{"id":46152,"date":"2022-02-25T08:30:51","date_gmt":"2022-02-25T08:30:51","guid":{"rendered":"https:\/\/blog.medel.com\/uncategorized-tr\/fasiyal-sinir-uyarimini-etkili-bir-sekilde-yonetme-trifazik-uyarimlar\/"},"modified":"2023-03-15T14:34:51","modified_gmt":"2023-03-15T14:34:51","slug":"fasiyal-sinir-uyarimini-etkili-bir-sekilde-yonetme-trifazik-uyarimlar","status":"publish","type":"post","link":"https:\/\/blog.medel.com\/tr\/teknoloji\/fasiyal-sinir-uyarimini-etkili-bir-sekilde-yonetme-trifazik-uyarimlar\/","title":{"rendered":"Fasiyal Sinir Uyar\u0131m\u0131n\u0131 Etkili Bir \u015eekilde Y\u00f6netme: Trifazik Uyar\u0131mlar"},"content":{"rendered":"

Koklear implantasyonun olas\u0131 bir yan etkisi fasiyal sinir uyar\u0131m\u0131 (FNS) veya di\u011fer i\u015fitsel olmayan uyar\u0131mlar (NAS) d\u0131r. Koklear implant kullan\u0131c\u0131lar\u0131nda FNS g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 ~%1-10 aras\u0131ndad\u0131r. \u0130mplant markas\u0131ndan ba\u011f\u0131ms\u0131z olarak ortaya \u00e7\u0131kabilir. Fasiyal sinir uyar\u0131m\u0131n\u0131n y\u00f6netilmesi zor olabilir. \u00c7\u00fcnk\u00fc s\u0131kl\u0131kla \u015farj seviyelerini azaltmay\u0131 veya elektrotlar\u0131 devre d\u0131\u015f\u0131 b\u0131rakmay\u0131 gerektirir. Bu sebeple \u00e7o\u011funlukla i\u015fitme sonu\u00e7lar\u0131 etkilenir.<\/p>\n

MAESTRO 7 fitting yaz\u0131l\u0131m\u0131n\u0131n piyasaya s\u00fcr\u00fclmesiyle MED-EL, fasiyal sinir uyar\u0131m\u0131n\u0131 ve i\u015fitsel olmayan yan etkileri en aza indirmek i\u00e7in etkili bir se\u00e7enek sundu. Etkilenen hastalar\u0131n %90\u2019\u0131nda FNS, elektriksel uyar\u0131mlar\u0131n uygulama \u015feklinin de\u011fi\u015ftirilmesi ile azalt\u0131labilmi\u015ftir. Trifazik uyar\u0131m teknolojisi sadece MED-EL koklear implantlarda mevcuttur.<\/p>\n

Bifazik ve Trifazik Uyar\u0131m<\/h3>\n

Geleneksel bifazik uyar\u0131mlar genellikle \u00e7o\u011fu hastada etkilidir. Fakat fasiyal sinir uyar\u0131m\u0131 veya di\u011fer i\u015fitsel olmayan uyar\u0131m yan etkileri ya\u015fayan hastalar i\u00e7in trifazik uyar\u0131m \u00e7ok yararl\u0131 olabilir.<\/p>\n

Fasiyal sinir uyar\u0131m\u0131 veya di\u011fer i\u015fitsel olmayan uyar\u0131m ya\u015fayan hastalarda s\u0131kl\u0131kla otoskleroz veya di\u011fer koklear malformasyonlar g\u00f6r\u00fcl\u00fcr. Otosklerozda kemi\u011fin s\u00fcngerimsi yap\u0131s\u0131 kokleadan fasiyal sinire ak\u0131m ge\u00e7i\u015fini sa\u011flayabilir.\"\"<\/p>\n

Bifazik uyar\u0131m: Dengeli iki a\u015famal\u0131 uyar\u0131m.<\/em><\/p>\n

Geleneksel bifazik uyar\u0131m kullan\u0131lan hastalarda fasiyal sinir uyar\u0131m\u0131ndan ka\u00e7\u0131nmak i\u00e7in genellikle \u015farj seviyelerinin azalt\u0131lmas\u0131 gerekir. \u015earj seviyelerinin \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131lmas\u0131, konu\u015fma seslerinin anla\u015f\u0131lmas\u0131n\u0131 ve genel olarak koklear implant\u0131n faydalar\u0131n\u0131 s\u0131n\u0131rland\u0131rabilir.<\/p>\n

Klinik \u00e7al\u0131\u015fmalar, trifazik uyar\u0131mlar ile fasiyal sinir de dahil olmak \u00fczere yak\u0131ndaki sinirsel yap\u0131lar\u0131n istemsiz olarak uyar\u0131lmas\u0131n\u0131n \u00f6nlenebilece\u011fini g\u00f6stermi\u015ftir.\"\"<\/p>\n

