{"id":7945,"date":"2022-10-11T13:58:19","date_gmt":"2022-10-11T13:58:19","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=7945"},"modified":"2022-10-11T14:57:57","modified_gmt":"2022-10-11T14:57:57","slug":"otoskleroz-ic-kulak-kireclenmesi-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/otoskleroz-ic-kulak-kireclenmesi-nedir\/","title":{"rendered":"Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Nedir ?"},"content":{"rendered":"<h2><strong>Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Nedir ?<\/strong><\/h2>\n<h3><strong><a href=\"https:\/\/www.turkeyistanbulmedical.com\/tr\/\">Otoskleroz<\/a> (\u0130\u00e7 Kulak Kire\u00e7lenmesi)<\/strong><\/h3>\n<p>\u0130\u015fitme, ses dalgalar\u0131n\u0131n kulak zar\u0131na ula\u015farak zar\u0131 titre\u015ftirmesi, bu titre\u015fimin orta kulakta bulunan \u00e7eki\u00e7, \u00f6rs ve \u00fczengi kemiklerinin hareketi ile i\u00e7 kulak s\u0131v\u0131lar\u0131na aktar\u0131larak, i\u00e7 kulakta bulunan sinir u\u00e7lar\u0131nda elektrik enerjisine d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi ve i\u015fitme siniriyle beyindeki i\u015fitme merkezine ula\u015fmas\u0131 sonucu ger\u00e7ekle\u015fir.<\/p>\n<p>Otoskleroz \u00fczengi kemik\u00e7i\u011finin i\u00e7 kulak ile kom\u015fu oldu\u011fu duvar k\u0131s\u0131mlar\u0131n\u0131n kire\u00e7lenerek, \u00fczengi kemik\u00e7i\u011fin hareketlerinin k\u0131s\u0131tlanmas\u0131na denilir. Hareketsiz kalan kemik\u00e7ik ses dalgalar\u0131n\u0131 iletemez ve i\u015fitme kayb\u0131 ortaya \u00e7\u0131kar. \u0130lk zamanlar i\u00e7 kulak sa\u011flamd\u0131r ve yaln\u0131zca sesler iletilememektedir. Ancak ilerleyen d\u00f6nemde kire\u00e7lenme i\u00e7 kulak duvar\u0131n\u0131 da etkileyerek sinirsel tip i\u015fitme kayb\u0131na da yol a\u00e7abilmektedir.<\/p>\n<h3><strong>\u0130\u015fitme Nas\u0131l Ger\u00e7ekle\u015fir?<\/strong><\/h3>\n<p>Kulaklar\u0131m\u0131z havada dola\u015fan belirli maddelerin \u00e7\u0131kard\u0131\u011f\u0131 titre\u015fimleri yani ses dalgalar\u0131n\u0131 beynimizin i\u015fleyebilece\u011fi mesajlara d\u00f6n\u00fc\u015ft\u00fcrmekle g\u00f6revli ba\u015f\u0131m\u0131z\u0131n iki yan\u0131nda bulunan organ\u0131m\u0131zd\u0131r. Seslerin net \u015fekilde beyne iletilmesi ve iyi alg\u0131lanmas\u0131 kulaklar\u0131n i\u015fitmesindeki kaliteyi yani kulaklar\u0131n iyi \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 g\u00f6sterir.<\/p>\n<p>Kulakta d\u0131\u015f kulak, orta kulak ve i\u00e7 kulak olmak \u00fczere 3 ana k\u0131s\u0131m bulunur. Ve bu 3 ana k\u0131sm\u0131n birbirinden farkl\u0131 g\u00f6revleri vard\u0131r.<\/p>\n<p>S\u0131ras\u0131yla d\u0131\u015f kulak d\u0131\u015f ortamdaki ses dalgalar\u0131n\u0131 yani titre\u015fimleri toplar ve orta kula\u011fa iletir, orta kulak ses titre\u015fimlerini kulak zar\u0131ndan i\u00e7inde bulunan kemikler yard\u0131m\u0131yla mekanik bas\u0131n\u00e7la i\u00e7 kulak s\u0131v\u0131lar\u0131na g\u00fc\u00e7lendirerek iletmekle g\u00f6revlidir. \u0130\u00e7 kulak ise orta kulaktan iletilen bu bas\u0131n\u00e7 dalgalar\u0131n\u0131 beynimizin alg\u0131layabilece\u011fi mesajlara \u00e7evirme g\u00f6revini \u00fcstlenir.