{"id":3577,"date":"2024-05-08T13:00:05","date_gmt":"2024-05-08T10:00:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=3577"},"modified":"2024-05-08T13:00:05","modified_gmt":"2024-05-08T10:00:05","slug":"kulak-tikanikligi-nasil-gecer","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/kulak-tikanikligi-nasil-gecer\/","title":{"rendered":"Kulak t\u0131kan\u0131kl\u0131\u011f\u0131 nas\u0131l ge\u00e7er?"},"content":{"rendered":"<p>G\u00fcnl\u00fck hayatta ki\u015filerin s\u0131kl\u0131kla kar\u015f\u0131la\u015ft\u0131\u011f\u0131 ve ya\u015fam kalitesini ciddi manada olumsuz etkileyen sa\u011fl\u0131k sorunlar\u0131 meydana gelebilir. Bu durumlardan biri de, bir veya her iki kulakta da meydana gelebilen; i\u015fitme kayb\u0131, bo\u011fuk duyma, \u00e7\u0131nlama gibi \u00e7e\u015fitli kulakla alakal\u0131 \u015fikayetlere e\u015flik eden kulak t\u0131kan\u0131kl\u0131\u011f\u0131 \u015fikayetidir.<\/p>\n<p><b>Kulak T\u0131kan\u0131kl\u0131\u011f\u0131 Nedir?<\/b><\/p>\n<p>Kulak t\u0131kan\u0131kl\u0131\u011f\u0131; kula\u011f\u0131n anatomik b\u00f6lgelerinden herhangi birinde geli\u015fen \u00e7e\u015fitli sa\u011fl\u0131k sorunlar\u0131 nedeniyle, d\u0131\u015far\u0131dan gelen ses dalgalar\u0131n\u0131n i\u00e7 kulaktaki duyma organ\u0131na iletiminde sorunlar ya\u015fanmas\u0131na ba\u011fl\u0131, i\u015fitme azl\u0131\u011f\u0131n\u0131n geli\u015fmesidir. Hastada kulak t\u0131kan\u0131kl\u0131\u011f\u0131 geli\u015fti\u011finde; \u015fikayetin ya\u015fand\u0131\u011f\u0131 kula\u011f\u0131nda i\u015fitme kayb\u0131 ya\u015far, bu kayb\u0131n derecesine g\u00f6re de sesleri daha bo\u011fuk duyabilir, \u00e7\u0131nlama hissedebilir.<\/p>\n<p>Sa\u011fl\u0131kl\u0131 ki\u015filerde kulak \u00fc\u00e7 ana anatomik b\u00f6lgeden meydana gelir. Bu b\u00f6lgeler a\u015fa\u011f\u0131daki gibi \u00f6zetlenebilir:<\/p>\n<ul>\n<li><strong>D\u0131\u015f kulak:<\/strong> Kulak kep\u00e7esi, kulak yolu ve bu yolun sonundaki kulak zar\u0131ndan meydana gelir. Kulak kep\u00e7esi d\u0131\u015f ortamdaki ses dalgalar\u0131n\u0131 toplayarak kulak yolu vas\u0131tas\u0131yla kulak zar\u0131na iletir.<\/li>\n<li><strong>Orta kulak: <\/strong>\u00c7eki\u00e7, \u00f6rs ve \u00fczengiden olu\u015fan \u00fc\u00e7l\u00fc kulak kemik\u00e7ikleri ile kulak ve geniz aras\u0131ndaki ba\u011flant\u0131y\u0131 sa\u011flayan \u00f6staki borusundan olu\u015fur. Kulak zar\u0131n\u0131n ald\u0131\u011f\u0131 ses dalgas\u0131 kulak kemik\u00e7ikleri \u00fczerinden i\u00e7 kula\u011fa aktar\u0131lmak \u00fczere oval pencereye iletilir. \u00d6staki borusu ise orta kulak bo\u015flu\u011fundaki hava bas\u0131nc\u0131n\u0131n geniz ile olan ba\u011flant\u0131s\u0131 \u00fczerinden ayarlanmas\u0131n\u0131 sa\u011flar.<\/li>\n<li><strong>\u0130\u00e7 kulak: <\/strong>Oval pencereden itibaren devam eden i\u00e7i s\u0131v\u0131 dolu kanallar vas\u0131tas\u0131yla sesin iletildi\u011fi duyma duyusundan g\u00f6revli korti organ\u0131 ve denge duyusundan sorumlu yar\u0131m daire kanallar\u0131 ile utrik\u00fcl ve sakk\u00fcl organlar\u0131ndan ibarettir. Ses dalgas\u0131 oval pencereden i\u00e7i s\u0131v\u0131 dolu labirent kanallar\u0131na, buradan da korti organ\u0131ndaki t\u00fcyl\u00fc h\u00fccrelere aktar\u0131larak sinir uyar\u0131s\u0131 olu\u015fturur. Sinir uyar\u0131s\u0131; duyma siniri vas\u0131tas\u0131yla beyne iletilir ve duyma ger\u00e7ekle\u015fir.