri sisteminin rahat\u00e7a titre\u015febilmesi i\u00e7in kulak zar\u0131n\u0131n her iki taraf\u0131n\u0131n e\u015fit bas\u0131n\u00e7ta hava ile dolu olmas\u0131 gerekir. Kulak zar\u0131n\u0131n d\u0131\u015f taraf\u0131 d\u0131\u015f kulak yoluyla direkt atmosfere a\u00e7\u0131k olup 1 atmosferlik hava bas\u0131nc\u0131n\u0131n etkisi alt\u0131ndad\u0131r. Zar\u0131n arka k\u0131sm\u0131ndaki orta kulak bo\u015flu\u011funun havas\u0131 ise genizden Eustachi borusu yoluyla gelir.<\/p>\n GEN\u0130Z TIKANIKLI\u011eI<\/strong><\/p>\n Geniz b\u00f6lgesi, burun bo\u015flu\u011funun arka taraf\u0131nda, yumu\u015fak damak ve k\u00fc\u00e7\u00fck dilin \u00fcst b\u00f6lgesinde yer al\u0131r. Nefes alma s\u0131ras\u0131nda burundan ge\u00e7en hava, genizden ge\u00e7erek g\u0131rtla\u011fa ula\u015fmaktad\u0131r. Sa\u011fl\u0131kl\u0131 bir \u00e7ocu\u011fun geli\u015fimi s\u0131ras\u0131nda erken ya\u015flardan itibaren geniz b\u00f6lgesinde adenoid dokusu (geniz eti) b\u00fcy\u00fcmeye ba\u015flar. Geniz b\u00f6lgesinde yer kaplayan bir kitle bulunursa burun t\u0131kan\u0131kl\u0131\u011f\u0131 olu\u015fur ve nefes almak i\u00e7in a\u011f\u0131z yolu kullan\u0131l\u0131r. Geniz eti nedeniyle Eustachi borusunda fonksiyon bozuklu\u011fu olu\u015fursa orta kula\u011fa hava ula\u015ft\u0131r\u0131lmas\u0131 aksar.<\/p>\n ORTA KULAKTA SIVI TOPLANMASI<\/strong><\/p>\n Eustachi borusu \u00e7al\u0131\u015fmazsa orta kulaktaki hava bas\u0131nc\u0131 d\u00fc\u015fer ve vakum etkisi olu\u015fur. Di\u011fer bir deyi\u015fle d\u0131\u015f kulaktaki hava bas\u0131nc\u0131 g\u00f6receli olarak y\u00fcksek kal\u0131r, kulak zar\u0131 pozitif bas\u0131nc\u0131n etkisiyle orta kula\u011fa do\u011fru \u00e7\u00f6kmeye ba\u015flar. Bu durum uzun s\u00fcrerse, orta kulak \u00f6rt\u00fcs\u00fcnce salg\u0131 \u00fcretilir. Sonu\u00e7ta orta kulak bo\u015flu\u011fu s\u0131v\u0131 ile dolar ve kulak zar\u0131na i\u00e7 taraftan destek olu\u015fur.<\/p>\n Eustachi borusu fonksiyon bozuklu\u011fu birka\u00e7 hafta i\u00e7inde d\u00fczelirse, salg\u0131lar genize bo\u015falarak her \u015fey normale d\u00f6ner. Ancak t\u0131kan\u0131kl\u0131k daha uzun s\u00fcrerse salg\u0131lar gittik\u00e7e koyula\u015farak tutkal k\u0131vam\u0131na ula\u015f\u0131r, zar\u0131n ve kemik\u00e7iklerin titre\u015fmesine engel olup, orta derecede i\u015fitme kayb\u0131na neden olur. Problem aylarca s\u00fcrecek olursa, orta kulakta yap\u0131\u015f\u0131kl\u0131klara ve eri\u015fkin hayata kadar uzanan kal\u0131c\u0131 problemlere neden olabilir.<\/p>\n HASTALI\u011eIN MED\u0130KAL TEDAV\u0130S\u0130<\/strong><\/p>\n EOM\u2019nin takibinde bazen ila\u00e7s\u0131z dahi d\u00fczelme olabilmektedir. Yeni saptanan bir olguda birka\u00e7 hafta i\u00e7inde \u015fikayetler d\u00fczelmiyorsa orta kulak bas\u0131nc\u0131 \u00f6l\u00e7\u00fcl\u00fcp \u00e7e\u015fitli ila\u00e7larla tedavi denenmelidir. Gerek hastan\u0131n hikayesi, gerekse muayene ve tetkik sonu\u00e7lar\u0131 uzun s\u00fcreli bir problem oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcr\u00fcyorsa, tedavi se\u00e7ene\u011fi fazla ge\u00e7 kal\u0131nmadan cerrahi olmal\u0131d\u0131r.