Trifazik uyar\u0131m: Dengeli \u00fc\u00e7 a\u015famal\u0131 uyar\u0131m.<\/em><\/p>\n

Bu uyar\u0131m \u015fekli fasiyal sinir uyar\u0131lmadan daha y\u00fcksek \u015farj seviyelerine izin verir. Otosklerozlu hastalar\u0131n daha iyi konu\u015fma anlama ve daha iyi i\u015fitme sonu\u00e7lar\u0131 elde edebilmeleri i\u00e7in daha normal maksimum rahatl\u0131k seviyelerinden faydalanmalar\u0131n\u0131 sa\u011flar.<\/p>\n

Odyolojik Vaka \u00c7al\u0131\u015fmas\u0131: Trifazik Fitting<\/h3>\n

Bug\u00fcn, fasiyal sinir uyar\u0131m\u0131nda trifazik uyar\u0131m kullan\u0131m\u0131 konusunda bir odyolo\u011fun bak\u0131\u015f a\u00e7\u0131s\u0131n\u0131 payla\u015fmaktan heyecan duyuyoruz. \u00c7al\u0131\u015fma, Sydney Koklear \u0130mplant Merkezi\u2019nde \u00e7al\u0131\u015fan Odyolog Nick Baulderstone taraf\u0131ndan yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n

Trifazik uyar\u0131m ile fitting konusundaki deneyimlerini duymak i\u00e7in s\u00f6z\u00fc Nick\u2019e b\u0131rakal\u0131m:<\/em><\/p>\n

\u00c7al\u0131\u015fmadaki vaka, 10 y\u0131l\u0131 a\u015fk\u0131n s\u00fcredir klini\u011fimize gelmekte olan ve fasiyal sinir uyar\u0131m\u0131 (FNS) sorunlar\u0131 ya\u015fayan yeti\u015fkin erkek bir kullan\u0131c\u0131d\u0131r.<\/p>\n

FNS, kullan\u0131c\u0131lar\u0131n k\u00fc\u00e7\u00fck bir b\u00f6l\u00fcm\u00fcnde kar\u015f\u0131la\u015f\u0131l\u0131r. \u00c7o\u011fu durumda fasiyal sinir uyar\u0131m\u0131 veya di\u011fer i\u015fitsel olmayan uyar\u0131mlar cihaz kaynakl\u0131 de\u011fildir. Daha \u00e7ok hastan\u0131n i\u015fitme kayb\u0131 etiyolojisini ilgilendiren bir konudur. Otoskleroz, koklear malformasyonlar veya di\u011fer anatomik fakt\u00f6rler etiyolojiye \u00f6rnek verilebilir. Bu vakan\u0131n i\u015fitme kayb\u0131 geni\u015flemi\u015f vestib\u00fcler kanal sendromundan (LVAS) kaynaklanmaktad\u0131r.<\/p>\n

Hastan\u0131n FNS\u2019sini giderebilmek i\u00e7in mevcut yakla\u015f\u0131mlar\u0131n neredeyse tamam\u0131 denenmi\u015ftir. Bunlara, MCL\u2019lerin (Maksimum Rahatl\u0131k Seviyesi) azalt\u0131lmas\u0131, uyar\u0131m h\u0131z\u0131n\u0131n de\u011fi\u015ftirilmesi, uyar\u0131m s\u00fcresinin geni\u015fletilmesi, elektrotlar\u0131n devre d\u0131\u015f\u0131 b\u0131rak\u0131lmas\u0131 ve THR (E\u015fik) seviyelerinin de\u011fi\u015ftirilmesi dahildir. Her yakla\u015f\u0131m bir dereceye kadar ba\u015far\u0131l\u0131 oldu. Ancak, hastan\u0131n dosyas\u0131 incelendi\u011finde FNS\u2019nin bu y\u00f6ntemlerle asla tamamen ortadan kald\u0131r\u0131lamad\u0131\u011f\u0131 a\u00e7\u0131kt\u0131r.<\/p>\n

2018 y\u0131l\u0131nda, MED-EL programlama yaz\u0131l\u0131m\u0131 MAESTRO 7\u2019ye ge\u00e7i\u015f yapt\u0131k. Programlama oturumlar\u0131 anla\u015f\u0131l\u0131r ve kullan\u0131m\u0131 kolayd\u0131r. MAESTRO 7\u2019deki yeni bir \u00f6zellik, e\u015fzamanl\u0131 olmayan kanal etkile\u015fimlerini azaltabilen trifazik uyar\u0131md\u0131r.<\/p>\n

