{"id":254,"date":"2020-06-03T16:24:50","date_gmt":"2020-06-03T14:24:50","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=254"},"modified":"2025-04-17T05:06:47","modified_gmt":"2025-04-17T05:06:47","slug":"rychla-pomoc-pri-jednostranne-hluchote","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/rychla-pomoc-pri-jednostranne-hluchote\/","title":{"rendered":"Rychl\u00e1 pomoc p\u0159i jednostrann\u00e9 hluchot\u011b"},"content":{"rendered":"

V\u00fdznam v\u010dasn\u00e9 diagnostiky jednostrann\u00e9 nedosl\u00fdchavosti<\/h1><\/div>

V\u00fdsledky, kter\u00fdch dos\u00e1hl t\u00fdm Fakultn\u00ed Keplerovy nemocnice v Linci v Horn\u00edm Rakousku s kochle\u00e1rn\u00edmi implant\u00e1ty p\u0159i jednostrann\u00e9 hluchot\u011b, jsou slibn\u00e9 pro dosp\u011bl\u00e9 i d\u011bti.<\/strong><\/p>\n<\/div>

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Od roku 2009 si 25. \u00fanora p\u0159ipom\u00edn\u00e1me Mezin\u00e1rodn\u00ed den kochle\u00e1rn\u00edch implant\u00e1t\u016f. A v tento den o 10 let pozd\u011bji dostal mal\u00fd Bahran [1]<\/a> sv\u016fj kochle\u00e1rn\u00ed implant\u00e1t. Brzy pot\u00e9, co se narodil, byl proveden screening sluchu novorozence. To je v Rakousku standardn\u00ed p\u00e9\u010d\u00ed. \u201eV\u00fdsledky byly mimo dosah jednoho ucha,\u201c vzpom\u00edn\u00e1 Sabrina Ackerl, audiologi\u010dka z ORL odd\u011blen\u00ed Fakultn\u00ed Keplerovy nemocnice. \u201eMal\u00fd chlapec pro\u0161el cel\u00fdm diagnostick\u00fdm procesem a\u017e do kone\u010dn\u00e9 diagn\u00f3zy.\u201c Jednostrann\u00e1 hluchota v jednom uchu, norm\u00e1ln\u00ed sluch v druh\u00e9m.<\/p>\n

Specialist\u00e9 na ORL klinice doporu\u010dili KI pro nesly\u0161\u00edc\u00ed. \u201eV tich\u00e9m prost\u0159ed\u00ed nen\u00ed jednostrann\u00e1 hluchota velk\u00fdm probl\u00e9mem,\u201c vysv\u011btluje Sabine Ackerl. \u201eAle v hluku jo. Za\u010d\u00edn\u00e1 to v mate\u0159sk\u00e9 \u0161kole a ve \u0161kole se to zhor\u0161uje.\u201c Ji\u017e p\u0159ed deseti lety americk\u00e9 studie dosp\u011bly k z\u00e1v\u011bru, \u017ee v\u00edce ne\u017e t\u0159etina d\u011bt\u00ed s jednostrannou ztr\u00e1tou sluchu mus\u00ed opakovat ve \u0161kole alespo\u0148 jeden ro\u010dn\u00edk \u2013 v\u00fdrazn\u011b v\u00edce ne\u017e d\u011bti s norm\u00e1ln\u00edm sluchem. V\u00edce ne\u017e polovina z nich vy\u017eadovala n\u011bkolik let soukrom\u00fdch lekc\u00ed. Rovn\u011b\u017e prok\u00e1zala zpo\u017ed\u011bn\u00ed v jazykov\u00e9m a soci\u00e1ln\u011b-emocion\u00e1ln\u00edm v\u00fdvoji. Sprecialist\u00e9 v Turecku, odkud Bahranova rodina poch\u00e1z\u00ed, tak\u00e9 doporu\u010dili kochle\u00e1rn\u00ed implant\u00e1t. Rodina se tedy aktivizovala a jejich kluk dostal sv\u016fj KI.<\/p>\n

