{"id":4881,"date":"2024-08-29T15:36:06","date_gmt":"2024-08-29T12:36:06","guid":{"rendered":"https:\/\/yalovasondakika.com.tr\/?p=4881"},"modified":"2024-08-29T15:36:06","modified_gmt":"2024-08-29T12:36:06","slug":"kulakta-sivi-birikimi-kulak-tupu-ile-tedavi-ediliyor","status":"publish","type":"post","link":"https:\/\/yalovasondakika.com.tr\/index.php\/2024\/08\/29\/kulakta-sivi-birikimi-kulak-tupu-ile-tedavi-ediliyor\/","title":{"rendered":"Kulakta S\u0131v\u0131 Birikimi Kulak T\u00fcp\u00fc ile Tedavi Ediliyor"},"content":{"rendered":"

Kulakta s\u0131v\u0131 birikimi orta ara a\u011fr\u0131 ve ekseriyetle t\u0131kan\u0131kl\u0131k ile i\u015fitme kayb\u0131 formunda kendini a\u015fik\u00e2r ediyor. \u0130\u015fitme kay\u0131plar\u0131 da konu\u015fma bozukluklar\u0131na, dikkat eksikli\u011fine, \u00f6\u011frenme zahmetine, hasebiyle \u00e7ocuklarda okul muvaffakiyetinin d\u00fc\u015fmesine neden olabiliyor. Asl\u0131nda bu meselelerin tahlili i\u00e7in s\u0131k kullan\u0131lan faal bir tedavi tekni\u011fi var; kulak t\u00fcp\u00fc. 10 dakika \u00fczere k\u0131sa bir m\u00fcddette yerle\u015ftirilen kulak t\u00fcp\u00fc, yeni bir s\u00fcrece gerek kalmadan d\u0131\u015f kulaktan bizatihi at\u0131l\u0131yor. Kulak t\u00fcp\u00fc ile pek \u00e7ok s\u0131hhat sorununun \u00f6nlenebildi\u011fini s\u00f6yleyen\u00a0Ac\u0131badem Altunizade Hastanesi Kulak Burun ve Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Dr. Berna Yayla \u00d6zker, \u201c<\/strong>Kulak t\u00fcp\u00fc ile ileri devirde olu\u015fabilecek kulak zar\u0131nda \u00e7\u00f6kme, orta kulak kemik\u00e7iklerinde kire\u00e7lenme ya da erime, i\u015fitme kay\u0131plar\u0131, \u00e7ocuklarda i\u015fitme kayb\u0131na ba\u011fl\u0131 konu\u015fma bozukluklar\u0131, dikkat eksikli\u011fi, \u00f6\u011frenme zahmeti ve hasebiyle okul muvaffakiyetinde d\u00fc\u015fme \u00fczere k\u0131ymetli s\u0131k\u0131nt\u0131lar \u00f6nlenebiliyor\u201d diyor.
\u00a0<\/p>\n

\u00d6staki borusu k\u00e2fi \u00e7al\u0131\u015fmad\u0131\u011f\u0131nda kulakta s\u0131v\u0131 birikiyor<\/strong><\/p>\n

