{"id":1624,"date":"2020-11-05T11:15:08","date_gmt":"2020-11-05T10:15:08","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=1624"},"modified":"2025-04-17T05:03:25","modified_gmt":"2025-04-17T05:03:25","slug":"bimodalni-ideal-sluchadlo-a-kochlearni-implantat","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/bimodalni-ideal-sluchadlo-a-kochlearni-implantat\/","title":{"rendered":"Bimod\u00e1ln\u00ed ide\u00e1l: sluchadlo a kochle\u00e1rn\u00ed implant\u00e1t"},"content":{"rendered":"

Kr\u00e1sa sly\u0161en\u00ed ob\u011bma u\u0161ima<\/h1><\/div>

Je lep\u0161\u00ed sly\u0161et ob\u011bma u\u0161ima, ne\u017e jen jedn\u00edm. Situace, kdy pacient na ka\u017ed\u00e9m uchu vyu\u017e\u00edv\u00e1 jin\u00fd typ sluchov\u00e9 pom\u016fcky, se naz\u00fdv\u00e1 bimod\u00e1ln\u00ed sly\u0161en\u00ed.<\/strong><\/p>\n<\/div>

<\/span><\/div><\/div><\/div><\/div><\/div>

Sly\u0161en\u00ed ob\u011bma u\u0161ima umo\u017e\u0148uje prostorovou lokalizace zdroje zvukov\u00e9ho sign\u00e1lu, jasn\u011bj\u0161\u00ed vn\u00edm\u00e1n\u00ed zvukov\u00fdch sign\u00e1l\u016f v bl\u00edzkosti prahu sly\u0161en\u00ed a lep\u0161\u00ed porozum\u011bn\u00ed \u0159e\u010di v hlu\u010dn\u00e9m prost\u0159ed\u00ed \u2013 to v\u0161e spolu s pohodov\u011bj\u0161\u00edm slu\u0161en\u00edm. Ne v\u0161ichni pacienti s kochle\u00e1rn\u00edm implant\u00e1tem jsou kompletn\u011b nesly\u0161\u00edc\u00ed na obou u\u0161\u00edch, mnoho z nich pou\u017e\u00edv\u00e1 na druhostrann\u00e9m uchu sluchadlo. \u010c\u00edm l\u00e9pe je p\u0159i pou\u017e\u00edv\u00e1n\u00ed sluchov\u00e9 pom\u016fcky napodobeno p\u0159irozen\u00e9 sly\u0161en\u00ed, t\u00edm v\u00edce pacient z bimod\u00e1ln\u00edho sly\u0161en\u00ed t\u011b\u017e\u00ed. Sluchadlo a kochle\u00e1rn\u00ed implant\u00e1t musej\u00ed v tomto p\u0159\u00edpad\u011b optim\u00e1ln\u011b spolupracovat a interagovat, aby byly zaji\u0161t\u011bny kvalitn\u00ed sluchov\u00e9 vjemy po v\u0161ech str\u00e1nk\u00e1ch.<\/p>\n

I v p\u0159\u00edpad\u011b, \u017ee jsou tyto dva syst\u00e9my v z\u00e1sad\u011b kompatibiln\u00ed, v\u00fdslednou kvalitu sly\u0161en\u00ed m\u016f\u017ee ovlivnit i rozd\u00edln\u00fd zp\u016fsob zpracov\u00e1n\u00ed sign\u00e1lu. Proto by m\u011bl syst\u00e9m kochle\u00e1rn\u00edho implant\u00e1tu do co nejvy\u0161\u0161\u00ed m\u00edry imitovat p\u0159irozen\u00e9 sly\u0161en\u00ed a zp\u016fsob zpracov\u00e1n\u00ed sign\u00e1lu v tomto kochle\u00e1rn\u00edm implant\u00e1tu by se m\u011bl shodovat se zpracov\u00e1n\u00edm sign\u00e1lu ve sluchadle na druh\u00e9m uchu.<\/p>\n

\"The

Binaur\u00e1ln\u00ed sly\u0161en\u00ed p\u0159in\u00e1\u0161\u00ed p\u0159irozen\u011bj\u0161\u00ed a re\u00e1ln\u011bj\u0161\u00ed sluchov\u00fd pro\u017eitek pacient\u016fm s kochle\u00e1rn\u00edm implant\u00e1tem a jednostrannou hluchotou, pacient\u016fm s bilater\u00e1ln\u00edmi kochle\u00e1rn\u00edmi implant\u00e1ty a tak\u00e9 bimod\u00e1ln\u00edm pacient\u016fm s jedn\u00edm kochle\u00e1rn\u00edm implant\u00e1tem a naslouchadlem.<\/p><\/div>\n

