{"id":14552,"date":"2023-03-14T22:50:41","date_gmt":"2023-03-14T19:50:41","guid":{"rendered":"https:\/\/isitmeklinik.com\/?p=14552"},"modified":"2023-03-14T22:50:41","modified_gmt":"2023-03-14T19:50:41","slug":"kulak-cinlamasi-tinnitus","status":"publish","type":"post","link":"https:\/\/isitmeklinik.com\/blog\/kulak-cinlamasi-tinnitus\/","title":{"rendered":"Kulak \u00c7\u0131nlamas\u0131 (Tinnitus)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Etyoloji<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 (tinnitus), i\u015fitsel bir uyaran olmad\u0131\u011f\u0131 halde ses alg\u0131lanmas\u0131 olarak tan\u0131mlanmaktad\u0131r. Latincede bulunan \u201ctinnire\u201d kelimesinden t\u00fcretilmi\u015f olup, \u00e7an \u00e7almak, zil anlamlar\u0131na gelmektedir. Tinnitusu baz\u0131 psikiyatrik durumlar ile ( ku\u015f sesi, insan sesi, m\u00fczik sesi vb anlaml\u0131 sesler duymak ) kar\u0131\u015ft\u0131rmamak gerekir. Tinnitus bir kulakta, her iki kulakta veya ba\u015f\u0131n i\u00e7inde alg\u0131lanabilir. Genellikle duyusal kay\u0131plara kar\u015f\u0131 olu\u015fan n\u00f6roplastik cevaplar\u0131n olu\u015fturdu\u011fu i\u015fitsel varsan\u0131lar\u0131n kulak \u00e7\u0131nlamas\u0131n\u0131 olu\u015fturdu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14566\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/03\/isitmeklinik.com_tinnitus_isitme-3-1024x573.png\" alt=\"\" width=\"390\" height=\"218\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kulak \u00c7\u0131nlamas\u0131 Nas\u0131l Bir Sestir ?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Tinnitus ile ilgili yap\u0131lan tan\u0131mlamalar hasta deneyimlerine dayanmaktad\u0131r. Kulak \u00e7\u0131nlamas\u0131 olan hastalar;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Zil sesi<\/li>\n<li>Su sesi<\/li>\n<li>R\u00fczgar sesi<\/li>\n<li>Dalga sesi<\/li>\n<li>Ar\u0131 sesi<\/li>\n<li>Y\u0131lan sesi gibi sesler duyduklar\u0131n\u0131 ifade etmektedir.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kulak \u00c7\u0131nlamas\u0131 Neden Olur ?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0 Tinnitus ile ili\u015fkili oldu\u011fu bilinen bir \u00e7ok hastal\u0131k olmakla birlikte bunlar\u0131n en ba\u015f\u0131nda <a href=\"https:\/\/isitmeklinik.com\/blog\/isitme-kaybi\/\">i\u015fitme kayb\u0131<\/a> gelmektedir. \u00d6zellikle y\u00fcksek frekanslarda g\u00f6r\u00fclen i\u015fitme kay\u0131plar\u0131 kulak \u00e7\u0131nlamas\u0131 i\u00e7in maj\u00f6r risk fakt\u00f6rlerindendir. Fakat i\u015fitme kayb\u0131 olup tinnitus semptomu olmayan veya i\u015fitme kayb\u0131 olmay\u0131p tinnitusu olan bir \u00e7ok hasta vard\u0131r. Tinnitus ile i\u015fitme kayb\u0131 aras\u0131nda bir ili\u015fki olmakla birlikte bu ili\u015fki her zaman do\u011fru orant\u0131l\u0131 de\u011fildir. G\u00fcr\u00fclt\u00fc maruziyeti veya akustik travma ya\u015fayan bireylerde tinnitus g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artmaktad\u0131r. Obezite, alkol ve t\u00fct\u00fcn kullan\u0131m\u0131, kafa travmalar\u0131, hipertansiyon, uyku bozukluklar\u0131, anksiyete olas\u0131 risk fakt\u00f6rlerindendir. Kulak \u00e7\u0131nlamas\u0131na neden olan bir \u00e7ok risk fakt\u00f6r\u00fc bilinse de net olarak hangi durumun nas\u0131l etki etti\u011fini tespit etmek \u00e7o\u011fu zaman m\u00fcmk\u00fcn olmamaktad\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Kulak \u00c7\u0131nlamas\u0131na Sebep Olabilecek Durumlar<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Otitis media<\/li>\n<li>Sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131<\/li>\n<li>Akustik travma<\/li>\n<li>Ani