{"id":15383,"date":"2023-04-27T23:57:57","date_gmt":"2023-04-27T20:57:57","guid":{"rendered":"https:\/\/isitmeklinik.com\/?p=15383"},"modified":"2023-04-27T23:57:57","modified_gmt":"2023-04-27T20:57:57","slug":"timpanometri-ve-timpanometrik-bulgular","status":"publish","type":"post","link":"https:\/\/isitmeklinik.com\/blog\/timpanometri-ve-timpanometrik-bulgular\/","title":{"rendered":"Timpanometri ve Timpanometrik Bulgular"},"content":{"rendered":"\n<p>&nbsp;<\/p>\n\n\n\n<p><strong>\u00a0\u00a0\u00a0\u00a0 <\/strong>Timpanometri ve timpanometrik bulgular, halk aras\u0131nda kulak bas\u0131n\u00e7 testi olarak bilinse de hava bas\u0131nc\u0131n\u0131n d\u0131\u015f kulak yolunda de\u011fi\u015fmesi sonucu d\u0131\u015f kulak yolunda ve orta kulaktaki yap\u0131larda meydana gelen hareketlilik ve esnekli\u011fin kaydedilmesidir. Bu de\u011ferlerin timpanometri cihaz\u0131yla grafiksel olarak elde edilen \u00e7\u0131kt\u0131lar\u0131na timpanogram denir.<\/p>\n\n\n\n<p>Temel ama\u00e7; kulak kanal\u0131ndaki bas\u0131n\u00e7 de\u011fi\u015fimleriyle ses enerjisinin ne kadar\u0131n\u0131n emildi\u011fini \u00f6l\u00e7mek. Bu durumda akustik admitans\/komplians (kula\u011f\u0131n, sesi i\u00e7 kula\u011fa iletme yetene\u011fi) \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131r. Timpanometri ve timpanometrik bulgular odyolojik tan\u0131da b\u00fcy\u00fck bir \u00f6neme sahiptir.<a href=\"https:\/\/isitmeklinik.com\/blog\/isitme-kaybi\/\"> \u0130\u015fitme kayb\u0131<\/a> tan\u0131s\u0131 konulurken testler birbiriyle desteklenmelidir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Pozitif Bas\u0131n\u00e7<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kulak kanal\u0131 bas\u0131nc\u0131 +200 daPa olarak belirlenmi\u015ftir. 226 Hz\u2019de, 85 dB SPL\u2019de uygulan\u0131r.<\/li>\n<li>Kulak zar\u0131 i\u00e7eri do\u011fru \u00e7ekilir, esnekli\u011fi azal\u0131r, gerginli\u011fi artar, ge\u00e7irgenli\u011fi azal\u0131r. Bu y\u00fczden de admitans de\u011feri minimumdayken, impedans de\u011feri maksimumdad\u0131r.<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>0 daPa Bas\u0131n\u00e7<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kulak kanal\u0131 bas\u0131nc\u0131 0 daPa olarak belirlenmi\u015ftir. 226 Hz\u2019de, 85 dB SPL\u2019de uygulan\u0131r.<\/li>\n<li>Kulak kanal\u0131 bas\u0131nc\u0131n\u0131n, atmosferik bas\u0131nca e\u015fit oldu\u011fu durumdur. Kulak zar\u0131n\u0131n her iki taraf\u0131nda da e\u015fit bas\u0131n\u00e7 miktar\u0131 vard\u0131r.<\/li>\n<li>Timpanogram\u0131n tepe noktas\u0131 bu bas\u0131n\u00e7 durumunda olu\u015fur.<\/li>\n<li>Bas\u0131n\u00e7 e\u015fitli\u011finden ve dengesinden dolay\u0131 orta kula\u011fa ge\u00e7en ses enerjisi maksimumdad\u0131r.<\/li>\n<li>Admitans de\u011feri maksimumdayken (ge\u00e7irgenli\u011fin en y\u00fcksek oldu\u011fu durum), impedans de\u011feri minimumdad\u0131r.<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Negatif Bas\u0131n\u00e7<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kulak kanal\u0131 bas\u0131nc\u0131 +400 daPa olarak belirlenmi\u015ftir. 226 Hz\u2019de, 85 dB SPL\u2019de uygulan\u0131r.<\/li>\n<li>Kulak zar\u0131 d\u0131\u015f kulak yoluna do\u011fru \u00e7ekilir, esnekli\u011fi azal\u0131r, gerginli\u011fi artar, ge\u00e7irgenli\u011fi azal\u0131r. Bu y\u00fczden de admitans de\u011feri minimumdayken, impedans de\u011feri maksimumdad\u0131r.