Bimodalita se sluchadly v\u0161ech zna\u010dek a typ\u016f<\/strong><\/p>\n

V posledn\u00edch letech jsme na trhu zaznamenali nar\u016fstaj\u00edc\u00ed po\u010det bimod\u00e1ln\u00edch \u0159e\u0161en\u00ed od r\u016fzn\u00fdch firem: funkce sluchadla se v\u011bt\u0161inou shoduj\u00ed s audio procesorem od stejn\u00e9 v\u00fdrobn\u00ed spole\u010dnosti.<\/p>\n

Zva\u017eov\u00e1n\u00ed kochle\u00e1rn\u00edho implant\u00e1tu pot\u00e9 neumo\u017e\u0148uje individu\u00e1ln\u00ed optimalizaci sluchadla. Na druho stranu tato metoda zavazuje pacienta s bimod\u00e1ln\u00edm \u0159e\u0161en\u00edm k pou\u017e\u00edv\u00e1n\u00ed sluchadel stejn\u00e9 zna\u010dky, jako je zna\u010dka kochle\u00e1rn\u00edho implant\u00e1tu, po celou dobu \u017eivotnosti tohoto impolant\u00e1tu. Vyhled\u00e1v\u00e1n\u00ed vhodn\u00fdch sluchadel a spr\u00e1vn\u00fdch individu\u00e1ln\u00edch nastaven\u00ed m\u016f\u017ee v n\u011bter\u00fdch p\u0159\u00edpadech trvat i n\u011bkolik let \u2013 pacient se tak vzd\u00e1v\u00e1 kdysi funguj\u00edc\u00edho \u0159e\u0161en\u00ed a vstupuje na cestu, na kter\u00e9 se bude muset nau\u010dit sly\u0161et i s kochle\u00e1rn\u00edm implant\u00e1tem, co\u017e zpo\u010d\u00e1tku pro pacienty znamen\u00e1 ur\u010ditou ztr\u00e1tu sluchu.<\/p>\n

Jeliko\u017e se spole\u010dnost MED-EL sna\u017e\u00ed p\u0159i konstrukci kochle\u00e1rn\u00edch implant\u00e1t\u016f napodobit p\u0159irozen\u00e9 org\u00e1ny sly\u0161en\u00ed co nejp\u0159esn\u011bji, pacienti s jednostrann\u00fdm kochle\u00e1rn\u00edm implant\u00e1tem mohou na druh\u00e9m uchu d\u00e1le pou\u017e\u00edvat sluchadlo, na kter\u00e9 jsou ji\u017e zvykl\u00ed \u2013 a to i s p\u016fvodn\u00edm nastaven\u00edm. Pokud je pak v budoucnu pot\u0159eba nov\u00e9 sluchadlo, pacient si m\u016f\u017ee vybrat z cel\u00e9 \u0161k\u00e1ly nab\u00edzen\u00fdch sluchadel na trhu.<\/p>\n

Spr\u00e1vn\u00e1 hlasitost<\/strong><\/p>\n

Zdrav\u00e9 lidsk\u00e9 ucho je p\u0159ibli\u017en\u011b t\u0159ikr\u00e1t citliv\u011bj\u0161\u00ed na tich\u00e9 zvuky, ne\u017e na zvuky hlasit\u00e9. Tato funkce amplifikace (zes\u00edlen\u00ed) zvuku se p\u0159i ztr\u00e1t\u011b sluchu ve vnit\u0159n\u00edm uchu vytr\u00e1c\u00ed, a dne\u0161n\u00ed modern\u00ed sluchadla se ji sna\u017e\u00ed napodobit. Audio procesory kochle\u00e1rn\u00edch implant\u00e1t\u016f zesiluj\u00ed tich\u00e9 zvuky a jejich v\u00fdrobci p\u0159i vytv\u00e1\u0159en\u00ed tohoto jevu zauj\u00edmaj\u00ed r\u016fzn\u00e9 strategie a postupy.<\/p>\n