i\u015fitme kayb\u0131<\/li>\n<li>Bu\u015fon<\/li>\n<li>Meniere hastal\u0131\u011f\u0131<\/li>\n<li>Otoskleroz<\/li>\n<li>Presbiakuzi<\/li>\n<li>Menenjit<\/li>\n<li>Migren<\/li>\n<li>MS (Multiple Skleroz)<\/li>\n<li>Epilepsi<\/li>\n<li>Hipertansiyon<\/li>\n<li>Romatoid artrit<\/li>\n<li>Ba\u015f boyun travmas\u0131<\/li>\n<li>Gebelikteki hormonal de\u011fi\u015fiklikler<\/li>\n<li>Temporomandibuler eklem hastal\u0131\u011f\u0131<\/li>\n<li>Diyabet<\/li>\n<li>Hiperins\u00fclinemi<\/li>\n<li>Hipotiroidizm<\/li>\n<li>Anksiyete<\/li>\n<li>Depresyon<\/li>\n<li>Analjezikler<\/li>\n<li>Antiinflamatuar ila\u00e7lar<\/li>\n<li>Antibiyotikler<\/li>\n<li>Kortikosteroidler<\/li>\n<li>Di\u00fcretikler<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kulak \u00c7\u0131nlamas\u0131 G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Yap\u0131lan ara\u015ft\u0131rmalar kulak \u00e7\u0131nlamas\u0131n\u0131n yeti\u015fkinlerde g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n %10-15 civar\u0131nda oldu\u011funu g\u00f6stermektedir. Bununla birlikte tinnitusun dayan\u0131lmaz derecede \u015fiddetli g\u00f6zlendi\u011fi durumlar yakla\u015f\u0131k %3 &#8211; %5 civar\u0131ndad\u0131r. Hastan\u0131n ya\u015f\u0131n\u0131n artmas\u0131 kulak \u00e7\u0131klamas\u0131n\u0131n hem g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131 hem de rahats\u0131z edicili\u011fini art\u0131rmaktad\u0131r. Amerika\u2019da yap\u0131lan bir ara\u015ft\u0131rmada toplumun genelinde g\u00f6r\u00fclen kulak \u00e7\u0131nlamas\u0131 %4.5 iken, 55 ya\u015f\u0131ndan b\u00fcy\u00fck bireylerde bu oran %12.3 olmaktad\u0131r. Kulak \u00e7\u0131nlamas\u0131 erkek ve kad\u0131nlarda benzer oranlarda g\u00f6r\u00fclmektedir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kulak \u00c7\u0131nlamas\u0131 Tan\u0131 ve De\u011ferlendirme<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 vakalar\u0131nda tinnitus varl\u0131\u011f\u0131n\u0131 ya da \u015fiddetini objektif olarak \u00f6l\u00e7ebilmek \u00e7o\u011fu zaman m\u00fcmk\u00fcn olmamaktad\u0131r. Tan\u0131 s\u00fcrecinde hastadan al\u0131nan \u00f6yk\u00fc ve hastan\u0131n hayat\u0131na etkisi \u00f6nem ta\u015f\u0131maktad\u0131r. Kulak \u00e7\u0131nlamas\u0131 deneyimleyen hastadan mutlaka bu \u00e7\u0131nlaman\u0131n pulsatil mi (nab\u0131z ile e\u015fzamanl\u0131), ritmik mi oldu\u011funu tan\u0131mlamas\u0131 istenmelidir. Kulak \u00e7\u0131nlamas\u0131n\u0131n hangi kulakta ne s\u0131kl\u0131kla g\u00f6zlendi\u011fi a\u015fa\u011f\u0131da belirtilmi\u015ftir.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>%52 oran\u0131nda her iki kulakta<\/li>\n<li>%37 oran\u0131nda tek kulakta<\/li>\n<li>%11 oran\u0131nda ba\u015f\u0131n i\u00e7inde<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 \u015fikayeti ile gelen hastalara detayl\u0131 bir KBB de\u011ferlendirmesi, ba\u015f boyun muayenesi, n\u00f6rolojik de\u011ferlendirme, hematolojik de\u011ferlendirme, odyolojik de\u011ferlendirme yap\u0131lmal\u0131d\u0131r. Odyolojik de\u011ferlendirmede saf ses i\u015fitme testinin yan\u0131 s\u0131ra kulakta t\u0131kan\u0131kl\u0131k hissi tan\u0131mlayan hastalara timpanometrik de\u011ferlendirme, vertigo semptomu olanlara vestib\u00fcler de\u011ferlendirme yap\u0131lmal\u0131d\u0131r. G\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri (MR-BT) genellikle ani bir \u015fekilde ba\u015flam\u0131\u015f olan tinnituslar i\u00e7in \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0 Depresyon ve tinnitus aras\u0131ndaki ili\u015fki, Springer Science and Business Media dergisinin 2011 y\u0131l\u0131ndaki \u201cLangguth B. &#8211; Landgrebe M. \/ Tinnius and Depression. Textbook of Tinnitus.