Y\u00fczde se\u011firme, g\u00fc\u00e7s\u00fczl\u00fck veya hareketsizlik y\u00fcz sinirini ilgilendiren bir hastal\u0131\u011f\u0131n bulgular\u0131d\u0131r. Y\u00fczde anormal hareketler veya fel\u00e7 bir enfeksiyon, yaralanma veya t\u00fcm\u00f6r nedeniyle olu\u015fabilir ve nedeni mutlaka ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. KBB uzman\u0131 y\u00fcz siniri hastal\u0131klar\u0131 ve tedavisi \u00fczerine e\u011fitim g\u00f6rm\u00fc\u015ft\u00fcr.<\/p>\n
Y\u00dcZ S\u0130N\u0130R\u0130 NED\u0130R?<\/strong><\/p>\n Y\u00fcz siniri bir telefon kablosuna benzer ve 10.000 adet farkl\u0131 sinir lifi i\u00e7erir; bunlar\u0131n 7.000 kadar\u0131 kaslara gider.<\/p>\n Y\u00dcZ S\u0130N\u0130R\u0130N\u0130N G\u00d6REVLER\u0130<\/strong><\/p>\n Y\u00dcZDEK\u0130 KAS HAREKETLER\u0130: Her sinir lifi bir y\u00fcz kas\u0131 i\u00e7in elektriksel uyar\u0131lar ta\u015f\u0131r. Bu sinirin lifleri taraf\u0131ndan ta\u015f\u0131nan bilgi g\u00fclmemize, a\u011flamam\u0131za, g\u00fcl\u00fcmsememize veya ka\u015f \u00e7atmam\u0131za olanak sa\u011flar ve bu nedenle y\u00fcz\u00fcn ifadesini sa\u011flayan sinirdir. Bu sinir liflerinin yar\u0131s\u0131nda veya yar\u0131s\u0131ndan fazlas\u0131nda bir iletim kusuru meydana gelirse y\u00fczde g\u00fc\u00e7s\u00fczl\u00fck ortaya \u00e7\u0131kar. Bu sinir lifleri uyar\u0131l\u0131rsa y\u00fcz kaslar\u0131nda spazm veya se\u011firme \u015feklinde hareketler olu\u015fur.<\/p>\n G\u00d6ZYA\u015eI \u00dcRET\u0130M\u0130<\/p>\n T\u00dcK\u00dcR\u00dcK \u00dcRET\u0130M\u0130<\/p>\n \u0130\u015e\u0130TME: Orta kulaktaki \u00fczengi kemi\u011finin kas\u0131na uyar\u0131lar ta\u015f\u0131r.<\/p>\n TAT: Dilin \u00f6n k\u0131sm\u0131n\u0131n tat duyusunu sa\u011flar.<\/p>\n Y\u00fcz sinir fonksiyonlar\u0131 \u00e7ok kompleks oldu\u011fundan, lifleri zedelenirse bir \u00e7ok semptom olu\u015fur. Y\u00fcz sinirindeki bozukluk y\u00fczde se\u011firme, g\u00fc\u00e7s\u00fczl\u00fck veya fel\u00e7le, g\u00f6zde\/a\u011f\u0131zda kurulukla veya tat duyusunda de\u011fi\u015fmeyle sonu\u00e7lanabilir.<\/p>\n AN\u0130 OLU\u015eAN Y\u00dcZ FELC\u0130<\/strong><\/p>\n \u201cBell’s paralizi\u201d olarak da isimlendirilen hastal\u0131k muhtemelen v\u00fccudun bir vir\u00fcse kar\u015f\u0131 g\u00f6sterdi\u011fi tepki sonucunda meydana gelmektedir. Y\u00fcz sinirinin kafa kemikleri i\u00e7indeki b\u00f6l\u00fcm\u00fc \u015fi\u015fer ve bas\u0131n\u00e7 siniri zedeler. Y\u00fcz g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fcn\u00fcn nedeninin bu olay oldu\u011fundan emin olmak ve di\u011fer nedenleri ekarte etmek i\u00e7in \u00f6zel sorular vard\u0131r. Ba\u015f boyun ve kulak muayenesinden sonra bir seri test uygulanabilir. En \u00e7ok uygulanan testler \u015funlard\u0131r:<\/p>\n \u0130\u015e\u0130TME TEST\u0130: Sinire zarar veren nedenin i\u015fitme sinirini, i\u00e7 kula\u011f\u0131 veya i\u015fitme mekanizmas\u0131n\u0131 da etkileyip etkilemedi\u011fini ortaya koyar.