{"id":728,"date":"2024-04-28T19:48:07","date_gmt":"2024-04-28T16:48:07","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=728"},"modified":"2024-04-28T19:48:07","modified_gmt":"2024-04-28T16:48:07","slug":"ses-kisikligi-4","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/ses-kisikligi-4\/","title":{"rendered":"Ses k\u0131s\u0131kl\u0131\u011f\u0131"},"content":{"rendered":"<p><strong>Ses K\u0131s\u0131kl\u0131\u011f\u0131, Disfoni<\/strong><\/p>\n<p><span><span>Ses, Boynumuzun \u00f6n ve orta b\u00f6l\u00fcm\u00fcnde bulunan, ses tellerimizi, nefes borumuzu ve yemek borumuzun ba\u015flang\u0131c\u0131n\u0131 da i\u00e7eren kutu \u015feklinde, \u00e7ok kar\u0131\u015f\u0131k fonksiyonlar\u0131, ayn\u0131 anda ve kar\u0131\u015fit\u0131rmadan yapabilen, Larenks &#8220;&#8221;&#8221;&#8221;&#8221;&#8221;&#8221;&#8221;G\u0131rtlak&#8221;&#8221;&#8221;&#8221;&#8221;&#8221;&#8221;&#8221; ad\u0131n\u0131 verdi\u011fimiz b\u00f6l\u00fcmde olu\u015fur. Ki\u015finin g\u00fcnl\u00fck s\u00f6zel ifadelerini ve emosyonel durumuna g\u00f6re s\u00f6zel yak\u0131nma ve ifadelerini vurgular.\u00a0<\/p>\n<p>G\u0131rtlak b\u00f6lgesiyle ilgili hastal\u0131klar\u0131n en \u00f6nemli habercisi seste, ya\u015fa ve cinsiyete g\u00f6re beklenen niteli\u011fin olmamas\u0131d\u0131r.<\/span><\/span><span><span><\/p>\n<p>Sesin rengi, vurgulanmas\u0131, netli\u011fi ve kalitesindeki de\u011fi\u015fiklikler hekim ve \u00e7evresini uyar\u0131c\u0131 bilgiler verir. Tedavi edilsin ya da edilmesin 15 g\u00fcn i\u00e7inde d\u00fczelmeyen ses k\u0131s\u0131kl\u0131klar\u0131 etrafl\u0131ca de\u011ferlendirilmelidir. Ses ile ilgili olan sesteki her t\u00fcrl\u00fc \u00e7atalla\u015fmalar, titre\u015fimler, bo\u011fuk ses ve di\u011fer t\u00fcm ses de\u011fi\u015fiklerinin hepsine ses k\u0131s\u0131kl\u0131\u011f\u0131 denir. Sesin ana mekanizmas\u0131 olan ses tellerinde olu\u015fabilecek herhangi bir olu\u015fum, hastal\u0131k ya da problem ses k\u0131s\u0131kl\u0131\u011f\u0131na yol a\u00e7abilir.<\/span><\/span><span><span><\/p>\n<p>Akci\u011ferlerimizden nefes verme esnas\u0131nda, y\u00fckselen hava s\u00fctunu ses tellerimizden ge\u00e7erken, \u015fahs\u0131n o andaki emosyonel durumuna g\u00f6re, a, e, i, o, u v.s. gibi harf ve kelimelerin, ses telerini titre\u015ftirmesi ile bir yap\u0131 kazan\u0131r ve bu i\u015faretli ses s\u00fctunu y\u00fckseldik\u00e7e, g\u0131rtlak kapa\u011f\u0131, bademcikler, yumu\u015fak damak, dil, di\u015fler, k\u00fc\u00e7\u00fck dil, genizde artik\u00fcle olur. Y\u00fcz kemikleri i\u00e7inde bul\u0131nan sin\u00fcslerde rezonas kazan\u0131r ve ses olarak d\u0131\u015f ortamda da\u011f\u0131l\u0131r. Bu yap\u0131larda \u00f6zellikle ses tellerinde bir patoloji olu\u015fursa o zaman bir ses kalitesi bozuklu\u011fu veya daha ileri d\u00f6nemlerde ses k\u0131s\u0131kl\u0131\u011f\u0131ndan bahsederiz.