\u201d \u00e7al\u0131\u015fmas\u0131nda belirtilmi\u015ftir. Kulak \u00e7\u0131nlamas\u0131n\u0131n etkilerini \u00f6l\u00e7en bir \u00e7ok subjektif anket mevcuttur. Tinnitusu olan hastan\u0131n psikolojik olarak ya\u015fad\u0131\u011f\u0131 stresi tespit etmeden ba\u015flanan tedavi, b\u00fct\u00fcn \u00e7abalar\u0131 bo\u015fa \u00e7\u0131karabilir. Hastalar\u0131n kulak \u00e7\u0131nlamas\u0131 ile ilgili ya\u015fad\u0131\u011f\u0131 stresi de\u011ferlendirmek i\u00e7in \u2018Tinnitus Handikap Anketi\u2019 kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0 Tinnitus vakalar\u0131n\u0131n \u00e7o\u011funda i\u015fitme kayb\u0131 g\u00f6zlenmektedir. \u0130\u015fitme kayb\u0131 hasta taraf\u0131ndan hissedilmeyecek bir frekansta veya miktarda olabilir. N\u00f6ral sistem bu b\u00f6lgeden gelmeyen i\u015fitsel uyaran\u0131n yerini tinnitus olarak alg\u0131lanan bir sesle kapatmaya \u00e7al\u0131\u015f\u0131yor olabilir. Kulak \u00e7\u0131nlamas\u0131 ile birlikte g\u00f6r\u00fclen i\u015fitme kay\u0131plar\u0131 i\u00e7erisinde en s\u0131k y\u00fcksek frekans i\u015fitme kay\u0131plar\u0131 g\u00f6zlenmektedir. Kulak \u00e7\u0131nlamas\u0131 ya\u015fayan hastalar\u0131n %39 unda sens\u00f6rin\u00f6ral tip i\u015fitme kayb\u0131, %13 \u00fcnde iletim tipi i\u015fitme kayb\u0131 g\u00f6zlenmi\u015ftir. Sens\u00f6rin\u00f6ral tip i\u015fitme kayb\u0131 genellikle y\u00fcksek frekanslara do\u011fru daha da d\u00fc\u015fen tiplerde g\u00f6zlenmektedir ve bu kulak \u00e7\u0131nlamas\u0131 i\u00e7in en s\u0131k g\u00f6r\u00fclen durumlardand\u0131r. \u0130\u015fitme kayb\u0131 nadiren de olsa al\u00e7ak frekanslardan y\u00fcksek frekanslara gidildik\u00e7e azalan \u015fekilde g\u00f6zlenir (al\u00e7ak frekanslar\u0131 tutan) bu durum Meniere hastal\u0131\u011f\u0131 ile ili\u015fkili olabilir. Meniere hastal\u0131\u011f\u0131nda kulak \u00e7\u0131nlamas\u0131 genellikle bir u\u011fultu \u015feklinde alg\u0131lan\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kulak \u00c7\u0131nlamas\u0131 Tedavisi<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0\u00a0 Tinnitus ya\u015fayan bireyler de\u011ferlendirilirken kulak \u00e7\u0131nlamas\u0131n\u0131n bir hastal\u0131k de\u011fil bir belirti (semptom) oldu\u011funu unutmamak gerekir. Kulak \u00e7\u0131nlamas\u0131 kronik bir durumdur. \u00d6ncelikle ama\u00e7 kulak \u00e7\u0131nlamas\u0131n\u0131 tamamen ortadan kald\u0131rmakt\u0131r. E\u011fer bu m\u00fcmk\u00fcn de\u011fil ise tinnitusun hastan\u0131n hayat\u0131na en az etki etmesini sa\u011flamakt\u0131r. Tan\u0131lanan hastalar de\u011ferlendirilirken ve tedavi a\u015famas\u0131nda a\u00e7\u0131k bir \u015fekilde bilgilendirilmelidir. Bu bilgilendirme davran\u0131\u015fsal, bili\u015fsel yakla\u015f\u0131mlar\u0131n bir par\u00e7as\u0131d\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0130la\u00e7lar<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131n\u0131n farmakolojik bir tedavisi bulunmamaktad\u0131r. Baz\u0131 antidepresanlar\u0131n uyku d\u00fczenini olumlu etkilemesinden dolay\u0131, uyku bozuklu\u011fu veya anksiyeteye ba\u011fl\u0131 geli\u015fen tinnituslar\u0131n azalmas\u0131n\u0131 sa\u011flayabilmektedir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14554\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/03\/isitmeklinik.com_cinlama-1024x771.png\" alt=\"\" width=\"348\" height=\"262\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Cerrahi<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131nda cerrahinin yeri k\u0131s\u0131tl\u0131d\u0131r. Kronik otit, Meniere veya