<\/p>\n<h4><strong>Orta kulakta bulunan 3 kemik \u015fu \u015fekildedir:<\/strong><\/h4>\n<ol>\n<li><strong>\u00c7eki\u00e7 (Malleus):\u00a0<\/strong>En d\u0131\u015fta, kulak zar\u0131na yap\u0131\u015f\u0131k durumda bulunan kemiktir.<\/li>\n<li><strong>\u00d6rs (\u0130nkus):<\/strong>\u00a0\u0130ki kemi\u011fin ortas\u0131nda bulunan ve iletimden sorumlu olan kemiktir.<\/li>\n<li><strong>\u00dczengi (Stapes):<\/strong>\u00a0\u00d6rs kemi\u011finden iletilen titre\u015fimleri i\u00e7 kulaktaki s\u0131v\u0131lara iletmekle g\u00f6revli olan kemiktir.<\/li>\n<\/ol>\n<p>\u00dczengi (stapes) taraf\u0131ndan oval pencereye ve i\u00e7 kulak s\u0131v\u0131lar\u0131na iletilen ses titre\u015fimleri, i\u00e7 kulak s\u0131v\u0131lar\u0131nda dalgalanmalara yol a\u00e7ar. Bu dalgalanmalar da i\u00e7 kula\u011f\u0131n i\u015fitme ile ilgili k\u0131sm\u0131 olan ve salyangoz (koklea) denilen yap\u0131s\u0131nda alg\u0131lay\u0131c\u0131 organc\u0131klar taraf\u0131ndan elektriksel sinyallere yani beynin alg\u0131layabilece\u011fi mesajlara d\u00f6n\u00fc\u015f\u00fcr. Bu sinyaller i\u015fitme siniri ile ba\u011flant\u0131l\u0131 olan beyin sap\u0131na ve oradan da beyine ula\u015ft\u0131r\u0131l\u0131r. Bu yol ile i\u015fitme ger\u00e7ekle\u015fmi\u015f olur.<\/p>\n<h3><strong>\u0130\u015fitme Kayb\u0131 T\u00fcrleri Nelerdir?<\/strong><\/h3>\n<p>Odyometrik testler denilen incelemelerden sonra i\u015fitme kayb\u0131 5 t\u00fcre ayr\u0131l\u0131r.<\/p>\n<h4><strong>Bunlar:<\/strong><\/h4>\n<ol>\n<li><strong>\u0130letim Tipi \u0130\u015fitme Kayb\u0131: <\/strong>Ses iletim yolundaki herhangi bir patolojiye ba\u011fl\u0131 olarak sesleri daha zay\u0131f duyma \u015feklinde g\u00f6zlenir. Hastada orta kulak ve\/veya kulak zar\u0131nda patoloji\/y\u0131rt\u0131lma varsa, \u00f6staki borusu patolojilerinde ses daha zay\u0131f alg\u0131lan\u0131r.<\/li>\n<li><strong>Sinirsel (Sens\u00f6rin\u00f6ral) \u0130\u015fitme\u00a0<\/strong><b>Kayb\u0131: \u0130\u00e7<\/b>\u00a0kulaktaki i\u015fitme sinirlerinin zarar g\u00f6rmesi sonucunda olu\u015fan kay\u0131plard\u0131r.<\/li>\n<li><strong>Kar\u0131\u015f\u0131k (Mikst) Tip \u0130\u015fitme Kayb\u0131: <\/strong>\u0130letim tipi i\u015fitme kayb\u0131 yan\u0131nda sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131 g\u00f6r\u00fclmesine ise mikst tipi i\u015fitme kayb\u0131 denir. Hastalarda genellikle her iki kulak da bu hastal\u0131ktan etkilenmektedir fakat bu iki kula\u011f\u0131n etkilenme seviyeleri her zaman ayn\u0131 olmayabilir. Hatta genellikle bir kula\u011f\u0131n etkilenme d\u00fczeyinin di\u011ferinden daha fazla oldu\u011fu g\u00f6r\u00fcl\u00fcr.<\/li>\n<li><strong>Fonksiyonel \u0130\u015fitme Kayb\u0131: <\/strong>Altta i\u015fitme kayb\u0131n\u0131 a\u00e7\u0131klayacak organik bir patoloji olmayan kay\u0131plard\u0131r. Genellikle duygusal (emosyonel) i\u015fitme kayb\u0131 olarak de\u011ferlendirilir. Bu duruma ps\u00f6dohipakuzi denir.