Tzv. dvojsmy\u010dkov\u00e9<\/em> automatick\u00e9 \u0159\u00edzen\u00ed<\/em> bylo pro audi procesory MED-EL navr\u017eeno tak, aby imitovalo p\u0159irozenou funkci co nejl\u00e9pe. \u0158\u00edzn\u00ed m\u016f\u017ee b\u00fdt tak\u00e9 manu\u00e1ln\u011b upravov\u00e1no \u2013 m\u011bnit je mo\u017en\u00e9 hlasitost sluchadla na druh\u00e9m uchu. Sjednocen\u00ed hlasitosti sluchadla a kochle\u00e1rn\u00edho implant\u00e1tu je v\u011bt\u0161inou jedin\u00fdm pot\u0159ebn\u00fdm krokem, kter\u00fd mus\u00ed b\u00fdt proveden, aby mohl kochle\u00e1rn\u00ed implant\u00e1t bez pot\u00ed\u017e\u00ed spolupracovat se sluchadlem. Sluchadlo m\u016f\u017ee z\u016fstat nastaven\u00e9 tak, aby vytv\u00e1\u0159elo ide\u00e1ln\u00ed sluchov\u00fd vjem na neoperovan\u00e9 stran\u011b, nez\u00e1visle na kochle\u00e1rn\u00edm implant\u00e1tu.<\/p>\n

Stimulace na spr\u00e1vn\u00e9m m\u00edst\u011b<\/strong><\/p>\n

Vysok\u00e9 t\u00f3ny jsou vn\u00edm\u00e1ny p\u0159i vstupu do z\u00e1vit\u016f hlem\u00fd\u017ed\u011b a n\u00edzk\u00e9 t\u00f3ny pak na sam\u00e9 vrcholu. P\u0159i kochle\u00e1rn\u00ed implantaci zav\u00e1d\u011bj\u00ed chirurgov\u00e9 do nefunk\u010dn\u00edch z\u00e1vit\u016f hlem\u00fd\u017ed\u011b elektrodu. Tato elektroda pot\u00e9 vytv\u00e1\u0159\u00ed elektrick\u00e9 impulzy, kter\u00e9 jsou p\u0159en\u00e1\u0161eny na sluchov\u00fd nerv a d\u00e1le do mozku, kde doch\u00e1z\u00ed k jejich zpracov\u00e1n\u00ed a uv\u011bdomov\u00e1n\u00ed.<\/p>\n

Dlouh\u00e9 elektrody pokr\u00fdvaj\u00ed celou d\u00e9lku hlem\u00fd\u017ed\u011b, co\u017e umo\u017en\u00ed p\u0159esnou stimulaci nervu na m\u00edst\u011b, kde by k tomuto jevu doch\u00e1zelo i p\u0159i p\u0159irozen\u00e9m sly\u0161en\u00ed. Spole\u010dnost MED-EL p\u0159inesla tyto dlouh\u00e9 elektrody na trh ji\u017e v roce 1994 a dodnes je st\u00e1le jedin\u00fdm v\u00fdrobcem, kter\u00fd tento druh elektrod nab\u00edz\u00ed. V kombinaci s rovn\u011b\u017e unik\u00e1tn\u00edm zp\u016fsobem k\u00f3dov\u00e1n\u00ed umo\u017e\u0148uj\u00ed v\u00fdrobky MED-EL excelentn\u00ed napodoben\u00ed v\u00fd\u0161ky t\u00f3n\u016f, kter\u00e9 jsou velmi bl\u00edzk\u00e9 p\u0159irozen\u00e9mu sly\u0161en\u00ed \u010di sly\u0161en\u00ed se sluchadly.<\/p>\n

Stimulace ve spr\u00e1vn\u00fd \u010das<\/strong><\/p>\n

V p\u0159irozen\u00e9m procesu sly\u0161en\u00ed se v hlem\u00fd\u017edi vytv\u00e1\u0159\u00ed tzv. cestuj\u00edc\u00ed vlna, kter\u00e1 si \u0161\u00ed\u0159\u00ed z ov\u00e1ln\u00e9ho ok\u00e9nka na \u0161pi\u010dku z\u00e1vit\u016f hlem\u00fd\u017ed\u011b. Ve spojen\u00ed s rozlo\u017een\u00edm zvukov\u00fdch frekvenc\u00ed tento jev zp\u016fsobuje p\u0159ibli\u017en\u011b t\u0159\u00edsekundov\u00e9 zpo\u017ed\u011bn\u00ed pro hlubok\u00e9 zvuky. Toto zpo\u017ed\u011bn\u00ed je v audio procesorech MED-EL replikov\u00e1no.<\/p>\n

