{"id":2036,"date":"2024-05-02T14:36:06","date_gmt":"2024-05-02T11:36:06","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=2036"},"modified":"2024-05-02T14:36:06","modified_gmt":"2024-05-02T11:36:06","slug":"cocuklarda-ses-kisikligi","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/cocuklarda-ses-kisikligi\/","title":{"rendered":"\u00c7ocuklarda ses k\u0131s\u0131kl\u0131\u011f\u0131"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/haldunoguz.files.wordpress.com\/2016\/08\/c3a7ocuk-ses-kc4b1sc4b1klc4b1c49fc4b1-ankara.jpg?w=700\"\/><\/p>\n<p>Ses bozuklu\u011fu ya da ses k\u0131s\u0131kl\u0131\u011f\u0131, ses kalitesindeki herhangi bir de\u011fi\u015fikli\u011fi ifade etmek i\u00e7in kullan\u0131lan bir terimdir. Bu durum i\u00e7in <strong>ses k\u0131s\u0131kl\u0131\u011f\u0131<\/strong>, ses kalitesinin bozulmas\u0131, sesin \u00e7atall\u0131 olmas\u0131, sesin zay\u0131f ya da a\u015f\u0131r\u0131 kas\u0131lm\u0131\u015f gibi \u00e7\u0131k\u0131yor olmas\u0131, ses p\u00fcr\u00fczl\u00fcl\u00fc\u011f\u00fc, <strong>sesin ince olmas\u0131<\/strong>, <strong>sesin kal\u0131n olmas\u0131<\/strong> gibi de\u011fi\u015fik tan\u0131mlamalar kullan\u0131labilir. Sesin perdesi ya da \u015fiddeti anormal olabilir, ses rezonans\u0131 de\u011fi\u015fmi\u015f olabilir.<\/p>\n<p><strong>\u00c7ocukluk \u00e7a\u011f\u0131nda ses k\u0131s\u0131kl\u0131\u011f\u0131<\/strong> g\u00f6r\u00fclme oran\u0131 %4 ile 23 aras\u0131nda de\u011fi\u015fmektedir. K\u0131s\u0131kl\u0131\u011f\u0131n nedeni g\u0131rtlak yap\u0131s\u0131ndaki herhangi bir yap\u0131sal ya da fonksiyonel neden olabilir.<\/p>\n<p>\u00c7ocukluk \u00e7a\u011f\u0131 ses k\u0131s\u0131kl\u0131klar\u0131n\u0131n \u00e7o\u011funlu\u011fu iyi huylu nedenlere ba\u011fl\u0131d\u0131r. Bunlar aras\u0131nda <strong>sesin a\u015f\u0131r\u0131 ya da k\u00f6t\u00fc kullan\u0131m\u0131<\/strong> birinci s\u0131rada yer al\u0131r. Yanl\u0131\u015f ya da k\u00f6t\u00fc kullan\u0131m, <strong>ses tellerinde nod\u00fcller, polip<\/strong>, kanama odaklar\u0131 ve hematom olu\u015fmas\u0131na yol a\u00e7abilir. Bu durumun tedavisi, genellikle <strong>ses terapisi<\/strong> ile kolayl\u0131kla yap\u0131labilir. Baz\u0131 ilerlemi\u015f olgularda <strong>mikrolaringocerrahi<\/strong> ad\u0131 verilen mikroskobik ses teli ameliyatlar\u0131 tedavi y\u00f6ntemi olarak kullan\u0131l\u0131r.<\/p>\n<p>\u00c7ocukluk \u00e7a\u011f\u0131 ses k\u0131s\u0131kl\u0131klar\u0131na yol a\u00e7an ikinci en b\u00fcy\u00fck grup ses telleri ve \u00e7evresindeki yap\u0131lar\u0131n <strong>iltihaplar<\/strong>\u0131d\u0131r. Bunun en s\u0131k nedeni viral ya da bakteriyal<strong>enfeksiyonlar<\/strong> olmakla birlikte; sesin a\u015f\u0131r\u0131 kas\u0131larak kullan\u0131m\u0131, tekrarlayan \u00f6ks\u00fcr\u00fck ve <strong>bo\u011faz temizleme<\/strong>, hava yoluyla bo\u011faz\u0131 rahats\u0131z edecek \u015feylere maruz kalma ve sistemik hastal\u0131klar (<strong>tiroid bezinin az \u00e7al\u0131\u015fmas\u0131<\/strong> gibi) da nedenler aras\u0131ndad\u0131r.