{"id":906,"date":"2024-04-29T07:12:08","date_gmt":"2024-04-29T04:12:08","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=906"},"modified":"2024-04-29T07:12:08","modified_gmt":"2024-04-29T04:12:08","slug":"kulak-cinlamasinda-yeni-umut-tms-tedavisi","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/kulak-cinlamasinda-yeni-umut-tms-tedavisi\/","title":{"rendered":"Kulak \u00e7\u0131nlamas\u0131nda yeni umut tms tedavisi"},"content":{"rendered":"<figure><img decoding=\"async\" src=\"https:\/\/odyova.com\/haberler\/wp-content\/uploads\/2024\/04\/kulak-cinlamasinda-yeni-umut-tms-tedavisi-0-QciFSH5R.jpg\"><\/figure>\n<p><em><strong>Kulak \u00e7\u0131nlamas\u0131 tedavisi zor hastal\u0131klar aras\u0131ndad\u0131r. Doktor ve hasta i\u00e7in sorundur. Yeni teknolojik geli\u015fme ve bulu\u015f olan TMS ( Transkraniyel Manyetik Stim\u00fclat\u00f6r ) cihaz\u0131 d\u00fcnyada bu hastal\u0131\u011f\u0131n tedavisinde umut olmu\u015ftur. Kulak burun bo\u011faz uzman\u0131 olarak,  kulak \u00e7\u0131nlamalar\u0131nda yeni geli\u015fen tetkik y\u00f6ntemlerinden de faydalanarak hastalar\u0131m\u0131zda \u00f6nemli \u00f6l\u00e7\u00fcde ba\u015far\u0131 sa\u011flamaktay\u0131z. Gene baz\u0131 ba\u015f d\u00f6nmesi diye adland\u0131r\u0131lan vertigo da iyi sonu\u00e7lar almaktay\u0131z. Sonu\u00e7lar\u0131m\u0131za bakt\u0131\u011f\u0131m\u0131zda % 60-70 lere varan ba\u015far\u0131lar sa\u011fl\u0131yoruz. Bu oranlar dahilinde , kulak \u00e7\u0131nlamas\u0131 art\u0131k sorun olmaktan \u00e7\u0131km\u0131\u015ft\u0131r<\/strong>.<\/em><\/p>\n<p> Kulak \u00e7\u0131nlamas\u0131 i\u00e7 kulakta bulunan h\u00fccrelerin veya beyine kadar olan n\u00f6ronal h\u00fccrelerin normal yap\u0131 ve g\u00f6revlerinden farkl\u0131 anormal ses \u00fcretmesi durumudur. \u00c7\u0131nlama sesleri kulak b\u00f6lgesi veya kafada s\u00fcrekli bazen de zaman zaman de\u011fi\u015fik sesler tarz\u0131nda olabilmektedir. Bu sesleri, \u00e7\u0131nlama, sinek v\u0131z\u0131lt\u0131s\u0131, zil sesi, h\u0131\u015f\u0131rt\u0131, makine g\u00fcr\u00fclt\u00fcs\u00fc, su sesi, u\u011fultu sesi gibi,  ki\u015fi kendisinde hissediyorsa o zaman kulak \u00e7\u0131nlamas\u0131 ad\u0131 verilen rahats\u0131zl\u0131\u011fa sahiptir.  Genellikle  g\u00fcr\u00fclt\u00fcl\u00fc i\u015fte \u00e7al\u0131\u015fanlarda i\u015fitme kayb\u0131yla g\u00f6r\u00fclebildi\u011fi gibi, gene menier hastal\u0131\u011f\u0131, ani i\u015fitme kay\u0131plar\u0131, akustik travma, vest\u00fcb\u00fcler shwannoma, beyin k\u00f6\u015fe hastal\u0131klar\u0131 ve t\u00fcm\u00f6rlerinde, kanser ila\u00e7lar\u0131 ve daha pek \u00e7ok ila\u00e7 kullan\u0131mlar\u0131n ve pek \u00e7ok hastal\u0131kta da kulak \u00e7\u0131nlamalar\u0131 g\u00f6r\u00fclebilmektedir.