D\u0131\u015far\u0131dan sadece d\u0131\u015f k\u0131sm\u0131n\u0131 g\u00f6rebildi\u011fimiz kula\u011f\u0131m\u0131z, 3 farkl\u0131 k\u0131sm\u0131yla asl\u0131nda karma\u015f\u0131k bir yap\u0131ya sahip. S\u0131v\u0131 birikmesi, orta kulakta olu\u015fuyor. Pekala, nas\u0131l bir de\u011fi\u015fiklik oluyor da, bu sorun ortaya \u00e7\u0131k\u0131yor? Bunun net cevab\u0131; kula\u011f\u0131m\u0131zdaki bas\u0131n\u00e7 ayarlama sisteminin bozulmas\u0131. \u015e\u00f6yle ki, d\u0131\u015f kulak ile orta kula\u011f\u0131 ay\u0131ran, kulak zar\u0131m\u0131z. Bir zar ile ayr\u0131lan d\u0131\u015f kulak \u00fczere, orta kulak da havaya gereksinim duyuyor. Orta kula\u011fa hava sa\u011flayan organ\u0131m\u0131z ise \u00f6staki borusu ve \u00f6stakinin bir ucu geniz b\u00f6lgemizde bir ucu orta kulakta yer al\u0131yor. \u00d6staki borusunun vazifesi; yutkunma ve esneme s\u0131ras\u0131nda kendisini \u00e7evreleyen kaslar yoluyla a\u00e7\u0131l\u0131p kapanarak orta kula\u011fa hava giri\u015f ve \u00e7\u0131k\u0131\u015f\u0131n\u0131 sa\u011flamak. Nefes al\u0131p verdi\u011fimizde, yutkundu\u011fumuzda, esnedi\u011fimizde, \u00f6staki borusu a\u00e7\u0131l\u0131p kapanarak orta kula\u011f\u0131 d\u0131\u015fardaki atmosfere nazaran dengeliyor. \u00d6staki borusunun yetersiz \u00e7al\u0131\u015ft\u0131\u011f\u0131 durumlarda orta kulakta negatif bir bas\u0131n\u00e7 olu\u015fuyor. Bu negatif bas\u0131n\u00e7, dokulardan orta kula\u011fa s\u0131v\u0131 ka\u00e7\u0131\u015f\u0131yla sonu\u00e7lan\u0131yor. Bu ka\u00e7\u0131\u015f vakit i\u00e7erisinde t\u00fcm orta kulak ve kulak gerisindeki s\u00fcnger bi\u00e7imindeki kemik yap\u0131 i\u00e7inde s\u0131v\u0131 birikmesine yol a\u00e7\u0131yor. Kronik kulak a\u011fr\u0131s\u0131, kulaklarda t\u0131kan\u0131kl\u0131k, kulak \u00e7\u0131nlamas\u0131, y\u00fckseklikle birlikte ba\u015f g\u00f6steren kulak a\u011fr\u0131s\u0131, i\u015fitmenin azalmas\u0131 ya da kayb\u0131 \u00fczere belirtilerle kendini muhakkak ediyor.\u00a0<\/p>\n

Kulak t\u00fcp\u00fc s\u0131v\u0131n\u0131n bo\u015falmas\u0131n\u0131 sa\u011fl\u0131yor<\/strong><\/p>\n

Kulak Burun ve Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Dr. Berna Yayla \u00d6zker, \u00fc\u00e7 aydan uzun s\u00fcren, ila\u00e7 tedavilerine yan\u0131t vermeyen s\u0131v\u0131 birikimi s\u0131k\u0131nt\u0131s\u0131n\u0131n tedavisinde kulak t\u00fcp\u00fc uygulamas\u0131na ba\u015fvuruldu\u011funu belirterek, fonksiyonunu \u015f\u00f6yle a\u00e7\u0131kl\u0131yor: \u201cBir po\u015fetin havas\u0131n\u0131 ald\u0131\u011f\u0131n\u0131z\u0131 d\u00fc\u015f\u00fcn\u00fcn. Negatif bas\u0131n\u00e7 uygulanan bu po\u015fet adeta s\u00f6ner. Lakin k\u00fc\u00e7\u00fck bir delik a\u00e7t\u0131\u011f\u0131n\u0131zda negatif bas\u0131n\u00e7 ortadan kalkar, i\u00e7ene hava dolan po\u015fet, ola\u011fana d\u00f6ner. \u0130\u015fte kulak t\u00fcp\u00fc uygulamas\u0131n\u0131n mant\u0131\u011f\u0131 da budur. Orta kulakta s\u0131v\u0131 birikimini gidermek i\u00e7in ba\u015fvurdu\u011fumuz kulak t\u00fcp\u00fc sayesinde hem kulaktaki s\u0131v\u0131 bo\u015falt\u0131l\u0131r hem de kronik s\u00fcrecin geri d\u00f6nmesi ve \u00f6staki borusunun d\u00fczg\u00fcnle\u015fme s\u00fcrecinde orta kula\u011f\u0131n havalanmas\u0131 sa\u011flan\u0131r\u201d diyor. \u00a0<\/p>\n

