{"id":3315,"date":"2021-04-29T16:09:59","date_gmt":"2021-04-29T14:09:59","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=3315"},"modified":"2025-04-17T04:58:07","modified_gmt":"2025-04-17T04:58:07","slug":"kochlearni-implantaty-od-ruznych-vyrobcu-srovnani","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/kochlearni-implantaty-od-ruznych-vyrobcu-srovnani\/","title":{"rendered":"Kochle\u00e1rn\u00ed implant\u00e1ty od r\u016fzn\u00fdch v\u00fdrobc\u016f: Srovn\u00e1n\u00ed"},"content":{"rendered":"

Zku\u0161enosti u\u017eivatel\u016f CI s kochle\u00e1rn\u00edmi implant\u00e1ty r\u016fzn\u00fdch v\u00fdrobc\u016f<\/h1><\/div>

V\u00fdhody bimod\u00e1ln\u00edho sly\u0161en\u00ed mohou dos\u00e1hnout sv\u00e9ho pln\u00e9ho potenci\u00e1lu, kdy\u017e jsou se sly\u0161en\u00ed na obou stran\u00e1ch vyrovnan\u00e9. Proto si mnoho kandid\u00e1t\u016f na CI klade ot\u00e1zku, zda by m\u011bli m\u00edt pro jej\u00ed dosa\u017een\u00ed stejn\u00fd kochle\u00e1rn\u00ed implant\u00e1t na obou stran\u00e1ch.\u00a0<\/strong><\/p>\n<\/div>

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Stejn\u00fd sluchov\u00fd vjem na obou u\u0161\u00edch usnad\u0148uje posti\u017een\u00e9mu integrovat tyto vjemy do spole\u010dn\u00e9ho sluchov\u00e9ho vjemu. To plat\u00ed i pro bimod\u00e1ln\u00ed nasazen\u00ed s b\u011b\u017en\u00fdmi sluchadly a sluchov\u00fdm implant\u00e1tem na druh\u00e9 stran\u011b. Plat\u00ed to v\u0161ak i pro oboustrann\u00e9 pou\u017e\u00edv\u00e1n\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f?<\/p>\n

\u201eDokonce i lid\u00e9 bez sluchov\u00fdch implant\u00e1t\u016f maj\u00ed obvykle asymetrick\u00fd sluchov\u00fd org\u00e1n,\u201c \u0159\u00edk\u00e1 Prof. Dr. Wolf-Dieter Baumgartner, prezident CIA a CI chirurg V\u0161eobecn\u00e9 nemocnice ve V\u00eddni. \u201eTo pro mozek nep\u0159edstavuje \u017e\u00e1dn\u00fd probl\u00e9m a takovou asymetrii zcela kompenzuje.\u201c<\/p>\n

Synchronizovat nebo optimalizovat?<\/h2>\n

Zaveden\u00ed nov\u00e9ho implant\u00e1tu, kter\u00fd se v\u017edy trochu li\u0161\u00ed od p\u0159edchoz\u00edho modelu, vedlo k tomu, \u017ee mnoho u\u017eivatel\u016f oboustrann\u00e9 CI m\u00e1 na obou stran\u00e1ch r\u016fzn\u00e9 implant\u00e1ty. R\u016fzn\u00e9 anatomick\u00e9 struktury rovn\u011b\u017e vedly k pou\u017eit\u00ed r\u016fzn\u00fdch d\u00e9lek elektrod. Porovn\u00e1n\u00ed technick\u00fdch \u00fadaj\u016f a m\u00edstn\u00edch slu\u017eeb spolu se zku\u0161enostmi, kter\u00e9 u\u017eivatel\u00e9 CI ji\u017e maj\u00ed z implant\u00e1t\u016f na prvn\u00ed stran\u011b, n\u011bkdy vede u\u017eivatele k z\u00e1m\u011brn\u00e9mu p\u0159echodu na implant\u00e1t od rakousk\u00e9ho v\u00fdrobce MED-EL<\/a>.<\/p>\n

\u201ePro na\u0161e implant\u00e1ty m\u016f\u017eeme nab\u00eddnout elektrody r\u016fzn\u00fdch d\u00e9lek, dokonce i stejn\u011b kr\u00e1tk\u00e9 jako u jin\u00fdch v\u00fdrobc\u016f. A samoz\u0159ejm\u011b m\u016f\u017eeme tak\u00e9 deaktivovat na\u0161e jedine\u010dn\u00e9 k\u00f3dov\u00e1n\u00ed jemn\u00e9 struktury,\u201c vysv\u011btluje Ewald Thurner, oblastn\u00ed mana\u017eer spole\u010dnosti MED-EL V\u00edde\u0148, jak lze porovn\u00e1vat r\u016fzn\u00e9 kochle\u00e1rn\u00ed implant\u00e1ty. \u201eV praxi se v\u0161ak uk\u00e1zalo, \u017ee u\u017eivatel\u00e9 nejv\u00edce profituj\u00ed, kdy\u017e jsou rozhoduj\u00edc\u00edmi krit\u00e9rii pro v\u00fdb\u011br druh\u00e9ho CI optim\u00e1ln\u00ed elektroda a k\u00f3dov\u00e1n\u00ed.\u201c<\/p>\n