<\/li>\n<li><strong>Merkezi \u0130\u015fitme Kayb\u0131: <\/strong>Beyindeki i\u015fitme merkezinin zarar g\u00f6rmesi sonucu geli\u015fir.<\/li>\n<\/ol>\n<h3><strong>Otosklerozun Nedenleri Nelerdir?<\/strong><\/h3>\n<p>Otoskleroz hastal\u0131\u011f\u0131n\u0131n nedeni hala kesin bir \u015fekilde ifade edilememektedir. Bununla birlikte hastal\u0131kta kal\u0131tsal (ailesel) ge\u00e7i\u015f \u00f6zelli\u011fi s\u00f6z konusudur. \u00d6rne\u011fin k\u0131zam\u0131k vir\u00fcs\u00fc varl\u0131\u011f\u0131, hamilelik gibi baz\u0131 durumlarda otoskleroz hastal\u0131\u011f\u0131n\u0131n gidi\u015fat\u0131nda k\u00f6t\u00fcle\u015fmeler g\u00f6r\u00fclebilir. Bunlar gibi baz\u0131 durumlarda otoskleroz hastal\u0131\u011f\u0131n\u0131n bu \u015fekilde ba\u011flant\u0131lar\u0131 olabilir. Bu durumlarla alakal\u0131 hekiminizden mutlaka bilgi al\u0131nmas\u0131 \u00f6nerilir.<\/p>\n<p>Bu hastal\u0131k tedavi edilmeden gidi\u015fat\u0131na b\u0131rak\u0131ld\u0131\u011f\u0131 takdirde i\u015fitme kayb\u0131 ge\u00e7 orta ya\u015fa kadar art\u0131\u015f g\u00f6sterir. Bu y\u00fczden otoskleroz hastal\u0131\u011f\u0131 progresif (ilerleyici) bir hastal\u0131k olarak tan\u0131mlan\u0131r.<\/p>\n<p>Hastal\u0131k en fazla orta ya\u015f d\u00f6nemindeki kad\u0131nlarda g\u00f6r\u00fclse de erkeklerde ve \u00e7ocuklarda da g\u00f6r\u00fclebilir.<\/p>\n<h3><strong>Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Belirtileri Nelerdir?<\/strong><\/h3>\n<p>\u0130\u00e7 kulak kire\u00e7lenmesi yani otoskleroz en yayg\u0131n belirtisi i\u015fitme kayb\u0131d\u0131r. Otoskleroz hastal\u0131\u011f\u0131nda ortaya \u00e7\u0131kan i\u015fitme kayb\u0131 daha \u00e7ok d\u00fc\u015f\u00fck seviyeli veya tiz sesleri duyamamak olarak ortaya \u00e7\u0131kar. \u0130\u015fitme kayb\u0131 zamanla ilerleyebilir. Otoskleroz durumunda i\u015fitme kayb\u0131 daha \u00e7ok iki tarafl\u0131 ya\u015fanmaktad\u0131r.<\/p>\n<h4><strong>\u0130\u015fitme kayb\u0131, kulak a\u011fr\u0131s\u0131 gibi belirtilerin yan\u0131 s\u0131ra Otoskleroz belirtileri \u015fu \u015fekilde s\u0131ralanabilir;<\/strong><\/h4>\n<ul>\n<li>\u0130\u015fitmeyi sa\u011flayan i\u00e7 kulak yap\u0131s\u0131 ayn\u0131 zamanda denge merkezidir. Otoskleroz yani i\u00e7 kulak kire\u00e7lenmesi belirtisi ba\u015f d\u00f6nmesi ve denge sorunu olarak da ortaya \u00e7\u0131kabilir.<\/li>\n<li>Kulak \u00e7\u0131nlamas\u0131 farkl\u0131 nedenlerden olabilece\u011fi gibi, otoskleroz belirtisi olarak da ya\u015fanabilmektedir. Ayn\u0131 zamanda kulak a\u011fr\u0131s\u0131 da otoskleroz belirtileri, aras\u0131nda g\u00f6r\u00fclebilmektedir.<\/li>\n<li>Otoskleroz belirtilerinden bir tanesi de ki\u015finin k\u0131s\u0131k sesle konu\u015fmas\u0131d\u0131r.\u00a0 Ki\u015fi kendi sesini daha y\u00fcksek duymakta ve bu y\u00fczden k\u0131s\u0131k sesle konu\u015fabilmektedir.<\/li>\n<li>Otoskleroz hastalar\u0131 g\u00fcr\u00fclt\u00fcl\u00fc ortamlarda ortam g\u00fcr\u00fclt\u00fcs\u00fcn\u00fc daha az ki\u015filerin konu\u015fmas\u0131n\u0131 ise daha net duymaktad\u0131r. Willis parakuzisi olarak bilinen bu durum otoskleroz hastalar\u0131nda tipik g\u00f6r\u00fclebilmektedir.