{"id":7355,"date":"2024-10-11T15:23:09","date_gmt":"2024-10-11T13:23:09","guid":{"rendered":"https:\/\/ivrt.de\/?p=7355"},"modified":"2025-08-25T17:22:22","modified_gmt":"2025-08-25T15:22:22","slug":"vestibulotoksisite","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/schwindelerkrankungen\/vestibulotoxizitaet\/","title":{"rendered":"Vestibulotoksisite"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"7355\" class=\"elementor elementor-7355\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a669e56 e-flex e-con-boxed e-con e-parent\" data-id=\"3a669e56\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6585c73a e-con-full e-flex e-con e-child\" data-id=\"6585c73a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-106e3da5 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"106e3da5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vestib\u00fcler hastal\u0131k<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c9db6cd elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"4c9db6cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vestibulotoksisite<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdeaed0 elementor-widget elementor-widget-text-editor\" data-id=\"bdeaed0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i>Bu bilgiler, bu konuya genel bir giri\u015f niteli\u011findedir.<\/i> <i>Her insan denge ve ba\u015f d\u00f6nmesi sorunlar\u0131ndan farkl\u0131 \u015fekillendi\u011finden, ki\u015fiselle\u015ftirilmi\u015f tavsiye almak i\u00e7in doktorunuzla konu\u015fmal\u0131s\u0131n\u0131z.<\/i><\/p><p><i>Daha iyi okunabilirlik sa\u011flayabilmek amac\u0131yla genel erkek formu (jenerik maskulinum) kullan\u0131lmakta olup, erkek, kad\u0131n ve farkl\u0131 (e\/k\/d) dil bi\u00e7imlerinin e\u015f zamanl\u0131 kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lm\u0131\u015ft\u0131r. Bu hasta bilgilendirme metninde kullan\u0131lan ki\u015fi adlar\u0131, aksi belirtilmedi\u011fi s\u00fcrece t\u00fcm cinsiyetleri kapsamaktad\u0131r.<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aadb673 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"4aadb673\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Vestibulotoxizitaet-1024x682.jpg\" class=\"attachment-large size-large wp-image-14090\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Vestibulotoxizitaet-1024x682.jpg 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Vestibulotoxizitaet-300x200.jpg 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Vestibulotoxizitaet-768x512.jpg 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Vestibulotoxizitaet-1536x1023.jpg 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Vestibulotoxizitaet.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55f9932b elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"55f9932b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vestibulotoksisite nedir?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-185a100 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"185a100\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u201eVestibulotoksisite\u201c terimi, toksik (zehirli) ila\u00e7lar ve kimyasallar nedeniyle vestib\u00fcler sistemin hasar g\u00f6rmesini tan\u0131mlar. Vestibulotoksisite; i\u00e7 kulaktaki denge yap\u0131lar\u0131n\u0131 (yar\u0131m daire kanallar\u0131 ve makula organlar\u0131), vestib\u00fcler siniri (8. kranial sinir) ve\/or (veya) beyinde dengeyi kontrol eden b\u00f6lgelerdeki n\u00f6ronlar\u0131 hasara u\u011fratabilir. Hasarlar ge\u00e7ici veya kal\u0131c\u0131 olabilir. Hayati tehlike olu\u015fturan bir rahats\u0131zl\u0131k olmasa da, vestibulotoksisitenin etkileri ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde olumsuz etkileyebilir.<\/p><p>Vestibulotoksik ila\u00e7lar\u0131n kullan\u0131m\u0131, \u00f6zellikle k\u00f6t\u00fc huylu t\u00fcm\u00f6rler ve \u015fiddetli enfeksiyonlar gibi potansiyel olarak ya\u015fam\u0131 tehdit eden hastal\u0131klara sahip hastalarda yayg\u0131nd\u0131r. Bazen alternatif ila\u00e7lar mevcut de\u011fildir. Bu gibi durumlarda, ilac\u0131 almam\u30ea\u30b9\u30afle birlikte gelen tehlike, denge sistemine olas\u0131 bir zarar verme riskinden \u00e7ok daha b\u00fcy\u00fck olabilir.<\/p><p>Binlerce ilac\u0131n bir veya daha fazla yan etkisi dengeyi olumsuz etkileyebilir. Bu ila\u00e7lar\u0131n baz\u0131lar\u0131 vestib\u00fcler sistemin bilgi i\u015flem s\u00fcre\u00e7lerini bask\u0131lar ve b\u00f6ylece ba\u015f d\u00f6nmesi ile y\u00fcr\u00fcy\u00fc\u015f bozuklu\u011funa neden olabilir. Di\u011ferleri ise kan bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcr\u00fcr; bu da otururken, aya\u011fa kalkarken veya uzun s\u00fcre ayakta dururken g\u00f6zlerin kararmas\u0131na (presenkop) yol a\u00e7abilir. Bu t\u00fcr bir ba\u015f d\u00f6nmesi, ortostatik ba\u015f d\u00f6nmesi olarak da adland\u0131r\u0131l\u0131r. Bahsi ge\u00e7en iki ila\u00e7 \u00f6rne\u011fi ge\u00e7ici semptomlara yol a\u00e7ar ve vestibulotoksisite kapsam\u0131na girmez.