Sluchadla pot\u0159ebuj\u00ed dodate\u010dn\u00fd \u010das pro zpracov\u00e1n\u00ed zvuku, aby jejich nositel mohl \u0159e\u010di optim\u00e1ln\u011b porozum\u011bt. Pacienti v\u011bt\u0161inou t\u011bchto n\u011bkolik milisekund nezaznamenaj\u00ed. Pokud se toto zpo\u017ed\u011bn\u00ed t\u00fdk\u00e1 pouze jedn\u00e9 strany v p\u0159\u00edpad\u011b binaur\u00e1ln\u00edch pacient\u016f, m\u016f\u017ee b\u00fdt tento \u010dasov\u00fd rozd\u00edl interpretov\u00e1n centr\u00e1ln\u00ed nervovou soustavou \u0161patn\u011b: pak by byly v\u00fdhody bilater\u00e1ln\u00edho sly\u0161en\u00ed omezeny. Aktu\u00e1ln\u011b dostupn\u00e9 audio procesory kochle\u00e1rn\u00edch implant\u00e1t\u016f MED-EL<\/a> mohou tak\u00e9 synchronizovat sv\u00e9 zpracov\u00e1v\u00e1n\u00ed chronologicky se sluchadlem na druh\u00e9m uchu. Tato funkce je pro MED-EL unik\u00e1tn\u00ed.<\/p>\n

\"\"<\/p>\n

Hear everything well on both sides<\/strong><\/p>\n

Pro mnoho pacient\u016f s kochle\u00e1rn\u00edmi implant\u00e1ty je d\u016fle\u017eit\u00e9 spojen\u00ed sluchov\u00fdch syst\u00e9m\u016f s extern\u00edmi zvukov\u00fdmi zdroji. To je snadno umo\u017en\u011bno d\u00edky standardizovan\u00fdm kontakt\u016fm a bez nutnosti vazby na ur\u010dit\u00e9ho v\u00fdrobce nebo spole\u010dnost. Induk\u010dn\u00ed smy\u010dky Bluetooth umo\u017e\u0148uj\u00ed tento typ standardizovan\u00e9ho kontaktu mezi sluchov\u00fdm syst\u00e9mem a zvukov\u00fdm zdrojem: bezdr\u00e1tov\u00e9 streamov\u00e1n\u00ed na smartphone nebo tablet, televizi nebo jin\u00e9 kompatibiln\u00ed zvukov\u00e9 zdroje.<\/p>\n

Kombinace excelentn\u00edho kochle\u00e1rn\u00edho implant\u00e1tu se sluchadlem, kter\u00e9 konkr\u00e9tn\u00edm pacient\u016fm vyhovuje co nejl\u00e9pe, je pro bimod\u00e1ln\u00ed sly\u0161en\u00ed naprosto kl\u00ed\u010dov\u00e1. T\u00e9m\u011b\u0159 p\u0159irozen\u00e9 zpracov\u00e1n\u00ed zvukov\u00e9ho sign\u00e1lu a jedine\u010dn\u00e9 funkce zaji\u0161\u0165uj\u00ed, \u017ee je mo\u017en\u00e9 kochle\u00e1rn\u00ed implant\u00e1ty MED-EL<\/a> zkombinovat se sluchadly kter\u00e9koli zna\u010dky a bude zaru\u010dena ide\u00e1ln\u00ed komplementarita.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Tam, kde se na ka\u017ed\u00e9 stran\u011b pou\u017e\u00edvaj\u00ed r\u016fzn\u00e1 sluchadla, mluv\u00edme o bimod\u00e1ln\u00edm sly\u0161en\u00ed.<\/p>\n","protected":false},"author":5,"featured_media":32056,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[470],"tags":[419,421],"class_list":["post-1624","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veda","tag-bilateral","tag-ci-and-hearing-aid"],"yoast_head":"\nBimod\u00e1ln\u00ed ide\u00e1l: sluchadlo a kochle\u00e1rn\u00ed implant\u00e1t - Czech<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/cs\/bimodalni-ideal-sluchadlo-a-kochlearni-implantat\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bimod\u00e1ln\u00ed ide\u00e1l: sluchadlo a kochle\u00e1rn\u00ed implant\u00e1t - 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