<\/li>\n<\/ul>\n<h3><strong>Otoskleroz ( \u0130\u00e7 Kulak Kire\u00e7lenmesi ) Te\u015fhisi Nas\u0131l Konur?<\/strong><\/h3>\n<p>Otoskleroz (\u0130\u00e7 kulak kire\u00e7lenmesi) te\u015fhisi kulak, burun, bo\u011faz uzman\u0131 bir doktor taraf\u0131nda te\u015fhis edilir. Muayene s\u0131ras\u0131nda hastan\u0131n hikayesi \u00f6nemlidir. Kulak muayenesi genellikle normaldir. Bazen kulak zar\u0131 arkas\u0131nda hafif k\u0131rm\u0131z\u0131ms\u0131 bir refle g\u00f6zlenebilir.<\/p>\n<p>Bu durum hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 evresinde oldu\u011funu i\u015faret eder. Otoskleroz ile benzer belirtileri sahip olan rahats\u0131zl\u0131klar\u0131n elenmesi i\u00e7in kula\u011f\u0131n i\u00e7in incelenmektedir. Ya\u015fanan i\u015fitme kayb\u0131n\u0131n derecesinin belirlenmesi i\u00e7in i\u015fitme testleri yap\u0131lmaktad\u0131r.<\/p>\n<ul>\n<li>Otoskleroz te\u015fhisi i\u00e7in yap\u0131lan odyogram i\u015fitme testinde farkl\u0131 ses perdelerinde ve frekanslarda i\u015fitilen en al\u00e7ak sesler belirlenir.<\/li>\n<li>Yap\u0131lan timpanometri testi ile kulak zar\u0131n\u0131n esnekli\u011fi de\u011ferlendirilmek suretiyle kemik\u00e7ik sistemde bir kire\u00e7lenme olup olmad\u0131\u011f\u0131 ortaya konulabilmektedir.<\/li>\n<li>Gene yap\u0131lan akustik refleks testi ile bu kire\u00e7lenmenin \u00fczengi kemi\u011fine olan etkisi net olarak de\u011ferlendirilmektedir.<\/li>\n<li>Baz\u0131 durumlarda kula\u011f\u0131n i\u00e7indeki kemik ve dokular\u0131n durumunu daha iyi g\u00f6rerek te\u015fhisi netle\u015ftirebilmek i\u00e7in Bilgisayarl\u0131 Tomografi ( BT) g\u00f6r\u00fcnt\u00fclemesi de istenebilmektedir.<\/li>\n<\/ul>\n<h3><strong>Diapozon Odyogram (Otoskleroz Odyogram\u0131) Nedir?<\/strong><\/h3>\n<p>Hasta ameliyat ile tedavi edilmeden \u00f6nce yap\u0131lan te\u015fhise y\u00f6nelik olan t\u00fcm tetkiklere, testlere ra\u011fmen iletim tipi, i\u015fitme kayb\u0131 ya\u015fayan hastalarda kesin te\u015fhis ancak ameliyat s\u0131ras\u0131nda konulabilir.<\/p>\n<p>Otoskleroz te\u015fhisi konuldu\u011fu i\u00e7in ameliyata al\u0131nan baz\u0131 hastalarda ameliyat s\u0131ras\u0131nda orta kulak kontrol\u00fc yap\u0131ld\u0131\u011f\u0131nda i\u015fitme kayb\u0131na yol a\u00e7an nedenin otoskleroz d\u0131\u015f\u0131nda oldu\u011fu anla\u015f\u0131labilir.<\/p>\n<p>\u0130letim tipi i\u015fitme kayb\u0131 ya\u015fayan hastalarda kesin te\u015fhisin ameliyat s\u0131ras\u0131nda konulabilmesinin nedeni budur. Bu durumlarda bu i\u015fitme kayb\u0131n\u0131n ameliyatla d\u00fczeltilmesi daha zor bir duruma gelir hatta bazen i\u015fitme kayb\u0131n\u0131n nedenine ba\u011fl\u0131 olarak d\u00fczelme yap\u0131lamaz.<\/p>\n<h3><strong>Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Tedavi Y\u00f6ntemleri Nelerdir?<\/strong><\/h3>\n<p>Otoskleroz ba\u015flang\u0131\u00e7 a\u015famas\u0131ndaysa her hangi bir tedavi uygulamay\u0131p hasta takip edilebilir. Bu s\u00fcre\u00e7te belirli aral\u0131klarla i\u015fitme testi yap\u0131larak hastan\u0131n i\u015fitme durumu yak\u0131ndan takip edilmelidir.