<\/p>\n HASTALI\u011eIN CERRAH\u0130 TEDAV\u0130S\u0130<\/strong><\/p>\n Cerrahide kulak zar\u0131 delinip s\u0131v\u0131 bo\u015falt\u0131l\u0131r ve olu\u015fturulan delik hemen kapanmas\u0131n diye, orta kula\u011fa hava ta\u015f\u0131nmas\u0131na yard\u0131mc\u0131 olmak \u00fczere t\u00fcp yerle\u015ftirilmesi gerekir. Patolojinin sebebi olarak geniz eti d\u00fc\u015f\u00fcn\u00fcl\u00fcyorsa, geniz etinin de ameliyatla al\u0131nmas\u0131 gerekir.<\/p>\n AMEL\u0130YAT SONRASI TAK\u0130P<\/strong><\/p>\n Kulak zar\u0131na t\u00fcp tak\u0131lmas\u0131yla zar\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fc bozulmu\u015f olur. Bu durumda d\u0131\u015f kulak yoluna su ka\u00e7mas\u0131 halinde, suyun orta kula\u011fa ge\u00e7mesi m\u00fcmk\u00fcnd\u00fcr ve orta kulakta iltihaplara neden olabilir. Kulak t\u0131ka\u00e7lar\u0131yla su ka\u00e7mas\u0131na engel olunmal\u0131, havuza veya denize girilirken ba\u015f suya sokulmamal\u0131d\u0131r. T\u00fcplerin 2-3 ayda bir kontrol\u00fcyle takibi gerekir. V\u00fccudumuz b\u00fcnyesindeki b\u00fct\u00fcn yabanc\u0131 maddeleri att\u0131\u011f\u0131 gibi, t\u00fcpleri de genellikle atacakt\u0131r. Genizdeki Eustachi borusunun havalanmas\u0131na engel olan olay d\u00fczelmeden t\u00fcpler at\u0131l\u0131rsa yeniden yerle\u015ftirilmesi gerekebilir. Geniz t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n uzun s\u00fcrd\u00fc\u011f\u00fc hastalarda, uzun s\u00fcreli kalabilen \u00f6zel t\u00fcpler tak\u0131labilir. Genel olarak t\u00fcplerin 2 y\u0131ldan daha uzun s\u00fcreyle kalmas\u0131na izin verilmez. Uzun s\u00fcreli kalan t\u00fcpler veya kendisi orta kulakta iltihaplara neden olan t\u00fcpler KBB muayenesi s\u0131ras\u0131nda al\u0131nabilir.<\/p>\n UNUTULMAMALI<\/strong><\/p>\n \u2013 EOM \u00e7ocukluk \u00e7a\u011f\u0131n\u0131n en s\u0131k hastal\u0131\u011f\u0131d\u0131r.<\/p>\n \u2013 Genellikle sebep geniz etinin b\u00fcy\u00fcmesidir.<\/p>\n \u2013 Bu hastal\u0131\u011f\u0131n tedavisi m\u00fcmk\u00fcnd\u00fcr.<\/p>\n \u2013 Geniz eti al\u0131nsa dahi \u00e7ocu\u011fun ya\u015f\u0131na ve fizyolojisine ba\u011fl\u0131 olarak yeniden b\u00fcy\u00fcyebilir, fonksiyon bozuklu\u011funa neden olursa yeniden al\u0131nmas\u0131 gerekebilir.<\/p>\n \u2013 T\u00fcp tak\u0131lan kulaklara su ka\u00e7\u0131r\u0131lmamal\u0131d\u0131r.<\/p>\n \u2013 Kulak t\u00fcplerinin takibi \u00f6nemlidir.<\/p>\n Bu yaz\u0131lar www.haldunoguz.com adresinden al\u0131nm\u0131\u015ft\u0131r.<\/span><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Ef\u00fczyonlu otitis media Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[131,90,92,166,195],"class_list":["post-1848","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-hava","tag-kulak-zari","tag-orta","tag-tup","tag-uzun"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1848","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=1848"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1848\/revisions"}],"predecessor-version":[{"id":1849,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/1848\/revisions\/1849"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=1848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=1848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=1848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}