{"id":10338,"date":"2025-10-21T10:07:02","date_gmt":"2025-10-21T07:07:02","guid":{"rendered":"https:\/\/www.ataduyisitme.com\/?p=10338"},"modified":"2025-10-24T09:37:21","modified_gmt":"2025-10-24T06:37:21","slug":"cocuklarda-isitme-kaybi-6-adimda-cihaz-secimi","status":"publish","type":"post","link":"https:\/\/www.ataduyisitme.com\/en\/cocuklarda-isitme-kaybi-6-adimda-cihaz-secimi\/","title":{"rendered":"\u00c7ocuklarda \u0130\u015fitme Kayb\u0131: 6 Ad\u0131mda Do\u011fru Cihaz Se\u00e7imi ve Uygulama Rehberi"},"content":{"rendered":"

\u00c7ocuklarda i\u015fitme kayb\u0131, erken fark edilmedi\u011finde dil, konu\u015fma ve sosyal geli\u015fimi olumsuz etkileyebilir. \u00d6zellikle 0\u20133\u202fya\u015f aras\u0131 d\u00f6nem, bu a\u00e7\u0131dan kritik \u00f6nem ta\u015f\u0131r. Bu d\u00f6nemde bebe\u011finizin verdi\u011fi tepkiler dikkatle g\u00f6zlemlenmelidir.<\/p>\n\n\n

\n
\"\u00c7ocuklarda<\/a>
\u00c7ocuklarda \u0130\u015fitme Kayb\u0131<\/figcaption><\/figure>\n<\/div>\n\n\n

\u0130\u015fitme Kayb\u0131 Belirtileri Nelerdir?<\/h2>\n\n\n\n
    \n
  1. Bebeklik d\u00f6neminde:<\/strong> Ani seslere tepki vermeme, isme d\u00f6nmeme, agulama eksikli\u011fi gibi durumlar g\u00f6r\u00fclebilir.<\/li>\n\n\n\n
  2. 1 ya\u015f sonras\u0131:<\/strong> Konu\u015fma gecikmesi, kelimeleri yanl\u0131\u015f telaffuz etme, basit komutlar\u0131 anlamama gibi belirtiler ortaya \u00e7\u0131kabilir.<\/li>\n\n\n\n
  3. Daha b\u00fcy\u00fck \u00e7ocuklarda:<\/strong> \u201cAnlamad\u0131m\u201d deme, televizyonu y\u00fcksek sesle izleme, okulda dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131 ve ileti\u015fim sorunlar\u0131 dikkat \u00e7eker.<\/li>\n<\/ol>\n\n\n\n

    Her ya\u015fta \u00e7ocu\u011fun seslere kar\u015f\u0131 duyarl\u0131l\u0131\u011f\u0131, konu\u015fma geli\u015fimi ve sosyal tepkileri d\u00fczenli olarak g\u00f6zlenmelidir. \u015e\u00fcphe durumunda bir odyolo\u011fa ba\u015fvurulmas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n

    Erken Tan\u0131 Neden \u00d6nemlidir?<\/h2>\n\n\n\n

    0\u20136\u202fay aras\u0131nda yap\u0131lan tan\u0131 ve cihazland\u0131rma, konu\u015fma\u2011dil geli\u015fimi a\u00e7\u0131s\u0131ndan en kritik d\u00f6nemi olu\u015fturur. \u0130\u015fitme kayb\u0131 tan\u0131s\u0131 konar konmaz aile bilgilendirilmeli, i\u015fitme cihaz\u0131 s\u00fcreci derhal ba\u015flat\u0131lmal\u0131d\u0131r.
    Ara\u015ft\u0131rmalar, i\u015fitme kayb\u0131n\u0131n 3\u202fay i\u00e7inde<\/strong> tan\u0131lanmas\u0131n\u0131n ve 6\u202fay i\u00e7inde cihazland\u0131r\u0131lmas\u0131n\u0131n<\/strong>, dil ve bili\u015fsel geli\u015fim \u00fczerinde kal\u0131c\u0131 ve olumlu etkiler yaratt\u0131\u011f\u0131n\u0131 g\u00f6stermektedir (    MDPI, 2022<\/a>).<\/p>\n\n\n\n

