\u00c7ocuklar konu\u015fmay\u0131 \u00f6\u011frendikleri d\u00f6nemde baz\u0131 ses hatalar\u0131 yapabilmektedir. Bu ses hatalar\u0131n\u0131n bir k\u0131sm\u0131 konu\u015fma geli\u015fiminin bir par\u00e7as\u0131d\u0131r ve belirli ya\u015f aral\u0131klar\u0131nda bu hatalar\u0131n olmas\u0131 muhtemeldir.\u00c7ocuklar\u0131n ilerleyen d\u00f6nemlerde hatalar\u0131n devam etmemesi ve anla\u015f\u0131l\u0131r bir konu\u015fmaya sahip olmas\u0131 gerekmektedir. Konu\u015fmas\u0131n\u0131n ya\u015f\u0131tlar\u0131 ve yeti\u015fkinler taraf\u0131ndan kolayl\u0131kla anla\u015f\u0131lmas\u0131 beklenmektedir. 3 ya\u015f ve \u00fczerindeki \u00e7ocuklar\u0131n baz\u0131 sesleri \u00fcretmesindeki g\u00fc\u00e7l\u00fc\u011f\u00fcn devam etmesi durumunda konu\u015fma sesi bozukluklar\u0131 (artik\u00fclasyon bozuklu\u011fu ve\/veya fonoloji bozukluk) tan\u0131s\u0131n\u0131n varl\u0131\u011f\u0131ndan \u015f\u00fcphelenilmektedir.
Konu\u015fma sesi bozuklu\u011fu tan\u0131s\u0131 alm\u0131\u015f \u00e7ocuklarda; konu\u015fma seslerini \u00fcretmede, alg\u0131lamada ve dilbilgisi kurallar\u0131na uygun \u015fekilde kullanmada zorluklar olup konu\u015fma anla\u015f\u0131l\u0131rl\u0131\u011f\u0131 etkilenmektedir.<\/p>\n\n\n\n
Konu\u015fma sesi bozuklu\u011fu (KSB), ya\u015fayan \u00e7ocuklar\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131nda konu\u015fma bozuklu\u011funun nedenleri bilinmemektedir. \u0130\u015fitme kayb\u0131 (duyusal\/ alg\u0131sal) ya da damak dudak yar\u0131kl\u0131\u011f\u0131 (yap\u0131sal\/ di\u011fer orofasiyel travmaya ya da ameliyata ba\u011fl\u0131 bozukluk), apraksi ve dizartri (motor ve n\u00f6rolojik kaynakl\u0131) gibi tan\u0131lar konu\u015fma sesi bozuklu\u011funa neden olabilmektedir.
Nedeni bilinmeyen konu\u015fma sesi bozukluklar\u0131n\u0131n tan\u0131s\u0131 iki gruba ayr\u0131lmaktad\u0131r. \u00c7ocuk bir sesi hi\u00e7 \u00fcretemiyor ise artik\u00fclasyon (sesletim) bozuklu\u011fu, bazen \u00fcretebiliyor ancak do\u011fru yerde kullanmakta g\u00fc\u00e7l\u00fck ya\u015f\u0131yor ise fonolojik (sesbilgisel) bozukluk g\u00f6r\u00fclebilmektedir.<\/p>\n\n\n\n
Okul \u00e7a\u011f\u0131 \u00f6ncesi \u00e7ocuklar\u0131n %10 – 15\u2019lik bir k\u0131sm\u0131nda ve okul \u00e7a\u011f\u0131ndaki \u00e7ocuklar\u0131n %6\u2019l\u0131k bir k\u0131sm\u0131nda artik\u00fclasyon bozuklu\u011fu ve\/veya fonolojik bozukluk g\u00f6r\u00fclmektedir. T\u00fcrkiye\u2019de yap\u0131lan ara\u015ft\u0131rmalarda konu\u015fma sesi bozukluklar\u0131n\u0131n yayg\u0131nl\u0131k oran\u0131 %5.6 olarak tespit edilmi\u015ftir.Erkeklerde artik\u00fclasyon bozuklu\u011fu ve\/veya fonolojik bozukluk g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 daha fazlad\u0131r.<\/p>\n\n\n\n
Dil ve konu\u015fma terapistleri ilk \u00f6nce aileden geli\u015fim \u00f6yk\u00fcs\u00fc(anamnez) alarak konu\u015fma sesi bozuklu\u011funa neden olabilecek n\u00f6rolojik ya da organik sebeplerin varl\u0131\u011f\u0131n\u0131 tespit etmektedir. Daha sonra dil, di\u015fler, \u00e7ene, dudak, damak gibi konu\u015fma \u00fcretiminde g\u00f6revli organlar\u0131n yap\u0131s\u0131nda ve hareketinde sorun olup olmad\u0131\u011f\u0131n\u0131 kontrol etmektedir. Ses \u00fcretimlerini g\u00fc\u00e7le\u015ftirebilen baz\u0131 yap\u0131sal bozukluklar g\u00f6zlendi\u011finde Kulak Burun Bo\u011faz hekimine y\u00f6nlendirme yap\u0131lmaktad\u0131r. \u0130\u015fitmeye dair problemler g\u00f6zlenir ise i\u015fitme de\u011ferlendirmesi y\u00f6nlendirme yap\u0131l\u0131r. Konu\u015fma seslerindeki hatalar standardize edilmi\u015f testler ile de\u011ferlendirilmektedir. T\u00fcrkiye\u2019de kullan\u0131lan testler Sesletim Sesbilgisi Testi ya da Ankara Artik\u00fclasyon Testi\u2019dir. Uygulanan testler ve konu\u015fma \u00f6rne\u011fi al\u0131nd\u0131ktan sonra hata \u00f6r\u00fcnt\u00fcleri belirlenerek terapi s\u00fcreci ba\u015flat\u0131lmaktad\u0131r.<\/p>\n\n\n\n