<\/p>\n<p> Kulak \u00e7\u0131nlamas\u0131n\u0131n tedavisinde \u0130la\u00e7 tedavileri \u00f6ncelikle denenmelidir. Genellikle ila\u00e7 tedavilerinin ba\u015far\u0131s\u0131 \u00e7ok d\u00fc\u015f\u00fck olup %10- 15, ler civar\u0131ndad\u0131r. Tedavi olamayan bu hastalar i\u00e7in kulak \u00e7\u0131nlamas\u0131 giderek sosyal hayatlar\u0131n\u0131 ve ya\u015fam kalitesini ciddi etkileyen usand\u0131r\u0131c\u0131 bir hal al\u0131r. Geceleri bu sesler daha da yo\u011funla\u015fm\u0131\u015f \u015fekilde hissedilir.<\/p>\n<p> Kulak \u00e7\u0131nlamas\u0131 ( tinnitus) hastal\u0131\u011f\u0131nda uygulanan ila\u00e7 tedavilerin tam ba\u015far\u0131 sa\u011flayamamaktad\u0131r. Hasta bir s\u00fcre sonra tedavide ba\u015far\u0131s\u0131zl\u0131k nedeniyle umutsuzlu\u011fa kap\u0131l\u0131r ve ila\u00e7 kullanmaktan b\u0131kar. Bu t\u00fcr kulak \u00e7\u0131nlamas\u0131 gibi diren\u00e7li hastal\u0131klar\u0131n\u0131n tedavisi i\u00e7in ABD ve di\u011fer geli\u015fmi\u015f \u00fclkelerde, b\u00fcy\u00fck b\u00fct\u00e7eler ayr\u0131larak ara\u015ft\u0131rma yap\u0131lmaktad\u0131r. 50 y\u0131ldan bu yana s\u00fcren bir ara\u015ft\u0131rman\u0131n sonucunda son y\u0131llar\u0131n en b\u00fcy\u00fck bulu\u015fu olan <strong>TMS<\/strong> tedavi y\u00f6ntemi ke\u015ffedilmi\u015ftir. Bu tedavi n\u00f6ro-psikiatri alan\u0131 i\u00e7indeki hastal\u0131klar\u0131n yan\u0131 s\u0131ra, kulak \u00e7\u0131nlamas\u0131nda da ba\u015far\u0131ya kullan\u0131lmaya ba\u015flanm\u0131\u015ft\u0131r. Bu konularda d\u00fcnyada t\u0131p camias\u0131n\u0131n referans ald\u0131\u011f\u0131 FDA ( Amerikan G\u0131da ve \u0130la\u00e7 Dairesi ) onay verdi ve 2007 y\u0131llar\u0131ndan bu yana yap\u0131lan bilimsel \u00e7al\u0131\u015fmalardaki sonu\u00e7lar\u0131yla kulak \u00e7\u0131nlamalar\u0131nda da ba\u015far\u0131yla kullan\u0131lmaya ba\u015fland\u0131. Bu geli\u015fmelerle beraber  \u00fclkemizde de 2014 y\u0131l\u0131ndan bu yana  kullan\u0131lmaya ba\u015flad\u0131\u011f\u0131m\u0131z bu tedavi hastalarda olumlu sonu\u00e7 vermi\u015ftir. \u00c7\u0131nlamada ilk kez % 60-70 ba\u015far\u0131lara ula\u015f\u0131labilmi\u015ftir.  Uygulamas\u0131 kolay ve yan etkisi olmayan bu tedavi ayn\u0131 zamanda ila\u00e7 almas\u0131 riskli olan hamile ,karaci\u011fer ve b\u00f6brek yetmezli\u011fi &#8230;.gibi hastalarda da ba\u015far\u0131 ile uygulamaktay\u0131z. Yan etkisi yoktur. Seyrek olarak Seans sonras\u0131 hafif bir ba\u015f a\u011fr\u0131s\u0131 olabilmektedir. ( hastalar\u0131n onda birine g\u00f6r\u00fcl\u00fcr ) .Bu durum kaslar\u0131n uyar\u0131m\u0131nd\u0131n kaynaklanmaktad\u0131r, yakla\u015f\u0131k bir saat sonra ge\u00e7mektedir.