{"id":23054,"date":"2023-02-14T13:33:57","date_gmt":"2023-02-14T12:33:57","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=23054"},"modified":"2025-04-17T04:46:24","modified_gmt":"2025-04-17T04:46:24","slug":"ochrana-pred-hlukem-i-s-kochlearnim-implantatem","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/ochrana-pred-hlukem-i-s-kochlearnim-implantatem\/","title":{"rendered":"Ochrana p\u0159ed hlukem – i s kochle\u00e1rn\u00edm implant\u00e1tem"},"content":{"rendered":"

Jak se chr\u00e1n\u00edme p\u0159ed hlukem \u2013 i s naslouch\u00e1tky nebo sluchov\u00fdm implant\u00e1tem<\/h1><\/div>

Trval\u00e9 vystaven\u00ed hluku ovliv\u0148uje nejen sluch, ale tak\u00e9 t\u011blo a psychiku. D\u016fle\u017eit\u00e1 je ochrana p\u0159ed nadm\u011brn\u00fdm nebo trval\u00fdm hlukem a tak\u00e9 p\u0159est\u00e1vky na odpo\u010dinek v prav\u00e9m slova smyslu.<\/strong><\/p>\n<\/div>

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

V minulosti byl p\u0159\u00ed\u010dinou po\u0161kozen\u00ed sluchu p\u0159edev\u0161\u00edm hluk z povol\u00e1n\u00ed. Dnes se k tomu p\u0159id\u00e1v\u00e1 n\u011bco jako \"hluk z blahobytu\": hodiny poslechu hudby, \u010dasto p\u0159es sluch\u00e1tka a p\u0159i nezdrav\u00e9 hlasitosti, r\u016fzn\u00e9 dal\u0161\u00ed rekrea\u010dn\u00ed zvuky a tak\u00e9 rozmanit\u00e9 zvuky z okol\u00ed na\u0161\u00ed mobiln\u00ed pr\u016fmyslov\u00e9 spole\u010dnosti.<\/p>\n

Dr. Paul Martin Zwittag se jako prim\u00e1\u0159 Otolaryngologick\u00e9ho odd\u011blen\u00ed Keplerovy univerzitn\u00ed nemocnice v Linci pot\u00fdk\u00e1 s d\u016fsledky: \"Neust\u00e1l\u00e9 vystaven\u00ed hluku po\u0161kozuje ucho! M\u00e1 v\u0161ak tak\u00e9 negativn\u00ed vliv na kardiovaskul\u00e1rn\u00ed a c\u00e9vn\u00ed syst\u00e9m, hormon\u00e1ln\u00ed syst\u00e9m, metabolismus s rizikem vzniku diabetu 2. typu, kvalitu sp\u00e1nku, psychickou pohodu a kognitivn\u00ed v\u00fdkonnost.\" Lid\u00e9 s hlubokou hluchotou nebo nedosl\u00fdchost\u00ed jsou vystaveni vy\u0161\u0161\u00edmu riziku deprese a a\u017e p\u011btkr\u00e1t vy\u0161\u0161\u00edmu riziku vzniku demence - oboj\u00ed je \u010d\u00e1ste\u010dn\u011b d\u016fsledkem soci\u00e1ln\u00edho sta\u017een\u00ed v reakci na probl\u00e9my se sluchem a komunikac\u00ed.<\/p>\n