Srovn\u00e1n\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f od r\u016fzn\u00fdch v\u00fdrobc\u016f<\/h2>\n

Australanka Grace Dimerov\u00e1* byla v d\u016fsledku Usherova syndromu oboustrann\u011b funk\u010dn\u011b hluch\u00e1 a jej\u00ed zrak byl v\u00e1\u017en\u011b po\u0161kozen. Kdy\u017e v listopadu 2004 obdr\u017eela sv\u016fj prvn\u00ed kochle\u00e1rn\u00ed implant\u00e1t, bylo j\u00ed ji\u017e 63 let. Dostala modern\u00ed kochle\u00e1rn\u00ed implant\u00e1t od australsk\u00e9ho v\u00fdrobce CI Cochlear. O necel\u00e9 \u010dty\u0159i roky pozd\u011bji j\u00ed l\u00e9ka\u0159i v nemocnici Royal Prince Alfred Hospital v Camperdownu navrhli, aby si nechala zav\u00e9st CI i na druhou stranu. \u201eOd roku 2008 pou\u017e\u00edv\u00e1 na\u0161e odd\u011blen\u00ed implant\u00e1ty od spole\u010dnost\u00ed MED-EL i Cochlear Corporation,\u201c vysv\u011btluj\u00ed l\u00e9ka\u0159i. Po d\u016fkladn\u00e9m porovn\u00e1n\u00ed obou implant\u00e1t\u016f a pe\u010dliv\u00e9m zv\u00e1\u017een\u00ed se Dimerov\u00e1 rozhodla pro implant\u00e1t MED-EL. Pro odpov\u011bdn\u00e9 l\u00e9ka\u0159e to v\u0161ak bylo nov\u00e9 medic\u00ednsk\u00e9 \u00fazem\u00ed: \u201eJe to prvn\u00ed zdokumentovan\u00fd pacient, kter\u00fd byl oboustrann\u011b vybaven kochle\u00e1rn\u00edmi implant\u00e1ty od dvou r\u016fzn\u00fdch v\u00fdrobc\u016f.\u201c<\/p>\n

O t\u0159i m\u011bs\u00edce pozd\u011bji u\u017e Grace rozum\u011bla v\u011bt\u00e1m s kochle\u00e1rn\u00edm implant\u00e1tem MED-EL<\/a> t\u00e9m\u011b\u0159 stejn\u011b jako se star\u00fdm implant\u00e1tem na druh\u00e9 stran\u011b. Po roce oboustrann\u00e9 zku\u0161enosti se sly\u0161en\u00edm bylo porozum\u011bn\u00ed v hlu\u010dn\u00e9m prost\u0159ed\u00ed v\u00fdrazn\u011b lep\u0161\u00ed s ob\u011bma implant\u00e1ty.<\/p>\n

Zku\u0161enosti \u0159\u00edkaj\u00ed: Rakousk\u00e1 technologie zn\u00ed l\u00e9pe<\/h2>\n

\u201eSly\u0161en\u00ed je subjektivn\u00ed a individu\u00e1ln\u00ed zku\u0161enost, proto je cenn\u00e9, \u017ee pacient m\u016f\u017ee skute\u010dn\u011b p\u0159\u00edmo deklarovat rozd\u00edl mezi implant\u00e1ty,\u201c dod\u00e1vaj\u00ed l\u00e9ka\u0159i. Grace popsala zvuk implant\u00e1t\u016f MED-EL jako p\u0159irozen\u011bj\u0161\u00ed, a to ji\u017e \u0161est t\u00fddn\u016f po aktivaci implant\u00e1tu. Krom\u011b toho jej\u00ed p\u0159\u00e1tel\u00e9 dodali, \u017ee tak\u00e9 mluv\u00ed p\u0159irozen\u011bji! \u201eStejn\u011b jako rozd\u00edl mezi lad\u011bn\u00edm klav\u00edru a hrou na n\u011bj,\u201c popisuje zvuk star\u00e9ho australsk\u00e9ho CI ve srovn\u00e1n\u00ed s p\u0159irozen\u00fdm zvukem rakousk\u00e9ho kochle\u00e1rn\u00edho implant\u00e1tu MED-EL.<\/p>\n