<\/p>\n<p>Ancak otoskleroz zamanla ilerleyebilen bir rahats\u0131zl\u0131k oldu\u011fu i\u00e7in tedavi konusunda hassas davran\u0131lmal\u0131d\u0131r.<\/p>\n<h4><strong>Otoskleroz tedavisi genel olarak \u015fu \u015fekilde yap\u0131lmaktad\u0131r;<\/strong><\/h4>\n<ul>\n<li>\u0130\u015fitme cihazlar\u0131 otoskleroz tedavisinde kullan\u0131labilmektedir. Ancak i\u015fitme cihazlar\u0131 otosklerozu tedavi etmez sadece ya\u015fanan i\u015fitme kayb\u0131n\u0131n yaratt\u0131\u011f\u0131 sorunlar\u0131 gidermektedir.<\/li>\n<li>Otoskleroz ameliyat\u0131: Hastan\u0131n i\u015fitme kayb\u0131 ileri seviyedeyse ve yap\u0131lan tetkiklerde hastal\u0131\u011f\u0131n ilerlemesi \u00f6ng\u00f6r\u00fcl\u00fcyorsa cerrahi i\u015flem yap\u0131labilmektedir. Ameliyatta sorunlu olan kemi\u011fin bir k\u0131sm\u0131 ya da tamam\u0131 \u00e7\u0131kart\u0131larak yerine i\u015fitmeyi sa\u011flayacak bir implant yerle\u015ftirilir.<\/li>\n<li>Baz\u0131 hastalarda flor\u00fcr tedavisi kullan\u0131labilmektedir. Flor\u00fcr tedavisi daha \u00e7ok ameliyat haz\u0131rl\u0131\u011f\u0131 \u00f6ncesi ge\u00e7ici bir s\u00fcre i\u00e7in baz\u0131 durumlarda tercih edilmektedir.<\/li>\n<\/ul>\n<h3><strong>Otoskleroz<\/strong><strong> \u00a0( \u0130\u00e7 Kulak Kire\u00e7lenmesi ) \u00a0Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h3>\n<p>Otoskleroz hastal\u0131\u011f\u0131nda uygulanacak ameliyat stapes cerrahisidir. Prosed\u00fcr genellikle genel anestezi alt\u0131nda uygulan\u0131r. Kulak kanal\u0131n\u0131n i\u00e7inden yap\u0131lan k\u00fc\u00e7\u00fck bir kesi takip edilerek, kulak zar\u0131n\u0131n arkas\u0131ndan orta kula\u011fa girilir. Orta kulakta yer alan malleus, inkus ve stapes (\u00e7eki\u00e7, \u00f6rs ve \u00fczengi) ba\u011flant\u0131lar\u0131 ve hareket kabiliyetleri de\u011ferlendirilir.<\/p>\n<p>Malleus ve inkusun hareket kabiliyetlerinin olmas\u0131 ve stapes kemi\u011finin hareket kabiliyetinin olmamas\u0131 veya ileri derecede yitirilmesi kesin tan\u0131y\u0131 koydurur. Bu noktadan sonra stapes kemi\u011finin g\u00f6revini \u00fcslenen teflon bir protez ile de\u011fi\u015ftirilmesi ile ameliyat sonland\u0131r\u0131l\u0131r.<\/p>\n<p>Ameliyat sonras\u0131 hasta 1-2 g\u00fcn daha hastanede takip edildikten sonra taburcu edilir.<\/p>\n<p>Bir hafta sonra kontrole gelen hastan\u0131n d\u0131\u015f kulak yolu kanal\u0131 temizlenir ve takibe devam edilir. Ameliyat sonras\u0131 1. ayda ve 3. ayda kontrol odyometri testleri yap\u0131larak hastan\u0131n i\u015fitmesi de\u011ferlendirilir.<\/p>\n<h3><strong>Otoskleroz<\/strong><strong>\u00a0 ( \u0130\u00e7 Kulak Kire\u00e7lenmesi )\u00a0\u00a0 Ameliyat\u0131 Riskleri Nelerdir?<\/strong><\/h3>\n<h4><strong>Otoskleroz ameliyat\u0131 riskleri genel olarak \u015fu \u015fekilde s\u0131ralanabilir;<\/strong><\/h4>\n<ul>\n<li>Bazen ameliyatla i\u015fitme sorunu giderilemeyebilir. Hasta ameliyattan fayda g\u00f6rmeyebilmektedir. Bu, \u00e7ok nadir g\u00f6r\u00fclen bir durumdur.