{"id":243,"date":"2020-06-03T15:29:35","date_gmt":"2020-06-03T13:29:35","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=243"},"modified":"2025-05-09T10:13:19","modified_gmt":"2025-05-09T10:13:19","slug":"hogy-kepezhetjuk-a-masodik-implantatum-oldalat","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/hu\/hogy-kepezhetjuk-a-masodik-implantatum-oldalat\/","title":{"rendered":"Hogy k\u00e9pezhetj\u00fck a m\u00e1sodik implant\u00e1tum oldal\u00e1t"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top:0px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:45;line-height:1.4;\">Tippek a binaur\u00e1lis hall\u00e1s fejleszt\u00e9s\u00e9hez<\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p><strong>Ahhoz, hogy a m\u00e1sodik cochle\u00e1ris implant\u00e1tum el\u0151nyeit is maxim\u00e1lis \u00e9lvezhess\u00e9k, a CI-t haszn\u00e1l\u00f3 p\u00e1cienseknek rendszeresen kell gyakorolniuk, ak\u00e1rcsak az els\u0151 implant\u00e1tum eset\u00e9ben. N\u00e9met \u00e9s osztr\u00e1k szak\u00e9rt\u0151k elmagyar\u00e1zz\u00e1k, hogyan kell a binaur\u00e1lis hall\u00e1shoz gyakorlatokat v\u00e9gezni.<\/strong><\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1400\" height=\"561\" title=\"thumb-second\" src=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second.jpg\" data-orig-src=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second.jpg\" alt class=\"lazyload img-responsive wp-image-32164\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271400%27%20height%3D%27561%27%20viewBox%3D%270%200%201400%20561%27%3E%3Crect%20width%3D%271400%27%20height%3D%27561%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second-200x80.jpg 200w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second-400x160.jpg 400w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second-600x240.jpg 600w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second-800x321.jpg 800w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second-1200x481.jpg 1200w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-second.jpg 1400w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p>\u201eA cochle\u00e1ris implant\u00e1tumok egym\u00e1st k\u00f6vet\u0151 be\u00fcltet\u00e9s\u00e9n\u00e9l speci\u00e1lis \u00e9s kitart\u00f3 gyakorl\u00e1sra van sz\u00fcks\u00e9g\u201d \u2013 magyar\u00e1zza Corinna Schaar, a N\u00e9metorsz\u00e1gban \u00e9l\u0151, hall\u00f3k\u00e9sz\u00fcl\u00e9kek eset\u00e9n alkalmazott rehabilit\u00e1ci\u00f3ra szakosodott szak\u00e9rt\u0151. A cochle\u00e1ris implant\u00e1tumok egym\u00e1st k\u00f6vet\u0151 be\u00fcltet\u00e9se annyit jelent, hogy a CI-vel rendelkez\u0151 p\u00e1ciens egy m\u00e1sodik cochle\u00e1ris implant\u00e1tumot kap az ellenkez\u0151 oldali (=m\u00e1sik) f\u00fcl\u00e9hez. A b\u00e9csi besz\u00e9dterapeuta, Constanze Vetter, olyan Ausztri\u00e1ban \u00e9l\u0151 betegekkel dolgozik, akik CI-t haszn\u00e1lnak. \u201eA p\u00e1cienseimnek azt szoktam javasolni, hogy az \u00faj CI-vel el\u0151sz\u00f6r otthon kezdjenek el gyakorolni. A h\u00e9tk\u00f6znapi \u00e9letben egy\u00e9bk\u00e9nt is eg\u00e9sz nap haszn\u00e1lniuk a cochle\u00e1ris implant\u00e1tumukat.