<\/p>\n<p>\u00c7ocukluk \u00e7a\u011f\u0131n\u0131n nadir g\u00f6r\u00fclen ancak \u00f6nem arz eden bir ba\u015fka ses k\u0131s\u0131kl\u0131\u011f\u0131 nedeni<strong>do\u011fu\u015ftan gelen hastal\u0131klar<\/strong>d\u0131r. Bunlar aras\u0131nda ses telleri aras\u0131nda <strong>perde (web)<\/strong>, <strong>ses teli kisti<\/strong> ve ses tellerinde hemanjiom en s\u0131k g\u00f6r\u00fclenlerdir.<\/p>\n<p><strong>Hormonal nedenler<\/strong> \u00e7ocukluk \u00e7a\u011f\u0131 ve ergenlik d\u00f6neminde ses k\u0131s\u0131kl\u0131\u011f\u0131na yol a\u00e7abilir.<strong>Tiroid<\/strong> bezinin \u00e7al\u0131\u015fma bozukluklar\u0131 (<strong>guatr<\/strong> ve di\u011fer tiroid hastal\u0131klar\u0131) ve <strong>androjen hormon tedavileri<\/strong> bu gruba ait \u00f6rneklerdir.<\/p>\n<p>Ses telleri ya da g\u0131rtla\u011f\u0131 etkileyen <strong>travmalar<\/strong> da ses k\u0131s\u0131kl\u0131\u011f\u0131 nedenlerindendir.<strong>Yan\u0131c\u0131 ya da yak\u0131c\u0131 maddelerin solunmas\u0131 ya da yutulmas\u0131<\/strong>, k\u00fcnt ya da kesici cisimlerle boyunda olu\u015fan travmalar ve di\u011fer nedenlere ba\u011fl\u0131 yap\u0131lan cerrahiler s\u0131ras\u0131nda hasta uyutulurken kullan\u0131lan t\u00fcpe ait travmalar bu grup i\u00e7erisinde de\u011ferlendirilebilir.<\/p>\n<p>\u00c7ocukluk \u00e7a\u011f\u0131nda nadir olsa da iyi ya da k\u00f6t\u00fc huylu <strong>t\u00fcm\u00f6rler<\/strong> de ses k\u0131s\u0131kl\u0131\u011f\u0131 nedenlerindendir. \u0130yi huylu olanlar aras\u0131nda en s\u0131k <strong>papilloma ve hemanjiom<\/strong>, k\u00f6t\u00fc huylu olanlar aras\u0131nda en s\u0131k <strong>rabdomyosarkom <\/strong>g\u00f6r\u00fclmektedir.<\/p>\n<p><strong>Ses teli felci<\/strong>, ses tellerinin hareket etmesini sa\u011flayan sinir uyar\u0131s\u0131n\u0131n kesilmesine ba\u011fl\u0131 olarak <strong>tek ya da \u00e7ift tarafl\u0131<\/strong> (hem sa\u011f hem sol) ses telinin hareket etmemesi durumudur. Tek tarafl\u0131 oldu\u011funda en rahats\u0131z edici belirti ses k\u0131s\u0131kl\u0131\u011f\u0131 iken, \u00e7ift tarafl\u0131 oldu\u011funda <strong>nefes alma g\u00fc\u00e7l\u00fc\u011f\u00fc<\/strong> ses k\u0131s\u0131kl\u0131\u011f\u0131ndan daha rahats\u0131z edici bir hal al\u0131r. Ses teli felci en s\u0131k ba\u015fka ameliyatlardan sonra g\u00f6r\u00fcl\u00fcr. Bu ameliyatlar aras\u0131nda<strong>tiroid (guatr) cerrahileri, boyun ameliyatlar\u0131, kalp damar ameliyatlar\u0131<\/strong>say\u0131labilir. Bazen <strong>nedensiz<\/strong> olarak bir \u00fcst solunum yolu enfeksiyonunu takiben ortaya \u00e7\u0131kabilir. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131klar\u0131, ba\u015f boyun t\u00fcm\u00f6rleri, <strong>do\u011fum travmas\u0131<\/strong> gibi nedenler de ses teli felcine yol a\u00e7abilir.