{"id":10345,"date":"2025-10-24T09:56:36","date_gmt":"2025-10-24T06:56:36","guid":{"rendered":"https:\/\/www.ataduyisitme.com\/?p=10345"},"modified":"2025-10-24T10:22:01","modified_gmt":"2025-10-24T07:22:01","slug":"koklear-implant","status":"publish","type":"post","link":"https:\/\/www.ataduyisitme.com\/en\/koklear-implant\/","title":{"rendered":"Koklear \u0130mplant (Biyonik Kulak) Nedir, Kimlere Uygulan\u0131r? T\u00fcrkiye\u2019de S\u00fcre\u00e7 ve SGK Deste\u011fi"},"content":{"rendered":"

Baz\u0131 insanlar i\u015fitme cihaz\u0131 kullansa bile h\u00e2l\u00e2 \u00e7evresindeki sesleri duymakta ya da konu\u015fmalar\u0131 anlamakta zorlanabilir.<\/p>\n\n\n\n

Bu durumda koklear implant, yani halk aras\u0131nda bilinen ad\u0131yla biyonik kulak, ileri derecede i\u015fitme kayb\u0131 ya\u015fayan bir\u00e7ok ki\u015fiye yeniden sesleri duyma imk\u00e2n\u0131 sunar.<\/p>\n\n\n\n

Bu yaz\u0131m\u0131zda koklear implant\u0131n ne oldu\u011funu, kimlere uygulanabilece\u011fini ve T\u00fcrkiye\u2019deki s\u00fcre\u00e7lerin nas\u0131l i\u015fledi\u011fini herkesin anlayabilece\u011fi bir dille anlatt\u0131k.<\/p>\n\n\n

\n
\"KOKLEAR<\/figure>\n<\/div>\n\n\n

Koklear \u0130mplant Nedir?<\/strong><\/h2>\n\n\n\n

Biyonik kulak kula\u011f\u0131n i\u00e7 k\u0131sm\u0131ndaki hasarl\u0131 h\u00fccrelerin g\u00f6revini \u00fcstlenen bir elektronik cihazd\u0131r.<\/p>\n\n\n\n

Yani bu cihaz, sesi elektrik sinyallerine \u00e7evirerek do\u011frudan i\u015fitme sinirine iletir. B\u00f6ylece beyin bu sinyalleri ses olarak alg\u0131lar.<\/p>\n\n\n\n

\u0130\u015fitme cihazlar\u0131 sesi sadece y\u00fckseltirken, Biyonik Kulak sesi do\u011frudan sinire ula\u015ft\u0131r\u0131r.<\/p>\n\n\n\n

Bu nedenle ileri ve \u00e7ok ileri derecede i\u015fitme kayb\u0131 ya\u015fayan ki\u015filerde etkili bir \u00e7\u00f6z\u00fcmd\u00fcr.<\/p>\n\n\n\n

Cihaz teknolojisindeki yenilikler ve klinik geli\u015fmeler i\u00e7in bkz. Recent Advances in Cochlear Implantation (MDPI)<\/u><\/a>.<\/p>\n\n\n\n

Cihaz iki b\u00f6l\u00fcmden olu\u015fur:<\/p>\n\n\n\n

    \n
  1. D\u0131\u015f k\u0131s\u0131m: Kula\u011f\u0131n arkas\u0131na tak\u0131lan mikrofon ve ses i\u015flemcisi,<\/li>\n\n\n\n
  2. \u0130\u00e7 k\u0131s\u0131m: Ameliyatla yerle\u015ftirilen al\u0131c\u0131 ve elektrot sistemi.<\/li>\n<\/ol>\n\n\n\n

    Bu iki par\u00e7a birlikte \u00e7al\u0131\u015farak, ki\u015finin duymad\u0131\u011f\u0131 sesleri beyne iletir.<\/p>\n\n\n\n

    Kimler Biyonik Kulak Aday\u0131d\u0131r?<\/strong><\/h2>\n\n\n\n

    Koklear implant herkese uygulanmaz; \u00f6ncesinde odyolojik testler yap\u0131l\u0131r. Genel olarak a\u015fa\u011f\u0131daki ki\u015filer uygundur:<\/p>\n\n\n\n

      \n
    1. Her iki kula\u011f\u0131nda ileri veya \u00e7ok ileri derecede sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131 olanlar,<\/li>\n\n\n\n
    2. \u0130\u015fitme cihaz\u0131 kulland\u0131\u011f\u0131 h\u00e2lde konu\u015fmalar\u0131 anlamakta zorlananlar,<\/li>\n\n\n\n
    3. \u0130\u015fitme siniri sa\u011flam olanlar,<\/li>\n\n\n\n
    4. Ameliyata engel ciddi sa\u011fl\u0131k sorunu bulunmayanlar,<\/li>\n\n\n\n
    5. Rehabilitasyon s\u00fcrecine uyum sa\u011flayabilecek bireyler (\u00f6zellikle \u00e7ocuklarda aile deste\u011fi \u00e7ok \u00f6nemlidir).<\/li>\n<\/ol>\n\n\n\n