    Bu s\u00fcre\u00e7te multidisipliner bir yakla\u015f\u0131m benimsenmelidir. Odyometrist, KBB uzman\u0131, \u00e7ocuk odyolo\u011fu, dil ve konu\u015fma terapisti birlikte \u00e7al\u0131\u015farak s\u00fcreci y\u00fcr\u00fctmelidir.<\/p>\n\n\n\n

    \u0130\u015fitme Kayb\u0131n\u0131n Derecesine G\u00f6re Cihaz Se\u00e7imi<\/h2>\n\n\n\n
    \u0130\u015fitme Kayb\u0131 Derecesi<\/strong><\/th>Cihaz Tercihi<\/strong><\/th><\/tr><\/thead>
    Hafif (26\u201340\u202fdB HL)<\/td>BTE (Kulak arkas\u0131) veya RIC (Receiver\u2011in\u2011canal) modeller<\/td><\/tr>
    Orta (41\u201370\u202fdB HL)<\/td>Genellikle BTE cihazlar<\/td><\/tr>
    \u0130leri (71\u201390\u202fdB HL)<\/td>G\u00fc\u00e7l\u00fc BTE cihazlar (Superpower veya Ultrapower)<\/td><\/tr>
    \u00c7ok ileri (>90\u202fdB HL)<\/td>\u00d6nce i\u015fitme cihaz\u0131 denemesi yap\u0131l\u0131r, ard\u0131ndan koklear implant de\u011ferlendirilir<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n
    \n
    \"pediatrik<\/a><\/figure>\n<\/div>\n\n\n

    Cihaz Se\u00e7iminde Dikkat Edilmesi Gereken \u00d6zellikler<\/h2>\n\n\n\n

    \u00c7ok kanall\u0131 dijital i\u015flemci:<\/strong> Frekanslara g\u00f6re ki\u015fiselle\u015ftirilmi\u015f ayarlamalar yap\u0131labilir.<\/p>\n\n\n\n

    Feedback kontrol\u00fc:<\/strong> Y\u00fcksek kazan\u00e7ta olu\u015fabilecek u\u011fultular\u0131 \u00f6nler.<\/p>\n\n\n\n

    G\u00fcr\u00fclt\u00fc azaltma ve y\u00f6nsel mikrofonlar:<\/strong> S\u0131n\u0131f gibi kalabal\u0131k ortamlarda avantaj sa\u011flar.<\/p>\n\n\n\n

    FM\/DM sistemi uyumu:<\/strong> \u00d6\u011fretmen mikrofonu ile ba\u011flant\u0131 kurularak okul ba\u015far\u0131s\u0131 desteklenir. Ara\u015ft\u0131rmalar, bu t\u00fcr sistemlerin g\u00fcr\u00fclt\u00fcl\u00fc s\u0131n\u0131f ortamlar\u0131nda i\u015fitme cihaz\u0131na ek fayda sa\u011flad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. (PubMed,\u202f2004<\/a>).<\/p>\n\n\n\n

    \u00c7ocuk koruma \u00f6zellikleri:<\/strong> Pil kapa\u011f\u0131 ve ses kontrol\u00fc kilitlenebilir olmal\u0131d\u0131r.<\/p>\n\n\n\n

    Veri kayd\u0131 (datalogging):<\/strong> Cihaz\u0131n ne kadar ve hangi ortamda kullan\u0131ld\u0131\u011f\u0131n\u0131 g\u00f6sterir.<\/p>\n\n\n\n