otoskleroz gibi hastal\u0131klardan kaynakl\u0131 kulak \u00e7\u0131nlamalar\u0131, o hastal\u0131klar\u0131n tedavisi i\u00e7in yap\u0131lan cerrahi i\u015flemler sonras\u0131nda iyile\u015fme g\u00f6sterebilmektedir. Baz\u0131 ara\u015ft\u0131rmac\u0131lar dekompresyon y\u00f6ntemleriyle olumlu sonu\u00e7lar tespit etmi\u015flerdir fakat bu hen\u00fcz deneysel a\u015famadad\u0131r. \u00c7ok ileri derecede i\u015fitme kayb\u0131 olan ve tinnitus e\u015flik eden hastalar\u0131n %86 s\u0131 koklear implant ameliyat\u0131 sonras\u0131 kulak \u00e7\u0131nlamalar\u0131n\u0131n ge\u00e7ti\u011fini bildirmi\u015flerdir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Akustik Stimulasyon<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 ya\u015fayan hastalar\u0131n \u00e7evresel sesleri y\u00fckselterek \u00e7\u0131nlamay\u0131 bast\u0131rmas\u0131 yakla\u015f\u0131k 50 y\u0131ld\u0131r uygulanmaktad\u0131r ve hastalar\u0131n bir\u00e7o\u011funda ba\u015far\u0131 g\u00f6stermektedir. Burada ama\u00e7 afferent inputlar\u0131n art\u0131r\u0131lmas\u0131 ile tinnitus hissedili\u015fini azaltmakt\u0131r.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Tinnitusu Bask\u0131layan Sesler <\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fon m\u00fczikleri<\/li>\n<li>R\u00fczgar sesleri<\/li>\n<li>Dalga sesleri<\/li>\n<li>H\u0131\u015f\u0131rt\u0131 sesleri<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14553\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/03\/isitmeklinik.com_tinnitus_cinlama-1024x376.png\" alt=\"\" width=\"474\" height=\"174\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0130\u015fitme Cihaz\u0131 ile \u00c7\u0131nlama Tedavisi<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 olan hastalarda i\u015fitme cihaz\u0131 kullan\u0131m\u0131, kulak \u00e7\u0131nlamas\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131na ve alg\u0131lanmas\u0131na sebep olan n\u00f6ral aktiviteyi ciddi bir \u015fekilde azaltt\u0131\u011f\u0131 ve bu sayede \u00e7\u0131nlamay\u0131 ortadan kald\u0131rd\u0131\u011f\u0131 g\u00f6zlenmi\u015ftir. \u0130\u015fitme cihaz\u0131nda yap\u0131lan ayarlar ile konu\u015fma seslerinin daha y\u00fcksek alg\u0131lanabilmesi ve arka plan seslerinin azalt\u0131labilmesi sayesinde tinnitusa olan dikkat azalt\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Maskeleme tedavisi kulak \u00e7\u0131nlamas\u0131 tedavisinde \u00f6nemli bir yer tutmaktad\u0131r. Bu y\u00f6ntemde d\u0131\u015far\u0131dan verilen ses ile kulaktaki \u00e7\u0131nlama duyulamaz hale getirilir. Bu bir g\u00fcr\u00fclt\u00fc veya saf ses olabilir. \u0130\u015fitme cihaz\u0131 ile kulak \u00e7\u0131nlamas\u0131 tedavisinde 491 hasta \u00fczerinde yap\u0131lan bir \u00e7al\u0131\u015fmada hastalar\u0131n %91 inde ba\u015far\u0131 sa\u011flanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14558\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/03\/isitmeklinik.com_tinnitus_cinlama_klinikisitme-1-1024x538.png\" alt=\"\" width=\"373\" height=\"195\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Alternatif Tedaviler <\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 i\u00e7in \u00f6nerilen alternatif tedaviler aras\u0131nda, gev\u015feme egzersizleri, alternatif t\u0131p, akapunktur, beyin stim\u00fclasyonu, biyofeedback.. vb gibi y\u00f6ntemler olsa da hi\u00e7 birinde standart protokollere uygun veriler elde edilememi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a0\u00a0\u00a0 Kulak \u00e7\u0131nlamas\u0131 ya\u015fayan veya ya\u015famayan t\u00fcm hastalara \u00f6nerilen, ilgili semptomlar\u0131n\u0131 azaltan, hayat kalitesini