{"id":3423,"date":"2024-05-07T23:00:05","date_gmt":"2024-05-07T20:00:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=3423"},"modified":"2024-05-07T23:00:05","modified_gmt":"2024-05-07T20:00:05","slug":"ses-kisikligi-6","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/ses-kisikligi-6\/","title":{"rendered":"Ses k\u0131s\u0131kl\u0131\u011f\u0131"},"content":{"rendered":"<p><strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131 nedir? <\/strong><br \/> Normal ses kalitesindeki t\u00fcm de\u011fi\u015fimler genel olarak ses k\u0131s\u0131kl\u0131\u011f\u0131 olarak tan\u0131mlanmaktad\u0131r. Konu\u015fma s\u0131ras\u0131nda ses telleri aras\u0131ndan hava ka\u00e7a\u011f\u0131, ses frekans\u0131nda de\u011fi\u015fme, sesin aral\u0131kl\u0131 kesilmesi gibi farkl\u0131 patolojilerle farkl\u0131 belirtiler olu\u015fmaktad\u0131r.<\/p>\n<p><strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131 tetikleyen en \u00f6nemli etkenler nelerdir? <\/strong><\/p>\n<p> Ses olu\u015fumu akci\u011ferlerden gelen havan\u0131n ses telleri aras\u0131ndan ge\u00e7i\u015fi s\u0131ras\u0131nda ba\u015flar. G\u0131rtlak (larinks) kaslar\u0131n\u0131n fonksiyonu ile birbirine yakla\u015fan ses telleri hava bas\u0131nc\u0131n\u0131n etkisi ile pasif olarak titre\u015firler. Bu titre\u015fim y\u00fczeyel dokuda (ses telini kaplayan mukoza ve mukozan\u0131n hemen alt\u0131ndaki gev\u015fek doku) olu\u015fur ve ortadan yanlara do\u011fru hareket eden mukoza dalgas\u0131 meydana gelir. Ses telleri seviyesinde olu\u015fan ses bo\u011faz, geniz, burun, sin\u00fcs ve a\u011f\u0131z bo\u015fluklar\u0131ndan olu\u015fan rezonans (t\u0131n\u0131) \u00e7emberinde bi\u00e7imlendirilerek son \u015feklini al\u0131r.<\/p>\n<p> Ses bozukluklar\u0131 g\u0131rtlak i\u00e7indeki ya da normal ses olu\u015fumunda fonksiyon g\u00f6ren g\u0131rtlak d\u0131\u015f\u0131 organlardaki problemlere ba\u011fl\u0131 olarak meydana gelebilir.<br \/> Normal ses olu\u015fumu i\u00e7in ses tellerinin t\u00fcm uzunluklar\u0131 boyunca simetrik olarak birbirlerine yakla\u015fabilmeleri gereklidir. Ses teli felci ya da ses teli serbest kenar\u0131nda yer alan b\u00fcy\u00fck kitleler yetersiz yakla\u015fma nedeni ile hava ka\u00e7a\u011f\u0131 ve nefesli sese neden olurlar.<\/p>\n<p> Ses tellerinin normal fonksiyonu i\u00e7in titre\u015fim yapan i\u00e7 serbest kenarlar\u0131n\u0131n y\u00fczeyi d\u00fczg\u00fcn olmal\u0131d\u0131r. Bu b\u00f6lgedeki polip, nod\u00fcl, t\u00fcm\u00f6r gibi patolojiler ya da y\u00fczeyel d\u00fczensizlikler de ses karakterini bozarlar.<br \/> Ses tellerinin \u015fi\u015fmesine (\u00f6dem) neden olan ses teli iltihaplar\u0131 (larenjit), bo\u011faz ve sin\u00fcslerdeki enfeksiyonlar, sigara kullan\u0131m\u0131, mide asit ka\u00e7a\u011f\u0131 (refl\u00fc), sesin k\u00f6t\u00fc kullan\u0131m\u0131 ve a\u015f\u0131r\u0131 zorlanmas\u0131 gibi durumlar da ses k\u0131s\u0131kl\u0131\u011f\u0131na neden olurlar. A\u015f\u0131r\u0131 zorlanma sonucunda ses teli i\u00e7ine kanama olu\u015farak ani ses k\u0131s\u0131kl\u0131\u011f\u0131 yapabilir.<\/p>\n<p> Ayr\u0131ca sesin \u015fekillendi\u011fi rezonat\u00f6r \u00e7emberin herhangi bir yerindeki patoloji de sesi etkiler. Burun t\u0131kan\u0131kl\u0131\u011f\u0131nda olu\u015fan ses de\u011fi\u015fikli\u011fi hiponazal konu\u015fma olarak, burun pasaj\u0131n\u0131n a\u015f\u0131r\u0131 geni\u015fledi\u011fi hastal\u0131klarda olu\u015fan ses ise hipernazal konu\u015fma olarak isimlendirilmektedir.