<\/p><p>Vestib\u00fcler sistemi hasar veren baz\u0131 ila\u00e7lar ve kimyasallar cochleaya (salyangoz) da zarar verir. \u0130\u015fitme kayb\u0131 ve kulak \u00e7\u0131nlamas\u0131 bunun sonucunda ortaya \u00e7\u0131kabilir. Ancak baz\u0131 zehirli maddeler y\u00fcksek derecede se\u00e7icidir ve yaln\u0131zca i\u015fitme veya denge yap\u0131lar\u0131na zarar verir.<\/p><p>Vestibulotoksisite hen\u00fcz kapsaml\u0131 bir \u015fekilde ara\u015ft\u0131r\u0131lmam\u0131\u015ft\u0131r. Etkilenenlerin say\u0131s\u0131n\u0131n oldu\u011fundan az tahmin edilmesi muhtemeldir. Hastalar toksik bir maddeyle temastan sonra denge bozukluklar\u0131 veya ba\u015f d\u00f6nmesi ya\u015fasalar ancak i\u015fitme kayb\u0131 ya\u015famasalar bile, y\u00fcr\u00fcy\u00fc\u015f bozukluklar\u0131 veya ba\u015f d\u00f6nmeleri ba\u015fka nedenlere ba\u011flanabilir. Bu durum \u00f6zellikle \u00e7ok hasta veya frajil hastalar i\u00e7in ge\u00e7erlidir. E\u011fer yata\u011fa ba\u011f\u0131ml\u0131larsa, y\u00fcr\u00fcy\u00fc\u015f bozuklu\u011funu hi\u00e7 fark etmeyebilirler. Ancak tekrar y\u00fcr\u00fcyebildiklerinde denge sorunlar\u0131n\u0131 fark ederler. Bu a\u015famada hasar \u00e7oktan ciddi ve kal\u0131c\u0131 hale gelmi\u015f olabilir.<\/p><p>Zehirli maddelerin denge organ\u0131nda hasara yol a\u00e7mas\u0131 nadirdir. T\u00fcm ya\u015f gruplar\u0131n\u0131 etkilemekle birlikte, toplam etkilenen ki\u015fi say\u0131s\u0131 bilinmemektedir. Anne karn\u0131ndaki bebekler, bebekler, k\u00fc\u00e7\u00fck \u00e7ocuklar ve 65 ya\u015f \u00fcst\u00fc ki\u015filer en y\u00fcksek risk alt\u0131ndad\u0131r.<\/p><p><u>Risk fakt\u00f6rleri<\/u><\/p><p>Denge organ\u0131n\u0131n zarar g\u00f6rmesinin s\u0131kl\u0131\u011f\u0131 ve \u015fiddeti, toksik maddenin dozuna ve kendi \u00f6zelliklerine ba\u011fl\u0131d\u0131r. Artm\u0131\u015f risk fakt\u00f6rleri \u015funlar olabilir:<\/p><ul><li>\u0130lac\u0131n kullan\u0131m s\u00fcresi<\/li><li>\u0130la\u00e7 dozu<\/li><li>Maddenin v\u00fccuda girme yolu (oral, kulak damlas\u0131, kas i\u00e7i enjeksiyon, intraven\u00f6z, cilt yoluyla veya inhalasyon)<\/li><li>Di\u011fer ila\u00e7 veya maddelerle etkile\u015fimler<\/li><li>Birden fazla vestib\u00fcler toksine ayn\u0131 anda maruz kalma<\/li><li>\u00c7oklu pozlama<\/li><li>Mevcut vestib\u00fcler bozukluk<\/li><li>Genel fiziksel durum<\/li><li>Kalp yetmezli\u011fi, pankreas yetmezli\u011fi, diyabetik retinopati ve periferik n\u00f6ropati, b\u00f6brek yetmezli\u011fi, karaci\u011fer sirozu ve y\u00fcksek tansiyon (hipertansiyon) gibi di\u011fer t\u0131bbi durumlar<\/li><li>B\u00f6brek fonksiyon bozuklu\u011fu nedeniyle maddenin at\u0131lamama yetene\u011finde azalma<\/li><li>Genetik yatk\u0131nl\u0131k veya alerjik reaksiyon<\/li><li>G\u00fcr\u00fclt\u00fcye ve zehirli maddelere e\u015fzamanl\u0131 maruz kalma<\/li><\/ul><p>Ya\u015fl\u0131lar \u00f6zellikle risk alt\u0131ndad\u0131r. Genellikle birden fazla ila\u00e7 kullan\u0131rlar ve bunlar\u0131 daha yava\u015f metabolize etme e\u011filimindedirler. Bu nedenle ila\u00e7lar genellikle v\u00fccutta daha uzun s\u00fcre kal\u0131r.<\/p><p>Denge sistemi i\u00e7in toksik olan ila\u00e7lar \u015fu ki\u015filere re\u00e7ete edilmemelidir:<\/p><ul><li>Hamile kad\u0131nlar<\/li><li>zevkli ve\/veya ya\u015fl\u0131 insanlar, e\u011fer toksik olmayan bir alternatif varsa<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61c9686c e-con-full e-flex e-con e-child\" data-id=\"61c9686c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-278c4f9a e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"278c4f9a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c83fc7f elementor-widget elementor-widget-heading\" data-id=\"4c83fc7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">\u00d6zet<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-541c049 elementor-icon-list-ico-position-0 elementor-widget__width-inherit elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"541c049\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-search-3\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Belirli ila\u00e7lar ve kimyasallar nedeniyle vestib\u00fcler organda ge\u00e7ici veya kal\u0131c\u0131 hasar. Neyse ki sadece nadiren g\u00f6r\u00fcl\u00fcr.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-users\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Do\u011fmam\u0131\u015f bebekler, \u00e7ok k\u00fc\u00e7\u00fck \u00e7ocuklar, i\u015fitme engelliler ve ya\u015fl\u0131lar en b\u00fcy\u00fck risk alt\u0131ndad\u0131r.