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NÖROJENİK KEKEMELİĞE YAKLAŞIM

Yıl 2023, Cilt: 6 Sayı: 1, 10 - 26, 26.05.2023
https://doi.org/10.52538/iduhes.1139810

Öz

Bu çalışmada, edinilmiş nörojenik kekemeliğin epidemiyolojisi, patofizyolojisi, tanı, değerlendirme ve terapisi ile ilgili bilgileri sentezleyerek gelecekteki araştırmalara ve klinik alana katkıda bulunulması amaçlanmıştır. İncelemede geleneksel derleme metodu kullanılmış, bu kapsamda; nörojenik kekemeliğin tanımlanması, insidansı, etiyolojisi, altta yatan mekanizmalar, ayırt edici özellikleri, değerlendirme ve terapisine ilişkin literatür incelemesi gerçekleştirilmiştir. Etiyolojisine göre ayrılan nörojenik kekemelik, edinilmiş kekemeliğin alt sınıflamasında yer almaktadır. Nörojenik kekemeliğin, çeşitli nörolojik hasar veya hastalık nedeniyle ortaya çıkan edinilmiş konuşma bozukluğu olarak tanımlandığı görülmüştür. Konuşma akışını ve ritmini bozacak bir şekilde, seslerde veya hecelerde tekrarlama, uzatma veya bunların blok şeklinde üretilmesi ile karakterize edilmiştir. Nörojenik kekemeliğin yaygın nedenleri arasında inme ve travmatik beyin hasarı yer almaktadır. Nörojenik kekemeliğin patofizyolojik mekanizması tam olarak açıklanamamıştır. Bu bozukluk, diğer dil ve konuşma bozuklukları ile benzer özellikler taşır veya bir arada görülebilir. Dolayısı ile bu bozukluğa ve ayırıcı tanıya yönelik detaylı bir değerlendirme yapılması terapi planını oluşturmaya yardımcı olacaktır. Nörojenik kekemeliğin değerlendirmesinde vaka geçmişi, vakanın dil, sesletim, bilişsel ve motor becerileri, konuşmasının akıcısızlık ve diğer özellikleri ile kekemeliğine dair tutumu gibi birçok alan detaylı bir şekilde ele alınmalıdır. Terapisinde; kişiden kişiye farklı etki gösterebilecek, akıcılığı iyileştirmeye ve hıza odaklanan çeşitli dil ve konuşma terapisi stratejilerinden yararlanılmasının optimum fayda sağlayacağı düşünülmektedir.

Kaynakça

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Toplam 60 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Merve Sapmaz Atalar 0000-0003-2556-1026

Pelin Özcan Ulubeli 0000-0003-2392-5148

Suna Tokgöz Yılmaz 0000-0002-4656-099X

Erken Görünüm Tarihi 24 Mayıs 2023
Yayımlanma Tarihi 26 Mayıs 2023
Gönderilme Tarihi 4 Temmuz 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 6 Sayı: 1

Kaynak Göster

APA Sapmaz Atalar, M., Özcan Ulubeli, P., & Tokgöz Yılmaz, S. (2023). NÖROJENİK KEKEMELİĞE YAKLAŞIM. Izmir Democracy University Health Sciences Journal, 6(1), 10-26. https://doi.org/10.52538/iduhes.1139810

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