      \u00c7ocuklarda: Genellikle 1 ya\u015f\u0131ndan itibaren uygulanabilir.<\/p>\n\n\n\n

      Yeti\u015fkinlerde: Ya\u015f s\u0131n\u0131r\u0131 yoktur; sa\u011fl\u0131k durumu uygunsa her ya\u015fta yap\u0131labilir.<\/p>\n\n\n\n

      Cochlear implant\u0131n konu\u015fma alg\u0131s\u0131 ve ya\u015fam kalitesi \u00fczerindeki etkileri hakk\u0131nda ayr\u0131nt\u0131l\u0131 bilgi i\u00e7in bkz. The Benefits of Cochlear Implantation for Adults (PubMed)<\/u><\/a>.<\/p>\n\n\n\n

      T\u00fcrkiye\u2019de Biyonik Kulak S\u00fcreci Nas\u0131l \u0130\u015fler?<\/strong><\/h2>\n\n\n\n

      T\u00fcrkiye\u2019de biyonik kulak s\u00fcreci birka\u00e7 ad\u0131mdan olu\u015fur ve genellikle devlet deste\u011fi (SGK) ile ilerler:<\/p>\n\n\n\n

      1. De\u011ferlendirme<\/strong><\/h3>\n\n\n\n

      Odyolojik testler, konu\u015fma alg\u0131lama \u00f6l\u00e7\u00fcmleri ve BT\/MR g\u00f6r\u00fcnt\u00fcleme yap\u0131l\u0131r.<\/p>\n\n\n\n

      Bu a\u015famada ki\u015finin implant i\u00e7in uygunlu\u011fu belirlenir.<\/p>\n\n\n\n

      Klinik de\u011ferlendirme kriterleri i\u00e7in: Cochlear \u0130mplant Tan\u0131 Testleri Rehberi (Yeniy\u00fczy\u0131l \u00dcniversitesi)<\/u><\/a>.<\/p>\n\n\n\n

      2. SGK Onay\u0131 ve Devlet Deste\u011fi<\/strong><\/h3>\n\n\n\n

      Sosyal G\u00fcvenlik Kurumu (SGK), implant ameliyat\u0131 ve cihaz masraflar\u0131n\u0131n b\u00fcy\u00fck k\u0131sm\u0131n\u0131 kar\u015f\u0131lar.<\/p>\n\n\n\n

      Bu s\u00fcre\u00e7 devlet hastanelerinde veya anla\u015fmal\u0131 \u00f6zel merkezlerde y\u00fcr\u00fct\u00fcl\u00fcr.<\/p>\n\n\n\n

      Detayl\u0131 bilgi: SGK Sa\u011fl\u0131k Uygulama Tebli\u011fi \u2013 Cihaz \u00d6demeleri<\/u><\/a>.<\/p>\n\n\n\n

      3. Ameliyat<\/strong><\/h3>\n\n\n\n
        \n
      1. Genel anestezi alt\u0131nda yap\u0131l\u0131r, ortalama 2\u20133 saat s\u00fcrer.<\/li>\n\n\n\n
      2. KBB cerrah\u0131 cihaz\u0131n i\u00e7 k\u0131sm\u0131n\u0131 kula\u011fa yerle\u015ftirir.<\/li>\n\n\n\n
      3. Hasta genellikle 1\u20132 g\u00fcn i\u00e7inde taburcu edilir.<\/li>\n<\/ol>\n\n\n\n

        Ayr\u0131nt\u0131l\u0131 ameliyat s\u00fcreci: Mayo Clinic \u2013 Cochlear Implant Surgery Overview<\/u><\/a><\/p>\n\n\n\n

        4. Cihaz\u0131n A\u00e7\u0131lmas\u0131 (Aktivasyon \/ Mapping)<\/strong><\/h3>\n\n\n\n

        Ameliyattan yakla\u015f\u0131k 3\u20134 hafta sonra yara iyile\u015fti\u011finde d\u0131\u015f par\u00e7a tak\u0131l\u0131r.<\/p>\n\n\n\n

        Odyolog, cihaz\u0131 ki\u015fiye \u00f6zel olarak ayarlar. Bu s\u00fcrece mapping denir.<\/p>\n\n\n\n