Rakousko: pr\u016fkopn\u00edk<\/h2>\n

Rakousko bylo prvn\u00ed zem\u00ed, kter\u00e1 zavedla univerz\u00e1ln\u00ed program screeningu sluchu novorozenc\u016f (NHS: Newborn Hearing Screening) po cel\u00e9 zemi. To bylo ji\u017e v roce 1995. Hodnocen\u00ed sluchu se stalo u batolat povinn\u00fdm.<\/p>\n

V roce 2017 aktualizovala Rakousk\u00e1 audiologick\u00e1 spole\u010dnost pokyny pro screening a testov\u00e1n\u00ed sluchu novorozenc\u016f. Od t\u00e9 doby se vy\u017eaduje vy\u0161et\u0159en\u00ed obou u\u0161\u00ed a doporu\u010duje zvy\u0161ovat pov\u011bdom\u00ed rodi\u010d\u016f o v\u00fdvoji sluchu a \u0159e\u010di jejich d\u00edt\u011bte. \u201eUsilujeme o to, abychom d\u011btem s jednostrannou ztr\u00e1tou sluchu poskytli naslouchac\u00ed za\u0159\u00edzen\u00ed, abychom zabr\u00e1nili nev\u00fdhod\u00e1m v jejich v\u00fdvoji.\u201c Pokud je ztr\u00e1ta sluchu 70 decibel\u016f nebo v\u00edce, doporu\u010duje se kochle\u00e1rn\u00ed implant\u00e1t.<\/p>\n

Bezpe\u010dnostn\u00ed s\u00ed\u0165 pro lidi se ztr\u00e1tou sluchu<\/h2>\n

Hornorakousk\u00e1 nemocnice je hrd\u00e1 na svou roli pr\u016fkopn\u00edka p\u0159i zav\u00e1d\u011bn\u00ed programu screeningu sluchu pro novorozence. Standardizovan\u00fd rutinn\u00ed postup dnes zaji\u0161\u0165uje, \u017ee je o rodiny dob\u0159e postar\u00e1no: Prvn\u00ed screening se prov\u00e1d\u00ed v porodnici nebo u d\u011bt\u00ed se zdravotn\u00edmi probl\u00e9my na novorozeneck\u00e9 jednotce intenzivn\u00ed p\u00e9\u010de. V ide\u00e1ln\u00edm p\u0159\u00edpad\u011b by m\u011bli b\u00fdt p\u0159i screeningu p\u0159\u00edtomni rodi\u010de. Sabrina Ackerl vysv\u011btluje: \u201eM\u016f\u017eeme kl\u00e1st ot\u00e1zky o jejich anamn\u00e9ze, nap\u0159\u00edklad pokud v rodin\u011b doch\u00e1z\u00ed ke ztr\u00e1t\u011b sluchu. A v\u00fdsledky m\u016f\u017eeme rodi\u010d\u016fm podrobn\u011b vysv\u011btlit.\u201c<\/p>\n

Pokud je v\u00fdsledek testu mimo rozsah, domluv\u00ed se dal\u0161\u00ed screening. T\u00edm je zaji\u0161t\u011bna \u00fapln\u00e1 diagnostika a zp\u011btn\u00e1 vazba. \u201eV mnoha rakousk\u00fdch nemocnic\u00edch se NHS prov\u00e1d\u00ed jako standard p\u00e9\u010de na obou u\u0161\u00edch.\u201c To v\u0161ak nen\u00ed pravda ve v\u0161ech nemocnic\u00edch a zem\u00edch. \u201ePokud d\u00edt\u011b v d\u0159\u00edv\u011bj\u0161\u00edch dob\u00e1ch trp\u011blo jednostrannou hluchotou, nic se s t\u00edm neud\u011blalo, proto\u017ee po\u0159\u00e1d se u n\u011bj rozv\u00edjela \u0159e\u010d.\u201c<\/p>\n

\u201ePravideln\u011b se setk\u00e1v\u00e1me s dosp\u011bl\u00fdmi ve v\u011bku 30 a\u017e 40 let, kte\u0159\u00ed jsou od narozen\u00ed hluch\u00ed na jedno ucho a cht\u011bli by s t\u00edm n\u011bco ud\u011blat. Ob\u00e1vaj\u00ed se, \u017ee by se jejich druh\u00e9 ucho mohlo jednoho dne zhor\u0161it. Ale pro n\u011b je na kochle\u00e1rn\u00ed implant\u00e1t p\u0159\u00edli\u0161 pozd\u011b. Proto doporu\u010duji d\u00edt\u011bti v\u010dasnou implantaci \u2013 aby bylo zaji\u0161t\u011bno, \u017ee bude za 40 nebo 50 let po\u0159\u00e1d dob\u0159e sly\u0161et.<\/p>\n