<\/li>\n<li>\u00c7ok nadir olmakla birlikte otoskleroz ameliyat\u0131ndan sonra hastalar\u0131n i\u015fitmesi olumsuz etkilenebilmektedir.<\/li>\n<li>Genel ameliyat komplikasyonlar\u0131 olarak kanama, yara yeni enfeksiyonu, orta kulak enfeksiyonu ya\u015fanabilmektedir.<\/li>\n<li>Y\u00fcz siniri normalde protezin tak\u0131laca\u011f\u0131 \u00fczengi kemi\u011fine yak\u0131n ge\u00e7mektedir. Normalde y\u00fcz sinirinin \u00fczerinde siniri koruyan kemik bir yap\u0131 bulunmaktad\u0131r. Baz\u0131 hastalarda anatomik olarak bu kemik bulunmayabilir. Y\u00fcz siniri a\u00e7\u0131ktan ge\u00e7ebilmektedir. Bu durumu ameliyat \u00f6ncesi belirlemek m\u00fcmk\u00fcn de\u011fildir. Ya da y\u00fcz siniri \u00fczengi kemi\u011fine yaslanm\u0131\u015f olabilmektedir. Bu gibi durumlarda sinire hasar vererek y\u00fcz felci ya\u015fanmamas\u0131 i\u00e7in ameliyat yap\u0131lmayabilir.<\/li>\n<li>Hastalarda uzun d\u00f6nemde kire\u00e7lenmeye ya da implant\u0131n kaymas\u0131na ba\u011fl\u0131 tekrar i\u015fitme kayb\u0131 ya\u015fayabilir.<\/li>\n<\/ul>\n<p>Ancak bu komplikasyonlar \u00e7ok nadir g\u00f6r\u00fclmektedir. B\u00fcy\u00fck oranda hastalar ameliyattan sonra ya\u015fad\u0131klar\u0131 \u015fikayetlerden kurtulmaktad\u0131r. Ameliyat\u0131n konusunda deneyimli ekipler taraf\u0131ndan tam donan\u0131ml\u0131 merkezlerde yap\u0131lmas\u0131 \u00e7ok \u00f6nemlidir.<\/p>\n<h3><strong>Otoskleroz<\/strong><strong>\u00a0 ( <a href=\"https:\/\/www.turkeyistanbulmedical.com\/tr\/\">\u0130\u00e7 Kulak Kire\u00e7lenmesi<\/a> )\u00a0 Ameliyat\u0131 Sonras\u0131 Nelere Dikkat Edilmeli?<\/strong><\/h3>\n<p>Hastalar\u0131n otoskleroz ameliyattan sonraki ilk 2-3 ayl\u0131k d\u00f6nemde baz\u0131 kurallara uymas\u0131 \u00f6nemlidir.<\/p>\n<h4><strong>Otoskleroz ameliyat\u0131ndan sonra dikkat edilmesi gerekenler \u015fu \u015fekilde s\u0131ralanabilir;<\/strong><\/h4>\n<ul>\n<li>Ameliyat sonras\u0131 kafa i\u00e7i bas\u0131nc\u0131 art\u0131racak g\u00fcnl\u00fck hayat aktivitelerinden uzak durmak gerekmektedir. A\u011f\u0131r sporlar, a\u011f\u0131rl\u0131k kald\u0131rmak gibi sporlardan kafa i\u00e7i bas\u0131nc\u0131 art\u0131rarak ameliyatta kullan\u0131lan implanta zarar verebilmektedir. Ancak hafif kardiyak, y\u00fcr\u00fcy\u00fc\u015f gibi sporlar rahatl\u0131kla yap\u0131labilir.<\/li>\n<li>Darbelere kar\u015f\u0131 kulak korunmal\u0131d\u0131r.<\/li>\n<li>Ani bas\u0131n\u00e7 de\u011fi\u015fikliklerinden korunmak gerekmektedir. U\u00e7ak yolculuklar\u0131nda kabin i\u00e7i bas\u0131n\u00e7 ani de\u011fi\u015fti\u011fi durumlar hastalar i\u00e7in sorun yaratabilmektedir. U\u00e7a\u011fa binmeden \u00f6nce hastalara bu bas\u0131n\u00e7 de\u011fi\u015fiklerine kar\u015f\u0131 ila\u00e7 verilebilmektedir. Ayn\u0131 \u015fekilde su alt\u0131na dalmak da bas\u0131n\u00e7 fark\u0131 yaratabilece\u011fi i\u00e7in ameliyat sonras\u0131 d\u00f6nemde uzak durulmas\u0131 gereken aktiviteler aras\u0131ndad\u0131r.