Jasn\u011bj\u0161\u00ed zvuky s druh\u00fdm CI<\/h2>\n

U\u017eivatel\u00e9 australsk\u00e9ho implant\u00e1tu na klinik\u00e1ch v australsk\u00e9m Sydney a britsk\u00e9m Lond\u00fdn\u011b si pro implantaci druh\u00e9 strany tak\u00e9 zvolili CI od spole\u010dnosti MED-EL. Zp\u011btn\u00e1 vazba u\u017eivatel\u016f se shoduje: zvuk p\u0159edchoz\u00edho australsk\u00e9ho implant\u00e1tu popisuj\u00ed jako ozv\u011bnov\u00fd, mechanick\u00fd a kovov\u00fd. Je \u201esp\u00ed\u0161e jako robot\u201c, tak\u017ee \u201enedok\u00e1\u017eu dob\u0159e rozli\u0161it jednotliv\u00e9 hlasy\u201c. Druh\u00fd implantovan\u00fd kochle\u00e1rn\u00ed implant\u00e1t MED-EL zn\u011bl v ka\u017ed\u00e9m z t\u011bchto p\u0159\u00edpad\u016f p\u0159irozen\u011bji, hloub\u011bji a jasn\u011bji, ve srovn\u00e1n\u00ed s n\u00edm melodi\u010dt\u011bji a rezonantn\u011bji.<\/p>\n

\u201eIhned po aktivaci m\u011bla hudba v\u011bt\u0161\u00ed hloubku,\u201c popisuje jeden z u\u017eivatel\u016f. Druh\u00fd k tomu dod\u00e1v\u00e1: \u201eSamohl\u00e1sky zn\u011bj\u00ed jasn\u011bji a pln\u011bji.\u201c To je obzvl\u00e1\u0161t\u011b p\u0159ekvapiv\u00e9, proto\u017ee p\u0159i oboustrann\u00e9 implantaci s v\u00fdrobky od stejn\u00e9ho v\u00fdrobce z\u016fst\u00e1v\u00e1 obvykle lep\u0161\u00ed prvn\u00ed implantovan\u00e9 ucho. \u010cty\u0159i z p\u011bti u\u017eivatel\u016f ve studii v\u0161ak pova\u017eovali CI MED-EL za p\u0159irozen\u011bj\u0161\u00ed a jasn\u011bj\u0161\u00ed.<\/p>\n

Druh\u00fd CI \u2013 osobn\u00ed zku\u0161enost<\/h2>\n

Enid Chapmanov\u00e1 dostala druh\u00fd kochle\u00e1rn\u00ed implant\u00e1t v roce 2011. Narodila se jako hluboce nesly\u0161\u00edc\u00ed a kochle\u00e1rn\u00ed implant\u00e1t dostala a\u017e v Austr\u00e1lii ve sv\u00fdch 41 letech. Ten v\u0161ak byl \u00fasp\u011b\u0161n\u00fd jen \u010d\u00e1ste\u010dn\u011b: \u201eSly\u0161ela jsem pouze zvuky v pozad\u00ed, ale st\u00e1le jsem odez\u00edrala ze rt\u016f\u201c. Proto se rozhodla pro sv\u016fj druh\u00fd implant\u00e1t MED-EL. \u201eZn\u00ed to mnohem l\u00e9pe!\u201c<\/p>\n

Nyn\u00ed tato spole\u010densky anga\u017eovan\u00e1 d\u00e1ma nejen\u017ee dob\u0159e rozum\u00ed \u0159e\u010di a komunikuje, ale dok\u00e1\u017ee dokonce rozli\u0161it r\u016fzn\u00e9 p\u0159\u00edzvuky. Pr\u00e1v\u011b to je d\u016fvod, pro\u010d se rozhodla p\u0159ej\u00edt na CI MED-EL. Je\u0161t\u011b pot\u0159ebuje \u010das, aby sly\u0161ela zcela dob\u0159e i na druhou stranu, ale rozd\u00edl byl pro ni od aktivace CI z\u0159eteln\u00fd. Dod\u00e1v\u00e1 k tomu: \u201eP\u0159i cest\u011b vlakem dom\u016f jsem plakala radost\u00ed a vd\u011b\u010dnost\u00ed, \u017ee poprv\u00e9 po 60 letech sly\u0161\u00edm \u0159e\u010d i na t\u00e9to stran\u011b.\u201c<\/p>\n