D\u016fsledky jednostrann\u00e9 ztr\u00e1ty sluchu<\/h2>\n

\u201eV sou\u010dasn\u00e9 dob\u011b m\u00e1m dv\u011b d\u011bti, jejich\u017e jednostrann\u00e1 ztr\u00e1ta sluchu byla diagnostikov\u00e1na a\u017e ve v\u011bku dvou a \u010dty\u0159 let. Jejich rodi\u010de to zjistili pot\u00e9, co v mate\u0159sk\u00e9 \u0161kole \u010delili probl\u00e9m\u016fm v hlu\u010dn\u00e9m prost\u0159ed\u00ed,\u201c pokra\u010duje Ackerl. Zku\u0161enosti ukazuj\u00ed, \u017ee v\u010dasn\u00e1 intervence u jednostrann\u00e9 hluchoty m\u00e1 velk\u00fd v\u00fdznam. N\u011bkdy se implantace zpo\u017e\u010fuje z r\u016fzn\u00fdch d\u016fvod\u016f, zejm\u00e9na v zem\u00edch, kter\u00e9 nenab\u00edzej\u00ed univerz\u00e1ln\u00ed screeningov\u00fd program sluchu pro novorozence. Probl\u00e9my se sluchem byly \u010dasto zji\u0161t\u011bny a\u017e ve \u0161koln\u00edm v\u011bku. \u201eV dne\u0161n\u00ed dob\u011b u\u010ditel\u00e9 mate\u0159sk\u00fdch \u0161kol pozorn\u011bji sleduj\u00ed reakce a chov\u00e1n\u00ed d\u011bt\u00ed. Proto se probl\u00e9my se sluchem \u010dasto projevuj\u00ed d\u0159\u00edve, ne\u017e d\u011bti za\u010dnou chodit do \u0161koly.\u201c<\/p>\n

Lid\u00e9, kte\u0159\u00ed sly\u0161\u00ed ob\u011bma u\u0161ima, jsou schopni odfiltrovat relevantn\u00ed informace v hlu\u010dn\u00e9m prost\u0159ed\u00ed. Tak\u00e9 um\u00ed poznat, odkud zvuk vych\u00e1z\u00ed. Mozek vy\u017eaduje pro tento kognitivn\u00ed \u00fakol akustick\u00e9 informace z obou u\u0161\u00ed. Lid\u00e9 se \u0161patn\u00fdm nebo \u017e\u00e1dn\u00fdm sluchem na jedn\u00e9m uchu p\u0159ich\u00e1zej\u00ed o zvukov\u00e9 informace na hluch\u00e9 stran\u011b. To m\u016f\u017ee b\u00fdt ve velk\u00fdch skupin\u00e1ch irituj\u00edc\u00ed, kde mnoho lid\u00ed mluv\u00ed, ale tak\u00e9 kdy\u017e komunika\u010dn\u00ed partner sed\u00ed na stran\u011b, kter\u00e1 nesly\u0161\u00ed.<\/p>\n

Sluchov\u00e9 ucho vede<\/h2>\n

K l\u00e9\u010db\u011b jednostrann\u00e9 ztr\u00e1ty sluchu jsou k dispozici r\u016fzn\u00e1 za\u0159\u00edzen\u00ed. Naslouchadla CROS nebo sluchov\u00e9 implant\u00e1ty, jako je Bonebridge <\/em> sn\u00edmaj\u00ed zvuk na hluch\u00e9m uchu a p\u0159en\u00e1\u0161ej\u00ed jej na stranu sluchu. To pom\u00e1h\u00e1 sly\u0161et zvuky p\u0159ich\u00e1zej\u00edc\u00ed z nesly\u0161\u00edc\u00ed strany. Pln\u00e9 oboustrann\u00e9 funkce pro lidi s jednostrannou hluchotou lze dos\u00e1hnout pouze kochle\u00e1rn\u00edm implant\u00e1tem.<\/p>\n