    \u00c7ocuklarda \u0130\u015fitme Kayb\u0131na G\u00f6re Cihaz Uygulamas\u0131 ve Ayar S\u00fcreci<\/h2>\n\n\n\n
      \n
    1. Kulak kal\u0131b\u0131 al\u0131m\u0131: \u00c7ocuk b\u00fcy\u00fcd\u00fck\u00e7e kal\u0131p d\u00fczenli olarak yenilenmelidir.<\/li>\n\n\n\n
    2. Cihaz programlamas\u0131, pediatrik fitting form\u00fclleri (DSL\u202fv5, NAL\u2011NL2) ile yap\u0131l\u0131r.<\/li>\n\n\n\n
    3. REM (Real\u202fEar\u202fMeasurement)<\/strong> \u00f6l\u00e7\u00fcmleriyle do\u011frulama sa\u011flan\u0131r.<\/li>\n\n\n\n
    4. Ailelere cihaz kullan\u0131m\u0131, bak\u0131m, pil de\u011fi\u015fimi, nemden koruma gibi konular detayl\u0131 \u015fekilde anlat\u0131l\u0131r.<\/li>\n\n\n\n
    5. Takip: \u0130lk y\u0131l 3\u202fayda bir, sonra 6\u202fayda bir kontrol \u00f6nerilir.<\/li>\n<\/ol>\n\n\n\n

      Unutmay\u0131n: \u0130\u015fitme cihaz\u0131 yaln\u0131zca sesi y\u00fckseltmez; \u00e7ocu\u011fun i\u015fitsel korteksine anlaml\u0131 ses girdisi<\/strong> ula\u015fmas\u0131n\u0131 sa\u011flar. Bu sayede \u00e7ocukta sa\u011fl\u0131kl\u0131 dil ve konu\u015fma geli\u015fimi desteklenir.<\/p>\n\n\n\n

      Orta Kulak \u0130ltihab\u0131 ve \u0130\u015fitme Kayb\u0131 \u0130li\u015fkisi<\/h2>\n\n\n\n

      Orta Kulak \u0130ltihab\u0131 (otitis\u202fmedia) \u00e7ocuklarda olduk\u00e7a s\u0131k g\u00f6r\u00fclen ve ihmal edildi\u011finde ge\u00e7ici ya da kal\u0131c\u0131 i\u015fitme kayb\u0131na yol a\u00e7abilen bir durumdur. \u00d6rne\u011fin, \u00e7ocuklarda televizyonu y\u00fcksek sesle izleme, sesi s\u0131k tekrar ettirme gibi davran\u0131\u015flar, orta kulak iltihab\u0131na ba\u011fl\u0131 i\u015fitme azl\u0131\u011f\u0131n\u0131n i\u015faretleri olabilir. Bu konuda ayr\u0131nt\u0131l\u0131 bilgi i\u00e7in sitemizde yer alan \u201cOrta\u202fKulak\u202f\u0130ltihab\u0131: \u0130\u015fitme Kayb\u0131 ve Korunma Yollar\u0131<\/a>\u201d ba\u015fl\u0131kl\u0131 yaz\u0131m\u0131za g\u00f6z atabilirsiniz.<\/p>\n\n\n\n

      FM\/DM Sistemleri ile E\u011fitimde Destek<\/h2>\n\n\n\n

      FM ya da DM sistemleri, \u00f6\u011fretmen veya konu\u015fmac\u0131n\u0131n sesi ile \u00e7ocu\u011fun cihaz\u0131 aras\u0131nda do\u011frudan kablosuz ba\u011flant\u0131 kurar. Bu sayede:<\/p>\n\n\n\n

      Ortam g\u00fcr\u00fclt\u00fcs\u00fc,<\/p>\n\n\n\n

      Mesafe,<\/p>\n\n\n\n

      Yank\u0131<\/p>\n\n\n\n

      gibi ses engelleri ortadan kalkar.<\/p>\n\n\n\n

      FM\/DM sistemleri, s\u0131n\u0131fta i\u015fitme cihaz\u0131n\u0131n etkisini maksimuma \u00e7\u0131kar\u0131r ve \u00e7ocu\u011fa daha net, anla\u015f\u0131l\u0131r ses sunar.<\/p>\n\n\n\n

      \u0130\u015fitsel Rehabilitasyon ve Ailenin Rol\u00fc<\/h2>\n\n\n\n

      \u0130\u015fitsel rehabilitasyon; \u00e7ocu\u011fun cihazdan gelen sesleri anlamland\u0131rma, yorumlama ve kullanma becerisini geli\u015ftirmeyi ama\u00e7lar. Bu s\u00fcre\u00e7:<\/p>\n\n\n\n

