{"id":60,"date":"2023-05-29T09:29:42","date_gmt":"2023-05-29T09:29:42","guid":{"rendered":"http:\/\/ankaracocukkbb.com\/?p=60"},"modified":"2023-05-29T09:29:42","modified_gmt":"2023-05-29T09:29:42","slug":"cocuklarda-orta-kulak-problemleri-2","status":"publish","type":"post","link":"https:\/\/ankaracocukkbb.com\/?p=60","title":{"rendered":"\u00c7OCUKLARDA ORTA KULAK PROBLEMLER\u0130"},"content":{"rendered":"

\u00c7OCUKLARDA ORTA KULAK PROBLEMLER\u0130<\/strong><\/p>\n

-ORTA KULAK \u0130LT\u0130HAPLARI VE SIVI B\u0130R\u0130K\u0130M\u0130, T\u00dcP TAKILMASI-<\/strong><\/p>\n

\u00c7eki\u00e7, \u00f6rs ve \u00fczengi kemik\u00e7iklerini i\u00e7inde bar\u0131nd\u0131ran orta kulak normalde hava doludur ve bas\u0131nc\u0131 d\u0131\u015f ortam bas\u0131nc\u0131yla ayn\u0131d\u0131r. \u00d6staki borusu dedi\u011fimiz yap\u0131yla geniz bo\u015flu\u011funa a\u00e7\u0131lmaktad\u0131r. Bar\u0131nd\u0131rd\u0131\u011f\u0131 ve i\u00e7 kula\u011fa ba\u011flanan bu kemik\u00e7ik yap\u0131yla i\u015fitme ve denge fonksiyonunda \u00f6nemli bir role sahiptir. Orta kulak bas\u0131nc\u0131n\u0131n azalmas\u0131yla birlikte biriken s\u0131v\u0131, orta kulak iltihaplar\u0131 ve kemik\u00e7ik sistemindeki problemler zaman\u0131nda tedavi edilmezse i\u015fitme de kal\u0131c\u0131 problemlere yol a\u00e7abilir.<\/p>\n

\"\"<\/strong><\/p>\n

Kulakta S\u0131v\u0131 Toplanmas\u0131 Nas\u0131l Meydana Gelmektedir?<\/strong><\/p>\n

\u00c7ocuklarda anatomik yap\u0131 \u00f6zelli\u011finden dolay\u0131 orta kulakta s\u0131v\u0131 toplanmas\u0131 ve orta kulak iltihaplar\u0131 eri\u015fkinlere g\u00f6re daha fazla g\u00f6r\u00fclmektedir. Orta kulak \u00f6staki borusu ile geniz b\u00f6lgesine a\u00e7\u0131lmaktad\u0131r. Bu yap\u0131n\u0131n g\u00f6revi orta kula\u011f\u0131n havalanmas\u0131n\u0131 ve drenaj\u0131n\u0131 sa\u011flamaktad\u0131r. \u00d6staki borusu \u00e7ocuklarda eri\u015fkinlere g\u00f6re daha k\u0131sa ve yatay seyreder ve eri\u015fkindeki a\u00e7\u0131s\u0131na 7 ya\u015f\u0131nda ula\u015f\u0131r. \u00c7ocuklarda geniz eti s\u0131k g\u00f6r\u00fclen bir problemdir. B\u00fcy\u00fcm\u00fc\u015f geniz eti hem \u00f6staki borusunun a\u011fz\u0131nda t\u0131kanmaya yol a\u00e7abilmekte, hem de orta kulak iltihaplar\u0131nda rol oynayan baz\u0131 mikroplar i\u00e7in bir rezervuar g\u00f6revi g\u00f6rebilmektedir. Baz\u0131 \u00e7al\u0131\u015fmalar alerjik ya da ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f olan \u00e7ocuklarda s\u0131v\u0131 birikimine daha s\u0131k rastland\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Orta kulak problemleri daha \u00e7ok 2-5 ya\u015f aras\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fclmektedir.<\/p>\n