Sluchov\u00e9 ticho je pro mnoh\u00e9 z n\u00e1s ji\u017e tak nezn\u00e1m\u00e9, \u017ee se zd\u00e1 b\u00fdt obt\u00ed\u017en\u00e9 ho sn\u00e1\u0161et. P\u0159esto toto ticho t\u011blo i du\u0161e pot\u0159ebuj\u00ed, aby se zotavily z hlukov\u00e9 z\u00e1t\u011b\u017ee. \"P\u0159esto\u017ee se dnes d\u00edky technologicky vysp\u011bl\u00fdm naslouch\u00e1tk\u016fm a \u0161pi\u010dkov\u00fdm sluchov\u00fdm implant\u00e1t\u016fm m\u016f\u017eeme dob\u0159e postarat o v\u011bt\u0161inu nedosl\u00fdchav\u00fdch a dokonce i nesly\u0161\u00edc\u00edch lid\u00ed, je t\u0159eba v\u011bnovat mnohem v\u011bt\u0161\u00ed pozornost hlukov\u00e9 hygien\u011b.\" Odborn\u00edk na sluchov\u00e9 implant\u00e1ty varuje: \"Hluk je posti\u017een\u00ed, kter\u00e9 nen\u00ed hned patrn\u00e9. Teprve po des\u00edtk\u00e1ch let v\u00e1m v\u0161ak p\u0159edlo\u017e\u00ed \u00fa\u010det!\"<\/p>\n<\/div>

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I ve velkom\u011bst\u011b, jako je V\u00edde\u0148, lze d\u00edkybohu naj\u00edt \u0159adu kr\u00e1sn\u00fdch m\u00edst k odpo\u010dinku. \u00a9Adobe Stock<\/p><\/div>\n

P\u0159est\u00e1vky na odpo\u010dinek jsou d\u016fle\u017eit\u00e9!<\/strong><\/p>\n

Stejn\u011b jako p\u0159est\u00e1vky u obrazovky p\u0159i pr\u00e1ci s po\u010d\u00edta\u010dem by m\u011bly b\u00fdt samoz\u0159ejmost\u00ed i hlukov\u00e9 p\u0159est\u00e1vky: Pokud pracujete na hlu\u010dn\u00e9m pracovi\u0161ti, m\u011bli byste si b\u011bhem p\u0159est\u00e1vky naj\u00edt klidn\u00e9 m\u00edsto. Fyzick\u00e9 cvi\u010den\u00ed je mo\u017en\u00e9 ve fitness centru nebo i p\u0159i nakupov\u00e1n\u00ed ve v\u00fdloze; vytrvalostn\u00ed b\u011bh nebo ve\u010dern\u00ed proch\u00e1zka v parku \u010di v p\u0159\u00edrod\u011b nab\u00edz\u00ed dal\u0161\u00ed v\u00fdhodu p\u0159est\u00e1vky na odpo\u010dinek v prav\u00e9m slova smyslu - tak\u00e9 pro sluch.<\/p>\n<\/div><\/div><\/div><\/div>

Co je hlasit\u00e9?<\/h2>\n

B\u011b\u017en\u00fd rozhovor je sly\u0161et na vzd\u00e1lenost jednoho metru p\u0159i hlasitosti asi 60 decibel\u016f. V otev\u0159en\u00e9 kancel\u00e1\u0159i se po\u010d\u00edt\u00e1 s hlu\u010dnost\u00ed 70 decibel\u016f. Sv\u011btov\u00e1 zdravotnick\u00e1 organizace (WHO) definuje hluk nad 65 decibel\u016f jako hlukov\u00e9 zne\u010di\u0161t\u011bn\u00ed a nad 75 decibel\u016f jej odborn\u00edci klasifikuj\u00ed jako \u0161kodliv\u00fd. T\u00e9to hlasitosti m\u016f\u017ee rychle dos\u00e1hnout r\u00e1dio, ale i star\u00e1 my\u010dka n\u00e1dob\u00ed nebo su\u0161i\u010dka pr\u00e1dla.<\/p>\n

Seka\u010dka na tr\u00e1vu houk\u00e1 s hlasitost\u00ed kolem 85 decibel\u016f, stejn\u011b hlu\u010dn\u00fd je i provoz na ru\u0161n\u00e9 silnici. Na pracovi\u0161ti mus\u00ed b\u00fdt podle z\u00e1kona pou\u017e\u00edv\u00e1na ochrana sluchu p\u0159i hodnot\u00e1ch vy\u0161\u0161\u00edch ne\u017e 85 decibel\u016f. Hluk o p\u0159est\u00e1vk\u00e1ch ve \u0161kole v\u0161ak \u010dasto dosahuje 85 decibel\u016f a v ru\u0161n\u00e9 restauraci m\u016f\u017ee b\u00fdt hlu\u010dnost je\u0161t\u011b vy\u0161\u0161\u00ed!<\/p>\n