<br \/> Bo\u011faz\u0131n arka ve alt k\u0131sm\u0131ndaki kitleler \u201cs\u0131cak patates sesi\u201d olarak isimlendirilen karakteristik bir ses de\u011fi\u015fikli\u011fine neden olurlar.<br \/> Anatomi normalken g\u0131rtlak adalelerinin anormal fonksiyonuna ba\u011fl\u0131 ses bozukluklar\u0131 olu\u015fabilir.<\/p>\n<p><strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131nda tan\u0131 nas\u0131l konulur? <\/strong><\/p>\n<p> Ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131n tan\u0131s\u0131nda \u00f6ncelikle detayl\u0131 bir hikaye al\u0131nmal\u0131d\u0131r. Problemin s\u00fcrekli ya da ara ara olmas\u0131, sabah ya da ak\u015fam saatlerinde belirginle\u015fmesi, sigara kullan\u0131m\u0131, sesin a\u015f\u0131r\u0131 zorlanmas\u0131 gibi detaylar tan\u0131ya yard\u0131mc\u0131 olmaktad\u0131r. As\u0131l tan\u0131 ise ses tellerinin muayenesi ile konulmaktad\u0131r. Muayene i\u00e7in larinks muayene aynalar\u0131, sert endoskopik sistemler ya da burun yoluyla muayene imkan\u0131 sa\u011flayan b\u00fck\u00fclebilir endoskoplar kullan\u0131lmaktad\u0131r. Bu \u015fekilde tan\u0131 konulamayan hastalarda ses tellerinin titre\u015fimini de\u011ferlendirmek i\u00e7in laringostroboskopi ve ses tellerini detayl\u0131 olarak incelemek i\u00e7in ameliyathane \u015fartlar\u0131nda mikroskop ile muayene yap\u0131labilmektedir. Ses k\u0131s\u0131kl\u0131klar\u0131, sigara kullanan hastalarda daha \u00f6nemli olmak \u00fczere, ses telinden k\u00f6ken alan ve t\u00fcm\u00f6re d\u00f6n\u00fc\u015fme potansiyeli olan hastal\u0131klar\u0131n ve t\u00fcm\u00f6rlerin habercisi olabildi\u011finden \u015fikayetlerin 4-5 g\u00fcnde d\u00fczelmeye ba\u015flamamas\u0131 halinde vakit ge\u00e7irmeden muayene yap\u0131lmal\u0131d\u0131r.<\/p>\n<p><strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 olarak olu\u015fan hastal\u0131klar var m\u0131?<\/strong><\/p>\n<p>Ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131n nedeni ses teli felci olan hastalarda ayn\u0131 zamanda yutkunma s\u0131ras\u0131nda alt solunum yollar\u0131n\u0131n giri\u015fini kapatma fonksiyonuna kat\u0131lan ses tellerinin tam \u00e7al\u0131\u015fmamas\u0131 g\u0131dalar\u0131n ve t\u00fck\u00fcr\u00fc\u011f\u00fcn akci\u011ferlere ka\u00e7mas\u0131na ba\u011fl\u0131 hastal\u0131klar olu\u015fturabilmektedir.<br \/> Yine ses teli fel\u00e7leri ya da bu b\u00f6lgeyi daraltan kitleler solunum yetmezli\u011fi ve buna ba\u011fl\u0131 efor kapasitesi k\u0131s\u0131tlanmas\u0131, y\u00fcksek tansiyon, kalp yetmezli\u011fi hatta bo\u011fulmaya neden olabilmektedir.<\/p>\n<p><strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131n tedavisi ve korunma yollar\u0131 nelerdir?<\/strong><\/p>\n<p>Tedavi nedene y\u00f6nelik olarak yap\u0131lmaktad\u0131r. Hemen t\u00fcm tedavi y\u00f6ntemlerinin i\u00e7eri\u011finde ses kullan\u0131m\u0131n\u0131n azalt\u0131lmas\u0131 (ya da bir s\u00fcre tam ses istirahati), sigara kullan\u0131m\u0131n\u0131n kesin olarak b\u0131rak\u0131lmas\u0131, g\u00fcnl\u00fck s\u0131v\u0131 al\u0131m\u0131n\u0131n (\u00f6zellikle \u0131l\u0131k su) art\u0131r\u0131lmas\u0131 ve mide asit salg\u0131s\u0131n\u0131n azalt\u0131lmas\u0131 bulunmaktad\u0131r.