Fonolojik geli\u015fim ve seslerin edinimi T\u00fcrk\u00e7e konu\u015fan \u00e7ocuklarda 4-5 ya\u015f seviyesinde tamamlanmaktad\u0131r. \u00c7ocuklar okuma yazma ser\u00fcvenine ba\u015flad\u0131klar\u0131nda hatal\u0131 \u00fcretimler devam etti\u011fi s\u00fcrece okuma-yazma e\u011fitiminde zorluklar ya\u015fanabilir. Bu sebeple okul \u00f6ncesi d\u00f6nemde mutlaka halledilmesi gerekmektedir. Konu\u015fma seslerine y\u00f6nelik terapiler her ya\u015fta yap\u0131labilir. \u00d6rne\u011fin \/p\/ sesini 3 ya\u015f\u0131nda \u00fcretemeyen, \/k\/ sesini 4 ya\u015f\u0131nda \u00fcretemeyen,\/r\/ sesini 5 ya\u015f\u0131nda \u00fcretemeyen ki\u015filer artik\u00fclasyon bozuklu\u011fu ve\/veya fonoloji bozukluk terapisi alabilmektedir.
Konu\u015fma Sesi Bozukluklar\u0131nda Terapi Nas\u0131l Yap\u0131l\u0131r?
Bireyin hata \u00fcretimleri tespit edilerek do\u011fru ses \u00fcretimine en uygun olan hedef ses se\u00e7ilir.Ki\u015finin bireysel farkl\u0131l\u0131klar\u0131na uygun olarak en uygun terapi yakla\u015f\u0131m\u0131 se\u00e7ilerek hatal\u0131 ses \u00fcretimlerinin yerine do\u011fru ses \u00fcretimini ger\u00e7ekle\u015ftirilmesi hedeflenmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"
Konu\u015fma Sesi Bozuklu\u011fu Nedir? \u00c7ocuklar konu\u015fmay\u0131 \u00f6\u011frendikleri d\u00f6nemde baz\u0131 ses hatalar\u0131 yapabilmektedir. Bu ses hatalar\u0131n\u0131n bir k\u0131sm\u0131 konu\u015fma geli\u015fiminin bir […]<\/p>\n","protected":false},"author":2,"featured_media":461,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5],"tags":[],"class_list":["post-364","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dil-ve-konusma-terapisi"],"uagb_featured_image_src":{"full":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638.png",898,598,false],"thumbnail":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638-150x150.png",150,150,true],"medium":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638-300x200.png",300,200,true],"medium_large":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638-768x511.png",768,511,true],"large":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638.png",898,598,false],"1536x1536":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638.png",898,598,false],"2048x2048":["https:\/\/linaterapistanbul.com\/wp-content\/uploads\/2024\/09\/Ekran-goruntusu-2024-09-13-185638.png",898,598,false]},"uagb_author_info":{"display_name":"Lina Dil","author_link":"https:\/\/linaterapistanbul.com\/author\/lina-dil\/"},"uagb_comment_info":0,"uagb_excerpt":"Konu\u015fma Sesi Bozuklu\u011fu Nedir? \u00c7ocuklar konu\u015fmay\u0131 \u00f6\u011frendikleri d\u00f6nemde baz\u0131 ses hatalar\u0131 yapabilmektedir. Bu ses hatalar\u0131n\u0131n bir k\u0131sm\u0131 konu\u015fma geli\u015fiminin bir […]","_links":{"self":[{"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/posts\/364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/comments?post=364"}],"version-history":[{"count":1,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/posts\/364\/revisions"}],"predecessor-version":[{"id":377,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/posts\/364\/revisions\/377"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/media\/461"}],"wp:attachment":[{"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/media?parent=364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/categories?post=364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/linaterapistanbul.com\/wp-json\/wp\/v2\/tags?post=364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}