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-medicine\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Vestibulotoksisite aminoglikozit antibiyotikler, platin bazl\u0131 kemoterap\u00f6tikler, meflokin, \u00e7\u00f6z\u00fcc\u00fcler, organofosfatlar ve a\u011f\u0131r metaller taraf\u0131ndan tetiklenir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-heart\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Malign t\u00fcm\u00f6rler ve a\u011f\u0131r enfeksiyonlar gibi potansiyel olarak ya\u015fam\u0131 tehdit eden hastal\u0131klar\u0131n tedavisinde maruziyet ka\u00e7\u0131n\u0131lmaz olabilir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-protected-content-v2\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Di\u011fer durumlarda ayn\u0131 derecede etkili - ancak zehirsiz - alternatifler zarar\u0131 \u00f6nleyebilir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-energy-saving\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Baz\u0131 zehirli maddeler hem denge hem de i\u015fitme yaparlar\u0131na zarar verir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-flash\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Di\u011ferleri sadece denge veya i\u015fitme yap\u0131lar\u0131na zarar verir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-clipboard\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Meydana gelen hasarlar geri d\u00f6nd\u00fcr\u00fclemezdir. Bu nedenle erken te\u015fhis kal\u0131c\u0131 hasarlar\u0131 \u00f6nleyebilir. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-doctor\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Vestib\u00fcler rehabilitasyon, denge bozukluklar\u0131 i\u00e7in en etkili tedavidir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-medicine-1\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u0130\u015fitme cihazlar\u0131 veya bir koklear implant i\u015fitme kayb\u0131na yard\u0131mc\u0131 olabilir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a1cb7b4 elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"2a1cb7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/07\/IVRT-Patienteninformation-Vestibulotoxizitaet.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PDF olarak indir - Almanca<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-680b9bf elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"680b9bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/06\/IVRT\u00ae-patienteninformatie-Vestibulotoxiciteit.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PDF olarak indir - Nederlands<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43ef592a e-flex e-con-boxed e-con e-parent\" data-id=\"43ef592a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-55cc4507 e-con-full e-flex e-con e-child\" data-id=\"55cc4507\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a9f9fb1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"6a9f9fb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vestibulotoksisite ne tarafindan neden olunur?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-582b34b4 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"582b34b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Belirgin vestibulotoksisiteye neden oldu\u011fu bilinen ila\u00e7lar ve di\u011fer maddeler \u015funlard\u0131r:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-135c4d1f elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"135c4d1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u0130la\u00e7lar<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6afb6394 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"6afb6394\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>Aminoglikozit antibiyotikler<\/u><br \/>Aminoglikozit antibiyotikler (AGA), 1940'lardan bu yana baz\u0131 ciddi bakteriyel enfeksiyonlar\u0131n tedavisinde kullan\u0131lmaktad\u0131r. T\u00fcm ila\u00e7lar aras\u0131nda vestib\u00fcler sistem i\u00e7in en toksik olanlar\u0131d\u0131r. AGA'lar, bakterilerin hayatta kalmak i\u00e7in ihtiya\u00e7 duydu\u011fu proteinleri \u00fcretmesini engelleyerek etki g\u00f6sterir. Genellikle intraven\u00f6z (damar yoluyla) uygulan\u0131rlar. Ancak oral yoldan veya kulak damlas\u0131 olarak da al\u0131nabilirler. \u00c7al\u0131\u015fmalar, uygulama \u015fekline bak\u0131lmaks\u0131z\u0131n hi\u00e7bir dozun g\u00fcvenli olmad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/p><p>Hastalar\u0131n \u2019ine kadar\u0131nda AGA kullan\u0131m\u0131 vestib\u00fcler organ\u0131n hasar g\u00f6rmesine yol a\u00e7maktad\u0131r. Hastaneye yat\u0131r\u0131lan hastalar\u0131n yakla\u015f\u0131k %3\u2019\u00fcnde bu ila\u00e7lar kullan\u0131lmaktad\u0131r. Mukoviskidoz, ba\u011f\u0131\u015f\u0131kl\u0131k bozukluklar\u0131 ve belirli kronik enfeksiyon hastal\u0131klar\u0131 olan hastalar daha s\u0131kl\u0131kla AGA ile tedavi edilir. Baz\u0131 ki\u015filerde, AGA&#x27;n\u0131n toksisitesine kar\u015f\u0131 daha duyarl\u0131 hale getiren mitokondriyal DNA mutasyonlar\u0131 bulunur.