\u00c7ocukta Hangi \u015eikayetler G\u00f6r\u00fcl\u00fcr?<\/strong><\/p>\n

En \u00f6nemli belirtisi i\u015fitme kayb\u0131d\u0131r. A\u011fr\u0131-ate\u015f gibi di\u011fer belirtiler olmad\u0131\u011f\u0131 i\u00e7in tan\u0131y\u0131 erken d\u00f6nemde koymak \u00f6nemlidir.. \u00c7ocu\u011fun anne babas\u0131n\u0131n seslerine ge\u00e7 yan\u0131t vermesi ya da zorlanmas\u0131, televizyonun sesini \u00e7ok a\u00e7maya ba\u015flamas\u0131, \u00e7ocu\u011fu \u00e7a\u011f\u0131r\u0131rken y\u00fcksek sesle \u00e7a\u011f\u0131rmak gerekmesi ya da okulda \u00f6\u011fretmen ve arkada\u015flar\u0131n\u0131 dinlemede zorlanmaya ba\u015flamas\u0131, okul ba\u015far\u0131s\u0131nda meydana gelen d\u00fc\u015fme kulakta s\u0131v\u0131 toplanmas\u0131yla ortaya \u00e7\u0131kan i\u015fitme kayb\u0131na ili\u015fkin ipu\u00e7lar\u0131 olabilir. Baz\u0131 \u00e7ocuklar kulakta zaman zaman olan a\u011fr\u0131dan ve kulakta duydu\u011fu seslerden rahats\u0131z olabilir.<\/p>\n

Nas\u0131l Te\u015fhis Edilir?<\/strong><\/p>\n

Muayenede kulak zar\u0131nda matla\u015fma, damar yap\u0131s\u0131nda belirginle\u015fme, k\u0131zar\u0131kl\u0131k gibi bir renk de\u011fi\u015fimi g\u00f6r\u00fclebilir, bazen kulak zar\u0131nda \u00e7\u00f6kmelere rastlanabilir. Kulak zar\u0131 arkas\u0131nda s\u0131v\u0131 birikimi ve hava kabarc\u0131klar\u0131 g\u00f6r\u00fclebilir. Kulakta s\u0131v\u0131 birikiminden \u015f\u00fcphelenilen hastada orta kulak bas\u0131n\u00e7 testi ve i\u015fitme testi tan\u0131y\u0131 do\u011frular.<\/p>\n

Nas\u0131l Tedavi Edilir?<\/strong><\/p>\n

Kulakta s\u0131v\u0131 birikiminin tedavisi \u00f6ncelikle ila\u00e7 tedavisidir. Yap\u0131lan \u00e7al\u0131\u015fmalar iltihabi fakt\u00f6rlerin de s\u0131v\u0131 birikiminde etkisi oldu\u011funu ortaya koydu\u011fu i\u00e7in tedavide ilk planda antibiyotikler kullan\u0131lmaktad\u0131r Hastaya 10-14 g\u00fcnl\u00fck bir k\u00fcr antibiyotik tedavisi uygulan\u0131r. Bunun yan\u0131 s\u0131ra s\u0131v\u0131n\u0131n emilmesine yard\u0131mc\u0131 ila\u00e7lar olarak dekonjestan ad\u0131 verilen spreyler, \u015furuplar, alerjik hastalarda antihistaminik ad\u0131 verilen ila\u00e7lar ve kortizonlu spreyler kullan\u0131labilir. Bu ila\u00e7 tedavisi sonras\u0131 hasta takibe al\u0131n\u0131r. Kulak zar\u0131nda \u00e7\u00f6kme gibi de\u011fi\u015fiklikler, ciddi i\u015fitme kayb\u0131 gibi baz\u0131 \u00f6zel durumlar yoksa hasta 3 ay kadar ara ara kontrollerle takip edilebilir. Bu s\u00fcrenin sonunda yap\u0131lan kontrollerde orta kulaktaki problem devam ediyorsa t\u00fcp tak\u0131lma i\u015flemi uygulan\u0131r. T\u00fcp takma i\u015flemi tek ba\u015f\u0131na yap\u0131lacaksa genel anestezi alt\u0131nda ve k\u0131sa s\u00fcren bir i\u015flemle, herhangi bir kesi i\u015flemi yapmadan, d\u0131\u015f kulak yolundan mikroskop e\u015fli\u011finde girilip kulak zar\u0131na yap\u0131lan k\u00fc\u00e7\u00fck bir kesi ile ger\u00e7ekle\u015ftirilir. \u0130\u015flem sonras\u0131 birka\u00e7 saat yatak istirahati sonras\u0131 ayn\u0131 g\u00fcn evine g\u00f6nderilir. \u0130\u015flem sonras\u0131 ila\u00e7 tedavisi gerekmez. \u00c7ocuklarda \u00e7o\u011fu zaman e\u015flik eden bademcik ve geniz eti problemleriyle birlikte i\u015flem uygulan\u0131r ve bu durum t\u00fcp tak\u0131lma s\u00fcrecini ve sonras\u0131n\u0131 etkilemez.
\nKulak t\u00fcp\u00fc ameliyat\u0131 ile birlikte, orta kulakta biriken s\u0131v\u0131 ortadan kald\u0131r\u0131lmakta, s\u0131v\u0131 birikimi ve orta kulak iltihab\u0131n\u0131n tekrarlama riski \u00f6nemli oranda d\u00fc\u015f\u00fcr\u00fclmektedir. S\u0131v\u0131 nedeniyle ortaya \u00e7\u0131kan i\u015fitme kayb\u0131 d\u00fczelir. Bu durum \u00e7ocu\u011fun anne-baba, arkada\u015f ve okuldaki ileti\u015fim problemini \u00e7\u00f6zece\u011fi i\u00e7in ba\u015far\u0131s\u0131n\u0131 ve geli\u015fimini olumlu etkiler.<\/p>\n

