{"id":23996,"date":"2023-07-10T09:00:38","date_gmt":"2023-07-10T07:00:38","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=23996"},"modified":"2025-04-17T04:38:20","modified_gmt":"2025-04-17T04:38:20","slug":"slyseni-zvuku-s-kochlearnim-implantatem-pro-bezpecnost-a-kvalitu-zivota","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/slyseni-zvuku-s-kochlearnim-implantatem-pro-bezpecnost-a-kvalitu-zivota\/","title":{"rendered":"Sly\u0161en\u00ed zvuk\u016f s kochle\u00e1rn\u00edm implant\u00e1tem: pro bezpe\u010dnost a kvalitu \u017eivota"},"content":{"rendered":"

Kochle\u00e1rn\u00ed implant\u00e1t: v\u00edce ne\u017e jen audio-verb\u00e1ln\u00ed komunikace<\/h1><\/div>

Nejnov\u011bj\u0161\u00ed studie ukazuj\u00ed: Kdy\u017e sly\u0161\u00edme zvuky ze sv\u00e9ho okol\u00ed, je n\u00e1\u0161 \u017eivot bezpe\u010dn\u011bj\u0161\u00ed a p\u0159\u00edjemn\u011bj\u0161\u00ed. M\u011bli bychom poslouchat na ob\u011b strany a procvi\u010dovat vn\u00edm\u00e1n\u00ed a klasifikaci zvuk\u016f.<\/strong><\/p>\n<\/div>

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

V po\u010d\u00e1tc\u00edch kochle\u00e1rn\u00ed implantace byla o\u010dek\u00e1v\u00e1n\u00ed ohledn\u011b jej\u00ed \u00fa\u010dinnosti skromn\u00e1: otev\u0159en\u00e9 porozum\u011bn\u00ed \u0159e\u010di bylo v t\u00e9 dob\u011b nepravd\u011bpodobn\u00e9. \u010clov\u011bk byl spokojen, pokud u\u017eivatel\u00e9 CI dok\u00e1zali vn\u00edmat zvuky, stejn\u011b jako rozli\u0161ovat \u0159e\u010d od zvuk\u016f z okol\u00ed a r\u016fzn\u00e9 zvuky z okol\u00ed od sebe navz\u00e1jem. Kochle\u00e1rn\u00ed implant\u00e1t m\u011bl umo\u017enit akustick\u00e9 vn\u00edm\u00e1n\u00ed prost\u0159ed\u00ed a tak\u00e9 podpo\u0159it odez\u00edr\u00e1n\u00ed ze rt\u016f.<\/p>\n

Se zaveden\u00edm \u00fa\u010dinn\u011bj\u0161\u00edch a rychlej\u0161\u00edch strategi\u00ed k\u00f3dov\u00e1n\u00ed, konkr\u00e9tn\u011b od roku 1994 se zaveden\u00edm strategie CIS,<\/a>, jsou v\u00fdsledky sly\u0161en\u00ed s implant\u00e1tem nesrovnateln\u011b lep\u0161\u00ed. Na vn\u00edm\u00e1n\u00ed a p\u0159i\u0159azov\u00e1n\u00ed zvuk\u016f z prost\u0159ed\u00ed se pon\u011bkud zapomn\u011blo: U sou\u010dasn\u00fdch technologi\u00ed CI se t\u00e9m\u011b\u0159 nikdy neur\u010duj\u00ed na v\u011bdeck\u00e9m z\u00e1klad\u011b.<\/p>\n

P\u0159itom pr\u00e1v\u011b vn\u00edm\u00e1n\u00ed okoln\u00edch zvuk\u016f m\u016f\u017ee lidem pom\u00e1hat \"orientovat se ve sv\u00e9m prost\u0159ed\u00ed, varovat je p\u0159ed potenci\u00e1ln\u00edm nebezpe\u010d\u00edm a poskytovat pocit estetick\u00e9ho uspokojen\u00ed\", jak uv\u00e1d\u00ed v\u011bdeck\u00fd t\u00fdm systematick\u00e9 anal\u00fdzy studie z USA publikovan\u00e9 na za\u010d\u00e1tku roku 2021 [1], co\u017e jsou nejen d\u016fle\u017eit\u00e9 aspekty pro terapii a studium, ale tak\u00e9 relevantn\u00ed argumenty v p\u0159\u00edpad\u011b, \u017ee se dosa\u017een\u00ed audioverb\u00e1ln\u00ed komunikace zd\u00e1 b\u00fdt pro kandid\u00e1ta na CI nepravd\u011bpodobn\u00e9.<\/p>\n

