{"id":3730,"date":"2025-11-27T08:20:56","date_gmt":"2025-11-27T08:20:56","guid":{"rendered":"https:\/\/odyolojipusulasi.com\/?p=3730"},"modified":"2025-11-27T08:20:57","modified_gmt":"2025-11-27T08:20:57","slug":"pediatrik-odyoloji-bebek-ve-cocuklarda-isitme","status":"publish","type":"post","link":"https:\/\/odyolojipusulasi.com\/en\/pediatrik-odyoloji-bebek-ve-cocuklarda-isitme\/","title":{"rendered":"Pediatrik Odyoloji: Bebek ve \u00c7ocuklarda \u0130\u015fitme"},"content":{"rendered":"<p><strong><a href=\"https:\/\/youtu.be\/5TJhHeyq7Wo?si=YIN3V0IuDdhOZcsZ\" target=\"_blank\" rel=\"noopener\" title=\"\">Pediatrik Odyoloji<\/a><\/strong>, do\u011fumdan ergenlik d\u00f6nemine kadar olan s\u00fcre\u00e7te \u00e7ocuklar\u0131n i\u015fitme ve denge<br>sa\u011fl\u0131\u011f\u0131n\u0131 de\u011ferlendiren, takip eden ve gerekli m\u00fcdahaleleri planlayan odyoloji alt uzmanl\u0131k<br>alan\u0131d\u0131r. \u00c7ocuklarda i\u015fitme, dil geli\u015fiminin ve bili\u015fsel becerilerin temel ta\u015flar\u0131ndan biridir. Bu<br>nedenle i\u015fitme kay\u0131plar\u0131n\u0131n erken tan\u0131 ve tedavisi, \u00e7ocuklar\u0131n ya\u015fam kalitesinin art\u0131r\u0131lmas\u0131<br>a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"pediatrik-odyoloji-neden-onemlidir-cocuklarda-isitme-kaybi-cogu-zaman-ilk-yillarda-fark-edilmeyebilir-oysa-bu-donem-beyingelisimi-ve-dil-edinimi-icin-en-kritik-zamandir-ilk-3-5-yil-cok-onemlidir-erken-donemde-tani-alan-cocuklarda\"><br>Pediatrik Odyoloji Neden \u00d6nemlidir?<\/h5>\n\n\n\n<p>\u00c7ocuklarda i\u015fitme kayb\u0131, \u00e7o\u011fu zaman ilk y\u0131llarda fark edilmeyebilir. Oysa bu d\u00f6nem, beyin<br>geli\u015fimi ve dil edinimi i\u00e7in en kritik zamand\u0131r. \u0130lk <em>3.5 y\u0131l<\/em> \u00e7ok \u00f6nemlidir.<br>Erken d\u00f6nemde tan\u0131 alan \u00e7ocuklarda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dil ve konu\u015fma geli\u015fimi ya\u015f\u0131tlar\u0131na yak\u0131n ilerler,<\/li>\n\n\n\n<li>Akademik ba\u015far\u0131 artar,<\/li>\n\n\n\n<li>Sosyal ileti\u015fim becerileri g\u00fc\u00e7lenir,<\/li>\n\n\n\n<li><a href=\"https:\/\/youtu.be\/moRMUtSsU2M?si=i5Wqhjc6PweHoD_U\" target=\"_blank\" rel=\"noopener\" title=\"\">\u0130\u015fitme cihaz\u0131 <\/a>veya <a href=\"https:\/\/odyolojipusulasi.com\/koklear-implant-nedir\/\" target=\"_blank\" rel=\"noopener\" title=\"\">koklear implant<\/a> gibi teknolojilerden maksimum fayda sa\u011flan\u0131r.<\/li>\n<\/ul>\n\n\n\n<p>Bu nedenle d\u00fcnya genelinde yenido\u011fan i\u015fitme taramalar\u0131 standart bir sa\u011fl\u0131k uygulamas\u0131 h\u00e2line<br>gelmi\u015ftir. Erken tan\u0131 i\u00e7in ilk ve en \u00f6nemli basamak yenido\u011fan i\u015fitme taramalar\u0131d\u0131r. Bebeklerde ilk<br>3 ay i\u00e7erisinde i\u015fitme kayb\u0131 tan\u0131s\u0131 konulmas\u0131, ilk 6 ay i\u00e7erisinde m\u00fcdahale edilmesi \u00f6nemlidir. \u0130lk<br>6 ay, i\u015fitme kayb\u0131 m\u00fcdahalesinde alt\u0131n d\u00f6nemdir.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"pediatrik-odyolojide-baslica-degerlendirme-yontemleri\">Pediatrik Odyolojide Ba\u015fl\u0131ca De\u011ferlendirme Y\u00f6ntemleri<\/h5>\n\n\n\n<p>Odyologlar, \u00e7ocu\u011fun ya\u015f\u0131na ve kooperasyon yetene\u011fine g\u00f6re bir objektif ve davran\u0131\u015fsal test<br>bataryalar\u0131 kullan\u0131r.