<\/p>\n DENGE TEST\u0130: Denge sinirinin tutulumunu de\u011ferlendirir.<\/p>\n G\u00d6ZYA\u015eI TEST\u0130: G\u00f6z\u00fcn g\u00f6zya\u015f\u0131 \u00fcretme kabiliyetini \u00f6l\u00e7er. G\u00f6z k\u00fcresinin saydam tabakas\u0131nda (kornea) kuruluktan korumak i\u00e7in g\u00f6z damlalar\u0131 gerekebilir.<\/p>\n RADYOLOJ\u0130K G\u00d6R\u00dcNT\u00dcLEME: BT (bilgisayarl\u0131 tomografi) veya MRI (magnetik rezonans g\u00f6r\u00fcnt\u00fcleme) y\u00fcz siniri \u00e7evresinde enfeksiyon, t\u00fcm\u00f6r, kemik k\u0131r\u0131\u011f\u0131 veya di\u011fer anormalliklerin olup olmad\u0131\u011f\u0131n\u0131 ortaya koyar.<\/p>\n ELEKTR\u0130KSEL TEST: Sinirdeki zedelenme miktar\u0131n\u0131 ortaya koymak i\u00e7in y\u00fcz siniri d\u00fc\u015f\u00fck elektrik ak\u0131m\u0131 ile uyar\u0131l\u0131r. Bu test s\u0131k aral\u0131klarla tekrarlanarak hastal\u0131\u011f\u0131n ilerleyici olup olmad\u0131\u011f\u0131 veya d\u00fczelme g\u00f6sterip g\u00f6stermedi\u011fi de\u011ferlendirlir.<\/p>\n TEDAV\u0130<\/strong><\/p>\n Tan\u0131 testlerinin sonu\u00e7lar\u0131 tedaviyi belirleyecektir. E\u011fer sebep bir enfeksiyon ise antibiyotik veya antiviral ila\u00e7lar kullan\u0131labilir. E\u011fer sinirde \u015fi\u015fme (\u00f6dem) olabilece\u011fine inan\u0131l\u0131yorsa s\u0131kl\u0131kla steroidli (kortizon) ila\u00e7lar kullan\u0131labilir. Ka\u00e7\u0131n\u0131lmaz durumlarda siniri zedeleyen kemi\u011fin cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131 (dekompresyon) uygun olabilir.<\/p>\n \u0130Y\u0130LE\u015eMEN\u0130ZE YARDIMCI OLUN<\/strong><\/p>\n Y\u00fcz siniri felce u\u011frad\u0131\u011f\u0131nda, sa\u011fl\u0131kl\u0131 yap\u0131s\u0131n\u0131 devam ettirebilmesi i\u00e7in s\u00fcrekli bir g\u00f6zya\u015f\u0131 ak\u0131\u015f\u0131na ihtiyac\u0131 olan g\u00f6ze gerekli ilgi g\u00f6sterilmelidir. G\u00f6zya\u015f\u0131 g\u00f6z k\u0131rpma s\u0131ras\u0131nda g\u00f6z \u00fczerine yay\u0131l\u0131r fakat y\u00fcz fel\u00e7lerinde g\u00f6z k\u0131rpma azal\u0131r veya tamamen ortadan kalkar. Azalm\u0131\u015f g\u00f6z k\u0131rpma ve g\u00f6zya\u015f\u0131 salg\u0131s\u0131n\u0131n yoklu\u011fu sonucunda g\u00f6zya\u015f\u0131n\u0131n g\u00f6z k\u00fcresi \u00fczerindeki ak\u0131\u015f\u0131 azal\u0131r veya tamamen ortadan kalkar. Korneada kuruma, erozyon ve \u00fclser olu\u015fumu ile sonu\u00e7lanabilir.