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15388\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_timpanometri.png\" alt=\"\" width=\"496\" height=\"135\" \/><\/figure>\n\n\n\n<p>Orta kulak \u201c<em>stiff dominated\u201d<\/em> bir sisteme sahiptir. Bunun anlam\u0131 y\u00fcksek frekansl\u0131 seslerin ge\u00e7i\u015finin kolay; d\u00fc\u015f\u00fck frekansl\u0131 seslerin ge\u00e7i\u015finin zor olmas\u0131d\u0131r. Bu y\u00fczden de timpanometri yap\u0131l\u0131rken d\u00fc\u015f\u00fck frekansta olan 226 Hz\u2019de yap\u0131l\u0131r. B\u00f6ylece t\u00fcm sesler kar\u015f\u0131 tarafa ge\u00e7memi\u015f (emilmemi\u015f) baz\u0131 sesler yans\u0131m\u0131\u015f olur. Yans\u0131yan seslerin \u00f6l\u00e7\u00fcm\u00fcyle de timpanometrik \u00f6l\u00e7\u00fcmler yap\u0131l\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Timpanogram Bulgular\u0131<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Tip A (Normal Timpanogram)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normal bas\u0131n\u00e7 alan\u0131nda tepe veren, komplians de\u011feri normal s\u0131n\u0131rlar i\u00e7inde olan timpanogramd\u0131r.<\/li>\n<li>Bas\u0131n\u00e7 de\u011ferleri -100 ile +50 daPa aras\u0131ndad\u0131r.<\/li>\n<li>Komplians de\u011ferleri 0,39-1,30 cc aral\u0131\u011f\u0131ndad\u0131r.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15389\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_tipa_timpanogram.png\" alt=\"\" width=\"221\" height=\"151\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Tip As<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Komplians de\u011feri normalden d\u00fc\u015f\u00fck ve normal bas\u0131n\u00e7 alan\u0131nda tepe veren, timpanogramd\u0131r.<\/li>\n<li>Bas\u0131n\u00e7 de\u011ferleri -100 ile +50 daPa aras\u0131ndad\u0131r.<\/li>\n<li>Komplians de\u011feri 0,35 cc\u2019den d\u00fc\u015f\u00fckt\u00fcr.<\/li>\n<li>Nedenlerine <a href=\"https:\/\/isitmeklinik.com\/blog\/otoskleroz-kulak-kireclenmesi\/\">otoskleroz<\/a>, timpanoskleroz, miringoskleroz ve kulak zar\u0131nda retraksiyon \u00f6rnek verilebilir.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15392\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_tipas_timpanogram.png\" alt=\"\" width=\"209\" height=\"167\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Tip Ad<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Komplians de\u011feri normalden d\u00fc\u015f\u00fck ve normal bas\u0131n\u00e7 alan\u0131nda tepe veren, timpanogramd\u0131r.<\/li>\n<li>Bas\u0131n\u00e7 de\u011ferleri -100 ile +50 daPa aras\u0131ndad\u0131r.<\/li>\n<li>Komplians de\u011feri 1.30 cc\u2019den fazlad\u0131r.<\/li>\n<li>Nedenlerine k\u0131smi veya total zincir kopuklu\u011fu veya flasid kulak zar\u0131 \u00f6rnek verilebilir.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15395\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_tipad_timpanogram.png\" alt=\"\" width=\"162\" height=\"131\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Tip B (D\u00fcz Timpanogram)<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>1. Kanal Hacmi Normal<\/strong><\/h4>\n\n\n\n<p>Belirgin bir tepe noktas\u0131 bulunmayan ve kanal hacmi normal s\u0131n\u0131rlarda olan Tip B timpanogramd\u0131r. Zarda bir perforasyon beklenmezken orta kulakta s\u0131v\u0131 birikimi (otitis media) beklenebilir.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>2.Kanal Hacmi Y\u00fcksek<\/strong><\/h4>\n\n\n\n<p>Belirgin bir tepe noktas\u0131 bulunmayan ve kanal hacmi normalden d\u00fc\u015f\u00fck olan Tip B timpanogramd\u0131r. Probe ucu t\u0131kal\u0131, probe ucu kanal duvar\u0131na dayal\u0131, ventilasyon t\u00fcp\u00fc t\u0131kal\u0131, d\u0131\u015f kulak yolunda serumen veya d\u0131\u015f kulak yolu t\u0131kal\u0131 olabilir.Belirgin bir tepe noktas\u0131 bulunmayan ve kanal hacmi normalden y\u00fcksek olan Tip B timpanogramd\u0131r. Zarda perforasyon veya ventilasyon t\u00fcp\u00fcnde a\u00e7\u0131kl\u0131k beklenebilir. \u00c7\u00fcnk\u00fc sadece d\u0131\u015f kulak yolu hacmi \u00f6l\u00e7\u00fclmesi beklenirken orta kulak kavitesi de \u00f6l\u00e7\u00fcme eklendi\u011fi i\u00e7in kanal hacmi normalden y\u00fcksek elde edilmi\u015ftir.