\u00c7ocukluk d\u00f6neminde \u00f6zellikle k\u0131\u015f ve bahar aylar\u0131nda s\u0131k g\u00f6r\u00fclen hastal\u0131klar\u0131ndan birisi orta kulak ef\u00fczyonunun hafif derecede i\u015fitme kayb\u0131na neden oldu\u011funu belirten uzmanlar, \u00e7ocuklar\u0131n ev ya da okul ortam\u0131nda duymazdan gelme halleri ya da cihazlar\u0131 y\u00fcksek ses ile dinlemeleri ebeveynleri uyar\u0131c\u0131 olmas\u0131 gerekti\u011fini s\u00f6yledi.<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 orta kulak hastal\u0131klar\u0131 s\u0131kl\u0131kla uygunsuz hava \u015fartlar\u0131n\u0131n ya\u015fand\u0131\u011f\u0131 k\u0131\u015f ve bahar aylar\u0131nda \u00f6n plana \u00e7\u0131kt\u0131\u011f\u0131n\u0131 belirten Kulak Burun Bo\u011faz ve Ba\u015f Boyun Cerrahisi Uzman\u0131 Prof. Dr. Ataman G\u00fcneri, mevsimsel alerji ya da vir\u00fcs nedenli enfeksiyonlar\u0131n tetikledi\u011fi burun ve bo\u011faz kaynakl\u0131 nefes zorluklar\u0131 orta kulak bo\u015flu\u011funun havalanmas\u0131n\u0131 uzun s\u00fcreli bozdu\u011funda bu tablo ile kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131n\u0131 ve enfeksiyonun orta kula\u011f\u0131 tuttu\u011fu hallerde ate\u015f, a\u011fr\u0131 \u015fikayetlerinin ba\u015f g\u00f6sterdi\u011fini ifade etti.<\/p>\n
Koruma ve t\u0131bbi tedavi ile iyile\u015fme s\u00fcre\u00e7leri izlenen \u00e7ocuklar\u0131n bazen tekrarlar ve kal\u0131c\u0131 hasarlardan korunmak i\u00e7in cerrahi giri\u015fimlere aday oldu\u011funu ifade eden Prof. Dr. G\u00fcneri, orta kulakta enfeksiyon olmad\u0131\u011f\u0131 ya da ge\u00e7irilen enfeksiyon sonras\u0131 s\u0131v\u0131n\u0131n belli bir s\u00fcre i\u00e7inde kaybolmas\u0131n\u0131n beklendi\u011fini ifade ederek, \u201cBurun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n devam etti\u011fi ya da enfeksiyon hastal\u0131klar\u0131n\u0131n s\u0131k yineledi\u011fi hallerde, s\u0131v\u0131n\u0131n orta kulaktan kaybolmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. Bu tablo iki \u015fekilde kendini belli eder. Ya enfeksiyon hastal\u0131klar\u0131n\u0131n varl\u0131\u011f\u0131nda \u00e7ocukta ate\u015f, kulak a\u011fr\u0131s\u0131, i\u015fitme kayb\u0131 izlenir ya da orta kulakta enfeksiyonsuz s\u0131v\u0131 varl\u0131\u011f\u0131nda \u00e7ocu\u011fun i\u015fitmesinde bir azalma, dalg\u0131nl\u0131k, konu\u015fulan\u0131 tekrar ettirme gibi \u015fikayetler ortaya \u00e7\u0131kar. \u0130lgili Kulak burun bo\u011faz ve \u00e7ocuk hekiminin takipleri s\u0131ras\u0131nda, bu s\u0131v\u0131n\u0131n belli bir iyile\u015fme d\u00f6nemi i\u00e7inde t\u0131bbi destekle d\u00fczelmesinin beklenmesi mutlaka gereklidir\u201d dedi.<\/p>\n
T\u0131bbi destekle iyile\u015fmeyen olgulara yakla\u015f\u0131m<\/p>\n
Orta kulak s\u0131v\u0131lar\u0131n\u0131n t\u0131bbi destekle iyile\u015fme sa\u011flanamad\u0131\u011f\u0131 durumlarda baz\u0131 m\u00fcdahaleler yap\u0131labilece\u011fini anlatan Egesante T\u0131p Merkezi\u2019nden KBB Uzman\u0131 Prof. Dr. Ataman G\u00fcneri, \u201cT\u0131bbi bekleme s\u00fcresince (3 ay \u00fczerinde) iyile\u015fme olmayan, iyile\u015fip tekrar eden ya da iyile\u015firken orta kulakta kal\u0131c\u0131 hasarlar ortaya \u00e7\u0131karan hastalarda baz\u0131 m\u00fcdahaleler gerekecektir. Yap\u0131lacak cerrahi giri\u015fimler burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131 gidermek i\u00e7in adenoid dokunun al\u0131nmas\u0131 ve orta kulakta havas\u0131zl\u0131\u011f\u0131 ba\u011fl\u0131 olu\u015fan bas\u0131n\u00e7 sorunun d\u00fczelmesi i\u00e7in kulak zar\u0131na ge\u00e7ici s\u00fcre kalacak kulak t\u00fcp\u00fc tak\u0131lmas\u0131d\u0131r. T\u00fcp uygulanmas\u0131 ile