<\/li>\n<li>D\u0131\u015f kulak yolundaki yaran\u0131n iyile\u015fmesinden (2 \u2013 3 hafta)\u00a0 sonra hasta rahatl\u0131kla denize ya da havuza girebilirler.<\/li>\n<\/ul>\n<p>Bu \u00f6nlemler ameliyattan sonraki ilk 2-3 ay i\u00e7in \u00f6nemlidir. Sonras\u0131nda hastalar normal rutin hayatlar\u0131na devam edebilmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Nedir ? Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) \u0130\u015fitme, ses dalgalar\u0131n\u0131n kulak zar\u0131na ula\u015farak zar\u0131 titre\u015ftirmesi, bu titre\u015fimin orta kulakta bulunan \u00e7eki\u00e7, \u00f6rs ve \u00fczengi kemiklerinin hareketi ile i\u00e7 kulak s\u0131v\u0131lar\u0131na aktar\u0131larak, i\u00e7 kulakta bulunan sinir u\u00e7lar\u0131nda elektrik enerjisine d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi ve i\u015fitme siniriyle beyindeki i\u015fitme merkezine ula\u015fmas\u0131 sonucu ger\u00e7ekle\u015fir. Otoskleroz \u00fczengi kemik\u00e7i\u011finin i\u00e7 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7933,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[765],"tags":[1767,1766],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v18.4.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Nedir ? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Otoskleroz \u00fczengi kemik\u00e7i\u011finin i\u00e7 kulak ile kom\u015fu oldu\u011fu duvar k\u0131s\u0131mlar\u0131n\u0131n kire\u00e7lenerek, \u00fczengi kemik\u00e7i\u011fin hareketlerinin k\u0131s\u0131tlanmas\u0131na\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/otoskleroz-ic-kulak-kireclenmesi-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Nedir ?\" \/>\n<meta property=\"og:description\" content=\"Otoskleroz \u00fczengi kemik\u00e7i\u011finin i\u00e7 kulak ile kom\u015fu oldu\u011fu duvar k\u0131s\u0131mlar\u0131n\u0131n kire\u00e7lenerek, \u00fczengi kemik\u00e7i\u011fin hareketlerinin k\u0131s\u0131tlanmas\u0131na\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/otoskleroz-ic-kulak-kireclenmesi-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-11T13:58:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-11T14:57:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2022\/10\/otoskleroz.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"700\" \/>\n\t<meta property=\"og:image:height\" content=\"420\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - Best Doctors and Hospital Istanbul\",\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr-TR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/otoskleroz-ic-kulak-kireclenmesi-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2022\/10\/otoskleroz.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2022\/10\/otoskleroz.jpg\",\"width\":700,\"height\":420,\"caption\":\"otoskleroz\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/otoskleroz-ic-kulak-kireclenmesi-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/otoskleroz-ic-kulak-kireclenmesi-nedir\/\",\"name\":\"Otoskleroz (\u0130\u00e7 Kulak Kire\u00e7lenmesi) Nedir ? 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