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"1-yenidogan-isitme-tarama-testleri\">1. <strong>Yenido\u011fan \u0130\u015fitme Tarama Testleri:<\/strong><\/h6>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>OAE (Otoakustik Emisyonlar):<\/strong> Kokleadaki d\u0131\u015f t\u00fcy h\u00fccreleri taraf\u0131ndan \u00fcretilen ve<br>uyarandan sonra d\u0131\u015f kulak yolunda kaydedilen d\u00fc\u015f\u00fck \u015fiddetli seslerdir. H\u0131zl\u0131 uygulanan<br>bir prosed\u00fcrd\u00fcr. Ancak i\u015fitsel n\u00f6ropatiyi g\u00f6zden ka\u00e7\u0131rd\u0131\u011f\u0131 unutulmamal\u0131d\u0131r.<br><\/li>\n\n\n\n<li><strong>A-ABR (Otomatik Beyin Sap\u0131 Duyusal Yan\u0131tlar\u0131):<\/strong> \u0130\u015fitme sinirinin beyin sap\u0131na iletti\u011fi<br>i\u015fitsel sinyaller \u00f6l\u00e7\u00fcl\u00fcr. N\u00f6ral disfonksiyonu belirlemek i\u00e7in temelde A-ABR kullan\u0131l\u0131r.<\/li>\n<\/ul>\n\n\n\n<p>Hem hafif derecede i\u015fitme kayb\u0131n\u0131 atlamamak hem de n\u00f6ral i\u015fitme kayb\u0131n\u0131 tespit etmek<br>a\u00e7\u0131s\u0131ndan her iki tarama prosed\u00fcr\u00fcn\u00fcn de kullan\u0131lmas\u0131 daha g\u00fcvenilirdir.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"tanisal-abr-isitsel-uyarana-viii-sinir-ve-beyin-sapi-noronlarinin-yaniti-sonucu-olusan-elektriksel-aktiviteninkaydidir-abr-esikleri-isitme-esiginin-belirlenmesinde-siklikla-kullanilmaktadir-3-timpanometri-ve-akustik-refleksorta-kulak-fonksiyonlarini-degerlendirir-bu-test-cocuklarda-sik-gorulen-orta-kulak-sivisi-veyaenfeksiyonlarinin-tanisinda-onemli-rol-oynar-yenidogan-ve-bebeklerde-timpanometri-testiuygulanirken-mutlaka-1000-hz-probe-tone-kullanilmalidir\">2. Tan\u0131sal ABR:<\/h5>\n\n\n\n<p>\u0130\u015fitsel uyarana VIII. sinir ve beyin sap\u0131 n\u00f6ronlar\u0131n\u0131n yan\u0131t\u0131 sonucu olu\u015fan elektriksel aktivitenin<br>kayd\u0131d\u0131r.ABR e\u015fikleri i\u015fitme e\u015fi\u011finin belirlenmesinde s\u0131kl\u0131kla kullan\u0131lmaktad\u0131r.<br><\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"3-timpanometri-ve-akustik-refleks\">3.Timpanometri ve Akustik Refleks<\/h5>\n\n\n\n<p>Orta kulak fonksiyonlar\u0131n\u0131 de\u011ferlendirir. Bu test, \u00e7ocuklarda s\u0131k g\u00f6r\u00fclen orta kulak s\u0131v\u0131s\u0131 veya<br>enfeksiyonlar\u0131n\u0131n tan\u0131s\u0131nda \u00f6nemli rol oynar. Yenido\u011fan ve bebeklerde timpanometri testi<br>uygulan\u0131rken mutlaka 1000 Hz probe tone kullan\u0131lmal\u0131d\u0131r<\/p>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\"><div class=\"wp-block-media-text__content\">\n<h5 class=\"wp-block-heading\" id=\"4-davranissal-test-yontemleri\">4. Davran\u0131\u015fsal test y\u00f6ntemleri:<\/h5>\n\n\n\n<p>\u00c7ocu\u011fun kronolojik ya\u015f\u0131na ve geli\u015fim seviyesine g\u00f6re uygulanan bu testler, i\u015fitme seviyesini oyun temelli y\u00f6ntemlerle \u00f6l\u00e7meyi ama\u00e7lar.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Davran\u0131\u015fsal G\u00f6zlem Odyometrisi (Behavioral<br>Observation Audiometry-BOA):<\/strong> 0-6 ay<\/li>\n\n\n\n<li><strong>G\u00f6rsel Peki\u015ftire\u00e7 Odyometrisi (Visual<br>Reinforcement Audiometry-VRA):<\/strong> 6-30 ay<\/li>\n\n\n\n<li><strong>\u015eartland\u0131r\u0131lm\u0131\u015f Oyun Odyometrisi (Conditioned<br>Play Audiometry-CPA):<\/strong> 2.5 ya\u015f- 5 ya\u015f<\/li>\n<\/ul>\n<\/div><figure class=\"wp-block-media-text__media\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"1000\" src=\"https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/11\/web-insta-foto.png\" alt=\"\" class=\"wp-image-3731 