<\/p>\n<p><strong>TMS<\/strong> nin a\u00e7\u0131l\u0131m\u0131, Transkraniyel Manyetik Stim\u00fclat\u00f6r demektir. kulak burun bo\u011faz uzman\u0131 olarak,  kulak \u00e7\u0131nlamalar\u0131nda yeni geli\u015fen tetkik y\u00f6ntemlerinden de faydalanarak hastalar\u0131m\u0131zda \u00f6nemli \u00f6l\u00e7\u00fcde ba\u015far\u0131 sa\u011flamaktay\u0131z. Gene baz\u0131 ba\u015f d\u00f6nmesi diye adland\u0131r\u0131lan vertigo da iyi sonu\u00e7lar almaktay\u0131z. Sonu\u00e7lar\u0131m\u0131za bakt\u0131\u011f\u0131m\u0131zda % 60-70 lere varan ba\u015far\u0131lar sa\u011fl\u0131yoruz. \u00c7al\u0131\u015fma prensibi olarak <strong>TMS<\/strong> \u2019de olu\u015fturulan manyetik alan, kafatas\u0131na ve sa\u00e7l\u0131 deriye a\u011fr\u0131s\u0131z ve g\u00fcvenli bir bi\u00e7imde n\u00fcfuz eder. Kulak b\u00f6lgesin ve beyin h\u00fccrelerine bir ak\u0131m iletir. Bu manyetik ak\u0131m h\u00fccrelerinin \u00e7al\u0131\u015fmas\u0131n\u0131 d\u00fczenler. Klinik deneylerde ve medikal ara\u015ft\u0131rma \u00e7al\u0131\u015fmalar\u0131nda <strong>TMS<\/strong> tedavisinin ge\u00e7erlili\u011fi \u00e7ok y\u00f6nl\u00fc olarak test edilmi\u015ftir Amerikan FDA taraf\u0131ndan kullan\u0131m\u0131 onaylanm\u0131\u015ft\u0131r. Bu konuda d\u00fcnyan\u0131n \u00f6nemli t\u0131p dergilerinde yay\u0131mlanm\u0131\u015f 100 \u2018un \u00fcst\u00fcnde makale mevcuttur. Bu \u00e7al\u0131\u015fmalarda \u00f6nemli \u00f6l\u00e7\u00fcde <strong>TMS<\/strong> nin kulak \u00e7\u0131nlamas\u0131n\u0131 ge\u00e7irdi\u011fi tespit edilmi\u015ftir. <strong>TMS<\/strong> manyetik dalgalarla Ba\u015far\u0131 \u015fans\u0131 ki\u015fiden ki\u015fiye de\u011fi\u015fmekle beraber, g\u00fcn\u00fcm\u00fczde y\u00fcksek ba\u015far\u0131n\u0131n sa\u011fland\u0131\u011f\u0131 tek ve yeni teknolojik geli\u015fme olarak kabul g\u00f6rm\u00fc\u015ft\u00fcr. G\u00fcn\u00fcm\u00fczde cihaz baz\u0131nda yerini tutabilecek ba\u015fkaca bir unsur yoktur.<\/p>\n<p>Op.Dr.A.Ahmet \u015eirin<\/p>\n<p>KBB ve Ba\u015fboyun cerrehisi uzman\u0131<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kulak \u00e7\u0131nlamas\u0131nda yeni umut tms tedavisi Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":907,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[325,25,71,63,42],"class_list":["post-906","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-basari","tag-hasta","tag-ilac","tag-kulak","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/906","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=906"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/906\/revisions"}],"predecessor-version":[{"id":909,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/906\/revisions\/909"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/907"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=906"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=906"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=906"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}