Hluk nad 120 dB - hluk sb\u00edje\u010dky, h\u0159m\u011bn\u00ed bl\u00edzk\u00e9 bou\u0159ky nebo obvykl\u00e1 hlasitost hudby na heavymetalov\u00e9m koncert\u011b - je pro na\u0161e nechr\u00e1n\u011bn\u00e9 u\u0161i bolestiv\u00fd.<\/p>\n

Hluk: omezen\u00fd na pracovi\u0161ti, t\u00e9m\u011b\u0159 \u017e\u00e1dn\u00fd ve voln\u00e9m \u010dase<\/h2>\n

Po n\u00e1v\u0161t\u011bv\u011b koncertu je sluch \u010dasto v\u00fdrazn\u011b oslaben, ale obvykle se dok\u00e1\u017ee zotavit, pokud je n\u00e1sledn\u011b dostate\u010dn\u011b dlouho chr\u00e1n\u011bn p\u0159ed dal\u0161\u00edm p\u016fsoben\u00edm hluku. \u010cast\u00fd nebo dlouhodob\u00fd hluk m\u00e1 v\u0161ak na sluch trval\u00fd vliv.<\/p>\n

Pr\u00e1vn\u00ed p\u0159edpisy o bezpe\u010dnosti a ochran\u011b zdrav\u00ed p\u0159i pr\u00e1ci p\u0159edpokl\u00e1daj\u00ed, \u017ee volno v pr\u00e1ci vyu\u017e\u00edv\u00e1me tak\u00e9 jako p\u0159est\u00e1vku na odpo\u010dinek v prav\u00e9m slova smyslu. Na druhou stranu nen\u00ed hlukov\u00e1 z\u00e1t\u011b\u017e zp\u016fsobov\u00e1na pouze automobilovou a leteckou dopravou a pr\u016fmyslov\u00fdm hlukem, ale st\u00e1le \u010dast\u011bji jsme vystavov\u00e1ni nezdrav\u00e9mu hluku i ve voln\u00e9m \u010dase na akc\u00edch a ve sportovn\u00edch za\u0159\u00edzen\u00edch.<\/p>\n

Zejm\u00e9na ve velk\u00fdch m\u011bstech \u010dasto chyb\u00ed vhodn\u00e1 m\u00edsta k odpo\u010dinku. Nejen mlad\u00ed lid\u00e9 se tomu br\u00e1n\u00ed t\u00edm, \u017ee se p\u0159ed okol\u00edm chr\u00e1n\u00ed jakousi akustickou bari\u00e9rou: takzvan\u00e1 sluch\u00e1tka do u\u0161\u00ed (in-ear) slou\u017e\u00ed k poslechu hudby tak hlasit\u011b, \u017ee okoln\u00ed hluk p\u0159ehlu\u0161\u00ed nebo alespo\u0148 ztlum\u00ed. Hroz\u00ed postupn\u00e1 ztr\u00e1ta sluchu, hu\u010den\u00ed v u\u0161\u00edch a dal\u0161\u00ed po\u0161kozen\u00ed hlukem, i kdy\u017e se ne v\u017edy projev\u00ed v\u010das.<\/p>\n<\/div>

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Zde obr\u00e1zek aplikace pro kontrolu hluku: Aplikace pro soukromou kontrolu hluku jsou k dispozici pro v\u0161echny chytr\u00e9 telefony. \u00a9Adobe Stock<\/p><\/div>\n

