{"id":3315,"date":"2021-04-29T16:09:59","date_gmt":"2021-04-29T14:09:59","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=3315"},"modified":"2025-04-17T13:32:03","modified_gmt":"2025-04-17T13:32:03","slug":"erinevate-tootjate-sisekorvaimplantaadid-vordlus","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/et\/erinevate-tootjate-sisekorvaimplantaadid-vordlus\/","title":{"rendered":"Erinevate tootjate sisek\u00f5rvaimplantaadid: v\u00f5rdlus"},"content":{"rendered":"

SI kasutajate kogemused erinevate sisek\u00f5rvaimplantaatidega<\/h1><\/div>

Bimodaalse kuulmise eelised saavutavad oma t\u00e4ieliku potentsiaali siis, kui kuulmine on m\u00f5lemal poolel tasakaalus. Seet\u00f5ttu k\u00fcsivad paljud SI kandidaadid endalt, kas neil peaks selle saavutamiseks olema m\u00f5lemal k\u00fcljel sama implantaat.<\/strong><\/p>\n<\/div>

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V\u00f5rdne kuulmine m\u00f5lemas k\u00f5rvas h\u00f5lbustab inimesel nende helide \u00fchendamist \u00fchte kuulmisaistingusse. See kehtib bimodaalse sobitamise kohta, kus tavap\u00e4rased kuuldeaparaadid ja kuulmisimplantaadid on teisel pool. Kuid kas sama on ka sisek\u00f5rvaimplantaatide kahepoolse kasutamise puhul?<\/p>\n

\u201cIsegi kuulmisimplantaatideta inimeste kuulmisorgan on tavaliselt as\u00fcmmeetriline,\u201d \u00fctleb prof dr Wolf-Dieter Baumgartner, CIA president ja Viini \u00fcldhaigla SI kirurg. \u201cSee ei ole aju jaoks probleem ja see kompenseerib sellise as\u00fcmmeetria t\u00e4ielikult.\u201d<\/p>\n

S\u00fcnkroonida v\u00f5i optimeerida?<\/h2>\n

Uue implantaadi kasutuselev\u00f5tt, mis on alati varasemast mudelist veidi erinev, on toonud kaasa palju kahepoolseid SI kasutajaid, kellel on m\u00f5lemal k\u00fcljel erinevad implantaadid. Samuti viisid erinevad anatoomilised struktuurid erineva pikkusega elektroodide kasutamiseni. Tehniliste andmete ja kohalike teenuste v\u00f5rdlus koos kogemustega, mis SI kasutajatel juba implantaatidest on, sunnivad m\u00f5nikord kasutajaid tahtlikult \u00fcle minema Austria tootja\u00a0MED-EL<\/a>\u00a0implantaadile.<\/p>\n

\u201cPakume oma implantaatide jaoks erineva pikkusega elektroode, isegi nii l\u00fchikesi kui teiste tootjate omad. Ja loomulikult saame ka oma ainulaadse peenstruktuuri kodeerimise deaktiveerida,\u201d selgitab MED-EL Vienna piirkonnajuht Ewald Thurner, kuidas erinevaid sisek\u00f5rvaimplantaate saab v\u00f5rrelda. \u201cPraktikas on siiski n\u00e4idatud, et kasutajad saavad k\u00f5ige rohkem kasu, kui optimaalne elektrood ja kodeerimine on teise SI valiku olulised kriteeriumid.\u201d<\/p>\n

