{"id":3008,"date":"2020-03-20T15:00:01","date_gmt":"2020-03-20T15:00:01","guid":{"rendered":"https:\/\/startersites.io\/blocksy\/blog\/?page_id=3008"},"modified":"2025-05-22T16:09:06","modified_gmt":"2025-05-22T16:09:06","slug":"santral-isitme-kaybi","status":"publish","type":"page","link":"https:\/\/odyolojipusulasi.com\/en\/santral-isitme-kaybi\/","title":{"rendered":"SANTRAL \u0130\u015e\u0130TME KAYIPLARI"},"content":{"rendered":"

Santral i\u015fitme sistemi geli\u015fimsel ve patolojik bir\u00e7ok durumdan etkilenebilen, s\u00f6zel olmayan uyaranlar da dahil olmak \u00fczere s\u00f6zel lisan\u0131 tan\u0131mlama ve ay\u0131rt etme yetilerine sahip bir sistemdir. Bu sistem bir\u00e7ok n\u00f6ral yola\u011f\u0131 b\u00fcnyesinde bar\u0131nd\u0131rmaktad\u0131r. Santral i\u015fitme kayb\u0131, periferik i\u015fitmenin ve bili\u015fsel becerilerin normal olmas\u0131na ra\u011fmen, i\u015fitsel uyaranlar\u0131n i\u015flemleme s\u00fcrecinde ortaya \u00e7\u0131kan fonksiyon bozuklu\u011fudur.<\/p>\n\n\n\n

Pediatrik grupta santral i\u015fitsel i\u015flemleme bozuklu\u011fu g\u00f6r\u00fclme oran\u0131 %2-%3 iken yeti\u015fkinler de bu oran %10-%20\u2019dir. 60\u2019l\u0131 o ya\u015flara gelindi\u011finde ise yakla\u015f\u0131k %70 seviyelerine ula\u015fmaktad\u0131r 1<\/sup><\/strong>.<\/p>\n\n\n\n

Santral i\u015fitme sisteminin sorumlu oldu\u011fu beceriler American Speech-Language-Hearing Association (ASHA)\u2019a g\u00f6re \u015fu \u015fekilde s\u0131ralanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n

    \n
  1. \u0130\u015fitsel ay\u0131rt etme<\/li>\n\n\n\n
  2. i\u015fitsel patern tan\u0131mlanmas\u0131<\/li>\n\n\n\n
  3. i\u015fitmenin temporal \u00f6zellikleri (Temporal rezol\u00fcsyon, temporal integrasyon, temporal maskeleme, temporal s\u0131ralama)<\/li>\n\n\n\n
  4. ses lokalizasyonu ve lateralizasyonu<\/li>\n\n\n\n
  5. Ba\u015fka bir uyaran varl\u0131\u011f\u0131nda i\u015fitsel performans<\/li>\n\n\n\n
  6. bozulmu\u015f i\u015fitsel uyaranlar varl\u0131\u011f\u0131nda i\u015fitsel performans<\/li>\n<\/ol>\n\n\n\n

    Santral tipi i\u015fitme kay\u0131plar\u0131, iyi saf ses i\u015fitme e\u015fiklerine ra\u011fmen d\u00fc\u015f\u00fck konu\u015fmay\u0131 ay\u0131rt etme performans\u0131 ile karakterizedir. Bu nedenle rutin odyolojik de\u011ferlendirmede kullan\u0131lan test bataryalar\u0131 santral i\u015fitme kay\u0131plar\u0131n\u0131 tan\u0131mlamak i\u00e7in yeterli de\u011fildir. Santral i\u015fitme sisteminin fonksiyonunun de\u011ferlendirilmesi ad\u0131na farkl\u0131 davran\u0131\u015fsal testler geli\u015ftirilmi\u015ftir. Bu testler; Dikotik konu\u015fma testleri, Temporal i\u015flemleme testleri, Redundancy konu\u015fma testleri, Binaural Interaction Testleri, Durasyon Patern Testleri vb. \u015feklinde s\u0131ralanabilir 2<\/sup><\/strong>. Bu testlerin klinik kullan\u0131m\u0131 zaman i\u00e7erisinde yayg\u0131nla\u015fm\u0131\u015ft\u0131r. Bu tip i\u015fitme kay\u0131plar\u0131 i\u00e7in tan\u0131ya gitme yolunda davran\u0131\u015fsal testlerin yan\u0131 s\u0131ra Auditory Brainstem Response (ABR), orta latans Ve ge\u00e7 natanz i\u015fitsel cevaplar incelenmelidir 3<\/sup><\/strong>.<\/p>\n\n\n\n

    Santral i\u015fitme kay\u0131plar\u0131n\u0131n nedenleri:<\/h5>\n\n\n\n
      \n
    1. Enfeksiyonlar<\/li>\n\n\n\n
    2. premat\u00fcre do\u011fum<\/li>\n\n\n\n
    3. anoksi<\/li>\n\n\n\n
    4. n\u00f6rojenik hastal\u0131klar (Miyestanya gravis, Multiple skleroz vb.)<\/li>\n\n\n\n
    5. t\u00fcm\u00f6rler (Akustik n\u00f6rinom, araknoid kist, glioma vb.)<\/li>\n<\/ol>\n\n\n\n

      KAYNAKLAR<\/h2><\/div>\n\n\n\n
      \n
      <\/stop><\/stop><\/lineargradient><\/defs><\/svg><\/path><\/svg><\/div><\/span><\/div>\n\n\n\n

      1-Palfery T, Duff D. Central auditory processing disorders: review and case study. Axone (Dartmouth, NS).\u202802\/01 2007;28:20-3.
      2-Musiek FE, Chermak GD. Psychophysical and behavioral peripheral and central auditory tests. Handb Clin Neurol. 2015;129:313-32. doi: 10.1016\/6978-0-441-62630-1.00018-4
      3-\u00c7olpan B. isitme kayplarmin etiyolojisi. In: Erol Belgin, ed. Temel Odyoloji. 2 ed. G\u00fcnes Tip Kitapevi;2017.<\/p><\/div>\n<\/div><\/div><\/blockquote>\n\n\n\n

      ODYOLOJ\u0130K TANILAMA \/ Par\u00e7adan B\u00fct\u00fcne<\/p>Do\u00e7. Dr. Merve BATUK <\/cite><\/blockquote><\/figure>\n\n\n\n