size-full\" srcset=\"https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/11\/web-insta-foto.png 1000w, https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/11\/web-insta-foto-300x300.png 300w, https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/11\/web-insta-foto-150x150.png 150w, https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/11\/web-insta-foto-768x768.png 768w, https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/11\/web-insta-foto-12x12.png 12w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure><\/div>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"5-konvansiyonel-odyometri\">5. Konvansiyonel Odyometri:<\/h5>\n\n\n\n<p>5 ya\u015f\u0131ndan b\u00fcy\u00fck ve koopere olabilen \u00e7ocuklar konvansiyonel odyometri ile test edilir.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"pediatrik-odyolojide-takip-sureci\">Pediatrik Odyolojide Takip S\u00fcreci<\/h5>\n\n\n\n<p>Pediatrik odyolojide tan\u0131 konulduktan sonra en \u00f6nemli a\u015fama d\u00fczenli takip s\u00fcrecidir. \u00c7ocuklarda<br>i\u015fitme kayb\u0131, i\u015fitme cihaz\u0131 kullan\u0131m\u0131 ve dil geli\u015fimi zamanla de\u011fi\u015febildi\u011fi i\u00e7in s\u00fcre\u00e7 mutlaka bir<br>odyolog taraf\u0131ndan kontrol alt\u0131nda tutulmal\u0131d\u0131r. Bu takip hem tedavinin etkinli\u011fini art\u0131r\u0131r hem de<br>\u00e7ocu\u011fun i\u015fitsel geli\u015fimini destekler.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>D\u00fczenli Odyolojik De\u011ferlendirmeler<\/strong><br>Tan\u0131dan sonra \u00f6zellikle i\u015fitme cihaz\u0131 kullanan ve erken tan\u0131 alan \u00e7ocuklarda daha s\u0131k kontrol yap\u0131l\u0131r. Bu kontroller, i\u015fitme kayb\u0131n\u0131n seyrini ve tedaviye yan\u0131t\u0131 de\u011ferlendirmek i\u00e7in kritik \u00f6neme sahiptir<\/li>\n\n\n\n<li><strong>\u0130\u015fitme Cihaz\u0131 ve Koklear \u0130mplant Takibi<\/strong><br>\u00c7ocuklar b\u00fcy\u00fcd\u00fck\u00e7e kulak anatomisi ve i\u015fitsel ihtiya\u00e7lar de\u011fi\u015fir. Bu nedenle:\n<ul class=\"wp-block-list\">\n<li>Kazan\u00e7 ayarlar\u0131 periyodik olarak g\u00fcncellenir.<\/li>\n\n\n\n<li>Kulak kal\u0131plar\u0131 d\u00fczenli olarak yenilenir,<\/li>\n\n\n\n<li>Cihaz kullan\u0131m\u0131 ve etkinli\u011fi izlenir.<\/li>\n\n\n\n<li>Gerekiyorsa yeni bir cihaz de\u011ferlendirmesi yap\u0131l\u0131r.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Dil ve Konu\u015fma Geli\u015fiminin \u0130zlenmesi<\/strong><br>\u0130\u015fitme kayb\u0131n\u0131n etkisi en \u00e7ok dil geli\u015fiminde ortaya \u00e7\u0131kt\u0131\u011f\u0131ndan takip s\u00fcrecinin \u00f6nemli bir aya\u011f\u0131 da dil-konu\u015fma de\u011ferlendirmesidir. Bu a\u015famada al\u0131c\u0131 ve ifade edici dil geli\u015fimi takip edilir, terapi ilerleyi\u015fi g\u00f6zlemlenir ve gerekirse terapide yeni hedefler belirlenir.<\/li>\n\n\n\n<li><strong>Aile E\u011fitimi ve Destek S\u00fcreci<\/strong><br>Aile, \u00e7ocu\u011fun i\u015fitme ve dil geli\u015fiminde anahtar roldedir. Odyolog, her kontrolde ebeveynlere cihaz kullan\u0131m s\u00fcresi, evde yap\u0131labilecek i\u015fitsel destek aktiviteleri ve dikkat edilmesi gereken belirtiler konusunda y\u00f6nlendirme yapar. Bu s\u00fcre\u00e7, ebeveynlerin daha bilin\u00e7li bir \u015fekilde \u00e7ocu\u011fa destek olmas\u0131n\u0131 sa\u011flar. Her \u00e7ocu\u011fun i\u015fitme durumu ve ihtiya\u00e7lar\u0131 farkl\u0131d\u0131r. Bu nedenle odyolog taraf\u0131ndan bireysel bir takip plan\u0131 olu\u015fturulur.