Erinevate tootjate sisek\u00f5rvaimplantaatide v\u00f5rdlus<\/h2>\n

Usheri s\u00fcndroomi tagaj\u00e4rjel oli austraallanna Grace Dimer* m\u00f5lemalt poolt funktsionaalselt kurt ja tema n\u00e4gemine oli t\u00f5siselt halvenenud. Kui ta 2004. aasta novembris oma esimese sisek\u00f5rvaimplantaadi sai, oli ta juba 63-aastane. Ta sai Austraalia SI tootjalt Cochlearilt kaasaegse sisek\u00f5rvaimplantaadi. V\u00e4hem kui neli aastat hiljem soovitasid Camperdownis asuva kuningliku prints Alfredi haigla arstid tal hankida ka teise poole SI. \u201cAlates 2008. aastast on meie osakond kasutanud nii MED-ELi kui ka Cochlear Corporationi implantaate,\u201d selgitavad arstid. P\u00e4rast kahe implantaadi p\u00f5hjalikku v\u00f5rdlemist ja hoolikat kaalumist valis Dimer MED-EL implantaadi. See oli aga vastutavate arstide jaoks uus meditsiiniline territoorium: \u201cTa on esimene dokumenteeritud patsient, kellele paigaldati kahepoolselt kahe erineva tootja kohleaarimplantaadid.\u201d<\/p>\n

Kolm kuud hiljem m\u00f5istis Grace juba\u00a0MED-EL<\/a>\u00a0SI-ga lauseid peaaegu samamoodi kui teisel k\u00fcljel oleva vana implantaadiga. P\u00e4rast \u00fcheaastast kahepoolset kuulmiskogemust oli m\u00f5lema implantaadi puhul helide m\u00f5istmine oluliselt parem.<\/p>\n

Kogemus \u00fctleb: Austria tehnoloogia k\u00f5lab paremini<\/h2>\n

\u201cKuulmine on subjektiivne ja individuaalne kogemus, mist\u00f5ttu on v\u00e4\u00e4rtuslik patsient, kes oskab t\u00f5esti otseselt kirjeldada implantaatide erinevust,\u201d lisavad arstid. Grace kirjeldas MED-EL implantaatide heli loomulikumana, vaid kuus n\u00e4dalat p\u00e4rast implantaadi aktiveerimist. Pealegi lisasid s\u00f5brad, et ta r\u00e4\u00e4gib ka loomulikumalt! \u201cT\u00e4pselt nagu erinevus klaveri h\u00e4\u00e4lestamise ja selle m\u00e4ngimise vahel,\u201d kirjeldab ta vana Austraalia SI heli v\u00f5rreldes Austria MED-EL kohleaarimplantaadi loomuliku heliga.<\/p>\n

Selgemad helid teise SI-ga<\/h2>\n

Austraalia implantaadi kasutajad Sydney (Austraalia) ja Londoni (\u00dchendkuningriigi) kliinikutes valisid teise k\u00fclje implanteerimiseks ka MED-EL SI. Kasutajate tagasiside on j\u00e4rjepidev: nad kirjeldavad eelmise Austraalia implantaadi heli kajava, mehaanilise ja metalsena. See on \u201cpigem nagu robot\u201d, nii et \u201cma ei suuda \u00fcksikuid h\u00e4\u00e4li h\u00e4sti eristada\u201d. Teiseks implanteeritud MED-EL-i sisek\u00f5rvaimplantaat k\u00f5las k\u00f5igil neil juhtudel loomulikumalt, s\u00fcgavamalt ja selgemalt, meloodilisemalt ja k\u00f5lavamalt.<\/p>\n

\u201cKohe p\u00e4rast aktiveerimist oli muusikal rohkem s\u00fcgavust,\u201d kirjeldab \u00fcks kasutaja. Teine lisab: \u201cVokaalid k\u00f5lavad selgemalt ja t\u00e4idlasemalt.\u201d See on eriti \u00fcllatav, sest kui kahepoolset implanteerimist teostatakse sama tootja toodetega, j\u00e4\u00e4b esimese siirdatud k\u00f5rva kuulmine tavaliselt paremaks. Kuid neli uuringus osalenud kasutajat viiest leidis, et MED-EL-i SI on loomulikum ja selgem.<\/p>\n