Zm\u011b\u0159te si osobn\u00ed expozici hluku<\/strong><\/p>\n

I hladina hluku v otev\u0159en\u00e9 kancel\u00e1\u0159i m\u016f\u017ee b\u00fdt stresuj\u00edc\u00ed. Expozici hluku na pracovi\u0161ti lze m\u011b\u0159it pomoc\u00ed hlukov\u00e9ho dozimetru: Zaznamen\u00e1v\u00e1 jak kr\u00e1tkodobou \u0161pi\u010dkovou expozici, tak denn\u00ed nep\u0159etr\u017eit\u00e9 vystaven\u00ed. Tyto nam\u011b\u0159en\u00e9 \u00fadaje tak\u00e9 pom\u00e1haj\u00ed p\u0159i v\u00fdb\u011bru vhodn\u00fdch opat\u0159en\u00ed. Sn\u00ed\u017een\u00ed hladiny hluku m\u00e1 p\u0159ednost p\u0159ed osobn\u00ed ochranou proti hluku; teprve krajn\u00edm \u0159e\u0161en\u00edm je zkr\u00e1cen\u00ed doby vystaven\u00ed hluku.<\/p>\n

V soukrom\u00e9 sf\u00e9\u0159e m\u016f\u017ee poskytnout orientaci i \"aplikace pro m\u011b\u0159en\u00ed hluku\". N\u011bkter\u00e9 takov\u00e9 aplikace pro chytr\u00e9 telefony jsou k dispozici zdarma. Poskytuj\u00ed v\u0161ak pouze orienta\u010dn\u00ed informace.<\/p>\n

Dal\u0161\u00ed vystaven\u00ed hluku prost\u0159ednictv\u00edm sluch\u00e1tek hlukov\u00fd dozimetr ani aplikace nezjist\u00ed!<\/p>\n<\/div><\/div><\/div><\/div>

Pl\u00ed\u017eiv\u00e9 po\u0161kozen\u00ed hlukem z\u016fst\u00e1v\u00e1 \u010dasto nepov\u0161imnuto<\/h2>\n

Na\u0161e t\u011blo reaguje na vystaven\u00ed hluku, i kdy\u017e si jeho hlasitost neuv\u011bdomujeme - nebo si ji v d\u016fsledku n\u00e1vyku ji\u017e neuv\u011bdomujeme: trval\u00fd hluk z bl\u00edzk\u00e9 ulice vyvol\u00e1v\u00e1 stresov\u00e9 reakce, krevn\u00ed tlak a srde\u010dn\u00ed frekvence m\u011b\u0159iteln\u011b stoupaj\u00ed; podobn\u00fd \u00fa\u010dinek m\u016f\u017ee m\u00edt i dnes b\u011b\u017en\u00e9 nep\u0159etr\u017eit\u00e9 vystaven\u00ed hluku v n\u00e1kupn\u00edch centrech. Posti\u017een\u00ed \u010dasto z\u016fst\u00e1vaj\u00ed dlouho nepov\u0161imnuti.<\/p>\n

Ztr\u00e1ta sluchu zp\u016fsoben\u00e1 hlukem tak\u00e9 \u010dasto z\u016fst\u00e1v\u00e1 dlouho neodhalena; i drobn\u00e1 po\u0161kozen\u00ed se v pr\u016fb\u011bhu let v sluchov\u00e9m org\u00e1nu s\u010d\u00edtaj\u00ed. Prim\u00e1\u0159 Zwittag rad\u00ed v\u0161em rodi\u010d\u016fm: \" Upozor\u0148ujte sv\u00e9 d\u011bti na nebezpe\u010d\u00ed ji\u017e v ran\u00e9m v\u011bku; po\u017e\u00e1dejte je, aby si zti\u0161ily hudbu v u\u0161\u00edch a aby si v\u017edy d\u011blaly p\u0159est\u00e1vky od hluku!\"<\/p>\n

Jako dosp\u011bl\u00ed jsme povinni d\u00e1vat p\u0159\u00edklad spr\u00e1vn\u00e9ho chov\u00e1n\u00ed: Ani p\u0159i sek\u00e1n\u00ed tr\u00e1vn\u00edku, j\u00edzd\u011b na motocyklu nebo n\u00e1v\u0161t\u011bv\u011b koncertu bychom nem\u011bli zapom\u00ednat na vhodnou ochranu sluchu. Pokud jde o hran\u00ed hudby, v\u011bt\u0161ina profesion\u00e1ln\u00edch hudebn\u00edk\u016f jde dnes dobr\u00fdm p\u0159\u00edkladem. V \u0161ir\u0161\u00edm m\u011b\u0159\u00edtku je ke sni\u017eov\u00e1n\u00ed emis\u00ed hluku a vytv\u00e1\u0159en\u00ed tich\u00fdch prostor\u016f vyz\u00fdv\u00e1na m\u011bstsk\u00e1 v\u00fdstavba a ter\u00e9nn\u00ed \u00fapravy, ale tak\u00e9 architektura, design v\u00fdrobk\u016f a mnoho dal\u0161\u00edch oblast\u00ed.<\/p>\n<\/div>