\u201d<\/p>\n<p>Min\u00e9l t\u00f6bb id\u0151 telik el az els\u0151 be\u00fcltet\u00e9s ut\u00e1n, ann\u00e1l val\u00f3sz\u00edn\u0171bb, hogy a p\u00e1ciensek elfelejtik milyen hossz\u00fa heteket, s\u0151t h\u00f3napokat kellett gyakorl\u00e1ssal t\u00f6lteni\u00fck az els\u0151 m\u0171t\u00e9tet k\u00f6vet\u0151en. El\u0151fordul, hogy a CI-t haszn\u00e1l\u00f3k azt v\u00e1rj\u00e1k, hogy a m\u00e1sodik oldal hamar felz\u00e1rk\u00f3zik az els\u0151 implant\u00e1tummal ell\u00e1tott f\u00fclh\u00f6z \u00e9s hamar ugyanolyan teljes\u00edtm\u00e9nyt \u00e9r el. Ezzel szemben, n\u00e9h\u00e1nyan a m\u00e1sodik oldalr\u00f3l \u00e9rkez\u0151 jeleket zavar\u00f3 h\u00e1tt\u00e9rzajk\u00e9nt \u00e9rz\u00e9kelik. \u201eAz audioprocesszor rendszeres haszn\u00e1lata alapvet\u0151 felt\u00e9tel. Fontos, hogy a p\u00e1ciensek motiv\u00e1ltak \u00e9s egy\u00fcttm\u0171k\u00f6d\u0151k legyenek\u201d \u2013 hangs\u00falyozza Schaar.<\/p>\n<h2>Hall\u00e1s \u2013 mindk\u00e9t f\u00fcllel \u00e9s mindk\u00e9t ir\u00e1nyba<\/h2>\n<p>Kezdetben a hallgat\u00e1s \u00e9s a besz\u00e9d\u00e9rt\u00e9s gyakorl\u00e1s\u00e1hoz egyed\u00fcl a m\u00e1sodik CI-t haszn\u00e1lj\u00e1k, majd a k\u00e9t eszk\u00f6zt egy\u00fctt kell alkalmazni. A kisgyerekek nem mindig akarj\u00e1k az els\u0151k\u00e9nt kapott CI-t letenni, ilyenkor a sz\u00fcl\u0151k bevethetnek egy kis tr\u00fckk\u00f6t: a d\u00e9lut\u00e1ni alv\u00e1s ut\u00e1n mondhatj\u00e1k, hogy \u201eaz els\u0151 processzor m\u00e9g f\u00e1radt \u00e9s tov\u00e1bb kell pihennie\u201d. Ekkor el\u00e9rkezik a hall\u00e1st seg\u00edt\u0151 j\u00e1t\u00e9kok ideje.<\/p>\n<p>Ahhoz, hogy hangforr\u00e1sokat meghat\u00e1rozhass\u00e1k \u00e9s az egyes hangokat \u00e9s a hangforr\u00e1sokat zajos k\u00f6rnyezetben is el tudj\u00e1k k\u00fcl\u00f6n\u00edteni, a p\u00e1ciensek hall\u00f3k\u00e9szs\u00e9geinek a k\u00e9t oldalon k\u00f6zel megegyez\u0151nek kell lennie. Az ilyen binaur\u00e1lis k\u00e9pess\u00e9gek kifejl\u0151d\u00e9s\u00e9hez, csak\u00fagy, mint a besz\u00e9d \u00e9s a kommunik\u00e1ci\u00f3 megtanul\u00e1s\u00e1hoz id\u0151re van sz\u00fcks\u00e9g, m\u00e9g norm\u00e1l hall\u00e1s\u00fa gyerekeknek is. Ezek a k\u00e9pess\u00e9gek a besz\u00e9ddel \u00e9s a nyelvvel egy\u00fctt fejl\u0151dnek, \u00e9ppen ez\u00e9rt fontos, hogy a cochle\u00e1ris implant\u00e1tumot haszn\u00e1l\u00f3 p\u00e1ciensek folyamatosan gyakoroljanak.<\/p>\n<h2>B\u00faj\u00f3cska Id\u0151seknek \u00e9s Fiataloknak<\/h2>\n<p>A feln\u0151ttek \u00e9s a tinik k\u00f6r\u00e9ben n\u00e9pszer\u0171 j\u00e1t\u00e9k egy hagyom\u00e1nyos Samsung, Apple vagy Huawei telefon cseng\u0151hangj\u00e1val kezd\u0151dik: \u201eKinek a telefonja cs\u00f6r\u00f6g?\u201d vagy \u201eHova tettem a telefonom?