<\/li>\n<\/ul>\n<p>Ki\u015filerde i\u015fitme kayb\u0131 iki \u015fekilde ortaya \u00e7\u0131kabilir. Bunlardan birincisi sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131 ad\u0131 verilen ve kula\u011f\u0131n sinirsel sisteminin etkilenmesi sonucu geli\u015fen kal\u0131c\u0131 i\u015fitme kayb\u0131d\u0131r. Sesin alg\u0131lanmas\u0131ndan sorumlu organlar ve sinirler tahrip oldu\u011funda g\u00f6r\u00fcl\u00fcr.<\/p>\n<p>Di\u011fer i\u015fitme kayb\u0131 tipi olan iletim tipi i\u015fitme kayb\u0131nda ise, ses dalgas\u0131n\u0131n duyma organ\u0131na iletimine kadar ge\u00e7en s\u00fcre\u00e7lerdeki aksamalar su\u00e7ludur. Bu aksakl\u0131klar giderildi\u011fi takdirde, ses dalgas\u0131 korti organ\u0131na kadar gelebilir ve duyma yeniden sa\u011flanabilir. Kulak t\u0131kan\u0131kl\u0131\u011f\u0131 \u015fikayeti de iletim tipi i\u015fitme kayb\u0131 ya\u015fand\u0131\u011f\u0131 i\u00e7in ortaya \u00e7\u0131kar.<\/p>\n<p><b>Kulak T\u0131kan\u0131kl\u0131\u011f\u0131 Neden Olur?<\/b><\/p>\n<p>\u0130letim tipi i\u015fitme kayb\u0131 ya\u015fanmas\u0131 i\u00e7in d\u0131\u015f kulak veya orta kulaktaki anatomik yap\u0131lara ait organik veya fonksiyonel aksakl\u0131klar\u0131n s\u0131kl\u0131kla ya\u015fanmas\u0131 gerekir. Kulak yolundaki kulak kirlerinin neden oldu\u011fu t\u0131kanmalardan (bu\u015fon); orta kulak iltihab\u0131 nedeniyle orta kulak bo\u015flu\u011funun s\u0131v\u0131yla dolmas\u0131na kadar \u00e7e\u015fitli mekanizmalar nedeniyle kulak t\u0131kan\u0131kl\u0131\u011f\u0131 ger\u00e7ekle\u015febilir. Kulak t\u0131kan\u0131kl\u0131\u011f\u0131na yol a\u00e7an sebeplerden baz\u0131lar\u0131:<\/p>\n<ul>\n<li>Kulak kep\u00e7esine ba\u011fl\u0131 problemler: Kulak kep\u00e7esinin anatomik deformasyonlar\u0131, t\u00fcm\u00f6rleri veya iltihaplanmas\u0131 sonucu \u00f6dem geli\u015fmesi gibi durumlarda ses dalgas\u0131n\u0131n kulak yoluna iletilmesinin engellendi\u011fi rahats\u0131zl\u0131klarda kulak t\u0131kan\u0131kl\u0131\u011f\u0131 ya\u015fanabilir.<\/li>\n<li>Kulak yoluna ba\u011fl\u0131 problemler: Kulak t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n en s\u0131k sebebi olan bu\u015fon geli\u015fimi ile kulak yolunun \u00e7e\u015fitli travmalar, kemik yap\u0131lar, enfeksiyonlar, yabanc\u0131 cisimler veya t\u00fcm\u00f6rler ile t\u0131kanmas\u0131 sonucu da kulak t\u0131kan\u0131kl\u0131\u011f\u0131 geli\u015febilir.<\/li>\n<li>Kulak zar\u0131 ile alakal\u0131 rahats\u0131zl\u0131klar: Kulak zar\u0131n\u0131n delinmesi veya \u00e7e\u015fitli sebeplerle kal\u0131nla\u015farak esnekli\u011fini kaybetmesi gibi durumlarda kulak t\u0131kan\u0131kl\u0131\u011f\u0131 \u015fikayeti olabilir.