<\/p>\n<p><strong>Bo\u011faz refl\u00fcs\u00fc (laringofaringeal refl\u00fc, gastro\u00f6zefagolaringeal refl\u00fc),<\/strong> midenin asit i\u00e7eren i\u00e7eri\u011finin \u00f6nce yemek borusuna ard\u0131ndan ses telleri b\u00f6lgesine geri ka\u00e7mas\u0131d\u0131r. Bu asit i\u00e7eri\u011finin ses telleri ve \u00e7evresine temas\u0131 uzun s\u00fcreli bir \u00f6deme ve ses kalitesinin bozulmas\u0131na yol a\u00e7abilir.<\/p>\n<p>K\u0131sa ya da uzun s\u00fcreli ses k\u0131s\u0131kl\u0131\u011f\u0131 olan baz\u0131 hastalarda ise kulak, burun, bo\u011faz, ba\u015f, boyun ve ses yolu muayenesinin tamamen normal oldu\u011fu g\u00f6r\u00fclebilir. \u0130nsan sesi, psikolojik ve fiziksel iyi olu\u015fumuzun bir son \u00fcr\u00fcn\u00fcd\u00fcr. Bu nedenle, bu hastalarda<strong>psikojenik <\/strong>baz\u0131 nedenlerin ses k\u0131s\u0131kl\u0131\u011f\u0131na yol a\u00e7abilece\u011fi g\u00f6z ard\u0131 edilmemelidir.<strong>Kayg\u0131 bozukluklar\u0131 (anksiyete), depresyon, ki\u015filik bozukluklar\u0131 ve konversif reaksiyonlar<\/strong> gibi bir\u00e7ok de\u011fi\u015fik <strong>psikiyatrik <\/strong>durum da ses k\u0131s\u0131kl\u0131\u011f\u0131 nedenidir.<\/p>\n<p>\u00c7ocuklardaki ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131n tedavisi, yukar\u0131da arz edilen ilgili nedene g\u00f6re yap\u0131l\u0131r. \u00c7o\u011fu olguda aile ile birlikte ev i\u00e7erisinde ses sa\u011fl\u0131\u011f\u0131 i\u00e7in al\u0131nacak baz\u0131 \u00f6nlemler tedavide ve s\u0131k\u0131nt\u0131n\u0131n tekrarlamas\u0131n\u0131n \u00f6nlenmesinde etkili olur. Baz\u0131 olgularda<strong>cerrahi<\/strong>, baz\u0131 olgularda ise <strong>ila\u00e7 tedavileri<\/strong> tedavi i\u00e7in bir gerekliliktir. <strong>Ses terapisi<\/strong> ise t\u00fcm olgularda kullan\u0131lmas\u0131 yarar sa\u011flayan, tan\u0131ya g\u00f6re ana ya da yard\u0131mc\u0131 tedaviyi olu\u015fturan bir iyile\u015ftirme y\u00f6ntemidir.<\/p>\n<p>Prof.Dr. Haldun O\u011eUZ<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ocuklarda ses k\u0131s\u0131kl\u0131\u011f\u0131 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":[38,24,103,42,76],"class_list":["post-2036","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-neden","tag-ses","tag-ses-telleri","tag-tedavi","tag-yol"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2036","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=2036"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2036\/revisions"}],"predecessor-version":[{"id":2037,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2036\/revisions\/2037"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=2036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=2036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=2036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}