<\/p>\n G\u00f6z\u00fcn parmak ile kapat\u0131lmas\u0131 g\u00f6z\u00fcn nemli tutulmas\u0131 i\u00e7in etkili bir yoldur. G\u00f6z\u00fcn parmak ucu taraf\u0131ndan zedelenmesine engel olmak i\u00e7in parma\u011f\u0131n arka taraf\u0131 kullan\u0131lmal\u0131d\u0131r. G\u00f6z\u00fc nemli tutmak ve yabanc\u0131 maddelerin g\u00f6ze girmesini engellemek i\u00e7in s\u0131kl\u0131kla koruyucu g\u00f6zl\u00fckler ve temiz g\u00f6z petleri kullan\u0131l\u0131r. E\u011fer g\u00f6z kuruysa g\u00f6z\u00fc nemli tutmak i\u00e7in suni g\u00f6zya\u015flar\u0131 kullan\u0131labilir. Bu damlalar doktorunuz taraf\u0131ndan tarif edildi\u011fi \u015fekilde kullan\u0131lmal\u0131d\u0131r. Uyan\u0131kken etkilenen g\u00f6ze her saatte bir bu damlalardan bir veya iki damla damlat\u0131lmal\u0131d\u0131r ve uyurken g\u00f6ze merhem s\u00fcr\u00fcl\u00fcp g\u00f6z kapat\u0131lmal\u0131d\u0131r.<\/p>\n REHAB\u0130L\u0130TASYON<\/strong><\/p>\n Kal\u0131c\u0131 y\u00fcz fel\u00e7li hastalar g\u00f6z kapa\u011f\u0131 a\u011f\u0131rl\u0131klar\u0131 veya yaylar\u0131, kas transferleri gibi \u00e7e\u015fitli cerrahi i\u015flemler ile rehabilite edilebilirler. Baz\u0131 hastalar y\u00fcz e\u011fitimi denen \u00f6zel bir fizik tedavi y\u00f6nteminden fayda g\u00f6rebilirler. Y\u00fcz\u00fcn a\u015f\u0131r\u0131 hareketlili\u011fi veya kas spazm\u0131 gibi y\u00fcz fel\u00e7 komplikasyonlar\u0131 i\u00e7in uygulanabilecek tedavi y\u00f6ntemleri a\u015f\u0131r\u0131 hareketli kas\u0131n cerrahi olarak kesilmesi veya kaslar\u0131n kimyasal madde enjeksiyonlar\u0131yla g\u00fc\u00e7s\u00fczle\u015ftirilmesi gibi y\u00f6temleri i\u00e7ermektedir. E\u011fer bu i\u015flemlere gerek duyulursa doktorunuz sizinle bu i\u015flemler hakk\u0131nda g\u00f6r\u00fc\u015fecektir.<\/p>\n SONU\u00c7<\/strong><\/p>\n Y\u00fcz felci de i\u00e7eren y\u00fcz sinir hastal\u0131klar\u0131 nadir de\u011fildir ve \u00e7e\u015fitli nedenleri vard\u0131r. Y\u00fcz sinir fonksiyonlar\u0131n\u0131n m\u00fcmk\u00fcn olan en iyi \u015fekilde d\u00fczeltilebilmesi i\u00e7in uygun tan\u0131 ve tedavi \u00e7ok \u00f6nemlidir. Kal\u0131c\u0131 y\u00fcz siniri zedelenmesi bulunan hastalara bile y\u00fcz fonksiyonlar\u0131n\u0131 d\u00fczeltmek i\u00e7in geli\u015ftirilmi\u015f cerrahi i\u015flemler sayesinde yard\u0131mc\u0131 olunabilir.<\/p>\n","protected":false},"excerpt":{"rendered":" Y\u00dcZ FELC\u0130<\/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":[51,220,87,43,56],"class_list":["post-3427","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-goz","tag-kas","tag-sinir","tag-test","tag-yuz"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3427","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=3427"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3427\/revisions"}],"predecessor-version":[{"id":3428,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3427\/revisions\/3428"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}