<\/li>\n<li>Orta kula\u011fa ba\u011fl\u0131 sorunlar: Orta kulak bo\u015flu\u011funun \u00e7e\u015fitli mikroorganizmalar nedeniyle iltihaplanmas\u0131; gripte kulak t\u0131kan\u0131kl\u0131\u011f\u0131 \u015fikayetinin geli\u015fmesi gibi \u00f6staki borusu, geniz veya burun bo\u015flu\u011fundaki problemlere ba\u011fl\u0131 olarak s\u0131v\u0131yla dolmas\u0131 (ser\u00f6z otit); kulak kemik\u00e7iklerinin deforme olmas\u0131 gibi sorunlara ba\u011fl\u0131 kulak t\u0131kan\u0131kl\u0131\u011f\u0131 meydana gelebilir.<\/li>\n<\/ul>\n<p><b>Kulak T\u0131kan\u0131kl\u0131\u011f\u0131nda Hangi Belirtiler Ortaya \u00c7\u0131kabilir?<\/b><\/p>\n<p>Hastada yukar\u0131da sebeplerin varl\u0131\u011f\u0131nda, kulak t\u0131kan\u0131kl\u0131\u011f\u0131 ve a\u011fr\u0131s\u0131 gibi \u00e7e\u015fitli belirtiler duruma e\u015flik edebilir. Belirtiler tek bir kula\u011fa s\u0131n\u0131rl\u0131 kalabilece\u011fi gibi, her iki kulakta da ortaya \u00e7\u0131kabilir. Buna g\u00f6re kulak t\u0131kan\u0131kl\u0131klar\u0131nda a\u015fa\u011f\u0131daki belirtiler g\u00f6r\u00fclebilir:<\/p>\n<ul>\n<li>\u0130\u015fitme azl\u0131\u011f\u0131<\/li>\n<li>\u00c7\u0131nlama<\/li>\n<li>U\u011fultu<\/li>\n<li>Kulak a\u011fr\u0131s\u0131<\/li>\n<li>Bo\u011fuk duyma<\/li>\n<li>Denge kayb\u0131<\/li>\n<li>Kulakta a\u011f\u0131rl\u0131k hissi<\/li>\n<li>Y\u00fcksek sesle konu\u015fma ihtiyac\u0131<\/li>\n<\/ul>\n<p>Kulak t\u0131kan\u0131kl\u0131\u011f\u0131 iletim tipinde i\u015fitme kayb\u0131 yapt\u0131\u011f\u0131ndan, \u00f6zellikle i\u015fitme muayenelerinde hangi kulakta iletim tipte i\u015fitme kayb\u0131 oldu\u011fu rahatl\u0131kla belirlenebilir. \u0130\u015fitme duyusu normal anatomik yol d\u0131\u015f\u0131nda, kula\u011f\u0131n etraf\u0131ndaki kemikler \u00fczerinden iletilme yoluyla da ger\u00e7ekle\u015febilir. Kulak t\u0131kan\u0131kl\u0131\u011f\u0131 olan hastalarda kulak yolu \u00fczerinden ses iletimi zay\u0131flad\u0131\u011f\u0131ndan, kemik yoluyla i\u015fitme sa\u011flanabilir. Bu sayede, \u00f6rne\u011fin, sol kulak t\u0131kan\u0131kl\u0131\u011f\u0131 olan bir hastada, havadan ses iletimi bozulurken, \u00e7enesinin sol taraf\u0131nda temas ettirilen bir diyapazon yard\u0131m\u0131yla ses iletimi sa\u011flanabilir.<\/p>\n<p><b>Kulak T\u0131kan\u0131kl\u0131\u011f\u0131 Nas\u0131l Ge\u00e7er?<\/b><\/p>\n<p>Kulak t\u0131kan\u0131kl\u0131\u011f\u0131 nedenleri \u00e7ok \u00e7e\u015fitli sa\u011fl\u0131k sorunlar\u0131ndan ileri gelebildi\u011finden, do\u011fru ve etkili bir tedavinin yap\u0131labilmesi i\u00e7in kulak t\u0131kan\u0131kl\u0131\u011f\u0131na yol a\u00e7an altta yatan sebebin do\u011fru te\u015fhis edilmesi gerekir. Bu do\u011frultuda, hastan\u0131n uzman bir hekim taraf\u0131ndan ayr\u0131nt\u0131l\u0131 olarak hastal\u0131k \u00f6yk\u00fcs\u00fc sorgulan\u0131r, detayl\u0131 fizik muayenesi yap\u0131larak kulak anatomisi de\u011ferlendirilir. Gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fc takdirde, ek g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinden faydalan\u0131labilir.