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Naslouch\u00e1tka nebo zvukov\u00e9 procesory BTE kochle\u00e1rn\u00edch implant\u00e1t\u016f se obvykle umis\u0165uj\u00ed pod mu\u0161le ov\u00e1ln\u00e9ho st\u0159ihu nebo sluch\u00e1tka p\u0159es u\u0161i. \u00a9Adobe Stock<\/p><\/div>\n

Kter\u00e1 sluch\u00e1tka jsou lep\u0161\u00ed pro v\u00e1\u0161 sluch?<\/strong><\/p>\n

\"\u0160punty do u\u0161\u00ed\" mohou ohrozit sluch a p\u0159isp\u011bt k po\u0161kozen\u00ed hlukem; m\u00e9n\u011b stresuj\u00edc\u00ed jsou voln\u011bji padnouc\u00ed sluch\u00e1tka typu \"earbuds\". Z hlediska ochrany p\u0159ed hlukem by v\u0161ak byla jednozna\u010dn\u011b vhodn\u011bj\u0161\u00ed mu\u0161lov\u00e1 sluch\u00e1tka: zcela neut\u011bs\u0148uj\u00ed ucho a pod velkou mu\u0161l\u00ed je dokonce prostor pro sluchadlo nebo BTE zvukov\u00fd procesor.
\nK akustick\u00e9mu \"pohlcen\u00ed\" napom\u00e1h\u00e1 takzvan\u00e1 funkce \"noise cancelling\", p\u0159i n\u00ed\u017e je okoln\u00ed hluk aktivn\u011b potla\u010dov\u00e1n. Tato funkce je nyn\u00ed k dispozici pro sluch\u00e1tka v\u0161ech konstrukc\u00ed.<\/p>\n<\/div><\/div><\/div><\/div>

Umo\u017enit uchu b\u00fdt v tichu<\/h2>\n

Senzorineur\u00e1ln\u00ed nedosl\u00fdchavost se \u010dasto projev\u00ed, kdy\u017e se posti\u017een\u00e9mu zd\u00e1, \u017ee osoba, se kterou mluv\u00ed, mluv\u00ed nez\u0159eteln\u011b. Rozhovory ve v\u011bt\u0161\u00edch skupin\u00e1ch nebo v hlu\u010dn\u00e9m prost\u0159ed\u00ed se st\u00e1vaj\u00ed \u00fanavn\u00fdmi a \u017eensk\u00fdm a d\u011btsk\u00fdm hlas\u016fm je obt\u00ed\u017en\u00e9 rozum\u011bt. Rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci nebo soused\u00e9 si st\u011b\u017euj\u00ed, \u017ee televize nebo hifi syst\u00e9my jsou p\u0159\u00edli\u0161 hlasit\u00e9. Jakmile jsou smyslov\u00e9 bu\u0148ky ve vnit\u0159n\u00edm uchu zni\u010deny, nelze toto po\u0161kozen\u00ed zvr\u00e1tit. V po\u010d\u00e1te\u010dn\u00edch stadi\u00edch mohou pomoci b\u011b\u017en\u00e1 naslouch\u00e1tka nebo vhodn\u00e9 sluchov\u00e9 implant\u00e1ty.<\/p>\n