art\u0131ran di\u011fer y\u00f6ntemler g\u00fcnl\u00fck ya\u015fam d\u00fczenlemelerinden olu\u015fmaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Sa\u011fl\u0131kl\u0131 beslenmek<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Egzersiz yapmak<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Stres y\u00f6netimi<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; D\u00fczenli uyku herkes i\u00e7in daha sa\u011fl\u0131kl\u0131 olabilmenin yollar\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ody. Mahir ASLAN<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kulak \u00e7\u0131nlamas\u0131, i\u015fitsel bir uyaran olmad\u0131\u011f\u0131 halde ses alg\u0131lanmas\u0131 olarak tan\u0131mlanmaktad\u0131r. Latincede bulunan \u201ctinnire\u201d kelimesinden t\u00fcretilmi\u015f olup, \u00e7an \u00e7almak, zil anlamlar\u0131na gelmektedir. Tinnitusu baz\u0131 psikiyatrik durumlar ile ( ku\u015f sesi, insan sesi, m\u00fczik sesi vb anlaml\u0131 sesler duymak ) kar\u0131\u015ft\u0131rmamak gerekir. Tinnitus bir kulakta, her iki kulakta veya ba\u015f\u0131n i\u00e7inde alg\u0131lanabilir. Genellikle duyusal kay\u0131plara kar\u015f\u0131 olu\u015fan n\u00f6roplastik cevaplar\u0131n olu\u015fturdu\u011fu i\u015fitsel varsan\u0131lar\u0131n kulak \u00e7\u0131nlamas\u0131n\u0131 olu\u015fturdu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Tinnitus ile ili\u015fkili oldu\u011fu bilinen bir \u00e7ok hastal\u0131k olmakla birlikte bunlar\u0131n en ba\u015f\u0131nda i\u015fitme kayb\u0131 gelmektedir. \u00d6zellikle y\u00fcksek frekanslarda g\u00f6r\u00fclen i\u015fitme kay\u0131plar\u0131 kulak \u00e7\u0131nlamas\u0131 i\u00e7in maj\u00f6r risk fakt\u00f6rlerindendir. Fakat i\u015fitme kayb\u0131 olup tinnitus semptomu olmayan veya i\u015fitme kayb\u0131 olmay\u0131p tinnitusu olan bir \u00e7ok hasta vard\u0131r. Tinnitus ile i\u015fitme kayb\u0131 aras\u0131nda bir ili\u015fki olmakla birlikte bu ili\u015fki her zaman do\u011fru orant\u0131l\u0131 de\u011fildir. G\u00fcr\u00fclt\u00fc maruziyeti veya akustik travma ya\u015fayan bireylerde tinnitus g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artmaktad\u0131r. Obezite, alkol ve t\u00fct\u00fcn kullan\u0131m\u0131, kafa travmalar\u0131, hipertansiyon, uyku bozukluklar\u0131, anksiyete olas\u0131 risk fakt\u00f6rlerindendir. Kulak \u00e7\u0131nlamas\u0131na neden olan bir \u00e7ok risk fakt\u00f6r\u00fc bilinse de net olarak hangi durumun nas\u0131l etki etti\u011fini tespit etmek \u00e7o\u011fu zaman m\u00fcmk\u00fcn olmamaktad\u0131r.<\/p>\n","protected":false},"author":1,"featured_media":21329,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[18,21,37,51,59,65,72,81,107,121],"class_list":["post-14552","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel-yazilar","tag-bilateral-isitme-cihazi","tag-cinlama","tag-en-kucuk-isitme-cihazi","tag-isitme-cihazi","tag-isitme-kaybi","tag-isitme-testi","tag-klinik-isitme-cihazlari","tag-kulak-ici-isitme-cihazi","tag-phonak-isitme-cihazi","tag-tinnitus"],"_links":{"self":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts\/14552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/comments?post=14552"}],"version-history":[{"count":0,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts\/14552\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/media\/21329"}],"wp:attachment":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/media?parent=14552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/categories?post=14552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/tags?post=14552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}