i\u015fitmede h\u0131zl\u0131 bir iyile\u015fme g\u00f6zlenir. Ancak orta kulaktaki sorun d\u00fczelene denk t\u00fcp yerinde b\u0131rak\u0131lmal\u0131d\u0131r. Bu s\u00fcre i\u00e7erisinde kulak kanal\u0131 hijyenine dikkat edip enfeksiyon bula\u015fmas\u0131ndan sak\u0131nmak gerekir. Nadiren d\u0131\u015far\u0131dan bula\u015fan ajanlarla kulakta ak\u0131nt\u0131l\u0131 tablolar ya\u015fanabilir. Ak\u0131nt\u0131 olmas\u0131 iyile\u015fme ve t\u00fcp\u00fcn zarda kalma s\u00fcresini uzat\u0131r. Ortalama 8 ay sonra orta kulaktaki mekanik sorunlar d\u00fczeldi\u011finde t\u00fcp, bir yabanc\u0131 madde olarak alg\u0131lan\u0131p kendili\u011finden at\u0131lacakt\u0131r. S\u0131k rastlanmayan olumsuz seyirlerde \u00e7ok daha uzun s\u00fcre kalan ve kendili\u011finden d\u00fc\u015femeyip al\u0131nmas\u0131 gereken t\u00fcp \u00e7e\u015fitleri de bulunmaktad\u0131r. T\u00fcp at\u0131ld\u0131ktan sonra kulak zar\u0131ndaki hasar kendili\u011finde kapanmaktad\u0131r” diye konu\u015ftu.<\/p>\n
\u201cYaz\u0131n t\u00fcpl\u00fc kula\u011f\u0131 korumak daha zordur\u201d<\/p>\n
\u0130lk tan\u0131s\u0131 ilkbahar aylar\u0131nda konan orta kulak ef\u00fczyon olgular\u0131nda hastal\u0131\u011f\u0131n kuru s\u0131cak yaz d\u00f6neminde kendili\u011finden iyile\u015fme \u015fans\u0131 bulundu\u011fu i\u00e7in hemen t\u00fcp i\u015flemi d\u00fc\u015f\u00fcn\u00fclmemelidir. Ayr\u0131ca yaz aylar\u0131nda kulak yolu korumas\u0131n\u0131n daha zor olaca\u011f\u0131na dikkat \u00e7eken Prof. Dr. G\u00fcneri, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
\u201cKulak kanal\u0131na su, sabun, deniz ve \u00f6zellikle havuz suyu bula\u015fmas\u0131 enfeksiyon tekrar riskini artt\u0131rmaktad\u0131r. \u00c7ocukta uygulanacak suya girme yasa\u011f\u0131 sorun olabilmektedir. Bu nedenle yaz giri\u015finde tespit edilmi\u015f olan ve baz\u0131 hasarlar olu\u015fturmam\u0131\u015f orta kulak s\u0131v\u0131lar\u0131na t\u00fcp uygulamas\u0131n\u0131n yaz sonu tak\u0131lmas\u0131nda hi\u00e7bir sak\u0131nca bulunmamaktad\u0131r. T\u00fcp tak\u0131l\u0131p da akan bir kulak olaca\u011f\u0131na, yaz sonu tak\u0131lm\u0131\u015f olan bir t\u00fcp her zaman i\u00e7in daha tercih edilmelidir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7OCUKLUK D\u00d6NEM\u0130NDE \u00d6ZELL\u0130KLE KI\u015e VE BAHAR AYLARINDA SIK G\u00d6R\u00dcLEN HASTALIKLARINDAN B\u0130R\u0130S\u0130 ORTA KULAK EF\u00dcZYONUNUN HAF\u0130F DERECEDE \u0130\u015e\u0130TME KAYBINA NEDEN OLDU\u011eUNU BEL\u0130RTEN UZMANLAR, \u00c7OCUKLARIN EV YA DA OKUL ORTAMINDA DUYMAZDAN GELME HALLER\u0130 YA DA C\u0130HAZLARI Y\u00dcKSEK SES \u0130LE D\u0130NLEMELER\u0130 EBEVEYNLER\u0130 UYARICI OLMASI GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":177614,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[43467,7305,1440,43466,1734,7014,1336],"class_list":["post-177613","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-azligina","tag-cocuklarda","tag-dikkat","tag-efuzyonu","tag-isitme","tag-kulak","tag-orta"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/cocuklarda-orta-kulak-efuzyonu-ve-isitme-azligina-dikkat_20e7b5e.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-KcJ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/177613","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=177613"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/177613\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/177614"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=177613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=177613"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=177613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}