Teine SI \u2013 isiklik kogemus<\/h2>\n

Enid Chapman sai oma teise SI 2011. aastal. Ta s\u00fcndis s\u00fcgavalt kurdina ja sai kohleaarimplantaadi Austraalias alles 41-aastaselt. See \u00f5nnestus aga vaid osaliselt: \u201cKuulsin ainult taustam\u00fcra, aga pidin ikka huultelt lugema\u201d. Seet\u00f5ttu otsustas ta valida oma teiseks implantaadiks MED-EL-i. \u201cSee k\u00f5lab palju paremini!\u201d<\/p>\n

Samal ajal ei saa see sotsiaalne daam mitte ainult k\u00f5nest aru ja h\u00e4sti suhelda, vaid ta suudab eristada erinevaid aktsente. See on t\u00e4pselt see p\u00f5hjus, miks ta otsustas MED-EL-i SI-le \u00fcle minna. Ta vajab veel aega, et teisest k\u00f5rvast t\u00e4iesti h\u00e4sti kuulda, kuid erinevus oli talle selge alates SI aktiveerimisest. Ta lisab: \u201cRongiga koju s\u00f5ites nutsin r\u00f5\u00f5must ja t\u00e4nutundest, et kuulsin esimest korda 60 aasta jooksul k\u00f5net ka sellel poolel.\u201d<\/p>\n

*Toimetus muutis nime.<\/p>\n

Valikuvabadus<\/h2>\n

Kui kandidaat on juba otsustanud implantaadi saada, on tema j\u00e4rgmiseks sammuks \u00f5ige toote valimine. Tore, kui saad \u00f6elda: \u201cMe poleks saanud paremat valikut teha!\u201d Need olid ka USA-st p\u00e4rit SI-lapse ema Colleen Kehoe Powelli s\u00f5nad. Ta m\u00e4letab: \u201cMinu esimesed k\u00fcsimused oleksid olnud seadme kohta, mis kavatseti mu poja p\u00e4he implanteerida. L\u00f5ppude l\u00f5puks on see implantaadi osa, mis j\u00e4\u00e4b tema sisse kogu \u00fclej\u00e4\u00e4nud eluks!\u201d<\/p>\n

K\u00fcsi \u00f5igeid k\u00fcsimusi<\/h2>\n

\u201cL\u00f5ppkokkuv\u00f5ttes pean s\u00fcsteemi siirdatud osi olulisemaks, sest need j\u00e4\u00e4vad kehasse p\u00fcsivalt ja peaksid pakkuma piisavalt v\u00f5imsust tulevasteks arenguteks,\u201d n\u00f5ustub V\u00edt Mat\u011bjovsk\u00fd. See T\u0161ehhi SI kasutaja on l\u00f5petanud tehnika\u00fclikooli. Ta lisab kolm tehnilist parameetrit, mida peab eriti oluliseks: \u201cKas elektrood katab kohlead, millist signaali kodeeringut pakutakse ja kas implantaat sobib MR-uuringutega, kui seda peaks vaja minema.\u201d<\/p>\n

Powell lisab ka k\u00fcsimusi tootja kohta. \u201cK\u00fcsiksin ettev\u00f5tte filosoofia ja v\u00f5ib-olla isegi ajaloo kohta. Kus on ettev\u00f5tte peakontor? Mida me teame ettev\u00f5tte ja selle toodete t\u00f6\u00f6kindlusest? Kas on toimunud tagasikutsumisi?\u201d Ja praktilised k\u00fcsimused: \u201cMilline on klienditeenindus? Kui kaua v\u00f5tab remont v\u00f5i saatmine aega? Kus implantaat toodetakse? Kas \u00fcksikud osad tarnitakse mujalt?\u201d<\/p>\n

\u201cOlen endalt sageli k\u00fcsinud, kas valiksin ka t\u00e4na sama kohleaarimplantaadi, mis toona?\u201d j\u00e4reldab V\u00edt Mat\u011bjovsk\u00fd, MED-EL-i SI kasutaja. \u201cNing jah, ma valiksin kindlasti sama!\u201d<\/p>\n

Loe rohkem lugusid\u00a0isiklikest kogemustest kohleaarimplantaatidega!<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

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