Pan\u00ed Ackerl v\u00ed, jak\u00e9 v\u00fdzvy m\u016f\u017ee p\u0159edstavovat sluchov\u00e1 rehabilitace pro u\u017eivatele KI s jednostrannou hluchotou: \u201eSluchov\u00e9 ucho prost\u011b chce z\u016fstat vedouc\u00edm uchem. P\u0159i rehabilitaci maskujeme sluch nebo jej obch\u00e1z\u00edme pomoc\u00ed technologie \u2013 pomoc\u00ed aplikac\u00ed, audioknih atd.\u201c Sign\u00e1l je odesl\u00e1n p\u0159\u00edmo do zvukov\u00e9ho procesoru KI p\u0159es telecoil.<\/p>\n

Mal\u00e9 d\u011bti nep\u0159ij\u00edmaj\u00ed maskov\u00e1n\u00ed ucha, ale: \u201eMiluj\u00ed hran\u00ed na tabletu nebo smartphonu\u201c \u2013 dobr\u00fd p\u0159edpoklad pro v\u00fdcvik sluchu u mal\u00fdch d\u011bt\u00ed, zejm\u00e9na u d\u011bt\u00ed s jednostrannou hluchotou. D\u011bti mus\u00ed p\u0159i poslechu p\u0159\u00edb\u011bhu, kter\u00fd vn\u00edmaj\u00ed sluchov\u00fdm uchem, naj\u00edt zv\u00ed\u0159ata odpov\u00eddaj\u00edc\u00ed zv\u00ed\u0159ec\u00edmu zvuku.<\/p>\n

\"A

V n\u011bkter\u00fdch \u010d\u00e1stech Rakouska se v\u00fdvoj \u0159e\u010di hodnot\u00ed p\u0159ed n\u00e1stupem d\u011bt\u00ed do \u0161koly.<\/p><\/div>\n

Kdo mi vol\u00e1?<\/h2>\n

\u201eV\u00fdcvik sluchu pro u\u017eivatele KI s jednostrannou hluchotou vy\u017eaduje trp\u011blivost: V\u00fdvoj sluchu obvykle trv\u00e1 o n\u011bco d\u00e9le ne\u017e u pacient\u016f, kte\u0159\u00ed jsou hluch\u00ed v obou u\u0161\u00edch. Jednostrann\u011b nesly\u0161\u00edc\u00ed u\u017eivatel\u00e9 sly\u0161\u00ed zvukov\u00e9 sign\u00e1ly rychle, ale maj\u00ed pot\u00ed\u017ee v hlu\u010dn\u00fdch poslechov\u00fdch situac\u00edch.\u201c Pan\u00ed Ackerl pokra\u010duje: \u201eMus\u00edme motivovat a povzbuzovat na\u0161e pacienty.\u201c Sly\u0161en\u00ed bl\u00ed\u017e\u00edc\u00edho se auta nebo jin\u00e9 varovn\u00e9 sign\u00e1ly jsou \u010dasto jejich prvn\u00edm \u00fasp\u011bchem. Porozum\u011bn\u00ed \u0159e\u010di s KI p\u0159ich\u00e1z\u00ed pomalu, n\u011bkdy dokonce bez pov\u0161imnut\u00ed.<\/p>\n

Bahran je st\u00e1le p\u0159\u00edli\u0161 mlad\u00fd na to, aby se o sv\u00e9 sluchov\u00e9 vjemy pod\u011blil slovn\u011b. Sabrina Ackerl, jeho logopedka, doporu\u010duje rodi\u010d\u016fm, aby pozorn\u011b sledovali jeho v\u00fdvoj: \u201eJak se mu da\u0159\u00ed v hluku, ve skupinov\u00e9 situaci? Reaguje, kdy\u017e na jm\u00e9no? D\u00edv\u00e1 se sm\u011brem, kter\u00fdm zvuk p\u0159ich\u00e1zel?\u201c Prvn\u00ed zm\u011bny chov\u00e1n\u00ed budou pravd\u011bpodobn\u011b vid\u011bt doma. Nyn\u00ed m\u00e1 batole dostatek \u010dasu na \u00fapln\u00e9 rozvinut\u00ed sv\u00fdch sluchov\u00fdch schopnost\u00ed.<\/p>\n