Bifazik uyar\u0131mdan trifazik uyar\u0131ma ge\u00e7i\u015f klinik olarak \u00e7ok kolayd\u0131r. Kullan\u0131c\u0131n\u0131n maksimum rahatl\u0131k seviyesinde (MCL) \u00f6nemli art\u0131\u015flar (%20-40) yap\u0131labilir. Bu nedenle, rutin hayatta bir s\u00fcre kulland\u0131ktan sonra kullan\u0131c\u0131n\u0131n program\u0131na ince ayar yap\u0131labilmesi i\u00e7in kontrol ayarlar\u0131 yapmak \u00f6nerilebilir.<\/p>\n

\u015eimdiye kadar, trifazik uyar\u0131ma ge\u00e7i\u015f bu kullan\u0131c\u0131 i\u00e7in ba\u015far\u0131l\u0131 oldu. FNS\u2019de hemen bir azalma oldu. Kullan\u0131c\u0131n\u0131n MCL\u2019leri y\u0131llar sonra ilk kez ger\u00e7ek \u015fiddet seviyelerine getirilebildi. Daha fazla FNS veya i\u015fitsel olmayan uyar\u0131m (NAS) g\u00f6zlenmedi.<\/p>\n

Ayr\u0131ca, bu MCL art\u0131\u015f\u0131n\u0131n ard\u0131ndan, ses kalitesini tercih edilen dinleme seviyelerine getirebilmek i\u00e7in seviyeler birka\u00e7 kere ayarland\u0131. Bu nedenle trifazik uyar\u0131ma ge\u00e7i\u015f mini bir a\u00e7\u0131l\u0131\u015f gibi oldu.<\/p>\n

Bu vakada, MED-EL\u2019in trifazik uyar\u0131mlar\u0131n\u0131n faydal\u0131 oldu\u011fu g\u00f6r\u00fclmektedir. Daha fazla implant kullan\u0131c\u0131s\u0131 ile denemeler yaparak bu teknoloji hakk\u0131nda daha fazla deneyim kazanmak; gelecek i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n

\u015eu anda, b\u00f6yle bir teknolojiye eri\u015febilmek kullan\u0131c\u0131lar i\u00e7in \u00e7ok faydal\u0131 olacakt\u0131r bununla birlikte gelecekteki koklear implant de\u011ferlendirmeleri i\u00e7in \u00f6nemli bir yere sahip olaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir. Bu kullan\u0131c\u0131n\u0131n sonu\u00e7lar\u0131ndan memnun kald\u0131m ve i\u015fitsel olmayan uyar\u0131m veya fasiyal sinir uyar\u0131m\u0131 olan kullan\u0131c\u0131lara \u00e7\u00f6z\u00fcm olarak trifazik uyar\u0131m\u0131 \u00f6nerebilirim.<\/p>\n

D\u00fc\u015f\u00fcncelerini payla\u015ft\u0131\u011f\u0131n i\u00e7in te\u015fekk\u00fcr ederiz Nick, sizden ve SCIC ekibinden daha fazlas\u0131n\u0131 duymay\u0131 umuyoruz!<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Koklear implantasyonun olas\u0131 bir yan etkisi fasiyal sinir uyar\u0131m\u0131 (FNS) veya di\u011fer i\u015fitsel olmayan uyar\u0131mlar (NAS) d\u0131r. Koklear implant kullan\u0131c\u0131lar\u0131nda FNS g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 ~%1-10 aras\u0131ndad\u0131r. \u0130mplant markas\u0131ndan ba\u011f\u0131ms\u0131z olarak ortaya \u00e7\u0131kabilir. Fasiyal sinir uyar\u0131m\u0131n\u0131n y\u00f6netilmesi zor olabilir. \u00c7\u00fcnk\u00fc s\u0131kl\u0131kla \u015farj seviyelerini azaltmay\u0131 veya elektrotlar\u0131 devre d\u0131\u015f\u0131 b\u0131rakmay\u0131 gerektirir. Bu sebeple \u00e7o\u011funlukla i\u015fitme sonu\u00e7lar\u0131 etkilenir.<\/p>\n","protected":false},"author":8,"featured_media":71915,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3238],"tags":[],"class_list":["post-46152","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-teknoloji"],"yoast_head":"\nFasiyal Sinir Uyar\u0131m\u0131n\u0131 Etkili Bir \u015eekilde Y\u00f6netme: Trifazik Uyar\u0131mlar - The MED-EL Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.medel.com\/tr\/teknoloji\/fasiyal-sinir-uyarimini-etkili-bir-sekilde-yonetme-trifazik-uyarimlar\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fasiyal Sinir Uyar\u0131m\u0131n\u0131 Etkili Bir \u015eekilde Y\u00f6netme: Trifazik Uyar\u0131mlar - The MED-EL Blog\" \/>\n<meta property=\"og:description\" content=\"Koklear implantasyonun olas\u0131 bir yan etkisi fasiyal sinir uyar\u0131m\u0131 (FNS) veya di\u011fer i\u015fitsel olmayan uyar\u0131mlar (NAS) d\u0131r. 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