<\/p><p>AGA, i\u00e7 kulaktaki yap\u0131larda hem ge\u00e7ici (reversible) hem de kal\u0131c\u0131 (irreversible) hasarlara neden olabilir. \u0130lk olarak yar\u0131m daire kanallar\u0131ndaki t\u00fcy h\u00fccreleri zarar g\u00f6r\u00fcr, daha sonra sacculus ve utriculus da zarar g\u00f6r\u00fcr. Zehirlenmenin erken bir belirtisi pozisyonel nistagmus (kontrol edilemeyen h\u0131zl\u0131 g\u00f6z hareketleri) olabilir. Nervus vestibulocochlearis \u00e7ok nadiren zarar g\u00f6r\u00fcr. Toksik etki birka\u00e7 hafta i\u00e7inde kademeli olarak olu\u015fur ve yava\u015f\u00e7a azal\u0131r. Vestib\u00fcler bozukluklarda gecikme g\u00f6r\u00fclebilir. 10 g\u00fcnden uzun s\u00fcre AGA ile tedavi edilen baz\u0131 hastalarda, vestibular organ hasar\u0131 ancak tedavinin sonland\u0131r\u0131lmas\u0131ndan 1 - 10 g\u00fcn sonra fark edilebilir hale gelebilir. Hastalar\u0131n AGA tedavisinin sonland\u0131r\u0131lmas\u0131ndan sonra 6 aya kadar vestibulotoksik etkiler a\u00e7\u0131s\u0131ndan izlenmesi \u00f6nemlidir.<\/p><p>\u015eiddetli Aminoglikozid (AGA) toksisitesi genellikle simetrik bilateral vestibulopatiye neden olur. Baz\u0131 vakalarda, makula organlar\u0131ndaki (utrikulus ve sakkulus) t\u00fcy h\u00fccreleri, kulaklar\u0131n birinde veya her ikisinde de zarar g\u00f6rmemi\u015f olarak kalabilir.<\/p><p>AGA toksisitesi olas\u0131l\u0131\u011f\u0131, a\u015fa\u011f\u0131dakiler dahil olmak \u00fczere s\u0131kl\u0131kla kullan\u0131lan birden fazla ilac\u0131n kullan\u0131m\u0131yla artar:<\/p><ul><li>Vankomisin (baz\u0131 ciddi bakteriyel enfeksiyonlar\u0131 tedavi etmek i\u00e7in kullan\u0131lan bir antibiyotik)<\/li><li>Y\u00fcksek tansiyon tedavisinde kullan\u0131lan bumetanid, etakrinik asit, furosemid ve torsemid gibi k\u0131vr\u0131m di\u00fcretikleri<\/li><li>Sisplatin (Testis, yumurtal\u0131k, mesane, yass\u0131 h\u00fccreli veya k\u00fc\u00e7\u00fck h\u00fccreli bron\u015f karsinomu gibi bir\u00e7ok farkl\u0131 kanser t\u00fcr\u00fcn\u00fcn tedavisinde kullan\u0131lan bir sitostatik ila\u00e7)<\/li><li>Metronidazol (belirli bakteriyel ve paraziter enfeksiyonlar\u0131 tedavi etmek i\u00e7in kullan\u0131lan bir antibiyotik)<\/li><\/ul><p>Onaylanan AGA'lardan ikisi vestibular organ i\u00e7in y\u00fcksek derecede toksiktir:<\/p><ul><li>Streptomisin \u2013 Bir \u00e7al\u0131\u015fmada, t\u00fcberk\u00fcloz tedavisi i\u00e7in g\u00fcnde 1 g streptomisin ile tedavi edilen hastalar\u0131n 15\u2019inde vestib\u00fcler toksisite geli\u015fmi\u015ftir.<\/li><li>Gentamisin toksisitesi, bilateral vestib\u00fclopatiye sahip ki\u015filerin \u201350\u2019sinde bu durumun nedeni olarak g\u00f6sterilmektedir.<\/li><\/ul><p>Gentamisin, vankomisin ile birlikte kullan\u0131ld\u0131\u011f\u0131nda ve\/veya e\u015fzamanl\u0131 g\u00fcr\u00fclt\u00fc maruziyeti durumunda daha toksik olma e\u011filimindedir. Orta kula\u011fa gentamisin enjeksiyonu, M\u00e9ni\u00e8re hastal\u0131\u011f\u0131 olan baz\u0131 ki\u015filer i\u00e7in etkili bir tedavi y\u00f6ntemidir. Bu tedavi, ba\u015f d\u00f6nmesini tamamen ortadan kald\u0131rabilir. Bunun bir dezavantaj\u0131 ise, tedaviden sonra hastalar\u0131n yakla\u015f\u0131k &#x27;sinde ek i\u015fitme kayb\u0131 g\u00f6r\u00fclmesidir.<\/p><p>Kulak damlas\u0131 formundaki gentamisin, uzun bir s\u00fcre boyunca uyguland\u0131\u011f\u0131nda vestib\u00fcler sistem i\u00e7in toksik g\u00f6r\u00fcnmektedir. Delinmi\u015f kulak zarlar\u0131nda ila\u00e7, i\u00e7 kulak s\u0131v\u0131s\u0131na emildi\u011fi ve hem i\u015fitmeye hem de dengeye zarar verdi\u011fi i\u00e7 kula\u011fa ula\u015fabilir. Bu nedenle bu durumda \u00f6zel bir dikkat gereklidir.<\/p><p><u>Platin bazl\u0131 kemoterap\u00f6tik (antineoplastik) ila\u00e7lar<\/u><br \/>Bu ila\u00e7lar t\u00fcm\u00f6rlerin ve kanserin b\u00fcy\u00fcmesini ve yay\u0131lmas\u0131n\u0131 engeller veya \u00f6nler. Bir dizi \u00e7al\u0131\u015fma, platin bazl\u0131 kemoterapi (\u00f6zellikle cisplatin) ile vestibulotoksisite aras\u0131nda bir ba\u011flant\u0131 oldu\u011funu g\u00f6stermektedir. Ara\u015ft\u0131rma sonu\u00e7lar\u0131, halihaz\u0131rda mevcut bir denge bozuklu\u011fu olan hastalar\u0131n cisplatin tedavisinden sonra vestibulotoksisite ya\u015fama olas\u0131l\u0131\u011f\u0131n\u0131n daha y\u00fcksek oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcrmektedir. Cisplatinin toksisitesi hastadan hastaya b\u00fcy\u00fck \u00f6l\u00e7\u00fcde de\u011fi\u015fmektedir. Ara\u015ft\u0131rmalar bunun k\u0131smen genetik varyasyonlarla ilgili oldu\u011funu g\u00f6stermektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61ee11f8 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"61ee11f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Kimyasallar<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ed0dc51 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"3ed0dc51\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>\u00c7\u00f6z\u00fcc\u00fc<\/u><br \/>\u00c7\u00f6z\u00fcc\u00fcler