<\/p>\n<p>T\u00fcm bu incelemeler \u0131\u015f\u0131\u011f\u0131nda, tespit edilen probleme y\u00f6nelik olarak a\u015fa\u011f\u0131daki kulak t\u0131kan\u0131kl\u0131\u011f\u0131 tedavisi y\u00f6ntemleri planlanabilir:<\/p>\n<ul>\n<li>Kulak t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n en s\u0131k sebebi kulak kirine ba\u011fl\u0131 geli\u015fen bu\u015fondur. Kulak kiri t\u0131kan\u0131kl\u0131\u011f\u0131 olarak da bilinen bu durumda, \u00e7e\u015fitli ila\u00e7 tedavileri ile bu\u015fonun eritilmesi ve s\u0131v\u0131la\u015ft\u0131r\u0131lmas\u0131 sa\u011flanarak t\u0131kan\u0131kl\u0131k a\u00e7\u0131labilir. E\u011fer bu\u015fon sertle\u015fmi\u015f veya ila\u00e7 tedavisine yan\u0131t vermeyecek \u00f6zellikte ise hekim taraf\u0131ndan \u00e7e\u015fitli giri\u015fimsel y\u00f6ntemlerle kulak t\u0131kan\u0131kl\u0131\u011f\u0131 a\u00e7ma i\u015flemi vas\u0131tas\u0131yla manuel olarak \u00e7\u0131kar\u0131labilir.<\/li>\n<li>Kulak kep\u00e7esi ve kulak yolundaki enfeksiyonlara ba\u011fl\u0131 \u00f6demler nedeniyle kulak t\u0131kan\u0131kl\u0131\u011f\u0131 olu\u015fmu\u015fsa; bu b\u00f6lgelere etkili lokal antibiyotik damlalar ve anti-inflamatuvar ila\u00e7lar re\u00e7ete edilebilir.<\/li>\n<li>Yine ayn\u0131 b\u00f6lgelerin anatomik yap\u0131lar ve t\u00fcm\u00f6rler nedeniyle olu\u015fan t\u0131kan\u0131kl\u0131klar\u0131nda cerrahi tedavi g\u00fcndeme gelebilir.<\/li>\n<li>Kulak zar\u0131na ait deformasyonlarda cerrahi tedavi s\u0131kl\u0131kla tercih edilen y\u00f6ntemdir. Bununla beraber, kulak zar\u0131n\u0131n hasar g\u00f6rmesi veya yap\u0131s\u0131ndaki bozulmalar, genellikle tamamen giderilemedi\u011finden, iletim tipi i\u015fitme kayb\u0131 tamamen tedavi edilemeyebilir. Ayr\u0131ca kulak zar\u0131ndaki delinmeler sonucu, bu b\u00f6lgenin s\u0131k enfeksiyon kapmas\u0131 nedeniyle, uzun s\u00fcreli antibiyotik tedavisine ihtiya\u00e7 duyulabilir.<\/li>\n<li>Orta kulak iltihaplar\u0131nda genellikle a\u011f\u0131zdan antibiyotik ve a\u011fr\u0131 kesici tedaviye ba\u015fvurulmaktad\u0131r. Baz\u0131 orta kulak iltihaplar\u0131, b\u00f6lgede yo\u011fun s\u0131v\u0131 birikimi ile sonu\u00e7land\u0131\u011f\u0131nda, kulak zar\u0131na t\u00fcp tak\u0131lmas\u0131 yoluyla orta kulak bo\u015flu\u011funun havaland\u0131r\u0131lmas\u0131 ve s\u0131v\u0131n\u0131n bo\u015falt\u0131lmas\u0131 yoluna gidilebilir.<\/li>\n<li>Benzer \u015fekilde \u00f6staki borusunun fonksiyonel aksamalar\u0131na ba\u011fl\u0131 orta kulak bo\u015flu\u011funun s\u0131v\u0131yla dolmas\u0131nda, burun i\u00e7ine sprey formda verilen anti-inflamatuvar ila\u00e7lardan yararlan\u0131labilir.<\/li>\n<\/ul>\n<p><b>Bu\u015fona Ba\u011fl\u0131 Kulak T\u0131kan\u0131kl\u0131\u011f\u0131 Nas\u0131l A\u00e7\u0131l\u0131r?<\/b><\/p>\n<p>Halk aras\u0131nda \u00f6zellikle merak edilen konulardan biri olan \u201ckulak kirine ba\u011fl\u0131 kulak t\u0131kan\u0131kl\u0131\u011f\u0131 nas\u0131l giderilir?\u201d veya \u201cKulak t\u0131kan\u0131kl\u0131\u011f\u0131 temizleme nas\u0131l yap\u0131l\u0131r?