Kulak d\u0131\u015f\u0131nda g\u00f6r\u00fclm\u00fcyor<\/strong>\u00a0<\/p>\n

Genellikle 6-12 ay ortas\u0131nda kulak zar\u0131 kendini onar\u0131rken kulak t\u00fcp\u00fc de d\u0131\u015f kulak yoluna at\u0131l\u0131yor. Kulak t\u00fcplerinin kal\u0131c\u0131l\u0131k m\u00fcddetlerinin 12 ay ile 2 y\u0131l ortas\u0131nda de\u011fi\u015fti\u011fini belirten Dr. Berna \u00d6zker, t\u00fcpler hakk\u0131nda \u015fu bilgileri veriyor: “Kulak zar\u0131ndan biraz kal\u0131n, ortas\u0131 delik, silikon, teflon, paslanmaz \u00e7elik, alt\u0131n ya da titanyumdan yap\u0131lan, makaray\u0131 and\u0131ran kulak t\u00fcp\u00fcn\u00fcn \u00e7al\u0131\u015fma mant\u0131\u011f\u0131 bir havaland\u0131rma borusuna benziyor. Makaran\u0131n, yani kulak t\u00fcp\u00fcn\u00fcn ortas\u0131ndaki delik yoluyla orta kula\u011fa hava giri\u015fi sa\u011flan\u0131yor. B\u00f6ylelikle t\u00fcp, misyonunu tam olarak yapamayan \u00f6staki borusunun i\u015flevini devralarak d\u00fczg\u00fcnle\u015fme s\u00fcrecine takviye oluyor. Kulak zar\u0131na yerle\u015ftirilen t\u00fcp\u00fcn boyutu 2 mm\u2019yi ge\u00e7medi\u011fi i\u00e7in kula\u011f\u0131n d\u0131\u015f\u0131ndan g\u00f6r\u00fcnm\u00fcyor.”<\/p>\n

Hasta t\u0131pk\u0131 g\u00fcn taburcu oluyor<\/strong><\/p>\n

Hastal\u0131\u011f\u0131n etkenine ba\u011fl\u0131 olarak, doktor taraf\u0131ndan kalmas\u0131 istenen m\u00fcddete nazaran kulak t\u00fcp\u00fc se\u00e7iliyor. T\u00fcp\u00fcn tak\u0131lmas\u0131 s\u00fcreci \u00e7ocuklarda genel anestezi alt\u0131nda, yeti\u015fkinlerde lokal ya da genel anestezi alt\u0131nda kulak zar\u0131na a\u00e7\u0131lan k\u00fc\u00e7\u00fck bir kesiyle yap\u0131l\u0131yor. Kulak Burun ve Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Dr. Berna Yayla \u00d6zker, orta kulakta biriken s\u0131v\u0131n\u0131n vakumla \u00e7ekildi\u011fini belirterek, \u201cDaha sonra makara formunda ve ortas\u0131 delik olan kulak t\u00fcp\u00fc bu kesiye yerle\u015ftiriliyor. \u00a0\u0130\u015flem 10 dakika \u00fczere k\u0131sa m\u00fcddette tamamlan\u0131yor. Kulak t\u00fcp\u00fc uygulamas\u0131 geniz eti ameliyat\u0131yla birlikte bile olsa hasta birebir g\u00fcn taburcu oluyor\u201d diyor. Orta kulaktan s\u0131v\u0131 temizlendi\u011fi ve negatif bas\u0131n\u00e7 ola\u011fana d\u00f6nd\u00fc\u011f\u00fc i\u00e7in ameliyat sonras\u0131nda t\u0131kan\u0131kl\u0131k ile bas\u0131n\u00e7 hissi ortadan kalk\u0131yor. Bu sayede i\u015fitme kayb\u0131 da d\u00fczeliyor. Orta kulakta s\u0131v\u0131 birikmesi s\u0131k\u0131nt\u0131s\u0131n\u0131n kulak t\u00fcp\u00fc uygulamas\u0131yla ekseriyetle d\u00fczeldi\u011fine de\u011finen Kulak Burun ve Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Dr. Berna Yayla \u00d6zker \u00a0\u201cAncak s\u0131v\u0131 birikim nedeni tam \u00e7\u00f6z\u00fclemedi\u011finde ve \u00f6staki t\u00fcp\u00fcn\u00fcn kal\u0131c\u0131 olarak misyonunu yapamad\u0131\u011f\u0131 durumlarda tekrarlar. \u0130\u015fte bu durumlarda daha uzun m\u00fchlet kalacak t\u00fcp uygulamalar\u0131 ya da \u00f6staki t\u00fcp balon uygulamas\u0131 d\u00fc\u015f\u00fcn\u00fclebilir\u201d diyor.<\/p>\n