end\u00fcstride rutin olarak kullan\u0131lmaktad\u0131r. \u00c7\u00f6z\u00fcc\u00fclerin, i\u00e7 kulaktaki yap\u0131lara de\u011fil, beyinde dengeyle ilgili bilgileri i\u015fleyen b\u00f6lgeleri \u00fczerinde toksik bir etkisi vard\u0131r. \u00c7\u00f6z\u00fcc\u00fcler, ba\u015f hareketlerine tepki olarak g\u00f6z hareketlerini kontrol eden beyin b\u00f6lgelerini etkiler. \u00c7\u00f6z\u00fcc\u00fclerin vestib\u00fcler sistem \u00fczerindeki etkileri, i\u015fitme \u00fczerindeki etkileri gibi pek iyi belgelenmemi\u015ftir. G\u00fcr\u00fclt\u00fcye ve \u00e7\u00f6z\u00fcc\u00fclere ayn\u0131 anda maruz kalmak, yaln\u0131zca \u00e7\u00f6z\u00fcc\u00fclere maruz kalmaktan daha k\u00f6t\u00fcd\u00fcr. Yayg\u0131n olarak kullan\u0131lan a\u015fa\u011f\u0131daki \u00e7\u00f6z\u00fcc\u00fcler vestib\u00fclotoksik maddeler olarak bilinmektedir:<\/p><ul><li>Toluilen Diizosiyanat (TDI)<br \/>En \u00e7ok maruz kalan meslek gruplar\u0131 aras\u0131nda plastik i\u015fleme makineleri operat\u00f6rleri, ard\u0131ndan kau\u00e7uk ve plastik imalat\u0131 i\u015f\u00e7ileri, oto teknisyenleri, plastik \u00fcr\u00fcn mont\u00f6rleri ve denet\u00e7ileri ile oto mont\u00f6rleri yer almaktad\u0131r.<\/li><li>Stiren<br \/>Maruziyet ba\u015fl\u0131ca soluma yoluyla ger\u00e7ekle\u015fir. Stirolo maruz kalan en \u00f6nemli meslek gruplar\u0131 aras\u0131nda oto teknisyenleri, plastik i\u015fleme makineleri operat\u00f6rleri ile marangozlar ve d\u00f6\u015femeciler yer almaktad\u0131r.<\/li><li>Trikloroetilen (TCE)<br \/>Maruziyet a\u011f\u0131rl\u0131kl\u0131 olarak soluma ve cilt temas\u0131 yoluyla ger\u00e7ekle\u015fmektedir. Ba\u015fl\u0131ca maruz kalan meslek gruplar\u0131, metal i\u015fleme makinelerinin operat\u00f6rleri, kaplama ve metal p\u00fcsk\u00fcrtme tesislerinin operat\u00f6rleri ile metal i\u015fleme i\u015f\u00e7ileridir.<\/li><\/ul><p><u>Meflokin<\/u><br \/>Meflokin, kinolonlar s\u0131n\u0131f\u0131na aittir ve s\u0131tman\u0131n (malarya) \u00f6nlenmesi (profilaksi) ve tedavisinde kullan\u0131l\u0131r. Meflokin, baz\u0131 ki\u015filerde kal\u0131c\u0131 ba\u015f d\u00f6nmesine, vertigo, kulak \u00e7\u0131nlamas\u0131 ve denge bozukluklar\u0131na neden olabilir. Denge bozukluklar\u0131 ve ba\u015f d\u00f6nmesiyle ilgili olmayan ciddi yan etkiler aras\u0131nda anksiyete, paranoya, depresyon, hal\u00fcsinasyonlar, psikotik davran\u0131\u015flar ve intihar d\u00fc\u015f\u00fcnceleri yer al\u0131r.<\/p><p><u>Fosforik asit esteri<\/u><br \/>Fosforik asit esterleri en yayg\u0131n kullan\u0131lan b\u00f6cek ilac\u0131 t\u00fcrleridir. Tar\u0131mda, evde ve bah\u00e7ede ile veteriner hekimlikte kullan\u0131l\u0131rlar. \u00c7ok s\u0131n\u0131rl\u0131 veriler, fosforik asit esterlerinin vestib\u00fcler sisteme zarar verebilece\u011fini g\u00f6stermektedir.<\/p><p><u>A\u011f\u0131r metaller<\/u><br \/>Ara\u015ft\u0131rma sonu\u00e7lar\u0131, kandaki kur\u015fun ve kadmiyum ile vestib\u00fcler sistem bozukluklar\u0131 aras\u0131nda bir ba\u011flant\u0131 olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ea9d450 elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"4ea9d450\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-6aa15700b2544\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-4ea9d450\">\n                        <a href=\"#collapse-a6e33056aa15700b2544\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e33056aa15700b2544\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e33056aa15700b2544\">\n                            \n                            <span class=\"ekit-accordion-title\">Vestibulotoksisite belirtileri<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e33056aa15700b2544\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-4ea9d450\" data-parent=\"#accordion-6aa15700b2544\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Belirtiler ki\u015fiden ki\u015fiye de\u011fi\u015fir; maruz kalma t\u00fcr\u00fcne, bir veya her iki taraf\u0131n etkilenmi\u015f olmas\u0131na ve hasar\u0131n ne kadar \u015fiddetli oldu\u011funa ba\u011fl\u0131d\u0131r.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-4ea9d450\">\n                        <a href=\"#collapse-d14d6b56aa15700b2544\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-d14d6b56aa15700b2544\" aria-expanded=\"false\" aria-controls=\"Collapse-d14d6b56aa15700b2544\">\n                            \n                            <span class=\"ekit-accordion-title\">\u0130\u00e7 kulaktaki vestib\u00fcler yap\u0131lar\u0131n hasar g\u00f6rd\u00fc\u011f\u00fcn\u00fcn belirtileri \u015funlar olabilir:<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-d14d6b56aa15700b2544\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-4ea9d450\" data-parent=\"#accordion-6aa15700b2544\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <ul><li>Denge bozukluklar\u0131, \u00f6zellikle g\u00f6r\u00fc\u015f\u00fcn k\u0131s\u0131tl\u0131 oldu\u011fu durumlarda (\u00f6rne\u011fin g\u00f6zler kapal\u0131yken veya gece) veya engebeli zeminde y\u00fcr\u00fcrken.