\u201d sorular\u0131n\u0131n yan\u0131tlar\u0131d\u0131r. Kulak kiri, fizyolojik ko\u015fullarda d\u0131\u015f ortama s\u0131kl\u0131kla maruz kalan kulak yolunun \u00e7e\u015fitli mikroorganizmalar ve yabanc\u0131 cisimlerden korunmas\u0131 i\u00e7in v\u00fccudun salg\u0131lad\u0131\u011f\u0131 bir savunma mekanizmas\u0131d\u0131r. Olu\u015fan kulak kiri sa\u011fl\u0131kl\u0131 ki\u015filerde, y\u00fcz ve \u00e7ene kaslar\u0131n\u0131n konu\u015fma ve \u00e7i\u011fneme i\u015flemleri esnas\u0131ndaki hareketleri sayesinde do\u011fal yollarla v\u00fccuttan at\u0131l\u0131r.<\/p>\n<p>Ancak tozlu ortamlara maruz kalan, kulak i\u00e7ine yo\u011fun miktarda su ka\u00e7mas\u0131na neden olan y\u00fczme ve s\u0131k banyo gibi faaliyetler, kulak i\u00e7ine tak\u0131lan kulakl\u0131klar gibi etkenler nedeniyle kulak kiri normalden fazla salg\u0131lan\u0131r. Bunun sonucunda normalde at\u0131lmas\u0131 gereken kulak kiri miktar\u0131 a\u015f\u0131larak, kulak yolunda t\u0131kan\u0131kl\u0131klar meydana gelebilir. Zamanla bu kirler, mikroorganizmalar\u0131n ve di\u011fer kimyasallar\u0131n etkisiyle sertle\u015febilir ve organize olabilir. Enfekte olmalar\u0131 sonucu d\u0131\u015f kulak yolu iltihab\u0131 yaparak, \u00e7evre dokularda \u00f6dem geli\u015fmesine ve kulak t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n ilerlemesine yol a\u00e7abilir.<\/p>\n<p>Bu gibi durumlarda, hekim \u00f6nerisiyle gliserinli kulak a\u00e7\u0131c\u0131 damlalar veya kar\u0131\u015f\u0131mlar kullan\u0131labilir. \u00d6zellikle borik asit i\u00e7eri\u011fi y\u00fcksek olan kulak damlalar\u0131, bu\u015fonun kimyasal yap\u0131s\u0131n\u0131 bozarak h\u0131zla erimesine ve s\u0131v\u0131la\u015fmas\u0131na neden olur. Bu sayede kulak kirinin v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131 kolayla\u015f\u0131r. Bu tedavilere ra\u011fmen giderilemeyen bu\u015fonlar, hekimin \u00f6zel mikroskoplar yard\u0131m\u0131yla \u00e7e\u015fitli giri\u015fimsel aletleri kullanarak manuel \u00e7\u0131karmas\u0131 sonucu v\u00fccuttan uzakla\u015ft\u0131r\u0131l\u0131r.<\/p>\n<p>\u00c7ocuklarda ve hamilelikte kulak t\u0131kan\u0131kl\u0131\u011f\u0131 meydana gelmesi durumunda yakla\u015f\u0131m, di\u011fer hastalardaki gibidir. Uygulanan ila\u00e7 tedavileri veya giri\u015fimsel y\u00f6ntemler, herhangi bir yan etkiye sahip de\u011fildir. Bu sayede kulak t\u0131kan\u0131kl\u0131\u011f\u0131 gebelerde ve \u00e7ocuklarda da rahatl\u0131kla tedavi edilebilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kulak T\u0131kan\u0131kl\u0131\u011f\u0131 Nas\u0131l Ge\u00e7er?<\/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":[629,63,628,38,42],"class_list":["post-3577","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-cesitli","tag-kulak","tag-kulak-tikanikligi","tag-neden","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3577","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=3577"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3577\/revisions"}],"predecessor-version":[{"id":3578,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3577\/revisions\/3578"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3577"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}