      Odyolog,<\/p>\n\n\n\n

      Odyometrist,<\/p>\n\n\n\n

      Dil ve konu\u015fma terapisti,<\/p>\n\n\n\n

      \u00d6zel e\u011fitim uzman\u0131<\/p>\n\n\n\n

      ve aile<\/strong> i\u015f birli\u011fiyle y\u00fcr\u00fct\u00fcl\u00fcr.<\/p>\n\n\n\n

      \ud83d\udc49 Erken d\u00f6nemde yap\u0131lan cihazland\u0131rma ve i\u015fitsel\u2011s\u00f6zel terapi, \u00e7ocuklar\u0131n dil geli\u015fimini destekleyerek onlar\u0131 ya\u015f\u0131tlar\u0131na yakla\u015ft\u0131r\u0131r (Turkish Journal of Pediatrics,\u202f2021<\/a>).<\/p>\n\n\n\n

      Ailelerin Deste\u011fi:<\/h3>\n\n\n\n

      Cihaz\u0131 her g\u00fcn ve t\u00fcm g\u00fcn kulland\u0131rmak<\/p>\n\n\n\n

      Evde zengin bir dil ortam\u0131 sunmak<\/p>\n\n\n\n

      Cihaz bak\u0131m\u0131n\u0131 \u00f6\u011frenmek<\/p>\n\n\n\n

      D\u00fczenli kontrolleri aksatmamak<\/p>\n\n\n\n

      Geli\u015fimle ilgili kayg\u0131larda uzman deste\u011fi almak<\/p>\n\n\n\n

      Sonu\u00e7: Gelece\u011fe Sa\u011flam Ad\u0131mlar<\/h2>\n\n\n\n

      Do\u011fru cihaz se\u00e7imi, erken tan\u0131, uygun fitting ve d\u00fczenli takip sayesinde \u00e7ocuklar:<\/p>\n\n\n\n

      \u0130\u015fitsel sistemini geli\u015ftirir,<\/p>\n\n\n\n

      Dil ve konu\u015fma becerilerini art\u0131r\u0131r,<\/p>\n\n\n\n

      Sosyal ileti\u015fim kurar,<\/p>\n\n\n\n

      Akademik hayatta daha ba\u015far\u0131l\u0131 olur.<\/p>\n\n\n\n

      Ataduy \u0130\u015fitme Merkezi<\/strong> olarak \u00e7ocu\u011funuzun bu yolculu\u011funda yan\u0131n\u0131zday\u0131z.
      \ud83d\udc49 Gelin, \u00e7ocu\u011funuzun ileti\u015fim yolunu birlikte in\u015fa edelim.<\/strong><\/p>\n\n\n\n

      Dilan ERKAN<\/strong><\/p>\n\n\n

      \n
      \"ATABLOG
      ATABLOG, \u0130\u015e\u0130TMEYE DA\u0130R BULAB\u0130LECE\u011e\u0130N\u0130Z T\u00dcM B\u0130LG\u0130LER<\/figcaption><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"

      \u00c7ocuklarda i\u015fitme cihaz\u0131 se\u00e7imi, erken tan\u0131 ve uygulama s\u00fcreciyle ilgili kapsaml\u0131 rehber.<\/p>","protected":false},"author":2,"featured_media":10339,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[20,17],"tags":[28,83,25,74,82,86,85,70,77,78],"class_list":["post-10338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-isitme-cihazlari","category-saglik","tag-ataduy","tag-ataduy-isitme-sagligi","tag-isitme","tag-isitme-kaybi","tag-isitme-kaybi-nedenleri","tag-isitme-sagligi","tag-isitme-sagligini-koruma","tag-kulak-sagligi","tag-odyolog","tag-odyometri"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/posts\/10338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/comments?post=10338"}],"version-history":[{"count":2,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/posts\/10338\/revisions"}],"predecessor-version":[{"id":10346,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/posts\/10338\/revisions\/10346"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/media\/10339"}],"wp:attachment":[{"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/media?parent=10338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/categories?post=10338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/tags?post=10338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}