<\/li><li>Osillopsi (ba\u015f hareketleriyle bulan\u0131k, titrek g\u00f6rme): Bu semptom, g\u00f6z kaslar\u0131na her iki taraftan (bilateral) vestib\u00fcler girdinin kaybolmas\u0131ndan kaynaklan\u0131r. \u00d6rne\u011fin y\u00fcr\u00fcrken kafan\u0131z\u0131 hareket ettirdi\u011finizde, \u00e7evrenizin a\u015fa\u011f\u0131 yukar\u0131 salland\u0131\u011f\u0131 hissine kap\u0131l\u0131rs\u0131n\u0131z. Ba\u015f\u0131n\u0131z\u0131 bir tarafa \u00e7evirdi\u011finizde ise \u00e7evrenizin etrafta d\u00f6nd\u00fc\u011f\u00fcn\u00fc hissedersiniz. \u015eiddetli osillopsi, en k\u00fc\u00e7\u00fck bir ba\u015f hareketinde bile net g\u00f6rmeyi imkans\u0131z hale getirebilir. Bu da g\u00fcnl\u00fck ya\u015fam aktivitelerine kat\u0131lmay\u0131 zorla\u015ft\u0131r\u0131r.<\/li><li>Ataksi (istemli kas hareketlerinin koordinasyonunun bozulmas\u0131).<\/li><\/ul><p>\u00a0<\/p><p>Vertigo (d\u00f6ner tarzda ba\u015f d\u00f6nmesi) ve nystagmus, \u00f6rne\u011fin vestib\u00fcler bir toksine maruz kalma sistemik (t\u00fcm v\u00fccudu ilgilendiren) oldu\u011funda oldu\u011fu gibi, her iki i\u00e7 kulak ayn\u0131 anda hasar g\u00f6rd\u00fc\u011f\u00fcnde genellikle ortaya \u00e7\u0131kmaz.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-2-4ea9d450\">\n                        <a href=\"#collapse-417cba96aa15700b2544\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-417cba96aa15700b2544\" aria-expanded=\"false\" aria-controls=\"Collapse-417cba96aa15700b2544\">\n                            \n                            <span class=\"ekit-accordion-title\">\u0130\u00e7 kulaktan gelen vestib\u00fcler bilgileri i\u015fleyen beyin b\u00f6lgelerindeki hasar\u0131n belirtileri \u015funlard\u0131r: <\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-417cba96aa15700b2544\" class=\"collapse\" aria-labelledby=\"primaryHeading-2-4ea9d450\" data-parent=\"#accordion-6aa15700b2544\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <ul><li>v\u00fccut duru\u015funda artan sal\u0131n\u0131m<\/li><li>Lagenistagmus<\/li><\/ul><p>E\u011fer zehirli madde kokleaya da zarar verdiyse, i\u015fitme kayb\u0131 ve kulak \u00e7\u0131nlamas\u0131 ortaya \u00e7\u0131kabilir.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73351f3 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"73351f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vestibulotoksisite tan\u0131s\u0131\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe0cd6b elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"fe0cd6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-6aa15700b4265\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-fe0cd6b\">\n                        <a href=\"#collapse-75926e16aa15700b4265\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-75926e16aa15700b4265\" aria-expanded=\"false\" aria-controls=\"Collapse-75926e16aa15700b4265\">\n                            \n                            <span class=\"ekit-accordion-title\">Bu hastal\u0131\u011f\u0131 kim te\u015fhis eder?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-75926e16aa15700b4265\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-fe0cd6b\" data-parent=\"#accordion-6aa15700b4265\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Vestibulotoksisiteye maruz kald\u0131\u011f\u0131n\u0131zdan \u015f\u00fcpheleniyorsan\u0131z, m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede bir doktorla konu\u015fun. Erken te\u015fhis kal\u0131c\u0131 hasarlar\u0131 \u00f6nleyebilir.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-fe0cd6b\">\n                        <a href=\"#collapse-a6e33056aa15700b4265\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e33056aa15700b4265\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e33056aa15700b4265\">\n                            \n                            <span class=\"ekit-accordion-title\">Te\u015f nas\u0131l konur?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e33056aa15700b4265\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-fe0cd6b\" data-parent=\"#accordion-6aa15700b4265\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Vestibulotoksisite tan\u0131s\u0131 genellikle bir d\u0131\u015flama tan\u0131s\u0131d\u0131r. Doktor, ge\u00e7mi\u015fteki ve mevcut \u015fikayetlerinizle ilgili ayr\u0131nt\u0131l\u0131 bir anamnez alacakt\u0131r. Kulak damlalar\u0131 dahil olmak \u00fczere ge\u00e7mi\u015fte ve h\u00e2lihaz\u0131rda kulland\u0131\u011f\u0131n\u0131z ila\u00e7lar hakk\u0131nda sorular sorulacakt\u0131r.<\/p><p>Bilateral vestibulopati \u015f\u00fcphesi varsa, vestibulo-ok\u00fcler refleks (VOR), di\u011ferlerinin yan\u0131 s\u0131ra ba\u015f savurma testi (head-impulse test) ile incelenebilir. Belirtilerinize ba\u011fl\u0131 olarak bir KBB uzman\u0131na, n\u00f6rolo\u011fa veya n\u00f6rootolo\u011fa sevk edilebilirsiniz.