<\/li>\n<\/ol>\n\n\n\n<p><strong>Sonu\u00e7:<\/strong><\/p>\n\n\n\n<p>Pediatrik odyolojide ba\u015far\u0131; do\u011fru tan\u0131, zaman\u0131nda m\u00fcdahale ve odyologlar\u0131n d\u00fczenli takibiyle<br>m\u00fcmk\u00fcnd\u00fcr. Her kontrol, \u00e7ocu\u011fun seslerle dolu bir gelece\u011fe bir ad\u0131m daha yakla\u015fmas\u0131n\u0131 sa\u011flar.<\/p>\n\n\n\n<p>\u015e\u00fcphe duydu\u011funuz an, en k\u0131sa s\u00fcrede bir odyoloji uzman\u0131na ba\u015fvurmak, \u00e7ocu\u011funuza<br>verebilece\u011finiz en b\u00fcy\u00fck destektir. Erken te\u015fhis, her zaman en iyi sonu\u00e7lar\u0131 getirir. Unutmayal\u0131m<br>\u00e7ocu\u011fun duydu\u011fu her ses, gelece\u011fine yap\u0131lan bir yat\u0131r\u0131md\u0131r. Bu yolculu\u011fun en \u00f6nemli mimarlar\u0131<br>ise odyologlard\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>KAYNAKLAR<\/p><cite><strong>1)<\/strong> Gen\u00e7 GA, Ert\u00fcrk BB, Belgin E. Yenido\u011fan i\u015fitme taramas\u0131: ba\u015flang\u0131\u00e7tan g\u00fcn\u00fcm\u00fcze. \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Dergisi 2005; 48: 109-18.<br><strong>2)<\/strong> Akkaplan, S., Batuk, M.\u00d6., Sennaro\u011flu, G. (2021). \u0130\u015fitme cihaz\u0131 kullan\u0131c\u0131s\u0131 bebeklerin g\u00f6rsel peki\u015ftirmeli konu\u015fmay\u0131 ay\u0131rt etme y\u00f6ntemi ile de\u011ferlendirilmesi: Olgu serisi. Turk J Audiol Hearing Res, 4(3):86-90.<br><strong>3)<\/strong> Charles Bower, Brian Kip Reilly, Julia Richerson, Julia L. Hecht, COMMITTEE ON PRACTICE &amp; AMBULATORY MEDICINE, SECTION ON OTOLARYNGOLOGY\u2013HEAD AND NECK SURGERY; Hearing Assessment in Infants, Children, and Adolescents: Recommendations Beyond Neonatal Screening. Pediatrics September 2023; 152 (3):e2023063288. 10.1542\/peds.2023-063288<br><strong>4)<\/strong> ODYOLOJ\u0130K TANILAMA Par\u00e7adan B\u00fct\u00fcne, <br>Edit\u00f6rler: Do\u00e7. Dr. Merve Batuk, Do\u00e7. Dr. Elif Tu\u011fba Sara\u00e7<br>Yard\u0131mc\u0131 Edit\u00f6r: Dr. Erva De\u011firmenci Uzun<\/cite><\/blockquote><\/figure>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Bebek ve \u00e7ocuklarda i\u015fitme kayb\u0131, yenido\u011fan i\u015fitme taramas\u0131, ABR, timpanometri ve oyun odyometrisi hakk\u0131nda pediatrik odyoloji rehberimizi inceleyin.<\/p>","protected":false},"author":2,"featured_media":3731,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_gspb_post_css":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"categories":[230,231],"tags":[233,71,18,235,232,234,37],"class_list":["post-3730","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pediatrik-odyoloji","category-yenidogan-isitme-taramasi-3","tag-abr-testi","tag-isitme-cihazi","tag-koklear-implant","tag-oyun-odyometrisi","tag-pediatrik-odyoloji","tag-timpanometri","tag-yenidogan-isitme-taramasi"],"blocksy_meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/comments?post=3730"}],"version-history":[{"count":2,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3730\/revisions"}],"predecessor-version":[{"id":3734,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3730\/revisions\/3734"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/media\/3731"}],"wp:attachment":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/media?parent=3730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/categories?post=3730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/tags?post=3730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}