OTOSKLEROZDA KL\u0130N\u0130K TABLO<\/p>\n
Otoskleroz (Kulak kire\u00e7lenmesi ) :Giderek ilerleyen i\u015fitme kayb\u0131 hastal\u0131\u011f\u0131d\u0131r.Orta kulak hastal\u0131\u011f\u0131 olarak ba\u015flar,geli\u015ferek i\u00e7 kula\u011fa ilerler.Tedavi edilmezse tam sa\u011f\u0131rl\u0131kla sonu\u00e7lanabilir.\u0130\u015fitme kayb\u0131 ba\u015flang\u0131\u00e7ta iletim tipidir,sonra mikst tip(karma) i\u015fitme kayb\u0131,ilerlerse i\u00e7 kulak tipi (sens\u00f6rinoral ) i\u015fitme kayb\u0131 olu\u015fur.Ekseriyetle bir kulaktan ba\u015flar zamanla di\u011fer kulakta etkilenebilir.Toplumda g\u00f6r\u00fclme oran\u0131; her 1000 ki\u015fiden be\u015finde g\u00f6r\u00fcl\u00fcr.Otopsilerde bu oran % 10 ula\u015f\u0131r ,ancak bunlar ya\u015farken ki\u015fi taraf\u0131ndan fark edilmez.Kafkas \u0131rk\u0131nda daha fazlad\u0131r.Hamilelik ve emzirme, hastal\u0131\u011f\u0131 h\u0131zland\u0131r\u0131r.Hormonlar hastal\u0131\u011f\u0131 etkilemektedir.<\/p>\n
KULAKTA NERE K\u0130RE\u00c7LEN\u0130R?<\/p>\n
\u0130\u015fitmeyi ; kulak zar\u0131,\u00e7eki\u00e7,\u00f6rs,\u00fczengi(stapes) kemik\u00e7iklerinin sesle hareketi sa\u011flar.Bu hareket i\u00e7 kulak s\u0131v\u0131s\u0131n\u0131(perilenf) harekete ge\u00e7irir.\u0130\u00e7 kulak s\u0131v\u0131 hareketi bunu i\u015fitme sinirine(cochlear) iletir.Bu ileti beyindeki i\u015fitme merkezi taraf\u0131ndan ses olarak alg\u0131lan\u0131r ve yorumlan\u0131r.Kire\u00e7lenme \u00fczengi (stapes) kemik\u00e7i\u011finde olur .Titre\u015fim hareketi giderek azal\u0131r.Zamanla bu kire\u00e7lenme i\u00e7 kula\u011f\u0131 tutar,sa\u011f\u0131rl\u0131k olu\u015fur<\/p>\n
SEBEB\u0130 NED\u0130R?<\/p>\n
Hastalar\u0131n bir k\u0131sm\u0131nda \u0131rsiyet-kal\u0131t\u0131m etkilidir.Otosomal dominant ge\u00e7er.RELN geni sorumlu tutulmaktad\u0131rBaz\u0131 hastalarda;k\u0131zam\u0131k su\u00e7lanmaktad\u0131r.Orta ya\u015f kad\u0131nlarda daha s\u0131k olmakla birlikte erkeklerde,ve \u00e7ocuklardada g\u00f6r\u00fclmektedir.<\/p>\n
NASIL TE\u015eH\u0130S ED\u0130L\u0130R?<\/p>\n
Kulak zar\u0131 muyenede \u00e7o\u011funlukla normaldir.Diapazon testi ve odiometrik inceleme ile te\u015fhis konulmaktad\u0131r.Odiometri doktor taraf\u0131ndan de\u011ferlenirilir.Bilgisayarl\u0131 tomografi hastal\u0131\u011f\u0131 evrelendirme ama\u00e7l\u0131 kullan\u0131lmaktad\u0131r.<\/p>\n
NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/p>\n
T\u0131bbi ,cerrahi ve i\u015fitme cihaz\u0131;tedavi y\u00f6ntemleri aras\u0131ndad\u0131r.T\u0131bbi tedavide sod\u0131um fluoride kullanl\u0131r.Ancak uzun s\u00fcreli kullan\u0131m istemesi,mide \u015fikayetleri,alerjik ka\u015f\u0131nt\u0131lar olu\u015fturmas\u0131,eklem a\u011fr\u0131lar\u0131 ve eklem iltihab\u0131 yan etkileri nedeniyle;nadiren uygulan\u0131r.<\/p>\n
NASIL AMEL\u0130YAT?<\/p>\n
\u0130letim tipi i\u015fitme kayb\u0131nda ;stapedektomi-stapedetomi ameliyat\u0131 yap\u0131l\u0131r.Kire\u00e7lenmi\u015f stapes kemik\u00e7i\u011fi k\u0131smi yada tam al\u0131narak,\u00e7o\u011funlukla teflondan yap\u0131lan bir protez konulur.Ba\u015far\u0131 oran\u0131 % 70 civar\u0131ndad\u0131r.Riskleri aras\u0131nda %10 oran\u0131nda erken yada ge\u00e7 sa\u011f\u0131rl\u0131k vard\u0131r.Nadiren y\u00fcz felci olabilir ve tama yak\u0131n d\u00fczelir.Ameliyat sonras\u0131 20 g\u00fcne uzayan ba\u015f d\u00f6nmeleri olablir.<\/p>\n
SONS\u00d6Z<\/p>\n
Tedavi edilmedi\u011fi takdirde tam sa\u011f\u0131rl\u0131kla sonu\u00e7lanacak bir hastal\u0131k olan otosklerozda ameliyat en iyi tedavi \u015feklidir<\/p>\n","protected":false},"excerpt":{"rendered":"
KULAK K\u0130RE\u00c7LENMES\u0130 -OTOSKLEROZ<\/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":[211,158,80,63,42],"class_list":["post-3542","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-hareket","tag-hastaligi","tag-isitme","tag-kulak","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3542","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=3542"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3542\/revisions"}],"predecessor-version":[{"id":3543,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3542\/revisions\/3543"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}