D\u016fle\u017eit\u00e9 zvuky maj\u00ed p\u0159ednost!<\/h2>\n

K prok\u00e1z\u00e1n\u00ed dal\u0161\u00edho zlep\u0161en\u00ed v\u00fdkonnosti nov\u00fdch technologi\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f se dnes ve v\u011bdeck\u00fdch studi\u00edch obvykle pou\u017e\u00edvaj\u00ed zvl\u00e1\u0161t\u011b obt\u00ed\u017en\u00e9 \u0159e\u010dov\u00e9 testy a tak\u00e9 \u0159e\u010dov\u00e9 testy v hluku na pozad\u00ed. Krom\u011b anal\u00fdzy americk\u00e9 studie se v\u0161ak dv\u011b ned\u00e1vn\u00e9 studie zab\u00fdvaj\u00ed konkr\u00e9tn\u011b vn\u00edm\u00e1n\u00edm hluku pomoc\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f.<\/p>\n

Tyto nejnov\u011bj\u0161\u00ed \u00fadaje ukazuj\u00ed, \u017ee kochle\u00e1rn\u00ed implant\u00e1ty obecn\u011b poskytuj\u00ed sv\u00fdm u\u017eivatel\u016fm zlep\u0161en\u00ed ve vn\u00edm\u00e1n\u00ed akustick\u00e9ho prost\u0159ed\u00ed[2], nicm\u00e9n\u011b ve srovn\u00e1n\u00ed s norm\u00e1ln\u011b sly\u0161\u00edc\u00edmi jedinci v\u011bt\u0161ina u\u017eivatel\u016f CI v tomto ohledu st\u00e1le nedosl\u00fdch\u00e1[3].<\/p>\n

Sou\u010dasn\u00e9 studie se neshoduj\u00ed v tom, zda u\u017eivatel\u00e9 s lep\u0161\u00edm porozum\u011bn\u00edm \u0159e\u010di nutn\u011b spolehliv\u011bji rozpozn\u00e1vaj\u00ed tak\u00e9 zvuky z okol\u00ed. Zvuk je v\u0161ak rozpozn\u00e1v\u00e1n spolehliv\u011bji, pokud jsou implant\u00e1ty pou\u017e\u00edv\u00e1ny na obou stran\u00e1ch,[4] pokud je zvuk klasifikov\u00e1n jako bezpe\u010dnostn\u011b relevantn\u00ed[5] a je zn\u00e1m\u00fd[6]. Auto\u0159i studie p\u0159edpokl\u00e1daj\u00ed lep\u0161\u00ed \u00fasp\u011b\u0161nost, pokud rehabilitace sluchu zahrnuje v\u011bdom\u00fd n\u00e1cvik vn\u00edm\u00e1n\u00ed a rozli\u0161ov\u00e1n\u00ed zvuk\u016f[7].<\/p>\n<\/div>

\n

Systematick\u00e1 anal\u00fdza studi\u00ed a ned\u00e1vn\u00e9 studie:<\/h3>\n[1],[3] \u201cPerception of Environmental Sounds in Cochlear Implant Users: A Systematic Review\u201c, Shafiro V. et al., Frontiers in Neuroscience, January 2022, Volume 15 Article 788899, doi: 10.3389\/fnins.2021.788899<\/p>\n[2],[7] \u201cA longitudinal comparison of environmental sound recognition in adults with hearing aids before and after cochlear implantation\u201d, Harris et al., Journal of Speech, Language, and Hearing Research, b\u0159ezen 2021, svazek 64 vyd\u00e1n\u00ed 3 str. 1040\u20131052. doi: 10.1044\/2020_JSLHR-20-00400<\/p>\n[4],[5],[6] \u201cIdentification Accuracy of Safety-Relevant Environmental Sounds in Adult Cochlear Implant Users\u201d, Luzum et al., The Laryngoscope, listopad 2022, doi: 10.1002\/lary.30475<\/p>\n<\/div>
<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Kochle\u00e1rn\u00ed implant\u00e1t: v\u00edce ne\u017e jen audio-verb\u00e1ln\u00ed komunikace Nejnov\u011bj\u0161\u00ed studie ukazuj\u00ed: Kdy\u017e sly\u0161\u00edme zvuky<\/p>\n","protected":false},"author":2,"featured_media":31822,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[470],"tags":[],"class_list":["post-23996","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veda"],"yoast_head":"\nHearing noises with cochlear implant - Lifelong Hearing<\/title>\n<meta name=\"description\" content=\"Kochle\u00e1rn\u00ed implant\u00e1t: v\u00edce ne\u017e jen audio-verb\u00e1ln\u00ed komunikace. 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