<\/span><\/span><span><span><\/p>\n<p>Ses k\u0131s\u0131kl\u0131\u011f\u0131na sebep olabilecek hastal\u0131klar aras\u0131nda;<\/span><\/span><span><span><br \/>Akut ve kronik larenjitler (G\u0131rtlak iltihab\u0131)<br \/>Ses teline hareketi sa\u011flayan sinirin felci<br \/>Laringofarengeal refl\u00fc (midedeki asit salg\u0131s\u0131n\u0131n g\u0131rtla\u011fa gelerek bu b\u00f6lgeyi tahri\u015f etmesi)<br \/>Sesin yanl\u0131\u015f kullan\u0131m\u0131<br \/>Ses tellerinde olu\u015fan \u00f6dem<br \/>Ses tellerinde nod\u00fcl, kist veya polip gibi olu\u015fumlar<br \/>G\u0131rtlakta olu\u015fan iyi ve k\u00f6t\u00fc huylu t\u00fcm\u00f6ral kitleler<br \/>G\u0131rtla\u011fa veya sesteli sinirine gelen darbeler<br \/>Sesteli sinirini etkileyen beyin, boyun ve akci\u011ferler b\u00f6lgesindeki \u00e7e\u015fitli hastal\u0131klar<br \/>Psikolojik sebepler<br \/>Do\u011fumsal patolojiler ve do\u011fum travmas\u0131 say\u0131labilir.<\/p>\n<p>Ses k\u0131s\u0131kl\u0131\u011f\u0131 iki haftadan uzun s\u00fcrerse ve belirli bir nedeni yoksa bir kulak burun bo\u011faz ve ba\u015f boyun cerrahisi uzman\u0131na muayene olman\u0131z gerekir.\u00a0<\/span><\/span><span><span><br \/>Ayr\u0131ca ses k\u0131s\u0131kl\u0131\u011f\u0131 ile beraber nefes alma zorlu\u011fu, nedensiz a\u011fr\u0131 bulunmas\u0131, a\u011f\u0131zdan kan gelmesi, birka\u00e7 g\u00fcnden uzun s\u00fcren tam ses kayb\u0131 veya seste \u015fiddet de\u011fi\u015fikli\u011fi, yutma zorlu\u011fu veya boyunda kitle (\u015fi\u015flik) gibi \u015fikayetlerde daha da aceleci olmak gereklidir.<\/p>\n<p>Poliklinik \u015fartlar\u0131nda ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131 tespit etmek i\u00e7in ya larinks aynas\u0131 ya da endoskop ad\u0131 verilen g\u00f6r\u00fcnt\u00fcl\u00fcme sistemi kullan\u0131l\u0131r. Bu iki y\u00f6ntemle s\u0131kl\u0131kla ses k\u0131s\u0131kl\u0131\u011f\u0131na neden olan etken tespit edilir. Baz\u0131 hallerde stroboskop denen \u00f6zel bir alet veya genel anestezi alt\u0131nda direkt g\u0131rtlak b\u00f6lgesi muayenesi gerekebilir.<\/span><\/span><span><span><\/p>\n<p>Bunlar\u0131n d\u0131\u015f\u0131nda gerekli hallerde ses k\u0131s\u0131kl\u0131\u011f\u0131 tan\u0131s\u0131 i\u00e7in yap\u0131labilecek tetkikler aras\u0131nda:<\/span><\/span><span><span><br \/>Akci\u011fer grafisi<br \/>Sin\u00fcs filmleri<br \/>Alerji testleri<br \/>\u015eeker hastal\u0131\u011f\u0131, t\u00fcberk\u00fcloz gibi hastal\u0131klar\u0131n ara\u015ft\u0131r\u0131lmas\u0131<br \/>G\u0131rtlak b\u00f6lgesinin bilgisayarl\u0131 tomografi veya manyetik rezonansla incelenmesi<br \/>T\u00fcm\u00f6r g\u00f6r\u00fcl\u00fcrse biyopsi al\u0131n\u0131p incelenmesi<br \/>Ses teli sinirinin felcinde beyinle ilgili filmler (\u00f6zellikle manyetik rezonans g\u00f6r\u00fcnt\u00fcleme)<br \/>Ses teline yap\u0131lacak EMG tetkiki<\/p>\n<p>Ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131n olmamas\u0131 veya olursa da kolay iyile\u015fmesi i\u00e7in dikkat edilecek baz\u0131 durumlar:<\/span><\/span><span><span><br \/>&#8211; Sigara ve alkol kullan\u0131lmamas\u0131,<br \/>&#8211; Sesin do\u011fru tonda, kal\u0131nla\u015ft\u0131rma ve inceltmeleri fazla yapmadan, kullan\u0131lmas\u0131<br \/>&#8211; Diyafram\u0131 kullanarak, g\u0131rtlak kaslar\u0131n\u0131 \u00e7ok yormadan konu\u015fulmas\u0131<br \/>&#8211; Bol su i\u00e7ilmesi<br \/>&#8211; Bo\u011faz temizleme hareketini yapmaktan ka\u00e7\u0131n\u0131lmas\u0131\u00a0<\/p>\n<p>Gastro Osefagal Reflu&#39; su olan Hastalar, (Mideden asit ka\u00e7a\u011f\u0131 olan hastalar) i\u00e7in;<\/span><\/span><span><span><br \/>&#8211; Ak\u015fam saatlerinde \u00e7ay, kahve, kola, alkol al\u0131nmamas\u0131,<br \/>&#8211; Mideyi dolduracak kadar a\u011f\u0131r yemek yenmemesi,<br \/>&#8211; Yemek yiyip hemen yat\u0131lmamas\u0131,<br \/>&#8211; En son saat 6.00 veya 7.00 de ak\u015fam yeme\u011fi yenmesi<br \/>&#8211; Y\u00fcksek yast\u0131kta yat\u0131lmas\u0131<br \/>&#8211; Bulundu\u011funuz ortam\u0131n nemi ve \u0131s\u0131s\u0131n\u0131n uygun olmas\u0131<br \/>&#8211; S\u00fcrekli ve \u015fiddetli \u00f6ks\u00fcr\u00fckten ka\u00e7\u0131n\u0131lmas\u0131 tavsiye edilir.<\/p>\n<p>Ses k\u0131s\u0131kl\u0131\u011f\u0131n\u0131n tedavisinde ses k\u0131s\u0131kl\u0131\u011f\u0131na neden olan hastal\u0131\u011fa g\u00f6re de\u011fi\u015fen pek \u00e7ok tedavi y\u00f6ntemi vard\u0131r:<\/span><\/span><span><span><br \/>&#8211; Ses teli iltihab\u0131 hallerinde genellikle medikal tedavi (ila\u00e7) yeterlidir<br \/>&#8211; Ses teli fel\u00e7leri bazen t\u00fcm\u00f6ral hastal\u0131klara bazende guatr ameliyat\u0131 s\u0131ras\u0131nda geli\u015fen komplikasyonlara ba\u011fl\u0131 olmaktad\u0131r.\u00a0<br \/>&#8211; T\u00fcm\u00f6ral hastal\u0131klar\u0131n tedavisinde cerrahi, radyoterapi ve \u0131\u015f\u0131n tedavisi kullan\u0131l\u0131r. Ameliyat s\u0131ras\u0131nda geli\u015fmi\u015f ses teli fel\u00e7lerinde de sesteki de\u011fi\u015fikli\u011fi d\u00fczeltmeye y\u00f6nelik \u00e7e\u015fitli cerrahi tedaviler uygulanmaktad\u0131r,<br \/>&#8211; Laringofarengeal refl\u00fc hastal\u0131\u011f\u0131 olan vakalarda hem medikal tedavi hem de hastan\u0131n alaca\u011f\u0131 baz\u0131 \u00f6nlemler gereklidir,<br \/>&#8211; Ses tellerinde bulunan nod\u00fcl ve polip gibi patolojilerin tedavisinde ise ses terapisi \u00e7ok \u00f6nemli bir yere sahiptir.<\/span><\/span><\/p>\n<p><span><span>\u00a0<\/span><\/span><\/p>\n<p><span><span>www.drselcukonart.com<\/span><\/span><\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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":[134,88,24,42,104],"class_list":["post-728","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-girtlak","tag-hastalik","tag-ses","tag-tedavi","tag-tum"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/728","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=728"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/728\/revisions"}],"predecessor-version":[{"id":729,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/728\/revisions\/729"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=728"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=728"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=728"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}