\n

Zdrav\u00ed sluchu<\/strong><\/p>\n

V Rakousku by m\u011bl b\u00fdt sluch ka\u017ed\u00e9ho novorozence vy\u0161et\u0159en b\u011bhem prvn\u00edho m\u011bs\u00edce \u017eivota. Ka\u017ed\u00e9 d\u00edt\u011b narozen\u00e9 se ztr\u00e1tou sluchu v jednom nebo obou u\u0161\u00edch by m\u011blo b\u00fdt co nejd\u0159\u00edve spat\u0159eno. Cel\u00fd diagnostick\u00fd postup by m\u011bl b\u00fdt v ide\u00e1ln\u00edm p\u0159\u00edpad\u011b ukon\u010den do \u0161esti m\u011bs\u00edc\u016f v\u011bku. Pot\u00e9 by m\u011blo b\u00fdt d\u00edt\u011bti poskytnuto sluchadlo.<\/p>\n

U d\u011bt\u00ed narozen\u00fdch se zdrav\u00fdm sluchem se mohou vyvinout probl\u00e9my se sluchem, vysv\u011btluje Sabrina Ackerl, logopedka z Fakultn\u00ed Keplerovy nemocnice v Linci: \u201eV Horn\u00edm Rakousku logopedi obvykle nav\u0161t\u011bvuj\u00ed mate\u0159sk\u00e9 \u0161koly, aby zhodnotili v\u00fdvoj \u0159e\u010di a sluchov\u00e9 schopnosti \u010dty\u0159 a p\u011btilet\u00fdch d\u011bt\u00ed. Pokud je sluch d\u00edt\u011bte mimo rozsah, Ackerl doporu\u010duje vy\u0161et\u0159en\u00ed ORL. N\u011bkter\u00e9 d\u011bti mohou b\u00fdt testov\u00e1ny pouze v posledn\u00edm povinn\u00e9m ro\u010dn\u00edku mate\u0159sk\u00e9 \u0161koly, a to ve v\u011bku p\u011bti nebo \u0161esti let.<\/p>\n

Bylo by skv\u011bl\u00e9, kdyby byl test sluchu v p\u011bti letech povinn\u00fd, proto\u017ee ne v\u0161echny d\u011bti nav\u0161t\u011bvuj\u00ed mate\u0159skou \u0161kolu. \u201eTakto bychom se mohli ujistit, \u017ee \u017e\u00e1dn\u00e9 d\u00edt\u011b nezme\u0161k\u00e1me.\u201c Jin\u00e9 zem\u011b tak\u00e9 diskutuj\u00ed o druh\u00e9m posouzen\u00ed sluchu p\u0159ed n\u00e1stupem d\u011bt\u00ed do \u0161koly. \u010cesk\u00e1 republika je jednou z nich.<\/p>\n

Zdravotn\u00ed p\u00e9\u010de pro dosp\u011bl\u00e9 spo\u010d\u00edv\u00e1 v jejich vlastn\u00ed odpov\u011bdnosti. S ohledem na d\u016fsledky ztr\u00e1ty sluchu na star\u0161\u00ed dosp\u011bl\u00e9 vy\u017eaduj\u00ed mezin\u00e1rodn\u00ed odborn\u00edci v r\u00e1mci pravideln\u00e9ho hodnocen\u00ed zdrav\u00ed kontroly sluchu.<\/p>\n<\/blockquote>\n

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[1]<\/a> Jm\u00e9no zm\u011bn\u011bno z d\u016fvodu ochrany \u00fadaj\u016f.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Kochle\u00e1rn\u00ed implant\u00e1ty pro jednostrannou hluchotu jsou slibn\u00e9 pro dosp\u011bl\u00e9 i d\u011bti<\/p>\n","protected":false},"author":5,"featured_media":32147,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[492],"tags":[419,417,420],"class_list":["post-254","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","tag-bilateral","tag-ci","tag-unilateral-hearing-loss"],"yoast_head":"\nRychl\u00e1 pomoc p\u0159i jednostrann\u00e9 hluchot\u011b - 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\/rychla-pomoc-pri-jednostranne-hluchote\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rychl\u00e1 pomoc p\u0159i jednostrann\u00e9 hluchot\u011b - 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