<\/p>\n

*Jm\u00e9no bylo redakc\u00ed zm\u011bn\u011bno.<\/p>\n

Svoboda volby<\/h2>\n

Pokud se z\u00e1jemce ji\u017e rozhodl pro implant\u00e1t, jeho dal\u0161\u00edm krokem je v\u00fdb\u011br spr\u00e1vn\u00e9ho v\u00fdrobku. Je p\u0159\u00edjemn\u00e9, kdy\u017e si m\u016f\u017eete \u0159\u00edct: \u201eNemohli jsme si vybrat l\u00e9pe!\u201c I to jsou slova Colleen Kehoe Powellov\u00e9, matky d\u00edt\u011bte s CI z USA. Vzpom\u00edn\u00e1: \u201eMoje prvn\u00ed ot\u00e1zky by se t\u00fdkaly za\u0159\u00edzen\u00ed, kter\u00e9 bude m\u00e9mu synovi implantov\u00e1no do hlavy. V\u017edy\u0165 to je ta \u010d\u00e1st implant\u00e1tu, kterou bude m\u00edt v sob\u011b po zbytek sv\u00e9ho \u017eivota!\u201c<\/p>\n

Kla\u010fte spr\u00e1vn\u00e9 ot\u00e1zky<\/h2>\n

\u201eNakonec pova\u017euji za d\u016fle\u017eit\u011bj\u0161\u00ed implantovan\u00e9 \u010d\u00e1sti syst\u00e9mu, kter\u00e9 z\u016fst\u00e1vaj\u00ed v t\u011ble trvale a m\u011bly by poskytovat dostate\u010dnou kapacitu pro dal\u0161\u00ed v\u00fdvoj,\u201c souhlas\u00ed V\u00edt Mat\u011bjovsk\u00fd. \u010cesk\u00fd u\u017eivatel CI je absolventem Technick\u00e9 univerzity. Dod\u00e1v\u00e1 t\u0159i technick\u00e9 parametry, kter\u00e9 pova\u017euje za obzvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e9: \u201eZda elektroda pokr\u00fdv\u00e1 hlem\u00fd\u017e\u010f, jak\u00e9 nab\u00edz\u00ed k\u00f3dov\u00e1n\u00ed sign\u00e1lu a zda je implant\u00e1t kompatibiln\u00ed s vy\u0161et\u0159en\u00edm magnetickou rezonanc\u00ed, pokud by ji \u010dlov\u011bk pot\u0159eboval.\u201c<\/p>\n

Powellov\u00e1 tak\u00e9 p\u0159id\u00e1v\u00e1 ot\u00e1zky t\u00fdkaj\u00edc\u00ed se v\u00fdrobce. \u201ePtala bych se na filozofii a mo\u017en\u00e1 i historii spole\u010dnosti. Kde m\u00e1 spole\u010dnost s\u00eddlo? Co v\u00edme o spolehlivosti spole\u010dnosti a jej\u00edch v\u00fdrobk\u016f? Do\u0161lo k n\u011bjak\u00e9mu sta\u017een\u00ed v\u00fdrobku z trhu?\u201c A praktick\u00e9 ot\u00e1zky: \u201eJak\u00fd je z\u00e1kaznick\u00fd servis? Jak dlouho trv\u00e1 oprava nebo p\u0159eprava? Kde se implant\u00e1t vyr\u00e1b\u00ed? Jsou jednotliv\u00e9 d\u00edly dod\u00e1v\u00e1ny odjinud?\u201c<\/p>\n

\u201e\u010casto jsem si kladl ot\u00e1zku, zda bych si i dnes vybral stejn\u00fd kochle\u00e1rn\u00ed implant\u00e1t jako tehdy?\u201c uzav\u00edr\u00e1 V\u00edt Mat\u011bjovsk\u00fd, u\u017eivatel CI od spole\u010dnosti MED-EL. \u201eA ano, ur\u010dit\u011b bych si vybral stejn\u00fd!\u201c<\/p>\n

P\u0159e\u010dt\u011bte si dal\u0161\u00ed p\u0159\u00edb\u011bhy o osobn\u00edch zku\u0161enostech s kochle\u00e1rn\u00edmi implant\u00e1ty!!<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

P\u0159e\u010dt\u011bte si p\u0159\u00edb\u011bhy oboustrann\u00fdch u\u017eivatel\u016f CI a jejich osobn\u00ed zku\u0161enosti a srovn\u00e1n\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f.<\/p>\n","protected":false},"author":4,"featured_media":32004,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[492],"tags":[417,423,422],"class_list":["post-3315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","tag-ci","tag-ci-users","tag-hearing-implant-reliability"],"yoast_head":"\nKochle\u00e1rn\u00ed implant\u00e1ty od r\u016fzn\u00fdch v\u00fdrobc\u016f: Srovn\u00e1n\u00ed<\/title>\n<meta name=\"description\" content=\"P\u0159e\u010dt\u011bte si p\u0159\u00edb\u011bhy a tipy u\u017eivatel\u016f oboustrann\u00fdch CI, stejn\u011b jako jejich osobn\u00ed zku\u0161enosti a srovn\u00e1n\u00ed kochle\u00e1rn\u00edch implant\u00e1t\u016f.\" 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