<\/p>\n<p>Ses teli iltihaplar\u0131n\u0131n tedavisinde antibiyotikler ve \u00f6dem azaltan ila\u00e7lar kullan\u0131lmaktad\u0131r. Ses teli nod\u00fclleri i\u00e7in \u00f6ncelikle ses kullanma e\u011fitimi uygulan\u0131rken polipler ve t\u00fcm\u00f6ral hastal\u0131klar i\u00e7in cerrahi y\u00f6ntemler gerekmektedir. K\u00f6t\u00fc huylu baz\u0131 hastal\u0131klar\u0131n tedavisinde erken d\u00f6nemde cerrahi yerine \u0131\u015f\u0131n tedavisi de tercih edilebilmektedir. Ses teli fel\u00e7lerinde yan pozisyonda hareketsiz kalm\u0131\u015f ses telinin orta hatta yakla\u015ft\u0131r\u0131lmas\u0131na y\u00f6nelik cerrahiler ya da serbest kenara \u00e7e\u015fitli enjeksiyonlar uygulanabilmektedir. Mide asit ka\u00e7a\u011f\u0131 (refl\u00fc) tan\u0131s\u0131 konulan hastalarda gastroenterolojik muayene yap\u0131lmal\u0131d\u0131r.<br \/> Ses teli kaslar\u0131n\u0131n a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131 nedeni ile olu\u015fan ses hastal\u0131klar\u0131nda konu\u015fma tedavileri ve botox enjeksiyonu gibi y\u00f6ntemler kullan\u0131lmaktad\u0131r.<\/p>\n<p><strong>Ne zaman doktora ba\u015fvurulmal\u0131?<\/strong><br \/> Nedeni belli olmayan ses k\u0131s\u0131kl\u0131\u011f\u0131 olu\u015fmas\u0131 durumunda \u00f6zellikle sigara i\u00e7en hastalar\u0131n en k\u0131sa zamanda KBB uzman\u0131na ba\u015fvurmalar\u0131 gerekir. A\u015f\u0131r\u0131 ba\u011f\u0131rma sonras\u0131nda ya da gribal enfeksiyonlarda olu\u015fan k\u0131s\u0131kl\u0131klarda 4-5 g\u00fcnden sonra d\u00fczelme ba\u015flamamas\u0131 durumunda muayene olmak uygun olur.<\/p>\n<p><strong>Ses k\u0131s\u0131kl\u0131\u011f\u0131 konusunda dikkat edilmesi gereken hususlar nelerdir?<\/strong><br \/> Ses tellerini olumsuz etkileyen en \u00f6nemli unsurlar mukozan\u0131n kurumas\u0131, sigara duman\u0131, mide asidi ve sesin a\u015f\u0131r\u0131 ve zorlamal\u0131 kullan\u0131lmas\u0131d\u0131r. Bu nedenle sigara i\u00e7ilmemesi, bol miktarda su i\u00e7ilmesi, mide asidi y\u00fcksek seviyede iken (yemek sonras\u0131 2-3 saat) yatar pozisyona ge\u00e7ilmemesi, \u00f6zellikle yatak odalar\u0131nda hava kurulu\u011funun \u00f6nlenmesi, burun t\u0131kan\u0131kl\u0131\u011f\u0131, sin\u00fczit gibi ses tellerini olumsuz etkileyen problemlerin \u00e7\u00f6z\u00fclmesi ve y\u00fcksek sesle ve uzun konu\u015fmalardan ka\u00e7\u0131n\u0131lmas\u0131 genel olarak ses k\u0131s\u0131kl\u0131\u011f\u0131 riskini azaltacakt\u0131r.<\/p>\n<p>Ses k\u0131s\u0131kl\u0131\u011f\u0131 \u00f6nemli hastal\u0131klar\u0131n habercisi olabildi\u011fi i\u00e7in hastalar\u0131n ses \u015fikayetlerinin 4-5 g\u00fcn i\u00e7inde d\u00fczelmeye ba\u015flamamas\u0131 durumunda bir KBB uzman\u0131na muayene olmalar\u0131 gereklidir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ses K\u0131s\u0131kl\u0131\u011f\u0131<\/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":[38,24,559,595,103],"class_list":["post-3423","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-neden","tag-ses","tag-ses-kisikligi","tag-ses-teli","tag-ses-telleri"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3423","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=3423"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3423\/revisions"}],"predecessor-version":[{"id":3424,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3423\/revisions\/3424"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}