Geniz eti ameliyat\u0131 da yap\u0131l\u0131yor<\/strong><\/p>\n

Kulak t\u00fcp\u00fc ekseriyetle 1 ya\u015f itibariyle her ya\u015f k\u00fcmesine uygulanabiliyor. Damak yar\u0131\u011f\u0131 ya da tekrarlayan kulak enfeksiyonu \u00fczere \u00f6zel durumlarda 6 aydan itibaren bebekler i\u00e7in de tercih edilebiliyor. \u00c7ocuklarda kulak t\u00fcp\u00fc uygulamas\u0131nda b\u00fcy\u00fck olsun ya da olmas\u0131n tekrar t\u00fcp uygulama riskini azaltmak i\u00e7in geniz eti ameliyat\u0131n\u0131n da yap\u0131ld\u0131\u011f\u0131n\u0131 belirten Kulak Burun ve Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Dr. Berna Yayla \u00d6zker, \u201cKula\u011f\u0131na t\u00fcp tak\u0131lan \u00e7ocuklarda, k\u00fc\u00e7\u00fck ya da b\u00fcy\u00fck olsun geniz etinin de al\u0131nmas\u0131 gerekiyor. Zira geniz eti, mikroplar\u0131n \u00e7ok \u00e7abuk \u00fcreyece\u011fi bir ortam yarat\u0131yor. Bu doku al\u0131nd\u0131\u011f\u0131nda, bakterilerin yerle\u015fip \u00fcreyebilme riski d\u00fc\u015f\u00fcyor. B\u00f6ylelikle orta kula\u011f\u0131 da korumu\u015f oluyoruz. Bu da tekrar t\u00fcp tak\u0131lma gereksiniminin azalmas\u0131n\u0131 sa\u011fl\u0131yor\u201d diyor.<\/p>\n

Y\u00fczme ve du\u015f s\u0131ras\u0131nda kulak t\u0131kac\u0131 \u015fart!\u00a0<\/strong><\/p>\n

Kulak t\u00fcp\u00fc tak\u0131lan hastalar, kula\u011fa su ka\u00e7arsa sorun olup olmayaca\u011f\u0131 konusunda endi\u015feleniyor. Halbuki ki d\u0131\u015f kulak yolunun yap\u0131s\u0131 nedeniyle d\u0131\u015far\u0131dan gelen su, kulak t\u00fcp\u00fcne kolay ula\u015fam\u0131yor. Fakat y\u00fczme ve du\u015f s\u0131ras\u0131nda suyun t\u00fcp yoluyla orta kula\u011fa ula\u015fma riski y\u00fcksek oluyor. Orta kulak i\u00e7in enfeksiyon kayna\u011f\u0131 olan su, ak\u0131nt\u0131 yaparak t\u00fcp\u00fcn erken \u00e7\u0131kmas\u0131na yol a\u00e7abiliyor. Bu nedenle havuz, deniz ve du\u015fta kesinlikle kulak t\u0131kac\u0131 kullan\u0131lmas\u0131 gerekiyor.\u00a0<\/p>\n

Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"

Kulakta s\u0131v\u0131 birikimi orta ara a\u011fr\u0131 ve \u00e7oklukla t\u0131kan\u0131kl\u0131k ile i\u015fitme kayb\u0131 halinde kendini muhakkak ediyor.<\/p>\n","protected":false},"author":1,"featured_media":4882,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[319,1217,2145,1070,2146],"class_list":["post-4881","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-kulak","tag-orta","tag-orta-kulak","tag-sivi","tag-tup"],"_links":{"self":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/4881"}],"collection":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=4881"}],"version-history":[{"count":1,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/4881\/revisions"}],"predecessor-version":[{"id":4883,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/4881\/revisions\/4883"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media\/4882"}],"wp:attachment":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=4881"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=4881"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=4881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}