Kochle\u00e1rn\u00ed implant\u00e1ty se pou\u017e\u00edvaj\u00ed, kdy\u017e je vnit\u0159n\u00ed ucho natolik nefunk\u010dn\u00ed, \u017ee porozum\u011bn\u00ed \u0159e\u010di ji\u017e nen\u00ed mo\u017en\u00e9 ani s naslouch\u00e1tky. V tomto p\u0159\u00edpad\u011b nemus\u00ed vystaven\u00ed hluku zp\u016fsobit trval\u00e9 po\u0161kozen\u00ed sluchu, ale i u u\u017eivatel\u016f CI \u00fanava sluchu sni\u017euje schopnost sly\u0161et, p\u0159inejmen\u0161\u00edm do\u010dasn\u011b. Fyzick\u00e9 stresov\u00e9 reakce na hluk se objevuj\u00ed nezmen\u0161en\u011b i u u\u017eivatel\u016f CI - a\u017e po vegetativn\u00ed a psychick\u00e9 po\u0161kozen\u00ed.<\/p>\n

V po\u010d\u00e1tc\u00edch pou\u017e\u00edv\u00e1n\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f mnoz\u00ed u\u017eivatel\u00e9 oce\u0148uj\u00ed p\u0159est\u00e1vku v poslechu b\u011bhem dne, aby si odpo\u010dinuli od po\u010d\u00e1te\u010dn\u00ed z\u00e1t\u011b\u017ee spojen\u00e9 s poslechem. U osob bez CI sluchov\u00e9 p\u0159est\u00e1vky zabra\u0148uj\u00ed po\u0161kozen\u00ed hlukem a umo\u017e\u0148uj\u00ed regeneraci hlukem nam\u00e1han\u00e9ho sluchu. Prim\u00e1\u0159 Zwittag upozor\u0148uje na dal\u0161\u00ed efekt: \"Pravideln\u00e9 protihlukov\u00e9 p\u0159est\u00e1vky jsou dokonce sou\u010d\u00e1st\u00ed prevence vyho\u0159en\u00ed!\".<\/p>\n<\/div>

Postupuj\u00edc\u00ed hlukov\u00e1 z\u00e1t\u011b\u017e v Evrop\u011b<\/strong><\/p>\n

Evropsk\u00e1 agentura pro \u017eivotn\u00ed prost\u0159ed\u00ed EEA lituje rostouc\u00edho hlukov\u00e9ho zne\u010di\u0161t\u011bn\u00ed: ka\u017ed\u00fd p\u00e1t\u00fd Evropan \u017eije v prost\u0159ed\u00ed, kde je hladina hluku zdrav\u00ed \u0161kodliv\u00e1. Hlavn\u00edm vin\u00edkem je podle zpr\u00e1vy silni\u010dn\u00ed doprava.
\nToto hlukov\u00e9 zne\u010di\u0161t\u011bn\u00ed m\u00e1 sv\u00e9 d\u016fsledky: Ka\u017edoro\u010dn\u011b zp\u016fsobuje poruchy sp\u00e1nku u 6,5 milionu lid\u00ed, 48 000 ischemick\u00fdch chorob srde\u010dn\u00edch a 12 000 p\u0159ed\u010dasn\u00fdch \u00famrt\u00ed. Agentura EEA rovn\u011b\u017e odhaduje, \u017ee hluk z letadel a silnic zp\u016fsobuje u 12 500 d\u011bt\u00ed poruchy kognitivn\u00edch funkc\u00ed, nap\u0159\u00edklad probl\u00e9my se \u010dten\u00edm.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Jak se chr\u00e1n\u00edme p\u0159ed hlukem – i s naslouch\u00e1tky nebo sluchov\u00fdm implant\u00e1tem Trval\u00e9<\/p>\n","protected":false},"author":2,"featured_media":31871,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[492],"tags":[],"class_list":["post-23054","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"yoast_head":"\nNoise protection - even with Cochlear Implant - Czech<\/title>\n<meta name=\"description\" content=\"Trval\u00e9 vystaven\u00ed hluku m\u00e1 vliv nejen na sluch, ale tak\u00e9 na t\u011blo a psychiku: hormon\u00e1ln\u00ed syst\u00e9m, metabolismus, kvalitu sp\u00e1nku.\" \/>\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\/ochrana-pred-hlukem-i-s-kochlearnim-implantatem\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Noise protection - 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