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e56d0d1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"7e56d0d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vestibulotoksisite Tedavisi<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-553f2444 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"553f2444\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7eb3d1f7 elementor-widget elementor-widget-heading\" data-id=\"7eb3d1f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f7aee7a elementor-widget elementor-widget-image\" data-id=\"7f7aee7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1024x1024.webp\" class=\"attachment-large size-large wp-image-5891\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1024x1024.webp 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-300x300.webp 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-150x150.webp 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-768x768.webp 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1536x1536.webp 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-2048x2048.webp 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e5bb9d7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4e5bb9d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5834df3b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"5834df3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Odak noktas\u0131, vestibulotoksik maddelerin neden oldu\u011fu zararlar\u0131n \u00f6nlenmesi ve s\u0131n\u0131rland\u0131r\u0131lmas\u0131d\u0131r. Stratejiler \u015funlar\u0131 i\u00e7erir:<\/p><ul><li>Vestib\u00fcler toksinlere maruziyetten ka\u00e7\u0131n\u0131n. Bir\u00e7ok durumda iyi, toksik olmayan bir alternatif kullan\u0131labilir.<\/li><li>T\u0131bbi olarak gerekli oldu\u011funda ve alternatif bulunmad\u0131\u011f\u0131nda vestibulotoksik bir ilac\u0131n en d\u00fc\u015f\u00fck terap\u00f6tik dozunu kullanmak.<\/li><li>Hasar\u0131 azaltmak i\u00e7in ayn\u0131 anda birden fazla vestibulotoksik maddeye ve g\u00fcr\u00fclt\u00fcye maruz kalmaktan ka\u00e7\u0131n\u0131n.<\/li><li>Baz\u0131 end\u00fcstriyel s\u00fcre\u00e7lerde toksik kimyasallara maruz kalmak ka\u00e7\u0131n\u0131lmaz olabilir. M\u00fcmk\u00fcn oldu\u011funda kimyasallar\u0131 daha g\u00fcvenli alternatiflerle de\u011fi\u015ftirin.<\/li><li>\u0130\u015f ak\u0131\u015flar\u0131n\u0131, havaland\u0131rmay\u0131 veya koruyucu \u00f6nlemleri (kulak koruyucu, koruyucu giysi ve maske kullan\u0131m\u0131) de\u011fi\u015ftirerek zehirli kimyasallara maruz kalma potansiyelini en aza indirin.<\/li><li>G\u00fcr\u00fclt\u00fc seviyesinin azalt\u0131lmas\u0131.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20729a4 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"20729a4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f195a6 elementor-widget elementor-widget-heading\" data-id=\"5f195a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ffec2b0 elementor-widget elementor-widget-image\" data-id=\"ffec2b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1024x1024.png\" class=\"attachment-large size-large wp-image-4629\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1536x1536.png 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg.png 1563w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba50723 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ba50723\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7dfc32 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"d7dfc32\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Denge fonksiyonu bir kez kaybetti\u011finde, ne yaz\u0131k ki eski haline getirilemez. Beyin, bu eksikli\u011fi g\u00f6zlerin ve propriyosepsiyonun (deri, kaslar ve eklemler) yard\u0131m\u0131yla telafi etmeyi \u00f6\u011frenmek zorundad\u0131r. K\u0131smi hasar\u0131 olan hastalarda semptomlar kendili\u011finden iyile\u015febilir.<\/p><p>En etkili tedavi vestib\u00fcler rehabilitasyon tedavisidir. Bu, beyne dengeyi korumay\u0131 ve vestib\u00fcler ile g\u00f6rsel sistemden gelen sinyallere tepki vermeyi \u00f6\u011fretmeyi ama\u00e7layan bir egzersiz tedavisidir. Bir <a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\">sertifikal\u0131 IVRT\u00ae Ba\u015f D\u00f6nmesi ve Vestib\u00fcler Terapisti<\/a> sana uygun bir program olu\u015fturmama ve antrenman hedefleri belirlemene yard\u0131mc\u0131 olabilir. Sonu\u00e7lar \u00f6ncelikle \u015funlara ba\u011fl\u0131d\u0131r:<\/p><ul><li>hasar\u0131n derecesini<\/li><li>denge sisteminin di\u011fer k\u0131s\u0131mlar\u0131n\u0131n (g\u00f6rsel ve proprioseptif) sa\u011fl\u0131k durumunun<\/li><li>tek tarafl\u0131 m\u0131 yoksa her iki tarafta m\u0131 etkilenmi\u015f oldu\u011fu<\/li><li>hasar\u0131n periferik (i\u00e7 kulak) mi yoksa merkezi (beyin) mi kaynakl\u0131 oldu\u011fu<\/li><\/ul><p>Tek tarafl\u0131 vestib\u00fcler hasar\u0131 olan ki\u015filerin \u00e7o\u011funda genel denge fonksiyonu belirgin \u015fekilde iyile\u015fir. \u0130ki tarafl\u0131 kayb\u0131 olan ki\u015filerde ise adaptasyon ve ikameyi ama\u00e7layan vestib\u00fcler rehabilitasyon terapisi yard\u0131mc\u0131 olabilir.