\u201d<\/p>\n<p>M\u00edg a feln\u0151ttek a hasonl\u00f3 helyzetekre kiss\u00e9 idegesen reag\u00e1lnak, a gyerekek \u00e1ltal\u00e1ban sz\u00edvesen j\u00e1tszanak k\u00fcl\u00f6nb\u00f6z\u0151 b\u00faj\u00f3csk\u00e1s j\u00e1t\u00e9kokat. A Hangb\u00faj\u00f3 elnevez\u00e9s\u0171 j\u00e1t\u00e9khoz k\u00e9t j\u00e1t\u00e9kosra van sz\u00fcks\u00e9g: az egyik\u00fck elb\u00fajik, majd egy el\u0151re megbesz\u00e9lt hangot ad ki vagy a nev\u00e9n sz\u00f3l\u00edtja a huny\u00f3t. Ak\u00e1r \u00e9breszt\u0151\u00f3r\u00e1t vagy mobiltelefont is el lehet rejteni. A gyerekek egy\u00fctt is kereshetik az elrejtett t\u00e1rgyat. A friss implant\u00e1tummal rendelkez\u0151 gyerekeknek a rejtekhely megtal\u00e1l\u00e1s\u00e1hoz sz\u00fcks\u00e9ge lehet egy feln\u0151tt j\u00e1t\u00e9kos seg\u00edts\u00e9g\u00e9re.<\/p>\n<p>A gyerekek a Szembek\u00f6t\u0151sdit is nagyon kedvelik. A hall\u00e1st ezt a j\u00e1t\u00e9kkal \u00fagy lehet gyakorolni, hogy a \u201evak\u201d j\u00e1t\u00e9kost csak hangosan vagy k\u00fcl\u00f6nb\u00f6z\u0151 hangokkal lehet sz\u00f3l\u00edtani. Term\u00e9szetesen m\u00e1s j\u00e1t\u00e9kokat is \u00e1talak\u00edthatunk. \u201eLegsz\u00edvesebben az\u00a0<em>\u00c9n olyat hallok, amit te nem<\/em>\u00a0elnevez\u00e9s\u0171 j\u00e1t\u00e9kot j\u00e1tszom a gyerekekkel.\u201d \u2013 mondja nevetve Corinna Schaar. \u201eNem csak azt k\u00e9rdezz\u00fck a gyerekekt\u0151l, hogy milyen hangot hallanak, hanem azt is, hogy honnan j\u00f6n a hang.\u201d<\/p>\n<h2>C\u00e9lzott helymeghat\u00e1roz\u00e1s<\/h2>\n<p>Feln\u0151ttk\u00e9nt, ha az ir\u00e1ny\u00edtott hall\u00e1st szeretn\u00e9 gyakorolni, a legjobb, ha ismer\u0151s k\u00f6rnyezetben, olyan ismer\u0151s hangokkal kezdni, amelyeknek k\u00f6r\u00fclbel\u00fcl be tudja azonos\u00edtani a hely\u00e9t. Keresse meg a hang forr\u00e1s\u00e1t! Hunyja le a szem\u00e9t, ford\u00edtsa el a fej\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 ir\u00e1nyba \u00e9s hat\u00e1rozza meg, melyik ir\u00e1nyb\u00f3l hallhat\u00f3 leger\u0151sebben a hang.<\/p>\n<p>\u201eAz adott hang lehet besz\u00e9d, hangszer vagy b\u00e1rmilyen, a mindennapokban el\u0151fordul\u00f3 hangz\u00e1s\u201d \u2013 magyar\u00e1zza Vetter. \u201eHa a hang hely\u00e9nek meghat\u00e1roz\u00e1sa m\u00e1r j\u00f3l megy, k\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 helyr\u0151l sz\u00e1rmaz\u00f3 hangot j\u00e1tszok le, k\u00f6zvetlen\u00fcl egym\u00e1st k\u00f6vet\u0151en. A p\u00e1cienseknek a helyes sorrendben kell meghat\u00e1rozni a hangok hely\u00e9t.\u201d Ahogy egyre \u00fcgyesebb lesz, ak\u00e1r ismeretlen k\u00f6rnyezetben vagy ismeretlen, illetve mozg\u00f3 hangokkal \u2013 mint egy elhalad\u00f3 aut\u00f3 hangja \u2013 is megpr\u00f3b\u00e1lhatja ugyanezt.<\/p>\n<p>A feln\u0151tteknek k\u00f6nnyen be kell tudni illeszteni\u00fck ezeket a gyakorlatokat a mindennapi \u00e9let\u00fckbe. Schaar azt javasolja, hogy a CI-t haszn\u00e1l\u00f3k ak\u00e1r egyed\u00fcl, ak\u00e1r egy t\u00e1rsukkal egy\u00fctt, hunyj\u00e1k be a szem\u00fcket \u00e9s pr\u00f3b\u00e1lj\u00e1k meg kital\u00e1lni: h\u00e1ny hangot \u00e9rz\u00e9kelek, mik ezek \u00e9s honnan j\u00f6nnek? Csoportter\u00e1pia sor\u00e1n ezt a gyakorlatot bent \u00e9s kint egyar\u00e1nt, ak\u00e1r egy parkban vagy egy k\u00e1v\u00e9z\u00f3ban is elv\u00e9gezhetj\u00fck. Egyszerre gyakorolhatjuk a helymeghat\u00e1roz\u00e1st \u00e9s a hangelk\u00fcl\u00f6n\u00edt\u00e9st.