        5. Rehabilitasyon S\u00fcreci<\/strong><\/h3>\n\n\n\n

        Cihaz a\u00e7\u0131ld\u0131ktan sonra beyin yeni sesleri tan\u0131maya ba\u015flar.<\/p>\n\n\n\n

        Bu d\u00f6nemde i\u015fitsel rehabilitasyon ve konu\u015fma terapisi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n

        Erken d\u00f6nemde implant yap\u0131lan \u00e7ocuklarda konu\u015fma geli\u015fiminin \u00e7ok daha h\u0131zl\u0131 oldu\u011fu bilimsel olarak kan\u0131tlanm\u0131\u015ft\u0131r (ScienceDirect \u2013 Early Cochlear Implantation Study<\/u><\/a>).<\/p>\n\n\n

        \n
        \"Koklear<\/figure>\n<\/div>\n\n\n

        Biyonik Kula\u011f\u0131n Sa\u011flad\u0131\u011f\u0131 Faydalar<\/strong><\/h2>\n\n\n\n
          \n
        1. Sesleri ve konu\u015fmalar\u0131 daha net alg\u0131lama,<\/li>\n\n\n\n
        2. Okul, i\u015f ve sosyal ya\u015famda aktif kat\u0131l\u0131m,<\/li>\n\n\n\n
        3. G\u00fcvenlik seslerini (\u00f6rne\u011fin kap\u0131 zili, araba kornas\u0131) fark etme,<\/li>\n\n\n\n
        4. \u00c7ocuklarda konu\u015fma ve dil geli\u015fiminin desteklenmesi.<\/li>\n<\/ol>\n\n\n\n

          Biyonik kulak yeti\u015fkinlerde ya\u015fam kalitesine etkileri hakk\u0131nda: PLOS ONE \u2013 Cochlear Implant Outcomes Review<\/u><\/a><\/p>\n\n\n\n

          Dikkat Edilmesi Gereken Noktalar<\/strong><\/h2>\n\n\n\n
            \n
          1. Cihaz\u0131n bak\u0131m\u0131 ve temizlik rutin olarak yap\u0131lmal\u0131d\u0131r.<\/li>\n\n\n\n
          2. Ba\u015flang\u0131\u00e7ta duyulan sesler metalik veya farkl\u0131 olabilir; bu normaldir.<\/li>\n\n\n\n
          3. Sab\u0131r, d\u00fczenli kullan\u0131m ve rehabilitasyon ba\u015far\u0131n\u0131n anahtar\u0131d\u0131r.<\/li>\n\n\n\n
          4. Du\u015f veya y\u00fczme s\u0131ras\u0131nda d\u0131\u015f k\u0131s\u0131m \u00e7\u0131kar\u0131lmal\u0131d\u0131r (baz\u0131 modeller suya dayan\u0131kl\u0131d\u0131r).<\/li>\n\n\n\n
          5. Yenileme ve bak\u0131m s\u00fcre\u00e7leri hakk\u0131nda bilgi i\u00e7in: Cochlear\u2122 Upgrade Program<\/u><\/a>.<\/li>\n<\/ol>\n\n\n\n

            T\u00fcrkiye\u2019de Kullan\u0131lan Markalar ve Takip<\/strong><\/h2>\n\n\n\n

            T\u00fcrkiye\u2019de kullan\u0131lan ba\u015fl\u0131ca markalar:<\/p>\n\n\n\n

            Cochlear\u2122, Med-El\u2122, Advanced Bionics\u2122, Oticon Medical\u2122.<\/p>\n\n\n\n

            Hangi markan\u0131n se\u00e7ilece\u011fi, hastan\u0131n ya\u015f\u0131, i\u015fitme durumu ve doktorun \u00f6nerisine g\u00f6re belirlenir.<\/p>\n\n\n\n

            Cihaz sonras\u0131 bak\u0131m, Ataduy \u0130\u015fitme Merkezleri gibi merkezlerde yap\u0131l\u0131r.<\/p>\n\n\n\n

            Cihaz yenileme \u015fartlar\u0131 hakk\u0131nda: Koklear \u0130mplant Derne\u011fi \u2013 SSS<\/u><\/a>.<\/p>\n\n\n\n

            S\u0131k Sorulan Sorular<\/strong><\/h2>\n\n\n\n

            Biyonik kulak ameliyat\u0131 zor mu?<\/strong><\/p>\n\n\n\n

            Hay\u0131r. Ortalama 2\u20133 saat s\u00fcrer, hasta 1\u20132 g\u00fcn i\u00e7inde taburcu edilir.<\/p>\n\n\n\n