<\/p><p>Bir i\u015fitme cihaz\u0131 veya koklear implant, i\u015fitme kayb\u0131 olan ki\u015filere yard\u0131mc\u0131 olabilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1f01ac4f e-flex e-con-boxed e-con e-parent\" data-id=\"1f01ac4f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-706f85 e-con-full e-flex e-con e-child\" data-id=\"706f85\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-125a4cda elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"125a4cda\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nas\u0131l devam ediliyor?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a6e54 elementor-widget__width-initial elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"e2a6e54\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Gelecekte sizi nelerin bekleyebilece\u011fi.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b952bbc elementor-widget elementor-widget-text-editor\" data-id=\"b952bbc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vestib\u00fcler organ\u0131n hasar\u0131, vestibulotoksik bir maddeye maruz kalma sona erdikten sonra aylarca k\u00f6t\u00fcle\u015febilir. Genellikle hasar, maruziyetin sona ermesinden 6 ay sonra tamamlan\u0131r.<\/p><p>Vestib\u00fcler sistemde tek tarafl\u0131 hasar g\u00f6ren ki\u015filerin \u00e7o\u011fu birka\u00e7 hafta i\u00e7inde iyile\u015fir. Yakla\u015f\u0131k 20 %\u2019si kronik y\u00fcr\u00fcme dengesizli\u011fi ve osilopsi geli\u015ftirir. Bu semptomlar, kendili\u011finden geli\u015fen bir telafi mekanizmas\u0131 veya vestib\u00fcler rehabilitasyon tedavisi sayesinde d\u00fczelebilir.<\/p><p>\u0130ki tarafl\u0131 (bilateral) bir vestib\u00fcler organ yetmezli\u011fi genellikle kal\u0131c\u0131d\u0131r. Ne yaz\u0131k ki i\u00e7 kulaktaki t\u00fcy h\u00fccreleri yeniden b\u00fcy\u00fcmez. \u0130ki tarafl\u0131 yetmezli\u011fi olan ki\u015filer d\u00fc\u015fmeye meyillidir. Eski fiziksel aktivitelerine d\u00f6nebilmeleri olas\u0131 de\u011fildir ve ba\u011f\u0131ms\u0131z olarak \u00e7al\u0131\u015fma yetenekleri b\u00fcy\u00fck \u00f6l\u00e7\u00fcde k\u0131s\u0131tlan\u0131r.<\/p><p>Hastalara gelecekte yard\u0131mc\u0131 olabilecek stratejiler ve tedavi y\u00f6ntemleri ara\u015ft\u0131r\u0131lmaya devam etmektedir. Bunlar \u015funlar\u0131 i\u00e7erir:<\/p><ul><li>Vestibulotoksik etkilerin \u015fiddetinin daha iyi \u00f6ng\u00f6r\u00fclebilmesi i\u00e7in genetik varyasyonlar\u0131n tan\u0131mlanmas\u0131.<\/li><li>Tedaviye ba\u011fl\u0131 zararl\u0131 etkileri azaltmak i\u00e7in bilinen vestibulotoksik ila\u00e7larla birlikte kullan\u0131labilen koruyucu etkiye sahip ila\u00e7lar\u0131n belirlenmesi.<\/li><li>Vestib\u00fcler implantlar, iki tarafl\u0131 vestib\u00fcler kay\u0131p ya\u015fl\u0131 bireylerde dengeyi yeniden sa\u011flamak i\u00e7in umut vadeden teknik bir \u00e7\u00f6z\u00fcmd\u00fcr.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a312143 elementor-widget__width-auto elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"a312143\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:600}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/tr\/vestibueler-hastaliklar\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Di\u011fer hastal\u0131klar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Vestibul\u00e4re Erkrankung Vestibulotoxizit\u00e4t Diese Informationen sind als allgemeine Einf\u00fchrung in dieses Thema gedacht. Da jeder Mensch anders von Gleichgewichts- und Schwindelproblemen betroffen ist, solltest du mit deinem Arzt oder deiner \u00c4rztin sprechen, um dich individuell beraten zu lassen. Aus Gr\u00fcnden der besseren Lesbarkeit wird das\u00a0generische Maskulinum verwendet und auf die gleichzeitige Verwendung der Sprachformen m\u00e4nnlich, [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":14090,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":978,"footnotes":""},"categories":[297],"tags":[],"class_list":["post-7355","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-schwindelerkrankungen"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/7355","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=7355"}],"version-history":[{"count":0,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/7355\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/14090"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=7355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=7355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=7355"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}