<\/p>\n<h2>Besz\u00e9d\u00e9rt\u00e9s zajban<\/h2>\n<p>Mindegy, hogy egy \u00e9tteremben, egyter\u0171 irod\u00e1ban, oszt\u00e1lyteremben vagy t\u00f6megk\u00f6zleked\u00e9si eszk\u00f6z\u00f6n tart\u00f3zkodunk: a mindennapi \u00e9lethez zajban is sz\u00fcks\u00e9g van a besz\u00e9d\u00e9rt\u00e9sre \u00e9s a kommunik\u00e1ci\u00f3ra. \u201eA zajban t\u00f6rt\u00e9n\u0151 besz\u00e9d\u00e9rt\u00e9s a rehabilit\u00e1ci\u00f3s folyamat legnehezebb \u00e1llom\u00e1sa\u201d \u2013 err\u0151l Constanze Vetter meg van gy\u0151z\u0151dve. Azt javasolja, hogy ha a CI-t haszn\u00e1l\u00f3 betegek bizonytalanok egy gyakorlatban, el\u0151sz\u00f6r gyakorolj\u00e1k csendes k\u00f6rnyezetben. \u201eAz els\u0151 szavak meg\u00e9rt\u00e9se ut\u00e1n a feladatot halk h\u00e1tt\u00e9rzajban is megpr\u00f3b\u00e1lhatjuk v\u00e9grehajtani\u201d \u2013 teszi hozz\u00e1 n\u00e9met koll\u00e9g\u00e1ja.<\/p>\n<p>B\u00e1r a besz\u00e9dtesztek sor\u00e1n \u00e1ltal\u00e1ban szabv\u00e1nyos feh\u00e9r zajt alkalmaznak, a hall\u00e1sgyakorlatok sor\u00e1n Vetter el\u0151nyben r\u00e9szes\u00edti a k\u00f6rnyezeti zajokat. \u201eSzeretek h\u00e9tk\u00f6znapi k\u00f6r\u00fclm\u00e9nyek k\u00f6z\u00f6tt dolgozni.\u201d Otthon p\u00e9ld\u00e1ul bekapcsolhatjuk a r\u00e1di\u00f3t. A tapasztaltabb p\u00e1ciensek kedvenc \u00e9tterm\u00fckben is v\u00e9gezhetnek kommunik\u00e1ci\u00f3s gyakorlatokat. Vetter hangs\u00falyozza, hogy ilyen k\u00f6rnyezetben m\u00e9g a norm\u00e1l hall\u00e1ssal rendelkez\u0151kkel is el\u0151fordul, hogy meg kell k\u00e9rni\u00fck besz\u00e9lget\u0151partner\u00fcket egy adott mondat megism\u00e9tl\u00e9s\u00e9re. \u201eA ter\u00e1pi\u00e1s kezel\u00e9seim k\u00f6zpontj\u00e1ban az \u00e1ll, hogy megtan\u00edtsam a p\u00e1cienseimnek, hogyan kezeljenek bizonyos helyzeteket.\u201d<\/p>\n<p>\u201eKezdetben m\u00e9g az is el\u00e9g, ha egy adott gyakorlatot nyitott ablakn\u00e1l v\u00e9gz\u00fcnk\u201d \u2013 magyar\u00e1zza Schaar. Ez b\u00e1rmikor egyszer\u0171en bevethet\u0151, ak\u00e1r besz\u00e9lget\u0151partnerrel, ak\u00e1r CD-r\u0151l gyakorol. \u201eA zajban t\u00f6rt\u00e9n\u0151 besz\u00e9d\u00e9rt\u00e9shez a legjobb gyakorlatokat a mindennapi \u00e9let ny\u00fajtja\u201d \u2013 teszi hozz\u00e1 mosolyogva Schaar. \u201eZaj n\u00e9lk\u00fcl nincs \u00e9let.\u201d<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ahhoz, hogy a m\u00e1sodik cochle\u00e1ris implant\u00e1tum el\u0151nyeit is maxim\u00e1lis \u00e9lvezhess\u00e9k, a CI-t haszn\u00e1l\u00f3 p\u00e1cienseknek rendszeresen kell gyakorolniuk, ak\u00e1rcsak az els\u0151 implant\u00e1tum eset\u00e9ben.<\/p>\n","protected":false},"author":5,"featured_media":32164,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[419,441],"class_list":["post-243","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-egeszseg","tag-bilateral","tag-training-tips"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - 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