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>3.Kanal Hacmi D\u00fc\u015f\u00fck<\/strong><\/h4>\n\n\n\n<p>Belirgin bir tepe noktas\u0131 bulunmayan ve kanal hacmi normalden d\u00fc\u015f\u00fck olan Tip B timpanogramd\u0131r. Probe ucu t\u0131kal\u0131, probe ucu kanal duvar\u0131na dayal\u0131, ventilasyon t\u00fcp\u00fc t\u0131kal\u0131, d\u0131\u015f kulak yolunda serumen veya d\u0131\u015f kulak yolu t\u0131kal\u0131 olabilir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15396\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_tipb_timpanogram.png\" alt=\"\" width=\"195\" height=\"143\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Tip C (Negatif Bas\u0131n\u00e7l\u0131 Timpanogram)<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>1.Normal Komplians<\/strong><\/h4>\n\n\n\n<p>Negatif bas\u0131n\u00e7 alan\u0131nda tepe veren, komplians de\u011feri normal s\u0131n\u0131rlarda olan Tip C timpanogram. Bas\u0131n\u00e7 de\u011feri -100 daPa\u2019n\u0131n alt\u0131ndad\u0131r. \u00d6staki disfonksiyonu beklenebilir.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>2.D\u00fc\u015f\u00fck Komplians<\/strong><\/h4>\n\n\n\n<p>Negatif bas\u0131n\u00e7 alan\u0131nda tepe veren, komplians de\u011feri normalden d\u00fc\u015f\u00fck olan Tip C timpanogram. Bas\u0131n\u00e7 de\u011feri -100 daPa\u2019n\u0131n alt\u0131ndad\u0131r. Komplians de\u011feri normalden d\u00fc\u015f\u00fckt\u00fcr. \u00d6staki disfonksiyonunun yan\u0131nda otitis media g\u00f6r\u00fclmesi beklenebilir.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>3.Y\u00fcksek Komplians<\/strong><\/h4>\n\n\n\n<p>Negatif bas\u0131n\u00e7 alan\u0131nda tepe veren, komplians de\u011feri normalden y\u00fcksek olan Tip C timpanogram. Bas\u0131n\u00e7 de\u011feri -100 daPa\u2019n\u0131n alt\u0131ndad\u0131r. Komplians de\u011feri normalden y\u00fcksektir. \u00d6staki disfonksiyonunun yan\u0131nda kemik zincir kopuklu\u011fu veya flasid zar g\u00f6r\u00fclmesi beklenebilir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15399\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_tipc_timpanogram.png\" alt=\"\" width=\"197\" height=\"152\" \/><\/figure>\n\n\n\n<p>Ody. Selin Naz \u00d6ZDEM\u0130R<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Timpanometri ve timpanometrik bulgular, halk aras\u0131nda kulak bas\u0131n\u00e7 testi olarak bilinse de hava bas\u0131nc\u0131n\u0131n d\u0131\u015f kulak yolunda de\u011fi\u015fmesi sonucu d\u0131\u015f kulak yolunda ve orta kulaktaki yap\u0131larda meydana gelen hareketlilik ve esnekli\u011fin kaydedilmesidir. Bu de\u011ferlerin timpanometri cihaz\u0131yla grafiksel olarak elde edilen \u00e7\u0131kt\u0131lar\u0131na timpanogram denir. Temel ama\u00e7; kulak kanal\u0131ndaki bas\u0131n\u00e7 de\u011fi\u015fimleriyle ses enerjisinin ne kadar\u0131n\u0131n emildi\u011fini \u00f6l\u00e7mek. Bu durumda akustik admitans\/komplians (kula\u011f\u0131n, sesi i\u00e7 kula\u011fa iletme yetene\u011fi) \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131r. Timpanometri ve timpanometrik bulgular odyolojik tan\u0131da b\u00fcy\u00fck bir \u00f6neme sahiptir. \u0130\u015fitme kayb\u0131 tan\u0131s\u0131 konulurken testler birbiriyle desteklenmelidir.<\/p>\n","protected":false},"author":1,"featured_media":21121,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[16,18,51,52,59,65,72,78,107,119],"class_list":["post-15383","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel-yazilar","tag-basinc-testi","tag-bilateral-isitme-cihazi","tag-isitme-cihazi","tag-isitme-cihazi-ankara","tag-isitme-kaybi","tag-isitme-testi","tag-klinik-isitme-cihazlari","tag-kulak-basinc-testi","tag-phonak-isitme-cihazi","tag-timpanometri"],"_links":{"self":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts\/15383","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=15383"}],"version-history":[{"count":0,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts\/15383\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/media\/21121"}],"wp:attachment":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/media?parent=15383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/categories?post=15383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/tags?post=15383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}