            Ameliyattan sonra hemen duyabilir miyim?<\/strong><\/strong><\/p>\n\n\n\n

            Hay\u0131r. Beyin, yeni seslere zamanla al\u0131\u015f\u0131r. \u0130lk haftalarda farkl\u0131 duyulabilir.<\/strong><\/strong><\/p>\n\n\n\n

            SGK cochlear implant\u0131 kar\u015f\u0131l\u0131yor mu?<\/strong><\/p>\n\n\n\n

            Evet, uygun adaylarda ameliyat ve cihaz masraf\u0131 SGK taraf\u0131ndan kar\u015f\u0131lan\u0131r (SGK Resm\u00ee Tebli\u011fi<\/strong><\/u><\/strong><\/a>).<\/strong><\/strong><\/p>\n\n\n\n

            Ya\u015fl\u0131lara da uygulanabilir mi?<\/strong><\/strong><\/p>\n\n\n\n

            Evet. Genel sa\u011fl\u0131k durumu elveri\u015fli oldu\u011fu s\u00fcrece ya\u015f s\u0131n\u0131r\u0131 yoktur.<\/p>\n\n\n\n

            Cihaz ne kadar dayan\u0131r?<\/strong><\/strong><\/p>\n\n\n\n

            \u0130\u00e7 par\u00e7a \u00f6m\u00fcr boyu kullan\u0131labilir; d\u0131\u015f par\u00e7a yenilenebilir veya g\u00fcncellenebilir.<\/p>\n\n\n\n

            Sonu\u00e7<\/strong><\/h2>\n\n\n\n

            Biyonik, i\u015fitme kayb\u0131 ya\u015fayan bireyler i\u00e7in modern ve etkili bir \u00e7\u00f6z\u00fcm sunar.<\/p>\n\n\n\n

            T\u00fcrkiye\u2019de hem SGK deste\u011fi hem de uzman merkezlerin deneyimi sayesinde binlerce ki\u015fi yeniden sesleri duyman\u0131n mutlulu\u011funu ya\u015famaktad\u0131r.<\/p>\n\n\n\n

            Ataduy \u0130\u015fitme Merkezleri olarak, biyonik kulak s\u00fcreci hakk\u0131nda en do\u011fru bilgi ve y\u00f6nlendirmeyi sunmak i\u00e7in buraday\u0131z.<\/p>\n\n\n\n

            E\u011fer i\u015fitme cihazlar\u0131ndan yeterli verim alam\u0131yorsan\u0131z, bir odyologdan biyonik kulak de\u011ferlendirmesi alman\u0131z\u0131 \u00f6neririz.<\/p>\n\n\n\n

            Odyolog Sefa AVCILAR<\/p>\n\n\n

            \n
            \"ATABLOG<\/a>
            ATABLOG, \u0130\u015e\u0130TMEYE DA\u0130R BULAB\u0130LECE\u011e\u0130N\u0130Z T\u00dcM B\u0130LG\u0130LER<\/figcaption><\/figure>\n<\/div>\n\n\n

            <\/p>","protected":false},"excerpt":{"rendered":"

            Koklear implant (biyonik kulak), ileri derecede i\u015fitme kayb\u0131 ya\u015fayan ve i\u015fitme cihaz\u0131ndan yeterli fayda g\u00f6remeyen ki\u015filer i\u00e7in geli\u015ftirilen bir elektronik i\u015fitme sistemidir. Bu cihaz, sesi elektrik sinyallerine d\u00f6n\u00fc\u015ft\u00fcrerek do\u011frudan i\u015fitme sinirine iletir ve beynin bu sinyalleri ses olarak alg\u0131lamas\u0131n\u0131 sa\u011flar. T\u00fcrkiye\u2019de SGK deste\u011fiyle uygulanan bu tedavi; odyolojik de\u011ferlendirme, ameliyat, cihaz\u0131n a\u00e7\u0131lmas\u0131 ve rehabilitasyon a\u015famalar\u0131ndan olu\u015fur. D\u00fczenli kullan\u0131m ve terapiyle birlikte koklear implant, hem \u00e7ocuklarda hem yeti\u015fkinlerde konu\u015fma alg\u0131s\u0131n\u0131 ve ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde art\u0131r\u0131r.<\/p>","protected":false},"author":2,"featured_media":10352,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17,20],"tags":[28,83,25,74,82,86,85,70,77,78],"class_list":["post-10345","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","category-isitme-cihazlari","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\/10345","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=10345"}],"version-history":[{"count":3,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/posts\/10345\/revisions"}],"predecessor-version":[{"id":10355,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/posts\/10345\/revisions\/10355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/media\/10352"}],"wp:attachment":[{"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/media?parent=10345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/categories?post=10345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ataduyisitme.com\/en\/wp-json\/wp\/v2\/tags?post=10345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}