\"\"<\/p>\n

Kulak T\u00fcp\u00fc ve Tak\u0131lmas\u0131<\/strong><\/p>\n

Kulak t\u00fcp\u00fc ne kadar s\u00fcre kal\u0131r ?<\/strong><\/p>\n

Kulak zar\u0131na yerle\u015ftirilen kulak t\u00fcplerinin kulakta kalma s\u00fcresi t\u00fcp\u00fcn cinsine ve \u00e7ocu\u011fun \u00f6zelliklerine g\u00f6re de\u011fi\u015fmektedir. Kula\u011f\u0131na ilk defa kulak t\u00fcp\u00fc tak\u0131lan bir \u00e7ocuk i\u00e7in se\u00e7ilen t\u00fcpler k\u0131sa s\u00fcreli t\u00fcplerdir. Bu t\u00fcpler kulakta ortalama 6-9 ay kal\u0131r ve daha sonra v\u00fccut taraf\u0131ndan, kulak zar\u0131ndan d\u0131\u015f kulak yoluna at\u0131l\u0131rlar.
\nTekrar eden tedaviye diren\u00e7li \u00e7ocuklardaki kulak t\u00fcp\u00fc uygulamalar\u0131nda, T- t\u00fcp dedi\u011fimiz uzun s\u00fcreli t\u00fcpler kullan\u0131lmaktad\u0131r. Uzun s\u00fcreli kulak t\u00fcpleri 1 y\u0131ldan fazla, doktorun \u00f6ng\u00f6rd\u00fc\u011f\u00fc s\u00fcre boyunca kulakta kal\u0131r. V\u00fccut taraf\u0131ndan kolay kolay at\u0131lamayan uzun s\u00fcreli t\u00fcpler genellikle doktor taraf\u0131ndan \u00e7\u0131kar\u0131lmaktad\u0131r. Kulak t\u00fcp\u00fc\u00a0tak\u0131lan \u00e7ocuk bunu hissetmez, a\u011fr\u0131 ve rahats\u0131zl\u0131k hissi olu\u015fturmaz. T\u00fcp\u00fcn i\u00e7 \u00e7ap\u0131 \u00e7ok k\u00fc\u00e7\u00fck oldu\u011fu i\u00e7in genellikle d\u0131\u015far\u0131dan s\u0131v\u0131 girmesi \u00e7ok zordur, yine de banyo, deniz, havuza girme s\u0131ras\u0131nda dikkatli olmakta yarar vard\u0131r, ancak \u00e7ocu\u011fun bu aktivitelerini kesinlikle etkilememektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00c7OCUKLARDA ORTA KULAK PROBLEMLER\u0130 -ORTA KULAK \u0130LT\u0130HAPLARI VE SIVI B\u0130R\u0130K\u0130M\u0130, T\u00dcP TAKILMASI- \u00c7eki\u00e7, \u00f6rs ve \u00fczengi kemik\u00e7iklerini i\u00e7inde bar\u0131nd\u0131ran orta kulak normalde hava doludur...<\/p>\n","protected":false},"author":1,"featured_media":61,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-60","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/posts\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=60"}],"version-history":[{"count":1,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/posts\/60\/revisions"}],"predecessor-version":[{"id":62,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/posts\/60\/revisions\/62"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=\/wp\/v2\/media\/61"}],"wp:attachment":[{"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ankaracocukkbb.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}